TRANSMITTA L

### o f OMAH A LEA D SIT E SOI LREMEDIATIO NFIL EFOLDE R SAID# : 5Sn^" l Date : Address : "b O \ ^ '^CK ( (Wp j "ZfT Remediatio nContractor : Environmenta l Restoration , LLC

_Year : 201 0 SOI LREMEDIATIO N PROPERT Y FIL EFOLDE RDOCUMENT S L > Vide o o f property (DVD ) JsiBefor e DAfter D Basemen t D H/ O 6ct.<::KrJi.^ T D Executiv e Summary (Fina l Report ) Nl

. EPA-provide dproperty sketc h \Signe dAcces s Agreemen t for subjec t property D Signe dAcces s Agreement(s ) fo r adjacen t property N

^ Restoratio nAgreemen t D Settlemen t document s (i.e. , fo r damag e o r t o replac e plants , etc. ) ^ Confirmatio ndat a ^H,^ ^ Photograph s J D Before DCre w Photos^Durin g Excavatio nD So d X30-da y So dD \ 3 As-built sketc h Completio nAgreemen t signe db y Property Owne r ELPropert y close-ou t chec k lis t signe db y EP A D Descriptio nofarea s no t meetin g RO D cleanu p criteri a ^ Utilit y clearance s Q s Propert y informatio nfro mDougla s Count y Assessor' s Offic e ^1s! ^ Propert y acces s checklis t

N, ^ Contac t Lo g 3026049 0 D 

# lilllilll l Superfun d 

### Environmenta l Restoratio nSignatur e Dat e 

# yf^^.J^/3 ^ <:^-^ ^ 7 _^y^^Z ^ gnatur e PP ^ Date ^EP A CO K signat i

# EP A Property Clos e Ou t Form Omah aLea dSit e 

# t^i'f \

Propert y # : S^lM I Propert y Ad dress :__^t>/_ ^ V^<'f\e>/ 5r Owner' s Name : _ ^ ^^f J <JP^t^Ore^d S Date/Time : Contracto r Grou p : Envirotimenta l Restoratio n(ER ) Quad s Excavated : f3 L^^h'h' X Excavatio nGenera l 

### \/^(^A> ^ L^" ^ Ye s N o i /
­ 1 . I f necessary , were th e correc t quadrant(s j excavate dan drestored ? 2 . Ifnecessary , were th e correc t area s ofdri p zon e excavate dan drestored ? \l(LC€iA\ll r [n T 

### 7	 ^ Ye s N o Gradin g So dan dVegetatio n 1 . Doe s th e gradin g aroun dth e perimete r o f th e hous e i nexcavate darea s generall y slop e awa y tro m(li e fc^ house? 2 . Ha s so dbeenlai di nal l area s that were excavated ? • ^ 3 . Doe s th e so dappear to b e generall y health y an dgrowing ? (Onl y evaluat e if inspecte dat 30-da y tim e * ^ period) . 4 . Ar e sodde darea s generall y fir man devenl y graded ? 5 . Ar e thejoint s betwee nth e so dstrip s generall y tight ? (Onl y evaluat e ifinspecte dat 30-da y tim e period) . 6 . Was th e property grade dsuc hthat wate r will no t poo l o nth e property. ' 4 ^ 7 . Was damag e to landscapin g o r plan t material s avoided ? Ye s N o Gates , Fence s an dRetainin g Wall s 1 . D o gate s openan dclos e freely? (ifapplicahle ) 2 . Were ai l gate s o r fence s take ndow ndurin g restoratio nactivitie s re-installed ? (i f applicable ) 3 .Was dam.ag e to gate s o r fence s avoided ? (i f applicable ) i / 4 . Was damag e to retainin g wall s avoided ? (ifapplicahle ) Ye s N o Foundation , Sidin g an dGutter s I . Was damag e t o sidin g o r tri mavoided ? 2 . Wa s damag e t o th e foundatio navoided ? 

# -Xfi ^ 3 . Wa s damag e to window s avoided ? 

# g J l 4 . Wa s damag e t o windo w screen s o r doo r screen s avoided ? 5 . Wa s damag e t o downspout s o r downspou t extension s avoided ? Ye s N o Sidewalk s an dDriveway s (Concrete ) 1 . Wa s damag e t o drivewa y surface s avoided ? 1 ^ 2 . Was damag e t o walkwa y surface s avoided ? • ^ Inspectio nnote s inspecuo u uoira .{Il l 

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Remedia l an drestoratio aactivitie s compiet e includin g 30-da y so dwarranty : 

# Date : K/ n 

# u i P EP A Representative :

## / \v<@^ ' f Omah a Lea d Sit»—EP-R7-0d-0 5 \-PfP J Environmenta l Rosloration , U X %, „ ^ P www.«r1lc.co m 

# EXECUTIVESUMMARY : 5574 7 301 5 HARNE YS T



# N o Issue s o r Concern s Q Issues/Concern s Detai l r-xnlnnntinn ­

# PROPOSAL , PROPOSA L NO . 

# .Grea t

Pkin s SHEE TNO . ^gfcWTRE E CAR S rO Box540697 . Omaha . NE 681S4

*«ni.Tf«eCareE8tiiii|(hM«t t DAT E 

# ll 402-641-28» f 

# jji m WOR K TO BE PERFORME D AT : PROPOSA L SUBMITTE D TO : NAM E ADDRES S r\lJ ^ 

# £2 r< » /> A^^t^-x/? ^ A-yA , 

# HE ?'S,<^^^^ ^ ADDRES S 

# L^PPP^PmPjOpx . D)« « OF PLAN S " PHON E NO . ARCHITEC T 

# j'^f-i'^i' 7 We herebypropos eto furnis h th e maieriai s an d perfor m th e labo rnecessar yfo rth e completio nof _ V^va^- ^ W^J^ ^ ^QAI ^ J X -^.n^h/^JsT — - ^ l ^ t^\^oH — ^ ­



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AH Materia lis guarantee d lo beas specified , an d th e above wor k tobe performe d in accordanc e wit h th e drawing s an d specification s subnitte d fo rabove work , an d complete d in a substantia l workmanlike manne rfo rth e su mof —• Dollars ($ _ .) witl i payments to be mad e as follows : Respectfull ysubmitted^^^'^^''''C>- c An ; alteratio n ordeviatio n fro m above specification s involvin g extra cost s vi^tl i fce execute d onl yupo n writte n order , an d wil l becom ean extra charg e oy« - an d abov e th e estimate . Al i agreement s contingen t upo n stril<es , ac ci^^Ms , ordelay s beyon d ou rcontrol . Not e - Thi s proposa l ma y

be withdraw n by

us if not accepte d withi n days . TANC E OF PROPOSA L toryan d are herebyaccepted . Yo u ar e authorize d to do th e wor k Signature , 

# Grea t

Plain s Signature . 

## • TRE E CAR E

• ikeMeyser,burg,Cer(,/?e</Mof/s t 

# ^OPOSA L

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### Pag e 1 of 2

" > [ Creat e Anothe rTicke t ~ ] [ Bac k t o Irt h Interne t ] Sen d Emai l



### • YOU RTICKE T NUMBE RI S 2592637 . Origina l Cal l Date : Wor k t o Begi n Date : 9/15/1 0 9/17/1 0 Time : 11:0 8 am Time : 11:4 5 am Op : ADAM2418 6 State : N E Addres s : 301 5 County : Street : DOUGLA S HARNE Y S T Place : OMAH A Twp : 15 NRng : 13 E Sect-Qtr : 21-NE-N W Twp : Rng : Sect-Qtr : Lega l Given : C Typ e o f Work : LANDSCAPIN G Locatio n o f Work : LOCAT E ENTIR E PROPERT Y Remarks : FA X AL L CLEAR S TO : (402)451-106 9 : 5574 7 Compan y: ENVIRONMENTA L RESTORATIO N Contac t Name : ADA M Phone : (402)451-131 4 Alt . Contact : Phone : (636)288-961 6 Wor k Bein g Don e For : EP A Dept h o f Excavation : 2 4 Corne r Lot : NFront : Y Rear : Involve s Tunnelin g o r Horizonta l Borin g : NExplosives : N CXCAT V LEVEL S MUDO l OMAHACO F 0PPDGPR 5 QLNNEI C Servic e Are a Contac t Phon e Nuinbe r Utilit y Typ e CXCAT V CO X COMMUNICATIONS , IN C HEID I 

### Day : 402934046 9 Alt : 402934046 9 Emerg : 402932975 7 LEVEL 3 LEVEL 3 COMMUNICATIONS , LL C N A 

### Day : 877366834 4 Alt : Emerg : 877366834 4 MUDO l METROPOLITA NUTILITIE S DISTRIC T SAND Y 

### Day : 402504782 3 Alt : 

### Emerg : 402504797 0 OMAHACO FCITYOFOMAHA-TRAFFICSEWE RRICH/TRAFFI C 

### Day : 402444719 7 Alt : 402444516 1 

### Emerg : 402444516 0 http://vmw.dhon.org/irthintemet/DHONNoticeCreation/MessageText.asp?ret=<RESULTS. . . 9/15/201 0

### Pag e 2 o f 2

OPPDGPR S OMAH A PUBLI C POWE RDISTRICT EL M LOCATIN G 

### Day : 406728934 3

Alt : 406207149 4 

### Emerg : 888728934 3 QLNNEIC QWES T LOCA LNETWOR K

EL M LOCATIN G 

### Day : 406728934 3

Alt : 406207149 4 

### Emerg : 888728934 3

http://www.dhon.org/irthintemet/DHONNoticeCreation/MessageText.asp?ret==<RESULTS. . . 9/15/201 0

### *x**xx***xx*** * -COIIM . JOURN/^B****************** * DAT EJUL-O S ^Pl O **** * TIM E15:1 1 ******* * MOD E= MEMOR Y TRMSMISSIO NSTART=JUL-0 9 15:0 8 END=JUL-0 9 15:1 1 FIL ENo.=04 8 ST NCOMM . KE Y NAM E STATIO NNAME/EMAI L ADDRESS/TELEPHON E NO . PAGE S DURATIO N No . 00 1 O K a 341613 2 013/01 3 00:02:2 9

-ENVIRONMENTA L RESTORATION ­ **** * DP-353 0 ********************* * - - **** * - 4024511069 - ******** * 

## Environmenta l PROVIDIN G QUALITYENVIRONMENTA L REMEDIATIO N EMERGENC YRESPONS E SERVICE S EMVIRONMEWTAteONST-RUeTIO N PROJEC TSTAFFIN G 

## Restoratio n Environmenta l Restoration , LL C • 351 0 N 33rd S t •Omaha , NE6811 1 • www.erllc.co m 

# Fa xCove rShee t TO : C / I • ''^°** - ^ J

• C^Uo^^.r^UJ i H.o.>«. - PHONE : >^p ^ . ;ii1- j FAX : 3'//-G(3 i °'^'^^' - "7-'' - / 6 CC ; PAGES ; | ^ S Urgen t D ForRevie wD Pleas e Conimen t D Pleas e Repl y• Pleas e Recycl e 

### Comment s p|^^j ^ ^^4^^ ^ ^^5^ ^

Confidentialit y Thi s facsinnil e i s interide d t o b e transmitte d t o th e perso n named . Shoul d i l b e receive d b yanothe rperson , it s content s ar e t o b e treate d a s strictl yconfidenlial . I t I s privilege d communicatio n betwee n th e fir m an d th e perso n named . An y use , distributio n o rreproductio n o l Ih e informatio n b yanyon e othe rIha n tha t perso n i s prohibited . 

## ENVIRONMENTA L RESTORATIO N LL C

402.451.131 4 • Fa x402.451.106 9 •Tol l Fre e 888-814-747 7

## Contac t Informatio n Lo g SA1D #^3"7y 7 tZla,>r\ c NDIJI'^C.C , n<Lj J 

### vner' s Name : 3(^C/^^^ ^ J^^.^J^,^4 s | Daytim e Phone : V^ P--gf^p v ­ 7 7^5" ^ I Property Address ; J'^/j
­ /^.^y^e. / ^ 

### 3^ ^ Attemp t t o contac t Date/tim e Nam e fyiPH^'(s>\\ X 7-^ ^ ­ ' b ^Js ' 

### z^ ­ 

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# Propert y Acces s Checklis t SAID : iP-r7<Y 7 nWOR K STARTE D ON : / / Propert y Address : ^>) / <• " 

## YY^ry^-e-y/^-f . nWORKCOMPELTE D ON : / / Owner : g^ ; f T^,,^frU^t. h Renter : Ad d Phone : Fax : Cell/Pager : Phone : ^^ ^ , ^r^^ ­ y PS % - Additiona l Information : Fax : 

## ya^ ~ 3^ 7 " &/S A

D Acces s Agreemen t Signed : / / By : • Restoratio nAgreemen t Signed : / / By : C ] Vide o Propert y Befor e O n: / / By : nDigita l Photo s Befor e O n: / / By : nVide o Propert y Afte r O n: / / By : D Digita l Photo s Afte r O n: / / By : Q Propert y Completio nAgreemen t Signed : / / By : nFina l Repor t Signed : / / By : Additiona l Vide o o r Digita l Photo' s Taken : D Vide o D Digita l Phot o O n: / / By :



# _

# ___ . J Reason : nVide o n Digita l Phot o O n: / / 

### By : 1 Reason : | nVide o D Digita l Phot o O n: / / By : 

# 1 Reason : | D Vide o n Digita l Phot o O n: / / 

### By : 1 Reason :

Omah a Lea d Project Wor k

Pla n Page l o f 1 9c- r • n^^Miici i 1 n u i\E. o i ui\ nt x \Ji> t *tKJ^*f J i iU O J 

## Restoratio nAgreemen t U J ii\ J l\ J I'JilJ J

Th' e purpos e o f rlil s agfeeWcnt i s t o provide-a-rautual--agreemenl--as-tG-cojiditions..ftf4)topcdy4),norj o contracto r activities . Thi s will als o serv e a s documentatio nfo r th e purpos e o f assurin g tha t restoratio n activiiie s ar e complete dt o th e satisfactio no f th e propert y owne r an dth e Unite dState s Enviroomenta l Protectio nAgenc y (EPA) .

SAID : S'>'7U 1 1 Propert yAddress : Ti, ^ /

i j |4^^ . 

### '^^. yfl h - ^ U-I — j Owner ; j Phone : O nth e attache ddiagram(s ) indicat e area(s ) t o b e excavate dan ddepi b o f excavation , locatio nofal l know n utilities , .subsurfac e features , surfac e structure s an dlandscapin g features , acces s location(s ) t o b e use db y contractor , an dth e directio nofNorth . Indicat e distances , deptiis , matena l types , etc . Indicat e digita l photo s b y referencin g th e photo-lo g numbe r wit hanarro w indicating ; directio no f view . itent s t o b e remove db y Contracto r an dno t replaced: Item : 

### 1 -^U" ^ 

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# 7 > Item : Item : item : Item : Item : ttem:

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### I uv ^ i,. . u^i, , ,j.^. , ^„.ii,^i,.„^i,i^ ^ n.:.o,^iv,i.i,..i ,,w^,..,.„o ^ 

## Consen t fo rAcces s t o Propert ySAID # ^s 7w") RIGH T O FENTR Y T O PREMISE S 

### Gfanwr"(tfie~pn5peny"'owjier) , consent s t o and-authorize s th e -UflitedStates..EnyjiotmientaJ Protectio nAgenc y (USEPA ) o r it s authorize drepresentatives , collectivel y th e Grante e t o ente r an dperformcertai nenvironmenta l respons e activitie s upo nth e followin g describe dpremises :

Owner' s Name : 

### Oayttm e Pbone :

• I III I II I 1 1 

### Address : 

## \0I S M^r,.,, y$t Address : Addresse s o f Propertie s covere db y th h Address : Agreement : Address : Address : PURPOS EO FINVESTIGATIO N 

### Th e purpos e o f th c remedia l activitie s i s t o remov e al l soil s a l th e propert y whic hare contaminate dwithhazardou s .substances , in . particular leada t concentration s greate r thano r equa l t o 40 0 part s pe r millio n(ppm) . R1;M£DL\ LACTION S 

### Th e envuonmenta l respons e actioa s t o b e perfonne do u sai dpropert y may includ e th c foltowin g activities : a .Takin g photograph s anil/o r vide o o f th e property before , during ^ an dalte r remedia l activitie<i ; b .Locatin g equipmen t an dmachinery on-sit e inpreparatio nfo r an dinth e cours e o f the envirorimenta l response ; c .

Plannin g an dimplementin g th e remova l actio no no r nea r Grantor' s property . d .Obtahiin g sample s fro mGianlor' s property ; AGREEMEN T NO T T O INTERFI-RE 

### Th e Granto r agree s no t l o interfer e o r tampe r wit hany o f th e activitie s o r work done , o r th c equipmen t use dt o pertbr mth e activities , o r t o undertak e an y action s regardin g th e us e o f sai d propert y whic hwoul dten dt o endange r tb e healt ho r welfar e ofth e Grantee s o r th e environment , o r

t o allo w otheri i to us e th e propert y i nsuc h-(<& . •**'*>>P i * ^3<g''*i» * acces s t o m y propertie sC l I d o no t gran t acces s to m y propertie s 

# Ylt.ic^L'^M^ ^ i^gnalurc ^ Dat e Sienatur eDat e 

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### Addtttona i Comment s / Instructions : 

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/ O ^^Chec Kthi s bo xi f owne rdoe s no t wan t E.R . t o ente rth e residente-to documen t interio r foundatio n wall s an d possibl e preexistin g damag e B ycheckin g thi s boxE.R . i s no t responsible fo ran ydamag e don e t o th e interio ro f house , includin g foundatio n crack s o rfissure s 

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no t agrc t 

# 2lp^ ^ 0^«n$t' « SigDHture Oat e ' Contractor' * f Signatur e Dat e

## Propert yCompletio n Agreemen t Thi s agreemen t documents th e completio no f remedia l activitie s performe do nm y property . M y signatur e wil l designat e tha t I amsatisfie dwithth e restoratio no f my property , an dtha t n o item s ar e i n question , now , o r at an y tim e inth e future , excep t thos e item s liste dbelow , i f any . 

## SAID: SY>y^ 7 Propert y Address : ^ ^ , t ^ >/^^^ . . ^/^.^ ^ Owner : ^^ ^ ^ ^ , , ^ JT^....^^ . _ / ^ Phone : / Restoratio n Item s i n Question :

Item : Item : Item : Item : Item : Additiona l Comments :



## ^ ^ r^o^U- y OcoM/ ^ bti^l-f ]

I 1 I agree restoratio ni s completed , excep t a s noted I/ T I agre e restoratio ni s completed , except as noted I I I d o no t agre e restoratio ni s complete d I 1 1 do no t agre e restoratio ni s completed 

### T^/d ^ /j/-t^9u^-u ( , /y//yY7 o Owner' s Signatur e Dat e 

### Contractor' s Signatur e Dat e

### Dougla s Count y Accoun t Informatio n Pag e 1 of 2 Dougla s County , Nebrask a Propert yRecor d - R021988000 4 Prin t Repor t NE WFeatur e - Parce l Dimension s availabl e @ scal e 0-5 0 f t wes t o f52n d S t - VleWO n Ma p Informatio n i s vali d a s o f 2009-12- 1 Treasurer' s Ta xRepor t Ne wFeatur e ->-*- + Aut o Sale s Searc h Owne r BE L FURYINVESTMEN TGROU P LL C P O BO X 5502 2 OMAH AN E 68155-021 1 Propert yInformatio n Ke yNumber : 198 8 000 4 0 2 Accoun t Type : Residentia l Parce l Number : 021988000 4 Parce l Address : 301 5 HARNE YS T OMAH AN E 68131-000 0 Lega l Description : LAND S SEC-TWN-RG E 21-15-1 3 W4 1 E 20 0 S 9 3 N 10 7 F TSU B LT7 TX LT1 6 S E 1/ 4 NWl/ 4 Valu e Informatio n Lan d Improvemen t Tota l 200 9 $4,900.0 0 $3,200.0 0 $8,100.0 0 200 8 $4,900.0 0 $2,900.0 0 $7,800.0 0 200 7 $4,900.0 0 $2,900.0 0 $7,800.0 0 200 6 $4,900.0 0 $2,900.0 0 $7,800.0 0 200 5 $8,600.0 0 $0.0 0 $8,600.0 0 200 4 $8,600.0 0 $0.0 0 $8,600.0 0 Lan d Informatio n Acre s S F Unit s Dept h Widt h Vacan t 0.0 8 3813. 0 0. 0 0. 0 0. 0 Ye s Improvement Informatio n Buildin g 1



### http://douglasne.mapping-onIine.coni/DouglasCoNe/static/accountinfo.jsp?accountno=RO. . . 12/16/200 9

### Dougla s Count y Accoun t Informatio n Pag e 2 of 2

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i.^rj:w:wi{«}.^ii*iiwg-K*K.ii]L^b>'J.M.-tj--i:!S!r t CLIC KT O ENLARG E IMAG E CLIC KT O ENLARG E IMAG E Squar e Footage : 432. 0 Percen t Complet e 10 0 0 % Perimete ri 96. 0 Qualit yAverag e Uni t Type : Condition : Averag e

Buil t As : Detache d Garag e Cond o Squar e Footage : 0. 0

HVAC : Non e Rooms : 0. 0 Exterior : Masonr yCommo n Bric k Units : 0. 0 Interior : Baths : 0. 0 Roo f Cover : Bedrooms : 0. 0

Roo fType : Fla t Stories : 1. 0 Floorcover : Foundation : Sprinkle rSquar e Footage : 0. 0 Yea r Percen t Adjuste d Yea r Yea rBuil t Physica l Ag e Remodele d Remodele d Buil t 191 0 0 % 191 0 9 9



### httD://douglasne.mapping-online.com/DouglasCoNe/static/accountinfo.jsp?accountno=RO.. . 12/16/200 9

### ENVIRONMENTA L AS-BUILTDRAWIN G ^OMfi&i ALEA D SUPERFUN D SIT E RESTORATIO N 

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