## Transmitta l o f Omah aLea dSite Pain t Stabilizatio n Fil e Folde r Said #779 ^ Date : -^^^^l O Address : J^73 /

3-3 ^ Contractor : Cit

v o f Omah a. Year : ^ ^ ^ ^ 

## Pain t Stabilizatio n Propert y Fil e Folde r

Document s _t^Wor k

Writ e U p 1^^Signe d Acces s Agreemen t fo r subjec t propert y Pre-Renovation for

msignedby Propert

y Owne r Pre-Renovation For

mfo r Occupant/Tenant , ifapplicabl e '-^Paintin g Agreement/Cit y of Omah aPurchas e Orde

r Settlemen t documents (i.e. , fo

r damage o r t o replac e plants , etc. ) Renovation Recordkeepin

g Checklis t

signe db y Certifie dRenovato

r ^Propert y informatio

n fro mDougla s Count

y Assessor' s Offic

e ^ Othe r (describe) : f/liThl 5 

## 7 ^ ^ 7 ^ 3-7- i -/ Q Cit y of Omah aRepresentativ e Signatur

e EP A Representativ e S ignatur

e 30262463 

# iiniiii i Superfun d

## CITY O F OIVIAH A PURCHASIN G - ROO M 100 3 181 9 FARNA M STREE T OMAHA , N E 68183-100 3 FAX # 402-444-542 3 

### Purchas e Orde r PURCHAS E ORDE R NO . 116474 7 REVISIO N PAG E 1 SHI P TO : CITYOFOMAHA . HOUSIN G 4 COM M DE V R M #111 1 181 9 FARNA M STREE T 0MAHA.N E 6818 3 • VENOOR : BRA D BATE S PAINTIN G

314 1 s o 5 2 S T OMAHA.NE 6810 6 > BIL L TO : CIT Y O F OMAH A FINANC E DISBURSEMENT S ROO M #100 7 1819'FARNA M STREE T OMAHA,N E 6818 3 <

ORIGINA L PURCHAS E ORDE R -VENDOR' S COP Y (SE E INSTRUCTION S BELOW ) CUSTOME R ACCOUN T NO . VENDO R NO . 7299 0 DAT E O F ORDER/BUYE R 05-APR-1 0 H HUR T REVISE D DATE//BUYE R PAYMEN T TERM S NE T 30 DAY S SHI P VI A F.O.B . DESTINATIO N FREIGH T TERM S 

### V REQUESTOR/DELIVE R T O MARUCA . T MARI E CONFIR M T O / TELEPHON E "(402 ) 551-092 7 < ITE. M PAR T NUMBE R / DESCRIPTIO N DELIVER Y DAT E QUANTITY UNI T UNITPRIC E EXTENSIO N Al l price s an d amount s o n thi s orde r ar e expres s 2 d i n : U S Doi:a r EP APAIN T STABILIZATIOb J PROGRA M GROU P 7 9 130 5 p 28T H S T : O SHI P TO : • Addres s a t to p o f pag e NEEDED : 07-APR-i a

NEEDED : 07-APR-l O EP APAIN T STABILIZATIO N PROGRA M GROU P 7 9 213 1 B 34T H S T . ! O SHI P TO : • i Addres s a t to p o f pag e EP APAIN T STABILIZATIOR I PROGRA M GROU P 7 9 213 5 B 34T H ST . ! O SHI P TO : i Addres s a t to p o f pag e NEEDED : 07-APR-1 0

NEEDED : 2,725.0 0 N

2,475.0 0 N

2,225.0 0 N

2,100.0 0 N

jSMiPTO : Addres s show n above . I f shipmen t I s delaye d o ran y item s no t available , advis e a t once . Purchau o orde rnumbe rmus t appea ro n al l invoices , packages , packin g lists , bil l o f lading , an d correspondence . SHIPPIN G CHARGE S T O B E PREPAID . I F APPLICABL E M D ADDE D T O INVOICED , cop y t o b e furni."she d wil h invoice . TAX EXEMPTION : Th e Cit y o f Omah a i s exerrip l fro m Federa l Excis e Taxe s an d th e Nebrask a an d City of Omah a Sale s Taxes . Federa l I.D . 476006304 ; STAT E I.D . 01-0316768 ; Fue l Dealer s Lie . 91-0316768 . Tota l ( Conlinue d )

^enl/ E Cil y Purchasin g /Buye r

### Plamiin g Departmen t Inspector : Stev e Zivn y Omaha/Dougla s civi c Center 

### Date : 1/29/1 0 ^^"^^T^ru'^?!;«?« ^ Omaha , Nebrask

a6818 3 (402)444-515 0



## _Name : Michael C . Culhan e • Teiefa..(402)546-07i 4 atyofOmah aAddrCSS I 213 1 S34^'S t R.E . Cunningham . RA,F.SAJVI E Ji mSuttle , Mayo r 

## OMAHA EXTERIO RPAIN T STABILIZATIO N PROGRAM

FO RTH E EP A OMAHA LEA D SIT E Th e Contrac t

bi ddocument s consis t

ofth e followin g sections : • Genera l Responsibilitie s fo

r th e Contracto

r an dOccvipant

. • Lea d Hazar dControl Plan , interimControl of Lea d Base dPain t Hazards . Th e Contracto r

Shall : • Compl y wit h HUD' s "Guideline s fo

r th e Evaluation an

dControl o

f Lead-Base d Pain t Hazard s i n Housing. " (Copie s ar

e availabl e a

t the Planning Department. ) • Compl y wit h Standard s calledfo

r i n the "Construction an

dRehabilitation Specifications , Housin

g an d Conmiunit

y Developmen

t Division , Cit

y o f Omaha, Nebraska. " (Copie s ar

e availabl e atth e Planning Department. ) • Compl y wit h th e Stat e ofNebraskaHealt

h an dHuma n Service s Regulation an

d Licensure , Titl e 17 8 Chapte r 2 3 Lea dBas e Pain

t Regulations . • Coordinat

e dail y constructio n schedule with.the occupan t • Submi t information cu

t sheet s fo r al l substitution s O

r approve dequal s prio

r t o writte n approva l ofth e Construction Specialist . f . Repai r o r replac e all item s damage

do r disturbeddurin

g pain t stabilization , activities . • Kee p wor k sit e an dsuiToundin

g are afre e fro maccumulation s o

f wast e material s o r rubbish cause

db y the wor k a t all times . • Upo n dail y completion o

f work : clea

n u p all rubbish , exces s material , equipment , an d etc. , tha t i s connectedwit

h the work, an

dleave al l part s ofth e wor

k area s i n a. neat , sanitai'y , lea

dsaf e an dpresentabl e condition . • Complet

e thi s project

withi n 3 0 calenda

r days . Th e Occupant/Owne

r Shal l

. • Remov

e an dstor e awa y an y persona l propert y withi n twent y (20 ) fee t ofth e area to b e remediated . • Provid e acces s t o electricit y an dwate r throughou t the pain t stabilization process . • Ensur e tha t all householdmembers sta

y a t leas t ten fee t awa y fromall wor

k areas an dals o kee p all pet s a t leas t te n fee t awa y a t al l time s unti

l the wor k has been, complete dand . the are aha s passe davisua l inspection . Initial s K'^.i

### 213 1 S 34s t Stree t (Continued) 

## Lea d Hazar dContro l Plan Interi mContro l o f

Lea dbase dPain t

Hazard s Pain t Stabilizatio n • Stabiliz e all previousl

y paintedexterior

wood , brick , meta

l o r concret e surface s ofth e dwelling t

o includ e bu t not limite dt o the siding , fascia, eaves , trim , window trim , gutters , railings , downspouts , doO r tri man d foundation . D O NO T INCLUD E DOOR S O RWINDOWS . • Stabiliz e all previousl

y paintedexterior

wood , brick , meta

l o r concret e surface s ofth e garag e t

o include bu

t not limite dt o the siding , fascia, eayes , frim, window trim , gutters , railings , downspouts , doo r tri man d foundation . D O NO T INCLUD E DOOR S O RWINDOWS . INCLUD E VEfflCL E DOOR S I F APPLICABLE . • Prepar e an dpain t al l previousl y paintedsurface s b

y followin g the Saf e Wor k Practice s protocol fo

r EP A exterior lea dbase dpain t stabilization . • . Al l pain t color s t o matc h existin g pain

t pattem . Prim

e an dappl y tw o coat s o f approve dfinis

h coat . (Refe

r t o Plannin g Dept . approve

dpain t list) . • I F SPRAYED , OP ^ COAT SHAL L B E BACK-BRUSHE

D O R BACK-ROLLED . 

### Lea d Based Pain

t Wast e Lead-base d pain t

wast e mus t

b e handle d a s follow s • All pain

t chip s an dcomponen

t debri s mus t

be double bagge

dfo r disposal . • Clea n pain t chip s fromgroun

daroun dperimete r o f dwelling befor

e

. starting , during an

dafte r th e project . • Al l lea dpaintedcomponents an

ddebri s must

b e remove dfro mthe sit e dail y unles s otherwis e approvedby the construction specialist . • Al l lead-basedpain

t debri s (chip s an

dcomponents ) must

be disposedof

i n ^municip^OT)li

dwast e landfill .



# . ' (fm^

—^uUzt

D Propert y Ovrae r Dat e Propert y Owne r Witaes s • Occupan t (ifapplicable ) Dat e Dat e Dat e Occupan t (i f applicable ) Dat e

### Exterior

Lead-based Pain

t Stabilizatio n Progra

mManage db y the Cit y o f Omahafo r EP A Regio n 7 OmahaLea

dSit e Th e purpos e o f

thi s programi s t o preven t yard s wher e lead-contaminate d soi l i s cleane d u p frombecomin g re-contaminate d b y deterioratin g exterio r lead-base d paint . Thi s i s no t ahom e repai r

program . .Whic h Home s Are Eligible ? • . Home s wher e soi l clean-u p ha s bee n o r wil l b e don e an d a

n EPA contracto r

ha s identifie ddeterioratin g exterio r lead-base d paint . • Home s ar e eligibl e onl y b y referral fromth e EPA . What wor k wil l b e done ? • Loos e an dflaking lead-base d pain t vvil l b e remove d safel y fro

mfascia , eaves , siding , trim , windo w trim , doo r friman d foundation . • Surface s wil l b e prime dan d painte d t o matc h existin g pain t colo r a s closel y a s possible . What wil l no t b e done ? • Surface s whic h hav e n o pain t wil l no t b e treated . • Window s o r

door s wil l no t

b e included . • Rotte n woo dwil l nO

t b e replaced . • N o housin g repai r

wil l b e done . Wh o wil l perfor

mth e work ? • EP A contractor s wil l tes t pain t o n exterio r

hous e surface s an d giv e th e result s t o th e Cit y o f Omah aPain t

Stabilizatio n Program . • . City Constructio n Specialist s wil l prepar e awor k plan an d contac t

th e propert y owne r for permissio n t o proceed . • Wor k \yil l b e competitivel y bi d b y approved , frainedcontractors . Whe n wil l th e wor

k b e done ? • Thi s progra mbegan i n 200 7 an d wil l continu e for severa l years . • Th e Cit

y staf f wil l prioritiz e home s base d o n th e presenc e o f childre n unde r

ag e si x i f know n an dth e severity o f th e problem . Pain t Stabilizatio n i s voluntar y an dwil l b e doii e onl y wit h permissio n ofth e owner . Initial s / ^ jConsen t fo r Acces s t o Propeft y RIGH T O F ENTR Y T O PREMISE S Granto r (th e property owner ) consent s t o an d authorize s th e Unite d State s Environmental Protectio n Agenc y (USEPA ) o r

it s authorize drepresentatives , collectivel y th e Grantee , t o ente r an d perfor

m certai n environmental respons e activitie s upo n th e followin g describe d premises : Owner' s Name : Owne r Name(s) : Michae l C . Culhan e Davtime Phone : 990-597 6

Addresse s o f

Propertie s Covere d b y thi s Agreement Propert y Addres s 213 1 S . 34t

h St . City/State/Zi p Code Omaha , N E ,6810 5

Granto r understand s that

thi s gran t

doe s no t limi t EPA' s righ t

o f acces s unde r

th e Comprehensiv e Environmenta l Respons e an dLiabilitv Ac t fCERCLA) . 4 2 USC . &

. 9601-9675 . o r

an v other law . PURPOS E O F ACCES S Th e purpos e o f

th e respons e actio n i s t o stabiliz e loos e o r flaking exterio r

lead-base d pain t

on residentia l properties , includin g day-care facilities , where remediatio n o f leia d contaminate d soi l ha s o r wil l tak e place . Samplin g o f soi l ma y b e conducted . Thi s consen t shal l allo w Grante e onto Grantor' s property an dfurther , provide s th e Grante e th e righ t t o perfor many an d al l environmental respons e action s an dactivitie s i t deem s appropriate . ENVIRONMENTA L RESPONS E ACTION S Th e environmenta l respons e action s t o b e performe d o n subjec t propert y ma y includ e th e followin g activities : 1 . Locatin g equipmen t

and/o r machiner y o n subjec t

property i n preparatio n for an d i n th e cours e o f th e respons e activities . 2 . Obtainin g sample s fromGrantor' s property .

(1 ) 2/12/200 7Address : 213 1 S . 34t h St . Consen t fo r Acces s t o Property fPag e 2 ) 3 . Plannin g an dimplementin g th e respons e actio n on th e Grantor' s property . Thi s wil l includ e I ) removal o f

loos e o r flaking pain t

identifie d b y EPA usin g leaid-saf e method s i n complianc e vvit h HUD/EP A regulation s an d2 ) repaintin g accordin g t o th e attache d specifications . TERM Thi s acces s agreemen t

shal l b e operabl e fo

r th e perio d o f

tim e i t take s t o complet e th e environmenta l respons e activities . Upo n completio n o f th e respons e actions , al l right s an d privilege s give n b y th e Granto r shal l ceas e o n that

date , unles s extende d b y asubsequent agreement . AGREEMEN T NO T T O INTERFERE Granto r agree s no t

t o interfere v^at

h an y o f th e activitie s undertake n b y Grante e a t th e Property , tampe r with any o f

Grantee' s property , o r

take an y action s regardin g th e us e ofth e Propert y which wil l endange r

human healt

h o r welfare o r

th e environment , o r

allo w other s t o us e th e Propert y i n suc h marme

r durin g th e ter

mo f thi s consent . Granto r

agree s t o provid e notic e an d acop y o f thi s agreemen t t o prospectiv e purchasers , lessees , assigns , o r grantee s o f

th e property or

an y portio n o f it . Granto r

agree s t o provid e 30-day notic e to EPA prio r t o an y fransfer o f ovmershi p right s t o the property . SAMPLIN G RESULT S Grante e agree s t o provide,Granto r with th e result s o f

any an d al l samplin g and/o r analysi s resultin g fro mGrantee' s response " activitie s o n th e property . , PRIO RCONDITION S AGREEMEN T Th e granto r

agree s t o th e conditio n ofth e propert y prio r t o remediatio n an d indicate s o n Pag e 3 an y item s to b e remove dby th e Granto r before activitie s commence . RESTORATIO N O F PROPERT Y Excep t fo r th e abov e state dpain t

stabilization , th e Grante e agree s that sai d property wil l b e restore d a s nearl y a s possibl e t o it s origina l state an d conditio n a s foun d immediatel y precedin g th e beginnin g o f

activitie s authorize db y thi s Agreement , followin g completio n o f th e respons e activities . .

(2 ) 2/12/200 7

### .Address : 213 1 S . 34t h St. , Omaha, NE,-6810 5 CURREN T CONDITIO

N / PROPOSE

D RESPONS E ACTIVITIES Th e purpos e of

thi s section i s t

o provid e amutua l agreemen

t a s t o condition s o

f propert y prio r t o contracto r activities . Thi s wil

l als o serve as documentation fo r th e purpos e of

assurin g tha t restoratio n activitie s ar

e complete dt o th e satisfaction of

the propert

y owne r an dth e Unite dState s Environmenta

l Protection Agenc

y (EPA) . Item s t o be remove

db v propert v owne r prio r t o th e respons e activities : 1 . 2 . 3 . 4 . 5 . 

### Item s NO T t o b e remove db y contracto r durin g remova l activities : 1 . • 2 . 3 . . 4 . 

### 5 . ADDITIONA

L COMMENTS :

I hav e rea d th e foregoin g documen

t an dunderstan

dtha t it i s a n agreemen

t grantin g pennission t

o th e Grantee t

o enter , the abov e describedpremise s fo

r the purpos e o

f conductin g enyironmenta

l resporis e activities , an

dI agre e t o it s term s an

dconditions . I acknowledge tha t I hav e receive d th e pamphle t "Renovat e Right" . Grantor' s Signature : ^i^/^,Mil/ C l/UMi'^Jt- ^ °^^ ^ J-6>-^IC 7

(3 ) . 2/12/200 7Cit y o f Omah a Ji mSuttle , Mayo r Januar y 29,201 0 Plannin g Departmen t Omaha/Dougla s Civi

c Cente r 181 9 Farna mStreet ; Suit

e 100 3 Omaha , Nebrask

a6818 3 (402 ) 444-515 0 Teiefa.x (402

) 546-071 4 R . E . Cunningham , RA , F.SAM E Director

Mr . Michae l C . Culhan e 213 1 S 34 * Stree t Omaha , NE 6810 5 Subj ; EPA Exterio r

Lead-Base dPain t

Stabilizatio n Program RE : 213 1 S 34t

h Street , Omaha , NE Enclose di s documentatio n requirin g your signatur e an d initial s authorizin g th e Cit y o f Omaha.t o complet e apain t stabilizatio n proces s o n you r property . Pleas e revie w th e document s thoroughl y an dretu ma t you r convenienc e t o begi n thi s process . I wil l star t th e biddin g proces s a s soo n a s I receiv e th e complete d documents . Given th e tim e o f year , th e stabilizatio n proces s wil l begi n i n th e sprin g wit h warmer weather . I f yo u hav e any questions , pleas e d o no t hesitat e to contac t

me . Than k you . 

## JtiU^J^ . Stev e Zivny ' Constructio n Specialis t CityofOmah a 402-444-161 4 steven.zivny(§ci.omaha.ne.u s

### Dougla s Count

y Accoun t Information Pag e I of 3 Dougla s County , Nebrask a Propert y Recor d - R254097000 0 Informatio n i s vali d a s o f 2009-12-3 1 Prin t Repor t NE W Featur e - Parce l Dimension s availabl e @ scal e 0-5 0 ft wes t o f 52n d S t - VIC W O P Ma p Treasurer' s Ta x Repor t Ne w Featur e -*->- > Aut o Sale s Searc h Owne r CULHAN E MICHAE L C ETA L 213 1 3 3 4 S T OMAH A N E 68105-0000 ' 

# ^0-61 % Propert y Informatio n Ke y Number : 409 7 000 0 2 5 Accoun t Type : Residentia l Parce l Number : 254097000 0 Parce l Address : 213 1 S34S T

OMAH A N E 68105-000 0 Lega l Description : WINDSO R PLAC E LO T 4 9 BLOC K0 5 0 X 14 0 Valu e Information '

Lan d Improvemen t Tota l 200 9 $6,600.0 0 $90,500.0 0 $97,100.0 0 200 8 $6,600.0 0 $90,500.0 0 $97,100.0 0 200 7 $6,600.0 0 $90,500.0 0 $97,100.0 0 200 6 $6,600.0 0 $77,400.0 0 $84,000.0 0 200 5 $6,600.0 0 $77,400.0 0 $84,000.0 0 200 4 $6,600.0 0 $77,400.0 0 $84,000.0 0 Sale s Informatio n

Sale s Date : 2009-12-1 6 Dee dType : PR O Book : 200 9 Page : 13464 6 Price : $0.0 0 Grantor : Culhan e Gertrud e G Estat e o f Grantee : Culhan e Michae l C eta l Valld/lnvalld : Invali d Exclusio n Reason : Famil y Sal e 5a/e s Date : 2009-11-1 3 Dee d Type : PR O Book : 200 9 Page : 12753 9 Price : $57,000.0 0 Grantor : CULHAN E GERTRUD E G 

### htt p ://douglasne.mapping-online.com/DouglasCoNe/static/accountinfo. j sp?accOuntao=R25.. . 1/25/201 0Dougla s County Accoun t Informatio n Pag e 2 o f 3

Grantee : ' CULHAN E MICHAE L C ETA L Valid/invalid : Invali d Exclusio n Reason : I Famil y Sal e Lan d Informatio n T Acre s 0.1 6 S F Unit s

7000. 0 1. 0 Dept h 140. 0 Widt h

50. 0 Vacan t N

o Improvemen t Informatio n Buildin g 1

CUC KT O ENLARG E IMAG E T W O STOR Y

» f ^^g ' .»««aPwi f ju S

;s *

l^«n«ttli»A6 t D«eie:N ^ l3»rj ^ CLIC KT O ENLARG E IMAG E Squar e Footage : 1508. 0 Percen t Complete : 100.0 % Perimete r 0. 0 Quality : Averag e Uni t Type : Condition : Averag e Buil t As : 2 Stor y Cond o Squar e Footage : 0. 0 HVAC : Force d Ai r Rooms : 7. 0 Exterior : Fram e Sidin g Units : 1. 0 Interior : i Drywal l Baths : 1. 0 Roo f Cover : | Compositio n Shingl e Bedrooms : 4. 0 Roo f Type : | Hi p Stories : 2. 0 Floorcover : I Allowanc e Foundation : Bloc k Sprinkle rSquar e Footage : I 0. 0 Yea rBuil t 191 0 Yea r

Remodele d Percen t Remodele d Adjuste d Yea r Buil t 0 % 191 0 Physica l Ag e 9 7 Detai l Typ e Detai l Descriptio n Unit s Applianc e Allowanc e 1. 0 Basemen t Bsmn t Bloc k 8 ft 768. 0 Basemen t Fixtur e Minima l Finis h 400. 0 Bas e Fixture s 1. 0 http://douglasne.mapping-online.com/DouglasCoNe/static/accountinfo.jsp?accountao=R25.. . 1/25/201 0Dougla s Count y Accoun t Informatio n Pag e 3 of 3 Fixtur e Garag e Porc h Porc h Bat h Ful l . Detache d Sla b Roo f Ceilin g Slabw/Step s 1. 0 486. 0 16. 0 96. 0

http://douglasne.mapping-online.eom/DouglasCoNe/static/accountinfo. j sp?accountno=R25.. . 1/25/201 0