Transmittal of Omaha Lead Site 

Paint Stabilization File Folder 

Said# 779 ^ Date: -^^^^l O 

Address: J^73 / 3-3 ^ 

Contractor: Citv of Omaha . Year: ^ ^ ^ ^ 

Paint Stabilization 

Property File Folder Documents 

_t^Work Write Up 

1^^Signed Access Agreement for subject property 

Pre-Renovation form signed by Property Owner 

Pre-Renovation Form for Occupant/Tenant, ifapplicable 

'-^Painting Agreement/City of Omaha Purchase Order 

Settlement documents (i.e., for damage or to replace plants, etc.) 

Renovation Recordkeeping Checklist signed by Certified Renovator 

^Property information from Douglas County Assessor's Office 

^ Other (describe): f/liThl5 

7 ^ ^ 7 ^ 3-7-i -/Q 

City of Omaha Representative Signature 

EPA Representative S ignature 

30262463 

iiniiiii 

Superfund 
CITY OF OIVIAHA 

PURCHASING - ROOM 1003 

1819 FARNAM STREET 

OMAHA, NE 68183-1003 

FAX# 402-444-5423 

Purchase Order 

PURCHASE ORDER NO. 

1164747 

REVISION PAGE 

1 

SHIP TO: 

CITYOFOMAHA. 

HOUSING 4 COMM DEV RM #1111 

1819 FARNAM STREET 

0MAHA.NE 68183 • 

VENOOR: BRAD BATES PAINTING 

3141 s o 52 ST 

OMAHA.NE 68106 

> 

BILL TO: 

CITY OF OMAHA FINANCE 

DISBURSEMENTS ROOM #1007 

1819'FARNAM STREET 

OMAHA,NE 68183 

< 

ORIGINAL PURCHASE ORDER -VENDOR'S COPY (SEE INSTRUCTIONS BELOW) 

CUSTOMER ACCOUNT NO. VENDOR NO. 

72990 

DATE OF ORDER/BUYER 

05-APR-10 H HURT 

REVISED DATE//BUYER 

PAYMENT TERMS 

NET 30 DAYS 

SHIP VIA F.O.B. 

DESTINATION 

FREIGHT TERMS 

V 

REQUESTOR/DELIVER TO 

MARUCA. T MARIE 

CONFIRM TO / TELEPHONE 

"(402) 551-0927 

< ITE.M PART NUMBER / DESCRIPTION DELIVERY DATE QUANTITY UNIT UNITPRICE EXTENSION 

All prices and amounts on this order are express 2d in : US Doi:ar 

EPA PAINT STABILIZATIObJ 

PROGRAM GROUP 7 9 1305 p 

28TH ST : 

O SHIP TO: • 

Address at top of page 

NEEDED: 

07-APR-ia 

NEEDED: 

07-APR-lO 

EPA PAINT STABILIZATION 

PROGRAM GROUP 79 2131 B 

34TH ST . ! 

O SHIP TO: • i 

Address at top of page 

EPA PAINT STABILIZATIORI 

PROGRAM GROUP 79 2135 B 

34TH ST. ! 

O SHIP TO: i 

Address at top of page 

NEEDED: 

07-APR-10 

NEEDED: 

2,725.00 N 

2,475.00 N 

2,225.00 N 

2,100.00 N 

jSMiPTO: Address shown above. If shipment Is delayed or any items not available, advise at once. Purchauo order number must appear on all invoices, packages, packing lists, bill of lading, and correspondence. 

SHIPPING CHARGES TO BE PREPAID. IF APPLICABLE M D ADDED TO INVOICED, copy to be furni."shed wilh invoice. 

TAX EXEMPTION: The City of Omaha is exerripl from Federal Excise Taxes and the Nebraska and City of 

Omaha Sales Taxes. Federal I.D. 476006304; STATE I.D. 01-0316768; Fuel Dealers Lie. 91-0316768. 

Total ( Conlinued ) 

Cily Purchasing ^enl//Buye E r 
Plamiing Department 

Inspector: Steve Zivn y Omaha/Douglas civic Center 

Date: 1/29/10 ^^"^^T^ru'^?!;«?«^ 

Omaha, Nebraska 68183 

(402)444-5150 

_ Name: Michael C. Culhane • Teiefa..(402)546-07i4 

atyofOmaha AddrCSS I 213 1 S34^'S t R.E. Cunningham. RA,F.SAJVIE 

Jim Suttle, Mayor 

OMAHA EXTERIOR PAINT STABILIZATION PROGRAM 

FOR THE EPA OMAHA LEAD SITE 

The Contract bid documents consist ofthe following sections: 

• General Responsibilities for the Contractor and Occvipant. 

• Lead Hazard Control Plan, interim Control of Lead Based Paint Hazards. 

The Contractor Shall: 

• Comply with HUD's "Guidelines for the Evaluation and Control of Lead-Based 

Paint Hazards in Housing." (Copies are available at the Planning Department.) 

• Comply with Standards called for in the "Construction and Rehabilitation 

Specifications, Housing and Conmiunity Development Division, City of Omaha, 

Nebraska." (Copies are available atthe Planning Department.) 

• Comply with the State ofNebraska Health and Human Services Regulation and 

Licensure, Title 178 Chapter 23 Lead Base Paint Regulations. 

• Coordinate daily construction schedule with.the occupant 

• Submit information cut sheets for all substitutions Or approved equals prior to 

written approval ofthe Construction Specialist. 

f. Repair or replace all items damaged or disturbed during paint stabilization, 

activities. 

• Keep work site and suiTounding area free from accumulations of waste materials 

or rubbish caused by the work at all times. 

• Upon daily completion of work: clean up all rubbish, excess material, equipment, 

and etc., that is connected with the work, and leave all parts ofthe work areas in a . 

neat, sanitai'y, lead safe and presentable condition. 

• Complete this project within 30 calendar days. 

The Occupant/Owner Shall 

.• Remove and store away any personal property within twenty (20) feet ofthe area 

to be remediated. 

• Provide access to electricity and water throughout the paint stabilization process. 

• Ensure that all household members stay at least ten feet away from all work areas 

and also keep all pets at least ten feet away at all times until the work has been, 

completed and. the area has passed a visual inspection. 

Initials K'^.i 
2131 S 34st Street (Continued) 

Lead Hazard Control Plan 

Interim Control of Lead based Paint Hazards 

Paint Stabilization 

• Stabilize all previously painted exterior wood, brick, metal or concrete 

surfaces ofthe dwelling to include but not limited to the siding, fascia, 

eaves, trim, window trim, gutters, railings, downspouts, doOr trim and 

foundation. DO NOT INCLUDE DOORS OR WINDOWS. 

• Stabilize all previously painted exterior wood, brick, metal or concrete 

surfaces ofthe garage to include but not limited to the siding, fascia, 

eayes, frim, window trim, gutters, railings, downspouts, door trim and 

foundation. DO NOT INCLUDE DOORS OR WINDOWS. 

INCLUDE VEfflCLE DOORS IF APPLICABLE. 

• Prepare and paint all previously painted surfaces by following the Safe 

Work Practices protocol for EPA exterior lead based paint stabilization. 

• . All paint colors to match existing paint pattem. Prime and apply two 

coats of approved finish coat. (Refer to Planning Dept. approved paint 

list). 

• IF SPRAYED, OP^ COAT SHALL BE BACK-BRUSHED OR 

BACK-ROLLED. 

Lead Based Paint Waste 

Lead-based paint waste must be handled as follows 

• All paint chips and component debris must be double bagged for disposal. 

• Clean paint chips from ground around perimeter of dwelling before 

. starting, during and after the project. 

• All lead painted components and debris must be removed from the site 

daily unless otherwise approved by the construction specialist. 

• All lead-based paint debris (chips and components) must be disposed of in 

^municip^OT)lid waste landfill. 

. ' (fm^— ^uUztD 

Property Ovraer Date 

Property Owner 

Witaess • 

Occupant (ifapplicable) 

Date 

Date 

Date 

Occupant (if applicable) Date 
Exterior Lead-based Paint Stabilization Program Managed by the City of 

Omaha for EPA Region 7 

Omaha Lead Site 

The purpose of this program is to prevent yards where lead-contaminated soil is cleaned 

up from becoming re-contaminated by deteriorating exterior lead-based paint. This is 

not a home repair program. 

.Which Homes Are Eligible? 

•. Homes where soil clean-up has been or will be done and an EPA contractor has 

identified deteriorating exterior lead-based paint. 

• Homes are eligible only by referral from the EPA. 

What work will be done? 

• Loose and flaking lead-based paint vvill be removed safely from fascia, eaves, 

siding, trim, window trim, door frim and foundation. 

• Surfaces will be primed and painted to match existing paint color as closely as 

possible. 

What will not be done? 

• Surfaces which have no paint will not be treated. 

• Windows or doors will not be included. 

• Rotten wood will nOt be replaced. 

• No housing repair will be done. 

Who will perform the work? 

• EPA contractors will test paint on exterior house surfaces and give the results to 

the City of Omaha Paint Stabilization Program. 

•. City Construction Specialists will prepare a work plan and contact the property 

owner for permission to proceed. 

• Work \yill be competitively bid by approved, frained contractors. 

When will the work be done? 

• This program began in 2007 and will continue for several years. 

• The City staff will prioritize homes based on the presence of children under age 

six if known and the severity of the problem. 

Paint Stabilization is voluntary and will be doiie only with permission ofthe owner. 

Initials / ^ j 
Consent for Access to Propefty 

RIGHT OF ENTRY TO PREMISES 

Grantor (the property owner) consents to and authorizes the United States Environmental Protection 

Agency (USEPA) or its authorized representatives, collectively the Grantee, to enter and perform 

certain environmental response activities upon the following described premises: 

Owner's Name: 

Owner Name(s): Michael C. Culhane 

Davtime Phone: 

990-5976 

Addresses of Properties Covered by this Agreement 

Property Address 

2131 S. 34th St. 

City/State/Zip Code 

Omaha, NE ,68105 

Grantor understands that this grant does not limit EPA's right of access under the Comprehensive 

Environmental Response and Liabilitv Act fCERCLA). 42 USC. &. 9601-9675. or anv other law. 

PURPOSE OF ACCESS 

The purpose of the response action is to stabilize loose or flaking exterior lead-based paint on 

residential properties, including day-care facilities, where remediation of leiad contaminated soil has 

or will take place. Sampling of soil may be conducted. This consent shall allow Grantee onto 

Grantor's property and further, provides the Grantee the right to perform any and all environmental 

response actions and activities it deems appropriate. 

ENVIRONMENTAL RESPONSE ACTIONS 

The environmental response actions to be performed on subject property may include the following 

activities: 

1. Locating equipment and/or machinery on subject property in preparation for and in the course of 

the response activities. 

2. Obtaining samples from Grantor's property. 

(1) 2/12/2007 
Address: 2131 S. 34th St. 

Consent for Access to Property fPage 2) 

3. Planning and implementing the response action on the Grantor's property. This will include 

I) removal of loose or flaking paint identified by EPA using leaid-safe methods in compliance 

vvith HUD/EPA regulations and 2) repainting according to the attached specifications. 

TERM 

This access agreement shall be operable for the period of time it takes to complete the 

environmental response activities. Upon completion of the response actions, all rights and 

privileges given by the Grantor shall cease on that date, unless extended by a subsequent 

agreement. 

AGREEMENT NOT TO INTERFERE 

Grantor agrees not to interfere v^ath any of the activities undertaken by Grantee at the Property, 

tamper with any of Grantee's property, or take any actions regarding the use ofthe Property which 

will endanger human health or welfare or the environment, or allow others to use the Property in 

such marmer during the term of this consent. Grantor agrees to provide notice and a copy of this 

agreement to prospective purchasers, lessees, assigns, or grantees of the property or any portion of 

it. Grantor agrees to provide 30-day notice to EPA prior to any fransfer of ovmership rights to the 

property. 

SAMPLING RESULTS 

Grantee agrees to provide,Grantor with the results of any and all sampling and/or analysis resulting 

from Grantee's response" activities on the property. , 

PRIOR CONDITIONS AGREEMENT 

The grantor agrees to the condition ofthe property prior to remediation and indicates on Page 3 any 

items to be removed by the Grantor before activities commence. 

RESTORATION OF PROPERTY 

Except for the above stated paint stabilization, the Grantee agrees that said property will be restored 

as nearly as possible to its original state and condition as found immediately preceding the 

beginning of activities authorized by this Agreement, following completion of the response 

activities. . 

(2) 2/12/2007 
.Address: 2131 S. 34th St., Omaha, NE,-68105 

CURRENT CONDITION / PROPOSED RESPONSE ACTIVITIES 

The purpose of this section is to provide a mutual agreement as to conditions of property prior to 

contractor activities. This will also serve as documentation for the purpose of assuring that 

restoration activities are completed to the satisfaction of the property owner and the United States 

Environmental Protection Agency (EPA). 

Items to be removed bv propertv owner prior to the response activities: 

1. 

2. 

3. 

4. 

5. 

Items NOT to be removed by contractor during removal activities: 

1 . • 

2. 

3. . 

4. 

5. 

ADDITIONAL COMMENTS: 

I have read the foregoing document and understand that it is an agreement granting pennission to 

the Grantee to enter, the above described premises for the purpose of conducting enyironmental 

resporise activities, and I agree to its terms and conditions. I acknowledge that I have received the 

pamphlet "Renovate Right". 

Grantor's Signature: ^i^/^,Mil/C l/UMi'^Jt- ^ °^^^ J-6>-^IC7 

(3) . 2/12/2007 
City of Omaha 

Jim Suttle, Mayor 

January 29,2010 

Planning Department 

Omaha/Douglas Civic Center 

1819 Farnam Street; Suite 1003 

Omaha, Nebraska 68183 

(402) 444-5150 

Teiefa.x (402) 546-0714 

R. E. Cunningham, RA, F.SAME 

Director 

Mr. Michael C. Culhane 

2131 S 34* Street 

Omaha, NE 68105 

Subj; EPA Exterior Lead-Based Paint Stabilization Program 

RE: 2131 S 34th Street, Omaha, NE 

Enclosed is documentation requiring your signature and initials authorizing the City of 

Omaha.to complete a paint stabilization process on your property. Please review the 

documents thoroughly and retum at your convenience to begin this process. 

I will start the bidding process as soon as I receive the completed documents. Given the 

time of year, the stabilization process will begin in the spring with warmer weather. 

If you have any questions, please do not hesitate to contact me. 

Thank you. 

JtiU^J^ . 

Steve Zivny ' 

Construction Specialist 

CityofOmaha 

402-444-1614 

steven.zivny(§ci.omaha.ne.us 
Douglas County Account Information Page I of3 

Douglas County, Nebraska Property Record - R2540970000 

Information is valid as of 2009-12-31 

Print Report 

NEW Feature - Parcel Dimensions available @ scale 0-50 ft west of 52nd St - VICW OP Ma p 

Treasurer's Tax Report 

New Feature -*->- > Auto Sales Search 

Owner 

CULHANE MICHAEL C 

ETAL 

2131 3 34 ST 

OMAHA NE 68105-0000' ^0-61 % 

Property Information 

Key Number: 4097 0000 25 

Account Type: Residential 

Parcel Number: 2540970000 

Parcel Address: 2131 S34ST 

OMAHA NE 68105-0000 

Legal Description: WINDSOR PLACE LOT 49 BLOCK 0 50 X 140 

Value Information' 

Land Improvement Total 

2009 $6,600.00 $90,500.00 $97,100.00 

2008 $6,600.00 $90,500.00 $97,100.00 

2007 $6,600.00 $90,500.00 $97,100.00 

2006 $6,600.00 $77,400.00 $84,000.00 

2005 $6,600.00 $77,400.00 $84,000.00 

2004 $6,600.00 $77,400.00 $84,000.00 

Sales Information 

Sales Date: 2009-12-16 

Deed Type: PRO Book: 2009 Page: 134646 

Price: $0.00 

Grantor: Culhane Gertrude G Estate of 

Grantee: Culhane Michael C etal 

Valld/lnvalld: Invalid 

Exclusion Reason: Family Sale 

5a/es Date: 2009-11-13 

Deed Type: PRO Book: 2009 Page: 127539 

Price: $57,000.00 

Grantor: CULHANE GERTRUDE G 

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Douglas County Account Information Page 2 of 3 

Grantee: ' CULHANE MICHAEL C ETAL 

Valid/invalid: Invalid 

Exclusion Reason: I Family Sale 

Lan d Informatio n 

T 

Acres 

0.16 

SF Units 

7000.0 1.0 

Depth 

140.0 

Width 

50.0 

Vacant 

No 

Improvemen t Informatio n 

Building 1 

CUCK TO ENLARGE IMAGE 

T W O STOR Y 

» f 

^^g' 

.»««aPwif 

juS 

;s* 

l^«n«ttli»A6t D«eie:N^ l3»rj^ 

CLICK TO ENLARGE IMAGE 

Square Footage: 1508.0 Percent Complete: 100.0% 

Perimeter 0.0 Quality: Average 

Unit Type: Condition: Average 

Built As: 2 Story Condo Square Footage: 0.0 

HVAC: Forced Air Rooms: 7.0 

Exterior: Frame Siding Units: 1.0 

Interior: i Drywall Baths: 1.0 

Roof Cover: | Composition Shingle Bedrooms: 4.0 

Roof Type: | Hip Stories: 2.0 

Floorcover: I Allowance Foundation: Block 

Sprinkler Square Footage: I 0.0 

Year Built 

1910 

Year 

Remodeled 

Percent 

Remodeled 

Adjusted Year 

Built 

0% 1910 

Physical Age 

97 

Detail Type Detail Description Units 

Appliance Allowance 1.0 

Basement Bsmnt Block 8 ft 768.0 

Basement 

Fixture 

Minimal Finish 400.0 

Base Fixtures 1.0 

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Douglas County Account Information Page 3 of3 

Fixture 

Garage 

Porch 

Porch 

Bath Full . 

Detached 

Slab Roof Ceiling 

Slabw/Steps 

1.0 

486.0 

16.0 

96.0 

http://douglasne.mapping-online.eom/DouglasCoNe/static/accountinfo.j sp?accountno=R25... 1/25/2010