PROPERTY SUMMARY

 

Date; 09/27/2007 Omaha Lead Site Remedial Action Contract # EP-R7-07-06 | Month of: September 

Property Address; 1803 Locust St 

A. EXECUTIVE SUMMARY 

A.I Issues Encountered: None 

A.2 Issues Resolved: Re-Seed will occur in November on any dead spots to encourage spring growth. 

A.3 Unique Findings: 

A.4 Other Relevant Information: 

CONFIRMATION SAMPLING DATA/RESULTS: 

Fl-119@6" F2- 197 @ 8" 

B2-386@7" 

Easement 111 @ Scrape 

ATTACHMENTS 

1) Property sketch provided by EPA pursuant to contract specifications 

2) Signed Access Agreement including access agreements required for crossing other properties 

3) Pre-Excavation digital video clip/photographs 

4) Post-Excavation digital video clip/photographs 

5) Documentation - Completed Close-out Checklist 

6) As-Built sketchi) Shall include final lead levels v) Legend

 

ii) Contamination left behind areas vi) Contractor identification 

iii) Property address vii) Date 

iv) BVED number 

7) Other items to be included in the individual property file, if available, or obtained include: 

i) Pre-excavation agreement details (if any are made with the property owner) 

ii) Excavation digital video in MPEG, WMV (Windows Media Video) or SWF (Flash Player) format and/or 

photographs 

iii) Signed form verifying satisfactory restoration 

iv) Description of areas not meeting Interim ROD cleanup criteria. 

TECHNOLOGIES, INC, 40286216 

Superfund 
29929

 

Owne Omaha Lead Site r Name: EUGENE PERSONS III 

Site Sketch Address: 1803 LOCUST ST 

Phone: H] WL 

Sample Number Lead 

Concentration 

Sample 

Collect LAB 

RYASCPXA-29929 F1 D 

RYBSCPXA-29929 F2 < D 

RYCSCPXA-29929 B1 BV 

RYDSCPXA-29929 B2 &/ 

RDZSCPXA-29929 DZ 

fiOZOOPXA 20029 62 D D 

RPgOGP)(A-20920 PZ n 

Number of Samples = 

; 

\f.t. 

Exterior Paint North Arrow 

Q Good 

D Poor 

[y Not paint 

Samples Collected 

Firm: ?* ^- 7~#s'£ 5 

Date: _ XX 7 

Time: // 

Samples Analyzed 

XRF Unit: Q> \ \ Book: M,

Date: *\ • b -O L-V 

Staff: (

:f£ 

AU 32005 

SOS 

Omaha Lead Site 46130 

 I 


ITbra 29929 \ • — ' 

Omf^a Exterior Paint North Arrow Owner Name: EUGENE PERSONS III Lead Site Q Good aiie OKeicn Address: 1803 LOCUST ST D Poor / 

Phone: H: w. zL^ u/ [y Not paint 

Sample Number

 Lead

 Sample Samples Collected 

Concentration Collected Firm: f?3 1^ 7'^^^ $ 

RYASCPXA-; 29929 F1 V-\ *L\O ppm RT Q Date: f S/7 /**-/ 

RYBSCPXA-: 29929 F2 ^O5

^ ppm M, Q Time' //s-?* 

RYCSCPXA- 29929 B1 S^oLppm tlyK Q Samples Anal yzed RYDSCPXA­ 29929 B2 1 "^Q DPm m , Fl 

RDZSCPXA-29929 DZ &£tf>[ DPm ^ f~l XRF Unit: Q \ \ Etook: C\ 1 

Date: *\ • "b -< 

RPZOCPXA-EOOaO PZ DPm PI [~l Jim-- A V-A 

Number of Samples = ; 5~ Staff: ( CXA -— 9lr 

; i 

: 

: .

I

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:

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: : f

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; 2; 3 2005 

. 

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Ft 

x 105 j 

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)\ '• '• '• ]• L • <^»/sf : • 

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; ; ; ; *fM....\ ; ; ; . Omaha Lead Site 46130 
. lO ciiJ'Jus' d'-<wUjJ iu 

Dm3 ha Lead / £>w v the property^ :"!"*r r:-'-'^ 

Sits Remefils! * \ vffv''/ v snvirop'Ti

ft:l

t?! ? 

Action \- '' '"''•"'' "' ..P I'SdiOvc iedO-^0!lid!illiidl8'J bun 

Prudent Technologic;, Inc. (Prnderit) h uncUi confe-aci vsi'ui the U. 2. 

(EPA) to c!e»!? up ??sd-contaminated ?oilE at 3 n''rr?b?r of pro«?rti°T loc?*"^ •*? '.'""*"•:> W"br?rl"

> 

including the property located at 16? r\ Cl I »N r tuujt^i— S''t—• ^iia I^A 1=4^^ , u^. 13 f f J l^^k.^./.^.^ ^Jp^JA * i^ ^^-^ t »~>^—. ^ J 

permission to allow Prudent to perform a soil cleanup at this propeitv to remove lead-contaminated so»t. 

By signing this fomi, ilie property owtiti giants p«iuji5aiou tu PiuJeiiL Lu peiTou^ duuMbe i lela^u ^ u.t 

cleanup including soil sampling, removal onead-r:oTitFinr,r>3t?ri -.rirl snH rp'storsnnn nf trp r-f^rprirprt 

propeii^. Aiiei obtaining the owuei''s signature on this form, PruJe?it T^djic!.:-.1.^, Lit., vvili ^.unia^\. L. 

proper^,' owner (and residents) within the next few weeks to coordinat0 perforr"9rr•<• th? ""*ri: 

If you have aiiy questions about Hie soil cleanup planned fat youi piopeiiy, pleait CijuLdL^ 7, a Js^' a 

Adrasnirtr3t?.ve Clerk for the Omaha Lead Site deatrjp, Mz. C^di? Hinc?r at ( 

questions about the Omaha Lead Site cleanup can be directed to the EPA Puoiic 

(402) 731-3045 (louth Omaha office) nr (402) 991 -9CP3 (north Omaha eff-c-p). 

ropeiiy Accesi Giauieti 

/ 

Ovvnei 

(Tc. te completed by ^ade^i aiiior propa-t)- C-^IIFI -- pls.it priai 

RESIDEVTNAKE : /v 

0 

IF RENTAL. mcriT.TY CWiJED BY: ..ULag^ _c«ix . __ J&^T^f^^ J/U ^ :

ae^_G__jp(e:^cSrf^ 

;ADDRESS: ^^ p i ^ \(o ^ GfY^^L^ (sJ€_^ ^>-^U b 

OWNER'ETELEPKONEHUMBER-HOME: i ^PV- X».'CP>K: _i • 

AGE OF HOHE?: ^l£? YEARS. HOW LONG HAVE YOU LIVED HERE? 

HAS THE EXTERJOR BEEN PAINTED OR COVERED WITH SIDING SIMCE 1978? __ YES 

MUHBER OF OCCUPANTS UNDER 7 YEARS OLD: j£*^NUMBER OF OCCUPANTS? YEAR? OLD AND OLD". 

NUMBER OF CHILDREN UNDER 7 YEARS OLD WHO PLAY W THE YARD FOR 5 HOURS OR MORE PER IVEfK 

COMMENTS OR SPECIAL INSTfUJCTlC'.'S: (!.r. DCCS. EMTRY GATE ?, ETC ) __________ 

sereement areu'JJ'suant to Seciicn 104 of CEKCL-A. 42 U S (.: 9c;i­
£EPA

 

EPA Property Close Out 

Property #: Property Address: I&OJ LoCuJ/-

Datemme: 09/47/07 Owner's Name: f«jtv, PIQU** 

Quads Excavated: Contractor Group Prudent Technologies 

Excavation General Yes

1 . If necessary, were the correct quadrant(s) excavated and restored? / 

2. If necessary, were the correct areas of drip zone excavated and restored? S 

Grading Sod and Vegetation Yes

1. Does the grading around the perimeter of the house in excavated areas generally slope away 

from the house? S 

2. Has sod been laid in all areas that were excavated? S 

3. Does the sod appear to be generally healthy and growing? (Only evaluate if inspected at a 30 

day time period) S 

4. Are sodded areas generally firm and evenly graded? i/ 

5. Are the joints between the sod strips generally tight? (Only evaluate if inspected at a 30 day 

time period) </ 

6. Was the property graded such that water will not pool on the property? s 

7. Was damage to landscaping or plant materials avoided? s 

Gates, Fences and Retaining Walls Yes

1 . Do gates open and close freely? (If applicable) ,/ 

2. Were all gates or fences taken down during restoration activities reinstalled? (If applicable) (/ 

3. Was damage to gates or fences avoided? (If applicable) / 

4. Was damage to retaining walls avoided? (If applicable) S 

Foundation, Siding and Gutters Yes

1. Was damage to the siding or trim avoided? t/ 

2. Was damage to the foundation avoided? «/ 

3. Was damage to windows avoided? S 

4. Was damage to windows or door screens avoided? ,/ 

5. Was damage to downspouts or downspout extensions avoided? / 

Sidewalks and Driveways (Concrete) Yes

1 . Was damage to driveway surfaces avoided? / 

2. Was damage to walkway surfaces avoided? / 

 No 

 No 

 No 

 No 

 No 
Owners comments: 

Inspection notes: 

Removal and restoration activates complete including the 30-day sod warranty: 

EPA Representative &*> &^ Date: f A 7/0 7 
ENTER 29929 : 

Owner Name: EUGENE PERSONS ill Omaha Lead Site 

sue SKetcn Address: 1803 LOCUST ST 

Phone: H: W: 

Sample Number Lead Sample ^B

Concentration Collected 

RYASCPXA-29929 (ji^J fe^iseL;^ ppm [PT H 

RYBSCPXA-29929 (^1 "^^©S^ippm 1^, f~I 

RYCSCPXA-29929 B1 *n 7\oL Dpm fi>t x I~l F%S»^*TI

PW/ r 

RYDSCPXA-29929 ^^? sy*Ji^@^ ppm M/ Fl 

RDZSCPXA-29929 DZ li""S^°[ Dpm RT n 

fiOZOOPXA 20089 62 ppm PI PI 

opm n (~l 

Number of Samples = '• 5" 

Exterior Paint North Arrow 

Q Good 

[g^Not paint ^^ 

Samples Collected 

Firm: S3 ^ T"/* 5 

Date: «f/X7/^V 

Time: //;J5"~ 

Samples Analyzed 

XRF Unit: ^> \ \ Book: ^A I 

Date- ^\ • "b -O L\ 

Time: f\ V^L 

Staff: ( NCXA 

~ P 

JPEBED Is 

/•.../..-../..:../... A 

46130 
Property Completion Agreement

 

This agreement documents the completion of removal activities performed on the below listed property. 

The property owner's signature indicates that the property owner is satisfied with the restoration of the 

subject property, and that no items are in question, now, or at any time in the future, excluding any 

remaining warranty (30 days total) except those items listed below, if any. 

Property ID: ^cjq 2_ ^ 

C^ I I Property Address: \ <g Q 3 (_C> CuOi \ i>v o^^aVxA fvj^ (^g n o 

Owner? \*\ ^ \^*x /) 

Phone: i^ro ^l ^f1 | — *^>T "^ *^> 

Restoration Items in Question: 

Item: 

Item: 

Item: 

Item: 

Item: 

Item: 

Required corrections to complete the property: 

LJ I agree restoration is completed, except as noted above. 

LJ I do not agree restoration is completed 

2-00? 

Owners Signature Date 
Print Preview Page 1 of 1 

Douglas County-Omaha, NE 

Parcel ID 

Owner 

Name 

Property 

Address 

City 

Zip 

Owner 

Address 

Owner 

Address 2 

Owner City 

Owner 

State 

Owner Zip 

1231630000 

PERSONS III 

EUGENE 

1803 LOCUST 

ST 

OMAHA 

68110 

3522 N 16 ST 

OMAHA 

NE 

68110 

Sec-Twn-Rng 

Owner 

Address 

Addition 

Block 

Lot 

Legal 1 

Legal 2 

Legal3 

Legal 4 

Assessor 

Website Link 

10-15-13 

HAMILTON SQUARE 

1 

2 

36 X 67 5/8 

http://douglasne.mappingonline.com/DouglasCoNe/static/accountinfo.jsp? 

accountno=R1 231 630000 

Disclaimer: Map and parcel data are believed to be accurate, but accuracy is not Map Scale guaranteed. This is not a legal document and should not be substituted for a title search, 1 inch = 20 feet appraisal, survey, or for zoning verification. 

http://www.dogis.org/dogis_alias/dogis/printPreview.aspx?PrintOptData=Douglas County-... 8/1/2007 
Page 1 of 2 

Create Another Ticket Back to Irth Internet Send Email 

YOUR TICKET NUMBER IS 1862836. 

Original Call Date: 8/10/07 Time: 11:37 am Op: CYNDIE18967 

Work to Begin Date: 8/14/07 Time: 12:00 pm 

State: NE County: DOUGLAS Place: OMAHA 

Address: 1803 Street: LOCUST ST 

Twp: 15N Rng: 13E Sect-Qtr: 10-NW-SW
 

Twp: Rng: Sect-Qtr:
 

Legal Given: C
 

Type of Work: Soil Excavation - Lead Remediation
 

Location of Work: LOCATE ENTIRE PROPERTY
 

Remarks: FAX ALL CLEARS TO: (402)504-1005
 

Company : PRUDENT TECHNOLOGIES
 

Contact Name: CYNDIE Phone: (402)504-1004
 

Work Being Done For: EPA
 

Depth of Excavation: 14Z" Corner Lot: N Front: N Rear: N
 

Involves Tunneling or Horizontal Boring : N Explosives: N
 

CXCATV MAGELLAN MUD01 OMAHACOF OPPDGPR5 QLNNE1C
 

Service Area Contact Phone Number Utility Type 

Day: 4029340469
 

CXCATV COX COMMUNICATIONS, INC HEIDI Alt: 4029340469 

Emerg: 4029329757 

Day: 9185747098 

MAGELLAN MAGELLAN MIDSTREAM PARTNERS LP TONYA Alt: 

Emerg: 9185747098 

Day: 4025047823
 

MUDOl METROPOLITAN UTILITIES DISTRICT EDWTNA Alt: 

Emerg: 4025047946 

Day: 4024447197 

OMAHACOF CITY OF OMAHA-TRAFFIC.SEWER RON Alt: 4024445161 

Emerg: 4024445160 

Day: 4067289343
 

http://www.dhon.org/irthinternet/DHONNoticeCreation/MessageText.asp?ret=<RESULTS... 8/10/2007 
Page 2 of 2 

OPPDGPR5 OMAHA PUBLIC POWER DISTRICT NA 

Alt: 

Emerg: 8887289343 

QLNNE1C QWEST LOCAL NETWORK NA

Day:

 Alt: 

 4067289343 

Emerg: 8887289343 

http://www.dhon.org/irthinternet/DHONNoticeCreation/MessageText.asp?ret=<RESULTS... 8/10/2007 
Find Record dean Up Query Lead Remaining Query I Property Damage Query Close 

Owner Occupied Resident Name: 

Owner Name: (PRUDENT2007 

[PERSONS III EUGENE Property Address Group: 

Owner Address 1: j 1803 LOCUST ST 

Zip Code: 

Owner AddressZ (68110 

3522 N 16 ST Resident Phone Qualifying Group 

City: State: Zip Code |800 

|OMAHA NE (68110 Assessment XRF Date: 

Owner Phone: Alternate Phone: 

Assessment Max XRF Value