"'^il*»^' ^ 

TRANSMITTAL of OMAHA LEAD SITE 

SOIL REMEDIATION FILE FOLDER 

SAID# /^8S/ 

3/m2 

: 

Date: 

Address: y.24 S /i>3/ 

Remediation Contractor: Coastal Environmental Group_ Year: 2007 

SOIL REMEDIATION 

PROPERTY FILE FOLDER DOCUMENTS 

Video of property (DVD) 

Executive Summary ' 

Q7 EPA-provided property sketch 

£ / Signed Access Agreement for subject property 

D Signed Access Agreement(s) for adjacent property 

Restoration Agreement 

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

y Confirmation data 

Photographs 

• y 

As-built sketch 

Satisfactory restoration signed by Property Owner 

Property close-out check list signed by EPA 

D Description of areas not meeting ROD cleanup criteria 

D Utility clearances 

D Property infonnation from Douglas Coimty Assessor's Office 

D 

D , 

D 

4 ^ 

40317855 

li 

Superfund 
m5] 

-I 

Final Report Property Check List (piease place with each file) [M 0 ^ ' 

Hard Copy Information | wlocV S> |^l^ ^ 

- ^ Property Check List ;| I V^ ' 

/2^Sit e Working Drawing Map 

3. EPA originals Map 

y ^ Douglas County Assessor's Map 

• y ' Property Contact Sheet 

Agreement 

^J-r^ccess Agreement 

y Restoration Agreement 

Miscellaneous Documents 

yF'msil Map from the Field 

y^Change Orders \sX(|;,_^ 

y^K V Data 

.4^Any emails or PO a)rrespondences Vs\OU 

Property Completion 

1. Executive Summary 

2. AS BUILT 

yf. Property Completion Agreement 

jyKny buyout info or reimbursement info WO^ 

^Check or money order copies Vv^A_^ 

y^. EPA Property Close Out Fonn 

7. Attached Begin Video 

Electronic Documentation 

Drawings 

1. EPA original 

2. Working Drawing 

.3. AS Built.vso 

4. AS Built.jpg 

Photos 

1^ 

y^ Begin Photos 

During/Excavation Photos 

Sod Photos 

30-Day Sod Photos 

Scanned Documents 

^ Final Documents 

Executive Summary 

Videos 

- ^ Begin Video 

^ My Movie 
Property Access Checklist 

Property ID: jcj g,c^\ n WORK STARTED ON:_ / / 1

Property Address: iA.'^\ - C n WORK COIVIPELTED ON:_ / / J If, St. 

Owner: /_,UC' 0 Qp'^\\l0~.A. 

Address: 

1431 ^ i(o ^tPhonc: 4£2 - ^70 / 

Fax: 

Cell/Pager: 

• Notitlcation Letter 

^ Access Agreement 

S Restoration Agreement 

n Topsoil Sampling (if applicable) 

O Disposal Sampling (if applicable) 

O Garden Sampling (if applicable) 

^ Utility Clearance 

U Video/Photos (Before) 

D Video/Photos (During) 

D Video/Photos (After) 

n Video/Photos (30-Day) 

n Property Completion Agreement 

n Final Report 

Renter: 

Phone: 

Fax: 

Cell/Pager: 

Additional Information: 

Sent: / / B,: 

Signed: _B_/iAi/D 7 By: 

Signed: O 1 ]A l G J By: 

1 1 By: 

1 1 By: 

/ / By: 

Called R v ^'^ ^ : & / 1 C?/ 0 7 l?>^74.0l

On: / / • • 

On: / / By: 

On: / / By: 

On: / / By: 

Signed: / / By: 

Issued: / / By: 

Air IVIonitoring (as applicable » 

• Community [H Crew On: / / By: 1 

Results: i 

1 1 Community EH Crew On: / / By: _ 1 

Results: 1 

n Community d l Crew On: / / By: 

Results: 

Omaha Lead Site 

 1 

1 
^ 18(o74o| u^ UJfi>6 Of ^ l y ^ 

^3(SS'/ 

Omah Exterior Paint North Arrow Owne a Lead Site r Name: LooJo (oi^';^^;'^­

Sit • Good e Sketch Address: y^ty_} 7 ..-77. Q Poor 

Phone: -ym^^Ayy t 4<t ^> 0 - Not paint i 

Sampl Lead Sample Samples Collected e Number LAB Concentration Collected Firm: 

RYASCPXA- ISQS" ! F1 iA ppm 0' D Date: ^/^^loc » 

RYBSCPXA- i^Q^ j F2 "2-/ P:> ppm D Time ^-• - : 2. 

RYCSCPXA- iSQt^ f B1 \~l H ppm [n n Samples Analyzed RYDSCPXA- IQQ^ i B2 9.5 0 ppm n 

R©ZSePXA= ©Z - ppm D D XRF Unit: Qo ? Book: JIB 

RGZSCPXA^^ -GZ '"' ppm n n Date ^^- 7 6 - gG> 

RPZSCPXA- PZ J Q i.^ ppm IB- Time .£n. Staff Number of Samples = ^v j]±ii ^ 

?tfi(f5^ 

Omaha Lead Site 46130 
Douglas County Page 1 of 1 

Douglas County, Nebraska Property Record - R1262870002 

Information is valid as of 2007-7-19 Print Report 

Values not finalized until after Board of Equalization yiewoji^Map 

Owne r 

GALVAN LUC 10 

ETAL 

1436 S 16 ST 

OMAHA NE 68108-0000 

Property Information 

Key Number: 6287 0002 12 

Account Type: Residential 

Parcel Number: 1262870002 

Parcel Address: 1434 S 16 ST 

OMAHA NE 68108-0000 

Legal Description: HARTMANS ADD LOT 39 BLOCK 0 S 20 W 96.12 E 125.62 FT LT 31 & N 25 W 

96.4 E 125 FT & N 5.23 S 50 W 111.82 E 140 FT LT 39 45 X 96.12 & 5.23 X 111.82 

Value Information 

2007 

2006 

2005 

2004 

2003 

2002 

Land 

$2,700.00 

$2,700.00 

$2,700.00 

$2,700.00 

$2,700.00 

$0.00 

Improvement 

$0.00 

$0.00 

$0.00 

$0.00 

$0.00 

$0,00 

Total 

$2,700.00 

$2,700.00 

$2,700.00 

$2,700.00 

$2,700.00 

$0.00 

Sales Informatio n 

Date 

2004-03-19 

Type 

WD 

Book 

2004 

Page 

046412 

Price 

$2,000.00 

Land Informatio n 

Acres 

0.11 

SF 

5150.0 

FF 

50.0 

Units 

0.0 

Depth 

103.0 

Width 

50.0 

Vacant 

Yes 

Land Attributes 

Attribute Attribute Description 

Improvemen t Informatio n 

http://douglasne.mapping-online.com/DouglasCoNe/static/accountinfo.jsp?accounmo=R12... 8/10/2007 
Dougla

s County NE GIS Map 

I I .. I LEGEND 

Minor Streets 

y Out 

Major Streets 

y HatorSti««ti 

Interstates 

^ Intmites 

• Parcels 

parcel 2 

ID Hydro 

DrtvMibyWe^jGUiDr 

Disclaimer: This map is not guaranteed 

to be accurate, correct, current, or 

complete and conclusions drawn 

are the responsibility of the user. 
CONTACT FORM 

Property ID # ^^C\ 

Property 

Address: \Ayy7ih77y. 

Initial Contact: Date: & | ^ Time: Ho ^ Action: ^L V 

Second Contact: Date: Time: Action: 

Final Contact: Date: Time: Action: 

Final Action: Transmit to EPA D Other Action: D 

Comment: 

Owner 

Comment (s): 

\/\J(AO

y

 [A cn/VkYV\ 

%% °v\n 

Site 

Coordinator 

Comment (s): 

V-'­•7 

\>y\o 

(j:^ ^ \7\yCiv (A^I/{>(^( ^ ^o^A<,^\\o \ 

-5^^^^ iloo 

4rof^S Y v>^^^ lAw^vi^v^uy 

-Z^3_V^_^-:L : 

Z^Z.'o K^^of^<iD,p-p 

(3li^ ^ /^/A/-Y 
( ^ 

COASTA L ENVIRONMENTA L 

CROU P INC . 

Consent For Access To Property 

RIGHT OF ENTRY TO PREMISES 

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

Environmental Protection Agency (EPA) or its authorized representatives, collectively 

the Grantee, to enter and perform certain environmental response activities upon the 

follov\/ing described premises: 

Owner's Name: [^^ci O (2>^\/A> J Daytime Phone: ^y7-^~j / (77^ / 

Address of Property 

covered by this \qz^^ 5 l-fc^r 

Agreement: 

PURPOSE OF RESPONSE ACTIVITIES 

The EPA is requesting access to collect soil samples and remove soil that contains 

elevated concentrations of lead and may pose a health hazard. The area(s) will be 

excavated to remove contaminated soil. The removed contaminated soil will be 

replaced with clean materials and the area will be restored to its original condition. This 

work is being performed under the Omaha Lead Superfund Site remediation program. 

A representative of Coastal Environmental Group, contracted by USEPA, will contact 

the Grantor in-person to discuss the work to be performed, the Grantor will have an 

opportunity to review and approve the planned soil removal, and restoration work before 

it begins. Once the work is finished, the Grantor will be asked to review the work and 

confirm that it is complete and meets with the Grantor's approval. Upon completion, the 

Grantor will receive written documentation from EPA that the property has been 

remediated. 

ENVIRONMENTAL RESPONSE ACTIONS 

By signing this Access Agreement, the Grantor is granting the EPA, its employees, 

contractors and subcontractors the right to enter the property, at all reasonable times 

and with prior notice, for the sole purpose of performing the work. This access shall 

remain in effect until the work has been satisfactorily completed. The Grantor also 

agrees to: 

Page 1 of 2 
y'-'J'*'-^. m 

V • " ^ * COASTAL 

'^i-^•>. , -eC ^ EN¥l«ONMENT»L CROUP . IN C 

• Remove obstructions including boats, trailers, vehicles, playscape items, wood 

piles, dog houses, etc; 

• Remove flower bulbs or plants that the Grantor or the Grantor's tenant may wish 

to save; 

• Water and maintain replacement vegetation, including fertilizer application, as 

necessary subsequent to an initial watering period by EPA; 

• Abide by health and safety guidance provided by EPA; 

• If the property is rented, assist EPA in obtaining tenant approval for access to the 

property to perform the work. 

• Allow videotaping and/or photographing ofthe property. 

AGREEMENT NOT TO INTERFERE 

The Grantor agrees not to interfere or tamper with any of the work activities, or with any 

of the work done, or with the equipment used on his property, or to undertake any 

actions regarding the use of said property which would tend to endanger the health or 

welfare of the Grantees or the environment, or to allow others to use the property in 

such a manner. 

Should you have any questions about this program, please contact Coastal 

Environmental Group, at (877) 234-6270. 

I grant access to my properties G I do not grant access to my properties 

UiUyL. yV^ 7 

ignature / Date Signature Date 

O I would like to be present during any sampling that is required. 

Page 2 of 2 
COASTA L 

Restoration Agreement 

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

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

activities are completed to the satisfaction of the propert>' owner and the United States Environmental 

Protection Agency (EPA). 

Property ID: /fg5/ 

Property Address: /^^c/ ^ J ^ ^7 ^ 

Owner: i-UCl' d (nA:L{/y y 

Phone '-• q'5Z'97oT 

On the attached diagram(s) indicate area(s) to excavated and depth of e.xcavation, location of all known 

utilities, subsurface features, surface structures and landscaping features, access location(s) to be used by 

contractor, and the direction of North. Indicate distances, depths, material types, etc. Indicate digital photos 

by referencing the photo-log number with an arrow indicating direction of view. 

Items To Be Remove d By Owner Before Start Of Remediation: 

(Use additional sheets as necessary) 

The removal, storage, disposal, and/or return of these items is the Owners responsibility. 

Item: 17>iyry \VJc 

Item: 

I (Z^MM^f <^\ "\WX 

Item^ 

\^i/3 

Item: 

Item: 

Item: 

Item: 

Item: 

Page 1 of. 
COASTA L 

Items To Be Removed By Contractor During Remediation And Not Replaced 

(Use additional sheets as necessary) 

Item 

\Ja\-^(7r 

Item: 

Item: 

Item: 

Item: 

Item: 

Item: 

Item: 

Item: 

Item: 

Item: 

Item: 

Item: 

Item: 

Item: 

Page 2 of. 
COASTA L 

Items To Be Removed By Contractor During Remediation And Replaced 

(Use additional sheets as necessary) 

Item: 

Item: 

Item: 

Item: 

Item: 

Item: 

Item: 

Item: 

Item: 

Item: 

Item: 

Page 3 of. 
COASTA L Er^<VIROr1lM€^4TA L 

c n o u p , IN C 

Landscape Inventory 

(Use additional sheets as necessary) 

Item 

Pre-existing property area, 

that will be excavated, that 

is covered with grass. 

Number of trees > 2 inch 

trunk diameter 

Number of trees <= 2 inch 

trunk diameter 

Number of Sprinkler 

Zones. Control Valves, 

Timers. Heads, etc. 

.^^ach a sketch of the 

sprinkler laxout. 

Number of and size of 

each garden/ flower bed 

area. 

Anach a sketch of relati\e 

sizes and locations. 

Quantity 

7 

7 

7 

7 

Unit 

Square feet 

Each 

Each 

Each 

Each 

Square Feet 

Condition/Type/Specles 

Page 4 of. 

1 
COASTA L CNVIRONMCNTA L 

Item Quantity Unit Conditlon/Type/Species 

Agreed upon value of 

plant materials not to be 

replaced bv contractor. 

Note this value will be 

used to issue a plant 

voucher to the property 

owner. 

Agreed upon list of plant 

materials that will be 

replaced by contractor. Be 

very specific and detailed. 

Include a sketch of vvere 

each plant will be placed 

b\ the contractor. 

Agreed upon area of 

property to be replaced 

with grass sod. 

Include a sketch of rhe 

area(s> to be replaced with 

grass sod. 

Area of City or County 

property to be landscaped 

per their requirements. 

Include a skeich of the 

area (s) 

Easement Area, to be 

excavated 

1 

cn^sc^^"^ 

7 $ 

p Each 

SF 

SF 

SF 

Page 5 of. 
# COASTA L EMvtnoNMEixrA L 

Additional Comments / Instructions: 

^A^^ ^ <-> y - r ­

• Check the box if Owner does not want CEG to document interior foundation walls and possible 

pre-existing damage. By checking this box CEG is not responsible for any damage done to the 

interior of house, including foundation cracks or fissures. 

\jS\ I agree D I do not agree 

77o7 /lyy^ . Owner's Signature Date Contractor's Signature D^e f 

Page 6 of. 
\\yR^^ 

PROPERTY CLEARANCE WORKSHEET 

Date 

Property ID '')^la4ni 

Tim\ Property Project 

Omaha Lead -- Fixed Price Address USUSr^Us^ 

Measurement XRF ID 

0107-51 Count/Time 

Field Sliots 

Sliot # Reading Sample Area Shot * Reading Sample Area 

4J ^ ^ ' 7 A-/^-f^ 1 

wy \\r) [52 6^^" 

Sample Area yKy y I n Situ 

Composite Composite Analytical Aliquot Composite Readings 

Lab Analytical 

Readinq Average (Dried & Spilt Sent (Bag) 

Number Results 1 

(Baq) Sieved) ? 

3 

f^l ^ -i 

4 

2 

1 / 87 XRF Corrected Value ~ > 

5 (use calibration chart or add 

2 0 % to value) 

lo4- Sample Area 

Pass/Fai l ? f>? u y I n Situ 

Composite Composite Analytical Aliquot Composite Readings 

Lab Analytical Readinq 

Average (Dried & Spilt Sent (Bag) 

Number Results 1 

(Baq) Sieved) 7 ^yc/\ 2 r3^ ^ 4 ^ 3 ll. ^ <y^ 4 ^ / -7(^ 17(9 XRF Corrected Value --> 

5 ^Z3 (use calibration chart or add 

2 0 % to value) 

c?04 

Sample Area Pass/Fai l ? 

I n Situ Composite Composite Analytical 

Aliquot Composite Readings Lab Analytical 

Readinq Average (Dried & Spilt Sent (Bag) 

Number Results 1 (Baq) Sieved) 

2 

3 

4 

XRF Corrected Value --> 

5 (use calibration chart or add 

2 0 % to value) 

Sample Area Pass/Fai l ? 

I n Situ Composite Composite Analytical 

Aliquot Composite Readings Lab Analytical Readinq 

Average (Dried & Spilt Sent (Bag) 

Number Results 1 (Baq) Sieved) ? 

2 

3 

4 

XRF Corrected Value - > 

5 (use calibration chart or add 

2 0 % to value) 

Sample Area Pass/Fai l ? 

I n Situ Composite Composite Analytical 

Aliquot Composite Readings 

Lab Analytical Readinq 

Average (Dried & Spilt Sent (Bag) 

•> 

Number Results 1 (Baq) Sieved) 

2 

3 

4 

XRF Corrected Value - > 

5 (use calibration chart or add 

2 0 % to value) 

U.Tf AUDinOHM. SHffrS I f 

XRF HllBI D Technician's Signiture 
Page 1 of2 

Create Another Ticket Back to Irth Internet Send Email 

YOUR TICKET NUMBER IS 1875932. 

Original Call Date: 8/28/07 Time: 2:59 pm Op: LORI18790 


Work to Begin Date: 8/30/07 Time: 3:30 pm 


State: NE County: DOUGLAS Place: OMAHA 


Address: 1431 Street: S 16TH ST 


Twp: 15N Rng: 13E Sect-Qtr: 27-NE-NW 


Twp: Rng: Sect-Qtr: 


Legal Given: C 


Type of Work: LEAD EXCAVATION 


Location of Work: LOCATE ENTIRE PROPERTY 


Remarks: RESENDING DUE TO WORK EXTENDING. 


Company COASTAL ENVIRONMENTAL SERVICE 


Contact Name LORI Phone: (712)352-0188 


Alt. Contact NONE 


Work Being Done For: EPA 


Depth of Excavation: 36 IN Corner Lot: N Front: Y Rear: Y 


Involves Tunneling or Horizontal Boring : N Explosives: N 


ATTNEBRl CXCATV LEVELS MCI MCLEODNE METHODIS MUD02 


OMAHACOF 0PPDGPR6 QLNNEIF QWEST2 SPRINTNE 


Service Area Contact Phone Number 

Utility 

Type 

ATTNEBRl AT&T 

Day:

Alt: 

 80024136249 

Emerg: 80024136249 

CXCATV COX COMMUNICATIONS, INC HEIDI 

Day: 4029340469 

Alt: 4029340469 

Emerg: 4029329757 

LEVELS LEVEL3 COMMUNICATIONS, 

LLC NA 

Day: 8773668344 

Alt: 

Emerg: 8773668344 

MCI MCI NO CALL PER MEMO 

Day: 8002893427 

Alt: 

Emerg: 8002893427 

http://www.dhon.org/irthintemet/DHONNoticeCreation/MessageText.asp?ret-<RESULTS... 8/28/2007 
Page 2 of 2 

MCLEODNE

METHODIS 

MUD02 

OMAHACOF 

0PPDGPR6 

QLNNEIF

QWEST2 

SPRESfTNE 

 MCLEODUSA 

METHODIST HEALTH 

SYSTEMS 

METROPOLITAN UTILITIES 

DISTRICT 

CITY OF OMAHATRAFFICSEWER 

OMAHA PUBLIC POWER 

DISTRICT 

 QWEST LOCAL NETWORK 

QWEST LONG DISTANCE 

SPRINT COMMUNICATIONS 

CO 

NA 

7A-5P M-F/NO CALL 

PER MEMO 

EDWINA 

RON 

NA 

NA 

SARA 

Day: 

Alt: 

Emerg: 

Day: 

Alt: 

Emerg: 

Day: 

Alt: 

Emerg: 

Day: 

Alt: 

Emerg: 

Day: 

Alt: 

Emerg: 

Day: 


Alt: 


8002891901 


8002891901 


8888474757 


8888474757 


4025047823 


4025047946 


4024447197 


4024445161 


4024445160 


4067289343 


8887289343 


4067289343 


Emerg: 8887289343 


Day: 


Alt: 


Emerg: 


Day: 


Alt: 


Emerg: 


8002834237 


3039921926 


8002834237 


8005210579 


8005210579 


http://www.dhon.org/irthintemet/DHONNoticeCreation/MessageText.asp?ret=<RESULTS... 8/28/2007 
X 

u^^ ]gC.74ol 

UJrD - 6 O M (A 

^3S6^/ 

Exterior Paint North Arrovi/ r Owne r Name: Loo.'^ ' (^•'>'\0(^/^ Omaha Lead Site 

Sit • Good e Sketch Address : c^^.'j 6 '*y -TT'. • Poor 

Phone: H-^ifS-rr^fn-^iv-W: A n ^<t ^i(?'i Q ' Not paint 

^•^•^ 5 

On)yha Lend Site 46130 

'N ___ -viWv-. "•' 
Marcos Mateus 

From: France-lsetts.Pauletta(gepamail.epa.gov 

Sent: Thursday, August 09, 2007 5:25 PM 

To: ctl@ctlehman.net; r.brown@erllc.com; mmateus@enviroservicesgroup.com 

Subject: Access for 1434 S !6 

1^1^^ Marcos — 

Please contact Lucio Galvan a^ 402-452-9707. He wants to talk to you 


about access to 1434 S 16th Streef. He is also willing to sign an access form for 


sampling at 4533 S 20 Street (it is identified as an EBL property). 


^ iai_ (y-^Tj- jyiMjL yyy^;r7ci~^5^^)x^• 

All correspondence to Lucio Galvan should be sent to \^ 808 


Frances Street \ 

Omaha, NE 68108 


--Paulett a 

UX\U 5v \yH ^^ ^ 

nil V^ ^l4o -|VW^ 

^^/\ '/ 2.^-^1 

\V M i o 
X 

i 

Omaha Lead Site—Fixed Price EP-R7-07-05 

Coastal Environmental Group Inc. 

.<?* www.coastalhazmat.com 

COASTA L 

ENVIIONHCNTAl 

C II O U r , IN C 

"iCBOTt'' 

EXECUTIVE SUMMARY: 

19851—1434 S 16 ST 

No Issues or Concerns I I Issues/Concerns 

Detail Explanation: 
^ As-Built Drawing 

COASTA L Omaha Lead Superfund Site 

Omaha Lead Site Owner Name: 

Site Sketch Address: f<f^^y>, [<f^. sT ^ 

Phone: H'b^'^y^ ^ W: 

Sample Number 

RYASCPXA- iSQff / 

RYBSCPXA- ISQff I 

RYCSCPXA- l3Qi^ i 

RYDSCPXA-/^g^ / 

RGZSCPXA= 

RPZSCPXALead Sample LAB Concentration Collected 

F1 ppm D 

F2 ppm D 

Bl P H ppm 

B2 ppm D- n 

©Z ppm D D 

GZ ppm D D 

PZ ±9k. ppm B D 

D 

Number of Samples = ^, 

- ^ 5 r 

B2= 170 PPM 

@8" 

PH 

6r 

I t 

t 

(c/. .:...^.'8:. 

.F.\. .^J , j--; 

..Wayitu. 

5 f<i:^+­

(sss-/ 

Exterior Paint NorthArrow 

• Good 

• Poor 

Q " Not paint 

Samples Collected 

Firm: 

Date: 

Time: ^< 

Samples Analyzed 

XRF Unit : qo 7 Book: Jl ^ 

Date: _ f^ - ?6 - g o 

Time: _ji£:3 

Staff: MSV. / 

ENTERED 

MAY 2 3 a05 

Date USEPA Signed Off: 11/29/07 Legen d 

Omaha Lead Site OLS#: 19851 

Date Excavated: 9/6/07 

Area not Excavated j Dripzone Excavated Quadrants Excavated 


Contract #: EP-R7-07-05 Coastal Environmental Group Inc. 


46130 
S3K. EPA 

EPA Property Close Out Form 

/^•^y 57^ST Property #: 79^.^7 . Property Address:- —- . 

Date/Time: OwVer's Name:. /^/,^^^^<^-:^^if^ ' 

Quad Contractor Croup s Excavated: 

Excavation Yes General 

I.

 If necessao', were the conect quadrant(s) excavated and restored? 

2. Ifnecessary, were the correct areas ofdrip zone excavated and restored? Iih 

Grading Sod and Vetetation 

Yes

I. Does the grading around the perimeter ofthe house in excavated areas generally slope away 

trom the Iiouse? 

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

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

day time period) 

4. Are sodded areas generally firm and evenly graded? 

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? 

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

Gates, Fences and Retaining Walls 

Ves 

1. Do gates open and close freely? (Ifapplicable) ^ ^ 

2. Were all gates or fences laken down during restoration activities reinstalled? (Ifapplicable) t i ^ 

3. Was damage to gates or fences avoided? (Ifapplicable) ^ ^ 

4. Was damage to retaining walls avoided? (Ifapplicable) ^ 

Foundation, Siding and Gutters 

Yes 

1. Was damage to the siding or trim avoided? y 

2. Was damage to the foundation avoided? > y 

3. Was damage to windows avoided? y ' 

4. Was damage to windows or door screens avoided? y 

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

Sidewalks and Driveways (Concrete) 

Yes

I.

 Was damage to driveway surfaces avoided? ^ ^ 

2. Was damage to walkway surfaces avoided? 

y 

^ 

 No 

 No 

No 

No 

 No 
• • 

1 Owners comments: 

Inspection notes: 

1 ' 

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

F.PA Renrpspntativp^^^yy$^ ^^..^v^.. ^ Hatp- ///^"^/ A 7 
'i§^ 

Property Completion Agreement 

This agreement documents the completion of remedial aclivities performed on my property. My 

signature vvill designate that I am satisfied with the restoration of iny property, and that no items are in 

questions, now, or al any time in the future, except those items lisled below, if any. 

Property ID: /f^y / 

Property Address: /^^6 / ^ 77?<: y 

Owner: /^7C76 7^y!cy4y^ 

Phon ­ ^^Z<97y^y 

Restoration Items in Question: 

Item: 

Item: 

Item: 

Item: 

Item: 

Item: 

l>g'l agree restoration Is completed, except as noted 

 I I do not agieo restoration is completed 

Ownfer's Signature ' Date / I Contractor's Sienature 

I