## TRANSMITTA Lo f OMAH A LEA D SIT E SOI LREMEDIATIO NFIL EFOLDE R 

# SAID# : 2J(^2f f Date : V///^ 7 Address : ^3^ 3 MauboW J S / Remediatio n Contractor : Coasta l Environmenta l Group

_Year : _2007 _ SOI LREMEDIATIO N PROPERT Y FIL EFOLDE RDOCUMENT S S ^ Vide o o f propert y (DVD ) 5 /

Executiv e Sununary ! FEPA-provide dpropert y sketc h E « Signe dAcces s Agreemen t for subjec t propert y D Signe dAcces s Agreement(s ) fo r adjacen t propert y w Restoratio n Agreemen t D Settlemen t document s (i.e. , fo r damag e o r t o replac e plants , etc. ) M Confirmatio n dat a / 

### Photograph s As-buil t sketc h ^ Satisfactory restoratio nsigne db y Propert y Owne r B Property close-ou t chec k lis t signe db y EP A D Descriptio no f area s no t meetin g RO D cleanu p criteri a D Utility clearance s D Property infonnatio n fromDougla s County Assessor' s Offic e D D , ^__ _

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Propert yAcces s Checklis t Propert y W : ^ \^ X ^ 

# • ^ WOR K STARTE D ON : £Hj2j_0 j Propert y Address ; ^Q,2 3 rOSjbfr^ ^ D WORKCOMPELTE D ON : / / Owne n^e\^^ ^ Nfel^ M Address : q.^^. ^ W^^uberr M Phone : ^o;i - 5^2. - ^ ^ 0 l ^ Fax : Cell/Pager :
r~ l Notificatio nLette r - ^ Acces s Agreemen t M Restoratio nAgreemen t Q Topsoi l Samplin g (i f applicable ) C

H Disposa l Samplin g (if applicable ) I I Garde nSamplin g (ifapplicable ) F l Utilit y Clearanc e Q v ideo/Photo s (Before ) D Video/Photo s (During ) ^ Video/Photo s (After ) D Video/Photo s (30-Day ) 

# W Propert y Completio nAgreemen t I I Fina l Repor t Ai r Monitorin g (a s applicable ) C

D Communit y Results ; nCommunit y Results : r~ l Communit y Results : d ] Cre w On : dCre w On : [ U Cre w On : Renter : Phone : 5| ^ Fax : Cell/Pager : Additiona l Information :

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Omah a Lea d Sit eTota l Qua^^BSquar e Footag e t o b e Excavate d = 43 8 ^ PropertyClassification : EB L ^(S— . Tota l pWRn e Linea rFootaq e t o b e Excavate d = 0

Descriptio n o f pos t excavatio n areas : Fl , fron t yar d left-han d quadrant ; F2 . fron t yar d nght-han d quadrant : Bl , backyar d left-han d quadrant : B2 , backyar d right-han d quadrant : DZ , dri p zon e (1- 3 foo t are a of soi l aroun d th e foundatio n o f th e house) . 

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### Prin t Previe w Pag e ] o f 1 Dougla s Count>'-Omaha , N E

Parce l I D 161761000 0 Owne r Addres s Owne r Nam e NEELE Y JEFFRE YL Additio n LEAVENWORT H HEIGHT S Propert y Addres s 432 3 MAYBERR Y S T Bloc k 0 City OMAH A Lo t 11 7 Zi p 6810 5 Lega l 1 44X10 8 Owne r Addres s Lega l 2 Owne r Addres s 2 432 3 MAYBERR Y S T Lega l 3 Owne rCit y OMAH A Lega l 4 Owne r Stat e N E Ol d Assesso r Sit e http://webar cC O dougla s n e us/dcassessor/detail s asp ? PARCELNB=161761000 0 Owne rZi p 6810 5 Ne w Assesso r Sit e http://w/ebarcco.douglas.ne.us:8080/RealWare1/detalls.do ? id=R161761000 0 Sec-Twn Rn g 20-15-1 3 Disclaimer : Ma p an d parce l dat a ar e believe d t o b e accurate , bu t accuracyi s no t Ma p Scal e guaranteed . Thi s i s no t a lega l documen t an d shoul d no t b e substitute d fo ra titl e search , 1 inc h = 27 3 fee t appraisal , survey , o rfo rzonin g verification . 

### http://vvwvv.dogis.org/dogi s alias/dogis/printPrcvicvv.aspx?PrintOptData=Dougla s County-.. . 5/8/200 7

### Yahoo ! Mai l - trishkasl@yahoo.co m Pag e 1 of 2 

## f MAI L Prin t - Clos e Windo w From : "NE-DIGGERS " <info@ne-diggers.com > To : trishkasl@yahoo.co m Subject : Re : NE-Diggers.co m - LOCAT E Contractor s Reques t For m Date : Tue , 8 Ma y200 7 15:03:10-050 0

************************************************************* * Ticket * 178213 6 Wor k t o begi n date : 05-10-0 7 @ 3p m Th e utilitie s w e wil l notifyare...cit yo f omah a traffi can d sewer , cox , mud , oppd , qwes t local , mcleodus a an d nebrask a healt h syste m I f ther e ar e an yothe rutilitie s beside s thos e mentione d above , yo u wil l nee d t o notifythem yoursel f an d an y privatel yowne d line s wil l no t b e located .

—Origina l Messag e — From : trishkas l @yaJioo.co m To : info@ne-diggers.co m Sent : Tuesday , May08 , 200 7 1:3 7 P M Subject : NE-Diggers.co m - LOCAT E Contractor s Reques t For m NE-Diggers.co m - LOCAT E Contractor s Reques t For m Name : Trishk a Simmon s Alt . Name : Phone:402-504-219 4 Alt . Phone : 706-732 2 Email : trishkas l @yahoo.co m Calle rID : 1879 0 Company : Coasta l Environmenta l Typ e o f work : EXCAVATIO N Fo rWhom : COASTA L ENVIRONMENTA L Ho wDeep : 3ft . Oin . Explosives : N o Corne rLot : N o Fron t o f Property : Ye s Rea ro f Property : Ye s Tunneling/Boring : Ye s County : DOUGLA S City : OMAH A Address : 432 3 MAYBERR YST . 

### http://us.f387.mail.yahoo.com/ym/ShowLetter?box=Inbox&MsgId=8786_2573367_292390. . . 5/9/200 7

### Yahoo ! Mai l - trishkasl@yahoo.co m Pag e 2 of 2 Directions : Where o n Property : OVE R AL L Township : Range : EorW : Section : 1/

4 Section : Township : Range : EorW : Section : 1/

4 Section :



### http://us.O87.mail.yahoo.coiTi/ym/ShowLetter?box=Inbox&MsgId=8786_2573367_292390. . . 5/9/200 7

## CONTAC T FOR M Propert y I D # 

# M^" ^ PSA ^ Propert y Address : 

# ^i^UmWn^^ ^ Initia l Contact : Date : Time : Action : Secon dContact : Date : Time : Action : Fina l Contact : Date : Time : Action : Final Action : Transmi t t o EPA D Othe r Action : D

Comment : Owne r 

## ^^ ' ^o^i- v Commen t (s) : Sit e , 

## Coordinato r Commen t (s) :• " r.,r,i* - 

## Consen t Fo rAcces s T o Propert y RIGH T O FENTR Y T O PREMISE S 

### Granto r (th e property owner ) consent s t o andauthorize s th e Unite dState s Environmenta l Protectio n Agenc y (EPA ) or it s authorize drepresentatives , collectivel y th e Grantee , t o enter andperfor mcertai n environmental respons e activitie s upo nth e followin g describe d premises : 1

1 Owner' s Name : j^ffN^^/^^ ' Daytim e Phone : ^ 0 ^ ^^0 ^ Address : 

# ^3^3/Uao]tQ^77 qSt o\^^W \ \j ^ tnoi f Address : J ^ 1 Addresse s o f Propertie s covere db y Address : thi s Agreement : Address : Address : PURPOS EO FRESPONS EACTIVITIE S 

### Th e EP A i s requestin g acces s t o collec t soil sample s andremov e soil that contain s elevate dconcentration s o f arseni c and/o r leadan dma y pos e ahealt hhazard . Th e soil wil l b e remove dandth e excavate darea(s ) wil l b e replace dwit hcleanmaterial s and restored . Thi s wor k

i s bein g performe dunde r th e Omah aLeadSite Superfun dSite remediatio n program . A

n EP A representativ e wil l contac t th e Granto r in-perso nt o discus s th e wor k

t o b e performed , th e Granto r wil l hav e a nopportunity t o revie w andapprov e th e planne dsoil removal , an drestoratio n wor k

before it begins . Onc e th e wor k

i s fmished , th e Granto r wil l b e aske dt o revie w th e wor k

andconfir mtha t it i s complet e andmeet s wit hth e Grantor' s approval . Upo ncompletion , th e Granto r wil l receiv e writte ndocumentatio n fromEP A that th e propert y ha s bee nremediated . ENVIRONMENTA LRESPONS EACTION S 

### B y signin g thi s Acces s Agreement , th e Granto r i s grantin g th e EPA , it s employees , contractor s an dsubcontractor s th e righ t t o ente r th e property , a t all reasonabl e time s and wit hprio r notice , for th e sol e purpos e o f performin g th e work . Thi s acces s shal l remai n in effect unti l th e wor k

ha s bee n satisfactoril y completed . Th e Granto r als o agree s to :

«Property_ID » 

### Pag e 1 o f 2

### •Remov e obstruction s includin g boats , trailers , vehicles , playscap e items , woo d piles , do g houses , etc ; • Remov e flower bulb s o r plant s that th e Granto r o r th e Grantor' s tenan t ma y wis h t o save ; •Wate r an dmaintai n replacemen t vegetation , includin g fertilize r application , a s necessary subsequen t t o a ninitial waterin g perio dby EPA ; •Abid e b y healt han dsafet y guidanc e provide dby EPA ; •Ifth e property i s rented , assis t EP A inobtainin g tenan t approval for acces s t o th e property t o perfor mth e wor k

i f EP A i s unabl e t o obtai nsuchaccess ; and •Allo w videotapin g and/o r photograph y o f th e property includin g exterio r an d interio r area s ofbuildings . AGREEMEN T NO T T O I N TERFER E 

### Th e Granto r agree s no t t o interfere o r tampe r withan y of th e activitie s o r wor k

done , o r th e equipmen t use dt o perfor mth e activities , o r t o undertak e an y action s regardin g th e us e o f sai dproperty whic hwoul dten dt o endange r th e healt ho r welfare of th e Grantee s o r

th e environment , o r t o allo w other s t o us e th e property insuc hamanner . Shoul dyo u hav e any question s abou t thi s program , pleas e contac t
M I gran t acces s t o my propertie sd j I d o not gran t acces s t o my propertie s

^^^-^ ^ 

### Signatur e ^/ ^ Dat e Signatur eDat e

I 1 1 wouldlike to b e presen t durin g any samplin g tha t i s required . Pag e 2 o f 2 «Property_ID »------ - 

# 'm Restoratio n Agreemen t Th e purpos e o f thi s agreement i s t o pro \ide amutua l agreemen t a s t o condition s o f propert v prio r l o remediatio n activities . Thi s wil l als o serv e a s decontaminatio nfo r th e purpos e o f assurin g tha t restoratio n acti v itie s ar e complete dt o the satisfactio n o f th e property owne r an dth e Unite dStale s En \ironmenlal Proleclio n Agenc y (EPA) .

Propert vID : ^ \ \

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27 ) Propert vAddress ; H3Zl > ^ ) :>^ ^ U ^ Tr M 

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## Dt^^i U IKH L ^S/ 0 

# ? *^""- - .Tnii ^ k^fi-l^ ^ Phone : L^^_ ^

^ ^^^. ^ ^ C ; ^ ^^ | O n th e attache ddiagram(s ) indicai e arca(s ) t o excavate dan ddepic t o f e\ca\ation . locaiio n o f al l know n ulililies . subsurfac e features , surfac e sUTJClure s andlandscapin g features , acces s location(s ) to b e usedb v contractor , andthe directio n o f North . Indicai e distances , depths , maleria l t

v pes . et c Indicate digita l photo s b

v referencin g th e photo-lo g number wil ha n arro w indicatmg directio no f \icw . 

### Item s T o B e Remove d B yOwne rBefor e Star t O f Remediation : (Us e additiona l sheet s a s necessary )
Item : 

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# yf^ ^ Item : Item : Item : Item : Item : Item : Item : Item : Item : Item : Item : Item : Item : Item :
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### Item s T o B e Remove d B yContracto rDurin g Remediatio n An d No t Replace d (Us e additiona l sheet s a s necessary ) Item : Item : 

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Item : Kem : Item : Item : Item : Item : Item : Item : Item : Item : Item : Item : Item : 

### Page 2 o f Q .

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Pre-e.xistin g propert yare a tha t i s covere d wit h grass .

Numbe ro f tree s > 2 inc h trun k diamete r

Numbe ro f tree s < = 2 inc h trun k diamete r

Numbe ro f Sprinkle r Zones , Contro l Valves , Timers , Heads , etc . Attac h a sketc h o f th e sprinkle rlayout . Numbe ro f an d siz e o f eac h garden / flowe rbe d area . Attac h a sketc h o f relativ e size s an d locations . Landscap e Inventor y (Us e additiona l sheet s a s necessary) 

### Quantit y Uni t Condition/Type/Specie s
Square fee t 

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Eac h 

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# 2 . F'°" ^ Eac h Squar e Feet Pag e 4 o f fi

### Ite m Agree dupo n valu e o f plan t material s not to b e replace db v contractor . Not e thi s valu e will b e use dt o issu e aplan t vouche r t o th e propert y owner . Agree dupo n lis t o f plant material s that wil l b e replace db y contractor . B e ver y specifi c anddetailed . Includ e asketc ho f were eac hplan t wil l b e place d by th e contractor . Agree dupo n are ao f property t o b e replace d wit hgras s sod . Includ e asketc hof th e area(s ) t o b e replace dwit h gras s sod . Are ao f Cit y or Count y property t o b e landscape d pe r thei r requirements . Includ e asketc ho f th e are a(s ) 

### Quantit y 

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Pag e 5 o f AAdditiona l Comments / Instructions : 

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• Chec k th e bo xi f Owne rdoe s no t wan t CE G t o documen t interio rfoundatio n wall s an d possibl e pre-existin g damage . Bycheckin g thi s bo xCE G i s no t responsibl e fo ran ydamag e don e t o th e interio ro f house , includin g foundatio n crack s o rfissures . 

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^ Existin g Structur e Scal e Propert yAddres s ^ ^ Permanen t Landscapin g 1 Inc h = 2 0 fee t o r1 gri d = 5 x5 ft 432 3 MAYBERR YS T •—•— • Fenc e ^«^ . Pos t Excavatio n Concentration s (ppm )

—— —Quadran t Boundar y Fl . B 2 PlayAre a 

# I A ; V HG L Stree t Boundar y F 2 D Z Easemen t ^*»no y B l Garde n Othe r (Q ) Tree/Shru b Descriptio n o f pos t excavatio n areas : F1 , fron t yar d left-tian d quadrant ; F2 . fron t yar d right-han d quadrant ; B1 , tiackyar d tefl-tian d quadrant ; B2 . t>aclcyar d rigtit-tian d quadrant : DZ . d'i p zon e (1- 3 foo t are a o f soi l aroun d th e foundatio n o f th e house) .

# g ^ PROPERT YCLEARANC E WORKSHEE T Dat e 22-May-0 7 Propert yI D 2162 9 Propert y Projec t Omah a Lea d —Fixe d Pric e 432 3 mayberr y Addres s Measureme n XR F I D 0107-5 1 t Count/Tim e Fiel d Shot s Sho t # Readin g Sampl e Are a Sho t # Readin g Sampl e Are a ' 8 1 7 8 ea- n 9 3 4 2 b l

Sampl e Are a ea- n Pass/Fai l ? Aliquo t 1 I n Sit u Readin g Composit e Reading s (Bag ) Composit e Averag e

(Bag ) Composit e (Drie d & Sieved ) Analyti c a l Spil t Sent ? La b Numb e r Analytica l Result s 2 6 0 pp m -H/ - 4 pp m 3 9 1 pp m -vl - 7 pp m 7 8 pp m 4 8 2 pp m +/ - 6 pp m 5 9 4 pp m 

# 1 Sampl e Are a b l Pass/Fai l ? I n Sit u Composit e Composit e Analyti c La b Aliquo t Composit e Reading s Analytica l Readin g Averag e (Drie d & a l Spil t Numb e (Bag ) Result s 1 -3 1 (Bag ) Sieved ) Sent ? r 2 8 6 3 6 pp m +/ - 3 pp m 3 2 4 3 7 pp m +/ - 3 pp m 4 2 pp m 4 5 7 5 3 pp m +/ - 4 pp m XR F Correcte d Valu e ~ > 5 5 1 (us e calibratio n char t o rad d 5 0 pp m 2 0 % t o value ) Sampl e Are a Pass/Fai l ? I n Sit u Composit e Composit e Analyti c La b Aliquo t Composit e Reading s Anaiytica l Readin g Averag e (Drie d & a l Spil t Numb e (Bag ) Result s 1 (Bag ) Sieved ) Sent ? r 2 -1-/ - 0 pp m 3 +/ - 0 pp m 4 +/ - 0 pp m XR F Correcte d Valu e ~ > 5 (us e calibratio n char t o rad d 2 0 % t o value ) Confidentia l 5/22/200 7 Pag e 1 o f 2Sampl e Are a Pass/Fai l ? Aliquo t 1 I n Sit u Readin g Composit e Reading s (Bag ) Composit e Averag e

(Bag ) Composit e (Drie d & Sieved ) Analyti c a l Spil t Sent ? La b Numb e r Analytica l Result s 2 -1-/ - 0 pp m 3 +/ - 0 pp m 4 +/ - 0 pp m XR F Correcte d Valu e -- > 5 (us e calibratio n char t o rad d 2 0 % t o value ) Pass/Fai l ? Aliquo t 1 I n Sit u Readin g Composit e Reading s (Bag ) Composit e Averag e

(Bag ) Composit e (Drie d & Sieved ) Analyti c a l Spil t Sent ? La b Numb e r Analytica l Result s 2 +/ - 0 pp m 3 +/ - 0 pp m 4 +/ - 0 pp m XR F Correcte d Valu e -- > 5 (us e calibratio n char t o rad d 0 pp m 2 0 % t o value ) XR F Technician' s US E ADDITIONA L SHEETS I F NEEDE D Signitur e

Confidentia l 5/22/200 7 Pag e 2 o f 2

### Omah a Lea d Site—Fixe d Pric e EP-R7-07-0 5 Coasta l Environmenta l Grou p Inc . 

### ^ * www.coastalhazmat.co m "iPBOlt ^ COASTA L ENVIRONHENTA L C R O U r, INC 

## EXECUTIV ESUMMARY : 21629—432 3 MAYBERR Y S T N o Issue s o r Concern s X 

## Issues/Concern s Detai l Explanation : Property Owne r wa s issue dagif t certificate #250 2 i n th e amount o f $50.0 0 fromIndianCree k Nursery a s reimbursemen t fo r flowe r be dare aremove ddurin g excavation .--

• • • 

# As-Buil t Drawin g COASTA L 

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# SEf ^ Propert yCompletio n Agreemen t Thi s agreemen t documents th e completio n o f removal activitie s performe don th e belo w liste dproperty . Th e property owner' s signatur e indicate s tha t th e property owne r i s satisfie dwit hth e restoratio nofth e subjec t property , an dtha t n o item s ar e i n question , now , o r at any tim e i n th e future , excludin g any remainin g so dwarranty (3 0 day s total ) excep t thos e item s liste dbelow , i f any . Propert y ID : 

# c7lip' ^ Propert y Address : 

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# ^o^-^eo^'i J Restoratio n Item s i n Question :

Item : .- ^_ ^

^,- ^ Item : Item : Item : Item : Item : Require d correction s t o complet e th e property :

H^gre e restoratio n i s completed , excep t a s note d above . I I d o no t agre e restoratio n i s complete d 

# A3-0 1 Dat e^ 

### Omah aLea dSuperfun dSit e Miscellaneou s Landscapin g Replacemen t Certificat e Propert y Owne r 

## ^'7 ^ Klt^l'L v Propert y Addres s i!) 2 2. (^^^XrJKL^^ K Propert y Identificatio n Numbe r 'S ^ \L ?

'S " ^ Materia l Remove d Replaceinen t Valu e Flowe r be dare a 

## *^o.' - Tree s Itemize d shrubs/bushe s Tota l 

## '^ 5b " ^ Th e acceptanc e o f th e replacemen t certificat e an dth e signatur e belo w i s full acknowledgemen t b y th e property owne r that thi s i s afai r an dreasonabl e compensatio n fo

r plan t material s remove ddurin g remediatio nactivities , but not plante do r installe db y th e governmen t o r it' s contractors . Th e total amoun t o f $ ^o . 
 ^ ha s bee nreceive db y the-^wng r i nth e for mo f agif t certificate , #^S*^ ^ , t o b e utilize dat ,_x,>aVA ^ K 7_'ctJc

_ (\X<^-vCq>'^-'^ Property Owner' s Signatur ^ Date ntractor' s Signatur e Dat e

# SEPA ^ EP A Propert y Clos e Ou t For m Propert y # : 

## c9-l(^9' \ Propert y Address : ^^^ ^ '7^^ .•- . Date/Time : Owner' s Name : ,J^lf Nt-^/-tA j Quad s Excavated : Contracto r Grou p - ^ Excavatio n General Ye s 1 . If necessary , wer e th e correc t quadrant(s ) excavatedan drestored ? 

# X 2 . If necessary , wer e th e correct area s of dri p zon e excavatedan drestored ? 

### M ^ Gradin e So dan dVecetatio n Ye s 1 . Doe s the grading aroundthe perimete r ofth e hous e i n excavatedarea s generall y slope awa y A fix)mthe house ? 2 . Ha s sodbee n laidi n all area s tha t wer e excavated ? 

### y 3 . Doe s the so dappea r to be generall y health y an dgrowing ? (Onl y evaluat e i f inspecte da t a3 0 

### A da

y tim e period) 4 . Ar e sodde darea s generally fir man devenl y graded ? ^ 5 . Ar e th e joint s between the sodstrip s generall y tight ? (Onl y evaluat e i f inspecteda t a3 0 da y y tim e period ) 6 . Was the propert y gradedsuc htha t wate r wil l no t pool o n the property ? y 7 . Wa s damag e t o landscaping o r plan t material s avoided ? y Gates , Fence s andRetainin g Wall s Yes 1 . D o gate s ope n an dclos e freely? (Ifapplicable ) to-J^ 2 . Were ail gate s o r fence s take n dow n during restorationactivitie s reinstalled ? (Ifapplicable ) i ^ 3 . Wa s damag e t o gate s or fence s avoided ? (Ifapplicable ) AIA 4 . Was damag e t o retainin g wall s avoided ? (Ifapplicable ) y ^ Foundation , Sidin c an dGutter s Yes 1 . Wa s daraage t o the siding o r trimavoided ? y ^ 2 . Wa s damag e t o the foundatio n avoided ? 

# : 7 3 . Wa s damag e t o window s avoided ? 

### y 4 . Wa s damag e t o window s o r doo r screen s avoided ? i ^ 5 . Was damag e t o dovraspouts or downspou t extension s avoided ? y ' Sidewalk s an dDriveway s (Concrete ) Ye s 1 . Wa s damag e to drivewa y surface s avoided ? ^ 2 . Wa s damag e to walkwa y surface s avoided ? i). A N o

N

o

N

o

N

o

N

o

### Owner s comments :

Inspectio nnotes :

Remova l an drestoration activate s complet e including the 30-da y so dwarranty : EP A Representari\^^/'^^z.^3z6L..^a.;^tH-' ^ Date : ^72^ ^ /p7