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

# SAID# : y27>//^ J • Date : J^//4/d B Address : 1^/ 3 N//ltd mS/ " Remediatio nContractor : _Coasta l Environmenta l Group

_Year : _2007 _ SOI LREMEDIATIO N PROPERT Y FIL EFOLDE RDOCUMENT S \l 7 Vide o o f propert y (DVD ) M Executiv e Summary i . M EPA-providedpropeil y sketc h K

Signe dAcces s Agreemen t for subjec t property D Signe dAcces s Agreement(s ) for adjacen t propert y y Restoratio nAgreemen t D Settlement document s (i.e. , for damag e o r t o replac e plants , etc. ) IS ^ Confirmatio ndat a, y Photograph s • '.''' • W ^ As-buil t sketc h M Satisfactory restoratio nsigne db y Property Owne r K

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<Q ^ Acces s Aj»recmcnt c0 ^ Restoratio nAgreemen t

1 1 Topsoi l Samplinj ; (if a|)|)Iical)lc ) O Dispo.sa l Sainplin< { (i f ap|)lical)le ) [U Garde nSamplin " (if applicable ) ]S C Utility Clearanc e " ^ Video/Photo s (Before ) 1 2 Video/Photo s (Duiinj; ) Q Video/Photo s (After ) D Vi(leo/Photo. s (3(»-Day ) S Propert y Completio nAgreemen t nFina l Repoi t Ail
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Results : 1 Cl Community Q Cro v On : /

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### Dougla s County Accoun t Infonnatio n Pag e 1 o f 1 trajm c Dougla s County , Nebrask a Propert yRecor d - R151897000 0 Infonnatio n i s vali d a s o f2007-10-1 0 Value s no t finalize d unti l afte rBoar d o fEqualizatio n Prin t Repor t Vie wo n Ma p Treasurer' s Ta xRepor t Owne r JUR YJAME S J ETA L 612 0 3 4 8 S T OMAH AN E 68117-000 0 PropertyInformatio n Ke yNumber : 189 7 000 0 1 5 Accoun t Type : Residentia l Parce l Number : 151897000 0 Parce l Address : Lega l Description : 141 3 WILLIA M S T OMAH AN E 68108-000 0 KOUNTZ E 3R D AD D LO T3 BLOC K8 2 5 X 15 0 Valu e Informatio n 200 7 200 6 200 5 200 4 200 3 200 2 Lan d $900.0 0 $900.0 0 $900.0 0 $900.0 0 $900.0 0

$0.0 0 Improvemen t $0.0 0 $0.0 0 $0.0 0 $0.0 0 $0.0 0 $0.0 0 Tota l $900.0 0 $900.0 0 $900.0 0 $900.0 0 $900.0 0

$0.0 0 Lan d Informatio n Acre s S F F F Unit s Dept h Widt h Vacan t 0.0 8 3750. 0 25. 0 0. 0 150. 0 25. 0 Ye s



### http://douglasne.mapping-online.com/DouglasCo Ne/static/accountinfo.jsp?accountno=Rl.. . 10/27/200 7

## CONTACT FORM 

# Property 

# ID # 

# &/b 

# a n 

## Property Address: Initial Contact: Date: Time: Action: Second Contact: Date: Time: Action: Final Contact: Date: Time: Action: Final Action: Transmit to 

## EPA 0 

## Other Action:

Zomment: 

# her Zomment (s): Site 2oodiator Zomment (s):COASTA L ENVmONMENTA L 'tt

PRO-"- ' CROUP , IN C 

## Consen t Fo rAcces s T o Propert y RIGH TO F ENTR YT O PREMISE S • • ; •., ^ 

### Granto r(th e propert yowner ) consent s t o an d authorize s th e Unite d State s Environmenta l Protectio n Agenc y(EPA ) o rit s authorize d representatives , collectivel y th e Grantee , t o ente ran d perfor m certai n environmenta l respons e activitie s upo n th e followin g describe d premises : 

# ^ 

# 7 ^ • 

# 3// / Owner'sName : vy^J^liTl^ ' Daytim e Phone : 

# 73/ • 2 ^ V Addres s o fPropert y 

# / 7 3 iyy7^s ^ 

# s r covere d b ythi s Agreement : PURPOS E O F RESPONS E ACTIVITIE S ' 

### Th e EP Ai s requestin g acces s t o collec t soi l sample s an d remov e soi l tha t contain s elevate d concentration s o flea d an d ma ypos e a healt h hazard . Th e area(s ) wil l b e excavate d t o remov e contaminate d soil . Th e remove d contaminate d soi l wil l b e replace d wit h clea n material s an d th e are a wil l b e restore d t o it s origina l condition . Thi s wor k i s bein g performe d unde rth e Omah a Lea d Superfun d Sit e remediatio n program . Arepresentativ e o fCoasta l Environmenta l Group , contracte d b yUSEPA , wil l contac t th e Granto rin-perso n t o discus s th e wor k t o b e performed , th e Granto rwil l hav e a n opportunit yt o revie wan d approv e th e planne d soi l removal , an d restoratio n wor k befor e i t begins . Onc e th e wor k i s finished , th e Granto rwil l b e aske d t o revie wth e wor k an d confir m tha t i t i s complet e an d meet s wit h th e Grantor' s approval . Upo n completion , th e Granto rwil l receiv e writte n documentatio n fro m EP Atha t th e propert yha s bee n remediated . ENVIRONMENTA L RESPONS E ACTION S 

### B ysignin g thi s Acces s Agreement , th e Granto ri s grantin g th e EPA , it s employees , contractor s an d subcontractors th e righ t t o ente rth e property , a t al l reasonabl e time s an d wit h prio rnotice , fo rth e sol e purpos e o f performin g th e work . Thi s acces s shal l remai n i n effec t unti l th e wor k ha s bee n satisfactoril ycompleted . Th e Granto rals o agree s to :
Pag e 1 o f2fc^^"*^^j»-

. . o * r COASTA L As Ti I n ENVtRONMENTAl . C R 0 U r, t N C 

### •Remov e obstruction s includin g boats , trailers , vehicles , playscap e items , woo d piles , do g houses , etc ; •Remov e flowe rbulb s o rplant s tha t th e Granto ro rth e Grantor' s tenan t ma ywis h t o save ; •Wate ran d maintai n replacemen t vegetation , includin g fertilize rapplication , a s necessarysubsequen t t o a n initia l waterin g perio d b yEPA ; •Abid e b yhealt h an d safet yguidanc e provide d b yEPA ; • I fth e propert yi s rented , assis t EP Ai n obtainin g tenan t approva l fo racces s t o th e propert yt o perfor m th e work . —. , • Allo wvideotapin g and/o rphotographin g ofth e property . AGREEMEN TNO TT O INTERFERE 

### Th e Granto ragree s no t t o interfer e o rtampe rwit h an yo f th e wor k activities , o rwit h an y o fth e wor k done , o rwit h th e equipmen t use d o n hi s property , o rt o undertak e an y action s regardin g th e us e o fsai d propert ywhic h woul d ten d t o endange rth e healt h o r welfar e o fth e Grantee s o rth e environment , o rt o allo wother s t o us e th e propert yi n suc h a manner . Should yo u hav e an yquestion s abou t thi s program , pleas e contac t Coastal Environmenta l Group , a t (877 ) 234-6270 . JE/ i grant^ces s t o m ypropertie sD I d o no t gran t acces s t o m ypropertie s

Dato^ ^

Signatur eDat e

OI woul d lik e t o b e presen t durin g an ysamplin g tha t i s required .

Pag e 2 o f 2COASTA L 

## Restoratio n Agreemen t Th e purpos e o f thi s agreement i s t o provid e amutual agreement a s t o condition s o f th e property prio r t o remediatio nactivities . Thi s wil l als o serv e a s documentatio nfo r th e purpos e o f assurin g that restoratio n activitie s ar e complete dt o th e satisfactio no f th e property owne r an dth e Unite dState s Environmental Protectio nAgenc y (EPA) .

Property ID : 

# 207&7 . Propert y Address : 7^/ ^ / 7/// / 

# .5 7 Owner : Phone : 

# (^7^v^9/ ^ y3/ ' -^5T / O nthe attache ddiagram(s ) indicat e area(s ) to excavate danddept ho f excavation , locatio no f all knownutilities , subsurfac e features , surfac e structure s andlandscaping features , acces s location(s ) to b e use db y contractor , and th e directiono f North . Indicat e distances , depths , materia l types , etc . Indicat e digita l photo s b y referencing the photo-lo g numbe r wit ha narro w indicating directiono f view . 

### 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 ) Th e removal , storage , disposal , and/o rretu m o fthes e item s i s th e Owner' s responsibility . Item : 

### -Q\^ ^ Item : Item : Item : Item : Item : Item : Item : Page t o f< ^COASTA L iNVlROHHSMTAI . C R O U F , INC . 

### 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 : o 

# Lj3iAai2r/'Kex^^'Soei>^3 e Ttfoooi^^ ^ Item : Item : Item : Item : Item : Item : Item : Item : Item : Item : Item : Item : Item :

Pag e 2 

## o f6 ^COASTA L • M VIROMfiBNTAI . O • O U P , IMC . 

### Item s T o B e Remove d B yContracto rDurin g Remediatio n An d Replace d (Us e additiona l sheet s a s necessary ) Item : 

# o D Item : 

# y tSlU Item : Item : Item : Item : Item : Item : Item : Item : Item : Item : Item : Item : Item :



### Pag e 3 o f7 ^COASTA L • MVIHONMNMTM L GROUP . IMC . 

### Landscap e Inventor y (Us e additiona l sheet s a s necessary ) 

## Ite m

Pre-existin g propert y area , tha t wil l b e excavated , tha t i s covere dwit hgrass .

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

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

Numbe r o f Sprinkle r Zones , Contro l Valves , Timers , Heads , etc . Attac hasketc ho f th e sprinkle r layout . Numbe r o f an dsiz e o f eac hgarden / flowe r be d area . Attac hasketc ho f relativ e size s an dlocations . 

## Quantit y 

# \?0 ^ 

# Z <? > 

# 0 Uni t

Squar e fee t 

## Condition/Type/Specie s

Eac h

Eac h

Eac h

Eac h Squar e Fee t ~ .^ ^ f \Nnl l 

# yi^^- r ^y ,

Pag e 4 o f7 ^COASTA L • MVIRONMKNTA L CROUP . IMC . 

## Ite m Agree dupo nvalu e of plan t material s no t t o b e replace db y contractor . Not e thi s valu e wil l b e use dt o issu e aplan t vouche r t o th e propert y owner . Agree dupo nlis t o f plan t material s tha t wil l b e replace db y contractor . B e very specifi c an ddetailed . Includ e asketc ho f wer e eac hplan t wil l b e place d b y th e contractor . Agreetl upo nare ao f propert y t o b e replace d withgras s sod . Includ e asketc ho f th e area(s ) t o b e replace dwit h gras s sod . Are ao f City or County propert y t o b e landscape d pe r thei r requirements . Includ e asketc ho f th e are a(s )

Easemen t Area , to b e excavate d 

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

# 0 $ 

# 7 ) Eac h 

# [^> 7 S F

S F

S F



### Page 5 of f/ 'C O AS TAL • MVIROMH S NTA L GROUP , IMC . 

### Additiona l Comments / Instructions :

IZ l Chec k th e boxi 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 boxCE 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 cracks o rfissures .

nI d o no t agre e 

# lohn ^ Contractor ^ Signature Date Pag e 6 of .

### # ' PROPERT YCLEARANC E WORKSHEE T

1 Dat e 

### 'Q-^'b l Propert yI D 

### 2. 0 1^2 . Propert y Projec t Omah a Lea d - - Fixe d Pric e Addres s 

### iii ^ UJilUm i Measuremen t XR F I D 0107-5 1 Count/Tim e Fiel d Shot s Sampl e Are a Slio t # Readin g Sampl e Are a Sho t # Readin g 5-7- ? 

### ?.v ? 

### R 2 n-i H S7 8 

### / u 2- 2 li-l W

Sampl e Are a 

## KZ-/2- W I n Sit u Composit e Composit e Analytica l La b Analytica l Aliquo t Composit e Reading s Readin q Averag e (Drie d & Spil t Sen t Numbe r Result s (Bag ) 1 (Baq ) Sieved ) ? -25" ? 2 7- 7 <! > 

# % v 3 f</ Q 

## 2£r^ 4 

### 23 6 2 Y 1 XR F Correcte d Valu e -- > 5 (us e catibratio n char t o rad d 

# z n 3Z 0 2 0 % t o value ) Sampl e Are a 

### firic^Y Pass/Fai l ? I n Sit u 

### / Composit e Composit e Analytica l Aliquo t La b Analytica l Readin q Composit e Reading s Averag e (Drie d & Spil t Sen t Numbe r Result s (Bag ) ? 1 (Baq ) Sieved ) 2 

### 1 3 3 f</ 3 

## /2 7 4 I h i XR F Correcte d Valu e - > 5 (us e calibratio n char t o rad d 2 0 % t o ualue ) 

# 15 1 Sampl e Are a Pass/Fai l ? I n Sit u Composit e Composit e Analytica l Aliquo t Composit e Reading s La b Analytica l Readin q Averag e (Drie d & Spil t Sen t (Bag ) Numbe r Result s 1 (Bag ) Sieved ) ? 2 3 4 XR F Correcte d Valu e — > ! 5 (us e calibratio n char t o rad d 2 0 % t o ualue ) Sampl e Are a Pass/Fai l ? I n Sit u Composit e Composit e Analytica l Aliquo t Composit e Reading s La b Analytica l Readin q Averag e (Drie d & Spil t Sen t (Bag ) Numbe r Result s 1 (Baq ) Sieved ) 7 2 3 4 XR F Correcte d Valu e — > 5 (us e calibratio n char t o rad d 2 0 % t o value )

i n i AIIDIIIOU M SHIfl- i I I XR F Technician' s Siqnitur e H I ni l 1 1

### Pag e 1 of 2 tsimmons@lkgs.he.ne t From : "N E DIGGER S L " <info(gne-diggers.com > To : <tsimmons(gcoastalhazmat.com > Sent : Tuesday , Octobe r30 , 200 7 12:5 4 P M Subject : Re : NE-Diggers.co m - LOCAT E Contractor s Reques t For m DIGGER S HOTLIN E PRESENT S THE'N O WAIT ' N.I.T.E.S . TICKE TENTRY ! Avoi d length ywai t tim e - Immediat e ticke t numbe rrespons e - Use rha s acces s t o al l issue d tickets . FRE E trainin g sessions . Contac t Conni e o rLis a a t 402-330-186 6 fo rfurthe rinformation . ************************************************************ Ticke t #192544 8 Wor k t o begi n date : 11-01-0 7 a t 115p m Th e utilitie s w e wil l notifyare...at&t-CIT YO F OMAH ATRAFFI C & SEWER , COX , MUD , OPPD , QWEST , level3-mci-mcleod-qwes t lon g dist . 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 notifythe m yoursel fan d an y privatel yowne d line s wil l no t b e located . Origina l Messag e From : tsimmons(5)coastalhazmat.co m To : info@ne-diggers.co m Sent : Tuesday , Octobe r30 , 200 7 11:5 9 A 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 : Rit a Alt . Name : Phone : 712352018 8 Alt . Phone : Email : tsimmonstgjcoastalhazmat.co m Calle rID : 1879 0 Company : Coasta l Environmenta l Grou p Typ e o f work : lea d excavatio n Fo rWhom : EP A Ho wDeep : Oft . 36in . Explosives : N o Corne rLot : N o Fron t o fProperty : Ye s Rea ro fProperty : Ye s Tunneling/Boring : N o



### 10/30/200 7

### Pag e 2 of 2 County : Dougla s City : Omah a Address : 141 3 Willia m S t Directions : Wher e o n Property : locat e entir e propert y Township : Range : EorW : Section : 1/

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

4 Section :



### 10/30/200 7

### /^tt^' o g ^N^^ , ° S^^^^ f

%n,oTe ^ 

### 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 COASTA L ENVIKONMENTA L GROUP . IN C 

# EXECUTIV ESUMMARY : 20162—141 3 WILIA M S T

X 

# No Issue s o r Concern s | ^ Issues/Concern s Detai l Explanation:

# As-Buil t Drawin g COASTA L 

# Omah aLea dSuperfun dSit e

rota l Quadran t Squar e Footag e t o b e Excavate d = 138 9 Propert yClassification : BO O Tota l Dri D Zon e Unea rFootaa e t o b e Excavate d = 0
—^_i:_ _ O^^S ^ n G Z - IZ / r-riv i @14 " B

2 = 256 PP M & • ^ . - 1 ~ -— ______ — _ 1 1 1 ' ;

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### \ m ' ' ' i / * ^ • OLS# : 2016 2 Dat e Excavated : 11/7/0 7 ' , . ^

^

• Dat e USIEPASigne d Off : 12/5 0 7 i "

__ ^ _ jrrr - ri.. i ' f 'rry r __ '•->»— •

. - . . • -'••''c';,: i 

### :'.7y/-''--^-/'j--''y-:y7'.--i.'y:'.-- [ ''7- ' ' ' '''^-:-7''y7 - : ' . ' ' y Legen d NorthArro w Omah a Lea d Sit e Omaha . Nebrask a '^/ M Concret e Propert yNumbe r Ky i Excavate d Are a N OLS-2016 2 Existin g Structur e Scal e 

# • Propert yAddres s 1 Inc h = 2 0 fee t o r1 gri d = 5 x5 ft • Fenc e 141 3 WILLIA M S T • s

- uuacjran t Boundar y Pos t Excavatio n Concentratio n 5 (ppm ) 

## ,\Q-, yHG L

- Stree t Boundar y F l B 2 Pla vAr e !'^..''1IV,C>..:JU..I.. - h. : T ree/ S hru b 

## im^ i 

## ­ \_

/ ..

' \ '•'•fPra Wy " B l Ga nde n I — Oth e r Descriptio n • ( pos t excavatio n sceas Fl , frontyar d lett.han d quadfant , F2 . frontyar d right-han d quadrani , B l tjackyat d left-tian d quadran t B 2 backyar d right , han d quadran t DZ , dri p zo n ( 1 - 3 toot are a (j l so ! arour d th e fbundatro n o f th e hottse j 

### Legen d Are ano t Excavate d/y/ ) Dripzon e Excavate dKXX 3 Quadrant s Excavate d 

### Contrac t # : EP-R7-07-0 5 Coasta l Environmenta l Grou p Inc .Siit ^ 

# EPA EP A Propert y Clos e Ou t For m Propert y # : ^ C \\C y Z . Date/Time : n/ a< ^ Quad s Excavated : Propert y Address : Owner' s Name : Contracto r Crou p 1^1 ^ \A J.'(|,'OLVW ^/^.^rv^P.<; . T>J<~ Y T o c i s'^'^ V Si" .

Excavatio nGeneral
- Ye s No 1 . If necessary , wer e th e correc t quadrant(s ) excavate dan drestored ? 

## y 2 . I f necessary , wer e th e correc t area s ofdri p zon e excavate dan drestored ? 

## iJ h Gradin g So dan dVegetatio n 1 . Doe s th e gradin g aroun dth e perimete r ofth e house i nexcavate darea s generall y slop e awa y fromth e house ? Ye s 

### ^ y No 2 . Ha s so dbeenlai dinal l area s tha t were excavated ? 

### y 3 . Doe s th e sodappea r t o b e generall y healthy andgrowing ? (Onl y evaluat e if inspecte da t a3 0 da y tim e period ) y ^ 4 . Ar e soddedarea s generall y fir mandevenl y graded ? y ^ 5 . 6 . Ar e th e joint s betwee nth e so dstrip s generall y tight ? (Onl y evaluat e if inspecte da t a3 0 da y tim e period ) Wa s th e propert y grade dsuc htha t wate r will no t poo l onth e property ? 

### y y 7 . Wa s damag e t o landscapin g or plant material s avoided ? 

### y Gates , Feace s an dRetainin g Wall s Ye s N o t 1 . D o gate s openan dclos e freely? (Ifapplicable ) 

## y 2 . Wer e al l gate s or fence s take ndowndurin g restoratio nactivitie s reinstalled ? (Ifapplicable ) 

### y 3 . Wa s damag e t o gate s o r fence s avoided ? (Ifapplicable ) y 4 . Wa s damag e t o retainin g wall s avoided ? (Ifapplicable ) 

## 7 Foundation , Sidin g an d Gutter s 1 . Wa s damag e t o th e sidm g o rtri m avoided ? Ye s 

### ^ k N o 2 . Wa s damag e t o th e foundatio n avoided ? 

### ^ k 3 . Wa s damag e t o window s avoided ? 

### 10) ^ j 4 . Wa s damag e t o window s o rdoo rscreen s avoided ? 5 . Wa s daraag e t o downspout s o rdownspou t extension s avoided ? 

## /i/ A 

## 0 k Sidewalk s an dDriveway s (Concrete ) I . Wa s damag e to drivewa y surface s avoided ? 2 . Wa s damag e t o walkway surface s avoided ? Ye s \

/ 

## f/

^ No

## Owner s comments :

Inspectio nnotes :

Ji i 

## Remova l an drestoratio nactivate s complet e includin g th e 30-day so dwarranty : EP A Representati>e-r^::2 ^ ^^ . jL ^ Date :

## Propert yCompietio n Agreemen t Thi s agreement document s th e completio no f remedia l activitie s performedonm y property . My signature will designate tha t I a msatisfie dwit hth e restoratio no f rn y property , an dtha t n o item s ar e i nquestions , now , or a

t any tim e i nth e future , excep t thos e item s liste dbelow , if any . PropertylD : g^ Q I ( o 2 . Propert y Address : ) 4 ( C ^ \^f^\\\<L. mS t Owne r 

## T<3.yY\es—"J">-^<" ^ Phone : Restoratio n Item s i n Question :

Item : Item : Item : item : Item : Item : Additiona l Comments :

I agre e restoratio ni s completed , excep t a s note d I d o no t agre e restoratio ni s complete d 

# ay Contractor' s Sigrtature