Transmittal of Omaha Lead Site 

Paint Stabilization File Folder 

Said# 7V/^V Date: ^^^^'77 ? 

Address: c?'?^ ^ AJ ^ ^ S f 

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

Paint Stabilization 

Property File Folder Documents 

t/wor k Write Up 

Signed Access Agreement for subject property 

Pre-Renovation form signed by Property Owner 

Pre-Renovation Form for Occupant/Tenant, ifapplicable 

^y^ainting Agreement/City of Omaha Purchase Order 

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

Renovation Recordkeeping Checklist signed by Certified Renovator 

L^^roperty information from Douglas County Assessor's Office 

tethe r (describe): (TldfaJ . _ 

I 0>*-^ / ^ 3 ^ /r--/:x. 

City of Omaha Repre^ntati^^ Si^ature Date 

EPA Representative Signature I Date 

30262449 

Superfund 
Planning Department 

Inspector: Steve Zivn y Omaha/Douglas civic Center 

r»„4.„. T/1/i/An 1819 Famam Street, Suite 1003 

Date . 7/14/09 Omaha. Nebraska 68183 

(402) 444-5150 

Name: Joseph P. Newsome TM''"^'"^ '''-°'^' 

A J J or^rv ^ XT .4 oth o . Steven N . Jensen, AICP, LA. 

CityofOmaha AddreSS : 290 2 N 4 8 St . •' Director 

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 Occupant. 

• 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 Community Development Division, City of Omaha, 

Nebraska." (Copies are available at the Plaiming Department.) 

• Comply with the State of Nebraska Health and Human Services Regulation and 

Licensure, Title 178 Chapter 23 Lead Baise 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. 

• Repair or replace all items damaged or disturbed during paint stabilization 

activities. 

• Keep work site and surrounding area free from accumulations of waste niaterials 

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, sanitary, lead safe and presentable condition. 

• Cornpleit this project within 30 calendar days. 

The Occupant/Owner Shall 

• Remove and store av/ay any personal property within twenty (20) feet of the 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 

andalso keep all pets at least ten feet avvay at all times until the work has been 

completed and the area has passed a' visual inspection. , 

Initial*^'' 
2902 N 48"" St (Continued) 

Lead Hazard Control Plan 

Interim Control of Lead based Paint Hazards 

Paint Stabilization 

• Stabilize all previously painted exterior surfaces of the dwelling to include 

but not limited to the siding, fascia, eaves, trim, window trim, gutters, door 

trim, and foundation. Do not include doors or windows. 

• Stabilize all previously painted exterior surfaces ofthe garage and shed. 

• 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) Rusted metal will require rust-inhibiting primer. 

• IF SPRAYED, ONE 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 

a municipal solid waste landfill. 

Property Owner Date 

Witness Date 

Occupant (ifapplicable) Date 

Occupant (if applicable) Date 

Witness 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 refeiTal from the EPA. 

What work will be done? 

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

siding, triih, window trim, door trim 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 ^yill 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 will be comjpetitively bid by approved, trained 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 ifknown and the severity ofthe problem. 

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

Initials..r.^<^ 
Consent for Access to Property 

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: Davtime Phone: 

Owner Name(s): Joseph P Newsome 451-8977 

Addresses of Properties Covered by this Agreement 

Property Address 

City/State/Zip Code • 

2902 N. 48tii St. 

Omaha, NE 68104 

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

Environmental Response and Liabilitv Act (CERCLA). 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 lead contaminated soil has 

or will take place. Sanipling 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 

respoiise actions and activities it deems appropriate. 

FUTURE ACTION 

By signing this document, the grantor agrees to allow an EPA contractor to conduct a soil cleanup 

at this property following completion of lead-based paint stabilization. The grantor acknowledges 

that the paint stabilization contractor carmot provide assurances that bind the soil cleanup 

contractor. The grantor understands that the soil cleanup contractor will make all reasonable efforts 

to address concems that the grantor may have regarding soil cleanup at this property. 

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: 2902 N. 48th St. 

Consent for Access to Property (Page 2) 

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

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

with 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 with any of the activities undertaken by Grantee at the Property, 

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

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

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

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

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

property. 

SAMPLING RESULTS 

Grantee agrees to provide Grantor with the results of aiiy 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: 2902 N. 48th St., Omaha, NE, 68104 

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: 

3. 

4. 

5. 

Items NOT to be removed bv contractor during removal activities: 

^' TloO C^TLSl ^Ton.'Lfi ^ uitfi'^^f^'^ AO^Zf^Sr og^ T stoS, Of- ^fi(7> 

2. 

3.­

4. 

5 ' . • ' 

ADDITIONAL COMMENTS: 

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

the Grantee to enter the above described premises for the purpose of conducting environmental 

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

pamphlet "Renovate Right". 

Grantor's Signature: <^ L.A /^^ ^ ^ Date ijn/ ^ 

(3) 2/12/2007 
Douglas County Account Information Page 1 of2 

Douglas County, Nebraska Property Record - R1602110000 

Print Report 

NEW Feature - Parcel Dimensions available <B) scale 0-50 ft west of 52nd St - Vie w OH Ma P Information is valid as of 2009-6-16 Treasurer's Tax Report 

New Feature -»•*- > Auto Saies Search 

Owner 

NEWSOME JOSEPH P 

ETAL 

2902 N 48 ST 

OMAHA NE 68104-0000 

Property Information 

Key Number: 0211 0000 16 

Account Type: Residential 

Parcel Number 1602110000 

Parcel Address: 2902 N 48 ST 

OMAHA NB68104-0000 

Legal Description: LAKE JAMES PARK LOT 12 BLOCK D 50 X 140 . 

Value Informatio n 

Land Improvement Total 

2009 

2008 

2007 

2006 

2005 

2004 

$7,200.00. 

$7,200.00 

$7,20.0.00 

$7,200.00 

$7,200.00 

$7,200.00 

$62,000.00 

$62,000.00 

$62,000.00 

$62,000.00 

$33,300.00 

$33,300.00 

$69,200.00 

$69,200.00 

$69,200.00 

$69,200.00 

$40,500.00 

$40,500.00 

Land Information 

Acres SF Units Depth Width Vacant 

0.16 7000.0 1.0 50.0 140.0 No 

Improvement Information 

Building 1 

• 

http://douglasne.mappihg-online.com/DouglasCoNe/static/accountinfo.jsp?accountno=R160... 7/9/2009 
Douglas County Account Information Page 2 of 2 

1 1/2 Story Unfin 

i.-,ii«,-i-,v)SP7j^* *«> 

iTl' ' Fir« Ftoi 

1C4+.0' 

l y i 

.. 

Bsrmi Slock 8 It 

CLICK TO ENLARGE IMAGE 

Square Footage: 1084.0 Percent Complete: 100.0% 

Perimeter 0.0 Quality: Average 

Unit Type: 

-r- Condition: Average 

Built As: 1 1/2 Story Unfin Condo Square Footage: 0.0 

HVAC: Central Air to Air Rooms: 5.0 

Exterior: Frame Siding Units: 1.0 

Interior: Drywall Batfis: 1.0 

Roof Cover: Slate Bedrooms: 2.0 

Roof Type: Gable Stories: 1.5 

Floorcover: Allowance Foundation: 

Sprinkler Square Footage: 0.0 

Year Percent Adjusted Year Year Built Physical Age Remodeled Remodeled Built 

1923 0 0% 1923 86 

Detail Type Oefa/7 Description Units 

Add On Unfinished Attic W/floor 952.0 

Appliance Allowance 1.0 

Basement Bsmnt Block 8 ft 1260.0 

Fixture Base Fixtures 1.0 

Fixture Bath Full 1.0 

Garage Basement Single _ ^:1 

Porch EncI Solid Wall 108.0 

http://douglasne.mapping-online.com/DouglasCoNe/static/accountinfo.jsp?accountno=Rl60... 7/9/2009 
CITY OF OMAHA 

PURCHASING - ROOM 1003 ' Purchase Order 

1819 FARNAM STREET PURCHASE ORDER NO. 
 OMAHA, NE 58183-1003 

115S764
 FAXi¥ 402-444-5423 

SHIP TO: 

CITY OF OMAHA 

HOUSING & COMM DEV RM S1111 

1819 FARNAM STREET 

OMAHA.NE 68183 

VENDOR: BRAD BATES PAINTING >. < 

BILL TO: 3141 s o 52 ST CITY OF OMAHA FINANCE OMAHA. NE 68106 DISBURSEMENTS ROOM #1007 

1819 FARNAM STREET 

OMAHA.NE 68183 

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

'CUSTOMfiR ACCOUNT NO. VENDOR NO. DATE OF ORDER/ BUYER REVISED DATE//BUYER 

72990 21-AUG-09 J ROBBIN 21-AUG-09 J R08BINS 

PAYMENT TERMS SHIP VIA F.O.B.' 

FREIGHT FERMS REQUESTOR/DELIVER TO CONFIRM TO / TELEPHONE 

MARUCA, T MARIE (402) 551-0927 

> 

ITEM PART NUMBER / DESCRIPTION DELIVERY DATE QUANTITY UNIT UNIT PRICE EXTENSION • < 

PROGRAM GROUP 56 2 902 N' 


048 ST 


O SHIP TO: 


Address at top of page 


5 ' 1,925.0 0 N 

EPA PAINT STABILIZATION 


PROGRAM GROUP 56 3115 N 


04 7 Av i 


o SHIP TO: i 


Address at top of pa^e 


575.0 0 N 

EPA PAIMT STABILIZATIOK 


PROGRAM GROUP' 56 3129 N 


048 iST 


o SHIP TO: •• 
 Address at top of page 


750.0 0 N 

EPA PAINT STABILIZATION 


PROGRAM GROUP 56 4 516 


MAYBERRY ST 


O SHIP TO: 


Address at top of page 


SHIPTO: .Address shown above. If shipment Is delayed or any ilems not available, advise al once. Pur­

chase ordc.' number must appear on all invoices, packages, packing lists, bill of lading, and correspondence. Tota l C Continued ) 

SHIPPING CHARGES TO BE PREPAID, IF APPLICABLE AND ADDED TO INVOICED, copy to be fur­

nished with invoice. 

TAX EXEN^PTION: The City of Omaha is exempt from Federal Excise Taxes and the Nebraska and Cily of 

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

Cily Purchasing Agenl / Buyer 
CITY OF OMAHA 

PURCHASING - ROOM 1003 Purchase Ortjer 

1819 FARNAM STREET 

PURCHASE ORDEH NO. 

'. OMAHA, NE 68183-1003 

'1159754 FAX* 402-444.-5423 • 

SHIPTO: 

CITY OF OMAHA 

HOUSING & COMM DEV RM #1111 

1819 FARNAM STREET 

OMAHA,NE 68183 

BRAD BATES PAINTING VENDOR: k • <

BILL TO: 3141 SO 52 ST CITY OF OMAHA FINANCE OMAHA, NE 68106 DISBURSEMENTS ROOM #1007 

1819 FARNAM STREET , 

OMAHA.NE 68183 

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

CUSTOMER ACCOUNT NO. VENDOR NO. DATE OF ORDER/ BUYER REVISED DATE//BUYER 

72990 21-AUG-09JROBBIN 21-AUG-09 J ROBBINS 

PAYMENT TERMS' SHIP VIA F.O.B. 

FREIGHT TERMS REQUESTOR/DELIVER TO CONFIRM TO / TELEPHONE 

MARUCA, r MARIE (402) 551-0927 

ITEM PART NUMBER / DESCRIPTION DELIVERY DATE QUANTITY UNIT UNIT PRICE EXTENSION 7

MAIL-IMPOR-TANT-DO NOT START WORK UNTIL PROCEED OpOER IS ISSUED BY THE 

PLANNING DEPARTMENT 


All' prices and amounts on this order are expressfed in : US Dol! a r 

1,450.0 0 N 

EPA- PAINT STABILIZATION 


PROGRAM GROUP 56 122 Ni 


049 ST 


O SHIP TO: 


Address at top of page 


1,250.0 0 N 

EPA PAINT STABILIZATION 
 •PROGRAM GROUP 56 2208 N 


048 ST : 


O SHIP TO:- i 


Address at top of page 


400.0 0 N 

EPA PAINT STABILIZATION 


PROGRAM GROUP 56 2 533 [ 

REES ST 


O SHIP TO: i 


Address at top of page 


1,725.0 0 N 

EPA PAINT STABILIZATION 


SHIP TO:. Address shown above. If shipment is delayed or any items not available, advise at once. Purchas

SHIPPIN

e orde

G CHARGE

r number mus

S TO

t appea

 BE PREPAID

r on all invoices

, IF APPLICABL

, packages

E AN

, packin

D ADDE

g lists

D T

, bil

O

l

 INVOICED

 of lading, an

, cop

d correspondence

y to be fur­

. Total C Continued J

nished with invoice. 

TAX EXEV.PTION: The City of Omaha is exempt from Federal Excise Taxes and the Nebraska and City of 

Omaha Sa:;s Taxes. Federal I.D. 476006304; STATE I.Q. 01-0316768; Fuel Dealers Lie. 91-0316768. Cily Purchasing Agenl / Buyer