## TRANSMITTA Lo f

OMAHA LEAD SIT E SOI LREMEDIATIO NFIL EFOLDER
Date : ("S'l ^ SAID*:2Z^3 i Address : 303 ^ U(\ \d i ^ Remediatio nContractor : Coastfi l Environmenta l Grou p 

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### 4/17/201 1 Dougla s CountyAccoun t Informatioi j Dougla s County , Nebrask a . .opert yRecor d - R053681000 1 Prin t Repor t Vie wInteractiv e GI S Ma p Informatio n i s vali d a s of 2011-4-1 3 Treasurer' s Ta xRepor t Ne wFeatur e -»••- > Subdivisio n Sale s Searc h Owne r ROSE-GRIME S DAN AT ETA L 303 2 MARC YS T OMAH AN E 68105-000 0 Propert yInformatio n Ke yNumber : 3681 0001 0 5 Accoun t Type : Residentia l Parce l Number : 053681000 1 Parce l Address : 303 2 MARC YS T OMAH AN E 68105-000 0 Lega l Description : BARTLETF S AD D LO T2 BLOC K0 -E X S T- W 32. 5 E 40 0 FT Valu e Informatio n


### 201 0 200 9 200 8 200 7 200 6 200 5 Lan d $5,400.0 0 $5,400.0 0 $5,400.0 0 $5,400.0 0 $5,400.0 0 $5,400.0 0 Improvemen t $47,700.0 0 $47,700.0 0 $47,700.0 0 $47,700.0 0 $51,800.0 0 $51,800.0 0 Tota l 

### $53,100.0 0 $53,100.0 0 $53,100.0 0 $53,100.0 0 $57,200.0 0 $57,200.0 0 Sale s Informatio n Sale s Date : 2009-11-1 8 Vie wDocumen t Dee d Type : Price : PR D $47,000.0 0 Sock : 200 9 

### Page : 13590 9
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owner ) consent s t o an d authorize s th e Unite d State s Environmenta l Protectio n Agency(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 :

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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 f lea 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 its 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 f Coasta 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

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ENVIRONMENTA L RESPONS E ACTION S 

### Bysignin g thi s Acces s Agreement , th e Granto ri s grantin g th e EPA , it s employees , contractor s an d subcontractor s th e righ t to.ente rth e property , a t al i 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 f 2COAStA l tiititevMiDU i

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### 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 t plant s tha t th e Granto ro rth e Grantor' s tenan t maywis h t o save ; ( Wate ran d maintai n replacemen t vegetation , includin g fertilize rapplication , a s necessar) ' subsequen t t ca n initia l waterin g perio d b yEPA ; < Abid e b yhealt h an d safet yguidanc e provide d b yEPA ;

' I f th 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 o f th e property
. AGREEMEN TNO TT O 

### ItnBRFER E Th e Granto ragree s no t t o interfer e o rtampe rwit h an yo f th e wor k actlvltjes , o rwit h an y o f th 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 f sai d propert ywhic h woul d ten d t o endange rth e heatt h o r welfar e o f th e Grantee s o rth e environment , o rt o allo wothers t o us e th e propert yi n suc h a manner . Shoul d yo u hav e an yquestion s abou t thi s program , pleas e contdc t Coasta l Environmenta l Group , a t (402 ) 991-119 9
i gran t access t o m ypropertie s G I d o no l grant seees s t o m ypropertie s 

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## Restoratio o Agreemen t Th e purpos e o f thi s agreemen t i s lo provide amutua l agreemeni a s t o condilion s of the properly prior l

o remediationactivities
. Thi s wil l als o serve as documentalio nfo r the purpos e o f assurin g tha t restoratio n activitie s ar e complete dlo th e satisfactiono f the propen y owne r an dth e UnitedSlate s Environmenla ) Proieci io nAgency (EPA ) Propert y ID : 2/2-'2- 3 " ^ Proper^-Address : -^Q^ ^ ^^All^j dS T Owner : 

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nth e attacheddjagram(s ) indicat e area(s ) t o excavate , surfac e structure s an dlandscaping feature s an d acces s location(s ) t o b e use db y th e contractors . Indicat e distances , depths , materia l types , etc . Photographically andVideographically documen t th e existin g condition s ofthe propert y an dth e basemen t i

f necessary . Item s t o b e Remove d b yth e Owne rbefor e Star t o f Remediation : Th e removal , Etorage

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### Landscap e Inventory ite m 

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Pag e 2 of

.I Additiona l Comment s / instructions : Th e cit yof Omah a ordinance s ma yprohibi t yo u fro m usin g dir t orgrave l area s on you rpropert y as driveway s orvehicl e parkin g areas . Th e Environmenta l Protectio n Agenc y(EPA) ma yti e removin g an d replacin g soi l underiyin g a grave l ordir t are a on you rpropert ytha i yo u ma y

be usin g as a drivewa y orvehicl e parkin g area . Kthi s is th e case , yo u shoul d understan d tha t thi s removin g an d replacin g of soi l doe s no t mea n tha t an yillega l drivewa y orparkin g are a on you r propert y Is mad e legal

. To th e contrary , yo u may be cite d byth e cit y if yo u us e a grave l ordir t are a as a drivewa y orparkin g area , no t withstandin g an yremova l orreplacemen tof soi l byth e EPA

. if yo u hav e an yquestio n abou t legalit y of a certai n drivewa y orparkin g area , yo u maycontac t th e cit yof Omaha' s Plannin g Departmen t at (402 ) 444-5150

. I Pleas e chec k thi s bo s if yo u understan d th e informatio n outline d above

.

Q Chec k th e bo x if Owne rdoe s no t wan t CE G to documen t interio rfoundatio n wall s an d possibl e pre-exisfin g damage

. Bycheckin g thi s boxCE G is no t responsibl e fo ran ydamag e don e to th e interio r oS house , includin g foundatio n crack s orfissures

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±21.14 5

# Therm o SCIENTIFI C Therm o Fishe rScientifi c 90 0 Middlese xTurnpik e Billerica , MA0182 1 

## Certificat e o fVerificatio n XL3t-3902 2 Readin g N o 4 0 Mod e Soi l Tim e 2011-08-1 6 17:1 1 Duratio n 90.4 1 Unit s pp m Sigm a Valu e 2 Sequenc e Fina l Flag s AVERAG E Av g o f 37-3 9 ADDRES S 303 2 marc ys t QUADRAN T B 2 DEPH T 6 " XR F TEC H KIN G MIS C confirmatio n NOT E confirmatio n

pp m Erro r P b 55.54 4 14.06 5 Supervise d By : 

# ^X^ ^

# Therm o SCIENTIFI C Therm o Fishe rScientifi c 90 0 Middlese xTurnpik e Billerica , M A0182 1

XL3t-3902 2 Readin g N o Mod e Tim e Duratio n Unit s Sigm a Valu e Sequenc e Flag s BVI D ADDRES S QUADRAN T DEPH T XR F TEC H MIS C NOT E

pp m P b 45.35 4 Supervise d By : 

## Certificat e o fVerificatio n

3 7 Soi l 2011-08-1 6 17:0 9 30.1 5 pp m 2 Fina l 2223 7 303 2 marc ys t & 2 6 " KIN G confirmatio n confirmatio n

± Erro r
± 13.32 8

# Therm o SCIENTIFI C Therm o Fishe rScientifi c 90 0 Middlese xTurnpik e Billerica , M A0182 1

XL3t-3902 2 Readin g N o Mod e Tim e Duratio n Unit s Sigm a Valu e Sequenc e Flag s BVI D ADDRES S QUADRAN T DEPH T XR F TEC H MIS C NOT E

pp m P b 63.54 6 Supervise d By : 

## Certificat e o f Verificatio n

3 8 Soi l 2011-08-1 6 17 : 1 0 30.1 7 pp m 2 Fina l 2223 7 303 2 marc ys t B 2 6 " KIN G confirmatio n confirmatio n

±Erro r
±14.58 0

# Therm o SCIENTIFI C Therm o Fishe rScientifi c 90 0 Middlese xTurnpik e Billerica , M A0182 1

XL3t-3902 2 Readin g N o Mod e Tim e Duratio n Unit s Sigm a Valu e Sequenc e Flag s BVI D ADDRES S QUADRAN T DEPH T XR F TEC H MIS C NOT E

pp m P b 57.73 2 Supervise d By : 

## Certificat e o fVerificatio n

3 9 Soi l 2011-08-1 6 17:1 1 30.0 9 pp m 2 Fina l 2223 7 303 2 marc ys t B 2 6 " KIN G confirmatio n confirmatio n

± Erro r
± 14.28 6

# Therm o SCIENTIFI C Therm o Fishe rScientifi c 90 0 Middlese xTurnpik e Billerica , MA0182 1

XL3t-3902 2 Readin g N o Mod e Tim e Duratio n Unit s Sigm a Valu e Sequenc e Flag s AVERAG E ADDRES S QUADRAN T DEPH T XR F TEC H MIS C NOT E

pp m P b 475.72 8 Supervise d By : 

## Certificat e o fVerificatio n

4 4 Soi l 2011-08

­ 90.8 4 pp m 2 Fina l 1 6 17:1 4

Av g o f 41-4 3 303 2 marc ys t D Z 13 " KIN G confirmatio n confirmatio n

± Erro r
± 31.67 5 

# p . ft :

# Therm o SCIENTIFI C Therm o Fishe rScientifi c 90 0 Middlese xTurnpik e Billerica , M A0182 1

XL3t-3902 2 Readin g N o Mod e Tim e Duratio n Unit s Sigm a Valu e Sequenc e Flag s BVI D ADDRES S QUADRAN T DEPH T XR F TEC H MIS C NOT E

pp m P b 510.94 6 Supervise d By : 

## Certificat e o fVerificatio n

4 1 Soi l 2011-08-1 6 17:1 2 30.2 9 pp m 2 Fina l 2223 7 303 2 marc ys t D Z 13 " KIN G confirmatio n confirmatio n

± Erro r
± 32.84 1

# Therm o SCIENTIFI C Therm o Fishe rScientifi c 90 0 Middlese xTurnpik e Billerica , M A0182 1

XL3t-3902 2 Readin g N o Mod e Tim e Duratio n Unit s Sigm a Valu e Sequenc e Flag s BVI D ADDRES S QUADRAN T DEPH T XR F TEC H MIS C NOT E

pp m P b 470.42 5 Supervise d By : 

## Certificat e o fVerificatio n

4 2 Soi l 2011-08-1 6 17 : 1 3 30.2 6 pp m 2 Fina l 2223 7 303 2 marc ys t D Z 13 " KIN G confirmatio n confirmatio n

± Erro r
± 31.60 5

# Therm o SCIENTIFI C Therm o Fishe rScientifi c 90 0 Middlese xTurnpik e Billerica , MA0182 1

XL3t-3902 2 Readin g N o Mod e Tim e Duratio n Unit s Sigm a Valu e Sequenc e Flag s BVI D ADDRES S QUADRAN T DEPH T XR F TEC H MIS C NOT E

pp m P b 445.81 5 Supervise d By : 

## Certificat e o f Verificatio n

4 3 Soi l 2011-08-1 6 17:1 4 30.2 9 pp m 2 Fina l 2223 7 303 2 marc ys t D Z 13 " KIN G confirmatio n confirmatio n

± Erro r 30.57 8

# Therm o SCIENTIFI C Therm o Fishe rScientifi c 90 0 Middlese xTurnpik e Billerica , MA0182 1

XL3t-3902 2 Readin g N o Mod e Tim e Duratio n Unit s Sigm a Valu e Sequenc e Flag s AVERAG E ADDRES S QUADRAN T DEPH T XR F TEC H MIS C NOT E

pp m P b 119.47 5 Supervise d By : 

## Certificat e o fVerificatio n

4 8 Soi l 2011-08-1 6 17:2 0 90.5 3 pp m 2 Fina l Av g o f 45-4 7 303 2 marc ys t F1,L S 1 " KIN G EX-SITU S confirmatio n

±
± 

# S l ^ I

# Therm o SCIENTIFI C Therm o Fishe rScientifi c 90 0 Middlese xTurnpik e Billerica , MA0182 1

XL3t-3902 2 Readin g N o Mod e Tim e Duratio n Unit s Sigm a Valu e Sequenc e Flag s BVI D ADDRES S QUADRAN T DEPH T XR F TEC H MIS C NOT E

pp m P b 118.95 0 Supervise d By : 

## Certificat e o fVerificatio n

4 5 Soi l 2011-08-1 6 17:1 8 30.1 5 pp m 2 Fina l 2223 7 303 2 marc ys t F1,L S 1 " KIN G EX-SITU S confirmatio n

± Erro r
± 16.94 4

# Therm o SCIENTIFI C Therm o Fishe rScientifi c 90 0 Middlese xTurnpik e Billerica , M A0182 1

XL3t-3902 2 Readin g N o Mod e Tim e Duratio n Unit s Sigm a Valu e Sequenc e Flag s BVI D ADDRES S QUADRAN T DEPH T XR F TEC H MIS C NOT E

pp m P b 117.82 6 Supervise d By : 

## Certificat e o f Verificatio n

4 6 Soi l 2011-08-1 6 17 : 1 9 30.1 9 pp m 2 Fina l 2223 7 303 2 marc ys t F1,L S 1 " KIN G EX-SITU S confirmatio n

±Erro r
±16.90 5

# Therm o SCIENTIFI C Therm o Fishe rScientifi c 90 0 Middlese xTurnpik e Billerica , M A0182 1

XL3t-3902 2 Readin g N o Mod e Tim e Duratio n Unit s Sigm a Valu e Sequenc e Flag s BVI D ADDRES S QUADRAN T DEPH T XR F TEC H MIS C NOT E

pp m P b 121.64 8 Supervise d By : 

## Certificat e o fVerificatio n

4 7 Soi l 2011-08-1 6 17:2 0 30.1 9 pp m 2 Fina l 2223 7 303 2 marc ys t F1,L S 1 " KIN G EX-SITU S confirmatio n

± Erro r
± 16.83 5

### i Q o Omah a Lea d Site—Fixe d Pric e EP-R7-09-0 6 I ^^^yg Coasta l Environmenta l Grou p inc

. V^*^ ^

www.coastalhazmat.co m — ^"tpRoi* ^ COASTA L ENVIRONMENTA L CROUP

. IN C 

# EXECUTIV ESUMMARY : BVID #22237-(303 2 MARC Y ST )
No Issue s o r Concern s Issues/Concern s Detail Explanation : P O WROT EO NCOMPLETIO NSLOPESUN K NORT H WES T AN D BACKYARD
. DA NGARVE Y WALKE D AN D SIGNE D OF FO NTH EPROPERT Y O N9/6/201 1

### COASTA L 

## Propert y Completio nAgreement Thi s agreemen t document s th e completiono f remedia l activitie s performe do nm y property . M y signatur e wil l designat e tha t I a msatisfie dwit hthe restorationo f m y property , an dtha t n

o items ar e i

nquestion , no w o r a

t an y tim e i

nth e future , excep t thos e items listedbelow , i f an y Property ID : 2223 ^ Property Address : 'hO' b d ^ /T/1arc w ^4
. Owner : X)u.^( , fto-:>^ Phone : ^OT. ^ ^Ft Y 3-70?- ?
Restoratio nItem s inQuestion : Item : ^Jl^^^Jl ^ ^^tXAAK ^ /Jc^^JA^^- h hcx^^Kjcn ) Item : Item : Item : Item : Item :

Additiona l Comments :

0

^

I agre e restoratio n i n completed , excep t a s note d L J I d o no t agre e restoratio n i s complete d



# ^

7-/.-// j ^ ^T " 'f-l'>' ^ Owner' s Signatur e Dat e Contractor' s Signatur e Dat e

# EPA - EF A Propert y Cl'os e Ou t For m Propert y # : _ 2 - 2-/?

- y , 7 DEti/riro e Owner' s Nsroe : t<^ g ^XfT^.^^- - QuEd s Ettctviifd ; f^/ ^ P"g ^ >6Z

- Contrsclo r Grou p _Cc)_^S.Tjli\
_ V w N o EscsvBiloi D Gcntrs I 1
. I f necesssjy , wer e th e correc t qtiadrant(s ) excsveie dandrestored ? 

### y 2
. If ncctissry , we nth t corrtc l area s ofdri p zone txcBvalc dMi drtstotfd' ' 

### / Grgtllnt i So dte dVeBctBtio p Y M N O I Doe s the gradin g aroun dthe perimete r ofth r hous e i ne xcsvairr ) srce s generall y slop e ewa j I fromtb e house ? /
+ - •- Ha s so dbee nlai din&I I area s that were cxcsvsted ? /

.i Doe s the so dappear to b e generall y health y andgrowing, ? (Onl y evaluat e i f insprrir ds\f
. } 0 

## y da y time period ) - I ­ 4
. Ar e sodde darea s generall y fir mandevenl y graded ? 

# 1 / 5 Ar e th e joint s betwee nth e so dstrip s generall y tight ? (Onl y f vjlust c i f inspecte da t ^ 3 0 da y \/ tim e period ) _\
_ 6
. Wa s the property grade dsuc htha t water wil l no t poo l o nth e prnptny' ' ^

— _ ­ 7
. Wa s damag e t o landscapin g o r plart l msierial s avoided ? Gales
. Fence aan dReUiniti g Wall s 

## r " D o gate s ope nandclos e freely ? (If applicable ) Wer e all gate s o i fence s take ndow ndurin g rtstoralio nactivitie s retnsialltd ? (I f applicable ) 

# z . .: . Wa s damag e to gale s or fence s avoided ? (ITapplicable ) 

## / i 4
. Wa s damag e t o retainin g wall s avoided ? (If applicable ) Foundaiion , SidiB K an dGnOer s Ye s .N o 1
. Wa s damag e t o ih e sidin g or xr\ mavoided ? / 7
. Wa s damag e t o the foundatio navoided ? / ."
. Wa s damag e to window s avoided ? / 4 Wa s damag e to window s or doo r screen s avoided ? / Wa s damag e to down.spoul s o t down.spoui extensions avoided ? / Sidewalk s an dDriveway s (Copcrete ) Vc s N o )
. Wa s damag e t o driveway surface s avoided ? 

### / 2
. Wa. s damag e to walkway surface s avoided ? 

# 7

### On'tifiT ? cctmreifnils :

Inspectio nnotes :

Remova l ajidrestoratio nactivate s complel e includin g ih e 30-da y .so dwarrnnry HP A Rcpresenlaiiv e ^ M £)y,e ; 'il^^' ^