TRANSMITTAL of OMAHA LEAD SITE 

SOIL REMEDIATION FILE FOLDER 

SAID#: /if-l g Date: /2^2.^/>?o^ 

Address: Tb 4-^ S '^'i-Sh 

Remediation Contractor: 7\^^^ 7 UcAht^o^ ^a^ty Year: TAOI 

SOIL REMEDIATION 

PROPERTY FILE FOLDER DOCUMENTS 

Video of property (DVD) 

Executive Stmmiary 

EPA-provided property sketch 

Signed Access Agreement for subject property 

D Signed Access Agreement(s) for adjacent property 

Restoration Agreement 

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

Confirmation data 

y Photographs 

y As-built sketch 

y Satisfactory restoration signed by Property Owner 

y Property close-out check list signed by EPA 

D Description of areas not meeting ROD cleanup criteria 

y Utility clearances 

y Property infonnation from Douglas Coimty Assessor's Office 

D 

40309589 

D 

D 

iinMii 

Superfund 

iTivTf ^- y 

^ Signature 

ate 
PROPERTY SUMMARY 

Date: 12/20/2008 Omaha Lead Site Remedial Action Contract # EP-R7-07-06/0004 Month of: Nov/Dec 

Property Address; 5646 S 22 ST 

A. EXECUTIVE SUMMARY 

A.1 Issues Encountered: NONE 

A.2 Issues Resolved: NONE 

A.3 Unique Findings: NONE 

A.4 Oflier Relevant Information: NONE 

CONFIRMATION SAMPLING DATA/RESULTS: 

GZ = 220 PPM @ 6"; YC = 11 PPM @ 14"; EA = 124 PPM @ SCRAPE 

ATTACHMENTS 

1) Property sketch provided by EPA pursuant to contract specifications 

2) Signed Access Agreement including access agreements required for crossing other properties 

3) Pre-Excavation digital video clip/photographs 

4) Post-Excavation digital video cUp/photographs 

5) Documentation - Completed Close-out Checklist 

6) As-Built sketch ­

i) Shall include finallead levels v) Legend 

ii) Contamination left behind areas vi) Contractor identification 

iii) Property address vii) Date 

iv) BVID number 

7) Other items to be included in the individual property file, if available, or obtained include: 

i) I*re-excavation agreement details (if any are made with the property owner) 

ii) Property Status Form signed by property owner 

iii) Excavation digital video in MPEG, WMV (Windows Media Video) or SWF (Flash Player) fonnat and/or 

photographs 

iv) Signed form verifying satisfactory restoration 

v) Description of areas not meeting Interim ROD cleanup criteria 

TECHNOLOGIES, INC. 
Find Record 

Backfill: 

Sample Area: 1478 - 5646 S 22 ST 

Owner: 

n Owner Ocxupied 

Owner Name: 

[GARZON WENDY A 

.... . 

Owner Addressl: 

Owner AddressZ: 

|5646 S 22 ST 

City: State: Zip Code: 

[OMAHA [NE . )68107 

Owner Phone: Alternate Phone: 

1 

Qean Up Query Lead Remaining Query I

Resident: 

Resident Name: 

JTORRES WILLIAM L 

Property Address: 

[5646 S 22 ST 

Zip Code: 

[68107 

Resident Phone 

I 

 PrDperty Damage Query 

Contract: 

Contractor: 

jPRUDEm2008_S 

Group: 

I ~ 

Assessment: 

Qualifying Group 

11200 

Assessment XRF Date: 

Assessment Max XRF Value: 

I 2080 
lOLOGIBSii INC. SEF^ 

EPA Property Close Out 

Property#: {m % Property Address: 5i ^ S 22_ 8f 

Date/Time: Owner's Name: 

Quads Excavated: ^CL, GiT- Contractor Group: Prudent Technologies, Inc., 

Excavation General 

1. If necessary, were the correct q«adrant(s) excavated and restored? 

2. Ifnecessary, were the correct areas of drip zone excavated and restored? 

Grading Sod and Vegetation 

1. Does the grading around the perimeter of the house in excavated areas generally slope away 

from the house? 

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? 

Gates, Fences and Retaining Walls 

1. Do gates open and close freely? (IfappUcable) 

2. Were all gates or fences taken down during restoration activities reinstalled? (If applicable) 

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

4. Was damage to retaining walls avoided? (If applicable) 

Foundation, Siding and Gutters 

1. Was damage to the siding or trim avoided? 

2. Was damage to the foundation avoided? 

3. Was damage to windows avoided? 

4. Was damage to windows or door screens avoided? 

5. Was damage to downspouts or downspout extensions avoided? 

Sidewalks and Driveways (Concrete) 

1. Was damage to driveway surfaces avoided? 

2. Was damage to walkway surfaces avoided? 

Yes No 

/ 

/ 

Yes No 

/ 

/ 

/ 

/ 

X 

X 

X 

Yes No 

y 

X 

X 

X 

Yes No 

/ 

^ 

X 

y 

^ 

Yes No 

y 

X 
Owners comments: 

Inspection notes: 

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

EPA Representative JpLnyLuj Date: n/f37<ie 

^ 
2^i B^d 

Property Completion Agreement 

This agreement documents the completion of removal activities performed on the below listed property. 

The property owner's signatiire indicates that the property owner is satisfied with the restoration ofthe 

subject property, and that no items are in question, now, or at any time in the fiiture, excluding any 

remaining warranty (30 days total) except those items listed below, if any. 

r Property ID: /^18 

Property Address: 5(; y.^ ^.^ q O Q - W -

Owner: J ^ ^A^V^AM C{a •< 

Phone: ^ 

Restoration Items in Question: 

Kem: 

Item: 

Item: 

Item: 

Item: 

Item: 

^ I agree restoration is completed, except as noted above. 

L J I do not agree restoration is completed 

u-i^ - OX' 

Date 
Pnident Technologies, Inc. (Prudent) is under contract witii tlie U. S. Environmentai Protection Agency (EPA) to clean up leadcontaminated soils at a number of properties located in Omaha, Nebraska, including the property located at 

. The EPA requests your permission to allow IMident to perform a soil cleanup at this 

property to remove lead-contaminated soil. By signing this form, the property owner grants permission to Prudent to perform 

activities related to the cleanup including soil sampling, removal of lead-contaminated soil, and restoration ofthe referenced property. 

If you have any questions about the soil cleanup planned for your property, please contact Prudent Administradvc Clerk for the 

Omaha Lead Site cleanup. Ms. Deborah Johnson -at (402) 733-1188. General questions about the Omaha Lead Site cleanup can be 

directed to the EPA PubUc Information Centers at (402) 731-3045 (South Omaha office) or (402) 991-9583 (North Omaha office). 

Property Access Granted By' ay^^j f 

(Please Print Name) 

Property Owner Signature: 

(Signature) f (Date) 

PROPERTY INFORMATION 

(To be completed by resident and/or property owner -- pjease print) 

RESIDENT NAME: .^*A C^<X,AJZi fm . Owner Renter 

RESIDENT ADDRESS: 

OO ^ ^ ^t_ ^V>/.A.!IA . A ^ -I^C- 4'2\0 l 

IF RENTAL, PROPERTY OWNED BY: 

OWNER'S MAILING ADDRESS; 

,ei^ is9JL C.«107 

, OWNER'S TELEPHONE NUMBER - HOME: J J_ WORK: 

AGE OF HOME?: 1 0 Q T YEARS. HOW LONG HAVE YOU LIVED HERE? J YEARS. 6F Gaople . ^-*-0''^'*'«^ 

HAS THE EXTERIOR BEEN PAINTED OR COVERED WITH SIDING SINCE 1978? _YES- ^&rv cLto-i-C. T«r 


NUMBER OF OCCUPANTS UNDER 7 YEARS OLD: ^ . NUMBER OF OCCUPANTS 7 YEARS OLD AND OLDER 


NUMBER OF CHILDREN UNDER 7 YEARS OLD WHO PLAY IN THE YARD FOR 5 HOURS OR MORE PER WEEK: 


COMMENTS on SPECIAL INSTRUCTIONS: (I.E. DOGS, ENTRY GATES, ETC.) 


AUTHORITY FOR ENVIRONMENTAL RESPONSE ACTIONS: The activities to be implemented by EPA under this agreement 

are pursuant to Section 104 of CERCLA, 42 U.S.C. 9604. EPA's right of access to the property is provided for in Section 104(e) of 

CERCLA, 42 U.S. C 960S(e), which provides entry for "determining the need for response, or choosing or taking any response action 

under thistide, or otherwise enforcing the provisions of the title." 

8080 Ward Parkway, Suite 405 2505 N. 24'" Street, Suite 308 4242 Medical Drive, Suite 4250 

Kansas City, MO 64114 Omaha, Nebraska 68110 San Antonio, TX 78229 

Phone:(816)363-3703 Phone: (402)504-1004 Phone: (210)822-9588 

Fax:(816)363-3707 Fax: (402)504-1005 Fax:(210)579-6577 
1 

^ ^ 

i . 'v< AS> BUILT DRAWWiG 

• QiVtAHA^ ijEAilStlPEREUND 'SETE^ OLS#: 1478 

DateEicavated: 11/1/2008 

USEPA Si^ted-OfTDate: 

Owner Name:. 

Addrw : 58*6 822 ST 

Phone: Hi_. 

Sample Number 

RY/>iSCPXA-1478 

RYBSCPXA-1478 

RYCSCPXA-1478 

RYDSCPXA-1478 

RDZSCPXA-1478 

RGZSCPXA-1478 

RPZSCPX/>^1478 

YA 

YB 

YC 

YD 

OZ 

ez 

PZ 

1478 

Omah Biterior Paint North Arrow a Lead Sito 

Sit • Good e Sketch 

Lead 

Concentration 

346,6 ppm 

122.2 oom 

891.2 ppm 

251.8 ppm 

ppm 

1929.6 ppm 

ppm 

Number of Samplas - 5 

• Poor t • Notpaint 

Sample Samples Collected LAB Collected Firm:. SverdruD 

@ • Date:. 

El D Time:. 

Samples Analyzed a 

a D XRF Uni t: Book 

Date:. 1{V4/1999 

D a Time:. 02:47 

Staff: 

Legend: YA = Yard (NE). YB = Yard (SE), YC = Yard (SW). YD = Yard (NW), DZ - Drip Zone. GZ = Garden. PZ = Play 

eeTAlWlH 6 WJku u 

GZ=220PPM®6" 

EA = 124 FPM @ SCRAPE 

CONTRACT #: EP - R7-07-06 / 0004 PRUDENT TECHNOLOGIES, INC. 
ENVIRONMENTAL & 

CONSTRLCTION 

TECHNOLOGIES, EVC. 

SERVICES 

Property Status Form 

Address: ^feMfc, 3 2d2.Y^X QV- ^^^^' ^0-03-O* ? 

Phone: BVID: 

'• ^01- 614 ' ^4^ 3 

Plant & Permanent Landscaping To Remain In Place 

Item# 

Description and Location 

On Map 

W AIL—A ^tfgji !a*eJd tS> 

• fr o DexU. Ovviwc^i- rp«.-,.^v-*-J. Jto Y~«8-WVA^V/€_ 

Pre-Existing Condition of Structures 

Does your Basement have a history of leaking? Yes — No — 

Item# )escription & Location Q 1 

On Map 

Property Owner 

Prudent Empl 

Signature 

Signature; :K Qv-^ 

8080 Ward Parkway, Suite 405 2505 N. 24*" Street, Suite 308 • 4242 Medical Drive, Suite 4250 

Kansas City, MO 64114 Omaha, Nebraska 68110 San Antonio, TX 78229 

Phone: (816) 363-3703 Phone: (402)504-1004 Phone: (210)822-9588 

Fax:(816)363-3707 Fax: (402)504-1005 Fax: (210) 579-6577 
1478 

Owner Name:. 

Address: 5646 S 22 ST 

Phone W: : J * 

Omaha Lead Site 

Site SIcetcli 

Sample Number Lead 

Concentration 

Sample 

Collected LAB 

RYASCPXAr1478 YA 346.6 ppm D 

RYBSCPXA'1478 YB 122.2 ppm a 

RYCSCPXAr1478 YC 891.2 ppm 

RYDSCPXAr1478 YD 251.8 ppm a 

RDZSCPXA-1478 DZ aOfl l ppm D a 

RGZSCPXA.1478 GZ 1929.6 ppm m 

RPZSCPXA-1478 PZ ppm D a 

Number ofsamples = | 5 

ExteriorPaint 

• Good 

n Poor 

Q Notpaint 

North Anrow 

t 1] 

Samples Collected 

Fimi: Sverdrup 

Date: 

Time: 

Samples Analyzed 

XRF Unit: Book: 

Date: 1(V4/1999 

Time: 02:47 

Staff: 

Legend: YA = Yard (NE). YB = Yard (SE). YC = Yard (SW). YD = Yard (N\AO, DZ = Drip Zone; GZ = Garden, PZ = Play 

YA-344..6 

~V/X777A. oz^eoei 7^ 

V X XX X X X y y X X X7 ^ 

}N /^r. 

Rev4- 046141.0123 

'BSiisi&is&HimiH.-JiSS 

Agreement To Allow Access To OnLaha Lead Property To Conduct Investigation 

Refming Site ^^j0 And Cleanup m 

Iti e US. Enviraamental ftotectiai dEPA) has hired Sverdrup Enviroomenial b e to evaluate lead contairiinatioo in th; Qnuha Metropolitan va . You can be^ «idi this evaluatiaD by giving pennission to te a the soil OO your property. If 

yoa sgn 1faiis farm, Svodnip will return in a Ifew medi 5 and testth! e soil at several locadons in your yard. The results of Ae tests 

will be se It to you at a later date. 

f yoB have any questioDS about this simplinj, plea9e contact Don Bahnke, EPA's prcgect jnanager fyt ± e Oinaha lead 

investigaiiaD. Mr. Baimke can be reached at 1-800>^3^042S or at 913-551-7747. 

Piopeit' Access Granted By: 

Signature) 

NOTE:! necesarity imply your property will bejsampled at diis tinieL 

PROP] SRTY INFORMATION 

(to be completedfagr I d ideat aad/or property owaer •> idnse priai) 

RESQ>E •TTNAME:. k/ji: '^rre' Z p^r niRenter 

C€ ton VBSnXE. TT ADDRESS; ^^L \ C ^ * '^H o ^ ^ .21 

IF RENT AL» PROFERTY O^VNED BY: 

OWNER'S MAILING A])IttESS:_ _ J2iJ2 

,.''"^..- OWNER'STELEmONENUMBER-HOMEfM^^ \ l^^^f^^ t ^ WORK f J_ 

AGE OF HOME? ^ 0 YEARS. 1 [OW LONG HAVE YOU LIVED HERE? ; _Y£AR& 

HAS I H C ESCTESIOR BEEN PAINTED OR C0 \ ERED WIIH SIDING SINCE 1978? _^!:3E S NO S fcU-. 

HAS THE INTERIOR BEEN PAINTED OR COV iltED SINCE 197B? YES NO 

NUMBE t OF OCCUPANTS TINDER 6 YRS. 011 ^ ^NUMBE R OF OCODPANTS 6 YR^ OLD AND OLDER. ^ ^ 

NUMBEl OF CHILDREN UNDER 6 YRS. OLD ^ VHO PLAY IN TEE YARD FOR 5 HRS. 3R MORE PER WK 

COMM^NTTS OR SPECIAL INSIRUCnONS. ^ L, DOGS, ENTRY GATES, ETC 

AUTHOF n V TOR ENVIRONMENTAL RESPONSE ACTIONS 

1 h e activities to be inplenieated by EPA undbr this agreemeot art pursuant to Section KM of CERCL.A, 42 U.S.C. 9604. 

EPA*8 rig bt of access to the property is provided for is Section 104(e) of CERCLA. 42 U.S.C 9604 'PX whidi provides entry fir, 

'^dktennin ing the need for response, cr diooang ortali ing any response action under this thle, or at lerwise enforcing the provisioosofti.istitle.*' 

i^EPA 

RI: GiON 7 

EMiV DIVISION 
,.:.>-y/.'aU;.-.'. ;*B«:s>-:;*r.«i* 
OM.AH.A L]:A D REFININ G SIT E 

FIELD S.^.MPLEN-G REPORT 

Addres.,. 4^ 6(g</U fa 2l.rA ^ City (>:>wtKflv Sjr.eJ^L^ Zip ^^A? ^ 

Prcce'^ - *<3^'»r^f>< se Descr.p'.ion ig&Jrigi^.xt i ivoe": 

GPS C(.ordina-es. V/^{2.oZJif -oifjS^6it.^tiL/ /PC3M.SOOS 

F'.-V.T- P •oco Fiie-cT-.e- .3S5/c» Eacx ?hc-c Fiiera-c Jj^^l-) 

Se.TiDieh ff. PM .\jl^ rSo'' t S I*D\^C^ 

1 ^ piicaie Coiiected? 

EifiJlil &<H5 ^ ;?qn;?'^ i S Sair-gi^ ^y. • List beio-«'"'i Obser^a;icn >• CommentsNH Coricos'ixe e^YA5C?.v^07i,!rfl Y.© _ D^ ^ 

^ 

V'V Cctr.rc5;:i ^••-)5C?:-:-.g7^H. 

SH Cor: 2^ >^sc?:c-. 6|k)_H_i v ^ 

5'••'.' Corirccsice ^ VCSCP.K.-. i:>^(^4|' V ^ 

Drip CcTiposre DZ5CPX.-. Y.A- rtfyj ­

.^sin; Sar.cie^ (ltli/W..A.l. <^A.'VV ' ^ lJ.L^:f.\2. 

Garden K'cs ^ G^C-? MA p7>i f ? Y C9 ^ TOi i 

?[£v .nrsia 4? J _?:<--• v.>- nooju 

Sabsariic 

aa<i 0<^ 2afflCk£ Sampj.! N'o. Obsgr/ation.<. C9mffi?r.X5' 

G Quad-ant Subsurface 

es I i; rj) ian . 

•3" Grib' ^ Y P SG?>3 

•10 C-TiC P^YQ SGPX C 

;-24" Grcc $;Y $ 5GPXD 4^ 

G XRF Duplicate a KX^"^ 

(1/TOsanples) 

G CotffiijmariOT Duplicaie g/c. S (;,DL/T atfo<i7 ^—^;;;;^^—^ 7^7 5 

4 02.:2r to PDF (1/10 samples) ^so-bLj^ oSogf coAsf *f y^-^o 

G Rissats Blank 

(1/20 properties) W(SLZ nO'VJ!^ 

^A2ARC0 railroad, rewdeatlal. daycare, odwrcsaigg rial or otlgicdosgai? 

'lodadtf CO or Gf sot!, onasaai odcrs, dstxogmsangcuB usedstics, snd snjr other chservsticns/c8im&e|:B. 

' Only cofle ::ed if drip sample caotaiDS lead > 400 mg^ (. 

' If these in s are piwBtn, collect ooe ""f"*^ gnb san{ Ie fiom each garden crphy area. If oicre dia one g27den cr 

f^lS* SS& C! ^S, GSS SSSpCStlt SESis S SdlsSSSd ?!& !!! SHCSSI f[^SL €Ss! STSS. 
Sample lofcation Samole t i-i.ii<i Data rmg/lc-2l* 

KE Co.—ipi^site Y.^SC?X.^A-7^4^ ?= ^^7t^-7 Cr <l6 ^ 

WZ s[^) tfi^ A 5 ^ 

^ (H Kg_S7j Jt2^ 

Xv/" Cc-r: S YD5CPXA 076fZ 

MIL l\0(>C^l) 

• "^^za__Hg_ ^ 7 

£:-H5:?:o. 07^4^/ -=- (^7i:^7 C.-^i ^ 

ll04(t/£) - <S 7 Z.- )Kl|g^ 

Se czo Hg^:z L 

SW Compc site g.YC5C?X-..27Gf/£ 

112:5 (f/z^ 3StiM^ ^k-)^ 

-^« 47 0 Hg ^:^ ^ 

i>r:3 Ccmr bs:" DZSC?.v\ •3U. 

ia 

Address: ^6^ 6 ^.^r^'^ ^k Clrr c:>^v.Uc Scs:a: gL _ Zip: ^ C?7 
OTHER POSSIBLE XRF RE.ADD^G' S 

^acmoU locbicPain: Samd 

'"-s.­

0-2 Grac 

3-:fGrab 

H5-24"Gra> 

_\.- L^'i:ouc±:a 

:G15 Du3iic 

XRF Duplicate 

Addrew: '^^V^

 Sar:ioi5 No 

LZ2GPX2 

!Lc^SC?.-<.-.67^H£. 

ll04(i/3) 

? 5 PX.^. 

R.Y^SG?:<3 07fcq7 

^Y^SGrXDJiOfc^g. 

fiypsCOXfi^ fb7(W^ 

tjrs(qi) 

 5: ^^-'^ Si Crtr 

•ie'd Dat a i'i 

7-

Pl. ^ 

'•:2os:t2<^ c.-,4s^ .^^[ ^ 

Ai ^urzs- z- Z/6t^r;-:. z^^ AS:^ 

Pb ^/«SJ:;»^ Cr </^Qo 

A>i ^ ^ z- <i/oo 

Pr ZlOtZq Z: CmO I Sc ^Cf^ 

Pb 79=^t^6 Cr^^J^22a 

AiZ.7f • Zn 779 1 m 

Pb i « 

.-i-i zi 

^^^iJ ^ State: jt ^ Zro: _ ^ Ti 
RIGHT OF ENTRY TO PREMISES 

Fhe Grantor ( ^ proper^ ownerX , coasats to and audborizes the United States Eml ironmental ProtecdoD Agency (USEPA) or its authorized i^teseotatives, ctdlectivdy the Grantee to nter and perfonn 

certain enviroomental response activities upon iSae Mowing described premises. 

1 OF RESPONSE ACTION 

; purpose of the response 8Cti(Mi is to (jetondoe wfaethcr soil attiie property is cqntamjnat^ 

i substances. 

EJ^VIROlSMENrAL RESPONSE AC PONS 

rhe environmental response actiois to be performed an said property may inchide 1 hefollowing activities: 

Locating equqmient and inachiner)r o|>«ite m prqnrationfor and mtiie course >f the environmental response; 

Obtauung samplesfiom Grantor's prbperty; 

• Planning and hq>knieatingtiie remorial action on or near Grantor's property. 

AflBCT.Mir.vr NOT TO INTERFER] I 

rhe Grantor agrees not to interfere or tan iper vntii any of the acti^ties or work doai. ortiie equipment 

used to perform tie activities, or to tmder lake aiQr actioas r^arding the use of said [voperty which 

wottid tend to endanger the healtii or welf uv of die Grantees or the environment, otr o allow otiiers to 

ose the pn^)erty in such a manlier, during the term oftins Agreenient. 

SAMPLING RESULTS 

fhe Grantee agrees to provide Grantor wtil the results of any and all sanq)lmg and or analysis resuhDg £pom Grantee's response activities on Ae[»operly. 

RESTORATION OF PROPERTY 

The Grantee agreestiiat said property wQ be restmed as nearly as possible to its oi iginal state and 

x»ditiaii asfound immediatd^ preceding the b^boing of activities authorized by this Agreement fdofwing con^ietioa <^tiie iovestigvtive activities. 

TTERM 

Thisacacces o s agreement shall be operable f>r the period of time it takes to conqilete environmental tie 

] esponse activities. Upon conq>Ietiolofti n e response action, allrights and privilege^ given by tiie 

< jrantor shall cease on that date, unkss es^tendebd y subsequent agreenient. 

have read theforegoing document and u ideistandtiiat it is an agreement granting lermissiontothe 

I jrantee to enter the above described pren: isesfor the purpose of conductiienviro ^ f mental response 

i ictivities, and I agree to its tBtms.and com iitioos. 

.MJXE. DATE nlrpT 7 1 attends a daycare^ please ; the address below: 

% 

^v^^9fj(^ t>^4^ ai^*^4 ^otfX^ ll^^'^/'^i 
Page 1 of 1 

S'C^f^s ^^i s y 

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Print Preview Page 1 of 1 

Douglas County-Omaha, NE 

Parcel ID 

Owner 

IName 

Property 

\ Address 

[city 

Zip 

Owner 

Address 

Owner 

Address 2 

Owner 

City 

Owner 

State 

Owner 

\zip 

2025470000 

GARZON 

WENDY A 

5646 S 22 

ST 

OIVIAHA 

68107 

5646 S 22 

ST 

OMAHA 

NE 

68107 

Sec-TwnRng 

Addition 

Block 

Lot 

Legal 1 

Legal 2 

Legal 3 

Legal 4 

Treasurer 

Website 

Link 

Assessor 

Website 

Link 

10-14-13 

POTTER & COBBS 2ND ADD 

2 

12 1 

50X130 

http://webapps.dotcomm.org:8080/TreasTax/faces/pages/taxinfo.jsp? 

parc=2025470000 

http://douglasne.mappingonline.com/DouglasCoNe/static/accountinfo.jsp? 

accountno=R2025470000 

Disclaimer: Map and parcel data are believed to be accurate, but accuracy is not Map Scale guaranteed. This is not a legal document and should not be substituted for a title search, 1 inch = 57 feet appraisal, survey, or for zoning verification. 

http://www.dogis.org/dogis_alias/dogis/printPreview.aspx?PrintOptData=Douglas County-... 10/1/2008 




Page 1 of2 

"> 

Create Another Ticket Back to Irth Internet Send Email 

YOUR TICKET NUMBER IS 2149453. 

Original Call Date: 10/07/08 Time: 11:49 am Op: RAMITA18967 


Work to Begin Date: 10/09/08 Time: 12:15 pm 


State: NE County: DOUGLAS Place: OMAHA 


Address: 564 6 Street: S 22ND ST 


Twp: 14N Rng: 13E Sect-Qtr: 10-NW 


Twp: Rng: Sect-Qtr: 


Legal Given: C 


Type of Work: lead remediation project for soil 


Location of Work: LOCATE ENTIRE PROPERTY 


Remarks: FAX ALL CLEARS TO: (402)733-1883 


: UNSURE CORNERS 


Company : PRUDENT TECHNOLOGIES 


Contact Name: RAMITA Phone: (402)733-1455 


Alt. Contact: Phone: (402)733-1188 


Work Being Done For: epa 


Depth of Excavation: 6 ft Corner Lot: N Front: Y Rear: Y 


Involves Tunneling or Horizontal Boring : N Explosives: N 


ALT872 ATTNEBRl CXCATV DIGITEL LEVELS MCLEODNE MUD02 


OMAHACOF 0PPDGPR6 QLNNEIF QWEST2 SPRINTNE 


Service Area Contact Phone Number 

Utility 

Type 

ALT872 WINDSTREAM 

COMMUNICATION NA 

Day: 4067289343 

Alt: 8887289343 

Emerg: 4067289343 

ATTNEBRl ATT/T 

Day: 80024136249 

Alt: 

Emerg: 80024136249 

CXCATV co x

INC 

 COMMUNICATIONS, HEIDI 

Day: 4029340469 

Alt: 4029340469 

Emerg: 4029329757 

Day: 8665624349 


DIGITEL LIGHTCORE NA Alt: 8008509048 


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Page 2 of2 

LEVELS LEVEL3 COMMUNICATIONS, 

LLC 

MCLEODNE MCLEODUSA 

MUD02 

OMAHACOF 

0PPDGPR6 

METROPOLITAN UTILITIES 

DISTRICT 

CITY OF OMAHATRAFFICSEWER 

OMAHA PUBLIC POWER 

DISTRICT 

QLNNEIF QWEST LOCAL NETWORK

QWEST2 QWEST LONG DISTANCE

SPRINTNE SPRINT COMMUNICATIONS 

CO 

NA 


NO NEED TO CALL OUT 


EMERGENCY 


SANDY 


RON 


NA 


 NA 

 SARA 

Emerg: 8665624349 

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http://www.dhon.org/irthintemet/DHONNoticeCreation/MessageText.asp?ret=<RESULTS... 10/7/2008