PROPERTY SUMMARY

 

| Date: 11/13/2007 | Omaha Lead Site Remedial Action Contract # EP-R7-07-06 | Month of: November 

| Property Address: 3506 Layfayette Av 

A. EXECUTIVE SUMMARY 

A.I Issues Encountered: None 

A.2 Issues Resolved: Re-Seed will occur in November on any dead spots to encourage spring growth. 

A.3 Unique Findings: 

A.4 Other Relevant Information: 

CONFIRMATION SAMPLING DATA/RESULTS: 

Fl - 151 @ 6" F2 - 105 @ 6" 

Dl-61@13" 

El-141 @ 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 clip/photographs 

5) Documentation - Completed Close-out Checklist 

6) As-Built sketch ­

i) Shall include final lead 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) Pre-excavation agreement details (if any are made with the property owner) 

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

photographs 

iii) Signed form verifying satisfactory restoration 

iv) Description of areas not meeting Interim ROD cleanup criteria. 

TECHNOLOGIES, INC. 40285063 

•ill 

Superfund 



',I !

 
25232 

Exterior Paint North Arrow Owner Name: LULA M MINOR Omaha Lead Site 

Ej Good *^ 5ite 5ketcn Address: 3506 LAFAYETTE AV D Poor

 1 Phone: H: W: [~] Not paint 

Sample Number

 Lead

 Sample ,._ Samples Collected

 

Concentration Collected Firm: FO/4 c\(a/C^ l]

 

RYASCPXA-25232 F1 ^ (p [ ppm p| Q Date: <?- . 1*?-^^

 

RYBSCPXA-25232 F2 ^,0 | pom pf Q Time- |4' l-«r 

RYCSCPXA-25232 B1 I I Q com fvf D •

 

Samples Analyzed RYDSCPXA-25232 B2 I MO pom R fl i

RDZSCPXA-25232 DZ \ ^^ ^ oom l^f Q XRFUnit: 'sL \\ Book:<^U i 

RGZaePXA'2529g OZ -> com f~I Q Date- cS. ^ \^ ff^ vj ^ 

'RPZOOPXA-g5B32 PS- ppm [~l l~l Time' P K,A 

" Staff: I Q>O Number of Samples = «5 j ^) J

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Omaha Lead Site 46130 
^•'••••^'i/r. Agreement to allow access to

 

Omaha Lead ? ,$£&V the property in order to conduct 

Site Remedial * '<]¥$''*' » environmental sampling and to 

Action •^••'•''•/•S-/.<----/• remove lead-contaminated soil 

Prudent Technologies, Lie. (Prudent) is under contract with the U. S. Environmental Protection Agency 

(EPA) to clean up lead-contaminated soils at a number of properties located in Omaha, Nebraska, 

including the property located at /^t^ToC \_ ciL^.f fcJ-tf^£K^fflie EPA requests your 

permission to allow Prudent to perform a soil cleanup atmis ^Joperty to remove lead-contaminated soil 

By signing tins 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 of the referenced 

property. After obtaining the owner's signature on this form, Prudent Technologies, Inc. will contact the 

property owner (and residents) within the next few weeks to coordinate performance the work 

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

Administrative Clerk for the Omaha Lead Site cleanup, Ms. Cyndie Hinds at (402) 504-1004. General 

questions about iiie Omaha Lead Site cleanup can be directed to the EPA Public Information Centers at 

(402) 731-3045 (south Omaha office) or (402) 991-95S3 (north Omaha office). 

Property Access Granted By: \) U. rFl»as« Print N am «) 

Property Owner Signature: //Vy J& C/7), YVU^UTl (O tf-3-J- 0 7 

(Signalur*! 

PROPERTY INFORMATION 

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

RESIDENT NAME: /_•> U (_/>^ l^A V\ I A Of ___ QDwnar 

RESIDENT ADDRESS: "T2? ^y Q ^ ^- I A I p. ,JUC Qj? G A^^ QP^d » M^- ^?l ?!> / 

IF REMTAL. PROPERT,' OWNED BY: - __________________ 

OWNER'S MAILING ADDRESS; 

OWNER'S TELEPHONE NUMBER - HOME: f^tt&l f>S<-f~ \ T7 "g> WORK: J \ 

AGE OF HOME?: *^0 YEARS. HOW LONG HAVE YOU LIVED HERE? "3 "3> YEARS. 

HAS THE EXTERIOR BEEN PAINTED OR COVERED WJTH SBING SINCE 1978? V^YES NO 

NUMBER OF OCCUPANTS UNDER 7 YEARS OLD: g) MUHBER OF OCCUPANTS7 YEARS OLD AND OLDER 

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

COHKEMTS OR SPECIAL INSTRUCTIONS: (I.E. DOGS. ENTRY GATES. ETC.) 

AUTHORITY FOR ENVIRONMENTAL RESPONSE ACTIONS. Th? activities to be implemented by EPA under this 

agreement are pursuant to Section 104of CER.CL>^ 42U.S.C. 9(504. EPA'srietit of accesstothe praserty is 

provided rcr In Section IC^fe]; ofCERCLA, 42 U.S. C 9003(5), wiilch provides"entry rar'dstermSnlngthenwd for 

responie, or choosing cr takirig any response action under this title, or otherwise enforcing the provisions of the ritla' 
&EPA

 

EPA Property Close Out 

Property#: 2*332 Property Address: .W<3£ Lf)ff)yerrf /?oc 

Date/Time: ////J/07 Owner's Name: /.ui/9 /*.v»7 

Quads Excavated: _.„ Contractor Group Prudent Technologies 

Excavation General Yes No 

1 . If necessary, were the correct quadrant(s) excavated and restored? J 

2. If necessary, were the correct areas of drip zone excavated and restored? / 

Grading Sod and Vegetation Yes No 

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

from the house? v/ 

2. Has sod been laid in all areas that were excavated? s -^ j.

 Does the sod appear to be generally healthy and growing? (Only evaluate if inspected at a 30 t/ day time period) 

4. Are sodded areas generally firm and evenly graded? I/ 

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 Yes No 

1 . Do gates open and close freely? (If applicable) ,/ 

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

3. Was damage to gates or fences avoided? (If applicable) ^f 

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

Foundation, Siding and Gutters Yes No 

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? i/ 

Sidewalks and Driveways (Concrete) Yes No 

1 . Was damage to driveway surfaces avoided? ,/ 

2. Was damage to walkway surfaces avoided? I/ 
Owners comments: 

Inspection notes: 

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

EPA Representative Date: 
25232 

aha Lead Site rior Paint 

Owner Name: LULA M MINOR Good Site Sketch 

Address: 3506 LAFAYETTE AV Poor

 

Phone: H: Q Not paint 

Lead Sample Samples Collected Sample Number 

Concentration Collected

 

RYASCPXA-25232 

RYBSCPXA-25232 

RYCSCPXA-25232 

Samples Analyzed RYDSCPXA-25232 

RDZSCPXA-25232 

RPZOOP)(A-EOg32 

Number of Samples = .*> 

Omaha Lead Site 46130 
Property Completion Agreement 

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

The property owner's signature indicates that the property owner is satisfied with the restoration of the 

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

remaining warranty (90 days overall, 30 days on sod growth guarantee) except those items listed below, 

if any. 

Property ID: 

Property Address: 

Owner: 

Phone: 

Restoration Items in Question: 

Item: 

Item: 

Item: 

Item: 

Item: 

Item: 

Required corrections to complete the property: 

do not agree restoration is completed 

Date 
Name: Date: 

No. Property Address Day Care AM Landscape Others 

Gs\So rpplacp rxxin slrxb . ,/­

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(Omaha Lead Site Owner Name: LULA M MINOR Site Sketch Address: 3506 LAFAYETTE AV

 

Phone:.H:

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Lead Sample Sample Number 

Concentration Collected 

RYASCPXA-25232 F1 . ^ CoI com El D 

RYBSCPXA-25232 F2 D 0 \ PPm 0" n 

RYCSCPXA-25232 B1 I IQ D. jm s n 

I RYDSCPXA-25232 B2 | MO D am 0 n 

RDZSCPXA-25232 DZ \ ^ J S^ DDm n^ n 

oom D D 

[•£0232 PS- ppm n n 

Number of Samples = 

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25232 

Exterior Paint North Arrow 

Gd Good y^ 

Q Poor I 

fj Not paint 

Samples Collected 

Firm: FDA c\to/C^t^ 

Date: Q- ,' I*? -0*4 

Time: 1 4'. K 

Samples Analyzed 

XRFUnit: J\\ Book:^|U 

Date: 0. 3 \^ fpi V-l 

Time: £> ^A ' 

Staff: ( aOl 

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Omaha Lead Site 46130 
Print Preview Page 1 of 1 

Douglas County-Omaha, NE 

Parcel ID 

Owner 

Name 

Property 

Address 

City 

Zip 

Owner 

Address 

Owner 

Address 2 

Owner City 

Owner 

State 

Owner Zip 

0607900000 

MINOR LULAM 

3506 

LAFAYETTE AV 

OMAHA 

68131 

3506 

LAFAYETTE 

AVE 

OMAHA 

NE 

68131 

Sec-Twn-Rng 

Owner 

Address 

Addition 

Block 

Lot 

Legal 1 

Legal 2 

Legal 3 

Legal 4 

Assessor 

Website Link 

17-15-13 

BEMIS PARK 

3 

16 

40X162.84 

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

accountno=R0607900000 

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 = 48 feet appraisal, survey, or for zoning verification. 

http://www.dogis.org/dogis_alias/dogis/printPreview.aspx?PrintOptData=Douglas County-... 8/1/2007 
Clean Up Query Lead Remaining Query Property Damage Query 

D Owner Occupied 

Owner Name: 

(MINOR LULA M 

Owner Addressl: 

Owner AddressZ: 

(3506 LAFAYETTE AVE 

City: State: Zip Code 

(OMAHA NE (68131 

Owner Phone: Alternate Phone: 

((402) 554-1773 

Resident Name: 

(MINOR LULA M JPRUDENT2007 

Property Address: Group: 

(3506 LAFAYETTE AV 

Zip Code: 

(68131 

Resident Phone Qualifying Group 

(800 

Assessment XRF Date: 

Assessment Max XRF Value 
Page 1 of 2 

Create Another Ticket Back to Irth Internet Send Email 

YOUR TICKET NUMBER IS 1871254. 

Original Call Date: 8/22/07 Time: 10:46 am Op: CYNDIE18967 

Work to Begin Date: 8/24/07 Time: 11:15 am 

State.- NE County: DOUGLAS Place: OMAHA 

Address: 3506 Street: LAFAYETTE AVE 

Twp: 15N Rng: 13E Sect-Qtr: 16-NW,17-NE 

Twp: Rng: Sect-Qtr: 

Legal Given: C
 

Type of Work: soil excavation - lead remediation
 

Location of Work: LOCATE ENTIRE PROPERTY
 

Remarks: FAX ALL CLEARS TO: (402)504-1005
 

Company : PRUDENT TECHNOLOGIES
 

Contact Name: CYNDIE Phone: (402)504-1004
 

Work Being Done For: EPA
 

Depth of Excavation: 14" Corner Lot: N Front: N Rear: N
 

Involves Tunneling or Horizontal Boring : N Explosives: N
 

CXCATV LEVEL3 MCLEODNE MUDO1 OMAHACOF OPPDGPR5 QLNNE1C
 

Service Area Contact Phone Number Utility Type 

CXCATV COX COMMUNICATIONS. INC HEIDI

Day: 4029340469 

 Alt: 4029340469 

Emerg: 4029329757 

LEVELS LEVELS COMMUNICATIONS, LLC NA

Day: 8773668344 

 Alt: 

Emerg: 8773668344 

MCLEODNE MCLEODUSA NA

Day: 8002891901 

 Alt: 

Emerg: 8002891901 

MUDOl METROPOLITAN UTILITIES DISTRICT EDWTNA

Day: 4025047823 

 Alt: 

Emerg: 4025047946 

Day: 4024447197 

http://www.dhon.org/irthinternet/DHONNoticeCreation/MessageText.asp?ret=<RESULTS... 8/22/2007 
Page 2 of 2 

OMAHACOF CITY OF OMAHA-TRAFFIC,SEWER RON 

Alt: 

Emerg: 

4024445161 

4024445160 

OPPDGPR5 OMAHA PUBLIC POWER DISTRICT NA 

Day: 4067289343 

Alt: 

Emerg: 8887289343 

QLNNE1C QWEST LOCAL NETWORK NA 

Day: 4067289343 

Alt: 

Emerg: 8887289343 

http://www.dhon.org/irthinternet/DHONNoticeCreation/MessageText.asp?ret=<RESULTS... 8/22/2007