15 HARRISON STREET Block: 180, Lot: 126, BIN 1002034

NYC 9/11 Public Portal Document

WTC Visual Survey Form !r Premise Address: -. kt- -\--. Block: Residential omercial m Name of Building: ~~ Lot: (off Mix Use Other # of Stories: AKA's: Building qynerIManagement (\ Telephone Number. ( ) Name: crl FAX:

On Site Contac Name: - Telephone Number. Building Owner Management Activities Interior Survey Performed Yes ❑ No Exterior Survey Performed Yes ❑ No General Clean Up ❑ Yes ❑ No Locations: ACM Clean Up []Yes ❑ No Locations: Air Monitoring 9 Yes ❑ No Locations: Copies of All Reports and Data Requested f Yes

Visual Inspection Results: Facade: Inspected . Debris North N/A ❑ Yes ❑ No No Vsible/Fine Layer ❑ % to l' 9>1 South 9] N/A 1s 0 No o rsible/Fine Layer 34 to 1' 9>1. East ❑ N/A ❑ Yes ❑ No ❑ No Vsible/Fine Layer H%tole 0 3-- l e West ❑ N/A ❑ Yes 0 No ❑ No Visible/Fine Layer D 34 to 1' 9>1. Facade Description:

Roof Debris: No Visible /Fine Layer .934 to 1' 9> V Description:

Setbacks N/AD Floor Debris: 0 No Visible/Fine Layer 34 to 1' D > 1' Floor Floor Debris: Q No Visible/Fine Layer Debris: [] No Visible/Fine Layer 34 to 1' 34 to 1' B3010 > 1' Floor____ Debris: 0 No Visible/Fine Layer 34 to 1' [] > 1' Floor____ Debris: 0 No Visible/Fine Layer 34 to 1' r] > 1' Comments

Date: Inspection Team: Name: Agency: Name: Agency:

NYC-WTC 000093575