77 MURRAY STREET Block: 132 Lot: 7 BIN: 1001423

NYC 9/11 Public Portal Document

Visual Survey Form Pr vNke Address: U/v Block: Residential 0 Commercial Name of aiding• Lot: Mix Use Other C I ,-?r)/ '7~ #of Stories: AKA's: Building Owp.erIManagment Telephone Number: ( ) Name: (,Apt+- Ah w~'aY FAX: Address: On Site Contact: 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 ❑ Yes ❑ No Locations: Copies of All Reports and Data Requested Yes

Visual Inspection Results: Facade: Inspected Debris North ❑ N/A ❑ Yes ❑ No ❑ No Visible/Fine Layer ❑ Y to 1" ❑ > 1" South ❑ N/A . 'Yes ❑ No [ No Visible/Fine Layer ❑ % to 1" 0>1" East ❑ N/A ❑ Yes ❑ No ❑ No Visible/Fine Layer ❑ % to 1" 0>1" West ❑ N/A ❑ Yes ❑ No ❑ No Visible/Fine Layer ❑ Y to 1" 0>1" Facade Description: r+~

Roof

Debris: to Visible /Fine Layer 9'/to1 9>1" Description: "_ __£

Setbacks N/A ❑ Floor. Debris: ❑ No Visible/Fine Layer ❑ h to 1" ❑ > 1" Floor. Debris: ❑ No Visible/Fine Layer ❑'/:to 1" ❑ > 1" Floor: Debris: ❑ No Visible/Fine Layer ❑ '/2 to 1" ❑ > 1" Floor: Debris: ❑ No Visible/Fine Layer ❑ % to 1" E]> 1" Floor. Debris: ❑ No Visible/Fine Layer ❑ 6 to 1" ❑ > 1" Comments

Date: Inspection Team: Name: 4W Agency: Name: Agency:

NYC-WTC 000097936