DEP follow-up letter, 21 West Street

NYC 9/11 Public Portal Document

WTC Visual Survey Form Premise Address: g LL Block: Residential J j Commercial D Name of Build g: Lot: Mix Use 0 Other # of Stories: t AKA's: Building Owner! anageme t: Telep one Number: ~t z Name: S FAX:( G6G Address: On Site Contact: Name: Tele hon Number: ) Building Owner Manageme cti ties Interior Survey Performed Yes ❑ No Exterior Survey Perfo a Yes ❑ No General Clean Upr Yes U No Locations: ACM Clean Up a No Locations: Air Monitoring Yes No Locations: Copies of All Reports and Data Requested es

Visual Inspection Results: Facade: In pected D brie North ❑ N/A NJJ,YesDNo No Visible/Fine Layer ❑ Va to 1" ❑ > 1" South ❑ N/A YesDNo No Visible/Fine Layer ❑ % to 1" 0>1" East ❑ N/A Yes ❑ No W[No Visible/Fine Layer ❑V to 1" 0>1" West ❑ N/A YesDNo 4 No Visible/Fine Layer ❑ Va to 1" ❑ > 1" Facade Description:

Roof ,,~~ ~ Debris: '~No Visible /Fine Layer ❑ % to 1" ❑ > 1" Descnption.L~~

Setbacks N/A ❑ Floor: Debris: ❑ No Visible/Fine Layer ❑ % to 1" ❑ > 1" Floor: Debris: ❑ No Visible/Fine Layer ❑ % to 1" ❑ > 1" Floor: Debris: ❑ No Visible/Fine Layer ❑ % to 1" ❑ > 1" Floor: Debris: ❑ No Visible/Fine Layer ❑'/ to 1" ❑ > 1" Floor: Debris: ❑ No Visible/Fine Layer ❑ Va to 1" ❑ > 1"

Comments o

Date: Inspection Team: Name: Agency: "' v Name: Agency:

NYC-WTC 000109755