1 WILLIAM STREET; Block: 29; Lot: 36; BIN: 1078995; 1-3 South William St., 63-67 Stone St.

NYC 9/11 Public Portal Document

4 WTC Visual Survev Form /i -7 0Cifk- Premise Address: v O S1re ' Block: ,2 '( Residential 0 Commercial Name of Building: Lot: 3(0 Mix Use ❑ Other p - # of Stories: AKA's: Building Owner/Managementj7mk . t3c1 Telephone Number. ( ) Name: FAX: Address: On Site Contact: p Name: . `a. Telephone Number: Z1 Z) (a7- 3 6 b• 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-6ayec_ ❑ % to 1" 0>1" South ❑ N/A Yes ❑ No j No Visible/der ❑ Y2 to 1" 0>1" East ❑ N/A l Yes ❑ No ❑ No Visible/Fine Layer ❑ Y2 to 1" ❑ > 1" West ❑ N/A ❑ Yes ❑ No ❑ No Visible/Fine Layer ❑ % to 1" ❑ > 1" Facade Description:

Roof p~ r`- Debris: /Fine Layer to 1" ❑ > 1" Description:

Setbacks N/A to 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 El 1/2 to 1" ❑ > 1" Floor. Debris: ❑ No Visible/Fine Layer ❑'/ to 1" ❑ > 1" Floor. Debris: ❑ No Visible/Fine Layer 0'/2 to 1" ❑ > 1" Comments

Date: .3 //2002 Inspection by: Name: P. Agency: 0. )C Name: Agency:

NYC-WTC 000110164