WTC Visual Survey Form I fle0R77
r~rtise Address: 1
S+-
Block: 31 Residential LI Commercial Name of Building:
Lot: B Mix UseD Other
# of Stories: _Z AKA's:
Building Own a agement: Telephone Number: ( )
Name: O 1 Y1 MC4J-'1 4ML4j14- FAX:
Address:
On Site Contact:
Name: ' ' Sa-yl W Telephone Number: (z(Z) 2-(~ i 34
Building Owner Management Activiti s q o 24CTtj
Interior Survey Performed ❑ es [}No
Exterior Survey Performed Yes ❑ No
General Clean Up ❑ Yes frJo Locations:
ACM Clean Up ❑ Yes o Locations:
Air Monitoring ❑ Yes Locations:
Copies of All Reports and Data Requested es
Visual Inspection Results: -fr
Facade:
In pected Deprls
North ❑ N/A ['Yes ❑ No Flo Visible/Fine Layer ❑%to1" 0>1"
South ❑ N/A Q''es ❑ No No Visible/Fine Layer ❑ % to l" 0>1"
East ❑ N/A [Yes ❑ No o Visible/Fine Layer ❑ % to l" 0>1"
West ❑ N/A Dies ❑ No go Visible/Fine Layer ❑ % to 1" 0 >1"
Facade Description:
Roof
Debris: Q~lo Visible /Fine Layer ❑ V to 1" ❑ > 1"
Description:
Setbacks N/A
Floor: Debris: ❑ No Visible/Fine Layer 0 Va to? ❑ > 1"
Floor: Debris: ❑ No Visible/Fine Layer ❑Y:to 1" ❑ > 1"
Floor: Debris: ❑ No Visible/Fine Layer ❑ Va to 1" ❑ > 1"
Floor: Debris: 0 No Visible/Fine Layer ❑ V2 to 1' ❑ > 1"
Floor: Debris: ❑ No Visible/Fine Layer ❑ % to 1" ❑ > 1"
Comments
Date: / (S /2002 Inspection Team: Name: 0L t7 Agency: PEP
Name: Agency:
ENTERED
NYC-WTC 000112663
OCR can misread numbers and units. Confirm readings against the page image before using them.
NYC-WTC_000112663Source: NYC Law Department, mirrored locally
DEP inspection form recording building details and facade conditions (north, south, east, west sides) with damage extent measurements and ACM documentation.
Joint memorandum from NYC DEP and DOH advising building owners on post-9/11 maintenance, re-occupancy issues, and hazardous material assessments including asbestos.