WTC Visual Survey Form
Premise Address:
I t- w '
Block: esidential omme of Bw ing:
I
Lot: Mix Use er e 3 n
# of Stories: f AKA's: — rye, v1
Building Owner/Managem nt: Telephone Nu ) ZT)
Name: ~~, I' ) 9- -Q7 5 g,
Address: C O (coo 100 f
On Sit ontact:
Name: ,~,n~ S ~O Cc f ephone Number:
Building Owner Management Activities
Interior Survey Performed ❑Yes ❑ No P\ v j C\
Exterior Survey Performed ❑ Yes ❑ No (.4. C~ i c\ C~S
C
General Clean Up ❑ Yes ❑ No Locations: 4- S4-Q.d. .
ACM Clean Up ' Yes ❑ No Locations:
Air Monitoring ❑ Yes ❑ No Locations:
Copies of All Reports and Data Requested ❑ Yes
Visual Inspection Results:
Facade: LO' -Qd r1
Inspected 1 Deb*is
North ❑ N/A ❑ Yes ❑ No ❑ No Visible/Fine Layer ❑'/z to 1" ❑ > 1"
South ❑ N/A ❑ Yes ❑ No ❑ No Visible/Fine Layer ❑ % to 1" ❑ > 1"
East ❑ N/A ❑ Yes ❑ No ❑ No Visible/Fine Layer ❑'h to 1" ❑ > 1"
West ❑N/A ❑Yes❑No ❑ No Visible/Fine Layer [J 1/2 to 1" ❑ > 1"
Facade Description:
Roof
Debris: No Visible /Fine Layer ❑ Y2 to 1" ❑ > 1"
Description: c~tJ~-P-U c -r i o1 kIc— LOO(?.
Setbacks N/A ❑
Floor: Debris: ❑ No Visible/Fine Layer ❑'/z to 1" ❑ > 1"
Floor: Debris: ❑ No Visible/Fine Layer ❑'/2 to 1" ❑ > 1"
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 ❑'h to 1" ❑ > 1"
Date: ( / _•`J /2002 Inspection Team: Name H am. L l-t e r 'r -i C1 Agency: ti ` L
Name: nny r~ c is Agency:
NYC-WTC-000113367
OCR can misread numbers and units. Confirm readings against the page image before using them.
NYC-WTC_000113367Source: NYC Law Department, mirrored locally
A Department of Environmental Protection form recording facade and ACM inspection results for a building at 275 Greenwich Street dated February 12, 2002.
A Department of Environmental Protection form recording facade and ACM inspection results for a building at 275 Greenwich Street dated February 12, 2002.