WTC visual survey form, 156 Water Street

NYC 9/11 Public Portal Document

,.. I OC)113'Z WTC Visual Survey Form Pr emise Addr~ 5 „n ql p t yl 4o -L. L- ') Block: 10 Residential DCommercialLi Name of Building: Lot: Mix Use El Otherfl # of Stories: AKA's: Buiding9wnerlMapagement Telephone Number: ( ) Name: 'w- FAX: Address: ti L On Site Contact: Name: p Telephone Number. -t -t 8 5'- 3 C o $ Building Owner Management Activities Interior Survey Performed ❑ Yes 0 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 ❑ % to l" 0>1' South ❑ N/A ❑ Yes ❑ No ❑ No Visible/Fine Layer ❑'h to 1' 0>1' East ❑ N/A ❑ Yes ❑ No ❑ No Visible/Fine Layer ❑ % to 1" 0>1' West ❑ N/A 0 Yes ❑ No 0 No Visible/Fine Layer ❑ % to 1' ❑ > 1" Facade Description:

Roof

Debris: ❑ No Visible /Fine Layer 9 % to 1' ❑ > 1' Description:

Setbacks N/A ❑ Floor. Debris: ❑ No Visible/Fine Layer ❑ % to 1' D>1' Floor. Debris: ❑ No Visible/Fine Layer ❑ h to V 0>1' Floor: Debris: ❑ No Visible/Fine Layer ❑ Y2 to V 0>1' Floor. Debris: ❑ No Visible/Fine Layer 0 to V 0>1' Floor: Debris: 0 No Visible/Fine Layer 0'r4 to 1" 9>1'

Comments

Date: Inspection Team: Name: Agency: " V Name: Agency:

-___ - -- - - NYC-WTC- 000113748