WTC visual survey form, 130 Water Street

NYC 9/11 Public Portal Document

'. awTC Visual Survey Form Premise Address:

Block: Q( . Residential 0 Comrperciaif3 Name of Building: Lot: Mix Use Other l_ # of Stories: AKA's: - 32le } Z-z_ Z t Building Owner/Management Telephone Number. ( ) Name: FAX: Address: On Site Contact: Name: ' * Telephone Number. Building Owner Management Activities Interior Survey Performed ❑ Yes ❑ No Exterior Survey Performed ❑ Yes ❑ No General Clean Up ❑ Yes 0 No Locations: ACM Clean Up ❑ Yes ❑ No Locations: Air Monitoring ❑ Yes ❑ No Locations: Copies of All Reports and Data Requested J Yes Visual Inspection Results: Facade: Inspected Debris North ❑ N/A ❑ Yes ❑ No ❑ No Visible/Fine Layer ❑%to 1" D>? South ❑ N/A ❑ Yes ❑ No ❑ No Visible/Fine Layer ❑ i4 to 1' 0>? East ❑ N!A ❑ Yes ❑ No ❑ No Visible/Fine Layer ❑%to1'_ ❑>1' West ❑ N/A ❑ Yes ❑ No ❑ No Visible/Fine Layer ❑hto1 ❑>1' Facade Description: n _

Roof

Debris: No visible /Fine Layer ❑ fs to V 0: 1- 1" Description:

Setbacks N/A Floor. Debris: ❑ No Visible/Fine Layer ❑ % to 1' ❑ > 1' Floor. Debris: ❑ No Visible/Fine Layer ❑'% to 1' ❑ > 1' Floor. Debris: 0 No Visible/Fine Layer 0 % to 1' ❑ > 1' Floor. Debris: ❑ No Visible/Fine Layer ❑ y4 to 1' El > 1' Floor. Debris: 0 No Visible/Fine Layer 0 % to 1' F]> 1' Comments

Date: Inspection Team: Name: _ y Agency: Name: Agency: ENTERED

NYC-WTC 000113783