WTC Visual Survey Form
Premlee Address: 1
v 1 w r~C
Block: I Cf Residential 0 Commer 'al Nji f Bull in~:
Lot: Mix Use J Other t r `-tJoj
# of Storie AKA's: —
Building Owner/Management: Telephone Number: ( )
Name: y. ' - - FAX: (
Address:
On Site Contact:
Name: " * 1°N Telephone Number: )
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 f J Yes
Visual inscection Results:
Facade:
Inspected Debris
North ' N/A E YesEJNo ''No Visible/Fine Layer ❑%to 1" 0>1"
South /A fl Yes ❑ No ❑ No Visible/Fine Layer ❑%tol" 0>1"
East D N/A 'Yes ❑ No No Visible/Fine Layer 0%to1" 0>1"
West ❑ N/A Yes [] No -- No Visible/Fine Layer 0%to1" 0>1"
Facade Description:
Roof Est;
u '
Debris: (No Visible /Fine yer ❑ % to 1" 4 ; ❑ > 1" •
Description: /""
Setbacks N/
Floor: Debris: ❑ No Visible/Fine Layer ❑ % to 1" ❑ > 1"
Floor. Debris: ❑ No Visible/Fine Layer ❑ % to 1" ❑ > 1"
Floor: Debris: ❑ No Visible/Fine Layer ❑ Y2 to 1" ❑ > 1"
Floor: Debris: ❑ No Visible/Fine Layer ❑ % to 1" ❑ > 1"
Floor: Debris: ❑ No Visible/Fine Layer ❑ % to 1" ❑ > 1"
Comments
Date: Inspection Team: Name: L C. Agency: &P
Name: _ Agency:
NYC-WTC-000113983
OCR can misread numbers and units. Confirm readings against the page image before using them.
NYC-WTC_000113983Source: NYC Law Department, mirrored locally
DEP inspection form for 50 Broadway documenting building characteristics, facade conditions, and asbestos-containing material survey across multiple building faces.