23 OLIVER STREET Block: 279 Lot: 6 BIN: 1077434 AKA's:

NYC 9/11 Public Portal Document

t! WTC Visual Survey Form (O7q3c.( Pr,pad Address:

Block: 1 - Residential Commercial p Name of Building: Lot Mix UseD OtherD # of Sto es: AKA's: Building Owner/Managemen Telephone Number ( ) Name: `3`'j FAX: ( Address: On Site Contact+ Name: " ' Telephone Number. Building Owner Management Activities Interior Survey Performed ❑ Yes Q 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 RequestedD Yes

Visual inspection Results: Facade: Inspected Debris North ❑ NIA ❑ YesQNo O No Visible/Fine Layer h to 1' 0>? South ❑ N/A HYesHNo No Visible/Fine Layer D34to1" 1' East N/A Yes No No Visible/Fine Layer h to 1 D>1 West NIA [] YesQNo 0 No Vsitle/Fine Layer Yato 1' D>? Facade Description: /7

Roof Debris: No Visible /Fine Layer .9 34 to 1' 9>? Description:

Setbacks N/A Floor___ M Debris: No Visible/Fine Layer ❑ % to 1' ❑ > 1' Floor____ Debris: No Visible/Fine Layer 1/ 2 to 1' j] > 1' Floor____ Debris: No Visible/Fine Layer % to? >1" Floor. Debris: No Visible/Fine Layer h to 1' > 1' Floor____ Debris:E] No Visible/Fine Layer % to 1' > 1'

Comments

Date: _ 11 _12002 Inspection Team: Name: L. Agency: Name: Agency: ,\1TER

NYC-WTC-000116014