108 SOUTH STREET Block: 97 Lot: 8 BIN: 1001329

NYC 9/11 Public Portal Document

WTC Visual Survey Form Premise Address: Stock: Residential p Commercial Name of Building: Lot: Mix UseD Other # of Stories: AKA's: Building Owner anagement Telephone Number. ( ) Name: s 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 ACM Clean Up Air Monitoring 8 Yes No Locations: Yes No Locations: Yes 9 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 34 to 1' > 1' South N/A Yes No No Visible/Fine Layer 34 to 1 >1' East N/A Yes No No Visible/Fine Layer % to 1' >1' West N/A Yes No No Visible/Fine Layer 36 to 1' 9> 1' Facade Description:

Roof Debris: No Visible /Fine Layer 934 to 1' 9>1. Description:

Setbacks NWA1 Floor:___ Debris:[] No Visible/Fine Layer 14 to 1' > 1' Floor Debris: No Visible/Fine Layer 34 to 1' > 1' Floor.____ Debris: No Visible/Fine Layer 34 to 1' > 1' Floor Debris: No Visible/Fine Layer 34 to 1' > 1' Floor:___ Debris: No Visible/Fine Layer 34 to 1' > 'I'

Comments

Date: Inspection Team: Name: Agency: N'TERED► Name: Agency____

f. NYC-WTC- 000116856