17 SOUTH WILLIAM STREET Block: 29 Lot: 47 BIN: 1000845 53 Stone Street

NYC 9/11 Public Portal Document

i p 3- 1oo o f Y1S ,qA.4 s w1~is~ vj, -ki mn Aa4 V WTC Visual Survey Form Premise Address:

Blo Residential Commercial . Name of Building: Lot: /fr'ó Mix Use Other 0 bj, # of c es: AKA's: r Building Owner/Mana a t: s S'to# & Sr► p Name: t Address: On Site Contact F Name: i?wY Telephone Number. ) Building Owner Managem t 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 J Yes Visual Inspection Results: Facade: Inspected Debris North ❑ N/A ❑ Yes ❑ No ❑ No Visible/Fine Layer ❑%2to1" 0>1" South ❑ N/A ❑ Yes ❑ No ❑ No Visible/Fine Layer ❑%to 1" 0>1" East ❑ NIA ❑ Yes ❑ No ❑ No Visible/Fine Layer ❑%to1" 0>1" West ❑ N/A ❑ Yes ❑ No ❑ No Visible/Fine Layer ❑%tol" 0>1" Facade Description:

Roof

Debris: j o Visible /Fine yer ❑ Y2 to 1" •? =~^'"` ❑ > 1" 1 • Description:

Setbacks NIA Floor: Debris: ❑ No Visible/Fine Layer ❑ %2 to 1" 0> 1" Floor. Debris: ❑ No Visible/Fine Layer ❑ Y to 1" ❑ > 1" Floor: Debris: ❑ No Visible/Fine Layer ❑ Y to 1" ❑ > 1" Floor: Debris: [] No Visible/Fine Layer ❑'/a to 1" ❑ > 1" Floor. Debris: ❑ No Visible/Fine Layer ❑'/2 to 1" ❑ > 1" Comments

Date: //2002 Inspection Team: Name: Agency: Name: Agency:

NYC-WTC 000116929