21 SOUTH WILLIAM STREET Block: 29 Lot: 49 BIN: 1000847 23 South William St., 45-47 Stone Street

NYC 9/11 Public Portal Document

• WTC Visual Survey Form Premise Address:

Block: Residential 0 Commercial Name of$utldin ; • Lot Mix UseLL Other 0 - # of Stories: AKA's: Building owner/Management Telephone Number. ( ) Name: FAX: Address:• On Site Con Name: ' ' 1 ' ®Y-' S V S 'Telephone Number Zi t. S1 `F 6v cf 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 DYes

Visual Inspection Results: Facade: in ected De)brls North N/A £Jes No No Visible/Fine Layer ❑'Y to 1' 9>1' Yes No o Visible/Fine Layer South East West C1 N/A 0 N/A 0 N/A fl yes Yes❑No o Visible/Fine Layer R°' 9>1 34 to 1' 9.No Visible/Fine Layer 9%to1' >? 9 >1' ' Facadc Deco iption:

Roof

Debris: No Visible /Fine Layer 034t01' 9>1'

Setbacks N/A9 Floor___ ❑ No Visible/Fine Layer 4 to 1' 0>1' Floor._ Debris: ❑ No Visible/Fine Layer 34 to 1' >1' Floor. Debris: Q No Visible/Fine Layer % to 1' >1' Floor____ Debris: No Visible/Fine Layer 3% to 1' >1' Floor Debris:DNo Visible/Fine Layer 34t01' 0>1'

Comments Sc L -k—- cLJZ(

Date: I I l 042E sspection Team: Name: l/' ' y Agency: "i R E Name: Agency: ~T NYC-WTC 000116948