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: I ` it W l Block: Residential 0 Commerci& Name of Building: Lot: Mix Use f J Other # of Stories: AKA's: Building Owner/Management Telephone Number: ( ) Name: FAX: Address: On Site Contact Name: * 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 O No Locations: Copies of All Reports and Data Requested j Yes Visual Inspection Results: Facade: Inspected Debris North ❑ N/A ❑ Yes ❑ No O No Visible/Fine Layer ❑Y2to1" O>1" South ❑ N/A ❑ Yes ❑ No ❑ No Visible/Fine Layer ❑Y2tol" ❑>1" East ❑ NIA DYesDNo O No Visible/Fine Layer ❑Yato1" ❑>1" West ❑ N/A DYesDNo ❑ No Visible/Fine Layer ❑34to 1" O>1" Facade Description: r

Roof

Debris: ❑ No Visible /Fine Layer ❑ % to 1" ' ❑ > 1" Description: , A _/

Setbacks N/A ❑ Floor. Debris: ❑ No Visible/Fine Layer ❑ 34 to 1" ❑ > 1" Floor. Debris: ❑ No Visible/Fine Layer ❑ % to 1" ❑ > 1" Floor. Debris: ❑ No Visible/Fine Layer ❑ 4 to 1" ❑ > 1" Floor: Debris: ❑ No Visible/Fine Layer ❑ % to 1" ❑ > 1" Floor. Debris: O No Visible/Fine Layer ❑ h to 1" ❑ > 1" Comments 7

Date: Inspection Team: Name: Agency: i` Name: Agency:

NYC-WTC-000116949