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 1000 17 Premise Address: A a— Block: g Residential 0 Commercial Name of Building: Lot: Mix UseD Other # of Stori s: AKA's: Building Owner/Management: Telephone Number: ( ) Name: FAX: Address: On Site Contact: Name: • * Telephone Number: Building Owner Management Activities interior Survey Performed j] 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 Yes

Visual Inspection Results: Facade: Inspected Debris North ❑ N/A ❑ Yes ❑ No ❑ No Visible/Fine Layer ❑'/s to 1" S 1" South ❑ N/A ❑ Yes ❑ No ❑ No Visible/Fine Layer ❑ % to 1" 1" East ❑ N/A ❑ Yes ❑ No ❑ No Visible/Fine Layer ❑ Y2 to 1" ms's 1" West 0 N/A ❑ Yes 0 No ❑ No Visible/Fine Layer ❑'/z to 1" i r> 1" Facade Description: cj 4 t

Roof Dist; u I Debris: ❑ No Visible /Fine yer ❑ V to 1" •4 clr~ 1" Description:

Setbacks N/Az! Floor. Debris: ❑ No Visible/Fine Layer ❑ Y2 to 1" 0>1" Floor. Debris: ❑ No Visible/Fine Layer ❑ % to 1" 0>1" Floor. Debris: ❑ No Visible/Fine Layer ❑ Va to 1" 0>1" Floor. Debris: j] No Visible/Fine Layer ❑ Va to 1" ❑ > 1" Floor. Debris: ❑ No Visible/Fine Layer ❑ Va to 1" 9>1" P..mw~ente -

Date: */ ° 1200? 0 Inspection Team: Name: _ Agency: Name: Agency: Et4 ~ NYC-WTC- 000116950