License agreement for debris removal, 49 Broadway, 2002

NYC 9/11 Public Portal Document .: ``On WTC Visual 'Survey Form w. AQJ#ZY

Premise Ad

Block: O esidential Commercial Name of Building: Lot: Mix Use Other-❑ # of S o es: AKA's: Building Owner/Management Telephone Number ( Name: FAX: Address: On Site Contact: Name: Telephone Number. Building Owner Management Activiti Interior Survey Performed ❑ Ye No Exterior Survey Perforpied ❑ Yes No General Clean Up s ❑ No Locations: ACM Clean Up Ye o Locations: Air Monitoring ❑ Ye 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 to 1" 0 '/ []> 1" South ❑ N/A ❑ Yes ❑jNo ❑ No Visible/Fine Layer ❑'/2 to 1" ❑ > 1" East ❑ N/A *c 'es ❑ No ❑ No Visible/Fine Layer /2 to 1" ❑ > 1" West ❑ N/A Yes ❑ No ❑ No Visible/Fine Layer ~/2 to 1" ❑ > 1" Facade Description:

Roof

Debris: ❑ No Visible /Fine Layer ❑'/ to 1" 1" Description:

Setbacks N/A ❑ Floor. Debris: ❑ No Visible/Fine Layer ❑ Y2 to 1" ❑ > 1" Floor: Debris: ❑ No Visible/Fine Layer ❑ '/2 to 1" ❑ > 1" Floor: Debris: ❑ No Visible/Fine Layer ❑ 1/ 2 to 1" ❑ > 1" Floor: Debris: ❑ No Visible/Fine Layer ❑'/2 to 1" ❑ > 1" Floor: Debris: ❑ No Visible/Fine Layer ❑'/ to 1" ❑ > 1" Comments f

Date: ?/ , 12002 Inspection by: Name: (i Agency: Name: Agency:

NYC-WTC 000118093