WTC Visual Survey Form 1 d 6O ' •1 '7
emise Address: 33
Block: Residential D Commercial Name of Building:
Lot: Mix Use J Other
# of Stories: 4o AKA's:
Building Owner/Management: OR LI-c Telephone Number: (2i2)4g3-8&yo.
Name: -e.sa T. Me am FAX: (
Address: 6o 12>koA~ mc-:6T iv N ioz~q-
On Site Contact:
Name: ' cieresQ, ld Telephone Number: ( )
Building Owner Mar gemenf 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 Yes
Visual Inspection Kesuits:
Facade:
Inspected Debris
North ❑ N/A Yes ❑ No ® No Visible/Fine Layer ❑'/% to 1" ❑ > 1"
South ❑ N/A Yes ❑ No No Visible/Fine Layer ❑% to 1" ❑ > 1"
East ❑ N/A Yes ❑ No ® No Visible/Fine Layer ❑'/2 to 1" ❑ > 1"
West ❑ N/A Yes ❑ No No Visible/Fine Layer 0% to 1" ❑ > 1"
Facade Description:
I Roof
Debris: Ej No aible-/Fine Layer [:]'/z to 1" ❑> 1"
Description:
Setbacks N/A ❑
Floor. ?1 Debris: ® Ne-Yisibte/Fine Layer ❑ V2 to 1"
Floor: _j__ Debris: Ne is 3te/Fine Layer 0'/2 to 1"
Floor: I i 4-,e Debris: 0 No Visible/Fine Layer ~('h to 1"
Floor. Debris: ❑ No Visible/Fine Layer 0 '/2 to 1"
Floor: Debris: ® No Visible/F.4ne-ger ❑'h to 1"
DEP inspection form recording building details and facade conditions (north, south, east, west sides) with damage extent measurements and ACM documentation.
Joint memorandum from NYC DEP and DOH advising building owners on post-9/11 maintenance, re-occupancy issues, and hazardous material assessments including asbestos.