76 Beaver St. AKA 11 Hanover Square BIN: 1000833

NYC 9/11 Public Portal Document

4 WTC Visual Survav Form Premise Address: EA V6R s1REEi A k t Ii t.•• Block: Residential El Commercial J Name of Building: Lot: I Mix Use O Other # of Stories:27i-p AKA's: Building Owner/Management: p - ccvp.Telephone Number: (2)2) S'l"- 203o. Name: ge mac- - FAX: ( ) Address: gsc Cr cw ,9,r / an On Site Contact: Name: Ik a#vco • Telephone Number P11 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 I Yes

visual inspection Results: Facade: Inspected Debris North ❑ N/A EO Yes ❑ No ❑ No Visible/Fine Layer ❑Y2to1" ❑>1" South ❑ N/A aYes ❑ No ❑ No Visible/Fine Layer ❑Y2to1" ❑>1" East ❑ N/A Yes ❑ No ❑ No Visible/Fine Layer ❑'/2to 1" O>1" West ❑ N/A ❑ Yes ❑ No ❑ No Visible/Fine Layer ❑Y2to1" ❑>1" Facade Description:

Roof

Debris: ( No Visible /Fine-Leyer ❑ % to 1" O>1" Description:

Setbacks N/A ❑ Floor: 2-3 Debris: (0 No Visible ❑ % to 1" ❑ > 1" Floor: I5 Debris: E' No Visible//ina Layir ❑ %2 to 1" ❑ > 1" Floor: Debris: ❑ No Visible/Fine Layer ❑ '/2 to 1" ❑ > 1" Floor: Debris: ❑ No Visible/Fine Layer ❑'/ to 1" ❑ > 1" Floor: Debris: ❑ No Visible/Fine Layer ❑'/ to 1" ❑ > 1"

Comments

Date: /_/2002 Inspection by: Name: P ry l i o -la 4rf Agency: N`fc Name: Agency:

NYC-WTC-000118992