WTC facade inspection form, 49 Ann Street, 2002

NYC 9/11 Public Portal Document

WTC Visual Survey Form 107qo Premise Address: (r) 5+ree+ Bloc- Lot: 9 4t Residential D Commercial Mix Use jJOther Name of Building:

# of Stories: AKA's:fl,I Building Owner/Management: £16 Atiw 1I7! c. 'roi 1 Telephone Number: ( ) 0

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 ❑ No Locations: Copies of All Reports and Data Requested U Yes

X visual inspection Results: Facade: Inspected ris North ❑ N/A ❑ Yes ❑ No o Visible/Fine Layer 0>1" ❑ % to 1" South ❑ N/A ❑ Yes ❑ No o Visible/Fine Layer ❑%tol" 0>1" East ❑ N/A ❑ Yes ❑ No o Visible/Fine Layer 0>1" ❑'/ to l" West ❑ N/A ❑ Yes ❑ No o Visible/Fine Layer ❑%tol" 0>1" Facade Description:

Roof

Debris: Description: ❑ No Visible /Fine Layer V /2 to 1" 0>10

Setbacks N/A ❑ Floor: Debris: ❑ No Visible/Fine Layer ❑ % to 1" ❑ > 1" Floor: Debris: ❑ No Visible/Fine Layer ❑ % to 1" ❑ > 1" Floor. Debris: ❑ No Visible/Fine Layer ❑ V to 1" ❑ > 1" Floor: Debris: ❑ No Visible/Fine Layer ❑ Va to 1" ❑ > 1" Floor: Debris: ❑ No Visible/Fine Layer ❑ % to 1" ❑ > 1"

Comments

Date: C am/ cQ Ci/2002 Inspection by: Name: CC' Agency: DEP Name: Agency:

NYC-WTC-000119530