DEP letter requesting environmental assessment data

NYC 9/11 Public Portal Document

iooii'-/) WTC Visual Survey Form Premise Address:

Block: Residential Commercial Na of Bulidl"~" Lot: I Mix Use Other i .,, V`~~ # of Sto es: AKA's: Building Owner/Management Telephone Number. ( ) Name: FAX: Address: On Site Contact: Name: ' Telephone Number. Building Owner Management Activities Interior Survey Performed Yes No Exterior Survey Performed Yes B 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 D Yes

Visual inspection Results: Facade: In cted Debris North ❑ /A fY e ❑ No ❑ No Visible/Fine Layer i4 to T, >V South No i] No Vsible/Fine Layer i%to T, > 1" East N/A No No Vsible/Fine Layer %to 1' V West ❑ N/A 0 No No Visible/Fine Layer H%toll ❑ > 1" Facade Description:

Roof

Debris: Visible /Fine Layer fl 34 to 1" 0>1' Description:

Setbacks N/A ❑ Floor Floor Floor. Debris: 9 No Visible/Fine Layer Debris: Visible/Fine Layer Debris: [] No Visible/Fine Layer 014 1 to 1" to 1" 14 to 1" 0>1' fl '? 0>1' Floor Debris: ❑ No Visible/Fine Layer 14 to 1" 0>1' Floor. Debris: [] No Visible/Fine Layer 14 to 1" El'? Comments a

Date: "1 / /2002 inspection Team: Name: Agency: ENT ERED Name: Agency:

NYC-WTC 000129061