NYC DEP Construction Noise Mitigation Plan

Under CONTACT INFORMATION, enter the NAME OF RESPONSIBLE PARTY AS DEFINED IN TITLE 15 RCNY §28-109, the EMAIL, the PHONE NUMBER and the WORK SITE ADDRESS.

Enter the BUSINESS ADDRESS, CITY, STATE and ZIP, then the ZIP, BOROUGH, BLOCK and LOT of the WORK SITE.

Under CONSTRUCTION INFORMATION, enter the Approximate Distance to Closest Receptor (defined in Title 15 RCNY §28-109) as the Distance of Receptor in feet for A, B, C and D, with the Number of stories.

Under CHECK IF, check Residential Property, Commercial Property, City/State Project, Hospital, School or Other, and write the NAME.

Check YES or NO: Do you anticipate having to work at any time other than 7am to 6pm Monday to Friday? NORMAL WORK HOURS are as defined in NYC ADMINISTRATIVE CODE §24-222.

If YES, fill out Construction Alternative Noise Mitigation form and explain which phase[s] you anticipate needing an After Hour Variance. You MUST check which phase[s] of construction you will be working on: DEMOLITION, EXCAVATION, FOUNDATION, SUPERSTRUCTURE, FINISHING or OTHER.

Under PHASES AND DURATION DATES, enter the NYC DEP DEMOLITION REGISTRATION #, the NYC DOT DEMOLITION PERMIT # and the NYC DOB PERMIT NUMBERS for WORK and DEMOLITION.

For each CONSTRUCTION PHASE (Demolition, Excavation, Foundation, Superstructure, Finishing), enter From and To.

For Excavation, enter the Estimated Depth of Excavation: SOIL in feet + BEDROCK in feet = TOTAL in feet.

Check Pumping Operation YES or NO, and enter the NUMBER OF INDIVIDUAL TRUCKS PER HOUR.

Describe How Flooring Will Be Laid: check CONCRETE PUMP, PREFAB or OTHER.

Enter the Number of Floors / Stories, and check completed exterior before beginning interior work if the exterior is completed first.

If interior work is before exterior walls / windows are in, check interior work before exterior walls / windows are in. Explain what mitigation will be used at the site. Attach additional pages if necessary.

CONSTRUCTION DEVICES: list the §102 construction devices to be used at the site.

When the additional devices listed with each category are utilized, the use of barriers as set forth in section IV herein is not required unless the NYC Department of Environmental Protection receives complaints as set forth in §28-102(C) of Title 15 of the RCNY for each device.

If however, the specific devices listed with each main category of devices are not checked, and you are using any of the main devices, then the use of barriers set forth in Section IV herein shall be utilized.

However, if you specified “other” in a category, you shall be required to utilize barriers as set forth in Section IV herein.

Enter the PHASE USED FOR, the MAKE(s), the DETAIL, the FUEL TYPE and the MAXIMUM NUMBER OF UNIT TO BE USED AT THE SAME TIME.

Under Additional Construction Devices, check the additional applicable construction devices to be used at the site: generators, compressors, street plates, backup alarms, pumps or hoist.

Under NOISE MITIGATION, enter the Noise Mitigation Barriers Utilized if required as set forth in §28-101(g) of Title 15 of the RCNY.

Check YES or NO: Required to use Perimeter barrier /DOB construction fence or temporary/moveable barrier.

Check Perimeter barrier/DOB Construction Fence, Temporary barrier or Moveable barrier.

CHECK ALL THAT APPLY: Please check all equipment that will be used on site.

Review Rules for Citywide Construction Noise Mitigation Section 28-109.

Certify that equipment has been sound tested and complies with Spec 721.560 Lmax @50 ft.

DEP will utilize the Federal Highway Administration Roadway Construction Model as a means of identifying equipment either in Section II or III, that may be the cause of a noise complaint, see §28-101(a) of Title 15 of the RCNY for compliance options.

By checking this box, I certify that the information contained in this form is true and accurate.

Enter the name, company, date, business address, city, state and ZIP.