Nyc Dep Noise Mitigation Plan Form PDF Details

Noise pollution affects New York City residents in and out of their homes. Every day, people are exposed to sounds outside their walls caused by passing traffic, construction activity, and businesses operating nearby. Although this can be a nuisance at times, it’s essential that we take the necessary steps to protect ourselves from hazardous levels of noise that could damage our health. The NYC Department of Environmental Protection (DEP) has created a Noise Mitigation Plan Form specifically for those affected by excessive noise who might not have access to traditional soundproofing techniques or materials. In this blog post, we’ll explore how you can use this form to help reduce the loudness in your living space so you can enjoy some peace and quiet around home again!

QuestionAnswer
Form NameNyc Dep Noise Mitigation Plan Form
Form Length3 pages
Fillable?No
Fillable fields0
Avg. time to fill out45 sec
Other namesdep noise mitigation plan, construction noise mitigation plan pdf, noise mitigation plan pdf, noise mitigation form

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THE CITY OF NEW YORK

DEPARTMENT OF ENVIRONMENTAL PROTECTION

Construction Noise Mitigation Plan

Rev 12/2011

Bureau of Environmental Compliance

59-17 Junction Boulevard, 9th Floor, Flushing, New York 11373

Records Control (718) 595–3855

Construction Noise Mitigation Plan

IT IS NOT NECESSARY TO FILE THIS DOCUMENT WITH DEP; HOWEVER, IT MUST BE POSTED AND/OR ACCESSIBLE TO INSPECTORS.

IF THIS DOCUMENT IS NOT POSTED ON SITE, CONTACT SHEET MUST BE POSTED

The responsible party shall be liable for the accuracy of the document and compliance with all applicable rules in

Title 15 Rules of the City of New York - RCNY Chapter 28.

Contact Information

Name of Responsible Party as defined in Title 15 RCNY §28-109: _______________________________

Work Site Location: ____________________________________________________________________

AddressZipBorough Block Lot

Contact Phone Number of Responsible Party: _______________________________________________

Approximate Distance to Closest Receptor (defined in Title 15 RCNY §28-109 of)

____________________feet.

Demolition Construction Work is Taking Place from:

 

/

 

 

To

 

/

 

 

Month

Year

Month

 

Year

Excavation Construction Work is Taking Place from:

 

/

 

 

To

 

/

 

 

Month

Year

Month

 

Year

Foundation Construction Work is Taking Place from:

 

/

 

 

To

 

/

 

 

Month

Year

Month

 

Year

Superstructure Construction Work is Taking Place from:

 

/

 

 

To

 

/

 

 

Month

Year

Month

 

Year

Finishing Construction Work is Taking Place from:

 

/

 

 

To

 

/

 

 

Month

Year

Month

 

Year

Other Construction Work is Taking Place from:

 

/

 

 

To

 

/

 

 

Month

Year

Month

 

Year

Normal Work Hours (as defined in NYC Administrative Code §24-222) ___________________________________

NYC Department of Transportation Permit number(s) _________________________________________

NYC Department of Buildings Permit number(s) ______________________________________________

Construction Devices

Check applicable boxes below:

List of §102 construction devices to be used at the site. When the additional devices listed below 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 below each main category of

devices are not checked, and you are using any of the main devices listed below, 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.

PILE DRIVERS

Vibratory Pile Driver or Hydraulic Impact Pile Driver as defined in 102(a)(1)(B)(ii)

Noise Bellows as defined in 102(a)(1)(B)(viii)

No

Use latest version of the plan which can be found on DEP’s Website Noise Codes & Complaints

Page 1 of 3

Construction Noise Mitigation Plan

JACKHAMMERS

Quieter makes and models as defined in 102(a)(2)(B)(i)

No

HOE RAMS

Quieter makes and models as defined in 102(a)(3)(B)(i)

Noise Shroud as defined in 102(a)(3)(B)(iii

No

BLASTING

VACUUM EXCAVATORS

Smaller Capacity vac-truck as defined in 102(b)(1)(B)(i)

Silencer as defined in 102(b)(1)(B)(iii)

No

DUMP TRUCKS

US Made European Environmental Label equipment or equivalent as defined in 102(c)(1)(B)(iii)

No

CRANES

Modern Hydraulic Crane as defined in 102(d)(1)(B)(ii)

US Made European Environmental Label equipment or equivalent as defined in 102(d)(B)(1)(iii)

No

CONCRETE SAWS

SANDBLASTING

AUGER DRILL RIGS.

OTHER

____________________________________________________________________________________

____________________________________________________________________________________

____________________________________________________________________________________

Additional Construction Devices

List of additional applicable construction devices to be used at the site:

GENERATORS

COMPRESSORS STREET PLATES BACKUP ALARMS PUMPS

Note: 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.

Mitigation Barriers

Noise Mitigation Barriers Utilized: If required as set forth in §28-101(g) of Title 15 of the RCNY.

Required to use Perimeter barrier /DOB construction fence or temporary/moveable barrier:

YES

NO

 

Use latest version of the plan which can be found on DEP’s Website Noise Codes & Complaints

Page 2 of 3

 

 

Construction Noise Mitigation Plan

PILE DRIVERS

 

 

Perimeter barrier/DOB Construction Fence

Temporary barrier

Moveable barrier

JACKHAMMERS

 

 

Perimeter barrier/DOB Construction Fence

Temporary barrier

Moveable barrier

HOE RAMS

 

 

Perimeter barrier/DOB Construction Fence

Temporary barrier

Moveable barrier

BLASTING

 

 

Perimeter barrier/DOB Construction Fence

Temporary barrier

Moveable barrier

VACUUM EXCAVATORS

 

 

Perimeter barrier/DOB Construction Fence

Temporary barrier

Moveable barrier

DUMP TRUCKS

 

 

Perimeter barrier/DOB Construction Fence

Temporary barrier

Moveable barrier

CRANES

 

 

Perimeter barrier/DOB Construction Fence

Temporary barrier

Moveable barrier

AUGER DRILL RIGS

 

 

Perimeter barrier/DOB Construction Fence

Temporary barrier

Moveable barrier

STREET PLATES

 

 

Perimeter barrier/DOB Construction Fence

Temporary barrier

Moveable barrier

BACKUP ALARMS

 

 

Perimeter barrier/DOB Construction Fence

Temporary barrier

Moveable barrier

CONCRETE SAWS

 

 

Perimeter barrier/DOB Construction Fence

Temporary barrier

Moveable barrier

I ________________________________________of the ______________________________________

Name of Responsible Party

Company

hereby certify that the information contained in this form is true and accurate.

________________________________________________

Signature

Date

Notary Public

Use latest version of the plan which can be found on DEP’s Website Noise Codes & Complaints

Page 3 of 3

How to Edit Nyc Dep Noise Mitigation Plan Form Online for Free

You'll be able to work with construction noise mitigation plan pdf without difficulty by using our PDFinity® editor. The editor is constantly updated by our team, receiving awesome features and becoming more convenient. It merely requires a couple of simple steps:

Step 1: Firstly, access the pdf tool by pressing the "Get Form Button" above on this site.

Step 2: The editor allows you to customize PDF files in a variety of ways. Improve it with your own text, correct original content, and add a signature - all possible in no time!

Filling out this PDF needs attention to detail. Make certain every blank field is done accurately.

1. Complete the construction noise mitigation plan pdf with a number of major fields. Note all the required information and make sure absolutely nothing is missed!

Filling in part 1 in nyc dep noise mitigation plan manhattan

2. Once your current task is complete, take the next step – fill out all of these fields - E S A H P N O T C U R T S N O C, Foundation, Superstructure, Finishing, Other, From, From, From, From, Estimated Depth of Excavation SOIL, Pumping Operation, If YES, YES NO, NUMBER OF INDIVIDUAL TRUCKS PER, and Number of Floors Stories with their corresponding information. Make sure to double check that everything has been entered correctly before continuing!

Filling out part 2 in nyc dep noise mitigation plan manhattan

3. This 3rd step is fairly easy, List of construction devices to, PILE, DRIVERS, JACKHAMMERS HOE RAMS, BLASTING, VACUUM, DUMP, EXCAVATORS, TRUCKS, Demolition Excavation, Demolition Excavation, Demolition Excavation, Demolition Excavation, Demolition Excavation, and E C V E D - each one of these form fields will need to be filled out here.

Demolition  Excavation, BLASTING, and PILE inside nyc dep noise mitigation plan manhattan

It is possible to make an error while filling out your Demolition Excavation, consequently be sure you reread it before you'll submit it.

4. The fourth paragraph arrives with the following blanks to fill out: M A X I M U M N U M B E R O F U N, ADDITIONAL CONSTRUCTION DEVICES, COMPRESSORS STREET PLATES, NOISE MITIGATION Noise Mitigation, PILE, DRIVERS, JACKHAMMERS, HOE RAMS, BLASTING, Perimeter barrierDOB, Perimeter barrierDOB, Perimeter barrierDOB, Perimeter barrierDOB, VACUUM, and EXCAVATORS.

How one can prepare nyc dep noise mitigation plan manhattan step 4

5. To conclude your form, this particular section involves some extra fields. Entering A All Other Equipment HP, B Auger Drill Rig, C Backhoe, D Bar Bender, E Blasting, F Boring Jack Power Unit, G Chain Saw, H Clam Shovel dropping, I Compactor ground, J Compressor air, K Concrete Batch Plant, L Concrete Mixer Truck, M Concrete Pump Truck, N Concrete Saw, and O Crane will certainly finalize everything and you will be done in no time at all!

Writing part 5 of nyc dep noise mitigation plan manhattan

Step 3: Prior to obtaining the next stage, double-check that all form fields have been filled out correctly. When you are satisfied with it, press “Done." Sign up with FormsPal today and instantly get access to construction noise mitigation plan pdf, ready for downloading. All adjustments you make are kept , so that you can customize the pdf later on when necessary. FormsPal offers protected form completion with no data record-keeping or sharing. Be assured that your data is safe here!