Appendix D Guidelines for Compiling and Environmental Impact Assessment Study KSA-PME

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1 JOSOP 610 Appendix D Guidelines for Compiling and Environmental Impact Assessment Study KSA-PME Guidelines for Compiling and Environmental Impact Assessment Study For ( ) project Under license by ( Dated: Ministry/ commission) No. Instructions: 1- All questions must be answered and other attachments may be added as needed with a cross reference to them in the corresponding paragraph in the form. 2- The form shall be stamped and signed by a responsible person or the project s official representative at the end of the form. 3- Upon completion, the form shall be forwarded to the following address: The President/Deputy Assistant For Environmental Affairs Presidency of Meteorology and Environment P.O. Box 1358 Jeddah 21431, Kingdom of Saudi Arabia Applicant s data: Name of the applicant: Address: Telephone and fax numbers:

2 General information: Type of project: (industrial, agricultural, residential, commercial, tourist, other) New installation ( ) Expansion of existing facility ( ) Description of the activity: Location: inside ( ) outside ( ) the limits of City ( ). Name of industrial city or zone: Estimated number of residents within 250 meters of the project:. Area of the project site: hectares square meters (Please attach a location map showing the distance form residential clusters) Source of Energy. Type and Quantity of Fuel Used.. Construction activities: Date of commencement and duration: The area to be prepared: For Production Projects (such as industrial and agricultural projects): Brief description of the products and their production rates: Brief description of the raw materials, their quantities, sources and state (liquid), (powder), (solid): Number of workers: production hours: No. of shifts:

3 Brief description of the preparation and production phases (attach additional papers, drawings, technical catalogs and reports, if any): Description of the construction work: Permits and licenses: (List and attach copies of all licenses and approvals obtained from the agencies concerned): Declaration: I declare that the information provided in this form is true and correct. In the event subsequent amendments are required, the Presidency will be notified prior to proceeding therewith. Name Title Date Stamp

4 Guidelines For Compiling An Environmental Impact Assessment Study 1. Presentation of The Project: 2. Description of The Project And Its Objectives: Goals Need for the project Components of the project (onsite facilities attached to the project such as water treatment plants, water desalination plants, electrical power plants housing etc.) Project construction phases The workforce required for implementation of the project (minimum and maximum) The workforce required for operation of the project (minimum and maximum) Alternatives and options 3. Status of Surrounding Environment including the following: Air quality Soil and topography Oceanography Surface and ground water Land environment (fauna/flora) Marine environment (fauna/flora) Land use of selected site and its surroundings Land ownership (original owner)

5 4. The Environmental Assessment including the following: Identification of the general potential impacts of the project and suggested alternatives. Identification and analysis of key effects of the project on: Air quality The marine and coastal environment Surface and underground water Flora and fauna Land use and urban development Residential clusters General scenic view Others 5. Assessment of Significant Impacts: Quantify and rate the significant impacts on natural resources. Estimate the relative damage to the area and the extent of its potential. Estimated lifespan of the facilities. Studies on the possible mitigation of anticipated impacts. 6. Summary of The Significant Impacts After Mitigation Processes: