36
1 Environmental Impact Assessment Executive Summary For Relocation Project of Wanzhou Maternal and Child Hospital Chongqing , China Chongqing Dehe Environment Engineering Co.Ltd January 2015 E2960 V3 Public Disclosure Authorized Public Disclosure Authorized Public Disclosure Authorized Public Disclosure Authorized Public Disclosure Authorized Public Disclosure Authorized Public Disclosure Authorized Public Disclosure Authorized

World Bank Documentdocuments.worldbank.org/curated/en/304091468018547412/...canteen, storeroom, library for hospital staff, staff activity room, X-ray room, radiography room and parking

  • Upload
    others

  • View
    3

  • Download
    0

Embed Size (px)

Citation preview

Page 1: World Bank Documentdocuments.worldbank.org/curated/en/304091468018547412/...canteen, storeroom, library for hospital staff, staff activity room, X-ray room, radiography room and parking

1

Environmental Impact Assessment

Executive Summary

For

Relocation Project of

Wanzhou Maternal and Child Hospital

Chongqing , China

Chongqing Dehe Environment Engineering Co.Ltd

January 2015

E2960 V3 P

ublic

Dis

clos

ure

Aut

horiz

edP

ublic

Dis

clos

ure

Aut

horiz

edP

ublic

Dis

clos

ure

Aut

horiz

edP

ublic

Dis

clos

ure

Aut

horiz

edP

ublic

Dis

clos

ure

Aut

horiz

edP

ublic

Dis

clos

ure

Aut

horiz

edP

ublic

Dis

clos

ure

Aut

horiz

edP

ublic

Dis

clos

ure

Aut

horiz

ed

Page 2: World Bank Documentdocuments.worldbank.org/curated/en/304091468018547412/...canteen, storeroom, library for hospital staff, staff activity room, X-ray room, radiography room and parking

2

Content

1. INTRODUCTION ............................................................................................................................. 3

2. ENVIRONMENTAL LEGAL FRAMEWORK ................................................................................. 3

3. PROJECT OVERVIEW ..................................................................................................................... 5

4. GENERAL ENVIRONMENTAL SETTINGS ................................................................................ 11

5. ENVIRONMENTAL IMPACTS AND MITIGATION MEASURES ............................................. 14

6. ANALYSIS OF ALTERNATIVE PLAN ......................................................................................... 21

7. RESETTLEMENT PLAN ............................................................................................................... 26

8. ENVIRONMENT MANAGEMENT AND MONITORING PLAN ............................................... 26

9. PUBLIC CONSULTATION AND INFORMATION DISCLOSURE ............................................. 35

Page 3: World Bank Documentdocuments.worldbank.org/curated/en/304091468018547412/...canteen, storeroom, library for hospital staff, staff activity room, X-ray room, radiography room and parking

3

Relocation Project of

Wanzhou Maternal and Child Hospital

Executive Summary

1. INTRODUCTION

According to Chinese laws and regulations for environmental assessment and the World

Bank’s safeguard policies including 4.01-Environmental Assessment, an overall

Environmental Impact Assessment (EIA) report is needed for the Relocation Project of

Wanzhou Maternal and Child Hospital(WZMCH). This Executive Summary, prepared on

the basis of the Environmental Impact Assessment (EIA) of the Relocation Project of

WZMCH, summarizes the environment impact assessment and highlights the key issues

and conclusions in its environment impact assessment and environment management plan.

Chongqing Dehe Environmental Engineering Co. Ltd with a Class B certificate (No. 3125)

on environmental impact assessment by the Ministry of Environmental Protection (MEP),

was entrusted Wanzhou Maternal and Child Hospital to prepare the EIA in accordance with

the EIA laws/regulations and technical guidelines in China and safeguard policies of the

World Bank.

The EIA, submitted to the World Bank for review on its conformity with the Bank policy

guidelines regarding environmental and social issues, has been approved by Wanzhou

Environmental Protection Bureau(EPB) and concludes the proposed project to be feasible

in construction.

In summary, the environment management will cover the whole process including project

design, construction and operation and reasonable and feasible measures will be applied to

enhance project benefits and mitigate adverse impacts, including having the adverse impact

under control in an effective way, improving medical service quality in the project area,

assuring physical and psychological health of local resident and achieving social and

economic harmony in development with environment protection.

2. ENVIRONMENTAL LEGAL FRAMEWORK

The preparation of the Environmental Impact Assessment (EIA) complied with the World

Bank’s environmental protection requirements and information disclosure policies detailed

below in Table 2-1.

Table 2-1 Compliance with World Bank Safeguards Policies

Safeguard Policies Actions

Environmental - Full EA including EMP has been prepared.

Page 4: World Bank Documentdocuments.worldbank.org/curated/en/304091468018547412/...canteen, storeroom, library for hospital staff, staff activity room, X-ray room, radiography room and parking

4

Assessment

(OP/BP 4.01)

Consultation - A combination of opinion surveys and public meetings were

held in community committee for affected people during

preparation of the safeguards documents through internet, public

notice, questionnaire and forum.

The EIA is prepared in terms of national and local environmental laws, regulations,

policies, the World Bank’s environmental and social safeguard policies including:

① Environmental Protection Law of the PRC (Dec 26, 1989)

② Law of the PRC on Environmental Impact Assessment (Oct 28, 2002)

③Law of the People's Republic of China on Prevention and Control of Water

Pollution (revised in 208)

④Law of the PRC on the Prevention and Control of Atmospheric Pollution (revised

in April 2000)

⑤Law of the PRC on the Prevention and Control of Pollution by Solid Waste (Apr 1,

2005)

⑥Law of the PRC on the Prevention and Control of Environmental Noise Pollution

(Oct 29, 1996)

⑦Law of the PRC on Prevention and Control of Radioactive Pollution (Oct 1, 2003)

⑧Technical Regulation for Environmental Impact Assessment and any standard

applied for Air, Water and Noise

Safeguard Policy issued by Bank: OP/BP4.01 Environmental Assessment

Main Environmental Assessment Standards of the report are given in Table 2-2

Table 2-2 Environmental Assessment Standard

Category Name of Standard

Environment

Quality

Standard

Ambient Air Quality Standard (GB3095-1996), II grade standard

Environmental quality standards for surface water standard (GB

3838—2002) Grade III

Environmental Quality Standard for Noise(GB3096-2008), Category

II Applied

Regulations for electromagnetic radiation protection ( GB 8702-88)

Emission

standards of

Pollutant

Emission standards of air pollutants for coal-burning boiler

(GB 13271—2001)

Discharge standard of water pollutants for medical

organization (GB18466-2005) Table 3

Integrated emission standard of air pollutants (GB16297-1996)

Emission standard of cooking fume ( GB 18483-2001 )

Discharge standard of water pollutants for medical

organization(GB18466-2005)

Page 5: World Bank Documentdocuments.worldbank.org/curated/en/304091468018547412/...canteen, storeroom, library for hospital staff, staff activity room, X-ray room, radiography room and parking

5

Table 2 Pretreatment Standard

(GB 18466-2005)

Emission standard of environment noise for boundary of construction

site ( GB 12523-2011 )

Emission standard for industrial enterprises noise at boundary

(GB12348-2008)

Technical Code for Electronic Radiation of 500kv Power Transmission

Engineering Work

3. PROJECT OVERVIEW

3.1 Components and Contents

The new hospital targeted to a first – class level-3 maternal and child hospital providing

medical treatment and healthcare service occupies a land of 51.63mu, among which

8495.2m2

is for a complex building(including a tower of 2 floors underground and 13

floors on the ground and a podium of 5-floor) with a total construction area of

71007.10m2(including ground area of 47249m

2 and underground area of 23758.10m

2)

and 8348 m2

is reserved for future development. After completion, its total bed number

will reach 500 and outpatient volume be 800-1000 person-time.

The new hospital consists of emergency section, healthcare and outpatient section, medical

technical section, inpatient section, administration section and logistical section with the

key departments as follows: department of pediatrics, department of obstetrics and

gynecology, new pediatric department, department of infection control, health education

center, child health care, lab examination, ultrasonography, postpartum recovery, child

health care center, physical examination center, woman health care, perinatal health care

center, emergency department, radiology department, of stomatology department etc. (no

infectious disease department included). The major departments and its function are

presented in table 3-1 while the main components and contents detailed in table 3-2.

Table 3-1 The major departments for each floor and its function

No. Floor Indicator Layout of major departments and its functions

1 -2F 11879.05m2

Garage(with 324 parking lots), domestic water tank, pump

house, water tank for firefighting etc.

2 -1F 11879.05m2

Case file room, power distribution room, air-conditioner

machine room, central supply service room, laundry room,

canteen, storeroom, library for hospital staff, staff

activity room, X-ray room, radiography room and parking

lots (92 lots) .

3 1F 7980.4m2

emergency room , pediatrics department, gynaecology

department, new pediatric department, physical

Page 6: World Bank Documentdocuments.worldbank.org/curated/en/304091468018547412/...canteen, storeroom, library for hospital staff, staff activity room, X-ray room, radiography room and parking

6

examination center, TCM clinic, information center and

western medicine dispensary.

4 2F 6667.12m2

physical examination center (blood transfusion

department), pathology department, health care for VIP

and child, E.N.T. and ophthalmology and

otorhinolaryngology, stomatology team, child cognitive

team, child scene experience area, aseptic storeroom, baby

bathing room (nursing area in quarantine), therapy room,

nursing room for child suffering respiratory tract infection

and gastrointestinal disease, ICU, immature baby nursing

area, newly-born baby bathing room etc.

5 3F 6613.16m2

Postpartum recovery center, function examination area,

perinatal health care center, pregnant school, operation

room, central monitoring room.

6 4F 6661.84m2

Haifu postpartum recovery center, laparoscopic operation

room, outpatient operation room, family planning

operation area, women’s health care center, therapy center

of gynaecology, gynaecology clinic, assisted reproduction

center.

7 5F 3176.91m2

Pre-delivery area, isolated pre-delivery zone, buffering

zone, aseptic storeroom, therapy room, wards etc, with 34

beds

8 6F 1912.71m2 Wards with 61 beds

9 7 ~

13F 13482.67m

2 Wards, 405 beds

10 Top

floor 754.19m

2

Elevators machine room

Table 3-2 Project Components and Content

Components Contents

Main

Structure

Emergency

Dept.

With an area of 680 m2, located on 1st F in the northeast of

project site; east area of 1st F is designed for emergency

department, Pediatric clinic area, consulting room, infusion

area; south area of 1st F is for TMC clinic, healthcare center;

southeast area of 1st F is for entrance hall of inpatient

department; on the 2 sides of entrance hall is designed for fire

control room, infusion processing area; the emergency

department consists of consulting room, therapy room,

observation room, resuscitation room, registration window,

pricing window, on-call room, pharmacy and infusion hall.

Health Care &

Outpatient

With an area of 14152.06 m2, located in the northwest of

project site; 1st F is designed for entrance hall, pricing and

Page 7: World Bank Documentdocuments.worldbank.org/curated/en/304091468018547412/...canteen, storeroom, library for hospital staff, staff activity room, X-ray room, radiography room and parking

7

Dept. charging, medicine dispensing window, inquire desk; 2nd F is

for child healthcare center, physical checkup area, waiting

area, office area, special bathroom, dressing room, consulting

room; 3rd F is for women healthcare center; 4th F is designed

for perinatal healthcare; a corner in east of emergency

department is gateway f specially for patient who have fever

and intestinal tract department.

Medical

Technical Dept.

With an area of 10642.55 m2, includes 2 parts in total: 1)

functional area supporting outpatient service, such as medical

imaging center, physical examination center, function

checkup, type-B ultrasonic checks and pathology department,

and these sections are located at B1, 1st F, 2

nd F, and 3

rd F of

skirt building; 2) NICU operation room(birth-control operation

included) , central supply, central transfusion which are

located at B1, 1st F, 2nd F and 3rd F of inpatient department

area; 3rd F is where laminar flow operating room located; 4th

F is designed for doctor office and machine room.

Inpatient Dept.

Inpatient department is located in the southeast of project site,

with an area of 19636.17 m2, The layout of 1

st floor is:

entrance hall, dispensary and healthcare clinic and fire

control room; Ward area is from 5F to 13F of this building.

Administration

Dept.

Skirt building is located n the north of project site, with an area

of 19636.17 m2, one of the total 5 floors to be used as the

office area.

Logistical Dept. Logistical department and equipment house are at B1 and B2

of inpatient department.

Garage Garage located at B1(on floor next level of health care center,

inpatient and outpatient department), with 541 parking lots

Utility

work

Water supply

Domestic water supply network will be formed by laying a

pipe (DN200) to take water from the municipal water supply

trunk on the north of the hospital, with pressure of 0.35Mp and

backflow preventer to be installed on joint point.

Sewerage

Separate Sewer System is adopted ; wastewater and rainfall

will be separately collected by municipal water sewerage

network

Power supply

Double loop independent 10kv power source to be connected

with city power grid, one for daily use, another for standby.

10kv power source for each circuit can bear the whole load.

Diesel generator set with 800kw will be equipped as the third

power source. Transformer and distribution house is located at

Basement 1, transformer in-house with indicator of:

2×1600kVA+1×1250kva+1×500KVA;

Firefighting The fire-fighting water pipe network will be formed by laying

a pipe (DN200)(including the water meters) fromthe municipal

Page 8: World Bank Documentdocuments.worldbank.org/curated/en/304091468018547412/...canteen, storeroom, library for hospital staff, staff activity room, X-ray room, radiography room and parking

8

water supply network in the north of the hospital. Loop

pipe network will be formed by laying a pipe (DN150) from

the municipal water supply network in west of hospital.

Intelligent

system

Double circuit is proposed for machine room, with standby

power source of UPS; Precision air-conditioning system with

constant temperature and humidity will be equipped in

machine room; 24- hour monitoring will be carried out.

Computer network focus on network scale and security.

Network includes Intranet and internet; Intranet will function

as the core system for daily medical service (HIS, electronic

medical record, LIS, PACS systems etc.). Intranet is

characterized by stable operation, practical and safe in

utilization and able to be upgraded in the future; Internet

provided long-distance medical service and education, office

automation service and long-distance maintenance for medical

equipment.

Ventilation

system

Mechanical air supply device and natural ventilation are

adopted for underground garage and machine room. The

air-conditioning system consisting of two parts is applied: 1)

purifying zone such as operation room(OR) forms an

independent system; 2) the rest area except for purifying zone

is called general area will have another system. Cold and heat

sources are designed for OR; besides the special sources, pipes

will connect with central air-conditioning system, four-pipe

control is adopted with valves installed for switch. General

area is divided into 4 parts (emergency department, left & right

side of outpatient department and inpatient department) with 4

sub-systems; two-pipe control is adopted.

Environ-

ment

Engineeri

ng

Wastewater

treatment

station

The underground wastewater treatment station with design

treatment capacity 450m3/d will be built in the hospital, with

process of enhanced primary treatment + disinfection. The

wastewater will be collected by municipal wastewater network

in the south of hospital; accident tank to be built with design

capacity of 450m3.

Medical waste

The medical waste storage room is located in the south of the

Hospital. Special packages and containers used in medical

waste collection which will be transferred to the storage room

through dedicated passageway.

Domestic waste Dustbin will be put on each floor for garbage collection

Sludge 1 sludge disinfection tank and 1 concentration tank are to be

built

Page 9: World Bank Documentdocuments.worldbank.org/curated/en/304091468018547412/...canteen, storeroom, library for hospital staff, staff activity room, X-ray room, radiography room and parking

9

3.2 Utility Works

3.2.1 Water Supply System

Domestic water supply network will be formed by laying a pipe(DN200) to take water

from the municipal water supply trunk on the north of the hospital, with pressure of

0.35Mp and backflow preventer to be installed on joint point.

3.2.2 Wastewater Drainage System

The proposed project is located at Wanquan community in Shuanghekou of Wanzhou

District and within service scope of Mingjingtan WWTP. The design capacity of

Mingjingtan WWTP (phase I) is 30000m3/day with process of A2/O oxidation ditch

(anaerobic-anoxic-aerobic process, carrorsel oxidation ditch). Effluent quality satisfies

category B Class I of Discharge Standard of Pollutants for Municipal Wastewater

Treatment Plant (GB 18918-2002). This WWTP was completed in July 2003 and it’s under

stable operation with actual treatment capacity of 10,000m3/day, capable of receiving

wastewater generated by this Project.

The rainfall and sewage separation system is adopted. Underground WWTP with capacity

of 450m3/d will be built under this project. After reaching the pre-treatment standard

stipulated in table 2 of Discharge Standard of Water Pollutants for Medical

Organization (GB18466-2005) , the wastewater will be collected by urban wastewater

network and conveyed to Mingjingtan WWTP for treatment. Rainfall will be collected by

rainfall pipe then discharged into municipal rainfall pipe network.

3.2.3 Sanitary and Anti-epidemic System for Water Supply and Drainage

UV disinfection equipment will be installed at outlet of domestic water tank. As for the

rooms which require higher health condition will be equipped with quick opened and

sealed ground leakages. The water seal height shall be at least of 50mm for other ground

leakages. Infrared sensor taps or automatic switches are required for rinsing sink in asepsis

wards or isolated rooms preventing cross infection.

3.2.4 Power Supply System

Double loop independent 10kv power source will be provided by city power grid, one for

daily use and another for standby. 10kv power source for each circuit can bear the whole

load. Diesel generator with 800kw will be equipped as the third power source. Transformer

and distribution house is located at Basement 1, transformer in-house with indicator of:

2×1600kVA+1×1250kva+1×500KVA; diesel generator: 1×800KW.

3.2.5 Firefighting System

.

The fire-fighting water pipe network will be formed by laying a pipe (DN200)(including th

e water meters) from the municipal water supply network in the north of the Hospital. Lo

op pipe network will be formed by laying a pipe (DN150) from the municipal water supply

network on the west of hospital.

Page 10: World Bank Documentdocuments.worldbank.org/curated/en/304091468018547412/...canteen, storeroom, library for hospital staff, staff activity room, X-ray room, radiography room and parking

10

3.2.6 Intelligent System

① Double circuit is proposed for machine room, with standby power source of UPS. The

UPS power supply should continue for equal to or more than 4 hours when power

supply cuts.

② Precision air-conditioning system with constant temperature and humidity to be

equipped in machine room, where requires systems operate in a way of lower air

supply and upper air return.

③ Fresh air ventilation system is to provide fresh air to machine room, maintain the

positive pressure differential, and keep machine room clean and free of dust. The weak

current and heavy current shall be laid separately to avoid electromagnetic interference.

The general requirement for wiring is: heavy current laid underfloor with slot, weak

current laid upon ground with lifting metal bridge. Grounding for lightening system

shall be installed in machine room; gas fire extinguishing device to be installed; 24

hour monitoring and warning device shall be included establishing interactive

relationship with firefighting system of the hospital. Machine room surveillance will

provide 24 hour monitoring and record any problem happens.

④Computer Network

Intranet will function as the core system for daily medical service (HIS, electronic

medical record, LIS, PACS systems etc.). Intranet is characterized by stable operation,

practical and safe in utilization, high efficiency broadband with high volume and speed.

It shall be able to be upgraded in the future.

Internet is also called special line network which will support health insurance

settlement, bank card transaction, community service and receiving calls from first aide.

Internet will provide long-distance medical service and education, office automation

service within hospital area, long-distance maintenance for medical equipment.

3.2.7 Ventilation System

① Mechanical Ventilation

Mechanical ventilation and fume exhaust combined system will be adopted for for

underground garage. Mechanical ventilation is designed for underground equipment

house.

② Air-conditioning System

The air-conditioning system consisting of two parts is applied: 1) purifying zone such

as operation room(OR) forms an independent system; 2) the rest area except for

purifying zone is called general area will have another system. Cold and heat sources

are designed for OR; besides the special sources, pipes will be connected to central

air-conditioning system. Four-pipe control is adopted with valves installed for switch.

Page 11: World Bank Documentdocuments.worldbank.org/curated/en/304091468018547412/...canteen, storeroom, library for hospital staff, staff activity room, X-ray room, radiography room and parking

11

The normal area of the whole hospital is divided into 4 sub-systems (emergency

department, left & right side of outpatient department and inpatient department) , with

4 with two-pipe control adopted.

All- Air conditioning system is adopted for large space such as hospital entrance. Fan

coil combined with fresh air system is applied for wards and consulting rooms. As

required by fire protection zoning and different functions of hospital departments, the

air system consists of separated sub-systems.

4. GENERAL ENVIRONMENTAL SETTINGS

4.1 Natural Environment

4.1 .1 Geographical location

Wanzhou is located in the northeast edge of Chongqing, with the longitude from

107°55′22″E to 108°53′25″E, and the latitude from 30°24′00″N to 31°14′58″N.

4.1.2 Topography, geomorphology, and geology

Wanzhou is located at the eastern folded belt zone in Sichuan Basin, which is composed of

Jurassic sandstone and mudstone layers with unequal thickness, with Yangtze River across

its southern area and Fangdou Mountain at its southeastern comer. This parallel

ridge-valley region contains high mountains with steep hills as well as crossed ravines. In

general, the topography is varied and complicated.

Landslide, dangerous rock, collapse, debris flow, and other unfavorable geological

phenomenon were not found within the scope of this project site. The status of the slopes

along the riversides is stable. The ground bearing stratums are composed of mudstone and

sandstone with a shallow and stable distribution, which is suitable for project construction.

4.1.3 Meteorology

Wanzhou is situated in the region where the semi-tropical climate dominates. The climate

is warm and humid with large amount of precipitation. The annual temperature ranges

from -1.8 ℃ to 42.3 ℃ with an average of 18.1 ℃. The average annual frost-free period is

314.9 days with 30 to 40 fog days. The average annual precipitation is 1191.30 mm (the

highest precipitation was 1577.30 mm in 1993). The precipitation varies largely with

different months, with 70% being distributed in the rainy season from May to September

each year. The highest monthly precipitation was 711.9 mm (Jul 1982); the highest daily

precipitation was 175.00 mm; and the longest continues rainy period was 16 days.

4.1.4 Hydrology

Page 12: World Bank Documentdocuments.worldbank.org/curated/en/304091468018547412/...canteen, storeroom, library for hospital staff, staff activity room, X-ray room, radiography room and parking

12

The domain within Wanzhou contains abundant surface water resources, while the

groundwater is relatively deficient. The water area is 24.07 km2 and accounts for 10.1% of

the total area.The network of rivers is intricate and most rivers feed into Yangtze River.

The groundwater is in general fissure water or seepage water. According to the

precipitation brought by the subtropical monsoon, a clear trend of runoff adapt to the

precipitation exists. The seasonal distribution of the annual runoff is: 26.7% for spring;

40.2% for summer; 28% for autumn; and 5.1% for winter. Yangtze river travels across

Wanzhou from the southwest to the north through 17 towns and administrative offices with

the total length of 83 km. The average annual flow rate is 12913 m3/s; and the average

annual flow volume is 450 billion m3.

This report uses the monitoring data on Saiwangba Section of Changjiang River from

Wanzhou Environmental Monitoring Station on Sep 2012, which indicates that the index of

pH, COD, BOD5, NH3-N, petroleum, and fecal coliform is less than 1, which meets the

class III standard of Surface Water Quality Standard (GB3838-2002).

4.1.5 Acoustic environment

4 noise monitoring stations were set up in this project, and the results show that the

acoustic environment is in good condition, which satisfies the requirements of class 2

functional area.

4.1.6 Ecology

Wanzhou is located at the midwest valley area, where the climate is mild and the frost-free

period is long. Since the altitude is generally low, no clear zoning phenomena is found for

the plants. The type plants can be divided into: subtropical evergreen broad-leaved forest,

subtropical low mountain evergreen coniferous forest, broadleaved deciduous forest, and

bamboo forest. The major plants include: Masson pine, Chinese fir forest, azalea, cedar

wood, gleicheniaceae dicranopteris linearis community, coriaria, thatch, and others. Soil

types in Wanzhou are various, which can be divided into 8 categories, 13 subcategories, 46

genera and 138 species. The major soil types of parallel ridge-valley area are purple soil

and paddy soil; while the soil types of the mountain basin are mostly yellow soil, limestone

soil, yellow-brown soil and brown soil. The food crops are rape, legumes, citrus, tung oil,

broad bean, tobacco, etc.

This project is located at Wanquan community in Wanzhou district, of which the

environment is urban ecological environment. There is neither national protection zone of

rare wild animals and plants nor any nature scenic spot in the surrounding areas.

4.2 Social Environment

4.2.1 Administrative division

Page 13: World Bank Documentdocuments.worldbank.org/curated/en/304091468018547412/...canteen, storeroom, library for hospital staff, staff activity room, X-ray room, radiography room and parking

13

As a central city of the Three Gorges reservoir region, Wanzhou is the economic and

cultural center as well as the water route transportation hub. According to Wanzhou

statistical almanac in 2010, the area of Wanzhou is 3,457 km2 with the main urban area of

45.0 km2 and the rate of urbanization is 52.85%. There are 29 designated towns, 12

villages, 11 sub-district offices, and 184 residents committees. The total population is 1.73

million (registered population), which includes 5,461 nonagricultural population and 1.18

million agricultural population, with the population density of 500/ km2 and the natural

population growth rate of 6.65‰.

4.2.2 Social and economic structure

In 2011, the regional GDP increased 56 billion Yuan, which was 20.1% higher than the

previous year; the regional GDP per capita was 32,350 Yuan. The structural ratio of tertiary

industry was adjusted from 7.7:51.2:41.1 for the previous year to 6.8:54.7:38.5. The

proportion of GDP of the secondary industry was increased by 3.5% over the previous year.

The disposable income of urban residents per capita was 16,633 Yuan, increased 11.5%.

The net income of rural residents per capita was 5,332 Yuan, increased 19.3%, among

which the wage income per capita was 2,542 Yuan, increased 17.7%.

4.2.3 Transportation

The 3-dimentional traffic network of water, road, and air has been gradually formed. The

length of Wanzhou highway has reached over 1500 km (excluding the village road). The

Wanzhou Yangtze River Bridge and the Yangtze River Second Bridge have been built. The

construction of highway was completed and now only 3 hours are needed from Wanzhou

to Chongqing. The railway from Dazhou to Wanzhou has been constructed and opened for

freight and passenger transport. The special railway line from Hongxigou pier to Wanzhou

railway station has a transport capacity of 2 million t/a, which can connect the railway to

the water carriage once completed. Of molten iron transport can be realized. Wanzhou

Wuqiao airport has been open to air traffic in May 2003. One third of the construction of

the 15-million-ton port has been completed as planned. After the completion of the Three

Gorges project, ton class vessels and fleets can be directed into Wanzhou port. The

expressway from Wanzhou to Kaixian and Yunyang has been built and open for

transportation. With improving transport conditions, a network of convenient water, road

and air transportation will be formed with sound function and rational layout in Wanzhou.

4.2.4 Cultural relics

Wanzhou has many institutions to protect the cultural relics, including 56 first-group

district-level institutions, 20 second-group district-level institutions, 34 third-group

district-level institutions, and 17 forth-group district-level institutions. There is no

institution for cultural relics protection within 500 m of this project.

4.2.5 Urban planning

Page 14: World Bank Documentdocuments.worldbank.org/curated/en/304091468018547412/...canteen, storeroom, library for hospital staff, staff activity room, X-ray room, radiography room and parking

14

According to the document “A Decision by CPC and the Chongqing People’s Government

to Develop Wanzhou into One of the Second-largest Cities” (CMG [2010]16), Wanzhou is

one of the most important and largest cities to develop in Chongqing’s urban-rural

integration development project, and an important gateway for economic development in

northeastern Chongqing and three gorges reservoir area. It is also a barrier for stability and

ecological safety in the reservoir area.

By 2015, Wanzhou will be the central city in the three gorges reservoir area with an urban

area of 80 km2 and a population over 1 million. The regional GDP will be more than 100

billion and the average GDP per capita will be close to that of the main city. In the next

5-10 years, Wanzhou will see rapid development of urbanization.

5. ENVIRONMENTAL IMPACTS AND MITIGATION MEASURES

5.1 Assessment Range

The assessment range of this project is determined according to the project characteristics,

regional environment characteristics and the requirements of the environmental impact

assessment technical guideline, as listed in Table 5-1.

Table 5-1 Assessment Level and Assessment Range

No. Environmental

Factor

Level Assessment Range

1 Air III An area taken the construction site as the

center and 500 m as the radius

2 Surface Water Below III Briefly explain the type and amount of the

contaminates discharged and the condition of

water supply and drainage. Conduct some

simple analysis of the environmental impact.

3 Acoustic

Environment

II An area within 200 m outside of the factory

4 Ecology III Within the scope of the factory

5.2 Environmental Impacts and Mitigation Measures

5.2.1 Environmental Impacts and Mitigation Measures in Construction Phase

① Air Pollution

The air pollution during the construction stage will be caused by the air-borne dust

generated from excavation, construction waste and material transportation, leading to

deterioration of air quality. Area affected by fugitive dust is within 150m of downwind

construction site when the wind speed is at 2.0m/s, which concludes the air pollution in

west and north of the project will be comparatively greater but to be eliminated when

project completed.

Page 15: World Bank Documentdocuments.worldbank.org/curated/en/304091468018547412/...canteen, storeroom, library for hospital staff, staff activity room, X-ray room, radiography room and parking

15

Air pollutant mixed by CO and NOx generated by fuel machine for excavation and fill,

transportation and construction will have minor impact because the fuel machine works

intermittently at night in earthwork excavation stage resulting in little discharge.

Pollution impact to be eliminated when work completed. Liquefied petroleum gas as

green energy to be used by workers has little impact on environment.

② Surface Water

The construction wastewater is mainly generated from domestic waste from works and

wastewater on site. Construction wastewater contains SS, petroleum element generated

by equipment maintenance, cleaning, and concrete curing.

Construction wastewater will be recycled after treatment though grease trap

sedimentation. The domestic wastewater will be collected then discharged into

municipal pipe network in the south of project site. The wastewater impact is

eliminated as work completed.

③ Noise

The primary noise source in construction phase is the operation of equipment, having

negative impact on the sensitive spots around of project site.

④ Solid Waste

Solid waste in construction phase is mainly generated by earth disposal, construction

waste and domestic waste from workers. It will have negative impact on cityscape and

sanitary condition if it’s not removed timely; it even will cause water and soil loss in

rainy day. The solid waste shall be firstly piled by sorting out then removed timely with

preventive measures taken so as to avoid water and soil loss. Construction waste shall

be moved to the designated spoil site, and domestic waste shall be moved to landfill

site.

⑤ Water and Soil loss

Earthwork excavation and ground leveling will loosen land surface to possibly cause

water and soil loss in raining day.

⑥ Transportation

As the construction site will have engineering vehicles access frequently (through

Longyuan Rd in northwest of site, and municipal road in south of site), the vehicles are

required to be washed before leaves, and no earth rock falling out as vehicles travels on

road. Solid waste transportation must follow “Notice on leak-proof transportation of

substances easily spilt in main city” and “Management Regulation on Construction

Waste Removal in Main Area of Chongqing”(No 93 document issued by CMG). These

measures will have effective control of pollution caused by solid waste transportation.

Page 16: World Bank Documentdocuments.worldbank.org/curated/en/304091468018547412/...canteen, storeroom, library for hospital staff, staff activity room, X-ray room, radiography room and parking

16

Table 5-2 Pollution Control Measurements during Construction

No. Contaminants Control Measurements

1

Dust Arrange reasonable work shift; operate with water spray when the

dust exists; pile up cement and other construction materials in the

warehouses and cover them; strengthen the supervision and

management od the waste residue, seal the supplies, clean and

maintenance the vehicles, and forbid taking overweight or over

height supplies or mud on the road; set separation barrier no less

than 1.8 m height at the construction site; speed up the construction

while assuring the quality.

Domestic fuel

emissions

Use clean energy such as liquefied gas.

Industrial fuel

emissions

Use advanced construction equipment with low- consumption,

low-pollution, and high-efficiency; strengthen the maintenance,

management, and reasonable arrangement of the equipment.

2

Domestic

wastewater

Toilet and septic-tank are set at the south of the construction site.

The sewage should be discharged to the municipal domestic water

network after septic-tank treatment.

Industrial

wastewater

Set grease trap sedimentation tank at lower-lying areas. Recycle

the treated wastewater.

3

Vehicle traffic

impact

Various types of vehicles enter and exit the construction site from

the west side of Saide international school on the Longyuan road;

avoid the vehicles to enter and exit the construction site at busy

school hours, to ensure the safety of the students; set slow-down

and silence identifications on Longyuan road and the south civil

road; set signs to prohibit irrelevant personnel in construction site

and start patrols.

污染物 防治措施

4

Construction

noise

(1) Construct strictly in accordance with the CMG's No. 126

document “Chongqing Environmental Noise Pollution Prevention

and Management Methods”. (2) The construction institution should

report to the local environmental protection bureau 15 days before

construction and release a statement to the public for

understanding. (3) Use low-noise construction equipment. (4) Use

commercial concrete. Concrete mixer that produces continuous

noise is strictly forbidden. (5) If 24-hour continuous operation is

required, the construction institution should report to the local

environmental protection bureau 4 days in advance and hang the

overnight construction permit to explain to the public. The

construction institution should also be responsible for reducing the

noises. (6) 15 days before and during the time of college or high

school entrance examination, the construction work at night is

forbidden (except for emergency or rescue operation). (7) Speed up

施工噪声

① 严格按照渝府令第 126号《重庆市环境噪声污染防治管理办

法》要求,文明施工。② 施工单位应在开工 15 日前向当地环

境保护局申报,得到环保局批准后,向施工区周边企业也发布

公告,以便得到公众的谅解。③ 采用先进的施工机械和技术,

选用低噪声作业机具。④ 采用商品混凝土,严禁用产生连续噪

声源的混凝土搅拌机等设备。⑤ 如因施工工艺需要,必须 24

小时连续作业时,施工单位应提前 4 日向当地环境保护局办理

夜间施工手续,并按要求认真实施降噪措施,将夜间施工审批

手续悬挂于工地显眼处,同时张贴告示,作好公众的宣传解释

工作,接受公众和环保执法人员的监督。

⑥ 高、中考前 15 日内以及高中考期间,禁止在噪声敏感建筑

物集中区域进行产生噪声污染的夜间施工作业(抢修、抢险作业

除外)。⑦ 加快施工进度,在不影响工程质量的前提下尽量缩

短工期。

Page 17: World Bank Documentdocuments.worldbank.org/curated/en/304091468018547412/...canteen, storeroom, library for hospital staff, staff activity room, X-ray room, radiography room and parking

17

the construction while assuring the quality.

5

Construction

wastes and

household

refuses

Classify the wastes and take actions to avoid dust and soil erosion

caused by rains. Transport the construction wastes to specified

dumping fields and the household refuses to the urban landfill

sites.

建筑垃圾

生活垃圾

分类堆积,并做好防护措施,避免扬尘和下雨时引发水土流失,

及时清运。建筑垃圾运往指定的渣场倾倒;生活垃圾及时运往

城市垃圾场卫生填埋

5.2.2 Environmental Impacts in Operation Phase

5.2.2 .1 Air Emission

① Emissions from Boilers

This project plans to set a gas-fired boiler to supply steam for the operating room,

laundry and other clean areas; and a gas vacuum hot water boiler for heating and hot

water.

Both boilers use gas and the combustion emissions should be merged and discharge

from a stack higher than 8 m. The limit for SO2 is 3.2 t/a, and the discharge

concentration should be lower than 51 mg/m3; the limit for NOX (converted to NO2) is

9.3 t/a, and the discharge concentration should be lower than 150 mg/m3; the limit for

dust and fume is 1.5 t/a, and the discharge concentration should be lower than 25

mg/m3, as required by “Air Pollution Emission Standards for Boilers”

((GB13271-2001)).

Since gas is a clean energy, the contaminate concentration is low and has minor

influence on the air.

② Cooking Oil Fume

The cooking oil fume from the canteens will bring negative impacts to the air, thus it is

necessary to purify the oil fume before discharging. Suppose the remove efficiency

reaches 85%, the oil fume concentration will be about 1.0 to 1.8 mg/m3, which meets

the requirement of “Emission Standard of Cooking Fume” (GB18483-2001) and has

minor influence on the air quality.

③ Wastewater Treatment Station Odor

This project plans to build a 450 m3/d wastewater treatment station at the south part,

which may produce odors by methane, ammonia, and hydrogen sulfide.

The assessment requires the station to be enclosed by cover plate with reserved

inlet/outlet. The collected odor should be treated with activated carbon and discharged

through specific pipelines to the green belt. The discharge outlet is 65 m away from the

Wanzhou No.3 People’s Hospital at Baolong, 55 m away from the southeastern

residential building, and 45 m away from the west residential building. The odor

influence will be reduced after the treatment.

Page 18: World Bank Documentdocuments.worldbank.org/curated/en/304091468018547412/...canteen, storeroom, library for hospital staff, staff activity room, X-ray room, radiography room and parking

18

④ Vehicle Exhaust

The vehicles can produce a certain amount of exhaust, thus it is necessary to set a

double-speed fan in the garage, of which the ventilation rate is no less than 6 times per

hour. The exhaust should be directed to the exhaust shafts and discharged at the roof.

The impact to the air quality is minor.

⑤ Backup Generator Exhaust

A mechanical discharge device is set up in the backup generator room. The exhaust

should be directed to the exhaust shafts (use refractory bricks for thermal insulation)

and discharged at the roof. The impact to the air quality is minor.

5.2.2.2 Surface Water

① Hospital Wastewater

According to the engineering analysis, the flow of the hospital wastewater is about

413.38 m3/d. The major components include: organics, SS, grease, pH, toxic chemicals,

pathogenic bacteria, viruses, and parasitic ovum, etc., thus it must be discharged after

sterilization and treatment.

A municipal pipe network (DN600mm) is set 160 m south from the site. The first phase

capacity of Minjingtan wastewater treatment plant was planned to be 30,000 m3/d,

using A2/O oxidation ditch process ((anaerobic-anoxic-aerobic carrorsel oxidation

ditch). The discharging water can meet the first level class B standard of “Urban

Wastewater Treatment Plant Pollutant Discharge Standard”. This plant was completed

on Jul 2003 and has been under stable operation. The actual capacity is about 10,000

m3/d, and can accept the wastewater of this project. Chongqing Yudong Water CO.

LTD has agreed to accept the wastewater after pretreatment of this project.

This project plans to build a wastewater treatment plant with the capacity of 450m3/d

and the treatment process of primary treatment + disinfection. After treatment, the

hospital wastewater will meet the primary treatment standard of “Water Pollutant

Discharge Standard for Medical Institutions” (GB18466-2005) and be discharged into

the Mingjingtan wastewater treatment plant through the municipal sewage network.

② Special Wastewater

This project adopts digital X-ray fluoroscopy devices. There is no photo development

room and liquid waste containing silver. According to related operation information, no

radioactive liquid waste is produced by the radiology department.

The silver amalgams used by the stomatology department are purchased and sealed in

Page 19: World Bank Documentdocuments.worldbank.org/curated/en/304091468018547412/...canteen, storeroom, library for hospital staff, staff activity room, X-ray room, radiography room and parking

19

capsules, thus will not generate wastewater containing heavy metals. The silver

mercury residues are stored by ground-glass stoppered flasks for manufacturers

recycling.

The wastewater of clinical laboratory may contain toxic substances such as chromium,

and cyanide with the amount about 0.5 m3/a. The amount of the special wastewater is

small, which is difficult for treatment and cost is high. The project incorporates the

waste water into the medical waste and uses special airtight container to collect the

pollutants for Wanzhou Senhao Pollutant Disposal Limited to dispose.

As long as this project can strengthen the operation and management of wastewater

treatment facilities and the workers’ environmental protection consciousness, and

ensure the reasonable management and control of special wastewater discharge, the

concentration of medical pollutants will be reduced and will not bring negative impacts

to the the Yangtze river.

5.2.2.3 Noise

The major sources of noise are pump house, cooling tower of air condition and fans,

backup generators, and vehicles. The equipment and intensity are listed in Table 5-3.

Table 5-3 Noise Equipment and Intensity

Source Vehicle Cooling

Tower

Pump House Fans Backup

Generator

Noise

Level

dB(A)

~70 ~80 ~80 ~85 ~90

Location The underground

garage and

courtyard

Roof The basement

equipment

room

The basement

equipment

room

The power

room in the

basement

The noise control measurements for various sources:

① Vehicles

The garage is in the two basement floors, thus the noise can be removed using its

location. The basement sound insulation capacity can reach to over 40 dB(A). After the

insulation, the basement garage sound insulation will not produce very large noises.

The garage on the ground can reduce the traffic noise by setting slow-down and silence

identifications. From these actions the traffic noise can be effectively controlled and

will not have great influence to the outside world.

② Cooling Tower

The noise produced by the cooling tower noise are mainly caused by the fan and

chimney, and the noise is about 80 dB(A). Noise reduction measures include: use a

shock absorber and rubber soft materials to reduce the effects of vibration; install a

Page 20: World Bank Documentdocuments.worldbank.org/curated/en/304091468018547412/...canteen, storeroom, library for hospital staff, staff activity room, X-ray room, radiography room and parking

20

muffler at the cooling tower inlet/outlet; use an anechoic water cushion and control

water muffler to control the noise; set up sound barriers outside the cooling tower.

③ Pump Room, Fan Room, and Power Room

Pump room, fan room, and power room are at the first level of the basement. From the

insulation of the walls, the noise can be reduced up to 40 dB(A), thus won’t influence

the environment.

5.2.2.4 Solid Waste Impact Analysis

① Medical Waste

The germs in medical waste are tens or even hundreds times more than the ordinary life

trash, and most dangerously, it is infectious.

Before taking the medical wastes, the packages or containers should be carefully

checked to be without damage, leakage, and other problems; it should also be

registered to prevent loss. The cultures for pathogens and bacteria, the specimen and

strains, the virus seed preserving liquid, and other medical wastes must be primarily

treated before transporting to the disposal institutions. The temporary storage facilities

and equipment regular cleaning and disinfection should meet the requirements of

“Hazardous Waste Storage and Pollution Control Standards” (GBl8597-2001) and

“Technical Specification FOR Medical Waste Centralized Disposal”.

The medical waste storage room is located at the south of this project, away from the

medical area, personnel activity area, and living area. The medical waste storage room

is separated from the domestic refuse temporary storage spot. The washing wastewater

of the medical waste storage room can be directly discharged into the wastewater

treatment plant. The medical waste on different floors can be collected by specified

containers and transported through specified channels to the storage room through the

south channel. The channels for waste transport are separated from the patients and

doctors. The medical wastes are collected, transported and disposed by Wanzhou

Senhao Pollutant Disposal Limited.

② Sludge from Wastewater Treatment Plant

This project intends to set up a sludge concentration pool and a disinfection pool. The

sludge that meets the requirements of "Water Pollutant Discharge Standard for Medical

Institution" (GB18466-2005) will be dealt with by Wanzhou Senhao Pollutant Disposal

Limited.

③ Household Refuse

The trash will be collected by class and transported to the municipal landfill sites.

④ Food Waste

The food waster will be dealt with by specified institutions with related certifications.

Page 21: World Bank Documentdocuments.worldbank.org/curated/en/304091468018547412/...canteen, storeroom, library for hospital staff, staff activity room, X-ray room, radiography room and parking

21

⑤ Special Wastewater

Clinical laboratory wastewater will be temporarily stored by specified airtight container

and sent to Wanzhou Senhao Pollutant Disposal Limited.

⑥ Waste Activated Carbon

The waste activated carbon that has absorbed the odor from the wastewater treatment

plant will be sent to Wanzhou Senhao Pollutant Disposal Limited.

5.2.2.5 Radiation Impact Analysis

According to the analysis, after the completion of the project, the annual effective

additional dose of the hospital radiation workers and the public are far less than the

limits of 6 mSv/a and 0.1 mSv/a, which meet the "Ionizing Radiation Protection and

Radiation Source Safety Standards" (GB18871-2002).

5.2.2.6 Social Impacts during Operation period

The increased traffic volume of current north, west and south municipal road is far

from its full load. The assessment reports show that the impacts to the current north,

west and south municipal road will be very little, and will not result in traffic jam, but

may have some negative impacts on the residents and students’ safety around

Longyuan Rd and the south municipal road. The prevention and control measures are:

Communicate with the management department, set school and hospital

identifications on the municipal road.

Set slow-down and silence identifications at the hospital entrances/exits.

6. ANALYSIS OF ALTERNATIVE PLAN

6.1 With or Without the Project

6.1.1 Without the Project

Three Gorges Reservoir Area is prone to epidemic disease and natural disaster, which leads

to difficult and arduous task of disease prevention and control. Currently the distribution of

medical resource in Wanzhou District is unbalanced. In the area where the head office of

Wanzhou Maternal and Child Hospital is located, the health care resources are concentrated,

which may lead to oversupply of the resources in a small area but insufficient in the whole

district.

If no further expansion of addition to the head office of Wanzhou Maternal and Child Hospital

(i.e. without the project), the current problem as regards medical resource in Wanzhou is to

worsen with ever increasing medical need of local people.

Page 22: World Bank Documentdocuments.worldbank.org/curated/en/304091468018547412/...canteen, storeroom, library for hospital staff, staff activity room, X-ray room, radiography room and parking

22

6.1.2 With the Project

The proposed project will :

① meet the needs of the Chongqing urban rural integration campaign;

② promote the development of medical health care in Wanzhou;

③ optimize the distribution of medical resources in Wanzhou District;

④ ensure that the public medical service of central cities in Three Gorge Reservoir will

be radiated to surrounding area;

⑤ ensure the health of local people.

The conclusion following the above comparison is that the proposed project will promote

the development of Wanzhou District medical service, ensure the medical service in

regional center be conveyed to surrounding area, improve the urban rural medical system

nd medical service, meet the needs of the people in Three Gorges Reservoir Area by

delivering safe, effective, convenient and local cost basic medical heath care service, and

ensure the health of local people. Therefore, the proposed project is necessary and urgent.

6.2 Site selection/ comparison

Three sites were proposed:

① Parcel C-01-33、C-01-10 included in the “Master Plan for Tiancheng Group I,II

Management Area(Tiangfang, Dongjia) ” located in Maogu Village 8 in Tiancheng

Town;

② Jianfengling of Wuqiao District;

③ Wanquan Community in Shuanghekou;

Based on the nature of the medical service to be delivered, the site condition and

environmental impact, Wanquan Community in Shuanghekou was selected as the best

project site.

6.3 Selection and Comparison of Disinfection Process

6.3 .1 Selection and Comparison of Disinfection Process

The following findings were made after comparison:

① For the method involving ozone generator and ultraviolet, one-off capital investment is

huge and operation management is complicated;

② For the method using bleaching powder concentrate, disinfectant and bleaching

powder, operation cost is too high;

③ For the method using liquid chlorine, the technique is mature and it is very effective,

but it is too dangerous and prone to leakage. In addition the one-off investment is no

less that of Chlorine Dioxide Generator method and toxic substance may be resulted

due to reaction with organics;

④ Sodium hypochlorite generator is bulky and its key components is easy to damage, the

Page 23: World Bank Documentdocuments.worldbank.org/curated/en/304091468018547412/...canteen, storeroom, library for hospital staff, staff activity room, X-ray room, radiography room and parking

23

electricity and salt consumption is high, and the operation is not convenient.

Currently Wanzhou Maternal and Child Hospital is a Category A of Class II hospital(with 500

hospital beds designed). The target of the proposed project is to upgrade it to a Category A

of Class III hospital(with more than 500 beds) integrating medical treatment and medical

care. The method of Chlorine Dioxide is proposed for disinfection.

6.3 .2 Selection and Comparison of Disinfectant Preparation

① Chlorine Dioxide Generator

Following comparison, NaCl diaphragm electrolysis method will be adopted, but it

must meet the requirement specified in ”Technical Specification of Environmental

Protection Product: electrolysis chlorine dioxide synergistic disinfectant generator”

(HJ/T257-2006).

② Alternative method in case of accident

In case of the breakage of disinfection equipment or other accident, the EIA requires that

all the medical wastewater be collected into the emergency tank, to be treated with

bleaching powder (sodium hypochlorite).

6.4 Comparison and Selection of Wastewater Treatment Process

The proposed site is in the service area of Mingjingtan WWTP and municipal wastewater

pipe has already been connected to the site. The wastewater from the project, which is to

be treated with enhanced primary treatment plus disinfection, will meet the requirement as

regards primary treatment specified in “Discharge standard of water pollutants for medical

organization (GB18466-2005)” , therefore the wastewater treatment proposal is feasible.

7. RESETTLEMENT PLAN

According to the field survey, there are no residential buildings within the project

construction area. The land-use right belongs to Wanzhou District Water Supply Company ,

Wanzhou Renyang Construction Material Shop, Wanzhou District Broadcasting Television

Station and Longbao Branch of Wanzhou District People’s Hospital. The project owner has

completed related land acquisition procedure. The Land Acquisition and Resettlement

Office under Wanzhou District Government will be responsible for the land acquisition and

resettlement. And the clean land will be handed over to Wanzhou Maternal and Child

Hospital. Therefore; there will be no land acquisition and resettlement under this Project.

8. ENVIRONMENT MANAGEMENT AND MONITORING PLAN

The environmental management specifications are detailed in Table 8-1; the environment

monitoring plan is detailed in Table 8-2. The summary of environmental protection

measures and the environmental protection investment estimation are detailed in Table 8-3.

Page 24: World Bank Documentdocuments.worldbank.org/curated/en/304091468018547412/...canteen, storeroom, library for hospital staff, staff activity room, X-ray room, radiography room and parking

24

Table 8-1 Environmental Management Specifications

Environmental

Problems Environmental Management Specifications

Implementing

Agency Supervision Agency

A. Design Phase

1. Location

and scale

Determine the hospital scale and site by comprehensively analysing the environmental

protection, social demand, technology economy and engineering aspects; Choose the optimal

scale and site selection plan to acquire the recognition of Wanzhou government and the project

owner;

Design

institution

EIA institution

CPMO, Wanzhou Health

Bureau, and Wanzhou DRC

2. Ecology

protection

Forbid to take over high quality farmland and forest in site selection; Set more green belts and

fences for climbing plants in the design and reduce the impact of hospital noise; Improve the

layout design of plants and flowers in the waiting area and inpatient building.

Design

institution

EIA institution

CPMO, Wanzhou DRC,

Wanzhou EPB, and CEPB,

etc.

3. Traffic noise

Improve and optimize hospital layout design and reduce the impact of traffic noise on hospital

operation; Hospital site selection should balance the service scope, convenient accessibility

and traffic noise prevention.

Design

institution

EIA institution

Wanzhou EPB

4. Surface

water

contamination

While meeting the process requirements, the site of medical wastewater treatment station

should consider making full use of the land; The design of water treatment process should try

to save energy and reduce consumption using the gravity flow; In addition, the designed

capability of the wastewater treatment station should balance the development and risks.

Design

institution

EIA institution

Wanzhou EPB

5. Air pollution

Strictly design gas deodorization control for the medical wastewater treatment station;

Optimize the designed layout and noise control for diesel generator; Optimize the ventilation

design of underground garage; Optimize the design of the oil fume and exhaust removal for

the dining room and boiler room.

Design

institution

EIA institution

Wanzhou EPB

6. Hospital

solid waste

Design flies, rodents, and cockroaches prevention measures for the temporary medical waste

storage; Make diversion design for medical waste collection and transport; Design clean and

conduct facilities for the temporary medical waste storage and collectors; Make anti-seepage

designs for the temporary medical waste storage.

Design

institution

EIA institution

Wanzhou EPB

Page 25: World Bank Documentdocuments.worldbank.org/curated/en/304091468018547412/...canteen, storeroom, library for hospital staff, staff activity room, X-ray room, radiography room and parking

25

7. Lighting,

ventilation and

natural scenery

Make full use of natural lighting and ventilation in the design; Make full use of local natural

landscape in the design of hospital.

EIA institution

Design

institution

CPMO, Wanzhou DRC, and

Wanzhou EPB

8. Radiation

The layout and design for radiation protection should meet the national standards and the

requirements of "Medical diagnostic X-ray machine room sets must consider the safety of the

adjacent room and surrounding places" in "Health Protection Standards for Medical X-ray

Diagnosis" (GBZ130-2002).

EIA institution

Design

institution

CEPB, Wanzhou EPB, and

Wanzhou Health Bureau

9. Risk

prevention

Design facilities to prevent the risks and emergencies during the transport of chemicals and

wastes; Optimize the design of chlorine dioxide disinfection room and chlorine dioxide raw

material storage room, and set up mechanical ventilation facilities; Make sure that in case of

accidents, everyone could leave the disinfection room safely; Install automatic monitoring

alarm system in the disinfection room.

Design

institution

EIA institution

CPMO and Wanzhou DRC

10. Soil and

water

conservation

Optimize the design for temporary storage site and the dig-fill balance.

Design

institution

EIA institution

CPMO, Wanzhou DRC, and

Wanzhou EPB

11. The

construction

campsites

Forbid set construction campsites close to the sensitive environmental acceptors; Use existing

roads or sites within the project scale; Keep the construction from residential areas and

schools.

Design

institution

EIA institution

CPMO, Wanzhou DRC, and

Wanzhou EPB

12. Traffic

impact

Optimize the design of layout, entrance/exit, parking lot, and construction process to avoid the

impact of construction and operation on the urban traffic.

Design

institution

EIA institution

CPMO, Wanzhou DRC,

Wanzhou EPB, and Wanzhou

Transportation Bureau

13. Earthquake

resistance

The earthquake-resistance standards for the hospital should be one level higher than other

public buildings within the same district.

Design

institution

EIA institution

CPMO, Wanzhou DRC,

Wanzhou EPB, and Wanzhou

Health Bureau

B. Construction Phase

Page 26: World Bank Documentdocuments.worldbank.org/curated/en/304091468018547412/...canteen, storeroom, library for hospital staff, staff activity room, X-ray room, radiography room and parking

26

1. Ecology

protection

Add temporary drainage ditch and strengthen the bare ground to prevent the erosion of the

soil; Timely clean and backfill the wastes; Harden the road surface, plant trees in the open

space, and restore vegetation to assure the slope stability; Manage the working shift, avoid

large scale excavation work in the rain season.

Contractor

Supervising

institution

CPMO, Wanzhou DRC,

Wanzhou EPB, and Wanzhou

Health Bureau

2.Exhaust gas

Use of commodity concrete for site hardening; Timely remove the construction waste and

excess soil; Set washing and sedimentation facilities at entrance and exit for construction

vehicle; Regularly spray water to control the dust on site and the entrance and exit, keep the

site clean and tidy; No burning and melting asphalt; Construction site shall be enclosed in

accordance with the relevant provisions;

Contractor

Supervising

institution

CPMO, Wanzhou DRC, and

Wanzhou EPB

3. Noise

The low-noise generating construction equipment and technology will be considered during

bid evaluation; The contractor shall bring related documents to the local environmental

protection department to declare "Construction Environmental Protection Approval Form"

15days before notice to commence .The work cannot be started without the approval; No

construction work which noise- generated are allowed during the period 12:00-14:00 and

22:00-7:00; For continuous concrete-casting work. The contractor should ask for approval

from related environmental protection department 3 days before work started.

Contractor

Supervising

institution

CPMO, Wanzhou DRC, and

Wanzhou EPB

4. Wastewater

The domestic wastewater produced by working staff of the Contractor should be discharged to

urban wastewater network after treatment. To avoid foundation excavation during rainy

season.

Contractor

Supervising

institution

CPMO, Wanzhou DRC, and

Wanzhou EPB

5. Construction

and domestic

Solid wastes

Use Waste soil shall be used for backfilling. Timely remove the construction solid waste from

the Site. The solid waste cannot be stored in site for long time, it should be cleaned daily. To

avoid solid waste falling down from the vehicle, it should be covered by felted fabrics.

Contractor

Supervising

institution

CPMO, Wanzhou DRC, and

Wanzhou EPB

Page 27: World Bank Documentdocuments.worldbank.org/curated/en/304091468018547412/...canteen, storeroom, library for hospital staff, staff activity room, X-ray room, radiography room and parking

27

6. Traffic

Various types of vehicles enter and exit the construction site from the west side of Saide

international school on the Longyuan road; avoid the vehicles to enter and exit the

construction site at busy school hours and pay attention to and yield the students; set

slow-down and silence identifications on Longyuan road and the south civil road; set signs to

prohibit irrelevant personnel in construction site and start patrols.

Contractor

Supervising

institution

CPMO, Wanzhou EPB, and

Wanzhou Traffic

Administrative Department

7. Training The Employer is requested to provide training to construction staff of the Contractor on safety

and environment protection.

Contractor

Supervising

institution

CPMO, Wanzhou DRC, and

Wanzhou EPB

C. Operation Phase

1. Hospital

wastewater

The separated sewerage system will be adopted. The rainwater and sewerage will be collected

and discharged to the wastewater treatment station which will be built on the south side of

the project site with a capacity of 450m3/d. The treatment process is “Enhanced primary

treatment + Disinfection". Domestic wastewater and hospital wastewater will be discharged to

Mingjingtan Wastewater Treatment Plant through urban sewerage system after treatment in

hospital wastewater treatment station. The wastewater treated in the Station should reach the

discharge standard in the Table 2.of GB18466-2005. Emergency tanks will be built.

Wanzhou

Maternal and

Child Hospital

CEPB, Wanzhou EPB, and

Wanzhou Health Bureau

2.Exhaust gas

The odor will be collected and deodorized by active carbon, then discharge to green area

through special pipe; The exhaust gas of 2 boilers will be collected and discharged through one

exhaust cylinder not lower than 8m; The double speed fan will be set in the garage to enhance

ventilation. The ventilation frequency will not be less than 6 times /h. Automobile exhaust

will be discharged via dedicated exhaust shaft lead to roof high emissions; Mechanical

discharge device will be installed in the standby generator room. The exhaust gas will be led to

the roof by a special emission shaft (use refractory brick for heat treatment); The fume will be

led to the roof emission after treatment by oil fume purifier.

Wanzhou

Maternal and

Child Hospital

Wanzhou EPB

Page 28: World Bank Documentdocuments.worldbank.org/curated/en/304091468018547412/...canteen, storeroom, library for hospital staff, staff activity room, X-ray room, radiography room and parking

28

3. Hospital

solid waste

Hospital solid waste, sludge, and special wastewater will be transported and treated by

Wanzhou Senhao Pollutant Disposal Limited.; Wasted active carbon will be treated by

Wanzhou Senhao Pollutant Disposal Limited; Domestic solid waste will be collected by the

sanitation department and transported to county garbage disposal plant; Kitchen and food oil

wastes will be treated by organizations with related qualification.

Wanzhou

Maternal and

Child Hospital

and Medical

Waste Disposal

Institutions

CEPB, Wanzhou EPB, and

Wanzhou Health Bureau

4. Equipment

noise

Layout the major noise sources, like diesel generators, blowers, and air compressors, in the

basement or special equipment room; As for the roof cooling tower, adopt shock absorption

device, inlet/outlet silencer, or other sound insulation arrangements.

Wanzhou

Maternal and

Child Hospital

Wanzhou EPB

5. Traffic Set identifications for schools and hospitals; Set slow-down and silence identifications.

Wanzhou

Maternal and

Child Hospital

CEPB, Wanzhou EPB,

Wanzhou Health Bureau, and

Wanzhou Traffic

Administrative Department

6. Radiation Set radiation resistance walls, doors, and lead glass; Strengthen the management and training

for the technical personnel; Develop emergency plans.

Wanzhou

Maternal and

Child Hospital

CEPB, Wanzhou EPB, and

Wanzhou Health Bureau

7. Training Trainings about medical waste classification: colors of the medical waste classification boxes

(red for contagious wastes, yellow for infectious wastes, and green for injury wastes).

Wanzhou

Maternal and

Child Hospital

CPMO and Wanzhou EPB

D. Monitoring Conduct regularly environmental monitoring, as detailed in the monitoring plan.

Wanzhou

District

Environmental

Monitoring

Station

Wanzhou EPB

Page 29: World Bank Documentdocuments.worldbank.org/curated/en/304091468018547412/...canteen, storeroom, library for hospital staff, staff activity room, X-ray room, radiography room and parking

29

Table 8-2 Environment Monitoring Plan

Pollutant Monitoring

Parameters Monitoring Point Monitoring Frequency Responsible Organization Supervision Organization

Cost

(yuan/year)

Construction Phase

Air TSP site boundary 1time/quarter

Wanzhou Environment Supervision

Station

Wanzhou District

Environment Protection

Bureau

3288

Noise Leq(A) site boundary 1time/quarter

the Employer

2112

Solid waste Domestic solid waste / 1time/quarter 1920

Traffic

situation / / Random spot checks The Contractor and the Employer /

Subtotal 7320

Operation Phase

Exhaust

gas

Boiler Exhaust

gas(SO2,smoke and

dust ,NO2

1#Emission Cylinder 2 times

per year

Wanzhou Environment Supervision

Station

Wanzhou Environment Supervision

Station

Wanzhou Environment Supervision

Station

(Daily supervision be done by the

Hospital)

Wanzhou District

Environment Protection

Bureau

1644

Smell (odor

concentration,

ammonia, hydrogen

sulfide)

2# mission Cylinder 2 times

per year

3200

Oil fume Oil fume channel 2 times

per year

1794

Hospital

Wastewater

COD,BOD5,NH3-N,f

ecal coliform

Outfall of Wastewater

Treatment Station

Daily monitoring:

1) COD, BOD5, SS, NH3-N

1 time/ month;

2) fecal coliform bacteria

1 time/ two weeks.

3) Environmental monitoring: spot

checks

4) 1 times / half year

Wanzhou District

Environment Protection

Bureau and Wanzhou

District Health Bureau

2000

Noise

Boundary Noise Boundary

1time/quarter, daytime and night time .

One time when cooling tower put into

use.

The Employer , the Contractor and

Wanzhou Environment Supervision

Station

the Employer 2640

Traffic Noise Close to roadside 1time/quarter

Wanzhou Environment Supervision

Station

Wanzhou District

Environment Protection

Bureau

1056

Page 30: World Bank Documentdocuments.worldbank.org/curated/en/304091468018547412/...canteen, storeroom, library for hospital staff, staff activity room, X-ray room, radiography room and parking

30

Solid Waste

Medical Solid Waste Temporary Storage

Room

Check treatment sheet and agreement

one time per month;

Summarize medical waste transfer

amount every half an year The Hospital

Wanzhou District

Environment Protection

Bureau and Wanzhou

District Health Bureau

960 domestic Solid wastes /

Summarize the total treatment

amount every half year

Wasted Active Carbon / Check treatment sheet and agreement

one time per month;

Summarize medical waste transfer

amount every half an year

The Hospital Kitchen and Food Oil

Wastes /

Radiation

The accumulated

volume of personal

exposure dose

Check personal

dosimeter worn by

operator

Every 2 to 3 month The Hospital

Wanzhou District

Environment Protection

Bureau and Wanzhou

District Health Bureau

3194 the rate of kinetic

energy released in air

around working area

Around protection

Door and the gap,

entrances and exit of

cable ; operating room,

operation platform and

a room shielding walls

etc.

one time every half a year Chongqing Municipal Radiation

Technology Service Center

Subtotal 16488

Total 23808

Table 8-3 Summary of Environment Protection Measures and Related Investment

Pollutant Pollution Source Pollution Factor Mitigation Measures Investment

(million yuan )

Construction

Phase Exhaust gas Construction site Air-borne Dust

Regularly spray water to control the dust on site , build fence ,harden the

surface of the entrance and exit , wash the vehicle and tyre, cover the

construction material which easily borne dust, transport material with cover. 0.15

Page 31: World Bank Documentdocuments.worldbank.org/curated/en/304091468018547412/...canteen, storeroom, library for hospital staff, staff activity room, X-ray room, radiography room and parking

31

Wastewater

Construction

wastewater and

domestic

wastewater

SS , Oil

Water for equipment maintenance will be reused for controlling dust after

sediment treatment. Temporary septic tank and toilet will be built at the south

side of the Site. The domestic wastewater produced by working staff of the

Contractor should be discharged to urban wastewater network after

treatment in septic tank .

0.10

Solid Waste

Construction waste

and domestic Solid

wastes

Construction waste

and domestic Solid

wastes

Construction waste will be transported to appointed dumping site. Domestic

solid waste will be collected and treated by related sanitation department 0.12

Noise Construction Noise Noise

Ask for approval before work started; encourage to use new equipment and

technology, reasonably arrange working time, fence and enclosure are

requested. 0.20

Environment Management and Monitoring Cost during Construction Period 0.40

Subtotal : 0.97

Operation

Phase

Exhaust gas

Boiler SO2、NOX

、smoke and dust

The exhaust gas will be collected and discharged through one exhaust cylinder

with 15meter long 0.05

Kanteen Oil Fume The oil fume will be led to the roof emission after treatment by oil fume

purifier. 0.10

Wastewater

treatment station Odor

The odor will be collected and deodorized by active carbon , then discharge to

green area through special pipe. 0.07

Garage

NOX、HC

The double speed fan will be set in the garage to enhance ventilation.

Automobile exhaust via dedicated exhaust shaft lead to roof high emissions.. 0.06

Generator Room

Mechanical discharge device will be installed. The exhaust gas will be led to

the roof emission by a special emission shaft (use refractory brick for heat

treatment). 0.05

Wastewater

Hospital

Wastewater

COD、BOD5、SS、

NH3-N、

fecal coliform

Be discharged to urban sewerage system after pre-treatment in Wastewater

Treatment Station with "Enhanced primary treatment + Disinfection"

process , 450m3/d 2.50

Special wastewater With heavy metals, Treated as Hazardous waste ,be collected and transported to Wanzhou Senhao

Pollutant Disposal Limited. 0.08

Solid

Waste

Hospital Solid

Waste Hospital Solid Waste

Classified collection and package, be transported and treated by Wanzhou

Senhao Pollutant Disposal Limited. 0.50

Wastewater

treatment station

Sludge Wasted

Active Carbon

After concentration and disinfection, be transported and treated by Wanzhou

Senhao Pollutant Disposal Limited. 0.20

Domestic Solid Domestic Solid

Waste

Be collected by the sanitation department and transported to city solid waste

Landfill site. 0.10

Page 32: World Bank Documentdocuments.worldbank.org/curated/en/304091468018547412/...canteen, storeroom, library for hospital staff, staff activity room, X-ray room, radiography room and parking

32

Waste

Kitchen and Food,

Oil Wastes Be collected and treated by organizations with related qualification. 0.13

Noise Equipment Noise Noise sound barrier , noise elimination, sound insulation 0.09

Risk mitigation measures Disinfection measures for emergency discharge, medical solid waste

refrigeration measures; signs for leakage, rainwater and "hazardous waste", etc 0.20

Others Greening, Vegetation restoration, water and soil conservation 0.80

Final acceptance for environment protection, monitoring , environment management, training program etc. 0.10

subtotal 5.03

Total 2% of total investment 6.00

Page 33: World Bank Documentdocuments.worldbank.org/curated/en/304091468018547412/...canteen, storeroom, library for hospital staff, staff activity room, X-ray room, radiography room and parking

33

9. PUBLIC CONSULTATION AND INFORMATION DISCLOSURE

In accordance with the requirements of the China’s EA Law and Temporary Method

for Public Participation of China, as well as the Safeguard Policy of the WB, two

rounds of public consultation were conducted by the EIA team by the way of posting

notice in project area, network publicity, questionnaires, public meetings and so on to

solicit the concerns of the residents .

9.1 The way of public consultation

9.1.1 Notice Posting

A lot of investigation and coordination work has been done by Wanzhou Maternal and

Child Hospital before carrying out environmental impact assessment work . After

commissioned by the Hospital , Chongqing Dehe Environment Engineering Co.Ltd

has posted a notice on the east and south side of the Site, and at Saide International

School to provide the following information to the public: (1) the name and summary

of the project; (2) the name and contact way of the employer; (3)the name and contact

way of the company which works on environmental impact assessment; (4) work

procedure and main work of environmental impact assessment ; (5) main issues for

public opinion; (6) the main way of the public to express their opinions.

9.1.2 Information Disclosure on Internet

The first disclosure was done on the http://www.cqdhhb.com/Chinese/index.asp

website from November 5, 2012 to November 16th. The content includes: (1) brief

introduction of the project; (2) information related to the Evaluation Company; (3)

work procedure and main work of environmental impact assessment; (4) main issues

for public opinion; (5) the main ways to express public opinion.

The second disclosure of the whole report (first draft) was done on the

http://www.cqdhhb.com/Chinese/Index.asp web site from December 5, 2012 to

December 18th

. The report (draft) has been printed out and placed at the Yiwanshui

neighborhood committee office for public access of the EA documents.

9.1.3 Questionnaires

The employer has distributed "public participation investigation sheet" to surrounding

residents and Saide International School from December 20, 2012 to 25 , to seek

public opinion. Total 150 questionnaires were distributed ,147 valid questionnaires

were collected back, accounting for 98% of the total number of questionnaires. Of

which there are 140 people in favour of the project construction, 7 people think it does

not matter.

Page 34: World Bank Documentdocuments.worldbank.org/curated/en/304091468018547412/...canteen, storeroom, library for hospital staff, staff activity room, X-ray room, radiography room and parking

34

9.1.4 Public Meetings

To improve the public participation and opinion feedback, a public meeting attended

by PIU, local affected people and key stakeholder including Saide International

School and Yiwanshui Neighborhood Committee was held to discuss the main

environmental issues of public concern in the NC meeting room on December 12,

2012 . The agreements reached is recorded in a meeting summary given in Annex 11.

During the meeting, it was agreed that the construction of Wanzhou Maternal and

Child Hospital will further improve the regional health service quality, solve the

problem of “inaccessible of hospital” and “high cost of medical treatment”. It can also

improve the health service demand in the region. The participants have expressed

their support for the construction of the project. At the same time, the Hospital is

requested to pay great attention to prevention of noise during construction and make

sure the residents’ life are not disturbed by the construction.

9.2 Information Disclosure

9.2.1 Preparation Stage

In parallel with public participation, the information was disclosed by the hospital to

the public on the project progress and to seek public opinions.

From Nov 19 to Nov 30 2012, executive summary of EIA was placed at resident

committee of Yiwanshui community for easy access of project information, work

procedure and content for environment impact assessment.

From Dec 5 to Dec 18 2012, EIA (opinions acquiring version) was placed at resident

committee of Yiwanshui community for publicizing the environment impact might be

occurred during project construction, proposed mitigation measure, and preliminary

conclusion drawn from EIA.

9.2.2 Information Disclosure for 2nd Round

From Dec 22 to Dec 31 2014, the revised executive summary with comments from

Consultants incorporated and concerns from the public included was placed at

resident committee of Yiwanshui community, for purpose of publicizing the proposed

mitigation measures and optimal option.

9.3 Public Participation and Opinions Feedback

In the period of notice posting and online publicity, no opinion proposed by residents

in project site.

(1) Questionnaire

Page 35: World Bank Documentdocuments.worldbank.org/curated/en/304091468018547412/...canteen, storeroom, library for hospital staff, staff activity room, X-ray room, radiography room and parking

35

Questionnaires are issued to the public for receiving opinions in an effective way.

Among the respondents, 107 people suggest enhancing pollution treatment, 97 people

recommend having the project layout reasonable, and 18 people think the greening

needs be strengthened.

Responding to the concern of “enhancing pollution treatment”, EIA gives justification

on “ the Three Wastes—industrial wastewater, waste gases and residues”generated in

construction and operation periods, as well as other environmental issues; and

corresponding measures are proposed also. See details in chapter 7, 6, 9, 10, 11 and

12.

As for the concern of “rationalization of project layout”, the opinions received were

sent to EIA preparation unit and project layout was improved. EIA gives rational

analysis in chapter 13.

For the concern of “greening issue”, the greening area in the project is 13507.98m2,

with greening rate of 39.24%, which meets the requirement of relevant laws and

regulations.

(2) Seminar

In the afternoon of Dec 12, 2012, the employer convened the seminar at conference

room in resident committee of Yiwanshui community, with participants from local

residents, Saide International School, resident committee and the masses. It’s agreed

the prevention and control of noise shall be strengthened during construction and

assuring no disturbance occurs to residents.

As for noise control in construction stage, EIA presents environment impact from

construction noise in detail, proposes corresponding mitigation measure to minimize

the negative impact and make sure no disturbance occurs residents. See details in

chapter 7.

9.4 Conclusion of Public Participation

The survey results show that 100% of respondents think the project site selection is

reasonable, 95% agree with the construction of the project, no objection is received.

Thus it can be seen that residents support the construction of the project. The Hospital

is requested to: strengthen environment management, strictly carry out pollution

control and mitigation measures specified in the EA report during construction period,

listen to the opinions and suggestions of residents and do what the Hospital can for

local residents to solve medical problems, and strive to create a harmonious social

environment. Environmental protection administrative department shall strictly

supervise the project construction; protect the public health and the environment.

Page 36: World Bank Documentdocuments.worldbank.org/curated/en/304091468018547412/...canteen, storeroom, library for hospital staff, staff activity room, X-ray room, radiography room and parking

36

Hope that the contractor input more investment in environmental protection, carry out

the various environmental protection measures, meet the requirement of pollutant

discharging standard, and protect the environment and the public interest.