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Construction of Sevan MC Hospital Building in Gegharkunik Marz
Municipality: Gegharkunik Marz
Environmental Management Plan
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PART A: GENERAL PROJECT AND SITE INFORMATION
INSTITUTIONAL & ADMINISTRATIVE
Country Armenia
Project title Construction of Sevan Medical Center (MC) hospital building
Scope of
project and
activity
In the Sevan city there were two facilities Sevan Policlinic and Sevan Hospital, with the separate
juridical status and different location. The 4 buildings of Sevan Hospital were built in 1982.
Almost 40.100 people are in the catchment area of the hospital. Neither of these buildings,
except the space intended for gynecological department, has been even cosmetically renovated
since commissioning. Also, location of the hospital is hardly accessible for population.
Therefore, after discussions with the World Bank, it was agreed to include within the scope of
the DPC Project modernization of the hospital network of Sevan city of the Republic of
Armenia.
As a precondition of the modernization it was planned that two facilities have to be merged in to
one new multifunctional medical center (MC) which should be located in Sevan city, near the
existing policlinic which is located in the favorable place, in the center of the Sevan city
(address - Armenia, Sevan City, Nairian Street building 169). According to the Government
Decree #815 from July 02, 2015 the Sevan Polyclinic and Sevan Hospital were merged in the
one multifunctional “Sevan Medical Center” CJSC. Also, according to the same decree it was
anticipated that the existing Sevan hospital will be relocated and accommodated in a new
hospital building to be constructed adjacent to the existing, newly renovated policlinic building,
on the land which belongs to the newly established MC. In addition, it is anticipated that after
completion of the civil works of construction of the new hospital building the old sub-buildings
of the Sevan hospital will be vacated and transferred to the Department of State Property
Management by the Government of the RA.
The subproject envisages construction of premises for Sevan MC (about 2770sq m). The MC
building will be located in front of the existing building of a polyclinic. Ancillary building – a
boiler house – will also be constructed and the area around the MC will be upgraded. The
subproject will also finance connection of the new building to the existing municipal utilities
(gas, water, sewage, electric lines).
The MC will be provided with modern medical equipment and furniture.
Institutional
arrangements
(Name and
contacts)
WB
(Project Team Leader)
Susanna Hayrapetyan
Project Management:
Health Project
Implementation Unit
of the Ministry of
Health
Acting Director
Mr. Nelson Zuloyan
Local Counterpart and/or Recipient:
Sevan Medical Center administration
Acting Director
Mrs. Anush Poghosyan
Implementation
arrangements
(Name and
contacts)
Safeguard Supervision:
Darejan Kapanadze
Local Counterpart
Supervision
Garegin Voskanyan
Local
Inspectorate
Supervision:
Gegharkunik
marz local
government’s
Architectural
and
Construction
Department
Contractor:
“Bedec” LLC
Garnik Avetisyan,
and
“Europe” LLC JV
Hamlet Papyan
SITE DESCRIPTION
Name of site Town of Sevan
Describe site
location
The subproject site is located in the east of the central
part of Armenia, Sevan city of Gegharkunik marz.
Access from Yerevan is possible through M-4
highway.
Distance from Yerevan is approximately 64 km.
Site Map [ ] Y [ ] N
*Annex 1
Who owns the
land?
Newly established Sevan Medical Center CJSC. At present the Sevan Medical Center is under
registration procedures.
Description of
geographic,
physical,
biological,
geological,
hydrographic
and socio-
economic context
Sevan city is resort place of the Gegharkunik Province. It is located in the north-western bank of
Sevan Lake, 66 km northeast of the capital Yerevan, 1900 m above the sea level.
As of January 1, 2015, the town has a population of 19,200.
Sevan city is home to the beer manufacturers. Majority of the Sevan population is involved in
agricultural activities, fish hunting and tourism services, especially during summer season.
Climate: Climate is cold and snowy in winter, while the summer is characterized with warm and
humid climate. The annual precipitation rate ranges from 500-600 mm at below 2000 meters,
while it may reach up to 1000 mm in the mountainous areas. Winter temperature can rich -5°C -
10°C, at least up to (-32 ° C), summer temperatures can reach a maximum, (+ 33 ° C), the
average year temperature is +18°C +20 °C.
Seismic activity: the possible strength of earthquakes (I) 8-9 points, ground maximal horizontal
acceleration is (g) ->0.30 m/sec2. Gegharkunik marz is located in seismic active zone.
Locations and
distance for
material
sourcing,
especially
aggregates,
water, stones?
The local construction materials will be moved from about 8 km distance.
Water will be available at the construction site from the municipal water supply system.
Volume of waste generated during the subproject implementation is expected to be modest and
will be transported to the landfill, 3 km far from the site, which is given by Municipality (the
reference provided by the Sevan Municipality is presented in Annex 2).
LEGISLATION
Identify
national &
local
legislation &
permits that
apply to project
activity
The subproject has been classified as low risk Category B according to the WB policies and the
EMF. Sevan municipal authority approved the subproject.
In accordance with Armenian Law on Environmental Impact Assessment and Expertise, the
Designer has to apply to the Ministry of Nature Protection in order to clarify if the design is
subject to the environmental expertise and if yes, the consultant should conduct all required
activities according to national legislation. Though according to the national regulatory system,
(i) works contractor must be licensed,
(ii) construction materials must be obtained from licensed providers,
(iii) if contractor wishes to operate own concrete plant (rather than purchasing these materials
from other providers), then the contractor must obtain an environmental permit with an
established ceiling of pollutant concentrations in emissions;
(iv) disposal of the construction waste into a landfill or permanent placement of access inert
material generated in the course of earth works in a selected location must be approved by
Sevan local municipality in written.
Copies of construction licenses if applicable, and waste disposal permits will be attached to this
EMP once the contractor is selected and mobilized to the work site.
GOST and SNIP norms must be adhered to.
PUBLIC CONSULTATION
Identify when /
where the
public
consultation
process took
place
Subproject-specific draft EMP was made available for Sevan population and discussed in a
consultation meeting on April 8, 2016.
INSTITUTIONAL CAPACITY BUILDING
Will there be
any capacity
building?
[ ] N or [ ]Y
PART B: SAFEGUARDS INFORMATION
ENVIRONMENTAL /SOCIAL SCREENING
Will the site
activity
include/involve
any of the
following??
Activity/Issue Status Triggered Actions
A. Building rehabilitation [ ] Yes [ ] No See Section A below
B. New construction [ ] Yes [ ] No See Section A below
C. Individual wastewater treatment system [ ] Yes [ ] No See Section B below
D. Historic building(s) and districts [ ] Yes [ ] No See Section C below
E. Acquisition of land1 [ ] Yes [ ] No See Section D below
F. Hazardous or toxic materials2 [ ] Yes [ ] No See Section E below
G. Impacts on forests and/or protected areas [ ] Yes [ ] No See Section F below
H. Handling / management of medical waste [ ] Yes [ ] No See Section G below
I. Traffic and Pedestrian Safety [ ] Yes [ ] No See Section H below
1 Land acquisitions includes displacement of people, change of livelihood encroachment on private property this is to land that is purchased/transferred and affects people who are
living and/or squatters and/or operate a business (kiosks) on land that is being acquired. 2 Toxic / hazardous material includes but is not limited to asbestos, toxic paints, noxious solvents, removal of lead paint, etc.
PART C: MITIGATION MEASURES
ACTIVITY PARAMETER MITIGATION MEASURES CHECKLIST
0. General Conditions Notification and Worker
Safety
(a) The local construction and environment inspectorates and communities have been notified of upcoming activities
(b) The public has been notified of the works through appropriate notification in the media and/or at publicly accessible sites
(including the site of the works)
(c) All legally required permits have been acquired for construction and/or rehabilitation
(d) The Contractor formally agrees that all work will be carried out in a safe and disciplined manner designed to minimize
impacts on neighboring residents and environment.
(e) Workers’ PPE will comply with international good practice (always hardhats, as needed masks and safety glasses, harnesses
and safety boots)
(f) Appropriate signposting of the sites will inform workers of key rules and regulations to follow.
A. and B General
Rehabilitation and /or
Construction Activities
Air Quality (a) During interior demolition debris-chutes shall be used above the first floor
(b) Demolition debris shall be kept in controlled area and sprayed with water mist to reduce debris dust
(c) During pneumatic drilling/wall destruction dust shall be suppressed by ongoing water spraying and/or installing dust screen
enclosures at site
(d) The surrounding environment (sidewalks, roads) shall be kept free of debris to minimize dust
(e) There will be no open burning of construction / waste material at the site
(f) There will be no excessive idling of construction vehicles at sites
Noise (a) Construction noise will be limited to restricted times agreed to in the permit
(b) During operations the engine covers of generators, air compressors and other powered mechanical equipment shall be
closed, and equipment placed as far away from residential areas as possible
Water Quality (a) The site will establish appropriate erosion and sediment control measures such as e.g. hay bales and / or silt fences to
prevent sediment from moving off site and causing excessive turbidity in nearby streams and rivers.
Waste management (a) Waste collection and disposal pathways and sites will be identified for all major waste types expected from demolition and
construction activities.
(b) Mineral construction and demolition wastes will be separated from general refuse, organic, liquid and chemical wastes by
on-site sorting and stored in appropriate containers.
(c) Construction waste will be collected and disposed properly by licensed collectors
(d) The records of waste disposal will be maintained as proof for proper management as designed.
(e) Whenever feasible the contractor will reuse and recycle appropriate and viable materials (except asbestos)
C. Individual wastewater
treatment system
Water Quality (a) The approach to handling sanitary wastes and wastewater from building sites (installation or reconstruction) must be
approved by the local authorities
(b) Before being discharged into receiving waters, effluents from individual wastewater systems must be treated in order to
meet the minimal quality criteria set out by national guidelines on effluent quality and wastewater treatment
(c) Monitoring of new wastewater systems (before/after) will be carried out
(d) Construction vehicles and machinery will be washed only in designated areas where runoff will not pollute natural surface
water bodies.
P. Historic building(s) Cultural Heritage (a) It shall be ensured that provisions are put in place so that artifacts or other possible “chance finds” encountered in
excavation or construction are noted and registered, responsible officials contacted, and works activities delayed or modified
to account for such finds.
E. Acquisition of land Land Acquisition
Plan/Framework
(a) If expropriation of land was not expected but is required, or if loss of access to income of legal or illegal users of land was
not expected but may occur, that the Bank’s Task Team Leader shall be immediately consulted.
(b) The approved Land Acquisition Plan/Framework (if required by the project) will be implemented
F. Toxic Materials Asbestos management (a) If asbestos is located on the project site, it shall be marked clearly as hazardous material
(b) When possible, the asbestos will be appropriately contained and sealed to minimize exposure
(c) The asbestos prior to removal (if removal is necessary) will be treated with a wetting agent to minimize asbestos dust
(d) Asbestos will be handled and disposed by skilled & experienced professionals
(e) If asbestos material is stored temporarily, the wastes should be securely enclosed inside closed containments and marked
appropriately. Security measures will be taken against unauthorized removal from the site.
(f) The removed asbestos will not be reused
Toxic / hazardous waste
management
(a) Temporarily storage on site of all hazardous or toxic substances will be in safe containers labeled with details of
composition, properties and handling information
(b) The containers of hazardous substances shall be placed in a leak-proof container to prevent spillage and leaching
(c) The wastes shall be transported by specially licensed carriers and disposed in a licensed facility.
(d) Paints with toxic ingredients or solvents or lead-based paints will not be used
G. Affected forests,
wetlands and/or protected
areas
Protection (a) All recognized natural habitats, wetlands and protected areas in the immediate vicinity of the activity will not be damaged or
exploited, all staff will be strictly prohibited from hunting, foraging, logging or other damaging activities.
(b) A survey and an inventory shall be made of large trees in the vicinity of the construction activity, large trees shall be marked
and cordoned off with fencing, their root system protected, and any damage to the trees avoided
(c) Adjacent of streams shall be protected from construction site run-off with appropriate erosion and sediment control feature
to include by not limited to hay bales and silt fences
(d) There will be no unlicensed borrow pits, quarries or waste dumps in adjacent areas, especially not in protected areas.
H. Disposal of medical
waste
Infrastructure for medical
waste management
(a) In compliance with national regulations the contractor will insure that newly constructed and/or rehabilitated health care
facilities include sufficient infrastructure for medical waste handling and disposal; this includes and not limited to:
▪ Special facilities for segregated healthcare waste (including soiled instruments “sharps”, and human tissue or fluids)
from other waste disposal;
▪ Appropriate storage facilities for medical waste are in place; and
▪ If the activity includes facility-based treatment, appropriate disposal options are in place and operational
I. Traffic and Pedestrian
Safety
Direct or indirect hazards to
public traffic and
pedestrians by construction
activities
(b) In compliance with national regulations the contractor will insure that the construction site is properly secured and
construction related traffic regulated. This includes but is not limited to
▪ Signposting, warning signs, barriers and traffic diversions: site will be clearly visible and the public warned of all
potential hazards
▪ Traffic management system and staff training, especially for site access and near-site heavy traffic. Provision of safe
passages and crossings for pedestrians where construction traffic interferes.
▪ Adjustment of working hours to local traffic patterns, e.g. avoiding major transport activities during rush hours or times
of livestock movement
▪ Active traffic management by trained and visible staff at the site, if required for safe and convenient passage for the
public.
▪ Ensuring safe and continuous access to office facilities, shops and residences during renovation activities, if the
buildings stay open for the public.
PART D: MONITORING PLAN
Activity What
(Is the parameter to be monitored?)
Where
(Is the parameter to be
monitored?)
How
(Is the parameter to be
monitored?)
When
(Define the
frequency / or
continuous)
Why
(Is the parameter being
monitored?)
Who
(Is responsible for
monitoring?)
CONSTRUCTION PHASE
Provision of
construction
materials
Purchase of construction
materials from the licensed
provider
In the provider’s
office or warehouse
Verification of
documents
During
conclusion of
supply contracts
Provide technical
order of facility
and its safety for
human health
HPIU
Authorized civil
works technical
supervision
company
Transportation of
construction
materials and waste
Movement of
construction
machinery
- Technical condition of
vehicles and machinery
- Confinement and
protection of truck loads
with lining
- Respect of the established
hours and routes of
transportation
- Construction site
- Routs of
transportation of
construction
materials and wastes
Inspection of
roads adjacent to
the construction
object in the
direction of the
movement rout
Undeclared
inspections
during work
hours and
beyond
- Limit pollution of
soil and air from
emissions
- Limit nuisance to
local
- Communities
from noise and
vibration;
- Minimize traffic
disruption.
HPIU,
Inspection Police
Authorized civil
works technical
supervision
company
Maintenance of
construction
equipment
- Washing of cars and
construction equipment
outside the construction site
or on maximum distance
from the river
Construction site
and construction
base adjacent to it (if
any)
Inspection of
activities
During operation
of equipment
- Avoid pollution
of water and soil
with oil products
due to operation of
equipment
HPIU
Authorized civil
works technical
supervision
company
- Refueling or lubrication of
construction equipment and
outside the construction site
or at the predetermined
arranged point
- Technical order of the
construction equipment
maintenance point
• solid impenetrable
floor or adsorbent
(sand fine gravel,
membrane) cover
• enough area and
impenetrable
barriers around fuel
containers
• basic fire
extinguishing
means
- Timely localize
and decrease
expected damage
in case of fire
Earth works - Topsoil removal and
temporary storage at a
separate place at the
beginning of works (to
dispose to landfill in case of
pollution and for re-
cultivation of the land if it is
good)
- Temporary storage of
excavated soil at determined
and allowed places in
Construction site Inspection of
activities
During earth
works
- Limit loss of
vegetations due to
ground piling and
minimization of
pollution of surface
water reservoirs
with particles
- Limit pollution
with contaminated
soil of surface and
ground waters
HPIU
Authorized civil
works technical
supervision
company
State Agency
for Historical
and Cultural
Monuments
Protection
compliance with ground
piling parameters
- Backfilling of the
excavated material as
needed and disposal of the
excess mass to the places,
approved in writing
- Immediate termination of
activities in case of
unexpected archaeological
findings and providing of
full information to the
Agency of cultural heritage
- Avoid loss of
cultural heritage
Extraction of inert
material
- Purchase of inert materials
from the existing suppliers,
if there is such opportunity
- Obtaining of the license
for production of inert
materials and strict
compliance with the license
- Terracing of quarries,
backfilling of exploited
areas and harmonization
with the landscape
- Excavating gravel outside
water flow, arrangement of
separating ridges between
Quarries of inert
materials
Inspection of
documents
Inspection of
activities
During
excavation and
reclamation at
quarries
- Limit slope
erosion and
landscape damage
- Limit erosion of
river banks,
pollution of water
flow with weighted
particles and
disturbance of
aquatic life
HPIU
Authorized civil
works technical
supervision
company
Ministry of
Nature
Protection
water flow and excavation
area, banning entrance of
watery by vehicles and
machinery
Generation of
construction waste
- Temporary storage of
construction waste in
especially allocated areas
- Timely disposal of wastes
to the formally designated
locations
Construction site;
Waste disposal site
Inspection of
activities
Periodically
during
construction and
upon its
completion
- Prevent pollution
of soil, surface
water and ground
water
- Avoid accidents
at the construction
site due to scattered
fragments of
construction
materials and
debris
- Retain esthetic
appearance of the
construction site
and its
surroundings
HPIU
Authorized civil
works technical
supervision
company
Sevan
Municipality
Production of
domestic wastes
- Placement of waste
collection containers at the
construction site and
construction base (if any)
- Agreement with Sevan
Municipality on regular
disposal of domestic wastes
Construction site
and construction
base (if any)
Visual
observation
Total period of
construction
Prevent pollution
of soil and water
with domestic
waste
HPIU
Authorized civil
works technical
supervision
company
Sevan
Municipality
Production of liquid
wastes
- Arrangement and
maintenance of toilets in
compliance with sanitation
norms at the construction
site and construction base (if
any)
- Arrangement and regular
cleaning of drainage system
for rain water collection and
drain
- Arrangement of
sedimentation pond for
water used for domestic and
machinery washing
purposes
Construction site
and construction
base (if any)
Visual
observation
Total period of
construction
In case of waste
precipitations
- Prevent flooding
of construction site
and disruption of
works due to water
logging
- Reduce pollution
of surface and
ground waters
HPIU
Authorized civil
works technical
supervision
company
Operation of
asphalt-concrete
plant
- Obtaining of emission
permit by the construction
contractor and strict
compliance with it
- Selection of a place for the
plant that provides minimal
disturbance of population
with noise, dust and exhaust
- Arrangement of
sedimentation pond for
waste water from the plant
Construction site
and construction
base (if any)
Inspection of
documents
Inspection of
activities
Total period of
plant operation
- Limit population
disturbance near
the construction
site
- Limit
atmospheric air and
surface water
pollution
HPIU,
Authorized civil
works technical
supervision
company
Ministry of
Nature
Protection
Construction site re-
cultivation and
landscaping
- Dismantlement of
construction base (if any)
and temporary access roads
to the site (if any) and
asphalt-concrete plant and
harmonization of the areas
with the landscape
- Final cleaning of the
construction site and
permanent access roads and
landscaping-greening of the
area
Construction site,
construction base
and temporary
access roads (if any)
Inspection of
activities
Final period of
construction
- Reduce loss of
aesthetical value of
the landscape due
to the water
treatment facility
construction
HPIU,
Authorized civil
works technical
supervision
company
Sevan
Municipality
Workers’ health and
safety
- Provision of constructors
with working clothes and
PPE
- Strict compliance with the
rules of construction
equipment operation and
usage of PPE
Construction site Inspection of
activities
Total period of
works
Reduce probability
of traumas and
accidents to
constructors
HPIU
Authorized civil
works technical
supervision
company
OPERATION PHASE
Medical waste
management
- Separation of medical waste
from other types of waste
generated at MC
- Arrangements in place with
especially licensed entity for
regular out-transporting and
disposal of medical waste in
Premises of MC - Inspection of
MC premises
- Checking
presence and
validity of waste
removal and
disposal
agreement with a
Total period of
operation of the
facility
- Maintenance of
good sanitary
conditions at MC
- Avoid spread of
infection from MC
area
Contract
between
The MC and
specialized
company signed
compliance with the national
legislation and the best
national practice
licensed entity - Limitation of soil,
surface and ground
water pollution
Household waste
management
- Presence of adequate type
and number of household
waste bins
- Timely removal of household
waste from the MC territory on
the basis of out-transporting
and disposal arrangements
Premises of MC
- Inspection of
MC premises
- Checking
presence and
validity of waste
removal and
disposal
agreement with a
licensed entity
Total period of
operation of the
facility
- Maintenance of
good sanitary
conditions at MC
- Limitation of soil,
surface and ground
water pollution
Contract
between
The MC and
specialized
company signed
Emergency
preparedness
Presence of fire alarm and fire
localization system, and
emergency back-up systems
for power and water supply
Premises of MC Periodic check-
ups
Total period of
operation of the
facility
- Reduce risks for
the staff and
patients of MC
- Avoid disruption
in the provision of
utility services to
the MC
Sevan MC
Annex 1. Site Map
Annex 2. Reference provided by the Sevan Municipality regarding the special land
field where the construction waste should be transported
According to the below presented reference provided by the Municipality of the Sevan
city the construction waste should be transported to the special lend field which is 3 km
far away from the construction site and located at the beginning of the Karmir Banaki
street of the of the city.
Annex 3. Minutes of the Public Consultation Meeting on the Draft Environmental
Management Plan for Construction of Sevan MC Hospital Building
The public consultation meeting was conducted on April 8, 2016 in the Sevan
MC of Gegharkunik marz regarding the EMP of the WB-financed DPC #5222-AM
project of the construction works of the Sevan MC’s hospital building with the
participation of local NGOs, stakeholders, community members, architect-designer,
representatives of local government, municipality and HPIU.
In the opening speech the head of the Healthcare and social department of the
Gegharkunik marz Ms. Anush Poghosyan welcomed the participants and asked HPIU
Component 2 Coordinator Davit Melik-Nubaryan to present the information about
EMP and current activities on the center modernization. The HPIU Component 2
Coordinator presented the EMP report, current activities and planned works of the
construction of the Sevan MC’s hospital building and noted that this document has
been developed based on the requirements of the World Bank Operational Manual,
which presents the WB environmental policy. He told that the impact on the
environment and hazard were assessed, all needed measures should be undertaken to
minimize the environmental risks, paying attention especially on perfect management
of the medical and construction waste and the prevention of pollution of the water
drainage system of Sevan City, which is very important. HPIU coordinator concluded
that no negative impact on the environment issue is expected.
Afterwards, the participants of the hearing discussed about issues the subject
concerned. In particular, it was asked whether it is planned to involve the local
manpower during the civil works and whether the landscaping of the surrounding
territory is planned. Mr. Melik-Nubaryan answered that the landscaping works are
planned, in regard involvement of the local manpower he mentioned that the HPIU is
encouraging all contractors to hire workers from the cities where they work.
At the end of the meeting the Coordinator thanked the participants for active
participation and interesting discussion.
The Minutes of the Meeting in native language, with pictures is presented
below. The EMP was printed and distributed among participants.
