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Form PA-W4: Treated industrial wastewater to the Red Sea

Permit Application for Authorization to Discharge Treated Industrial Wastewater to the Red Sea (Yanbu and Jazan only).

RCER-2025, Volume II. Water forms. 6 pages.

Who needs it

Facilities in Yanbu or Jazan that will discharge treated industrial wastewater to the Red Sea.RCER-2025 Vol. II, Form PA-W4, pages W4-1 to W4-6

What the form covers

  • Industrial wastewater generation
  • Discharge point coordinates (RC and UTM)
  • Discharge rate
  • Wastewater treatment system
  • Wastewater quality in normal operations
  • Wastewater quality in upset conditions and turnarounds
  • Holding pond
  • Means of discharging the treated wastewater
  • Sampling
  • Sludge generation

SourceRCER-2025 Vol. II, Form PA-W4, pages W4-1 to W4-6

Before you submit

  • Answer every question. Where one does not apply, write “None” or “NA”.RCER-2025 Vol. II, Section 2.1(b) to (e) (page 8)
  • Put the forms in the order of Figure 2.RCER-2025 Vol. II, Section 2, Figure 2 (page 10)
  • An authorised representative of the facility signs and stamps the Statement of Certification.RCER-2025 Vol. II, Section 2.1(b) to (e) (page 8)
  • Submit the application in electronic and printed form, with the printed copy signed.RCER-2025 Vol. II, Section 2.1(b) to (e) (page 8)
  • Drawings go in as A3 hard copies and as PDF files.RCER-2025 Vol. II, Section 1.3.1 (page 3)
Getting the official form

The Royal Commission provides the electronic copy of the forms. This page explains the form. The RC's version is the one to fill in and submit.RCER-2025 Vol. II, Section 2.1(b) to (e) (page 8)

This page summarises the form as published in RCER-2025, Volume II. It is general information, not legal advice. The Royal Commission's official form and regulations always prevail. Spotted something out of date? Request a change.