Application for Environmental Clearance of
“545 Bedded Hospital”
Site no. 2, Zone H-4/5, Facility Centre Pitampura, New Delhi
For: - Dr. Narayan Dutt Shrimali Foundation International Charitable Trust Society Regd. Off. -823, DLF Tower-A, Jasola District Centre, New Delhi-110025
PREPARED BY: M/S PERFACT ENVIRO SOLUTIONS PVT. LTD. (NABET Registered Vide list of accredited consultants organizations/ Rev.78 /10th July, 2019 at S.No.-112) (An ISO 9001:2008 & ISO 14001:2004 Certified Company) 5th Floor, NN Mall, Sector 3, Rohini, New Delhi-110085 Phone: +91-11-49281360
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TABLE OF CONTENTS
ENCLOSURE 1. FORM-I & IA ...... 4 ENCLOSURE 2: CONCEPTUAL PLAN ...... 41
INTRODUCTION ...... 42 ACTIVITIES/ AMENITIES ...... 42 SITE LOCATION ...... 42 TYPE OF PROJECT ...... 42 PROJECT DETAILS ...... 42 POPULATION DETAILS ...... 45 WATER MANAGEMENT ...... 45 RAIN WATER COLLECTION DETAILS ...... 45 POWER REQUIREMENT & BACK-UP ...... 45 SOLID & HAZARDOUS WASTE MANAGEMENT ...... 46 PARKING MANAGEMENT ...... 46 GREEN AREA DEVELOPMENT ...... 46 ENCLOSURE 3. ENVIRONMENT MANAGEMENT PLAN ...... 47
3.1 PROJECT DETAILS ...... 49 3.1.1 . AREA DETAILS: ...... 50 3.1.2 POPULATION DETAILS ...... 51 3.1.3 PARKING MANAGEMENT ...... 51 3.1.4 POWER REQUIREMENT AND BACKUP DETAILS ...... 52 3.1.5 WASTE WATER, RAIN WATER AND SOLID WASTE DETAILS ...... 52 3.2 LAND USE AND OWNERSHIP OF THE SITE LAND ...... 53 3.3 LAND USE ...... 53 3.4 LOCATION OF THE PROJECT WITH CONNECTIVITY ...... 54 3.4.1 GEOGRAPHICAL INFORMATION OF SITE...... 54 3.4.2 TOPOGRAPHICAL MAP...... 55 3.5 CONNECTIVITY OF THE PROJECT ...... 55 3.6 CENTRALLY PROTECTED MONUMENTS UNDER DELHI CIRCLE ...... 56 3.7 LAYOUT PLAN ...... 56 3.8 WATER MANAGEMENT ...... 57 3.8.1 SOURCE OF WATER ...... 57 3.8.2 PRESENT QUALITY ...... 57 3.8.3 WATER REQUIREMENT ...... 57 3.8.4 DISPOSAL ...... 58 3.9 AIR AND NOISE MANAGEMENT ...... 59 3.9.1 DURING CONSTRUCTION PHASE ...... 59 3.9.2 DURING OPERATION PHASE ...... 59 3.10 ENERGY CONSERVATION MEASURES ...... 59 3.11 ENVIRONMENT MANAGEMENT ...... 59 3.11.1 ENVIRONMENT MANAGEMENT DURING CONSTRUCTION PHASE ...... 60 3.11.1.1 AIR ENVIRONMENT ...... 60 ANNUAL WINDROSE DIAGRAM...... 60 3.11.1.2 NOISE ENVIRONMENT ...... 61 3.11.1.3 WATER ENVIRONMENT ...... 62 3.11.1.4 SOLID WASTE MANAGEMENT ...... 62
1 “545 Bedded Hospital” at Site no. 2, Zone H-4/5, Facility Centre, Pitampura. New Delhi By Dr. Narayan Dutt Shrimali Foundation International Charitable Trust Society
3.11.2 ENVIRONMENT MANAGEMENT DURING OPERATION PHASE ...... 63 3.11.2.1 AIR ENVIRONMENT ...... 63 3.11.2.2 NOISE ENVIRONMENT ...... 63 3.11.2.3 WATER MANAGEMENT ...... 64 3.11.2.3.1 WASTE WATER TREATMENT...... 64 3.1.1.1.1 SCHEME OF EFFLUENT TREATMENT PLANT...... 67 3.11.2.3.2 RAIN WATER HARVESTING ...... 68 3.11.2.4 WASTE MANAGEMENT ...... 71 3.11.2.4.1 MUNICIPAL SOLID WASTE ...... 71 3.11.2.4.2 BIOMEDICAL WASTE MANAGEMENT ...... 72 3.11.2.4.3 HAZARDOUS WASTE MANAGEMENT: - ...... 72 3.11.2.5 PLANTATION ...... 72 3.11.3 ANTICIPITATED IMPACT & MITIGATION MEASURES ...... 73 3.11.3.1 DURING CONSTRUCTION PHASE ...... 73 3.11.3.2 DURING OPERATION PHASE ...... 74 3.12 ENVIRONMENT MONITORING PLAN ...... 76 3.13 ENVIRONMENT MANAGEMENT COST ...... 77 3.13.1 CAPITAL COST ...... 77 3.13.2 RECURRING EXPENDITURE ...... 77 3.14 CORPORATE ENVIRONMENT RESPONSIBILITY ...... 77 ENCLOSURE 4. RISK ASSESSMENT ...... 79
4.1 RISK ASSESSMENT ...... 80 4.1 DISASTER MANAGEMENT PLAN ...... 80 4.2 SAFETY MEASURES: ...... 82 ENCLOSURE 5. DISCLOSURE OF THE CONSULTANT ...... 88
ENCLOSURE 6. EARLIER ENVIRONMENTAL CLEARANCE ...... 91 ENCLOSURE 7. CERTIFIED COMPLIANCE REPORT ...... 99 ENCLOSURE 8. CENTRALLY PROTECTED MONUMENTS AROUND DELHI CIRCLE ...... 104 ENCLOSURE 9. LAND PAPERS ...... 106 ENCLOSURE 10. DUAC APPROVAL ...... 117
ENCLOSURE 11. WATER PERMISSION ...... 119 ENCLOSURE 12. AIRPORT AUTHORITY OF INDIA APPROVAL ...... 121 ENCLOSURE 13. POWER ASSURANCE ...... 124 ENCLOSURE 14. TEST REPORTS ...... 126 ENCLOSURE 15. AIR DISPERSION REPORT ...... 136 ENCLOSURE 16. TRAFFIC ASSESSMENT REPORT ...... 148 ENCLOSURE 17. LANDSCAPE REPORT ...... 162 ENCLOSURE 18. TOPOGRAPHICAL MAP ...... 164 ENCLOSURE 19. LAYOUT PLAN ...... 166
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2 “545 Bedded Hospital” at Site no. 2, Zone H-4/5, Facility Centre, Pitampura. New Delhi By Dr. Narayan Dutt Shrimali Foundation International Charitable Trust Society
ENCLOSURE 20. TYPICAL BASEMENT PARKING PLAN ...... 168 ENCLOSURE 21. FIRE FIGHTING PLAN ...... 170 ENCLOSURE 22: STORM WATER DRAINAGE PLAN ...... 172 ENCLOSURE 23. SEWERAGE LAYOUT PLAN ...... 174
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ENCLOSURE 1. FORM-I & IA
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APPENDIX I (See paragraph – 8.9) FORM 1 I. Basic Information
S.No. Item Details 1. Name of the project/s “545 Bedded Hospital”
2. S. No. in the schedule 8(a) 3. Proposed capacity/ area/length/ Total Plot area: 29999.34 m2 (2.999934 ha.) tonnage to be handled/ command area/ Total Built up area: 94956.31 m2 lease area/ number of wells to be drilled 4. New/ Expansion/ Modernization New The project has already been granted Environmental Clearance for the construction of Hospital vide letter no. 21-1114/2207-IA.III dated 14.11.2008 for plot area 29999.34 m2 and built-up area 96740.19 m2. However, only excavation & part basement construction has been done after the grant of Environmental Clearance and no construction has been carried out after that. Environmental Clearance has also been expired. Now, due to change in planning, the built-up area shall be revised to 94956.31 m2. 5. Existing Capacity/ Area etc. Not Applicable 6. Category of Project i.e. ‘A’ or ‘B’ B However, the tenure of SEAC (Delhi Committee) has been completed so the application is being applied to MoEF & CC. 7. Does it attract the general condition? If No yes, please specify. 8. Does it attract the specific condition? If No yes, please specify. 9. Location Plot/ Survey/ Khasra No. Site No. – 2, Zone H-4/5, Facility Centre Village Pitampura Tehsil Saraswati Vihar District North West Delhi State New Delhi
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10. Nearest railway station/ airport along Nearest Railway Station: with distance in kms. Shakur Basti Railway Station, 1.83 km SE
Nearest Airport: Indira Gandhi International Airport, 14.72 km SSW 11. Nearest Town, city, District Project is in Delhi Itself. Headquarters along with distance in kms. 12. Village Panchayats, Zilla Parishad, North Delhi Municipal Corporation at Pitampura Municipal Corporation, Local body Village, Saraswati Vihar, Pitampura, New Delhi- (complete postal addresses with 110034. telephone nos. to be given) 13. Name of the applicant Dr. Narayan Dutt Shrimali Foundation International Charitable Trust Society 14. Registered Address 823, DLF Tower - A, Jasola District Center, New Delhi - 110025 15. Address for correspondence: Name Mr Harsh Vardhan Bansal Designation (Owner/Partner/CEO) Secretary Address 823, DLF Tower - A, Jasola District Center, New Delhi Pin Code 110025 E-mail [email protected] Telephone No. 9811612189 011-20218668 Fax no. - 16. Details of Alternative Sites examined, No alternative site has been chosen. The land has if any. Location of these sites should be been given on lease by DDA to Dr. Narayan Dutt shown on a Topo sheet. Shrimali Foundation International Charitable Trust Society for development of Integrated Hospital. 17. Interlinked Projects No 18. Whether separate application of Not Applicable interlinked project has been submitted? 19. If yes, date of submission Not Applicable 20. If no, reason Not applicable
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21. Whether the proposal involves approval/clearance under: if yes, details of the same and their status to be given. (a) The Forest (Conservation) Act, Not Applicable 1980?
(b) The Wildlife (Protection) Act, Not Applicable 1972? (c) The C.R.Z. Notification, 1991? Not Applicable 22. Whether there is any Government Not Applicable Order/ Policy relevant/ relating to the site? 23. Forest land involved (hectares) No forest land is involved. 24. Whether there is any litigation pending against the project and/ or land in which the project is propose to be set up? (a) Name of the Court (b) Case No. Not Applicable (c) Orders/ directions of the Court, Not Applicable if any and its relevance with the Not Applicable proposed project.
II. Activity
1. Construction, operation or decommissioning of the Project involving actions, which will cause physical changes in the locality (topography, land use, changes in water bodies, etc.)
S.No Information/Checklist Yes/ Details thereof (with approximate quantities /rates, confirmation No wherever possible) with source of information data
1.1 Permanent or temporary No As per the Master Plan Delhi 2021, the site has already been change in land use, land earmarked for Hospital. Hence, there will be no change in cover or topography Land Use. However, land cover shall change to Hospital Building. including increase in intensity of land use (with respect to local land use plan)
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1.2 Clearance of existing No At proposed site, excavation & part basement construction has land, vegetation and already been done after the grant of Environmental Clearance buildings? and no other construction has been carried out after that. Also, around 70-80 trees are present at the site which shall be transplanted within the site during construction. 1.3 Creation of new land No Since, the land of the proposed project has already been uses? earmarked for Hospital building as allowed according to the Master Plan of Delhi 2021.
Hence, there will be no creation of new land uses.
1.4 Pre-construction investigations e.g. bore Yes Pre-construction Geo-technical investigation have been done. houses, soil testing?
1.5 Construction works? Construction will be done as per approved Building Plan/ Yes Master Plan.
1.6 Demolition works? No There will be no demolition works. 1.7 Temporary sites used No Not Applicable. for construction works or housing of construction workers?
1.8 Above ground Yes The building will be elevated to height of maximum height of buildings, structures or 45 m at terrace level. At proposed site excavation & part earthworks including basement construction has already been done after the grant of linear structures, cut and Environmental Clearance. The maximum level of basement is fill or excavations two.
1.9 Underground works No Not applicable including mining or tunnelling?
1.10 Reclamation works? No Not applicable
1.11 Dredging? No Not applicable
1.12 Offshore structures? No Not applicable
1.13 Production and No No production or manufacturing will be done as the proposed manufacturing land will be used for Hospital and for development of hospital processes? related infrastructures.
1.14 Facilities for storage of Yes During Construction Phase: goods or materials?
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Separate raw material yard will be made within the project site. Cement will be separately stored under cover in bales. Sand will be stacked nearby under tarpaulin cover. Bricks and steel will be laid in open. During Operation Phase: As the proposed project is a Hospital, hence, the material will be chemicals, medicines, other biomedical materials, radioactive material etc. which will be stored in respective labs or storage rooms. The chemicals within threshold limit will be stored properly as per MHISC rules. 1.15 Facilities for treatment Yes During Construction phase: or disposal of solid Approx. 150 labours shall be hired during the construction waste or liquid phase. Hence, the solid waste of 23 kg/day shall be generated effluents? from labours which shall be disposed off to municipal solid waste management site. Construction debris like Concrete will be reused for backfilling & waterproofing for terrace, toilets etc. Tiles will be used in creating pathways in the landscape area, & rest will be sent to the construction & demolition facility. Total 6 KLD waste water shall be generated from construction labours which will be discharged to septic tank followed by soak pit. During operation phase: The biodegradable waste shall be disposed to organic waste converter for conversion to manure. The recyclable solid waste shall be sent to approved recycler for disposal. While, the biomedical waste shall be sent to approved biomedical waste service provider for disposal. The waste water generated in the complex will be 422 KLD (Laboratory Waste water-18 KLD and Sewage- 404 KLD). The laboratory waste water of 18 KLD shall be treated in Effluent Treatment Plant of capacity 25 KLD. 16 KLD treated water shall be generated from ETP which shall be retreated in STP. The 404 KLD of sewage generated & 16 KLD treated water generated from ETP shall be treated in STP of 500 KLD. 399 KLD of treated water shall be generated from STP which shall be completely reused in flushing, gardening, cooling and misc. purposes. It will be zero discharge complex. Details are given in Environmental Management Plan.
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1.16 Facilities for long term Yes During Construction phase: housing of operational Approx. 150 no. of labours will be hired during construction workers? phase. Separate housing in the form of hutments shall be provided on the site for around 100 labours. Other labour will come from nearby areas. There shall be provision of crèche facility, kitchen, temporary toilets & bathrooms, drinking facility, rest room and first aid facility within the hutments.
During Operation Phase: As the proposed project is Hospital hence staff will only be needed in the hospital which will be from the nearby areas. Separate housing will not be provided. 1.17 New road, rail or sea No No new road, rail or sea traffic is proposed. Existing traffic during transportation facilities will be used during construction or construction or operation phase. operation?
1.18 New road, rail, air No No new road, rail, or sea traffic is proposed. Exiting facilities waterborne or other shall be used transport infrastructure Existing transport facilities near site are given below: including new or altered routes and stations, Nearest Railway Station: ports, airports etc? Shakur Basti Railway Station, 1.83 km SE
Nearest Airport: Indira Gandhi International Airport, 15.21 km SSE
Nearest Highway: NH-10, 1.21 km S
Nearest Metro Station: Paschim Vihar East Metro Station, 1.55 km SW
1.19 Closure or diversion of No No such closure or diversion of existing transport is required. existing transport routes or infrastructure leading to changes in traffic 1.20 Newmovements? or diverted No No new or diversion of transmission lines or pipelines would transmission lines or be done. pipelines?
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1.21 Impoundment, No No impoundment, damming, culverting, realignment or other damming, culverting, changes to the hydrology of surface watercourse is required. realignment or other changes to the hydrology of watercourses or aquifers?
1.22 Stream crossings? No No stream crosses the project site.
1.23 Abstraction or transfers No abstraction of ground water is proposed. of water from ground or No surface waters?
1.24 Changes in water bodies No There will be no changes in water bodies on the land and or the land surface drainage or run-off. affecting drainage or run-off?
1.25 Transport of personnel Yes During Construction phase: or materials for Materials during construction phase will be transported by construction, operation truck, trolley etc. Parking of trucks will be provided in case of or decommissioning? emergency. During Operation Phase: Ambulances, Cars, two – wheeler etc. will be used during operation phase.
1.26 Long-term dismantling No Not Applicable or decommissioning or restoration works?
1.27 Ongoing activity during No Not Applicable decommissioning which could have an impact on the environment?
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1.28 Influx of people to an Yes During Construction phase area in either Temporary but a long-term influx of people in the form of temporarily or labours will be there till construction is done. Approx. 150 no. permanently? of local labour shall be employed. During operation phase Influx of people will be as follows: Particulars Proposed Details No. of IPD Patients 545 No of OPD Patients 2000 Staff 1635 Visitor 2000 Total Population 6180
1.29 Introduction of alien No As on date, there is no history of alien species at the proposed species? site.
1.30 Loss of native species or No There shall not be any cutting of existing tree species. Around genetic diversity? 70-80 trees are present on the site which shall be transplanted within the site during construction. Hence, there will not be any loss of native species or genetic diversity. 1.31 Any other actions? No Not Applicable
2. Use of Natural resources for construction or operation of the Project (such as land, water, materials or energy, especially any resources which are non-renewable or in short supply):
S.No. Information/checklist Yes/ Details thereof (with approximate quantities confirmation No /rates, wherever possible) with source of information data 2.1 Land especially undeveloped or Yes 29999.34 m2 of undeveloped land shall be agricultural land (ha) developed into Hospital Building. The land has been given on lease by DDA to Dr. Narayan Dutt Shrimali Foundation International Charitable Trust Society for development of Integrated Hospital Building. Excavation & part basement construction has been done after the grant of Environmental Clearance vide letter no. 21-11114/2007-IA-III dated 14.11.2008 and no construction has been carried out after that.
2.2 Water (expected source & Yes Source & Quantity During Construction phase:
competing users) unit: KLD For construction purpose: Water during
construction phase will be taken from tanker water
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supplier which supply treated water from STP of nearby area. For drinking purpose: Tanker supply Source & Quantity During Operation Phase: The total water requirement of the project will be 759 KLD. Out of which, fresh water requirement will be 360 KLD. The fresh water requirement shall be met by Delhi Jal Board. Detailed Water Management & Water Balance are given in Environment Management Plan. 2.3 Minerals (MT) No Not Applicable
2.4 Construction material – stone, Yes Building materials will be sourced from indigenous aggregates, sand / soil supply. The major materials required for (expected source – MT) construction of the project will be steel, tiles, glass, cement, agate, bricks, flooring tiles/stones, sanitary and hardware items, electrical fittings etc.
2.5 Forests and timber (source – Yes Wood for Doors shutters/ furniture will be used as MT) per the requirement.
2.6 Energy including electricity and Yes Source of power supply: TATA Power DDL fuels (source, competing users) Power requirement: 5500 kVA Unit: fuel (MT), energy (MW) DG Sets: 2 x 1010 kVA and 2 x 1500 kVA Fuel: Low Sulphur Diesel 2.7 Any other natural resources No Not Applicable (use appropriate standard units)
3. Use, storage, transport, handling or production of substances or materials, which could be harmful to human health or the environment or raise concerns about actual or perceived risks to human health.
S.No. Information/Checklist Yes/ Details there of (with approximate confirmation No quantities/rates, wherever possible) with source of information data 3.1 Use of substances or Yes As proposed project involves Hospital, chemicals materials, which are shall be used. The chemicals within threshold limit hazardous (as per MSIHC will be stored properly as per MHISC rules. rules) to human health or the environment (flora, fauna, and water supplies)
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3.2 Changes in occurrence of No Since the proposed project is a hospital, there would disease or affect disease be generation of bio-medical wastes which could lead vectors (e.g. insect or water to infections. borne diseases) Suitable drainage and waste management measures including bio-medical waste will be adopted during operational phase. There will be no stagnation of water or accumulation of water outside or within the complex. 3.3 Affect the welfare of people Yes During Construction phase: e.g. by changing living This project shall provide employment to approx. 150 conditions? no. of local labours during construction phase which shall lead to better quality of life & also set a standard for future developments in the area.
During Operation Phase: There would be generation of employment opportunities after the development of hospital as nurses, doctors & staff and other consultants will be required. Type Population
Working Staff & employee 1635
The hospital will have a positive impact as it will be used for treatment of patients. No adverse changes in living conditions are anticipated as land is earmarked for development of Hospital building. 3.4 Vulnerable groups of people No No, vulnerable group of people are seen near the who could be affected by the project site. project e.g. hospital patients, children, the elderly etc. 3.5 Any other causes Yes There will be generation of Bio-medical waste, which will be given to State Approved Biomedical Waste Service Provider for final disposal. Radioactive waste will be generated from the Oncology department which shall be disposed off in accordance with the Atomic Energy (Safe disposal of radioactive waste) rules.
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4. Production of solid wastes during construction or operation or decommissioning (MT/month)
S.No Information/Checklist Yes/ Details thereof (with approximate confirmation No quantities/rates, wherever possible) with source of information data 4.1 Spoil, overburden or mine No Not applicable wastes
4.2 Municipal waste (domestic Yes During construction and or commercial wastes) Domestic waste –23 kg/day shall be generated from 150 no. of labours which shall be disposed off to municipal solid waste management site. During operation Total Solid Waste generation will be 1091 kg/day. Out of which 654 kg/day biodegradable waste will be treated in Organic Waste convertor while 218 kg/day recyclable waste and 218 kg/day plastic waste will be given to approved recycler. Detailed Solid Waste Description is given in Environment Management Plan. 4.3 Hazardous wastes (as per Yes Production of hazardous wastes in form of Hazardous Waste radioactive wastes and chemical waste shall be there. Management Rules) Proper management & disposal of chemical waste and radioactive waste will be done. 48 lt/month of used oil shall be given to Approved vendor Hazardous & other waste (Management & Handling) Rules, 2016 4.4 Other industrial process No Not applicable wastes 4.5 Surplus product No Not applicable 4.6 Sewage sludge or other sludge Yes About 30.5 kg/day dried sludge will be generated from effluent treatment from STP of capacity 500 KLD. This sludge will be passed through filter press where it will be dewatered/ dried & form a cake and then it shall be used as manure in green areas and excess shall be given to farmers/ nurseries. 4.7 Construction or demolition No Not Applicable since it is a new project wastes 4.8 Redundant machinery or No Not applicable equipment
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4.9 Contaminated soils or other No Not applicable materials 4.10 Agricultural wastes No Not applicable
4.11 Other solid wastes Yes During operation phase, E-Waste of approx. 3-4 kg/month shall be generated from the project which shall be given to approved recycler. Radioactive waste will be generated from the Oncology department which shall be disposed off in accordance with the Atomic Energy (Safe disposal of radioactive waste) rules of 1987 promulgated by the Indian Central Government Atomic Energy Act 1962.
5. Release of pollutants or any hazardous, toxic or noxious substances to air (kg/hr)
S. No Information/Checklist Yes/ Details thereof (with approximate quantities/rates, confirmation No wherever possible) with source of information data
5.1 Emissions from Yes During Construction phase: combustion of fossil fuels DG sets of capacities 1×125 kVA shall be installed from stationary or mobile acoustically enclosed with adequate stack height. sources. During Operation Phase: The only source of emission from combustion of fossil fuels will be DG sets of 2×1010 kVA and 2×1500 kVA Hence, to avoid the emissions, stack height of 6 m above roof level for the DG set shall be provided. The DG set shall meet all the norms prescribed by CPCB. 5.2 Emissions from No Not Applicable production processes
5.3 Emissions from materials Dust shall be generated during construction from the handling including movement of transport vehicles and other construction storage or transport Yes activities. The effect will be restricted to construction phase only. Water sprinklers shall be used for dust suppression. Material will be stored under tarpaulin cover. 5.4 Emissions from Yes Batching Plant shall be installed during construction construction activities phase for which necessary approval shall be taken. Dust & emissions shall be generated during construction activities which shall be reduced by sprinkling of water
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including plant and in a specific time interval & timely maintenance schedule equipment for machinery. Also, the machines shall be kept shut down during idle period.
5.5 Dust or odours from Yes During Construction phase: handling of materials During loading and unloading of construction material including construction dust is likely to be generated during construction phase. materials, sewage and Water shall be sprinkled and tarpaulin cover shall be waste provided over stored raw material to reduce dust emission. During Operation Phase: The sewage generated will be treated in STP of 500 KLD and effluent generated from laboratory shall be treated in ETP of 25 KLD & then retreated in STP. Proper ventilation will be provided to control odour from STP & ETP. Biomedical waste shall be segregated and sent to State Approved Biomedical Waste Service Provider for final disposal. Organic waste shall be treated in Organic Waste Convertor & converted into manure. 5.6 Emissions from No Not applicable incineration of waste.
5.7 Emissions from burning No Not applicable of waste in open air (e.g. slash materials, construction debris).
5.8 Emissions from any other No None sources.
6. Generation of Noise and Vibration, and Emissions of Light and Heat:
S.No. Information/Checklist Yes/ Details thereof (with approximate quantities/rates, confirmation No wherever possible) with source of information data with source of information data
6.1 From operation of equipment Yes During Construction phase: e.g. engines, ventilation Due to operation of machinery and equipment during plant, crushers. construction of proposed project.
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During construction, the equipment such as mixer machines, bulldozers, cranes, compactors will be used
which is of highest standard and adhered to international standards. These standards itself will take care of noise pollution control/ vibration control and air emission
control. Hence, an insignificant impact due to construction machinery will be envisaged. Apart from this, the construction activities will be restricted to daytime only. During Operation phase: The DG Sets of capacity 2×1010 kVA and 2×1500 kVA shall be installed in acoustically treated room on Surface. Vibration pads in DG sets shall be provided to minimize the vibration effect.
6.2 From industrial or similar No Not applicable processes
6.3 From construction or Yes Due to the various activities, there will be short-term demolition noise impacts in the immediate vicinity of the project site. This shall be restricted to day time only. It has been estimated that during the construction period the average noise level will be 70-75 dB (A) during peak construction hours. Barricading of site shall be done in order to reduce noise impacts outside the project boundary.
6.4 From blasting or piling No Not Applicable
6.5 From construction or Yes Some amount of noise will be generated from vehicular operational traffic movement in construction and operational phase around the boundary wall shall be done to reduce noise from
traffic.
6.6 From lighting or cooling No Not Applicable systems
6.7 From any other sources No None
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18 “545 Bedded Hospital” at Site no. 2, Zone H-4/5, Facility Centre, Pitampura. New Delhi By Dr. Narayan Dutt Shrimali Foundation International Charitable Trust Society
7. Risks of contamination of land or water from releases of pollutants into the ground or into sewers, surface waters, groundwater, coastal waters or the sea:
S.No. Information/Checklist Yes/ Details thereof (with approximate quantities/rates, confirmation No wherever possible) with source of information data 7.1 From handling, storage, As the proposed project is a Hospital, chemicals will be use or spillage of used which may be hazardous in nature. The chemicals hazardous materials within threshold limit will be stored properly as per Yes MHISC rules. Used oil from DG sets will be stored in HDPE drums and kept in covered rooms under lock & key. Special care shall be taken to prevent leakages and spills. 7.2 From discharge of sewage Yes The waste water generated in the complex will be 422 or other effluents to water KLD (Laboratory Waste water-18 KLD and Sewage- 404 or the land (expected KLD). The laboratory waste water of 18 KLD shall be treated in Effluent Treatment Plant of capacity 25 KLD. mode and place of 16 KLD treated water shall be generated from ETP which discharge) shall be retreated in STP. The 404 KLD of sewage generated & 16 KLD treated water generated from ETP shall be treated in STP of 500 KLD. 399 KLD of treated water shall be generated from STP which shall be completely reused in flushing, gardening, cooling and misc. purposes. It will be zero discharge complex. 7.3 By deposition of Yes The only source of air emission will be DG sets & pollutants emitted to air vehicular emissions. The DG sets adhering to CPCB into the land or into water standards will be installed with adequate stack height. The emission from DG sets will be dispersed in the air & will not create any contamination to land or water. 7.4 From any other sources Yes Risk of occurrence of disease from biomedical waste can be observed. 204 kg/day of biomedical waste shall be generated from the Hospital complex. The Biomedical wastes shall be disposed as per Bio medical waste (management & handling) rules, 2016.
Radioactive waste will be generated from the Oncology department which shall be disposed off in accordance with the Atomic Energy (Safe disposal of radioactive waste) rules of 1987 promulgated by the Indian Central Government Atomic Energy Act 1962. 7.5 Is there a risk of long-term No None build-up of pollutants in the environment from these sources?
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19 “545 Bedded Hospital” at Site no. 2, Zone H-4/5, Facility Centre, Pitampura. New Delhi By Dr. Narayan Dutt Shrimali Foundation International Charitable Trust Society
8. Risk of accidents during construction or operation of the Project, which could affect human health or the environment.
S.No Information/Checklist Yes/ Details thereof (with approximate quantities/rates, confirmation No wherever possible) with source of information data
8.1 From explosions, spillages, Yes The possible sources of accidents from explosions, fires etc. from storage, spillages, fires etc. from storage, handling would be diesel, handling, use or production chemicals from laboratory, pharmaceutical wastes etc. of hazardous substances Proper care shall be taken and fire-fighting system shall be installed within the complex to avoid any accident. 8.2 From any other causes Yes During Construction Phase The possible sources of accidents would be mis happenings due to other sources from the complex can be electrical shocks, mechanical damages etc. PPE shall be provided to the labours.
During Operation Phase: The possible sources of accidents from the other sources in the complex would be radiation leaks, mechanical accidents, chemical/biomedical hazards etc. Proper care shall be taken to avoid it. 8.3 Could the project be Yes The area under study falls in Zone-IV, according to the affected by natural disasters Indian Standard Seismic Zoning Map. Suitable seismic causing environmental coefficients in horizontal and vertical directions damage (e.g. floods, respectively has been adopted while designing the earthquakes, landslides, structure. cloudburst etc)? For reasons of earthquake: Earthquake measures has been incorporated in the building design. However, the area is not prone to flood and landslide etc.
9. Factors which should be considered (such as consequential development) which could lead to environmental effects or the potential for cumulative impacts with other existing or planned activities in the locality.
S. No. Information/Checklist Yes/No Details there of (with approximate confirmation quantities/rates, wherever possible) with source of information data 9.1 Lead to development of supporting facilities, ancillary development or development
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20 “545 Bedded Hospital” at Site no. 2, Zone H-4/5, Facility Centre, Pitampura. New Delhi By Dr. Narayan Dutt Shrimali Foundation International Charitable Trust Society
stimulated by the project which could have impact on the environment e.g.: • Supporting infrastructure (roads, power supply, waste No Not Applicable or waste water treatment, etc.) • Housing development No Not Applicable • Extractive industries No Not Applicable • Supply industries No Not Applicable • Other No Not Applicable 9.2 Lead to after-use of the site, No Proper care shall be taken to avoid any adverse which could have an impact impact on the environment on the environment 9.3 Set a precedent for later Yes It will attract people to develop organized and developments environment friendly Hospital. 9.4 Have cumulative effects due No No impact to proximity to other existing or planned projects with similar effects
III. Environmental Sensitivity
S. No Areas Name/ Aerial distance Identity (within 15 km.) from Proposed project location boundary 1 Areas protected under Ancient Mosque (Babur’s Period) 11.10 km SSW international conventions, together with adjacent area comprised national or local legislation in part of Survey plot No. 177 for their ecological, landscape, cultural or other Delhi fort or Lal Qila, NaubatKhana, 13.20 km SEE related value Diwan-i-am, Mumtaz Mahal' Rang Mahal, Baithak,MaseuBurj, diwan-i- Khas' Moti Masjid, sawanBhadon ,Shah Burj, Hammam with all surrounding including the gardens, paths, terraces and water courses.
Salimgarh Fort, comprising the main 13.31 km SEE gate on North, Ancient structure near the main gate and the entire fortification wall
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21 “545 Bedded Hospital” at Site no. 2, Zone H-4/5, Facility Centre, Pitampura. New Delhi By Dr. Narayan Dutt Shrimali Foundation International Charitable Trust Society
Fortification Wall AsadBurj, Water 13.70 km SEE gate, Delhi Gate, Lahori Gate, Jahangiri Gate, Chhattra Bazar, Baoli 2 Areas which are important or Water Bodies sensitive for ecological Lake near Madipur 2.14 km SSE reasons - Wetlands, Najafgarh Drain 2.95 km S watercourses or other water Japanese Park Lake 3.07 km NNE bodies, coastal zone, Swarna Jayanti Lake 4.05 km NNE biospheres, mountains, Delhi Tail Distributary (Western 4.18 km NE forests Yamuna Canal) Nangloi Distributary 4.28 km NNW Distributary near Nithari 5.22 km NWW Pond near Ambedkar Nagar 5.43 km NE Supplimetary Drain 6.69 km NNE Bhalswa Lake 7.61 km NE Pond near Model Town 7.85 km NE Mundka Minor 8.14 km NW Nalni Lake 8.16 km NEE Santokh Sarover 9.31 km NE Madanpur Distributary 9.55 km NWW Sultanpur Minor 9.78 km NWW Drain near Kamalpur 10.17 km NE Drain near Chandpur Kalan 10.57 km NW Yamuna River 11.32 km NE
Reserve Forest Central Ridge Reserve Forest 8.48 km SE Northern Ridge Reserve Forest 9.48 km SEE 3 Areas used by protected, None within 15 km Radius None within 15 km important or sensitive Radius species of flora or fauna for breeding, nesting, foraging, 4 Inland,resting, coastal, over marine wintering, or None None undergroundmigration waters 5 State, National boundaries U.P State Boundary 14.01 km NE
6 Routes or facilities used by Roads the public for access to NH-10 1.21 km S recreation or other tourist, NH-1 6.52 km NEE pilgrim areas NH-8 11.67 km SSE
Railway Station Shakur Basti Railway Station 1.83 km SE Nangloi Railway Station 5.27 km SWW Adarsh Nagar Railway Station 5.85 km NEE Daya Basti Railway Station 6.19 km SE
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22 “545 Bedded Hospital” at Site no. 2, Zone H-4/5, Facility Centre, Pitampura. New Delhi By Dr. Narayan Dutt Shrimali Foundation International Charitable Trust Society
Badli Railway Station 6.65 km NNE Sarai Rohilla Railway Station 7.73 km SE Mundka Railway Station 8.01 km W Khera Kalan Railway Station 8.69 km N Subzi Mandi Railway Station 8.83 km SE Kisanganj Railway Station 8.96 km SE Sadar Bazar Railway Station 10.70 km SE Ghevra Railway Station 11.11 km W New Delhi Railway Station 11.54 km SE
Airport Indira Gandhi International Airport 15.21 km SSE
Metro Station Paschim Vihar West Metro Station 1.30 km S Paschim Vihar West Metro Station 1.55 km SW Madipur Metro Station 1.58 SSE Rohini East Metro Station 2.14 km SW Peeragarhi Metro Station 2.17 km SSE Pitampura Metro Station 2.47 km NE Kohat Enclave Metro Station 2.90 km ENE Netaji Subhash Place Metro Station 3.94 km E 7 Defence installations None within 15 km Radius None within 15 km Radius 8 Densely populated or built- Mangolpuri S Block 1.93 km NWW up area
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23 “545 Bedded Hospital” at Site no. 2, Zone H-4/5, Facility Centre, Pitampura. New Delhi By Dr. Narayan Dutt Shrimali Foundation International Charitable Trust Society
9 Areas occupied by sensitive Hospital man-made land uses Bhagwan Mahavir Hospital, H-45, 0.51 km SEE (hospitals, schools, places of Pitampura worship, community Navjeevan Hospital, A-12 0.59 km NNW facilities) Pushpanjali Enclave, Pitampura Saransh Hospital,2949, Sant 1.94 km E Nagar,Pitampura
Post Office Post Office Saraswti Vihar, C-Block, 1.58 km NE Main Market, Pitampura Post Office Rani Bagh, 927 Rishi 1.63 km SEE Nagar, Pitampura Post Office, 2876 Sant NagarRani 1.89 km E Bagh Pitampura
Place of Worship Sankat Mochan Shiv Shakti Mandir, 1.78 km NE Guru Sandeepan Marg,Saraswati Vihar, Pitampura Shiv Mandir, Multani Mohalla, 1.99 km SEE Pitampura Shri Sheetla Devi Mndir, Block-L, 2.90 km E Raj Nagar, Pitampura
School Maxfort School, Zone H-4&5, 0.21 km NW CHBS Moulana Azad Society, Pitampura Bal Bharti Public School, Parwana 0.39 km NW Rd, Pitampura Apeejay School, Plot No.-10, Road 0.81 km E No.-42, Sanik Viha, Pitampura
Bank HDFC Bank, Community Centre, 2.16 km SEE NN Tower, 23A, Rani Bagh, Pitampura Nainital Bank, Shatabdi House, 2.70 km NEE Commercial Complex, Rohit Kunj, Pitampura Induslnd Bank, CHBS Ltd. Society, 2.71 km NEE Kohat Enclave, Pitampura
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24 “545 Bedded Hospital” at Site no. 2, Zone H-4/5, Facility Centre, Pitampura. New Delhi By Dr. Narayan Dutt Shrimali Foundation International Charitable Trust Society
10. Areas containing important, Ancient Mosque (Babur’s Period) 11.10 km SSW high quality or scarce together with adjacent area comprised resources in part of Survey plot No. 177 (Ground water resources, surface resources, forestry, Delhi fort or Lal Qila, NaubatKhana, 13.20 km SEE agriculture, fisheries, Diwan-i-am, Mumtaz Mahal' Rang tourism, minerals) Mahal, Baithak,MaseuBurj, diwan-i- Khas' Moti Masjid, sawanBhadon ,Shah Burj, Hammam with all surrounding including the gardens, paths, terraces and water courses.
Salimgarh Fort, comprising the main 13.31 km SEE gate on North, Ancient structure near the main gate and the entire fortification wall
Fortification Wall Asad Burj, Water 13.70 km SEE gate, Delhi Gate, Lahori Gate, Jahangiri Gate, Chhattra Bazar, Baoli
11 Areas already subjected to Wazirpur Critically Polluted Area 5.15 km NEE pollution or environmental Anand Parvat Critically Polluted 6.54 km SE damage. (Those where Area existing legal environmental standards are exceeded) 12 Areas susceptible to natural Area falls in Seismic hazard which could cause Zone IV the project to present environmental problems (Earthquakes, subsidence, landslides, erosion, flooding or extreme or adverse climatic conditions)
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25 26 “545 Bedded Hospital” at Site no. 2, Zone H-4/5, Facility Centre, Pitampura. New Delhi By Dr. Narayan Dutt Shrimali Foundation International Charitable Trust Society
APPENDIX II (See paragraph 8.9) FORM-1 A (only for construction projects listed under item 8 of the Schedule) CHECK LIST OF ENVIRONMENTAL IMPACTS (Project proponents are required to provide full information and wherever necessary attach explanatory notes with the Form and submit along with proposed environmental management plan & monitoring programme) 1. LAND ENVIRONMENT
(Attach panoramic view of the project site and the vicinity)
1.1 Will the existing land use get The proposed project will be located at Site no. 2, Zone- significantly altered from the project H 4/5, Facility Centre, Pitampura, New Delhi. that is not consistent with the Since, the site has already been earmarked for Hospital surroundings? (Proposed land use must Complex. Hence, there will be no change in land use of conform to the approved Master Plan / the proposed site. Development Plan of the area. Change However, land cover shall change to Hospital Building. of land use if any and the statutory Yes, the proposed development conforms to the Master approval from the competent authority Plan of Delhi, 2021. be submitted). Attach Maps of
(i) Site location The site location is given in Environment Management Plan. (ii) Surrounding features of the Location Map is given Environment Management Plan. proposed site (within 500 meters) (iii) The site (indicating levels & Layout Plan is enclosed in Environment Management contours) to appropriate scales. If not Plan. available attach only conceptual plans. 1.2 List out all the major project requirements in terms of the Land area, Plot Area: - 29999.34 m2 Built up area Built-Up Area: - 94956.31m2 Water consumption 759 KLD Power requirement 5500 kVA Community Facility None Connectivity Nearest Highway: - NH-10, 1.21 km S Nearest Railway Station: - Shakur Basti Railway Station, 1.83 km SE
Nearest Airport :- Indira Gandhi International Airport, 14.72 km SSW
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27 “545 Bedded Hospital” at Site no. 2, Zone H-4/5, Facility Centre, Pitampura. New Delhi By Dr. Narayan Dutt Shrimali Foundation International Charitable Trust Society
Nearest Metro Station- Rohini East metro Station, 2.45 km NE Parking needs etc. Parking Required: - 1046 ECS Parking Provided: - 1116 ECS 1.3 What are the likely impacts of the During construction of hospital building proper care will proposed activity on the existing be taken to minimize the dust effects during construction facilities adjacent to the proposed site? phase as well as Operation Phase of the project, will (Such as open spaces, community generate direct and indirect employment opportunities facilities, details of the existing land for a large section of society. The employment will have use, and disturbance to the local positive impact thereby increasing the quality of life. ecology). 1.4 Will there be any significant land Soil Type: Silt loam disturbance resulting in erosion, Slope Analysis: The project area possesses fairly plain subsidence & instability? terrain. (Details of soil type, slope analysis, Erosion / Subsidence: Proper greening & paving of area vulnerability to subsidence, seismicity will not cause any soil erosion problem and subsidence. etc may be given). Seismicity: Seismic Zone-IV, for which appropriate safety measures shall be taken. 1.5 Will the proposal involve alteration of Yes, there will be any alterations of natural drainage natural drainage systems? system due to construction of the proposed Hospital. (Give details on a contour map showing Artificial contour shall be maintained and proper drainage system shall be provided. the natural drainage near the proposed
project site) 1.6 What are the quantities of earthwork During construction phase- involved in the construction activity Excavation & part basement construction has already cutting, filling, reclamation etc. been done as per the grant of Environmental Clearance (Give details of the quantities of granted. During part basement (2 level) construction, soil earthwork involved, transport of fill was excavated which was used for backfilling purposes materials from outside the site etc.) in nearby areas & out of it, top soil generated was used for landscaping purpose in nearby areas. There shall be done further excavation for foundation and basement. The further excavated soil will be used for backfilling purposes within the site and out of it, top soil shall be preserved separately and will be used for landscaping purpose only. In total Approx. 112332 m3 of soil excavation is involved for providing foundation and 2 levels of basement completely. C& D waste shall be disposed as per C&D Rules. Hence, no immediate adverse impacts on the land environment are envisaged.
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28 “545 Bedded Hospital” at Site no. 2, Zone H-4/5, Facility Centre, Pitampura. New Delhi By Dr. Narayan Dutt Shrimali Foundation International Charitable Trust Society
1.7 Give details regarding water supply, Water Supply: waste handling etc during the During construction stage, water will be sourced through construction period. STP treated water for construction activities & tanker suppliers for drinking purpose. Waste Generation / Handling: The solid waste of 23 kg/day shall be generated from labours which shall be disposed off to municipal solid waste management site. For construction labour, proper sanitary facilities & wash areas shall be constructed and good hygienic conditions shall be maintained. 1.8 Will the low-lying areas & wetlands get No low lying and wetland area exist in and around the altered? project site. (Provide details of how low lying and wetlands are getting modified from the proposed activity) 1.9 Whether construction debris & waste Construction debris like Concrete will be reused in during construction cause health backfilling & for levelling of land/ back filling. Tiles will hazard? (Give quantities of various be used in creating pathways in the landscape area etc. types of wastes generated during Recyclable waste like aluminium, steel, wood pieces, construction including the construction cement bags, plastic containers, cartons, glass etc. will be labour and the means of disposal) sold to authorized recyclers. The solid waste of 23 kg/day shall be generated from labours which shall be disposed off to municipal solid waste management site. Temporary toilets & drinking water facility for construction labour will be provided. The waste water generated during construction phase will be 6 KLD sewage which will be discharged into septic tank followed by soak pit.
2. WATER ENVIRONMENT
2.1 Give the total quantity of water The total quantity of water requirement will be 759 requirement for the proposed project KLD. Out of which, fresh water requirement will be 360 with the breakup of requirements for KLD. The break-up details are given in Environment Management Plan. various uses.
How will the water requirement have met? Fresh Water requirement will be met by Delhi Jal Board (DJB) State the sources & quantities and furnish a water balance statement. Water Balance Diagram is given in Environment Management Plan.
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2.2 What is the capacity (dependable Delhi Jal Board (DJB) which is the dependable source flow or yield) of the proposed source of water is the proposed source of supply. of water?
2.3 What is the quality of water required, The quality of water complying with IS 10500 is in case, the supply is not from a required. In case, if municipal water is not available, municipal source? (Provide physical, quality of water complying with IS 10500 will be chemical, biological characteristics arranged. with class of water quality)
2.4 How much of the water requirement 399 KLD of treated water shall be generated from STP can be met from the recycling of which shall be completely reused in flushing, gardening, treated wastewater? cooling and misc. purposes. It will be zero discharge complex. (Give the details of quantities, Hence 52.56 % of total water requirement will be met sources and usage) from recycled water.
2.5 Will there be diversion of water from There will not be any substantial effect on water demand other users? of this region as the development will be done as per the development plan. (Please assess the impacts of the project on other existing uses and quantities of consumption)
2.6 What is the incremental pollution There is no incremental pollution load from the complex load from wastewater generated from as no waste water shall be discharged outside the the proposed activity? complex. It will be zero discharge complex. (Give details of the quantities and composition of wastewater generated from the proposed activity)
2.7 Give details of the water requirements No water requirement shall be met from rain water met from water harvesting? Furnish harvesting however, 7 no. of rain water harvesting pits details of the facilities created. shall be installed in the complex for recharging of ground water only.
2.8 What would be the impact of the land There will be no impact of the proposed construction on use changes occurring due to the the run-off characteristics as runoff from the proposed project on the runoff construction site shall not be allowed into the roadside. characteristics (quantitative as well as It will be collected in a tank & after pre-treatment it will qualitative) of the area in the post be reused for sprinkling, etc. construction phase on a long-term
basis?
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30 “545 Bedded Hospital” at Site no. 2, Zone H-4/5, Facility Centre, Pitampura. New Delhi By Dr. Narayan Dutt Shrimali Foundation International Charitable Trust Society
Would it aggravate the problems of No, it will not aggravate the problem of flooding or flooding or water logging in any way? water logging in any way, rather will reduce the same.
2.9 What are the impacts of the proposal Ground water extraction is not proposed in the complex. on the ground water? However, 7 no. of rain water harvesting pits will be provided for ground water recharge. Ground water (Will there be tapping of ground extraction, if required will be done with prior water; give the details of ground permission from CGWA. water table, recharging capacity, and approvals obtained from competent Thus, there will be no adverse impact on the ground authority, if any). water.
2.10 What precautions/measures are taken During the construction phase of the proposed site, to prevent the run-off from runoff from the construction site shall not be allowed construction activities polluting land into the roadside. It will be collected in a tank & after & aquifers? pre-treatment it will be reused for sprinkling, etc. (Give details of quantities and the measures taken to avoid the adverse impacts)
2.11 How is the storm water from within During construction phase the site managed? Adequate measures shall be taken to channelize storm water and the same shall be collected in a tank & after (State the provisions made to avoid pre-treatment it will be reused for sprinkling etc. flooding of the area, details of the
drainage facilities provided along During operation phase with a site layout indication contour Storm water, will be channelized to 7 no. of rainwater levels). harvesting pits to be installed within the complex.
2.12 Will the deployment of construction Approx. 6 KLD of waste water will be discharged from labourers particularly in the peak labours employed during construction phase. period lead to unsanitary conditions Temporary toilets will be provided for labourers during around the project site (Justify with construction period. The waste water shall be disposed proper explanation) off to septic tank followed by soak pit.
2.13 What on-site facilities are provided During Construction Phase- for the collection, treatment & safe Approx. 6 KLD Waste water will be discharged during disposal of sewage? construction phase from labours. The waste water shall be disposed off to septic tank followed by soak pit. (Give details of the quantities of During Operation Phase- wastewater generation, treatment The waste water generated in the complex will be 422 capacities with technology & KLD (Laboratory Waste water-18 KLD and Sewage- facilities for recycling and disposal) 404 KLD). The laboratory waste water of 18 KLD shall be treated in Effluent Treatment Plant of capacity 25
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31 “545 Bedded Hospital” at Site no. 2, Zone H-4/5, Facility Centre, Pitampura. New Delhi By Dr. Narayan Dutt Shrimali Foundation International Charitable Trust Society
KLD. 16 KLD treated water shall be generated from ETP which shall be retreated in STP. The 404 KLD of sewage generated & 16 KLD treated water generated from ETP shall be treated in STP of 500 KLD. Details of STP & ETP are given in Environment Management Plan.
2.14 Give details of dual plumbing system Dual Plumbing line for using treated water will be if treated waste used is used for provided in the Hospital. flushing of toilets or any other use.
3. VEGETATION
3.1 Is there any threat of the project to the Core Zone: biodiversity? There exist, around 70-80 trees at the site which shall (Give a description of the local be transplanted within the site during construction after getting prior permission. ecosystem with its unique features, if Buffer Zone: any) Ashok Kikar Neem Eucalyptus Peepal Gulmohar Amaltas Kachnar Kadam
3.2 Will the construction involve extensive There exist, around 70-80 trees at the site which shall clearing or modification of vegetation? be transplanted within the site during construction (Provide a detailed account of the trees after getting prior permission. & vegetation affected by the project) 3.3 What are the measures proposed to be The Shelter belt for the proposed project has been taken to minimize the likely impacts on planned to provide a clean, healthy and beautiful important site features? green environment for the people to live in within the proposed project site. (Give details of proposal for tree To minimize the impact, the provision of total plantation, landscaping, creation of plantation area 5999.87 m2 (i.e. 20.00 % of total plot water bodies etc along with a layout plan area), with lawns, ornamental plants and trees shall be to an appropriate scale) provided.
4. FAUNA
4.1 Is there likely to be any displacement of Core Zone: This place is not a common habitat for fauna- both terrestrial and aquatic or local fauna. However, fauna such as squirrel, Indian creation of barriers for their movement? Chameleon etc were commonly found. Provide the details. There will not be any type of displacement or any other effect on the local fauna due to proposed project activities.
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Buffer Zone: There will not be any type of displacement or any other effect on the local fauna due to proposed project activities. No threat to the biodiversity as there is no national park/wildlife sanctuary within 10 km radius of the site. 4.2 Any direct or indirect impacts on the At present, there exist, around 70-80 trees at the site avifauna of the area? Provide details. which shall be transplanted within the site during construction after getting prior permission. However, proper landscaping has been planned to provide a clean, healthy and beautiful green environment for the population. Common native variety of trees and ornamental flowering species will be planted in the green space which will attract avifauna & hence will have direct positive impact on the local avifauna & this will provide shelter to local birds. 4.3 Prescribe measures such as corridors, Not Applicable fish ladders etc to mitigate adverse impacts on fauna
5. AIR ENVIRONMENT 5.1 Will the project increase atmospheric The present air quality of the area has been measured. concentration of gases & result in heat Test reports are Enclosure along with EMP. islands? The traffic will increase due to the proposed Hospital. (Give details of background air quality Increased traffic generation of vehicles due to Hospital levels with predicted values based on will not cause increase in atmospheric concentration dispersion models taking into account the of gases and will not result in the heat island increased traffic generation as a result of formation. the proposed constructions) Tree plantation in the complex shall minimize the impact of air pollution. D.G. sets will be provided with adequate stack for better dispersion of the flue gases.
5.2 What are the impacts on generation of During construction phase sprinkling will be done so dust, smoke, odorous fumes or other no dust and odour will be generated at site. The only hazardous gases? Give details in relation source of dust generation at the site during the to all the meteorological parameters. operation phase will be traffic movement. However, regular cleaning of dust from roads shall be taken care of.
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Smoke will be generated from the operation of DG sets. Proper emission standards will be maintained as per CPCB guidelines.
5.3 Will the proposal create shortage of The optimum parking provision is proposed at parking space for vehicles? Furnish Basement-1, Basement-2 and Surface Parking. Hence details of the present level of transport there will be no shortage of parking space for vehicles. infrastructure and measures proposed for The total parking requirement of the project will be improvement including the traffic 1046 ECS. Total parking provision of complex will be management at the entry & exit to the 1116 ECS. project site.
5.4 Provide details of the movement patterns In the proposed Hospital project, separate entry drive with internal roads, bicycle tracks, way will be provided for private vehicles and pedestrian pathways, footpaths etc., with Emergency Ambulances. areas under each category.
5.5 Will there be significant increase in To reduce/ avoid traffic following steps will be taken: traffic noise & vibrations? Give details of 1. One-way traffic movement the sources and the measures proposed 2. No honking zones for mitigation of the above. 3. No vehicle movement in specified areas. Shelter belt within the complex will further mitigate the traffic noise. The foundation will be made very hard and paved with rubber flooring to minimize the vibration, also all other measures to reduce vibration will be adopted during designing of new buildings.
5.6 What will be the impact of DG sets & There would be slight impact of D.G. Sets on noise other equipment on noise levels & levels, vibration and in ambient air quality around the vibration in & ambient air quality around project site. 1. All the D.G. Sets shall be kept in acoustically treated the project site? Provide details. room on Surafce. 2. Stack height as per C.P.C.B. norms to reduce the impacts on air quality around the project site shall be provided. 3. The noise from D.G. Sets will meet the desired standard as per C.P.C.B guidelines. Low Sulphur fuel is being used to run these D.G. Sets and the same shall be followed after expansion also. 4. Vibration pads in DG sets to minimize the vibration effect.
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34 “545 Bedded Hospital” at Site no. 2, Zone H-4/5, Facility Centre, Pitampura. New Delhi By Dr. Narayan Dutt Shrimali Foundation International Charitable Trust Society
6. AESTHETICS
6.1 Will the proposed constructions in any way No, the proposed project in any way will not cause any result in the obstruction of a view, scenic obstruction. amenity or landscapes? Yes, all the considerations have been taken into Are these considerations taken into account. account by the proponents? 6.2 Will there be any adverse impacts from The construction of proposed building will be done as new constructions on the existing per approved building plan. Hence no adverse impact structures? What are the considerations is anticipated. taken into account? 6.3 Whether there are any local considerations None of urban form & urban design influencing the design criteria? They may be explicitly spelt out. Are there any anthropological or Yes, there are archaeological sites situated at a distance archaeological sites or artefacts nearby? from project site. The list of ASI sites has been attached as Enclosure-8. State if any other significant features in the None. vicinity of the proposed site have been considered.
7. SOCIO-ECONOMIC ASPECTS
7.1 Will the proposal result in any As it is a hospital, during the operation of the project, changes to the demographic structure patients will come for treatment and go back hence there of local population? Provide the will be no change to the demographic structure of local details. population. 7.2 Give details of the existing social Social infrastructures exist near the site: infrastructure around the proposed Hospital project. Bhagwan Mahavir Hospital, H- 0.51 km SEE 45, Pitampura Navjeevan Hospital, A-12 0.59 km NNW Pushpanjali Enclave, Pitampura Saransh Hospital,2949, Sant 1.94 km E Nagar,Pitampura
Post Office Post Office Saraswti Vihar, C- 1.58 km NE Block, Main Market, Pitampura Post Office Rani Bagh, 927 1.63 km SEE Rishi Nagar, Pitampura
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35 “545 Bedded Hospital” at Site no. 2, Zone H-4/5, Facility Centre, Pitampura. New Delhi By Dr. Narayan Dutt Shrimali Foundation International Charitable Trust Society
Post Office, 2876 Sant 1.89 km E NagarRani Bagh Pitampura
Place of Worship Sankat Mochan Shiv Shakti 1.78 km NE Mandir, Guru Sandeepan Marg,Saraswati Vihar, Pitampura Shiv Mandir, Multani Mohalla, 1.99 km SEE Pitampura Shri Sheetla Devi Mndir, Block- 2.90 km E L, Raj Nagar, Pitampura
School Maxfort School, Zone H-4&5, 0.21 km NW CHBS Moulana Azad Society, Pitampura Bal Bharti Public School, 0.39 km NW Parwana Rd, Pitampura Apeejay School, Plot No.-10, 0.81 km E Road No.-42, Sanik Vihar, Pitampura
Bank HDFC Bank, Community 2.16 km SEE Centre, NN Tower, 23A, Rani Bagh, Pitampura Nainital Bank, Shatabdi House, 2.70 km NEE Commercial Complex, Rohit Kunj, Pitampura Induslnd Bank, CHBS Ltd. 2.71 km NEE Society, Kohat Enclave, Pitampura
7.3 Will the project cause adverse effects There are the following sacred sites present in the vicinity on local communities, disturbance to of the proposed project site: - sacred sites or other cultural values? Place of Worship What are the safeguards proposed? Sankat Mochan Shiv Shakti Mandir, Guru Sandeepan Marg,Saraswati Vihar, Pitampura- 1.78 km NE
Shiv Mandir, Multani Mohalla, Pitampura-1.99 km SEE
Shri Sheetla Devi Mndir, Block-L, Raj Nagar, Pitampura- 2.90 km E
Measures shall be considered so that no negative impact is envisaged due to construction of the project.
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36 “545 Bedded Hospital” at Site no. 2, Zone H-4/5, Facility Centre, Pitampura. New Delhi By Dr. Narayan Dutt Shrimali Foundation International Charitable Trust Society
8. BUILDING MATERIALS
8.1 May involve the use of building materials The major materials required for construction of the with high-embodied energy. project are steel, cement, bricks, flooring tiles / stones, Is the construction materials produced sanitary and hardware items, electrical fittings, water, with energy efficient processes? etc. (Give details of energy conservation Energy efficient Building material will be used. measures in the selection of building Details of Energy Conservation measures given in materials and their energy efficiency Environment Management Plan. 8.2 Transport and handling of materials Yes, transportation and handling of material results in during construction may result in air pollution and noise however will be minimized by pollution, noise & public nuisance. covering material by the tarpaulin and ensuring PUC What measures are taken to minimize the certificate of vehicles and good condition silencers. impacts? 8.3 Are recycled materials used in roads and The debris of construction material will be also used in structures? backfilling, roads etc. The rest of the waste shall be sent State the extent of savings achieved? to C & D facility. Recyclable waste like aluminium, steel, wood pieces, cement bags, plastic containers, cartons, glass etc. will be sold to authorized recyclers.
8.4 Give details of the methods of collection, This solid waste will be disposed off as per municipal segregation & disposal of the garbage solid waste management and handling norms. Details generated during the operation phases of of collection, segregation and disposal of the the project. biomedical waste is given in the Environment Management Plan.
9. ENERGY CONSERVATION 9.1 Give details of the power Power Requirement: 5500 kVA requirements, source of supply, Source of Power: TATA Power DDL backup source etc. Back-up Source: What is the energy consumption DG Sets: 2 x 1010 kVA and 2 x 1500 kVA assumed per square foot of built- Fuel: Low sulphur Diesel up area? DG Sets shall be placed in acoustically treated room on How have you tried to minimize Surface. energy consumption? Appropriate energy conservation measures & management plan have been adopted in order to minimize the consumptions of non-renewable fuel. Details are given in Environment Report. 9.2 What type of and capacity of DG Sets: 2 x 1010 kVA and 2 x 1500 kVA power back-up do you plan to Fuel: Low sulphur Diesel provide?
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37 “545 Bedded Hospital” at Site no. 2, Zone H-4/5, Facility Centre, Pitampura. New Delhi By Dr. Narayan Dutt Shrimali Foundation International Charitable Trust Society
All have been installed to provide power backup during power failures.
9.3 What are the characteristics of the S. BUILDING ‘R’ Values ‘U’ glass you plan to use? No MATERIAL (in Sq m. Values Provide specifications of its PROPOSED Deg K/ (in Watts/ characteristics related to both WITH U & R Watts) Sq m. short wave and long wave VALUES Deg K) radiatio 1. Glass 0.71 1.4 (High- performance double-glazed glass unit)
9.4 What passive solar architectural Building design and envelope shall be optimized through features will be used in the selection of appropriate wall and roof construction and building? through adoption of solar measures. Illustrate the applications made in Yes, the layout of building shall be designed to maximize the the proposed project. potential for use of solar lighting per day devices. 9.5 Does the layout of streets & Yes, the layout of building shall be designed to maximize the buildings maximize the potential potential for use of solar lighting. for solar energy devices? Yes, solar power-based street, common area light and solar Have you considered the use of water heaters shall be used. street lighting, emergency lighting and solar hot water systems for use in the building? Substantiate with details. 9.6 Is shading effectively used to Architectural measures shall be adopted to provide shading reduce cooling/heating loads? devices for windows and roof which would effectively What principles have been used reduce heating up of building envelope. Louvers and to maximize the shading of Walls sunshades will be used around windows in order to protect on the East and the West and the from direct sunlight. Roof? How much energy saving has been affected? 9.7 Do the structures use energy- Suitable energy optimization will be adopted during the efficient space conditioning, calculation of energy load of the proposed project. The space lighting and mechanical systems? heating load will be minimized by using solar structure and Provide technical details. suitable buildings envelop material. Provide details of the The details of the transformers and motor efficiencies, transformers and motor lighting intensity and air-conditioning load assumptions will efficiencies, lighting intensity and be given in the Environment Management Plan.
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38 “545 Bedded Hospital” at Site no. 2, Zone H-4/5, Facility Centre, Pitampura. New Delhi By Dr. Narayan Dutt Shrimali Foundation International Charitable Trust Society
air-conditioning load Uses of incandescent lamp and halogen lamps will be assumptions? avoided and energy efficient LED will be used for all common area.
Are you using CFC and HCFC CFC & HCFC free chillers will be used. free chillers? Provide specifications 9.8 What are the likely effects of the No significant effect is envisaged on the surrounding building activity in altering the environment of project. Increased traffic generation and use micro-climates? of D.G. Sets in the project will not cause significant increase Provide a self-assessment on the in atmospheric concentration of gases and will not result in likely impacts of the proposed heat island formation. construction on creation of heat island & inversion effects? 9.9 What are the thermal Brickwork, plaster, stone work, double insulated glass for characteristics of the building external façade envelope? (a) roof; (b) external S. No BUILDING ‘R’ Values ‘U’ Values walls; and (c) fenestration? MATERIAL (in Sq m. (in Sq m. Deg Give details of the material used PROPOSED Deg K/ K/ Watts) WITH U & R Watts) and the U-values or the R values VALUES of the individual components. 1. Exterior Wall 1.33 0.749 Brick & AAC Blocks wall (230 mm thick), both side thick sand cement plaster (20 mm) with insulation. 2. Exterior Roof 2.84 0.352 150 mm RCC slab with 50 mm Cement sand screed, 80 mm Brick Batt Coba and 50 mm thick Puff) 3. Glass 1.4 (High-performance 0.71 double-glazed glass unit)
9.10 What precautions & safety Fire storage tank with fire pumps like Hydrant pump, Jockey measures are proposed against Pump, Pressure vessel & Diesel Engine Driven Pump have fire hazards? Furnish details of already been installed in the plant room. emergency plans. Fire Hydrant System: The hydrant ring main from fire pumps header are running all around the buildings with yard hydrants at suitable intervals. Wet risers are tapped from ring main and run along
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39 “545 Bedded Hospital” at Site no. 2, Zone H-4/5, Facility Centre, Pitampura. New Delhi By Dr. Narayan Dutt Shrimali Foundation International Charitable Trust Society
the shaft. Fire hose cabinet is provided on all floors with accessories. Sprinkler System: It is provided on all floor areas except electrical rooms, server rooms. Overhead water storage tank at roof is connected to sprinkler system. Fire Extinguishers: Portable type class A, B & C fire extinguishers will be provided at all fire sensitive places. 9.11 If you are using glass as wall All fenestration with U-factors, SHGC, or visible light material provides details and transmittance determined, certified, and labelled in specifications including emissive accordance ISO-15099 shall be adopted. and thermal characteristics. 9.12 What is the rate of air infiltration The air inflow and outflow shall be maintained as per norms. into the building? All the window and door will be airtight quality; hence we Provide details of how you are don’t foresee any air infiltration. Proper inflow and outflow mitigating the effects of of air shall be maintained and proper dilution shall be infiltration. provided by using air exhaust to maintain air quality. 9.13 To what extent the non- Solar energy will be used. It is proposed to install solar conventional energy technologies panels on the roof. are utilized in the overall energy consumption? Provide details of the renewable The details of the renewable technologies used will be given energy technologies used. in the Environment Management Plan.
10. ENVIRONMENT MANAGEMENT PLAN
10.1 The Environment Management Plan would consist Detailed Management Plan along with of all mitigation measures for each item wise Monitoring Plan has been given in activity to be undertaken during the construction, Environment Management Plan given at operation and the entire life cycle to minimize Enclosure-3. adverse environmental impacts as a result of the activities of the project. It would also delineate the environmental monitoring plan for compliance of various environmental regulations. It will state the steps to be taken in case of emergency such as accidents at the site including fire.
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40 “545 Bedded Hospital” at Site no. 2, Zone H-4/5, Facility Centre, Pitampura. New Delhi By Dr. Narayan Dutt Shrimali Foundation International Charitable Trust Society
ENCLOSURE 2: CONCEPTUAL PLAN
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41 “545 Bedded Hospital” at Site no. 2, Zone H-4/5, Facility Centre, Pitampura. New Delhi By Dr. Narayan Dutt Shrimali Foundation International Charitable Trust Society
Introduction The proposed project titled “545 Bedded Hospital” will be located at Site no. 2, Zone H-4/5, Facility Centre, Pitampura. New Delhi- 110034. The land has been given on lease by Delhi Development Authority to Dr. Narayan Dutt Shrimali Foundation International Charitable Trust Society vide letter no. F (8)94/IL dated 02.06.2015 for the development of Integrated Hospital Building. The project has earlier been granted Environmental Clearance vide letter no. 21-11114/2007-IA-III dated 14.11.2008. However, only excavation & part basement construction (2 level of basement each having area 9179.21 sqm) has been done after the grant of Environmental Clearance and no construction has been carried out after that.
The total plot area of the project is 29999.34 m2 and the built-up area of the project is 94956.31 m2. As, the built-up area of the project will be less than 1,50,000 m2, hence it falls under Category ‘B’, Activity 8(a) of Schedule of the EIA notification, 2006 and its subsequent amendments.
Since the tenure of SEAC (Delhi Committee) has been completed, the application is being applied to MoEF&CC. The cost of the project is 130 Cr. Activities/ Amenities The activities proposed in the project are the following-: • IPD • OPD • Day Care • Emergency (casualty) • Laboratories • Operation theatres (OT), • Intensive care units (ICU)
Site Location The proposed project titled “545 Bedded Hospital” will be located at Site no. 2, Zone H-4/5, Facility Centre, Pitampura. New Delhi - 110034. The location of site is given in Environment Management Plan. Type of Project The proposed project is a new Hospital to be developed at built-up area 94956.31 m2. Since, the built-up area of the project will be less than 1,50,000 m2. Hence, it falls under category B, Item 8(a) of schedule of EIA notification, 2006 and its subsequent amendments. Project Details
Project details are given in Table 1.
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42 “545 Bedded Hospital” at Site no. 2, Zone H-4/5, Facility Centre, Pitampura. New Delhi By Dr. Narayan Dutt Shrimali Foundation International Charitable Trust Society
Table 1: Project Details Unit Details as per Change Earlier Environmental Clearance granted Proposed Particulars dated 14-11-2008 Details Plot Area m2 29999.34 No change Ground Coverage (Permissible) m2 - 11999.736 - (40 % of total plot area) Ground Coverage (Achieved) m2 - 8999.802 - (30 % of total plot area) FAR AREA FAR Permissible m2 - 112497.53 - (3.75 of total plot area) FAR proposed m2 - 52285.16 - (1.74 of total plot area)-A Free from FAR AREA Permissible waiting area (Free m2 - 5228.5 - from FAR) (10% of proposed FAR) Proposed waiting area (Free m2 - 4767.7 - from FAR) -B NON-FAR AREA Service Floor m2 - - 4820.39 Other Non-FAR area m2 - - 5000 Total Non-FAR area-C m2 - - 9820.39 BASEMENT AREA Basement -I m2 - 12467.32 -
Basement -II m2 - - 15615.72 Total basement Area-D m2 - - 28083.04 Built-up Area (A+B+C+D) 96740.19 Decrease- 94956.31 1783.88 Total Green Area (20% of plot m2 - 5999.87 - area) Surface Parking area m2 - 5911.00 -
Total Open & Road Area m2 - - 9088.67 No of block No. 3 1 Decrease- (Hospital block: (Hospital block: 2 blocks B+G+9 B+G+10) Research Block:
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43 “545 Bedded Hospital” at Site no. 2, Zone H-4/5, Facility Centre, Pitampura. New Delhi By Dr. Narayan Dutt Shrimali Foundation International Charitable Trust Society
G+10 Parking block; 2B+G+3) Number of Basements No. 2 2 No change
Maximum No. of Floors No. G+10 G+10 No change
Max. height of building m - 45 -
No. of IPD Beds No. - 545 -
POPULATION IN HOSPITAL No of IPD Patients No. - 545 - No of OPD Patients No. - 2000 -
Staff in Hospital No. - 1635 -
Visitors in Hospital No. - 2000 -
Total Population No. - 6180 -
SERVICE DETAILS Total Power load kVA 5500 5500 No change No. of DG sets kVA - 2 x 1010 KVA - & 2 x 1500 KVA No. of Rain water Harvesting No. - 7 - pits Total Water Requirement KLD 883 759 Decrease- 125 Fresh Water Requirement KLD - 360 -
Treated Water reuse KLD 755 399 Decrease- 357 Waste Water Generation KLD - 422 -
STP capacity KLD 794.5 500 Decrease- 294.5 ETP capacity KLD - 25 -
Total Solid waste Generation kg/day 770 1091 Increase- 321 Total Biomedical Waste kg/day 185 204 Increase- Generation 19 Parking Requirement ECS - 1046 - Parking Provision ECS 1753 1116 Decrease- 637
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44 “545 Bedded Hospital” at Site no. 2, Zone H-4/5, Facility Centre, Pitampura. New Delhi By Dr. Narayan Dutt Shrimali Foundation International Charitable Trust Society
Population Details During Construction phase-: 150 no. of labours shall be employed for the construction of the project. During Operation Phase-: The total population of the project has been estimated to be 6180 persons including IPD Patients, OPD Patients, Staff and Visitors. The population details are given in Table below-: Table 2- Population Details
Particulars Unit Proposed Details No. of IPD Patients No. 545 No of OPD Patients No. 2000 Staff No. 1635 Visitor No. 2000 Total Population No. 6180
Water Management
During Construction Phase Approx. 12 KLD of water will be required which will be arranged on temporary basis through the tankers. 7 KLD or water will be required for domestic purposes while 5 KLD of water will be used for construction purposes. The waste water generated during construction phase will be 6 KLD sewage which will be discharged into septic tank followed by soak pit.
During Operation Phase The total water requirement of the project will be 759 KLD. Out of which, fresh water requirement will be 360 KLD. The fresh water requirement shall be met by Delhi Jal Board. The waste water generated in the complex will be 422 KLD (Laboratory Waste water-18 KLD and Sewage- 404 KLD). The laboratory waste water of 18 KLD shall be treated in Effluent Treatment Plant of capacity 25 KLD. 16 KLD treated water shall be generated from ETP which shall be retreated in STP. The 404 KLD of sewage generated & 16 KLD treated water generated from ETP shall be treated in STP of 500 KLD. 399 KLD of treated water shall be generated from STP which shall be completely reused in flushing, gardening, cooling and misc. purposes. It will be zero discharge complex. Rain water collection Details To recharge the ground water, 7 no. rain water harvesting pits shall be provided within the project area. Power Requirement & Back-up Power requirement during Construction Phase will be met by DG set of 1×125 kVA which shall be used for construction works.
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45 “545 Bedded Hospital” at Site no. 2, Zone H-4/5, Facility Centre, Pitampura. New Delhi By Dr. Narayan Dutt Shrimali Foundation International Charitable Trust Society
Total Power Requirement during Operation Phase will be 5500 kVA which will be sourced through TATA Power DDL. In case of power failure, power backup will be provided through DG sets of 2 x 1010 kVA and 2 x 1500 kVA. The DG sets will be kept in acoustically treated room on Surface. Solid & Hazardous Waste Management During Construction Phase- Solid waste generation will be approx. 23 kg/day from labourers. Excavation & part basement construction has already been done as per the grant of Environmental Clearance granted. During part basement (2 level) construction, soil was excavated which was used for backfilling purposes in nearby areas & out of it, top soil generated was used for landscaping purpose in nearby areas. There shall be done further excavation for foundation and basement. The further excavated soil will be used for backfilling purposes within the site and out of it, top soil shall be preserved separately and will be used for landscaping purpose only. In total Approx. 112332 m3 of soil excavation is involved for providing foundation and 2 levels of basement completely. C& D waste shall be disposed as per C&D Rules. Hence, no immediate adverse impacts on the land environment are envisaged. During operation phase- Total Solid Waste generation will be 1091 kg/day. Out of which 654 kg/day biodegradable waste will be treated in Organic Waste convertor while 218 kg/day recyclable waste and 218 kg/day plastic waste will be given to approved recycler. 204 kg/day of Biomedical Waste shall be generated from the Hospital Complex which shall be segregated properly and sent to State Approved Biomedical Waste Service Provider for final disposal. 48 kl/month used oil shall be generated and 3-4 kg/month E-waste will be generated. Battery waste shall be generated mainly from inverters & UPS. Parking Management During construction phase- Proper parking provisions of trucks and other construction vehicles shall be made. Proper spaces for loading and unloading shall be defined. During operation phase- Total parking requirement for the project will be 1046 ECS. Total Parking Provision for the Project will be 1116 ECS which shall be provide in Basements -1,2 and on Surface. Green Area Development Green Area shall be developed on 5999.87 m2 i.e (20.00 % of total plot area) with trees and plantation.
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46 “545 Bedded Hospital” at Site no. 2, Zone H-4/5, Facility Centre, Pitampura. New Delhi By Dr. Narayan Dutt Shrimali Foundation International Charitable Trust Society
ENCLOSURE 3. ENVIRONMENT MANAGEMENT PLAN
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47 “545 Bedded Hospital” at Site no. 2, Zone H-4/5, Facility Centre, Pitampura. New Delhi By Dr. Narayan Dutt Shrimali Foundation International Charitable Trust Society
ENVIRONMENT MANAGEMENT PLAN of “545 BEDDED HOSPITAL”
Site no. 2, Zone H-4/5, Facility Centre Pitampura, New Delhi
For: - Dr. Narayan Dutt Shrimali Foundation International Charitable Trust Society Regd. Off. -823, DLF Tower-A, Jasola District Centre, New Delhi-110025
PREPARED BY: M/S PERFACT ENVIRO SOLUTIONS PVT. LTD. (NABET Registered Vide list of accredited consultants organizations/ Rev.78 /10th July, 2019 at S.No.-112) (An ISO 9001:2008 & ISO 14001:2004 Certified Company) 5th Floor, NN Mall, Sector 3, Rohini, New Delhi-110085 Phone: +91-11-49281360
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48 “545 Bedded Hospital” at Site no. 2, Zone H-4/5, Facility Centre, Pitampura. New Delhi By Dr. Narayan Dutt Shrimali Foundation International Charitable Trust Society
3.1 PROJECT DETAILS
The proposed project titled “545 Bedded Hospital” will be located at Site no. 2, Zone H-4/5, Facility Centre, Pitampura. New Delhi- 110034. The land has been given on lease by Delhi Development Authority to Dr. Narayan Dutt Shrimali Foundation International Charitable Trust Society vide letter no. F (8)94/IL dated 02.06.2015 for the development of Integrated Hospital Building. The project has earlier been granted Environmental Clearance vide letter no. 21-11114/2007-IA-III dated 14.11.2008. However, only excavation & part basement construction (2 level of basement each having area 9179.21 sqm) has been done after the grant of Environmental Clearance and no construction has been carried out after that.
The total plot area of the project is 29999.34 m2 and the built-up area of the project is 94956.31 m2. As, the built-up area of the project will be less than 1,50,000 m2, hence it falls under Category ‘B’, Activity 8(a) of Schedule of the EIA notification, 2006 and its subsequent amendments.
Since the tenure of SEAC (Delhi Committee) has been completed, the application is being applied to MoEF&CC. The cost of the project is 130 Cr.
The activities proposed in the project are the following-: • IPD • OPD • Day Care • Emergency (casualty) • Laboratories • Operation theatres (OT), • Intensive care units (ICU)
The total plot area of the project is 29999.34 m2 and the built-up area of the project will be 94956.31 m2. 8999.802 m2 shall be utilized as Ground Coverage. Total FAR proposed of the project will be 52285.16 m2, proposed waiting area (Free from FAR) will be 4767.7 m2, total Non-FAR Area will be 9820.39 m2 and total Basement area will be 28083.04 m2. The maximum no. of floors will be G+10.
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49 “545 Bedded Hospital” at Site no. 2, Zone H-4/5, Facility Centre, Pitampura. New Delhi By Dr. Narayan Dutt Shrimali Foundation International Charitable Trust Society
3.1.1. Area Details: Table 3: Detailed Project Information Unit Details as per Change Earlier Environmental Clearance granted Proposed Particulars dated 14-11-2008 Details Plot Area m2 29999.34 No change Ground Coverage (Permissible) m2 - 11999.736 - (40 % of total plot area) Ground Coverage (Achieved) m2 - 8999.802 - (30 % of total plot area) FAR AREA FAR Permissible m2 - 112497.53 - (3.75 of total plot area) FAR proposed m2 - 52285.16 - (1.74 of total plot area)-A Free from FAR AREA Permissible waiting area (Free m2 - 5228.5 - from FAR) (10% of proposed FAR) Proposed waiting area (Free m2 - 4767.7 - from FAR) -B NON-FAR AREA Service Floor m2 - - 4820.39 Other Non-FAR area m2 - - 5000 Total Non-FAR area-C m2 - - 9820.39 BASEMENT AREA Basement -I m2 - 12467.32 -
Basement -II m2 - - 15615.72 Total basement Area-D m2 - - 28083.04 Built-up Area (A+B+C+D) 96740.19 Decrease- 94956.31 1783.88 Total Green Area (20% of plot m2 - 5999.87 - area) Surface Parking area m2 - 5911.00 -
Total Open & Road Area m2 - - 9088.67 No of block No. 3 1 Decrease- (Hospital block: (Hospital block: 2 blocks B+G+9 B+G+10)
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50 “545 Bedded Hospital” at Site no. 2, Zone H-4/5, Facility Centre, Pitampura. New Delhi By Dr. Narayan Dutt Shrimali Foundation International Charitable Trust Society
Research Block: G+10 Parking block; 2B+G+3) Number of Basements No. 2 2 No change
Maximum No. of Floors No. G+10 G+10 No change
Max. height of building m - 45 -
No. of IPD Beds No. - 545 -
3.1.2 Population Details During Construction phase-: 150 no. of labours shall be employed for the construction of the project. Separate housing in the form of hutments shall be provided on the site for around 100 labours. Other labour will come from nearby areas. There shall be provision of creche facility, kitchen, temporary toilets & bathrooms, drinking facility, rest room and first aid facility within the hutments. During Operation Phase-: The total population of the project has been estimated to be 6180 persons including IPD Patients, OPD Patients, Staff and Visitors. The population details are given in Table below-:
Table 4- Population Details
Particulars Unit Proposed Details No. of IPD Patients No. 545 No of OPD Patients No. 2000 Staff No. 1635 Visitor No. 2000 Total Population No. 6180
3.1.3 Parking Management Parking Required:
Table 5: Parking Requirement Details Particulars Factor Parking Required (in ECS)
Parking Required 2 ECS/100 m2 1046 ECS
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51 “545 Bedded Hospital” at Site no. 2, Zone H-4/5, Facility Centre, Pitampura. New Delhi By Dr. Narayan Dutt Shrimali Foundation International Charitable Trust Society
Parking Provision:
Table 6: Parking provision details Total Service Parking Factor Parking Area area area provision Particulars (in ECS) Basement -1 12467.32 601.72 11865.6 32 371 Basement -2 15615.72 2.92 15612.8 32 488 Surface Parking - - 5911 23 257 Total Parking 1116 ECS
3.1.4 Power Requirement and Backup Details During Construction Phase-: DG sets of 1×125 kVA will be used for construction works. During Operation Phase-: The total power requirement of the project will be 5500 kVA which will be met by TATA Power DDL. In case of failure, power backup will be provided through DG sets of 2 x 1010 kVA and 2 x 1500 kVA.
Table 7- Electric Details
Power Source TATA Power DDL
Total Power Load 5500 KVA
No. of DG Sets 2 x 1010 kVA and 2 x 1500 kVA
3.1.5 Waste Water, Rain Water and Solid Waste Details Table 8- Waste Water, Rain Water and Solid Waste Details
Unit Details as per Change Earlier Environmental Clearance granted Proposed Particulars dated 14-11-2008 Details No. of Rain water Harvesting No. - 7 - pits Total Water Requirement KLD 883 759 Decrease- 125 Fresh Water Requirement KLD - 360 -
Treated Water reuse KLD 755 399 Decrease- 357 Waste Water Generation KLD - 422 -
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52 “545 Bedded Hospital” at Site no. 2, Zone H-4/5, Facility Centre, Pitampura. New Delhi By Dr. Narayan Dutt Shrimali Foundation International Charitable Trust Society
STP capacity KLD 794.5 500 Decrease- 294.5 ETP capacity KLD - 25 -
Total Solid waste Generation kg/day 770 1091 Increase- 321 Total Biomedical Waste kg/day 185 204 Increase- Generation 19 Parking Requirement ECS - 1046 - Parking Provision ECS 1753 1116 Decrease- 637
3.2 Land Use and Ownership of the site land The proposed project “545 Bedded Hospital” will be located at Site no. 2, Zone H-4/5, Facility Centre, Pitampura. New Delhi - 110034. The land has been given on lease by Delhi Development Authority to Dr. Narayan Dutt Shrimali Foundation International Charitable Trust Society vide letter no. F (8)94/IL dated 02.06.2015 for the development of Integrated Hospital Building. The project has earlier been granted Environmental Clearance vide letter no. 21-11114/2007-IA-III dated 14.11.2008. Since, the land has already been earmarked for Hospital Building as per Master Plan of Delhi,2021. Hence, there shall be no change in Land Use. 3.3 Land Use The land use proposed at the site is given in Table below.
Table 9: Land use of the project Site Land use Area (m2) Percentage (%) Ground Coverage 8999.802 30.00 Green Area 5999.87 20.00 Surface Parking Area 5911.00 20.00 Road and Open Area 9088.67 30.00 Total Plot Area 29999.34 m2 100.00 %
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Land Use
30% 30% Ground Coverage Green Area Surface Parking Area Road and Open Area 20% 20%
Figure 1: Land use 3.4 Location of the project with connectivity 3.4.1Geographical Information of Site Table 10: Geographical information of project site Latitude Longitude Elevation 28°41'22.60"N 77° 6'42.92"E 217 m Location map is shown in Figure 2.
N
Figure 2. Location of Project Site on Google Map
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54 “545 Bedded Hospital” at Site no. 2, Zone H-4/5, Facility Centre, Pitampura. New Delhi By Dr. Narayan Dutt Shrimali Foundation International Charitable Trust Society
3.4.2 Topographical Map
3.5 Connectivity of the Project Details of connectivity are shown in Table below-:
Table-11 – Details of Connectivity around the Project Site
S. No. Accessibility Description Distance & Direction 1. Highway/ Road NH-10 1.21 km S 2. Railway Station Shakur Basti Railway Station 1.83 km SE 3. Airport Indira Gandhi International Airport 14.72 km SSW
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55 “545 Bedded Hospital” at Site no. 2, Zone H-4/5, Facility Centre, Pitampura. New Delhi By Dr. Narayan Dutt Shrimali Foundation International Charitable Trust Society
3.6 Centrally Protected Monuments under Delhi Circle The list of Centrally Protected Monuments under Delhi Circle is the following-:
Ancient Mosque (Babur’s Period) together with adjacent area comprised 11.10 km SSW in part of Survey plot No. 177
Delhi fort or Lal Qila, NaubatKhana, Diwan-i-am, Mumtaz Mahal' Rang 13.20 km SEE Mahal, Baithak,MaseuBurj, diwan-i-Khas' Moti Masjid, sawanBhadon ,Shah Burj, Hammam with all surrounding including the gardens, paths, terraces and water courses.
Salimgarh Fort, comprising the main gate on North, Ancient structure 13.31 km SEE near the main gate and the entire fortification wall
Fortification Wall Asad Burj, Water gate, Delhi Gate, Lahori Gate, 13.70 km SEE Jahangiri Gate, Chhattra Bazar, Baoli
3.7 Layout Plan
N
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56 “545 Bedded Hospital” at Site no. 2, Zone H-4/5, Facility Centre, Pitampura. New Delhi By Dr. Narayan Dutt Shrimali Foundation International Charitable Trust Society
3.8 Water Management 3.8.1 Source of Water The water will be resourced through Delhi Jal Board. 3.8.2 Present Quality The present quality of Surface Water of nearby site canal has been accessed, the summarised results with prescribed standards has been tabulated below-:
Sample Code Unit Nearby site canal Class pH - 7.2 E Total Dissolved Solids mg/l 216.9 Total Hardness mg/l 212 Biochemical Oxygen Demand mg/l 37.4 Chemical Oxygen Demand mg/l 112
The detailed studies have been done by M/s Perfact Researchers Pvt. Ltd.
3.8.3 Water Requirement During construction phase- Treated water will be arranged on temporary basis through the tankers water supply. For construction activities, water will be sourced through nearby STP and will be retreated on site before use. Drinking water will be sourced through the tankers. Total water requirement during construction phase will be 12 KLD. During operation phase-: The total water requirement of the project will be 759 KLD. Out of which, fresh water requirement will be 360 KLD. The fresh water requirement shall be met by Delhi Jal Board.
Table 12: Water Requirement
Water Waste Requirement Domestic Flushing Discharge Particulars Population Factor (in KLD) (in KLD) (in KLD) (in KLD) IPD patients 545 450 245 164 81 OPD patients 2000 15 30 10 20 Staff and employee 1635 45 74 41 33 Visitors 2000 15 30 10 20 Sub total 6180 379 225 154 Waste Discharge 158 154 312 Lab 20 18 Kitchen 35 28
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57 “545 Bedded Hospital” at Site no. 2, Zone H-4/5, Facility Centre, Pitampura. New Delhi By Dr. Narayan Dutt Shrimali Foundation International Charitable Trust Society
Café 15 12 Dialyses 25 22 De-ionized water for medical use 10 8 Cooling 217 11 Gardening 18 0 Filter Backwash 30 6 Misc. 10 5 Total Water Requirement 759 422
Water Balance: -
Total Water Requirement (759 KLD) Fresh Water Treated Water Re Used (360 KLD) (399 KLD)
Lab Filter Backwash Cafe Kitchen De-ionized Dialysis Domestic Flushing Misc. Cooling Gardening (20 KLD) (30 KLD) (15 KLD) (35 KLD) water for (31 KLD) (225 KLD) (154 KLD) (10 KLD) (217 KLD) (18 KLD) R medical use E (10 KLD) C Y C Waste Waste Waste Waste Waste Waste Waste Waste Waste Waste Waste L water water water water water water water water water water water E (18 KLD) NIL (6 KLD) (12 KLD) (28 KLD) (8 KLD) (106 KLD) (158 KLD) (154 KLD) (5 KLD) (11 KLD) D
W A T To ETP Waste Water directly to STP E (25 KLD) (404 KLD) R
Treated water To STP Total Waste Water to STP (16 KLD) (16 KLD) (420 KLD)
STP (500 KLD)
Treated Water Reuse (399 KLD) (399 KLD) Figure 3 Water Balance 3.8.4 Disposal The waste water generated in the complex will be 422 KLD (Laboratory Waste water-18 KLD and Sewage- 404 KLD). The laboratory waste water of 18 KLD shall be treated in Effluent Treatment Plant of capacity 25 KLD. 16 KLD treated water shall be generated from ETP which shall be retreated in STP. The 404 KLD of sewage generated & 16 KLD treated water generated from ETP shall be treated in STP of 500 KLD. 399 KLD of treated water shall be generated from STP which shall be completely reused in flushing, gardening, cooling and misc. purposes. It will be zero discharge complex. .
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58 “545 Bedded Hospital” at Site no. 2, Zone H-4/5, Facility Centre, Pitampura. New Delhi By Dr. Narayan Dutt Shrimali Foundation International Charitable Trust Society
3.9 Air and Noise Management 3.9.1 During Construction Phase DG sets of 1×125 kVA with adequate stack height shall be used for Power supply during the construction phase. 3.9.2 During Operation Phase During operation phase 5500 kVA of power load from TATA Power DDL shall be supplied to the project. Power backup shall be provided by DG sets of capacity 2 x 1010 kVA and 2 x 1500 kVA. 3.10 Energy Conservation Measures Following are the measures adopted to conserve the energy: • Energy efficient lighting fixtures in parking and above grade floors. • Basement lighting is controlled by alternate circuit switch for reducing energy consumption during peak hours, by switching off the alternate lighting fixtures. • Energy efficient pumps and motors (BEE star rated). • Energy efficient water-cooled screw chillers with VSD drive. • AAC blocks proposed for external wall construction. • High performance double glazing for hospital building. • Voltage drop for feeders shall not exceed 2% at design load and voltage drop for branch circuit shall not exceed 3% at design load. • Losses of transformer shall not be exceeding than ECBC requirement. • All 3 phase shall maintain 0.95 power factor at the point of connection. • Uses of incandescent lamp and halogen lamps shall be avoided and energy efficient LEDs shall be used for all common area.
Solar Measures: • External street lighting shall be provided by standalone solar panel. • Solar Water Heater will be used to meet hot water requirement of the project. • Hot water shall be taken from solar power generation. • Solar panels shall be installed on the roof. 1 % of total load shall be met by solar power generation. • The layouts of buildings are designed to maximize the potential for use of solar lighting per day devices. • The space heating load will be minimized using solar structure and suitable buildings envelop material. 3.11 Environment Management The Environment Management Plan (EMP) is a site-specific plan developed to ensure that the project is implemented in an environmentally sustainable manner where all stakeholders including
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59 “545 Bedded Hospital” at Site no. 2, Zone H-4/5, Facility Centre, Pitampura. New Delhi By Dr. Narayan Dutt Shrimali Foundation International Charitable Trust Society
the project proponents, contractors and subcontractors, including consultants, understand the potential environmental risks arising from the proposed project and take appropriate actions to properly manage that risk. Adequate environmental management measures need to be incorporated during the entire planning, construction and operating stages of the project to minimize any adverse environmental impact and assure sustainable development of the area. The EMP presented below should be followed and regular monitoring of relevant parameters as stated in post project-monitoring schedule shall be carried out. The EMP is to be proactive in nature and will be upgraded if new facilities or modification of existing facilities, with environmental concerns, come up at a later stage. 3.11.1 Environment Management During Construction Phase 3.11.1.1 AIR ENVIRONMENT INDIAN METEROOGICAL DATA
Indian Meteorological Data conditions of the Project area can be summarised in the table below-:
S.no. Particulars Unit Details 1. Temperature ˚C 21.1-29.3 2. Relative Humidity % 43 3. Annual Rainfall mm 799 4. Wind Direction - North East to South West 5. Predominant Wind Direction - East to West
Annual Windrose Diagram The Windrose Diagram of Annual AVERAGE (2002-2013) is given in figure below-:
Figure 4 Annual Windrose Diagram (Source- IMD, Safdarjung) Air quality around the project will be adversely impacted during the construction stage. Various construction activities especially related to lose material likely to cause generation of dust that
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60 “545 Bedded Hospital” at Site no. 2, Zone H-4/5, Facility Centre, Pitampura. New Delhi By Dr. Narayan Dutt Shrimali Foundation International Charitable Trust Society adversely impacts the air quality of the surrounding area of the project site. To minimize such impact, following measures will be taken: • Dust mitigation measures shall be taken as per Environment (Protection) Amendment Rules, 2018. • Metallic Roads leading to or at construction sites shall be paved and blacktopped. • No excavation of soil shall be carried out without prior barricading of the project site & other adequate dust mitigation measures in place. • No loose soil or sand or Construction & Demolition Waste or any other construction material that causes dust shall be left uncovered. • Wind-breaker around the project site shall be provided. • Water sprinkling system shall be put in place using spraying Nozzles. • Sprinkling shall be done every hour by fixed sprinkling system. • Proper barricading up to 10 m shall be provided. • Grinding and cutting of building materials in open area shall be prohibited. • Construction and Demolition waste shall be stored only within earmarked area and road side storage of construction material and waste shall be prohibited. • Only covered vehicles carrying construction material and waste shall be permitted inside the complex. • Construction and Demolition Waste processing and disposal site shall be identified and required dust mitigation measures be notified at the site. • DG sets shall be installed with adequate stack heights.
Maximum Ground Level Concentration of PM10 due movement of tankers and operation of DG Set shall be maintained. 3.11.1.2 Noise Environment During the construction stage, expected noise levels will be in the range of 80-100 dB(A), which will decrease with increase in distance. Hence all the construction activities shall be carried out during the daytime. Due to the construction activities undertaken for the project, there will be some noise generation due to the movement of vehicles carrying construction materials and as this will be only a temporary phenomenon, it shall be managed by properly regulating the movement of vehicular traffic so that the ambient noise quality will not be adversely affected. To prevent any occupational hazard, ear muff / ear plug shall be given to the workers working around or operating the plant and machinery emitting high noise levels. Operation of such plant or machinery shall be strictly prohibited during night hours. Careful planning of machinery operation and scheduling of operations shall be taken to minimize such impact. Furthermore, following measures shall also be adopted: • All the machinery and equipment shall be regularly maintained to reduce the noise level. • DG sets of capacity 125 kVA shall be installed acoustically enclosed.
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61 “545 Bedded Hospital” at Site no. 2, Zone H-4/5, Facility Centre, Pitampura. New Delhi By Dr. Narayan Dutt Shrimali Foundation International Charitable Trust Society
• Noise barriers shall be installed to reduce traffic noise & vibrations. • Plantation shall be developed along the periphery of the site. 3.11.1.3 Water Environment During the construction of the proposed project, the services required like water supply and sewage facilities shall be arranged on a temporary basis and the same shall be maintained without any adverse impact on the environment. Following are the measures required to manage the water environment at site: • Approx. 12 KLD of water will be required which will be arranged on temporary basis. 7 KLD or water will be required for domestic purposes which will be supplied by tankers while 5 KLD of water will be used for construction purposes which shall be taken from STP treated water of nearby area. • The waste water generated during construction phase will be 6 KLD sewage which will be discharged into septic tank followed by soak pit. • Runoff from the construction site shall not be allowed to stand (water logging) or enter into the roadside or nearby drain. Adequate measures shall be taken to collect such run off and either are reused or disposed off at the designated construction waste disposal location. 3.11.1.4 Solid Waste Management Excavation & part basement construction has already been done as per the grant of Environmental Clearance granted. During part basement (2 level) construction, soil was excavated which was used for backfilling purposes in nearby areas & out of it, top soil generated was used for landscaping purpose in nearby areas. There shall be done further excavation for foundation and basement. The further excavated soil will be used for properly stacked under tarpaulin cover and will be reused for back filling purpose and road construction, etc. and out of total excavated soil, top soil shall be preserved separately and will be used for landscaping purpose only. As soon as proposed green area will be ready the top soil will be transferred and seeding will be done with regular sprinkling. In total Approx. 112332 m3 of soil excavation is involved for providing foundation and 2 levels of basement completely.
Construction debris like Concrete will be recycled and will be used in lean concrete, brick work wastage will be used waterproofing for terrace, toilets etc. Tiles will be used in creating pathways in the landscape area etc. Recyclable water like aluminium, steel, wood pieces, cement bags, plastic containers, cartons, glass etc. will be sold to recyclers. Approximately, 23 kg/day of Municipal solid waste shall be generated from temporary labours which shall be disposed off at Municipal Landfill site. Used oil whenever generated from the DG sets shall be kept in a secured place and in leak prof container and shall be sent to approved recycler.
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62 “545 Bedded Hospital” at Site no. 2, Zone H-4/5, Facility Centre, Pitampura. New Delhi By Dr. Narayan Dutt Shrimali Foundation International Charitable Trust Society
3.11.2 Environment Management during Operation Phase 3.11.2.1 AIR ENVIRONMENT DG set of 2 x 1010 kVA and 2 x 1500 kVA will be installed as power backup for emergency use during power failure. Hence, to avoid the emissions, the DG sets shall be kept in acoustically treated room on Surface. Stack height of 6 m above roof level for each D.G. sets shall be provided to reduce the air emissions, meeting all the norms prescribed by CPCB.
Table 13: DG set & stack Height D. G. Set. Capacity No Stack Height 1010 kVA 2 6 m above roof level 1500 kVA 2 6 m above roof level
As per the specifications from D.G. Set manufacturer following emissions shall be maintained, as given in Table 12. Table 14: DG Set emission standards
D.G Sets No. PM Nox HC CO mg/Nm3 mg/Nm3 mg/Nm3 mg/Nm3 1010 kVA 2 75 887.5 100 150
1500 kVA 2 75 887.5 100 150
3.11.2.2 NOISE ENVIRONMENT The main sources of the noise pollution will be D.G sets. of 2 x 1010 kVA and 2 x 1500 kVA will be installed in the project. DG sets shall be kept in acoustically treated room on surface and shall meet the norms prescribed by CPCB. Planting of the trees at the boundary of the project will help in reducing the level of the noise within the project. Location of DG sets: Surface Insulation of air inlet and outlet points The sound travels along with air therefore it is necessary to control the travelling sound with the help of insulated ducts [2” glass wool pads and perforated sheets] and louvers at inlet and outlet air points. The ducts have S-type shape to prevent any direct escape of noise Insulated service door The maintenance and servicing of D.G. set is done using a suitable service door of 5’ x 7’ size. The door is made of MS sheet and frames fully insulated with 3” thick glass wool pad followed by perforated aluminium sheets.
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63 “545 Bedded Hospital” at Site no. 2, Zone H-4/5, Facility Centre, Pitampura. New Delhi By Dr. Narayan Dutt Shrimali Foundation International Charitable Trust Society
Figure 5: Anti-vibration pads
3.11.2.3 WATER MANAGEMENT The total water requirement of the project will be 759 KLD. Out of which, fresh water requirement will be 360 KLD. The fresh water requirement shall be met by Delhi Jal Board. The waste water generated in the complex will be 422 KLD (Laboratory Waste water-18 KLD and Sewage- 404 KLD). The laboratory waste water of 18 KLD shall be treated in Effluent Treatment Plant of capacity 25 KLD. 16 KLD treated water shall be generated from ETP which shall be retreated in STP. The 404 KLD of sewage generated & 16 KLD treated water generated from ETP shall be treated in STP of 500 KLD. 399 KLD of treated water shall be generated from STP which shall be completely reused in flushing, gardening, cooling and misc. purposes. It will be zero discharge complex. 3.11.2.3.1Waste Water Treatment The Sewage Treatment Plant of 500 KLD based on MBBR technology offered has some distinct advantages over conventional activated sludge processes. The scheme is proven, under a variety of operating conditions, and is highly flexible in operation. The characteristics of Raw sewage and the characteristics required for the treated water will be as given in Table below. Table 15: RAW SEWAGE CHARACTERISTICS
3 Flow m / day 404 KLD pH - 7.5 – 8.0
BOD mg / l 200 - 350 COD mg / l 400 - 500 TSS mg / l 100 Oil & Grease mg / l 10
The Sewage Treatment Plant (STP) will give treated water, which will be reused for Flushing, Gardening & Tower Cooling purposes.
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64 “545 Bedded Hospital” at Site no. 2, Zone H-4/5, Facility Centre, Pitampura. New Delhi By Dr. Narayan Dutt Shrimali Foundation International Charitable Trust Society
Table 16: TREATED SEWAGE CHARACTERISTICS
pH - 6.5-9.0 BOD mg / l <10 COD mg / l <50 TSS mg / l <20 Oil & Grease mg / l NIL
TREATMENT PROCESS: It is proposed to treat the complete wastewater in a scientific manner through a properly planned treatment plant. The objective is to stabilize the decomposable organic matters present in sewage so as to get an effluent and sludge having characteristics which are within safe limits. To have an efficient treatment system, this aeration system is proposed consisting of MBBR Technology. The sewerage treatment plant can be constructed in such a way that it becomes viable by providing Treated water for reuse and sludge that can be used as for manure for further use. Different Components of the Plant
In the proposed treatment scheme, the following component unit shall be provided: ➢ Screen chamber ➢ Bar screen /Grit chamber within effluent collection sump. ➢ Submersible type raw effluent re-lift pumps ➢ Equalization tank ➢ MBBR tank/ Aeration tank ➢ Tube settler ➢ Clarified Water, Filtered Water & Soft Water Storage Tanks ➢ Filter feed pump ➢ Tertiary Treatment Units (Filtration, U.V treatment) ➢ Treated Water Supply Pumps ➢ Sludge return pump ➢ Sludge holding tank ➢ Centrifuge for solid waste management ➢ Sludge loading pumps ➢ Sludge drying beds, Centrifuge/Filter Press
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65 “545 Bedded Hospital” at Site no. 2, Zone H-4/5, Facility Centre, Pitampura. New Delhi By Dr. Narayan Dutt Shrimali Foundation International Charitable Trust Society
PROCESS DESCRIPTION a) Raw sewage from main sewer line shall be collected through gravity pipes into the screen chamber. This manually cleaned screen shall be provided to remove floating and big size particles which may otherwise choke the pumps and pipe lines. b) After screening, the waste water shall be allowed to pass through a grit chamber to remove the grit material. The screens and grit chambers shall be accessible so that they may be manually cleaned from time to time. c) The screened waste water from the Grit chamber shall be then passed into the equalization tank to homogenize the waste water quality and also even out flow fluctuations and feed waste water of uniform quality at constant rate to subsequent treatment units. Air mixing shall be provided to mix the contents of the equalization tank. A coarse bubble aeration grid shall be provided to mix the contents of the equalization tank and also to avoid septic conditions in the tank. From the equalization tank the wastewater will be pumped into an MBBR Tank. d) The MBBR process uses small plastic carrier elements to provide growth sites for bacteria attachment in a suspended growth medium. The carrier elements shall allow a higher biomass concentration to be maintained in the reactor. This shall increase the biological treatment capacity for the given reactor volume. e) The carrier elements shall be continuously kept in suspension by the aeration system. The agitation pattern in the reactor shall be designed to provide an upward movement of the carriers across the surface of the retention screen which creates a scrubbing effect to prevent clogging. Combination of fine & coarse bubbles may be provided to provide oxygen as per detailing. f) From the MBBR tank mixed liquor shall flow by gravity into the Tube settler. The solids will settle in the tank. The sludge that settles down shall be transferred to sludge holding tank via sludge loading pumps, with provision of sludge return to the bioreactor if necessary. g) From the tube settler, treated wastewater will be fed by means of filter/softener feed pump sets to pass through dual media filters, activated carbon filters and softeners and stored in the filtered water and soft water storage tanks. The activated carbon filters shall ensure removal of all coloration and odours present in the treated effluent. h) The filtered, clean and odourless water from filtered water tank is then fed through a variable frequency drive hydro-pneumatic system to the external treated effluent rings as per the master plan, from where connections are taken to the garden hydrant system and to each unit for flushing water as per detailing.
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66 “545 Bedded Hospital” at Site no. 2, Zone H-4/5, Facility Centre, Pitampura. New Delhi By Dr. Narayan Dutt Shrimali Foundation International Charitable Trust Society i) Excess sludge from the tube settler will be taken periodically into sludge holding tank. In this tank sludge will be aerated for self-stabilization. Air will be shut off periodically and superannuate water will be transferred to the aeration tank creating stabilized sludge. The final sludge shall be de-watered through a centrifuge mechanism. Sludge loading arrangements shall also be provided for direct disposal of sludge to sludge tankers / trolleys. Hydraulic Flow Diagram of STP based on MBBR Technology LEGENDS MBBR STP TECHNOLOGY Mark Descriptions
Air Line
Sludge Line
Effluent line SLUDGE HOLDING FILTER Air Blowers TANK PRESS FINAL DISPOSAL TO Air Diffusers EQUALIZATION TANK Butter Fly Valv
Non Return Valv
INCOMIN Pump G SEWAGE BAR SCREEN BAFFLE WALL UV TREATED WATER USED OIL & TREATED CLEAR GREASE EQUALIZATION MBBR-1 MBBR-2 WATER TUBE WATER TANK TANK SETTLER TANK MGF ACF
Figure 6. Hydraulic Flow Diagram of STP (MBBR Technology) 3.1.1.1.1 SCHEME OF EFFLUENT TREATMENT PLANT Approx. 18 KLD effluent will be generated from the laboratory which will be treated in the ETP of 25 KLD. Details of ETP are given as follows: The waste water firstly passes through the oil and grease tank to remove excess oil from the wastewater. The waste water after removal of oil and grease will collected in equalization tank to holding the wastewater for some pre-determined time in a continuously mixed basin to produce a uniform wastewater. The wastewater then subjected to Flocculation tank. In a flocculation tank, the water is stirred or otherwise moved around so that the particles move around, bump into other particles. Chemicals (most commonly "alum"/ polyelectrolyte) are often added to the water going into a flocculation tank to help aid particle formation. The next step in the process is to separate the solid sludge with the wastewater hence the wastewater will be transfer to Tube settlers which capture the settleable fine floc that escapes the clarification zone beneath the tube settlers and allows the larger floc to travel to the tank bottom in a more settleable form. The tube settler’s channel collects solids into a compact mass which promotes the solids to slide down the tube channel to
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67 “545 Bedded Hospital” at Site no. 2, Zone H-4/5, Facility Centre, Pitampura. New Delhi By Dr. Narayan Dutt Shrimali Foundation International Charitable Trust Society sludge drying beds and the water content will be goes into the carbon filter to remove contaminants and impurities, utilizing chemical adsorption. Finally, the water will be retreated in STP. Schematic diagram of ETP is given below:
Treated water to STP
3.11.2.3.2Rain Water Harvesting The main source of ground water recharging in the study area is rainwater, which infiltrates into the ground through various lithological units present in the study area. In the proposed complex there will be 7 no. of Rainwater Harvesting pits. The runoff from the rooftop and storm water shall go to the recharge pits. Scheme for Ground Water Recharging The rainwater is diverted from the rooftop using rain water pipes to the surface / underground drainage network. The entire campus is sub divided for recharging structures. The rainwater is diverted into the desilting tank to remove inorganic impurities and the outflow of the desilting tank is taken into the recharge well. Desilting Tank The desilting tanks are used to remove silt and other floating impurities from rainwater. Desilting tank is like an ordinary container having provision for the inflow, outflow and overflow. Apart from removing silt it holds the excess amount of water till it is soaked up by the recharge structure. The bottom of tank will have unpaved surface (layers of coarse sand) to allow standing water to percolate into the soil. The rainwater collected in these desilting chambers shall be utilized for horticulture. Recharge well The recharge well consists of percolation pits with boreholes in the middle of the pit. UPVC pipe perforated will be lowered in the middle of the boreholes and the pit will be filled with gravel and pebbles in three layers consisting of boulders, gravel and coarse sand. The mouth of the UPVC pipe
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shall be protected to avoid silt getting into it. The depth of the bore will depend on the soil condition/water strata. The schematic diagram is enclosed. It should be therefore concluded that there is no significant impact on surface water quality & hydrology of the area. The proposed rainwater-harvesting scheme will stabilize the groundwater table in the area. RAIN WATER HARVESTING CALCULATIONS: -
Soil Quality Silt loam
Infiltration Rate 36 mm/hr
Porosity 35 %
Annual Rainfall 794 mm
Peak Hourly Rainfall 90 mm/hr
No. of Rainwater Collecting Pits 7
Size of Pits Diameter- 4.9 m, Depth- 4.5 m
Table 17: detailed calculation of rain water harvesting calculation Intensity of Water rainfall Catchment Runoff Discharge S.No. Type of surface (mm/20 min) area (m2) coefficient (runoff) Peak hourly (in m3) 90 mm 1 Roof top area 8999.802 0.9 30 242.99 Paved surface, Roads & other built up area 2 (including Surface Parking Area) 14999.67 0.7 30 314.99 Lawns, Garden & all 3 other Open area 5999.87 0.2 30 36.00 29999.34 Grand Total m2 594 m3
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69 “545 Bedded Hospital” at Site no. 2, Zone H-4/5, Facility Centre, Pitampura. New Delhi By Dr. Narayan Dutt Shrimali Foundation International Charitable Trust Society
RWH Pit Diagram: -
4900
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70 “545 Bedded Hospital” at Site no. 2, Zone H-4/5, Facility Centre, Pitampura. New Delhi By Dr. Narayan Dutt Shrimali Foundation International Charitable Trust Society
3.11.2.4 WASTE MANAGEMENT 3.11.2.4.1 Municipal Solid Waste For 6180 persons, around 1091 kg/day of municipal solid waste will be generated from the proposed site. The solid waste categories and disposal method detail is shown is given in Table 17: Table 18: Municipal Waste Management Type of Waste Colours of Category Disposal Method Total Waste Bins (kg/day)
Bio Degradable Green Organic The waste shall be treated 654 waste in organic waste converter and converted to manure
Non- Blue Recyclable Recycler 218 Biodegradable
Plastic Blue Recyclable Recycler 218
Total 1091 kg/day i.e. 398 tons/annum
DETAILS OF ORGANIC WASTE CONVERTER Tentative details of the Organic Waste Converter are as follows:
Model no. No. of OWC Capacity per Power Dimension provision batch (l x w x h) RN-125 1 no. 125 kg/batch 5.6 kW; 3 Phase 4 m x 1.28 m 440 V, 50 Hz
Biodegradable Waste Batch Capacity No of Batch 654 kg/day 125 kg/batch 6 batch/day
• No. of organic waste converter = 1 Nos. • Volume of waste = 1.308 m3 • Space for organic waste converter= 4 m x 1.28 m = 5.12 m2 • Area required for storage and management of solid waste = 10 m2 • Area provided for storage and management of solid waste = 30 m2
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71 “545 Bedded Hospital” at Site no. 2, Zone H-4/5, Facility Centre, Pitampura. New Delhi By Dr. Narayan Dutt Shrimali Foundation International Charitable Trust Society
3.11.2.4.2 Biomedical Waste Management Type of Waste No of Beds Disposal Method Total Waste
Biomedical No of IPD Beds- 545 Hospital will handover duly 204 kg/day segregated and disinfected 75 tons/annum waste to State Approved Biomedical Waste Service Provider for final disposal
3.11.2.4.3 Hazardous Waste Management: - Hazardous waste is a waste with properties that make it dangerous or potentially harmful to human health or the environment. The universe of hazardous wastes is large and diverse. Hazardous wastes can be liquids, solids, contained gases, or sludge. They can be the by-products of manufacturing processes or simply discarded commercial products, like cleaning fluids or pesticides. All hazardous wastes are required to be treated and disposed off in the prescribed manner. The main objective is to promote safe management and use of hazardous substances including hazardous chemicals and hazardous wastes, in order to avoid damage to health and environment.
Table 2: Hazardous & E-Waste Management Type of Waste Disposal Method Total Waste Used oil shall be given to Approved vendor Used Oil Hazardous & other waste (Management & 48 lt/month Handling) Rules, 2016 Shall be given to Approved vendor as per E- E-waste 3-4 kg/month Waste (Management & Handling) Rules, 2016
Battery waste will be generated from inverters & UPS, which shall be treated as per the Batteries (Management & Handling) Rules, 2001. 3.11.2.5 PLANTATION Green belt planning will be done with ecological perspectives for the project taking into consideration and availability of space and other aspects. This will help in increasing the aesthetic effect of the environment. Since tree trunks are devoid of foliage, scrub should form there to give coverage to the trunks. The trees maintain the regional ecological balance and conform to soil and hydrological conditions. Indigenous species would be preferred. Green belt/greenery has been developed along most of the periphery of the project area as well as along roads. Area under plantation/greenery will be 5999.87 m2 (20% of plot area) which shall be maintained with trees and plants. The trees planted are of adequate height.
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Total No. of trees required = Total plot area/80 = 29999.34/80 = 375 nos. No of existing at site = 70-80 No of trees to be cut = 0 No of trees to be Transplant = 70-80 No. of trees proposed = 305 Total No of trees (Transplant +Proposed) = 375
Table 19: Total no. of Species proposed S. No. Scientific Name Common Name Number of Trees 1. Wodyetia bifurcate Foxtail Palm 50 2. Polyalthia longifolia Pseudo Ashoka 75 3. Mimusops elengi Maulsari 40 4. Azadirachta indica Neem 64 5. Neolamarckia kadamba Kadamb 40 6. Plumeria alba White firangipani 46 Total 305
3.11.3 ANTICIPITATED IMPACT & MITIGATION MEASURES 3.11.3.1 DURING CONSTRUCTION PHASE S. No. Description Impacts Mitigation Measures
1. Air & Noise Dust will be generated due to Water sprinkling shall be done Environment Site clearance and emissions to reduce the dust during may be generated due to construction of buildings. vehicles, DG sets and D.G. set of 1×125 kVA shall be machinery/equipment etc. provided with adequate stack Loading and unloading of height to avoid emissions. construction materials like, Trees will be planted along the cement, sand, stones, bricks, etc. construction site to reduce dust will result in dust generation. & emissions. Procurement and transport of construction materials such as sand, cement etc. will also result in dust generation.
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2. Water Soil runoff from the site leading During construction phase, Environment to off – site contamination water will be provided from (Particularly during rainy the nearby STP/tanker water season). supplier. Improper disposal of The rain water from the construction debris leading to construction site shall be off-site contamination of water collected, treated & reused for resources. sprinkling. Disposal of domestic waste Approx. 6 KLD of sewage water from temporary labour from labours shall be rest rooms. discharged into septic tank Spillage of oil and grease from followed by soak pit. the vehicle and waste water stream generated from on-site activities. 3. Solid Waste The waste from labour rest Approx. 23 kg/day municipal rooms/sheds would be mainly solid waste shall be generated household domestic waste from 150 labours which shall The solid waste generated be disposed off in MSW site. during construction phase used Used oil whenever generated oil from DG sets. from the DG sets shall be kept in an isolated area and in leak proof container and sent to approved recycler.
3.11.3.2 DURING OPERATION PHASE S. No. Description Impacts Mitigation Measures
1. Air & Noise Running of DG sets of capacities DG sets shall be provided with Environment 2 x 1010 kVA & 2 x 1500 kVA stack height of 6 m above roof during power failure will result into level for 2 x 1010 kVA & 2 x air emissions. 1500 kVA as per CPCB norms and shall be kept in acoustically treated room. 2. Water During the operation phase Fresh water requirement shall Environment abstraction of water is not proposed be reduced by using 399 KLD for project. Fresh water treated water. requirement of 360 KLD shall be 399 KLD of treated water shall met by municipal supply of Delhi be generated from STP which Jal Board. shall be completely reused in flushing, gardening, cooling
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In the proposed project, water will and misc. purposes. It will be be used for domestic use, flushing, zero discharge complex. laboratory, Kitchen, Café, Rain water shall be recharged Dialyses, De-ionized water for into the ground water by 7 no. medical use, Cooling, Filter of rain water harvesting pits. Backwash, gardening & misc. purposes etc. The waste water generated in the complex will be 422 KLD (Laboratory Waste water- 18 KLD and Sewage- 404 KLD). The laboratory waste water of 18 KLD shall be treated in Effluent Treatment Plant of capacity 25 KLD. 16 KLD treated water shall be generated from ETP which shall be retreated in STP. The 404 KLD of sewage generated & 16 KLD treated water generated from ETP shall be treated in STP of 500 KLD. 3. Solid Waste Bio-degradable and recyclable Bio-degradable waste of 654 waste from households’ activities. kg/day shall be disposed in Used oil from DG sets and e- waste. Organic waste convertor. E- waste & battery waste Biomedical Waste of quantity generation. 204 kg/day shall be duly segregated and given to approved Biomedical Waste Service Provider. Used oil of 48 lt/month will be generated from the DG sets which shall be kept in an isolated area and in leak proof container and shall be given to authorised recycler. The generated E-waste of 3-4 kg/month shall be given to Authorized vendor. Battery waste shall be treated as per the Batteries (Handling & Management) Rules, 2001.
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75 “545 Bedded Hospital” at Site no. 2, Zone H-4/5, Facility Centre, Pitampura. New Delhi By Dr. Narayan Dutt Shrimali Foundation International Charitable Trust Society
3.12 ENVIRONMENT MONITORING PLAN During Construction
Sr. No. Type of Monitoring Frequency of Parameter Location Monitoring 1 Ambient Air Quality Six Monthly Particulate Matter (PM 2.5) Two Locations in Particulate Matter (PM 10) and around the Sulphur Dioxide (SO2) project site Nitrogen Oxides (NOx) 2 Stack Monitoring Six Monthly Particulate Matter, Sulphur DG sets of capacity Dioxide (SO2), Nitrogen 125 KVA installed Oxides (NOx) for construction purposes 3 Water Quality Monitoring for Six Monthly All parameters mentioned in One drinking water drinking water IS:10500 sample 4 Water Quality Monitoring for Six Monthly All parameters mentioned in One construction Construction purpose IS:456 water sample 5 Noise Level Monitoring Six Monthly Day and Night noise level Two locations 6 Soil Quality Monitoring Six Monthly All parameters to check soil Two Locations in Fertility and around the project site 7 Monitoring of waste Six Monthly _ _ generation and other pollution control aspects
During Operation Phase
Sr. No. Type of Monitoring Frequency of Parameter Location Monitoring 1 Ambient Air Quality Annually Particulate Matter (PM 2.5), Two Locations in Particulate Matter (PM 10), and around the Sulphur Dioxide (SO2), project site Nitrogen Oxides (NOx) 2 Stack Monitoring Annually Particulate Matter, Sulphur DG sets (2 x 1010 Dioxide (SO2), Nitrogen kVA & 2 x 1500) Oxides (NOx) installed for backup purposes 3 Water Quality Monitoring Annually All parameters mentioned in One drinking water for drinking water IS:10500 sample 4 Sewage Treatment Plant & Annually BOD, COD, TSS, Oil and Inlet and Outlet of Effluent Treatment Plant Grease and pH STP & Inlet and Monitoring Outlet of ETP 5 Ambient Noise Level Annually Day and Night noise level Two locations Monitoring 6 DG Set Room Noise Annually Inside and Outside of DG Set One Locations Monitoring Room 7 Soil Quality Monitoring Annually All parameters to check soil Two Locations in Fertility and around the project site
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8 Monitoring of Waste Annually _ _ Generation and other pollution control aspects
3.13 Environment Management Cost 3.13.1 Capital Cost
S No. Description Total Cost (In Lacs) 01. Landscaping 30.0 02. STP & ETP 110.0 03. DG Stack & Acoustic Treatment 7.2 04. Solid Waste Management 30.0 05. RWH 10.5 06. Miscellaneous 5.0 Total 192.7
3.13.2 Recurring Expenditure
S No. Description Total Cost (In Lacs/ year) 01. Landscaping 3.0 02. Water Management 12.0 03. Air Management 1.0 04. Environment Management 1.5 05. Solid Waste Management 3.0 06. Miscellaneous 2.0 Total 22.5
3.14 Corporate Environment Responsibility As per CER office memorandum of MOEF dated 1.5.2018, the project cost for project is Rs 130 Cr, hence the industry has to spend 1.5 % of the cost of the project (Rs 195 lacs) on CER activities. As per the Office Memorandum some of the activities which can be carried out in CER, are infrastructure creation for drinking water supply, sanitation, health, education, skill development, roads, cross drains, electrification including solar power, solid waste management facilities, scientific support and awareness to local farmers to increase yield of crop and fodder, rain water harvesting, soil moisture conservation works, avenue plantation, plantation in community areas, etc.).
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77 “545 Bedded Hospital” at Site no. 2, Zone H-4/5, Facility Centre, Pitampura. New Delhi By Dr. Narayan Dutt Shrimali Foundation International Charitable Trust Society
The following provisions shall be contributed under Corporate Environment Responsibility-:
Total 1st 2nd 3rd 4th 5th S.No Activity Provision Cost year year year year year (Lakhs) Conservation of Water level Restoration of Jheel water body in in consultation with local NGO for Jheel Park Lake 1 Conservation and plan to develop 12 35 40 35 30 152 (Pitampura) green belt with native species, and Native ornamental plants Plantation Solar Light in Provision of streetlight powered 2 Jheel Park by photovoltaic panels with 7.5 5 10 10 5 37.5 Pitampura rechargeable battery, LED lamps. Providing coloured dust bins Waste 3 and collection of segregated 2 2 0.5 0.5 0.5 5.5 Management waste and their disposable. Total Rs in Lakhs 22 42 50.5 45.5 35.5 195
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ENCLOSURE 4. RISK ASSESSMENT
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4.1 RISK ASSESSMENT
Hazard identification is the process used to identify all possible situations in the hospital where people (patient, staff, visitors etc.) may be exposed to injury, infections or disease. The risk hazards may be of two types: 1. Natural disasters Earthquake Cyclone / Storm Flood / Draught Landslides etc 2. Technological disasters Gas leakages, Rupture of Gas cylinders / Pressurized Vessels / Pipe lines Chemical, Biological, Radiological, Nuclear & Explosion Emergencies Failure of Machines / Production Human Error / Nuisance / Maniac Terrorist Act Fire Emergencies
The objectives of risk assessment are: • To achieve a level of preparedness to safeguard the public and mitigate the impact of the disaster. • To prompt an effective disaster management strategy without causing panic among the patients, visitors and the public.
4.1 DISASTER MANAGEMENT PLAN Hospital Disaster Management provides the opportunity to plan, prepare and when needed enables a rational response in case of disasters/ mass casualty incidents (MCI). Disasters and mass casualties can cause great confusion and inefficiency in the hospitals. They can overwhelm the hospitals resources, staffs, space and or supplies. Lack of any tangible plan to fall back upon in times of disaster leads to a situation where there are many sources of command, many leaders, and no concerted effort to solve the problem.
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A disaster planning shall be done in a way that the quality of care to the serious/ critical patients is not compromised. The plan should aim at the survival and recuperation of as many patients as possible. An internal risk management authority is formed which may undertake periodic evaluation of safety precautions to be followed by each department for hazard recognition with the following steps: 1. Both Clinical and Non-clinical audits will be undertaken on a periodical basis to identify the measures taken to prevent/reduce the impact of the potential hazards. 2. All the staff of the hospital will be encouraged to routinely assess all activities to identify potential hazards. 3. Departmental Heads and Managers will identify hazards within their specific area of control. The same should be notified to the appropriate hospital authorities for immediate corrective actions.
To make the proceedings easier, the hospital administrators will embark upon disaster planning using a phase plan. The hospital emergency planning is divided into three phases: 1) Pre-disaster phase (a) Planning: Risk assessment and planning for preparedness will be done, the hospital plans will be formulated and then discussed in a suitable forum for approval. (b) The disaster manual: The hospital disaster plan shall be written down in a document form and copies of the same should be available in all the areas of the hospital. (c) Staff education and training: Regular staff training by suitable drills shall be undertaken in this phase. 2) Disaster Phase (a) Phase of activation: Alter and notification of emergency. (b) Activation of the chain of command in the hospital. (c) Operational phase: This is the phase in which the actual tackling of mass casualties will be performed according to the disaster/emergency plan. (d) Phase of deactivation: When the administration/ command of the hospital will be satisfied that the influx of mass casualty victims is not continuing to overwhelm the hospital facilities.
3) Post Disaster Phase This is an important phase of disaster planning where the activities of the disaster/ emergency phase will be discussed and the inadequacies will be noted for future improvements.
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4.2 SAFETY MEASURES: Fire Safety All the arrangements shall be made as per National Building Code Part-IV: 2016. FIRE safety is so important to all hospital administrators, employees and designers that the leadership in the hospital field should make every effort to keep abreast of current developments in the fire safety field. The basic principles of fire safety shall be kept in mind during the design, construction, operation and maintenance of each hospital facility. Planning for fire safety can be divided into five steps: • Minimizing the chance of fire, • Early discovery, • Restricting fire spread, • Extinguishing the fire, and • Evacuating the building.
Fire Prevention: To prevent the incidence of fire, appropriate measure to control fire hazards in the building and maintenance of the building facilities shall be practiced. The preventive measures taken for fire safety are as follows: ➢ The hospital shall be declared ‘No Smoking’ zone. ➢ Fire Detection & Alarm Systems are to be installed in different parts of the hospital, in-case of the fire, on detecting fire the devices are activated and hooter is alarmed in the security office. ➢ Fire Extinguisher: As per IS- 2190 Fire extinguishers, in appropriate sizes and types, are to be provided throughout the hospital in every floor of the hospital. The maintenance, Testing & inspection of Extinguishers as per schedule to be carried out by a qualified person. The theft of or tampering with an extinguisher should be reported immediately to the Maintenance concerned In-charge. ➢ Emergency Exits shall be provided at places and no obstructions may be placed in front of or upon any exit door.
Class of Fire Description Suitable Type of Appliances
A Fire in ordinary combustibles Gas Expelled Water Type (wood, fibers, rubber plastics, paper and the like)
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B Fires in flammable liquids, paints, Fire extinguishers of CO2, Foam grease, solvents. type, Dry powder type and buckets. C Fire in gaseous substances under Fire extinguishers of carbon pressure including liquefied gases dioxide and dry powder type Electrical / IT & Server Rooms, Electrical Dry Chemical Powder, CO2 and Electronics Panels FM -200 or Clean agent type Installations And equipment.
Electrical Safety: The following measures are required to be undertaken to ensure Electrical safety: 1. Routine Inspection of the power outlets throughout the hospital by the electrician. 2. Trip Switches are to be installed in different parts of the hospital to prevent short circuits. 3. Periodic inspection of wires to ensures that they are in appropriate conditions. 4. Before any electrical appliance is brought into Hospital, a safety inspection is necessary. 5. Electrical equipment not required during night is to be switched off. 6. Areas around electrical switchboards must be kept clear for a distance of at least 1 meter. 7. ABC type fire extinguisher is to be installed adjacent to electrical switchboards. Bomb Threat: Bomb threats are delivered in a variety of ways with the majority of threats being called in to the target. In the event of a bomb threat, all personnel will follow the following procedures:
i. The staff member receiving the call should make reasonable efforts to gain as much information as possible. Keep the caller on the line as long as possible. Ask who is calling, and have the caller repeat the message. Write down every word spoken by the person making the call. ii. If the caller does not indicate the location of the bomb or the time of the possible detonation, the person receiving the call should ask the caller to provide this information. iii. Pay close attention to any strange or peculiar background noises such as motors running, background music, or other noises that might give some clue concerning the origin of the call. iv. Immediately call the local Police Department regarding the threat & the caller. v. Evacuation notification procedures will be activated to evacuate the buildings. vi. The staff should direct and assist patients to exit the buildings consistent with fire evacuation procedures vii. The police and assigned staff (security Personal) will conduct an extensive search of the building and remove the bomb with the help of Bomb Disposal Squad.
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83 “545 Bedded Hospital” at Site no. 2, Zone H-4/5, Facility Centre, Pitampura. New Delhi By Dr. Narayan Dutt Shrimali Foundation International Charitable Trust Society viii. The Director or authorized representative will approve re-entry into the building after the search is completed and after consultation with the police for bomb removal confirmation. MOCK DRILL a) Evacuation drills shall be conducted at established intervals not exceeding 12 months, at the start of each new season, and with new staff. Drills shall be recorded in the operational log. b) When the evacuation plan involves use of emergency services, they should be involved in the preparation of the plan and should be accorded every opportunity to undertake training or drills at least once per year for continuously operating installations and prior to each opening for seasonal operations. HOSPITAL SAFETY COMMITTEE: The Hospital Safety Committee is a multidisciplinary committee consisting of five members. It meets at least six times in a year to evaluate the various safety aspects of the hospital. The Committee undertakes detail analysis of the ongoing monitoring activities and gives its feedback on the same. The Committee submits its report to the Chief Medical Superintendent of the hospital. The Hospital Safety Committee evaluates the ongoing monitoring activities on various aspects of the following problems: • Injuries to patients/ visitors • Property damage. • Occupational illnesses and injuries to staff • Hazardous materials and waste spills, exposures, and other related incidents • Security incidents involving patients, staff, students and visitors at Hospital. • Fire-safety management problems, deficiencies, and failures. • Medical equipment-management problems, failures, and user errors • Utility systems management problems, failures, or user errors. • Staff Unavailability (such as Weather Emergencies, natural disasters) • Mass Casualty Patient Influx (such as Infectious Disease Outbreaks). Role of the Hospital Safety Committee: a. Provide guidance and direction in all phases of the Safety Management Program. b. Pro-active safety risk assessments of the clinical and clinical support areas of hospital. c. Facilitates the Environmental Monitoring Rounds. d. Advising management of unsafe conditions or of non-compliance with regulations and standards. e. Conducts on-going safety education classes. f. Responsible for proposing/revising safety policies.
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GENERAL OUTLINE OF EMERGENCY PLANNING ➢ On site Emergency Plan Role of Security I/C and Shift I’s/C Emergency Control room with Emergency telephone numbers Fire Wardens for each complex Medical Aid / Hospital Available, Distance Rehearsal / Training / SOP ➢ Off - site Emergency Plan Local Fire Brigade at Distance Disaster Management / Specialized Teams Dog Squad / Explosion Detective Teams Hospital, Number of Doctors and Staff, Distance Availability round o’ clock Resources Available District / Police Authorities Rehearsal / Training / SOP
ROLES, DUTIES & RESPONSIBILITIES AT THE TIME OF EMERGENCY The emergency services provided are integrated with other departments of the hospital. Administrative In-charges, O.T- They will arrange operation theatres & adequate staff and supervise the smooth movement of patients in & out of OTs. They will act as an overall coordinator between medical & paramedical staff & ensure the functionality of the OT & take care of the condition of their patients. Duty Administrator- Coordinates with store in-charges & ensure the availability of all the desirable items. Allot the priorities to the casualties. Interact with CSO & police to maintain calm in the hospital & instruct the staff to control any unwanted crowd. Keep the interaction for mortuary & ice requirement. Nursing Superintendent- Makes immediate arrangements for nursing staff in OTs, Casualty & wherever needed and supervise the cwill be delivered by them. Check for availability of medicine. HOD, Department of Anaesthesia- Arranges adequate no. of anaesthetist. Organize OT teams by name comprising of anaesthetist, OT technicians, Nursing staff, bearers, safai karamchari and allot their duties. Instruct & ensure that any bullets, arms, missile recovered from the patient & hand over ultimately to the police after due signatures from the operating surgeon. Keep chief coordinator informed on hourly basis.
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Pharmacy & Central store- take immediate actions to replenish all the items used in various wards/ areas. Regularly contact the local suppliers for emergency supply if needed. They keep a sufficient inventory of vital & essential items as a part of preparedness. HOD, Imaging Services/ laboratories- check for availability of material like chemicals, films, etc. look after the maintenance of the equipments & machines like X-ray machine. Prepare CT/ MRI and immediate investigation as per the needs. HOD Blood transfusion- ensures adequate availability of all elements of blood. Liase with OT & casualty for blood demand. Arrange staff for blood grouping & cross matching in Causality/ OT. Chief Engineer- ensures availability of all maintenance staff (electrician, plumber, masoon, pump operator, carpenter, etc.) throughout the emergency period. Ensures uninterrupted supply of water, power & gases. Chief security officer- controls sudden rush or traffic. Keep a watch that no unwanted elements are present in the treating area. Instructs his staff to assist casualty staff in unloading & transporting patients direct the visitors to control room. Coordinate with police & help them in carrying out their duties. EXTERNAL AGENCIES ENGAGED External agencies engaged for risk assessment as well as risk management are: • Government agencies (for eg. Hospitals, Fire, Police, civil administration, Bomb disposal squad) • Non-Government Organizations, • Private Hospitals, • International relief agencies etc.
CHAIN OF COMMAND A chain of command to be followed at the time of Emergency is as follows:
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SAFETY INSPECTION AND RECORDS: The Safety Management Officer or Committee may require periodic assessment of the following inventory: a. Environmental (lighting, dusts, gases, sprays, noises). b. Hazardous materials (flammable and caustic). c. Equipment (biomedical equipment etc.). d. Power equipment (motors, etc.). e. Electrical equipment (switches, breakers, fuses, outlets, connections). f. Hand tools. g. Personal protective equipment (safety glasses, ventilators, radiation safety aprons etc). h. Personal service/first aid supplies (Medical Check Up). i. Fire protection equipment (alarms and extinguishers). j. Walkways/roadways (sidewalks, roadways). k. Transportation equipment (Ambulances, lifts). l. Containers (hazardous waste bags). m. Structural openings (windows, doors, stairways). n. Buildings/structures (floors, roofs, planter walls, fences
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