Sr. No. Description Page Nos. 1. Covering Letter 1 2. Index 2 3. Form-1 3-41 4. Form-1A with EMP 42-77

2 INDEX

Sr. No. Description Page Nos. 1. Covering letter 1 2. Index 2 3. Form-1 3-41 4. Form-1A with EMP 42-77

LIST OF ANNEXURE

Annexure Nos. Name of Annexure Page Nos. Annexure No. 1 Details of Existing Buildings in the Govt. Medical 84-88 College Campus, Kottayam Annexure No. 2 Order of Govt. of Kerala 89-90 Annexure No. 3 (A & B) Soil Investigation Report 91-129 Annexure No. 4A Daily Water Consumption Balance Chart 130 Annexure No. 4B Daily Water Consumption Calculation details 131 Annexure No. 5 Conceptual Plan (Master Plan) 132 Annexure No. 6 Ground Water Test Report from NABL accredited 133 laboratory Annexure No. 7 Bio-diversity Assessment Report 134-153 Annexure No. 8 Ambient Air Quality Test Report from NABL 154 accredited laboratory Annexure No. 9 Ambient Noise Level monitoring Report from NABL 155 accredited laboratory Annexure No. 10 Vicinity map of the site showing site location 156 Annexure No. 11 Socio-economic Assessment Report along with 157-171 Corporate Environment Responsibility Report Annexure No. 12 Toposheet map showing 10 km. radius of the site 172 surrounding features Annexure No. 13 Topographical Contour Survey map of the campus 173 Annexure No. 14 Google map of the project site superimposed with 174 project boundary Annexure No. 15 Google map showing 10 km. radius of the site 175 surrounding features Annexure No. 16 Site Photographs 176 Annexure No. 17 Copy of Accreditation Certificate of the laboratory 177-184 Annexure No. 18 Copy of Accreditation Certificate of the consultancy 185-186 organization Annexure No. 19 Undertaking by the consultancy organization 187

APPENDIX I

(See paragraph – 6)

FORM 1

(I) Basic Information

Sr. Item Details No.

1. Name of the project/s Environment Clearance for the construction of new buildings viz. Surgical Block and Super Specialty Block within the existing Govt. Medical College, Kottayam. 2. S. No. in the schedule 8 (a), Construction Project of the new buildings(Surgical Block and Super Specialty Block) with built-up area 68,155 sq.m which is more than 20,000 sq.m and hence application for Environment Clearance. 3. Proposed capacity / area / Total Plot Area = 107.241 ha. length / tonnage to be Proposed Built-up Area = 68,155 sq. m handled/command area/lease (New Surgical Block area/ number of wells to be and Super Specialty Block) drilled Proposed No. of Beds = 1098 Beds

4. New/Expansion/Modernization The proposed project is for construction of super specialty block building and surgical block building within the existing Govt. Medical College, Kottayam. The existing campus is with plot area of 107.241 ha. There is no increase in plot area. There are several buildings like medical college, teaching hospital, administrative block, residential buildings within the campus. The list of facilities existing within the existing campus is provided at Annexure No. 1. The total number of beds of the existing campus is about 2,000 beds. After the commissioning of the new buildings, the number of beds would be about 3,000 (about 2,000 beds existing + 1,098 beds proposed).

5. Existing capacity/area etc., The existing campus is with plot area of 107.241 ha. The total number of beds of the existing campus is about 2,000 beds. There is no increase in plot area. There are several buildings like medical college, teaching hospital, administrative block, residential buildings within the campus. The list of facilities existing within the existing campus is provided at Annexure No. 1.

6. Category of Project i.e. ‘A’ or Category ‘B’ ‘B’

7. Does it attract the general NO condition? If yes, please specify General Conditions are not applicable to the project. 8. Does it attract the specific NO condition? If yes, please specify Specific Conditions are not applicable to the project. 9. Location Gandhinagar in Sy. No. 480/1 & others, Block No. 6, Arpookkara and Athirampuzha Villages, Arpookkara and Athirampuzha Grama Panchayats and Kottayam Municipality, Kottayam Taluk & District, Kerala. Plot/Survey/Khasra No. Sy. No. 480/1 & others, Block No. 6 Village Arpookkara and Athirampuzha Villages Tehsil Kottayam Taluk District Kottayam State Kerala 10. Nearest railway station/airport The nearest railway station (Kottayam Railway along with distance in Kms Station) is 4.5 km (SE) and Cochin International Airport is about 58 km (NW) away from the project site. (Source :- Google map, vintage : 2019) 11. Nearest Town, city, District Kottayam Town:- 4.70 km. (S) Headquarters along with Kochi City : - 42 km (NW) distance in Kms Kottayam Civil Station: - 5 km, (SE) (Source :- Google map, vintage : 2019)

12 Village Panchayats, Zilla Village Office Address :- Parishad, Municipal Corporation, Local body Arpookara Village Office, (complete postal addresses with Kottayam, Kerala 686008 . telephone nos. to be given) Contact No. 08547612512. & Athirampuzha Village Office, Athirampuzha Ettumanoor Rd, Athirampuzha, Kottayam, Kerala-686562. Contact No. 08547612510.

Grama Panchayath Office :-

Arpookara Grama Panchayath Office, Mannanam - Pulikuttissery Rd, Arpookara, Kerala-686008. Ph. No. 0481 259 7230. & Athirampuzha Grama Panchayat Office, Athirampuzha, Kerala 686562.

Kottayam Municipality Office ,

Kottayam Municipality, Kottayam P.O. Kottayam, Kerala-686001 Tel: 0481-2566665.

13 Name of the applicant Principal, Govt. Medical College, Kottayam 14 Registered Address Principal, Govt. Medical College, Kottayam, Gandhi Nagar PO, Kottayam, Kerala-686008.

Address for correspondence : Principal, Govt. Medical College, Kottayam, Gandhi Nagar, Kottayam, Kerala-686008. Name Dr. Jose Joseph, Principal, Govt. Medical College, Kottayam Designation Principal, (Owner/Partner/CEO) Govt. Medical College, Kottayam Address Principal, Govt. Medical College, Kottayam, Gandhi Nagar, Kottayam, Kerala-686008. Pin Code Kerala-686008 E-Mail [email protected] Telephone No. Ph. No. 0481-2597284 08848537576 (Ms. Soumya) Fax No. N.A. 16 Details of Alternative Sites The proposed buildings are to supplement the examined, if any. Location of existing facilities within the Govt. Medical these sites should be shown on College, Kottayam and hence alternative sites a topo sheet are not examined.

17 Interlinked Projects No. 18 Whether separate application of Not applicable interlinked projects has been As explained at Sr. No. 17 above. submitted? 19 If yes, date of submission Not applicable 20 If no, reason Not applicable 21 Whether the proposal involves approval/clearance under: If yes, details of the same and their status to be given. (a) The Forest (Conservation) NO – Act, 1980? There is no Forest or Forest land within the Govt. Medical College, Kottayam.. The proposed construction will be within the existing Govt. Medical College, Kottayam campus and site is not attracting any provisions of Forest Act.

(b) The Wildlife (Protection) Act, No 1972? However, there is Kumarakom Bird Sanctuary located at about 10 km. (W) of the project site and which is not declared as per the list published under Wildlife Protection Act. Hence, the project site is not attracting the provisions of Wildlife (Protection) Act, 1972.

(c) The C.R.Z Notification, NO 2011? There is no tide influenced water body abutting to the Govt. Medical College, Kottayam Campus and hence CRZ Notification

is not applicable.

22 Whether there is any Yes. Government Order / Policy The following Central / State / Local relevant /relating to the site? Regulations & Standards Applicable to the Project :- Environment Protection Act 1986 Environment Impact Assessment (EIA) Notification, 2006 and subséquent amendments. Manual on norms and standards for environment clearance of large construction projects issued by MoEF. Hazardous Waste (Management, Handling & Transboundary) Rules, 2016. Water Pollution (Prevention & Control) Act, 1974 Air Pollution (Prevention & Control) Act, 1981 The Solid Waste Management Rules, 2016. The E-Waste Management Rules, 2016. The Bio-medical Waste Management Rules, 2016 The Noise Pollution (Regulation & Control) Rules, 2000. The Construction & Demolition Waste Management Rules, 2016. Plastic Waste Management Rules, 2016 National Building Code (NBC) of India The Indian Electricity Rules, 1956 Bureau of Energy Efficiency (BEE) norms Norms issued by Fire & Rescue Department, Govt. of Kerala Kerala Municipality Building Rules, 2009 / 2012 and its subsequent amendments. The Kerala Promotion of Tree Growth in Non-Forest Areas (Amendment) Act, 2007. The Forest (Conservation ) Act, 1980. The Wildlife Protection Act, 1972. The National Green Tribunal Act, 2010.

The Government Order is attached as Annexure No.2.

23 Forest land involved (hectares) NO There is no Forest land involved for the construction of new hospital buildings. 24 Whether there is any litigation NO pending against the project There is no any litigation pending against the and/or land in which the project project and/or land. is propose to be set up? (a) Name of the Court (b) Case No. (c) Orders/directions of the Court, if any and its relevance with the 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.)

Sr. Information/Checklist Yes / Details thereof (with approximate quantities No. confirmation No /rates, wherever possible) wi th source of information data

1.1 Permanent or temporary No There will be no change in the local land change in land use, land use plan. The entire Govt. Medical College, cover or topography Kottayam campus is earmarked for medical including increase in college, hospitals & allied facilities. intensity of land use The existing topography will get altered due (with respect to local to the new building constructions. land use plan) During construction phase, about 200 workers (daily average) will be at site. During operation phase, on full occupancy of the new hospital buildings, the increase in population due to the proposed buildings in the Govt. Medical College, Kottayam Campus is expected to be about 2,750 (floating population) (patient + staff) and hence there is increase in the intensity of land use. (Source: population is calculated based on NBC) 1.2 Clearance of existing Yes For the construction of new Surgical Block land, vegetation and and Super Specialty Block buildings, some buildings? of the existing trees & different varieties of shrubs, herbs, grass & climbers will be cleared. 1.3 Creation of new land No The site for the construction of the new uses? buildings within the Govt. Medical College, Kottayam Campus and hence the re is no creation of new land use.

1.4 Pre-construction Yes Pre-construction Soil Investigation has been investigations e.g. bore carried out by the agency (M/s Landec houses, soil testing? Engineers, Kochi) during July, 2018 & October, 2018 for the site of the new buildings. As per the soil investigation report, the ground water table is encountered between 3 m to 3.5 m for the surgical block building and hard rock was encountered at about 30m below the ground level. The ground water table is not en countered up to 30m below the existing ground level at super specialty block site and hard rock was encountered at about 30m below the ground level. The soil profile is primarily sand, clayey sand, lateritic sand and lateritic clay and rock. The copy of t he borehole investigation 7

report is attached as Annexure No. 3A & 3B .

1.5 Construction works? Yes It is proposed to construct new Surgical Block and Super Specialty Block with additional supporting infrastructure facilities. Internal roads for movement in side the campus will be developed.

1.6 Demolition works? No For the construction of new Surgical Block and Super Specialty Block, there is no demolition work required.

1.7 Temporary sites used for Yes Temporary sheds will be constructed for construction works or housing of construction workers housing of construction (to accommodate about 200 persons). workers? 1.8 Above ground buildings, Yes It is proposed to construct new Surgical structures or earthworks Block and Super Specialty Block with including linear additional supporting infrastructure structures, cut and fill or facilities. excavations Surgical Block = LG + UG+ GF + 5 Floors Super Specialty Block = GF + 5 Floors Excavation of earthwork for the foundation of structures and excavation/cutti ng of earth for lower ground floor levels will be carried out. The top soil which is fertile will be kept at site for landscaping work. The excavated soil will be used for back filling work for site leveling and will be used for internal road construction work. The excess excavated earth (if any) will be stored in the Govt. Medical College Campus. 1.9 Underground works No No underground works including mining / including mining or tunneling required except the foundation tunneling? work for the structures and for lower ground floor level. 1.10 Reclamation works? No Reclamation work is not required. 1.11 Dredging? No The proposed project is a building construction project within Govt. Medical College, Kottayam Campus and there is n o dredging work. 1.12 Offshore structures? No The proposed project is a building construction project within Govt. Medical College, Kottayam Campus and there is no offshore structures work. 1.13 Production and No The proposed project is a building manufacturing construction project within Govt. Medical processes? College, Kottayam Campus. No production / manufacturing process is involved. 1.14 Facilities for storage of Yes Separate raw material storage shed of goods or materials? cement and other construction materials wi ll be made within the project premises with built-up area of 150 sq. m. Loose construction material like sand,

coarse and fine aggregates, bricks and steel will be laid in open in the designated places. 1.15 Facilities for treatment Yes Construction phase :- or disposal of solid SOLID WASTE: - waste or liquid The Construction and Demolition Waste effluents? Rules, 2016 will be followed for handling of solid waste from the site. The Solid Waste Management Rules, 2016 will be followed.

Solid waste li ke packaging material, hazardous waste, e-waste etc generation from the project during construction phase will be about 80 Kg/day (domestic) + about 80 kg/day of other solid waste. The non-biodegradable waste and other packaging material will be sold to t he vendors. The bio-degradable solid waste will be processed onsite by composting.

LIQUID WASTE: - Domestic sewage will be about 22 KL/day and there would be about 18 KL/day of construction waste liquid. A mobile STP for the treatment of domestic sewage from the laborers. A sedimentation cum oil and grease trap for the treatment of construction liquid waste.

Operation phase :- SOLID WASTE The new buildings will generate about 1,647 Kg/day of municipal solid waste. The Solid Waste Management Rules, 2016 will be followed. Collection & segregation within the site (bio-degradable waste (green bins), non- biodegradable waste (blue bins) and domestic hazardous waste (yellow bins). The recyclable waste like packaging material, paper etc. would be sold through vendors. The Bio-degradable waste would be disposed through the bio-composting system to be installed within the site. The manure generated will be utilized for green area development within the premises. e-Waste :- Discarded computer parts, monitor, ke y boards etc. constitutes e-waste and this waste will be stored in an earmarked area. e-waste will be generated after 4-5 years latency period Separate earmarked space will be provided for e-waste storage. e-waste will be disposed as per e-Waste 9

(Management & Handling) Rules. HAZARDOUS WASTE As per Hazardous Waste (Management & Handling Rules), the hazardous waste i.e., the used oil from D.G. sets, discarded oil filters and discarded batteries and stored separately and will be disposed to CPCB / SPCB authorized vendors only. M/s Perfect Alloys, Chengannur, M/s Peejay Enterprises, Thiruvalla, M/s Excel Petrochemicals, Kochi and M/s Cee Jee Lubricants, Aluva are the approved recyclers for discarded batteries & used oil located in Kerala. Also, domestic haza rdous waste would be generated like discarded paint drums, pesticide cans, CFL bulbs, tube lights, expired medicines, broken mercur y thermometers, used batteries etc. generated shall be managed as per rule.

Bio-medical waste :- Bio-medical waste like infectious beddings, cotton, swabs, used syringes, discarded medicines, etc. constitute the bio-medical waste from the hospital. Bio-medical waste Management & Handling Rules, 2016 will be followed. The proposed buildings will generate about 549 Kg/day of bio-medical waste. Collection & segregation at source by providing appropriate colour coded bins / containers as per the colour coding provided in the Bio-Medical Waste (Management & Handling) Rules. The Bio-medical waste from the proposed hospital would be outsourced through a Kerala State Pollution Control Board authorized agency (M/s Indian Medical Association Goes Eco Friendly, IMAGE).

Sewage:- The total domestic sewage 396 KL/day will be generated from the new buildings which will be treated t hrough existing Sewage Treatment Plant (STP) located within the Govt. Medical College, Kottayam Campus. There is an existing STP with 3.20 MLD capacity which will accommodate the additional sewage load from the new buildings. The existing STP will be upgraded so as to ensure the recycling of the treated water from STP for flushing and other allied purposes. The treatment scheme proposed for the sewage is MBBR treatment and Tertiary Treatment with UV method for disinfection and Ultra Filtration (UF). 10

1.16 Facilities for long term Yes Some of the operational staff of the new housing of operational buildings will be provided with housing workers? facility inside the existing Govt. Medical College, Kottayam campus.

1.17 New road, rail or sea No No new road, rail or sea traffic during traffic during construction or operation will be made. construction or Internal roads for movement of vehicles operation? inside the Govt. Medical College, Kottayam Campus will be constructed. 1.18 New road, rail, air No No new road, rail, air, waterborne or other waterborne or other transport infrastructure including new or transport infrastructure altered routes and stations, ports, airports including new or altered etc. will be ma de. Internal roads for routes and stations, movement inside the campus will be ports, airports etc? constructed. 1.19 Closure or diversion of No No closure or diversion of existing transport existing transport routes routes or infrastruct ure leading to changes or infrastructure leading in traffic movements. to changes in traffic movements? 1.20 New or diverted No No diversion of transmission lines or transmission lines or pipelines for construction of new buildings pipelines? within the existing campus. Supporting additional infrastructure (like drainage line, sewage line, electrical lines etc.) facilities will be developed within the campus for new buildings. 1.21 Impoundment, damming, No No impoundment, damming or other changes culverting, realignment to the hydrology of watercourses or or other changes to the aquifers. hydrology of watercourses or aquifers? 1.22 Stream crossings? No Not applicable 1.23 Abstraction or transfers Yes Ground water (pond water) will be used to of water form ground or meet the water requirement for the project. surface waters? (As per the Ground Water Information Booklet of Kottayam District published by CGWA, 2013, the entire Kottayam district is declared as Safe Zone). 1.24 Changes in water bodies Yes There will be decrease in run-off due to the or the land surface ground coverage of the new buildings, affecting drainage or approach roads, parking area, paver block run-off? etc. Before the development of the project site :- Land area of new surgical block & Super specialty Blocks = about 40,000 sq.m. Annual rainfall = 3.359 m Run-off Coefficient = 0.4 Total annual run-off to the storm water drain = 53,744 KL

After the development of the project site:- Description Ground Hard surface coverage & Green Area Area (in sq.m.) 9,296 30,704 Annual rainfall (in m.) 3.359 3.359 Run-off co-efficient 0.8 0.45 Peak annual run-off 24,980 KL 46,410 KL

• Total annual run-off from the site = 71,390 KL (24,980 + 46,410) • Capacity of rain water storage tanks for Surgical Block 238 KL and Super Specialty Block 355 KL. • After development of the site, net run-off from the site = about 45,000 KL • Reduction in run-off from the site = about 7,000 KL 1.25 Transport of personnel Yes Construction phase :- or materials for In construction phase, about 8-10 trucks / construction, operation day are envisaged for transportation of or decommissioning? construction materials. About 3-4 mini buses for transportation of workers and about 10-15 four wheelers of senior staff and contractors, visitors, suppliers and about 20-25 two wheel ers is expected. Operation phase :- About 400 four wheelers and about 500 two wheelers is expected in the operation phase. 1.26 Long-term dismantling or No There is no demolition / dismantling or decommissioning or decommissioning works required at site. restoration works? As part of the eco restoration, adequate number of saplings of native species would be planted. 1.27 Ongoing activity during No There are no buildings which would be decommissioning which dec ommissioned and hence have no impact could have an impact on on the environment. the environment? 1.28 Influx of people to an Yes The proposal is construction of new Surgical area in either Block building and Super Specialty block temporarily or building within the existing Govt. M edical permanently? College, Kottayam Campus with additional supporting infrastructure facilities. The project would provide job facilities for about 200 nos. (avg.) of laborers (skilled / unskilled) during construction phase and 1,647 persons (D octors, Nurses, Paramedical Staff, maintenance staff, etc) in the operation phase. Further, on full occupancy of the new super specialty block and surgical block hospital buildings, the maximum patients expected is 1,098 Persons (floating population) henc e there will be influx of people to the project area.

1.29 Introduction of alien No Alien species are not proposed to be species? introduced in the project. 1.30 Loss of native species or Yes There is clearing of shrubs, herbs, grass e tc genetic diversity? as part of site development and hence there will be loss of habitation. As per the survey conducted by the Ecology and Bio-diversity expert, there are 751 trees existing at site. For construction of the new hospital buildings some of the existing trees ( about 30 nos.) & different varieties of shrubs, herbs, grass and climbers will be cleared. The trees will be cleared for site development is mostly of native species and common in the area. As per the “Kerala Promotion of Trees Growth in Non-Forest Ar eas (Amendment) Act, 2007” , no permission is required for cutting of the trees which are existing in the site earmarked for construction of new buildings.

1.31 Any other actions? None Nil

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. Information/checklist Yes / Details thereof (with approximate No. confirmation No quantities /rates, wherever possible) with source of information data

2.1 Land especially undeveloped Yes The proposal is for construction of new or agricultural land (ha) Surgical Block and Super Specialty buildings within the existing Govt. Medical College, Kottayam Campus with additional supporti ng infrastructure facilities in a plot area of about 107.241 ha. The proposed buildings will occupy part of the land within the campus. 2.2 Water (expected source & Yes Construction phase :– competing users) unit: KLD The daily water consumpti on during construction phase to meet domestic water requirement for construction workers and technical staff (200 workers / staff daily average) is 27 KL. The daily water consumption during construction phase for construction activities would be about 70 KL. The primary source of water will be from Open pond and from public supply of Kerala Water Authority during construction phase.

Operation phase :- The total daily water consumption for the proposed project would be 685 KLD (fresh 328 KLD + recycled 357 KLD). The first day fresh water requirement is 685 KLD and subsequent days, the daily fresh water requirement is 328 KL. The sources of water during operation phase for construction of new super specialty block and surgical block are: - 1. Kerala Water Authority (Non-Flushing Req.) 2. Stored Rain Water (Non-Flushing Req.), 3. Ground water (pond) (Non-Flushing Req.) 4. Treated waste water from STP (Flushing, horticulture, HVAC Req.) (Entire Year).

The details regarding the daily water consumption related items and daily water balance chart and daily water consumption chart attached as Annexure No. 4 .

2.3 Minerals (MT) Yes The course aggregates and fine aggregates and M sand will be used (minor minerals from building stone). The expected required quantity deta ils is given below :- SN Building Material Qty. 1 Sand 2,21,742 MT 2 Aggregates 2,54,592 MT 2.4 Construction material – Yes The construction materials would be stone, aggregates, sand / brought from local suppliers avai lable in soil (expected source – MT) the area. The expected building construction material details are given below :- SN Building Material Qty. 1 Sand 2,21,742 MT 2 Aggregates 2,54,592 MT Cement 18,129 MT 3 (50 kg/bag) 4 Reinforcement Steel 51,116 MT Bricks / cement 5,60,916 nos. 5 blocks 6 Plumbing Material 52,479 m. 7 Electrical Material 83,149 m. 8 Flooring Tiles 2,03,110 sq.m. 9 Paints 52,479 ltr. 10 Ready Mix Concrete 3,36,720 MT 2.5 Forests and timber (source – No Not applicable MT)

2.6 Energy including electricity Yes Total Power Req. : 3,054 kWh and fuels (source, competing (1,540 kWh for Surgical Block + users) Unit: fuel (MT), energy 1,514 kWh for Super Specialty Block) (MW ) Power Source: Kerala State Electricity Board. Total capacity of D.G. Sets proposed : (For Surgical Block 750 kVA x 2 nos. and For Super Specialty Block 750 kVA x 2 nos.) (as a s tandby power back up arrangement) Fuel – 348 ltr/hr. HSD (Ultra low sulphur)

2.7 Any other natural resources No Nil (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. Yes / Details thereof (with approximate N. Information/Checklist No quantities/rates, wherever possible) with confirmation source of information data 3.1 Use of substances or Yes Some of the chemicals in low quantity materials, which are hazardous would be used in the new buildings. (as per MSIHC rules) to human health or the environment (flora, fauna, and water supplies) 3.2 Changes in occurrence of Yes The proposed development can cause disease or affect disease changes in occu rrence of diseases vectors (e.g. insect or water through insects or other vectors. borne diseases) Suitable drainage and waste management measures will be adopted in both the construction and operation phases which will restrict stagnation of water or accumulation of water within the site & the surro undings. This will effectively restrict the reproduction and growth of disease vectors. Further, appropriate sanitation facility will be provided at site during construction phase & operation phase. Good housekeeping and hygienic measures will be followed during construction and operation phase to avoid any cause which can lead to occurrence of disease.

3.3 Affect the welfare of people Yes The present project is construction of new e.g. by changing living Surgical Block and Super Specialty Blo ck conditions? buildings within the Govt. Medical College, Kottayam campus . These new facilities will certainly benefit large number of people in Kottayam District and thereby the standard of living index (health index) of the people will definitely

improve. Also the re will be various ancillary activities like convenient shops, medical shops, house hold items shops, stationery shops, transport facilities etc. attached to the project which will benefit the local people and change their living condition.

3.4 Vulnerable groups of people Yes The proposed project i.e. construction of who could be affected by the new Surgical Block and Super Specialty project e.g. hospital patients, Block buildings within the existing Govt. children, the elderly etc., Medical College, Kottayam Campus would affect the patients of different age groups (children & elderly) within the medical college campus. Further, the proposed construction activity will generate fugitive dust emissions and hence increase in air pollution, increase in noise level and which can affect vulnerable groups of people in hospital patients, children and elderly.

3.5 Any other causes N one Nil

4. Production of solid wastes during construction or operation or decommissioning (MT/month)

S. Yes / Details thereof (with approximate No. Information/Checklist No quantities/rates, wherever possible) with confirmation source of information data

4.1 Spoil, overburden or mine No For construction of new Surgical Block wastes and Super Specialty Block buildings, Raft found ation technique will be used instead of pile foundation work and hence no muck will be generated.

4.2 Municipal waste Yes Construction Phase :- (domestic and or commercial There will be 80 kg/day of municipal solid wastes) waste generated from the labourers during construction phase.

Operation Phase :- It is expected about 1,647 kg/day Municipal solid waste will be generated from the proposed Super Specialty and Surgical Block on full occupancy during operation phase. 4.3 Hazardous wastes (as per Yes Construction phase :- Hazardous Waste The oil used (about 8 ltr/month) in the Management Rules) D.G. sets (100 kVA x 2 nos.) (as a standby source of power) after certain of hours of operations, needs to be changed. This used oil from the D.G. Sets

will be sold to the CPCB approved recyclers. The list of authorized recyclers are M/s Perfect Alloys, Chengannur, M/s Peejay Enterprises, Thiruvalla, M/s Excel Petrochemicals, Kochi & M/s Cee Jee Lubricants, Aluva are the approved recyclers for discarded batteries & used oil located in Kerala. Used oil will be stored in HDPE drums in isolated covered facility.

Operation phase :- The oil used (45 ltr/month) in the D.G. sets (For Surgical Block 750 kVA x 2 nos. and For Super Specialty Block 750 kVA x 2 nos.) (as a standby source of power) after certain of hours of operations, needs to be changed. This used oil from the D.G. Sets will be sold to the CPCB approved recyclers. Used oil will be stored in HDPE drums in isolated and covered facility. 4.4 Other industrial process No The present project is construction of new Surgical Block and Super Specialty wastes Block buildings within Govt. Medical College, Kottayam campus with additional supporting infrastructure facilities. No other industrial process wastes will be generated / anticipated from the site. 4.5 Surplus product No The present project is construction of new Surgical Block and Super Specialty Block buildings within Govt. Medical College, Kottayam campus with additional supporting infrastructure facilities. No surplus product will be generated / anticipated from the site. 4.6 Sewage sludge or other Yes The sludge from S.T.P. will be processed sludge from effluent through sludge digester. treatment 4.7 Construction or demolition No Raft foundat ion technique is adopted in wastes the foundation of new buildings. Construction and Demolition Waste Rule , 2016 will be followed. 4.8 Redundant machinery or Yes During construction phase, some equipment machinery or equipment will become redundant. During operation phase, X-ray machine / CT Scan machine and some other medical equipments will become redundant / outdated.

4.9 Contaminated soils or other Yes During Construction phase, some of the materials construction material in liquid form may spill to the land and can contaminate the soil.

4.10 Agricultural wastes Yes Clearing of site will be done before the commencement of construction and agricultural waste will be generated. Similarly, during operation phase, horticultural waste will be generated fro m the green areas. 4.11 Other solid wastes Yes During construction phase, apart from the waste envisaged there may be other types of solid wastes. The excavated earth which will be generated for the construction of the new buildings. The top soil which is fertile will be kept at site for landscaping work. The excavated soil will be used for back filling work for site leveling and for internal road construction work. The excess excavated earth (if any) will be stored in the Govt. Medical College Campus.

5. Release of pollutants or any hazardous, toxic or noxious substances to air (Kg/hr)

Details thereof (with approximate S. Information/Checklist Yes / quantities / rates, wherever possible) with No. confirmation No source of information data

5.1 Emissions from combustion Yes There will be emissions from combustion of fossil fuels from stationary of fossil fuels from the DG Sets as well as or mobile sources from construction equipments and machinery. Similarly, there will be emissions from DG Sets during operation phase. It is proposed to have DG Sets of 100 k VA x 2 Nos during construction phase and 750 kVA x 4 Nos during operation phase.

5.2 Emissions from production Yes During construction phase, there will be production of ready mix concrete through processes batching plant. During the transfer of materials to the batching plant, fugitive emissions are expected. 5.3 Emissions from materials Yes The construction materials during handling including storage transportat ion, unloading etc. will have or transport fugitive emissions. Further, from the stock pile of excavated earth and loose construction materials, fugitive emissions are expected. 5.4 Emissions from construction Yes Dust will be generated during unloading activities including plant and of construction materials, drilling and equipment grinding operations etc. There will be emissions from construction equipments

and batching plant etc. 5.5 Dust or odours from handling Yes During construction phase, fugitive of materials including emissions by way of fine dust will be construction materials, generated during the handling of sewage and waste construction materials. Also, due to the continuous movement of vehicles through the unpaved internal roads within the site, dust will be generated. The odour generation is expected from the stagnated sewage (if any) from the labour camp, unattended food waste (if any) etc both during construction phase. Similarly odour can generated from the malfunctioning of STP and also from unatt ended municipal solid waste (including food waste).

5.6 Emissions from incineration No No incineration plant is proposed and of waste hence no emission from incineration of waste. 5.7 Emissions from burning of No There will be no burning of waste in open waste in open air (e.g. slash air. materials, construction debris) 5.8 Emissions from any other No There will be no emissions from any other sources sources.

6.0 Generation of Noise and Vibration, and Emissions of Light and Heat: Sr. Informati on / Checklist Yes / Details thereof (with approximate No. confirmation No quantities/rates, wherever possible) with source of information data

6.1 From operation of equipment Yes Noise: e.g. engines, ventilation plant, During construction phase, there will be crushers noise generation due to operation of vehicles, heavy construction machinery, construction activities, DG Set operation etc. During Operation phase, there will be noise from the cooling towers, DG Sets, etc. Vibration: During construction ph ase, there are activities which can generate vibration, emission of light and heat. The source of vibration will be from operation of DG Sets during construction.

6.2 From industrial or similar No There are no industrial or similar processes processes envisaged within the proposed project. The project is construction of new hospital buildings within the existing hospital campus.

6.3 From construction or Yes Due to the construction activities, there

demolition will be generation of noise, vibration et c which are explained at point no. 6.1 above. 6.4 From blasting or piling No No blasting or piling will be adopted in the construction process.

6.5 From construction or Yes Some amount of noise will be generated operational traffic from construction a nd from vehicular movement in the construction phase of the project. There will be noise generation from vehicular movement during operation phase. 6.6 From lighting or cooling Yes There will be lighting proposed within the systems project area during c onstruction phase and operation phase. Cooling Towers attached to the air conditioning plant will generate noise in the area. 6.7 From any other sources No Nil

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:

Details thereof (with approximate S. Information/Checklist Yes / quantities/rates, wherever possible) with No. confirmation No source of information data

7.1 From handling, storage, use Yes During construction phase, there may be or spillage of hazardous rare incidents of spillage of paint, oil etc materials to the land and which can contaminate the land or ground water resources. 7.2 From discharge of sewage or Yes The land may get contaminated by other effluents to water or domestic sewage from the site both the land (expected mode and during construction phase and operation place of discharge) phase. The liquid waste in the construction phase will be treated through mobile toil et and treated water will be used for construction purposes. During operation phase, the entire sewage will be treated and re-used. 7.3 By deposition of pollutants Yes The dust generated during various emitted to air into the land or construc tion activities emitted into the into water air may get deposited in the land or in the water and may get contaminated. 7.4 From any other sources No Nil 7.5 Is there a risk of long term Yes There will be risk of long term build up of build up of pollutants in the pollutants in the ambient air as well as in environment from these the land provided the mitigative sources? measures are not effectively implemented

8. Risk of accidents during construction or operation of the Project, which could affect human health or the environment S. Details thereof (with approximate No. Information/Checklist Yes quantities/rates, wherever possible) with confirmation / No source of information data

8.1 From explosions, spillages, Yes The proposed project is construction of fires etc from storage, super specialty block and surgical block handling, use or production of buildings within the Govt. Medical hazardous substances College, Kottayam campus with additional supporting infrastructure facilities . The chances of explosion s, spillages, fire are negligible. The used oil from the DG Sets can have the chances of spillages during storage or handling and accidents can occur and thereby affect the contamination of land environment and water environment. No major hazardous waste is being stored within the project site. No Industrial or process activity is involved in this project hence chances of chemical hazards and accidents are minimal. However, suitable fire fighting measures will be provided.

8.2 From any other causes Yes The risk of accidents during construction phase is likely due to the engagement of workers in buildings. 8.3 Could the project be affected Yes by natural disasters causing Earthquakes/Cloudburst - As per seismic environmental damage (e.g. classification, the project site falls in floods, earthquakes, Zone-III. The maximum expected landslides, cloudburst etc)? earthquake intensity is VIII (moderate damage risk zone) in MM scale or 5.6M in Richter Scale. Higher levels of seismicity are seen Kottayam District. The Structural aspects as per the seismic codes – IS 1893 (part 1) (2016), IS 13920 (2008) and IS 456 (2000) as applicable would be incorporated in project for construction of new buildings.

Landslide/Erosion – The topography of the project site and th e area within 15 km radius is broadly flat in nature. There is no reported landslide within 15 km radius

Erosion : There is no water body located near the project site and hence no erosion is envisaged due to the project development.

Flooding : As per the flood zonation map, the project site is not in flood zonation map of Kottayam District. However, part of area falling within 15 km radius falls in the 21

flood prone area.

Lightening: There are reported incidents of lightening in the area within 15 km radi us during two seasons in the year viz. the season comprises of months April and May and Second two month of October and November.

Tsunami: Though Kerala Coastal areas were encountered with the Tsunami dt. 26- 12-2014, there is no coastal areas falling wi thin 15 km radius of the project site, only Vembanad Backwater is located at about 11.50 km towards West side of the project site.

Cloud Burst: No reported cloudburst in the area falling within 15 km radius of the project boundary.

Cyclone: The area wi thin 15 km radius from the project site falls within moderate damage risk zone-B (vb=39 m/s) as per the Wind and Cyclone hazard map published by BMTPC: Vulnerability Atlas, 2 n d Edition, 2006.

Drought: Few areas within 15 km radius from the boundary of the project site experiences seasonal drought conditions during the summer months. Heat wave / sunburn / sun stroke: Indian Meteorological Department (IMD) issued heat wave warning in 2016 and in subsequent years. Several sunburn incidents were reported fro m the areas within 15 km radius.

Information Sources: 1. Landslide zonation maps and Flood Zonation maps prepared by State Emergency Operations Centre (SEOC), Department of Disaster Management, Govt. of Kerala 2. Kerala State Disaster Management Profile publi shed by Kerala State Disaster Management Authority, Govt. of Kerala 3. Vulnerability Atlas of India published by Building Materials & Technology Promotion Council, Ministry of Housing & Urban Poverty Alleviation, Govt. of India (Year 2016) 4. Kerala State Disast er Management Plan, published by Kerala State Disaster Management Authority, Department of 22

Revenue and Disaster Management, Govt. of Kerala (Year 2016)

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. Information/Checklist Yes Details thereof (with approximate No. confirmation / No quantities/rates, wherever possible) with source of information data 9.1 Lead to development of The proposed development can lead to supporting utilities, ancillary various consequential developments development or development within the project vicinity stimulated by the project which could have impact on the environment e.g.:

• Supporting infrastructure Yes The supporting infrastructure which are (roads, power supply, waste or consequential to the proposed project waste water treatment, etc.) and is outside the project site like roads, power supply, waste management and waste water treatment etc are required to be carried out by the respecti ve Local Self Government and various Government Departments.

• housing development Yes The housing requirement for the staff in the proposed project will be partially met within the Govt. Medical College, Kottayam Campus. From the list of housing projects and other community facil ities in the project vicinity elucidated below at environmental sensitivity will provide the necessary housing facilities for the staff of the proposed buildings. However, there can be new housing project developments in the project vicinity.

• extractive industries No No extractive industries

• supply industries Yes Due to the proposed project, there can be consequential development like supply units and supply industries within the vicinity.

• other Yes The project will lead to a large requirement of commutation and transport facilities in the project vicinity.

9.2 Lead to after-use of the site, No Not applicable which could have an impact on the environment

9.3 Set a precedent for later Yes The construction of surgical block developments building and super specialty block building within Govt. Medical Col lege, Kottayam campus can lead to such developments within the hospital campuses of other government and private hospital campuses. 9.4 Have cumulative effects due to No Not applicable proximity to other existing or planned projects with similar effects.

(III) Environmental Sensitivity

Sr. Name/ Aerial distance (within 15 km.) Proposed project No. Areas Identity location boundary

1 Areas protected Yes under international Sl. No Name Approx Distance conventions, & Directions national or local 1 Meenachil River 0.80 km (S) legislation for their 2 Kodoor River 5.60 km (S) ecological, 3 Karapuzha River 4 km (S) landscape, cultural 4 Manimala River 11 km (S) or other related 5 Meenanthara River 4 km (SE) value 6 Vembanad backwater 11.50 km (W) 7 Moorkankavu River 10.50 km (NE) 8 Kumarakom Bird Sanctuary 10 km. (W) 9 Panachikkadu Sacred Grove, 12 km (S) Chingavannam

2 Areas which are Yes Sl. No Name Approx Distance & important or Directions sensitive for 1 Meenachil River 0.80 km (S) ecological reasons - 2 Kodoor River 5.60 km (S) Wetlands, water 3 Karapuzha River 4 km (S) courses or other 4 Manimala River 11 km (S) water bodies, 5 Meenanthara River 4 km (SE) coastal zone, 6 Kottayam thodu 1 km (W) 7 Vembanad Backwater 11.50 km (W) biospheres, 8 Moorkankavu River 10.50 km (NE) mountains, forests 9 Kumarakom Bird Sanctuary 10 km. (W) 10 Panachikkadu Sacred Grove, 12 km (S)

Chingavannam

3 Areas used by Yes Sl. No Name Approx Distance & protected, important Directions or sensitive species 1 Meenachil River 0.80 km (S) of flora or fauna for 2 Kodoor River 5.60 km (S) breeding, nesting, 3 Karapuzha River 4 km (S) foraging, resting, 4 Manimala River 11 km (S) over wintering, 5 Meenanthara River 4 km (SE) migration 6 Kottayam thodu 1 km (W) 7 Vembanad Backwater 11.50 km (W) 8 Malankara thodu 8 km (E) 9 Pannagam thodu 15 km (E) 10 Chithara Canal 14 km (SW) 11 Puthan Thodu, Kanjiran 8 km (S) 12 Muttar-Neelamperoor Canal 11 km SW) 13 Moorkankavu River 10.50 km (NE) 14 Irrigation Canal, Kottayam 7 km (N) 15 Kumarakom Bird Sanctuary 10 km. (W) 16 Municipal Jubilee Park 4.5 km. (S) 17 J.S. Farms 6 km. (NW) 18 Panachikkadu Sacred Grove, 12 km (S) Chingavannam

4 Inland, coastal, Yes Sl. Name Approx Distance & marine or No Directions underground waters 1 Meenachil River 0.80 km (S) 2 Kodoor River 5.60 km (S) 3 Karapuzha River 4 km (S) 4 Manimala River 11 km (S) 5 Meenanthara River 4 km (SE) 6 Kottayam thodu 1 km (W) 7 Vembanad Backwater 11.50 km (W) 25

8 Malankara thodu 8 km (E) 9 Pannagam thodu 15 km (E) 10 Chithara Canal 14 km (SW) 11 Puthan Thodu 8 km (S) 12 Irrigation Canal, Kottayam 7 km (N) 13 Muttar-Neelamperoor Canal 11 km SW) 14 Moorkankavu River 10.50 km (NE) 15 Open Wells / ponds Within 15 km radius 16 Chirakulam (Percolation Tank) 5 km (NE)

5 State, National No No State or National Boundary located within 15 km. boundaries from the project site

6 Routes or facilities Yes used by the public Sr. Approx. Distance Name for access to No. & Direction recreation or other 1. Kottayam Medical College Abutting the tourist, pilgrim Byepass Road Medical College areas Campus (SE) 2. Main Central (MC) Road at 2 km. (SE) Gandhinagar Junction 3. N.H. 183 (Kollam-Theni 4.5 km. (S) Highway) at Kottayam Junction 4. Kottayam Railway Station 4.5 km. (SE) 5. Kumarakom-Chungam Road 10 km. (W) 6. Kollam-Kottapuram Waterway 13 km. (W) 7. S.H.40 (Alappuzha-Madurai Rd.) 8 km. (NW) at South Kallara Junction 8. Kallara-Neendoor-Pravattom Rd. 4 km (N) 9. Etumanoor –Poonjar Road 1.50 km (N) 10. Medical College Road Abutting the campus 11. Etumanoor Temple Road 5 km (NE)

Information Sources: 1. Field Survey Conducted in April, 2019 2. Road Map of Kerala 3. Kerala Tourist Guide Published by H&C Books 4. Google Earth, April, 2019

7 Defense No None within 15 km radius. installations 8 Densely populated Yes or built-up area Sr. Name Approx Distance No. & Direction 1 Arpookara Grama Panchayat Part of the

2 Athirampuzha Grama Panchayat Panchayath within the project site 3 Kottayam Municipality Part of the Municipal within the project site 4 Etumanoor Municipality 5.50 km (NE) 5 Vijayapuram Grama Panchayat 7 km (SE) 6 Kooroppada Grama Panchayat 14 km (SE) 7 Ayarkunnam Grama Panchayat 9 km (E) 8 Kadaplamatta m Grama 13 km (NE) Panchayat 9 Thanneermukkam Grama 14.70 km (NW) Panchayat 10 Kumarakom Grama Panchayat 10 km (SW) 11 Vakathanam Grama panchayat 14.50 km (SE) 12 Thalayazham Grama Panchayat 14.50 km (NW)

All the above Local Self Government Areas are highly populated urbanized areas. Information Sources: 1. Field Survey conducted in April, 2019 2. “A Glimpse of Kerala through Districts ” by Dr. K. C. Krishnakumar published by Mathrabhumi Books, 2017 3. Google Earth, April, 2019

9 Areas occupied by Yes Hospitals: sensitive man-made Sl. Name Approx Distance land uses No & Direction (hospitals, schools, 1 Institute of child health 1 km (NE) places of worship, 2 KIMS Hospital, Kumaranallur 1.1 km (S) community 3 CMC Hospital, Sankranthi, 2.2 km (SE) facilities) Gandhinagar 4 Vimala Hospital, Eattumanoor 5 km (NE) 5 Matha Hospital, Thellakom 3.3 km (NE) 6 Carithas Hospital, Thellakom 3.40 km (NE) 7 General Hospital, Kottayam 4.70 km (S) 8 S H Medical centre 4.30 km (S) 9 Susrusha Hospital 3 km (S) 10 S H Medical Centre 4 km (S) 11 Bharath Hospital 4.50 km (S) 12 General Hospital 4.50 km (S) 13 Dheerkayush Ayurveda Hospital 5 km (S) 14 Mandiram Hospital 9 km (SE) 15 Shanti Mandiram Ayurveda Hospital 9.50 km (SE) 16 Paret Mar Ivanious Hospital 11 km (S) 17 Medicare Hospital Parippu 5.50 km (W) 18 Vimala Hospital, Ettumanoor 5.50 km (NE) 19 Koodalloor CHC Hospital 11 km (NE) 20 Vedasudha Ayurveda Hospital 11.50 km (NE) 21 Vayala Hospital 11 km (NE) 22 Holy Ghost Mission Hospital 14.50 km (N) 23 Christu Raj Hospital 8.50 km (E) 24 Chithra Hospital 9.50 km (E) 25 Mar Sleeva Hospital, Cherpunkal 15 km (NE) 26 St. Xaviour Hospital 15 km (NW) 27 Life Line Hospital, Chingavannam 13 km (S) 28 Bishop Jacob Memorial Hospital, 11 km (S) Pallom

29 Primary Health Centre, Vechoor 13 km (NW) 30 Govt. Hospital, Kallara 10.50 km (NW) 31 Kunnath Medcity 3 km (N)

Schools: Sl. Name Approx Distance No & Direction 1 Dental college 0.20 km (SE) 2 Centre for professional and advanced 0.050 km (SE) studies 3 School of medical education 0.050 km (SE) 4 Medical College HSS 0.040 km (SE) 5 Devi Vilasam School, Kumaranallur 1.20 km (S) 6 Food craft institute, Kumaranallur 1.50 km (S) 7 K.E College, Mananam 1.20 km (N) 8 Govt. U P School, Mananam 1.30 km (N) 9 SMS college, Eattumanoor 5.90 km (NE) 10 Eattumanoorappan College 6 km (NE) 11 Govt. Girls high school, Eattumanoor 5.20 km (NE) 12 M.G. University, Athirampuzha 5 km (N) 13 BCM College, Kottayam 5 km (S) 14 University College of Nursing 0.60 km (SW) 15 St. Mary UP School 2 km (SW) 16 St. Alphonsa Public School 2 km (SW) 17 School of Technology and Allied 2.50 km (S) Sciences 18 CMS College, Kottayam 4 km (S) 19 Lourdes Public School 5.50 km (S) 20 Pallikoodam School 6.50 km (SE) 21 LIFE Public School 6.50 km (S) 22 Sophia International School 10 km (SE) 23 St. George Govt. HSS School 10.50 km (SE) 24 Technical Higher Secondary School, 10.50 km (SE) Puthupally 25 Georgian Public School, Puthuppally 11 km (S) 26 SFS Public School, Ettumanoor 5.50 km (NE) 27 Mangalam Engineering College 8 km (NE) 28 MC Varghese College of Art and 8 km (NE) Science 29 SN College, Kumarakom 10 km (SW) 30 St. John UP School, Kumarakom 9.50 km (SW) 31 SKM Higher Secondary School 10.50 km (SW) 32 YMCA, Kumarakom 10.50 km (SW) 33 Parippu High School 5 km (SW) 34 SNDP Higher Sec. School, Kanjiran 8 km (S) 35 Govt. UP School, Pallom 12 km (S) 36 Clemis School & Junior College, 12.50 km (S) Chingavannam 37 St. Marys College, Kurichy 15 km (S) 38 Govt High School, Kurichy 15 km (SW) 39 College of Engineering, Kidangoor 12 km (NE) 40 St. Gits Institute of Management, 14 km (S) Pathamuttu 41 Govt VHSS School, 12.50 km (SE) Thrikothamangalam 42 Karthik School, Pongampara 12 km (SE) 43 PIM Govt High School, Velloor 12 km (SE) 44 Deva Matha College, Kuravilangad 15 km (NE) 45 Kuriakose Elias College, Mannanam 1 km (NE) 46 Govt. High School, Edayazham 13 km (NW)

47 Pirayar LP School 11 km (NE) 48 Mary Mount Public School, 9 km (NE) Punnathura 49 Tom College of Engineering 13 km (E) 50 Model Polytechnique College, 13 km (E) Mattakara 51 Creative Hut Institute of Photography 13 km (E)

Places of worships: Sl. Name Approx Distance No & Direction 1 St. Alphonse Malankara Catholic 0.10 km (SE) Church 2 C S A assension Service centre 0.10 km (SE) 3 Sree Narayana Gurudev Temple 0.05 km (S) 4 Holy Immanuel church 0.05 km (S) 5 Subramanya swami Temple 0.20 km (S) 6 Arppookkarasubramanya temple 0.15 km (W) 7 Medical college Juma masjid 0.05 km (NE) 8 Holly family Syro Malabar Church 0.10 km (NE) 9 Unniyesho Church 0.05 km (NW) 10 Dharmashastha Temple, Perumbaikad 0.70 km (S) 11 Kumaranallurdevi temple 1.30 km (S) 12 St. Mary’s forane church, Kumaranallur 1.40 km (S) 13 Church of god, Gandhinagar 0.45 km (SE) 14 St. Joseph church, Mananam 1.40 km (N) 15 St. Chavara Pilgrim Centre, Mananam 1.50 km (N) 16 Mahadeva Temple, Eattumanoor 6.20 km (NE) 17 Thirunakkara Temple 4.70 km (S) 18 Lourdes forane church 4.70 km (S) 19 Athirampuzha Church 4.20 km (N) 20 IPC Gilgal Church 0.40 km (S) 21 New Life Church 0.35 km (S) 22 AG Church Medical College 0.40 km (SW) 23 Sree Subramanya Swami Temple 1 km (SW) 24 Sree Durga Temple, Erattukulangara 1.50 km (SW) 25 St. Antony’s Chappel 1 km (SW) 26 Mutharamman Devi Temple 1 km (SW) 27 Lord Shiva Temple 1.50 km (S) 28 Sree Matha Pechiyamman Temple 2 km (S) 29 Nediyakalayil Temple 2 km (S) 30 Mata Amritanandamayi Centre, 2 km (S) Kottayam 31 Malloor Kulangara Mahadeva Temple 2.50 km (S) 32 St. George Knanaya Church 2.50 km (S) 33 Thidamboor Maha Deva Temple 2.50 km (S) 34 Sree Rama Hanuman Temple 3 km (SW) 35 Malloosserry Sri Krishna Temple 3 km (S) 36 Church of Christ 3 km (S) 37 SH Monastry Parish Church 3 km (S) 38 St. Thomas Orthodox Church 3 km (S) 39 St. Antony Church 4 km (S) 40 Sree Shankarapuram Temple 4 km (S) 41 St. Thomas Marthoma Church 4 km (S) 42 Holy Trinity CSI Cathedral 4 km (S) 43 Puthanpally Orthodox Church 4.50 km (S) 44 SNDP Puthengady 4.50 km (S) 45 Puthengady Devi Temple 4.50 km (S) 46 Good Shepherd Roman Catholic 5 km (SE) Church

47 Deliverance International Ministries 5.50 km (SE) 48 Missioneries of Charity Convent 5.50 km (S) 49 The Pentecoastal Mission Church 6.50 km (SE) 50 Sree Bhagwathi Temple, Kumarakom 8 km (SW) 51 St. Jude Roman Catholic Shrine 6 km (SW) 52 Kunnipuruth Sree Dharamshatha 5.50 km (SW) Temple 53 St. John Jacobite Church 6 km (SW) 54 Edathil Bhagwathi Temple 3 km (SW) 55 St. George Orthodox, Manalalpally 3 km (SW) 56 Verimuttom Devi Temple 0.50 km (NW) 57 Arpookara Virad Viswabrahma Temple 1 km (NW) 58 St. Peter CSI Church, Arpookara 1 km (NW) 59 Sree Narayana Temple, Mannanam 2.50 km (N) 60 Kottaran Temple, Nalpathimala 2.50 km (N) 61 Juma Masjid, Athirampuzha 3 km (N) 62 St. Sebastian Church, Athirampuzha 3 km (NE) 63 Mattam Juma Masjid 5 km (NE) 64 Bala Subramanya Swami Temple 11 km (NE) 65 Kodappoor Devi Temple, Kodappoor 11 km (NE) 66 Anayanoor Mahadeva Temple 10 km (E) 67 Masjid Al Kausar, Adichira 2.50 km (NE) 68 Dhanwantri Temple, Chiruttamon 5 km (SW) 69 Brothern Church, Chiruttamon 5 km (SW) 70 Vishwakarma Shaka Mandir 5 km (SW) 71 Shakteeswaran Temple, Thondambral 5 km (SW) 72 Poovan Kulangara Devi Temple 5.50 km (SW) 73 Holy Trinity CSI Church 7 km (SW) 74 Parambil Sree Bhadrakali Temple 10 km (W) 75 Sree Narayana Gurudeva Temple, 10 km (SW) 76 St. George Orthodox Church, 9.50 km (SW) Puthupally 77 Sree Bhagwathi Temple 10.50 km (SW) 78 Nava Nazareth Church 12 km (SW) 79 Bhamassery Temple, Velloor 7 km (SW) 80 St. Mary Jacobite Church, Velloor 7.50 km (SW) 81 Kodavu Juma Masjid, Velloor 7.50 km (SW) 82 Kanjiram Mosque 8 km (SW) 83 Cheruvallikavu Devi Temple, Pallom 11.50 km (S) 84 Sree Rama Temple, Pallom 11.50 km (S) 85 New India Church of God 12 km (S) 86 Shri Narayana Guru Temple, Pallom 12 km (S) 87 Shri Mahadeva Temple, Pallom, 12 km (S) Pulinthura 88 Chingavanam Shiva Temple 13 km (S) 89 CSI Church, Kurichy 13.50 km (S) 90 Sri Partha Saradhy Temple, 14 km (S) Chingavannam 91 Muthante Nada Temple 12.50 km (SW) 92 Cheruvallikavu Temple, 15 km (NE) Kezhuvamkulam 93 Bhagwathi Temple, Peroor 5 km (NE) 94 Holy Cross Convent Church 3 km (NE) 95 Pirayar Devi Temple, Kottayam 11 km (NE) 96 Amina Juma Masjid, Etumanoor 7 km (NE) 97 Sree Bhagwathi Temple, Njaliankuzhy 13.50 km (SE) 98 St. George Orthodox Church, 11.50 km (SE) Kurissody 99 Ericadu Bhagwathi Vishnu Temple, 11.50 km (SE) 100 Ericadu Maria Marthoma Church 11.50 km (SE)

101 Meenadom Bhagwathi Temple 13.50 km (SE) 102 Mathrumala Devi Temple 14 km (E) 103 Holy Family Church, Nazarath Hill 12.50 km (NE) 104 Venmanthoor Maha Vishnu Temple, 4.50 km (NE) Athirampuzha 105 Kuravilangad Chamundeshwari 13.50 km (NE) Temple 106 Vanadurga Devi Temple, Kothanalloor 9.50 km (N) 107 SS Gervasis & Prothasis Forane 9 km (N) Church 108 Kurumalloor Temple, Vedagiri 6.50 km (N) 109 Omkareswaram Temple, Thalayazham 15 km (NW) 110 Shree Rajarajeswari Temple, 14.50 km (NW) Ambalatham 111 Thrippakudam Mahadeva Temple 14 km (NW) 112 St. Joseph church, Edayazham 13 km (NW) 113 Sree Jagadambika Temple, Vechoor 13 km (NW) 114 Sree Sarada Temple, Kallara 11 km (NW) 115 Sree Bhadradevi Temple, Kallara 10 km (NW) 116 Gurunatha Temple, Kallara 10.50 km (NW) 117 SH Church, Maridom 13.50 km (NE) 118 Pirayar Sivakulangara Temple 11 km (NE) 119 St. Marys Church 8 km (NE) 120 Little Flowers Church 9.50 km (E) 121 Puthetukavu Devi Temple 13 km (E) 122 Holy Ghost Forane Church, Muttuchira 14 km (N) 123 St. Marys Jacobite Syrian Cathedral 8 km (SE) 124 Panachikad Saraswati Temple 11.50 km (SE) 125 Adityapuram Surya Temple 12.50 km (NE) 126 Dharmasastha Temple, Pakkil 7 km (S) 127 Mannanam Church, Mannanam 1.50 km (N) 128 Major Achiepiscopal Marth Marian 14 km (NE) Archeacon Pilgrim Church, Kuravilangad 129 Vimalagiri Immaculate Heart of Mary 5 km (SE) Roman Catholic Latin Cathedral, Vimalagiri 130 Juma Masjid, Thazhathangady 4.50 km (SW) 131 Thirunakkara Mahadeva Temple 5 km (S)

Community Facilities:

Sl. Name Approx Distance No & Direction 1. Nehru stadium 4 km (S) 2. Alankar Theatre, Eattumanoor 5.60 km (NE) 3. Lotus Theatre, Eattumanoor 5.50 km (NE) 4. Anupama Theatre, T B Road, Kottayam 5 km (S) 5. Abhilash Theatre, Near Ksrtc 5.10 km (S) 6. Kottayam Public Library 5 km (S) 7. Municipal Jubliee Park 5 km (S) 8. Municipal Children Park 5 km (S) 9. Kottayam Club 6.50 km (SE) 10. Kottayam Govt. Guest House 7 km (S) 11. Kumaran Bird Sanctuary 10 km (W) 12. Parithrana Retreat Centre 2.50 km (NE) 13. Kumaranasan Memorial Public Library 1.50 km (N) 14. MG University sports Ground 4 km (NE) 15. Kadanthery Nature Park 14.50 km (N) 16. Edankaranthe Football Ground 6.50 km (E)

17. Bay Island Driftwood Museum 10 km (SW) 18. Kerala House boaters, Kumarakom 10 km (SW) 19. Tharavadu Heritage Home, Kumarakom 10 km (SW) 20. Kumarakom Public Library 10 km (SW) 21. The Kottayam Club, Kumarakom 12.50 km (SW) Annexe 22. Nallu Panku House Boat Terminal 13.50 km (SW) 23. Malaya Lake Park 13 km (SW) 24. St. Marys Roman Catholic Cemetary 3 km (NE) 25. St. Marys Church Cemetary 8 km (NE) 26. Kunnath Family Store and Convention 3 km (N) Centre 27. Gurukripa mall 0.08 km (SE) 28. S R Medical shop 0.08 km (SE) 29. Optical stores 0.08 km (SE) 30. Alakana-Textile shop 0.05 km (SE) 31. Mithra- Dress 0.05 km (SE) 32. Karimattam- Bakery and Ice creams 0.05 km (SE) 33. Navas Hotel 0.05 km (SE) 34. Medical shop 0.05 km (SE) 35. Studio and Photoshop 0.05 km (SE) 36. Kerala Tourist home 0.05 km (SE) 37. Dental House 0.05 km (SE) 38. Beauty Parlour 0.05 km (SE) 39. MRI Centre 0.05 km (SE) 40. CT scan Laboratory 0.05 km (SE) 41. Grace Med Health care 0.05 km (SE) 42. Hotel Floral Park 0.05 km (SE) 43. Maison Beauty Parlour 0.05 km (SE) 44. Oushadhi Medical store 0.05 km (SE) 45. Kosamattam Finance 0.05 km (SE) 46. Medical Diagnostic Centre 0.05 km (SE) 47. Karimattathil textiles 0.05 km (SE) 48. Mobile zone 0.05 km (SE) 49. Muthoott finance 0.05 km (SE) 50. Naizam stores 0.05 km (SE) 51. South Indian Bank 0.05 km (SE) 52. Janasevana Medicals 0.05 km (SE) 53. Malabar Hotel 0.05 km (SE) 54. DDRC SRL Diagnostic Service 0.05 km (SE) 55. English Medicals and surgicals 0.05 km (SE) 56. Taj Tours and Travels 0.05 km (SE) 57. Coolbar 0.05 km (SE) 58. Hotel Anand 0.05 km (SE) 59. Computer centre and Photostat 0.05 km (SE) 60. Bakery 0.05 km (SE) 61. A M Textiles 0.05 km (SE) 62. Mar Gregarious KarunyaNilayam 0.10 km (SE) 63. Laboratory 0.05 km (SE) 64. Saraswathi stores 0.05 km (SE) 65. Aarppookkaraa Grama panchayat 0.05 km (SE) shopping campus 66. High range medicals 0.05 km (SE) 67. Modern Imaging centre 0.05 km (SE) 68. Matha Medical shope 0.05 km (SE) 69. DDRC SRL Laboratory 0.05 km (SE) 70. Neethi medical store 0.05 km (SE) 71. Kerala bakery 0.05 km (SE) 72. Taxi stand 0.05 km (SE) 73. Karuna Hotel 0.05 km (SE)

74. Ladies Hostal 0.12 km (SE) 75. Dhanwanthiri Service society 0.05 km (SE) 76. Private Bus Stand 0.05 km (SE) 77. DDRC Laboratory 0.05 km (S) 78. Milma Parlor 0.05 km (S) 79. Textiles 0.05 km (S) 80. Internet Cafe 0.05 km (S) 81. SAFA PLAZA Building 0.05 km (S) 82. Federal bank 0.05 km (S) 83. Dayanova laboratory 0.05 km (S) 84. GYM 0.05 km (S) 85. AM store 0.05 km (S) 86. State Bank of India, Gandhinagar 0.05 km (S) 87. Edachera Restaurant 0.05 km (S) 88. Best bakers 0.05 km (S) 89. Shankar diagnostic Centre 0.05 km (S) 90. Mukalayil agencies 0.05 km (S) 91. Highway super market 0.05 km (S) 92. St. Mary’s DTP & Photostat 0.05 km (S) 93. Beauty Parlour 0.05 km (S) 94. Mobile shop 0.05 km (S) 95. Petrol Pump-HP 0.05 km (SW) 96. Beauty Shop 0.05 km (SW) 97. Bed point- Mattresses 0.05 km (SW) 98. Individual Houses (6) 0.05 km (SW) 99. Thekkedathu Men’s Hostel 0.10 km (SW) 100. Book’s Shop 0.05 km (SW) 101. Hotel 0.05 km (SW) 102. Individual Houses(7) 0.05 km (W) 103. Cool bar 0.05 km (W) 104. Homeo clinic 0.05 km (W) 105. DTP Centre 0.05 km (W) 106. KVM building and auditorium 0.08 km (W) 107. Janasevanakendram 0.05 km (W) 108. Lot of Houses 0.05 km (NW) 109. cemetery 0.05 km (NW) 110. Store 0.05 km (N) 111. Hotel 0.05 km (N) 112. Guru Narayana SevaNilayam 0.05 km (N) 113. Lot of Houses 0.05 km (N) 114. Kottayam district Coorperation bank 0.05 km (NE) 115. Safe Residency Lodge 0.35 km (S) 116. Marina Lodge 0.30 km (S) 117. St. Joseph Hostel 0.30 km (S) 118. Federal Bank 0.35 km (S) 119. Memories Restaurant, Chungassery 0.25 km (S) 120. Medical College Employee Co- 0.35 km (SW) Operative Society 121. SGP Medical Book Store 0.50 km (SW) 122. Karthik Medical Store 0.50 km (SW) 123. KVM Tourist Home 0.60 km (SW) 124. Kerala Bakery & Grocery Store 0.60 km (SW) 125. Raj Computers 0.60 km (SW) 126. Alfia Bakery 1 km (SW) 127. Smitha Silver Jewellery 1.50 km (SW) 128. Kochuvetti Medical 1 km (SW) 129. Alphonsa Furniture Mart 1 km (SW) 130. Reji Electricals 1 km (SW) 131. GSB Shopping Complex 1 km (SW) 132. Anjali Driving School 1.50 km (SW)

133. Akku Fast Food 1.50 km (SW) 134. Mariya Food & Bakery 1.50 km (SW) 135. Amma Hotel 2 km (S) 136. Alphonsa Super Market 1.50 km (S) 137. Kottayam Gramin Super Market 0.50 km (NE) 138. Palamattom Open Market 0.50 km (NE) 139. Sathyan Shop, Karipa 2 km (SW) 140. Ayamanam Village Backwater Resort 3 km (SW) 141. Hanna Bhavan Old Age Home 3.50 km (SW) 142. Aymanam Panchayat Market 4 km (SW) 143. Aikarachira Co-operative Bank 4 km (W) 144. Nissie Organic Farm 4 km (W) 145. Johny Moose Backwater Farm 4.50 km (SW) 146. Aiswarya Bakery Parippu 5 km (SW) 147. Canara Bank, Parippu 5 km (SW) 148. Akkara Farm, Thondambral 4.50 km (SW) 149. Pallipadam Toddy Shop 10 km (W) 150. Hotel Dammon, Kumarakom 10 km (W) 151. Dubai Hotel and Restaurant, 10 km (SW) Kumarakom 152. Breeze County Resort, Kumarakom 10.20 km (SW) 153. Twin Nest Resort, Kumarakom 10.50 km (SW) 154. Kumarakom Lake Resort 10 km (SW) 155. Niraamaya Retreats Bankwater Resort 10 km (SW) 156. Kumarakom Houseboat Holidays 10 km (SW) 157. Lake Palace Family Resort 10 km (SW) 158. The Kottayam District Co-Operative 10.50 km (SW) Bank 159. The Zuri Kumarakom Kerala Resort 11 km (SW) 160. Aveda Resorts and Spa 11.50 km (SW) 161. Paradise Resorts, Kumarakom 11.50 km (SW) 162. Leisure Vacations Goldfield Lake 12 km (SW) Resorts 163. National Dairy Farm, Velloor 7 km (SW) 164. Thazhathu Rabbit Farm, Velloor 7 km (S) 165. Akshaya Holiday Homes, Kanjiran 8 km (SW) 166. Canara Bank, Kurichy 14.50 km (S) 167. Federal Bank, Kurichy 15 km (S) 168. State Bank of India, Kurichy 15 km (S) 169. Madhumandiram Farms, Lakkattoor 14 km (S) 170. Pooja Sports Club, Lakkattoor 13.50 km (E) 171. Federal Bank, Ayarkunnam 9.50 km (E) 172. Payyanimandaom complex, 9.50 km (E) Ayarkunnam 173. Hotel Vani, Ayarkunnam 9.50 km (E) 174. St. Thomas Bakery, Ayarkunnam 9.50 km (E) 175. Triveni Supermarket, Ayarkunnam 9.50 km (E) 176. Dhanlaxmi Bank, Ayarkunnam 9.50 km (E) 177. Western Bakers, Ayarkunnam 9.50 km (E) 178. R K Books Store, Ayarkunnam 9.50 km (E) 179. Star Automobiles, Ayarkunnam 9.50 km (E) 180. Pallattu House, Kezhuvamkulam 15 km (NE) 181. Krishna Catering, Peroor 6.50 km (NE) 182. Powathel Sweet House, Peroor 5 km (NE) 183. Rancher Footwear, Peroor 5 km (NE) 184. Hotel Akbar, Ammancheri 2.50 km (NE) 185. Union Bank of India, Kottayam 2.50 km (NE) 186. Volkswagen Showroom, Kottayam 2.50 km (NE) 187. Essar Petrol Pump, Kottayam 2.50 km (NE) 188. Renault Showroom, Kottayam 2.50 km (NE)

189. Nissan and Datsun Showroom, 2.50 km (NE) Kottayam 190. Vayaloram Family Restaurant, 9.50 km (NE) Kadappoor 191. Kathedan Stained Glass Industry, 9.50 km (NE) kadappoor 192. CSI Community Mall, Etumanoor 7 km (NE) 193. Kakkanad Medicals, Etumanoor 6.50 km (NE) 194. Noor Fancy Palace, Etumanoor 6.50 km (NE) 195. Canara Bank, Etumanoor 6 km (NE) 196. Oriental Bank of Commerce, 6 km (NE) Etumanoor 197. School Uniform Fabrics, Etumanoor 6 km (NE) 198. G. S. Communication, Etumanoor 6 km (NE) 199. ICICI Bank, Etumanoor 6 km (NE) 200. Sulabh Hypermarket 3 km (NE) 201. Lulu Mall, Thattukadu 14 km (SE) 202. Viswabharathi Arts & Sports Club 11.50 km (SE) 203. Rajeshwary Hotel, Ericadu 11.50 km (SE) 204. S. M. Bakers, Ericadu 11.50 km (SE) 205. Prasuhoa Tours and Travel, Ericadu 11.50 km (SE) 206. Havells Galaxy Store, Ericadu 11.50 km (SE) 207. Kuttapuram Stores, Pongampara 12 km (SE) 208. Paddy field, Njandukullan 12 km (SE) 209. Archas Boutique Meenadom 12.50 km (SE) 210. Kanjirapally Stores, Meenadom 13 km (SE) 211. State Bank of India, Meenadom 13 km (SE) 212. Chandrathil Complex, Meenadom 13.50 km (SE) 213. Bhavani Store, Meenadom 13.50 km (SE) 214. C K Stores, Meenadom 13.50 km (SE) 215. Kizhakkemuriyil Jewellery, Meenadom 13.50 km (SE) 216. KCN Chicken, Velloor 12 km (SE) 217. Veliyaparambil Store, Velloor 12 km (SE) 218. Hotel Summer Sand, Pampady 12.50 km (SE) 219. Thampees Hostel, Pampady 12.50 km (SE) 220. Ambily Gas Agency, Pampady 12.50 km (SE) 221. Dharavi Hostel, Pampady 12.50 km (SE) 222. Praise Villa, Pampady 12.50 km (SE) 223. Kingres Stationery & Coolbar, Pampady 13 km (SE) 224. Poland Hostel, Pampady 13 km (SE) 225. Grace Residency Apartments, 13.50 km (SE) Pampady 226. Neethi Store Pangada 13.50 km (SE) 227. Kooropada Match box factory E 14.50 km (E) 228. Kooropada Public Library 14.50 km (E) 229. Thanivellil Stores, Kooropada 14 km (E) 230. Bharath Fisheries, Kooropada 14 km (E) 231. Hotel Shiva Parvathy, Lakkattoor 13 km (E) 232. National Steel Company, Lakkattoor 13.50 km (E) 233. DITS Furniture, Etumanoor 5.50 km (NE) 234. Stains Fertilisers, Etumanoor 5.50 km (NE) 235. Meenu Bakery, Etumanoor 6 km (NE) 236. Madhu Store, Athirampuzha 4.50 km (NE) 237. Jai Hind kalari Sangham, Athirampuzha 4.50 km (NE) 238. Thoppans Swimming Academy, 15 km (NE) Kuravilangad 239. Grand Hotel, Thottura 14 km (N) 240. Milma Milk Society, Thottuva 14 km (N) 241. Foreign Liquor Store, Thottuva 14 km (N) 242. Rockstars Club Ground, Kappumthala 14 km (N)

243. Anugraha Herbal Product, 12.50 km (N) Kanjirathanam 244. Kandukkalayil Oil Mill, Sleevapuram 11 km (N) 245. V V Coffee Shop, Kothanalloor 9 km (N) 246. Aiswarya Hotel, Kothanalloor 9.50 km (N) 247. Federal Bank, Kothanalloor 9.50 km (N) 248. Jithu Medicals, Kothanalloor 9.50 km (N) 249. Hotel Vijaya Park, Kothanalloor 9.50 km (N) 250. Kothanalloor Market 10 km (N) 251. Punjab National Bank, Kothanalloor 10 km (N) 252. Hotel Chingam, Vedagiri 6 km (N) 253. Rahmaniya Restaurant, Vedagiri 6 km (N) 254. Kuzhuppil Dairy Farm, Athirampuzha 4.50 km (N) 255. Bellamia Roof Tiles, Athirampuzha 4 km (N) 256. Athirampuzha Vegetable Market 4 km (N) 257. Karunya Medicals, Athirampuzha 4 km (NE) 258. South Indian Bank, Athirampuzha 4 km (NE) 259. Mubarak Lodge, Athirampuzha 4 km (NE) 260. Moolayil Furniture, Athirampuzha 3.50 km (NE) 261. Vaisakhan Residency, Mannanam 2 km (N) 262. Vadakara Store, Mannanam 2 km (N) 263. Devapriya Tyre Works, Mannanam 2 km (N) 264. Laxmi Two-wheeler workshop 1.50 km (N) 265. Neethy Medical Store, Mannanam 1.50 km (N) 266. Mannanam Service Co-Operative bank 1.50 km (N) 267. Chembarathi Restaurant Mannanam 1.50 km (N) 268. Gurukripa Shopping Complex 1.50 km (N) 269. The Catholic Book House, Mannanam 1 km (N) 270. J. J. Bakers, Mannanam 1 km (N) 271. Pope John Hostel, Mannanam 1 km (N) 272. Sunbeam Garden, Mannanam 1 km (N) 273. Kodoprambil Store 0.5 km (N) 274. KCS Catering Services 0.5 km (N) 275. Kerala Bakery 0.30 km (NW) 276. CB Fruits and Vegetable shop 0.25 km (NW) 277. Karthika Coffee House 0.30 km (W) 278. Sree Hari Textiles, Arpookara 0.40 km (W) 279. Arpookara Panchayath Shopping 0.50 km (W) Complex 280. National Steel Company, Lakkattoor 13.50 km (E) 281. Moolaya SNDP Shopping Centre 15 km (NW) 282. Sweet Palace baker, Thalayazha 15 km (NW) 283. Vipina Stores, Thalayazha 15 km (NW) 284. Guru Two-wheeler Garage, Thalayazha 15 km (NW) 285. Sunichettan Fast Food, Thripakudam 14 km (NW) 286. Malayil Grocery Store, Thripakudam 14 km (NW) 287. Athira Glass House, Puthanpalam 14 km (NW) 288. South Indian Bank, Kallara 11 km (NW) 289. Sree Ayyappa Hotel, Kallara 10.5 km (NW) 290. Sristhi Boutique, Kallara 10 km (NW) 291. St. Thomas Bakery, Kallara 9.50 km (NW) 292. Union Bank of India, Kallara 9.50 km (NW) 293. Hotel St. Thomas, Kallara 9.50 km (NW) 294. Darshana Fast Food, kallara 9.50 km (NW) 295. Green Mini Super Market, Kallara 9.50 km (NW) 296. Kaniyaparambil Footwear, Kallara 9.50 km (NW) 297. Maru Soda Factory, 13.50 km (NE) 298. Thottakathu Wood Industry, Ponnatham 9 km (NE) 299. Elite Sweet Corner, Thellakam 3 km (NE) 300. Thomson Store, Thellakam 3 km (NE)

301. Boss Bakery, Thellakam 3 km (NE) 302. Hitech Cast Iron Industries 3 km (N) 303. Hotel Annapurna 3 km (N) 304. Malom Bakery & Girls Items 8.50 km (SE) 305. Alona Bakery, Malom 8.50 km (SE) 306. Sharon Stores, Malom 8 km (SE) 307. Kizhakkedathu Stationery Shop 8 km (SE) 308. Chris Bakery, Malom 8 km (SE) 309. Malayalam Manorama Newspaper 5 km (S) Office & Printing Station 310. Mangalam Newspaper & Printing 4 km (S) Station 311. Various Resorts in Kumarakom 10.50 km (SW) 312. Sankranti Market, Sankranti 2.50 km (SE) 313. Kerala Forest Development Corporation 6.50 km (SW) 314. South India Plywood Industries 5 km (S) 315. Oil Palm India Ltd. Industries 7 km (S) 316. Kottayam Port and Container Terminal 9 km (SW) 317. Travancore Cements Ltd. 8 km (SW) 318. Rubber Board Regional Office, 6.50 km (SE) Kottayam

Information Sources: 1. Field Survey conducted in April, 2019 2. Kerala Tourist Guide Published by H&C Book 3. “A Glimpse of Kerala through Districts ” by Dr. K. C. Krishnakumar published by Mathrabhumi Books, 2017 4. “My Keralam ” published by Prime PSC Exam coaching centre 5. Toposheet No. C43Q10, 2010 6. Google Earth, April, 2019 10 Areas containing Yes 1. Ground Water Resources: important, high As per the Ground Water Information Booklet of quality or scarce Kottayam District published by CGWA, 2013, the entire resources (ground Kottayam district is declared as Safe Zone. water resources, surface resources, Sr. Name Approx Distance forestry, agriculture, No. & Direction fisheries, tourism, 1. Etumanoor Block (Safe Zone) 5 km (NE) minerals) 2. Kaduthuruthy Block (Safe 15 km (N) Zone) 3. Pallom Block (Safe Zone) 10.50 km (S) 4. Pampady Block (Safe Zone) 15 km (SE) 5. Vaikom Block (Safe Zone) 15 km (NW)

Artificial Recharge Structure: - Sr. Name Approx Distance No. & Direction 1. Chirakulam (Percolation tank) 5 km (NE)

2. Surface Resources:

Sl. Name Approx Distance & No Directions 1 Meenachil River 0.80 km (S) 2 Kodoor River 5.60 km (S) 3 Karapuzha River 4 km (S) 37

4 Manimala River 11 km (S) 5 Meenanthara River 4 km (SE) 6 Kottayam thodu 1 km (W) 7 Vembanad Backwater 11.50 km (W) 8 Malankara thodu 8 km (E) 9 Pannagam thodu 15 km (E) 10 Chithara Canal 14 km (SW) 11 Puthan Thodu 8 km (S) 12 Irrigation Canal, Kottayam 7 km (N) 13 Muttar-Neelamperoor Canal 11 km SW) 14 Moorkankavu River 10.50 km (NE)

3. Forestry There is no forest or forest land available within 15 km radius.

4. Agriculture : The project site is located in the vicinity of Kottayam Town. Further there are several villages of districts involved in agricultural activities located within 15 km . Depending on the location different varieties of food crops as well as cash crops are cultivated. Rice is the principal crop extensively cultivated in low-lying regions. Rubber plantations is also extensively found in the land within 15 km. Apart from these, other crops cultivated are tapioca, coconut, pepper, vegetables etc.

5. Fisheries

Sr. Name Approx Distance No. & Direction 1. Jeevan Fisheries, Kottayam 3 km (SE) 2. Allepy Fisheries, 5 km (E) Poovathumoodu

6. Tourism Sr. Name Approx Distance No. & Direction 1. Kumarakom Bird Sanctuary 10 km. (W) 2. St. Marys Jacobite Syrian Cathedral 8 km (SE) 3. Panachikad Saraswati Temple 11.50 km (SE) 4. Pathiramandal Island, 15 km (W) Vembanad Lake 5. Thirunakkara Mahadeva Temple 5 km (S) 6 Malliyoor Maha Ganpathi Temple 10.50 km (N) 7 Mannanam Church, Mannanam 1.50 km (N) 8 Major Achiepiscopal Marth Marian 14 km (NE) Archeacon Pilgrim Church, Kuravilangad 9 Vimalagiri Immaculate Heart of Mary 5 km (SE) Roman Catholic Latin Cathedral, Vimalagiri 10 Juma Masjid, Thazhathangady 4.50 km (SW)

7. Minerals

Sr. Name Approx Distance & No. Direction 1. Lime Shell, 11.50 km (W) in Vembanad backwater

Information Sources: 1. Kottayam District Survey Report published by Department of Mining and Geology, Govt. of Kerala (Year 2016) 2. Ground Water Information Booklet of Central Ground Water Board, Kerala for Kottayam District (Year 2013) 3. District Planning Map Series by National Atlas and Thematic Mapping Organization, Depart ment of Science and Technology (Year 2000) 4. Toposheet No. C43Q10, 2010

11 Areas already subjected to No As per CEPI (Comprehensive Environmental pollution or Pollution Index) published by CPCB, there is no environmental critically polluted area located within 15 km. radius damage. (those from the project site. where existing legal environmental standards are exceeded) 12 Areas susceptible to natural hazard Yes Earthquakes/Cloudburst - As per seismic which could classification, the project site falls in Zone-III. The cause the project to maximum expected earthquake intensity is VIII present (moderate damage risk zone) in MM sca le or 5.6M in environmental Richter Scale. Higher levels of seismicity are seen problems Kottayam District. (earthquakes, subsidence, The Structural aspects as per the seismic codes – landslides, erosion, IS 1893 (part 1) (2016), IS 13920 (2008) and IS 456 flooding or extreme (2000) as applicable would be incorporated in or adverse climatic project for construction of new buildings. conditions ) Landslide/Erosion – The topography of the project site and the area within 15 km radius is broadly flat in nature. There is no reported landslide within 15 km radius

Erosion : There is no water body located near the project site and h ence no erosion is envisaged due to the project development.

Flooding : As per the flood zonation map, the project site is not in flood zonation map of Kottayam District. However, part of area falling within 15 km radius falls in the flood prone area.

Lightening: There are reported incidents of 39

lightening in the area within 15 km radius during two seasons in the year viz. the season comprises of months April and May and Second two month of October and November.

Tsunami: Though Kerala Coastal areas wer e encountered with the Tsunami dt. 26-12-2014, there is no coastal areas falling within 15 km radius of the project site, only Vembanad Backwater is located at about 11.50 km towards West side of the project site.

Cloud Burst: No reported cloudburst in t he area falling within 15 km radius of the project boundary.

Cyclone: The area within 15 km radius from the project site falls within moderate damage risk zone- B (vb=39 m/s) as per the Wind and Cyclone hazard map published by BMTPC: Vulnerability Atlas, 2 n d Edition, 2006.

Information Sources: 1. Landslide zonation maps and Flood Zonation maps prepared by State Emergency Operations Centre (SEOC), Department of Disaster Management, Govt. of Kerala 2. Kerala State Disaster Management Profile published by Kerala State Disaster Management Authority, Govt. of Kerala 3. Vulnerability Atlas of India published by Building Materials & Technology Promotion Council, Ministry of Housing & Urban Poverty Alleviation, Govt. of India (Year 2016) 4. Kerala State Disaster Management Plan, published by Kerala State Disaster Management Authority, Department of Revenue and Disaster Management, Govt. of Kerala (Year 2016)

(IV). Proposed Terms of Reference for EIA studies Ans. The project is having built-up area 68,155 sq.m. which is more than 20,000 sq.m. but less than 1,50,000 sq.m. and categorized as category 8(a) as per EIA Notification, 2006. Therefore, as per the said Notification for category 8(a) projects, EIA Study is not required and hence the Terms of Reference for EIA study is not required.

APPENDIX II

( See paragraph 6 )

FORM-1 A

(Only for construction projects listed under item 8 of the Schedule)

(Environment Clearance for Proposed construction of Surgical Block and Super Specialty Block within the existing Campus of Govt. Medical College, Kottayam at Gandhinagar in Sy. No. 480/1 & others, Block No. 6, Arpookkara and Athirampuzha Villages, Arpookkara and Athirampuzha Grama Panchayats and Kottayam Municipality, Kottayam Taluk & District, Kerala.

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)

1.0 LAND ENVIRONMENT (Attach panoramic view of the project site and the vicinity)

1.1. Will the existing land use get significantly altered from the project that is not consistent with the surroundings? (Proposed land use must conform to the approved Master Plan / Development Plan of the area. Change of land use if any and the statutory approval from the competent authority be submitted). Attach Maps of (i) site location, (ii) surrounding features of the proposed site (within 500 meters) and (iii) the site (indicating levels & contours) to appropriate scales. If not available attach only conceptual plans. Ans. The proposed construction of new Surgical Block and Super Specialty Block within the existing Govt. Medical College, Kottayam Campus at Arpookkara and Athirampuzha Villages, Kottayam Municipality, Kottayam Taluk & District, Kerala. The services like storm water, road network, water supply etc. are available in the existing hospital campus. The vicinity map and the satellite map showing the location of the project site & it’s surroundings is provided. The conceptual plan showing the location of STP, landscape area, building blocks, open area, entry & exit to the site, internal traffic circulation within the site etc. is enclosed with the application as Annexure No. 5 .

1.2. List out all the major project requirements in terms of the land area, built up area, water consumption, power requirement, connectivity, community facilities, parking needs etc. Ans. The major project requirements for this proposed construction project are mentioned below:-

Objective of the project = Construction of new Surgical Block and Super Specialty Block within the existing Govt. Medical College, Kottayam Campus

Total plot area = 107.241 ha. (265 Acres)

Proposed Built-up area = 68,155 sq. m.

Proposed No. of Beds = 1,098 Beds

Expected project cost = Rs. 564 Crores

Proposed Building Block details :

Name of Proposed Max. No. of Floors Max. Height of the Built-up Building Block building (m.) area (sq. m) Proposed Super Ground + 5 floors 30 m. 34,513 Specialty Block Proposed Surgical LG + UG + GF + 5 floors 38.4 m. 33,642 Block Total built-up area 68,155

Total Water Req. = 685 KL/day (fresh 328 KLD + recycled 357 KLD)

First day water requirement = 685 KLD and subsequent days, the daily fresh water requirement is 328 KL

Domestic water Req. = 495 KL/day (231 KL flushing + 264 KL non-flushing)

Sewage Generation = 396 KL/day

Sewage Disposal Facility = Sewage Treatment Plant & Recycling

Treated Water Available from STP = 357 KL/day

Source of Water :-

1. KWA supply (Non-Flushing Req.) 2. Stored Rain Water (Non-Flushing Req.) 3. Ground water (pond) (Non-flushing Req.) 4. Treated waste water from STP (Flushing, horticulture, make-up water for cooling towers attached with HVAC system Req.) (Entire Year).

The detail of the daily water requirement balance chart is provided. Also attached is the activity wise population & daily water consumption details are provided.

Total Power Requirement = 3,054 kWh (1,540 kWh for Surgical Block + 1,514 kWh for Super Specialty Block)

Source of Power = Kerala State Electricity Board & D.G. Sets (standby)

Capacity of D.G. Sets = For Surgical Block 750 kVA x 2 nos. and For Super Specialty Block 750 kVA x 2 nos.

Parking proposed = 400 Cars + 494 Two wheelers

Connectivity :-

The main access to the project site is from Athirampuzha Medical College Road (about 8 m. avg. width) located in south direction of the proposed buildings. Another access to the building is from Babu Chazhikadan (about 9 m. avg. width) located in north direction. The nearest railway station (Kottayam Railway Station) is about 4.5 km (SE) and Cochin International Airport is about 58 km (NW) away from the project site. (Source :- Google map, vintage : 2019).

1.3. What are the likely impacts of the proposed activity on the existing facilities adjacent to the proposed site? (Such as open spaces, community facilities, details of the existing land use, disturbance to the local ecology). Ans. The proposed construction of Surgical Block and Super Specialty Block buildings within the existing Govt. Medical College, Kottayam Campus at Arpookkara and Athirampuzha Villages, Kottayam Municipality, Kottayam Taluk & District, Kerala. The services like storm water, road network, water supply etc. are available in the existing campus. There would be no negative impacts on the existing facilities adjacent to the proposed site. The proposed project has provision for (i) Treatment of sewage and it’s entire recycling thereby there is no discharge to the external drainage system or to the land or to any water body. (ii) By the use of stored rain water and the use of treated water from STP, the use of fresh water from the ground water will be reduced. (iii) The project has made provision for roof rain water storage tanks which will use as source of water during rainy days (concurrent use). (iv) By the Bio-composting system to be installed within the project site, the bio-degradable solid waste disposal will be managed within the site thereby no additional loading to the Common Solid waste disposal system. (v) There are various native trees, shrubs & herbs etc. existing at site and for the development of the proposed site these will be cleared from the site. As part of the eco restoration, large number of saplings of native species would be planted. Due to the eco restoration, the impact to floral and faunal ecology will be short term and the ecology will be enhanced.

1.4. Will there be any significant land disturbance resulting in erosion, subsidence & instability? (Details of soil type, slope analysis, vulnerability to subsidence, seismicity etc may be given). Ans. There will be no major land disturbances due to the proposed development of surgical block and super specialty block buildings within the existing Govt. Medical College, Kottayam Campus. However, the necessary protection measures to prevent soil erosion will be made. The top soil will be preserved for future landscaping within the site. The top soil will be covered with climbers of native species to prevent erosion. The partially excavated earth will be consumed within the site. As far as possible, the natural drainage will be maintained. The project site falls within Zone-III as per the seismological classification map of India. There is no history of subsidence of the project site or it’s surroundings in the past. Pre-construction Soil Investigation has been carried out by the agency (M/s Landec Engineers, Kochi) for the site. Pre- construction Soil Investigation has been carried out during July, 2018 & October, 2018 for the site of the new buildings. As per the soil investigation report, the ground water table is encountered between 3 m to 3.5 m for the surgical block building and hard rock was encountered at about 30m below the ground level. 44

The ground water table is not encountered up to 30m below the existing ground level at super specialty block site and hard rock was encountered at about 30m below the ground level. The soil profile is primarily sand, clayey sand, lateritic sand and lateritic clay and rock. The copy of the borehole investigation report is attached as Annexure No. 3A & 3B .

1.5. Will the proposal involve alteration of natural drainage systems? (Give details on a contour map showing the natural drainage near the proposed project site) Ans. The proposed project is construction of new hospital buildings within the existing hospital campus. The supporting additional infrastructure like drainage facilities are to be developed within the campus for new building. The proposed development does not affect the drainage pattern of the site and surroundings.

1.6. What are the quantities of earthwork involved in the construction activity- cutting, filling, reclamation etc. (Give details of the quantities of earthwork involved, transport of fill materials from outside the site, etc.) Ans. It is proposed to construct of surgical block and super specialty block buildings with additional supporting infrastructure facilities within existing Govt. Medical College, Kottayam Campus. Excavation of earthwork for the foundation of structures and excavation/cutting of earth for lower ground floor levels will be carried out. The top soil which is fertile will be kept at site for landscaping work. The excavated soil will be used for back filling work for site leveling and will be used for internal road construction work.

1.7. Give details regarding water supply, waste handling etc. during the construction period. Ans. Construction phase – The daily water consumption during construction phase to meet domestic water requirement for construction workers and technical staff (200 workers / staff daily average) (@ 135 ltr. per capita per day) is 27 KL. The daily water consumption during construction phase for construction activities is about 70 KL/ day. The source of water will be from stored rain water, KWA supply during construction phase. Further, by using of ready mix concrete (RMC) & curing agents, the water will be reduced substantially. The major part of the construction water requirement will be fully consumed. The sewage generation from labourers during construction period would be about 22 KL/day and this quantity of domestic waste would be disposed through a mobile STP to be installed at the labour colony (temporary accommodation). The treated sewage will be used for meeting the landscape / dust suppression purposes. The non biodegradable waste, the empty cement bags, other packaging materials etc. would be disposed to the vendors. The bio-degradable solid waste from the labour colony will be disposed on site by composting.

1.8. Will the low lying areas & wetlands get altered? (Provide details of how low lying and wetlands are getting modified from the proposed activity) Ans. The present project is construction of surgical block and super specialty block buildings with additional supporting infrastructure facilities within existing Govt. Medical College, Kottayam Campus and there is no low lying area & wetlands altered.

1.9. Whether construction debris & waste during construction cause health hazard? (Give quantities of various types of wastes generated during construction including the construction labour and the means of disposal) Ans. The construction waste consists of earth, debris concrete, lumber, masonry and cardboards which are about 35%, 15%, 12% and 10% respectively. Construction waste would be disposed for backfilling purposes. The bio-degradable food waste from the construction labourers will be disposed in a bio-bin system for microbial composting from the labour colony. The non-biodegradable waste will be stored and sold to the vendors. The packaging material like cement bags etc. would also be sold to the vendors.

2.0 WATER ENVIRONMENT

2.1. Give the total quantity of water requirement for the proposed project with the breakup of requirements for various uses. How will the water requirement met? State the sources & quantities and furnish a water balance statement. Ans. The details are provided below :-

Construction phase :- The daily water consumption during construction phase to meet domestic water requirement for construction workers and technical staff (200 workers / staff daily average) is 27 KL. The daily water consumption during construction phase for construction activities is 70 KL. The source of water will be from stored rain water, well water, KWA supply during construction phase.

Operation phase :- The total daily water requirement, water balance chart and source of water during the operation phase of the project calculated on the basis of full occupancy of new buildings (Super Specialty Block and Surgical Block) are mentioned below: -

Total Water Req. = 685 KL/day (fresh 328 KLD + recycled 357 KLD)

First day water requirement = 685 KLD and subsequent days, the daily fresh water requirement is 357 KL

Domestic water Req. = 495 KL/day (231 KL flushing + 264 KL non-flushing)

Sewage Generation = 396 KL/day

Sewage Disposal Facility = Sewage Treatment Plant & Recycling

Treated Water Available from STP = 357 KL/day

The sources of water during operation phase for the proposed project are: - 1. Kerala Water Authority 2. Stored Rain Water (Non-Flushing Req.), 3. Ground water (Non-Flushing Req.) 4. Treated waste water from STP (Flushing, horticulture & HVAC Req.) (Entire Year).

The project has made provision for rain water storage tanks for the concurrent use as source of water supply during rainy days. Also, there are wells and water supply connection from Kerala Water Authority available for the project. Hence the availability of water is ensured. The Water Balance Chart and population & daily water consumption details is attached as Annexure No. 4.

2.2. What is the capacity (dependable flow or yield) of the proposed source of water? Ans. Details are given below :- Construction Phase The sources of water during construction phase will be from stored rain water, KWA supply. The daily water consumption during construction phase for construction activities is about 70 KL. Also, daily water consumption to meet domestic water requirement for construction workers and technical staff (200 workers / staff daily average) is about 27 KL.

Operation Phase The source of water for the proposed project during operation phase will be water from the proposed rain water collection tanks within the site for meeting the water requirement for non-flushing (concurrent use during rainy days). Also, there is existing STP which will be accommodate the additional sewage load for the treatment of domestic sewage from new surgical block and super specialty block. During non-rainy days, the source of water is from stored rain water in tanks and KWA water / well water for meeting the non-flushing water requirement. Also, the treated water from STP would be used to meet the water requirement for flushing, horticulture & cooling requirements. Therefore by these sources and by an integrated water management approach, a dependable source of water is ensured. Further details are provided in water balance chart which is enclosed.

2.3. What is the quality of water required, in case, the supply is not from a municipal source? (Provide physical, chemical, biological characteristics with class of water quality) Ans. The source of water for the project will be from KWA supply/ ground water / stored rain water to meet the non-flushing water demand & treated water from STP for meeting the flushing, horticulture and make-up water requirement for cooling towers. Also, it is proposed to have WTP for filtration & disinfection of rain water before its use. The water quality of the open well available at site is collected and analyzed through an NABL accredited laboratory and copy of the report is attached as Annexure No. 6.

2.4. How much of the water requirement can be met from the recycling of treated wastewater? (Give the details of quantities, sources and usage) Ans. The source of water for the project will be from KWA supply/ ground water / stored rain water to meet the non-flushing water demand & treated water from STP for meeting the flushing, horticulture and make-up water requirement for cooling towers. The sewage from the proposed buildings will be treated through existing STP and the treatment mechanism of sewage for tertiary level with UV method for disinfection and ultra filtration (UF). The quantity of treated water from STP which is fit for use to meet the flushing requirement, horticulture & excess to the cooling requirement. The details of recycling and it’s usage are provided in water balance chart.

2.5. Will there be diversion of water from other users? (Please assess the impacts of the project on other existing uses and quantities of consumption) Ans. The source of water for the proposed project will be from stored rain water during rainy days and supported with water supply from Kerala Water Authority (KWA). Thereby there is minimal dependency (during non-rainy days & failure of public supply) on ground water. However, the treated water from STP will be used for meeting the flushing, horticulture and make-up water requirement for cooling towers and hence there will be minimum impact to the ground water at site and surrounding.

2.6. What is the incremental pollution load from wastewater generated from the proposed activity? (Give details of the quantities and composition of wastewater generated from the proposed activity) Ans. There would be no incremental pollution load from wastewater generation from the proposed activity because the whole waste water of the project would be treated through Sewage Treatment Plant within the project site and the treated water from S.T.P will be fully re-used to meet the flushing, horticulture and cooling towers requirement and there is no discharge of treated / untreated water outside the project site.

2.7. Give details of the water requirements met from water harvesting? Furnish details of the facilities created. Ans. One of the sources of water for the proposed project will be water from stored rain water in tank / pond constructed within the site for meeting the non flushing water requirement. The capacity of the rain water storage tank requirement is = ground coverage of the building x 50 ltr. as per KMBR. However, provision will be made for storage of rain water more than the statutory requirement.

2.8. What would be the impact of the land use changes occurring due to the proposed project on the runoff characteristics (quantitative as well as qualitative) of the area in the post construction phase on a long term basis? Would it aggravate the problems of flooding or water logging in any way? Ans. It is proposed to have roof rain water storage tank / pond to store the rain water for using of rain water as source of water. The runoff from the other area will be properly channelized through garland drains. Due to this measure, there would be no incremental load and will not cause any flooding or water logging. The excess runoff from the site before discharge outside the premises will be passing through a de-siltation cum oil removal unit. The excess storm water will be channelized to the drain which is available near to the site.

2.9. What are the impacts of the proposal on the ground water? (Will there be tapping of ground water; give the details of ground water table, recharging capacity, and approvals obtained from competent authority, if any) Ans. The source of water for the proposed project will be from stored rain water during rainy days and supported with water supply from Kerala Water Authority (KWA). Thereby there is minimal dependency (during non- rainy days & failure of public supply) on ground water. Further, as per the Ground Water Information Booklet of Kottayam District published by CGWA, 2013, the entire Kottayam district is declared as Safe Zone and hence use of ground water for domestic purposes is allowed by Central Ground Water Authority.

2.10. What precautions/measures are taken to prevent the run-off from construction activities polluting land & aquifers? (Give details of quantities and the measures taken to avoid the adverse impacts) Ans. Before the 1s t monsoon showers, the entire site will be cleaned and to be free from all litter and all loose construction materials to be stored properly. The run-off during construction phase will be partially channelized to the rain water storage tanks. The excess runoff will be channelized to the storm water network from the site after de-silting and oil removal and therefore, the run-off will not contaminate the land and aquifer. Further regular housekeeping will be carried out at site in order to prevent the contamination of run-off due to non-point sources of pollution. The adequate portable toilet facility will be provided in labour colony (temporary accommodation) so as to avoid open defecation. The exposed earth and loose construction materials during rainy days will be protected by utmost care. During operation phase, the surface runoff will be channelized through a de-siltation cum oil removal unit before it leaves the site. Also regular house keeping will be carried out in order to prevent the contamination of run-off due to non-point sources of pollution. The roof run-off will be channelized to a rain water storage tank / pond and the excess run-off from the tanks will be discharged outside the existing storm water drain.

2.11. How is the storm water from within the site managed? (State the provisions made to avoid flooding of the area, details of the drainage facilities provided along with a site layout indication contour levels) Ans. The run-off will be channelized to the rain water storage tank / pond. The surface runoff will be channelized to external storm water network after de- silting and oil removal and therefore, the run-off will not contaminate the land and aquifer. Further regular housekeeping will be carried out at site in order to prevent the contamination of run-off due to non-point sources of pollution. The adequate portable toilet facility will be provided in labour colony (temporary accommodation) so as to avoid open defecation. Sand, gravel & other loose construction materials during rainy days will be kept in a covered or secured place so as to prevent the carrying of these materials through surface run-off. During operation phase, the surface runoff will be channelized through a de-siltation cum oil removal unit before it leaves the site. Also regular house keeping will be carried out in order to prevent the contamination of run-off due to non-point sources of pollution. The roof run-off will be channelized to a rain water storage tank / pond and the excess run-off will be discharged outside the storm water available near the site.

2.12. Will the deployment of construction laborers particularly in the peak period lead to unsanitary conditions around the project site (Justify with proper explanation) Ans. The adequate portable toilet facility will be provided in labour colony (temporary accommodation) so as to avoid open defecation. It is proposed to manage the biodegradable domestic waste from labour colony through composting (bio-bin) system. Also, it is proposed to maintain good housekeeping at the construction site / labour to maintain the good sanitary conditions.

2.13. What on-site facilities are provided for the collection, treatment & safe disposal of sewage? (Give details of the quantities of wastewater generation, treatment capacities with technology & facilities for recycling and disposal)

Ans. The proposed project will provide mobile STP for the treatment of sewage during construction phase and existing STP to treat the sewage during operation phase of the new surgical block and super specialty block. The treatment scheme proposed for the sewage is MBBR treatment and Tertiary Treatment with UV method for disinfection and ultra filtration (UF). The treated water from STP (with BOD level as per KSPCB norms) will be recycled. Treated water (357 KL/day) from STP will be used within the site for flushing, horticulture & make-up water requirement for cooling purposes. The total quantity of sewage generation will be 396 KL/day.

2.14. Give details of dual plumbing system if treated waste used is used for flushing of toilets or any other use. Ans. The treated water from the Sewage Treatment Plant during the operation phase of the project will be used for flushing, horticulture & cooling purposes and for which dual plumbing system is proposed.

3.0 VEGETATION

3.1. Is there any threat of the project to the biodiversity? (Give a description of the local ecosystem with its unique features, if any) Ans. There are various native species of trees, shrubs, herbs etc. existing at site as part of floral ecology. For the construction of new hospital buildings, some of the existing trees & different varieties of shrubs, herbs, grass & climbers will be cleared. As part of the eco restoration, large number of saplings of native species would be planted. The detailed Bio- diversity assessment report is prepared by an approved expert and the report is enclosed as Annexure No. 7 .

3.2. Will the construction involve extensive clearing or modification of vegetation? (Provide a detailed account of the trees & vegetation affected by the project) Ans. There are various native species of trees, shrubs, herbs etc. existing at site as part of floral ecology. For the development of the proposed buildings at site, the some of the existing vegetation will be cleared from the site. The detailed Bio-diversity assessment report is prepared by an approved expert and the report is enclosed as Annexure No. 7 . As per the “ Kerala Promotion of Tree Growth in Non-Forest Areas (Amendment) Act, 2007 ”, no permission is required for cutting of these trees. As part of the eco restoration, large number of saplings of native species would be planted.

3.3. What are the measures proposed to be taken to minimize the likely impacts on important site features (Give details of proposal for tree plantation, landscaping, creation of water bodies etc along with a layout plan to an appropriate scale) Ans. It is proposed to have adequate number (mostly flowering & shady trees) of tree plantation (native species), shrubs, herbs as part of the landscape development of the project. The species includes flowering, fruit bearing trees. These measures will enhance the floral ecology. As compensatory afforestation, the project will plantation (@ 3 trees for every 1 tree cut) as per MoEF & CC norms). Further, as per MoEF & CC norms, the project will plant 1 tree for every 80 sq m of plot area. The landscaping will include fruit trees and shade trees to attract birds. As much as possible, native plants will be used for landscaping. A bird bath will be provided in the garden which in turn helps the birds to get water during summer season.

4.0 FAUNA

4.1. Is there likely to be any displacement of fauna- both terrestrial and aquatic or creation of barriers for their movement? Provide the details. Ans. There will be displacement of fauna specially avifauna on short term basis due to the construction work of the proposed project. As part of the eco restoration, adequate number of saplings of native species / fruit bearing / shady trees would be planted to attract faunal species.

4.2. Any direct or indirect impacts on the avifauna of the area? Provide details. Ans. There is direct and indirect impact on the avifauna of the area due to the project development on short term basis during construction phase. As part of the eco restoration, adequate number of saplings of native species / fruit bearing / shady trees would be planted to attract faunal species.

4.3. Prescribe measures such as corridors, fish ladders etc to mitigate adverse impacts on fauna Ans. By plantation of flowering, fruit bearing and shady trees the faunal ecology specially the avifauna will be enhanced. These measures will minimize the adverse impact on the faunal ecology of the area.

5.0 AIR ENVIRONMENT

5.1. Will the project increase atmospheric concentration of gases & result in heat islands? (Give details of background air quality levels with predicted values based on dispersion models taking into account the increased traffic generation as a result of the proposed constructions) Ans. The proposed project is construction of super specialty and surgical block hospital buildings within the existing Govt. Medical College, Kottayam campus and it will not increase atmospheric concentration of gases, the project has provision of D.G. Sets for standby arrangement of electricity and will run only during power failure. The stack attached to the D.G. Sets will follow all the rules and regulations of State Pollution Control Board and Central Pollution Control Board. Further only Low Sulphur diesel fuel will be used in the DG Sets. The ambient air quality monitoring of the site was carried out through an accredited laboratory and the monitoring report is attached as Annexure No. 8 .

5.2. What are the impacts on generation of dust, smoke, odorous fumes or other hazardous gases? Give details in relation to all the meteorological parameters. Ans. During construction phase, there will be generation of dust & smoke due to project development. The dust generation during construction phase will be controlled by enclosures at appropriate locations and also by sprinkling of water for suppression of dust. A wind barrier will be erected all along the periphery of the project site. The gas/smoke generation from D.G. sets only and these will be vented out through stack of appropriate height as per CPCB norms. The other mitigation measures are given below:- Internal roads within the site will be black topped (i.e. metallic roads) Excavation of soil will be carried out only after erection of wind breakers of height of 1/3rd of the building height to a maximum height of 10m height will be provided. No loose soil or sand or construction & demolition waste or any other construction material will be left uncovered. Water sprinkling during summer days will be put in place.

Grinding and cutting of building material will be carried out in enclosures and wet jet shall be provided for grinding and stone cutting areas. Construction material and excavated earth will be stored within earmarked area only. The loose construction materials will be covered during transportation. The location of the Generator set and exhaust pipe height shall be as per the provisions of the statutory norms. The Generator set installed for the project shall follow the emission limits, noise limits and general conditions notified by MoEF. All vehicles used in construction phase will be ensured with PUC certificate. All construction equipments will be maintained regularly so as to ensure the emissions within limits. All workers working at the construction site and involved in loading, unloading, carriage of construction material and construction debris or working in any area with dust pollution shall be provided with dust mask and other personnel protective equipments (PPE). As far as possible, ready mix concrete (RMC) will be used to avoid the use of loose construction materials at site to reduce dust emissions.

5.3. Will the proposal create shortage of parking space for vehicles? Furnish details of the present level of transport infrastructure and measures proposed for improvement including the traffic management at the entry & exit to the project site. Ans. The proposed project would provide vehicle parking facilities within the project premises. The parking plan for this project would follow KMBR guidelines. The conceptual plan attached clearly shows the internal traffic management with entry and exit to the project site. The proposed site development will provide minimum drive way as per KMBR at all around the building blocks (super specialty block and surgical block) for easy & smooth vehicular movement.

5.4. Provide details of the movement patterns with internal roads, bicycle tracks, pedestrian pathways, footpaths etc., with areas under each category. Ans. The conceptual plan (master plan) shows the internal traffic management with entry and exit to the proposed project site, all internal roads and its width, pedestrian path ways etc. Further provisions of ramp are proposed for the easy access to the building for physically challenged persons.

5.5. Will there be significant increase in traffic noise & vibrations? Give details of the sources and the measures proposed for mitigation of the above. Ans. The project is construction of new buildings within the existing Govt. Medical College, Kottayam campus and there would be some increase in noise and vibration due to the vehicular movement within the project site. The project has provision of large area for the parking of vehicles and the parking arrangement is planned for easy & smooth vehicular movement within the project area to reduce the traffic congestion. Also, the separate entry/exit arrangements are made for the emergency causalities.

5.6. What will be the impact of DG sets & other equipment on noise levels & vibration in & ambient air quality around the project site? Provide details. Ans. The D.G. sets which would be used as standby source of power with sound proof acoustic enclosures and hence there will be no impact to the surroundings. The D.G. sets would be attached with proper anti vibration pads to reduce the vibration impact to the site & surrounding. The flue gases from the D.G. sets will be vented out through stack of appropriate height as per C.P.C.B. norms to reduce the impacts on air 52

quality around the project site. The noise level of the project site has been monitored by an approved laboratory and the report is attached as Annexure No. 9 .

6.0 AESTHETICS

6.1. Will the proposed constructions in any way result in the obstruction of a view, scenic amenity or landscapes? Are these considerations taken into account by the proponents? Ans. There is a no scenic amenity or landscapes near to the site and the project development is within the existing Govt. Medical College, Kottayam campus.

6.2. Will there be any adverse impacts from new constructions on the existing structures? What are the considerations taken into account? Ans. The proposed new buildings i.e. super specialty and surgical block are located within the existing Govt. Medical College, Kottayam campus. Thereby, there will be no any adverse impacts envisaged due to the development of the new hospital buildings within the existing Govt. Medical College, Kottayam campus.

6.3. Whether there are any local considerations of urban form & urban design influencing the design criteria? They may be explicitly spelt out. Ans. The proposed project would be constructed in conformity with the Kerala Municipal Building Rules (KMBR). As per seismic classification, the project site falls in Zone-III. No reported cloudburst in the area. Also, there is no hilly area around the project site, there is no chance of landslide. The Structural aspects as per the seismic codes – IS 1893 (part 1) (2016), IS 13920 (2008) and IS 456 (2000) as applicable would be incorporated in project for construction of new buildings.

6.4. Are there any anthropological or archaeological sites or artefacts nearby? State if any other significant features in the vicinity of the proposed site have been considered. Ans. There is no report of existence of any anthropological or archaeological site nearby the project area. The proposed project is located in Municipal Limit of Kottayam Municipality. The vicinity map showing the site & surrounding area is provided.

7.0 SOCIO-ECONOMIC ASPECTS

7.1. Will the proposal result in any changes to the demographic structure of local population? Provide the details. Ans. The proposed new buildings i.e. super specialty and surgical block are located within the existing campus. During operation phase, on full occupancy of the proposed buildings, the maximum population expected is about 2,750 persons (floating) and hence there will be influx of people (floating population) to the project area and surrounding. Hence there will be increase in demographic structure. Further details are provided in the attached socio-economic study report.

7.2. Give details of the existing social infrastructure around the proposed project. Ans. The proposed site is located in the Municipal limits of Kottayam Municipality. There are several schools, colleges, religious places commercial and residential buildings, Govt. and private offices, hospitals, which are located around the proposed project site. The vicinity map 53

showing the site and surrounding details of the project site is provided at Annexure No. 10 . Further, to assess the socio-economic conditions near the project site a socio-economic survey was carried out by the approved expert and the socio-economic report is attached as Annexure No. 11. The toposheet showing the project site and existing features around the 10 km radius of the project site is attached as Annexure No. 12 .

7.3. Will the project cause adverse effects on local communities, disturbance to sacred sites or other cultural values? What are the safeguards proposed? Ans. The project would not cause any adverse effects on local communities, disturbance to sacred sites or other cultural values. The project is a construction of new hospital buildings within the existing Campus and thereby the living index of the people around the project site will definitely improve. Also there will be various ancillary activities like convenient shops, offices, transport facilities etc. attached to the project which will benefit the local people and change their living condition. For delivering the Corporate Environment Responsibility (CER) a need assessment study of the surrounding area near the site was carried out by the approved expert and the report is enclosed as Annexure No. 11 .

8.0 BUILDING MATERIALS

8.1. May involve the use of building materials with high-embodied energy. Are the construction materials produced with energy efficient processes? (Give details of energy conservation measures in the selection of building materials and their energy efficiency) Ans. The proposed project is construction of new surgical block and super specialty building blocks within the existing campus and the hospital blocks are centrally air conditioned, the selection of building materials plays a major role in the energy consumption. The proposed project will make all attempts to use to avoid building materials with high embodied energy. The glass used will be low emissivity and having U value as per ECBC norms.

8.2. Transport and handling of materials during construction may result in pollution, noise & public nuisance. What measures are taken to minimize the impacts? Ans. All vehicles which bring construction material to the site would possess Pollution Under Control Certificates (PUC). All vehicles would be of close body to avoid spread of dust from the loose materials, and vehicles which bring sand, stone dust, etc. would ensure that the above mentioned material are properly wetted during transportation to avoid dust generation. Pucca road will be made in the construction site for the vehicle movement so that the dust generation due to the vehicular movement within the project site can be minimized. Stacking of construction material shall be confined to the project site only. All the D.G. Sets would have attached with Acoustic Enclosure for the sound pollution control and all sound generating construction activity to be minimized. Further barricading of the site with GI sheets of 20 ft height in the side abutting the public road during construction phase.

8.3. Are recycled materials used in roads and structures? State the extent of savings achieved? Ans. The plastic (non-biodegradable solid waste) will be used along with coal tar during the construction of internal roads. This will increase the life of roads.

8.4. Give details of the methods of collection, segregation & disposal of the garbage generated during the operation phases of the project. Ans. The details are given below:- SOLID WASTE The Solid Waste Management Rules, 2016 will be followed in the Solid Waste Disposal at the site. Collection & segregation within the site (bio-degradable waste (in green bins), non-biodegradable waste (in blue bins) and domestic hazardous waste (in yellow bins). It is expected that about 1,647 kg/day of municipal solid waste would be generated from the new surgical block and super specialty hospital building blocks. The recyclable waste like packaging material, paper etc. would be sold through vendors. The Bio-degradable waste would be disposed through the bio-composting system to be installed within the site. The manure generated will be utilized for green area development within the premises. The domestic hazardous waste which includes discarded painted drums, pesticide cans, CFL bulbs, tube lights, expired medicines, broken mercury thermometers, used batteries, used needles and syringes and contaminated gauge etc. generated at the household level will be collected in yellow bins and to be handed over to authorized waste pickers or waste collectors. e-Waste :- Discarded computer parts, monitor, key boards etc. constitutes e-waste and this waste will be stored in an earmarked area. E-waste will be generated after 4-5 years latency period Separate earmarked space will be provided for e-waste storage. E-waste will be disposed as per E Waste (Management & Handling) Rules. HAZARDOUS WASTE As per Hazardous Waste (Management & Handling Rules), 2016, the hazardous waste i.e., the used oil from D.G. sets, discarded oil filters and discarded batteries and stored separately and will be disposed to CPCB / SPCB authorized vendors only. M/s Perfect Alloys, Chengannur, M/s Peejay Enterprises, Thiruvalla, M/s Excel Petrochemicals, Kochi and M/s Cee Jee Lubricants, Aluva are the approved recyclers for discarded batteries & used oil located in Kerala. BIO-MEDICAL WASTE:- From the proposed hospital buildings, bio-medical waste (about 549 Kg/day) like infectious beddings, cotton, swabs, used syringes, discarded medicines, etc. would be generated. The bio-medical waste would be segregated at source by providing appropriate colour coded bins / containers as per the colour coding provided in the Bio-Medical Waste (Management & Handling) Rules. The Bio-medical waste from the proposed hospital would be outsourced through a Kerala State Pollution Control Board authorized agency (M/s Indian Medical Association Goes Eco Friendly, IMAGE).

9.0 ENERGY CONSERVATION

9.1. Give details of the power requirements, source of supply, backup source etc. What is the energy consumption assumed per square foot of built-up area? How have you tried to minimize energy consumption? Ans. The total power requirement is estimated to be 3,054 kWh (1,540 kWh for Surgical Block + 1,514 kWh for Super Specialty Block) and will be met by Kerala State Electricity Board. The project will make provision of D.G.

Sets as standby arrangement of electricity. The proposed project will have provision of power saving. Other measures are:- Water cooled chillers in place of air cooled chillers which are energy intensive & the treated water available from STP would be used as make- up water attached to the water cooled chillers. Solar Energy operated Photovoltaic lighting for partial external areas lighting. Savings in energy by the use of LED lamps. Building Management System (BMS) through sensors for maximizing the energy conservation. Electrical fixtures & HVAC unit would be of 5 star series as per Bureau of Energy Efficiency (BEE) to achieve reduction in energy consumption.

9.2. What type of and capacity of power back-up to you plan to provide? Ans. The project proponent has made provision of D.G. Sets (for Surgical Block 750 kVA x 2 nos. and for Super Specialty Block 750 kVA x 2 nos.) as standby arrangement of electricity.

9.3. What are the characteristics of the glass you plan to use? Provide specifications of its characteristics related to both short wave and long wave radiation? Ans. The glass used will be low emissivity and the other specifications of the glass will comply with the norms as per ECBC. The building material details are given below :- Roof U - value of Concrete: 2.5 – 3.00 W/m 2K External Walls U – value of Autoclaved Aerated Concrete Blocks: 0.67 W/m 2K Fenestration U – value of Aluminum frame: 5.5137 W/m 2K U – value of Glass window: 1.039 W/m 2K

9.4. What passive solar architectural features are being used in the building? Illustrate the applications made in the proposed project. Ans. All the relevant features are incorporated like the orientation of the building, shading effect etc.

9.5. Does the layout of streets & buildings maximize the potential for solar energy devices? Have you considered the use of street lighting, emergency lighting and solar hot water systems for use in the building complex? Substantiate with details. Ans. Due consideration has been taken for maximum use of the solar energy while preparations of layout plan. The project proponent shall made provision for solar panels will be used for street lighting, emergency lighting in the proposed project.

9.6. Is shading effectively used to reduce cooling/ heating loads? What principles have been used to maximize the shading of Walls on the East and the West and the Roof? How much energy saving has been effected? Ans. All the relevant features are incorporated like the orientation of the building, shading effect etc.

9.7. Do the structures use energy-efficient space conditioning, lighting and mechanical systems? Provide technical details. Provide details of the transformers and motor efficiencies, lighting intensity and air-conditioning load assumptions? Are you using CFC and HCFC free chillers? Provide specifications. Ans. Suitable energy optimization will be adopted during the calculation of energy load of the proposed project. The space heating load will be minimized using passive solar structure and suitable buildings envelop 56

material. Uses of incandescent lamp and halogen lamps have been avoided and energy efficient LED lamps will be used for all common area. The diesel generator sets shall be automatically controlled to optimize their usage based on the actual load requirements at any time. Variable frequency drive systems would be adopted for the lifts etc. to maximize the energy saving.

9.8. What are the likely effects of the building activity in altering the micro-climates? Provide a self assessment on the likely impacts of the proposed construction on creation of heat island & inversion effects? Ans. More open spaces are proposed within the site to creation of any heat islands. The roads and parking spaces would be with concrete slabs intermittent with grass on surrounding.

9.9. What are the thermal characteristics of the building envelope? (a) roof; (b) external walls; and (c) fenestration? Give details of the material used and the U-values or the R values of the individual components. Ans. The building construction material namely bricks, concrete and steel are being used in the construction. U-factor, also known as Thermal Transmittance, is heat transmission in unit time through unit area of a material or construction and the boundary air films, induced by unit temperature difference between the environments on each side. The glass used will be low with low emissivity and the other specifications of the glass will comply with the norms as per ECBC.

9.10. What precautions & safety measures are proposed against fire hazards? Furnish details of emergency plans. Ans. List of equipments proposed for Fire Fighting Measures:- A. The major equipments proposed for Fire Fighting Measures are Main Hydrant Pump, Sprinkler Pump, Diesel Engine Pump, Jockey Pump. B. Capacity of Fire Water Storage Tanks & Number:- It is proposed to have Fire Water Storage Tank of appropriate capacity of overhead tank for fire fighting provided at the tower. C. Fire Detecting Equipments: - The Fire Detecting Equipments would be as per BIS and NBC norms. D. Other Fire Fighting Measures: - The other Fire Fighting Measures proposed includes, an Emergency Control Room, Separate Fire exit during emergency, all rooms with Fire Detector / Smoke Detector, Fire Extinguishes at each entry and exit point on each floor, (5 Kg, 10 Kg and 9 Ltr. capacity), Public address system etc. The Fire Fighting Measures are backed by Electrical supply from D.G. sets in case of emergency. The nearest fire station is at Kottayam fire station which is about 7 km. (S) away from the project site.

9.11. If you are using glass as wall material provides details and specifications including emissivity and thermal characteristics. Ans. The glass will be used Low-e glass. Opaque assemblies shall be modeled as having the same heat capacity as the proposed design but with minimum U-factor. The glass used will be low with low emissivity and the other specifications of the glass will comply with the norms as per ECBC.

9.12. What is the rate of air infiltration into the building? Provide details of how you are mitigating the effects of infiltration. Ans. Infiltration is the uncontrolled inward air leakage through cracks and crevices in any building element and around windows and doors of a building caused by pressure differences across these elements due to factors such as wind, inside and outside temperature differences, and imbalance between supply and exhaust air systems.

9.13. To what extent the non-conventional energy technologies are utilised in the overall energy consumption? Provide details of the renewable energy technologies used. Ans. The use of non-conventional source of energy in the proposed construction project are as follows: - a. Use of LED Lamps: - The project proponent would use LED Lamp which conserve less electricity. b. Non-conventional energy - Solar power plant.

10.0 Environment Management Plan The Environment Management Plan would consist of all mitigation measures for each item wise activity to be undertaken during the construction, operation and the entire life cycle to minimize 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. Ans. The Environment Management Plan is enclosed with the application.

ENVIRONMENT MANAGEMENT PLAN 59 Proposed construction of Surgical Block and Super Specialty Block within the existing campus of Govt. Medical College, Kottayam

REPORT

ENVIRONMENT MANAGEMENT

PLAN

ENVIRONMENT MANAGEMENT PLAN 60 Proposed construction of Surgical Block and Super Specialty Block within the existing campus of Govt. Medical College, Kottayam

INDEX

SR. CONTENTS NO.

1. INTRODUCTION

AREAS FOR IDENTIFICATION OF ENVIRONMENTAL ASPECTS & 2. IMPACTS

3. ENVIRONMENT MANAGEMENT PLAN (EMP)

IMPACTS & MITIGATION MEASURES DURING CONSTRUCTION A. PHASE

IMPACTS & MITIGATION MEASURES DURING OPERATION B. PHASE

ENVIRONMENT MANAGEMENT PLAN C. (BUDGETARY ALLOCATION) ENVIRONMENT MONITORING PLAN (BUDGETARY ALLOCATION) D. DURING CONSTRUCTION PHASE & OPERATION PHASE E. ENVIRONMENT MANAGEMENT / MONITORING CELL

F. RISK ASSESSMENT AND DISASTER MANAGEMENT PLAN (DMP)

G. CONCLUSION

ENVIRONMENT MANAGEMENT PLAN 61 Proposed construction of Surgical Block and Super Specialty Block within the existing campus of Govt. Medical College, Kottayam

1. INTRODUCTION Govt. Medical College, Kottayam proposes to construct Surgical Block and Super Specialty Blocks within the existing campus at Gandhinagar in Sy. No. 480/1 & others, Block No. 6, Arpookkara and Athirampuzha Villages, Kottayam Municipality, Kottayam Taluk & District, Kerala.

The proposed land is spread over an area of 107.241 ha. (265 acres). The proposed built-up area will be about 68,155 sq.m.

The population expected during construction phase of the project is about 200 persons per day which includes the skilled, semi skilled & unskilled workers. Also, this includes engineers, supervisors, technicians & other managerial staff.

The population calculation for the proposed project during the operation phase of the project is made based on the specifications provided in National Building Code (NBC). The maximum expected population in a day during operation phase of the new buildings of surgical block and super specialty block is worked out. The specifications as per NBC and the expected population for the proposed buildings is given below:- DESCRIPTION NOS. In Patients (No. of Beds) 1,098 Beds ( Including Laundry ) Total no. of staff in the campus 1,652 Persons (without accommodation) (like doctors, nurses, group-IV staff, security etc.) (@1.5 staff per bed) 2,750 Persons TOTAL (on full occupancy)

One of the main criteria for quantifying the environment impacts related to the project during the construction phase and operation phase for the project is the maximum population expected in a day. Based on which the requirement of daily water consumption, waste water generation, solid waste generation etc. is calculated. The Environment Management Plan (EMP) is a site specific plan developed to ensure that the project is implemented in an environmentally sustainable manner and to understand the potential 61

ENVIRONMENT MANAGEMENT PLAN 62 Proposed construction of Surgical Block and Super Specialty Block within the existing campus of Govt. Medical College, Kottayam

environmental risks arising from the proposed project and take appropriate actions to minimize those risks. EMP also ensures that the project implementation is carried out in accordance with the planned design and by taking appropriate mitigation measures to reduce adverse environmental impacts during the project’s life cycle.

2. AREAS FOR IDENTIFICATION OF ENVIRONMENTAL ASPECTS AND IMPACTS

The environmental parameters likely to be affected by a construction project are related to many factors, i.e. physical, social, economic etc. The operations may disturb environment of the project area and its surroundings in various ways, such as removal of mass / earth, change of landscape, clearing of flora and displacement of fauna of the area, surface drainage, and likely change in air quality, water quality and soil quality. While for the purpose of development and economic up-liftment of people, there is need for establishment of the project, but these should be environment friendly. Then only a sustainable development can be ensure. Therefore, it is essential to assess the impacts of proposed project on different environmental parameters, before starting the construction activities as well as the operational activities, so that abatement measures could be planned in advance for the area.

3. ENVIRONMENT MANAGEMENT PLAN (EMP) The Environment Management Plan (EMP) for a development project prescribes the mitigation measures to be adopted to nullify or to minimize various anticipated environment impacts so as to ensure nil / low impact due to the project to the surrounding environment. This will ensure sustainable and environment friendly development. The Environment Management Plan for various facets of environment are given below : -

ENVIRONMENT MANAGEMENT PLAN 63 Proposed construction of Surgical Block and Super Specialty Block within the existing campus of Govt. Medical College, Kottayam

A. IMPACTS & MITIGATION MEASURES DURING CONSTRUCTION PHASE Impacts on Environment during Construction phase are:- 1. Air environment 2. Water environment 3. Noise environment 4. Land environment including municipal solid waste 5. Biological environment 6. Socio Economic environment 7. Energy Conservation The detailed description of Impacts & mitigation measures envisaged during Construction phase are given below:-

1. AIR ENVIRONMENT Anticipated Impacts:- a. Particulate matter & gaseous emissions from operation of DG sets (100 kVA x 2 nos.) b. Dust generation due to vehicular movement within the site c. Dust generation due to various construction activities (transportation of raw materials, loading & unloading, drilling, breaking & dismantling works etc.) Mitigation Measures:- Stack height of D.G. sets as per CPCB Standards. Promotion of use of cleaner fuel All DG set should comply emissions norms notified by MoEF / CPCB. Concerting / bitumen carpeting of internal roads. Sprinkling & wetting of roads Wetting of loose construction materials before loading & unloading. Tarpaulin cover for the loose construction material during transfer. Temporary & portable enclosures where the drilling & dismantling works are carried out. To avoid work during high windy conditions. To erect the wind barriers around the construction area to avoid the influence of the winds in the construction activity. Storing of all loose construction materials in covered condition. 63

ENVIRONMENT MANAGEMENT PLAN 64 Proposed construction of Surgical Block and Super Specialty Block within the existing campus of Govt. Medical College, Kottayam

2. WATER ENVIRONMENT Anticipated Impacts :- a. Impact on competing users (if water is taken from the public supply) due to large consumption of water for curing, dust suppression, construction, domestic use etc. b. The daily construction water requirement for construction purposes is expected to be about 70 KL and the domestic water requirement (daily) is expected to be about 27 KL. Mitigation Measures :- To avoid wastage of curing water, following procedures are suggested:- • Curing water should be sprayed on concrete structures: free flow of water should not be allowed for curing. • After liberal curing on the first day, all concrete structures should be painted with curing chemical to save water. This will stop daily water curing. • Concrete structures should be covered with thick cloth / gunny bags and then water should be sprayed on them. This would avoid water rebound and will ensure sustained and complete curing. • Ponds or tanks should be made using cement and sand mortar to avoid water flowing away from the flat surface while curing. Monitoring water use:- Use of water meter conforming to ISO Standards would be installed at the inlet point of water uptake and at all discharge points to monitor the daily water consumption. Use of labour sheds (temporary accommodation) (if proposed within the site) & for construction purposes. Use of treated water from potable STP (to be installed for the treatment of domestic sewage) for labour quarters/ labour sheds for flushing purposes. Use of treated water from STP for sprinkling, wetting & dust suppression. Install water efficient sanitary fixtures in the rest rooms & toilets attached to the labour quarters/ labour sheds.

ENVIRONMENT MANAGEMENT PLAN 65 Proposed construction of Surgical Block and Super Specialty Block within the existing campus of Govt. Medical College, Kottayam

3. NOISE ENVIRONMENT Anticipated Impacts :- a. Noise & vibration from D.G. sets due to inadequate acoustic enclosure. b. Noise due to cutting & grinding of marble stone / tiles. Mitigation Measures :- Use of DG sets with appropriate acoustic enclosures Use of anti vibration pads. Wind breakers / acoustic enclosures made of gunny bags filled with sand or earth and stacked up to a height of about 7-8 ft. at the marble cutting & grinding area. This arrangement works as wind breaker & as a noise barrier. 4. LAND ENVIRONMENT INCLUDING MUNICIPAL SOLID WASTE Anticipated Impacts :- a. Improper disposal of excavated earth like disposal to natural drainage, filling of low land etc. b. Loss of top soil c. Soil erosion during the rainy season c. Disturbing the ground water table and thereby depletion of ground water (impact on hydrogeology) due to the excavation for low ground floors. d. Improper disposal of municipal solid waste, construction debris may lead to impact on land environment. Mitigation Measures :- Excavation of earthwork for the foundation of structures and excavation/cutting of earth for lower ground floor levels will be carried out. The top soil which is fertile will be kept at site for landscaping work. The excavated soil will be used for back filling work site leveling and for internal road construction work. The remaining excavated earth (if any) will be disposed as per guidelines. Pilling will be carried out before excavation for lower ground floors. Excavation will be done only in summer season to prevent disturbance to the hydrogeology. In order to prevent the slides from caving while excavation, sheet piling with suitable anchorages & shuttering systems will be done. 65

ENVIRONMENT MANAGEMENT PLAN 66 Proposed construction of Surgical Block and Super Specialty Block within the existing campus of Govt. Medical College, Kottayam

Prevention of water ingress to the structures below the existing ground level :- • After excavation, soil stabilization with sand filling of 15 cm. thickness will be done. • Over the sand filling, 12 cm. thick PCC will be done. • A polythene sheet of 0.40 mm thickness will be laid over the PCC. • Over the polythene sheet, raft slab of around 20 cm. thickness will be done. • Further, any leak observed, pressure grouting will be done. Mitigation measures for handling of municipal solid waste (about 80 kg/day) (@0.4 kg x 200 persons) from the site. • Segregation of waste at source into biodegradable and non biodegradable waste by providing colored bins. • Disposal of biodegradable Municipal Solid Waste by providing bio- bin system within the site. • Disposal of non biodegradable recyclable waste to vendors. • Disposal of inert waste by land filling / back filling.

5. BIOLOGICAL ENVIRONMENT Anticipated Impacts :- a. Loss of vegetation and loss of habitat of faunal species. b. Vibration due to movement / operation of heavy machinery c. Cutting of trees, shrubs etc. for procuring fire wood by construction workers. (resource loss) Mitigation Measures :- The new surgical block and super specialty building blocks will be constructing within the existing campus at Govt. Medical College, Kottayam and site is devoid of trees and there is not much of loss of vegetation and loss of habitat. Further, attempt will be made to save any tree existing at site by altering the footprint of the building. The labourers would be provided with LPG or kerosene for cooking purposes.

ENVIRONMENT MANAGEMENT PLAN 67 Proposed construction of Surgical Block and Super Specialty Block within the existing campus of Govt. Medical College, Kottayam

6. SOCIO ECONOMIC ENVIRONMENT Anticipated Impacts :- a. Unhygienic site sanitation facilities may affect health to construction workers (about 200 persons). b. The project site being in the Corporation limits, will have disturbance to the traffic load in the existing approach roads to the site. Mitigation Measures :- The objective is to ensure health and safety of the workers with effective provisions for the basic facilities of sanitation, drinking water, safety of equipments or machinery etc. Following are some of the recommendations :- Comply with the safety procedures, norms and guidelines (as applicable) as outlined in the National Building Code of India, Bureau of Indian Standards. Provide clean drinking water to all workers. Provide adequate number of decentralized latrines and urinals. Guarding all parts of dangerous machinery. Precautions for working on machinery. Maintaining hoists and lifts, lifting machines, chains, ropes and other lifting tackles in good condition. Durable and reusable formwork systems to replace timber formwork and ensure that formwork where used is properly maintained. Ensuring that walking surfaces or boards at height are of sound construction and are provided with safety rails or belts. Provide measures to prevent fires. Fire fighting extinguishers and buckets of sand to be provided in the fire prone area and elsewhere. Provide sufficient and suitable light for working during night time. Regarding the additional traffic during construction phase on the approach road to the site, the following mitigation measures are proposed :- Procurement of materials in bulk & not in loose will reduce the traffic to the site. Movement of raw material to the site only during night hours. Dedicated parking space for vehicles coming to the site including those for the visitors so as to avoid parking on the roads. The vehicle carrying ready mix concrete should be avoided in the peak traffic hours (morning 8 am to 11 am & evening 4 am to 8 am). 67

ENVIRONMENT MANAGEMENT PLAN 68 Proposed construction of Surgical Block and Super Specialty Block within the existing campus of Govt. Medical College, Kottayam

7. ENERGY CONSERVATION Anticipated Impacts :- a. Use of energy in-efficient building materials may lead to higher consumption of electricity in air conditioned buildings. Mitigation Measures :- Use of building material for roof, walls & glass (R & U values) as per BEE for less heat gain in air conditioned building. The building material details are given below :- Roof U - value of Concrete: 2.5 – 3.00 W/m 2K

External Walls U – value of Autoclaved Aerated Concrete Blocks: 0.67 W/m 2K

Fenestration U – value of Aluminum frame: 5.5137 W/m 2K

U – value of Glass window: 1.039 W/m 2K

B. ANTICIPATED IMPACTS & MITIGATION MEASURES DURING OPERATION PHASE

Anticipated impacts on Environment during Operation phase are given below:- 1 Air environment 2 Water environment 3 Noise environment 4 Land environment 5 Biological environment 6 Socio Economic environment 7 Energy Conservation The detailed description of Impacts & mitigation measures during Operation phase are given below :-

ENVIRONMENT MANAGEMENT PLAN 69 Proposed construction of Surgical Block and Super Specialty Block within the existing campus of Govt. Medical College, Kottayam

1. AIR ENVIRONMENT Anticipated Impacts :- a. Particulate Matter & Gaseous emissions (including worst condition of operating all DG sets (for Surgical Block 750 kVA x 2 nos. and for Super Specialty Block 750 kVA x 2 nos.) during power failure. Mitigation Measures :- Stack height as per CPCB Standards. Development of a green belt (vegetation buffer) around the project site. Promotion of use of cleaner fuel All DG set should comply emissions norms notified by MoEF / CPCB. 2. WATER ENVIRONMENT Anticipated Impacts :- a. Impact on competing users due to consumption of public supply / ground water (resource loss) for domestic consumption in the project site. b. Impact on competing users due to consumption of public supply / ground water as make-up water for HVAC in the campus (resource loss) c. Improper discharge of untreated sewage may lead to impact on surface / ground water quality. d. Improper storage & disposal of e-waste may lead to leaching of heavy metals leading to contamination. e. Improper storage & disposal may lead to leaching of hazardous waste / bio-medical waste leading to contamination. f. The daily water requirement for the project is expected to be about 576 KL (fresh water req. 245 KLD + recycled water 331 KLD) for the first day and 576 KLD for the subsequent days. Mitigation Measures :- Monitoring water use: Use of water meter conforming to ISO Standards would be installed at the inlet point of water uptake and at the discharge point to monitor the daily water consumption. Use of water saving devices / fixtures: Low water consumption fixtures like low flow flushing systems, sensor based fixtures, waterless urinals, tap aerators etc. to reduce the water usage.

ENVIRONMENT MANAGEMENT PLAN 70 Proposed construction of Surgical Block and Super Specialty Block within the existing campus of Govt. Medical College, Kottayam

Installation of dual plumbing for using the treated water from STP for flushing purposes. Use of stored rain water Existing Sewage treatment plant Treatment of sewage (about 368 KLD) and recycling of the treated sewage and ensuring zero discharge. Use of treated water for STP as make-up water in HVAC system requirement. Treatment unit with primary, secondary and territory treatment proposed. Use of ground water only based on the permissible yield from the existing open wells. Estimation of daily water consumption based on the HVAC losses, reuse and recycled options. Monitoring water use: Use of water meter conforming to ISO Standards would be installed at the inlet point of water uptake and at the discharge point to monitor the daily water consumption in HVAC unit. Disposal of e- waste only to the authorized agency From the proposed new hospital buildings, bio-medical waste (about 549 kg/day) like infectious beddings, cotton, swabs, used syringes, discarded medicines, etc. would be generated. The bio-medical waste would be segregated at source by providing appropriate colour coded bins / containers as per the colour coding provided in the Bio-Medical Waste (Management & Handling) Rules. The bio-medical waste from the new hospital building would be outsourced through a Kerala State Pollution Control Board authorized agency (M/s Indian Medical Association Goes Eco Friendly, IMAGE). The water balance chart for the proposed new facility is given below :-

ENVIRONMENT MANAGEMENT PLAN 71 Proposed construction of Surgical Block and Super Specialty Block within the existing campus of Govt. Medical College, Kottayam

ENVIRONMENT MANAGEMENT PLAN 72 Proposed construction of Surgical Block and Super Specialty Block within the existing campus of Govt. Medical College, Kottayam

3. NOISE ENVIRONMENT Anticipated Impacts :- a. Noise due to the operation of D.G. sets during power failure b. Noise due to the operation of cooling towers. Mitigation Measures :- D.G. set with acoustic enclosures. A noise barrier will be made all around the cooling tower to prevent the noise. Also, an environmental barrier by way of tree plantation can be created around the project site to prevent the noise. 4. LAND ENVIRONMENT Anticipated Impacts :- a. Improper disposal of municipal solid waste (about 1,647 kg/day) may lead to impact on land. b. Improper discharge of untreated sewage may lead to impact on land. c. Improper storage & disposal of e-waste may lead to leaching of heavy metals leading to contamination. d. Improper storage & disposal of hazardous waste may lead to leaching of waste leading to contamination. e. Improper storage & disposal of bio-medical waste may lead to leaching of waste leading to contamination. Mitigation Measures :- Segregation of waste at source into biodegradable and non biodegradable waste by providing colored bins. Disposal of biodegradable Municipal Solid Waste by Bio-composting system. Disposal of non biodegradable recyclable waste to vendors. Disposal of inert waste by land filling / back filling. Disposal of sewage through the STP within the site and re-use the treated sewage within the site. Storage of e-waste as per rules and in an isolated area. Disposal of e-waste only to the authorized agency. Disposal of the hazardous waste to the State Pollution Control Board approved agency. 72

ENVIRONMENT MANAGEMENT PLAN 73 Proposed construction of Surgical Block and Super Specialty Block within the existing campus of Govt. Medical College, Kottayam

The bio-medical waste would be segregated at source by providing appropriate colour coded bins / containers as per the colour coding provided in the Bio-Medical Waste (Management & Handling) Rules. The bio-medical waste from the proposed hospital would be outsourced through a Kerala State Pollution Control Board authorized agency (M/s Indian Medical Association Goes Eco Friendly, IMAGE

5. BIOLOGICAL ENVIRONMENT Anticipated Impacts :- a. Improper disposal of MSW may attract scavenger avifauna which may lead to dissertations of native avifauna. Mitigation Measures :- An appropriate landscape plan developed for the loss of vegetation. The native species of flowering, fruit bearing & medicinal plants proposed in the green area development plan. Segregation of waste at source into biodegradable and non biodegradable waste by providing colored bins. Storage & segregation of biodegradable municipal solid waste in appropriate places & disposal of biodegradable Municipal Solid Waste by bio-composting system. The bio-medical waste would be segregated at source by providing appropriate colour coded bins / containers as per the colour coding provided in the Bio-Medical Waste (Management & Handling) Rules. The bio-medical waste from the proposed hospital would be outsourced through a Kerala State Pollution Control Board authorized agency (M/s Indian Medical Association Goes Eco Friendly, IMAGE Disposal of non biodegradable recyclable waste to vendors. Disposal of inert waste by land filling / back filling. Plantation of native species of trees / shrubs / herbs / grass for enhancement of avifauna Conservation of the existing trees wherever possible. Plantation of fruit bearing trees to enhance the avifauna

ENVIRONMENT MANAGEMENT PLAN 74 Proposed construction of Surgical Block and Super Specialty Block within the existing campus of Govt. Medical College, Kottayam

6. SOCIO-ECONOMIC ENVIRONMENT The O M F.No.22-65/2017-IA.III dated 01-05-2018 states that every brown field project having capital investment in between Rs. 500 crores to Rs. 1,000 crores need to allocate 0.5% of its project cost (capital investment) for activities under Corporate Environment Responsibility (CER). The instant project is a brown field project and its capital investment is under Rs. 564 Crores. Therefore the project has to spend an amount of Rs. 2.82 Crores under CER. The detailed study for need assessment was carried out by the approved expert and report is attached. Suggested Sectors to Perform Activities under CER by MoEF&CC 1. Drinking water supply, 2. Sanitation, 3. Health, 4. Education, 5. Skill development, 6. Roads, 7. Cross drains, 8. Electrification including solar power, 9. Solid waste management facilities, 10. Scientific support and awareness to local farmers to increase yield of crop and fodder, 11. Rain water harvesting, 12. Soil moisture conservation works, 13. Avenue plantation, 14. Plantation in community areas etc. The detailed study report on the CER activities is separately provided.

7. ENERGY CONSERVATION Anticipated Impacts :- a. Adoption of energy in-efficient vehicles, HVAC system, appliances, lights etc may lead to wastage of energy.

ENVIRONMENT MANAGEMENT PLAN 75 Proposed construction of Surgical Block and Super Specialty Block within the existing campus of Govt. Medical College, Kottayam

b. Non adoption of renewable sources of energy like solar energy may lead to increase dependency on public supply may lead to consumption of energy by competing users. c. It is expected to be about 3,054 kWh (1,540 kWh for Surgical Block + 1,514 kWh for Super Specialty Block) of power requirement for the project.

Mitigation Measures :- HVAC system and appliances with 5 Star rating as per BEE. Use of water cooled HVAC system in place of air cooled system which is energy intensive. Use of solar energy for common area lighting in parks and in streets.

C. ENVIRONMENT MANAGEMENT PLAN (BUDGETARY ALLOCATION) The details regarding Environment Management Plan (Expected Budgetary Allocation) during construction phase are given below :- Approx. Approx. Sr. Recurring Capital Basis for Cost Particulars No. Cost / Annum Cost Estimate Rs. In Lacs A First Aid medical Medical cum First Aid 1. 2.0 1.0 facility with a trained facility person with first aid kit. Portable Toilets type Portable Toilets like 2. mobile sanitation 0.5 2.0 “Sulabh Sauchalaya ” & system & STP STP Rain water from tank Supply of drinking with filtration 3. 3.0 2.0 water for the labourers disinfection, well water & KWA supply Barricading around the Barricading and Wind project site Wind 4. 1.0 2.5 breakers breakers at the marble cutting area Sprinklers, pipeline Sprinklers for network, online micro 5. 1.0 3.0 suppression of dust filters and pressure pumps Solid waste from labour Segregation & microbial 6. shed & construction 0.5 2.0 bio-bin composting site facility TOTAL 8.0 11.5

ENVIRONMENT MANAGEMENT PLAN 76 Proposed construction of Surgical Block and Super Specialty Block within the existing campus of Govt. Medical College, Kottayam

The details regarding Environment Management Plan (Expected Budgetary Allocation) during operation phase are given below :- Approx. Approx. Sr. Recurring Capital Particulars Basis for Cost Estimate No. Cost/Annum Cost Rs. In Lacs Capital Cost of STP & Sewage Treatment recurring cost would 1. Plant (existing STP 10.0 80.0 include operational cost up-gradation) (energy & manpower) Capital Cost of WTP & recurring cost would 2. Water Treatment plant 2.0 6.0 include operational cost (energy & manpower) Capital cost of Coloured bins at appropriate Solid Waste 3. 2.0 10.0 locations & Bio- Management Plan composting system & its recurring cost. Capital cost of Coloured Bio-medical Waste bins at appropriate 4. 8.0 10.0 Management Plan locations & sent to the agency. D.G. Sets will be new and will be fitted with acoustic enclosures & Noise Control for D.G. hence no separate 5. Sets through acoustic 2.0 6.0 capital cost & the enclosures recurring cost would include minor repair works The capital cost would include cost of providing Chimney for D.G. Sets adequate height of stack, 6. 1.0 3.0 Emission ladder and platform and recurring cost would include cost of painting Green Area Green Area Development 7. development including 7.0 18.0 Plan Grass Coverage Capital cost on Rain Water Storage 8. 2.0 10.0 construction of rain water tanks collection tanks Capital cost on Solar energy operated procurement & 9. 4.0 20.0 lights installation of solar panels TOTAL 38.0 163 76

ENVIRONMENT MANAGEMENT PLAN 77 Proposed construction of Surgical Block and Super Specialty Block within the existing campus of Govt. Medical College, Kottayam

D. ENVIRONMENT MONITORING PLAN (BUDGETARY ALLOCATION) DURING CONSTRUCTION PHASE & OPERATION PHASE The environmental monitoring programmed is a vital process in the management Plan for any construction project. This helps in signaling the potential problems that would result from the proposed project and will allow for prompt implementation of effective corrective measures. The environmental monitoring will be required during construction and operational phases. The following routine monitoring programme as detailed below shall be implemented at site. Besides to this monitoring, the compliances to all environmental clearance conditions and consents / approvals from KSPCB / MoEF&CC / SEIAA will be monitored and reported periodically. The details regarding Environment Monitoring Plan (expected Budgetary Allocation) during construction phase are given below :- Approx. Sr. Particulars Parameters Frequency Recurring cost No. / Annum (Rs. In Lacs)

PM 1 0 & PM 2 . 5 , Once in a 1. Ambient Air 1.25 SO 2 , NOx, CO season Stored Rain Once in a 2. water in tanks / As per IS : 10500 0.75 season Ground water Once in a 3. Noise Level 24 Hrs. Noise Level 0.50 season TOTAL 2.50

ENVIRONMENT MANAGEMENT PLAN 78 Proposed construction of Surgical Block and Super Specialty Block within the existing campus of Govt. Medical College, Kottayam

The details regarding Environment Monitoring Plan (Budgetary Allocation) during operation phase are given below :- OPERATION PHASE Approx. Sr. Recurring Cost Particulars Parameters Frequency No. / Annum (Rs. In Lacs)

PM 1 0 & PM 2 . 5 , Once in a 1. Ambient Air 1.30 SO 2 , NOx, CO season Stack Emission Once in a 2. SPM, SO 2 , NOx 0.75 of D.G. sets year pH, BOD, COD, Oil Treated Water from & Grease, TSS, Once in a 3. Sewage Treatment 1.5 bacteriological month Plant parameters Stored Rain water Once in a 4. in tanks / Ground As per IS : 10500 0.75 season water Once in a 5. Noise Level 24 Hrs. Noise Level 0.50 season TOTAL 4.80

E. ENVIRONMENT MANAGEMENT / MONITORING CELL An environmental monitoring cell will be established for monitoring of important and crucial environmental parameters which are of immense importance to assess the status of environment during construction phase & operation phase. The details regarding Environment Monitoring Cell during Construction Phase & operation phase are given below :- Sr. No. Members Role 1. Principal of Govt. Medical College, Kottayam Chairman 2. Project Manager (Utility) Member 3. Health & Safety Officer Member 4. Representative of NABL accredited laboratory Member

ENVIRONMENT MANAGEMENT PLAN 79 Proposed construction of Surgical Block and Super Specialty Block within the existing campus of Govt. Medical College, Kottayam

5. Representative of NABET accredited Member Environmental Consultant 6. Representative of STP & Municipal waste disposal Member unit suppliers 7. Project Engineer Member & Convener Frequency of Meeting – Once In three months

F. RISK ASSESSMENT AND DISASTER MANAGEMENT PLAN 1.1 Introduction This chapter broadly looks at various aspects related to risk & disaster management and resource conservation. 1.2 Risk Assessment and Disaster Management Plan 1.2.1 Need and Plans Proposed construction of Surgical Block and Super Specialty Block within the existing campus of Govt. Medical College, Kottayam encompasses the lives of a large number of people. It also involves installation of various structures and machineries that meet the comfort and needs of its population but may also pose serious threat to the occupants in case of accident. It is thus considered necessary to carry out a risk assessment and prepare a disaster management plan for the project. The planning and construction of the buildings follow all the safety norms, it may not be always possible to totally eliminate the risks of eventualities and failures of equipment or human errors. An essential part of major hazard control has therefore will be concerned with mitigating the effects of such emergency and restoration of normalcy at the earliest. The overall objective of an Emergency Response Plan (ERP) is to make uses of combined resources at the site and outside services to achieve the following: 1. To localize the emergency and if possible eliminate it; 2. To minimize the effects of the accident on people and property; 3. Effectively rescue and medical treatment of casualties; 4. Safeguard to other people; 5. Evacuate people to safe areas; 6. Informing and collaborating with statutory authorities; 7. Initially contain and ultimately bring the incident under control;

ENVIRONMENT MANAGEMENT PLAN 80 Proposed construction of Surgical Block and Super Specialty Block within the existing campus of Govt. Medical College, Kottayam

8. Preserve relevant records and equipment for the subsequent enquiry into the cause and circumstances of the emergency; 9. Investigating and taking steps to prevent reoccurrence

The ERP is therefore related to identification of sources from which hazards can arise and the maximum credible loss scenario that can take place in the concerned area. The response plan takes into account the maximum credible loss scenario - actions that can successfully mitigate the effects of losses/ emergency need to be well planned so that they would require less effort and resources to control and terminate emergencies, should the same occur. Main hazards identified for the project include hazards pertaining to fires in buildings and fire in diesel storage areas, earthquake and LPG leakage an ERP pertaining to these condition is described in the following sections. 1.2.2 Response in Case of Earthquake Response Procedures for Occupants If indoors : 1. Take cover under a piece of heavy furniture or against an inside wall and hold on. 2. Stay inside: The most dangerous thing to do during the shaking of an earthquake is to try to leave the building because objects can fall on you. If outdoors : Move into the open, away from buildings, streetlights and utility wires. Once in the open, stay there until the shaking stops. If in a moving vehicle : Stop quickly and stay in the vehicle. Move to a clear / safe area away from buildings, trees, overpasses or utility wires. Once the shaking has stopped, proceed with caution. Avoid bridges or ramps that might have been damaged by the quake. After the quake 1. After the quake be prepared for aftershocks. 2. Although smaller than the main shock, aftershocks cause additional damage and may bring weakened structures down. Aftershocks can occur in the first hours, days, weeks, or even months after the quake.

ENVIRONMENT MANAGEMENT PLAN 81 Proposed construction of Surgical Block and Super Specialty Block within the existing campus of Govt. Medical College, Kottayam

Help injured or trapped persons . 1. Give first aid where appropriate. Do not move seriously injured persons unless they are in immediate danger of further injury. Call for help. 2. Remember to help those who may require special assistance, like infants, the elderly and people with disabilities. 3. Stay out of damaged buildings. 4. Use the telephone only for emergency calls. Response Procedure for Emergency Team 1. Formulate an Emergency Response Team for earthquake response 2. Using the public address system, inform occupiers about response procedures discussed above. 3. Inform the necessary authorities for aid 4. Ensure no residents are stuck beneath any debris, in case of a structural failure. 5. Ensure that all occupiers standing outside near the buildings are taken to open areas. 6. Ensure that the first aid ambulance and fire tender vehicles are summoned if necessary. 7. Inform the nearby other hospitals if there are any injuries. 8. Check the utilities and storage tanks for any damage. 1.2.3 Status on natural disasters w.r.t. site and surroundings There are no reported incidents of any landslide, earthquake, cloud burst in the project vicinity in the last 100 years. The Structural aspects as per the seismic codes – IS 1893 (part 1) (2016), IS 13920 (2008) and IS 456 (2000) as applicable would be incorporated in project for construction of new hospital building. The project site is not affected by floods. However, the proposed building construction will be designed keeping the finished ground level at appropriate height. 1.2.4 Response for LPG Leakage 1. The affected area should be evacuated and cordoned off immediately 2. Initiate an Emergency Response Team for LPG leakage. 3. Shut down the main valves in the gas bank, if any in the Canteen. 4. Ensure that only concerned personnel are present in the affected area and all other personnel and visitors are moved to the nearest assembly points. 81

ENVIRONMENT MANAGEMENT PLAN 82 Proposed construction of Surgical Block and Super Specialty Block within the existing campus of Govt. Medical College, Kottayam

5. Rescue trapped personnel, also check if any personnel are unconscious in the area and immediately move them outside and provide first aid. Ambulance should be summoned to take injured personnel to the nearest other hospital. 6. Personnel in the nearby buildings to close all doors and windows to prevent entry of the leaked gas. 7. Source of leakage to be traced and isolated from all the other areas. And if required use pedestal fans to bring down the gas concentration. 8. In case of fire follow the instructions mentioned below: 1.2.5 Response in case of Fire 1. Required response during in the event of a fire should be described in sign boards located in the lobby. 2. On sighting a fire, it should be immediately informed to the environment manager / management giving the exact location and type of fire in detail. 3. Initiate the Emergency Response Team for fires. 4. If the fire is small, engage in extinguishing the fire using the nearest fire extinguisher. 5. Guide the Emergency Response Team staff to the emergency assembly point. 6. The Emergency Response Team should immediately inform the nearest dispensary and security force. If required a fire tender should be summoned. 7. The response team should immediately move to the point of fire and take all necessary steps to stop the fire. If the fire is not controllable and spreads then the manager in charge should inform the district authorities and call for external help. 8. The Emergency Response Team will provide immediate relief to the injured person at the scene of incident. Any injured persons should be evacuated on priority to the dispensary or one of the nearest other hospitals based on their condition. Instructions for Occupants 1. Get out of buildings quickly and as safely as possible. 2. Use the stairs to escape. When evacuating, stay low to the ground. 3. If possible, cover mouth with a cloth to avoid inhaling smoke and gases. 4. Close doors in each room after escaping to delay the spread of the fire, if in a room with a closed door.

ENVIRONMENT MANAGEMENT PLAN 83 Proposed construction of Surgical Block and Super Specialty Block within the existing campus of Govt. Medical College, Kottayam

5. If smoke is pouring in around the bottom of the door or if it feels hot, keep the door closed. 6. Open a window to escape or for fresh air while awaiting rescue. 7. If there is no smoke at the bottom or top and the door is not hot, then open the door slowly. 8. If there is too much smoke or fire in the hall, slam the door shut. 9. Stay out of damaged buildings. 10. Check that all wiring and utilities are safe. The fire fighting system is proposed for the project to prevent and control fire outbreaks. The fire fighting system will consist of portable fire extinguishers, hose reel, wet riser, yard hydrant, automatic sprinkler system and manual fire alarm system. The proposed building will also be provided with automatic fire detection and alarm system as per National Building Code guidelines for Fire & Safety.

G. CONCLUSION It is predicted that socio-economic impact due to this project will positively increase the chance of more employment opportunities for local inhabitants. There are no Resettlement and Rehabilitation issues involved in this project. The project infrastructures will be of use to people of the area. The entire project area is devoid of any endemic / endangered flora and fauna. As part of the eco restoration with native species to a maximum possible extent. Also, rain water tanks are proposed for storage of rain water and for its subsequent use so as to conserve ground water consumption. The municipal solid waste/ bio-medical waste & e-waste will be handled and disposed as per norms. The sewage will be recycled within the site and reused. Thus the proposed project is not likely to affect the environment or adjacent ecosystem adversely and will ensure a sustainable development.

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Annexure No. 1

DETAILS OF BUILDINGS IN THE EXISTING CAMPUS 84

Sr. No. of Total Name of Building No. floors (in sqm) 1 OP Block 3 7927.04

2. Mens Hostel (UG Hostel No. 1) 2 3569.80

3. Ladies Hostel (UG Hostel no. II) 3 2920.00

4. Ladies Hostel Additional Block 1062.60

5. Nurses cum PG student and Lady House surgens 3 4367.00

Quarters

6. Store in Foot ball ground 1 77.25

7. Post Office building 1 145.38

8. A-Type Qts 1-5 1 1408.65

9. A-Type Qts 6-7 1 402.92

10. A-Type Qts 8-9 1 402.92

11. A-Type Qt 10 1 201.46

12. B-Type Qts 1-9 1 1155.60

13. B-Type Qts 10-13 1 501.42

14. C-Type Qts 1-12 1 1244.64

15. C Type Qts 13-17 1 500.60

16. D-Type Qts 1-5 1 383.90

17. E-Type Qts 16 nos. 1 1075.36

18. F-Type Qts 13 nos. 1 818.61

19. G-Type Qts 17 nos. 1 1769.18

20. Type-VI Qts 2 nos. 2 474.44

Sr. No. of Total 85 Name of Building No. floors (in sqm) 21. Type-V Qts 2 nos. 1 308.00

22. Type-IV Qts 2 nos. 1 437.72

23. Type III Qts 4 nos. 2 376.20

24. Type III Qts 4 nos. 2 376.20

25. Cancer Care Centre A-Block 4 1971.0

26. Cancer Care Centre B-Block 3 1389.50

27. Lecture Hall complex 2 2884.90

28. Dormitory cum dining (Podipara block) 3 1352.00

29. Ladies hostel UG no. II (Dressing room) 1 48.27

30. Type IV Qts (16 flats) 2 1815.04

31. O & G Block 5 14230.00

32. Electrical substation 3 550.91

33. Govt. Dental College Kottayam-Academic block B 6 6338.00

34. Govt Dental College Kottayam - Interns & Residents 4 2339.00

Hostel

35. House Surgeon's quarters GF 1399.62

36. Fuel Shed GF 19.00

37. Dental College Administrative block GF 1310.70

38. College building-Physiology, Anatomy GF 1773.30

39. Pathology, Pharmacology Building GF 1773.30

40. Cold storage GF 107.80

41. Gas plant room GF 42.18

Sr. No. of Total 86 Name of Building No. floors (in sqm) 42. Medical Store Building GF 87.80

43. Bus shed Car shed GF 170.10

44. Additional facility to pathology GF 140.62

45. Acid store GF 47.14

46. Additional room for Co-operative store GF 81.47

47. Auditorium cum Examination hall GF 596.00

48. PWD special building sub-division GF 184.78

49. Additional store building GF 151.80

50. Additional block for section office GF 91.59

51. EFG Block GF + 3953.61

5 floor

52. Mortuary building GF 405.72

53. M.C.K. Kitchen block GF 1136.45

54. Laundry building GF 1050.00

55. Central Workshop building GF 222.06

56. Generator shed GF 90.00

57. Electrical section office GF 210.00

58. Administrative block (B-block) at MCH Kottayam GF+ 747.30

3 floor

59. College of Nursing at Medical College Kottayam GF + 658.00

3 floor

60. Pharmacy building GF + 657.74

Sr. No. of Total 87 Name of Building No. floors (in sqm) 2 floor

61. Additional block for Lab, Mortuary and blood bank GF + 478.00

(forensic medicine block) 2 floor

62. Nursing college - Ladies hostel GF + 1695.00

2 floor

63. C2 Block (phase I + phase II) GF + 17111.53

4 floor

64. Police Quarters, Gandhinagar GF 354.76

65. Police Station, Gandhinagar GF 270.73

66. Dental College Building (KHRWS) GF + 856.89

3 floor

67. Dental college - Ladies hostel GF + 723.30

2 floor

68. Library and Examination hall building GF + 694.00

2 floor

69. Trauma Care Centre GF + 369.00

1 floor

70. Cardiology and Cardiothorscic centre GF + 1982.10

3 floor

71. Dental college Men's Hostel GF + 861.36

2 floor

72. 150 bedded hostel for men's at Nursing college, GF + 1142.00

Sr. No. of Total 88 Name of Building No. floors (in sqm) Kottayam 2 floor

73. Main teaching hospital (ABC block) 3 11056.00

74. Cabalt Therpy Unit 1 206.57

75. B type, C type, F type, G type ICH staff quarters 1 2436.13

76. Type I (2 nos.) Type II (4 nos.) Quarters of ICH 1 775.18

77. ICH hospital 2 4110.00

78. Post Partetm building (FWC) 1 297.79

79. Cobalt therapy unit & covered passage 1 451.55

80. Waiting shed cum comfort station 1 75.66

81. Canteen 1 137.18

82. Construction of new building for zonal artificial limb 3 1886.30

83. C block of medical college 5 4454.35

84. PG hostel building MCH Kottayam 3 1605.223

85. Drug D - Addiction centre, MCK 1 150.025

86. D Block 3 525.49

87. Cancer care centre in ICH 2 1203.62

88. House Surgeon's hostel building in MCH 3 1254.09

89. GNM nursing college of ST student 2 2950.00

Total 142047.4

Annexure No. 4A DAILY WATER CONSUMPTION BALANCE CHART FOR THE PROPOSED NEW BUILDINGS 130 Total daily domestic water consumption = 495 KL (Non-flushing =264 KL + Flushing =231 KL) Total daily water consumption = 685 KL (264 KL Flushing + 231 KL Non-flushing + 20 KL Horticulture & 170 KL Cooling towers requirement )

Total daily domestic sewage generation = 396 KL

Total daily treated water available from STP = 357 KL

Fresh. Water Req. = 328 KL 264 KL Domestic Water Requirement (Stored Rain water = 80% / ( Non-Flushing ), 264 KL Wastewater generation @ KWA Supply / Wells = 20%) 80% of Domestic water of STP with Tertiary 495 KL i.e. Treatment ( Existing STP ) 396 KL

231 KL Domestic Water Requirement Treated Wastewater 231 KL (Flushing), 231 KL generation @ 90 %of total wastewater generated, i.e., 357 KL 20 KL Horticulture Water Requirement 20 KL 20 KL Re-use Line

106 KL Make-up water requirement for 96 KL Cooling Towers attached with the Recurrent Water HVAC system 64 KL Demand 64 KL + 106 KL = 170 KL

First Day requirement Annexure No. 4B 131

ACTIVITY WISE POPULATION & DAILY WATER CONSUMPTION DETAILS (FOR THE PROPOSED NEW BUILDINGS)

Non-Flushing Flushing Sr. Total Description Requirement Requirement No. In KL / Day

1,098 x 240 Ltr. 1,098 x 210 Ltr. 1 In Patients ( No. of Beds ) = 1,098 Beds 494.1 = 263.52 = 230.58

TOTAL (about 2,750 Persons on full occupancy) 264 231 495 ( Including Visitors, Doctors, Attendant, Laundry etc. )

Source : National Building Code of India & “Manual on norms and standards for environment clearance of large construction projects” by Ministry of Environment & Forests, Govt. of India.

Annexure No. 10 VICINITY MAP OF THE SITE & SURROUNDINGS 156

Project site

Annexure No. 12 172 Toposheet showing the Project site of Govt. Medical College, Kottayam at Gandhi Nagar, Kottayam, Kerala

C43Q06 & C43Q10

` ` `

37’ 30” N ` 0 09

76 0 30 E 76 0 32’ 30” E

SATELLITE MAP OF THE SITE & SURROUNDINGS Annexure No. 14 174 Annexure No. 15 SATELLITE MAP SHOWING 10 KM. RADIUS OF THE PROJECT SITE 175 Annexure No. 16 176 SITE PHOTOGRAPHS OF THE PROJECT SITE OF GOVT. MEDICAL COLLEGE, KOTTAYAM