Conceptual Plan

Conceptual plan

Expansion of Hospital Project (SMART MEDICITY)

For

Prepared By GRASS ROOTS RESEARCH & CREATION INDIA (P) LTD. (An ISO 9001:2008 Certified Co.: Accredited by QCI / NABET: Approved by MoEF, GoI) F-374-375, Sector-63, Noida, U.P. Ph.: 0120- 4044630, Telefax: 0120- 2406519 Email: [email protected], [email protected] Website: http://www.grc-india.com GRC INDIA TRAINING & ANALYTICAL LABORATORY ( Accrediated by NABL & Recognized by MoEF, GoI) A unit of GRC India

Expansion of Hospital project (Smart Medicity), Bhopal, Madhya Pradesh CONCEPTUAL PLAN

CONCEPTUAL PLAN

INTRODUCTION

Hamidia Hospital is located within the premises of Gandhi Medical College, Bhopal, Madhya Pradesh.

Gandhi Medical College is among the oldest and most prestigious medical colleges of Madhya Pradesh and India, at Fatehgarh, Royal Market Area, Bhopal. It was established in the year 1955.

It is proposed to expand the project. As a result of expansion, certain existing buildings will be retained and some would be demolished. It is also proposed to add some new buildings. Details of expansion are given below in Table 1 & 2:

Table 1: Details of Buildings (excluding hospital part)

Existing buildings to be Girls Hostel (A3, B4 Block), Boys Hostel (B5 demolished Block), Quarters (A4, A7, B7, B8), Houses (A5, A6, B6), Post Office, Hawa Mahal, Corridor, Kitchen, Garage, Restaurant, Nurse Hostel, H Shade Existing buildings to be Boys Hostel (M1-M3), Girls Hostel(D2, D1), retained Guest House, Gandhi Medical College, Mosque, Staff Quarter(J), Sports Block, Hostel adjoining Kamla Nehru Hospital. Proposed New Buildings Nursing College and Hostel, Hostel 7

Table 2: Details of Hospital Buildings

Existing buildings to be ETP, Admin and Blood Bank, Charm Rog demolished Vibhag, Physiotherapy, Lions ward Old Pvt. Deptt., Operation Theatre and Eye Ward, Operation Theatre, ICCU Cardiology and Medical Ward, Medical Ward Existing buildings to be Virology Lab, Animal House, Kamla Nehru retained Hospital, Lab, Admin & Blood Bank, Old OPD, New OPD Proposed New Buildings Hospital Block I, Hospital Block II, Multilevel Parking 10 and 11, Connecting Bridge

PWD, Bhopal 1 Expansion of Hospital project (Smart Medicity), Bhopal, Madhya Pradesh CONCEPTUAL PLAN

As per the gazette notification dated 22nd Dec., 14, educational institutional projects including colleges and hostels are exempted from Environment Clearance. Further, as per the MoEFCC circular dated 9th Jun., 15 a clarification was issued that in case of medical universities/institutes, the component of Hospitals will continue to require prior Environment Clearance.

Therefore, the EC is being sought for only the Hospital part of Gandhi Medical College.

SITE DESCRIPTION

The project site is located at Gandhi Medical College, Bhopal, Madhya Pradesh. The geographical co-ordinates of the site are:

1) 230 15’32.87”N; 770 23’39.02”E 2) 230 15’28.84”N; 770 23’39.29”E 3) 230 15’28.81”N; 770 23’35.13”E 4) 230 15’36.49”N; 770 23’36.79”E

Google earth image showing project site & surroundings within 500m & SoI Toposheet showing project site & surrounding within 10 + 15 km are attached as Annexure I (a) & (b).

CONNECTIVITY

The project site has good connectivity via. Sultaniya road which is adjacent to the project site.

VIP Road which is about 0.5 Km from the project site is in South direction. The nearest railway station is Bhopal Railway Station, approx. 3.5 km away towards West North West direction.

The nearest airport is Bhopal Airport (Raja Bhoj), which is approx. 10 km away from the project site in North West direction.

AREA STATEMENT

The total area of campus of Gandhi Medical College is 1,61,9154 m2 (40.01 acre). The detailed area statement of project is provided below in Table 3:

PWD, Bhopal 2 Expansion of Hospital project (Smart Medicity), Bhopal, Madhya Pradesh CONCEPTUAL PLAN

Table 3: Detailed Area Statement (m2)

S. Description Existing To be To be Expansion Total (Existing No. Retained Demolished – To be (in phases) Demolished + Expansion) 1. Total Plot area of 1,61,915.4 campus of Gandhi Medical College 2. Permissible Ground 48,574.62 Coverage for the campus of Gandhi Medical College (@30% of total plot area) 3. Ground Coverage for the campus of Gandhi Medical College 44,258.76 22,076.05 22,182.24 18,215.98 40,292.03 (@24.88% of total plot area) 4. Ground Coverage of Hospital Part (@ 23,264.13 11,149.85 12,114.28 15,479.584 26,629.43 16.45%)* 5. Permissible FAR of 4,04,788.50 campus of Gandhi Medical College (@2.50 of total plot area) 6. FAR for the campus of 1,42,496.08 94,845.88 47,650.2 1,54,990.08 2,49,835.96 Gandhi Medical College (@1.54 of total plot area) 7. FAR of Hospital Part 76,641.62 52,382.25 24,258.87 1,35,087.90 1,87,470.15 (@1.16)** 8. Total Built-up area of 1,42,496.08 94,845.88 47,650.25 1,54,990.08 2,49,835.96 the campus of Gandhi Medical College 9. Built-up area of 76,641.62 52,382.25 24,258.87 1,35,087.90 1,87,470.15 Hospital Part 10. Green Area of the 90,000 campus of Gandhi Medical College 11. Number of beds 925 925 1538 1538 *,** Counted in total ground coverage and FAR of the campus of Gandhi Medical College

PWD, Bhopal 3 Expansion of Hospital project (Smart Medicity), Bhopal, Madhya Pradesh CONCEPTUAL PLAN

POPULATION DENSITY

The total (existing + expansion) population of hospital part will be approx. 6203 persons which includes outdoor patients, indoor patients, attendants with indoor patients and staff). Population breakup is given below in Table 4.

Table-4: Population Break-up

Existing Expansion Total (Existing – S. No Type of population To be Demolished + Expansion) A. Outdoor patients 1665 Nil 1665 B. Indoor patients* 925 1538 1538 C. Staff** (doctors, nurses, etc.) + 1500 3000 3000 Attendants with IPD patients TOTAL (A + B + C) 6203

*,**Population of existing part has not been considered in total population as the entire hospital part will be demolished (in phases)

WATER REQUIREMENT

The total water demand for the project will be approx. 1013 KLD. The fresh water requirement will be approx. 544 KLD. Daily water requirement calculation is given below in Table 5 to 7:

Table 5: Calculations for Daily Water Demand (Existing)

S. Description Occupancy Rate of water Total Water No. demand Requirement (lpcd) (KLD) A. Hospital water 925 beds 450 416 (Inpatients/Beds, Doctors, Nurses and Inpatient attendants) B. OPD patients 1665 15 25 Sub-Total (A) 441 KLD

PWD, Bhopal 4 Expansion of Hospital project (Smart Medicity), Bhopal, Madhya Pradesh CONCEPTUAL PLAN

C. Horticulture (for 1 KLD/acre* 41 total site area i.e. 40.01 acre) Grand total (A+B+C) 482 KLD *Considering that site is located in a hilly terrain and it is proposed to use drip irrigation

Table-6: Calculations for Daily Water Demand (Expansion/Total)

S. Description Occupancy Rate of Total Water No. water Requirement demand (KLD) (lpcd) A. Hospital water 1538 beds 450 692 (Inpatients/Beds, Doctors, Nurses and Inpatient attendants) B. OPD patients 1665 15 25

Sub-Total (A) 717 KLD

C. Horticulture (for 1 41 total site area i.e. KLD/acre* 40.01 acre) D. HVAC (1325 TR) 8 lit/hr 255

Grand total (A+B+C+D) 1013 KLD

*Considering that site is located in a hilly terrain and it is proposed to use drip irrigation

Table-7 (a): Total Wastewater Calculations w.r.t. ETP

S. Description Quantity (KLD) No. 1. Fresh and flushing water requirement for the 139 hospital part including:  IPD (@15% of total IPD water 104 requirement)  OPD (@100% of total OPD water 25 requirement)  OT, Blood Bank and Lab 10

PWD, Bhopal 5 Expansion of Hospital project (Smart Medicity), Bhopal, Madhya Pradesh CONCEPTUAL PLAN

2. Wastewater going to ETP @ 80% 111

3. ETP Capacity 115 KLD

Table-7(b): Total Wastewater Calculations w.r.t. STP

S. Description Quantity (KLD)

No.

1. Fresh water requirement for the hospital part 405 (excluding IPD, OPD, OT, Blood Bank & Lab) @ 70% of (717– 139 = 578 KLD) 2. Flushing water requirement for the hospital part 173 (excluding IPD, OPD, OT, Blood Bank & Lab) @ 30% of (717– 139 = 578 KLD) 3. Wastewater going to STP from the hospital part (324 + 173) + 89 @ 80% of (405 KLD) and 100% of (173 KLD) + = 586 treated effluent from ETP 4. STP Capacity (for the entire campus of Gandhi 900 KLD Medical College)

The water balance diagram for the hospital part is shown below in Figure 1.

PWD, Bhopal 6 Expansion of Hospital project (Smart Medicity), Bhopal, Madhya Pradesh CONCEPTUAL PLAN

FRESH & FLUSHING EFFLUENT GENERATED TOTAL FRESH WATER 139 KLD REQUIREMENT WATER 111 KLD 405 + 139 = 544 KLD) for IPD, OPD, OT, ETP CAPACITY 115 KLD Blood Bank & Lab (139 KLD)

@ 80 % 111 = 405 KLD 89 KLD

FRESH WATER WASTEWATER GENERATED for the Hospital @ 80% (324 + 173 + 89 = 586 KLD) excluding IPD, OPD, OT, STP CAPACITY = 900 KLD Blood Bank & Lab (405 KLD) (.) @ 100%

FLUSHING WATER For the Hospital 173 KLD excluding IPD, OPD, OT, Blood Bank & Lab (173 KLD)

@ 80 % 586= 469 KLD HORTICULTURE 41 KLD (41 KLD)

HVAC 255 KLD (255 KLD)

ZERO EXIT DISCHARGE

Treated Effluent Wastewater Fresh Water

Figure-1: Water Balance Diagram

PWD, Bhopal 7 Expansion of Hospital project (Smart Medicity), Bhopal, Madhya Pradesh CONCEPTUAL PLAN

Waste Water/ Effluent Generation & Treatment It is expected that waste water generated from the hospital part will be approx. 586 KLD (@ 80% of fresh water, 100 % flushing water and 89 KLD treated effluent from ETP).

The wastewater (trade effluent) generated from OPD, IPD, OT, Blood bank and Labs will be approx. 111 KLD, which will be treated in an onsite ETP of 115 KLD capacity. Treated effluent from ETP will be directed to STP for further treatment before reuse in flushing, horticulture and HVAC.

The waste water will be treated in an onsite STP capacity of 900 KLD generating 469 KLD of treated effluent which will be reused within the campus. Surplus treated effluent will be discharged to external sewer line.

EFFLUENT TREATMENT PLANT TECHNOLOGY

DESIGN BASIS:

Capacity = 115 KLD Operating Hours = 24

Table 8 (a): Inlet ETP Characteristics

S. No. PARAMETERS AVERAGE CHARACTERISTICS 1. pH 5.5-8.5 2. Total suspended solids 300-400 mg/lit 3. Oil & Grease 10-15 mg/lit 4. Biological Oxygen Demand (BOD) 500-600 mg/lit 5 day at 27°C 5. C.O.D. 1000-1100 mg/lit

PROCESS DETAILS:

Bar Screen Effluent from the source is usually received into the bar screen chamber by gravity. Screen provided will remove all floating and big size matter such as plastic bottles, polythene bags, glasses, stones, etc., which may otherwise choke the pipeline and pumps.

Oil and Grease Trap

PWD, Bhopal 8 Expansion of Hospital project (Smart Medicity), Bhopal, Madhya Pradesh CONCEPTUAL PLAN

If the effluent generated includes higher concentrations of oil and grease, it needs to be removed before biological treatment as it otherwise may cause problems for biological treatment. A small civil construction tank with a baffle wall and slotted oil pipe skimmer is provided. The oil and grease removed by gravity floats to the surface, which is removed by the oil skimmer.

Oil and grease trap will be provided to arrest the impurities of waste water from main kitchen of the project. Collected oil will be disposed through a local vendor.

Equalization Tank Effluent generation is irregular so we need to have an EQT to maintain universal flow to keep system on regular process.

Transfer of Effluent Transfer of effluent from Equalization Tank to FMR tank. The distance of transfer will be kept beyond 20 meter. The transfer pump shall be submersible with 38 mm empanel clearance.

Treatment process Online dosing of alum, lime and poly shall be dosed to control the COD and after that effluent shall pass through the aerobic process to stabilize the biological process and after that finally it will be pass through Tube settler to settle the waste.

PVC satirized fluidized media is provided for the prevailing of microorganism on it for the treatment of the Sewage biologically. The biologically treated water with bio flocs shall be transferred to the secondary settling tank, where tube deck media is provided to enhance the settling of the bio flocs.

UV radiation After settling tank UV radiation will be passed through the effluent to remove bacterial impurities.

Break water tank The clarified water shall be stored in break water tank to feed in Filtration plant and carbon filter for final treatment.

Multi Grade Filtration Plant After Break water tank it will be pumped to filtration plant to treat further

Activated carbon Filter After Filtration plant filtered water shall be pass through ACF to remove smell and colour.

PWD, Bhopal 9 Expansion of Hospital project (Smart Medicity), Bhopal, Madhya Pradesh CONCEPTUAL PLAN

Treated water tank Treated water shall be stored in tank for reuse in horticulture and flushing. The treated water shall be softened before reuse in HVAC cooling towers.

Sludge The sludge from the Clarifier will be removed through Centrifugation system. Recovered sludge shall be used as manure and water shall be re-circulated to EQT.

Table 8 (b): Outlet ETP Characteristics

S. PARAMETERS AVERAGE CHARACTERISTICS No. 1. pH 6.5-8.5 2. Total suspended solids <30 mg/lit 3. Oil & Grease <5 mg/lit 4. Biological Oxygen Demand (BOD) <5 mg/lit (5 day at 20°C) 5. C.O.D. <20-50 mg/lit 6. Bioassay test 90% survival of fish after 96 hrs in 100% of inlet

Other parameters will be followed as per CPCB norms.

PWD, Bhopal 10 Expansion of Hospital project (Smart Medicity), Bhopal, Madhya Pradesh CONCEPTUAL PLAN

Trade Effluent

Collection Tank Screen Cum Equalization Tank

Flash Mixer and Tube Settler

Secondary Biological Reactor

Tube Settler

UV Radiation

Centrifuge Sludge Tank

PSF / ACF

Used as manure Outlet/Treated in horticulture effluent

STP

Figure 2: Schematic Diagram of ETP

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SEWAGE TREATMENT TECHNOLOGY

Sewerage System

An external sewage network will collect the sewage from all units, and flow by gravity to the proposed sewage treatment plant. Following are the benefits of providing the Sewage Treatment Plant in the present circumstances:  Reduced net daily water requirements, source for Horticultural purposes by utilization of the treated wastewater.  Reduced dependence on the public utilities for water supply and sewerage systems.  Sludge generated from the Sewage Treatment Plant will be rich in organic content and an excellent fertilizer for horticultural purposes. a. Wastewater Details (a) Daily load from hospital : 586 KLD (b) Duration of flow to STP : 24 hours (c) Temperature : Maximum 32oC (d) pH : 6.0 to 8.5 (e) Colour : Mild (f) T.S.S. (mg/l) : 300-450 mg/l (g) BOD (mg/l) : 300-450 mg/l (h) COD (mg/l) : 300-450 mg/l (i) Oil & Grease ABS : < 50 mg/l b. Final discharge characteristics (a) pH : 6.0 to 8.5 (b) Oil & Grease : <10 mg/l (c) B.O.D. : <5 mg/l (d) C.O.D. : <50 mg/l (e) Total Suspended Solids (for flushing and horticulture) : <90 mg/l (g) Total Hardness (for HVAC) : 0 mg/l c. Treatment Technology

MBR TECHNOLOGY:

Moving bed biofilm reactor technology is based on the principle of attached growth process. Raw sewage will be collected under gravity into the equalization tank after

PWD, Bhopal 12 Expansion of Hospital project (Smart Medicity), Bhopal, Madhya Pradesh CONCEPTUAL PLAN

allowing to pass through the bar screen. Screens will be provided in screen chambers and it will be manually cleaned by going down to a platform. The bar screen, by removing coarse solids from the sewage help in protecting the raw sewage pump.

Fully submersible centrifugal non clog sewage handling pump will be provided in the collection cum equalization tank to pump the collected waste water to the next MBBR tanks. Automatic level controller will be provided in the tank to turn the pump off at the low water level in the tank and to start the pump when water level is high automatically. Air will be introduced in this tank to prevent any potential foul smell problem & to provide the mixing of wastewater to avoid the sedimentation of solids in this tank. Air Grid used for aeration purpose shall be non-clog.

The sewage collected in equalization tank is pumped the moving bed bioreactor. There shall be two nos. of bioreactors in series for the efficient working and removal of BODs for the required retention time. The process inside the moving bed bioreactors consists of adding small cylindrical-shaped polyethylene/polypropylene carrier elements in aerated basins to support biofilm growth. The small cylinders are provided with a cross inside the cylinder and longitudinal fins on the outside. The biofilm carriers are maintained in the reactor by the use of a perforated plate with appropriate slot at the tank outlet. Air agitation or mixers are applied in a manner to continuously circulate the packing. The packing may fill 25 to 50 percent of the tank volume. The waste water from first bioreactor flows by gravity through the perforated plate/mesh to the next bioreactor kept in series. Inside the bioreactors, aerobic bacteria grow in an attached growth from around the moving plastic media inside the reactors. The bacteria have to reduce BOD & COD of waste water in the presence of oxygen provided through the air grids located at the bottom of the reactors. The Process does not require any return activated sludge flow or backwashing.

From the bio-reactors, the effluent passes by gravity into the clarifier (Tube Settling Tank). Clarifier will be a hopper bottom sedimentation tank provided with appropriate size PVC tube deck media. The suspended solids will settle at the bottom of the tank & clear supernatant will overflow to filter feed tank through outlet launder. The collected sludge at bottom shall be transferred through pumps to sludge holding tank.

The clear supernatant after clarifier will be collected in to filter feed tank. This tank will act as housing tank for filter feed pumps. The clarified & dis-infected water will be then fed to filtration unit.

Filtration unit consisting of Dual Media sand filter, activated carbon filter and ultra filtration system (optional) will remove the residual impurities such as odor/color,

PWD, Bhopal 13 Expansion of Hospital project (Smart Medicity), Bhopal, Madhya Pradesh CONCEPTUAL PLAN

suspended solids, BOD/COD. The treated water after the filtration unit will be collected in Irrigation cum Flushing water storage tank from where it is transferred to flushing water tank at terrace & Irrigation System.

Excess sludge from the bottom of the settling tank will be removed and transferred to sludge holding tank. Air grid shall be provided in this tank to avoid conversion into anaerobic conditions, thickening of sludge and keep sludge in homogenous condition. The digested & thickened sludge shall be further thickened through Sludge Dewatering System (Filter press with screw pump) and disposed off periodically through closed tanker or can be reused as manure.

CENTRIFUGE

Figure 3: Schematic Diagram of STP

RAIN WATER HARVESTING

The project site is located in a hlliy terrain. The entire run-off flows into the nearby lake.

Considering the sub-soil characteristics, rainwater harvesting is not feasible for recharge of ground water. Therefore, rain water harvesting system has not been proposed for the project.

PWD, Bhopal 14 Expansion of Hospital project (Smart Medicity), Bhopal, Madhya Pradesh CONCEPTUAL PLAN

PARKING

Adequate provision will be made for car/vehicle parking at the project site. Details are provided below:

Parking required as per MoEFCC Norms: For Hospitals = 1 ECS/2 beds = 1538/2 = 769 ECS Parking required as per State Bye-laws: For institutional buildings = 1 ECS @150 sqm of built up area For residential facilities/hostels = 1 ECS/175 sqm of built up area

Parking Proposed: Existing parking for the entire campus of Gandhi Memorial College is 905 ECS.

Total Parking Proposed within the campus of Gandhi Memorial College:  Multilevel Parking (covered) = 405 ECS  Parking Provided on surface = 1091 ECS Total Parking Proposed = 1496 ECS

Out of the total 1496 ECS, it is proposed to provide 774 ECS for the hospital part.

POWER REQUIREMENT

The power supply shall be supplied by MPSEB. The total connected load for the Hospital part of project has been estimated as 7232.17 kVA (existing + expansion).

Existing electrical load = 700 kVA Electrical load for expansion part = 6532.17 kVA.

Details of Power back-up:

In the existing hospital part, power backup is provided through 2 DG Sets of 350 kVA each. For expansion phase, power backup is proposed through DG sets of total capacity 9500 kVA (6 x 1500 + 1 x 500).

PWD, Bhopal 15 Expansion of Hospital project (Smart Medicity), Bhopal, Madhya Pradesh CONCEPTUAL PLAN

SOLID WASTE GENERATION

Solid waste would be generated both during the construction as well as operation phase. The solid waste expected to be generated during the construction phase will comprise of excavated materials, used bags, bricks, concrete, MS rods, tiles, wood etc. The following steps are proposed to be followed for the management solid waste:

 Construction yards are proposed for storage of construction materials.  Remaining soil shall be utilized for refilling / road work / rising of site level at locations/ selling to outside agency for construction of roads etc.

Solid Waste

Construction Waste

Construction Empty waste, Cement Excavated Broken Bricks, Bags Soil Waste Plaster

Top soil conserved for landscaping Used in re-filling, Sold to raising site level agency for recycling

Figure-4: Solid Waste Management Scheme (Construction Phase)

The solid waste generated during operation phase of the project shall be approx. 2639.4 kg/day (@ 1.5 kg/capita/day which includes waste from beds/inpatients and staff (doctors + nurses), + 0.15 kg/capita/day for outpatients/attendants with inpatients). It is estimated that the bio medical waste would be approx. 639.25 kg/day out of the total waste. Following arrangements will be made at the site in accordance to Municipal Solid Waste (Management and Handling)

PWD, Bhopal 16 Expansion of Hospital project (Smart Medicity), Bhopal, Madhya Pradesh CONCEPTUAL PLAN

Rules, 2000 & amended Rules, 2016 and Bio-Medical Waste (Management and Handling) Rules, 1998 and amendments.

Table 9: Calculation of Solid Waste Generation for Hospital part (existing + expansion)

S. No. Category Waste (Kg/capita/day) Waste generated (kg/day) 1. Waste from beds* @ 1.5 (including inpatients 2307 and staff) 1538 beds 2. Out-Patients @ 0.15 250 (1665) 3. Landscape waste @ 0.2 kg/acre/day (from the total site 8 of 40.01 acre) Total Domestic Waste 2565.5 kg/day 6. STP Sludge 60.5 7. ETP Sludge 13.4

TOTAL SOLID WASTE 2639.4 kg/day *Bio-Medical waste = 639.25 kg/day @ 25% of the waste generated from IPD & OPD

30% of the waste generated from beds will be biodegradable = 0.3 x 1538 = 461 kg/d. STP Sludge along with landscape waste will be mixed with biodegradable waste for onsite mechanical composting. Therefore, total biodegradable waste will be 530 kg/d.

PWD, Bhopal 17 Expansion of Hospital project (Smart Medicity), Bhopal, Madhya Pradesh CONCEPTUAL PLAN

Hospital Waste

Waste sharps and Discarded General waste such Microbiological and Solid waste medicines, cytotoxic as official waste, Biological wastes, drugs and chemical food waste & Solid waste waste garden waste

Red Bins Blue Bins Black Bins Green Bins

Disposed-off through a local biomedical waste management agency

Biodegradable Non-Biodegradable Waste Waste

Composting Disposed-off (Organic Waste through local Converter) approved vendors

Figure-5: Solid Waste Management (Operation Phase)

PWD, Bhopal 18 Expansion of Hospital project (Smart Medicity), Bhopal, Madhya Pradesh CONCEPTUAL PLAN

 Collection and Segregation of waste 1. For Hospital waste collection, adequate numbers of colored bins (Red, Yellow, Black, Blue and dark blue bins) are proposed to be provided at the strategic locations of the Hospital area. 2. Red bins: For the disposal of IV tubings, plastic bottles, syringes without needles, drainage tubes, catheters, locally autoclaved microbiological waste. 3. Yellow bins: For the disposal of anatomical parts, amputated body parts, placenta. Items contaminated with blood, and body fluids including cotton, dressings, soiled plaster casts, lines, bedding, other material contaminated with blood. 4. Black bins: For the discard of paper, wrappers, tissue and other general items. 5. Blue bins: For the disposal of glass bottles, ampoules, broken glass, vials, other glass items. 6. Dark Blue bins: For the disposal of sharps. Does not contain disinfectant. Includes needles, stillet, lancets and blades.

 Treatment of waste  Bio-Degradable waste

1. Bio-degradable waste (including STP sludge and landscape waste = 530 kg/d) will be treated onsite through a mechanical compost plant (compost batch time = 10 days) to form manure which will be used within the site. 2. ETP sludge is proposed to be disposed through approved vendors.

 Recyclable waste i. Grass Recycling – The cropped grass will be spread on the green area. It will act as manure after decomposition. ii. Recyclable wastes like paper, plastic, metals etc. will be sold off to recyclables.

 Disposal Recyclable and non-recyclable wastes will be disposed through Govt. approved agency. Hence, the Municipal Solid Waste Management will be conducted as per the guidelines of Municipal Solid Wastes (Management and Handling) Rules, 2000 and amended Rules, 2008. Bio-Medical waste will be disposed through the govt. approved vendors for Bio-Medical waste. Bio-Medical waste management will be conducted as per the Bio-Medical Waste (Management and Handling) Rules, 1998.

GREEN AREA Total green area of the campus of Gandhi Memorial College measures 90,000 m2 (@ 35%) which will include green belt/area under tree plantation and lawns within the project site. Following is the list of species proposed to be planted.

PWD, Bhopal 19 Expansion of Hospital project (Smart Medicity), Bhopal, Madhya Pradesh CONCEPTUAL PLAN

Table 10: Species proposed to be planted within the premises S. Common Name Scientific Name Family Habits No. 1. Country mallow Abutilon indicum (Linn) Malvaceae Shrub 2. The cutch tree Acacia catechu, (Willd) Mimoseae Shrub 3. Silver wattle Acacia dealbata, (Link) Mimoseae Tree 4. Black wattle Acacia mearnsii, (de Wild) Mimoseae Tree 5. Indian Gum Acacia nilotica, (Linn Willd) Mimoseae Tree 6. Desert- Date Balanitesroxburghii, (Planch) Balanitaceae Tree 7. Indian Oak Barringtoniaacutangula, (L Gaertn) Barringtoniaceae Tree 8. Kanchan Bauhinia acuminate, (Linn) Caesalpinaceae Shrub 9. Semla Bauhinia semla, (Wanderlin) Caesalpinaceae Tree 10. Iron wood tree Cassia siamea, (Lamk) Caesalpinaceae Tree 11. Kapok Ceibapentandra, (Linn Gaertn) Bombacaceae Tree 12. Sissoo Dalbergiasisoo, (Roxb) Fabaceae Tree 13. Flameboyant Delonixregia, (BojerRafin) Caesalpinaceae Tree 14. Indian Beech Derris indica, (Lam. Bennett) Fabaceae Tree 15. Amla Emblicaofficinalis, (Gaertn) Euphorbiaceae Tree 16. Banyan tree Ficusbenghalensis, (Linn) Moraceae Tree 17. Pilkhan Ficusvirens, (Ait) Moraceae Tree 18. Scarlet bush Hamelia patens, (Jacq.) Rubiaceae Shrub 19. The Butter tree Madhucalongifolia, (Koen) Sapotaceae Tree 20. Kamala Mallotusphilippensis, (LourMuell, Euphorbiaceae Tree Arg.) 21. Indian cork Millingtoniahortensis, (L.f) Bignoniaceae Tree 22. Chilgoza Pinusroxburghii Pinaceae Tree

No. of trees required as per MoEFCC norms = 1 tree/80 sqm = 2023 nos. No. of trees proposed = 2050 nos.

DETAILS OF CONSTRUCTION MATERIAL

List of building materials being used at site: 1. Coarse sand 2. Fine sand 3. Stone aggregate 4. Stone for masonry work 5. Cement 6. Reinforcement steel

PWD, Bhopal 20 Expansion of Hospital project (Smart Medicity), Bhopal, Madhya Pradesh CONCEPTUAL PLAN

7. Pipe scaffolding (cup lock system) 8. Bricks 9. CLC fly ash blocks 10. Crazy (white marble) in grey cement 11. P.V.C. conduit 12. MDS, MCBs 13. PVC overhead water tanks 14. 2 1/2'’ thick red colour paver tiles 15. PPR (ISI marked) 16. PVC waste water lines 17. S.W. sewer line up to main sewer 18. PVC rain water down take 19. Joinery hardware- ISI marked

MATERIALS TO BE USED FOR CONSTRUCTION & THEIR U VALUE

Table 11: List of construction material Type of Construction U Values (in W/m2deg C) WALLS: Bricks: Plastered both sides-114mm 3.24 Solid, Unplastered-228mm 2.67 Plastered both sides-228mm 2.44 Concrete, ordinary, Dense: -152mm 3.58 -203mm 3.18 Concrete block, cavity, 250mm (100mm + 50mm), outside rendered, inside plastered Aerated concrete blocks 1.19 Hollow concrete block, 228mm, single skin outside rendered, inside plastered Aerated concrete blocks 1.70 Roofs pitched: Tiles, slates on boarding and felt with plaster 1.70 ceiling Roofs flat: Reinforced concrete slab, 100mm, screed 63- 3.35 12mm, 3 layers, bituminous felt Floors: Concrete on ground or hardcore fill 1.13 +GranoTerazzo or tile finish 1.13

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+Wood block finish 0.85 WINDOWS: Exposure South, Sheltered: Single glazing 3.97 Double glazing 6mm space 2.67

LIST OF MACHINERY TO BE USED DURING CONSTRUCTION

1. Dumper 2. Concrete mixer with hopper 3. Excavator 4. Concrete Batching Plant (if permissible, otherwise RMC will be procured from outside through contractor) 5. Cranes 6. Road roller 7. Bulldozer 8. Tower Cranes 9. Hoist 10. Labour Lifts 11. Concrete pressure pumps 12. Mobile transit mixer

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