The Director, Dt. 05 / 10 / 2017 Ministry of Environment, Forests & Climate Change, Indira Paryavaran Bhavan, Jor Bagh Road, New Delhi – 110 003.

Sub.:- Environment Clearance – Expansion of Existing Hospital cum Medical campus Project (“Sreevalsam Institute of Medical Sciences”) at Survey Nos. 157/2, 159/3 & Others of Edappal Village, Taluk, District, – Application & Draft ToR Submission – Reg.

Respected Sir,

We have an existing hospital project (with Plot area = 9.4534 ha. & Built-up area = 53,889.72 sq. m.) at Edappal Village, , , Kerala and we are going for expansion of this existing hospital project. Attached herewith are the following documents for obtaining Environment Clearance for the above project as per MoEF Notification S.O. 804(E) dt. 14/03/2017. The attached documents are:

1. Duly filled Form -1 (Appendix I) 2. Duly filled Form – 1A (Appendix II) 3. Conceptual Plan 4. Draft Terms of Reference (ToR)

You are requested to consider our application and approve the Terms of Reference at the earliest.

Thanking you,

Yours respectfully,

(Mr. Rajan Achuthan Nair) Secretary & Authorize Signatory

APPENDIX I

(See paragraph – 6)

FORM 1

(I) Basic Information

Sr. Details Item No. 1. Name of the project/s Environmental Clearance for expansion of the existing Medical campus Project (“Sreevalsam Institute of Medical Sciences”) to be developed by M/s Sreevalsam Educational Trust 2. S. No. in the schedule 8 (a), Construction Project with total built-up area 1,38,937.5 sq.m. which is more than 20,000 sq. m. and less than 1,50,000 sq. m. 3. Proposed capacity / area / length / Total Plot Area = 9.4534 ha. tonnage to be handled/command (94,534.56 sq. m.) area/lease area/ number of wells to Total Built-up Area = 1,38,937.5 sq. m. be drilled (Existing + Proposed) Total Beds = 1,170 beds 4. New/Expansion/Modernization Expansion 5. Existing capacity/area etc., Built-up area = 53,889.72 sq.m. Plot area = 9.4534 ha. 6. Category of Project i.e. ‘A’ or ‘B’ Category ‘B’ as per EIA Notification, 2006 & Category ‘A’ as per MoEF&CC Notification No. S.O. 804(E) dt. 14/03/2017 7. Does it attract the general condition? NO If yes, please specify 8. Does it attract the specific condition? NO If yes, please specify 9. Location Survey Nos. 157/2, 159/3, 158/1, 157/0, 158/1, 159/3, 158/2, 158/5, 159/1, 159/2, 157, 159/3, 164/3, 164/7, 164/4, 163/3, 158/7, 158/3, 158/4, 166/2, 166/1, 156/3, 164/1, 156/3, 164/1, 164/2, 156/4, Edappal Village, Ponnani Taluk, Malappuram District, Kerala. Plot/Survey/Khasra No. Survey Nos. 157/2, 159/3, 158/1, 157/0, 158/1, 159/3, 158/2, 158/5, 159/1, 159/2, 157, 159/3, 164/3, 164/7, 164/4, 163/3, 158/7, 158/3, 158/4, 166/2, 166/1, 156/3, 164/1, 156/3, 164/1, 164/2, 156/4 Village Edappal Tehsil Ponnani District Malappuram State Kerala 10. Nearest railway station/airport along The nearest railway station (Kuttipuram with distance in Kms Railway Station) is about 12 km. (N) and Calicut International Airport, is about 61 Km. (N) away from the project site.

11. Nearest Town, city, District Edappal - about 2.5 km. Headquarters along with distance in Calicut City - about 75 km. Kms Civil Station, Malappuram – about 51 km. 12 Village Panchayats, Zilla Parishad, Village Office address :- Municipal Corporation, Local body Village officer, (complete postal addresses with Edappal Village Office. telephone nos. to be given) Edappal P.O., Ponnani taluk, Malappuram District, Kerala-679576.

Panchayat Office address :- Panchayat Secretary, Edappal Grama Panchayat, Edappal P.O., Malappuram District, Kerala-679576. Ph. 0494-2680236. 13 Name of the applicant M/s Sreevalsam Educational Trust 14 Registered Address M/s Sreevalsam Educational Trust, Reg. No. 53/2010, Regd. Office : Thekke Madhom Road, Thrissur, Kerala-680001. Address for correspondence : M/s Sreevalsam Educational Trust, Reg. No. 53/2010, Regd. Office : Thekke Madhom Road, Thrissur, Kerala-680001. Name Mr. Rajan Achuthan Nair Designation (Owner/Partner/CEO) Secretary Address Mr. Rajan Achuthan Nair, M/s Sreevalsam Educational Trust, Reg. No. 53/2010, Regd. Office : Thekke Madhom Road, Thrissur, Kerala-680001. Pin Code Kerala-680001. E-Mail [email protected] [email protected] Telephone No. 0487-2430114 Mobile No. 09539641006 Fax No. N.A. 16 Details of Alternative Sites examined, Not Applicable if any. Location of these sites should Village-District-State be shown on a topo sheet 1. 2. 17 Interlinked Projects Not applicable

18 Whether separate application of NO interlinked projects has been submitted? 19 If yes, date of submission N.A. 20 If no, reason N.A. 21 Whether the proposal involves approval/clearance under: If yes, details of the same and their status to be given. (a) The Forest (Conservation) Act, 1980? NO (b) The Wildlife (Protection) Act, 1972? NO (c) The C.R.Z Notification, 2011 ? NO

22 Whether there is any Government NO Order/Policy relevant/relating to the site? 23 Forest land involved (hectares) NO 24 Whether there is any litigation pending NO against the project and/or land in which the project 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 No. confirmation / No quantities /rates, wherever possible) with source of information data 1.1 Permanent or temporary change in Yes Due to the expansion activities, there land use, land cover or will be permanent change in land use, topography including increase in land cover or topography including intensity of land use (with respect increase in intensity of land use. to local land use plan) The project is an expansion of existing Sreevalsam Institute of Medical Science and is located at Edappal Village which is falling in Gama Panchayat limits of Edappal Grama Panchayat. During construction phase, about 200 workers will be at site. During operation phase on full occupancy of after the proposed expansion, the maximum population expected is 10,630 persons (floating / fixed population) and hence there is increase in the intensity of land use. (Source: population is calculated based on NBC). 1.2 Clearance of existing land, Yes There are some of native trees and vegetation and buildings? different varieties of shrubs, herbs, climbers existing at site. For construction of new buildings, there will be clearance existing trees and different varieties of shrubs, herbs. 1.3 Creation of new land uses? Yes The proposed project is an expansion of existing Sreevalsam Institute of Medical Science campus. It is proposed to construct new buildings with supporting additional infrastructure facilities.

1.4 Pre-construction investigations Yes Pre-construction Soil Investigation has e.g. bore houses, soil testing? been carried out for the site. It is reported that, the water table is at higher level. 1.5 Construction works? Yes The project is an expansion of existing campus. It is proposed to construct new buildings with supporting infrastructure. 1.6 Demolition works? No Demolition work is not required. 1.7 Temporary sites used for Yes All the construction activity including construction works or housing of stalking of building materials will be construction workers? confined within the project site only and temporary shed would be constructed for storage of cement and other construction materials. Labour hutments for about 200 workers are proposed within the site. 1.8 Above ground buildings, Yes It is proposed to construct some new structures or earthworks including buildings within the existing campus. linear structures, cut and fill or The max. no. of floor after the excavations proposed expansion will be of LG + Gr. + 5 floors. Excavation of earthwork for the foundation of structures 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 and for internal road construction purposes. There is a topographical level difference of about 12 m. between north to south direction. As far as possible, this level difference will be used in building design. 1.9 Underground works including No No underground works including mining or tunneling? mining / tunneling required. 1.10 Reclamation works? No No reclamation work required. 1.11 Dredging? No No dredging work required. 1.12 Offshore structures? No No offshore structure required. 1.13 Production and manufacturing No No production / manufacturing process processes? involved. 1.14 Facilities for storage of goods or Yes Separate raw material store of cement materials? and other construction materials will be made within the project premises. Bricks and steel will be laid in open. 1.15 Facilities for treatment or disposal Yes Construction phase :- of solid waste or liquid effluents? Solid waste generation from the project due to the labor colony during construction phase will be about 80 Kg/day and domestic sewage will be about 11 KL/day. The non- biodegradable waste and other packaging material generated as construction debris will be segregated and stored separately. The recyclable non-biodegradable waste salvaged

from the debris like cement blocks, wood, iron bars, aluminium sections, etc. would be re-used or sold to the vendors. The inert construction debris will be disposed for land filling or back filling. The bio-degradable solid waste will be disposed in a bio-bin system for microbial composting and a mobile STP for the treatment of domestic sewage from the labour colony.

Operation phase :- Solid waste generation will be about 2,093 Kg/day and which will be collected separately as Bio-degradable and Non-biodegradable waste as per the MSW Rules, 2016. The non- biodegradable and recyclable waste would be sold to the vendors. The biodegradable waste would be sent to the bio-gas generation plant. The dried sludge from STP would be sent to the bio-gas generation plants.

Bio-medical waste:- From the proposed hospital, bio- medical waste (about 819 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 hospital buildings would be outsourced through a Kerala State Pollution Control Board authorized agency (M/s Indian Medical Association Goes Eco Friendly, IMAGE). 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 disposed as per e Waste (Management & Handling) Rules.

Further, the spent oil from the D.G. sets (defined as hazardous waste) will be sold to C.P.C.B. approved recyclers. Also, domestic hazardous waste would

be generated like discarded paint 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.

Radio active waste management :- Radio active waste containers shall be stored as closed to the work area as feasible to minimize the possibility of spillage during the transfer of waste to the container. Radio active waste containers should be kept closed at all times when not in use. Liquid waste must be kept in secondary containment at all times, including transport to the radio active waste pickup location. Radio active waste should be delivering to the designated pick up location in a timely manner. The external packaging shall be monitored for contamination before disposal in to the regular trash. No packaging material with detectable radio active contamination may be disposed in the regular trash.

Effluent :- The domestic sewage about 696 KL/day will be generated which will be treated through proposed Sewage Treatment Plant to be installed within the project premises. Also, the hospital effluent & laundry liquid waste of 24 KL/day from ETP is generated from the laundry & laboratory area. 1.16 Facilities for long term housing of Yes The proposed project is expansion of operational workers? the existing campus and operational workers will be hired locally. There is accommodation facility for staff (236 persons) and hostel facility (576 student) for the students. 1.17 New road, rail or sea traffic during Yes The project is an expansion of the construction or operation? existing campus. It is proposed to construct some new buildings with supporting additional infrastructure along with roads within the campus. 1.18 New road, rail, air waterborne or Yes The project is an expansion of the other transport infrastructure existing campus. It is proposed to including new or altered routes construct some new buildings with and stations, ports, airports etc? supporting additional infrastructure along with roads within the campus. 1.19 Closure or diversion of existing No Not applicable transport routes or infrastructure leading to changes in traffic

movements?

1.20 New or diverted transmission lines No Not applicable or pipelines? 1.21 Impoundment, damming, No Not applicable culverting, realignment or other changes to the hydrology of watercourses or aquifers? 1.22 Stream crossings? No Not applicable 1.23 Abstraction or transfers of water Yes For meeting the water requirement, the form ground or surface waters? well water will also be used in the project. 1.24 Changes in water bodies or the No Not applicable land surface affecting drainage or run-off? 1.25 Transport of personnel or Yes Transportation of personnel / material materials for construction, during the construction and operation operation or decommissioning? phase is envisaged. In the construction phase, approx. 12-14 trucks / day is envisaged for transportation of materials. 1.26 Long-term dismantling or No Not applicable decommissioning or restoration works? 1.27 Ongoing activity during No Not applicable decommissioning which could have an impact on the environment? 1.28 Influx of people to an area in Yes The project is medical institutional either temporarily or permanently? project and the proposed project would provide job facilities for about 500 persons which includes administrative, institutional staff, housing keeping staff, security etc. in the operation phase and about 200 nos. of labourers (skilled/unskilled) during construction phase. Further, on full occupancy of the project, the maximum population expected is 10,630 Persons (floating / fixed population) (after the proposed expansion).

1.29 Introduction of alien species? No Not applicable 1.30 Loss of native species or genetic Yes Due to the proposed development, diversity? some of the existing trees will be cut for development of the proposed 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.

1.31 Any other actions? No Not applicable

2. Use of Natural resources for construction or operation of the Project (such as land, water, materials or energy, especially any resources which are non- renewable or in short supply): S. Information/checklist Yes Details thereof (with approximate No. confirmation / No quantities /rates, wherever possible) with source of information data 2.1 Land especially undeveloped or Yes Plot area 9.4534 ha. is reserved area agricultural land (ha) for expansion of existing Sreevalsam Institute of Medical Science. 2.2 Water (expected source & Yes Construction phase :– competing users) unit: KLD The water consumption during construction phase is for meeting the domestic requirement of the construction labourers and for construction purposes water requirement. The domestic water requirement is expected to be 14 KL per day and for construction purposes would be about 20 KL per day. The source of water is from well & KWA water supply (for drinking purposes) for meeting the domestic water requirement and for construction purposes the source of water is stored rain water within the site. The total daily domestic water consumption for the proposed project would be 870 KLD (which includes fresh water requirement of 677 KL) (taken @ 45 ltr. LPCD for staffs & 135 LPCD for hostel/residence area, 15 LPCD for visitors & 450 LPCD for the inpatient). The sources of water during operation phase for the proposed project are: - 1. Roof Rain water (Non-flushing req.) (Rainy days-Concurrent use) 2. Stored rain water / well water / KWA supply (Non flushing req.) (non- rainy days) 3. Treated waste water from STP/ETP (Flushing Req.) (Entire Year) The details regarding the water consumption related items are provided at daily water balance chart and daily water consumption chart attached. 2.3 Minerals (MT) No Not Applicable

2.4 Construction material – stone, Yes Steel : 36,860 MT, Sand: 48,029 cu.m., aggregates, sand / soil (expected Hollow Blocks & Cement Blocks: source – MT) 84,207 cu.m., Cement : 2,95,154 Bags The construction materials would be brought from local suppliers available in the area.

2.5 Forests and timber (source – MT) Yes Wood shall be used for frame of doors & windows however recyclable wood shall be used for doors. 2.6 Energy including electricity and Yes After the proposed expansion total fuels (source, competing users) Power Req. : 2,250 kVA Unit: fuel (MT), energy (MW) Power Source : Kerala State Electricity Board. Capacity of D.G. Sets proposed (Existing 500 kVA x 1 no. + 625 kVA x 1 no. and Proposed 500 kVA x 1 no. + 625 kVA x 1 no.) (Standby power back up arrangement) Fuel – Low Sulphur HSD 2.7 Any other natural resources (use No Not applicable 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. Information/Checklist Yes / Details thereof (with approximate N. confirmation No quantities/rates, wherever possible) with source of information data 3.1 Use of substances or materials, No This is an expansion of existing which are hazardous (as per MSIHC institutional / hospital complex rules) to human health or the project and no storage of hazardous environment (flora, fauna, and chemicals ( as per MSIHC Rules ) will water supplies) be done, apart from diesel storage for D.G. Sets which will be operated only during emergency and suitable arrangement will be adopted for the same. It will be stored in HDPE drums and kept in covered rooms under lock and key. 3.2 Changes in occurrence of disease No Suitable drainage and waste or affect disease vectors (e.g. management measures will be insect or water borne diseases) adopted in both the construction and operation phase which will restrict stagnation of water or accumulation of water within the site & the surroundings. 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 house keeping 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 e.g. by Yes The project is an expansion of the changing living conditions? existing hospital project and thereby the health index of the people around the project site will definitely improve. Also there will be various

ancillary activities like institutions, convenient shops, medical 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 who No Not applicable. There is no storage of could be affected by the project any material within the site which e.g. hospital patients, children, the will affect the vulnerable groups of elderly etc., people. 3.5 Any other causes No Not applicable

4. Production of solid wastes during construction or operation or decommissioning (MT/month) S. Information/Checklist Yes / Details thereof (with approximate No. confirmation No quantities/rates, wherever possible) with source of information data 4.1 Spoil, overburden or mine No No such spoil over burden or mine wastes waste will be generated. The construction debris will be used for back filling purposes. 4.2 Municipal waste (domestic and Yes There will be about 80 kg of or commercial wastes) municipal solid waste during construction phase. The total Municipal solid waste to be generated from the proposed project would be about 2,093 Kg/day on full occupancy during operation phase. Also, the bio-medical waste of about 819 kg/day would be generated. 4.3 Hazardous wastes (as per Yes The oil used in the D.G. sets (as a Hazardous Waste Management standby source of power) after Rules) certain of hours of operation, 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, , M/s Peejay Enterprises, , M/s Excel Petrochemicals, & M/s Cee Jee Lubricants, are the approved recyclers for discarded batteries & used oil located in Kerala. Also, the bio-medical waste of about would be generated from the hospital complex. Also used oil will be stored in HDPE drums in isolated covered facility. 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, 2012. 4.4 Other industrial process wastes No Not applicable 4.5 Surplus product No Not applicable 4.6 Sewage sludge or other sludge Yes The sludge from S.T.P. will be from effluent treatment partially recycled for enhancing biological treatment and the excess sludge will be sent to the filter press and the de-canted sludge will be sent to the bio gas plant and the manure produced will be used in green area during operation phase. The bio gas produced will be used for kitchen/canteen area. 4.7 Construction or demolition Yes Construction waste will be used for wastes back filling purposes. 4.8 Redundant machinery or No Not applicable equipment 4.9 Contaminated soils or other No Not applicable materials 4.10 Agricultural wastes No Not applicable 4.11 Other solid wastes Yes Some horticulture waste will be generated and which will be sent to the bio-gas generation plant.

5. Release of pollutants or any hazardous, toxic or noxious substances to air (Kg/hr) S. Information/Checklist Details thereof (with approximate No. confirmation Yes / quantities / rates, wherever possible) No with source of information data 5.1 Emissions from combustion of Yes The operation of proposed project fossil fuels from stationary or does not envisage any major air mobile sources pollutant generating sources except D.G. Sets and vehicular movement during construction phase and operation phase. It is proposed to have a D.G. set of 62.5 kVA capacity during construction phase and (Existing 500 kVA x 1 no. + 625 kVA x 1 no. and Proposed 500 kVA x 1 no. + 625 kVA x 1 no.) during operation phase. 5.2 Emissions from production No Not applicable. No production processes activity envisaged. 5.3 Emissions from materials Yes This will be restricted to the handling including storage or construction phase and within the transport project site only. 5.4 Emissions from construction Yes Dust will be generated during activities including plant and unloading of construction materials, equipment drilling and grinding operations etc. This will be restricted to the

construction phase and within the project site only. The other source of emission is from D.G sets of 62.5 kVA of 1 no. which will be used during construction phase. 5.5 Dust or odours from handling of Yes During construction phase dust will materials including construction be generated during the handling of materials, sewage and waste construction materials. Sprinklers for suppression of dust will be installed during construction phase to minimize the dust generation. Wind breakers (i.e. barricades with GI sheets) or using shade nets will be used for dust control. 5.6 Emissions from incineration of No Not applicable, no incineration waste proposed. 5.7 Emissions from burning of waste No Not applicable in open air (e.g. slash materials, construction debris) 5.8 Emissions from any other No Not applicable sources

6.0 Generation of Noise and Vibration, and Emissions of Light and Heat: Yes / Details thereof (with approximate S. Information / Checklist No quantities/rates, wherever possible) No. confirmation with source of information data 6.1 From operation of equipment e.g. Yes During construction, the machinery engines, ventilation plant, used for construction will be of crushers highest standards and will be of reputed make and will adhere to international standards. These standards itself take care of noise generated from these machines. The construction involved is low rise hospital complex buildings, no heavy machinery is required. Hence insignificant impacts due to construction machinery are envisaged. The source of vibration from the project is during construction of the building. Pile foundation work generate vibration. The PPV levels from the pile driver would be maintained within 15 mm / sec. at 15 m. from the source of generation. Therefore, there will not be any damage due to the pile work to the nearby existing structures. Apart from this, the construction activity will be restricted to day time only. Noise will be created from operation of D.G. sets but all the D.G. sets shall be silent generators to restrict the noise

within the permissible limit.

6.2 From industrial or similar No Not applicable processes 6.3 From construction or demolition Yes Due to the various construction activities, there will be short term noise impacts in the immediate vicinity of the project site. The construction activity will include the following noise generation activities: Operation of D.G. Sets, concreting mixing and excavation. 6.4 From blasting or piling No No blasting or mechanized piling will be used in the construction phase. 6.5 From construction or operational Yes Some amount of noise will be traffic generated from vehicular movement in the construction and operation phase. 6.6 From lighting or cooling systems Yes Some amount of noise will be generated from vehicular movement in the construction and operation phase. 6.7 From any other sources No Not applicable

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) No. confirmation No with source of information data 7.1 From handling, storage, use or No Used Oil from the D.G. Sets will be spillage of hazardous materials stored in HDPE drums and will be kept at a separate place and sold to CPCB approved recyclers. Therefore there is no risk of contamination due to used oil. The storage of used oil will be done as no spillage of hazardous materials. 7.2 From discharge of sewage or No Sewage will be disposed off through other effluents to water or the Sewage Treatment Plant to be land (expected mode and place developed within the premises both of discharge) during construction and operation phase. There is no chance of spillage or discharge of sewage and all the sewage will be chanalized properly through closed pipes to the STP. The sewage after treatment will be utilized for flushing, horticulture, boiler & make-up water requirement for cooling towers attached with HVAC system purposes. 7.3 By deposition of pollutants No There is no emission except of D.G. emitted to air into the land or sets. By use of low sulphur diesel, the into water emission from the D.G. sets will be within the norms. 7.4 From any other sources No Not applicable

7.5 Is there a risk of long term build No Not applicable up of pollutants in the environment from these sources?

8. Risk of accidents during construction or operation of the Project, which c ould affect human health or the environment Details thereof (with approximate S. Information/Checklist Yes / quantities/rates, wherever possible) No. confirmation No with source of information data 8.1 From explosions, spillages, No This is basically institutional hospital fires etc from storage, handling, complex project. The chances of use or production of hazardous explosions, spillages, fire are minimal. substances During construction all the labours will be provided with suitable personal protective equipment (PPE) as required under the health & safety norms. Training and awareness about the safety norms will be provided to all supervisors and labours involved in construction activity. An agreement will be signed with the contractor which will clearly deals with the safety aspects during construction. 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 No Not applicable

8.3 Could the project be affected by No As per seismic classification, the natural disasters causing project site falls in Zone-III. No environmental damage (e.g. reported cloudburst in the area. Also, floods, earthquakes, landslides, there is no hilly area around the cloudburst etc)? project site, there is no chance of landslide.

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 Details thereof (with approximate No. confirmation Yes quantities/rates, wherever possible) / No with source of information data 9.1 Lead to development of supporting Appropriate infrastructure like roads, utilities, ancillary development or power supply, waste management and development stimulated by the waste water treatment will be project which could have impact on developed within the site so that the environment e.g.: chances of occurrence of any adverse impacts are minimized.

During construction skilled, unskilled

• Supporting infrastructure (roads, Yes and professional work force including power supply, waste or waste temporary and permanent employees water treatment, etc.) shall be hired locally in order to generate the employment to the local people. While during the project operation stage for the purpose of day-to-day maintenance, workers will be employed. Moreover, more employment will be created as a result of positive induced development in the immediate vicinity of project site.

• housing development Yes The proposed project is an expansion of the existing campus which will provide accommodation facility for their staff & hostel facility for the students.

• extractive industries No Not applicable

• supply industries No Not applicable

• other No Not applicable

9.2 Lead to after-use of the site, which No Not applicable could have an impact on the environment 9.3 Set a precedent for later No Not applicable developments 9.4 Have cumulative effects due to No Not applicable proximity to other existing or planned projects with similar effects

(III) Environmental Sensitivity S. Nam e/ Aerial distance (within 15 km.) No. Areas Identity Proposed project location boundary 1 Areas protected under No None within the area. international conventions, national or local legislation for their ecological, landscape, cultural or other related value

2 Areas which are important or Yes Water bodies :- sensitive for ecological reasons Ponnani lake – about 2 km. (W) - Wetlands, watercourses or Manoor kayal – about 3.5 km. (N) other water bodies, coastal sea – about 8.5 km. (W) zone, biospheres, mountains, Bharathapuzha river – about 7 km. forests (NW) 3 Areas used by protected, No None within the area important or sensitive species of flora or fauna for breeding, nesting, foraging, resting, over wintering, migration 4 Inland, coastal, marine or Yes Water bodies :- underground waters Ponnani lake – about 2 km. (W)

Manoor kayal – about 3.5 km. (N) Lakshadweep sea – about 8.5 km. (W) Bharathapuzha river – about 7 km. (NW) 5 State, National boundaries No None within the area 6 Routes or facilities used by the No None within the area public for access to recreation or other tourist, pilgrim areas

7 Defense installations No None within the area

8 Densely populated or built-up Yes Project site is located within Edappal area Panchayat limit which is densely populated. 9 Areas occupied by sensitive Hospitals, schools, places of man-made land uses (hospitals, Yes worship, community facilities are schools, places of worship, located within 15 km. around the site community facilities) 10 Areas containing important, No None within the area high quality or scarce resources (ground water resources, surface resources, forestry, agriculture, fisheries, tourism, minerals)

11 Areas already subjected to No None within the area pollution or environmental damage. (those where existing legal environmental standards are exceeded)

12 Areas susceptible to natural No The project area and it’s surrounding hazard which could cause falls under Zone-III, according to the the project to present Indian Standards Seismic Zoning environmental problems Map. (earthquakes, subsidence, No reported earth quake, subsidence, landslides, erosion, flooding or erosion, cloudburst in the area or in extreme or adverse climatic its surroundings. conditions) Also, there is no reported landslides in and around the project site.

(IV). Proposed Terms of Reference for EIA studies Ans. The expansion (existing + proposed) project is having total built-up area 1,38,937.5 sq. m. (Existing = 53,889.72 sq. m. + Proposed 85,047.78 sq.m. ) and the project has applied under Notification S.O. 804 (E) Dt. 14/03/2017. Therefore the project is categorized as Category ‘A’ and drafts Terms of Reference for approval is attached with the application.

APPENDIX II

( See paragraph 6 )

FORM-1 A

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

(Environmental Clearance for expansion of the existing Medical campus Project (“Sreevalsam Institute of Medical Sciences”) to be developed by M/s Sreevalsam Educational Trust. at (Survey Nos. 157/2, 159/3, 158/1, 157/0, 158/1, 159/3, 158/2, 158/5, 159/1, 159/2, 157, 159/3, 164/3, 164/7, 164/4, 163/3, 158/7, 158/3, 158/4, 166/2, 166/1, 156/3, 164/1, 156/3, 164/1, 164/2, 156/4, Edappal Village, Ponnani Taluk, Malappuram 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 project site is located at Edappal Village which is falling in Panchayat limits of Edappal Grama Panchayat, Malappuram District, Kerala. The vicinity map showing the location of the project site & it’s surroundings is attached. The conceptual plan showing buildings, location of STP, Solid waste processing area, landscape area, parking area, rain water storage tanks, location of well, entry & exit to the site, internal traffic circulation within the site and surrounding etc. is attached.

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 construction projects are mentioned below:-

Objective of the project = Expansion of existing medical campus

Total Cost of the Project = About Rs. 180 Crores

Total plot area = 9.4534 ha. (94,534.56 sq.m.)

Total built-up area = 1,38,937.5 sq.m. (existing 53,889.72 sq.m. + proposed 85,047.78 sq.m.)

No. of Beds in hospital = 1,170 beds

Max. height of the building = 28 m.

Total Domestic Water Req. = 870 KL/day

Sewage Generation = 696 KL/day

Sewage Disposal Facility = Sewage Treatment Plant & Recycling

Treated Water Available from STP = 627 KL/day

Effluent Generation from ETP= 27 KL / day

Effluent disposal facility = Effluent Treatment Plant & Recycling

Treated water available from ETP = 24 KL / day

Source of Water = Roof Rain water (Non-flushing req.) (Rainy days-Concurrent use), Stored rain water / wells / KWA supply (Non flushing req.) (non- rainy days) & Treated waste water from STP / ETP (Flushing Req.) (Entire Year)

The details of the daily water requirement balance chart ( rainy days & non – rainy days ) is provided. Also attached is the activity wise population & daily water consumption details are attached.

Total Power Requirement = 2,250 kVA

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

Capacity of D.G. Sets = Existing 500 kVA x 1 + 625 kVA x 1 Nos. & Proposed 500 kVA x 1 + 625 kVA x 1 Nos.

Parking Proposed = 1,184 Cars + 1,409 Two wheelers

Connectivity :- The access road to the project site is from 10 m. wide & 8 m. wide in the northern side which are well connected to Thrissur - Road which is located at about 1 km. from the site. The nearest railway station (Kuttipuram Railway Station) is about 12 km. (N) and Calicut International Airport, Karipur is about 61 Km. (N) away from the project site.

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 project site is located at Edappal Village which is falling in Panchayat limits of Edappal Grama Panchayat, Malappuram District, Kerala. 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 / effluent and it’s fully recycling thereby there is no discharge outside the project premises. (ii) The project has made provision for rain

water storage tanks which will be used as concurrent source of water during rainy days and for non-rainy days. (iii) By the Bio-gas generation plant proposed within the project premises, the bio-degradable solid waste disposal will be managed within the site thereby no disposal outside the site. (v) There are various native species of trees, shrubs, herbs etc. existing at site as part of floral ecology. Some of the trees will be retained and the remaining will be cut for development of the proposed 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.

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 significant land disturbance occur due to the construction project. The project site falls within Zone-III as per the seismological classification map of . There is no history of subsidence of the project site or it’s surroundings in the past. There is a topographical level difference of about 12 m. and the slope is toward south side. Pre-construction Soil Investigation has been carried out for the site. It is reported that, the water table higher level.

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 slope is toward south side. The site development does not affect the drainage pattern of the site and surroundings. The rain water from the site would be stored in the tanks existing at site & additional rain water harvesting tanks to be constructed within the site. The excess runoff from the site will be properly chanalized to the drain and will be discharged only after de-siltation & oil removal to the drain.

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. Excavation of earthwork for the foundation of structures 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 and for internal road construction purposes. There is a topographical level difference of about 12 m. between north to south direction. As far as possible, this level difference will be used in building design.

1.7. Give details regarding water supply, waste handling etc. during the construction period. Ans. Construction phase – It is expected to have about 200 workers (average) during construction phase. The water requirement during construction period is from the well water / stored rain water. The domestic water requirement is expected to be 14 KL per day and for construction purposes would be about 20 KL per day. 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 11 KL/day and this quantity of domestic waste would be disposed through a mobile STP to be provided at the labour colony. The treated sewage will be used for meeting the landscape / sprinkling / dust suppression purposes. The non bio-degradable 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 in the existing bio-gas generation plant from the labour colony.

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. Not applicable.

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 the existing bio-gas generation plant 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 :- The water requirement during construction phase is for construction purposes and for the domestic water requirements of the construction workers. The construction water requirement is expected to be 20 KL/day and for domestic purposes is estimated to be 14 KL/day. The water requirement during the construction phase will be met from the wells & stored rain water. 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 are mentioned below:-

Total Domestic Water Req. = 870 KL / day (which includes 677 KLD of fresh water req.)

Sewage Generation = 696 KL / day

Sewage Disposal Facility = Sewage Treatment Plant & Recycling

Treated Water Available = 627 KL / day

Effluent Generation from ETP= 27 KL / day

Effluent disposal facility = Effluent Treatment Plant & Recycling

Treated water available from ETP = 24 KL / day

Source of Water :- 1. Roof Rain water (Non-flushing req.) (Rainy days-Concurrent use) 2. Stored rain water / well water / KWA supply (Non flushing req.) (non-rainy days) 3. Treated waste water from STP/ETP (Flushing Req.) (Entire Year)

The project has made provision for rain water storage tanks will be used for the concurrent use and of water and hence as source of water during rainy days & non-rainy days. The source of water for this well water & stored rain water through tanks and hence the availability of water is ensured.

The Water Balance Chart (rainy days & non-rainy days) is attached. The activity wise population & daily water consumption details are attached.

2.2. What is the capacity (dependable flow or yield) of the proposed source of water? Ans. During construction phase, the source is from the well water & recycled water from STP/ETP & rain water storage tanks. With the estimated construction phase water requirement of about 34 KL/day (14 KDL + 20 KLD) extending for a period of about 84 months, this source is dependable. The source of water for the proposed project during operation phase will be water from the proposed Rain water collection tank s within the site of for meeting the water requirement for non -flushing ( during rainy days). Also, it proposed to construct STP for the treatment of additional domestic sewage load & effluent from the hospital laundary through ETP. During non-rainy days, the source of water is from stored rain water, KWA water supply & for well water for meeting the non-flushing water requirement. The treated waster from STP/ETP would meet the water requirement for flushing, horticulture, boiler & make-up water requirement for cooling towers attached with HVAC plant 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 provided.

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 Kerala Water Authority (KWA), stored rain water during rainy days & non-rainy days for non- flushing purposes & treated sewage for meeting the flushing, horticulture, boiler & make-up water requirement for cooling towers attached with HVAC plant requirements. It is proposed to have Sewage Treatment Plant (STP) for treatment of domestic sewage. Also, it is proposed to have WTP for filtration & disinfection of before its use. The water quality of the well water existing at the project site is collected and analyzed through an accredited laboratory. It is observed that the analyzed values physical, chemical parameters of the well water analyzed is fit for potable purposes to meet the drinking water standards as per IS 10500 except iron contents. Thereby, appropriate treatment would be done before its consumption.

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 project has made provision for treatment of sewage. The quantity of treated water from STP which is fit for recycling to meet the flushing (223 KL), horticulture (55 KL), boiler (20 KL) & excess for make-up water requirement for cooling towers attached with HVAC plant. 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. Since there is minimal dependency on public supply, there is no diversion of water from other users. The water supply for the project will be from

stored rain water, well water and recycled water and hence there will be minimum impact to the 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 generated from the proposed activity because the whole waste water of this project would be treated through S.T.P. within the project area and the treated water from S.T.P will be fully re-used and no discharge outside the project site. Therefore, no impact outside the site.

2.7. Give details of the water requirements met from water harvesting? Furnish details of the facilities created. Ans. The source of water for the project will be water from Rain water storage tanks to be constructed within the site for meeting the water requirement for non-flushing activities.

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 reported that the ground water level is higher level. Due to this factors, the percolation to the ground before the site development is very poor. Further, it is proposed to have rain water storage tanks. The excess runoff from the site will be properly chanalized to the external drain and will be discharged only after de-siltation & oil removal to the drain. Due to these measures, there would not be any incremental load and will not cause any flooding or water logging.

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. It is reported that the ground water level is higher level. The source of water for the project will be water from Rain water storage tanks for meeting the water requirement during rainy days-concurrent use and stored for non-rainy days and open well at site for meeting the water requirement for non-flushing activities and hence the availability of water is ensured and due to the reasons mentioned above, the dependency on ground water will be minimal.

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. The run-off during construction phase will be partially channelized to the rain water storage tank. The excess runoff from the site will be properly chanalized to the drain and will be discharged only after de-siltation & oil removal to the drain and therefore, the run-off will not contaminate the land and aquifer.

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 roof run-off from the site will be appropriate ly channelised to the storm water collection tanks to be constructed within the site and the excess runoff from the site will be properly chanalized to the drain and will

be discharged only after de-siltation & oil removal to the drain. As per the contour of the site the natural drainage pattern within the site is towards south direction. The surface runoff will be properly channelized to the external drain after de-silting and oil removal. Sand, gravel & other loose construction materials during rainy day s to be kept in a covered or secured place so as to prevent the carrying of these through surface run-off. Proper & regular house keeping of the construction site specially during rainy days & these area to be free of all litters like plastic bottles & carry bags, packaging materials, hand gloves, etc.

2.12. Will the deployment of construction labourers particularly in the peak period lead to unsanitary conditions around the project site (Justify with proper explanation) Ans. The project has provision of labor colony and the domestic sewage will be channelised to the mobile STP for treatment of sewage during the construction period to handle the sewage. The existing bio-gas generation plant will be use for disposal of food waste from labor colony. Also, it is proposed to have a dedicated staff for good house keeping of the construction site premises and the labor colony premises. These measures will ensure a good hygienic conditions around the labor colony.

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 project has provision of mobile STP for the treatment of sewage during construction phase and additional STPs within the project premises to treat the additional sewage during operation phase. The technology for the treatment of the sewage is up to tertiary treatment technology. The total quantity of sewage generation will be 696 KL/day and effluent from ETP will be of 27 KLD. The treated water will be fully recycled for meeting the flushing, horticulture, boiler & make-up water requirement for cooling towers attached with HVAC plant requirements. There will be no sewage / effluent discharge from the proposed project premises after development of the proposed project.

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, boiler & make- up water requirement for cooling towers attached with HVAC plant 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. Some of the trees will be retained and the remaining will be cut down for development of 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.

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. Some of the trees will be retained and the remaining will be cut for development of the proposed 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. As per the “Kerala Promotion of Tree Growth in Non-Forest Areas (Amendment) Act, 2007”, no permission is required for cutting of these trees.

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 large number of tree plantation (native species) within the project area and the landscape area proposed is attached.

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. The proposed project is expansion of existing project. There will be no displacement of fauna due to the construction of the proposed project.

4.2. Any direct or indirect impacts on the avifauna of the area? Provide details. Ans. There is no direct or indirect impact on the avifauna of the area due to this project. After the proposed eco restoration with lot of flowering trees and fruit bearing trees will enhance the presence of avifauna.

4.3. Prescribe measures such as corridors, fish ladders etc to mitigate adverse impacts on fauna Ans. Not applicable.

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 project is an expansion of the existing project 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 proposed D.G. Sets will follow all the rules and regulations of State Pollution Control Board and Central Pollution Control Board. The ambient air quality of the site carried out through a n accredited laboratory.

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 this project. The dust generation during construction phase will be controlled by enclosures at appropriate locations and also by sprinkling of water for suppression of dust. The gas/smoke generation expected is from D.G. sets only and the gases will be vented out through stack of appropriate height.

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 project would provide vehicle parking facilities within the project premises. The parking plan for this project would follows KPBR guidelines. The conceptual plan clearly shows the internal traffic management with entry and exit to the proposed project site. The proposed site development will provide internal drive way as per KPBR at all around the building blocks for easy & smooth vehicular movement. The access road to the project site is from 10 m. wide & 8 m. wide in the northern side which are well connected to Thrissur - Kuttippuram Road which is located at about 1 km. from the site. The nearest railway station (Kuttipuram Railway Station) is about 12 km. (N) and Calicut International Airport, Karipur is about 61 Km. (N) away from the project site.

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 shows the internal traffic management with entry and exit to the proposed project site, all internal roads with width, pedestrian path ways etc. Further provision of ramps 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 proposed project is an expansion of the existing project 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 for the vehicles and the parking arrangement which is planned, that there would be easy movement of vehicles within the project area and smooth movement is provided for the vehicles to reduce the traffic congestion.

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 for the project will be 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 re duce any 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 quality around the project site. The ambient noise level of the site is carried out through an NABL accredited laboratory and the ambient noise level report is attached.

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 no any scenic beauty near the project site. Therefore, the proposed project is in no way work as an obstruction of view.

6.2. Will there be any adverse impacts from new constructions on the existing structures? What are the considerations taken into account? Ans. The project site is within the Panchayat limit area. The surrounding area is residential / institutional developments with open land / agricultural. In north direction there is an access road to the site. There will be no any adverse impacts due to the development of the proposed project.

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 Panchayat Building Rules (KPBR). 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. Structural design aspects as per the seismic codes – IS 1893 (2002), IS 13920 (1993) and IS 456 (2000) as applicable would be incorporated in our project.

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 project is located in Panchayat limits of Edappal. 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 project is an expansion of the existing hospital project. After the expansion, during operation phase on full occupancy of the project, the maximum population expected is 10,630 persons (fixed/floating) and hence there will be influx of people (fixed) to the project area and surrounding.

7.2. Give details of the existing social infrastructure around the proposed project. Ans. There are several schools, colleges, religious places, commercial and residential buildings, Govt. and private offices, hospitals, which are located around the proposed project. The vicinity map showing the surrounding details of the proposed project is provided.

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 proposed project is an institutional project 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, transport facilities etc. attached to project which will benefit the local people and change their living condition.

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 institutional hospital project and the some of buildings are centrally air conditioned building, 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. Cement blocks & hollow blocks will be replaced with country made red bricks. Further, the river sand will be replaced by manufactured sand from stone crushers. The glass used will be low emissivity and having U value as per ECBC norms. The details are given below :- Sr. Description of Material with Specification for Non-air U-Value Achiev ed No. conditional building (W / m2 K) WALLS (Cement plaster + Insulative internal plaster + 200 1. mm thick Cement Blocks, External enamel coating ) with wall < 1.25 insulation ROOF ( 115 mm RCC + 65 mm Vermiculate + 100 mm brick 2. < 0.5 coba + 25 mm Roof Tiles finish ) with Roof insulation 3. GLASS ( Single Clear 4 mm Glass ) 4.20

U-Value Sr. Description of Material with Specification for Air-conditional of the overall No. building assembly 1. EXTERNAL WALL External finish + 200 mm thick Cement Blocks 0.39 W / m2 K) + Thermal insulation + Stone clading wall plastered on both side with 5 mm thick aluminium composite panel 2. ROOF 150 mm thick expanded polystyrene insulation + Water 0.367 W / m2 K) Proofing Compound + 40 mm thick Roof Tiles Grouted with 1:4 Cement Mortar 3. GLASS Glazing shall be of double glass with air gap (6 mm + 12 3.30 W / m2 K) mm air gap + 6 mm)

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 to 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 10 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 project will generate about 2,093 Kg/day from the site.  The solid waste from the project will be segregated into three categories at source itself as per Municipal Solid Waste Rules by providing

appropriate colored bins i.e., Bio-degradable ( green bins ), non- biodegradable ( blue bins ) & hazardous waste.  The non-biodegradable and recyclable waste would be sold to the vendors.  The additional biodegradable waste along with sludge from STP would be sent to the bio-gas plant to be developed within the premises.  The bio-gas generated would be consumed in the within the site.  The manure produced from the bio-gas generation facility would be used for green area development within the premises. 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), 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 Pefect 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 hazardous waste would be generated like discarded paint 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

BIO-MEDICAL WASTE:-  After the proposed expansion of the hospital buildings, bio-medical waste (about 819 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 hospital would be outsourced through a Kerala State Pollution Control Board authorized agency (M/s Indian Medical Association Goes Eco Friendly, IMAGE).

RADIO ACTIVE WASTE MANAGEMENT :-  Radio active waste containers shall be stored as closed to the work area as feasible to minimize the possibility of spillage during the transfer of waste to the container.  Radio active waste containers should be kept closed at all times when not in use. Liquid waste must be kept in secondary containment at all times, including transport to the radio active waste pickup location.  Radio active waste should be deliver to the designated pick up location in a timely manner.  The external packaging shall be monitored for contamination before disposal in to the regular trash. No packaging material with detectable radio active contamination may be disposed in the regular trash.

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 2,250 kVA and will be from by Kerala State Electricity Board. The project will make provision of D.G. Sets (Existing 500 kVA x 1 no. + 625 kVA x 1 no. and Proposed 500 kVA x 1 no. + 625 kVA x 1 no.) as standby arrangement of electricity. The proposed project will have provision of power saving and maximum natural light will be provided to minimize energy consumption. 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.  It is also proposed to have charging provision for battery operated vehicles in the parking areas.  Total energy saving is expected to be of about 22%.

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 (Existing 500 kVA x 1 no. + 625 kVA x 1 no. and Proposed 500 kVA x 1 no. + 625 kVA x 1 no.) 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.

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 maximise 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 preparation of layout plan. The project proponent shall made provision for solar panel system (hot water purpose) in building blocks and solar energy devices 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 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 wou ld 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 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 Ponnani Fire Station which is about 11.5 km. 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. The some of the buildings are centrally air conditioned and hence minimal influence to this aspect.

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. Solar Water Heater:- The project would install solar panels for hot water requirements in the project and hence the dependency on electricity for hot water generation can be minimized. This would conserve lot of coal which produces the electricity through public supply and also load on D.G. sets also would be reduced and there by conserve diesel. b. Solar Street Light: - It is also suggested to use solar cell powered street lights within the proposed project site for conservation of electricity. c. Use of LED Lamps: - The project proponent would use LED Lamp which conserve less electricity. d. Lighting: - The orientation of the all buildings of the proposed project are designed with natural ventilation and natural light in the non-air conditioned buildings so that the use of lights during day time can be minimized.

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 details regarding Environment Management Plan (Expected Budgetary Allocation) during construction phase are given below :- Approx. Approx. Sr. Recurring Capital Particulars Basis for Cost Estimate No. Cost / Annum Cost Rs. In Lacs A First Aid medical facility Medical cum First Aid 1. 2.5 2.0 with a trained person with facility first aid kit. Portable Toilets type Portable Toilets like 2. mobile sanitation 4.0 8.0 “Sulabh Sauchalaya” & STP system & STP Supply of drinking Pond water & well water 3. 3.0 2.0 water for the labourers with disinfection system Barricading around the Barricading and Wind 4. 1.0 8.0 project site Wind breakers breakers at the marble cutting area Sprinklers, pipeline Sprinklers for 5. 1.0 2.0 network, online micro filters suppression of dust and pressure pumps Solid Waste from Segregation & bio-gas 6. labour camp & 1.0 1.0 generation plant within the construction site campus TOTAL 12.5 23.0

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 include 1. 8.0 35.0 Plant operational cost (energy & manpower) Capital Cost of ETP & Effluent Treatment recurring cost would include 2. 3.0 14.0 plant operational cost (energy & manpower) Capital Cost of W TP & Water Treatment recurring cost would include 3. 2.0 8.0 plant operational cost (energy & manpower)

Capital cost of Coloured bins at appropriate locations & Bio-gas Solid Waste 4. 4.0 18.0 generation plant & recurring Management Plan cost would include replacement of bins & maintenance of biogas plant D.G. Sets will be new and will be fitted with acoustic Noise Control for enclosures & hence no 5. D.G. Sets through 1.0 4.0 separate capital cost & the acoustic enclosures recurring cost would include minor repair works The capital cost would include cost of providing Chimney for D.G. adequate height of stack, 6. 0.25 2.0 Sets Emission ladder and platform and recurring cost would include cost of painting Green Area development Green Area Development 7. 3.0 18.0 including Grass Plan Coverage Capital cost on construction Rain Water Storage 8. 10.0 60.0 of rain water collection tanks pond Capital cost on procurement Solar energy 9. 4.0 50.0 & installation of solar street operated lights lights TOTAL 35.25 209.0

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 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 No. cost / Annum (Rs. In Lacs) PM 10 & PM 2.5 , Every three 1. Ambient Air 1.0 SO2, NOx, CO months 2. Noise Level 24 hrs. Noise Level Once in a month 3.0 As per IS:14543 Rain water / well Once in a 3. standards for 1.25 water fortnight construction water TOTAL 5.25

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 10 & PM 2.5 , Once in a 1. Ambient Air 1.0 SO2, NOx, CO season Every six 2. Stack Emission SPM, SO , NOx 0.25 2 months pH, BOD, COD, Oil & Treated Water from Grease, TSS, Once in a 3. 3.0 STP bacteriological month parameters Once in a 4. Noise Level 24 Hrs. Noise Level 1.25 month Rain water / well Once in a 5. As per IS:10500 1.00 water month TOTAL 6.50

ACTIVITY WISE DAILY WATER CONSUMPTION CALCULATION DETAILS

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

EXISTING CAMPUS

In Patients ( No. of Beds ) = 570 Beds 570 x 405 Ltr. 570 x 45 Ltr. 1 256.5 ( Including Laundry ) = 230.85 = 25.65

Visitors / bye-standers inpatients = 1,140 Persons 1140 x 5 Ltr. 1140 x 10 Ltr. 2 17.10 ( 2 Persons / Bed ) = 5.70 = 11.40

1140 x 5 Ltr. 1140 x 10 Ltr. 3 Out Patients = 1140 Persons 17.10 = 5.70 = 11.40

Visitor / bye-standers with OPD patient = 1140 Persons 1140 x 5 Ltr. 1140 x 10 Ltr. 4 17.10 ( 1 Person / Out Patient ) = 5.70 = 11.40

Total no. of staff expected in the campus (without accommodation) (like faculty, 290 x 15 Ltr. 290 x 30 Ltr. 5 13.05 doctors, nurses, group-IV staff etc.) = 290 Persons = 4.35 = 8.7

Total no. of staff in the campus (with family accommodation) 405 x 90 Ltr. 405 x 45 Ltr. 6 (like faculty, doctors, nurses, group-IV staff etc.) = 81 staff 54.675 = 36.45 = 18.225 (81 staff x 5 person = 405 persons)

TOTAL = about 4,685 Persons (on full occupancy) 288.75 86.775 375.525 ACTIVITY WISE DAILY WATER CONSUMPTION CALCULATION DETAILS

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

PROPOSED CAMPUS

In Patients ( No. of Beds ) = 600 Beds 600 x 405 Ltr. 600 x 45 Ltr. 1 270.00 ( Including Laundry ) = 243.00 = 27.00

Visitors / bye-standers inpatients = 1200 Persons 1200 x 5 Ltr. 1200 x 10 Ltr. 2 18.00 ( 2 Persons / Bed ) = 6.00 = 12.00

1200 x 5 Ltr. 1200 x 10 Ltr. 3 Out Patients = 1200 Persons 18.00 = 6.00 = 12.00

Visitor / bye-standers with OPD patient = 1200 Persons 1200 x 5 Ltr. 1200 x 10 Ltr. 4 18.00 ( 1 Person / Out Patient ) = 6.00 = 12.00

Total no. of staff expected in the campus (without accommodation) (like faculty, doctors, 220 x 15 Ltr. 220 x 30 Ltr. 5 9.9 nurses, group-IV staff etc.) (210 medical staff & 10 maintenance staff) = 220 staff = 3.30 = 6.6

Total no. of staff in the campus (with family accommodation) 775 x 90 Ltr. 775 x 45 Ltr. 6 (like faculty, doctors, nurses, group-IV staff etc.) = 155 staff 104.625 = 69.75 = 34.875 (155 staff x 5 person = 775 persons)

Total no. of students expected in the campus 174 x 15 Ltr. 174 x 30 Ltr. 7 7.83 (without accommodation facility) = 174 students = 2.61 = 5.22

Total no. of students expected in the campus 576 x 90 Ltr. 576 x 45 Ltr. 8 77.76 (without accommodation facility) = 576 students = 51.84 = 25.92

TOTAL = about 5,945 Persons (on full occupancy ) 388.50 135.615 524.115 ACTIVITY WISE DAILY WATER CONSUMPTION CALCULATION DETAILS ( EXISTING & PROPOSED )

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

1. EXISTING CAMPUS 288.75 86.775 375.525

2. PROPOSED CAMPUS 388.50 135.615 524.115

TOTAL POPULATION = 10,630 Persons 677.26 222.39 899.64 (on full occupancy after the proposed expansion) Say 677 KL Say 223 KL Say 900 KL (fixed/floating)

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. DAILY WATER CONSUMPTION BALANCE CHART ( NON-RAINY DAYS )

Fresh Water Req. (Stored Rain water / KWA / Wells) 647 KL Domestic Water Requirement Wastewater generation @ (30 KL + 647 KL) ( Non - Flushing ), 647 KL 677 KL 80% of Domestic water of STP with Tertiary 870 KL i.e. Treatment ( 835 KL Capacity ) 696 KL (i.e. 20% extra capacity)

Lab. Req. Laundry Req. 15.0 KL 15.0 KL Domestic Water Requirement Treated 223 KL Wastewater generation @ Wastewater Wastewater ( Flushing ), 223 KL generation @100% generation @ 80% 90 % of total of hospital lab. of Laundry wastewater water req. i.e. water req. i.e. generated, i.e., 15.0 KL 12.0 KL 627 KL Horticulture Water Requirement 55 KL

55 KL (Total Load = 27.0 KL) (15 KL + 12 KL) ETP with Tertiary Treatment Re-use Line ( about 33 KL Capacity ) Boiler Water Requirement 20 KL (i.e. 20% extra capacity)

Treated wastewater 20 KL generation @ 90% of Recurrent total water i.e. 24 KL Water Demand Make-up water for cooling towers 329 KL 24 KL attached with HVAC plant (24 KL + 329 KL) 353 KL 1 DAILY WATER CONSUMPTION BALANCE CHART ( RAINY DAYS )

Fresh Water Req. (Stored Rain water – concurrent use) 647 KL Domestic Water Requirement Wastewater generation @ (30 KL + 647 KL) ( Non - Flushing ), 647 KL 677 KL 80% of Domestic water of STP with Tertiary 870 KL i.e. Treatment ( 835 KL Capacity ) 696 KL (i.e. 20% extra capacity)

Lab. Req. Laundry Req. 15.0 KL 15.0 KL Domestic Water Requirement Treated 223 KL Wastewater generation @ Wastewater Wastewater ( Flushing ), 223 KL generation @100% generation @ 80% 90 % of total of hospital lab. of Laundry wastewater water req. i.e. water req. i.e. generated, i.e., 15.0 KL 12.0 KL 627 KL

(Total Load = 27.0 KL) Boiler Water Requirement 20 KL (15 KL + 12 KL) ETP with Tertiary Treatment 20 KL Re-use Line ( about 33 KL Capacity ) (i.e. 20% extra capacity)

Treated wastewater generation @ 90% of Recurrent total water i.e. 24 KL Water Demand Make-up water for cooling towers 384 KL 24 KL attached with HVAC plant (24 KL + 384 KL) 408 KL 2 VICINITY MAP OF THE SITE & SURROUNDINGS

Project Site SATELLITE MAP OF THE SITE & SURROUNDINGS 15 m CONCEPTUAL PLAN N PWD ROAD 15 M WIDE

15 m wide ROAD 15 M WIDE W E

PANCHAYATH ROAD 10 M WIDE

S 2.02

MAİN ENTRY 8.73 11.75

11.30 405

4.63 Ø 15.20 1894 559

PLOTBOUNDARY PA R K I NG FOR H O S PI TAL 12.32 PLOT BOUNDARY

21.76 500 -4 N OS

. PA R K I NG FOR

H O S PI TAL 10.08 30.85 7.22

-3 N OS P A R K IN G FO R H O S P IT A L -25 nos

PLOT BOUNDARY . 2.08

2362

19.90 B ELO N G S TO K .V .M O H A M ED

EX ISTIN G A R EC A N U T G O D O W N 11.89

PLO T BO U N D A RY 3.71

1073 G A T E W A Y 5.14 PARKING FOR

HOSPITAL -5NOS 9.64

. PLO T B O U N D A R Y 20.99 PLO T B O U N D A R Y

GRE EN REA A 11.54 2.36

90 CM WIDEDRAIN PLOT BOUNDARY PLO T B O U N DA R Y

90 CM WIDEDRAIN

17.12

T W O W H EE L ER 8.84 PA RKI NG 4.94 REACREATINAL AREA 31.50 T W O W H E E L E R

5.04 431 SQM P A R K I N G 1162 7.57 PLOT BOUNDARY 884 2 0 0 S Q M PROPOSED

T W OW HE E LE R 7.57

OMMERCIAL 287 53.91

699 204

2.62 578 -1 86

P A R K IN GF O R H O S P ITA

4.5 M WIDE DRIVE WAY 425

4350 C

DOCTOR'SVILLA

PARK ING

27 0 SQM

614 PROPOSED DOCTOR'S

288 435

12.97 21.64 23.75

TYPE1

VILLA

DOCTOR'SPROPOSED

5.64 PROPOSED

COMPLEX(B+G+2) TYPE2

VILLA TYPE1

10 7

PROPOSED

DOCTOR'S PLOT BOUNDARY

4

TYPE2

3 VILLA

PAVEDWALKWAY PAVEDWALKWAY 50 CM WIDE CA TCH DRAIN 12.82

712 8.46 E NTRY 374 T W OW H E ELE R 17.87 PLOT BOUNDARY

L-14NOS. 5 M WIDE INTERNAL DRIVE WAY

PA RKIN G

20 0 QMS 1983

1 3.65

ENTRY 12.73 Ø

588

DOCTOR'SPROPOSED

DOCTOR'SPROPOSED

TYPE2

WIT RC H SLAB C TO C BE OVE RED

VILLA TYPE1 XTG.E WELL VILLA

PLOT BOUNDARY R EA CR9.16 EA T IN AL

11

10MWIDE ACCESSROAD 626

DOCTOR'SPROPOSED

TYPE2

VILLA

SPACE 13.96 PROPOSED

90 CM WIDEDRAIN 3079 DOCTOR'S

PLOT BOUNDARY TYPE2 1256 VILLA 6.05

1947

7

6 PA R KIN GFO R HO SP ITA L

5 PARKING FOR

4 PH YSICALLY 2 DISA BLED 500

5.65 PLOTBOUNDARY

T W OW H E ELE R PAR KIN G

5 12.37

PA R KI NG FO R HO S PIT AL 2 N 5 OS 4 97 1.97 2.26 PARKING FOR DR.'S QUARTERS- 21 NOS.

2.53 5

DISABLED 4 PHYSICALLY

21.93 PAR KING FOR 3.40

700 ROAD 2 SQM

90 CM WIDEDRAIN 669

ROAD P R O PO S E DL A D IE S H OS T EL (G+ 2 )

400

22 5PA SQM RKI NG WHE ELE R

TW O 9.63 3

2.09 PLOT BOUNDARY

350

CAR PARKING 10 NOS

730 -2 NOS. 1.43 50 CM WIDE CA TCH DRAIN

90 CM WIDEDRAIN -31 1 13.52 ROAD 8M WIDE ROAD T W O W H E E L E R P A R K I N G E XTG. WELL 881

- 9NOS T O B E C OVE RED 3 1 0 S Q M (G+8)

3.74 DR.QUARTERS EXISTING

4.16 90 CM WIDE DRAIN 11.02 ROAD WIT H RC C SLAB

2

Retaining wall

TANK RAIN3,60,000 WATER LTRS HARVESTING

D.G.SETS IN THE 4 2

545

5.29

TANK 3,60,000 LTRS-BELOW

6.29 RAINWATER HARVESTING

(G+8) Ø

DR.QUARTERS

COURT-

PROPOSED 2

1.35 YARD 3

4M WIDEDRIVE WAY

GROUND FLOOR (G+8)

DR.QUARTERS

PROPOSED opento

90 CM WIDE DRAIN 4 983 sky

8 M WIDE ROAD 4M WIDEDRIVE WAY

4.50 M WIDEDRIVE WAY 11.89

LVL+300 90 CM WIDE DRAIN

ENTRY opento

GENERATOR ROOM 5

10.8 M WIDE ROAD sky 3

90 CM WIDE DRAIN 1

QUARTERS/ ELECTRICALROOM

NON-TEACHINGSTAFF 6

1 33.06 DISABLED UP

HYSICALLYP LV L +315

GRE EN A REA RAMP FOR 7 90 CM WIDE DRAIN

50 CM WIDE DRAIN 90 CM WIDE DRAIN 3.15

TO CASUALTY

DISABLED UP

8

NTRANCEE HYSICALLYP

3012

DISABLED

2842 RAMP FOR PHYSICALLY

GRE EN A REA PARKINGFOR PLOTBOUNDARY

50CM WIDE DRAIN 8 M WIDE ROAD

MAIN ENTRY GRE EN A REA SQM -215

PARKING MAIN ENTRY 393 R etaining wall WHEELER TWO MAIN ENTRY GRE EN A REA LV L +450

50 CM WIDE DRAIN 16.56

- 2NOS. - TANK

748 90CM WIDE DRAIN MAIN ENTRY HARVESTING

RAINWATER 90CM WIDE DRAIN

50CM WIDE DRAIN ROAD CASUALTY

12 m .depth HOSTEL PARKING FROM 8 M WIDE ROAD 762 50 CM WIDE DRAIN FOR PHYSICALLY GRE EN A REA Ø DISABLED-2 NOS. PARKING FOR 983 90 CM WIDE DRAIN 1038

1229 PHYSICALLY 408,000LTRS PARKING FOR HOSTEL- 7NOS. ENTRY

1 2

CAR PARKING-5 NOS. 9

4

3

DISABLED 5

DISABLED GATE

PHYSICALLY PARKING FOR 6 - 3NOS 7

8 M WIDE ROAD BOUNDARYPLOT

9

8 10

12.34 PARKING FOR DR.'S QUARTERS- 21 NOS. CAR PARKING-9 NOS. CAR PARKING FOR HOSTEL-10 NOS. 90 CM WIDE DRAIN GATE ENTRY

12.25

21

20 18

17

16 15

12 11

360 13

10

opento

6 - 3NOS.- 5890 9

642 CAR PARKING-14 NOS T W OW H E EL E RP A RK ING

sky 7.75

1322 14

8M WIDE ROAD

13 12

2.78 11 628 opento 500 13.69

PLOT BOUNDARY

sky opento

TANK 3,60,000 LTRS 500 RAINWATER HARVESTING

1 PARKING FOR DR.'S QUARTERS - 16 NOS. 1053 PLO T BO U N D A RY

sky

4 5

ENTRY 9.48 6

698 7

8

9

10

P R O PO S E DG E N TS H O S TE L (G + 2)

opento 14

WATER 15 C AP AC IT Y- 6,97 ,000 LIT RES

28.48

9.10 8.17

R AINW AT ER TA NK

sky D ISA B LE D PE OP LE -5 NO S

P AR KI NG F OR P HY S ICA LL Y 9.52

TREATMENT 22.23

3329 (B+G+5) E X IST IN GH O SP IT A LB U IL D IN G 1000 18.31

318

TANK 3,60,000LTRS

PLANT BELOW R A IN W A T E RH A R V ESTIN G CA P R AR KIN - G N6 OS A C A D E M IC B U IL D IN G (G +3)

90CM WIDE DRAIN 1936

o p e nto s k y

o p e nto s k y Rooftopprovision for

HVACand cooling 1290

- 33 0 SQM 614 8.13

384 o p e nto s k y

7.21 C AR PA R KI NG 10 NO S. towers 1835

3153 430 6.04

737 7.62

6220

435 UP EXIT

672 PLO T BO UN D A R Y

614 ENTRY

C AR PA R KI NG -6N OS .

10.20

TANK 3,60,000 LTRS RAINWATER HARVESTING

670

90CM WIDE DRAIN

REACREATINAL

ENTRY CAR PARKING- NOS6 451

487 SPACE 17.54

10MWIDE ACCESSROAD

6.89 873 opento

486

12.20 opento

350 sky 11.39 sky PLAY GROUND

1538

opento PLOT BOUNDARY

11.61 /MANIFOLDROOM

A CC OM OD AT ION NURSES

PLO T B O U N D A R Y

sky 5.20 17.46

2119 LVL+250

1321 opento

sky RETAININGWALL 7.92 7.86 377 1997

707 PA R KI NG FO R HO S PIT AL - 9 N O S

2558 C A R P A R K IN G - 6 N O S 7 25 50CM WIDE DRAIN

635 433 8M WIDE ROAD 4.85 1413

PLOT BOUNDARY PLOT 467 1413

13.58 CAR PARKING - 6NOS GRE EN A REA 90CM WIDE DRAIN CAR PARKING- 7 NOS 1410

841 ENTRY PARKING FOR HOSPITAL- 7NOS 1413 30.44

2680 1880 642 50 CM WIDE DRAIN Septic Tank T W O W H E E L E R DISABLED 528 PARKING-4 NOS. P A R K I N G 34.64 16.20 50 CM WIDE DRAIN S Q M 2 4 5

DISABLED 1 PLOT BOUNDARY 90 CM WIDE DRAIN 2

PARKING-4 NOS. 90CM WIDE DRAIN 3

8 M WIDE ROAD 4

5

6 10

8 733

9 7

T W O W H EE L ER

PA RKI NG 7 6 8

5 4 3

CAR PARKING- 6 NOS 2 44.70 1290 ENTRY

90 CM WIDE DRAIN LVL+50

983

803 PLOTBOUNDARY

827 764

ENTRY SQ M

880 CAR PARKING -16 NOS.

SCHOOL NURSING

1056 PROPOSED 876

5.12 2.30

90CM WIDE DRAIN 7.68 -1 39 2.06 CAR PARKING - 8 NOS. 742 2.80 PARKING FOR ACADEMIC BLDG- 605

15.83 1

2

120 CMWIDE DRA IN 2180 2.71

34 NOS PLOT BOUNDARY 3

PLO T BO U N D A RY 14.27

9 5

8 PLO T BO U N D A RY

7 6

6

5 4

3

2

1 7

CAR PARKING - 7 NOS T W O W H E E L E R P A R KI N G 8

ARKP ING ONLY 6.57

DRIVE WAFOR Y 9

7.71 10 14.28

16.52 11

4 0 0 S Q M 12

HOSPITAL 4.5 M WIDE DRIVE WAY TEACHING PLOT BOUNDARY PROPOSED (LADIES) 993

3649

5.06 20.23 PRO.STAFF QUARTERS PRO.STAFF GRE EN A REA 750

PLOT BOUNDARY PLOT BOUNDARY 5.325.17

5.15 9.54 703

120 CMWIDE DRA IN 7.86

4.13 40.10

10

9 8

4 M 4 WIDEDRIVE WAY

DISABLED 5.30

3 2 CAR PARKING- 27 NOS 1 6 M WIDE ROAD PARKING ENTRY

PARKING FOR HOSPITAL- 13 NOS 7.65

PLOTBOUNDARY 1056

8M WIDE ROAD ANIMAL

737 HOUSE 15.85 LEGEND ENTRY 5 M WIDE ROAD PARKING FOR HOSPITAL- 12 NOS 6 M WIDE DRIVE WAY

DISABLED PARKING FOR HOSPITAL 7.89 - 17 NOS. LAUNDRY 450 PRO.STAFF QUARTERS PARKING 4 M WIDE DRIVE WAY 1444 (GENTS) WASTE 7.26 12.30 PARKING FOR HOSPITAL STORAGE 1473 - 32 NOS. STP Different collection spaces for biomedical wastes, solid wastes,e-waste

3813 24.12

Hazardous waste storage

3230 PLOTBOUNDARY

9.81 PARKING FOR HOSPITAL PA R KIN G FO H R O SPIT AL

-57NOS. PA R KIN G FO H R O SPIT AL PA R KI NG FO R HO SP ITA L

6.79 PA R KI NG FO R HO SP ITA L

3711

5.55 14.13

PLOT BOUNDARY PARKING FOR HOSPITA -13NOS.

10.28 13.67 L - 40 NOS. -20NOS.

2.32 -13NOS. 11.49

4.5M WIDE DRIVEWAY -16NOS.

2.28 15.36 4.5M WIDE DRIVEWAY 2.52 2.08 PARKING FOR HOSPITAL 6.71

- 23 NOS. 763 4.47 11.29 4.5M WIDE DRIVEWAY 3.48 4.64 2.25 11.77 2.31 4.5M WIDE DRIVEWAY 2.40 18.95 PLOT BOUNDARY 2.16 4.72 PLOT BOUNDARY 19.59 PLOT BOUNDARY 15.79 31.86 4.55 8.90 14.20 Annexure-I

Terms of Reference for EIA and preparation of Environment Management Plan (EMP)

Project description, its importance and the benefits, Project site details (location, toposheet of the study area of 10 km, coordinates, google map, layout map, land use, geological features and geo-hydrological status of the study area, drainage), Land use as per the approved Master Plan of the area, Permission/approvals required from the land owning agencies, Development Authorities, Local Body, Water Supply & Sewerage Board, etc, Land acquisition status, R&R details, Forest and Wildlife and eco-sensitive zones, if any in the study area of 10 km - Clearances required under the Forest (Conservation) Act, 1980, the Wildlife (Protection) Act, 1972 and/or the Environment (Protection) Act, 1986, Baseline environmental study for ambient air (PM10, PN2.5, SO2, NOx & CO), water (both surface and ground), noise and soil for one month (except monsoon period) as per MoEF&CC/CPCB guidelines at minimum 5 locations in the study area of 10 km, Details on flora and fauna and socio-economic aspects in the study area Likely impact of the project on the environmental parameters (ambient air, surface and ground water, land, flora and fauna and socio-economic, etc), Source of water for different identified purposes with the permissions required from the concerned authorities, both for surface water and the ground water (by CGWA) as the case may be, Rain water harvesting, etc, Waste water management (treatment, reuse and disposal) for the project and also the study area, Management of solid waste and the construction & demolition waste for the project vis-a- vis the Solid Waste Management Rules, 2016 and the Construction & Demolition Rules, 2016, Energy efficient measures (LED lights, solar power, etc) during construction as well as during operational phase of the project, Assessment of ecological damage with respect to air, water, land and other environmental attributes. The collection and analysis of data shall be done by an environmental laboratory duly notified under the Environment (Protection) Act, 1986, or an environmental laboratory accredited by NABL, or a laboratory of a Council of Scientific and Industrial Research (CSIR) institution working in the field of environment. Preparation of EMP comprising remediation plan and natural and community resource augmentation plan corresponding to the ecological damage assessed and economic benefits derived due to violation. The remediation plan and the natural and community resource augmentation plan to be prepared as an independent chapter in the EIA report by the accredited consultants.