APPLICATION

FOR

ENVIRONMENTAL CLEARANCE

FOR THE CONSTRUCTION OF THE PROPOSED HOSPITAL

„SAMANA HAPPINESS HOSPITAL’ SUPER SPECIALTY HOSPITAL

AT VILLAGE ERNAD TALUK DISTRICT

BY

SAMANA HEALTH CARE SERVICES LLP

CITY PLAZA, “D” BLOCK, CENTRAL BAZAR, MANJERI MALAPPURAM, KERALA, PIN 676517

Submitted to STATE LEVEL ENVIRONMENT IMPACT ASSESSMENT AUTHORITY (SEIAA), KERALA

Prepared by

ENVIRONMENTAL CONSULTANCYAND LABORATORY A QCI-NABET Accredited Environmental Consulting Organization Unit No. 206, 224, 225 Jai Commercial Complex, Eastern Express Highway, Opposite Cadbury Factory, Khopat, Thane (West) – 400 061 Tel: 022 2534 2776, 0484 4011173, Fax: 022 25429650, Email: @ultratech.in, Website: www.ultratech.in

May 2019 INDEX

Sl.No. Content Page No I. Undertaking of the EIA co-ordinator 1 II. Executive summary of the project 2-3 III. Form 1 4-25 IV. Form 1 A 26-53 Annexure No. Annexures 1. Photographs from all the four sides of the site 55 2. Google image of the site with date 56 3. Topographic Contour Survey Map 57-58 4. Site Layout Plan 59-60 5. Building Section 61-62 6. Landscape Plan 63-64 7. Storm water Management Plan 65-66 8. Emergency Evacuation Plan 67-68 9. Traffic circulation Plan 69-70 10. Proof of site not falling under ESZ-1 of WGEEP report 71 11. Details of total cost of project and the CSR activities 72 12. Environmental Quality Analysis Report from Approved Laboratory 12 a. Ambient Air Quality Analysis Report 73 12 b. Ambient Sound Level Monitoring Report 74 12 c. Water Quality Analysis Report 75 12 d. Soil Analysis Report 76 13. Certificate of approval of the laboratory conducting Environmental Quality Analysis 77-82 14. Geotechnical Investigation Report 83-92 15. Proof of Ownership of land 15 a. Copy of possession certificates 93-99 15 b. Copy of land tax receipts 100-106 16. Proof of the authorized signatory 16 a. Authorization Letter 107 16 b. Photo id of Authorized signatory 108 17. Documents from the Environmental Consultant Organization 17.a NABET Accreditation certificate of the consultant 109-116 17.b Photo ID of the EIA Co-ordinator 117 Affidavits for 18. 18 a. No court case pending against the land or the project 118-119 18 b. Constitution of Environment Monitoring Cell, Providing fire fighting system, Providing systems to minimize dust emissions, To provide adequate safety measures for the construction workers during the construction phase To upload the following in the website of the project: a) EC order 120-121 b) Status of compliance of the stipulated EC c) Results of monitoring data and update the same periodically AND d) Send the copy of the EC to the LSG concerned, the Kollam West Village 18 c. Joint Affidavit for implementing the EMP and EC Conditions 122-123 19. Acknowledgement from IMAGE for management of Biomedical Waste 124 20. Copy of application processing fee as Demand Draft 125

Proposed „Samana Happiness Hospital‟ project at Manjeri village, Ernad taluk, Malappuram, Kerala

Prepared by ULTRA-TECH Environmental Consultancy and Laboratory Page 1 Proposed „Samana Happiness Hospital‟ project at Manjeri village, Ernad taluk, Malappuram, Kerala

Executive Summary of the Proposed Hospital Project ‘Samana Happiness Hospital’ Item Description Name of the project Samana Happiness Hospital Project Highlights  Proposal for a Super Speciality NABH & JCIA accredited hospital project at Manjeri with 582 bed capacity.  Proposed to be constructed as a LEED Certified Green Building.  The employment potential is: Construction phase: Around 150 construction workers/day Operation phase: Around 291 persons Name of the Applicant Samana Healthcare Services LLP Name and Address of Authorized Mr O.M.Abdul Rasheed Signatory Chairman & Managing Director Samana Health care Services LLP, City Plaza, “D” Block, Central Bazar, Manjeri Malappuram . Kerala PIN: 676121 Location survey numbers Sy. No:50/24,51/21,51/22,51/23,52/15,52/6 at Block No. 52 Village Manjeri Taluk Ernad District Malappuram State Kerala Total Cost of the Phase- 1 (Front INR 167.08 Crores project building) Phase-2(Rear INR 41.748 Crores building) Total INR 208.82 Crores Duration of Phase- 1(Front 18 months construction building) Phase-2(Rear 12 months building) Total 30 months Total plot area 1.6097 Hectares ie 3.98 Acres or 16097.00 m2 FSI Permissible 2.5 Proposed 2.45 Coverage Permissible 60% Proposed 34% Green Area On ground 3720.62 m2 On podium 1041.81 m2 Total 4762.43 m2 Total Phase 1 41393.5 m2

Prepared by ULTRA-TECH Environmental Consultancy and Laboratory Page 2 Proposed „Samana Happiness Hospital‟ project at Manjeri village, Ernad taluk, Malappuram, Kerala construction Phase 2 10342.7 m2 built-up area Total 51736.2 m2 Height of the Phase 1 36.95 m building Phase 2 33.55 m No. of floors Phase 1 LB1+ LB2+ UB1+ LG+UG + 8 Phase 2 G + 9 No. of beds Phase 1 462 Phase 2 120 Total 582 Total occupancy estimated Beds 582 Staff 291 Visitors 369 Total 1242

Freshwater demand for domestic 191 kLD purpose during operation phase Water sources Three open wells at the project site and an external pond owned by the project proponent with a maximum capacity of 168 m3 and a RWH tank of capacity 250 m3 Capacity of Rain Water Harvesting 250 kL tank Sewage generation 243 kLD Capacity of STP proposed 400 kLD Treatment technology for STP MBR Total power requirement during 1650 kW operation phase Renewable energy devices used 400 kW-Solar Panels for lighting of driveways and walkways Solid Waste Generation during Solid Waste generation (kg/day) operation phase Non- Bio Biomedical Biodegradable degradable waste

211 493 105

Parking for 4 Mandatory 402 no.s wheelers Provision 427 no.s Parking for 2 Mandatory 1506 m2 wheelers Provision 1554.72 m2 Amount to be spent on CER INR 3.15 Crores activities

Prepared by ULTRA-TECH Environmental Consultancy and Laboratory Page 3 Proposed „Samana Happiness Hospital‟ project at Manjeri village, Ernad taluk, Malappuram, Kerala

FORM-1

FOR

ENVIRONMENTAL CLEARANCE

FOR THE CONSTRUCTION OF THE PROPOSED HOSPITAL

„SAMANA HAPPINESS HOSPITAL’ SUPER SPECIALTY HOSPITAL

AT MANJERI VILLAGE ERNAD TALUK KERALA

BY

SAMANA HEALTH CARE SERVICES LLP

CITY PLAZA, “D” BLOCK, CENTRAL BAZAR, MANJERI MALAPPURAM, KERALA

PIN 676517

May 2019

Prepared by ULTRA-TECH Environmental Consultancy and Laboratory Page 4 Proposed „Samana Happiness Hospital‟ project at Manjeri village, Ernad taluk, Malappuram, Kerala

APPENDIX I

FORM 1

(I) Basic Information

S Item Details No 1. Name of the project „Samana Happiness Hospital‟ –A Super Specialty Hospital at Manjeri, Malappuram. 2. S.No. in the schedule 8(a) 3. Proposed A Super Specialty Hospital with 582 beds is proposed to be capacity/area/length/tonn constructed in 2 phases. age to be handled/ The front building is proposed to be constructed in Phase 1 and the rear building is proposed to be constructed in Phase command area/lease 2. The hospital building is proposed to be constructed as a area/number of wells to LEED Certified Green Building. be drilled The area statement for the proposed hospital building is as follows Building Maximum No. Maximu Built-up Block No. of floors of m height area [m2] Name beds of building [m] Proposed LB1+LB2+ 462 36.95 41393.5 front UB1+LG+ building UG+8 (Phase 1)

Proposed G+9 120 33.55 10342.7 rear building (Phase 2) Total no. of beds 582 Total 51736.2 Built-up Area

4. New/Expansion/Moderni New zation 5. Category of Project Category B (B2) i.e.‟A‟ or „B‟ 6. Does it attract the Not Applicable general condition? If yes, please specify. 7. Does it attract the Not Applicable

Prepared by ULTRA-TECH Environmental Consultancy and Laboratory Page 5 Proposed „Samana Happiness Hospital‟ project at Manjeri village, Ernad taluk, Malappuram, Kerala specific condition? If yes, please specify 8. Location Manjeri Village, Ernad Taluk, Malappuram, District Kerala Survey No. Block Number 52 Sy. No:50/24,51/21,51/22,51/23,52/15,52/6 Village Manjeri Tehsil Ernad District Malappuram State Kerala 9. Nearest railway Melattur railway station : 17.74 km SE station/airport along with

distance in kms 10. Nearest Town, city, Manjeri Town : 1.7 km N District Headquarters Malappuram City : 11.7 km SW along with distance in Malappuram district headquarters : 11.2 km SW kms. 11. Village Panchayats, Zilla Manjeri Village Office, Parishad., Municipal Near Police Station, Vellarangal Corporation, Local body Manjeri, Malappuram District – 676121 (complete postal Ph: 0483-2760645, 8547615802 addresses with telephone nos. to be given Manjeri Municipality, Manjeri P.O. Malappuram, Pin: 676121 Tel: 0483-2766238 12. Name of the applicant Samana Health Care Services LLP 13. Registered address Samana Health Care Services LLP, City Plaza,“D” Block, Central Bazar, Manjeri, Malappuram, Kerala, Pin.676121 14. Address for Mr O.M. Abdul Rasheed correspondence: Chairman & Managing Director, Samana Health care Services LLP, City Plaza, “D” Block, Central Bazar, Manjeri, Malappuram Kerala, Pin.676121 Name Mr O.M. Abdul Rasheed Designation(Owner/Part Chairman & Managing Director, ner/CEO) Address Mr O.M. Abdul Rasheed Chairman & Managing Director, Samana Health care Services LLP, City Plaza, “D” Block, Central Bazar, Manjeri, Malappuram Kerala, Pin.676121 Pin Code 676121 E-mail [email protected] Telephone No. 0483-2760606 Mobile No. +91 9995390319

Prepared by ULTRA-TECH Environmental Consultancy and Laboratory Page 6 Proposed „Samana Happiness Hospital‟ project at Manjeri village, Ernad taluk, Malappuram, Kerala Fax No. -- 15. Details of Alternative The site is in possession of the applicant and hence no Sites examined, if any. alternative site is considered for the construction of the Location of these sites proposed multi-speciality hospital project. should be shown on a Toposheet. 16. Interlinked Projects No 17. Whether separate Not Applicable application of interlinked project has been submitted? 18. If yes, date of submission Not Applicable 19. If no, reason Not Applicable 20. Whether the proposal Not Applicable involves approval/clearance under: if yes, details of the same and their status to be given (a)The Forest Nearest notified Forest area at an aerial distance of 24.2 km (Conservation) Act, 1980? (b) The Wildlife Nearest Sanctuary (New Amarambalam wildlife Sanctuary) (Protection) Act, 1972? situated at an aerial distance of 49.1km

(c) The The nearest CRZ area (Kadalundi River) is situated at an C.R.Z.Notification, aerial distance of 29.0 km 1991? 21. Whether there is any No Government Order/Policy relevant/relating to the site? 22. Forest land involved No (hectares) 23. Whether there is any No litigation pending against the project and / or land in which the project is propose to be set up? (a) Name of the Court (b) Case No. (c) Orders/directions of

Prepared by ULTRA-TECH Environmental Consultancy and Laboratory Page 7 Proposed „Samana Happiness Hospital‟ project at Manjeri village, Ernad taluk, Malappuram, Kerala 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.) Details thereof (with approximate quantities /rates, wherever possible) with source of Sl.No. Information/Checklist Yes/ information data confirmation No 1.1 Permanent or temporary Yes The project site is an open plot of 16097.00 m2. The change in land use, land plot is dry land which consists of predominantly end cover or topography of life coconut trees and some other trees such as including increase in Bamboo, Teak, Mango, Jackfruit, Neem etc, weeds intensity of land use and colonizers. 3 open wells exist within the site. (with respect to local This site will be developed to a super speciality land use plan) hospital with a BUA of 51736.2 m2 with 582 beds. The proposed hospital building will be a green building with LEED certification. The natural contour of the site will be maintained without much disturbance. 1.2 Clearance of existing Yes Clearance of end of life coconut trees and other land, vegetation and garden trees will be compensated with the plantation buildings? of more no. of native species at the site. The development of greenbelt has already started. A total of 212 saplings are proposed to be planted. The landscape plan is attached as Annexure 6. 1.3 Creation of new land Yes The site for the construction of the proposed super uses? speciality hospital is an open plot of area 16097.00 m2 and is a dry land predominantly with end of life coconut trees and other native species of trees such as Bamboo, Teak, Mango, Wild jackfruit, Neem, weeds and colonizers. This site will be developed to a super speciality hospital with a BUA of 51736.2 m2 with 582 beds. The proposed hospital building will be a green building with LEED certification and will be constructed in 2 phases, without disturbing the natural contour of the site.

Prepared by ULTRA-TECH Environmental Consultancy and Laboratory Page 8 Proposed „Samana Happiness Hospital‟ project at Manjeri village, Ernad taluk, Malappuram, Kerala 1.4 Pre-construction Yes Geotechnical Investigation has been carried out and investigations e.g. bore the report is attached as Annexure 14. houses, soil testing?

1.5 Construction works? Yes Construction of Super Speciality Hospital building with a total built-up area of 51736.2 m2. Construction will be carried out in 2 phases without disturbing the natural contour of the site. 1.6 Demolition works? No There are no existing buildings at the site. No demolition work is involved. 1.7 Temporary sites used for No No housing for construction workers is planned as construction works or the labourers deployed will be accommodated housing of construction offsite by the contractor. workers? 1.8 Above ground buildings, Yes The building is proposed to be constructed without structures or disturbing the natural contour of the site. The site earthworks including including a lower plot and an upper plot will be developed as such with 2 buildings at 2 different linear structures, cut and elevations. fill or excavations The proposed construction will be carried out in 2 phases. The first phase is the front building which is proposed to be constructed in the lower plot and will have 3 basement floors for parking, ground floor, upper ground floor 8 above ground floors. The phase 2 involves the construction of the rear building in the upper plot with ground and 9 above ground floors. Quantity of cutting =9000m3 Quantity of filling = 8300m3 The earth obtained from cutting shall be utilized for landscaping, road laying and levelling and hence no earth shall be taken out of the site. 1.9 Underground works No Not involved including mining or tunneling? 1.10 Reclamation works? No Not involved 1.11 Dredging? No Not involved 1.12 Offshore structures? No Not involved 1.13 Production and No Not involved manufacturing processes? 1.14 Facilities for storage of Yes Temporary storage facilities will be created to store goods or materials? the raw materials for construction. 1.15 Facilities for treatment or Yes Liquid Waste disposal of solid waste or  STP for treatment of wastewater of capacity liquid effluents? 400 kLD. In the STP, wastewater is treated

Prepared by ULTRA-TECH Environmental Consultancy and Laboratory Page 9 Proposed „Samana Happiness Hospital‟ project at Manjeri village, Ernad taluk, Malappuram, Kerala using Membrane Bioreactor.  Treated wastewater will be recycled and used for flushing, gardening and HVAC  The sludge from STP will be de-watered using filter press and same shall be used as fertilizer. Solid Waste  The solid waste generated shall be segregated at source to biomedical waste, organics and recyclables  All the organic solid waste generated will be treated onsite in an Organic waste convertor of capacity 120kg per batch / 1000kg per day per shift.  All the recyclable solid waste shall be stored and sold to recyclers Biomedical Waste  The biomedical waste is being segregated at source by providing appropriate colour coded bins/ containers as per the colour coding provided in the Bio-Medical Waste Management Rules 2016. The Bio-medical waste from the hospital buildings will be treated by outsourcing through a Kerala State Pollution Control Board Authorized agency Indian Medical Association Goes Eco Friendly (IMAGE). Acknowledgement from IMAGE is attached as Annexure 19. 1.16 Facilities for long term No There will be no long term housing facility for housing of operational operation workers, as most of the staff deployed will workers? be from the nearby localities. 1.17 New road, rail or sea No Not required traffic during construction or operation? 1.18 New road, rail, air No No new transport infrastructure is required. The waterborne or other existing road has the capacity to cater for the transport infrastructure additional traffic due to the proposed hospital. including new or altered routes and stations, ports, airports etc?

Prepared by ULTRA-TECH Environmental Consultancy and Laboratory Page 10 Proposed „Samana Happiness Hospital‟ project at Manjeri village, Ernad taluk, Malappuram, Kerala 1.19 Closure or diversion of No There will not be any closure or diversion of existing transport routes existing transport routes or infrastructure leading to or infrastructure leading changes in traffic movements to changes in traffic movements? 1.20 New or diverted No Not Applicable transmission lines or pipelines? 1.21 Impoundment, damming, No There will not be any impoundment, damming, culverting, realignment or culverting, realignment or other changes to the other changes to the hydrology of water courses or aquifers hydrology of watercourses or aquifers? 1.22 Stream crossings? No There are no stream crossings 1.23 Abstraction or transfers of Yes Water is extracted from the three existing open water form ground or wells at the site. However, rain water recharge pits surface waters? are provided at strategic locations to ensure the recharge of the ground water. It is proposed to construct 7 recharge pits of diameter 2.7 m. 1.24 Changes in water bodies No There is no water body in the immediate vicinity or the land surface that may be affected by runoff. There will be an affecting drainage or run- increase in the runoff after the completion of off? developments which will be intercepted and used to recharge ground water. It is proposed to construct 7 recharge pits of diameter 2.7 m throughout the site. Hence runoff is likely to be reduced in the post construction scenario. 1.25 Transport of personnel or Yes There will be transport of personnel and materials for construction, construction materials during the construction operation or phase. Precautions will be taken to reduce the decommissioning? impact of the vehicular movement by scheduling the vehicular trips for transporting construction material to non-peak hours 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 Yes It is estimated that there will be an influx of in either temporarily or maximum 1242 persons including patients, staff and

Prepared by ULTRA-TECH Environmental Consultancy and Laboratory Page 11 Proposed „Samana Happiness Hospital‟ project at Manjeri village, Ernad taluk, Malappuram, Kerala permanently? visitors. Beds 582 Staff 291 Visitors 369 Total 1242

1.29 Introduction of alien No There will not be any introduction of alien species. species? Only indigenous plants will be planted in the green area. The landscape plan is attached as Annexure 6. 1.30 Loss of native species or No Site will be developed into super speciality hospital. genetic diversity? At present site has around 37 coconut trees which are in end of life stage, different trees such as Bamboo, Teak, Mango, Wild jackfruit, Neem and some generally found local trees. These trees along with weeds and colonizers should be cleared. There will not be any loss of native species or genetic diversity. 1.31 Any other actions? No Not applicable

2. Use of Natural resources for construction or operation of the Project (such as land, water, materials or energy, especially any resources which are non-renewable or in short supply): Details thereof (with approximate Sl.No. Information/checklist Yes/No quantities /rates, wherever possible) confirmation with source of information data 2.1 Land especially No The project site end of life coconut trees and undeveloped or some other commonly found trees such as agricultural land (ha) Bamboo, Teak, Neem etc and some weeds and colonizers. 2.2 Water (expected source & Yes Description Quantity Source of competing users) unit: of water water supply kLD required (kLD) Construction Phase For workers 0.45 Drinking water (domestic) cans For workers 2.3 Three open (flushing) wells at the site For 15 Three open Construction wells at the site activity Operation phase (Non-Monsoon

Prepared by ULTRA-TECH Environmental Consultancy and Laboratory Page 12 Proposed „Samana Happiness Hospital‟ project at Manjeri village, Ernad taluk, Malappuram, Kerala

Season) Domestic 191 Harvested rain water after filtration and UV disinfection, open wells, an external pond (of maximum capacity 168 m3). Flushing 90 Treated effluent from STP Gardening 30 Treated effluent from STP HVAC 130 Treated effluent from STP, harvested rain water after filtration and UV disinfection and an external pond (of maximum capacity 168 m3). Total 441 Operation phase (Monsoon Season) Domestic 191 Harvested rain water after filtration and UV disinfection, open wells, an external pond (of maximum capacity 168 m3). Flushing 90 Treated effluent from STP HVAC 130 Treated effluent from STP, Harvested rain water after

Prepared by ULTRA-TECH Environmental Consultancy and Laboratory Page 13 Proposed „Samana Happiness Hospital‟ project at Manjeri village, Ernad taluk, Malappuram, Kerala filtration and UV disinfection and open wells, an external pond (of maximum capacity 168 m3). Total 411

2.3 Minerals (MT) No No minerals are required, except for aggregates which are derived from minor minerals. 2.4 Construction material – Yes The quantity of construction materials stone, aggregates, sand / required is as follows soil (expected source – Cement : 117954 bags Steel : 33.48 MT MT) Coarse aggregates :12000 m3 Fine aggregates :6000 m3 2.5 Forests and timber No Not required (source – MT) 2.6 Energy including Yes Power requirement during construction electricity and fuels phase is 50kW and power requirement (source, competing users) during operation phase is1650 kW. Unit: fuel (MT), energy (MW) 2.7 Any other natural Yes 400kW solar panels are proposed to be resources (use appropriate installed. It is proposed to save 30% of standard units) electricity by the use of solar energy. Solar energy will also be utilized for lighting the driveways and walkways.

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. Details thereof (with approximate quantities/rates, wherever possible) with S.No. Information/Checklist Yes/No source of information data confirmation 3.1 Use of substances or No The only hazardous materials used during materials, which are construction and operation will be fuels and hazardous (as per MSIHC engine oils in makeup quantities. Proper management of these materials will leave no rules) to human health or the significant impact on the environment.

Prepared by ULTRA-TECH Environmental Consultancy and Laboratory Page 14 Proposed „Samana Happiness Hospital‟ project at Manjeri village, Ernad taluk, Malappuram, Kerala environment (flora, fauna, The biomedical waste generated in the and operation phase will be managed through water supplies) IMAGE. 3.2 Changes in occurrence of No The site will be maintained free of stagnant disease or affect disease water to avoid breeding of vectors. Hence vectors (e.g. insect or water vector borne diseases are not likely to occur. borne diseases) 3.3 Affect the welfare of people Yes Will positively affect the quality of life of e.g. by changing living local people by providing health care and conditions? allied facilities and direct and indirect employment opportunities. Direct employment to 290 persons and indirect employment to 300 persons. 3.4 Vulnerable groups of people No Not applicable. There is no storage of any who could be affected by the material within the site which will affect the project e.g. hospital patients, vulnerable groups of people. children, the elderly etc., 3.5 Any other causes No None

4. Production of solid wastes during construction or operation or decommissioning (MT/month) Details thereof (with approximate quantities/rates, wherever possible) with source S.No Information/Checklis Yes/N of information data . t confirmation o 4.1 Spoil, overburden or No Not Applicable mine wastes 4.2 Municipal waste Average Solid Waste generation (domestic and or Yes No of (kg/day) commercial constructio During construction wastes) n workers phase per day Non- Biodegradabl Tota Biodegrad e l e able 150 9 21 30

Solid Waste generation (kg/day) During operation phase Non-Biodegradable Bio degradable Biomedical waste

211 493 105

4.3 Hazardous wastes (as No Not applicable per Hazardous Waste Management Rules)

Prepared by ULTRA-TECH Environmental Consultancy and Laboratory Page 15 Proposed „Samana Happiness Hospital‟ project at Manjeri village, Ernad taluk, Malappuram, Kerala 4.4 Other industrial No Not applicable process wastes

4.5 Surplus product No Not applicable 4.6 Sewage sludge or other Yes Sewage sludge from STP will be de-watered using sludge from effluent the filter press and same shall be used as fertilizer. treatment 4.7 Construction or Yes Construction waste of inorganic origin will be used demolition wastes to lay foundation of roads and walkways.

4.8 Redundant machinery No Any machinery or equipment used for construction or equipment will be removed from site by the contractor as per the terms of contract. 4.9 Contaminated soils or No Not applicable other materials 4.10 Agricultural wastes No Not applicable 4.11 Other solid wastes No Not applicable

5. Release of pollutants or any hazardous, toxic or noxious substances to air (Kg/hr) Details thereof (with approximate quantities/rates, wherever possible) with S.No. Information/Checklist Yes/No source of information data confirmation 5.1 Emissions from combustion of Yes D.G sets with a capacity of 630kVA and fossil fuels from stationary or 1000kVA will be installed as sources for mobile sources backup power. The DG sets will meet standards prescribed by CPCB. 5.2 Emissions from production No No production process is involved, as the processes proposal is for the construction of a multi- speciality hospital with 582 beds. 5.3 Emissions from materials Yes Fugitive dust emission due to handling, handling including storage or loading unloading activities is envisaged transport during construction phase. To avoid this ready mix concrete will be used. To minimize traffic related dust, areas of vehicular movement in and around the project site will be sprinkled with water. In the operation phase, there will not be any generation of fugitive dust, as all the internal roads will be tarred/paved. 5.4 Emissions from construction Yes The project may cause rise in dust levels activities including plant and during construction phase. Precautions equipment would be taken to reduce dust generation during construction phase by the following management practices.

Prepared by ULTRA-TECH Environmental Consultancy and Laboratory Page 16 Proposed „Samana Happiness Hospital‟ project at Manjeri village, Ernad taluk, Malappuram, Kerala

 Use of Ready Mix Concrete(RMC) will eliminate the handling of cement, sand and concrete thus dust emission will be minimized  Water will be sprinkled at regular intervals to reduce dust in areas of vehicular movement. 5.5 Dust or odours from handling Yes Dust generation will be controlled by of materials including  Use of RMC will eliminate the handling construction materials, sewage of cement, sand and concrete and waste  Water sprinkling will be done at regular intervals  Proper ventilation will be provided for STP to eliminate stagnant air  Food waste will be charged into organic waste converter of 120kg per batch /1000kg per day per shift and STP sludge will be de-watered using sludge/filter press and the same shall be used as fertilizer. 5.6 Emissions from incineration No Not applicable of waste 5.7 Emissions from burning of No As a good environmental management waste in open air (e.g. slash practice, wastes will not be burnt in the materials, construction debris) open air. 5.8 Emissions from any other No Not applicable sources

6. Generation of Noise and Vibration, and Emissions of Light and Heat: Yes/No Details thereof (with approximate quantities/rates, wherever possible) with source of information data with source of information S.No. Information/Checklist data confirmation 6.1 From operation of Yes For control of noise following measures shall be equipment e.g. engines, adopted: ventilation plant,  Noise generating equipment will have crushers regulative measures and performance evaluation.

 Vibration generating heavy machines will be installed on vibration damping foundation.  High noise generating construction activities would be out only during day time.  Workers working near high noise construction machinery would be supplied

Prepared by ULTRA-TECH Environmental Consultancy and Laboratory Page 17 Proposed „Samana Happiness Hospital‟ project at Manjeri village, Ernad taluk, Malappuram, Kerala with ear plugs and their exposure duration will be as per recommended intervals and duration 6.2 From industrial or No Not applicable similar processes 6.3 From construction or Yes Noise Pollution Control : demolition Noise pollution will occur due to operation of machinery and movement of vehicles. The following good management practices would be implemented. High noise generating construction activities would be carried out only during day time  Installation, use and maintenance of mufflers and silencers on equipment  Workers working near high noise construction machinery would be supplied with ear muffs/ear plugs 6.4 From blasting or piling No Not applicable 6.5 From construction or Yes Entrance to the site is designed properly and will operational traffic be manned to avoid traffic hold up at entrance. Circulation and parking will is planned so that traffic flow will be smooth. Adequate parking space is provided to avoid on-road parking. Green belt and garden trees will be planted to mitigate noise, traffic related pollution and heat island effect. The traffic management/circulation plan is attached as Annexure 9. 6.6 From lighting or No Building space will be illuminated according to cooling systems task based standards. External lighting will be controlled so as not to cause illumination beyond the project site. Vehicular and pedestrian circulation areas will be provided with pathway illuminating fittings so that stray light emission to the surroundings can be avoided 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 quantities/rates, wherever possible) with S.No. Information/Checklist Yes/No source of information data confirmation

Prepared by ULTRA-TECH Environmental Consultancy and Laboratory Page 18 Proposed „Samana Happiness Hospital‟ project at Manjeri village, Ernad taluk, Malappuram, Kerala 7.1 From handling, storage, Yes Waste oil generated from DG sets shall be stored use or spillage of at separate location duly marked and will be sold hazardous materials to the CPCB authorized recyclers. 7.2 From discharge of sewage No Waste water and effluent will be collected and or other effluents to water treated as per norms prescribed by Kerala State or the land (expected Pollution Control Board. The treated water will be reused for flushing, gardening and HVAC. mode and place of discharge) 7.3 By deposition of No Dust will be generated during construction phase pollutants emitted to air from earthworks and movement of vehicles. into the land or into water Appropriate fugitive dust control measures, including water sprinkling of exposed areas and

dust covers for trucks, will be provided to minimize any impacts. DG stack height shall be as per CPCB guidelines. 7.4 From any other sources No Not applicable

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

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

8.1 From explosions, spillages, No Not applicable fires etc from storage, handling, use or production of hazardous substances 8.2 From any other causes No Not applicable 8.3 Could the project be No Storm water runoff will be controlled by affected by natural disasters intercepting the run off for roof top harvesting causing environmental and for ground water recharging. This will help to reduce contribution of the development to damage (e.g .floods, offsite flooding. earthquakes, landslides, Earthquake : cloudburst etc)? The structural design will be certified as per IS code 456-2000, 875-1987 and IS-1893-2002 for seismic zone-III of Kerala.

Prepared by ULTRA-TECH Environmental Consultancy and Laboratory Page 19 Proposed „Samana Happiness Hospital‟ project at Manjeri village, Ernad taluk, Malappuram, Kerala 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 Details thereof (with approximate quantities/rates, wherever possible) with Sl. Information/Checklist Yes/No source of information data No. confirmation 9.1 Lead to development of supporting. Facilities, ancillary development or development stimulated by the project which could have impact on the environment e.g.:

 Supporting infrastructure Yes During the project operation stage for the (roads, power supply, purpose of day-to-day maintenance, workers waste or waste water will be employed. Moreover, more treatment, etc.) employment will be created as a result of positive induced development in the immediate vicinity of project site.  housing development No Not applicable  extractive industries No Not applicable  supply industries No Not applicable  other No The site is not served by Sewer System. Independent STP will be installed for treating the sewage. 9.2 Lead to after-use of the site, No Not applicable which could have an impact on the environment 9.3 Set a precedent for later Yes Manjeri is a town in Ernad Taluk. Hospital is developments located near to NH 966. The project will play a major role to improve the health care of the local population. The location of project is easily accessible from nearby remote areas. The project will also create/add job opportunities for professionals as well as support staff like security, maintenance etc. 9.4 Have cumulative effects due No Not applicable to proximity to other existing or planned projects with similar effects

Prepared by ULTRA-TECH Environmental Consultancy and Laboratory Page 20 Proposed „Samana Happiness Hospital‟ project at Manjeri village, Ernad taluk, Malappuram, Kerala

(III) Environmental Sensitivity

Aerial distance (within Sl.No. Areas Name/ 15 km.) Identity Proposed project location boundary 1 Areas protected under international conventions, national or local legislation for their ecological, No None within 15 km landscape, cultural or other related value 2 Areas which are important or sensitive for ecological reasons - Nilamboor Teak At an aerial distance of Wetlands, watercourses or other Forest 13.2 km N water bodies, coastal zone, biospheres, mountains, forests 3 Areas used by protected, important or sensitive species of flora or Nilamboor Teak At an aerial distance of fauna for breeding, nesting, foraging, Forest 13.2 km N resting, over wintering, migration 4 Inland, coastal, marine or No None within 15 km underground water State, National boundaries No None within 15 km 5

6 Routes or facilities used by the NH 966 Distance of 7.7 km SW public for access to recreation or other tourist, pilgrim areas 7 Defense installations No None within 15 km 8 Densely populated or built-up area Malappuram Aerial distance of 11.7 km 9 Areas occupied by sensitive man- School made land uses (hospitals, schools, 1 Benchmarks International 5.6 km NE places of worship, community School facilities) 2 Mubarak English Medium School 2.6 km 3 Kendriya Vidyalaya, 11.4 km SW Malappuram 4 Noble public school 3.5 km E Manjeri 5 Chinmaya Vidhyalaya 3.8 km E 6 Blossom Public School 4.4 km N Colleges 1 NSS College Manjeri 3.0 km NE 2 College of Applied 8.8 km SW Science (IHRD) Malappuram 3 Noble Women‟s College 3.6 km E 4 Najmul Huda Arabic 4.7 km W

Prepared by ULTRA-TECH Environmental Consultancy and Laboratory Page 21 Proposed „Samana Happiness Hospital‟ project at Manjeri village, Ernad taluk, Malappuram, Kerala College 5 Jamia Islamia Arts & 3.6 km E Science College Hospitals 1 M.B Hospital 0.2 km SW 2 PMSA Memorial Malappuram District Co- 10.8 km SW op Hospital 3 Manu Memorial Hospital 2.7 km N 4 Korambayil Hospital & 2.5 km NE Diagonostic Centre(p) Ltd 5 Malabar Hospital 3.1 km N 6 Ernad Hospital 1.3 km N 7 Govt. Medical College 1.4 km NE Hospital 8 Prasanthi Hospital 1.1 km NE 9 Rishi Ayurveda Hospital 1.5 km SE & Research Centre 10 Govt. Aayurveda Hospital 2.5 km NE Manjeri 11 Hearts Malabar Cardiac 2.6 km NE Centre 12 Kerala Unani Hospital 2.5 km NE 13 Dr. CVS Health Centre 270 m E 14 Daya Homeopathy Clinic 7.7 km N 15 Dr.Tariq‟s Alsharaf Homeo Medical Centre 3.6 km N Cherani 16 District Homeopathic 9.0 km S Hospital 17 R M Homeopathy 2.3 km NE Church 1 St. Joseph Roman Catholic 11 km SW Latin Church 2 St.Mary‟s Church 4.9 km NE Koomamankulam 3 St.Thomas Church 12.3 km SW 4 CSI Church 1.6 km N 5 St.Joseph‟s Church 1.5 km NW 6 St. Thomas Jacobite 12.8 km SW Chappel Cross 7 St. Gregorious Syrian 9.6 km SW Orthodox Church 8 St. Thomas Church 12.3 km SW 9 St. Joseph‟s Church 1.5 km NW 10 St. Mary‟s Syro Malabar 4.5 km NE Church Payyanad 11 Holy Cross Roman 1.3 km NE Catholic Latin Church

Prepared by ULTRA-TECH Environmental Consultancy and Laboratory Page 22 Proposed „Samana Happiness Hospital‟ project at Manjeri village, Ernad taluk, Malappuram, Kerala Temple 1 temple 2.7 km NW 2 Oranadath Shiva 2.7 km NW Narasimhamoorthy 3 Sri Karimkalikavu 4.2 km NW Bhagavathi Temple 4 Pappinipara Temple 4.3 km W 5 Nalloor Sri Mahavishnu 5.0 km SW Temple Koomamkulam 6 Chirakkara 7.2 km N Narasimhamoorthi 7 Vettaykkorumakan 6.4 km N Temple 8 Irumbuzhi Sree Vishnu 6.7 km SW Kshethram 9 Muthrukunnu Bhgavathy 1.4 km E Temple 10 Arukizhaya Siva Temple 350 m E 11 Kavil Ayyappas Temple 5.6 km N 12 Mahavishnu Temple 6.6 km N Trikkalangode 13 Thirumanikara Temple 6.3 km N 14 Chirayil 8.7 km NE BhagavathyTemple 15 Pazhukkara Shiva Temple 6.6 km E 16 Kappad Bhagavathi 13.0 km SW Temple Mosque 1 Kattungal Juma Masjid 7.7 km SW 2 Kunnummal Juma Masjid 10.5 km SW 3 Valiyangadi Valiyapalli 12.6 km SW Shuhada Masjid 4 Manjeri Central Juma 1.8 km NE Masjid 5 Mylappuram Juma Masjid 12.9 km SW 6 Kolmanna Juma Masjid 13.4 km SW 7 Muttipalam Parammal 2.3 km SE Juma Masjid 8 Pariyaram Masjid 3.1 km SW 9 Al Hidaya Sunni Masjid 3.5 km SW 10 Anakkayam Town Masjid 3.2 km S 11 Nedumpara Musjid 6.1 km W 12 Masjidul Islah 3.5 km S 13 Cholakkal Juma Majid 3.0 km SW Vakethody 14 Masjid Thowheed 3.9 km SW 15 Pulyanthodi Masjid 4.3 km W 16 Vadakkangara Masjid 6.3 km E 17 Pilakkal Juma Masjid 6.5 km E

Prepared by ULTRA-TECH Environmental Consultancy and Laboratory Page 23 Proposed „Samana Happiness Hospital‟ project at Manjeri village, Ernad taluk, Malappuram, Kerala 10 Areas containing important, high quality or scarce resources Teak At an aerial distance of (ground water resources, surface Forest 13.2 km N resources,forestry,agriculture, fisheries, tourism, minerals) 11 Areas already subjected to pollution No None within 15km or environmental damage. (those where existing legal environmental standards are exceeded) 12 Areas susceptible to natural hazard Ernad At an aerial distance of which could cause the project to Prone-landslide 11.2 km SW present environmental problems (earthquakes, subsidence, landslides, erosion, flooding or extreme or Nilambur At an aerial distance of adverse climatic conditions) Prone-landslide 13.2 km N

Prepared by ULTRA-TECH Environmental Consultancy and Laboratory Page 24 Proposed „Samana Happiness Hospital‟ project at Manjeri village, Ernad taluk, Malappuram, Kerala

“I hereby given undertaking that the data and information given in the application and enclosures are true to the best of my knowledge and belief and I am aware that if any part of the data and information is submitted is found to be false or misleading at any stage, the project will be rejected and clearance give, if any to the project will be revoked at our risk and cost”.

Date: 10-05-2019 Place: Manjeri

O.M. Abdul Rasheed Chairman & Managing Director, Samana Health Care Services LLP, City Plaza “D” Block, Central Bazar, Manjeri, Malappuram, Kerala, Pin.676121 Email: [email protected] Ph: 0483-2760606 Mob: +91 9995390319

Prepared by ULTRA-TECH Environmental Consultancy and Laboratory Page 25 Proposed „Samana Happiness Hospital‟ project at Manjeri village, Ernad taluk, Malappuram, Kerala FORM-1A

FOR

ENVIRONMENTAL CLEARANCE FOR THE CONSTRUCTION OF THE PROPOSED HOSPITAL PROJECT

„SAMANA HAPPINESS HOSPITAL’ A SUPER SPECIALTY HOSPITAL

AT MANJERI VILLAGE ERNAD TALUK MALAPPURAM DISTRICT KERALA

BY

SAMANA HEALTH CARE SERVICES LLP

CITY PLAZA, “D” BLOCK, CENTRAL BAZAR, MANJERI MALAPPURAM, KERALA PIN 676517

May 2019

Prepared by ULTRA-TECH Environmental Consultancy and Laboratory Page 26 Proposed „Samana Happiness Hospital‟ project at Manjeri village, Ernad taluk, Malappuram, Kerala FORM-1 A (only for construction projects listed under item 8 of the Schedule) CHECK LIST OF ENVIRONMENTAL IMPACTS (Project proponents are required to provide full information and wherever necessary attach explanatory notes with the Form and submit along with proposed environmental management plan & monitoring programme)

1 LAND ENVIRONMENT (Attach panoramic view of the project site and the vicinity) 1.1 Will the existing land use get 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.

Figure 1: Google image of proposed location The site photographs were attached as Annexure 1. 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. Table 1: Building details Project name „Samana Happiness Hospital‟ –A Super Specialty Hospital at Manjeri, Malappuram. Proposed project details Total Plot area 16097.00 m2 Total built up area 51736.2 m2

Prepared by ULTRA-TECH Environmental Consultancy and Laboratory Page 27 Proposed „Samana Happiness Hospital‟ project at Manjeri village, Ernad taluk, Malappuram, Kerala Total no. of beds 582 F.A.R. 2.45 Coverage 34% Green belt area on ground 3720.62 m2 on podium 1041.81 m2

The area statement for the proposed expansion is as follows: Name of block Maximum No. of No. of Maximum Built-up floors beds height of area [m2] building [m] Proposed front LB1+ LB2+ 462 36.95 41393.5 building UB1+ LG+UG + (Phase 1) 8 Proposed rear G + 9 120 33.55 10342.7 building (Phase 2) Total 582 -- 51736.2

Table 2: Parking Statement Parking for Parking area required Parking area provision Four wheelers (no‟s) 402 427 Two wheelers (m2) 1506 1554.72

Table 3: Occupancy load in the Hospital Sl No Purpose Occupancy 1 Beds 582 2 Staffs 291 3 Visitors 369 Total 1242 Reference: Criteria for Occupancy Load: National Building Code (NBC) -2005 – Part 4, Page 27, Occupant Load

Table 4: Water consumption during operation phase Sl No. Purpose Occupancy Water requirement Domestic Flushing Total 1. Beds 582 183 79 262 2. Staffs 291 6 7 13 3. Visitors 369 2 4 6 1242 191 90 281 Reference: Criteria for water requirement: National Building Code (NBC) -2005 – Part 9, Page19, Water Requirement. The amount of water demand is calculated based on the occupancy of the building and the per capita consumption as given in MoEF & CC-Manual on norms and standards for EC of large construction projects

Prepared by ULTRA-TECH Environmental Consultancy and Laboratory Page 28 Proposed „Samana Happiness Hospital‟ project at Manjeri village, Ernad taluk, Malappuram, Kerala

i.e. Total quantity of water used (LPCD) = Occupancy x Quantity (LPCD) Then Total quantity of water used for Domestic and Flushing in m3 is calculated.

Table 5: Total water requirement for the project and source Description Quantity of water Source of water supply required (kLD) Construction Phase For workers 0.45 Drinking water cans (domestic) For workers 2.3 3 existing Open wells at the site (flushing) For Construction 15 3 existing Open wells at the site activity Operation phase (Non-Monsoon Season) Domestic 191 Harvested rain water after filtration and UV disinfection, open wells, an external pond (of maximum capacity 168 m3). Flushing 90 Treated effluent from STP Gardening 30 Treated effluent from STP HVAC 130 Treated effluent from STP, harvested rain water after filtration and UV disinfection and an external pond (of maximum capacity 168 m3). Total 441 Operation phase (Monsoon Season) Domestic 191 Harvested rain water after filtration and UV disinfection, open wells, an external pond (of maximum capacity 168 m3). Flushing 90 Treated effluent from STP HVAC 130 Treated effluent from STP, Harvested rain water after filtration and UV disinfection and open wells, an external pond (of maximum capacity 168 m3). Total 411

Table 6: Wastewater generation Sl. Description Quantity of waste Treatment/Disposal No. water generated (m3/day) 1. Construction 2.3 Compact STP (Portable) Phase 2. Operation 243 Treatment in STP using Membrane Bioreactor Phase and reuse of treated wastewater (available for

Prepared by ULTRA-TECH Environmental Consultancy and Laboratory Page 29 Proposed „Samana Happiness Hospital‟ project at Manjeri village, Ernad taluk, Malappuram, Kerala recycling (220 m3/day), for flushing (90 m3/day) for HVAC (100 m3/day) and gardening (30 m3/day) during non-monsoon season and during monsoon season, for flushing (90 m3/day) and for HVAC (130 m3/day). Reference: Criteria for waste water: Manual on norms and standards for EC of large construction projects - MoEF.

Table 7: Municipal Solid Waste generation during Construction phase Avg. no. of Criteria for Solid waste generation Solid waste generation (kg/day) construction Total Biodeg- Non- Total Biodeg- Non- workers per day kg/person radable biodegradable radable biodegradable 150 0.2 70% 30% 30 21 9

Table 8: Municipal Solid waste generation during Operation phase Sl No Purpose Occupancy Solid Waste Generation Biodegradable Non- Total biodegradable 1. Beds 582 416 178 594 2. Staff 291 51 22 73 3. Visitors 369 26 11 37 Total 1242 493 211 704 For Beds, Staff & Visitors: 70 % wet garbage and 30 % dry garbage out of total 1.2, 0.25 and 0.10 Kg/person /day respectively. *For the solid waste generation from the hospital, all the recyclable waste will be sold to recyclers and biodegradable waste will be treated using organic waste converter and then same shall be used as fertilizer. Table 9: Biomedical Waste generation during Operation phase Beds Bio-Medical waste generation (kg/day)

582 105 *For Hospital solid waste: 15 % biomedical waste out of total 1.20 Kg/person /day.

The total quantity of solid waste expected is 704 kg/day. Out of which 211 kg/day will be non-biodegradable and 493 kg/day will be biodegradable. The project proponent has provision for segregation and collection of biodegradable & non-biodegradable waste within the premises. Biodegradable waste will be treated in Organic waste converter of capacity 120kg per batch / 1000kg per day per shift. The non-biodegradable waste will be handed over to recyclers. The Bio-medical waste would be outsourced through a Kerala State Pollution Control Board authorized agency Indian Medical Association Goes Eco Friendly (IMAGE). Acknowledgement from IMAGE is attached as Annexure 19. Any e-waste generated during the operation phase of the project will be handed over to authorized e-waste collection centers. Table 10: Power requirement during construction phase and operation phase S No Power requirement Source of Power Purpose

Prepared by ULTRA-TECH Environmental Consultancy and Laboratory Page 30 Proposed „Samana Happiness Hospital‟ project at Manjeri village, Ernad taluk, Malappuram, Kerala

1. Construction Phase 50kW DG Sets 2. 1650 kW KSEB Transformer 1x 630 kVA 3. Operation phase D G sets (backup power) 1 x 1000 kVA 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 landuse, disturbance to the local ecology). The proposed hospital is a super specialty hospital with 582 bed spaces in a two building complex, hence, there may be some minor impacts on water, air environment, power requirement etc, but it shall be mitigated by providing proper pollution control facilities such as STP and the use of non-conventional energy sources such as solar energy. Power consumption shall be reduced by using energy saving practices. Also for water conservation, rain water harvesting is being planned, in addition to ground water recharge pits. Impact on air quality shall be reduced by the extensive green cover. This project will enhance the socio- cultural infrastructure as well as health care and allied services to the public and it will generate employment during construction and operation phase to the local people and there by shall have positive impact on socio economy. 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). Soil type: The soil type at the site is predominantly red soil with pockets of pebbles and boulders. With proper protection of cut faces, the soil is not likely to slide or subside. Slope analysis: The contour map of the site is enclosed as Annexure 3. The elevation of the site gradually varies from 90 m to 112 m over a distance of 21 m. The slope of site is about 9.41%. All the engineered structures will be as per the seismic zoning map of India, region falls under zone III. The structural design will be certified as per IS code 456-2000, 875-1987 and IS- 1893-2002 for seismic zone-III of Kerala. 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) No. The site is sloped. The project will implement a storm water management plan by which the post development run off will be less than no-action scenario. The storm water management plan is attached as Annexure 7. Seven ground water recharge pits of 2.7 m diameter are proposed to be provided throughout the site based on the contour. 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.) The quantity of earth cutting involved = 9000 m3 The quantity of earth filling involved = 8300 m3

Prepared by ULTRA-TECH Environmental Consultancy and Laboratory Page 31 Proposed „Samana Happiness Hospital‟ project at Manjeri village, Ernad taluk, Malappuram, Kerala The building structure is so designed that the excavated soil will be used for leveling and landscaping. Hence excavated soil will not be taken out of the site. 1.7 Give details regarding water supply, waste handling etc. during the construction period. Water required for the project will be abstracted from the three existing open wells at the site. Drinking water will be provided in canisters supplied by bottled drinking water vendors. Sanitation wastewater will be treated in STP using Membrane Bioreactor and treated waste water further utilized for flushing, gardening and HVAC. Table 11: Water demand during the construction phase Description Quantity of water Source of water supply required (kLD) Construction Phase For workers (domestic) 0.45 Drinking water cans For workers (flushing) 2.3 3 existing Open wells at the site For Construction activity 15 3 existing Open wells at the site

Table 12: Waste water generation, treatment and disposal during the construction phase Sl. Description Quantity of Waste water Treatment/ Disposal No. generated (m3/day) 1. Construction 2.3 Compact STP (Portable) Phase 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) No, the site is open plot and there is an existing natural drain to carry the excess runoff from the site. Hence there is no alteration to low lying areas or wetlands. 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) There will be construction waste and garbage generated during construction phase. On an average there would be about 150 persons working at the site on an 8-hour shift, and they will be accommodated off-site. It is assumed that workers present at the site on an 8-hour shift contribute only one-third of garbage as compared to domestic garbage. This amounts to 150 x 0.2 = 30 kg per day, of which 70%, i.e. 21 kg will be food waste. Garbage will be segregated in to biodegradable (food waste) and non-biodegradable. Biodegradable material will be treated using Organic waste converter. Table 13: Municipal Solid Waste generation during construction phase Avg. no. of Criteria for Solid waste generation Solid waste generation (kg/day) construction Biodeg- Non- Total Biodegradable Non- Total workers per day radable biodegradable kg/person biodegradable 150 30% 70% 0.2 21 9 30

Prepared by ULTRA-TECH Environmental Consultancy and Laboratory Page 32 Proposed „Samana Happiness Hospital‟ project at Manjeri village, Ernad taluk, Malappuram, Kerala

2 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. The details of the water requirement for the proposed project with the breakup of requirements for various uses are given in Table 14. Table 14: Total water requirement for the project and source Description Quantity of Source of water supply water required (kLD) Construction Phase For workers (domestic) 0.45 Drinking water cans For workers (flushing) 2.3 3 existing Open wells at the site

For Construction activity 15 3 existing Open wells at the site

Operation phase (Non-Monsoon Season) Domestic 191 Harvested rain water after filtration and UV disinfection, open wells, an external pond (of maximum capacity 168 m3). Flushing 90 Treated effluent from STP Gardening 30 Treated effluent from STP HVAC 130 Treated effluent from STP, harvested rain water after filtration and UV disinfection and open wells, an external pond (of maximum capacity 168 m3). Total 441 Operation phase (Monsoon Season) Domestic 191 Harvested rain water after filtration and UV disinfection, open wells, an external pond (of maximum capacity 168 m3). Flushing 90 Treated effluent from STP HVAC 130 Treated effluent from STP Total 411 *Water requirement for gardening purpose is considered as 7litres per square meter of gardening area on ground and 3litres per square meter of gardening on podium. Total quantity of water used (LPCD) =Gardening Area (Sq. Mt.) x Quantity (Lit /Sq. Mt.) Water demand will be met through water from the 3 open wells in the site area, and an external pond owned by the project proponent with a maximum capacity 168 m3. Due to high variability in the occupancy of the hospital, the water requirement for HVAC will mostly be

Prepared by ULTRA-TECH Environmental Consultancy and Laboratory Page 33 Proposed „Samana Happiness Hospital‟ project at Manjeri village, Ernad taluk, Malappuram, Kerala met through recycled water and whenever this is not sufficient, freshwater will be used for the purpose. The water balance charts of existing and after expansion for non-monsoon and monsoon seasons are shown in Figure 2 and Figure 3 respectively.

Open Wells, an external pond, Harvested rain water after filtration and UV disinfection = 221 m3/day

Gardening = 3 HVAC = 130 30 m /day Flushing = 90 m3/day Domestic = m3/day 191 m3/day Recycled 80% of 100% of Recycled = =30 m3/day domestic flushing = 90 99 m3/day converted to m3/day wastewater = 153 m3/day Recycled = 90 m3/day

Total wastewater generated = 243 m3/day

Total wastewater available for recycling = 220 m3/day

Figure 2: Water Balance Chart for Non-Monsoon Season

*We have considered 10% less availability of waste water for recycling considering losses of waste water in evaporation and sludge formation. Total water requirement = 441 m3/day Treated wastewater available for recycling = 219 m3/day After recycling treated waste water for flushing (90 m3/day), gardening (30 m3/day) and HVAC (100 m3/day) Hence net freshwater requirement= 221 m3/day [From open wells, an external pond (of maximum capacity 168 m3), harvested rain water after filtration and UV disinfection.] Reduction in water Demand = 49.83%

Prepared by ULTRA-TECH Environmental Consultancy and Laboratory Page 34 Proposed „Samana Happiness Hospital‟ project at Manjeri village, Ernad taluk, Malappuram, Kerala

Open Wells, an external pond, Harvested rain water after filtration and UV disinfection = 191 m3/day

HVAC = 130 3 Domestic = 191 Flushing = 90 m /day m3/day m3/day

80% of domestic 100% of flushing Recycled = 130 converted to 3 = 90 m3/day m /day wastewater = 153 m3/day Recycled = 90 m3/day

Total wastewater generated = 243 m3/day

Total wastewater available for recycling =220 m3/day

Figure 3: Water Balance Chart for Monsoon Season

*We have considered 10 % less availability of waste water for recycling considering losses of waste water in evaporation and sludge formation.

Total water requirement = 411 m3/day Treated wastewater available for recycling = 220 m3/day After recycling treated waste water for flushing (90 m3/day) and HVAC (130m3/day) Hence net freshwater requirement= 191 m3/day [From open wells, an external pond (of maximum capacity 168 m3), Harvested rain water after filtration and UV disinfection] Reduction in water Demand = 53.63%

2.2 What is the capacity (dependable flow or yield) of the proposed source of water? Existing Fresh water requirement: 221 m3/day during non-monsoon and 191 m3/day during monsoon period. Sources of water: 3 existing open wells, an external pond (of maximum capacity 168 m3) owned by the project proponent, and rain water harvesting tank.

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) The raw water available at the site meets physical and chemical standards prescribed for by BIS 10500 for drinking water. The water analysis report is shown in Table 15.

Prepared by ULTRA-TECH Environmental Consultancy and Laboratory Page 35 Proposed „Samana Happiness Hospital‟ project at Manjeri village, Ernad taluk, Malappuram, Kerala Table 15: Water Analysis Report

Desirable Limit as Sl.No. Parameters Unit Method Result per IS 10500:2012 1 Colour, Max Colour IS : 3025 (Pt.4) 10 5 units 2 Odour --- IS : 3025 (Pt.5) Agreeable Agreeable 3 Turbidity, Max NTU IS : 3025 (Pt.10) 9.0 1 4 pH@25°C --- IS : 3025 (Pt.11) 6.19 6.5-8.5 5 Total Hardness as mg/l IS : 3025 (Pt.21) 200 26 CaCO3, Max 6 Iron as Fe, Max mg/l IS : 3025 (Pt.53) 5.79 0.3 7 Chloride as Cl, mg/l IS : 3025 (Pt.32) 250 22.17 Max 8 Total Dissolved mg/l IS : 3025 (Pt.16) 500 68 Solids, Max 9 Sulphate as SO4, mg/l APHA 200 BDL(MDL- Max 23rdEd.4500 1.0) SO4-E 10 Alkalinity as mg/l IS : 3025 (Pt.23) 200 24.87 CaCO3, Max 11 Calcium, Max mg/l IS : 3025 (Pt.40) 6.4 75 12 Magnesium, Max mg/l IS : 3025 (Pt.46) 2.43 30 cfu/100 Absent 13 E.coli IS : 15185 - 2016 Absent ml

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) The total quantity of treated wastewater available for recycling will be 220 m3/day. All secondary requirements like flushing (90 m3/day), gardening (30 m3/day) and HVAC (100 m3/day during non-monsoon and 130 m3/day during monsoon season) would be fulfilled by treated waste water from STP. Hence the project can be considered to be zero discharge.

Table 16: Water requirement met by recycled water Sl. No. Description Quantity of water met by recycled water (m3/day) 1. Flushing 90

2. Gardening 30 3. HVAC 100 Total 220

Prepared by ULTRA-TECH Environmental Consultancy and Laboratory Page 36 Proposed „Samana Happiness Hospital‟ project at Manjeri village, Ernad taluk, Malappuram, Kerala 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)

There will not be any diversion of water from other users, as the project is proposing to meet all its water demand from its own sources such as 3 existing open well and from an external pond owned by the project proponent. A rainwater harvesting tank of capacity 250 m3 will provide at the site and un-stored rain water will be used to charge ground water through recharge pits which will accelerate the rate of ground water percolation.

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) During operation phase, the wastewater generation from the project will be 220 m3/day and will be treated in STP using Membrane Bioreactor. The total installed capacity of the STP is 400 kLD. Treated waste water will be reused for flushing, gardening and HVAC. The project is proposed to be a zero discharge project and hence all the wastewater generated is reused at the project site. Table 17: Quantity of waste water generated Sl. Description Quantity of waste Treatment/Disposal No. water generated (m3/day) 1. Construction 2.3 Compact STP (Portable) Phase 2. Operation 243 Treatment in STP and reuse of treated phase wastewater (available for recycling (220 m3/day), for flushing (90 m3/day) for HVAC (100 m3/day) and gardening (30 m3/day) during non-monsoon season and during monsoon season, for flushing (90 m3/day) and for HVAC (130 m3/day). Reference: Criteria for waste water: Manual on norms and standards for EC of large construction projects - MoEF. Table 18: Raw & Treated Waste water Quality Sl. Details of characteristic parameters Values Units No. Raw waste Treated waste water water 1. pH 7.0 -8.0 6.5 – 7.5 - 2. Total Suspended solids 200 - 450 ≤10 mg/L 3. Chemical Oxygen Demand 400 - 600 ≤30 mg/ L 4. Biological Oxygen Demand (3days at 270 C) 250 - 400 ≤10 mg/ L 5. Oil & Grease 50 ≤5 mg/ L

Prepared by ULTRA-TECH Environmental Consultancy and Laboratory Page 37 Proposed „Samana Happiness Hospital‟ project at Manjeri village, Ernad taluk, Malappuram, Kerala 2.7 Give details of the water requirements met from water harvesting? Furnish details of the facilities created.

Rainwater harvesting system will be constructed for the project. Malappuram has an average annual rain fall of 2952 mm. It has a tropical climate and has significant rainfall most months, with a short dry season. The rain water will be diverted to rainwater harvesting tank of capacity 250 m3. Un-stored rain water will be used to charge ground water through recharge pits which will accelerate the rate of ground water percolation.

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?

Management plan for storm water is as follows: o Rain water will be harvested and diverted to a tank of capacity 250 m3 and un-stored rain water will be used to charge ground water through seven recharge pits of 2.7 m diameter. o To avoid on site flooding storm water drain shall be cleaned at regular intervals. o The final finished level maintains adequate slope for the drains. Hence there is no potential for flooding.

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) Yes, three wells are present in the project site and an external pond owned by the project proponent are the water sources for meeting the freshwater demand of the project. The rain water will be harvested in rainwater harvesting tank of capacity 250 m3.

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) The runoff from the site during construction phase will be intercepted by temporary detention ponds constructed with geo membrane liner for protecting surface of soil. Detained water will be discharged through aprons made from geo membrane. This will avoid any adverse impacts from runoff on receiving water body.

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) Storm water runoff will be minimized by intercepting the same in rain water harvesting tanks and recharge pits.

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)

Prepared by ULTRA-TECH Environmental Consultancy and Laboratory Page 38 Proposed „Samana Happiness Hospital‟ project at Manjeri village, Ernad taluk, Malappuram, Kerala  During construction phase, temporary toilets with connection to compact STP (portable) will be provided. Hence there will not be unsanitary conditions around the project site.  On site accommodation will not be provided to the construction workers as they are from the nearby localities and they will have their permanent accommodation offsite. Labourers employed by contractor will be accommodated offsite as per contract terms.  Regular segregation and disposal of solid waste generated by these workers shall be as per Municipal Solid Waste Management Rules and Construction and Demolition Waste Management Rules, 2016.  First aid and medical facilities will be provided to all the employees and labourers working on the site.  Proper housekeeping will be maintained throughout the premises.  Pest and vector control measures will be done on site. 2.13 What on-site facilities are provided for the collection, treatment & safe disposal of waste water? (Give details of the quantities of wastewater generation, treatment capacities with technology & facilities for recycling and disposal)

Table 19: Quantity of wastewater generated Sl. Description Quantity of waste Treatment/Disposal No. water generated (m3/day) 1. Construction 2.3 Compact STP (Portable) Phase 2. Operation phase 243 Treatment in STP and reuse of treated wastewater (available for recycling (220 m3/day), for flushing (90 m3/day) for HVAC (100 m3/day) and gardening (30 m3/day) during non-monsoon season and during monsoon season, for flushing (90 m3/day) and for HVAC (130 m3/day)

In the STP, wastewater is treated using Membrane Bioreactor. The sludge from STP will be pressed by sludge/filter press machines and same shall be used as manure. Treated waste water is utilized for flushing, gardening and HVAC. The process flow diagram of Membrane Bioreactor as follows:-

Prepared by ULTRA-TECH Environmental Consultancy and Laboratory Page 39 Proposed „Samana Happiness Hospital‟ project at Manjeri village, Ernad taluk, Malappuram, Kerala

Bar screen & Grit settler Bar screen &Grit settler

Primary flash mixture & Floculator

Primary settling tank

Equalization tank

UASB

MBR based aeration tank

Treated Water

For Re-Use

Figure 4: MBR process diagram

2.14 Give details of dual plumbing system if treated waste used is used for flushing of toilets or any other use.

Colour coding for dual plumbing system shall be done as per standard practices. Recycling of treated waste water is used for flushing (90 m3/day) for HVAC (100 m3/day) and gardening (30 m3/day) during non-monsoon season and during monsoon season, for flushing (90 m3/day) for HVAC (130 m3/day).

3 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) A portion of project site has coconut garden with end of life trees, which are unproductive and need removal. Green belt and gardening will improve the plant diversity. Hence there is no threat to the biodiversity due to the project. 3.2 Will the construction involve extensive clearing or modification of vegetation? (Provide a detailed account of the trees & vegetation affected by the project) The project does not involve extensive clearing or modification of vegetation. The list of existing flora in the site is given in the table below. There are no endangered species in the site. The site consist of different trees such as Bamboo, Teak, Mango, Wild jackfruit, Cinnamon, Neem and around 37 coconut trees which are in end of life stage with some generally found local trees.

Prepared by ULTRA-TECH Environmental Consultancy and Laboratory Page 40 Proposed „Samana Happiness Hospital‟ project at Manjeri village, Ernad taluk, Malappuram, Kerala Table 20: Existing flora in the project site Common Name/ Vernacular Scientific Name Description Name Coconut tree Cocos nucifera Culinary, Toddy, Oil, Milk, water, timber Mango Tree Mangifera indica Fruit edible

Papaya Carica papaya Fruit edible

Bamboo Bambusoideae Woody perennial evergreen plant Teak Tectona grandis Hardwood

Neem Azadirachta indica Medicinal use

Cashew Anacardium occidentale Fruit tree Wild jack Artocarpushirsutus Fruit tree Muyalcheviyan Emilia sonchifolia Medicinal use

Mukutty Biophytumsensitivum Medicinal use Chembarathi Hibiscus rosa-sinensis Ornamental, Flowering Common Psidiumguajava Fruit tree Guava/Pera velachempakam Plumeria alba Flowering tree Ethilkanni Dendrophthoefalcata Climber Mill a minute Mikaniamicrantha Weed, Climber Touch-me-not Mimosa pudica Shrub,climber Sheema konna Gliricidia sepium Flowering tree Singapore daisy Sphagneticola trilobata Flowering plant

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)

An area of 4762.43 m2 (podium and ground) is allocated for green belt. The total green area for the project will be planted by native species. The landscape plan is attached as Annexure 6. The index of tree plantation is given in the Table 21.

Table 21: Index of Avenue Plantation Scientific Name Vernacular Name Type Mangifera indica Mango Tree Fruit tree Azadirachtaindica Aryaveppu Medicinal, softwood Areca catachu Kavungu Economic crop, Medicinal

Prepared by ULTRA-TECH Environmental Consultancy and Laboratory Page 41 Proposed „Samana Happiness Hospital‟ project at Manjeri village, Ernad taluk, Malappuram, Kerala Alstoniascholaris Ezhilampaala Medicinal tree & Flowering Barrintonia racemosa katampu Medicinal tree & Flowering Plumeria alba velachempakam Medicinal tree & Flowering Plumeria rubra Ezhachempakam Medicinal tree & Flowering Terminal arjuna Neer maruthu Medicinal Santalum album Chandhanam Medicinal tree Crytostachys renda Chuvanna pana Ornamental Cordia sebestena Geiger tree Flowering & fruiting Madhuca nerifolia Kattirippa Flowering & fruiting Lagerstroemia speciosa Poomaruthu Flowering & fruiting

4 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. No, there will not be any displacement of fauna –both terrestrial and aquatic or creation of barriers for their movement 4.2 Any direct or indirect impacts on the avifauna of the area? Provide details. No direct or indirect impacts on the avifauna due to the project. There is no nesting or migratory path of avifauna. 4.3 Prescribe measures such as corridors, fish ladders etc. to mitigate adverse impacts on fauna Not Applicable 5 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) The proposed project is a super specialty hospital with two set of buildings as phase1 and phase 2 with total of 582 beds. The proposed expansion 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 an 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.

During construction phase, Particulate Matter (dust) is the main pollutant, which may be generated during construction activities. Other emission sources are intermittent and include emissions of SO2, NOx and CO from materials transport of heavy vehicles on site etc. Proper

Prepared by ULTRA-TECH Environmental Consultancy and Laboratory Page 42 Proposed „Samana Happiness Hospital‟ project at Manjeri village, Ernad taluk, Malappuram, Kerala upkeep and maintenance of vehicles, sprinkling of water on roads and construction site are some of the measures that would reduce the impact during construction phase.

Sources of Air pollution During Operational phase:  The gaseous emissions from vehicles.  Emissions from DG set while in operation only during power failure. Mitigation Measures:  The traffic congestion will be avoided by proper parking arrangement and maintaining smooth traffic flow  Regular PUC checkup for vehicles  DG sets will be used as per CPCB norms  Proper maintenance of DG sets shall be done and Low sulphur fuel shall be used 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. The proposed project would provide well organized parking arrangement. Table 22: Parking statement Parking for Mandatory parking area Parking area provision requirement Four wheelers (no.s) 402 427 Two wheelers (m2) 1506 1554.72

5.4 Provide details of the movement patterns with internal roads, bicycle tracks, pedestrian pathways, footpaths etc., with areas under each category. The project proponent will provide adequate driveways and walkways. The project site is easily access to the -Manjeri road. The circulation plan showing the details of the internal roads, walkways etc are given as Annexure 9. 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. The proposed project is a super specialty hospital, during the operational phase there would be some increase in noise and vibration due to the vehicular movement. The project proponents have proposed to provide well organized parking arrangement and maintaining smooth traffic flow which would help in reducing traffic congestion and noise levels. Trees would act as noise barrier and will reduce the noise level. 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. D.G. Sets will be operated only in case of power failures during operational phase. The

Pollutants like SPM, SO2 that may arise from emissions from D.G. sets will be discharged through vent of proper height. D.G. sets are with inbuilt acoustic enclosures to reduce the noise of D.G. sets while in operation. Plantation of trees would act as noise barrier and will reduce the noise level.

Prepared by ULTRA-TECH Environmental Consultancy and Laboratory Page 43 Proposed „Samana Happiness Hospital‟ project at Manjeri village, Ernad taluk, Malappuram, Kerala

6 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? The project site is in the midst of occupied land with buildings and roads. The proposed construction will not cause any obstruction of a view, scenic amenity or landscapes. 6.2 Will there be any adverse impacts from new constructions on the existing structures? What are the considerations taken into account? The proposed expansion will not affect any of the existing structures at site. The surrounding area is residential/ commercial development. There will not be 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. The project site is not covered by any master plan for development of the local authority. As such there is no restriction on the design, except those imposed by building rules and regulations. The building rules and regulations are compiled and clearance will be obtained from Town Planning Department. 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.

No. There is no report of existence of any anthropological or archaeological site nearby the project area. 7 SOCIO-ECONOMIC ASPECTS 7.1 Will the proposal result in any changes to the demographic structure of local population? Provide the details. The project is meant to improve the healthcare facility. The project will provide job opportunities for local people during construction and operational phases. Hence the project will improve the economic status of local workers, technicians and professionals. Table 23: Occupancy Load SL No Purpose Occupancy 1 Beds 582 2 Staffs 291 3 Visitors 369 Total 1242

7.2 Give details of the existing social infrastructure around the proposed project. The project site is located within an aerial distance of 1.3 km radius of Manjeri. Several Educational institutions, hospitals, temples, church, etc. are located within 10 km radius. Melattur railway station is located at about 17.74 km from the project site. Calicut international airport is 18.7 km far from the site.

Prepared by ULTRA-TECH Environmental Consultancy and Laboratory Page 44 Proposed „Samana Happiness Hospital‟ project at Manjeri village, Ernad taluk, Malappuram, Kerala 7.3 Will the project cause adverse effects on local communities, disturbance to sacred sites or other cultural values? What are the safeguards proposed? The project would not cause any effects on local communities, disturbance to sacred sites or other cultural values.

8 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) Pozalona Portland cement shall be used which already contains 15% Fly ash. Construction materials from nearest source are chosen to minimize energy consumption for transportation. The proposed project will make all attempts to use to avoid building materials with high embodied energy. Further, the river sand will be replaced by manufactured sand from stone crushers. 8.2 Transport and handling of materials during construction may result in pollution, noise & public nuisance. What measures are taken to minimize the impacts? The material required for construction activities shall be procured from company‟s authorized / approved vendors only. The vendor‟s performance is monitored periodically. In case of urgency or non-availability of materials from authorized/approved vendors, it will be procured from the open market to maintain the pace of the work. The mode of transport for above materials will be by trucks and / or by trailers.  All vehicles which bring construction material to the site would possess under Pollution Control Certificates (PUC).  The construction material will be carried in properly covered vehicles.  Security staff presents at site will supervise loading and unloading of material at site.  Construction material will be stored at identified site/ temporary godowns at site.  The material handling location will be surrounded by a sheet wall up to 4 m.

8.3 Are recycled materials used in roads and structures? State the extent of savings achieved? The construction waste will be used for laying the internal roads. 8.4 Give details of the methods of collection, segregation & disposal of the garbage generated during the operation phases of the project. o Segregation of three types of garbage i.e. biodegradable, non-biodegradable and biomedical hazardous shall be done. o Non-biodegradable garbage: Shall be segregated into recyclable and non-recyclable waste. o Recyclable waste: Shall be handed over to recyclers. o Biodegradable garbage shall be treated in Organic waste converter and slurry will be used as manure. o The bio medical waste shall be handed over to authorized waste collectors.

Prepared by ULTRA-TECH Environmental Consultancy and Laboratory Page 45 Proposed „Samana Happiness Hospital‟ project at Manjeri village, Ernad taluk, Malappuram, Kerala

9 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? Table 24: Power requirement during the operation phase S No Power requirement Source of Power Purpose 1. Construction Phase 50kW DG sets 2. Operation Phase 1650 kW KSEB Transformer, Solar Energy

The energy consumption is proposed to be reduced by the use of solar energy lighting devices in the driveways and the garden. It is proposed to save 30% by the use of renewable source of energy.

9.2 What type of, and capacity of, power back-up to you plan to provide? DG set will be provided for power back up. Two DG sets of capacity 630 kVA and 1000 kVA shall be used for the project.

Table 25: Power requirement during the operation phase (DG sets) S No Source of Power Purpose 1. Operation Phase 2 DG sets of capacity 630 kVA and 1000 kVA

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? The project site is located in a place with predominantly tropical climate. Glass used should preferably avoid long and wavelengths (IR and UV). Soft glass which absorbs UV with special features to reflect IR radiation will be used for blazing. Typically locally available Saint Gobain™ neutral glass Evolite® or its equivalent will be used. Typical specifications are light transmission 50%, solar factor 0.5, shading coefficient 0.58 and U-value 5 (0.88 W/m2 K). Glass is not used as a wall material. 9.4 What passive solar architectural features are being used in the building? Illustrate the applications made in the proposed project.

The following passive solar features are incorporated in the building design:

. 400kw efficient solar panels are being used as a source for renewable energy . This provides partial shading from solar exposure from east and west for dwelling units coming on the interior side.

Prepared by ULTRA-TECH Environmental Consultancy and Laboratory Page 46 Proposed „Samana Happiness Hospital‟ project at Manjeri village, Ernad taluk, Malappuram, Kerala . It is estimated to save the quantity of electricity by 30%. . Distributes breeze in summer to majority of units. . In general the design and orientation of solar panels in the building helps to avoid the heat build-up and induces cooling to living spaces and also saves electricity. 9.5 Does the layout of streets & buildings maximize the potential for solar energy devices? Have you considered the use of street lighting, emergency lighting and solar hot water systems for use in the building complex? Substantiate with details. The building orientation and alignment are laid out in such a way that solar heating of the walls is minimized (at no time solar heating is needed since minimum night temperature is 270C.) The project proponent shall made provision for solar panel system (hot water purpose) in building blocks and solar energy devices will be used for lighting, emergency lighting and hot water generation in the proposed construction. 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? The building is located at a place predominantly with tropical features, especially hot and humid climate. Cooling is the preferred feature. Vertical walls will be painted with white or light shade paints with low heat absorption. 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. The proposed project uses two 1250 kVA, EEF-2 Motors (Energy Efficient as per ECBC), 1300 Tonnage (HVAC) CFC free for central air conditioning. For common facilities like street lighting, common space illumination and water treatment facilities, electrical devices with green energy star certification will be used.

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? Un-shaded roof portion will be provided with expanded poly styrene sheet insulation to reduce adverse thermal effect. Paved areas will be covered under the canopy of shade trees in the landscape. Open spaces will be covered with garden shrubs so that heat absorption by paving materials and open soil can be minimized. Irrigation of landscape with treated effluent will keep the surroundings cool. This will mitigate heat island effect to a large extent. 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. The following materials are used in the construction of walls and roof. Their thermal properties are also given. Table 26: Thermal characteristics of building envelope Material Thermal mass C kJ/Km2 Thermal inertia(Jm2 K-1S-0.5) Cement plastering 1.480 1033.02

Prepared by ULTRA-TECH Environmental Consultancy and Laboratory Page 47 Proposed „Samana Happiness Hospital‟ project at Manjeri village, Ernad taluk, Malappuram, Kerala Brick wall 1.601 1139.69 EPS insulation 0.032 33.55 Cellular concrete 0.739 372.78 Dense concrete 2.120 1920.98

9.10 What precautions & safety measures are proposed against fire hazards? Furnish details of emergency plans. The project proponents are implementing a fire safety plan based on National Building Code. The emergency evacuation/management plan is enclosed as Annexure 8. 9.11 If you are using glass as wall material provides details and specifications including emissivity and thermal characteristics.

The glass used will be low with low emissivity and the other specification for 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. All the Hospital air conditioned areas are provided with 2 ACPH (Air Change per Hour) fresh air, hence all the areas are pressurized and the air will always move from clean conditioned areas to the outside non clean areas. By this way the indoor infection prone air is diluted and all indoor air is replaced two times every hour. Two levels of filtration is provided (10 Micron + 5 Micron) in all clean and critical areas. (like sterile / ice / mRI / CT / Cath / Post OP / Pre OP / etc ) , this cleans the air by filtration. For Operation Theatre (OT) terminal HEPA filter is provided over and above the above 2 filtration and the 5 ACPH fresh air. (Approximately 20% of total air is fresh air always), so the OT air is replaced approximately five times an hour. 9.13 To what extent the non-conventional energy technologies are utilized in the overall energy consumption? Provide details of the renewable energy technologies used. Solar energy proposed to be utilized for hot water supply as well as for common area and outdoor lighting. It is proposed to save 30 % of electricity by the use of solar energy. 10 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.

Table 27: EMP for construction phase Sl. Environment Activity Impact Precautionary No al measures . Component

Prepared by ULTRA-TECH Environmental Consultancy and Laboratory Page 48 Proposed „Samana Happiness Hospital‟ project at Manjeri village, Ernad taluk, Malappuram, Kerala Sl. Environment Activity Impact Precautionary No al measures . Component 1 Ambient Air  Site Clearance  Increased level of For controlling air quality and  Excavation dust & other air pollution : Noise level  Construction of pollutants . Water Sprinkling Structures  Increased Noise . Cover on trucks  Heavy vehicle level . Use of RMC instead traffic of preparing  Use of DG Set concrete at site  Open burning of . Vehicles with valid Waste PUC . DG sets: CPCB approved low sulphur fuel. For controlling noise pollution : . Barricades along the periphery of the site. . Ear Plugs for Labourers . D.G. sets CPCB approved . No work in night shifts. . Using electrically operated construction equipment. 2 Water  Use of fresh water  Sedimentation, . Provision of for Construction Pollution of temporary toilets for activity /labours nearby water labour.  Waste water courses. . Precaution to avoid generation  Unhygienic water logging  Disposal of site condition for during construction run off into SWD surrounding . Rainwater recharge  Water logging residents. pits will capture the runoff. 3 Soil  Preconstruction . Loss of good . Recycle of Debris in and excavation of fertile soil the project site. debris . Soil erosion . Proper and Separate  Storage of . Soil storage of construction Contamination construction material due to mixing of material

Prepared by ULTRA-TECH Environmental Consultancy and Laboratory Page 49 Proposed „Samana Happiness Hospital‟ project at Manjeri village, Ernad taluk, Malappuram, Kerala Sl. Environment Activity Impact Precautionary No al measures . Component /chemicals construction . Storage of all  Transportation of material/ petroleum products hazardous accidental on impervious material such as spillage of layers viz. concrete. Residual chemicals/oil . Transportation, paints/Solvents/bit storage and uminous material handling, disposal etc. of HW as per their  Operation guidelines and /maintenance handing it over to  Generation of authorized agencies. garbage by labour . Use of electrically operated machinery. . Segregation of waste at Source 4 Ecology  Site clearance, . Disturbing natural . Plantation of local Construction of flora and fauna tree species on the Structures . Loss of Periphery of site vegetation from . Regulation of chemical spills vehicular trips and from vehicles speed and proper maintenance of machinery 5 Safety and  Construction work  Positive impact: . Adequate drinking Hygienic Labor Employment water and toilet measures generation facilities.  Safety and . Regular analysis of hygiene at site drinking water. may be affected . Personal protective during and safety construction equipment will be provided. . First aid facility. . Regular health check up . Regular pest control at site. . Educational and awareness programme for safety measures.

Prepared by ULTRA-TECH Environmental Consultancy and Laboratory Page 50 Proposed „Samana Happiness Hospital‟ project at Manjeri village, Ernad taluk, Malappuram, Kerala Table 28: EMP for operation phase Sl. Environment Activity Impact Precautionary measures No al . Component 1 Ambient Air  Increased  Traffic congestion . Adequate parking quality and vehicular trips.  Air pollution provision, well Noise level  Use of DG  Increase in noise organized traffic sets level management plan for smooth flow of vehicles . Regular PUC check-up for vehicles . DG sets: As per CPCB norms, proper maintenance, and use of Low Sulphur fuel. . Acoustic enclosures for DG sets . Plantation of tress will reduce air pollution and also act as noise buffer. 2 Water  Increased  Stress on existing . Use of water saving Demand of water supply practices natural water  Pollution of water . Adoption of dual  Generation of bodies plumbing system waste water  Increased run off . Rain water harvesting  Increased from site . Plantation of less water paved consuming species. structure . STP is planned and treated water will be used for secondary requirements like flushing and gardening. 3 Land  Solid waste  Improper . Waste minimization generation disposal of recovery and reuse.  Biomedical waste . Segregation at source for waste  Accidental all solid waste streams. generation spillage of . Recycling of non-  Transportation hazardous biodegradable waste. of hazardous chemicals leads . Domestic hazardous material to soil waste will be handed  Increased contamination over to authorized waste paved  Increased run off collectors. Structure from site. . Treatment of biodegradable waste

Prepared by ULTRA-TECH Environmental Consultancy and Laboratory Page 51 Proposed „Samana Happiness Hospital‟ project at Manjeri village, Ernad taluk, Malappuram, Kerala onsite by Organic waste converter and use of its slurry as manure. . Biomedical waste handed over to Indian Medical Association Goes Eco Friendly [IMAGE]. . Strom water drainage of adequate capacity. 4 Ecology . Introduction of . Disturbing natural . Plantation of local tree new plant flora and fauna species for developing species . Increased the green belt exposure to anthropogenic activities 5 Safety and Influx of People  Stress on all . Emergency Hygienic utilities, risk and preparedness plan and measures danger due to disaster management natural and plan will be prepared manmade disaster and explained.  Positive impact: Employment generation

Table 29: Cost of Environment Management Plan SLNo. Management Measure Cost (in Rs.) Construction Phase 1. Dust Suppression 50,000 2. Storm water detention and settling 5,00,000 3. Excavated Soil Protection 50,000 4. Noise and dust barrier around site 5,00,000 5. Liquid waste management 2,00,000 6. Solid waste management 1,00,000 Total 14,00,000 Operation Phase 1. Rain water harvesting 40,00,000 2. Green belt and Landscape 2,50,000 3. Solid Waste Management 20,00,000 4. Liquid Waste Management 70,00,000 Total 132,50,000 Grand Total for Environment Management Plan 146,50,000

Prepared by ULTRA-TECH Environmental Consultancy and Laboratory Page 52 Proposed „Samana Happiness Hospital‟ project at Manjeri village, Ernad taluk, Malappuram, Kerala Table 30: Suggested Monitoring Plan for Happiness hospital during the Construction Phase Sl. Type No. of Parameters Period and Cost No. Locations Frequency (in Rs.)

1. Ambient 3 Criteria Pollutants: SO2, NO2, Once in 6 30,000 Air PM, CO. months. Quality 2. Ambient 3 dB (A) levels. Once in 6 15,000 Noise months. 3. Fresh 2 As per IS 10500 potable Once in 6 24,000 water water standards. months. quality 4. Soil 2 Organic matter, C.H., N, Once in 6 20,000 quality Alkalinity, Acidity, heavy months. metals and trace metal, Alkalinity, Acidity. Cost of monitoring the above parameters once = Rs 89,000/- Hence cost of monitoring during the construction period of 2.5 years = Rs 4,45,000/-

Table 31: Suggested Monitoring Plan for Happiness hospital during the Operation Phase SLNo. Environmental Frequency Rate Number of Total cost per Attribute Locations year 1. Noise Once in a 5,000 4 20,000 year 2. Air Once in a 10,000 4 40,000 year 3. Water Once in a 12,000 2 24,000 year Total 84,000

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ANNEXURES

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Annexure 1 Photographs of the study area

Entry View View from North to Southwest

View from Northwest to Northeast View from Northwest to Southeast

View from West to East View from Southwest to Northeast

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Annexure 3 Topographic Contour Survey Map

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Annexure 4 Site Layout Plan

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Annexure 5 Building Section

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Annexure 6 Landscape Plan

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Annexure 7 Storm water Management Plan

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Annexure 8 Emergency Evacuation Plan

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ASSEMBLY POINT - 03

ASSEMBLY POINT - 04

ASSEMBLY POINT - 01 ASSEMBLY POINT - 02

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Annexure 9 Traffic Circulation Plan

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Proof of site not falling under ESZ-1 of WGEEP report

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Proposed „Samana Happiness Hospital‟ project at Manjeri village, Ernad taluk, Malappuram, Kerala Annexure 11 Details of total cost of the project and CSR activities

Total Cost of the project INR 208.82 Crores

Phase- 1 (Front building) INR 167.08 Crores

Phase-2(Rear building) INR 41.748 Crores

Amount to be spent for Corporate Environment Responsibility as per the MoEF&CC notification, dated 1st May, 2018 is 1.5% of project cost, that is INR 3.13 Crores. The project proponent wishes to undertake the following CER activities with a total budget of INR 3.15 Crores. Summary of CER Activities Proposed and the timeline Funds to be allocated (INR) Sl Total Recurring CER Activity Recurring No Amount Non - Recurring (1 Year) (6 Years) 1. Donation to CM & PM Relief Fund 5000000 2. Solar street lighting 1200000 7200000 Medical Camp 3. 550000 3300000 (6 Years) Rain Water Harvesting Tank Construction: 1. GBHSS Manjeri 4. 2. GLP School 5000000 3. Govt. LP School 4. Govt. Girls Higher Secondary School 5. HMY Higher Secondary School Drinking water supply 1. Manjuruli Anganvadi 5. 3000000 2. Thanippara Anganvadi 3. Chanthakunnu Anganvadi Promotion of Education including 6. 1500000 9000000 Special Education Ensuring Environment Sustainability 7. 2800000 (LED Bulbs to Households) Clogged River and Canals Clean up 8. 1000000 6000000 Drive

15800000 Subtotal 25500000 Total 31500000

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Prepared by ULTRA-TECH Environmental Consultancy and Laboratory Page 99 Proposed „Samana Happiness Hospital‟ project at Manjeri village, Ernad taluk, Malappuram, Kerala 15 c. Copy of Land Tax Receipts

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16 b. Photo id of the Authorized Signatory

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Prepared by ULTRA-TECH Environmental Consultancy and Laboratory Page 116 Proposed „Samana Happiness Hospital‟ project at Manjeri village, Ernad taluk, Malappuram, Kerala Annexure 17 b. Photo ID of the EIA Co-ordinator

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Prepared by ULTRA-TECH Environmental Consultancy and Laboratory Page 123 Proposed „Samana Happiness Hospital‟ project at Manjeri village, Ernad taluk, Malappuram, Kerala Annexure 19 Acknowledgement from IMAGE for management of Biomedical Waste

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Annexure 20 Copy of application processing fee as Demand Draft

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