(FORM-1) Submitted by Rajiv Gandhi Government General Hospital
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APPLICATION FOR PRIOR ENVIRONMENTAL CLEARANCE (FORM-1) APPENDIX-I FORM-1 (I) Basic Information Sr. No. Item Details 1 Name of the Project/s The Proposed Construction of Outpatient Block and Other Departments by M/s. Rajiv Gandhi Government General Hospital. 2 S. No. in the Schedule 8(a) 3 Proposed Capacity/area/length/tonnage Plot area: 8215.62 sq.m to be handled/command area/lease Built-up area: 23,429 sq.m area/number of wells to be drilled 4 New/ Expansion/ Modernization New 5 Existing Capacity/ Area etc., Not applicable. 6 Category of Project i.e. 'A' or 'B' Category “B2” 7 Does it attract the general condition? If No yes, please specify 8 Does it attract the specific condition? If No yes, please specify 9 Location Plot/ Survey/ Khasra No. S. F. Nos. 37/1 Village Vepery Tehsil Tondiarpet District Chennai State Tamil Nadu 10 Nearest Railway Station/ Airport along Adjacent to Park town railway station, South with distance in kms Chennai Central Railway Station - 0.1 km, NW 11 Nearest Town, City, District Headquarters Vepery – 1.9 Km along with distance in kms 12 Village Panchayats, Zilla Parishad, Greater Chennai Corporation, Municipal Corporation, Local body Ripon Building, (Complete Postal address with Chennai-600003 Telephone) 13 Name of the Applicant The Dean, Madras Medical College 14 Registered Address Rajiv Gandhi Government General Hospital, E.V.R Salai, Park Town, Chennai – 600003 Telephone: 044-25305112 Mobile: 944108579 15 Address for Correspondence Name Dr. R. Vimala Designation (Owner/ Partner/CEO) The Dean Address Rajiv Gandhi Government General Hospital, E.V.R Salai, Park Town, Chennai Pin Code 600 003 Email ----- Telephone No. 044-25305112 Fax No. --- 16 Details of Alternative Sites examined, if No alternative site examined. any location of these sites should be Submitted by Rajiv Gandhi Government General Hospital, Chennai 1 APPLICATION FOR PRIOR ENVIRONMENTAL CLEARANCE (FORM-1) shown on a TOPO Sheet 17 Interlinked Projects Nil 18 Whether separate application of Not applicable interlinked project has been submitted? 19 If yes, date of submission - 20 If no. reason - 21 Whether the proposal involves No approval/clearance under: If yes, details of the same and their status to be given: (a) The Forest (conservation) Act, 1980 (b) The Wildlife (Protection) Act, 1972 (c) The C.R.Z. Notification, 1991? 22 Whether there is any Government Order G.O.(Ms). No.75 Health and Family Welfare / Policy relevant/relating to the site (EI) Department- Dated 12.03.2015 23 Forest Land involved (in hectares) No 24 Whether there is any litigation pending No against the project and/or land in which the project is propose to be setup? (a) Name of the Court (b) Case No. (c) Orders/ Directions of the Court, if any and its relevance with the proposed project (II) Activity 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/ Sr. Information/ Checklist Yes/ rates, wherever possible) with source of No. Confirmation No information data Permanent or temporary Yes The present land use of the proposed project site is change in land use, land Primary Residential Land use by CMDA. The land cover or topography including area will be converted into buildings for hospital 1.1 increase in intensity of land purpose. use (with respect to local land use plan) Clearance of existing land, No No major clearing of vegetation or buildings is 1.2 vegetation and buildings? envisaged. 1.3 Creation of new land uses? No -- Pre- construction Yes Soil Investigation Report is attached as Annexure-I 1.4 investigations e.g. bore holes, soil testing? Construction Works? Yes The project will involve the construction of 1.5 outpatient block for public. 1.6 Demolition Works? No -- 1.7 Temporary sites used for No The construction materials will be brought to the construction works or housing project site as and when the need arises. Hence, no of construction workers? bulk storage is envisaged. Further, the construction workers will be sourced from the surrounding areas, Submitted by Rajiv Gandhi Government General Hospital, Chennai 2 APPLICATION FOR PRIOR ENVIRONMENTAL CLEARANCE (FORM-1) so there will not be any requirement for housing of construction workers. 1.8 Above ground buildings, Yes Excavation will be carried out for the construction structures or earthworks of basements and civil structures. The excavated including linear structures, soil will be used for the leveling of site and cut and fill or excavations greenbelt development. 1.9 Underground works including No Not applicable mining or tunneling? 1.10 Reclamation Works? No Not applicable 1.11 Dredging? No Not applicable 1.12 Offshore Structures? No Not applicable 1.13 Production and Manufacturing No The project involves only construction of buildings processes? 1.14 Facilities for storage of goods Yes No bulk storage of materials is envisaged during the or materials? construction phase, as the materials required will be procured as and when required. 1.15 Facilities for treatment or No No facilities for treatment and disposal of solid disposal of solid waste or waste are envisaged. liquid effluents? 1.16 Facilities for long term No - housing of operational workers? New road, rail or sea traffic No - 1.17 during construction or operation? New road, rail, air waterborne No There will not be any new road, rail, air, waterborne or other transport or other transport infrastructure. 1.18 infrastructure including new or altered routes and stations, ports, airports etc? 1.19 Closure or diversion of No Not envisaged. existing transport routes or infrastructure leading to changes in traffic movements? 1.20 New or diverted transmission No Not envisaged. lines or pipelines? 1.21 Impoundment, damming, No Not applicable. culverting, realignment or other changes to the hydrology of watercourses or aquifers? 1.22 Stream crossings? No -- 1.23 Abstraction or transfers of The water requirement for the proposed project will water from ground or surface be met from Chennai Metropolitan Water Supply & waters? Sewerage Board (CMWSSB). The copy of the water No supply request letter obtained from Chennai Metropolitan Water Supply & Sewerage Board (CMWSSB) is attached as Annexure-II 1.24 Changes in water bodies or No There will not be any change in the drainage the land surface affecting pattern. drainage or run- off? Submitted by Rajiv Gandhi Government General Hospital, Chennai 3 APPLICATION FOR PRIOR ENVIRONMENTAL CLEARANCE (FORM-1) 1.25 Transport of personnel or Yes The transport of personnel and construction materials for construction, materials, during the construction phase, will be operation or made through the existing road network. decommissioning? 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 During operation phase, there will be influx of direct either temporarily or employees and public from the surrounding areas. permanently? 1.29 Introduction of alien species? No Not envisaged. Loss of native species or No Not envisaged. 1.30 genetic diversity? Any other actions? Yes Greenbelt will be developed in an area of 334.35 1.31 Sq.m. of the total project area. 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 quantities/ Sr. Information/ Checklist Yes/ rates, wherever possible) with source of No. Confirmation No information data 2.1 Land especially No The total land area of 8215.62 sq.m required for undeveloped or agricultural the proposed project has been categorized as land (ha) Primary residential land by CMDA. 2.2 Water (expected source & Yes Water requirement – 243 KLD competing users) unit: KLD Source: Chennai Metropolitan Water Supply & Sewerage Board (CMWSSB)) 2.3 Minerals (MT) No ---- 2.4 Construction Material- Yes Building materials will be sourced from indigenous Cement, Steel, Sand, Blue supply. metal and bricks 2.5 Forests and Timber Not applicable. No (Source- MT) 2.6 Energy including Electricity Yes Required power of 500 KVA will be sourced from and fuels (source, Tamil Nadu Generation & Distribution Corporation competing users) (TANGEDCO). To meet the emergency requirement during power failure, 2 DG Sets of 250 KVA will be used as back- up power. The DG sets are equipped with In-built fuel storage, acoustic enclosures and silencers 2.7 Any other natural No Not envisaged. resources (use appropriate Submitted by Rajiv Gandhi Government General Hospital, Chennai 4 APPLICATION FOR PRIOR ENVIRONMENTAL CLEARANCE (FORM-1) standard units) 3. Use, storage, transport and 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: Sr. Details thereof (with approximate quantities/ Information/ Checklist Yes/ No. rates, wherever possible) with source of Confirmation No information data 3.1 Use of substances or Yes Biomedical wastes generated from the outpatients materials, which are block will be segregated, collected and disposed to hazardous (as per MSIHC authorized recyclers/processors. rules) to human health or the environment (flora, fauna and water supplies) 3.2 Changes in occurrence of No Not envisaged. disease or affect disease vectors (e.g. insect or water borne diseases) 3.3 Affect the welfare of Yes The direct and indirect employment opportunities people e.g. by changing created during construction and operation phase of living conditions the project will help in ensuring better livelihood of the people and also the medical facilities will be provided for the public. 3.4 Vulnerable groups of No Not envisaged.