EIA DOCUMENT OF “EXPANSION OF ARTEMIS HOSPITAL” AT SECTOR- 51, GURUGRAM HARYANA BY M/S ARTEMIS MEDICARE SERVICES LIMITED

FORM-I, TOR COMPLIANCE & ENVIRONMENT IMPACT

ASSESSMENT REPORT (VIOLATION CASE) FOR November 2018

“Expansion of Artemis Hospital” At Sector- 51, Gurugram- 122001, Haryana

ToR letter no. : F.no. SEIAA/HR/2018/829 Total Built-up area: 67,444.652 sqm Category : 8(a) Baseline Season: May, 2018 Baseline Data Collected by: Perfact Researches Pvt. Ltd. Damage Assessment Prepared By: PRPL Cost of Project : Rs. 399 Crores

Being Developed by: M/s Artemis Medicare Services Limited. Plot No. 14, sector 20, Dwarka New Delhi- 110075

M/s PERFACT ENVIROSOLUTIONS PVT LTD

(NABET Registered Vide List of accredited Consultants organization / Rev 70/11th Oct. 2018 at S.No.-116) 5th Floor, NN Mall, Mangalam Palace, Sector 3, Rohini, New Delhi-110085 Email: [email protected]; Phone: 011- 49281360

EIA DOCUMENT OF “EXPANSION OF ARTEMIS HOSPITAL” AT SECTOR- 51, GURUGRAM HARYANA BY M/S ARTEMIS MEDICARE SERVICES LIMITED Table of Contents

LIST OF FIGURES ...... 3

LIST OF TABLES ...... 3

ENCLOSURE 1: FORM 1 & 1A ...... 5

ENCLOSURE 2: COPY OF TOR ...... 39

ENCLOSURE 3: TOR COMPLIANCE ...... 40

ENCLOSURE 4: SPECIFIC TOR ...... 44

ENCLOSURE 5: ENVIRONMENT IMPACT ASSESSMENT REPORT ...... 47

PROJECT PROPONENT: BY: M/S PERFACT ENVIRO SOLUTIONS PVT. LTD. M/S ARTEMIS MEDICARE SERVICES LTD.

1 EIA DOCUMENT OF “EXPANSION OF ARTEMIS HOSPITAL” AT SECTOR- 51, GURUGRAM HARYANA BY M/S ARTEMIS MEDICARE SERVICES LIMITED List of Figures Figure 2-1; Satellite image of the project using Google Earth ...... 70 Figure 3-1;Highest Maximum Temperature (°C) ...... 88 Figure 3-2;Lowest Minimum Temperature (°C) ...... 88 Figure 3-3;Lowest Minimum Temperature (°C) ...... 88 Enclosure 2: Figure 3-4; Mean Maximum Temperature (°C) ...... 89 Figure 3-5; Mean Minimum Temperature (°C) ...... 89 Figure 3-6;Maximum Humidity (%) ...... 90 Figure 3-7;Minimum Humidity (%) ...... 91 Figure 3-8;Maximum Rainfall (mm) ...... 91 Figure 3-9;Minimum Rainfall (mm) ...... 92 Figure 3-10;Minimum Rainfall (mm) ...... 92 Figure 3-11: Wind rose diagram (Source:Perfact Researchers Pvt.Ltd . (NABL Accredited) ...... 96 Figure 3-12; Ambient air sampling locations on Topographical Map within 10 Km radius ...... 99 Figure 3-13; Water sampling locations on 10 Km Topographical Map ...... 107 Figure 3-14; Noise sampling Locations on 10 Km Topographical Map ...... 114 Figure 9-1; Anti-vibration pads ...... 257 Figure 9-2; LAYOUT PLAN OF DG SET ROOM ...... 258 Figure 9-3 Designing of Canopy of DG sets ...... 258

List of Tables Table 2-1; Social infrastructure Available near the project ...... 67 Table 2-2 Total area detail ...... 75 Table 3-1; Temperature record ...... 87 Table 3-2; Relative Humidity record ...... 90

Table 3-3; Ambient air quality results of PM2.5 & PM10 ...... 101

Table 3-4; Ambient air quality results of SO2 & NOX ...... 101 Table 3-5; Ambient Noise sampling stations ...... 113

PROJECT PROPONENT: BY: M/S PERFACT ENVIRO SOLUTIONS PVT. LTD. M/S ARTEMIS MEDICARE SERVICES LTD.

2 EIA DOCUMENT OF “EXPANSION OF ARTEMIS HOSPITAL” AT SECTOR- 51, GURUGRAM HARYANA BY M/S ARTEMIS MEDICARE SERVICES LIMITED Table 3-6; Noise quality results ...... 115 Table 3-7; Sampling location for soil quality ...... 117 Table 3-8; Onsite Fertility status of Soil ...... 121 Table -9; Environmental monitoring programme (construction phase) ...... 195 Table 9-1 Water Management ...... 246

PROJECT PROPONENT: BY: M/S PERFACT ENVIRO SOLUTIONS PVT. LTD. M/S ARTEMIS MEDICARE SERVICES LTD.

3 EIA DOCUMENT OF “EXPANSION OF ARTEMIS HOSPITAL” AT SECTOR- 51, GURUGRAM HARYANA BY M/S ARTEMIS MEDICARE SERVICES LIMITED

Enclosure 1: FORM 1 & 1A

PROJECT PROPONENT: BY: M/S PERFACT ENVIRO SOLUTIONS PVT. LTD. M/S ARTEMIS MEDICARE SERVICES LTD.

4 EIA DOCUMENT OF “EXPANSION OF ARTEMIS HOSPITAL” AT SECTOR- 51, GURUGRAM HARYANA BY M/S ARTEMIS MEDICARE SERVICES LIMITED Form-1 I. Basic Information

S. No. Item Details 1. Name of the project/s Expansion of “Artemis Hospital” 2. S. No. in the schedule 8 (a) Proposed capacity/ area/length/ tonnage Total plot area – 33588.908 sqm 3. to be handled/ command area/ lease Total Built-up area – 67444.652 Sqm (after area/ number of wells to be drilled expansion) 4. New/ Expansion/ Modernization Expansion Total Built-up area as Environmental Clearance 5. Existing Capacity/ Area etc. granted – 27354 Sqm Total Built-up area constructed– 49102.05 Sqm 6. Category of Project i.e. ‘A’ or ‘B’ ‘B’ (Violation case) Does it attract the general condition? If 7. Not Applicable yes, please specify. Does it attract the specific condition? If 8. Not Applicable yes, please specify. Location Sector- 51, Gurugram- 122001, Haryana Plot/ Survey/ Khasra No. Village Sector- 51 9. Tehsil Gurugram District Gurugram State Haryana

Nearest Highways: NH-8 at 3.72 km (NW) NH-236 at 5.12 km (NNW) Nearest railway station/ airport along 10. Nearest Railway Station: with distance in kms. Gurugram railway station at 8.79 km (NW) Nearest Airport: Indira Gandhi International Airport at 12.46 km (NNE)

Nearest Town, city, District Headquarters 11. Gurugram along with distance in kms. Village Panchayats, ZillaParishad, Municipal Corporation, Local body Municipal Corporation of Gurugram 12. (complete postal addresses with telephone nos. to be given) 13. Name of the applicant M/s Artemis Medicare Services Limited 14. Registered Address Plot No. 14, sector 20, Dwarka, New Delhi-110075

15. Address for correspondence:

PROJECT PROPONENT: BY: M/S PERFACT ENVIRO SOLUTIONS PVT. LTD. M/S ARTEMIS MEDICARE SERVICES LTD.

5 EIA DOCUMENT OF “EXPANSION OF ARTEMIS HOSPITAL” AT SECTOR- 51, GURUGRAM HARYANA BY M/S ARTEMIS MEDICARE SERVICES LIMITED Name Mr. Navneet Goel Designation (Owner/Partner/CEO) Head – Legal & Company Secretary Address Plot No. 14, sector 20, Dwarka, New Delhi-110075 Pin Code 110075 E-mail [email protected] Telephone No. 9711160009 Fax no. - Details of Alternative Sites examined, if 16. any. Location of these sites should be Not Applicable shown on a toposheet. 17. Interlinked Projects No, it is not an interlinked project Whether separate application of 18. Not Applicable interlinked project has been submitted? 19. If yes, date of submission Not Applicable 20. If no, reason Not Applicable

Whether the proposal involves

approval/clearance under: if yes, details

of the same and their status to be given.

21. Not Applicable (a) The Forest (Conservation) Act, 1980? Not Applicable (b) The Wildlife (Protection) Act, 1972? Not Applicable (c) The C.R.Z. Notification, 154296? Note: Project is not covered under Aravali Notification, 1992 Whether there is any Government Order/ 22. Not Applicable Policy relevant/ relating to the site?

23. Forest land involved (hectares) No Whether there is any litigation pending against the project and/ or land in which the project is propose to be set up? No (a) Name of the Court Not applicable 24. (b) Case No. Not applicable (c) Orders/ directions of the Court, if Not applicable 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.)

PROJECT PROPONENT: BY: M/S PERFACT ENVIRO SOLUTIONS PVT. LTD. M/S ARTEMIS MEDICARE SERVICES LTD.

6 EIA DOCUMENT OF “EXPANSION OF ARTEMIS HOSPITAL” AT SECTOR- 51, GURUGRAM HARYANA BY M/S ARTEMIS MEDICARE SERVICES LIMITED S. No. Information/Checklist confirmation Yes/No Details thereof (with approximate quantities /rates, wherever possible) with source of information data 1.1 Permanent or temporary change in No It is an Expansion of existing hospital complex. land use, land cover or topography Plot area will remain same. including increase in intensity of land Environmental Clearance has already been use (with respect to local land use obtained from MOEF & CC vide letter No. 21- plan) 292/2007- IA.III dated 19-07-2007 for Plot area of 33,588.90 sqm and built – up area of 27,354 sqm for development of hospital. Land Use of land has already been changed to Hospital use. 1.2 Clearance of existing land, vegetation No It is an expansion project with in same plot area. and buildings?

1.3 Creation of new land uses? No The vacant land has been developed into Hospital. No further change in Land use will be there. 1.4 Pre-construction investigations e.g. Yes Pre-construction Geo-technical investigations bore houses, soil testing? have been carried out.

1.5 Construction works? Yes Construction for expansion part is being done as per Master plan. Total Built-up area constructed is 49102.05 Sqm and construction of 18,342.61 sqm has yet to be done. 1.6 Demolition works? No None 1.7 Temporary sites used for construction Yes Workers during construction phase were hired works or housing of construction from nearby areas and hence there was no need workers? of providing housing. Only temporary shelters were provided. 1.8 Above ground buildings, structures or Yes Phase-I & phase-II has already been earthworks including linear structures, constructed. For phase-III, excavation will be cut and fill or excavations carried out for foundation and construction of lower ground level & basement upto 2 levels and above ground building will be constructed for UG + 6 levels. 1.9 Underground works including mining Yes No underground works are required except or tunnelling? excavation of foundation for 2 no. of basement, Lower Ground and upper ground floor. 1.10 Reclamation works? No No reclamation work required within site 1.11 Dredging? No Not applicable 1.12 Offshore structures? No Not applicable 1.13 Production and manufacturing No It is a Hospital complex; hence no production or processes? manufacturing processes has been carried out.

PROJECT PROPONENT: BY: M/S PERFACT ENVIRO SOLUTIONS PVT. LTD. M/S ARTEMIS MEDICARE SERVICES LTD.

7 EIA DOCUMENT OF “EXPANSION OF ARTEMIS HOSPITAL” AT SECTOR- 51, GURUGRAM HARYANA BY M/S ARTEMIS MEDICARE SERVICES LIMITED 1.14 Facilities for storage of goods or Yes  Separate raw material yard was made materials? within the project site.  Cement was separately stored under cover in bales.  Sand was stacked nearby under tarpaulin cover.  Bricks and steel were laid in open.  The raw material yard has been located within the project site.

The same shall be followed for further construction of expansion. During Operation Phase: Existing: The raw material is stationary & other medical items which will be stored in the hospital itself. Total: The raw material is stationary & other medical items which will be stored in the hospital itself. 1.15 Facilities for treatment or disposal of Yes During Construction phase: solid waste or liquid effluents? Total approx. 300 labours were working during the construction phase and hence the solid waste generated was approx. 45 kg/day which was disposed off at municipal solid waste site. The clay soil excavated for basement development which was used for levelling and back filling. Top soil was preserved and has been reused for landscaping to the extent possible. Total 13.5 KLD of waste water was generated which was discharged to septic tank via soak pit. The same shall be followed for further construction of expansion. During Operation Phase after expansion: Existing: 493 Kg/day of solid waste is being generated from existing hospital facility. There is an existing STP of 325 KLD & 25 KLD of ETP Total: Approx. 1930 Kg/day of solid waste shall be generated from the complex. Total waste water generation from the project will be 637 KLD out of which sewage will be 581 KLD & effluent from lab will be 56 KLD. Existing STP of 325 KLD & ETP of 25 KLD already exist. After expansion STP of 400 KLD & ETP of 45 KLD shall be installed along with existing capacity. Treated water recovery from STP will be 552

PROJECT PROPONENT: BY: M/S PERFACT ENVIRO SOLUTIONS PVT. LTD. M/S ARTEMIS MEDICARE SERVICES LTD.

8 EIA DOCUMENT OF “EXPANSION OF ARTEMIS HOSPITAL” AT SECTOR- 51, GURUGRAM HARYANA BY M/S ARTEMIS MEDICARE SERVICES LIMITED KLD out of which for filter back wash (50 KLD), Green area development (50 KLD), 200 KLD for Cooling Tower & rest 214 KLD for flushing shall be reused & 38 KLD excess treated water shall be disposed off in sewer. From lab 56 KLD waste water will be generated which will be treated in ETP & the treated water of 53 KLD will be discharge to sewer. Details of Water Management & Solid Waste Management are given in PFR Report. 1.16 Facilities for long term housing of Yes During Construction phase: operational workers? The workers during construction phase were hired from nearby areas and hence there was no need of providing long term housing. Only temporary shelters will be provided. The same shall be followed for further construction of expansion.

During Operation Phase: As this is a Hospital complex, the housing facility for permanent staff has been already provided in existing building. 1.17 New road, rail or sea traffic during No It is an expansion project. There is no need of construction or operation? New road, rail or sea traffic during construction or operation, as these facilities already exist.

1.18 New road, rail, air, waterborne or No No new road, rail, or sea traffic is proposed. other transport infrastructure The transportation measures already existing including new or altered routes and near site are as follows: stations, ports, airports etc.? Nearest Highways: NH-8 at 3.72 km (NW) NH-236 at 5.12 km (NNW) Nearest Railway Station: Gurugram railway station at 8.79 km (NW) Nearest Airport: Indira Gandhi International Airport at 12.46 km (NNE) 1.19 Closure or diversion of existing No No closure or diversion of existing transport transport routes or infrastructure routes or infrastructure leading to changes in leading to changes in traffic traffic movements will be made. movements? 1.20 New or diverted transmission lines or No No such closure or diversion of transmission pipelines? lines is required.

movements will be made

PROJECT PROPONENT: BY: M/S PERFACT ENVIRO SOLUTIONS PVT. LTD. M/S ARTEMIS MEDICARE SERVICES LTD.

9 EIA DOCUMENT OF “EXPANSION OF ARTEMIS HOSPITAL” AT SECTOR- 51, GURUGRAM HARYANA BY M/S ARTEMIS MEDICARE SERVICES LIMITED 1.21 Impoundment, damming, culverting, No No impoundment, damming, culverting, realignment or other changes to the realignment or other changes to the hydrology hydrology of watercourses or of surface water courses is required. aquifers? 1.22 Stream crossings? No No stream crossing. 1.23 Abstraction or transfers of water from Yes Existing: ground or surface waters? Total water requirement is 483 KLD, Fresh water requirement is 333 KLD & treated water reuse is 280 KLD. Total waste water generation is 294 Kg/day. Total: Total water requirement of entire project after expansion will be 1104 KLD, which will include the fresh water requirement of 590 KLD and recycled treated water requirement of 514 KLD. The fresh water requirement will be met from existing borewell (groundwater) and simultaneously we are in process of water supply with HUDA as soon as the municipal water supply line of water will come, the water shall be sourced from HUDA. 1.24 Changes in water bodies or the land No There will be no change in water bodies or the surface affecting drainage or run-off? land surface effective drainage or run-off.

1.25 Transport of personnel or materials for Yes During Construction phase: construction, operation or Materials during construction phase were decommissioning? transported by truck, trolley etc. The same shall be followed for further construction of expansion.

During Operation Phase: Existing: Car, two-wheeler, medical vans. will be used. Total: Car, two-wheeler, medical vans. will be used. 1.26 Long-term dismantling or No Not Applicable decommissioning or restoration works? 1.27 Ongoing activity during No Not Applicable decommissioning which could have an impact on the environment? 1.28 Influx of people to an area in either Yes During Construction phase: temporarily or permanently? Temporary influx of people in the form of labours was envisaged. Approx. 300 no. of local labours were employed. The same shall be followed for further construction of expansion.

PROJECT PROPONENT: BY: M/S PERFACT ENVIRO SOLUTIONS PVT. LTD. M/S ARTEMIS MEDICARE SERVICES LTD.

10 EIA DOCUMENT OF “EXPANSION OF ARTEMIS HOSPITAL” AT SECTOR- 51, GURUGRAM HARYANA BY M/S ARTEMIS MEDICARE SERVICES LIMITED During Operation Phase: Existing: Present population of existing complex is 5569 including patient, residents, staff employee & visitors Total: In this Hospital complex, 795 nos. of in patients, 156 nos of residents, 2512 of staff & employee, and approx. 7500 nos. of visitors are envisaged after expansion. 1.29 Introduction of alien species? No Not Applicable

1.30 Loss of native species or genetic No Expansion project with in same premises. 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): S. No. Information/checklist confirmation Yes/No Details thereof (with approximate quantities /rates, wherever possible) with source of information data 2.1 Land especially undeveloped or No It is an expansion of already existing hospital building agricultural land (ha) for which Environmental Clearance has already been obtained from MOEF & CC vide letter No. 21-292/2007- IA.III dated 19-07-2007 for Plot area of 33,588.90 sqm. There will be no addition of undeveloped land. 2.2 Water (expected source & competing Yes Existing: users) unit: KLD Existing water requirement is 483 KLD out of which fresh water required is 333 KLD & Treated water reuse will be 280 KLD. Total: 1104 KLD of water will be required after expansion of existing Artemis Hospital of which 590 KLD is fresh water and 514 KLD is Treated water. The fresh water requirement will be met from existing borewell (groundwater) for which permission has been obtained and simultaneously we are in process of water supply with HUDA as soon as the municipal water supply line of water will come, the water shall be sourced from HUDA. 2.3 Minerals (MT) No Not applicable

2.4 Construction material – stone, Yes The major materials required for construction of the aggregates, sand / soil (expected project were steel, tiles, glass, cement, agate, bricks, source – MT) flooring tiles / stones, sanitary and hardware items,

PROJECT PROPONENT: BY: M/S PERFACT ENVIRO SOLUTIONS PVT. LTD. M/S ARTEMIS MEDICARE SERVICES LTD.

11 EIA DOCUMENT OF “EXPANSION OF ARTEMIS HOSPITAL” AT SECTOR- 51, GURUGRAM HARYANA BY M/S ARTEMIS MEDICARE SERVICES LIMITED electrical fittings, etc. The same shall be followed for further construction of expansion. 2.5 Forests and timber (source – MT) Yes Plywood for doors & windows have been used which was procured from local market. The same shall be followed for further construction of expansion. 2.6 Energy including electricity and fuels Yes Source of Electricity - UHBVN (source, competing users) Unit: fuel Total Electrical load – (MT), energy (MW) 3100 KW (Existing) 4500 KW (after expansion) D.G. sets for power back up- Existing: 2X1250 KVA, 1X250 KVA, 1X500 KVA (stand by) After expansion: 1X1500 KVA, 1X1000 KVA, 2X1250 KVA, 2X750 KVA, 1X250 KVA & (1X500 KVA as stand by) 2.7 Any other natural resources (use No Not applicable appropriate standard units)

3. Use, storage, transport, handling or production of substances or materials, which could be harmful to human health or the environment or raise concerns about actual or perceived risks to human health.

S. No. Information/Checklist confirmation Yes/No Details thereof (with approximate quantities/rates, wherever possible) with source of information data 3.1 Use of substances or materials, which No The Proposed project is an Expansion of Existing are hazardous (as per MSIHC rules) to “Artemis Hospital” and hence, no storage of hazardous human health or the environment chemicals will be done except Ultra-Low sulphur H.S.D. (flora, fauna, and water supplies) required to run D.G. sets & Thermic fluid heater which is being provided to approved recycler. Necessary permission, if required, will be obtained from the Explosives Dept. 3.2 Changes in occurrence of disease or Yes Suitable drainage and waste management measures affect disease vectors (e.g. insect or were adopted in the construction phase and same will water borne diseases) be maintained in operational phase which will restrict stagnation of water or accumulation of water. This will effectively restrict the reproduction and growth of disease vectors. However, possibility of nosocomial infections cannot be ruled out. 3.3 Affect the welfare of people e.g. by Yes During Construction phase: changing living conditions? This expansion project provided employment to about 300 local labours during construction phase. The same shall be followed for further construction of expansion.

During Operation Phase: As it is a Hospital complex, there shall be several services required which will generate direct & indirect PROJECT PROPONENT: BY: M/S PERFACT ENVIRO SOLUTIONS PVT. LTD. M/S ARTEMIS MEDICARE SERVICES LTD.

12 EIA DOCUMENT OF “EXPANSION OF ARTEMIS HOSPITAL” AT SECTOR- 51, GURUGRAM HARYANA BY M/S ARTEMIS MEDICARE SERVICES LIMITED employment for the people of nearby area. In addition, it will provide treatment to thousands of patients.

3.4 Vulnerable groups of people who could No No vulnerable group of people will be affected by the be affected by the project e.g. hospital project. patients, children, the elderly etc., 3.5 Any other causes No None

4. Production of solid wastes during construction or operation or decommissioning (MT/month) S. No. Information/Checklist confirmation Yes/No Details thereof (with approximate quantities/rates, wherever possible) with source of information data 4.1 Spoil, overburden or mine wastes. No Not applicable

4.2 Municipal waste (domestic and or Yes During Construction phase: commercial wastes) Solid waste during construction phase was 23 kg/day which was disposed of at municipal solid waste site. The same shall be followed for further construction of expansion. During Operation Phase: Existing: Solid waste generation from existing hospital facility is 493 Kg/day. Total: Approx. 1930 Kg/day of solid waste shall be generated from the hospital complex during operational phase after expansion. Detailed Solid Waste Management is given in PFR Report. 4.3 Hazardous wastes (as per Hazardous Yes During Construction phase: Waste Management Rules) Used oil whenever generated from the DG sets was kept in leak proof containers in an isolated area and sent to approved recycler. The same shall be followed for further construction of expansion.

During Operation Phase: Existing 27 lit/month of used oil from D.G. Set is being carefully stored in HDPE drums in isolated covered facility. The used oil is sold to vendors authorized by Central Pollution Control Board for the treatment of the same. Suitable care is taken so that spills / leaks of used oil from storage could be avoided. Total:

PROJECT PROPONENT: BY: M/S PERFACT ENVIRO SOLUTIONS PVT. LTD. M/S ARTEMIS MEDICARE SERVICES LTD.

13 EIA DOCUMENT OF “EXPANSION OF ARTEMIS HOSPITAL” AT SECTOR- 51, GURUGRAM HARYANA BY M/S ARTEMIS MEDICARE SERVICES LIMITED 77 litre/month (after expansion) of used oil from D.G. Set will be carefully stored in HDPE drums in isolated covered facility. The used oil will be sold to vendors authorized by Central Pollution Control Board for the treatment of the same. Suitable care will be taken so that spills / leaks of used oil from storage could be avoided. 4.4 Other industrial process wastes No Not Applicable

4.5 Surplus product No Not applicable

4.6 Sewage sludge or other sludge from Yes About 40 Kg/day of dried sludge will be generated from effluent treatment STP during operation phase after expansion and this sludge will be passed through filter press where it will be dewatered/ dried to form a cake and then will be used as manure in green areas. The unused sludge shall be given to farmers or nursery. ETP Sludge shall be disposed off at TSDF nearby. 4.7 Construction or demolition wastes Yes Construction waste has been used for flooring & Back filling in roads etc. The same shall be followed for further construction of expansion. 4.8 Redundant machinery or equipment No Not applicable

4.9 Contaminated soils or other materials No Not applicable

4.10 Agricultural wastes No Not applicable

4.11 Other solid wastes Yes About 298 kg/day (after expansion) Biomedical waste generated from hospital will be handed over to authorized processor. In existing agreement with M/s Vulcan Waste Management Pvt. Ltd.

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

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

PROJECT PROPONENT: BY: M/S PERFACT ENVIRO SOLUTIONS PVT. LTD. M/S ARTEMIS MEDICARE SERVICES LTD.

14 EIA DOCUMENT OF “EXPANSION OF ARTEMIS HOSPITAL” AT SECTOR- 51, GURUGRAM HARYANA BY M/S ARTEMIS MEDICARE SERVICES LIMITED 5.1 Emissions from combustion of fossil Yes During Construction phase: fuels from stationary or mobile Temporary Electricity connection was taken from sources existing Hospital premises use in construction phase. The same shall be followed for further construction of expansion. During Operation Phase: Existing: 2 DG set of capacity 2 x 1250 kVA & 1 DG set of capacity 1 x 250 kVA has already been installed for operational hospital. Total: The only source of emission after expansion from combustion of fuel will be DG set of capacity 2X1250 KVA, 1X250 KVA, 1X500 KVA (stand by), 2X750 KVA, 1X1500 KVA, 1X1000 KVA & Thermic Fluid Heater. Hence, to avoid the emissions stack height of 6 m above roof level for each existing D.G. Sets & 30 m for existing thermic fluid heater has been provided to reduce the air emissions meeting all the norms prescribed by CPCB. The same shall be followed for proposed DG Sets. 5.2 Emissions from production processes No Not applicable

5.3 Emissions from materials handling Yes Dust was generated during construction, from the including storage or transport movement of transport vehicles & other construction activities. The effect is restricted to construction phase only. Water sprinklers were used for dust suppression. Material are stored under Tarpaulin cover. The same shall be followed for further construction of expansion. 5.4 Emissions from construction activities Yes RMC was used for the project. Dust & emissions were including plant and equipment likely to be generated during construction activities which was reduced by sprinkling of water in a specific time interval & timely maintenance schedule for machinery. Also, the machines were shut down during idle period. The same shall be followed for further construction of expansion.

5.5 Dust or odours from handling of Yes During loading & unloading of construction material materials including construction dust was generated during construction phase. Water materials, sewage and waste was sprinkled and tarpaulin cover was provided over stored raw material to reduce dust emission. Mobile Toilets during construction phase were provided & waste water is disposed of in septic tank followed by soak pits. The same shall be followed for further construction of expansion. 5.6 Emissions from incineration of waste. No Not applicable.

PROJECT PROPONENT: BY: M/S PERFACT ENVIRO SOLUTIONS PVT. LTD. M/S ARTEMIS MEDICARE SERVICES LTD.

15 EIA DOCUMENT OF “EXPANSION OF ARTEMIS HOSPITAL” AT SECTOR- 51, GURUGRAM HARYANA BY M/S ARTEMIS MEDICARE SERVICES LIMITED 5.7 Emissions from burning of waste in No Not applicable open air (e.g. slash materials, construction debris). 5.8 Emissions from any other sources. No None

6. Generation of Noise and Vibration, and Emissions of Light and Heat: S. No. Information/Checklist confirmation Yes/No Details thereof (with approximate quantities/rates, wherever possible) with source of information data with source of information data 6.1 From operation of equipment e.g. Yes During Construction phase: engines, ventilation plant, crushers The equipment such as mixer machines, bulldozers, cranes, compactors & excavators were used which were of highest standard of reputed make and adhere to international standards. Hence, an insignificant impact due to construction machinery is envisaged. Apart from this, the construction activities were restricted to day time only and timely maintenance of machinery are ensured. The same shall be followed for further construction of expansion. During Operation Phase: Existing: 2 x 1250 kVA & 1 x 250 kVA DG Sets have already been installed for the operation of hospital. Total: Source of noise in the operational phase after expansion will be D.G. Set of capacity 2X1250 KVA, 1X250 KVA, 1X500 KVA (stand by), 2X750 KVA, 1X1500 KVA, 1X1000 KVA, Thermic fluid heater & other machinery in Hospital. The existing D.G. Sets have been bought acoustically enclosed & kept in acoustically treated room & installed with anti-vibration pads and are used during Power failure only. 6.2 From industrial or similar processes No Not applicable

6.3 From construction or demolition Yes Due to the various activities, there were short-term noise impacts in the immediate vicinity of the project site. These were restricted to day time only. It had been estimated that during the construction period the average noise level was 80-100 dB (A) during peak construction hours. 6.4 From blasting or piling No No blasting or piling has been done.

PROJECT PROPONENT: BY: M/S PERFACT ENVIRO SOLUTIONS PVT. LTD. M/S ARTEMIS MEDICARE SERVICES LTD.

16 EIA DOCUMENT OF “EXPANSION OF ARTEMIS HOSPITAL” AT SECTOR- 51, GURUGRAM HARYANA BY M/S ARTEMIS MEDICARE SERVICES LIMITED 6.5 From construction or operational Yes Some amount of noise (70 – 75 dB (A)) was generated traffic from vehicular movement in the construction and operational phase. Plantation around the boundary wall was done to reduce noise from traffic. Approx. 1930 Kg/day of solid waste shall be generated from the complex. 6.6 From lighting or cooling systems No Not Applicable 6.7 From any other sources No None

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:

S. No. Information/Checklist confirmation Yes/No Details thereof (with approximate quantities/rates, wherever possible) with source of information data 7.1 From handling, storage, use or spillage Yes The hazardous waste generated was used oil only. of hazardous materials Used Oil will be stored in HDPE drums and kept in covered rooms under lock and key and will be sold to authorized vendors only. 7.2 From discharge of sewage or other Yes Existing: effluents to water or the land An existing STP of 325 KLD and ETP of 25 KLD is (expected mode and place of present for the operational facility. discharge) Total: After expansion STP of 400 KLD & ETP of 45 KLD shall be installed along with existing capacity. Treated water recovery from STP after expansion will be 552 KLD out of which for filter back wash (50 KLD), Green area development (50 KLD), 200 KLD for Cooling Tower rest 214 KLD for flushing shall be used and 38 KLD of excess treated water will be discharge to Sewer line. 53 KLD of treated water generated from ETP will be discharged to sewer line. 7.3 By deposition of pollutants emitted to No None air into the land or into water

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

PROJECT PROPONENT: BY: M/S PERFACT ENVIRO SOLUTIONS PVT. LTD. M/S ARTEMIS MEDICARE SERVICES LTD.

17 EIA DOCUMENT OF “EXPANSION OF ARTEMIS HOSPITAL” AT SECTOR- 51, GURUGRAM HARYANA BY M/S ARTEMIS MEDICARE SERVICES LIMITED 8. Risk of accidents during construction or operation of the Project, which could affect human health or the environment. S. No. Information/Checklist confirmation Yes/No Details thereof (with approximate quantities/rates, wherever possible) with source of information data 8.1 From explosions, spillages, fires etc. Yes During Construction Phase: from storage, handling, use or All appropriate measures were taken to avoid accidents. production of hazardous substances During Operational Phase: Proper Disaster management & fire-fighting system has been installed at site. Same shall be followed for expansion part.

8.2 From any other causes Yes During Construction Phase: All the labours were provided with suitable personal protective equipment (PPE) as required under the health & safety norms. Training and awareness about the safety norms are provided to all supervisors and labours involved in construction activity. The same shall be followed for further construction of expansion.

8.3 Could the project be affected by No The area under study falls in Seismic zone-IV, according natural disasters causing to the Indian Standard Seismic Zoning Map. Suitable environmental damage (e.g. floods, seismic coefficients in horizontal and vertical directions earthquakes, landslides, cloudburst respectively, will be adopted while designing the etc.)? structure.

9. Factors which should be considered (such as consequential development) which could lead to environmental effects or the potential for cumulative impacts with other existing or planned activities in the locality. S. No. Information/Checklist confirmation Yes/No Details thereof (with approximate quantities/rates, wherever possible) with source of information data

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 The project is for Expansion of Existing “Artemis (roads, power supply, waste or Hospital”; it may lead to development of supporting waste water treatment, etc.) services and infrastructure in and around the area. In existing STP of 325 KLD & ETP of 25 KLD already exist. After expansion STP of 400 KLD & ETP of 45 KLD shall be • Housing development installed along with existing capacity. • Extractive industries Not Applicable • Supply industries No Not Applicable

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18 EIA DOCUMENT OF “EXPANSION OF ARTEMIS HOSPITAL” AT SECTOR- 51, GURUGRAM HARYANA BY M/S ARTEMIS MEDICARE SERVICES LIMITED • Other No Not Applicable No Not Applicable No Not Applicable

9.2 Lead to after-use of the site, which No Not Applicable could have an impact on the environment. 9.3 Set a precedent for later Yes It will set a Set a precedent for other hospitals. developments

9.4 Have cumulative effects due to No No impact proximity to other existing or planned projects with similar effects

III. Environmental Sensitivity

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

2 Areas which are important or Water Bodies sensitive for ecological Najafgarh Drain 13.43 Km NW reasons - Wetlands, Ghataor Badshahpur Nadi 3.98 Km. SW watercourses or other water Drain near Uday Nagar Block C 1.18 Km NW bodies, coastal zone, Drain near Badshahpur 3.96 Km SW biospheres, mountains, Li Nala 2.69 Km SE forests. Drain near Scetor-53 2.44 Km SE Drain near Udyog Vihar 7.3 Km NNE Forest Rajokari Protected Forest 10.18 Km NE 3 Areas used by protected, None None important or sensitive species of flora or fauna for breeding, nesting, foraging, resting, over wintering, migration

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19 EIA DOCUMENT OF “EXPANSION OF ARTEMIS HOSPITAL” AT SECTOR- 51, GURUGRAM HARYANA BY M/S ARTEMIS MEDICARE SERVICES LIMITED 4 Inland, coastal, marine or None None underground waters 5 State, National boundaries Delhi Boundary 5.14 Km NE 6 Routes or facilities used by NH-8 3.72 Km NW the public for accessto NH-236 5.12 Km NNW recreation or other tourist, State Highway-13 3.72 Km NW pilgrim areas. Railway Station BasaiDhankot Rly Station 9.45 Km NW Gurugram Rly Station 8.79 Km NW Bijwasan Rly Station 11.92 Km NW Shahbad Mohammadpur Rly Station 14.34 Km NNW Airport Indira Gandhi International Airport 12.46 Km NNE 7 Defense installations None None

8 Densely populated or built-up Wazirabad- Sector 52, Gurugram, 1.22 Km NE area Haryana

9 Areas occupied by sensitive Hospital man-made land uses Sukon Psychotherapy Center 0.65 Km NNE (hospitals, schools, places of Dr. Parul Sony’s Eye Clinic 2.52 Km SEE worship, community facilities) Complete Women Care 2.86 Km SW Post Office Post office neraSector-52 1.12 Km NE Post office a Sector-45 1.73 Km NW 2.43 Km NW Post office near Sector-39

Place of Worship 1.31 Km NE Temple near Wazirabad 0.62 Km NE Temple near bindapur 2.43 Km NW Temple near Sector-39 School 0.70 Km SW Govt School Samaspur Sector -51 2.61 Km NW Govt Senior Secondary School 1.47 Km SSW Govt. Middle School Tigra Banks 0.79 Km NE Union Bank of India Sec-52 0.80 Km SW HDFC Bank Sec-51 1.33 Km NW PNB Sec-46 Areas containing important, Water Bodies 10 high quality or scarce Drain no. 08 0.65 km (SSW) resources Nahri major Distributary 3.11 m (SW) (Ground water resources, Harsana distributary 1.97 km (WNW) surface resources, forestry, Western yamuna canal 9.45 Km (W) agriculture, fisheries, tourism, Yamuna river 9.75 km (ENE) minerals) Forest

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20 EIA DOCUMENT OF “EXPANSION OF ARTEMIS HOSPITAL” AT SECTOR- 51, GURUGRAM HARYANA BY M/S ARTEMIS MEDICARE SERVICES LIMITED Mamupur PF (BABUL) 5.73 km (S)

11 Areas already subjected to Critically polluted area declared by There is no critically pollution or environmental CPCB. polluted area falling damage. (Those where within 15 km radius. existing legal environmental standards are exceeded) 12 Areas susceptible to natural Moderate to High The project area falls in hazard which could cause seismic zone –IV. the project to present environmental problems (Earthquakes, subsidence, landslides, erosion, flooding or extreme or adverse climatic conditions)

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21 EIA DOCUMENT OF “EXPANSION OF ARTEMIS HOSPITAL” AT SECTOR- 51, GURUGRAM HARYANA BY M/S ARTEMIS MEDICARE SERVICES LIMITED APPENDIX II (See paragraph 8.9) FORM-1 A (only for construction projects listed under item 8 of the Schedule) 1. LAND ENVIRONMENT (Attach panoramic view of the project site and the vicinity) 1.1 Will the existing land use get significantly It is an Expansion Existing Environmental Clearance. The altered from the project that is not expansion shall be done within the existing project premises. consistent with the surroundings? Environmental Clearance has already been obtained from (Proposed land use must conform to the MOEF & CC vide letter No. 21-292/2007- IA.III dated 19- 07- approved Master Plan / Development 2007 for Plot area of 33,588.90 sqm for development of Plan of the area. Change of land use if any hospital. and the statutory approval from the Allotment has been granted by HUDA, Haryana to M/s competent authority be submitted). Artemis Medicare Services Pvt Ltd. vide memo no. 83 dated 15.02.2006 for the development of “Hospital”. Attach Maps of (i) Site location The site location shown on Google Map is enclosed as Heading- 2.3 site location- (ii) Surrounding features of the proposed Map showing vicinity around the site is enclosed as site (within 500 meters) Annexure- (iii) The site (indicating levels & contours) Layout plan is enclosed as Annexure- XV to appropriate scales. If not available attach only conceptual plans. 1.2 List out all the major project requirements in terms of the Land area, Total Plot area – 33588.908 Sqm. (8.30 Acre) Built up area Built-up Area after expansion- 67444.652 Sqm. Water consumption 1104 KLD (expansion) Power requirement 4500 KVA (expansion) Connectivity Nearest Highways: NH-8 at 3.72 km (NW) NH-236 at 5.12 km (NNW) Nearest Railway Station: Gurugram railway station at 8.79 km (NW) Nearest Airport: Indira Gandhi International Airport at 12.46 km (NNE) Community facilities None Parking needs etc. Parking Requirement – 666 ECS Parking Provisions – 668 ECS

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22 EIA DOCUMENT OF “EXPANSION OF ARTEMIS HOSPITAL” AT SECTOR- 51, GURUGRAM HARYANA BY M/S ARTEMIS MEDICARE SERVICES LIMITED 1.3 What are the likely impacts of the The entire project is an expansion of existing Artemis proposed activity on the existing facilities Hospital which has been developed as per the provision of adjacent to the proposed site? Master Plan, thus no induced development is foreseen due (Such as open spaces, community to the proposed project. facilities, details of the existing landuse, Also, the development was carried out as per the defined and disturbance to the local ecology). building by-laws; hence no impact is envisaged due to proposed development. The same shall be followed for further construction of expansion. Construction phase as well as operation Phase of the project, will generate direct and indirect employment opportunities for a large section of society. The employment will have positive impact thereby increasing the quality of life.

1.4 Will there be any significant land No such significant land disturbance will result during disturbance resulting in erosion, operation phase. However, care will be taken so that no subsidence & instability? erosion, subsidence & instability takes place. (Details of soil type, slope analysis, Soil Type: sandy silt vulnerability to subsidence, seismicity Slope Analysis: The project area possesses fairly plain etc. may be given). terrain. Erosion / Subsidence: Proper greening & paving of area will not cause any soil erosion problem and subsidence. Seismicity: The area under study falls in Seismic zone-IV according to the Indian Standard Seismic Map. Suitable seismic coefficients in horizontal and vertical directions respectively, was adopted while designing the structure. 1.5 Will the proposal involve alteration of The proposed project activities are not cause any alteration natural drainage systems? of natural drainage system. (Give details on a contour map showing the natural drainage near the proposed project site) 1.6 What are the quantities of earthwork Excavated soil for existing hospital was 19030.24 cubic meter. involved in the construction activity The excavation quantity for proposed expansion part should cutting, filling, reclamation etc. be approx. 78481 cubic meter. Out of it 30000 cubic meter of (Give details of the quantities of soil has already been excavated and 48481 cubic meter of soil earthwork involved, transport of fill excavation shall be done. The Excavated soil was used for materials from outside the site etc.) levelling and back filling. Top soil was preserved and has been reused for landscaping to the extent possible. The same shall be followed for further construction of expansion. 1.7 Give details regarding water supply, Water Supply: During Construction stage, water was waste handling etc. during the sourced from STP treated water and in operational building construction period. of Artemis Hospital also water is sourced from borewell (ground water). We are in process of water supply with HUDA as soon as the municipal water supply line of water will come, the water shall be sourced from HUDA. Waste Generation / Handling:

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23 EIA DOCUMENT OF “EXPANSION OF ARTEMIS HOSPITAL” AT SECTOR- 51, GURUGRAM HARYANA BY M/S ARTEMIS MEDICARE SERVICES LIMITED Spillage of oil from the machinery or cement residual from concrete mixer plants was properly collected and reused in construction site. For construction labour, proper sanitary facilities & wash areas are constructed such as mobile toilets and good hygienic conditions are maintained. The same shall be followed for further construction of expansion. 1.8 Will the low lying areas & wetlands get No low lying and wetlands area are present in and around altered? the project site. (Provide details of how low lying and wetlands are getting modified from the proposed activity) 1.9 Whether construction debris & waste The construction waste generated from the project was during construction cause health hazard? common in nature and cause no health hazard to associate (Give quantities of various types of and nearby population. The construction debris will be used wastes generated during construction for land levelling /back filling. Waste concrete will be reused including the construction labour and the as aggregate in construction process. means of disposal) Mobile toilets & drinking water for construction labour were provided. The sewage and waste water generated were disposed off to septic tank via soak pit. The same shall be followed for further construction of expansion.

2. WATER ENVIRONMENT

2.1 Give the total quantity of water The total quantity of water requirement shall be 1104 KLD requirement for the proposed project (after expansion) in which fresh water requirement will be with the breakup of requirements for 590 KLD and Treated water will be 514 KLD. The fresh water various uses. is sourced from borewell (groundwater) at Artemis Hospital How will the water requirement met? in operational building. We are in process of water supply State the sources & quantities and with HUDA as soon as the municipal water supply line of furnish a water balance statement. water will come, the water shall be sourced from HUDA. Fresh water Domestic: 390 KLD Water Body: 15 KLD Kitchen and Café: 115 KLD Lab- 70 KLD Treated Water Flushing: 214 KLD Gardening: 50 KLD Filter back wash: 50 KLD Cooling tower: 200 KLD

Total Waste Water Discharge: 581 KLD

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24 EIA DOCUMENT OF “EXPANSION OF ARTEMIS HOSPITAL” AT SECTOR- 51, GURUGRAM HARYANA BY M/S ARTEMIS MEDICARE SERVICES LIMITED 2.2 What is the capacity (dependable flow Presently the source of water is ground water supply from or yield) of the proposed source of in operational building of Artemis Hospital of which the water? permission is already taken. We are in process of water supply with HUDA as soon as the municipal water supply line of water will come, the water shall be sourced from HUDA. 2.3 What is the quality of water required, in Presently the source of water is ground water supply from case, the supply is not from a municipal in operational building of Artemis Hospital of which the source? (Provide physical, chemical, permission is already taken. biological characteristics with class of We are in process of water supply with HUDA as soon as the water quality) municipal water supply line of water will come, the water shall be sourced from HUDA. The construction water shall meet IS: 456 Standard and drinking water shall meet IS: 10500. 2.4 How much of the water requirement can After expansion total treated water of 514 KLD shall be be met from the recycling of treated reused. 46.6% of total water requirement shall be met by wastewater? treated water. The details of usage of treated water is given (Give the details of quantities, sources below- and usage) Treated Water Flushing: 214 KLD Gardening: 50 KLD Filter back wash: 50 KLD Cooling tower: 200 KLD 2.5 Will there be diversion of water from There will be no major effect on water demand of this other users? region as the development will be done as per the Master (Please assess the impacts of the project plan of the area. on other existing uses and quantities of consumption) 2.6 What is the incremental pollution load Treated water recovery from STP will be 552 KLD out of from wastewater generated from the which 514 KLD shall be reused & 38 KLD will be discharge to proposed activity? sewer. From lab 56 KLD waste water will be generated (Give details of the quantities and which will be treated in ETP & the treated water of 53 KLD composition of wastewater generated will be discharge to sewer. from the proposed activity) 2.7 Give details of the water requirements 6 number (Existing – 5 No. & proposed 1 no.) of rain water met from water harvesting? Furnish harvesting pits shall be provided at complex. details of the facilities created. (Details of Rain Water harvesting pits are given in EIA Report).

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25 EIA DOCUMENT OF “EXPANSION OF ARTEMIS HOSPITAL” AT SECTOR- 51, GURUGRAM HARYANA BY M/S ARTEMIS MEDICARE SERVICES LIMITED 2.8 What would be the impact of the land In existing complex; the rain water is properly channelized use changes occurring due to the to rain water harvesting pit through storm water drain proposed project on the runoff within the complex. It will have positive impact on the characteristics (quantitative as well as ground water in long term. The same shall be followed for qualitative) of the area in the post further construction of expansion construction phase on a long-term No, it will not aggravate the problem of flooding or water basis? logging in any way, rather will reduce the same. Would it aggravate the problems of flooding or water logging in any way? 2.9 What are the impacts of the proposal on Permission of 1 borewell (ground water) is already taken for the ground water? the existing hospital complex. However, ground water (Will there be tapping of ground water; recharge shall be done through provision of 6 number give the details of ground water table, (Existing – 5 No. & proposed 1 no.) of rain water harvesting recharging capacity, and approvals pits provided at complex obtained from competent authority, if any) 2.10 What precautions/measures are taken During the construction phase, runoff from the construction to prevent the run-off from construction site is not allowed into the roadside. It was collected in a activities polluting land & aquifers? tank & after pre-treatment, water was reused for sprinkling, (Give details of quantities and the curing, tyre washing etc. The same shall be followed for measures taken to avoid the adverse further construction of expansion. impacts)

2.11 How is the storm water from within the Construction phase: Adequate measures taken to site managed? channelize such storm water and the same was collected in (State the provisions made to avoid a tank & after pre-treatment and reused for sprinkling etc. flooding of the area, details of the Same shall be done for further construction phase. drainage facilities provided along with a Operation phase: Storm water will be channelized to 6 site layout indication contour levels) number (Existing – 5 No. & proposed 1 no.) of rainwater harvesting pits. 2.12 Will the deployment of construction Mobile toilets were provided for labourers during labourers particularly in the peak period construction period. The waste water was disposed off to lead to unsanitary conditions around the septic tank via soak pit. The same shall be followed for project site (Justify with proper further construction of expansion. explanation) 2.13 What on-site facilities are provided for Waste water during construction phase from labors is the collection, treatment & safe disposal discharged into septic tank followed by soak pit. of sewage? During operation phase- Total waste water generation from (Give details of the quantities of the complex will be 637 KLD which will be treated in in- wastewater generation, treatment house S.T.Ps of total capacity 725 KLD & ETPs of total capacities with technology & facilities capacity 70 KLD. 214 KLD of the treated water will be reused for recycling and disposal) for flushing, 50 KLD gardening & 200 KLD Cooling tower and 50 KLD for Filter back wash purposes. Excess treated water of 38 KLD generated from STP & 53 KLD generated from ETP shall be discharge to public sewer.

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26 EIA DOCUMENT OF “EXPANSION OF ARTEMIS HOSPITAL” AT SECTOR- 51, GURUGRAM HARYANA BY M/S ARTEMIS MEDICARE SERVICES LIMITED 2.14 Give details of dual plumbing system if Dual Plumbing line will be provided in the complex for reuse treated waste used is used for flushing of of treated water. toilets or any other use.

3. VEGETATION: - 3.1 Is there any threat of the project to Core Zone: the biodiversity? 250 no. trees has already been planted in existing Hospital. (Give a description of the local 3 No. of trees has been transplanted for proposed ecosystem with its unique features, expansion. No cutting of the trees shall be done. Only if any) grasses and bushes shall be cleared during construction. 200 No. of trees are proposed for the expansion part Buffer Zone: 3.2 Will the construction involve Plantation will be done as per landscape plan, so clearing or extensive clearing or modification modification of vegetation is not required. of vegetation? (Provide a detailed account of the trees & vegetation affected by the project) 3.3 What are the measures proposed to There will be no impact of this project. be taken to minimize the likely To minimize the impact, the provision of plantation area of impacts on important site features 10230.77 Sqm (after expansion) area, with lawns, (Give details of proposal for tree ornamental shrubs and trees shall be provided. plantation, landscaping, creation of water bodies etc. along with a layout plan to an appropriate scale)

4. FAUNA 4.1 Is there likely to be any displacement of Core Zone: The project is expansion of existing fauna- both terrestrial and aquatic or operational Artemis Hospital, so in existing conditions this creation of barriers for their movement? place is not the habitat for local fauna. There will not be Provide the details. any type of displacement or any other effect on the local fauna due to proposed project activities. Buffer Zone: There are no wild life sanctuaries within 10 km radius of the project site.

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27 EIA DOCUMENT OF “EXPANSION OF ARTEMIS HOSPITAL” AT SECTOR- 51, GURUGRAM HARYANA BY M/S ARTEMIS MEDICARE SERVICES LIMITED 4.2 Any direct or indirect impacts on the There will be no direct or indirect impact. However, proper avifauna of the area? Provide details. landscaping has been planned to provide a clean, healthy and beautiful green environment. Common native variety of trees and ornamental flowering species will be planted in the green space which will attract avifauna & hence will have direct positive impact on the local avifauna & this will provide shelter to local birds. 4.3 Prescribe measures such as corridors, fish Not applicable ladders etc. to mitigate adverse impacts on fauna.

5. AIR ENVIRONMENT 5.1 Will the project increase atmospheric Tree plantation in the complex shall be provided such that concentration of gases & result in heat the impact of air pollution shall be minimized. islands? After expansion D.G. Sets of capacity 2X1250 KVA, 1X250 KVA, 1X500 KVA (stand by), 2X750 KVA, 1X1500 KVA, 1X1000 (Give details of background air quality KVA will be operated during power cut only. Ambient Air levels with predicted values based on Quality report is enclosed in EIA Report dispersion models taking into account the increased traffic generation as a result of the proposed constructions) 5.2 What are the impacts on generation No dust, odour have been generated at site. Smoke will be of dust, smoke, odorous fumes or generated from the operation of DG sets. Proper emission other hazardous gases? Give details in standards have been maintained as per CPCB guidelines. relation to all the meteorological parameters. 5.3 Will the proposal create shortage of The optimum parking provision is proposed in the basement parking space for vehicles? Furnish & surface. Hence there will be no shortage of parking space details of the present level of for vehicles. transport infrastructure and Total parking provision of complex after expansion will be measures proposed for improvement 668 ECS. including the traffic management at the entry & exit to the project site. 5.4 Provide details of the movement Maximum capacity of parking has been provided on patterns with internal roads, bicycle Basement & surface and proper route have also been tracks, pedestrian pathways, provided for the traffic movement as well as pedestrian footpaths etc., with areas under each movement. category. 5.5 Will there be significant increase in For further construction, noise barriers will be installed to traffic noise & vibrations? Give details reduce traffic noise & vibrations and during operation green of the sources and the measures belt developed within the complex which mitigate the traffic proposed for mitigation of the above. noise. Proper care is being taken during design so that there is not any increase in traffic noise by providing adequate traffic movement, hence no conjunction will cause.

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28 EIA DOCUMENT OF “EXPANSION OF ARTEMIS HOSPITAL” AT SECTOR- 51, GURUGRAM HARYANA BY M/S ARTEMIS MEDICARE SERVICES LIMITED

The foundation has been made very hard and paved with rubber flooring to minimize the vibration, also all other measures to reduce vibration have been adopted during designing of buildings. The same shall be followed for further construction of expansion. 5.6 What will be the impact of DG sets & Existing DG Sets: 2 x 1250 KVA, 1 x 250, [1 x 500 KVA other equipment on noise levels & (standby)] vibration in & ambient air quality Proposed DG Sets: 2 x 750 KVA, 1X1500, 1X1000 KVA around the project site? Provide capacity. details. Fuel: Ultra Low Sulphur H.S.D Location of DG sets in existing: Surface Location of proposed DG Sets: Basement D.G sets have been bought acoustically enclosed & placed in acoustically treated room to reduce the noise from D.G. Sets with proper stack height as per C.P.C.B. norms to reduce the impacts on air quality around the project site. The noise emissions from D.G. Sets are meeting the noise level as per CPCB guidelines. Low Sulphur fuel is used to run these D.G. Sets. Vibration pads shall be used in DG sets to minimize the vibration effect. The same shall be followed for proposed DG Sets.

6. AESTHETICS 6.1 Will the proposed constructions in any No, the proposed construction in any way will not result in way result in the obstruction of a the obstruction of view, scenic amenity. However proper view, scenic amenity or landscapes? landscaping will be done. This will enhance the scenic Are these considerations taken into beauty. account by the proponents? Yes, all considerations have been taken by the proponents. 6.2 Will there be any adverse impacts No, it is case of a Proposed Expansion within project area from new constructions on the itself. existing structures? What are the considerations taken into account? 6.3 Whether there are any local There are no typical urban form & urban design influencing considerations of urban form & urban the design criteria. design influencing the design criteria? They may be explicitly spelt out.

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29 EIA DOCUMENT OF “EXPANSION OF ARTEMIS HOSPITAL” AT SECTOR- 51, GURUGRAM HARYANA BY M/S ARTEMIS MEDICARE SERVICES LIMITED Are there any anthropological or No there is no anthropological or archaeological site or archaeological sites or artifacts artifacts near the site. nearby? State if any other significant features All significant features have been considered. in the vicinity of the proposed site have been considered.

7. SOCIO-ECONOMIC ASPECTS 7.1 Will the proposal result in any As it is a hospital, during the operation of the project, patients changes to the demographic come for treatment, dwelling units will be there for permanent structure of local population? staff, hence, there will be slight change in the demographic Provide the details. structure of local population

7.2 Give details of the existing social Hospital infrastructure around the proposed Sukon Psychotherapy Center 0.65 Km NNE project. Dr. Parul Sony’s Eye Clinic 2.52 Km SEE Complete Women Care 2.86 Km SW Post Office Post office neraSector-52 1.12 Km NE Post office a Sector-45 1.73 Km NW 2.43 Km NW Post office near Sector-39

Place of Worship 1.31 Km NE TemplenearWazirabad 0.62 Km NE Temple near bindapur 2.43 Km NW Temple near Sector-39 School 0.70 Km SW Govt School Samaspur Sector -51 2.61 Km NW Govt Senior Secondary School 1.47 Km SSW Govt. Middle School Tigra Banks 0.79 Km NE Union Bank of India Sec-52 0.80 Km SW HDFC Bank Sec-51 1.33 Km NW PNB Sec-46 7.3 Will the project cause adverse The proposed Hospital complex is expansion of Artemis Hospital effects on local communities, and constructed within the premises as per the defined building disturbance to sacred sites or other by-laws of government authority. There is no sacred site or cultural values? What are the cultural heritage site within vicinity of proposed project; hence no safeguards proposed? adverse impacts are envisaged.

8. BUILDING MATERIALS

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30 EIA DOCUMENT OF “EXPANSION OF ARTEMIS HOSPITAL” AT SECTOR- 51, GURUGRAM HARYANA BY M/S ARTEMIS MEDICARE SERVICES LIMITED 8.1 May involve the use of building materials with The major materials used for construction of the project high-embodied energy. was steel, cement, bricks, flooring tiles/ stones, sanitary Are the construction materials produced with and hardware items, electrical fittings, etc. energy efficient processes? Energy efficient building material have been used. The (Give details of energy conservation measures same shall be followed for further construction of in the selection of building materials and their expansion. energy efficiency) 8.2 Transport and handling of materials during Yes, transportation and handling of material would result construction may result in pollution, noise & in air & noise pollution; however, it has been minimized by public nuisance. covering material by the tarpaulin and ensuring PUC What measures are taken to minimize the certificate of vehicles and good condition silencers. The impacts? same shall be followed for further construction of expansion. 8.3 Are recycled materials used in roads and The debris of construction material have been used in structures? backfilling, roads etc. The same shall be followed for State the extent of savings achieved? further construction of expansion. 8.4 Give details of the methods of collection, Existing: segregation & disposal of the garbage 493 Kg/day of Solid waste is being generated from the generated during the operation phases of the complex. project. Total: Approx. 1930 Kg/day (after expansion) of solid waste shall be generated from the complex. In existing STP of 325 KLD & ETP of 25 KLD already exist. After expansion STP of 400 KLD & ETP of 45 KLD shall be installed along with existing capacity. Treated water recovery from STP after expansion will be 552 KLD out of which for filter back wash (50 KLD), Green area development (50 KLD), 200 KLD for Cooling Tower rest 214 KLD for flushing shall be used and 38 KLD of excess treated water will be discharge to Sewer line. 53 KLD of treated water generated from ETP will be discharged to sewer line. Details of Water Management & Solid Waste Management are given in PFR Report.

9. ENERGY CONSERVATION 9.1 Give details of the power Source of Electricity - UHBVN requirements, source of supply, Total Electrical load – 4500 KW (after expansion) backup source etc. Existing DG Sets: 2 x 1250 KVA, 1 x 250, [1 x 500 KVA What is the energy consumption (standby)] assumed per square foot of built-up Proposed DG Sets: 2 x 750 KVA, 1X1500, 1X1000 KVA area? capacity.

PROJECT PROPONENT: BY: M/S PERFACT ENVIRO SOLUTIONS PVT. LTD. M/S ARTEMIS MEDICARE SERVICES LTD.

31 EIA DOCUMENT OF “EXPANSION OF ARTEMIS HOSPITAL” AT SECTOR- 51, GURUGRAM HARYANA BY M/S ARTEMIS MEDICARE SERVICES LIMITED How have you tried to minimize energy consumption? 9.2 What type of and capacity of power Type of power backup- back-up do you plan to provide? Ultra-Low Sulphur Diesel Generator and Solar energy. D.G. sets for power back up- Existing DG Sets: 2 x 1250 KVA, 1 x 250 KVA, [1 x 500 KVA (standby)] Proposed DG Sets: 2 x 750 KVA, 1X1500 KVA, 1X1000 KVA capacity. Solar backup details: - • Street light and landscape lights shall be provided on solar power. 9.3 What are the characteristics of the Glass with suitable solar heating gain co-efficient have been glass you plan to use? used for windows. Provide specifications of its characteristics related to both short wave and long wave radiation? 9.4 What passive solar architectural Building design and envelope have been optimized through features are being used in the selection of appropriate wall and roof construction and building? through adoption of solar measures. Illustrate the applications made in the proposed project. 9.5 Does the layout of streets & buildings Yes, the layout of buildings has been designed to maximize maximize the potential for solar the potential for use of solar lighting per day devices. energy devices? Solar water harvesting systems and solar powered street Have you considered the use of street lights shall be used to conserve energy. lighting, emergency lighting and solar Yes, solar lights shall be used in operation. hot water systems for use in the building? Substantiate with details. 9.6. Is shading effectively used to reduce Solar Measures have been adopted to provide shading cooling/heating loads? What devices for windows and roof which would effectively reduce principles have been used to heating up of building envelope. Louvers and sunshades have

PROJECT PROPONENT: BY: M/S PERFACT ENVIRO SOLUTIONS PVT. LTD. M/S ARTEMIS MEDICARE SERVICES LTD.

32 EIA DOCUMENT OF “EXPANSION OF ARTEMIS HOSPITAL” AT SECTOR- 51, GURUGRAM HARYANA BY M/S ARTEMIS MEDICARE SERVICES LIMITED maximize the shading of Walls on the been used around windows in order to protect from direct East and the West and the Roof? How sunlight. much energy saving has been Roofs have been painted with reflective paints with solar effected? reflectance ranging from 0.3-0.89. This will result in less absorption of sunlight causing 40 % back reflection and less heating of building structure during summer season. This will effectively reduce the heat load of the building envelope. 9.7 Do the structures use energy-efficient Suitable energy optimization has been adopted during the space conditioning, lighting and calculation of energy load of the proposed expansion mechanical systems? Provide project. The space heating load will be minimized using solar technical details. structure and suitable buildings envelop material. Uses of incandescent lamp and halogen lamps have been avoided and energy efficient LED light have been installed for all common area and other areas. Provide details of the transformers and motor efficiencies, lighting The diesel generator sets shall be automatically controlled to intensity and air-conditioning load optimize their usage based on the actual load requirements assumptions? at any time. Space conditioning will be provided as per norms of National Building Code – Part 8; Building Services Section 3–Mechanical Ventilation. Lighting intensity will be done as per the National Building Code Guidelines. CFC and HCFC free chiller have been installed. Specifications: Nominal Cooling Capacity: 350 TR Chiller Fluid Temperature: 7 C/12ͦ Cͦ (Out/IN) Are you using CFC and HCFC free Cond Fluid Temperature: 37 C/32ͦ Cͦ chillers? Provide specifications Power Supply: 400/15/50/ 3V/Hz/Ph 9.8 What are the likely effects of the No significant effect is envisaged on the surrounding building activity in altering the micro- environment of project. Increased traffic generation and use climates? of diesel generators sets in the project will not cause

PROJECT PROPONENT: BY: M/S PERFACT ENVIRO SOLUTIONS PVT. LTD. M/S ARTEMIS MEDICARE SERVICES LTD.

33 EIA DOCUMENT OF “EXPANSION OF ARTEMIS HOSPITAL” AT SECTOR- 51, GURUGRAM HARYANA BY M/S ARTEMIS MEDICARE SERVICES LIMITED Provide a self-assessment on the likely significant increase in atmospheric concentration of gases impacts of the proposed construction and will not result in heat island formation. on creation of heat island & inversion effects?

9.9 What are the thermal characteristics S. BUILDING ‘R’ Values ‘U’ Values No MATERIAL (in Sq m. (in Watts/ of the building envelope? (a) roof; (b) PROPOSED Deg C/ Sq m. Deg external walls; and (c) fenestration? WITH U & R Watts ) C) VALUES Give details of the material used and 1. Wall 2.28 0.44 the U-values or the R values of the Brick & AAC Blocks wall (230 individual components. mm thick), both side thick sand cement plaster (12-18mm) with insulation.

2. Roof 2.04 0.49 200 mm RCC slab with mud phuska & clay tiles with 75 mm insulation.

3 Double reflective 0.58 1.7 Glass

9.10 What precautions & safety measures The basic system of Fire Fighting has been designed as per are proposed against fire hazards? the provisions of the National Building Code 2016 Furnish details of emergency plans. Water shall be drawn from fire reserve tanks by electrically driven jockey pumps, Sprinkler Pump, Common Diesel Engine Driven Pump & fire pumps. A standby diesel engine driven pump for fire hydrant pump shall also be provided. All pumps shall have separate suction line from the fire suction header and delivery shall be connected to the system. Diesel engine driven fire pump shall be of the same capacity and shall back up the electrically operated fire hydrant, as per fire regulations. This will be operated in case of total electrical power or electrical pump failure. Independent jockey pumps (for hydrant line) shall operate intermittently in order to take

PROJECT PROPONENT: BY: M/S PERFACT ENVIRO SOLUTIONS PVT. LTD. M/S ARTEMIS MEDICARE SERVICES LTD.

34 EIA DOCUMENT OF “EXPANSION OF ARTEMIS HOSPITAL” AT SECTOR- 51, GURUGRAM HARYANA BY M/S ARTEMIS MEDICARE SERVICES LIMITED care of hydraulic losses in the system and shall maintain the minimum pressure respectively in wet risers.

FIRE HYDRANTS Fire department connections, capable of directly feeding the ring mains or static fire reserve tanks, shall also be provided near the main entrance. It shall also be provided on the external wall of the property near the main entrance. Internal standpipe fire hydrant system shall be provided with landing valve, hose reel, first aid hose reels, complete with instantaneous pattern short gunmetal pipe.

WET RISER AND SPRINKLER SYSTEM The Hospital will be equipped with sprinkler system of fire- fighting and the sprinkler heads shall be distributed as per NBC.

FIRE HOSE CABINETS The hose cabinet to accommodate the Hose Pipes, Branch Pipe, Nozzle and Hydrant Outlets shall be fabricated from 2 mm thick or 14 mm gauge aluminium sheet. Internal Hydrants shall accommodate the Hose Reel equipment. The hose cabinet shall be painted red and stove enamelled.

EXTINGUISHERS Hand held extinguishers shall be located so that the maximum travel distance is not more than 23 meters and would generally be located in or adjacent to the fire hose reel cabinet.

PROJECT PROPONENT: BY: M/S PERFACT ENVIRO SOLUTIONS PVT. LTD. M/S ARTEMIS MEDICARE SERVICES LTD.

35 EIA DOCUMENT OF “EXPANSION OF ARTEMIS HOSPITAL” AT SECTOR- 51, GURUGRAM HARYANA BY M/S ARTEMIS MEDICARE SERVICES LIMITED Fire Safety: The building materials shall be of appropriate fire resistance standards. Further, design shall include provisions for the following:  The electrical systems shall be provided with automatic circuit breakers activated by the rise of current as well as activated by over current.  Fire detection system.  Fire alarm system at appropriate places.  Means of escape  Access for fireman  Adequate fire-fighting requirement shall be taken into account while designing the electrical distribution system.  Emergency Lighting: The emergency lights operated on battery power should be provided at appropriate locations such as corridors, common area, staircase, exit and entrance doors, parking etc. The transformers will be kept energized and should feed independently alternate rows of lights so that in case of failure of one transformer, there will not be complete darkness. 9.11 If you are using glass as wall material Single reflective glass is used. provides details and specifications including emissive and thermal characteristics. 9.12 What is the rate of air infiltration into All the window and door is of airtight quality; hence we don’t the building? foresee any air infiltration. Provide details of how you are mitigating the effects of infiltration. 9.13 To what extent the non-conventional Solar energy has been used inside the complex. energy technologies are utilized in the Solar water harvesting systems and solar powered street overall energy consumption? lights shall be used to conserve energy. Provide details of the renewable energy technologies used.

PROJECT PROPONENT: BY: M/S PERFACT ENVIRO SOLUTIONS PVT. LTD. M/S ARTEMIS MEDICARE SERVICES LTD.

36 EIA DOCUMENT OF “EXPANSION OF ARTEMIS HOSPITAL” AT SECTOR- 51, GURUGRAM HARYANA BY M/S ARTEMIS MEDICARE SERVICES LIMITED

10. ENVIRONMENT MANAGEMENT PLAN

10.1 The Environment Management Plan would Environment Management Plan is given in Environment consist of all mitigation measures for each Impact Assessment Report. 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.

PROJECT PROPONENT: BY: M/S PERFACT ENVIRO SOLUTIONS PVT. LTD. M/S ARTEMIS MEDICARE SERVICES LTD.

37 EIA DOCUMENT OF “EXPANSION OF ARTEMIS HOSPITAL” AT SECTOR- 51, GURUGRAM HARYANA BY M/S ARTEMIS MEDICARE SERVICES LIMITED

Enclosure 2: Copy of ToR

PROJECT PROPONENT: BY: M/S PERFACT ENVIRO SOLUTIONS PVT. LTD. M/S ARTEMIS MEDICARE SERVICES LTD.

38 39 40 EIA DOCUMENT OF “EXPANSION OF ARTEMIS HOSPITAL” AT SECTOR- 51, GURUGRAM HARYANA BY M/S ARTEMIS MEDICARE SERVICES LIMITED

Enclosure 3: TOR Compliance

PROJECT PROPONENT: BY: M/S PERFACT ENVIRO SOLUTIONS PVT. LTD. M/S ARTEMIS MEDICARE SERVICES LTD.

41 EIA DOCUMENT OF “EXPANSION OF ARTEMIS HOSPITAL” AT SECTOR- 51, GURUGRAM HARYANA BY M/S ARTEMIS MEDICARE SERVICES LIMITED

COMPLIANCE OF TERMS OF REFERENCE

Sr. No. TOR POINT Compliance 1 Project description, its importance The projection description is given in Chapter 2, and the benefits section 2.1 of the EIA Report. The benefits of the project are given in chapter 8 of the EIA Report.

2 Project site details (Location, The proposed project “Expansion of Artemis toposheet of the study area of 10 Hospital” is located at Sec- 51, Gurugram, Km, coordinates, google map, Haryana. The map showing location, toposheet layout map, landuse, geological of the study area of 10 Km, coordinates, google features and geo-hydrological map, layout map, land use, of the project is given status of the study area, drainage) in chapter 2, section 2.1. The geological features and geo-hydrological status of the study area, drainage is given in Chapter 3, Section 3.8 of EIA report.

3 Land use as per the approved The land has been allotted by HUDA vide Memo Master Plan of the area, no. 83 dated 15.02.2006 for total plot area permission/approvals required 33,958.90 sqm (8.30 acre) to M/s Artemis from the land-owning agencies, Medicare Services Limited, for setting up Development Authorities, local Hospital Complex. body, water supply & sewerage Land documents has been attached at Annexure Board 6. Copy of water assurance has been enclosed at Annexure in EIA Report.

4 Land Acquisition status, R&R The land has been allotted by HUDA Memo no. details 83 dated 15.02.2006. 5 Forest and Wildlife and eco- No forest and wildlife and eco-sensitive zone is sensitive zones, if any in the study within 10 km. Hence, not applicable. area of 10 km clearance required under the Forest (Conservation) Act, 1980, the Wildlife (Protection) Act, 1986.

PROJECT PROPONENT: BY: M/S PERFACT ENVIRO SOLUTIONS PVT. LTD. M/S ARTEMIS MEDICARE SERVICES LTD.

42 EIA DOCUMENT OF “EXPANSION OF ARTEMIS HOSPITAL” AT SECTOR- 51, GURUGRAM HARYANA BY M/S ARTEMIS MEDICARE SERVICES LIMITED 6 Baseline environmental study for As per TOR, Baseline environmental study was ambient air (PM10, PM2.5, SO2, NOx done for one month, during May 2018 as per TOR & CO), water (both surface & granted. Detailed baseline study has been given ground), noise and soil for one in Chapter 3, The study for ambient air (PM10, month (except monsoon period) PM2.5, SO2, NOx & CO) is given in chapter 3, as per MoEF&CC/CPCB guidelines Section 3.3 of EIA Report. The study for water at minimum 5 locations in the (both surface & ground) are given in chapter 3, study are of 10 Km Section 3.5 of EIA Report, the study for noise and soil is given in chapter 3, Section 3.6 and 3.7 of EIA Report respectively.

7 Details on flora &fauna and socio- Detail on flora & fauna and socio-economic economic aspects in the study aspects in the study area are given in Chapter 3, area. Section 3.9 & 3.10 of EIA report respectively.

8 Likely impact of the project on the Likely impacts and their mitigation measures for environmental parameters ambient air is given in Chapter 4, Section 4.3 of (ambient air, surface and ground EIA report. The Likely impacts and their water, land, flora and fauna and mitigation measures for surface and ground socio-economic, etc.) water is given in Chapter 4, Section 4.4 of EIA report. The Likely impacts and their mitigation measures for land is given in Chapter 4, Section 4.1 of EIA report. The Likely impacts and their mitigation measures for flora and fauna and socio-economic are given in Chapter 4, Section 4.6 & 4.8 of EIA report respectively.

9 Source of water for different Fresh water is and will be sourced by Municipal identified purposes with the Corporation for which permission has been permissions required from the obtained and Tanker supply. Rest water concerned authorities, both for requirement is being met from the treated water surface water and the ground of in house STP. water (by CGWA) as the case may be, rain water harvesting, etc.

10 Waste water management Proper waste water management is being done (treatment, reuse and disposal) for existing part and shall be done for the for the project and also the study remaining part also detail is given at Chapter 9, area. Section 9.2 of EIA report.

PROJECT PROPONENT: BY: M/S PERFACT ENVIRO SOLUTIONS PVT. LTD. M/S ARTEMIS MEDICARE SERVICES LTD.

43 EIA DOCUMENT OF “EXPANSION OF ARTEMIS HOSPITAL” AT SECTOR- 51, GURUGRAM HARYANA BY M/S ARTEMIS MEDICARE SERVICES LIMITED 11 Management of solid waste and Proper management of solid waste is being done the construction & demolition for existing part and shall be done for the waste for the project vis-a-vis the remaining part also. Detail given in Chapter 9, Solid Waste Management Rules, Section 9.5 of EIA report. 2016 and the Construction & Demolition Rules, 2016

12 Energy efficient measures (LED Energy efficient measures is and will be adopted lights, solar power, etc) during during construction as well as during construction as well as during operational phase of the project. The detailed is operational phase of the project given in Chapter 5 of EIA Report.

13 Assessment of ecological damage Assessment of ecological damage with respect to with respect to air, water, land air, water, land and other environmental and other environmental attributes has been done by Perfact Researchers attributes. The collection and Pvt. Ltd and is given in chapter 7 of EIA Report. analysis of data shall be done by an environmental laboratory duly notified under the Environment (Protection) Act, 1986, or an environmental laboratory accredited by NABL, or a laboratory of a Council of Scientific and Industrial Research (CSIR) institution working in the field of environment.

14 Preparation of EMP comprising EMP has been prepared comprising remediation remediation plan and natural and plan and natural and community resource community resource augmentation plan corresponding to the augmentation plan corresponding ecological damage assessed and economic to the ecological damage assessed benefits derived due to violation and is given in and economic benefits derived chapter 7 of EIA Report. due to violation.

PROJECT PROPONENT: BY: M/S PERFACT ENVIRO SOLUTIONS PVT. LTD. M/S ARTEMIS MEDICARE SERVICES LTD.

44 EIA DOCUMENT OF “EXPANSION OF ARTEMIS HOSPITAL” AT SECTOR- 51, GURUGRAM HARYANA BY M/S ARTEMIS MEDICARE SERVICES LIMITED

Enclosure 4: Specific ToR

PROJECT PROPONENT: BY: M/S PERFACT ENVIRO SOLUTIONS PVT. LTD. M/S ARTEMIS MEDICARE SERVICES LTD.

45 EIA DOCUMENT OF “EXPANSION OF ARTEMIS HOSPITAL” AT SECTOR- 51, GURUGRAM HARYANA BY M/S ARTEMIS MEDICARE SERVICES LIMITED COMPLIANCE OF SPECIFIC TERMS OF REFERENCE

Sr. No. TOR POINT Compliance 1 The PP should submit an affidavit The affidavit from the Director of the Company from the Director of the Company giving graphical details of construction and utility giving graphical details of services already done shall be submitted at the construction and utility services time of appraisal meeting. already done. 2 The PP should submit NOC from NOC from the Tehsildar is attached as Enclosure- the Forest Department indicating 11 that the area under consideration does not fall under the Forests Acts and Section 4 & 5 of PLPA. 3 The NOC from Aravali Hill Aravali Clearance is not required as per MOM of Notification, 1992 shall be Haryana dated 16.08.2016. Copy of the same is obtained from District Collector. attached as annexure.

4 The PP should submit approved Approved building plan along with service plan is building plan along with service enclosed in the EIA Report as Annexure plan 5 The PP should provide the details The details of internal and external of internal and external developments are enclosed in the EIA report. developments.

PROJECT PROPONENT: BY: M/S PERFACT ENVIRO SOLUTIONS PVT. LTD. M/S ARTEMIS MEDICARE SERVICES LTD.

46 EIA DOCUMENT OF “EXPANSION OF ARTEMIS HOSPITAL” AT SECTOR- 51, GURUGRAM HARYANA BY M/S ARTEMIS MEDICARE SERVICES LIMITED

Enclosure 5: Additional ToR

Sr. No. TOR POINT Compliance 1 Latest status report of the project Latest status report of the project verified by the verified by the RO, MoEF & CC/RO, RO, MoEF & CC/RO, HSPCB to be included will be HSPCB to be included presented at the time of the presentation

2 Conformation of the land-use as The land use conform the Master plan. per the ‘Master Plan’ of the area from DTCP

3 Approval of Air Port Authority of The maximum building height is 27.5 m which is India regarding the present height below than 30 m. Therefore, AAI approval is not of the building required.

4 No case should be The project is violator of EIA Notification 2006 assessed/appraised without under EPA Act. The Prosecution letter shall be initiating the prosecution provided at the time of presentation

PROJECT PROPONENT: BY: M/S PERFACT ENVIRO SOLUTIONS PVT. LTD. M/S ARTEMIS MEDICARE SERVICES LTD.

47 EIA DOCUMENT OF “EXPANSION OF ARTEMIS HOSPITAL” AT SECTOR- 51, GURUGRAM HARYANA BY M/S ARTEMIS MEDICARE SERVICES LIMITED

Enclosure 6: Environment Impact Assessment Report

PROJECT PROPONENT: BY: M/S PERFACT ENVIRO SOLUTIONS PVT. LTD. M/S ARTEMIS MEDICARE SERVICES LTD.

48 EIA DOCUMENT OF “EXPANSION OF ARTEMIS HOSPITAL” AT SECTOR- 51, GURUGRAM HARYANA BY M/S ARTEMIS MEDICARE SERVICES LIMITED ENVIRONMENT IMPACT ASSESSMENT REPORT FOR

“EXPANSION OF ARTEMIS HOSPITAL” At

Sec- 51, Gurugram- 122001, Haryana

Total Built-up area: 67444.652 sqm Category : 8(a) Cost of Project : Rs. 399 Crores

Being Developed by: M/s Artemis Medicare Services Limited Plot No. 14, sector 20, Dwarka, New Delhi-110075 Contact person: Mr. Navneet Goel Phone No. : 9711160009 Email-id : [email protected]

M/s PERFACT ENVIROSOLUTIONS PVT LTD (NABET Registered Vide List of accredited Consultants organization / Rev 67/9th July 2018 at S.No.-114) 5th Floor, NN Mall, Mangalam Palace, Sector 3, Rohini, New Delhi-110085 Email: [email protected]; Phone: 011- 49281360

PROJECT PROPONENT: BY: M/S PERFACT ENVIRO SOLUTIONS PVT. LTD. M/S ARTEMIS MEDICARE SERVICES LTD.

49 EIA DOCUMENT OF “EXPANSION OF ARTEMIS HOSPITAL” AT SECTOR- 51, GURUGRAM HARYANA BY M/S ARTEMIS MEDICARE SERVICES LIMITED

Content of EIA

CONTENT OF EIA ...... 49

CHAPTER 1: DESCRIPTION OF THE PROJECT ...... 52 1.1 PROFILE OF THE PROJECT PROPONENT: ...... 55 1.2 IMPLEMENTING ORGANIZATION ...... 55 1.3 METHODOLOGY ...... 60 1.4 LAND DESCRIPTION ...... 60 1.5 ENVIRONMENTAL LEGISLATIONS APPLICABLE TO THE PROJECT ...... 60

CHAPTER 2: DESCRIPTION OF THE PROJECT ...... 65 2.1 GOAL & OBJECTIVE OF THE PROJECT: ...... 65 2.2 TIME FRAME OF THE PROJECT: ...... 71 2.3 PROJECT DETAILS ...... 74 2.4 POPULATION ...... 75 2.5 PROVISION OF AMENITIES ...... 76 2.6 WATER SUPPLY SOURCE AND CONSUMPTIONS: ...... 77 2.7 SOLID WASTE MANAGEMENT ...... 78 2.8 POWER SUPPLY SOURCE AND REQUIREMENT: ...... 80 2.9 AIR POLLUTION ...... 81 2.10 NOISE POLLUTION ...... 83 2.11 PARKING MANAGEMENT ...... 83 2.12 COST OF THE PROJECT ...... 84 2.13 ENVIRONMENTAL LIABILITY OF THE SITE: ...... 84

CHAPTER 3: ENVIRONMENTAL BASE LINE DATA ...... 85 3.1 INTRODUCTION ...... 85 3.2 METHODOLOGY ...... 86 3.3 METEOROLOGY ...... 87 3.4 MICRO METREOLOGICAL DATA ...... 96 3.5 AMBIENT AIR QUALITY ...... 97 3.6 WATER REGIME ...... 104 3.7 WATER QUALITY ...... 106 3.8 NOISE QUALITY...... 112 3.9 SOIL QUALITY ...... 116

50 EIA DOCUMENT OF “EXPANSION OF ARTEMIS HOSPITAL” AT SECTOR- 51, GURUGRAM HARYANA BY M/S ARTEMIS MEDICARE SERVICES LIMITED 3.9.1 Sampling Location ...... 116 3.9.2 Criteria for sampling location selection: ...... 117 3.9.3 Locations of soil sampling stations: ...... 118 3.10 TOPOGRAPHY ...... 122 3.11 LANDUSE ...... 122 3.12 FLORA AND FAUNA ...... 125 3.13 SOCIO-ECONOMIC SCENARIO ...... 134 3.14 TRAFFIC DENSITY ...... 147

CHAPTER 4: ANTICIPATED ENVIONMENTAL IMPACTS & MITIGATION MEASURES ...... 153 4.1 IMPACT MITIGATION- CONSTRUCTION PHASE ...... 153 4.2 IMPACT MITIGATION DURING OPERATION PHASE ...... 175

CHAPTER 5: ANALYSIS OF ALTERNATIVES...... 192 5.1 BUILDING MATERIAL ...... 192 5.2 ENERGY CONSERVATION MEASURES ...... 192 5.3 WATER CONSERVATION MEASURES ...... 193 5.4 ROAD CONSTRUCTION MATERIAL...... 193

CHAPTER 6: ENVIRONMENT MONITORING PROGRAMME ...... 194 6.1 DETAILS OF MONITORING TO JUDGE EFFECTIVENESS OF MEASURES ...... 194 6.2 SUBMISSION OF SIX MONTHLY COMPLIANCES ...... 195 6.3 ENVIRONMENT AUDIT ...... 196 6.4 ENERGY AUDIT ...... 196

CHAPTER 7: ADDITIONAL STUDIES ...... 197 7.1 Risk Assessment ...... 197 7.2 SAFETY ACTION PLAN ...... 201 7.3 EVACUATION PLAN ...... 213 7.4 OCCUPATIONAL HEALTH & SAFETY ...... 214 7.5 Damage Assessment Report & Remediation Plan...... 215

CHAPTER 8: PROJECT BENEFITS ...... 234

CHAPTER 9: ENVIRONMENT MANAGEMENT PLAN ...... 236 9.1 AIR ENVIRONMENT/ DUST MITIGATION MEASURES ...... 237 9.2 WATER MANAGEMENT ...... 240 9.3 RAIN WATER HARVESTING/COLLECTION ...... 251 9.4 NOISE ENVIRONMENT ...... 255 9.5 PARKING MANAGEMENT: ...... 259 9.6 WASTE & SOIL MANAGEMENT ...... 259

PROJECT PROPONENT: BY: M/S PERFACT ENVIRO SOLUTIONS PVT. LTD. M/S ARTEMIS MEDICARE SERVICES LTD.

51 EIA DOCUMENT OF “EXPANSION OF ARTEMIS HOSPITAL” AT SECTOR- 51, GURUGRAM HARYANA BY M/S ARTEMIS MEDICARE SERVICES LIMITED 9.7 PLANTATION ...... 262 9.8 ENVIRONMENT MANAGEMENT COST ...... 265 9.9 CORPORATE ENVIRONMENT RESPONSIBILITY ...... 266 9.10 HEALTH, SAFETY & OCCUPATIONAL MEASURES ...... 267

CHAPTER 10: SUMMARY AND CONCLUSION ...... 270

DISCLOSURE OF ENVIRONMENTAL CONSULTANT ...... 284

PROJECT PROPONENT: BY: M/S PERFACT ENVIRO SOLUTIONS PVT. LTD. M/S ARTEMIS MEDICARE SERVICES LTD.

52 EIA DOCUMENT OF “EXPANSION OF ARTEMIS HOSPITAL” AT SECTOR- 51, GURUGRAM HARYANA BY M/S ARTEMIS MEDICARE SERVICES LIMITED Chapter 1: DESCRIPTION OF THE PROJECT

The project, “Expansion of Artemis Hospital” is situated at Sector- 51, Gurugram, Haryana is being developed by M/s Artemis Medicare Services Limited. The total plot area of the project site is 33,588.908 sqm having Built-up area after expansion of 67,444.652 Sqm. The land has been allotted by HUDA to M/s Artemis Medicare Services Pvt. Ltd. by Memo No.- 83, dated 15.02.2006

The Project had already been granted the Environmental Clearance vide letter no. 21- 292/2007-IA.III dated 19.07.2007 for plot area 33,958.90 m2 and built-up area of 27,354.0 m2 for development of hospital. After that construction work was started and has completed construction for Built-up area 32,222.507 m2 which is now an operational hospital. The construction area has exceeded the approved Built-up area granted in Environment clearance and hence violator of EIA Notification, 2006.

As per new planning, expansion of the project & total built-up area after expansion will be 67,444.652 m2 for which we had earlier application for Environment clearance for expansion of the project in SEIAA, Haryana on 05-04-2017. Meanwhile, out of total proposed built-up area of 35,222.15 m2, construction had started before the grant of Environmental Clearance for expansion, hence violating EIA Notification 2006

As per MoEF&CC Notification No. S.O.804(E) dated 14.03.2017, where it has been clearly notified that the violation cases/non-Compliance will be appraised at MoEF&CC. Hence, in view of the aforesaid notification, we had submitted the proposal for “Expansion of Artemis Hospital” for grant of Terms of Reference in MoEF&CC on 19-01-2018 as violation project.

Now as per amendment in notification vide S.O. 1030(E) dated 8th March,2018, the project shall be apprised at SEAC. Therefore, we had submitted the documents for grant of Terms of Reference under violation for Project “Expansion of Artemis Hospital” in SEIAA, Haryana on 20.03.2018.

PROJECT PROPONENT: BY: M/S PERFACT ENVIRO SOLUTIONS PVT. LTD. M/S ARTEMIS MEDICARE SERVICES LTD.

53 EIA DOCUMENT OF “EXPANSION OF ARTEMIS HOSPITAL” AT SECTOR- 51, GURUGRAM HARYANA BY M/S ARTEMIS MEDICARE SERVICES LIMITED

CHRONOLOGY OF EVENTS:

S.No Status Dates

1 Earlier Environmental Clearance granted vide letter no. 21- 19.07.2007 Environmental 292/2007-IA.III dated 19.07.2007 for plot area Clearance 33,958.90 sqm and built-up area of 27,354.0 sqm for development of hospital.

However, the construction was done & is operational now.

2 Applied in SEIAA Then Environment Clearance application for 29-03-2017 Haryana expansion of the project having built-up area 67,444.652 sqm was filed in SEIAA Haryana on 29-03- 2017

3 Initial appraisal, The case was initially appraised in the 151st meeting 03-05-2017 151st SEAC and case was deferred due to non-availability of Haryana compliance report of the earlier environment clearance.

4 Construction Meanwhile the construction for the proposed March, 2017 status expansion part was started.

5 159th SEAC Case was then again appraised after submission of 17.10.2017 meeting certified compliance report and then few queries (Reconsideration) were again raised.

6 Submission of Submission of reply to the queries raised in 159 SEAC 27.11.2017 reply meeting was done to SEAC on 27.11.2017

PROJECT PROPONENT: BY: M/S PERFACT ENVIRO SOLUTIONS PVT. LTD. M/S ARTEMIS MEDICARE SERVICES LTD.

54 EIA DOCUMENT OF “EXPANSION OF ARTEMIS HOSPITAL” AT SECTOR- 51, GURUGRAM HARYANA BY M/S ARTEMIS MEDICARE SERVICES LIMITED 7 161st SEAC Case was again reconsidered by SEAC in 161st 14.12.2017 meeting meeting dated 14.12.2017 where the case was (Reconsideration) declared as violation as per the Construction status mentioned in Certified compliance report.

8 Construction Out of the proposed built-up area of 35,222.15 sqm, October, status as on date construction of 16,879.54 sqm of built-up area has 2017 been done.

9 Applied under Then as per the notification dated S.O.804 (E) dated 19-01-2018 violation 14.03.2017, the proposal was submitted in MOEF&CC for grant of Terms of Reference on 19.01.2018

10 Amendment in Then as per the amendment in notification vide S.O 20.03.2018 Notification date 1030 (E) dated 08.03.2018 the project falls under 14.03.2018 Category B. Thus, application was submitted in SEIAA, Haryana on 20.03.2018

11 TOR granted Terms of Reference was granted by SEIAA, Haryana 26.07.2018 (Under Violation vide letter no. SEIAA/HR/2018/829 dated 26.07.2018. notification)

12 Baseline Data Baseline data as per the TOR granted was collected for May, 2018 month of May 2018.

13 EIA Report The EIA report along with Damage assessment & 26.07.2018 Submission Remediation plan was submitted on 26.07.2018

14 175th SEAC The case was enlisted in 175th SEAC meeting, where 14.08.2018 meeting the case was heard but PP has failed to submit required documents. The PP was asked to submit Remediation plan along with cost assessment & Damage Assessment.

PROJECT PROPONENT: BY: M/S PERFACT ENVIRO SOLUTIONS PVT. LTD. M/S ARTEMIS MEDICARE SERVICES LTD.

55 EIA DOCUMENT OF “EXPANSION OF ARTEMIS HOSPITAL” AT SECTOR- 51, GURUGRAM HARYANA BY M/S ARTEMIS MEDICARE SERVICES LIMITED 15 SEAC Committee Since, the tenure of the SEAC Haryana committee was 20.10.2018 Dissolved completed on 20.10.2018, therefore the case is transferred to MOEF&CC

1.1 PROFILE OF THE PROJECT PROPONENT:

The project is being developed by M/s Artemis Medicare Services Pvt. Limited

Project proponent: M/s Artemis Medicare Services Limited

Registered Office: Plot No. 14, sector 20, Dwarka, New Delhi-110075

1.2 IMPLEMENTING ORGANIZATION

The land has been allotted by Haryana Urban Development Authority vide Memo No. 83 dated 15.02.2006 for total Plot Area 33588.908 Sqm (8.30 acre) to M/s Artemis Medicare Services

Limited. for setting up of Hospital in Sector- 51, Gurgaon.

ENVIRONMENTAL CONSULTANT INVOLVED IN THE PROJECT:

M/s Perfact Enviro Solutions Pvt. Ltd. established by experienced environmental and related experts, provides specialized services in the field of Environment and Pollution Control for all types of Industrial, Construction, Nuclear Sciences, Bio-diversity, Mining and other related fields. Our transparent and professional approach, commitment to excellent quality and service, timely deliveries have contributed to create a name in the field of environment.

M/s Perfact Enviro Solutions Pvt. Ltd. is NABET Registered vide list of accredited consultant organizations/ Rev 70/ 11th October 2018 at S.No.-116) & an ISO 9001:2015 & ISO 14001:2015 Certified Company.

PROJECT PROPONENT: BY: M/S PERFACT ENVIRO SOLUTIONS PVT. LTD. M/S ARTEMIS MEDICARE SERVICES LTD.

56 EIA DOCUMENT OF “EXPANSION OF ARTEMIS HOSPITAL” AT SECTOR- 51, GURUGRAM HARYANA BY M/S ARTEMIS MEDICARE SERVICES LIMITED Declaration by Experts contributing to the EIA “Expansion of Artemis Hospital” at Sector -51, Gurgaon, Haryana by M/s Artemis Medicare Services Ltd.

I, hereby, certify that I was a part of the EIA team in the following capacity that developed the above EIA.

EIA coordinator: Neha Aggrawal

Name: Neha Aggrawal

Signature and Date: 31.10.2018

Period of involvement: ......

Contact information: 9711610984

Functional area experts:

Name of the Involvement Signature and S. No. Functional areas expert/s (period and task**) date

1 AP* Nipun Bhargava

31.10.2018

2 WP* Neha Aggarwal

31.10.2018

3 SHW* Praveen Bhargava 31.10.2018

4 SE* Rachna Bhargava 31.10.2018

5 EB* Rajiv Kumar

31.10.2018

6 HG* Santosh Pant 31.10.2018

PROJECT PROPONENT: BY: M/S PERFACT ENVIRO SOLUTIONS PVT. LTD. M/S ARTEMIS MEDICARE SERVICES LTD.

57 EIA DOCUMENT OF “EXPANSION OF ARTEMIS HOSPITAL” AT SECTOR- 51, GURUGRAM HARYANA BY M/S ARTEMIS MEDICARE SERVICES LIMITED

7 GEO* Rajneesh Mourya 31.10.2018

8 SC* Rachna Dogra

31.10.2018

9 AQ* Nipun Bhargava

31.10.2018

10 NV* Muthukumaran 31.10.2018

11 LU* Rajneesh Mourya 31.10.2018

12 RH* Nipun Bhargava

31.10.2018

*One TM against each FAE may be shown **Please attach additional sheet if required

Declaration by the Head of the accredited consultant organization/ authorized person

I Praveen Bhargava, hereby, confirm that the above-mentioned experts prepared the EIA of “Expansion of Artemis Hospital” at Sector -51, Gurgaon, Haryana by M/s Artemis Medicare Services Ltd. I also confirm that EIA Coordinator (EC) has gone through the report, and the consultant organization shall be fully accountable for any misleading information. It is certified that no unethical practices, plagiarism involved in carrying out the work and external data / text has not been used without proper acknowledgement while preparing this EIA report.

Signature:

Name: Praveen Bhargava

PROJECT PROPONENT: BY: M/S PERFACT ENVIRO SOLUTIONS PVT. LTD. M/S ARTEMIS MEDICARE SERVICES LTD.

58 EIA DOCUMENT OF “EXPANSION OF ARTEMIS HOSPITAL” AT SECTOR- 51, GURUGRAM HARYANA BY M/S ARTEMIS MEDICARE SERVICES LIMITED Designation: Managing director

Name of the EIA consultant organization: Perfact Enviro Solutions Pvt. Ltd. NABET Certificate No. & Issue Date: QCI/NABET/EIA/ACO/18/736 valid till 27.11.2018

PROJECT PROPONENT: BY: M/S PERFACT ENVIRO SOLUTIONS PVT. LTD. M/S ARTEMIS MEDICARE SERVICES LTD.

59 EIA DOCUMENT OF “EXPANSION OF ARTEMIS HOSPITAL” AT SECTOR- 51, GURUGRAM HARYANA BY M/S ARTEMIS MEDICARE SERVICES LIMITED NABET Certification Letter

PROJECT PROPONENT: BY: M/S PERFACT ENVIRO SOLUTIONS PVT. LTD. M/S ARTEMIS MEDICARE SERVICES LTD.

60 EIA DOCUMENT OF “EXPANSION OF ARTEMIS HOSPITAL” AT SECTOR- 51, GURUGRAM HARYANA BY M/S ARTEMIS MEDICARE SERVICES LIMITED 1.3 METHODOLOGY

This EIA/EMP report has been prepared based on the following: 1. EIA Guidance Manual for Hospital Projects, Ministry of Environment & forests. 2. Observations made by M/s Perfact Enviro Solutions Pvt. Ltd. during visits to the study area and collection of primary and secondary environmental data. The main components of the method are:

• Impact Identification • Impact Assessment • Impact Evaluation • Mitigation Measures

1.4 LAND DESCRIPTION

The site having a land area 33,588.908 sq. m is located at Sector 51, Gurugram, Haryana adjacent to Netaji Subhash Marg.

State: Haryana

Latitude: 28°25'45.02"N

Longitude: 77°04'25.23"E

1.5 ENVIRONMENTAL LEGISLATIONS APPLICABLE TO THE PROJECT

Following legislations are applicable to the project. Therefore, it is the responsibility of the developer to comply with these legislations.

➢ THE WATER (PREVENTION AND CONTROL OF POLLUTION) ACT 1974

Under Section 25. Restrictions on New Outlets and New Discharges

– Applicable due to discharge of waste water from the Hospital Complex. – Under the above-mentioned act, we shall take consent “consent to establish” & “consent to operate” of the State Pollution Control Board. ➢ THE AIR (PREVENTION AND CONTROL OF POLLUTION) ACT, 1981

Under section 21. Restrictions on use of certain industrial plants. – Applicable due to provision of DG Sets which will be source of air emission to atmosphere. Stack shall be installed.

PROJECT PROPONENT: BY: M/S PERFACT ENVIRO SOLUTIONS PVT. LTD. M/S ARTEMIS MEDICARE SERVICES LTD.

61 EIA DOCUMENT OF “EXPANSION OF ARTEMIS HOSPITAL” AT SECTOR- 51, GURUGRAM HARYANA BY M/S ARTEMIS MEDICARE SERVICES LIMITED – Under the above-mentioned act, we shall take consent “consent to establish” & “consent to operate” from the State Pollution Control Board. ➢ THE MUNICIPAL SOLID WASTES (MANAGEMENT AND HANDLING) RULES, 2000 & SOLID WASTE MANAGEMENT RULES, 2016 As per this rule solid waste is to be segregated and disposed as per defined procedure at MSW approved site or within its own complex by using different solid waste disposed technologies.

➢ HAZARDOUS WASTES (MANAGEMENT & TRANSBOUNDRY MOVEMENT) RULES, 2016

– Hazardous wastes shall be collected, treated, stored at isolated locations. – It will be given to authorized recyclers/ service providers only. – Authorization under this rule shall be taken from SPCB. ➢ E-WASTE (MANAGEMENT & HANDLING) RULES, 2016 – E-waste shall be collected and stored at isolated location in the Hospital Complex. – It shall be disposed through approved recycler only. ➢ THE BIOMEDICAL WASTE (MANGEMENT AND HANDLING) RULES, 2016 – The biomedical waste shall be segregated in colour coded bins. – The waste shall be collected from each floor of hospital in colour coded bins & will be stored in waste storage room. – M/s Artemis Medicare Services Limited has an Agreement with the M/s Vulcan Managemnt private Limited for collection, treatment & disposal of biomedical waste. – The biomedical waste shall be collected from the hospital by M/s Vulcan Waste Management Private Limited. – The biomedical waste shall be treated and disposed by M/s M/s Vulcan Waste Management Private Limited. ➢ THE NOISE POLLUTION (REGULATION AND CONTROL) RULES, 2000

– The noise levels in any area shall not exceed the ambient noise quality standards in respect of noise as specified in the schedule. – The authority shall be responsible for the enforcement of noise pollution control measures and the due compliance of the ambient noise quality standards in respect of noise. ➢ CONSTRUCTION & DEMOLITION WASTE MANAGEMENT RULES, 2016

PROJECT PROPONENT: BY: M/S PERFACT ENVIRO SOLUTIONS PVT. LTD. M/S ARTEMIS MEDICARE SERVICES LTD.

62 EIA DOCUMENT OF “EXPANSION OF ARTEMIS HOSPITAL” AT SECTOR- 51, GURUGRAM HARYANA BY M/S ARTEMIS MEDICARE SERVICES LIMITED – The rules shall apply the proposed project will involve construction of civil structure of hospital complex which will generates construction and demolition waste such as building materials, debris, rubble.

➢ PLASTIC WASTE MANAGEMENT RULES, 2016

– Plastic waste, which can be recycled, shall be channelized to registered plastic waste recycler and recycling.

– It will be given to authorized recyclers/ service providers only.

– Authorization under this rule shall be taken from SPCB.

➢ ENVIRONMENT (PROTECTION) AMENDMENT RULES, 2018

– It is Mandatory Implementation of Dust Mitigation Measures for Construction and Demolition Activities for projects requiring Environmental Clearance ➢ EIA NOTIFICATION, 2006 and amendments

EIA Notification, 2006 falls under EPA, 1986 under this act any project which has probable impact on the environment is listed under 34 categories, then unit are required to take prior environmental clearance after occupying/identifying the land for particular use.

The project comes under category “B” & listed in 8(a) schedules as per EIA notification, 2006. All projects or activities in the schedule, whether expansion and modernization of existing projects or activities and change in product mix shall require prior environmental clearance from the MoEF&CC/State Environmental Impact Assessment Authority (SEIAA) or in absence of SEIAA, Central Government in the ministry of Environment and Forests on the recommendation of Expert Appraisal Committee to be constituted by the Central Government.

➢ NOTIFICATION NO. S.O.804(E) DATED 14.03.2017, amended notification dated 8th March, 2018 (FOR VIOLATION CASES)

The case was initially appraised in the 151st meeting and case was deferred due to non- availability of compliance report of the earlier environment clearance. Meanwhile the construction for the proposed expansion part was started. The case was again reconsidered by SEAC in 161st meeting dated 14.12.2017 where the case was declared as violation as per the Construction status mentioned in Certified compliance report.

PROJECT PROPONENT: BY: M/S PERFACT ENVIRO SOLUTIONS PVT. LTD. M/S ARTEMIS MEDICARE SERVICES LTD.

63 EIA DOCUMENT OF “EXPANSION OF ARTEMIS HOSPITAL” AT SECTOR- 51, GURUGRAM HARYANA BY M/S ARTEMIS MEDICARE SERVICES LIMITED As per notification vide S.O.804(E), dated 14.03.2017- it has been notified that the violation cases/non-Compliance will be treated as ‘A’ category projects. Hence, in view of the aforesaid notification, where it has been clearly stated that the projects in category shall be entitled to apply for environmental clearance under Violation Category. Hence. the project was submitted to MoEF&CC on 19-01-2018 under violation category. Now as per amendment in notification vide S.O. 1030(E) dated 8th March,2018 the project falls under category ‘B’, as project having built-up is greater than 20,000 sqm. Therefore, OM no. Z-11013/22/2017-IA. II (M) dated 15.03.2018 & 16.03.2018, we had submitted the documents for grant of Terms of Reference under violation for Project “Expansion of Artemis Hospital” in SEIAA, Haryana on 20.03.2018 & ToR was granted vide letter no. SEIAA/HR/2018/829 dated 26.07.2018. The baseline data was collected for one month i.e. May 2018. We are submitting the EIA Report along with TOR Compliance under Category “B” as violation case.

NORMS & CODES APPLICABLE TO THE PROJECT

❖ Fire Fighting and High-rise building Norms

For Buildings, more than 15 m height- All necessary fire-fighting equipment shall be in place before the occupancy of the building.

Mandatory Mock-up drills- Regular and periodic mock-up drills shall be undertaken by the Fire Department at least once in a year.

NOC from the Fire Department- NOC shall be obtained from the local Fire Station at 2 stages

a) Before the construction b) Before the occupation of the Building

Applicable guidelines of Fire Department National/State Disaster Management Authority shall be strictly followed by the developer and occupiers/Cooperative Societies.

❖ Energy Conservation Building Code (ECBC Codes):

The norms shall be applicable to all the buildings constructed on plot having land area> 500 sq m.

The provisions of the code apply to:

– Building envelops, except for unconditioned storage spaces or warehouses

PROJECT PROPONENT: BY: M/S PERFACT ENVIRO SOLUTIONS PVT. LTD. M/S ARTEMIS MEDICARE SERVICES LTD.

64 EIA DOCUMENT OF “EXPANSION OF ARTEMIS HOSPITAL” AT SECTOR- 51, GURUGRAM HARYANA BY M/S ARTEMIS MEDICARE SERVICES LIMITED – Mechanical systems – and equipment, including heating, ventilating, and air conditioning (HVAC) – Service hot water heating – Interior and exterior lightning – Electrical power and motors

PROJECT PROPONENT: BY: M/S PERFACT ENVIRO SOLUTIONS PVT. LTD. M/S ARTEMIS MEDICARE SERVICES LTD.

65 EIA DOCUMENT OF “EXPANSION OF ARTEMIS HOSPITAL” AT SECTOR- 51, GURUGRAM HARYANA BY M/S ARTEMIS MEDICARE SERVICES LIMITED Chapter 2: DESCRIPTION OF THE PROJECT

2.1 GOAL & OBJECTIVE OF THE PROJECT:

The project, “Expansion of Artemis Hospital” is situated at Sector- 51, Gurugram, Haryana is being developed by M/s Artemis Medicare Services Limited. The total plot area of the project site is 33,588.908 m2 having Built-up area after expansion of 67,444.652 m2. Presently the operational hospital has a capacitry of 320 no. of Indoor Patient Department Beds and after expansion it will increase to 720 no. (320 existing + 400 proposed) of Indoor Patient Department Beds.

The Project had already been granted the Environmental Clearance vide letter no. 21- 292/2007-IA.III dated 19.07.2007 for plot area 33,958.90 m2 and built-up area of 27,354.0 m2 for development of hospital. After that construction work was started and has completed construction for Built-up area 32,222.507 m2 which is now an operational hospital. The construction area has exceeded the approved Built-up area granted in Environment clearance.

As per new planning, we are going for expansion of the project & total built-up area after expansion will be 67,444.652 m2 for which we had earlier applied for Environment clearance for expansion of the project in SEIAA, Haryana on 05-04-2017. Meanwhile, out of total proposed built-up area of 35,222.15 m2, we have already started construction before the grant of Environmental Clearance for expansion.

As per MoEF&CC Notification No. S.O.804(E) dated 14.03.2017, where it has been clearly notified that the violation cases/non-Compliance will be appraised at MoEF&CC. Hence, in view of the aforesaid notification, we had submitted the proposal for “Expansion of Artemis Hospital” for grant of Terms of Reference in MoEF&CC on 19-01-2018.

Now as per amendment in notification vide S.O. 1030(E) dated 8th March,2018, the project shall be apprised at SEAC. Therefore, we had submitted the documents for grant of Terms of Reference under violation for Project “Expansion of Artemis Hospital” in SEIAA, Haryana on 20.03.2018.

SIGNIFICANCE OF THE PROJECT:

As this is expansion of existing Hospital complex, the function of which is to provide for the population complete health care, both curative and preventive, and whose outpatient services

PROJECT PROPONENT: BY: M/S PERFACT ENVIRO SOLUTIONS PVT. LTD. M/S ARTEMIS MEDICARE SERVICES LTD.

66 EIA DOCUMENT OF “EXPANSION OF ARTEMIS HOSPITAL” AT SECTOR- 51, GURUGRAM HARYANA BY M/S ARTEMIS MEDICARE SERVICES LIMITED reach out to the family and its home environment; the hospital is also a centre for the training of health workers.

FOR SELECTION OF SITE:

(a) Location: Sector- 51, Gurugram, Haryana. The Latitude & Longitude of the site is given below:-

Latitude 28⁰25’45.02” N Longitude 77⁰04’25.23” E Elevation 234 m

(b) Infrastructure around the Site

• Physical

The surrounding area to the project site is a developing commercial area with hospital being developed. Area is well connected by road network and has all necessary amenities.

• Social Facilities

The area is catered by many social facilities.

Name Distance and Direction

PROJECT PROPONENT: BY: M/S PERFACT ENVIRO SOLUTIONS PVT. LTD. M/S ARTEMIS MEDICARE SERVICES LTD.

67 EIA DOCUMENT OF “EXPANSION OF ARTEMIS HOSPITAL” AT SECTOR- 51, GURUGRAM HARYANA BY M/S ARTEMIS MEDICARE SERVICES LIMITED Hospital Sukon Psychotherapy Centre 0.65 Km NNE Dr. Parul Sony’s Eye Clinic 2.52 Km SEE Complete Women Care 2.86 Km SW Post Office Post office near Sector-52 1.12 Km NE Post office a Sector-45 1.73 Km NW Post office near Sector-39 2.43 Km NW Place of Worship Temple near Wazirabad 1.31 Km NE Temple near bindapur 0.62 Km NE Temple near Sector-39 2.43 Km NW School Govt School Samaspur Sector -51 0.70 Km SW Govt Senior Secondary School 2.61 Km NW Govt. Middle School Tigra 1.47 Km SSW Banks Union Bank of India Sec-52 0.79 Km NE HDFC Bank Sec-51 0.80 Km SW PNB Sec-46 1.33 Km NW Table 2-1; Social infrastructure Available near the project (c) Connectivity:

The project is strategically located in Sector- 51, Gurugram, Haryana. The connectivity with the site is given below:

Name Distance and Direction National Highway: NH-8 3.72 Km NW NH-236 5.12 Km NNW State Highway-13 3.72 Km NW

Railway Stations: BasaiDhankot Rly Station 8.3 Km NNW Gurugram Rly Station 7.54 Km NW Bijwasan Rly Station 10.99 Km NW Shahbad Mohammadpur Rly Station 13.12 Km NE Airports: Indira Gandhi International Airport 12.46 Km NNE

(d) Seismicity: Project Site area falls in seismic zone IV.

PROJECT PROPONENT: BY: M/S PERFACT ENVIRO SOLUTIONS PVT. LTD. M/S ARTEMIS MEDICARE SERVICES LTD.

68 EIA DOCUMENT OF “EXPANSION OF ARTEMIS HOSPITAL” AT SECTOR- 51, GURUGRAM HARYANA BY M/S ARTEMIS MEDICARE SERVICES LIMITED (e) Physiographic and topography of the area: There are no significant physiographic features seen in the city area or the surroundings. The land was a low lying area, therefore soil was filled till ground level for the same. The latitude & longitude of the site is 28°25'45.02"N & 77°04'25.23"E respectively. Topographical map is given in Enclosure-7.

PROJECT PROPONENT: BY: M/S PERFACT ENVIRO SOLUTIONS PVT. LTD. M/S ARTEMIS MEDICARE SERVICES LTD.

69 EIA DOCUMENT OF “EXPANSION OF ARTEMIS HOSPITAL” AT SECTOR- 51, GURUGRAM HARYANA BY M/S ARTEMIS MEDICARE SERVICES LIMITED (f) Ecological Sensitivity: There is no ecological sensitive area in core zone. The ecological sensitivity of buffer zone is as follows:

Ecological sensitive area Distance Direction

Water Bodies Najafgarh Drain 13.43 Km NW Ghataor Badshahpur Nadi 3.98 Km. SW Drain near Uday Nagar Block C 1.18 Km NW Drain near Badshahpur 3.96 Km SW Li Nala 2.69 Km SE Drain near Scetor-53 2.44 Km SE Drain near Udyog Vihar 7.3 Km NNE Forest Rajokari Protected Forest 10.18 Km NE

(g) Land Form & Land Ownership The land has been allotted by Haryana Urban Development Authority vide Memo No. 83 dated 15.02.2006 for total Plot Area 33,588.908 Sqm (8.30 acre) to M/s Artemis Medicare Services

Limited. for setting up of Hospital in Sector- 51, Gurgaon.

The hospital already exist on the land and the land where construction is to be done is a flat land with an elevation 234 m.

PROJECT PROPONENT: BY: M/S PERFACT ENVIRO SOLUTIONS PVT. LTD. M/S ARTEMIS MEDICARE SERVICES LTD.

70 EIA DOCUMENT OF “EXPANSION OF ARTEMIS HOSPITAL” AT SECTOR- 51, GURUGRAM HARYANA BY M/S ARTEMIS MEDICARE SERVICES LIMITED Location of Land Google Map showing location is given in the figure 2-1.

Figure 2-1; Satellite image of the project using Google Earth

Proposed Existing

Layout of the project

PROJECT PROPONENT: BY: M/S PERFACT ENVIRO SOLUTIONS PVT. LTD. M/S ARTEMIS MEDICARE SERVICES LTD.

71 EIA DOCUMENT OF “EXPANSION OF ARTEMIS HOSPITAL” AT SECTOR- 51, GURUGRAM HARYANA BY M/S ARTEMIS MEDICARE SERVICES LIMITED Block A- Existing Operational Building of Hospital Complex

Block B- Existing Operational Building of Hospital Complex

Block C- Existing Operational Building of Hospital Complex

Block D- Already Constructed expansion part of the Hospital Complex

Block E- To be Constructed expansion part of the Hospital Complex

2.2 TIME FRAME OF THE PROJECT:

Time Expected: 3.5 Years

Time already Taken: 1.5 Years

Further Time required: 2 Years

After all the statuary approvals from Govt. Authorities and the grant of Environment Clearance, rest of the construction work shall be done.

2.2.1 SITE PHOTOGRAPHS Existing Operational Phase I

11.05.2018 11.05.2018

PROJECT PROPONENT: BY: M/S PERFACT ENVIRO SOLUTIONS PVT. LTD. M/S ARTEMIS MEDICARE SERVICES LTD.

72 EIA DOCUMENT OF “EXPANSION OF ARTEMIS HOSPITAL” AT SECTOR- 51, GURUGRAM HARYANA BY M/S ARTEMIS MEDICARE SERVICES LIMITED

BLOCK D

11.05.2018 BLOCK E

11.05.2018

CONSTRUCTION STATUS FOR EXPANSION PART:-

Phase-I: It is the operational part of the hospital, having 3 Blocks (2 Hospital building, 1 Hostel Building)

Phase II: Is the proposed Expansion part of the hospital in which one block is proposed. This block is already constructed having 2B+LG+UG+6.

Phase III: Is the proposed Expansion part of the Hospital in which one block shall be started after getting Environment Clearance and all other statuory approvals which shall have 2B+LG+UG+6.

PROJECT PROPONENT: BY: M/S PERFACT ENVIRO SOLUTIONS PVT. LTD. M/S ARTEMIS MEDICARE SERVICES LTD.

73 EIA DOCUMENT OF “EXPANSION OF ARTEMIS HOSPITAL” AT SECTOR- 51, GURUGRAM HARYANA BY M/S ARTEMIS MEDICARE SERVICES LIMITED STATUS OF CONSTRUCTION:-

S. No. DESCRIPTION TOWER II TOWER III

1. Excavation work Completed Not yet done 2. Foundation Completed Not yet done 3. RCC work Completed Not yet done 4. Masonry work 40% Not yet done 5. Roofs 95% Not yet done 6. Timber work (Door and windows) Not yet done Not yet done 7. Piping of water & sewage 15% Not yet done 8. Drainage System Not yet done Not yet done 9. Sewage Treatment Plant Not yet done Not yet done 10. Rainwater Harvesting Not yet done Not yet done 11. Plantation Not yet done Not yet done 12. Roads Not yet done Not yet done Installation of Electrical & Not yet done Not yet done 13. mechanical items & fire 14. Plastering 25% Not yet done 15. Bathroom fitting & plumbing work 7% Not yet done 16. Flooring Not yet done Not yet done 17. Painting and exteriors Not yet done Not yet done

Phase II Construction status as on date:

S. FLOORS TOTAL AREA ALREADY BALANCE AREA No. CONSTRUCTED AREA TO BE (m2) CONSTRUCTED 1. Basement Level - 5134.22 1467.54 3666.68 02 2. Basement Level - 5134.22 1467.54 3666.68 01 3. Lower Ground 3189.396 1519.296 1670.1 4. Upper Ground 2845.126 1570.586 1274.54 5. First Floor 3073.386 1655.416 1417.97 6. Second Floor 2958.936 1585.616 1373.32 7. Service Floor 2911.616 1538.136 1373.48 8. Fourth Floor 2835.796 1462.216 1373.58 9. Fifth Floor 2835.769 1462.216 1373.58 10. Sixth Floor 2250.876 1462.216 788.66 11. Seventh Floor 1627.246 1462.216 165.03

PROJECT PROPONENT: BY: M/S PERFACT ENVIRO SOLUTIONS PVT. LTD. M/S ARTEMIS MEDICARE SERVICES LTD.

74 EIA DOCUMENT OF “EXPANSION OF ARTEMIS HOSPITAL” AT SECTOR- 51, GURUGRAM HARYANA BY M/S ARTEMIS MEDICARE SERVICES LIMITED 12. Mumty & 425.536 226.546 198.99 Machine Room 13. Total 35222.15 16879.54 m2 18342.61

2.3 PROJECT DETAILS

The total plot area of the project site is 33588.908 Sqm (8.30 acre) and having Built-up area after expansion of 67,444.652 Sqm. The project has got Sanction Building Plan approval from Haryana Urban Development Authority, copy of the same is enclosed as Enclosure.

The area detail breakup is given in table-

TOTAL AREA DETAILS: - Particulars Details Existing Proposed Total after mentioned Operational Total Block- expansion in EC Block- A,B,C D &E (A+B+C+D+E) granted letter Cost of the project in Crore 214 185 399 Plot Area in m2 33588.9 33588.90 - 33588.91 G.C (Permissible) in m2 9127.22 - 9127.227 G.C (Achieved) in m2 5457.39 2736.08 8193.479 FAR Permissible (Hospital + 50383.36 - 50383.362 residential) in m2 Permissible for Residential 5038.34 - 5038.3362 (10%) in m2 Permissible for Hospital in m2 45345.03 - 45345.0258 FAR Achieved for Hospital in 26294.57 19561.73 45856.31 m2 FAR Achieved for Residential 4057.22 0 4057.22 in m2 Total Proposed FAR in m2 30351.79 19561.73 49913.526 NON-FAR AREA in m2 1870.711 5391.98 7262.69 Basement -I area in m2 0 5134.22 5134.22 Basement -2 area in m2 0 5134.22 5134.22 Total basement Area in m2 0 10268.44 10268.44 Built-up Area (FAR + Non- 27354 32222.50 35222.15 67444.652 FAR+ Basement area) in m2 2 Total Green Area in m 9158.69 1072.08 10230.77 Total Open & Road Area in m2 18972.83 15164.66 15164.66 Activities in Hospital Hospital Hospital Hospital Block Block and Block and Hostel Block Hostel Block for nursing staff PROJECT PROPONENT: BY: M/S PERFACT ENVIRO SOLUTIONS PVT. LTD. M/S ARTEMIS MEDICARE SERVICES LTD.

75 EIA DOCUMENT OF “EXPANSION OF ARTEMIS HOSPITAL” AT SECTOR- 51, GURUGRAM HARYANA BY M/S ARTEMIS MEDICARE SERVICES LIMITED for nursing staff No of Towers 3 2 5 Number of Basements 0 2 2 Maximum No. of Floors Hospital - LG + UG + 6 2B+ LG + UG 2B+ LG + UG + 6 G+8 + 6 Residential- G+9 Max. height of building (up to 27.5 m 27.5 m 27.5 m terrace level) in m No of IPD Beds - 320 400 720 Table 2-2 Total area detail

2.4 POPULATION

During Construction phase (Phase II, already done):

During initial construction work, around 30-50 labours were engaged. Later at various times, approx. 300-350 Nos. local labour were employed for the construction of the proposed expansion of the Hospital Complex.

During Construction phase (Phase III, Future):

Approx. 300-350 Nos. local labour shall be employed for the construction of the proposed expansion of the Hospital Complex

During Operation phase:

Phase I (Existing):

It is the existing operational part of the hospital, having 3 Blocks (2 Hospital building, 1 Hostel Building. Total population of the existing part is approx. 5569.

Total (After Expansion):

The total Population after operation of the hospital complex has been estimated to be 10,963. The population estimation is given in table below: -

Particulars Existing Proposed – Total after expansion Operational -Phase Phase II & III (Phase I+II+III) I IPD Beds in No. 320 400 720 Day Care Beds in No 75 0 75 Total Beds in No 395 400 795

PROJECT PROPONENT: BY: M/S PERFACT ENVIRO SOLUTIONS PVT. LTD. M/S ARTEMIS MEDICARE SERVICES LTD.

76 EIA DOCUMENT OF “EXPANSION OF ARTEMIS HOSPITAL” AT SECTOR- 51, GURUGRAM HARYANA BY M/S ARTEMIS MEDICARE SERVICES LIMITED Residential Service quarters 78 0 78 in No Population In patients 395 400 795 Residents 156 0 156 Staff &employee 1518 994 2512 Visitors 3500 4000 7500 Total Population 5569 5394 10963

2.5 PROVISION OF AMENITIES

During Construction phase (Phase II, already done):

As per the records available with project, following amenities were provided during construction phase

• Toilet Facility for workers • Drinking water • First Aid facility • PPE equipments were provided for labor • Regular Tool Box training was provided • Temporary labor hutments were provided

During Construction phase (Phase III, Future):

Following ameneties will be provided during construction phase

• Toilet Facility for workers • Drinking water • First Aid facility • PPE equipments will be provided for labor • Regular Tool Box training will be provided • Temporary labor hutments will be provided

During Operation Phase

Phase I (Existing):

In the existing hospital following activities are already available:

PROJECT PROPONENT: BY: M/S PERFACT ENVIRO SOLUTIONS PVT. LTD. M/S ARTEMIS MEDICARE SERVICES LTD.

77 EIA DOCUMENT OF “EXPANSION OF ARTEMIS HOSPITAL” AT SECTOR- 51, GURUGRAM HARYANA BY M/S ARTEMIS MEDICARE SERVICES LIMITED • Intensive Care Unit (ICU) • Out Patient Department (OPD) • Day Care and IPD facility • Cafeteria • Complete power back up facility etc.

Total (After Expansion):

As it is the expansion of existing hospital of 395 beds, total no. of beds after expansion will be 795 therefore there will be following activities in the hospital complex: -

• Intensive Care Unit (ICU) • Out Patient Department (OPD) • Day Care and IPD facility • Cafeteria • Hostel for Nursing and staff • Other medical facilities • Complete power back up facility etc.

2.6 WATER SUPPLY SOURCE AND CONSUMPTIONS:

During Construction phase (Block D, already done):

Water for construction work was met through STP treated water. Drinking water was sourced through the tankers of 5 KL capacity. Mobile toilets were provided and wastewater was collected in septic tanks which was cleaned in after 10-15 days.

During Construction phase (Block E, Future):

Water for construction work shall be met through STP treated water. Drinking water shall be sourced through the tankers of 5 KL capacity same as for Phase 1.

During Operation Phase

Block A, B & C (Existing):

Total water requirement of the existing operational part of the hospital is 483 KLD. Fresh water requirement is 333 KLD which is met by Municipal Supply and 280 KLD is the treated water

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78 EIA DOCUMENT OF “EXPANSION OF ARTEMIS HOSPITAL” AT SECTOR- 51, GURUGRAM HARYANA BY M/S ARTEMIS MEDICARE SERVICES LIMITED reuse. Wastewater generation from the complex is 294 KLD which is being treated in STP & ETP of capacity 325 KLD and 25 KLD respectively.

Total (After Expansion):

Total water requirement after expansion will be estimated to be 1104 KLD for the project & will be met by HUDA supply and recycled water.

Water in complex will be used for domestic, flushing, gardening, DG Cooling, kitchen, Lab, café, filter back wash & Water body. For total complex water requirement will be 1104 KLD and waste water generation will be 637 KLD generated from domestic use and Lab, which will be treated in STP of 725 KLD and ETP of 70 KLD. Treated water will be reused for flushing, gardening, DG Cooling & filter backwash. 38 KLD of treated water shall be discharged to sewer.

Particulars Existing Operational Proposed Total Total after expansion Total Water 483 KLD 621 KLD 1104 KLD Requirement

Fresh Water 333 KLD 257 KLD 590 KLD Requirement

Treated Water Reuse 280 KLD 234 KLD 514 KLD

Total Waste water 294 KLD 343 KLD 581 KLD from Domestic Generation 56 KLD from Lab

STP Capacity 325 KLD 400 KLD 325 KLD & 400 KLD = 725 KLD ETP Capacity 25 KLD 45 KLD 25 KLD & 45 KLD = 70 KLD

2.7 SOLID WASTE MANAGEMENT

During Construction phase (Block D, already done):

For average 300-350 labours, total 45 kg/ day of solid waste was generated from labours which was collected and disposed off at designated MSW dump site by contractor. Used oil whenever generated from the DG sets of 2 x 125 kVA, 1 x 62.5 kVA & 1 x 40 kVA was given to DG set service provider for disposal of used oil.C&D waste was generated which was reused in backfilling.

During Construction phase (Block E, Future): PROJECT PROPONENT: BY: M/S PERFACT ENVIRO SOLUTIONS PVT. LTD. M/S ARTEMIS MEDICARE SERVICES LTD.

79 EIA DOCUMENT OF “EXPANSION OF ARTEMIS HOSPITAL” AT SECTOR- 51, GURUGRAM HARYANA BY M/S ARTEMIS MEDICARE SERVICES LIMITED 48481 cubic meter of soil shall be excavated for phase- III. The Excavated soil shall be used for levelling and back filling. Top soil shall be preserved and will be reused for landscaping to the extent possible.

Approx. 45 Kg/day of Municipal Solid Waste shall be generated from temporary labours off and managed as per Municipal Solid waste handling norms.

C&D waste shall be generated which shall be reused in backfilling and excess shall be disposed off as per Construction and Demolition Waste Management and Handling Rules, 2016.

During Operation phase (Block A,B & C):

The Solid waste generation in the existing complex is 493 Kg/day. Biodegradable waste is sent to approved recycler who is responsible for final disposal.

The Bio Medical waste being generated from the complex is given to approved recycler- M/s Vulcan Waste Management Pvt. Ltd.

DG set of capacity 2 x 1250 kVA & 1 x 250 kVA has already been installed which generated Hazardous oil of 27 lit/month being collected at isolated place and given to approved vendor of CPCB as per Hazardous Wastes Rules, 2016.

ALL PAHSES:-

Scheme of various Waste Management Rules are as follow:-

MUNICIPAL SOLID WASTE

After operation of the complex the total solid waste generation after expansion will be approximately 1930 Kg/day Out of which approx. 1351 Kg/day of Bio-Degradable waste shall be treated in OWC and convert the waste into manure. The compost shall be used in green area within the project premises & unused manure will be given to nearby nursery. 483 Kg/day of recyclable Waste & 96 Kg/day of plastic waste will be given to Authorized Vendor as per Plastic Waste Management Rules, 2016 .

BIO MEDICAL WASTE

Biomedical waste generated from hospital will be 298 Kg/day which shall be handed over to authorized processor. Agreement with M/s Vulcan Waste Management Pvt. Ltd. has already

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80 EIA DOCUMENT OF “EXPANSION OF ARTEMIS HOSPITAL” AT SECTOR- 51, GURUGRAM HARYANA BY M/S ARTEMIS MEDICARE SERVICES LIMITED been done for treatment and disposal of biomendical waste as per Biomedical Waste Management Rules, 2018.

HAZARDOUS WASTE

The only hazardous waste generated within the project will be used oil due to operation of DG sets during power failure. The used oil shall be stored in leak proof drums and shall be given to approved recycler as per the Hazardous & other Wastes (Management and Transboundary Movement) Rules, 2016. ELECTRONIC WASTE

E-wastes generated shall be given to approved E-waste recycler for proper disposal as per E- waste management & Handling Rules, 2016.

BATTERY WASTE

Battery waste shall be generated from the invertors, UPS, etc. The batteries waste shall be given to battery recycler as per the Battery waste (management & handling) Rules, 2001.

Type of Waste Colours of Category Total Waste (Kg/ Day) Bins Organics Black Bio Degradable 1351 Recyclable Items Blue Recyclable 483 Plastic waste Green Recyclable 96 Total Total: 1930 Kg/day Existing: 493 Kg/day Proposed: 1437 Kg/day

Type of Waste Waste Quantity Hazardous Waste-Used Oil 77lit/month E-waste 2 Kg/Month Bio Medical Waste 298 kg/day

2.8 POWER SUPPLY SOURCE AND REQUIREMENT:

During Construction phase (Block D, already done):

DG Set of capacity 2 x 125 KVA, 1 x 62.5 KVA & 1 x 40 KVA were used as main power supply during construction of phase- II.

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81 EIA DOCUMENT OF “EXPANSION OF ARTEMIS HOSPITAL” AT SECTOR- 51, GURUGRAM HARYANA BY M/S ARTEMIS MEDICARE SERVICES LIMITED During Construction phase (Block E, Future):

Total Power requirement of the project shall be met with the help of DG Set, same as for Phase II.

During Operation phase:

Block A,B & C (Existing):

As Phase I is existing operational part of the hospital, the power requirement is 3100 KW which is sourced through Uttar Haryana Bijli Vitran Nigam. For backup- DG set of capacity 2 x 1250 kVA and 1 x 250 kVA has already been installed .

A Thermic Fluid Heater is already installed of capacity 2 Lac Kcal/day.

Total (After Expansion):

After expansion, power requirement for the whole complex shall be 4500 KW which shaqll be sourced through Uttar Haryana Bijli Vitran Nigam and Total DG Set of capacity of 1 x 1500 kVA, 2 x 1250 kVA, 1 x 1000 kVA, 2 x 750 kVA & 2 x 250 kVA DG sets will be installed within the complex which shall be used only when there is power failure. No new Thermic Fluid Heater is proposed for the expansion part.

S. Description Existing (Phase I) Proposed Total (Phase I, II & III) No. (Phase II & III)

1. Source of Uttar Haryana Bijli Uttar Haryana Uttar Haryana Bijli Vitran Electricity Vitran Nigam Bijli Vitran Nigam Nigam 2. Electric Load 3100 KW 1400 KW 4500 KW 3. DG Sets Capacity: 2 x 1250 Capacity: 2 x 750 Capacity: 1 x 1500 KVA, KVA, 1 x 250 KVA KVA, 1X1500, 2x1250, 1 x 1000 KVA, 2 x 1X1000 KVA 750 KVA, 2 x250 KVA 4. Location of DG Sets Surface Basement Surface & Basement

2.9 AIR POLLUTION

During Construction phase (Block D, already done):

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82 EIA DOCUMENT OF “EXPANSION OF ARTEMIS HOSPITAL” AT SECTOR- 51, GURUGRAM HARYANA BY M/S ARTEMIS MEDICARE SERVICES LIMITED As per plant equipment list, DG Set of 2 x 125 kVA, 1 x 62.5 kVA & 1 x 40kVA was installed for power requirement. RMC was used instead of batching plant. The buildings under construction were covered by Green Cloth. Water sprinkling was done to reduce the dust generation. Material required for construction was stored only within earmarked area and road side storage of construction material and waste was prohibited. Wind braker walls of height 30 m was provided.

During Construction phase (Block E, Future):

DG Set with adequate stack height shall be installed. Wind-breaker of appropriate height i.e. 1/3rd of the building height and maximum up to 30 meters shall be provided. Water sprinkling system shall be put in place using spraying Nozzles and shall be done every hour by fixed sprinkling system. Material required for exterior finishing shall be stored only within earmarked area and road side storage of construction material and waste shall be prohibited.

During Operation Phase:

Block A, B & C (Existing):

The main source of air pollution from existing facility are DG set of capacity 2 x 1250 kVA & 1 x 250 kVA for which adequate stack height of 6m above roof level has already been provided. A Thermic Fluid Heater of capacity 2 Lac Kcal/day is also installed for which stack height of 30 m above ground level is provided.

Traffic movement is another reason for air pollutionwhich is being controlled by plantation all around the periphery of the plot.

Total (After Expansion):

The major air pollutants released from the project are gases like NOX, SO2 and PM from DG Sets & vehicular emission. For mitigation of impacts, adequate stack height 6 m above roof level for each DG set of 1 x 1500 kVA, 2 x 1250 kVA, 1 x 1000 kVA, 2 x 750 kVA & 2 x 250 kVA and stack height shall be provided for Future DG sets as per CPCB norms. The DG sets will be located at the Surface & Basement.

For mitigation of impacts of vehicular emission, a green belt & plantation around the periphery will be provided and entry will only be permitted for the vehicle which will have Pollution Under Control Certificate.

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83 EIA DOCUMENT OF “EXPANSION OF ARTEMIS HOSPITAL” AT SECTOR- 51, GURUGRAM HARYANA BY M/S ARTEMIS MEDICARE SERVICES LIMITED 2.10 NOISE POLLUTION

During Construction phase (Block D, already done):

DG set used in construction were acoustically enclosed. Ear Muffs were provided to labor working in high noise areas. All the machineries were maintained regularly to reduce the noise level.

During Construction phase (Block E, Future):

DG sets shall be installed acoustically enclosed. Noise barriers shall be installed to reduce traffic noise & vibrations & Green belt shall be developed. To prevent any occupational hazard, ear muff / ear plug shall be given to the workers working around or operating the plant and machinery emitting high noise levels. All the machineries shall be maintained regularly to reduce the noise level.

During Operation Phase:

Block A, B & C (Existing):

The main source of noise pollution from existing facility are DG set of capacity 2 x 1250 kVA & 1 x 250 kVA which are bought acoustically enclosed. For vibration control, DG Sets for the hospital complex are mounted on the Anti-vibration pads to eliminate/limit the vibrations due to DG sets running

Traffic movement is another reason for noise pollutionwhich is being controlled by plantation all around the periphery of the plot.

Total (After Expansion):

DG sets of capacity 1 x 1500 kVA, 2 x 1250 kVA, 1 x 1000 kVA, 2 x 750 kVA & 2 x 250 kVA will be installed for emergency use during power failure. All three DG set shall be kept in acoustic enclosed room.

2.11 PARKING MANAGEMENT

During Construction phase (Block D, already done):

Temporary space was created for loading & unloading of raw material through trucks. Designated spaces for cars and two-wheelers parking were provided.

During Construction phase (Block E, Future):

PROJECT PROPONENT: BY: M/S PERFACT ENVIRO SOLUTIONS PVT. LTD. M/S ARTEMIS MEDICARE SERVICES LTD.

84 EIA DOCUMENT OF “EXPANSION OF ARTEMIS HOSPITAL” AT SECTOR- 51, GURUGRAM HARYANA BY M/S ARTEMIS MEDICARE SERVICES LIMITED Temporary space shall be created for loading & unloading of raw material through trucks. Designated spaces for cars and two-wheelers parking shall also be provided.

During Operation Phase:

Block A, B & C (Existing):

As this is an operational Hospital complex, therefore 236 ECS has already been provided.

Total (After Expansion):

Total Parking requirement for Hospital Complex will be 666 ECS. Parking provision will be 668 ECS which shall be provided on Surface area, Basement.

2.12 COST OF THE PROJECT

Total cost of the project is Rs. 399 crores. Cost already incurred is Rs. 214 Crore and cost to be spend is Rs. 185 Crore

2.13 ENVIRONMENTAL LIABILITY OF THE SITE:

The project site during construction & operation phase will have some impact on water resources, ambient noise and ambient air. The details of which are explained in further chapters along-with their mitigation measures so as to limit the environmental liability to the least.

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85 EIA DOCUMENT OF “EXPANSION OF ARTEMIS HOSPITAL” AT SECTOR- 51, GURUGRAM HARYANA BY M/S ARTEMIS MEDICARE SERVICES LIMITED Chapter 3: ENVIRONMENTAL BASE LINE DATA 3.1 INTRODUCTION EIA report should contain a description of existing environment that would be or might be affected directly or indirectly by proposed project. Environmental baseline monitoring is a very important stage of EIA. Environmental baseline monitoring, during the operational phase, helps in judging the success of mitigation measures in protecting the environment.

Environmental facets that are considered in relation to Hospital Complex can be categorized into following groups:

a) Topography b) Ambient air quality c) Noise quality d) Water quality e) Soil quality f) Land use g) Biological Environment h) Socio-economic status i) Traffic density

The intention of environmental baseline monitoring is not just to describe all baseline conditions but to focus the collection and description of baseline data on those environmental conditions that are important and are likely to be affected by the proposed project activities and is included in impact assessments.

For the present study, all the sampling locations are marked with the help of topographical maps. The land use/ land cover map has been generated on 1:50,000 scale using Satellite imagery, topographical maps, Survey of India and ground truth information. The baseline environmental quality has been assessed for one Month (May 2018). Meteorological data of IMD station at Palam, Pune has been used for the study. Samples of air, water and soil from the site and nearby areas has been collected and analysed for the study of existing condition. Primary and secondary data collection has been done by the Ecology and Biodiversity team for the study of flora and fauna in the core and Buffer Zone.

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86 EIA DOCUMENT OF “EXPANSION OF ARTEMIS HOSPITAL” AT SECTOR- 51, GURUGRAM HARYANA BY M/S ARTEMIS MEDICARE SERVICES LIMITED 3.2 METHODOLOGY The baseline data is generated through field study within the impact zone (Core Zone and Buffer Zone) for various components of the environment viz. Air, Noise, Water, Land, Ecology and Socioeconomic. The baseline environmental quality has been assessed one Month (May 2018) in a study area of 10 Km radius distance from the project site. While generating the baseline status of physical and biological environment of the study area, the concept of impact zone has been considered. The impact zone selection is based on preliminary screening and modelling studies. The methodology for measurement of various environmental indices is as follows:

i. Ambient Air Quality: The ambient air quality monitoring was done to assess the ambient air quality in one season. Monitoring was carried out in the one Month (February 2018). The guidelines for selections of ambient air monitoring stations given in IS – 5182 part 14, 2000 were followed.

ii. Water Quality: To assess the water quality of the proposed area, sampling was done as per the standard practice. Grab and Integrated sampling was done for ground and surface water. Water samples were taken as per the Standard Methods (IS & APHA, 23rd Edition 2017). Necessary precautions were taken for preservation of samples. The physical parameters viz. pH, temperature and conductivity were measured at site using portable water analyser.

iii. Ambient Noise Quality: At each station noise level was monitored for 24-hours simultaneously. For each measurement, decibel readings was taken for every 15 minutes for 24 hrs once in a season to get Leq values.

iv. Soil Quality: For soil, augur method was used and samples were collected at 15 cm depth after removing the upper crust.

v. Topography, Land-form and Land Use: The land use/ land cover map has been generated on 1:50,000 scale using Satellite imagery, topographical maps, Survey of India and ground truth information.

vi. Biological Environment: Primary and secondary data collection has been done by the Ecology and Biodiversity team for the study of flora and fauna in the core and Buffer Zone.

PROJECT PROPONENT: BY: M/S PERFACT ENVIRO SOLUTIONS PVT. LTD. M/S ARTEMIS MEDICARE SERVICES LTD.

87 EIA DOCUMENT OF “EXPANSION OF ARTEMIS HOSPITAL” AT SECTOR- 51, GURUGRAM HARYANA BY M/S ARTEMIS MEDICARE SERVICES LIMITED vii. Socio Economic Environment: For demography and socioeconomics, block wise data has been collected and used for the assessment of impacts.

3.3 METEOROLOGY Meteorological parameters are observed through secondary as well as primary sources. The data through secondary source helps in deciding the location of air monitoring stations. It also helps in assessment of impact on air quality on long term basis. The important parameters considered are temperature, humidity, wind speed & direction and rainfall for both secondary as well as primary (micro-meteorological parameters measured along with the measurement of air quality) sources.

Climate Conditions (As Indian Meteorology Data, Palam, Delhi)

The meteorological data from Indian Meteorological Station was processed for the nearest IMD station at Palam which has been utilized for the study. The meteorological data of last Eleven years (2002-2013) as recorded at Palam are given below.

Temperature:

The maximum temperature of the area was recorded as 47.20 C in May (2013) whereas the minimum temperature of the area was recorded 0.30 C in January 2006. Data of the maximum and minimum temperature are given below.

Table 3-1; Temperature record

Temperature (0C) HMax LMin MMax MMin Month Year (Highest Year (Lowest Year (Mean Year (Mean Maximum) Minimum) Maximum) Minimum) 2007 31.0 2006 0.3 2006 21.8 2008 6.9 January 2006 35.7 2004 3.2 2006 29.6 2002 9.6 February 2004 40.1 2003 6.7 2004 33.7 2003 15.1 March 2003 44.1 2013 12 2002 39.5 2005 20.6 April 2013 47.2 2004 16.8 2013 42.8 2008 25 May 2003 47.1 2011 21.4 2009 42.6 2008 26.2 June

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88 EIA DOCUMENT OF “EXPANSION OF ARTEMIS HOSPITAL” AT SECTOR- 51, GURUGRAM HARYANA BY M/S ARTEMIS MEDICARE SERVICES LIMITED 2009 43.3 2003 23 2002 40.5 2003 26.3 July 2002 40.2 2013 20.8 2009 36.1 2004 26.2 August 2005 38.8 2002 20.4 2004 35.5 2002 23.5 September 2009 38.8 2004 13.7 2008 34.1 2007 17.7 October 2003 34.6 2003 5.9 2011 29.6 2003 11.8 November 2011 30.4 2013 3.1 2002 24.7 2005 5.9 December

(Source: IMD Pune, Station- Palam ,2002 - 2013)

Figure 3-1;Highest Maximum Temperature (°C)

Highest Maximum Temperature (°C) 50 47.2 47.1 44.1 43.3 45 40.1 40.2 38.8 38.8 40 35.7 34.6 C) ° 35 31 30.4 30 25 20 15

Temperature( 10 5 0

Figure 3-2;Lowest Minimum Temperature (°C)

Lowest Minimum Temperature (°C)

25 23 21.4 20.8 20.4 20

C) 16.8 ° 15 13.7 12

10 6.7 5.9 Temperature( 5 3.2 3.1 0.3 0

Figure 3-3;Lowest Minimum Temperature (°C)

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89 EIA DOCUMENT OF “EXPANSION OF ARTEMIS HOSPITAL” AT SECTOR- 51, GURUGRAM HARYANA BY M/S ARTEMIS MEDICARE SERVICES LIMITED Lowest Minimum Temperature (°C)

25 23 21.4 20.8 20.4 20

C) 16.8 ° 15 13.7 12

10 6.7 5.9 Temperature( 5 3.2 3.1 0.3 0

Figure 3-4; Mean Maximum Temperature (°C)

Figure 3-5; Mean Minimum Temperature (°C)

Relative Humidity

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90 EIA DOCUMENT OF “EXPANSION OF ARTEMIS HOSPITAL” AT SECTOR- 51, GURUGRAM HARYANA BY M/S ARTEMIS MEDICARE SERVICES LIMITED The Maximum relative humidity was recorded as 84.5% in January 2003. Minimum relative humidity was recorded as 25.5 % in April & May 2005. The humidity figures show that area is semi-arid. Table 3-2; Relative Humidity record Humidity (%) Month Year Mean Max Year Mean Min January 2003 84.5 2008 60.5 February 2013 79.5 2008 53 March 2013 63 2004 44 April 2013 46 2005 25.5 May 2006 45 2005 25.5 June 2008 70 2009 32.5 July 2013 78 2002 47 August 2013 83 2005 61 September 2003 74.5 2008 64.5 October 2013 69 2007 45.5 November 2011 63 2005 56.5 December 2003 78 2005 63.5 Humidity record (Source: IMD Pune, Station- Palam, Delhi 2002 - 2013)

Figure 3-6;Maximum Humidity (%)

Maximum Humidity (%)

90 84.5 83 79.5 78 78 80 74.5 70 69 70 63 63 60 50 46 45 40

Humidity Humidity (%) 30 20 10 0 Jan-03 Feb-13 Mar-13 Apr-13 May-06 Jun-08 July-13 Aug-13 Sep-03 Oct-13 Nov-11 Dec-03

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91 EIA DOCUMENT OF “EXPANSION OF ARTEMIS HOSPITAL” AT SECTOR- 51, GURUGRAM HARYANA BY M/S ARTEMIS MEDICARE SERVICES LIMITED Figure 3-7;Minimum Humidity (%)

Rainfall The maximum rainfall was recorded in July (upto 495.6 mm) in 2003. From data it is clear that maximum time of year remain dry, the dry months exceed wet months. July, August & September are the wettest months and are considered as monsoon season. The Average Annual Rainfall is 657.97 mm. (As per IMD data) Table 3-3; Rainfall record Rainfall (mm) Month Year Max Year Min Average January 2003 39.2 2011 0.2 12.73 February 2013 75.5 2,009 5.8 28.71 March 2007 53 2003 2.1 13.1 April 2,003 28.3 2006 1 9.93 May 2002 150.7 2013 1.1 51.96 June 2013 154.4 2002 13.1 85.45 July 2003 495.6 2002 1.7 161.1 August 2004 218.6 2006 103.2 153 September 2011 320.6 2004 2.9 124.7 October 2004 76.7 2009 2.8 13.52 November 2009 3.4 2006 0.2 0.52 December 2003 18.7 2007 0.3 3.25 (Source: IMD Pune, Station- Palam, Delhi 2002 - 2013)

Figure 3-8;Maximum Rainfall (mm)

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92 EIA DOCUMENT OF “EXPANSION OF ARTEMIS HOSPITAL” AT SECTOR- 51, GURUGRAM HARYANA BY M/S ARTEMIS MEDICARE SERVICES LIMITED Maximum Rainfall (mm) 600 495.6 500

400 320.6 300 218.6 200 154.4

Rainfall Rainfall (mm) 150.7 75.5 76.7 100 39.2 53 28.3 3.4 18.7 0 Jan 03 Feb 13 Mar 07 Apr 03 May 02 Jun 13 Jul 03 Aug 04 Sep 11 Oct 04 Nov 09 Dec 03

Figure 3-9;Minimum Rainfall (mm)

Minimum Rainfall (mm)

120 103.2 100 80 60 40 13.1 Rainfall Rainfall (mm) 20 0.2 5.8 2.1 1 1.1 1.7 2.9 2.8 0.2 0.3 0 Jan 2011 Feb 09 Mar 03 Apr 06 May 13 Jun 02 Jul 02 Aug 06 Sep 04 Oct 09 Nov 06 Dec 07

Figure 3-10;Minimum Rainfall (mm)

Average Rainfall (mm)

180 161.1 153 160 140 124.7 120 100 85.45 80 60 51.96 Rainfall Rainfall (mm) 40 28.71 12.73 13.1 9.93 13.52 20 0.52 3.25 0 Jan Feb Mar Apr May Jun Jul Aug Sep Oct Nov Dec

Wind Speed: The maximum wind speed was recorded in July (14.7 Km/hr.) in 2002 and minimum wind speed was recorded in November (2.3 Km/hr.) in 2002. Table 3-4; Wind record.

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93 EIA DOCUMENT OF “EXPANSION OF ARTEMIS HOSPITAL” AT SECTOR- 51, GURUGRAM HARYANA BY M/S ARTEMIS MEDICARE SERVICES LIMITED Wind speed (km/hr) Month Year Max Year Min January 2011 9 2003 4.2 February 2005 10.2 2006 6.8 March 2004 11.1 2006 8.4 April 2009 12.2 2006 9.5 May 2002 14.5 2011 10.9 June 2007 14.3 2008 7.6 July 2002 14.7 2013 8 August 2005 13.1 2003 6 September 2005 11.8 2003 5.9 October 2008 7.4 2004 4.9 November 2005 6 2002 2.3 December 2004 6.4 2002 2.4

(Source: IMD, Station- Palam, Delhi 2002 - 2013)

Figure 3-9; Maximum Wind Speed (Km/hr)

Figure 3-10; Minimum Wind Speed (Km/hr)

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94 EIA DOCUMENT OF “EXPANSION OF ARTEMIS HOSPITAL” AT SECTOR- 51, GURUGRAM HARYANA BY M/S ARTEMIS MEDICARE SERVICES LIMITED

Table 3-5; Wind direction record Wind Direction Month Direction Calm January NW 24.6% February W 18.2% March W 9.0% April NW 6.3% May W 5.0% June W 7.2% July E 7.4% August E 12.6% September NW 14.7% October NW 28.5% November W 46.3% December W 39.7% (Source: IMD Pune, Station- Palam, Delhi 2002 - 2013)

The predominant wind direction is towards West. The season wise predominant wind directions are given below:

Season Wind Direction Winter West Summer West Post Monsoon West

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95 EIA DOCUMENT OF “EXPANSION OF ARTEMIS HOSPITAL” AT SECTOR- 51, GURUGRAM HARYANA BY M/S ARTEMIS MEDICARE SERVICES LIMITED

The Wind Rose Diagram

The annual and seasonal wind rose diagrams are shown below: Annual Wind-rose: 2002-2013

Annual Wind-rose: 2000-2015

Winter Wind-Enclosurerose: 2000 2:-2015

Post Monsoon WindEnclosure-rose: 3:2002 -2013

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96 EIA DOCUMENT OF “EXPANSION OF ARTEMIS HOSPITAL” AT SECTOR- 51, GURUGRAM HARYANA BY M/S ARTEMIS MEDICARE SERVICES LIMITED

3.4 MICRO METREOLOGICAL DATA A weather station was installed near the site for hourly monitoring of temperature, humidity, wind speed & wind direction for the month of May 2018 Average data is given below Table 3-6; Micrometeorological data, May 2018

Temperature(oC) Humidity (%) Wind speed (m/s) Period Max Min Mean Max Min Mean Max Min Mean

44.30 21.4 34.1 91.1 5.2 29.7 15.2 0.10 4.8 1st May to 31st May 2018

i) Temperature: Temperature of the area varied from 21.4°C to 44.3°C. The mean temperature was found to be 34.1°C. ii) Relative Humidity: Humidity of the area varied from 5.2 % to 91.1 %. The mean Humidity was found to be 29.7 % iii) Wind Speed: Wind speed was in the range of 0.1 m/s to 15.2 m/s. The wind speed was close to each other during the whole study period. The average wind speed was found to be 4.8 m/s. Wind rose Diagram:

Figure 3-11: Wind rose diagram (Source:Perfact Researchers Pvt.Ltd . (NABL Accredited)

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97 EIA DOCUMENT OF “EXPANSION OF ARTEMIS HOSPITAL” AT SECTOR- 51, GURUGRAM HARYANA BY M/S ARTEMIS MEDICARE SERVICES LIMITED

3.5 AMBIENT AIR QUALITY The ambient air quality monitoring was done to assess the ambient air quality. Monitoring was carried out at Six stations for the month of May 2018.

The guidelines for selections of ambient air monitoring stations given in IS – 5182 part 14, 2000 were followed. These guidelines state that, “when the objective of air sampling is to identify the contribution from specific sources of pollution, the sampling locations should be in upwind and the downwind of such sources”. The location of air quality monitoring stations should satisfy the following conditions:  The site should be representative of the area selected;  The station should be set up and operated so as to yield data that can be compared with those from stations within the network; and,  Certain physical requirements should be satisfied at the site. Sampling Stations

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98 EIA DOCUMENT OF “EXPANSION OF ARTEMIS HOSPITAL” AT SECTOR- 51, GURUGRAM HARYANA BY M/S ARTEMIS MEDICARE SERVICES LIMITED To select the air sampling locations, meteorological data with respect to temperature, relative humidity, wind speed and direction plays a vital role. Predominant wind direction plays an important role in determining location of monitoring stations. The monitoring station located in area that is Downwind from the source. Location of Air sampling stations is shown below: Table 3-7; Ambient Air Sampling locations Station Distance & Direction Project area / Environmental Location No. from project area study area Sitting Onsite (West --- Commercial area A1 direction of site) Existing Ambient Air quality at core Onsite (East --- Commercial area A2 zone direction of site) A3 Uday Nagar 0.84 Km, NNW Residential area

A4 Wazirabad 0.86 Km, East Residential area Existing Ambient A5 Huda colony 1.1 Km, West Residential area Air quality at Buffer Zone Sushant Lok Phase Residential area A6 1.3 Km, SE III

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99 EIA DOCUMENT OF “EXPANSION OF ARTEMIS HOSPITAL” AT SECTOR- 51, GURUGRAM HARYANA BY M/S ARTEMIS MEDICARE SERVICES LIMITED Figure 3-12; Ambient air sampling locations on Topographical Map within 10 Km radius

The predominant wind direction is from West to East. To study the present ambient air scenario at onsite two locations were selected. Ambient Air Sampling Locations on a Topographical Map within 10 km radius of project site is shown on the map given ahead —

Uday A3 Nagar

Huda Colony A1, A2 A5 A4

Sushant Lok Phase A6 III

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100 EIA DOCUMENT OF “EXPANSION OF ARTEMIS HOSPITAL” AT SECTOR- 51, GURUGRAM HARYANA BY M/S ARTEMIS MEDICARE SERVICES LIMITED Sampling Procedure Time averaged in – situ sampling was adopted by passing a known volume of air through a trap, and a collecting medium (filter paper and bubbler). Respirable Dust Sampler was used for the purpose.

This procedure was adopted because there are no short-term variations and low concentration of gaseous pollutants was expected.

Analytical methods followed for ambient air quality monitoring:

Particulate Matter (PM2.5): (USEPA Quality Assurance Hand Book (Vol. II) Part II, Quality

Assurance Guideline Document,2.12): Particulate Matter (PM2.5) was analysed by Gravimetric Method. Particulate matter was collected on the 37 mm dia glass micro fiber Filter Paper.

PM2.5 value is determined from the values of volume of air passes through Ambient Fine Dust Sampler.

Particulate Matter (PM10) (IS: 5182 Part 23:2006): Particulate Matter (PM10) was carried out by Respirable Dust sampler as per IS: 5182(Part 23):2006. Particulate matter was collected on the GF/A Filter Paper. Particles with aerodynamics diameter less than the cut-point of the inlet are collected by the filter. The mass of these particles is determined by the difference in filter weight prior to and after sampling.

Sulphur dioxide (SO2) (IS: 5182; Part – II – 2001): Sulphur dioxide is absorbed by aspirating a measured air sample through a solution of Potassium or sodium tetrachloromercurate, TCM. This procedure results in the formation of a dichloro sulphite mercurate complex. The Sulphite Ion produced during sampling is reacted with sulphamic acid, formaldehyde and pararosaniline to form an azo dye and then determined colorimetricaly.

Nitrogen Oxides (IS: 5182; Part – VI – 2006): Nitrogen dioxide is collected by -bubbling air through a sodium hydroxide- sodium arsenite solution to form a stable solution of sodium Nitrite. The Nitrite Ion Produced during sampling is reacted with hydrogen peroxide, Sulphanilamide and NEDA to form an azodye and then determined calorimetrically.

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101 EIA DOCUMENT OF “EXPANSION OF ARTEMIS HOSPITAL” AT SECTOR- 51, GURUGRAM HARYANA BY M/S ARTEMIS MEDICARE SERVICES LIMITED Table 3-3; Ambient air quality results of PM2.5 & PM10

98 98 Min. Max. Mean Min. Max. Mean Location Percentile Percentile

PM2.5 - (Standard – 60 µg/m3) PM10 - (Standard – 100 µg/m3) A1 51.3 66.1 63.5 59.4 126.9 175.0 159.2 148.0 A2 53.3 68.7 66.1 61.8 131.9 182.0 165.6 153.9 A3 59.5 76.6 73.7 68.9 147.2 203.0 184.7 171.6 A4 64.6 83.2 80.0 74.8 159.8 220.5 200.6 186.4 A5 62.1 79.9 76.9 71.9 153.5 211.7 192.7 179.0 A6 56.4 72.7 69.9 65.3 139.5 192.5 175.2 162.8

Source of Standards: NAAQS, CPCB, Laboratory engaged: M/s Perfact Researchers Pvt. Ltd. (NABL Accredited)

Table 3-4; Ambient air quality results of SO2 & NOX

98 98 Min. Max. Mean Min. Max. Mean Location Percentile Percentile SO2 (Standard – 80 µg/m3) NOx (Standard – 80 µg/m3) A1 5.4 9.3 6.8 6.6 19.2 26.7 26.0 23.1 A2 5.6 9.6 7.1 6.9 20.0 27.8 27.0 24.1 A3 6.3 10.8 7.9 7.6 22.3 31.0 30.2 26.8 A4 6.8 11.7 8.6 8.3 24.2 33.6 32.8 29.1 A5 6.5 11.2 8.2 8.0 23.2 32.3 31.5 28.0 A6 5.9 10.2 7.5 7.2 21.1 29.4 28.6 25.4 Source of Standards: NAAQS, CPCB, Laboratory engaged: M/s Perfact Researchers Pvt. Ltd. (NABL Accredited)

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102 EIA DOCUMENT OF “EXPANSION OF ARTEMIS HOSPITAL” AT SECTOR- 51, GURUGRAM HARYANA BY M/S ARTEMIS MEDICARE SERVICES LIMITED Air Quality Index

The Table given below shows the Air Quality Index (AQI) range & category:

AQI RANGE AQI CATEGORY AQI RANGE AQI CATEGORY Breathing discomfort to Minimal Impact people on prolonged Good Poor exposure (0–50) (201–300) Respiratory illness to the Minor breathing discomfort people on prolonged to sensitive people Satisfactory Very Poor exposure (51–100) (301–400) Breathing discomfort to the Respiratory effects even

Moderate people with lung, Severe on healthy people heart disease, children and

(101–200) older adults (>401) (SOURCE: CPCB, AQI CALCULATOR)

The Air Ambient air quality was assessed and the baseline data was collected for the period of one month (May 2018). The background concentration was accessed at six different location. The sub index parameter and AQI has been calculated based on the AQI calculator as given on CPCB site and is given below.

Location Highest Sub-index AQI Value AQI Parameter

A1 Onsite (West Direction of site) PM10 132 Moderate

A2 Onsite (East Direction of site) PM10 136 Moderate

A3 Uday Nagar PM10 148 Moderate

A4 Wazirabad PM10 158 Moderate

A5 Huda colony PM10 153 Moderate

A6 Sushant Lok Phase III PM10 142 Moderate

(SOURCE: CPCB, AQI CALCULATOR)

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103 EIA DOCUMENT OF “EXPANSION OF ARTEMIS HOSPITAL” AT SECTOR- 51, GURUGRAM HARYANA BY M/S ARTEMIS MEDICARE SERVICES LIMITED Data Interpretation The ambient air quality results are summarized in above tables. The Core zone results are discussed below — Core zone:

3 A1: West direction of site, the mean value of SO2 (6.6 µg/m ), NOX (23.1 µg/m3) & PM2.5 (59.4 µg/m3) are within the limits of National ambient air quality standards. However, the mean value of PM10 (148.0 µg/m3) is higher than the National ambient air quality standards due to vehicular activity at Netaji Subhash Marg and dust from nearby vicinity.

3 A2: East direction of site, the mean value of SO2 (6.9 µg/m ) and NOX (24.1 µg/m3) are within the limits of National ambient air quality standards. However, the mean value of PM10 (153.9

µg/m3) and PM2.5 (61.8 µg/m3) are higher than the National ambient air quality standards due to vehicular movement at Netaji Subhash Marg and dust from nearby vicinity. The Buffer zone:

A3: Uday Nagar, the mean value of SO2 (7.6 µg/m3) and NOX (26.8 µg/m3) are within the limits of National ambient air quality standards. However, the mean value of PM10 (171.6 µg/m3) and

PM2.5 (68.9 µg/m3) are higher than the National ambient air quality standards due to vehicular moment at Netaji Subhash Marg & Vikas marg and local village activities.

A4: Wazirabad, the mean value of SO2 (8.3 µg/m3) and NOX (29.1 µg/m3) are within the limits of National ambient air quality standards. However, the mean value of PM2.5 (74.8 µg/m3) &

PM10 (186.4 µg/m3) are higher than the standard limits of National ambient air quality standards due to Netaji Subhash Marg and dust from nearby vicinity.

A5: Huda Colony, the mean value of SO2 (8.0 µg/m3) & NOX (28.0 µg/m3) are within the limits of National ambient air quality standards. However, the Mean Value of PM2.5 (71.9 µg/m3) and

PM10 (179.0 µg/m3) are higher than the limits of National ambient air quality standards due to Fugitive dust emission by vehicular movement at Satpaul mittal Marg and Vikas Marg.

A6: Sushant Lok Phase III, the mean value of SO2 (7.2 µg/m3), & NOX (25.4 µg/m3) are within the limits of National ambient air quality standards. However, the Mean Value of PM10 (162.8

3 µg/m3) and PM2.5 (65.3 µg/m ) are higher than the limits of National ambient air quality standards due to Fugitive dust emission by vehicular movement at CRPF Road and local village activities.

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104 EIA DOCUMENT OF “EXPANSION OF ARTEMIS HOSPITAL” AT SECTOR- 51, GURUGRAM HARYANA BY M/S ARTEMIS MEDICARE SERVICES LIMITED 3.6 WATER REGIME Geology The Gurgaon district is occupied by Quaternary alluvium and Pre-Cambrian meta- sediments of Delhi Super Group. The alluvium comprises of thick beds of fine to coarse-grained sand with alternating layers of thin clays. GENERALISED GEOLOGICAL SUCCESSION, GURGAON DISTRICT Geological Age Stratigraphic Units Lithological characters Recent Wind-blown sand Medium to fine grained sand buff coloured over the alluvium Pleistocene Newer alluvium Stream laid sand, silt, clay and gravel Older alluvium Semi-consolidated, poorly sorted fine to medium grained sand, silt and clay occasionally mixed with kankar ------UNCONFORMITY------Delhi Ajabgarh Slates, Phyllites, Quartzites. Mica- schists, with intrusive pegmatites Alwar Quartzites, mica-schists with intrusive pegmatites ------U n c o n f o r m i t y------Archean’s Aravalli Mica-schists, crystalline limestone, Quartzites and schistose conglomerates

Drainage The buffer zone is highly cress-crossed by net work of roads, consequently, disturbing the natural drainage pattern of the area. However, as aforementioned, the by and large slope is towards north. The alluvial plain is formed by the Sahibi River, which is tributary of River Yamuna. Soils of the area are classified as tropical and brown soils. The soils are medium textured loamy sand is the average texture. The organic content is 0.2 to 0.40 percent and falls in low category. Hydrology The major part of Gurgaon district is underlain by Quaternary alluvium consisting of sand, clay and silt. The quartzite ridge trending NE-SW is located on the southeast corner, ground water occurs in fractures, joints and crevices. Sandy layers at various depth form major water bearing horizons above the crystalline basement. Ground water in the block occurs in unconfined and semi confined condition. As per CGWB report, the upper zone of saturation

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105 EIA DOCUMENT OF “EXPANSION OF ARTEMIS HOSPITAL” AT SECTOR- 51, GURUGRAM HARYANA BY M/S ARTEMIS MEDICARE SERVICES LIMITED consists of fine sand with silt varying from place to place. In Udyog vihar and city area (close to northeastern periphery of buffer zone), the depth of first aquifer varies from 34 to 43 m bgl. However, in industrial area of Manesar (about 7 km towards southeast of the proposed area) top most aquifer can be encountered at 20 m. The thickness of sandy layer is limited. The draw-down are generally high indicating absence of highly potential ground water bearing aquifers. Tube wells in the depth range of 45 to 90 m bgl have been installed by different agencies in the area. The yield of these tube-wells varies in different areas ranging within 129 to 606 lpm. The water level ranges between 20 and 30 m in major parts. Deeper water level has been observed in Gurgaon and northern parts of Sohana area, which is due to Urbanization and industrialization in these areas. The seasonal fluctuation is between –3.0 m to +4.10 m. Groundwater Development The water supply to the Gurgaon district is mainly based on groundwater through tube-wells. Entire (100 %) urban population is covered under drinking water supply scheme. The water supply to the villages is catered through the installation of hand pumps by the village households as spot and convenient source of water. The shallow tube-wells for irrigation purpose in the district range from 45 to 70m. deep, tapping the aquifer from 31m to 80 m. with a discharge of 400 to 1000 lpm. According to the CGWB report, the stage of ground water development for the Gurgaon block is 308% implying that the buffer zone falls in over- exploited categories. The details of ground water development in the relevant Gurgaon block is shown in the table given ahead —

Sl. Blocks Net ground Existing gross Allocation for domestic and Net Ground Water Stage of No. water ground water industrial requirement Availability for future ground water availability (in draft for all uses supply upto next 25 years irrigation development development ham) (in ham) (ham) (ham) Gurgao 1 n 7585 23382 17128 -15797 308

The above table clearly depicts that the ground water is under with declining water levels. There is hardly any scope for further ground water development. Various measures should be taken to reduce on the dependence on ground water and to enhance the ground water resources. Water Conservation & Artificial Recharge-

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106 EIA DOCUMENT OF “EXPANSION OF ARTEMIS HOSPITAL” AT SECTOR- 51, GURUGRAM HARYANA BY M/S ARTEMIS MEDICARE SERVICES LIMITED There is an urgent need to take measures to arrest the decline of ground water level. The artificial recharge to ground water is one of such measures. Whole of the district is suitable for artificial recharge to ground water. Excess rain water in agricultural field, surplus canal water and rooftop rain water can be recharged to ground water system. Recharging shafts and injection wells are the most viable recharging structures suitable for the district.

3.7 WATER QUALITY

The various indicators of water quality form one of the most important tools for impact assessment in future, therefore it is imperative to assess the existing water quality of both ground and surface water occurring in the core and buffer zone. The details of the study of water quality are given below:

3.7.1 Sampling Stations: To assess the water quality of the proposed area, following 6 stations (5 ground water & 1 surface water) were selected.

Location of Water sampling stations is described below and location below

Station Location Distance & Environmental No. Direction from Significance Project area W1 Onsite (Borewell) ---- Existing Ground water quality at Core Zone W2 Bindapur (Borewell) 0.38 Km, North W3 Uday Nagar (Borewell) 0.84 Km, NNW Existing Ground water W4 Huda Colony (Borewell) 1.1 Km, West quality at Buffer zone W5 Sushant Lok Phase-3 1.3 Km, SE (Borewell) SW1 Drain No.8 0.91 Km, North Existing Surface water quality at Buffer zone

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107 EIA DOCUMENT OF “EXPANSION OF ARTEMIS HOSPITAL” AT SECTOR- 51, GURUGRAM HARYANA BY M/S ARTEMIS MEDICARE SERVICES LIMITED

Water Sampling Locations

Figure 3-13; Water sampling locations on 10 Km Topographical Map

3.7.2 Criteria of Selection of sampling Locations: Water sampling locations were selected based on following criteria: source of water, flow of water, geological structure (hydrogeology), use of water, depth of water table etc.

The Ground water were collected from 5 locations. Onsite (Borewell), Bindapur (Borewell), Sushant Lok Phase-3 (Borewell), Uday Nagar (Borewell), Huda City (Borewell) ground water was collected from Handpump & Bore well. The water is being used for drinking & other household activities too at these locations. Surface water was collected from Nala to study

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108 EIA DOCUMENT OF “EXPANSION OF ARTEMIS HOSPITAL” AT SECTOR- 51, GURUGRAM HARYANA BY M/S ARTEMIS MEDICARE SERVICES LIMITED the chemical parameters. During surface water sampling flow of water plays an important role. Water from these sources is used for irrigation.

3.7.3 Sampling Frequency and Sampling Techniques: As per the standard practice grab sampling was done for 5 locations, and Composite sampling was done for one sample i.e, Nala (Drain). Water samples were taken as per the Standard Methods (IS & APHA, 23nd Edition 2017). Necessary precautions were taken for preservation of samples.

Sampling was done for the post monsoon season i.e. May 2018.

The physical parameters viz. pH, temperature and conductivity were measured at site using portable water analyser.

As evident from the sampling locations for water quality assessment represented surface and groundwater. The results of water quality assessment are presented below:

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109 EIA DOCUMENT OF “EXPANSION OF ARTEMIS HOSPITAL” AT SECTOR- 51, GURUGRAM HARYANA BY M/S ARTEMIS MEDICARE SERVICES LIMITED

GROUNDWATER QUALITY RESULTS :

CORE & BUFFER ZONE GROUND WATER QUALITY RESULTS

Ground Ground water quality results of buffer zone water quality IS: 10500 results S. Core Zone Parameter Unit Drinking No. Water Bindapur Sushant Uday Standards HUDA Onsite (Borewell) Lok Nagar Colony (Borewell) Phase-3 (Borewell) (Borewell) (Borewell) <1 <1 <1 <1 <1 1 Colour Hazen 5

Agreeable Agreeable Agreeable Agreeable Agreeable 2 Odour -- Agreeable

<1 <1 <1 <1 <1 3 Turbidity NTU 1

7.6 7.8 7.2 7.7 7.8 4 pH Value -- 6.5-8.5

23 23.2 23.8 23.2 23.1 5 Temperature 0C -

543 465.9 325.2 82 315.1 6 Conductivity µmhos/cm -

271.5 233 162.5 42 157.2 7 Total Dissolved Solids mg/l 500

110 EIA DOCUMENT OF “EXPANSION OF ARTEMIS HOSPITAL” AT SECTOR- 51, GURUGRAM HARYANA BY M/S ARTEMIS MEDICARE SERVICES LIMITED

40.0 38.0 20.0 10.0 30.0 8 Chloride (as Cl) mg/l 250

0.41 0.46 0.69 0.42 0.59 9 Fluoride (as F) mg/l 1.0

168 116 92 16 72 10 Total Hardness mg/l 200

28.8 24 16 3.2 11.2 11 Calcium (as Ca) mg/l 75

23.3 13.6 12.6 1.9 10.7 12 Magnesium (as Mg) mg/l 30

17.9 39.4 48.8 1.8 53.0 13 Sulphate (as SO4) mg/l 200

25.97 7.93 3.94 8.05 0.32 14 Nitrate Nitrogen mg/l 45 97 84 55 24 58 15 Alkalinity mg/l 200

29.8 31.9 14.4 8.9 21.8 16 Sodium (as Na) mg/l -

2.25 2.69 2.4 0.207 4.8 17 Potassium (as K) mg/l -

Iron, Zinc, Nitrite Nitrogen, Aluminium, Nickel, Manganese, Mercury, Cadmium, Lead and Selenium are below detection level (Source of standards: IS: 10500, Laboratory: M/s Perfact Researchers Pvt. Ltd (NABL Accredited lab)

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111 EIA DOCUMENT OF “EXPANSION OF ARTEMIS HOSPITAL” AT SECTOR- 51, GURUGRAM HARYANA BY M/S ARTEMIS MEDICARE SERVICES LIMITED

Surface Water Quality As mentioned above, 1 surface water samples in buffer zone were taken for assessment of existing surface water quality. The results of the analysis of onsite surface water sample are depicted in the table given ahead — SURFACE WATER QUALITY RESULTS BUFFER ZONE Drain No. 8 EPA Discharge S.No. Parameters Unit (SW1) standards 1 Colour Hazen 1 < 1 2 Odour -- Agreeable Agreeable 3 Turbidity NTU 1.5 < 1 4 pH Value -- 7.9 5.5-9.0 5 Temperature 0C 23 1-50 6 Conductivity µmhos/cm 1512 - 7 Total Dissolved Solids mg/l 753.7 - 8 Chloride (as Cl) mg/l 136.0 - 9 Fluoride (as F) mg/l 0.98 2.0 10 Total Hardness mg/l 304 - 11 Calcium (as Ca) mg/l 57.6 - 12 Magnesium (as Mg) mg/l 38.9 - 13 Iron (as Fe) mg/l <0.1 3.0 14 Sulphate (as SO4) mg/l 46.7 - 15 Nitrate Nitrogen mg/l 0.48 10 16 Alkalinity mg/l 340 - 17 Phosphate mg/l <0.01 5.0 18 Sodium (as Na) mg/l 104 - 19 Potassium (as K) mg/l 9.65 - 20 BOD mg/l 32.8 30 21 COD mg/l 80 250 22 DO mg/l 4.5 - 23 Ammonical Nitrogen mg/l <1 50 Total Suspended 100 24 mg/l Solids 43.7 Iron, Zinc, Nitrite Nitrogen, Aluminium, Nickel, Manganese, Mercury, Cadmium, Lead and Selenium are below detection level (Source of standards: IS: 10500, Laboratory: M/s Perfact Researchers Pvt. Ltd (NABL Accredited lab).

112 EIA DOCUMENT OF “EXPANSION OF ARTEMIS HOSPITAL” AT SECTOR- 51, GURUGRAM HARYANA BY M/S ARTEMIS MEDICARE SERVICES LIMITED 3.7.4 Data Interpretation: The Ground water quality assessed during monitoring period clearly explains that:

1. Core: The Ground water quality at location W1 (Onsite, Borewell) shows that all parameters are within the drinking water standards (IS:10500) and suitable for drinking and other household activities. Buffer zone ground water results: is taken as the area within 10 km radius from the proposed project site. Collected samples are from ground and Surface water sources. 2. The Ground water quality at location W2 (Bindapur, Borewell), W3 (Uday Nagar, Borewell) , W4 (HUDA Colony, Borewell), W5 (Sushant Lok Phase -3, Borewell) shows that all parameters are within the drinking water standards (IS:10500) and suitable for drinking and other household activities.

The surface water quality assessed during monitoring period clearly explains that:

1. The Surface water quality of the Drain no. 8, BOD (32.8 mg/l) shows that it is slightly higher than EPA Discharge standards. The other parameters are within the EPA discharge standard.

3.8 NOISE QUALITY

Noise Measurement Locations: To assess the noise level of the proposed area, following stations were selected. Location of Noise sampling stations are described below and location are given below

LOCATIONS OF NOISE SAMPLING STATION

Station Location Distance & Project area / Environmental No. Direction from study area Significance project area Onsite West direction of Silence Zone Existing Noise N1 site quality at core East direction of Silence Zone zone N2 Onsite site N3 Huda Colony 1.41 km, West Residential Area N4 Uday Nagar 1.22 km, NW Residential Area Existing Noise N5 Sushant Lok Phase 3 1.3 km, SE Residential Area quality at buffer N6 Approach Road 0.12 km E Commercial Area zone PROJECT PROPONENT: BY: M/S PERFACT ENVIRO SOLUTIONS PVT. LTD. M/S ARTEMIS MEDICARE SERVICES LTD.

113 EIA DOCUMENT OF “EXPANSION OF ARTEMIS HOSPITAL” AT SECTOR- 51, GURUGRAM HARYANA BY M/S ARTEMIS MEDICARE SERVICES LIMITED N7 Vikas Marg 0.79 km, WNW Commercial Area

Table 3-5; Ambient Noise sampling stations

To study the present ambient air scenario nine ambient Noise locations were selected.

N1 & N2 are two locations selected within the proposed site. N3 – Huda Colony is located in West direction at a distance of 1.41 Km from project site. The area is densely populated and Vikas Marg is 0.29 km E to the area. N4 – Uday Nagar is located at a distance of 1.22 Km in NW direction from project site. The area is densely populated and is well connected by road. N5 – Sushant Lok Phase 3 is located at a distance of 1.3 Km in SE direction. The area is densely populated and is well connected by road.

N6 – Approach road is at about a distance of 0.12 km in East direction.

N7 – Vikas Marg road is located at a distance of 0.79 Km in WNW direction from the project site.

The location of Noise sampling is shown below in the 10km topographical map

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114 EIA DOCUMENT OF “EXPANSION OF ARTEMIS HOSPITAL” AT SECTOR- 51, GURUGRAM HARYANA BY M/S ARTEMIS MEDICARE SERVICES LIMITED

N4 N7 N3 N6 N1 N2 N5

Figure 3-14; Noise sampling Locations on 10 Km Topographical Map

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115 EIA DOCUMENT OF “EXPANSION OF ARTEMIS HOSPITAL” AT SECTOR- 51, GURUGRAM HARYANA BY M/S ARTEMIS MEDICARE SERVICES LIMITED Methodology

At each station noise level was monitored for 24-hours simultaneously. For each measurement, dB (A) readings was taken for every 15 minutes for 24 hrs once in a month to get Leq values.

Table 3-6; Noise quality results

S. Locations Class Leq Day Leq Night Day time (6.00 Night time No. noise level noise level A.M to (10.00 P.M to dB(A) dB(A) 10.00P.M) 6.00A.M) Standard (Leq Standard (Leq in dB(A) in dB(A) Core zone noise quality N1 On Site (W) Silence Zone 53.2 46.9 50 40 N2 On Site (E) Silence Zone 52.6 46.3 50 40

N3 Huda Colony Residential area 52.4 46.7 55 45 N4 Uday Nagar Residential area 52.3 46.8 55 45 Sushant Lok phase Residential area N5 51.9 46.4 55 45 3 N6 Approach road Commercial area 64.8 58.5 65 55 N7 Vikas Marg Commercial area 73.7 64.4 65 55 (Source of Standards: CPCB standards for Noise Pollution (Regulation & control) Rules, Laboratory: M/s Perfact Researchers Pvt. Ltd. (NABL Accredited)

3.8.1 Data Interpretation: The Ambient Noise Quality results are summarized above. The results are discussed below:

Core Zone: The details are given below:

Core Zone: N1 & N2: The ambient noise level during day time at the project site varies from 52.6 dB (A) to 53.2 dB (A) which are above the standard limit of silence zone~50 dB(A). During night time the noise level at the project site ranges from 46.3 dB (A) to 46.9 dB (A) which are also above the night-time noise standard limit of ~40 dB(A). This is due to the vehicular movement at approach road and also at Vikas Marg. Also, the nearby area is densely populated hence the activities in the area also contribute to the increased noise level.

Buffer Zone: The details are given below:

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116 EIA DOCUMENT OF “EXPANSION OF ARTEMIS HOSPITAL” AT SECTOR- 51, GURUGRAM HARYANA BY M/S ARTEMIS MEDICARE SERVICES LIMITED N3: The noise level at Huda Colony during day time was recorded to be 52.4 dB (A) which is within the standard limit of residential area are ~ 55 dB (A). During night the noise level was recorded 46.7 dB (A) which is slightly above of the standard limit of residential area ~ 45 dB (A). The increased noise level is due to the vehicular movement on colony road and also on the Vikas Marg which is at 0.29 km E from the area.

N4: The ambient noise level at Uday Nagar during day time was recorded to be 52.3 dB (A) which is within the standard limit of residential area ~ 55 dB (A). During night the noise level was recorded 46.8 dB (A) which is slightly above of the standard limit of residential area ~ 45 dB (A). The increased noise level is due to the Vehicular movement on connecting roads.

N5: The noise level at Sushant Lok phase 3 during day time was recorded to be 51.9 dB (A) which is well within the standard limit of residential area are ~ 55 dB (A). During night the noise level was recorded 46.4 dB (A) which is slightly above of the standard limit of residential area ~ 45 dB (A). The increased noise level is due to the Vehicular movement on colony road.

N6: The ambient noise level at Approach road during day time was recorded to be 64.8 dB (A) which is within the standard limit of Commercial area are ~ 65 dB (A). During night time the noise level was recorded 58.5 dB (A) which is above of the standard limit of residential area ~ 55dB (A). The increased noise level is due to the Vehicular movement on the road.

N7: The noise level at Vikas Marg during day time is 73.7 dB (A) which is higher than the standard limit of commercial areas of ~ 65 dB (A). During night time the noise level is 64.4 dB (A) which is also higher than the standard limits of commercial area ~ 55 dB (A). Increased noise level both during day and night time is due to the vehicular movement on the road.

3.9 SOIL QUALITY

To assess the soil quality of the proposed area, following stations were selected. Soil profile and quality was studied at 7 different locations.

3.9.1 Sampling Location

Location of Soil sampling stations is described below.

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3.9.2 Criteria for sampling location selection:

The sampling design is a fundamental part of data collection for scientifically based decision making. A well-developed sampling design plays a critical role in ensuring that data are sufficient to draw the conclusions needed. The samples are collected to determine nutrient content, composition, and other characteristics such as the acidity or pH level.

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S3 Udyog Nagar S4 S2 HUDA Colony S1 S6 S5 Sushant Lok

S7

Sampling procedure & Analysis: Augur method was used, and samples were collected at 15 cm depth after removing the upper crust. Sample from each spot were well mixed with hand on a clean polythene sheet. About 1 kg of soil was retained after process of quartering. This sample was kept for some time for air-drying at room temperature, stored in polythene bag with label at the top. Samples were analyzed for bulk density, pH, nitrogen, phosphorus, calcium, magnesium and organic contents.

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ONSITE PHYSICAL & CHEMICAL PROPERTIES OF SOIL

Core Zone Buffer Zone Soil Quality Results Soil Quality S. No. Parameter Results S1 S4 S5 S7 S2 S3 S6 Onsite HUDA Sushant Ghasaula Bindapur Uday Nagar Fatehpur Colony Lok Physical Properties of Soil 5/4 Colour Dull 1 4/3 4/4 4/3 4/4 4/3 4/6 Yellowish Brown Brown Brown Brown Brown Brown Brown Sand:14.7 Sand:16.4 Sand:8.2 Sand:24.1 Sand:18.7 Sand:18.7 Composition (%) Sand:23.2 2 Silt:43.5 Silt:36.0 Silt:49.5 Silt:36.9 Silt:36.5 Silt:29.4 Silt:29.4 Clay:33.1 Clay:49.0 Clay:34.0 Clay:54.6 Clay:39.1 Clay:51.8 Clay:51.8 Moisture Content (%) 3 1.3 1.2 1.1 1.5 1.4 1.8 1.3 Conductivity (µS/cm) 4 427.3 830.7 525 716.6 199.9 124.6 130.6 5 Bulk Density (gm/cc) 1.2 1.2 1.3 1.2 1.3 1.2 1.2 6 Porosity (%) 29.2 27.6 22.3 28.5 22.4 21.7 29.2 Chemical Properties of Soil Silty Clay Silty Clay 1 Texture Silt Loam Silty Clay Clay Loam Loam Loam Silt Loam Silt Loam 2 pH 8.5 7.8 8.1 8.1 7.9 6.1 6 Available Nitrogen 3 (mg/kg) 108.4 145.2 114.5 133.4 68.1 101.1 125.9

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Available Phosphorous 4 (mg/kg) 47.6 61.0 93.8 55.1 44.7 28.3 32.8 Available Potassium 5 (mg/kg) 39.7 146.0 145.0 43.1 45.6 25.0 33.6 6 Available Calcium (mg/kg) 274.6 338.6 283.9 343.4 198.4 89.7 94.3 Available Magnesium 7 (mg/kg) 218.4 148.0 154.4 252.0 149.6 44.5 56.9 8 Organic matter (%) 0.8 1.3 0.2 0.6 0.9 0.3 0.3 9 Nitrate Nitrogen (mg/kg) 57.9 75.3 60.7 69.2 38.9 53.3 68.9 10 Chloride (mg/kg) 186.4 257.4 133.1 363.9 8.9 53.3 26.6 11 Available Sulphur (mg/kg) 0.2 1.6 0.3 1.5 0.3 1.6 0.4 12 Available Sodium (mg/kg) 187.9 118.4 92.8 144.0 98.9 96.5 95.9 Cation Exchange 13 Capacity(meq/100gm) 51.7 69.8 58.9 66.2 42.0 21.4 32.3 14 Bi carbonate(mg/kg) 109.8 122.0 85.4 231.8 61.0 73.2 36.6 2.2 1.6 2.5 2.9 15 Orthophosphate(mg/kg) 14.6 3.9 46.9

(Laboratory: M/s Perfact Researchers Pvt. Ltd (NABL Accredited lab)

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Fertility of Soil at Onsite

Table 3-8; Onsite Fertility status of Soil Result in Low Medium High Parameters mg/kg mg/kg mg/kg mg/kg Remarks (0-15 cm) (0-15 cm) (0-15 cm) (0-15 cm) Nitrogen 108.4 <156 157-313 >314 low Potassium 39.7 <67 67.1-156 >156 low Phosphorus 47.6 <5.5 5.6-13.9 >14.0 high (Source: Laboratory: M/s Perfact Researchers Pvt. Ltd. (NABL Accredited)

Data Interpretation

Core Zone: Soil texture is one of the most important physical properties of soil that affects its fertility and productivity. Texture influences the ease with which soil can be worked, the amount of water and air it holds, and the rate at which water can enter and move through the soil. The whole soil environment is regulated by soil texture. Soil texture governs most of the properties of the soil, its permeability, its capacity to retain water, its degree of aeration, its ability to make the nutrients stored in the clay-humus complex available to plants, its ability to withstand mechanical working of the top soil, and finally, its ability to support a permanent plant cover.

After analyzing the samples collected from site shows that the soil texture in core zone is silt loam which can hold water and nutrients and makes soil fertile. So, the trees & other vegetation can be grown in this area.

The result shows that Colour is Reddish Brown , pH is 8.5 . Amount of primary nutrient like Organic matter is 0.8 %, the available nitrogen 108.4 mg/kg and available Potassium 39.7 mg/kg is low while the available Phosphorus 47.6 mg/kg is in medium range.

Buffer Zone: Color varies from Brown to Dull Yellowish Brown, pH ranges from 6.0 to 8.1. Amount of primary nutrients like Organic matter 0.2 % to 1.3 %, the available nitrogen 68.1 mg/kg to 145.2 mg/kg is lower in range, the available phosphorus 28.3 mg/kg – 93.8 mg/kg is high in range, available potassium 25.0 mg/kg to 146 mg/kg is low to medium in range, Primary nutrient profile shows that soil is average fertile due to the availability of low amount of nitrogen, available potassium.

Primary nutrient profile shows average fertile soil along the stretch. Nitrogen is the most important fertilizer element. Plants respond quickly to application of nitrogen. This element encourages above 121 PROJECT PROPONENT: ENVIRONMENT CONSULTANT:

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3.10 TOPOGRAPHY

The area is by and large flat topography, excepting mild ruggedness on the south- west to south- eastern extremity of buffer zone. This area is marked by NE-SW trending ridges and corresponding valleys. The highest point in this undulating land is about 315 mRL almost on the periphery of buffer zone in the South. The buffer zone depicts a general slope towards west. The lowest point of buffer zone is 213 mRL situated close to periphery in the west. The proposed site or core zone is situated on a land having RL around 223-238 m.

3.11 LANDUSE

The land use/ land cover map has been generated on 1:50,000 scale using digital classification of imagery. Based on the methodology developed for the present land use/ land cover, categories have been grouped under the following major land use/land cover categories. The data analysis process involves examining the data using various image processing techniques by a digital computer. Its application in the field of environmental management is of great prominence.

METHODOLOGY The methodology applied comes under following steps: Image Extraction: Satellite imageries for the Area of Interest were created through Image processing software. Geo-Rectification: Geometric correction includes correction for geometric distortions due to sensor, earth geometry variations and conversion of the data to real world coordinates (e.g. Latitude and Longitude) on the Earth’s surface. The satellite imagery was geometrically rectified with reference to the geo-referenced toposheets and vector data. Image Enhancement:

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Image enhancement is one of the important image processing functions primarily done to improve the appearance of the imagery to assist in visual interpretation and analysis. Various options of image enhancement techniques were tried out to get the best image for visual interpretation. Histogram equalized stretch enhancement techniques was applied to the imagery of the study area for better interpretation of different features in the satellite imagery.

INTERPRETATION OF SATELLITE IMAGE Visual interpretation technique has been used for digitization of geographical feature for different land use and vegetation cover classes based on spatial pattern of geographic feature. Spectral signature represents various land use class. Image interpretation keys are developed based on image characteristics like color, tone, size, shape, texture, pattern, shadow, association etc, which enables interpretation of satellite images for ground feature. Statics of geographic feature has been developing for impact assessment due to project activity.

RESULTS AND CONCLUSIONS: The land use/ land cover map has been generated on 1:50,000 scale using digital classification of Imagery. Based on the methodology developed for the present land use/ land cover, categories have been grouped under the following major land use/land cover categories.

Major land use/land cover categories of study area (10 Km Radius Buffer zone)

Area in SQ S No. Category Area In Ha Percentage Km 1 Agriculture Land 101.64 10164.03 31.57 2 Barren Land 2.29 229.29 0.71 3 Built-up, Rural 6.95 695.07 2.16 4 Built-up, Urban 151.83 15182.72 47.15 5 Forest, Deciduous 9.30 930.02 2.89 6 Scrub Land 49.91 4990.54 15.50 7 Water Bodies, Pond/Reservoir 0.08 8.39 0.03 Total 322.00 32200.06 100.00

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Land Use Breakup for "Expansion of Artemis Hospital" by M/s Artemis Medicare Services Ltd

0.03%

15.50% 2.89% 31.57% Agriculture Land Barren Land Builtup, Rural Builtup, Urban Forest, Deciduous 47.15% Scrub Land Water Bodies, Pond/Reservoir

0.71% 2.16%

• Built up Land:

Based on analysis of imagery, topographical maps and ground truth the total Built up area is about 15877.78 hectares which is 49.31 percent of the total study area. • Agriculture Land:

Based on analyzed imagery, topographical maps and ground truth. Agriculture land its area extent have been extracted and its area is about 10164.03 hectares which is 31.57 percent of the total 10 km radius study area.

• Forest:

Forest occupies around 1441.90 ha which is 4.59% of the study area

• Barren Land:

Barren land comprises rocky and scrub land are covering 3146.40 hectares and covering about 10.02 percent of the study area.

• Water Bodies:

Based on satellite data and ground truth, the total area covered by the river and water bodies is 71.51 hectares which is 0.23 % of the total study area.

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Land use Map

3.12 FLORA AND FAUNA

Introduction on Ecology and Biodiversity:

A natural ecosystem is a complete community of living organisms and non-living constituents in a given area and their interactions. An ecosystem has self-sustaining ability and controls the number of organisms at any level by cybernetic rules. The basic purpose to explore the biological environment under Environmental Impact Assessment (EIA) is to assess the potential ecological impacts of the proposed project upon ecology and develop adequate mitigation measures to keep ecological impacts within acceptable limits. An ecological survey of the study area was conducted, particularly with

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With the change in environmental conditions, the vegetation cover as well as animals reflects several changes in its structure, density and composition. The present study was carried out separately for floral and faunal community of core and buffer zone respectively.

Need to study:

The present study was undertaken with the following objectives:

• To assess the nature and distribution of vegetation in and around the project site (within 10 km. radii) • To assess the animal life spectra (within 10 km radii)

To achieve the above objectives a study area was undertaken. The different methods adopted were as follows:

• Compilation of secondary data with respect to the study area from published literature and various government agencies; • Generation of primary data by undertaking systematic ecological studies in the area. Selection of Sampling Location for the study of Flora and Fauna:

Core Zone: Core zone is the area where project is to be constructed. The proposed project is an Expansion of Artemis Hospital at Sector-51, Gurugram-122001, Haryana. All the flora and fauna of core zone has been recorded during the survey.

Buffer Zone: The zone falling with in 10Km radius around the project area. For sampling purpose, buffer zone is further divided in 2 Km and 5 Km. Patches of flora is studied in 3 locations within 2 km, 2 locations within 5 Km. Location of flora is given below.

Table for location

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S. No Location Distance & Direction E1 Nearby Site -- E2 Adarsh Park 0.94 Km, West E3 Tau Devi Lal Bio Diversity Park 1.76 Km, East E4 Nangli Umarpur 2.01 Km, SSE E5 Sushant Lok 2.07 Km, SE E6 Sai Village 2.36 Km, West

Sample location Map

Introduction of the project highlighting the Environmental sensitivity:

The proposed project is an Expansion of Artemis Hospital at Sector-51, Gurugram-122001, Haryana being developed by M/s Artemis Medicare Services Limited. Only one Forest falling within the Buffer Zone Rajokari Protected Forest (10.18 Km, NE). Water Bodies within the Buffer Zone are Drain near Uday Nagar Block C (1.18 Km, NW), Drain near Sector-53 (2.44 km, SE), Li Nala (2.69 Km, SE), Drain near Badshahpur (3.96 Km, SW), Ghatoar Badshahpur Nadi (3.98 Km, SW), Drain near Udyog Vihar (7.3 Km, NNE), Najafgarh Drain (13.43 Km, NW). This area is not come under any eco-sensitivity zone.

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Methodology for the study of Flora and Fauna: Methodology for Study of Flora:

During the study, the floral composition of the area was evaluated through primary survey. The local inhabitants were also consulted to get extra information. Plant Species are counted and identified within core zone with the help of quadrate method. The size of the quadrate was based on the area size. For the survey 10 X 10 m plot are selected for vegetation analysis and for the buffer zone estimated with the help of line transect and random survey method.

Methodology for study of Fauna:

Different species were observed at different timing during the day

Bird: Birds were watched during dawn.

Nocturnal and Burrowing animals: After Sunset.

Animals: Morning & Evening

Collection of Secondary Data

Secondary data is collected by the Forest Department, Working Plan of the Area other relevant records such as plantation journals and records of wild life / forest offence cases.

Description of Core Zone with flora and Fauna Details:

Core Zone: In the Core Zone, place where project is to be constructed. The proposed project was an agricultural land with patches of few grasses and weeds species like, Cynodon dactylon, Lantana camara, Calotropis gigantea etc. The already constructed part is now an operational hospital and has total 250 planted varieties of trees shrubs, herbs etc. No tree cutting was involved as the land was vacant. The plantation is yet to be done. List of the trees, shrubs and ornamental plants that are planted are listed below:

S. No Botanical Name Common Name 1. Alstonia scholaris Devil Tree 2. Azadirachta indica Neem

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3. Ficus benjamina Weeping fig 4. Ficus benghalensis Bargad 5. Jacaranda mimosifolia Blue Jacaranda 6. Morus alba Mulberry 7. Polyalthia longifolia False Ashok 8. Plumeria rubra Frangipani 9. Populus alba Silver poplar 10. Psidium guajava Guava 11. Terminalia arjuna Arjuna

Buffer Zone: In the Buffer Zone varieties trees, shrubs, herbs, Ornamental plants, weed and grasses such as Azadirachta indica, Callistemon lanceolatus, Hamelia patens, Cynodon dactylon etc are there. List of Trees, Shrubs, Herbs Ornamental spices are given below.

Trees

S.No Botanical Name Common Name 1 Acacia arabica Babool 2 Acacia catechu Khair 3 Acacia nilotica Babool 4 Aegle marmelos Bael 5 Albizia lebbeck Siris 6 Alstonia scholaris Devil Tree 7 Azadirachta indica Neem 8 Bauhinia purpurea Kachnar 9 Bombax ceiba Semal 10 Callistemon lanceolatus Bottle brush 11 Cassia fistula Amaltash 12 Dalbergia sissoo Shisham 13 Delonix regia Gulmohar

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14 Diospyros melanoxylem Tendu 15 Eucalyptus globulus Safeda 16 Eugenia jambolana Jamun 17 Ficus bengalensis Bargad 18 Ficus benghalensis Bargad 19 Ficus benjamina Weeping Fig 20 Ficus elastica Rubber Fig 21 Ficus glomerata Gular 22 Ficus infectoria Pakad 23 Ficus religiosa Peepal 24 Kigelia pinnata Balamkhir 25 Mangifera indica Aam 26 Mimusops elengi Mahua 27 Polyalthia longifolia Pseudo Ashok 28 Prosopis juliflora Vilayti Babool 29 Pterospermum acerifolium Kanak champa 30 Syzygium cumini Jamun 31 Tectona grandis Sagwan 32 Terminalia arjuna Arjun 33 Zizyphus jujube Ber (Source: Field survey done by Ecology & Biodiversity team)

Shrubs/ Herbs/ Grasses

S.No Botanical Name Common name

1 Bellis perennis Guldavri/ Daisy

2 Bougainvillea glabra Bougainvillea

3 Butia capitata Butia Palm

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4 Calotropis gigantea Madar

5 Canna indica Indian shot

6 Cassia biflora Chandani

7 Cestrum nocturnum Raatrani

8 Cycas revoluta Sago palm

9 Cynodon dactylon Doob Grass

10 Dahlia hortensis Dahlia

11 Datura stramonium Dhatura

12 Gardenia jasminoides Cape jasmine

13 Hamelia patens Firebush

14 Hibiscus rosa-sinensis Gudhal

15 Hippeastrum reginae Amaryllis

16 Nerium indicum Kaner

17 Ocimum basilicum Basil

18 Parthenium hysterophorus Congress Grass

19 Phoenix Palm Date palm

20 Plumeria rubra Frangipani

21 Punica granatum Anar

22 Salvia splendens Scarlet sage

23 Solanum xanthocarpum Kant kari

24 Thevetia peruviana Yellow Oleander / Kaner

25 Thuja occidentalis Arborvitae

(Source: Field survey done by Ecology & Biodiversity team)

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Faunal Community:

Core Zone: In the core zone where construction is to be done is vacant land, and the area which is already constructed has plantation. During study, it was found that the faunal diversity in the core site was limited to Butterflies, insects, animals like rats, monkey, dog, cat etc. and common lizards. List of the fauna observed and reported during field visit is listed below.

Fauna of Core zone:

TYPE COMMON NAME SCIENTIFIC NAME SCHEDULE

Reptiles:

1 Oriental garden lizard Calotes versicolor IV

2 House lizards Hemidactylus flaviviridis -

Mammals:

3 Northern palm squirrel Funambulus pennanti IV

4 Rhesus Macaque Macaca mulatta II

5 Cat Felis catus -

6 Dog Cuon alpinus -

Aves:

7 Crow Corvus splendens V

8 Pigeon Columba livia IV

9 Red vented Bulbul Pycnonotus cafer IV

10 Black Kite Milvus migrans IV

11 Asian Koel Eudynamys scolopaceus IV

12 Maina Acridotheres tristis IV

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Insects:

13 Butterflies Rhopalocera sp -

14 Wasps Vespa orientalis -

15 Dragonfly Agrian sp -

16 Honey Bee Apis indica -

17 House fly Musca domestica -

(Source: Field survey done by Ecology & Biodiversity team)

Fauna of Buffer zone:

TYPE COMMON NAME SCIENTIFIC NAME SCHEDULE Amphibian: 1 Common Toad Bufo bufo IV 2 Frog Hoplobatrachus tigerinus IV Reptiles: 3 Oriental garden lizard Calotes versicolor IV 4 House lizards Hemidactylus flaviviridis - 5 Krait Bungarus caeruleus IV 6 Indian Cobra Naja naja II Mammals: 7 Northern palm squirrel Funambulus pennanti IV 8 Rhesus Macaque Macaca mulatta II 9 Cat Felis catus - 10 Dog Cuon alpinus - 11 Cow Bos taurus - 12 Common Mongoose Herpestes edwardsii II Aves: 13 Baya Ploceus philippinus IV

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14 Crow Corvus splendens V 15 Parrot Psittacula krameri IV 16 Pigeon Columba livia IV 17 Koel Eudynamys scolopaceus IV 18 Peafowl Pavo cristatus I 19 Bulbul Pycnonotus cafer IV 20 Maina Acridotheres tristis IV 21 Wood pecker Dendrocopos cathpharius IV 22 Black Kite Milvus migrans IV Insects: 23 Common Castor Ariadne merione - 24 Wasps Vespa orientalis - 25 Dragonfly Agrian sp - 26 Honey Bee Apis indica - 27 House fly Musca domestica - (Source: Field survey done by Ecology & Biodiversity team)

ENDANGERED SPECIES

There is only one schedule I Species found in buffer zone namely Pavo cristatus (Indian Peafowl). Three schedules II species were also reported in the buffer zone namely Herpestes edwardsii (Common Mongoose), Naja naja (Indian Cobra) and Macaca mullatta (Rhesus macaque).

3.13 SOCIO-ECONOMIC SCENARIO

Objective of Study

The objective of the socio-economic survey is to study the impact of construction on the inhabitants of nearby areas.

Approach & Methodology adopted for conducting Socio Economic Study

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Study has been conducted based on the details collected through secondary sources (mainly census 2011) and through primary data collected from the site visits. The socio-economic profile has been compiled from census data, 2011, while primary verification has been carried out by using sample survey. For secondary data, as the study area is large so the study has been carried out at district/ tehsil level representing the whole study area for detailed socio-economic analysis. The analysis was done using data from census of India, 2011 as secondary source and using physical site survey as primary data. For field survey, 5 villages were selected for conducting the survey from nearby areas of the site. Concept & Definitions

a. Study Area: The study area, also known as impact area has been defined as the sum total of core area and buffer area with a distance of 10 Kilometres from the periphery of the core area. The study area includes all the land marks both natural and manmade, falling therein. b. QoL: The Quality of Life (QoL) refers to degree to which a person enjoys the important possibilities of his/her life. The ‘Possibilities’ result from the opportunities and limitations, each person has in his/her life and reflect the interaction of personal and environmental factors. Enjoyment has two components: the experience of satisfaction and the possession or achievement of some characteristic. c. Household: A group of persons who normally live together and take their meals from a common kitchen are called a household. Persons living in a household may be related or unrelated or a mix of both. However, if a group of related or unrelated persons live in a house but do not take their meals from the common kitchen, then they are not part of a common household. Each such person is treated as a separate household. There may be one member households, two member households or multi-member households. d. Sex Ratio: Sex ratio is the ratio of females to males in a given population. It is expressed as 'number of females per 1000 males'. e. Literates: All persons aged 7 years and above who can both read and write with understanding in any language are taken as literate. It is not necessary for a person to have received any formal education or passed any minimum educational standard for being treated as literate. People who are blind but can read in Braille are also treated as literates.

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f. Literacy Rate: Literacy rate of population is defined as the percentage of literates to the total population aged 7 years and above. g. Labour Force: The labour force is the number of people employed and unemployed in a geographical entity. The size of the labour force is the sum total of persons employed and unemployed. An unemployed person is defined as a person not employed but actively seeking work. Normally, the labour force of a country consists of everyone of working age (around 14 to 16 years) and below retirement (around 65 years) that are participating workers, that is people actively employed or seeking employment. People not counted under labour force are students, retired persons, stay-at home people, people in prisons, permanently disabled persons and discouraged workers. h. Work: Work is defined as participation in any economically productive activity with or without compensation, wages or profit. Such participation may be physical and/or mental in nature. Work involves not only actual work but also includes effective supervision and direction of work. The work may be part time, full time, or unpaid work in a farm, family enterprise or in any other economic activity. i. Worker: All persons engaged in 'work' are defined as workers. Persons who are engaged in cultivation or milk production even solely for domestic consumption are also treated as workers. j. Main Workers: Those workers who had worked for the major part of the reference period (i.e. 6 months or more in the case of a year) are termed as Main Workers. k. Marginal Workers: Those workers who did not work for the major part of the reference period (i.e. less than 6 months) are termed as Marginal Workers l. Work participation rate: The work participation rate is the ratio between the labour force and the overall size of their cohort (national population of the same age range). In the present study the work participation rate is defined as the percentage of total workers (main and marginal) to total population.

Study Area

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The study area means villages in 10 km radius of the proposed project. Topographical map and Google earth maps were used to identify the villages/ wards in 10 km radius.

As a matter of fact, maximum surrounding area is part of rural inhabitation as well as urban habitation. The study area of the project falls in three districts viz. Gurgaon, Delhi SW and Delhi S. A total of 20 villages and 11 urban areas in three districts viz Gurgaon, Delhi SW and Delhi S districts fall within the study area. The total population of the study area is 1119095 constituting 259987 households. The sex ratio of the study area as per census 2011 records at 814, whereas the sex ratio of the districts Gurgaon, Delhi SW and Delhi S is 854, 840 & 862 respectively.

List of villages In Study Area

As mentioned above that there are 20 villages and 11 urban areas in Gurgaon, Delhi SW and Delhi S district are falling within study area as given ahead —

A) Rural Areas of District – Gurgaon, Haryana

SL.No. Name of village SL.No. Name of village SL.No. Name of village 1 Ghasula(88) Part 8 Medawas(85) 15 Balola(78) 2 Tikampur(54) 9 Nangli Umarpur(82) Part 16 Bandhwari(79) 3 Tikli(167) 10 Sakatpur(159) 17 Ulhawas(83) Part 4 Aklimpur(166) 11 Hassanpur(163) 18 Kadarpur(84) 5 Nurpur Jharsa(165) 12 Darbaripur(162) 19 Rethoj(169) 6 Palra(164) 13 Kherki(3) 20 Sahjawas(170) 7 Dhumaspur(86) 14 Gual Pahari(77) Part

B) Urban Areas of District – Gurgaon, Haryana SL. SL. Name of Urban area Name of Urban Area No. No. Naya Behram Pur (OG) WARD NO.- 1 Gurgaon (M Corp.) 3 0036 (Rural MDDS CODE:645586) Ghata (OG) WARD NO.-0035 (Rural MDDS 2 4 Bhondsi (168) (CT) CODE:645585)

C) Urban Areas of District – Delhi SW, Delhi SL. No. Name of Urban area SL. No. Name of Urban area SL. No. Name of Urban area 5 Kapas Hera (CT) 6 Rajokri (CT) 7 Ghitorni (CT)

D) Urban Areas of District – Delhi South, Delhi SL. SL. Name of Urban area Name of Urban Area No. No. 8 Aya Nagar (CT) 10 Fateh Pur Beri (CT) 137 PROJECT PROPONENT: ENVIRONMENT CONSULTANT:

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9 Jona Pur (CT) 11 Dera Mandi (CT)

Demographic Profile of Study Area

A study was undertaken with respect to demography, occupational pattern, literacy rate and other important socio-economic indicators of these villages to reveal the socio-economic structure of the entire project area. The summary is given below:

A. Rural Areas of District – Gurgaon, Haryana

Population

The total rural population of the study area falling in Gurgaon district is 43621 constituting 7463 households. The sex ratio of the study area as per census 2011 records is 883, whereas the sex ratio of the districts involved is 854.

Social Structure

The proportion of Scheduled Caste (SC) rural population within the study area is 15.31% whereas this proportion in the districts involved in 13.07%. The proportion of Scheduled tribe (ST) population within the study area as well as in the districts is Nil.

Literacy

The total proportion of rural literate within the study area is 79.94% of total population. The proportion of Male literates and female literates within the study area is 89.51% and 69.37% respectively.

Detailed Rural profile of study area is given below (source: Census of India, 2011)

No. Total Overall Male Female Sl. Sex Name of Popul SC% ST% Literac Literacy Literac No. Ratio HHs ation y % % y % 1 Ghasula(88) Part 89 361 510 0.00 0.00 79.88 83.94 72.17 2 Tikampur(54) 1 4 0 0.00 0.00 75.00 75.00 0.00 3 Tikli(167) 1223 6640 906 24.80 0.00 82.37 91.91 72.14 4 Aklimpur(166) 314 1607 888 16.61 0.00 87.11 96.11 77.46 5 Nurpur Jharsa(165) 227 1133 904 7.41 0.00 85.96 92.40 79.04 6 Palra(164) 511 2786 925 23.83 0.00 82.83 91.71 73.46

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No. Total Overall Male Female Sl. Sex Name of Popul SC% ST% Literac Literacy Literac No. Ratio HHs ation y % % y % 7 Dhumaspur(86) 124 664 881 8.13 0.00 77.96 86.62 68.98 8 Medawas(85) 163 1038 933 13.97 0.00 79.64 89.11 69.70 Nangli Umarpur(82) 9 17 106 860 0.00 0.00 78.89 91.49 65.12 Part 10 Sakatpur(159) 295 1657 883 23.66 0.00 72.72 87.14 56.44 11 Hassanpur(163) 230 1387 943 20.48 0.00 81.15 94.19 67.67 12 Darbaripur(162) 231 1438 933 1.18 0.00 84.21 95.50 72.28 13 Kherki(3) 316 1648 879 13.90 0.00 79.22 92.21 64.68 Gual Pahari(77) 14 369 2257 913 14.00 0.00 79.73 88.90 69.90 Part 15 Balola(78) 165 1121 862 0.00 0.00 77.69 86.19 68.40 16 Bandhwari(79) 634 4104 852 19.47 0.00 75.47 82.90 66.77 17 Ulhawas(83) Part 329 2284 854 14.62 0.00 81.43 90.42 71.02 18 Kadarpur(84) 1019 6372 886 17.33 0.00 74.00 84.09 62.93 19 Rethoj(169) 792 4852 855 2.04 0.00 83.16 92.57 72.52 20 Sahjawas(170) 414 2162 861 11.29 0.00 80.84 90.43 69.71 Total 7463 43621 883 15.31 0.00 79.94 89.51 69.37

It may be seen be seen from the above table that total rural population of the villages of district Gurgaon falling in the study area is 43621, varying between 4 in Tikampur to 6640 in Tikli. Sex ratio was found to be varying from Nil in Tikampur to as good as 913 in Gual Pahari. The proportion of SC% was observed to be varying between nil in Ghasula, Tikampur, Balola and Nangli Umarpur to 24.8% in Tikli. The proportion of ST% was observed nil. The overall literacy rates were found to be varying from 72.72% in Sakatpur to 87.11% in Aklimpur. Female literacy rates of Tikampur (0%) & Sakatpur (56.44%) were observed to be minimum across all 20 villages of study area.

B. Urban Areas, District Gurgaon

Population

The total urban population of the study area falling in Gurgaon district is 898016 constituting 210274 households. The sex ratio of the study area as per census 2011 records is 843, whereas the sex ratio of the districts involved is 854.

Social Structure

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The proportion of Scheduled Caste (SC) urban population within the study area is 8.54% whereas this proportion in the districts involved in 13.7%. The proportion of Scheduled tribe (ST) population within the study area as well as in the districts is Nil.

Literacy

The total proportion of urban literate within the study area is 87.50% of total population. The proportion of Male literates and female literates within the study area is 90.95% and 83.41% respectively.

Detailed Urban profile of study area is given below (source: Census of India, 2011)

Demographic Features of the study area based on Census data 2011 Sl. Total Overall Male Female Name No. of Sex No. Popul SC% ST% Literacy Literacy Literacy HHs Ratio ation % % % Gurgaon (M 1 206597 876969 846 8.54 0.00 87.52 90.93 83.50 Corp.) Ghata (OG) WARD NO.- 2 0035 (Rural 349 2128 914 6.77 0.00 81.17 89.85 72.12 MDDS CODE:645585) Naya Behram Pur (OG) WARD NO.- 3 229 1509 922 0.00 0.00 80.69 87.33 73.30 0036 (Rural MDDS CODE:645586) Bhondsi (168) 4 3099 17410 699 9.76 0.00 87.70 92.08 81.33 (CT) 210274 898016 843 8.54 0.00 87.50 90.95 83.41 It may be seen be seen from the above table that total urban population of the of district Gurgaon falling in the study area is 898016, varying between 1509 in Naya Behram Pur (OG) to 876969 in Gurgaon (M Corp.) Sex ratio was found to be varying from 846 in Gurgaon (M Corp.) to 922 in Naya Behram Pur (OG). The proportion of SC% was observed to be varying between Nil in Naya Behram Pur (OG) to 9.76% in Bhondsi (CT). The proportion of ST% was observed Nil in the district. The overall literacy rates were found to be varying from 80.69% in Naya Behram Pur (OG) to 87.70% in Bhondsi (CT). Female literacy rates of Ghata (OG) (72.10%) were observed to be minimum across all 6 urban areas falling within the study area.

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C. Urban Areas, District Delhi SW

Population

The total urban population of the study area falling in Delhi SW district is 108114 constituting 28728 households. The sex ratio of the study area as per census 2011 records is 565, whereas the sex ratio of the districts involved is 840.

Social Structure

The proportion of Scheduled Caste (SC) urban population within the study area is 11.08% whereas this proportion in the districts involved in 13.89%. The proportion of Scheduled tribe (ST) population within the study area as well as in the districts is Nil.

Literacy

The total proportion of urban literate within the study area is 84.75% of total population. The proportion of Male literates and female literates within the study area is 90.23% and 74.35% respectively.

Detailed Urban profile of study area is given below (source: Census of India, 2011)

Demographic Features of the study area based on Census data 2011 Sl. Total Overall Male Female Name No. of Sex No. Popul SC% ST% Literacy Literacy Literacy HHs Ratio ation % % % Kapas Hera 5 21370 74073 478 8.78 0.00 84.49 89.35 73.13 (CT) 6 Rajokri (CT) 4430 19148 800 20.21 0.00 84.45 91.89 75.15 7 Ghitorni (CT) 2928 14893 794 10.76 0.00 86.50 93.67 77.46 Total 28728 108114 565 11.08 0.00 84.75 90.23 74.35 It may be seen be seen from the above table that total urban population of the of district Delhi SW falling in the study area is 108114, varying between 14893 in Ghitorni (CT) to 74073 in Kapas Hera (CT). Sex ratio was found to be varying from 478 in Kapas Hera (CT) to 800 in Rajokri (CT). The proportion of SC% was observed to be varying between 8.78% in Kapas Hera (CT) to 20.21% in Rajokri (CT). The proportion of ST% was observed Nil in the district. The overall literacy rates were found to be varying from 84.45% in Rajokri (CT) to 86.50% in Ghitorni CT). Female literacy rates of Kapas Hera (CT) (73.13%) was observed to be minimum across all 3 urban areas falling within the study area.

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D. Urban Areas, District Delhi S

Population

The total urban population of the study area falling in Delhi South district is 69344 constituting 13522 households. The sex ratio of the study area as per census 2011 records is 847, whereas the sex ratio of the districts involved is 862.

Social Structure

The proportion of Scheduled Caste (SC) urban population within the study area is 15.84% whereas this proportion in the districts involved in 15.48%. The proportion of Scheduled tribe (ST) population within the study area as well as in the districts is Nil.

Literacy

The total proportion of urban literate within the study area is 84.09% of total population. The proportion of Male literates and female literates within the study area is 90.75% and 76.25% respectively.

Detailed Urban profile of study area is given below (source: Census of India, 2011)

Demographic Features of the study area based on Census data 2011 Sl. Total Overall Male Female Name No. of Sex No. Popul SC% ST% Literacy Literacy Literacy HHs Ratio ation % % % Aya Nagar 1 6757 33123 849 10.98 0.00 88.87 94.27 82.51 (CT) 2 Jona Pur (CT) 2028 10635 819 24.29 0.00 78.86 86.71 69.18 Fateh Pur 3 1581 8861 854 10.55 0.00 82.94 89.92 74.97 Beri (CT) Dera Mandi 4 3156 16725 859 22.91 0.00 78.44 86.73 68.84 (CT) 13522 69344 847 15.84 0.00 84.09 90.75 76.25 It may be seen be seen from the above table that total urban population of the of district Delhi South falling in the study area is 69344, varying between 8861 in Fateh Pur Beri (CT) to 33123 in Aya Nagar (CT). Sex ratio was found to be varying from 819 in Jona Pur (CT) to 859 in Dera Mandi (CT). The proportion of SC% was observed to be varying between 10.55% in Fateh Pur Beri (CT) to 24.29% in Jona Pur (CT). The proportion of ST% was observed Nil in the district. The overall literacy rates were found to be varying from 78.44% in Dera Mandi (CT) to 88.87% in Aya Nagar (CT). Female literacy 142 PROJECT PROPONENT: ENVIRONMENT CONSULTANT:

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Work Profile of Study Area

A. Rural Areas of District Gurgaon

The work profile of the villages of Gurgaon district falling within study area is depicted in the table given below —

Total Total Total Total Total Sl. Male Female Total Main Name Popula Worker Marginal No. Worker Worker Worker % tion % Worker % % % 1 Ghasula(88) Part 361 47.65 94.19 5.81 100.00 0.00 2 Tikampur(54) 4 100.00 100.00 0.00 100.00 0.00 3 Tikli(167) 6640 40.39 67.90 32.10 77.40 22.60 4 Aklimpur(166) 1607 29.50 83.33 16.67 89.87 10.13 5 Nurpur Jharsa(165) 1133 37.42 65.09 34.91 94.58 5.42 6 Palra(164) 2786 30.90 78.28 21.72 92.22 7.78 7 Dhumaspur(86) 664 25.00 90.96 9.04 95.18 4.82 8 Medawas(85) 1038 30.25 77.07 22.93 92.99 7.01 Nangli Umarpur(82) 9 106 23.58 88.00 12.00 80.00 20.00 Part 10 Sakatpur(159) 1657 22.15 95.91 4.09 95.64 4.36 11 Hassanpur(163) 1387 24.01 93.69 6.31 97.00 3.00 12 Darbaripur(162) 1438 29.62 78.64 21.36 87.56 12.44 13 Kherki(3) 1648 31.55 87.69 12.31 90.38 9.62 Gual Pahari(77) 14 2257 26.81 83.14 16.86 68.10 31.90 Part 15 Balola(78) 1121 21.32 98.33 1.67 100.00 0.00 16 Bandhwari(79) 4104 26.00 90.63 9.37 82.10 17.90 17 Ulhawas(83) Part 2284 31.87 80.91 19.09 85.03 14.97 18 Kadarpur(84) 6372 50.91 54.69 45.31 51.02 48.98 19 Rethoj(169) 4852 25.33 96.01 3.99 90.89 9.11 20 Sahjawas(170) 2162 22.71 95.93 4.07 95.93 4.07 43621 32.95 75.99 24.01 78.28 21.72

It may be observed from the table above that the proportion of the total workers is 32.95% of the total population of the study area. The proportion was found to be varying from 21.32% in Balola to 100% in Tikampur. The work force was mainly constituted by males to the tune of 75.99%. It was also observed an overwhelming majority 78.28% of the workers were main worker.

B. Urban Areas of District Gurgaon

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The work profile of the urban areas of Gurgaon district falling within study area is depicted in the table given below —

Total Total Total Total Total Total Sl. Male Main Marginal Name Popula Worker Female No. Worker Worker Worker tion % Worker% % % % 1 Gurgaon (M Corp.) 876969 38.21 79.24 20.76 94.64 5.36 2 Ghata (OG) 2128 27.21 80.83 19.17 78.24 21.76 3 Naya Behram Pur (OG) 1509 24.45 95.12 4.88 94.58 5.42 4 Bhondsi (CT) 17410 29.32 93.57 6.43 95.67 4.33 898016 37.99 79.48 20.52 94.63 5.37

It may be observed from the table above that the proportion of the total workers is 37.99% of the total population of the study area. The proportion was found to be varying from 24.45% in Naya Behram Pur (OG) to 38.21% in Gurgaon (M Corp). The work force was mainly constituted by males to the tune of 79.48%. It was also observed an overwhelming majority 94.63% of the workers were main worker.

C. Urban Areas of District Delhi SW

The work profile of the urban areas of Delhi SW district falling within study area is depicted in the table given below —

Total Total Total Total Total Total Sl. Male Main Marginal Name Popula Worker Female No. Worker Worker Worker tion % Worker% % % % 5 Kapas Hera (CT) 74073 54.16 93.14 6.86 95.55 4.45 6 Rajokri (CT) 19148 34.06 87.78 12.22 88.85 11.15 7 Ghitorni (CT) 14893 33.36 89.62 10.38 92.47 7.53 108114 47.73 92.12 7.88 94.41 5.59

It may be observed from the table above that the proportion of the total workers is 47.73% of the total population of the study area. The proportion was found to be varying from 33.36% in Ghitorni (CT) to 54.16% in Kapas Hera (CT). The work force was mainly constituted by males to the tune of 92.12%. It was also observed an overwhelming majority 94.41% of the workers were main worker.

D. Urban Areas of District Delhi South

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The work profile of the urban areas of Delhi South district falling within study area is depicted in the table given below —

Total Total Total Total Total Total Sl. Male Main Marginal Name Popula Worker Female No. Worker Worker Worker tion % Worker% % % % 8 Aya Nagar (CT) 33123 31.75 87.38 12.62 95.79 4.21 9 Jona Pur (CT) 10635 31.14 87.47 12.53 94.81 5.19 10 Fateh Pur Beri (CT) 8861 28.97 88.66 11.34 92.60 7.40 11 Dera Mandi (CT) 16725 26.30 91.54 8.46 92.61 7.39 69344 29.99 88.43 11.57 94.57 5.43

It may be observed from the table above that the proportion of the total workers is 29.99% of the total population of the study area. The proportion was found to be varying from 26.30% in Dera Mandi (CT) to 31.75% in Aya Nagar (CT). The work force was mainly constituted by males to the tune of 88.43%. It was also observed an overwhelming majority 94.57% of the workers were main worker.

PRIMARY DATA COLLECTION

The primary survey for nearby 5 villages has been conducted. These villages are the main villages which will have positive and negative impact due to the operation of this project.

The process of collecting data using primary survey data is as follows:

(i) Identify the villages to be surveyed. (ii) Select one village. (iii) Check the number of PAF in the village due to project. (iv) PAF to be surveyed individually. (v) Indirect affected villages to be surveyed with focus group discussion method having 15-20 persons in a group. (vi) Physical survey for sanitation /drinking water facilities, banks, physical heath checks, availability of primary health centres/ dispensary/ hospitals, road conditions, educational facilities, source of income, average annual income of the villagers.

The summary of socio economic survey conducted in these villages is given below:

A socioeconomic survey within 5 Km Buffer Zone was conducted. Survey covered few households in the buffer zone which included village Kilhore Patti, Jharsa Village, Tigra Village, Islampur Village, Samaspur Village.

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The result of the survey is summarized as below:

Name of the Villages S. No. Parameter Kilhore Patti Jharsa village Tigra village Islampur village Samaspur village 1 House Hold Approx 1000 5000 1600 2000 600 Occupation or source Service/labour/Pvt Service/labour/Pvt Service/labour/Pvt Service/labour/Pvt Service/labour/Pvt 2 of income Jab,pvt busness Jab,pvt busness Jab,pvt busness Jab,pvt busness Jab,pvt busness 3 Population 11000 55000 6500 20000 1500 %Working status Labour 10 15 10 5 10 4 Private Job 50 50 50 55 60 Govt.Job 10 10 15 15 10 Self Employed 30 25 25 25 20 Primary Primary School, Primary School, Anganwadi, Primary School,Anganwadi,mi Anganwadi,middle 5 School Anganwadi, middle Anganwadi, high school, middle school, ddle School, high School,high School School School School college Hospital pvt, Hospitals pvt, Asha workers, Pvt 6 Hospital dispensary,clinic pvt, dispensary,clinic pvt, asha workers asha workers hospital, clinic pvt asha workers asha workers 7 Post office yes yes nil nil nil 8 Bank yes yes nil yes ATM 9 Market local market local market local market local market Local market 10 Electricity yes yes yes yes yes 11 Source of water supply,borewell borewell,supply supply ,borewell supply ,borewell supply ,borewell 12 Toilet Facilities 100 100 100 100 100 Cars,Tempo Cars,Tempo Cars,Tempo Cars,Tempo Cars,Tempo 13 Transport System Vehicle,Scooters,Tracto Vehicle,Scooters,Tract Vehicle,Scooters,Tract Vehicle,Scooters,Tract Vehicle,Scooters t ot ot ot 14 APL 80 70 50 90 85 15 BPL 20 30 50 10 15

MICRO LEVEL VILLAGE INFORMATION (SOURCE - FIELD SURVEY)

Data interpretation of survey conducted :

Parameter Data Interpretation studied Housing The housing condition in the buffer zone is better than other rural areas as this area falls in NCR region • Pucca houses – 90% • Semi pucca houses – 10% • Kuccha houses – NIL Electricity The availability of electricity connection in the buffer zone is better than other rural areas as this area falls in NCR region • Households having Electric connection – 100% • Households not having Electric connection – 0% Economic The Proportion of above Poverty line in the buffer zone is better than Category other rural areas as this area falls in NCR region Composition • Households above poverty line –70% • Households below poverty line –30% Drinking As the project falls in NCR region, water is available in the area: Water • Households with supply through pipe line – 70% 146 PROJECT PROPONENT: ENVIRONMENT CONSULTANT:

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• Households using community/handpump –30% Education As the project falls in NCR region, mostly people are educated: status • Adults Educated – 55% • Kids Educated – 90% Primary As the project falls in NCR region, main occupation of people is: Occupation • Labour - 10% • Private Job- 50% • Private Business- 30% • Govt Job- 10%

These figures imply that much of the study area’s working population has year round occupation /sources of livelihood. Interviews with stakeholders corroborated this fact.

3.14 TRAFFIC DENSITY

Preliminary Traffic Assessment: The estimated traffic in the proposed project is driven by the trip generated by the proposed land use within the project area. The estimated traffic is then appropriately assigned on the networks to obtain the quantum of traffic that will be handled by the road network. The following key issues are identified by the Government:

Strengthening and development of system of roads.

Development of alternate road link.

Developing of parking facilities.

The traffic study was done in the nearby road ascertain the present traffic was on the road and thereafter impact be because of addition of traffic due to the Hospital Complex “Artemis Hospital” project.

PCU values are used to convert various vehicles in to one standard vehicles i.e. Passenger car units (PCU). The PCU values as per IRC are as given below:

S. No. VEHICLE TYPE 1 Car 2 Two-wheeler 3 Truck/bus 4 Auto 5 LCV 6 Tractor and Trailor 7 Cycle rickshaw 147 PROJECT PROPONENT: ENVIRONMENT CONSULTANT:

M/S ARTEMIS MEDICARE SERVICES LTD. M/S PERFACT ENVIRO SOLUTIONS PVT. LTD.

148 EIA DOCUMENT OF “EXPANSION OF ARTEMIS HOSPITAL” AT SECTOR- 51, GURUGRAM HARYANA BY M/S ARTEMIS MEDICARE SERVICES LIMITED

Conversion Factor (Ref: IRC 106, 1990)

I. Traffic Analysis: Netaji Subhas Marg, 4 Lane -16 Meter (Netaji Subhas Marg)

Hours Baseline Incremental Capa city Baseli Predi Two- of LOS LOS % C Bus/T Others PCU PCU ne cted Whe Roa Base Predi incre ar ruck /Auto /Hr /Hr PCU/ PCU/ eler d in line cted ase Hr Hr PCU /Hr 2 06:00- 0.16 4.10 7 74 223 89 829 34 829 863 5142 0.168 07:00 1 2 8 2 07:00- 0.15 4.87 8 64 266 95 820 40 820 860 5142 0.167 08:00 9 8 5 3 08:00- 0.15 5.50 4 32 378 101 799 44 799 843 5142 0.164 09:00 5 6 5 3 09:00- 0.14 5.54 8 16 352 105 758 42 758 800 5142 0.156 10:00 7 1 4 3 10:00- 0.16 6.05 5 38 354 99 825 50 825 875 5142 0.170 11:00 1 8 9 3 11:00- 0.13 6.80 3 32 223 92 705 48 705 753 5142 0.146 12:00 7 9 9 3 12:00- 0.13 5.13 0 227 83 701 701 737 5142 0.143 13:00 6 8 8 40 36 3 13:00- 0.13 6.21 2 239 85 676 676 718 5142 0.140 14:00 1 3 0 30 42 3 14:00- 0.12 4.44 0 236 77 630 630 658 5142 0.128 15:00 3 2 3 26 28 3 15:00- 0.12 7.27 0 280 74 632 632 678 5142 0.132 16:00 3 5 5 22 46

148 PROJECT PROPONENT: ENVIRONMENT CONSULTANT:

M/S ARTEMIS MEDICARE SERVICES LTD. M/S PERFACT ENVIRO SOLUTIONS PVT. LTD.

149 EIA DOCUMENT OF “EXPANSION OF ARTEMIS HOSPITAL” AT SECTOR- 51, GURUGRAM HARYANA BY M/S ARTEMIS MEDICARE SERVICES LIMITED

3 16:00- 0.13 6.14 5 266 65 717 717 761 5142 0.148 17:00 9 1 3 34 44 3 17:00- 0.13 5.79 4 30 280 62 690 40 690 730 5142 0.142 18:00 4 8 1 3 18:00- 0.13 5.59 5 18 323 71 679 38 679 717 5142 0.139 19:00 2 9 1 4 19:00- 0.17 4.11 2 36 388 78 874 36 874 910 5142 0.177 20:00 0 9 5 3 20:00- 0.14 4.81 2 32 354 89 747 36 747 783 5142 0.152 21:00 5 7 0 2 21:00- 0.15 5.53 9 50 325 95 796 44 796 840 5142 0.163 22:00 5 1 4 2 22:00- 0.14 2.73 2 60 289 75 731 20 731 751 5142 0.146 23:00 2 6 7 3 Averag 2 37 294 84 742 39 742 781 5142 0.14 0.15 5 e 5

149 PROJECT PROPONENT: ENVIRONMENT CONSULTANT:

M/S ARTEMIS MEDICARE SERVICES LTD. M/S PERFACT ENVIRO SOLUTIONS PVT. LTD.

150 EIA DOCUMENT OF “EXPANSION OF ARTEMIS HOSPITAL” AT SECTOR- 51, GURUGRAM HARYANA BY M/S ARTEMIS MEDICARE SERVICES LIMITED

Traffic Analysis: Approach Road 4 Lane -15 Meter Hours Baseline Incremental Capaci Baseli Predic ty of Two- Other LOS LOS % Bus/Tr PCU/ PCU/ ne ted Road Car Wheel s/Aut Baseli Predic increa uck Hr Hr PCU/ PCU/ in er o ne ted se Hr Hr PCU/ Hr 06:00- 113 38 90 34 369 34 369 403 5142 0.072 0.078 9.207 07:00 07:00- 10.89 123 32 138 26 367 40 367 407 5142 0.071 0.079 08:00 3 08:00- 14.37 126 16 144 30 306 44 306 350 5142 0.060 0.068 09:00 9 09:00- 13.41 134 11 174 36 313 42 313 355 5142 0.061 0.069 10:00 0 10:00- 17.34 123 12 165 24 288 50 288 338 5142 0.056 0.066 11:00 3 11:00- 14.98 120 16 180 32 320 48 320 368 5142 0.062 0.072 12:00 1 12:00- 10.61 192 30 339 339 375 5142 0.066 0.073 13:00 117 20 36 9 13:00- 15.05 150 30 279 279 321 5142 0.054 0.062 14:00 101 15 42 4 14:00- 183 24 287 287 315 5142 0.056 0.061 9.763 15:00 108 13 28

150 PROJECT PROPONENT: ENVIRONMENT CONSULTANT:

M/S ARTEMIS MEDICARE SERVICES LTD. M/S PERFACT ENVIRO SOLUTIONS PVT. LTD.

151 EIA DOCUMENT OF “EXPANSION OF ARTEMIS HOSPITAL” AT SECTOR- 51, GURUGRAM HARYANA BY M/S ARTEMIS MEDICARE SERVICES LIMITED

15:00- 16.85 195 20 273 273 319 5142 0.053 0.062 16:00 102 11 46 0 16:00- 14.37 201 30 306 306 350 5142 0.060 0.068 17:00 93 17 44 9 17:00- 14.76 78 15 174 32 271 40 271 311 5142 0.053 0.060 18:00 6 18:00- 13.85 95 10 183 36 274 38 274 312 5142 0.053 0.061 19:00 8 19:00- 10.81 119 18 171 40 333 36 333 369 5142 0.065 0.072 20:00 1 20:00- 11.43 132 16 135 36 315 36 315 351 5142 0.061 0.068 21:00 9 21:00- 13.14 123 25 117 34 335 44 335 379 5142 0.065 0.074 22:00 2 22:00- 102 30 114 32 332 20 332 352 5142 0.065 0.069 6.017 23:00 Avera 112 19 159 31 312 39 312 352 5142 0.06 0.07 13 ge

151 PROJECT PROPONENT: ENVIRONMENT CONSULTANT:

M/S ARTEMIS MEDICARE SERVICES LTD. M/S PERFACT ENVIRO SOLUTIONS PVT. LTD.

152 EIA DOCUMENT OF “EXPANSION OF ARTEMIS HOSPITAL” AT SECTOR- 51, GURUGRAM HARYANA BY M/S ARTEMIS MEDICARE SERVICES LIMITED

Parameter Existing Proposed WIDTH (m) 16 16 ROAD1 (Netaji Carrying Capacity (PCU/ Hr) 5142 Subhas Marg) Traffic (PCU/Hr) 742 39 LOS 0.144 i.e. cat A 0.152 i.e. cat A Parameter Existing Proposed WIDTH (m) 15 15 ROAD2 (APPROACH Carrying Capacity (PCU/ Hr) 5142 ROAD) Traffic (PCU/Hr) 312 39 LOS 0.06 i.e cat A 0.068 i.e cat A

Hence it is concluded that since carrying capacity of approach road is much higher than proposed traffic volume. Therefore, the traffic to & form of proposed, project will not create any traffic congestion.

152 PROJECT PROPONENT: ENVIRONMENT CONSULTANT:

M/S ARTEMIS MEDICARE SERVICES LTD. M/S PERFACT ENVIRO SOLUTIONS PVT. LTD.

153 EIA DOCUMENT OF “EXPANSION OF ARTEMIS HOSPITAL” AT SECTOR- 51, GURUGRAM HARYANA BY M/S ARTEMIS MEDICARE SERVICES LIMITED

Chapter 4: ANTICIPATED ENVIONMENTAL IMPACTS & MITIGATION MEASURES Prediction of impacts is the most important component in the Environmental Impact Assessment Studies. Several scientific techniques and methodologies are available to predict impacts of developmental activities on physical, ecological and socio-economic environments. Such predictions are superimposed over the baseline (pre-project) status of environmental quality to derive the ultimate (post-project) scenario of environmental conditions. The prediction of impacts helps to minimize the adverse impacts on environmental quality during pre-and post-project execution.

Generally, the environmental impacts can be categorized as either primary or secondary. Primary impacts are those, which are attributed directly by the project and secondary impacts are those, which are indirectly induced and typically include the associated investment and changed patterns of social and economic activities by the proposed actions.

For the proposed project, the impacts assessment shall be performed in following steps:

• Identification of interactions between activities and environmental receptors. • Identification of potentially significant environmental impacts. .

4.1 IMPACT MITIGATION- CONSTRUCTION PHASE

4.1.1 IMPACT ON LAND USE AND AESTHETICS Major/ Activity Aspect Impact Minor/ Mitigation Negligible Partial land has been developed into Site Hospital. No further change in Land Clearance of Not Preparation & use will be there. However vacant major vegetation applicable Levelling part of the land will be developed into Hospital building.

4.1.2 IMPACT ON SOIL

Major/ Minor/ Activity Aspect Impact Mitigation Negligi ble

153 PROJECT PROPONENT: ENVIRONMENT CONSULTANT:

M/S ARTEMIS MEDICARE SERVICES LTD. M/S PERFACT ENVIRO SOLUTIONS PVT. LTD.

154 EIA DOCUMENT OF “EXPANSION OF ARTEMIS HOSPITAL” AT SECTOR- 51, GURUGRAM HARYANA BY M/S ARTEMIS MEDICARE SERVICES LIMITED

As there is hard paved surafce on which Site expansion is to be done, Clearance Preparatio hence there will be no loss Negligi of Not applicable n & vegetation. Before making ble vegetation Levelling the area hard paved, only grasses and bushes were cleared. The top soil will be stockpiled .Topsoil, which is to be stockpiled for periods Removal exceeding 28 days, must be of soil, Top Excavation permanently depresses Major treated with mulch, soil & run land productivity roughened and seeded with off of soil ,destabilizes landscapes, and approved grass mixture or increasing the potential for ground cover. Later the top soil wind and water erosion. will be used for landscapping . Risk of land slide (There is Soil erosion may occur if no soil is disturbed, left bare, proper care will be taken while Excavation chances of and exposed to the - stacking/storage of excavated landslide abrasive action of wind and material. as land is water almost a flat land) Procedures for maintenance of equipment would ensure that Transporta this risk is minimized and clean- tion (Raw Oil Chemical degradation of up response is rapid if any spill - Material, spillage soil would occur occurs.Lubricating waste oil Labour) shall be collected separately in drums and handed over to the authorized outside agency Use of heavy machinery and storage of material compact the soil. Compaction and stabilization Compactin Soil Compaction of soil as well shall be resorted during filling g and compactio as mixing of construction to ensure that no top soil is other - n & run off material with soil also lead washed away. Every care shall related of soil to reduced infiltration of be taken to prevent soil work water; decrease in erosion. permeability and increased runoff.

154 PROJECT PROPONENT: ENVIRONMENT CONSULTANT:

M/S ARTEMIS MEDICARE SERVICES LTD. M/S PERFACT ENVIRO SOLUTIONS PVT. LTD.

155 EIA DOCUMENT OF “EXPANSION OF ARTEMIS HOSPITAL” AT SECTOR- 51, GURUGRAM HARYANA BY M/S ARTEMIS MEDICARE SERVICES LIMITED

Compactin Soil erosion may occur if Run off of g and soil is disturbed, left bare, proper care will be taken while water & other and exposed to the - stacking/storage of excavated Stagnation related abrasive action of wind and material. of water work water Operation of Procedures for maintenance of Constructi equipment would ensure that while re-fueling of vehicles on this risk is minimized and clean- transporting construction machinery Used oil up response is rapid if any spill materials and servicing of - (DG Set, generation occurs.Lubricating waste oil vehicles through breakage Mobile shall be collected separately in due to wear and tear. STP, Heavy drums and handed over to the machinery authorized outside agency ) Operation of Procedures for maintenance of Constructi equipment would ensure that while re-fueling of vehicles on this risk is minimized and clean- transporting construction machinery up response is rapid if any spill Oil Spilage materials and servicing of - (DG Set, occurs.Lubricating waste oil vehicles through breakage Mobile shall be collected separately in due to wear and tear. STP, Heavy drums and handed over to the machinery authorized outside agency ) Procedures for maintenance of Storage of equipment would ensure that while re-fueling of vehicles constructi this risk is minimized and clean- transporting construction on up response is rapid if any spill Oil Spilage materials and servicing of - material, occurs.Lubricating waste oil vehicles through breakage Paint & shall be collected separately in due to wear and tear. chemicals drums and handed over to the authorized outside agency Impact on soil due disposal Constructi Generatio Solid waste and hazardous of solid waste includes the on of n of C&D waste from the proposed leaching from Foundatio waste & - complex are being properly biodegradable waste and n & Solid collected, stored in respective effect on flora from spillage Basement Waste color coded containers of waste on soil. Impact on soil due disposal Constructi Solid waste and hazardous of solid waste includes the on of Soil waste from the proposed leaching from Foundatio Contamina - complex are being properly biodegradable waste and n & tion collected, stored in respective effect on flora from spillage Basement color coded containers of waste on soil. 155 PROJECT PROPONENT: ENVIRONMENT CONSULTANT:

M/S ARTEMIS MEDICARE SERVICES LTD. M/S PERFACT ENVIRO SOLUTIONS PVT. LTD.

156 EIA DOCUMENT OF “EXPANSION OF ARTEMIS HOSPITAL” AT SECTOR- 51, GURUGRAM HARYANA BY M/S ARTEMIS MEDICARE SERVICES LIMITED

Constructi Soil erosion may occur if on of soil is disturbed, left bare, proper care will be taken while Run off of Foundatio and exposed to the - stacking/storage of excavated water n & abrasive action of wind and material. Basement water Impact on soil due disposal Generatio Solid waste and hazardous Constructi of solid waste includes the n of C&D waste from the proposed on of leaching from waste & - complex are being properly super biodegradable waste and Solid collected, stored in respective structure effect on flora from spillage Waste color coded containers of waste on soil. Impact on soil due disposal Solid waste and hazardous Constructi of solid waste includes the Soil waste from the proposed on of leaching from Contamina - complex are being properly super biodegradable waste and tion collected, stored in respective structure effect on flora from spillage color coded containers of waste on soil. Impact on soil due disposal Working & Solid waste and hazardous Solid of solid waste includes the daily waste from the proposed waste & E- leaching from activity of - complex are being properly waste biodegradable waste and constructi collected, stored in respective generation effect on flora from spillage on labour color coded containers of waste on soil. Finishing work Chemical desegregation Wall, and pollution of soil would Lubricating waste oil shall be shoring, chemical be on account of spillage of collected separately in drums - painting, spillage hydraulic oil, fuels and and handed over to the stone lubricating oils from authorized outside agency cladding construction machinery filing

4.1.3 IMPACT DUE TO SOLID WASTE DISPOSAL

Major/ Activity Aspect Impact Minor/ Mitigation Negligible -Leakage of - Proper maintainance petrol/Diesel may of vehicles shall be done Transportation Diesel/petrol result in emission of preodically to ensure no (Raw Material, Minor leakage VOCs in the air leakage from the Labour) environment which vehcles. will cause irritation in -The vehicle used for 156 PROJECT PROPONENT: ENVIRONMENT CONSULTANT:

M/S ARTEMIS MEDICARE SERVICES LTD. M/S PERFACT ENVIRO SOLUTIONS PVT. LTD.

157 EIA DOCUMENT OF “EXPANSION OF ARTEMIS HOSPITAL” AT SECTOR- 51, GURUGRAM HARYANA BY M/S ARTEMIS MEDICARE SERVICES LIMITED

eyes, nose and throat, transportation shall difficulty breathing comply to conditions and nausea. stipulated by SPCB in addition to the requirement mentioned in Motor Vehicle Act, 1988 (59 of 1988).

4.1.4 AIR ENVIRONMENT

Major/ Activity Aspect Impact Minor/ Mitigation Negligible -Construction activity will be confined to project site only for short duration. - Increased PM Level However, there is an may cause operational part of the respiratory hospital and green area problems to nearby for the same will be Population. maintained which will help - Increased PM Level to minimize the impacts will result generated due to dust Dust emission deposition of dust generation. Site Preparation will lead to on leaves which Minor -Water sprinkling will be & Levelling increse in PM may cause decrease done to reduce the dust in Transpiration rate generation of flora -Dust suppression systems - incresed dust will (water spray) shall be decrese the done as per requirement aesthetic look of at the construction site. already constructed -Proper noise masks will building be provided to the workers who were engaged in dust generating activities.

157 PROJECT PROPONENT: ENVIRONMENT CONSULTANT:

M/S ARTEMIS MEDICARE SERVICES LTD. M/S PERFACT ENVIRO SOLUTIONS PVT. LTD.

158 EIA DOCUMENT OF “EXPANSION OF ARTEMIS HOSPITAL” AT SECTOR- 51, GURUGRAM HARYANA BY M/S ARTEMIS MEDICARE SERVICES LIMITED

Water sprinkling will be done to reduce the dust generation -Wind breaker wall of 30m height will be installed at site -Dust suppression systems Respiratory (water spray) shall be Dust emission problems to done as per requirement Excavation will lead to construction major at the construction site. increse in PM workers at site and -Proper nose masks will be nearby population provided to the workers who were engaged in dust generating activities. -Plantation of trees around the project periphery including green crippers will be carried out Increase in PM -Dust suppression and levels will affect the Compacting and water sprinkling system Dust respiratory health of other related Major will be installed for emission construction work suppression of workers and nearby particulates population Run off of Compacting and Stagnation of water water & Water will be reused in other related shall result in odour Negligible Stagnation of sprinkling work problem in the area water Dust generation from construction activity and deposition of the Construction of same around the Water will be reused in Foundation & Dust emission - project area will sprinkling Basement affect the respiratory health of workers and nearby population Handling of C&D -Construction and waste can cause Demolition Waste will be Generation of generation of dust handed over to contractor Construction of C&D waste & which can cause Major as per the agreement for super structure Solid Waste problem in final disposal. The breathing to the Contractor will be sold the construction C&D waste for ongoing 158 PROJECT PROPONENT: ENVIRONMENT CONSULTANT:

M/S ARTEMIS MEDICARE SERVICES LTD. M/S PERFACT ENVIRO SOLUTIONS PVT. LTD.

159 EIA DOCUMENT OF “EXPANSION OF ARTEMIS HOSPITAL” AT SECTOR- 51, GURUGRAM HARYANA BY M/S ARTEMIS MEDICARE SERVICES LIMITED

workers and nearby construction of roads & population highways in the nearby area.

Emission of VOCs from paints can cause irritation in eyes, nose and Finishing work of throat, can cause Wall, painting, Dust & other -Use of material with less difficulty breathing Major stone cladding, air emission VOC content and nausea, and can Tiling work damage the central nervous system as well as other organs. -Dust suppression and water sprinkling system -Open storage of will be installed for construction suppression of material and particulates inproper handling of -Wind breaker wall of 30m material will lead height is installed at site dust emission which -Proper nose masks were Storage and will cause the provided to the workers handling of Air emission respiratory health who were engaged in dust construction & Dust problem to the Major generating activities. material, Paint & Generation workers. -Plantation of trees chemicals -Dust will be around the project deposited on the periphery including green nearby areas and crippers will be carried out can affect the -Storage of construction aesthetic look of material under tarpaulin operational part of cover and regular wetting the hospital. of loose materials will suppress the dust generation. Emissions from use of construction Operation of -Adequate stack shall be machinery will Construction provided in order to cause respiratory machinery (DG minimize the GLC Air Emission problem to the Major Set, Mobile STP, -Low Sulphur fuel shall be workers at site and Heavy used in operation of DG nearby population machinery) sets -Pollutants emissted from stack will 159 PROJECT PROPONENT: ENVIRONMENT CONSULTANT:

M/S ARTEMIS MEDICARE SERVICES LTD. M/S PERFACT ENVIRO SOLUTIONS PVT. LTD.

160 EIA DOCUMENT OF “EXPANSION OF ARTEMIS HOSPITAL” AT SECTOR- 51, GURUGRAM HARYANA BY M/S ARTEMIS MEDICARE SERVICES LIMITED

increase the Ground Level Concentration of pollutants which will affect the respiratory health of people in nearby area -Personal Protective Equipments like dust masks and ear muffs shall be provided to the construction workers Operation of -Proper Maintenance of Construction Generation of dust construction equipment/ machinery (DG Dust from operation of machineries, etc Major Set, Mobile STP, Generation construction -Dust suppression and Heavy machinery water sprinkling system machinery) will be installed for suppression of particulates - Regular monitoring of ambient air shall be carried out -spillage of Diesel, used oil, chemicals Operation of may result in Construction emission of VOCs in -In case of spills of Oil & machinery (DG the air environment chemicals, dry chemical Minor Set, Mobile STP, which will cause adsorbents/cotton should Spilage Heavy irritation in eyes, be used for cleaning machinery) nose and throat, instead of water difficulty breathing and nausea. -Vehicles with valid PUC Gaseous emission certificates will be used for from vehicles used transportation of Transportation for transportation Vehicular construction material (Raw Material, will affect the health Major emission -Plantation of trees Labour) of construction around the project workers and nearby periphery including green population crippers will be carried out

160 PROJECT PROPONENT: ENVIRONMENT CONSULTANT:

M/S ARTEMIS MEDICARE SERVICES LTD. M/S PERFACT ENVIRO SOLUTIONS PVT. LTD.

161 EIA DOCUMENT OF “EXPANSION OF ARTEMIS HOSPITAL” AT SECTOR- 51, GURUGRAM HARYANA BY M/S ARTEMIS MEDICARE SERVICES LIMITED

- Proper maintainance of -Leakage of vehicles shall be done petrol/Diesel may preodically to ensure no result in emission of leakage from the vehcles. VOCs in the air -The vehicle used for Transportation Diesel/petrol environment which transportation shall (Raw Material, Minor leakage will cause irritation comply to conditions Labour) in eyes, nose and stipulated by SPCB in throat, difficulty addition to the breathing and requirement mentioned in nausea. Motor Vehicle Act, 1988 (59 of 1988). -Construction material shall be transported in Transportation of closed and covered trucks. construction -water sprinkling shall be material shall result carried out for dust Transportation in dust emission Dust suppression from (Raw Material, which will affect the Major emission movement of transport Labour) respiratory health of vehicles. construction -Plantation of trees workers and nearby around the project population periphery including green crippers will be carried out - To minimize the occupational health Working & daily Labour hazard, proper mask will activity of convenience None Negligible be provided to the construction & Facilities workers who were labour engaged in dust generation activity.

4.1.5 WATER ENVIRONMENT

Major/ Activity Aspect Impact Minor/ Mitigation Negligible Site Site preparation The storm water Proper drainage for Preparation & will cause recharge capacity will major storm water shall be Levelling change of be decresed maintained. natural 161 PROJECT PROPONENT: ENVIRONMENT CONSULTANT:

M/S ARTEMIS MEDICARE SERVICES LTD. M/S PERFACT ENVIRO SOLUTIONS PVT. LTD.

162 EIA DOCUMENT OF “EXPANSION OF ARTEMIS HOSPITAL” AT SECTOR- 51, GURUGRAM HARYANA BY M/S ARTEMIS MEDICARE SERVICES LIMITED

contour level will which will result in Change of drainage pattern Intersection of ground water - The exacavation will (The be done upto level exacavation such that it will not will be done Excavation intersect the ground - - upto level water level, hence it such that it will not impact the will not ground water quality. intersect the ground water level) For 300 labours, 5 KL Temporary toilets were of water tankers for provided. 10 KLD of Compacting drinking purpose waste water generated Water and other were provided. This Minor from the construction requirement will lead to waste related work site was disposed off to water generation. septic tanks.

During the construction period, runoff from the During the construction site shall construction period, not be allowed to stand Stagnation of water & (water logging) or enter Construction Stagnation of Run off of water may into the roadside or of Foundation water & Run lead to breeding of Minor & Basement off of water mosquitos & run off nearby drain. can lead to soil The runoff due to rain erosion water from the site shall be collected and reused.

24 KL of tanker of Temporary toilets were Water treated STP Water provided. 10 KLD of Construction requirement shall be required waste water generated of super Minor & waste during construction from the construction structure generation work. Which would site was disposed off to not lead to any waste septic tanks. 162 PROJECT PROPONENT: ENVIRONMENT CONSULTANT:

M/S ARTEMIS MEDICARE SERVICES LTD. M/S PERFACT ENVIRO SOLUTIONS PVT. LTD.

163 EIA DOCUMENT OF “EXPANSION OF ARTEMIS HOSPITAL” AT SECTOR- 51, GURUGRAM HARYANA BY M/S ARTEMIS MEDICARE SERVICES LIMITED

water generation . For approx.. 300 labours, 13.5 KLD of Domestic water shall be sourced through the water tanks and this will lead to 10 KL of waste water.Improper disposal of waste water generated may affect the quality of nearby surface water body & ground water .

Finishing work Any waste generated Improper disposal of of shall be dispoded waste generated may Wall, painting, Water properly as per C&D affect the quality of Minor stone contamination waste management ground water . cladding, Tiling rule. work 24 KL of tanker of treated STP Water shall be required during construction Temporary toilets were road work. Which would provided. 10 KLD of Water infrastructure not lead to any waste waste water generated requirement & Services water generation . Minor from the construction & Waste installation& Improper disposal of site was disposed off to water disposal Plantation waste water septic tanks. generated may affect the quality of nearby surface water body & ground water . Spillage of Oil & The hazardous waste chemicals,if in any generated was used oil only. Used Oil will be Storage and case comes in contact stored in HDPE drums and handling of with water body can Oil & chemical kept in covered rooms construction detorate the ground Minor Spilage under lock and key and material, Paint water & surface water will be sold to authorized & chemicals body .Which in turn vendors only. may affect the aquatic life also. Spillage of oil from the machinery or cement

163 PROJECT PROPONENT: ENVIRONMENT CONSULTANT:

M/S ARTEMIS MEDICARE SERVICES LTD. M/S PERFACT ENVIRO SOLUTIONS PVT. LTD.

164 EIA DOCUMENT OF “EXPANSION OF ARTEMIS HOSPITAL” AT SECTOR- 51, GURUGRAM HARYANA BY M/S ARTEMIS MEDICARE SERVICES LIMITED

residual from concrete mixer plants was properly collected and reused in construction site.

The hazardous waste generated was used oil only. Used Oil will be Spillage of Oil & stored in HDPE drums and Operation of chemicals,if in any kept in covered rooms Construction case comes in contact under lock and key and machinery with water body can will be sold to authorized Oil & chemical vendors only. (DG Set, detorate the ground Minor Spilage Mobile STP, water & surface water Spillage of oil from the Heavy body .Which in turn machinery or cement machinery) may affect the residual from concrete aquatic life also. mixer plants was properly collected and reused in construction site.

The vehicles carrying construction material and construction debris If dust emitted gets shall be cleaned before Transportation deposited on wtare it is permitted to ply on (Raw Material, Dust emission body can detoriate Minor the road. Labour) the water quality. Wheel washing arrangement of construction vehicle shall be provided at site

For approx.. 300 Temporary toilets were labours, 13.5 KLD of provided. 10 KLD of Working & Water Domestic water shall waste water generated daily activity of requirement from the construction be sourced through Minor construction & Waste the water tanks and site was disposed off to labour water disposal this will lead to 10 KL septic tanks. of waste water.

4.1.6 NOISE ENVIRONMENT

164 PROJECT PROPONENT: ENVIRONMENT CONSULTANT:

M/S ARTEMIS MEDICARE SERVICES LTD. M/S PERFACT ENVIRO SOLUTIONS PVT. LTD.

165 EIA DOCUMENT OF “EXPANSION OF ARTEMIS HOSPITAL” AT SECTOR- 51, GURUGRAM HARYANA BY M/S ARTEMIS MEDICARE SERVICES LIMITED

Major/ Activity Aspect Impact Minor/ Mitigation Negligible - The noise due to the -due to lvellling loading & unloading activity, loading and activity will be limited only unloading activity for specified period of there will not be much construction and during noise generation, day-tiime only. however in case of -Provision of protective noise generation it devices like ear muff/plugs Site Preparation Increse in may cause to the workers will be Minor & Levelling noise level phisiological & done. phycological effects -Proper maintenance of on nearby people like the machine/ equipment annoyance, for leveliing will be carried headache, Auditory out. impact, increase in -Noise barrier of height 10 heart beat of patients meters will be provided and elderly people. around the existing hospital building. -due to excavation activity there will be high level of noise - The noise due to the generation along with running of excavator will vibration which may be limited only for cause phisiological & specified period of phycological effects construction and during on existing population day-tiime only. of hospital, -Provision of protective construction labours devices like ear muff/plugs & nearby people like to the workers will be Increase in annoyance, done. Excavation Major noise level headache, Auditory -Proper maintenance of impact, increase in the excavator will be heart beat of patients carried out and excavator and elderly people. shall be provided with -There will be impact closed cabin and vibrartion on excavator operator isplator like whole body -Noise barrier of height 10 vibration and auditory meters will be provided impact. The noise around the existing level generation due hospital building. to excavator will be 85-90 dB. 165 PROJECT PROPONENT: ENVIRONMENT CONSULTANT:

M/S ARTEMIS MEDICARE SERVICES LTD. M/S PERFACT ENVIRO SOLUTIONS PVT. LTD.

166 EIA DOCUMENT OF “EXPANSION OF ARTEMIS HOSPITAL” AT SECTOR- 51, GURUGRAM HARYANA BY M/S ARTEMIS MEDICARE SERVICES LIMITED

- The noise due to the running of compactor will be limited only for -due to compaction specified period of activity, loading and construction and during unloading activity day-tiime only. there will not be much -Provision of protective noise generation, devices like ear muff/plugs however in case of to the workers will be noise generation it Compacting and done. noise may cause other related minor -Regular & Proper generation phisiological & work maintenance of the phycological effects compactor will be carried on nearby people like out and its silenver shall be annoyance, regularly checked and headache, Auditory provided with vibrartion impact, increase in isplator heart beat of patients -Noise barrier of height 10 and elderly people. meters will be provided around the existing hospital building. - The noise will be limited -due to handling of only for specified period of construction material construction and during noise will be day-tiime only. generated which may - Workers will work in cause physiological rotation basis. Construction of Noise like increase in heart -Provision of protective Foundation & minor generation beat of patients and devices like ear muff/plugs Basement elderly people & to the workers will be psycological effects done. like annoyance on -Noise barrier of height 10 workers and nearby meters will be provided people. around the existing hospital building. - Loading and unloading of -Loading and C&D waste should be done unloading of C&D Generation from loaders/excavators Construction of waste may cause of C&D directly to tippers/trucks Foundation & annoyance to the minor waste & to ensure minimal noise Basement workers and peoples Solid Waste generation. Workers shall in the immediate be provided by ear vicinity. plugs/ear muffs

166 PROJECT PROPONENT: ENVIRONMENT CONSULTANT:

M/S ARTEMIS MEDICARE SERVICES LTD. M/S PERFACT ENVIRO SOLUTIONS PVT. LTD.

167 EIA DOCUMENT OF “EXPANSION OF ARTEMIS HOSPITAL” AT SECTOR- 51, GURUGRAM HARYANA BY M/S ARTEMIS MEDICARE SERVICES LIMITED

- Machines and equipments shall be regularly maintained and -Will cause shall be provided with physiological and vibration isolators and psychological effect noise damping, like hearing construction shall be done impairment, sleep during day time only, Construction of Noise interference, Major proper barricading of the super structure generation annoyance and also construction site shall be may cause increase in done. PPE like ear plugs heart beat and blood and muffs shall be pressure in elderly provided to the workers at peoples and patients construction site. Also within the area. acoustic flooring using tiles shall be done so that it acts as noise absorber. - Loading and unloading of Loading and C&D waste should be done unloading of C&D Generation from loaders/excavators waste may cause Construction of of C&D directly to tippers/trucks annoyance to the Major super structure waste & to ensure minimal noise workers and peoples Solid Waste generation. Workers shall in the immediate be provided by ear vicinity. plugs/ear muffs -Road grader shall be provided with noise -May cause dampers and vibration road annoyance and isolators and shall have infrastructure & Noise auditory impact to the closed cabin. Proper Services Minor generation workers and peoples lubrication and grasing of installation& living in immediate other equipments should Plantation vicinity. be done. Proper handling of road construction material should be done. Storage and - Proper handling of -May cause handling of materials shall be done Noise annoyance to the construction Minor and workers must be Generation worker and nearby material, Paint supervised by onsite people & chemicals incharge manager.

167 PROJECT PROPONENT: ENVIRONMENT CONSULTANT:

M/S ARTEMIS MEDICARE SERVICES LTD. M/S PERFACT ENVIRO SOLUTIONS PVT. LTD.

168 EIA DOCUMENT OF “EXPANSION OF ARTEMIS HOSPITAL” AT SECTOR- 51, GURUGRAM HARYANA BY M/S ARTEMIS MEDICARE SERVICES LIMITED

-due to running of machinery, high level -DG sets will be bought of noise may cause acoustically enclosed phisiological & meeting the norms phycological effects prescribed by CPCB on labours like -Plantation already exist annoyance, problems along the roads & Operation of like sleep periphery to reduce noise. Construction interfarance, -Construction machinery machinery (DG noise headache, Auditory - shall be properly Set, Mobile STP, generation impact, increase in lubricated and shall be Heavy heart beat of patients equipped with vibration machinery) and elderly people in isolator whereever existing hospital. possible - running of DG sets -Provision of protective will cause vibration devices like ear muff/plugs generation in to the workers will be immediate done. surrounding of DG set area -due to road congestion people will blow horn which may Road lead to problems like Transportation - No honking zone shaould congestion sleep interfarance, (Raw Material, Minor be provided in and nearby & Breakage headache Labour) hospital area of roads - There will not be much impact due to vibration on existing hospital building -due to vehcular transportation high level of noise may - Maintainace of vehcles cause phisiological & should be done on regular phycological effects basis on people like Transportation - Vehcles should be Noise annoyance, problems (Raw Material, Major regularly checked for generation like sleep Labour) silencer of vehicles interfarance, - No honking zone should headache, Auditory be provided in and nearby impact, increase in hospital area heart beat of patients and elderly people. - There will not be

168 PROJECT PROPONENT: ENVIRONMENT CONSULTANT:

M/S ARTEMIS MEDICARE SERVICES LTD. M/S PERFACT ENVIRO SOLUTIONS PVT. LTD.

169 EIA DOCUMENT OF “EXPANSION OF ARTEMIS HOSPITAL” AT SECTOR- 51, GURUGRAM HARYANA BY M/S ARTEMIS MEDICARE SERVICES LIMITED

much impact due to vibration on project

4.1.7 IMPACT ON ECOLOGY AND BIODIVERSITY

Major/ Activity Aspect Impact Minor/ Mitigation Negligible - Only 3 No. of trees were transplanted for proposed expansion before making the area hard paved. As there is hard paved -To minimize the surafce on which impact, the provision expansion is to be done, of plantation area of hence there will be no 10230.77 Sqm (after Site Preparation Clearance of loss vegetation. Before Negligible expansion) area, with & Levelling vegetation making the area hard lawns, ornamental paved, only grasses and shrubs and trees shall bushes were cleared. be provided. No cutting of the trees -250 no. trees has was done. already been planted in existing Hospital. 200 No. of trees are proposed for the expansion part. -Increased PM Level will result deposition of dust - Water sprinkling will on leaves which may be done to reduce the Dust cause decrease in dust generation Site Preparation emission will Transpiration rate of -Dust suppression Minor & Levelling lead to flora systems (water spray) increse in PM -Incresed dust emission shall be done as per can lead to climate requirement at the change which construction site. eventually will result in

169 PROJECT PROPONENT: ENVIRONMENT CONSULTANT:

M/S ARTEMIS MEDICARE SERVICES LTD. M/S PERFACT ENVIRO SOLUTIONS PVT. LTD.

170 EIA DOCUMENT OF “EXPANSION OF ARTEMIS HOSPITAL” AT SECTOR- 51, GURUGRAM HARYANA BY M/S ARTEMIS MEDICARE SERVICES LIMITED

decrese in plant/tree cover

-Incresed noise will cause disturbance of -all the construction existing avi-fauna, activities will be Site Preparation Increse in however, avifauna is not carried out during the Minor & Levelling noise level restricted to one place daytime. No activity for a long time, thus it will be done during will not result in their night time. displacement. -The excavated top soil will be used in Removal of -Removal of Top soil will Landscape area soil, Top soil affect the habitat of within the existing Excavation Minor & run off of micro-organism and Hospital which will soil invertebrate recovery of habitat of micro-organism and invertebrate. -Increased PM Level will result deposition of dust on leaves which may - Water sprinkling will cause decrease in be done to reduce the Dust Transpiration rate of dust generation emission will flora -Dust suppression Excavation Minor lead to -Incresed dust emission systems (water spray) increse in PM can lead to climate shall be done as per change which requirement at the eventually will result in construction site. decrese in plant/tree cover -Incresed noise will -all the construction cause disturbance of activities will be existing avi-fauna, carried out during the however, avifauna is not daytime. No activity Increase in restricted to one place will be done during Excavation Minor noise level for a long time, thus it night time. will not result in their -Proper maintenance displacement. of the excavator will - There will be loss on be carried out and soil biota due to excavator shall be

170 PROJECT PROPONENT: ENVIRONMENT CONSULTANT:

M/S ARTEMIS MEDICARE SERVICES LTD. M/S PERFACT ENVIRO SOLUTIONS PVT. LTD.

171 EIA DOCUMENT OF “EXPANSION OF ARTEMIS HOSPITAL” AT SECTOR- 51, GURUGRAM HARYANA BY M/S ARTEMIS MEDICARE SERVICES LIMITED

excavation and provided vibrartion vibration isolator

- Water sprinkling will be done to reduce the -As there will be less dust generation Compacting and Dust dust generation hence -Dust suppression other related Negligible emission there will not be much systems (water spray) work impact on existing Flora shall be done as per requirement at the construction site. -Increased PM Level will result deposition of dust on leaves which may - Water sprinkling will cause decrease in be done to reduce the Transpiration rate of dust generation Construction of Dust flora -Dust suppression Foundation & Minor emission -Incresed dust emission systems (water spray) Basement can lead to climate shall be done as per change which requirement at the eventually will result in construction site. decrese in plant/tree cover -Incresed noise will cause disturbance of -all the construction existing avi-fauna, activities will be Construction of Noise however, avifauna is not carried out during the Foundation & Minor generation restricted to one place daytime. No activity Basement for a long time, thus it will be done during will not result in their night time. displacement. -Increased PM Level will result deposition of dust - Water sprinkling will on leaves which may be done to reduce the cause decrease in dust generation Construction of Dust Transpiration rate of -Dust suppression Minor super structure emission flora systems (water spray) -Incresed dust emission shall be done as per can lead to climate requirement at the change which construction site. eventually will result in

171 PROJECT PROPONENT: ENVIRONMENT CONSULTANT:

M/S ARTEMIS MEDICARE SERVICES LTD. M/S PERFACT ENVIRO SOLUTIONS PVT. LTD.

172 EIA DOCUMENT OF “EXPANSION OF ARTEMIS HOSPITAL” AT SECTOR- 51, GURUGRAM HARYANA BY M/S ARTEMIS MEDICARE SERVICES LIMITED

decrese in plant/tree cover

Incresed noise will cause disturbance of -all the construction existing avi-fauna, activities will be Construction of Noise however, avifauna is not carried out during the Minor super structure generation restricted to one place daytime. No activity for a long time, thus it will be done during will not result in their night time. displacement. -Increased PM Level will result deposition of dust on leaves which may - Water sprinkling will cause decrease in be done to reduce the Finishing work of Transpiration rate of dust generation Wall, painting, Dust & other flora -Dust suppression Minor stone cladding, air emission -Incresed dust emission systems (water spray) Tiling work can lead to climate shall be done as per change which requirement at the eventually will result in construction site. decrese in plant/tree cover Solid, -Proper disposal plan Finishing work of hazardous -Piling of soild waste will for soild waste will be Wall, painting, waste & affect the habitat loss of implemented in Minor stone cladding, recyclable micro-organism and Landscape area Tiling work waste degradation within the existing generation Hospital. -Increased PM Level will result deposition of dust on leaves which may - Water sprinkling will cause decrease in be done to reduce the road Transpiration rate of dust generation infrastructure & Dust flora -Dust suppression Services Minor emission -Incresed dust emission systems (water spray) installation& can lead to climate shall be done as per Plantation change which requirement at the eventually will result in construction site. decrese in plant/tree cover

172 PROJECT PROPONENT: ENVIRONMENT CONSULTANT:

M/S ARTEMIS MEDICARE SERVICES LTD. M/S PERFACT ENVIRO SOLUTIONS PVT. LTD.

173 EIA DOCUMENT OF “EXPANSION OF ARTEMIS HOSPITAL” AT SECTOR- 51, GURUGRAM HARYANA BY M/S ARTEMIS MEDICARE SERVICES LIMITED

-Increased PM Level will result deposition of dust on leaves which may - Water sprinkling will cause decrease in be done to reduce the road Transpiration rate of dust generation infrastructure & Noise flora -Dust suppression Services Minor generation -Incresed dust emission systems (water spray) installation& can lead to climate shall be done as per Plantation change which requirement at the eventually will result in construction site. decrese in plant/tree cover -Increased PM Level will result deposition of dust -Separate raw on leaves which may material yard will be cause decrease in made. Cement will be Storage and Transpiration rate of separately stored handling of Air emission flora under cover in bales. construction & Dust Minor -Incresed dust emission – Sand will be stacked material, Paint & Generation can lead to climate nearby under chemicals change which tarpaulin cover. eventually will result in -water sprinkling will decrese in plant/tree be done. cover -Increased PM Level will result deposition of dust on leaves which may - Water sprinkling will cause decrease in be done to reduce the Operation of Transpiration rate of dust generation Construction Dust flora -Dust suppression machinery (DG Minor Generation -Incresed dust emission systems (water spray) Set, Mobile STP, can lead to climate shall be done as per Heavy machinery) change which requirement at the eventually will result in construction site. decrese in plant/tree cover -all the construction -Incresed noise will activities will be cause disturbance of Operation of carried out during the existing avi-fauna, Construction daytime. No activity noise however, avifauna is not machinery (DG Minor will be done during generation restricted to one place Set, Mobile STP, night time. for a long time, thus it Heavy machinery) - Acoustically will not result in their enclosed DG sets will displacement. be provided along 173 PROJECT PROPONENT: ENVIRONMENT CONSULTANT:

M/S ARTEMIS MEDICARE SERVICES LTD. M/S PERFACT ENVIRO SOLUTIONS PVT. LTD.

174 EIA DOCUMENT OF “EXPANSION OF ARTEMIS HOSPITAL” AT SECTOR- 51, GURUGRAM HARYANA BY M/S ARTEMIS MEDICARE SERVICES LIMITED

with vibration pads. - All the machinery used will be provided with vibration isolators in accordance to their vibration generation - Vehicular emission like - Vehicles used in Transportation NO2, NO etc. can inhibit transportation of Vehicular (Raw Material, the growth of plants and Minor construction material emission Labour) pre-mature leaves will have PUC senescence. certificate. -Increased PM Level will result deposition of dust on leaves which may - Water sprinkling will cause decrease in be done to reduce the Transpiration rate of dust generation Transportation Dust flora -Dust suppression (Raw Material, Minor emission -Incresed dust emission systems (water spray) Labour) can lead to climate shall be done as per change which requirement at the eventually will result in construction site. decrese in plant/tree cover -Incresed noise due to -Vehicular movement vehicular transportation for transportation of will cause disturbance raw material will be Transportation of existing avi-fauna, Noise carried out only in (Raw Material, however, avifauna is not Minor generation day-time and will try Labour) restricted to one place to avoid unnecessary for a long time, thus it honking with the help will not result in their of sign boards. displacement.

4.1.8 TRAFFIC MANAGEMENT Major/ Activity Aspect Impact Minor/ Mitigation Negligible Heavy vehicle Separate Entry/exit movement will lead Heavy Vehicles Congestion gates for transpo to congestion in Minor carrying raw material on road rtation of raw material traffic and difficulty will be provided in driving

174 PROJECT PROPONENT: ENVIRONMENT CONSULTANT:

M/S ARTEMIS MEDICARE SERVICES LTD. M/S PERFACT ENVIRO SOLUTIONS PVT. LTD.

175 EIA DOCUMENT OF “EXPANSION OF ARTEMIS HOSPITAL” AT SECTOR- 51, GURUGRAM HARYANA BY M/S ARTEMIS MEDICARE SERVICES LIMITED

4.2 IMPACT MITIGATION DURING OPERATION PHASE

4.2.1 IMPACT ON SOIL

Major/ Functional Activity Aspect Impact Minor/ Mitigation Area Negligible - All solid waste from the proposed project shall be properly collected, stored and disposed. Bio- Operationa Genera Degradable waste l hospital & tion of shall be converted into Working & Solid compost in proposed daily Waste, Improper disposal OWC within the Soil activity of E-waste will drgrade the soil Negligible premises. Recyclable Environment staff, In- and quality Waste & plastic waste patients & Bio- shall be given to Out- medical Authorized Recycler. Patients waste -Biomedical waste will be generated which shall be given to approved Biomedical waste service provider. - All solid waste from the proposed project shall be properly collected, stored and Operationa Genera disposed. Bio- l hospital & tion of Degradable waste Working & Solid shall be converted into daily Waste, Improper disposal compost in proposed Soil activity of E-waste will drgrade the soil Negligible OWC within the Environment staff, In- and quality premises. Recyclable patients & Bio- Waste & plastic waste Out- medical shall be given to Patients waste Authorized Recycler. -Biomedical waste will be generated which shall be given to approved Biomedical

175 PROJECT PROPONENT: ENVIRONMENT CONSULTANT:

M/S ARTEMIS MEDICARE SERVICES LTD. M/S PERFACT ENVIRO SOLUTIONS PVT. LTD.

176 EIA DOCUMENT OF “EXPANSION OF ARTEMIS HOSPITAL” AT SECTOR- 51, GURUGRAM HARYANA BY M/S ARTEMIS MEDICARE SERVICES LIMITED

waste service provider.

Procedures for maintenance of equipment would Transporta ensure that this risk is tion (Staff, minimized and clean- Patients, Diesel/ while re-fueling of up response is rapid if Soil transportat petrol vehicles - any spill Environment ion & spillage transporting occurs.Lubricating chemical materials and waste oil shall be transportat servicing of collected separately in ion) vehicles through drums and handed breakage due to over to the authorized wear and tear. outside agency Operation of Procedures for machinery maintenance of & equipment would equipment ensure that this risk is There in Hospital minimized and clean- will be (DG Set, up response is rapid if Soil Used STP, ETP, while re-fueling of - any spill Environment oil Pumps & vehicles occurs.Lubricating generat medical transporting waste oil & used oil ion Equipment materials and shall be collected & servicing of separately in drums machinery vehicles through and handed over to used in Lab breakage due to the authorized outside & OT) wear and tear. agency Operation Procedures for of while re-fueling of maintenance of machinery vehicles equipment would & transporting ensure that this risk is Soil Oil equipment materials and - minimized and clean- Environment Spilage in Hospital servicing of up response is rapid if (DG Set, vehicles through any spill STP, ETP, breakage due to occurs.Lubricating Pumps & wear and tear. waste oil shall be

176 PROJECT PROPONENT: ENVIRONMENT CONSULTANT:

M/S ARTEMIS MEDICARE SERVICES LTD. M/S PERFACT ENVIRO SOLUTIONS PVT. LTD.

177 EIA DOCUMENT OF “EXPANSION OF ARTEMIS HOSPITAL” AT SECTOR- 51, GURUGRAM HARYANA BY M/S ARTEMIS MEDICARE SERVICES LIMITED

medical collected separately in Equipment drums and handed & over to the authorized machinery outside agency used in Lab & OT) Procedures for maintenance of equipment would ensure that this risk is Storage of minimized and clean- medicinal while re-fueling of up response is rapid if Soil items, Oil vehicles - any spill Environment material, Spilage transporting occurs.Lubricating diesel & materials and waste oil shall be chemicals servicing of collected separately in vehicles through drums and handed breakage due to over to the authorized wear and tear. outside agency

4.2.2 IMPACT DUE TO SOLID WASTE DISPOSAL

Major/ Minor/ Activity Aspect Impact Mitigation Negligible

177 PROJECT PROPONENT: ENVIRONMENT CONSULTANT:

M/S ARTEMIS MEDICARE SERVICES LTD. M/S PERFACT ENVIRO SOLUTIONS PVT. LTD.

178 EIA DOCUMENT OF “EXPANSION OF ARTEMIS HOSPITAL” AT SECTOR- 51, GURUGRAM HARYANA BY M/S ARTEMIS MEDICARE SERVICES LIMITED

- Source segregation shall be done for Municipal solid waste at each floor level and shall be stored in -Inproper storage colour coded bins (Bio and disposal of Bio- Degradable-Green & medical waste, will Recyclable-Blue) enhance the risk of -During operation phase microbial total 1930 (Kg/day) of contamination, municipal solid waste shall physical injury may be generated daily out of occur due to sharps, which 493 Kg/day is being decrese in aesthetic generated from existing value of Hospital and facility and shall be will lead to increase disposed off properly and risk of disease safely. 1351 Kg/day of Bio- occurance in the Degradable waste shall be hospital and of converted into compost in nearby population proposed OWC within the - Radioactive waste Operational premises. The compost Generation generated from hospital & shall be used as manure in of Solid Oncology Working & green area within the Waste, E- Department can daily activity Major project premises & unused waste and cause potential of staff, In- manure shall be given to Bio-medical biological effects on patients & nursery. 483 Kg/day of waste nearby and hospital Out-Patients Recyclable Waste & 96 population. Kg/day of plastic waste -Inproper storage shall be given to and disposal of MSW Authorized Recycler. waste, will enhance - Source segregation shall the risk of disese be done for Bio-medical occurance and cause waste at each floor level foul smell. It will and shall be stored in attract the vectors. colour coded bins with Bar -Inproper hazardous Code and which will be chemical disposal if collecred from each floor & comes in contact shall be stored at isolated with human body place. may cause skin -Approx. 298 kg/day irritation and could Biomedical waste will be be flammable also generated which shall be sometimes. given to approved Biomedical waste service provider (M/s Vulcan Waste Management Pvt. 178 PROJECT PROPONENT: ENVIRONMENT CONSULTANT:

M/S ARTEMIS MEDICARE SERVICES LTD. M/S PERFACT ENVIRO SOLUTIONS PVT. LTD.

179 EIA DOCUMENT OF “EXPANSION OF ARTEMIS HOSPITAL” AT SECTOR- 51, GURUGRAM HARYANA BY M/S ARTEMIS MEDICARE SERVICES LIMITED

Ltd.) as per the Biomedical waste (management & handling) rules. -Also care shall be taken to encapsulate the sharps including syringe and needles after use and it will be collected in Puncture resistant, leak proof and rigid container. -E-waste generated will be 1-2 kg/month which shall be given to approved recycler from SPCB. -All anatomical waste, soiled waste and biotechnology shall not be stored beyond forty eight hours. -hazardous chemical waste shall be collected in an isolated place & shall be handled as per Hazardous Wastes (Management, Handling and Transboundary Movement) Rules -Radio-active waste shall be disposed off as per Atomic Energy (safe disposal of radio-active waste) rules. Accidental litter off biomedical, plastic & Transportatio non- biodegradable n (Staff, waste will create Road Patients, nuisance & may congestion transportatio cause potential - - & Breakage n & chemical health imapcts. of roads transportatio -Accidental leakage n) of the chemical during transporation can cause fire.

179 PROJECT PROPONENT: ENVIRONMENT CONSULTANT:

M/S ARTEMIS MEDICARE SERVICES LTD. M/S PERFACT ENVIRO SOLUTIONS PVT. LTD.

180 EIA DOCUMENT OF “EXPANSION OF ARTEMIS HOSPITAL” AT SECTOR- 51, GURUGRAM HARYANA BY M/S ARTEMIS MEDICARE SERVICES LIMITED

4.2.3 AIR ENVIRONMENT

Major/ Activity Aspect Impact Minor/ Mitigation Negligible Operational Bio-degradable - Bio-Degradable waste hospital & Generation of Waste generation shall be converted into Working & daily Solid Waste, E- may lead to odour Minor compost in proposed activity of staff, waste and Bio- problem if not OWC within the In-patients & Out- medical waste stored properly. premises. Patients Gaseous emission -Vehicles with valid PUC Transportation from vehicles used certificates will be used (Staff, Patients, for transportation for transportation of Vehicular transportation & will affect the Minor construction material emission chemical respiratory health of -plantation all around transportation) staff, patients and the periphery of the nearby population plot has been done. -Leakage of petrol/Diesel may result in emission of Transportation - Proper maintainance VOCs in the air (Staff, Patients, of vehicles shall be done Diesel/petrol environment which transportation & Minor preodically to ensure no leakage will cause irritation chemical leakage from the in eyes, nose and transportation) vehcles throat, difficulty breathing and nausea. - Dust generation will be high if the the movement of Transportation - Vehcular Road vehcles is done on (Staff, Patients, transportation will be congestion & breaked roads. transportation & Minor done shift wise in order Breakage of Increased dust chemical to reduce the stress on roads emissionmay cause transportation) the roads. respiratory problems to nearby Population.

180 PROJECT PROPONENT: ENVIRONMENT CONSULTANT:

M/S ARTEMIS MEDICARE SERVICES LTD. M/S PERFACT ENVIRO SOLUTIONS PVT. LTD.

181 EIA DOCUMENT OF “EXPANSION OF ARTEMIS HOSPITAL” AT SECTOR- 51, GURUGRAM HARYANA BY M/S ARTEMIS MEDICARE SERVICES LIMITED

Transportation - Increased dust - Proper maitainace and (Staff, Patients, emissionmay cause cleaning of vehcles and transportation & Dust emission respiratory Minor tyres shall be done in chemical problems to nearby order to reduce dust transportation) Population. generation. -For staff and patients, emissions like VOCs from use -The medical eqipment of medical operator shall use PPE equipment can like mask. cause irritation in -Proper stack of 6 m eyes, nose and above the roof level has throat, difficulty been provided in order breathing and to minimize the GLC for nausea. Long term existing DG sets of of exposure can capacity 2 x 1250 KVA, 1 damage the central x 250, [1 x 500 KVA Operation of nervous system as (standby)] and stack of machinery & well as other organs. 6 m above the roof level equipment in -Thermic Fluid shall be provided for Hospital (DG Set, heater & DG sets of proposed DG sets of 2 x Thermic Fluid Air Emission capacity 1 x 1500 Major 750 KVA, 1X1500, Heater, STP, ETP, KVA, 2 x 1250 kVA, 1 1X1000 KVA Pumps & medical x 1000 kVA, 2 x 750 -Low Sulphur fuel is Equipment & kVA & 2 x 250 KVA used to run these D.G. machinery used will be installed for Sets in Lab & OT) emergency use -A Thermic Fluid Heater during power of capacity 2 Lac failure. Pollutants Kcal/day is also installed emitted from stack for which stack height will increase the of 30 m above ground Ground Level level is provided. Concentration of -250 no. of trees are pollutants which will already planted in the affect the complex and 200 no. of respiratory health of trees shall be planted. people in nearby area and in hospital Operation of Storage of -spillage of Diesel, - Pucca floor like of machinery & medicinal used oil, chemicals concrete shall be equipment in items, may result in provided in the stock Hospital (DG Set, material, emission of VOCs in Minor yard. Thermic Fluid diesel & the air environment -Containment such as Heater, STP, ETP, chemicals and which will cause proper slopes Pumps & medical Spilage of Oil irritation in eyes, connected with the 181 PROJECT PROPONENT: ENVIRONMENT CONSULTANT:

M/S ARTEMIS MEDICARE SERVICES LTD. M/S PERFACT ENVIRO SOLUTIONS PVT. LTD.

182 EIA DOCUMENT OF “EXPANSION OF ARTEMIS HOSPITAL” AT SECTOR- 51, GURUGRAM HARYANA BY M/S ARTEMIS MEDICARE SERVICES LIMITED

Equipment & containers, nose and throat, sump shall be provided machinery used lubricants, difficulty breathing in the stock yard where in Lab & OT) diesel & and nausea. the storage of Oil chemical containers, lubricants, diesel shall be done, so that during spillage if any occurs, the spill can be collected and disposed off properly. -In case of spills of chemicals, dry adsorbents/cotton should be used for cleaning instead of water

4.2.4 WATER ENVIRONMENT

Major/ Activity Aspect Impact Minor/ Mitigation Negligible - All solid waste from the proposed project shall be properly collected, stored and If not properly disposed. Bio-Degradable Operational disposed off, waste shall be converted into hospital & Generation of then it can compost in proposed OWC Working & Solid Waste, E- detariorate the within the premises. daily activity Minor waste and Bio- surface water Recyclable Waste & plastic of staff, In- medical waste quality of waste shall be given to patients & nearby water Authorized Recycler. Out-Patients body. -Biomedical waste will be generated which shall be given to approved Biomedical waste service provider.

182 PROJECT PROPONENT: ENVIRONMENT CONSULTANT:

M/S ARTEMIS MEDICARE SERVICES LTD. M/S PERFACT ENVIRO SOLUTIONS PVT. LTD.

183 EIA DOCUMENT OF “EXPANSION OF ARTEMIS HOSPITAL” AT SECTOR- 51, GURUGRAM HARYANA BY M/S ARTEMIS MEDICARE SERVICES LIMITED

- No ground water abstraction shall be done. However, 6 no. of RWH pits shall be provided out of which 5 no. of pits are already present for the - The abstraction existing facility for recharge of of groundwater ground water. is not proposed -Fresh water shall be supplied for project, by Municipal Supply and Hence there will water tankers if necessary. be no impact on Treated water shall be used Ground water. for flushing, gardening, DG - Disposal of cooling & Misc. purposes. Water untreated waste - Total water consumption requirement & Operational water may shall be 1104 KLD out of which waste water hospital & deteriorate 483 KLD is the existing water generation Working & water quality og requirement. Wastewater from Flushing, daily activity surface & Major generation shall be 581 KLD Domestic, of staff, In- ground water by out of which 294 KLD is the Kitchen & Café, patients & increase in the existing wastewater Lab and storm Out-Patients no. of generation, which shall be water pathogens, BOD, treated in 325 KLD (existing) & management COD, TSS etc in 400 KLD Sewage Treatment surface/ground Plant. 514 KLD of treated and thereby water shall be reused for affecting the flushing, gardening, DG aquatic life and cooling & Filter backwash, out making water of which 280 KLD of treated unfit for water is being reused for the consumption. existing facility. 56 KLD of waste water shall be generated from Lab which shall be treated in ETP of 70 KLD (existing ETP of 25 KLD will be enhanced to 70 KLD)

183 PROJECT PROPONENT: ENVIRONMENT CONSULTANT:

M/S ARTEMIS MEDICARE SERVICES LTD. M/S PERFACT ENVIRO SOLUTIONS PVT. LTD.

184 EIA DOCUMENT OF “EXPANSION OF ARTEMIS HOSPITAL” AT SECTOR- 51, GURUGRAM HARYANA BY M/S ARTEMIS MEDICARE SERVICES LIMITED

Operational hospital & May cause Working & Generation of infection if not ETP shall be provided to treat daily activity effluent from Major properly the effluent. of staff, In- Lab & OT managed patients & Out-Patients Operational hospital & May cause Working & Generation of infection if not STP shall be provided to treat daily activity Minor sewage properly the effluent. of staff, In- managed patients & Out-Patients

4.2.5 NOISE ENVIRONMENT

Major/ Activity Aspect Impact Minor/ Mitigation Negligible -due to road - In the Hospital two congestion people will way traffic movement blow horn which may will be provided also Transportation lead to problems like designated place shall Road (Staff, Patients, sleep interfarance, be alocated for parking congestion transportation & headache Minor which will not result in & Breakage chemical - There will not be any congestion on of roads transportation) much impact due to internal roads. vibration due to -No honking zone shall movement of vehicles be provided in and on project nearby hospital area -due to vehcular -In the Hospital two transportation high way traffic movement level of noise may will be provided which Transportation cause phisiological & will lead to smooth (Staff, Patients, Noise phycological effects on traffic movement and transportation & Major generation people like annoyance, hence, less noise will chemical problems like sleep be generated. transportation) interfarance, -Maintainace of headache, Auditory vehcles should be impact, increase in done on regular basis 184 PROJECT PROPONENT: ENVIRONMENT CONSULTANT:

M/S ARTEMIS MEDICARE SERVICES LTD. M/S PERFACT ENVIRO SOLUTIONS PVT. LTD.

185 EIA DOCUMENT OF “EXPANSION OF ARTEMIS HOSPITAL” AT SECTOR- 51, GURUGRAM HARYANA BY M/S ARTEMIS MEDICARE SERVICES LIMITED

heart beat of patients - Vehcles should be and elderly people. regularly checked for - There will not be silencer of vehicles much impact due to - No honking zone vibration on project shaould be provided in and nearby hospital area --Trees shall be planted along the periphery and avanue roads. - DG sets of capacity 1 x 1500 KVA, 2 x 1250 kVA, 1 x 1000 kVA, 2 x 750 kVA & 2 x 250 KVA shall be only sources of -due to running of noise pollution which hospital equipment will be bought and DG sets, high level acoustically enclosed of noise may cause meeting the norms phisiological & prescribed by CPCB phycological effects on and shall be kept in people like annoyance, acoustically treayed Operation of problems like sleep room. Also DG sets machinery & interfarance, shall be mounted on equipment in headache, Auditory Vibration pads and Hospital (DG Set, impact, increase in shall also be provided Thermic Fluid noise heart beat of patients with vibration isolator Major Heater, STP, ETP, generation and elderly people. -Proper plantation Pumps & medical - Running of DG sets area for the project will Equipment & will cause vibration be approx. 10230.77 machinery used in generation in sq m (31% of plot area) Lab & OT) immediate area shall be done all surrounding of DG set along the roads & area periphery to reduce - Vibration due to noise. equipments like -Medical equipment agitators etc. used in shall be properly Hospital may cause lubricated and shall be nuisance to operator equipped with vibration isolator - Silencers of Pumps shall be regularly checked - Agitators of STP/ETP 185 PROJECT PROPONENT: ENVIRONMENT CONSULTANT:

M/S ARTEMIS MEDICARE SERVICES LTD. M/S PERFACT ENVIRO SOLUTIONS PVT. LTD.

186 EIA DOCUMENT OF “EXPANSION OF ARTEMIS HOSPITAL” AT SECTOR- 51, GURUGRAM HARYANA BY M/S ARTEMIS MEDICARE SERVICES LIMITED

shall be regularly lubricated and greased to check noise pollution -Provision of protective devices like ear muff/plugs to the workers will be done.

4.2.6 IMPACT ON ECOLOGY AND BIODIVERSITY

Major/ Activity Aspect Impact Minor/ Mitigation Negligible Transportation (Staff, - Vehicular emission - Vehicles used in Patients, like NO2, NO etc. can transportation of Vehicular transportation & inhibit the growth of Minor construction material emission chemical plants and pre-mature will have PUC transportation) leaves senescence. certificate. -Increased PM Level will result deposition of dust on leaves which - Water sprinkling may cause decrease in was done to reduce Transportation (Staff, Transpiration rate of the dust generation Patients, Dust flora -Dust suppression transportation & Minor emission -Incresed dust systems (water chemical emission can lead to spray) shall be done transportation) climate change which as per requirement at eventually will result in the construction site. decrese in plant/tree cover

186 PROJECT PROPONENT: ENVIRONMENT CONSULTANT:

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-Incresed noise due to -Vehicular vehicular movement for transportation will Transportation (Staff, transportation of raw cause disturbance of Patients, material will be Noise existing avi-fauna, transportation & Minor carried out only in generation however, avifauna is chemical day-time and will try not restricted to one transportation) to avoid unnecessary place for a long time, honking with the thus it will not result in help of sign boards. their displacement. -all the construction activities will be carried out during the daytime. No Operation of -Incresed noise will activity will be done machinery & cause disturbance of during night time. equipment in existing avi-fauna, - Acoustically Hospital (DG Set, noise however, avifauna is enclosed DG sets will Thermic Fluid Heater, Minor generation not restricted to one be provided along STP, ETP, Pumps & place for a long time, with vibration pads. medical Equipment & thus it will not result in - All the machinery machinery used in their displacement. used will be provided Lab & OT) with vibration isolators in accordance to their vibration generation

4.2.7 TRAFFIC MANAGEMENT

Major/ Activity Aspect Impact Minor/ Mitigation Negligible Heavy vehicle Separate Entry/exit movement will lead Heavy Vehicles Congestion gates for transpo to congestion in Major carrying raw material on road rtation of raw material traffic and difficulty will be provided in driving Increase in Due to increased Service road at the traffic due to no. of cars and two- front phase of the Hospital Operation Major incremental wheelers on complex will be load on roads approach road and provided, so that 187 PROJECT PROPONENT: ENVIRONMENT CONSULTANT:

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188 EIA DOCUMENT OF “EXPANSION OF ARTEMIS HOSPITAL” AT SECTOR- 51, GURUGRAM HARYANA BY M/S ARTEMIS MEDICARE SERVICES LIMITED

from staff nearby roads, there increase in traffic can and visitors may be congestion be managed properly. on roads and discomfort in driving.

4.2.8 SOCIO-ECONOMIC CONDITION

Major/ Minor/ Activity Aspect Impact Mitigation Negligible - All solid waste from the -Inproper storage proposed project and disposal of shall be properly Bio-medical and collected, stored other soild waste, and disposed. may enhance the Bio-Degradable risk of waste shall be contamination, converted into decrese the compost in Operational aesthetic value of proposed OWC hospital & Generation of Hospital and lead within the Working & daily Solid Waste, E- to increse in risc premises. Major activity of staff, waste and Bio- of disease Recyclable Waste In-patients & Out- medical waste occurance of & plastic waste Patients patients having shall be given to low immunity and Authorized also to nearby Recycler. population. -Biomedical -There may occur waste generated foul smell which will be stored at will cause isolated place & nuisance in staff shall be given to and patients. approved Biomedical waste service provider.

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4.2.9 HYDROLOGY AND GEOLOGY Major/ Activity Aspect Impact Minor/ Mitigation Negligible -Total 6 no. of RWH pits shall be provided out of which 5 no. of pits are already present for the existing facility for recharge of ground water. -waste water -Infiltration of silt generated and sand may shall be occur with treated in STP inproper storm & ETP. The water harvesting treated water -Disposal of generation untreated waste Generation from STP will water may Operational hospital & of Solid be 552 KLD out deteriorate water Working & daily activity of Waste, E- of which 514 quality of ground Minor staff, In-patients & Out- waste and KLD shall be water by increase Patients Bio-medical reused for in The no. of waste domestic, pathogens, BOD, flushing, COD, TSS etc in Gardening, ground water and Filter thereby affecting backwash and and making water excess 38 KLD unfit for shall be consumption discharged in public sewer. The treated water generation from ETP will be 53 KLD which will also be discharged to the sewer line as per

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discharge standard.

-Total 6 no. of RWH pits shall be provided out of which 5 no. of pits are already present for the existing facility for recharge of ground water. -Infiltration of silt -waste water and sand may generated occur with shall be inproper storm Water treated in STP water harvesting requirement & ETP. The -Disposal of & waste treated water untreated waste water generation water may Operational hospital & generation from STP will deteriorate water Working & daily activity of from be 552 KLD out quality of ground Minor staff, In-patients & Out- Flushing, of which 514 water by increase Patients Domestic, KLD shall be in The no. of Kitchen & reused for pathogens, BOD, Café, Lab and domestic, COD, TSS etc in storm water flushing, ground water and management Gardening, thereby affecting Filter and making water backwash and unfit for excess 38 KLD consumption shall be discharged in public sewer. The treated water generation from ETP will be 53 KLD which will also be discharged 190 PROJECT PROPONENT: ENVIRONMENT CONSULTANT:

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to the sewer line as per discharge standard.

Measures will Due to oil spillage be taken to the chances of Transportation (Staff, Patients, avoid spillage Diesel/petrol contamination of transportation & chemical Minor of oil, waste oil leakage surface water as transportation) will be given to well as ground authorised water increases vwndor.

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Chapter 5: ANALYSIS OF ALTERNATIVES Consideration of alternative technologies to be used in building material, energy conservation and transportation methods are addressed in this chapter.

5.1 BUILDING MATERIAL

The Building material used in comparison to the conventional material is mentioned below:

Conventional material Alternative material used Remark Fe 415 FE 500 - Steel (SAIL & TATA) Higher tensile strength Conventional Bricks AAC Block Eco friendly Ordinary Portland cement Portland Pozzolana Cement with Higher degree of fineness, flyash strength and ecofriendly Cementitious Waterproofing Waterproofing Membrane Thinner memberane with higher resistance Cement concrete Ready Mix Concrete (RMC) Better Building Structure

5.2 ENERGY CONSERVATION MEASURES

The Energy Conservation Measures used in comparison to the conventional measures is mentioned below:

Conventional Measures Alternative Measures used Use of T5 lamps & Halogen lamps Use of energy efficient devices like light sources such as LED lamps. Fiberglass material for insulation Use of insulation Polystyrene (Styrofoam) on roof top to reduce air-conditioning load Conventional Power factor & capacitors Use of capacitors at load centres to improve voltage and power factor to reduce distributional losses and also to avoid penalty by state electricity authority. Conventional DC motors All high efficiency motors will be used in the complex. No solar energy harnessing 1% solar power provision of connected load shall be provided. Conventional building Design Air tunnels in the design to provide proper cross- ventilation for reducing power consumption.

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5.3 WATER CONSERVATION MEASURES

1. Cisterns of 3-5 Lt. capacity, use of ultra-low flush toilets, low-flow showerheads of discharge 5 L/min in place of 11 L/min. 2. Install retrofit devices on faucets to reduce flow. 3. Install water displacement devices in toilet tanks to reduce flow. 4. Water conservation fixtures 5. Provision of dual plumbing to use STP Treated water. 6. Storage and reuse of Storm water.

5.4 ROAD CONSTRUCTION MATERIAL

Asphalt concrete pavement roads will be provided instead of traditional concrete material which will provide higher strength and thus longer durability to the roads. Apart from this following recyclable materilas will be used for construction of the internal roads:- 1. Cement jute bags, plastic bags etc will be used in roads. 2. Construction debris like conscrete will be recycled and aill be used in parking area. 3. Sub stratum removed during foundation & excavation will be used for filling of plot and making pathways. 4. Waste from AAC block will be used for pavements and parking area. 5. Cut tiles & chips will be used in creating pathways in the landscape area & rest will be sent to the construction & demolition facility.

193 PROJECT PROPONENT: ENVIRONMENT CONSULTANT:

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Chapter 6: ENVIRONMENT MONITORING PROGRAMME An Environment Monitoring Plan is prepared for construction as well as the operation phase to provide a delivery mechanism to address the adverse environmental impacts of a project during its execution, to enhance project benefits, and to introduce standards of good practice to be adopted for all project works. An environmental monitoring program is important as it provides useful information and helps to:

• Assist in detecting the development of any unwanted environmental situation, and thus, provides opportunities for adopting appropriate control measures, and • Define the responsibilities of the project proponents, contractors and environmental monitors and provides means of effectively communicating environmental issues among them. • Define monitoring mechanism and identify monitoring parameters. • Evaluate the performance and effectiveness of mitigation measures proposed in the Environment Management Plan (EMP) and suggest improvements in management plan, if required, • Identify training requirement at various levels.

6.1 DETAILS OF MONITORING TO JUDGE EFFECTIVENESS OF MEASURES

To check the efficiency of system with proposed modifications a regular monitoring programme has been drawn. The program has been outlined for construction and operation phase. The details of which are given below:

6.1.1 During Construction phase Sr. Frequency of Type of Monitoring Parameter Location No. Monitoring Particulate Matter (PM 2.5) Six Locations in and Particulate Matter (PM 10) 1. Ambient Air Quality Six Monthly around the project Sulphur Dioxide (SO2) site Nitrogen Oxides (NOx) Water Quality All parameters mentioned in One drinking water 2. Monitoring for drinking Six Monthly IS:10500 sample water Seven Locations in 3. Noise Level Monitoring Six Monthly Day and Night noise level and around the project site

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Seven Locations in All parameters to check soil 4. Soil Quality Monitoring Six Monthly and around the Fertility project site Monitoring of waste generation and other 5. Six Monthly _ _ pollution control aspects Table -9; Environmental monitoring programme (construction phase)

Lumpsum cost for Environment Monitoring Program for Construction will be Rs. 1,98,200

6.1.2 During Operation Phase: Frequency of Sr. No. Type of Monitoring Parameter Location Monitoring

Particulate Matter (PM 2.5), Particulate Matter (PM 10), Two Locations in and around 1 Ambient Air Quality Six Monthly Sulphur Dioxide (SO2), the project site Nitrogen Oxides (NOx) Particulate Matter, Sulphur Nine no of DG sets installed 2 Stack Monitoring Six Monthly Dioxide (SO2), Nitrogen for backup purposes Oxides (NOx) Water Quality All parameters mentioned in 3 Monitoring for drinking Six Monthly One drinking water sample IS:10500 water Sewage Treatment Plant BOD, COD, TSS, Oil and 4 Six Monthly Inlet and Outlet of STP Monitoring Grease and pH Ambient Noise Level Two locations 5 Six Monthly Day and Night noise level Monitoring in and around the project site DG Set Room Noise Inside and Outside of DG Set Two Location in the project 6 Six Monthly Monitoring Enclosure site

All parameters to check soil One Location in and around 7 Soil Quality Monitoring Six Monthly Fertility the project site

Monitoring of Waste 8 Generation and other Six Monthly _ _ pollution control aspects Lumpsum cost for Environment Monitoring Program for Construction will be Rs. 2,22,000

6.2 SUBMISSION OF SIX MONTHLY COMPLIANCES

As per the standard environment clearance conditions, six monthly compliances of the conditions mentioned in the EC letter has to be submitted to various concerned officials of MOEF , SPCB and Regional office of CPCB. These compliances have to be submitted in the months of June and December

195 PROJECT PROPONENT: ENVIRONMENT CONSULTANT:

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196 EIA DOCUMENT OF “EXPANSION OF ARTEMIS HOSPITAL” AT SECTOR- 51, GURUGRAM HARYANA BY M/S ARTEMIS MEDICARE SERVICES LIMITED for the periods April to September and October to March respectively every year for construction phase till the construction is completed and operation phase for the life of the project.

6.3 ENVIRONMENT AUDIT

Annual Environment Audit has to be conducted to check the compliance of environmental conditions. The report shall be submitted to MoEF&CC R.O. and regional Pollution Control Board.

6.4 ENERGY AUDIT

Energy Audit has to be conducted to check the compliance of energy saving condition. The report shall be submitted to MoEF&CC R. O & regional Pollution Control Board.

196 PROJECT PROPONENT: ENVIRONMENT CONSULTANT:

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Chapter 7: ADDITIONAL STUDIES As the project is expansion of existing hospital “Expansion of Artemis Hospital” there are various studies considered which directly or indirectly affects the construction and operation stage of the project. The studies assessed for the following additional Details Includes

• Risk Assessment

• Geo Technical Investigation

• Traffic Study

• Public Consultation – Not Applicable

7.1 Risk Assessment

Risk is a potential that a chosen action or activity will lead to a loss of human or property. However, Hazard is a situation that poses a level of threat to life health or environment. Risk assessment is a term used to describe the overall process or method where you: Identify hazards and risk factors that have the potential to cause harm. Analyse and evaluate the risk associated with that hazard. Determine appropriate ways to eliminate the hazard, or control the risk when the hazard cannot be eliminated. A risk assessment is a thorough look at your workplace to identify those things, situations, processes, etc. that may cause harm, particularly to people. After identification is made, you analyse and evaluate how likely and severe the risk is. When this determination is made, you can next, decide what measures should be in place to effectively eliminate or control the harm from happening. Risk assessment involves the following: • Hazard Identification • Vulnerability Analysis • Risk Analysis • Emergency Preparedness Plan

7.1.1 VULNERABILITY & HAZAN ANALYSIS DURING CONSTRUCTION & OPERATION PHASE

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Table 7.1 The project is Hospital Complex and there may be following types of Risk categoriess:

Risk Categories Domain

Operational / Clinical Risks related to the conduct of the business operation that results from inadequate or failed internal processes, people, or systems (medical malpractice) that affect patient safety Financial / Business Risks such as capital structure, credit and interest rate fluctuations, Continuity foreign exchange and accounts receivables. These are risks that affect the profitability, cash position, access to capital, or external financial ratings through business relationships or the timing and recognition of revenue and expenses Strategic / Reputation Brand, reputation and advertising risks, and risks associated with business strategy. Failure to adapt to changing environment, changing customer priorities, competitive risk, clinical research Legal / Regulatory Incorporates risks arising out of product liability, management liability, failure to comply with statutes, standards, rules and regulations, and issues related to intellectual property. Technological / Projects An area of tremendous growth in health care including risk associated with the adoption of new systems and processes, (e.g., Biometric entry, bar coding, medical record (MR), modeling, medical monitoring etc.. Natural Disaster / Risks attributable to physical loss of assets or a reduction in their value, Hazard including risk arising from earthquakes, floods, fires, etc. Traditionally insurable risk related to natural hazards and business interruption. Man made Disaster / Risk attributing to physical/capital loss of the project. Hazard

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Table 7.2 Vulnerability Analysis

Severity x Likelihood (1-25) (Hazards scoring 1-9 are less serious Severity Likelihood S.No. Activity Aspect Hazard Analysis hazards & 9-25 are Mitigation (1-5) (1-5) very serious hazards & require risk assessment) Fire/Electrical All the necessary precautions & safety Hazarad due to Injury or illness to measures will be provided. Details of the 4 2 8 spark or the occupants same is given in section 7.2 carelessness Leakage during The maintainance of the pipeline will be transporation of Contamination to done periodically and proper checking at Operational eflluent from Soil, Surface water 3 2 6 time intervals will be provided. 1 / Clinical conveyance or ground water system pipeline Best quality instruments/machineries are Failure in already in use and same will be used in operation of Loss of 3 2 6 future. Clinical/Technical property/Capital Proper care and timely maintainace will be instrument provided to prevent the same. Risks such as The atemis medicare ltd. Is well settled and Financial / capital structure, trusted brand across the health industry Services/Operation 2 Business credit and 3 2 6 hence, all the financial operations are may be affected Continuity interest rate transparent and there is minimum financial fluctuations risk to the shareholders.

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Brand, The proposed project is a part of the artemis reputation and medicae pvt. Ltd. Which is commited to advertising risks, deliver the excellence services and results Strategic / Affect the Brand & 3 and risks 4 1 4 hence, chances of any risk to brand is Reputation Recognition associated with minimum.however, we will ensure timely business and excellence services in the future to strategy maintain the same. Risks arising out All necessary measures to prevent any legal of product Affects the dispute will be taken. Legal / liability, operation of All the working mechanism of the hospital & 4 2 2 4 Regulatory management Hospital & management will be transparent to ensure liability, failure Finances the same. to comply Risk for The technology advancements is always technological Affects the adopted to cope up with the requirement of Technological 5 limitations & Reliability and 3 2 6 the ever changing industry / Projects Systems/machins brand of the hotel malfunctioning Risks attributable All necessary precaution and safety Natural including risk measures have been provided and same will Affects the 6 Disaster / arising from 3 3 9 be done in future. Details of the same is capital/property Hazard earthquakes, given in section 7.2 floods, fires, etc Risk attricutes All necessary precaution and safety from measures have been provided and same will Affects the Human communicable be done in future. Details of the same is 7 occupants directly 3 2 6 Activities disease, theft, given in section 7.2 or indirectly terrorism, violence etc.

200 PROJECT PROPONENT: ENVIRONMENT CONSULTANT:

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Table 7.3 Scope of Vulnerability during contruction/operation for Natural & Man made Hazard

During Construction During Operation Natural hazards Earthquake Blocks under All the blocks. construction. Flood Immediate areas of The complete project. construction Man-made hazards Fire & explosion All working areas Complete project but majorly the hospital block & institutes. Electrical All working areas Complete project but majorly the hospital block & institutes. Mechanical Cranes & Machineries Elevators, DG set room, equipment rooms of hospital, labs equipped with big size machineries or instruments. Radiation - Hospital Block Thermal Areas with heat Labs, Electrical rooms, areas with hot generating activities liquid or solids Chemical - Labs, Chemical storage areas, medical shops.

7.2 SAFETY ACTION PLAN

A safety plan mainly constituting the following shall be implemented during construction & Operation Phases:

7.2.1 ONSITE EMERGENCY PLAN An onsite emergency is caused by an accident or hazard that takes place within the project and the effects are confined to the project premises only.

The onsite emergency plan consists of following key elements:

➢ Health Hazards for construction activities ➢ Planning as per hazard analysis ➢ Preventive measures ➢ Emergency response procedure ➢ Recovery procedure

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7.2.1.1 Measures to be undertaken for during construction phase • Safety mats would be provided at appropriate level and various shafts/ openings would be covered to prevent falls, slips, trips etc. • Necessary safety belts, helmets and eye-masks as required would be enforced at site. • Adequate guardrails shall be provided to the staircases and common areas. • Adequate guardrails/ fences shall be provided around the water storage spaces to prevent drowning accidents. • Adequate protection/ fence would be provided around the excavated areas. • The machinery and the equipment would be regularly tested and maintained with the specific emphasis against accidents failures. • The deployed Safety officers would ensure that the personnel/ labour are kept at a safe distance from working machinery to avoid accidents/ injuries due to toxic gases/ chemical/ noise. • Moving parts of various parts of machineries/equipment shall be properly guarded. • Required fire extinguishers would be maintained at the construction site. • Arrangements for clean drinking water would be made. • Rest rooms and first aid facilities would be made available for the workers.

7.2.1.2 Action Plan 1. Mapping of hazard vulnerable area shall be done in consultation with staff 2. There shall be Disaster Management Cell in place. 3. The disaster management cell shall have following members to share the responsibility I. Site Controller (Administrator) II. Incident Controller (Astt. Administrator) III. Personal Manager IV. Communication Officer V. Fire Officer VI. Security Officer VII. Engineering In-charge VIII. Fire pump attendant IX. First Aid Team 202 PROJECT PROPONENT: ENVIRONMENT CONSULTANT:

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7.2.1.3 Preventive Measures for Risk Mitigation A. Earthquake:

The project is situated Seismic zone-IV area. Special attention has been given to the structural design of foundation, elements of masonry, timber, plain concrete, reinforced concrete, pre-stressed concrete, and structural steel and same will be considered for further construction.

All applicable guidelines will also be followed in this regard to ensure safety of the building and its residents. Structural designing shall be done as per National Building Code 2016.

Following Codes and Standards have been followed for earthquake resistant building: -

• IS 1893:1984 Criteria for Earthquake Resistant Design of Structures • IS 1893(Part 1):2002 `Criteria for Earthquake Resistant Design of Structures: Part 1 General provisions and Buildings’ • IS 4326:1993 Earthquake Resistant Design and Construction of Buildings - Code of Practice • IS 13827:1993 Improving Earthquake Resistance of Earthen Buildings – Guidelines • IS 13828:1993 Improving Earthquake Resistance of Low Strength Masonry Buildings – Guidelines • IS 13920:1993 Ductile Detailing of Reinforced Concrete Structures Subjected to Seismic Forces – Code of Practice • IS 13935:1993 Repair and Seismic Strengthening of Buildings – Guidelines • IS 4991:1968 Criteria for Blast Resistant Design of Structures for Explosions Above Ground • IS 6922:1973 Criteria for Safety and Design of Structures Subject to Underground Blasts

B. Flooding: • Proper designing of drainage system for domestic as well as storm water. • Rain water harvesting pits have provision of storage for 15 min during peak (45mm/hr) rainfall. • Excess water is disposed off to sewer of the area as per discharge standards.

C. Fire:

203 PROJECT PROPONENT: ENVIRONMENT CONSULTANT:

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Fire safety measures have been taken as per NBC Code. The fire-fighting system shall be designed as per requirements of NFPA & as per NBC – 2016 and same will be followed for further construction.

In case of fire, fire extinguisher will be used. Fire extinguishers are put at the entrance of storage rooms. The Fire Extinguisher (FOG) System shall be provided as per fire safety plan. The phone number of nearest fire service stations shall be displayed at various points and also near the fire extinguishers.

The hospital complex project will be provided with fire protection arrangements such as Manual call points, Underground water storage tank, Overhead storage tank, Portable appliances, Exit signs, D. G. Set, P. A. System, staircase etc. from fire safety point view.

(i) Proposed Fire Safety Measures • Fire Protection system have been designed as per requirements of NFPA & National Building Code – 2016 and same will be maintained in future expansion. • Fire hydrant risers connected to the hydrant system with Hydrant landing valves with fire hose cabinet consisting of swinging hose reel, fire man’s axe, 63mm dia canvas hose and nozzles. • Externally fire hydrants are located. • Fire-fighting pumps of following capacity will be provided, • Main Fire pumps for Hydrant System will be located. • Main Fire pumps for sprinkler System will be located. • Stand by pumps for Hydrant System will be located. • Stand by pumps for Sprinkler System will be located. • Jockey pumps will be provided. • Booster pumps will be provided. • Overhead & underground water tanks shall be provided for firefighting system. • Automatic Fire Hydrant system as per NFPA – 14 shall be provided. • Automatic Sprinkler system as per NFPA – 13 shall be provided. • Automatic Fire Detection and Alarm System with Voice Evacuation system & PA system as per NFPA – 72 shall be provided. • Kitchen Hoods Fire Suppression system shall be provided. • Portable Fire Extinguishers as per NFPA – 10 shall be provided. • Gas Based Fire Protection System for Electrical Panels as per NFPA – 12 shall be provided. 204 PROJECT PROPONENT: ENVIRONMENT CONSULTANT:

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• Gas Based Fire Protection System for IT Rooms as per NFPA – 2001 shall be provided. • Refuge areas shall be provided as per NBC 2005 norms

Note: The capacities of underground fire water storage tank calculated for 1-hour capacity of pumping sets. However, this needs to be confirmed as per the local chief fire officer’s requirement.

Following Fire-fighting codes and standards shall be followed in the Hospital Complex: LIST OF APPLICABLE STANDARDS FOR FIRE ALARM SYSTEM (1) IS: 2189 - 1962 Code of Practice for Automatic Fire Alarm System. (2) IS: 2195 - 1962 Specifications for Heat Sensitive Fire Detectors. (3) IS: 732 - 1973 Code of practice for Electrical Wiring installation (4) UL 168 Under writer’s laboratory specifications for smoke detectors.

D. Electrical: (i) Planning Stage:

Safety parameters as indicated under Indian Electricity Rules 1956 and ECBC shall be complied. The following safety measurement will be considered:

Earthing system • The earthing system is based on the Indian TNS system. The earthing conductors proposed to be used are Copper plate for neutral and body earth. • The design of the system follows the Indian Code of Practice IS 3043: 1987. • ELCB in Distribution Board • One Earth Leakage Breaker sensitivity 30 mA has been used per phase in all Distribution Boards In addition to that, following measures shall be adopted • There shall be colour coding and labelling of high voltage electrical wires • Sand bags/ wire bucket shall be placed near the electrical control/panel • Installation of electrical equipments shall be properly done like insulation, guarding and grounding. • Work practices and handling of the electrical equipments shall be properly managed. 205 PROJECT PROPONENT: ENVIRONMENT CONSULTANT:

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206 EIA DOCUMENT OF “EXPANSION OF ARTEMIS HOSPITAL” AT SECTOR- 51, GURUGRAM HARYANA BY M/S ARTEMIS MEDICARE SERVICES LIMITED

• Employees and workers shall be trained for awareness of safe work practices and systems. • Properly maintained equipments and tools shall be used. • Service of electrical equipments shall be done under the supervision of trained personnel. • Temporary connections made for experimental reasons shall be safe and properly insulated. • Live electrical terminals shall be shielded.

(ii) Operation Stage:

• Have only licensed electricians install, repair and dismantle jobsite wiring. • Check each extension cord before use. • Do a thorough check for electrical wiring before cutting through any wall, floor or ceiling. • Inspect power equipment on a regular basis. • Check insulated tools for damage before each use. • Never modify electrical plugs. • Keep extension cords in a safe place where they won’t be stepped on or driven over. • Ensure that all electrical components stay dry. • Use the right extension cord for the job.

1) Electric Hazards & Safety Measures Safety parameters as indicated under Indian Electricity Rules 1956 and ECBC shall be complied. The Contractors shall, at their own expense, arrange for safety provisions as per safety codes of Indian Standards Institution, Indian Electricity Act 1956 and such other Rules, Regulations and Laws as may be applicable and as indicated below, in respect of all labour, directly or indirectly employed in the work for performance of the Contractors’ part of this agreement. The following safety measurements are considered:

• No inflammable materials shall be stored in places other than the rooms specially constructed for this purposes in accordance with the provisions of Indian Explosives Act. • Protective and safety equipment such as rubber gauntlets or gloves, earthing rods, line men’s belt, portable artificial respiration apparatus etc. should be provided in easily identifiable locations. 206 PROJECT PROPONENT: ENVIRONMENT CONSULTANT:

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• Necessary number of caution board such as “Man on Line, Don’t switch on” should be readily available in easily identifiable locations. • Standard first aid boxes containing materials as prescribed by the St. John Ambulance Brigade or Indian Red Cross should be provided in easily identifiable locations and should be readily available. Periodical examination of the first aid facilities and protective and safety equipment provided has been undertaken. • Charts (one in English and one in regional language) displaying methods of living artificial respiration to a recipient of electrical shock was prominently displayed at appropriate places. • A chart containing the names, addresses and telephone numbers of nearest authorized medical practitioners, hospitals, Fire Brigade and also of the officers in charge was displayed prominently along with the First Aid Box. • Steps to train supervisory and authorized persons of the Engineering staff in the First Aid Practices, including various methods of artificial respiration with the help of local authorities such as Fire Brigade, St. John’s Ambulance Brigade, Indian Red Cross or other recognized institutions equipped to impart such training was taken, as prompt rendering of artificial respiration can save life at time of electric shock. • No work shall be undertaken on live installations, or on installations which could be energized unless one another person is present to immediately isolate the electric supply in case of any accident and to render first aid, if necessary. • No work on live L.T. busbar or pedestal switchboards should be handled by a person below the rank of a Wireman and such a work should preferably be done in the presence of the Engineer-in -charge of the work. When working on or near live installations, suitably insulated tools should be used, and special care should be taken to see that those tools accidentally do not drop on live terminals causing shock or dead short.

2) ELCB in Distribution Board

• One Earth Leakage Breaker sensitivity 30 mA shall be used per phase in all Distribution Boards • In addition to that, following measures shall be adopted • There shall be colour coding and labelling of high voltage electrical wires

207 PROJECT PROPONENT: ENVIRONMENT CONSULTANT:

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208 EIA DOCUMENT OF “EXPANSION OF ARTEMIS HOSPITAL” AT SECTOR- 51, GURUGRAM HARYANA BY M/S ARTEMIS MEDICARE SERVICES LIMITED

• Sand bags/ wire bucket shall be placed near the electrical control/panel • Installation of electrical equipment has been properly done like insulation, guarding and grounding. • Work practices and handling of the electrical equipment shall be properly managed. • Employees and workers shall be trained for awareness of safe work practices and systems. • Properly maintained equipment and tools shall be used. • Service of electrical equipments shall be done under the supervision of trained personnel. • Temporary connections made for experimental reasons shall be safe and properly insulated. • Live electrical terminals shall be shielded.

3) Earthing system The earthing system is based on the Indian TNS system. The earthing conductors proposed shall be used are Copper plate for neutral and body earth. The design of the system follows the Indian Code of Practice IS 3043: 1987.

E. Chemicals: Since the proposed project involves Hospital & Medical Institute, chemicals will be mainly used in laboratories of the hospital as well as the institute. The chemical hazards of the project will include the chemicals used in laboratories of hospital, medical institutes, Cleaning agent (acid /caustic), Insecticides, Medicines, etc.

The risk caused due to the hazards will include the following:

– Causing fire, explosion, Release of harmful /toxic gas or particles. – Splashing of hot corrosive or toxic liquid.

To prevent chemical hazard following measures shall be taken:

– All the safety procedures will be taken as per Bio medical waste management rules, 2016 and disposal of Bio medical chemicals will be done in consideration of the same. – Use of safer chemicals as far as possible. – Keep material safety Data Sheet (MSDS) of all chemicals.

208 PROJECT PROPONENT: ENVIRONMENT CONSULTANT:

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209 EIA DOCUMENT OF “EXPANSION OF ARTEMIS HOSPITAL” AT SECTOR- 51, GURUGRAM HARYANA BY M/S ARTEMIS MEDICARE SERVICES LIMITED

– Storage of chemical in appropriate containers (which is safer for chemical) & appropriate storage areas. – Storage of chemical at defined place will act as spillage control system. – Cleaning agents can be treated by water. – Insecticides shall be contained with specified space during sand & cotton and waste shall be sent to TSDF. – The spray of insecticide shall be done by using gas mask. – Proper environment like ventilation, temperature. – Use of chemicals by qualified and trained personals. – Use of personal protective equipment (PPE) during handing of chemicals. – Use of emergency procedures in case of leakage like a) Firefighting – for fire b) Spillage treatment c) Evacuation of area F. Mechanical:

Mechanical hazards are created by powered operation of equipment or tools.

Mechanical hazards can occur at three locations:

1) Elevators 2) DG set room, Pump & motors room. 3) Vehicular Movement

Following preventive measures shall be taken.

– Elevators shall be properly maintained with record book of maintenance. – Periodic replacement of critical components of elevator/ machine. – Proper training to operators of machines. – The protective guard will be installed at fan & motors. – There will be safe distance demarcation on heavy machines like cranes (during construction) – Sign of danger at the hazard places. G. Radiation:

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210 EIA DOCUMENT OF “EXPANSION OF ARTEMIS HOSPITAL” AT SECTOR- 51, GURUGRAM HARYANA BY M/S ARTEMIS MEDICARE SERVICES LIMITED

The radiation hazard can be of two types:

– Ionizing Radiation (nuclear radiation) – Nonionizing radiation (non-nuclear radiation)

In the project radiations are both ionizing (due to gamma rays, UV rays, x rays, etc.) and non-ionizing (micro waves, infrared waves, electromagnetic waves, etc.)

The radiation can be prevented in following manner:

– Shielding of radiation. – Storage of radioactive material in a very safe and restricted place. – Safe distance from radiation source. – Sign of radiation hazard at vulnerable areas. H. Thermal:

Thermal hazards are objects or substances that transfer energy as heat. a) Typical building can have following points of thermal hazard. • Open flame • Boiling liquid • Hot machines/equipment b) The thermal hazard can cause burn of skin.

Following preventive measures can be taken:

• The open flame area like kitchen, lab and mess shall be restricted. • D.G set room will have restricted entry. • Operators in the thermal hazard area shall be provided with protective gears like gloves, goggles etc.

7.2.1.4 Emergency Response Procedure Even after all the preventive measures for any emergency following infrastructure shall be provided.

– Administrative office shall also make an Emergency Control Room. – Assembly area shall be demarked.

210 PROJECT PROPONENT: ENVIRONMENT CONSULTANT:

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211 EIA DOCUMENT OF “EXPANSION OF ARTEMIS HOSPITAL” AT SECTOR- 51, GURUGRAM HARYANA BY M/S ARTEMIS MEDICARE SERVICES LIMITED

– Communication system shall be installed in the project which shall include intercom and public addressing system. – Fire alarm shall be installed at vulnerable place. – The evacuation plan of each building shall be displayed at each floor of respective building. – The safe zones (at the time of emergency) on map shall be displayed at different locations. – In case of emergency following action shall be taken. • The emergency shall be declared in case of following: • Fire alarm buzzing (Fire hazard) • Vibration/Earthquake feeling (Earthquake)Water logging in the project site above 30 cm (Flood) • Any unusual smell of gas or suffocating feeling (Chemical leakage) • Security alarm from main gate. (Security risk/Terrorism) – On declaration of emergency, communication & safe escape shall be made available to the patients, students, residents, staff, etc. for any type emergency – All the people of the affected area shall be moved to safe zone – The control measures shall be done as per the emergency action plan for each type of hazard. – All the members of disaster management cell shall take charge of their respective duties. – Outside help like fire tender, police ambulance etc. shall be called by site controller or Incident controller.

7.2.1.5 Recovery Procedure The recovery procedure will depend on the type of emergency. Recovery procedure shall be followed by engineering section to restore the essential services like electricity, water, telephone, food items.

7.2.2 OFFSITE EMERGENCY PLAN If an accident take place in the project and its effect are felt outside the project, the situation thus created is called an offsite emergency. In this case off site emergency is not applicable.

7.2.2.1 SECURITY PLAN ISO 27001 and 27002, which are the international best practice information security management standards, defining and guiding Information Security Management System (ISMS) development shall

211 PROJECT PROPONENT: ENVIRONMENT CONSULTANT:

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212 EIA DOCUMENT OF “EXPANSION OF ARTEMIS HOSPITAL” AT SECTOR- 51, GURUGRAM HARYANA BY M/S ARTEMIS MEDICARE SERVICES LIMITED be adopted. These will provide the necessary benchmarking for individual users to know the type of cover and the responsibilities that are defined and provided by that institution for its guests. Most importantly, training, to staff needs to be regularly imparted in dealing with such situations. 1. Manual Checks: At all gates the visitors shall be manually checked and asked for ID’s. 2. CCTV: At all important location with a remote viewing facility and record back up. With highest resolution and picture quality. DVR being the back bone, its recording and replaying capabilities must be considered. 3. Checks at Entrances: All car entering will be checked thoroughly inclusive of Bonnets, Luggage Hold with hand held, metal detectors, mirrors and other checking stuffs. 4. Central Control Room: This will control the security system from inside. 5. Communication Systems: Proper communication system to security staff shall help them to coordinate better during emergencies.

7.2.2.2 Training and Security Drills (including Surveillance System) Disaster planning is the responsibility of all sections of the community. The police, fire brigade, civil defence, Home Guards, press, clergy, industrial groups, and community groups must participate in the pre-disaster planning. The community as a whole has the responsibility to teach first aid to groups in the community that could be utilized in disaster situations. The disaster may involve the normal communication network itself. Therefore, two-way radio systems and messenger systems must be included as backups in the event of a communication-system failure. Proper training, security drill and evacuation drill shall be conducted in a defined time period, so as to train the management people, security personnel’s, senior staff and all other working staff in the hotel to take control of all odds what so ever come in the way. These trainings shall be conducted for use of weapons and Arms by some trained agencies for the said trainings. The training shall be done periodically. a) Preparation of Standard Operating Procedures A standard operating procedure manual shall be prepared, followed and maintained for all the eventualities due to attack by armed intruders. b) Emergency Response Team The disaster management cell shall act as an emergency response team shall be formed in the project which will comprise of persons from Internal Control room personnel, security staff, 212 PROJECT PROPONENT: ENVIRONMENT CONSULTANT:

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213 EIA DOCUMENT OF “EXPANSION OF ARTEMIS HOSPITAL” AT SECTOR- 51, GURUGRAM HARYANA BY M/S ARTEMIS MEDICARE SERVICES LIMITED

trainers, Police Control, Army official, Hospital Management, Fire officer to take control of any eventuality if comes in the project.

7.3 EVACUATION PLAN

Standard operating procedures will be formulated and maintained for all eventualities

Disaster planning is the responsibility of all sections of the community. The police, fire brigade, civil defence, Home Guards, press, clergy, industrial groups, and community groups must participate in the pre-disaster planning.

Evacuation plan includes the evacuation due to

• fire hazard • Armed Intrusion • Flood • Earthquake During any of the above- mentioned hazards, the evacuation will be as follows:

INFORM CONTROL ROOM INFORM CONCERNED AGENCY SUGGEST EVACUATION PLAN

SHIFTING RESIDENTS TO INTERNAL SAFE AREA

FIRST AID TRANSPORT INJURED TO NEAREST HOSPITAL TRANSPORT PEOPLE TO SAFE PLACE

CALL NECESSARY HELP

Emergency Response Team

213 PROJECT PROPONENT: ENVIRONMENT CONSULTANT:

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214 EIA DOCUMENT OF “EXPANSION OF ARTEMIS HOSPITAL” AT SECTOR- 51, GURUGRAM HARYANA BY M/S ARTEMIS MEDICARE SERVICES LIMITED

The disaster management cell shall act as an emergency response team shall be formed in the complex which will comprise of persons from Internal Control room personnel, security staff, trainers, Police Control, Army official, Nearest Hospital Management, Fire officer to take control of any eventuality if comes in the complex. The nearest hospitals in the area are Himagiri hospitals, Max Cure Hospital, Rainbow Children’s Hospital and Civil Hospital.

Safety In-charge

Fire & Safety Officer Security In-charge First Aid In-charge

Fire Supervisor Guards Primary First Communicati Aid Person on Hospital

Fire Trained Security Communication Personnel Guard Office

Fig; 7-1 Disaster Management Cell

7.4 OCCUPATIONAL HEALTH & SAFETY

A safety plan mainly constituting the following shall be implemented during construction & Operation: During construction Phase During Operation Phase

• Safety mats would be provided at • The project is located in Seismic Zone appropriate level and various shafts/ III; structural designing will be done as openings would be covered to prevent per best structural engineering falls, slips, trips etc. practices complying with all the applicable codes / standards. • Necessary safety belts, helmets and eye- • Proper designing of drainage system masks as required would be enforced at for domestic as well as storm water site have been provided which will be • Adequate guardrails shall be provided to maintained in future construction also. the staircases and common areas. • Rain water harvesting pits will have • Adequate guardrails/ fences shall be provision of storage for 15 minutes provided around the water storage spaces peak rainfall. to prevent drowning accidents. • Fire Protection system has been • Adequate protection/ fence would be designed as per requirements of NFPA provided around the excavated areas & National Building Code – 2016

214 PROJECT PROPONENT: ENVIRONMENT CONSULTANT:

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215 EIA DOCUMENT OF “EXPANSION OF ARTEMIS HOSPITAL” AT SECTOR- 51, GURUGRAM HARYANA BY M/S ARTEMIS MEDICARE SERVICES LIMITED

• The machinery and the equipment would • Proper Fire evacuation system have be regularly tested and maintained with been provided which will be the specific emphasis against accidents maintained in future construction also. failures • Safety parameters as indicated under • The deployed Safety officers would Indian Electricity Rules 1956 and ECBC- ensure that the personnel/ labour are 2016 have been provided which will be kept at a safe distance from working maintained in future construction also. machinery to avoid accidents/ injuries • Periodic replacement of critical due to toxic gases/ chemical/ noise. components of elevator/ machines. • Moving parts of various parts of machineries/ equipment shall be properly guarded • Required fire extinguishers would be maintained at the construction site. • Arrangements for clean drinking water would be made. • Rest rooms and first aid facilities would be made available for the workers • Fire Protection system has been designed as per requirements of NFPA & National Building Code – 2016

7.5 Damage Assessment Report & Remediation Plan

7.5.1 Methodology of Assessment As per notification vide S.O. 804(E) dated 14.03.2017 it has been notified that the violation cases/non- Compliance will involve the assessment of ecological damage, remediation plan and natural and community resource augmentation plan.

We have collected and analysed the data, for assessment of ecological damage, preparation of remediation plan and natural and community resource augmentation plan and following methodology will be adopted.

The overall impact on air, water, noise, soil and land environment will be assessed. In addition, it will be weighed against the positive impact created on the socioeconomic scenario. To estimate the impact produced, a framework has been designed as given ahead:

• The place of activity is permissible for the purpose (like it should not fall in eco-sensitive zones etc.)

• Environmental Sensitivity to be clearly defined

• Status of work done till date 215 PROJECT PROPONENT: ENVIRONMENT CONSULTANT:

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216 EIA DOCUMENT OF “EXPANSION OF ARTEMIS HOSPITAL” AT SECTOR- 51, GURUGRAM HARYANA BY M/S ARTEMIS MEDICARE SERVICES LIMITED

• Status of activities (in quantitative terms) undertaken during violation period and extent of damage 7.5.2 CRITERIA OF ASSESSMENT o Negative impact indicates increase pollution load, vibration and public inconveniences o Positive impact in terms of increased income due to employment, or other ancillary activities. Also benefits generated due to activities undertaken under corporate social responsibility • Criteria to be used to assess the impact due to the construction (as per the table below):

Table 10: Criteria to assess the impact due to construction Score Rating 4 Major 3 Moderate 2 Minor 1 Negligible 0 None -1 Negligible -2 Minor -3 Moderate -4 Major

Table 11: Matrix for Assessment of Damage Scale Particulars Score Range

Extremely Damaging -61 to-80

Damaging -41 to-60

Minutely damaging -21 to-40

Not damaging significantly <-20

Table 12: Matrix for Scoring as per Construction status Criteria for Scoring

Particular Status of Construction as of now

216 PROJECT PROPONENT: ENVIRONMENT CONSULTANT:

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1 to 20% 21 to 40% 41 to 60% 61 to 80% 81% to 100%

Impact Score 1 2 3 4 5

7.5.3 Objectives of Remediation Plan o To suggest control measures for preventing deterioration of air quality along with approximate cost o To suggest control measures for preventing deterioration of noise quality along with approximate cost o To suggest control measures for preventing deterioration of water quality along with approximate cost o Remediation plan of loss of top soil, loss of vegetation including trees and their approximate cost o To suggest control measures for keeping community safe from adverse effects of activity approximate cost o Plan and suggest Development of shelter of green belt to improve environment 7.5.4 Natural and Community Resource Augmentation Plan: Augmentation plan will include various activities to be taken for augmentation of Natural Resources like water, land vegetative cover in a time bound manner and estimation of financial implication. o Activities to be taken for augmentation of community resources. The key community resources include — o It can be a physical structure or place -- a school, hospital, library, recreation center. It might also be an unused building that could house a community center, a community owned forest, a park, a pond, or other pasture and open space belonging to community. o It can be a community service that makes life better for majority of community members - public transportation, early childhood education center, community recycling facilities, cultural organization. o It can be an activity that provides jobs and supports the local economy. The score calculated based on the above criteria along with the conditions given in TOR will be used for damage assessment for estimation of the penal amount to be provided against creating impact under violation.

217 PROJECT PROPONENT: ENVIRONMENT CONSULTANT:

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218 EIA DOCUMENT OF “EXPANSION OF ARTEMIS HOSPITAL” AT SECTOR- 51, GURUGRAM HARYANA BY M/S ARTEMIS MEDICARE SERVICES LIMITED

7.5.5 DAMAGE ASSESSMENT AND REMEDIATION MEASURES For assessment of damage to environment following Environmental aspects has been identified: - 1. Air Environment 2. Water Environment 3. Soil Environment 4. Waste management 5. Noise Environment 6. Ecological Environment 7. Community welfare 8. Use of Natural resources 9. Topography and Natural drainage 10. Local Issues 11. Environmental accidents 12. Geological changes 13. Hydrological changes 14. Traffic planning

To assess these environmental parameters team has been deputed to assess preliminary assessment of damage to environment. Based on site inspection and the documentary evidences the environmental aspects vs activity has been filled.

7.5.5.1 Environmental Damage Assessed and its Remediation The Construction has been done by the contractor M/s Ahluwalia Construction Group. The Damage Assessment and Remediation of environmental parameters along with Cost basis is explained in the table No. 5:

218 PROJECT PROPONENT: ENVIRONMENT CONSULTANT:

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219 EIA DOCUMENT OF “EXPANSION OF ARTEMIS HOSPITAL” AT SECTOR- 51, GURUGRAM HARYANA BY M/S ARTEMIS MEDICARE SERVICES LIMITED

Table 13: Damage assessment and Remediation of Environmental components

Environmental component Activities Damage Remediation Transportation of construction material. The transportation of material was done using 1 dumper daily (average), 66 no. of tractor and trolley & Plantation of trees around the project around 80 visits of Air emission from vehicular exhausts and handling of periphery including green crippers will help Air Environment trailor(long body). construction material in neutralizing vehicular emissions Proper Maintenance of construction Construction activity Gases emissions equipment/ machineries, etc Air pollution due to particulates and gases Dust suppression and water sprinkling system will be installed for suppression of Operation of DG Sets (2 x 1250 kVA, 1 x 250 kVA installed for existing particulates during construction construction operational complex). machineries and DG sets After Expansion, total DG sets of 1 x 1500 KVA, 2 x 1250 KVA, 1 x 1000 KVA, 2 x 750 KVA & 2 x 250 KVA will be the main source of Air pollution. Low water consumption fixtures to be Stay of construction For 300 labours, 5 KLD of Water for domestic purpose installed and STP treated water shall be Water Environment workers (Domestic was sourced through the canal water/ river water reused for flushing, Gardening, DG cooling consumption) tankers and Filter Backwash

219 PROJECT PROPONENT: ENVIRONMENT CONSULTANT:

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220 EIA DOCUMENT OF “EXPANSION OF ARTEMIS HOSPITAL” AT SECTOR- 51, GURUGRAM HARYANA BY M/S ARTEMIS MEDICARE SERVICES LIMITED

The Total water consumption of the complete complex shall be 1104 KLD out of which 483 KLD is the existing water requirement of the operational complex.

The rainwater will be channelized and collected in the 6 no of pits (5 existing for operational complex, 1 is proposed for expansion) installed within the project which will recharge the ground water Channelization of Rainwater Harvesting structures for water requirements. 10KLD of waste water from mobile toilets at Wastewater generation shall be 581 KLD construction site was disposed off to septic tanks from domestic & 56 KLD from Lab, which followed by soak pits shall be treated in 325 KLD (existing for operational complex) & 400 KLD Sewage Construction activity Treatment Plant & 25 KLD (existing for 24 KLD water required for construction work was met operational complex) & 45 KLD Effluent through STP tanker supply Treatment Plant. 614 KLD of treated water shall be reused for flushing, gardening, DG cooling & Filter Backwash. The project was conceptualized with 2 level Land reclamation of nearby area- The basement & foundation hence 30000 m3 of soil excavated soil was re-used for was excavated for 2 level of basements & backfilling, levelling & other purposes to Soil Quality Soil Excavation foundation as per Mining permission granted by the extent possible and rest unused soil Department of Mines & Geology, Gurgaon, was handed over to contractor as per Haryana. the agreement for final disposal. Top

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221 EIA DOCUMENT OF “EXPANSION OF ARTEMIS HOSPITAL” AT SECTOR- 51, GURUGRAM HARYANA BY M/S ARTEMIS MEDICARE SERVICES LIMITED

soil has already been used in green area development.

Approx. 1351 kg/ day of organic waste will be treated in an inhouse Organic Generation of Solid Waste Convertor. waste during Contamination/degradation of soil/water quality construction non- biodegradable waste (483 kg/day) activities & plastic waste (96kg/ day) will be given to the recycler for recycling

Generation of It will be handed over to authorized Waste Management Biomedical waste processor. In existing agreement with Biomedical waste 298 kg/ day shall be generated M/s Vulcan Waste Management Pvt. from hospital Ltd. has already been done.

Generation of Used oil generated from the DG sets of Hazardous wastes Used DG oil was generated as Hazardous waste 2 x 125 kVA, 1 x 62.5 kVA & 1 x 40 kVA was given to DG set service provider for disposal of used oil Operation of Health issue to the construction workers due to Plantation of trees around the project construction increase in noise levels from construction activities, periphery including green crippers will act Noise Environment machineries and DG operation of equipment and machineries and as Barricades around the project sets operation of DG sets Noise barrier around the project Site clearance Total plantation area after complete development of the project, will be Ecological Environment No significant flora and fauna at project site 10230.77 m2 (31 % of plot area). Total 221 PROJECT PROPONENT: ENVIRONMENT CONSULTANT:

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222 EIA DOCUMENT OF “EXPANSION OF ARTEMIS HOSPITAL” AT SECTOR- 51, GURUGRAM HARYANA BY M/S ARTEMIS MEDICARE SERVICES LIMITED

450 no of trees shall be planted, out of which 250 trees have already been planted at the site for the existing operational complex and 200 trees shall be planted. Structure of road

Community welfare Secure facilities to the construction workers Infrastructure at village area

Use of natural resources Rain water Harvesting for Ground water recharge

Sprinkling and watering of plantation on nearby roads

Topography and Natural drainage Excavation During construction period the natural contour is Natural drains near the project to be disturbed which may affects the natural flow of maintained in order to maintain the water natural flow of water, which was disturbed during excavation work.

222 PROJECT PROPONENT: ENVIRONMENT CONSULTANT:

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223 EIA DOCUMENT OF “EXPANSION OF ARTEMIS HOSPITAL” AT SECTOR- 51, GURUGRAM HARYANA BY M/S ARTEMIS MEDICARE SERVICES LIMITED

The nearest habitat is Bindapur which is 0.30 Km in N direction. There were other projects in the vicinity and no local issues. There was noise during construction

activities. Dust was generated during excavation & transportation. The land was vacant land and converted into a Hospital and hostel facility for the staff. Local Issues The project work was done by experienced and qualified contractor hence no environmental

Environmental Accident accident like land subsidence or land slide happened.

There was no mineral at project site and there was only ordinary soil. The soil excavation and construction of basement has changed the Geological changes geological profile

223 PROJECT PROPONENT: ENVIRONMENT CONSULTANT:

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224 EIA DOCUMENT OF “EXPANSION OF ARTEMIS HOSPITAL” AT SECTOR- 51, GURUGRAM HARYANA BY M/S ARTEMIS MEDICARE SERVICES LIMITED

There was no use of ground water in the area. The water level in the Gurgaon region ranges between 20 and 30 m in major parts which is due to Urbanization and industrialization in this area

parts which is due to Urbanization and

Hydrological changes industrialization in this area.

224 PROJECT PROPONENT: ENVIRONMENT CONSULTANT:

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225 EIA DOCUMENT OF “EXPANSION OF ARTEMIS HOSPITAL” AT SECTOR- 51, GURUGRAM HARYANA BY M/S ARTEMIS MEDICARE SERVICES LIMITED

7.5.5.2 Damage Matrix BUILDING CONSTRUCTION PROCESS ENVIRONMENTAL ASPECTS

Air USE OF Environm Water NATURAL ent Environment RESOURCES

(Emission (Emission to Waste Topography and AND RAW

to Air) Water) Management Natural Drainage MATERIALS LOCAL ISSUES

drology Environment Geology

Hy

ological Envionment ological

Noise TRANSPORT ISSUES TRANSPORT

Curre Ec Waste, Battery Battery Waste, - ust PM D ENVIRONMENTAL ACCIDENTS ENVIRONMENTAL Management and Quality Soil Water Water Odour Odour Waste Energy nt & tools C&D waste C&D s & E s & topography Hazardous waste Hazardous - Raw Materials Sanitary water Sanitary STEP Statu walls retaining Gaseous Emissions Gaseous dou Noise and vibrations Noise and Landscape Alteration Landscape Non Dumping due to use of use of to due Dumping surface cleaning agents cleaning surface S WORK s machinery construction Use of concrete release and and release concrete Use of Change in natural drainage & drainage in natural Change Execution of foundations and and foundations of Execution Hazar Cleaning process of machinery machinery of process Cleaning Dumping of other liquid waste liquid other of Dumping Land STEP occupati 1 on 100

225 PROJECT PROPONENT: ENVIRONMENT CONSULTANT:

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226 EIA DOCUMENT OF “EXPANSION OF ARTEMIS HOSPITAL” AT SECTOR- 51, GURUGRAM HARYANA BY M/S ARTEMIS MEDICARE SERVICES LIMITED

Removal of vegetati STEP on or old 2 buildings 100 -1 -1 -2 -1 -1

STEP Excavati 3 on work 50 -4 -1 -2 -4 -2 -4 -4 -2 -3 -4 -3 -1

STEP Foundati 4 on 50 -2 -1 -3 -1 -3 0 -3 -2 -3 -3 -3

STEP 5 Piling 0

STEP RCC 6 Work 50 -2 -1 -4 -1 -3 -2 -3 -4 -2 -4 -4 -2

STEP Masonar 7 y Work 20 -2 -1 -2 -3 -4 -1 -3 -3 -1 -4 -3 -2 -2 -2 -2

STEP 8 Roofs 50 -2 -1 -1 -1 -2 -2 -2 -2 -1 -3 -2 -1 -2 -2

226 PROJECT PROPONENT: ENVIRONMENT CONSULTANT:

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227 EIA DOCUMENT OF “EXPANSION OF ARTEMIS HOSPITAL” AT SECTOR- 51, GURUGRAM HARYANA BY M/S ARTEMIS MEDICARE SERVICES LIMITED

Timber work (Door and STEP windows 9 ) 0

Piping of STEP water & 10 sewage 8 -1 -1 -1 -1

STEP Drainge 11 system 0

Sewage STEP Treatme 12 nt Plant 0

Rainwat er STEP Harvesti 13 ng 0

227 PROJECT PROPONENT: ENVIRONMENT CONSULTANT:

M/S ARTEMIS MEDICARE SERVICES LTD. M/S PERFACT ENVIRO SOLUTIONS PVT. LTD.

228 EIA DOCUMENT OF “EXPANSION OF ARTEMIS HOSPITAL” AT SECTOR- 51, GURUGRAM HARYANA BY M/S ARTEMIS MEDICARE SERVICES LIMITED

STEP Plantatio 14 n 0

STEP 15 Roads 0

Installati on of Electrical , mechani STEP cal items 16 and fire 0

STEP Plasterin 17 g 13 -1 -1 -1 -1 -1 -1 -1 -1

Bathroo m fitting & STEP Plumbin 18 g work 3 -1 -1

228 PROJECT PROPONENT: ENVIRONMENT CONSULTANT:

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229 EIA DOCUMENT OF “EXPANSION OF ARTEMIS HOSPITAL” AT SECTOR- 51, GURUGRAM HARYANA BY M/S ARTEMIS MEDICARE SERVICES LIMITED

STEP 19 Flooring 0

Painting STEP and 20 exteriors 0

TOT AL -14 -6 -7 0 -14 0 -3 -11 -7 0 -4 -13 -7 -17 -14 0 -8 -4 -6 0 -4 -10 -6 -4 -2

229 PROJECT PROPONENT: ENVIRONMENT CONSULTANT:

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230 EIA DOCUMENT OF “EXPANSION OF ARTEMIS HOSPITAL” AT SECTOR- 51, GURUGRAM HARYANA BY M/S ARTEMIS MEDICARE SERVICES LIMITED

7.5.5.3 Impact summary Table 14: Impact Summary as per construction status ENVIRONMENTAL BASELINE MATRIX Identification Damage Evaluation Base Scale Impact S. No. Environmental Element/ Units (Percentage %) (Negative/Positive)

1 Emissions to Air -10.0 Negative

2 Releases to Water -2.3 Negative

3 Waste Generation -5.7 Negative

4 Land Contamination -5.5 Negative

5 Use of natural resources and raw materials -12.3 Negative

6 Local Issues -6.5 Negative 7 Transport Issues -6.5 Negative

8 Environmental Accidents 0 positive

9 Effects on Biodiversity -4 positive

10 Noise Pollution -10 Negative

230 PROJECT PROPONENT: ENVIRONMENT CONSULTANT:

M/S ARTEMIS MEDICARE SERVICES LTD. M/S PERFACT ENVIRO SOLUTIONS PVT. LTD.

231 EIA DOCUMENT OF “EXPANSION OF ARTEMIS HOSPITAL” AT SECTOR- 51, GURUGRAM HARYANA BY M/S ARTEMIS MEDICARE SERVICES LIMITED

110 Soil Quality and Management -6 Negative

12 Geology -4 Negative 13 Hydrology -2 Negative

231 PROJECT PROPONENT: ENVIRONMENT CONSULTANT:

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232 EIA DOCUMENT OF “EXPANSION OF ARTEMIS HOSPITAL” AT SECTOR- 51, GURUGRAM HARYANA BY M/S ARTEMIS MEDICARE SERVICES LIMITED

7.5.6 COST SUMMARY

7.5.6.1 Remediation Plan Table 15: Cost summary BUDGET IN RS. S.NO ITEM ACTION PLAN (PROPOSED/ UNDERTAKEN) (Lakhs) Plantation of trees around the project periphery 9.65 Installation of Dust suppression and water sprinkling 1. Air Environment 2.73 system Maintenance of construction equipment/ machineries 1.0 Low water consumption fixtures 9.0 2. Water Environment Channelization of Rainwater harvesting structure 23.82 Augmentation of STP and ETP 10.0 3. Soil Quality Land reclamation of nearby area 9.19 4. Waste management Segregation and provision of Organic waste convertor 11.55 Plantation of trees around the project periphery 24.13 5. Noise Environment Noise barrier 10.0 6. Ecological Environment Landscaping and plantation around project 15.0 Topography and Natural 7. Natural drains near the project to be maintained 12.74 Drainage TOTAL 135.08

232 PROJECT PROPONENT: ENVIRONMENT CONSULTANT:

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233 EIA DOCUMENT OF “EXPANSION OF ARTEMIS HOSPITAL” AT SECTOR- 51, GURUGRAM HARYANA BY M/S ARTEMIS MEDICARE SERVICES LIMITED

7.5.6.2 Augmentation Plan

BUDGET IN RS. S.NO ITEM ACTION PLAN (PROPOSED/ UNDERTAKEN) (Lakhs) Proper transport planning by providing roads 38.56 1. Community welfare Infrastructure at village area 10.0

Rain water Harvesting for ground water 50.0 2. Use of Natural resources Sprinkling and watering of plantation on nearby road. 10.0

TOTAL 108.56

233 PROJECT PROPONENT: ENVIRONMENT CONSULTANT:

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234 EIA DOCUMENT OF “EXPANSION OF ARTEMIS HOSPITAL” AT SECTOR- 51, GURUGRAM HARYANA BY M/S ARTEMIS MEDICARE SERVICES LIMITED

Chapter 8: PROJECT BENEFITS Social Benefits:

• The proposed project has provided employment opportunities to 300-350 no of labours during construction phase.

• It has led to increase in the infrastructure of the area and encouraged others for further development of the area.

• The Hospital will boast some of the best medical care infrastructure in the country. It will render tertiary and specialised treatment to general population. • The existing hospital also provide hostel facility for staff. • There will be a wellness centre, where mental and medical healthcare professionals, nutritionists and life-coaches will provide a variety of treatments and services for the health of the clients' minds and bodies. • Development of blood bank will never lead to shortage of blood in case of emergency. • Medical facility is being extended for BPL and CGHS/ECHS

Environmental Benefits:

• Green area of 10,230.77 sqm will be developed after the proposed expansion of the project which will serve a positive influence toward the environment • The construction and operation will promote a healthy environment for all involved, and it will not disrupt the land, water, resources and energy in and around the building. • Energy efficient building material during construction stage will help in the reduced impact on environment directly & indirectly • Energy efficient measures to reduce the requirement during the operation stage shall be maintained which ultimately leads to lesser demands and reducing carbon footprints of the project making it eco-friendlier. • A well-designed waste management approach such as the different collection unit for wet & dry waste respectively, Bio medical waste handling to approved recycler and eco-friendly treatment approach i.e. OWC, Recycling etc will reduce the amount of waste that it sends to landfill

234 PROJECT PROPONENT: ENVIRONMENT CONSULTANT:

M/S ARTEMIS MEDICARE SERVICES LTD. M/S PERFACT ENVIRO SOLUTIONS PVT. LTD.

235 EIA DOCUMENT OF “EXPANSION OF ARTEMIS HOSPITAL” AT SECTOR- 51, GURUGRAM HARYANA BY M/S ARTEMIS MEDICARE SERVICES LIMITED

• Project is registered for a targeted Platinum Rating as per the IGBC norms

Financial Benefits:

• Additional revenue generation to the will be provided after the proposed expansion of the existing hospital complex • Major income source to an important section of society and also to the upcoming investors.

235 PROJECT PROPONENT: ENVIRONMENT CONSULTANT:

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236 EIA DOCUMENT OF “EXPANSION OF ARTEMIS HOSPITAL” AT SECTOR- 51, GURUGRAM HARYANA BY M/S ARTEMIS MEDICARE SERVICES LIMITED

Chapter 9: ENVIRONMENT MANAGEMENT PLAN The Environment Management Plan (EMP) is a site-specific plan developed to ensure that the project is implemented in an environmentally sustainable manner where all stakeholders including the project proponents, contractors and subcontractors, including consultants, understand the potential environmental risks arising from the proposed project and take appropriate actions to properly manage that risk. Adequate environment management measures need to be incorporated during the entire planning, construction and operating stages of the project to minimize any adverse environmental impact and assure sustainable development of the area.

The EMP presented below will be followed and regular monitoring of relevant parameters as stated in post – project monitoring schedule shall be carried out. The EMP shall be proactive in nature and shall be upgraded if new facilities or modification of existing facilities, with environmental concerns, come up at a later stage. EMP includes four elements:

• Commitment and Policy: Proposed project will strive to provide and implement the Environment Management Plan that incorporates all issues related to air, land and water. • Planning: This includes identification of environment impacts, legal requirements and setting environmental objectives. • Implementation: This comprises of resources available to the developers, accountability of contractors, training of operational staff associated with environmental control facilities and documentation of measures to be taken. • Measurement and Evaluation: This includes monitoring, corrective actions, and record keeping. The EMP ‘s that will be into place consist of those during construction and operating stages of the project and includes the following elements:

• Air Pollution Control and Management • Water Pollution & Control (Sewage Treatment Plant) • Noise Control and Management • Hazardous and Solid Waste Management • Bio- Medical waste management 236 PROJECT PROPONENT: ENVIRONMENT CONSULTANT:

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237 EIA DOCUMENT OF “EXPANSION OF ARTEMIS HOSPITAL” AT SECTOR- 51, GURUGRAM HARYANA BY M/S ARTEMIS MEDICARE SERVICES LIMITED

• Plantation, Landscaping and Land Management • Environmental Management Plan • Environmental Monitoring

9.1 AIR ENVIRONMENT/ DUST MITIGATION MEASURES

9.1.1 ENVIRONMENT MANAGEMENT DURING CONSTRUCTION PHASE During Construction phase (Block D, Already done):

Air quality around the project was impacted during the construction stage. Various construction activities especially related to loose material likely to cause generation of dust that impacted the air quality of the surrounding area of the project site. To minimize such impact, following measures shall be taken:

➢ The air emission due to the construction activities was limited only for specified period of construction. However, there is an operational part of the hospital and green area for the same was maintained which will help to minimize the impacts generated due to dust generation.

➢ Truck tyre washing facility was constructed for vehicles moving out of site.

➢ Water sprinkling was done to reduce the dust generation.

➢ Loose soil and sand was properly stacked at the designated site.

➢ Construction area cordoned off by using green net.

➢ Vehicles used in transportation carrying construction material were covered. .

➢ Material required for construction was stored only within earmarked area and road side storage of construction material and waste was prohibited.

➢ The C & D wastes generated which was reused in backfillimg of excavation and was used for Cinder Flooring provided at Upper Ground floor.

➢ Proper nose masks were provided to the workers who were engaged in dust generating activities.

➢ DG Set of 1 x 62.5 KVA, 2 x 125 KVA & 40 KVA were installed.

➢ RMC was used instead of batching plant. 237 PROJECT PROPONENT: ENVIRONMENT CONSULTANT:

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238 EIA DOCUMENT OF “EXPANSION OF ARTEMIS HOSPITAL” AT SECTOR- 51, GURUGRAM HARYANA BY M/S ARTEMIS MEDICARE SERVICES LIMITED

During Construction phase (Block E, Future):

Air quality around the project shall be impacted during the construction stage. To minimize impact of such activities on air, following measures shall be taken for further construction:

➢ Wind-breaker of appropriate height i.e. 1/3rd of the building height and maximum up to 10 meters is required. However 30m of wind breakres were provided.

➢ Water sprinkling system shall be put in place using spraying Nozzles and shall be done every hour by fixed sprinkling system.

➢ Grinding and cutting of building materials in open area shall be prohibited.

➢ Material required for exterior finishing shall be stored only within earmarked area and road side storage of construction material and waste shall be prohibited.

➢ Only covered vehicles carrying construction material and waste shall be permitted inside the complex.

➢ The C & D wastes generated shall be kept covered at site and shall be reused to the extent possible and rest unused Construction and Demolition Waste shall be handed over to contractor as per the agreement.

➢ Roads leading to or at construction sites shall be paved and blacktopped (i.e. metallic roads).

➢ Proper nose masks were provided to the workers who were engaged in dust generating activities.

➢ No loose soil or sand or Construction & Demolition Waste or any other construction material that causes dust shall be left uncovered.

➢ DG Set with adequate stack height shall be installed.

9.1.2 ENVIRONMENT MANAGEMENT DURING OPERATION Block A, B & C (Existing):

The main source of air pollution from existing facility are DG set of capacity 2 x 1250 kVA & 1 x 250 kVA for which adequate stack height of 6m above roof level has already been provided. A Thermic

238 PROJECT PROPONENT: ENVIRONMENT CONSULTANT:

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239 EIA DOCUMENT OF “EXPANSION OF ARTEMIS HOSPITAL” AT SECTOR- 51, GURUGRAM HARYANA BY M/S ARTEMIS MEDICARE SERVICES LIMITED

Fluid Heater of capacity 2 Lac Kcal/day is also installed for which stack height of 30 m above ground level is provided.

Traffic movement is another reason for air pollutionwhich is being controlled by plantation all around the periphery of the plot. Periodic sprinkling is done for Air pollution control.

AFTER FULL OPERATIONAL OF COMPLEX:

The source of air pollution will be operation of DG sets within the project. DG sets of 1 x 1500 KVA, 2 x 1250 kVA, 1 x 1000 kVA, 2 x 750 kVA & 2 x 250 KVA capacities will be installed for emergency use during power failure. Proper stack height of 6m above roof level for D.G Sets shall be maintained which will help in reducing the air pollution. D.G sets shall be kept on surface.

Maintenance of proper stack height of D.G Set shall help in reducing the air pollution. The stack height of DG sets has been calculated as per the details given below: TECHNICAL SPECIFICATION

1. Channelization of Exhaust:

The exhaust from the D.G. Sets are channelized to chimney and same shall be followed for expansion.

2. Chimney/Exhaust:

S. Description Existing Proposed Total No.

1. DG Sets Capacity: 2 x 1250 Capacity: 2 x 750 Capacity: 1 x 1500 KVA, KVA, 1 x 250, [1 x KVA, 1X1500, 2x1250, 1 x 1000 KVA, 2 x 750 500 KVA (standby)] 1X1000 KVA KVA, 2 x250, (1x 500 KVA in Standby)

2. Thermic Fluid Capacity: 2 Lac - Capacity: 2 Lac Kcal/day Heater Kcal/day

2. Location of DG Surface Basement Surface & Basement Sets

239 PROJECT PROPONENT: ENVIRONMENT CONSULTANT:

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240 EIA DOCUMENT OF “EXPANSION OF ARTEMIS HOSPITAL” AT SECTOR- 51, GURUGRAM HARYANA BY M/S ARTEMIS MEDICARE SERVICES LIMITED

Chimney Details of existing DG Set of 1250 kVA:

Stack dia.:0.20 m

Ht. of Stack from Ground level: 37.5 m

Type of Chimney: Mild Steel

Emission Standard;

As per the specifications from D.G. Set manufacturer following emissions are being maintained and same shall be done for expansion part.

D. G. Set. Capacity No PM NOx HC CO gm/kw-hr gm/kw-hr gm/kw-hr gm/kw-hr

750 KVA 2 0.3 9.2 1.3 3.5

250 KVA 2 75 887.5 100 150

D. G. Set. Capacity No PM NOx HC CO mg/NM3 mg/NM3 mg/NM3 mg/NM3

1500 KVA 1 75 887.5 100 150

1000 KVA 1 75 887.5 100 150

1250 KVA 2 75 887.5 100 150

9.2 WATER MANAGEMENT

9.2.1 WATER MANAGEMENT DURING CONSTRUCTION During Construction phase (Block D, Already Done):

During the construction of the proposed project, the services required like water supply and sewage facilities was arranged on a temporary basis and the same were maintained without any adverse impact on the environment. During Excavation of the Basement no dewatering was done. 240 PROJECT PROPONENT: ENVIRONMENT CONSULTANT:

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241 EIA DOCUMENT OF “EXPANSION OF ARTEMIS HOSPITAL” AT SECTOR- 51, GURUGRAM HARYANA BY M/S ARTEMIS MEDICARE SERVICES LIMITED

➢ 24 KL tanker of water was required during construction work which was met through STP Tanker supply. For 300 labours, 5 KL of water tankers for drinking purpose were provided. ➢ Temporary toilets were provided. 10 KLD of waste water generated from the construction site was disposed off to STP.

➢ Run-off from the construction site was channelized to drains leading to the existing RWH pit.

During Construction phase (Block E, Future):

During the construction of the proposed project, the services required like water supply and sewage facilities shall be arranged on a temporary basis and the same shall be maintained without any adverse impact on the environment.

➢ 24 KL of tanker of treated STP Water shall be required during construction work. For approx.. 300 labours, 13.5 KLD of Domestic water shall be sourced through the water tanks.

➢ Temporary Toilets shall be provided and 10 KLD of waste water generated from the construction site will be disposed off to STP.

➢ During the construction period, runoff from the construction site shall not be allowed to stand (water logging) or enter into the roadside or nearby drain. The runoff due to rain water from the site shall be collected and reused. ➢ The vehicles carrying construction material and construction debris shall be cleaned before it is permitted to ply on the road. ➢ Wheel washing arrangement of construction vehicle shall be provided at site.

9.2.2 WATER MANAGEMENT DURING OPERATION Block A, B & C (Existing):

Total water requirement of the existing operational part of the hospital is 483 KLD. Fresh water requirement is 333 KLD which is met by Municipal Supply and 280 KLD is the treated water reuse. Wastewater generation from the complex is 294 KLD which is being treated in STP of MBBR technology of capacity 325 KLD. The existing MBBR STP has following advantages:

• compact Footprint

241 PROJECT PROPONENT: ENVIRONMENT CONSULTANT:

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242 EIA DOCUMENT OF “EXPANSION OF ARTEMIS HOSPITAL” AT SECTOR- 51, GURUGRAM HARYANA BY M/S ARTEMIS MEDICARE SERVICES LIMITED

• durable non-clogging media • stable process, • lower sludge volume index with DAF clarifier • Lower Power Consumption • Ease of operation

The Inlet & outlet results of the existing STP are mentioned below:

S. no. Parameter Units Results Inlet Outlet 1 pH - 7.69 7.75 2 Total Dissolve Solids Mg/l 928 826 3 Total Suspended Solids Mg/l 146 22 4 BOD Mg/l 190 20 5 COD Mg/l 480 64 6 Oil & Grease Mg/l 18 0.8 7 Faecal Coliform MPN/100 ml - 46

The cost to set up the MBBR STP of 325 KLD is Rs. 21.0 Lacs

Existing STP of 325 KLD:

242 PROJECT PROPONENT: ENVIRONMENT CONSULTANT:

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243 EIA DOCUMENT OF “EXPANSION OF ARTEMIS HOSPITAL” AT SECTOR- 51, GURUGRAM HARYANA BY M/S ARTEMIS MEDICARE SERVICES LIMITED

Existing ETP of 25 KLD:

An ETP of 25 KLD is also operational which treats water from kitchen and labs. The treated water is discharged into sewer and the permission for the same is already acquired. The cost to set up the ETP is Rs. 16.0 Lacs.

243 PROJECT PROPONENT: ENVIRONMENT CONSULTANT:

M/S ARTEMIS MEDICARE SERVICES LTD. M/S PERFACT ENVIRO SOLUTIONS PVT. LTD.

244 EIA DOCUMENT OF “EXPANSION OF ARTEMIS HOSPITAL” AT SECTOR- 51, GURUGRAM HARYANA BY M/S ARTEMIS MEDICARE SERVICES LIMITED

AFTER FULL OPERATIONAL OF COMPLEX:

Total water requirement for proposed complex shall be 1104 KLD as per detailed below and shall be met by Municipal water supply. Water shall be used mainly for domestic, flushing, Gardening, Filter backwash for domestic water, water body make-up, boiler make-up, laundry, Gardening, filter back wash for STP, makeup water for chiller plant and Lab & OT. Total quantity of wastewater generation shall be 637 KLD (581 KLD from domestic uses & 56 KLD from Lab). The 637 KLD of generated sewage shall be treated in STP of 325 KLD (existing) 400 KLD (proposed) and 56 KLD from Lab shall be treated in ETP of 70 KLD. The treated water generation from STP will be 552 KLD out of which 514 KLD shall be reused for domestic, flushing, Gardening, Filter backwash and excess 38 KLD shall be discharged in public sewer. The treated water generation from ETP will be 53 KLD which will also be discharged to the sewer line. Water Requirement & Management (After Expansion) :-

WATER CALCULATION (After Expansion) Waste Requirement Domestic Flushing Population Factor in LPCD Water in in KLD in KLD in KLD KLD In patient 795 450.00 357 238 120 Resident 156 135.00 21 14 7 Staff and Employee 2512 45.00 113 63 50 Visitors 7500 15.00 113 75 38

244 PROJECT PROPONENT: ENVIRONMENT CONSULTANT:

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245 EIA DOCUMENT OF “EXPANSION OF ARTEMIS HOSPITAL” AT SECTOR- 51, GURUGRAM HARYANA BY M/S ARTEMIS MEDICARE SERVICES LIMITED

Total 10963 604 390 214 waste water discharge 312 214 526

Gardening 50 0 DG Cooling 200 0

Kitchen 100 50 Lab 70 56 cafe 15 5 Filter back wash 50 - Water body 15 Total 1104 KLD 637 KLD

245 PROJECT PROPONENT: ENVIRONMENT CONSULTANT:

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246 EIA DOCUMENT OF “EXPANSION OF ARTEMIS HOSPITAL” AT SECTOR- 51, GURUGRAM HARYANA BY M/S ARTEMIS MEDICARE SERVICES LIMITED

WATER BALANCE DIAGRAM (After Expansion):

Table 9-1 Water Management

246 PROJECT PROPONENT: ENVIRONMENT CONSULTANT:

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247 EIA DOCUMENT OF “EXPANSION OF ARTEMIS HOSPITAL” AT SECTOR- 51, GURUGRAM HARYANA BY M/S ARTEMIS MEDICARE SERVICES LIMITED

SEWAGE SYSTEM:

The amount of sewage generation after expansion will be 581 KLD from and effluent of 56 KLD from Lab will be generated from the Complex, 581 KLD will be sent to in hose STPs of total capacity 725 KLD for treatment and 56 KLD waste water from lab will be treated in in house ETPs of total capacity 70 KLD.

SCHEME OF SEWAGE TREATMENT PLANT AND EFFLUENT TREATMENT PLANT:

In existing STP of 325 KLD & ETP of 25 KLD already exist. After expansion STP of 400 KLD & ETP of 45 KLD shall be installed along with existing capacity. The Sewage Treatment Plant of MBR Technology offered has some distinct advantages over conventional activated sludge processes. The scheme is proven, under a variety of operating conditions, and is highly flexible in operation

DESIGN CRITERIA

Hollow Fiber membranes are introduced to mixed liquor to separate treated effluent from mixed liquor. Membrane being the absolute physical barriers ensures complete removal of suspended impurities. MBR applications include even retrofits of existing systems as well as installation of new systems, for both meeting the most stringent discharge norms and reuse. Treated wastewater from MBR can be even reused for cooling tower make-up, to generate high purity water through Reverse Osmosis and other non-potable applications. This process can help environment protection by treating wastewater and making it suitable for variety of application and thus conserve precious drinking water. Biological system designed for MBR process operates at higher MLVSS concentration with higher sludge retention time thus produces a low quantum of biological sludge thus reducing the sludge dewatering cost.

MBR technology combines the skills of our membrane specialists to deliver integrated treatment solutions with firm process guarantees such as BOD and TSS less than 5 mg/l and also removal of nutrient (nitrogen & phosphorous) and coliforms etc.

Biological process fluid (mixed liquor) is pumped to the Membrane Operating System (“MOS”). The mixed liquor is introduced to membrane, along with air, evenly across the bottom of the tank through a unique two-phase jet system. This mixed liquor fills the membrane tank and flows upward through the membrane submodules, creating cross-flow dynamics across the membrane surface. This cross- flow continuously scours the membrane surface and prevent solids dehydration at the membrane surface. Applying a low-pressure vacuum to the inside of the membrane fiber pulls water through the 247 PROJECT PROPONENT: ENVIRONMENT CONSULTANT:

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248 EIA DOCUMENT OF “EXPANSION OF ARTEMIS HOSPITAL” AT SECTOR- 51, GURUGRAM HARYANA BY M/S ARTEMIS MEDICARE SERVICES LIMITED membranes and pumps the filtered water to the next process step. Solids, including organics, bacteria, and most viruses, are rejected by the membrane system and retained in the mixed liquor, which overflows the MOS back to the aeration tank.

The Membrane Operating System is an assembly with integral membrane modules arranged in rack assemblies, inserted into the membrane tank.

MOS Mixed Liquor Distribution & Recirculation Jets are designed to distribute the air scour and mixed liquor flow evenly across the membrane submodules.

This feature eliminates potential polarisation (concentration) of suspended solids around the membrane fibers which could be main cause for the failure and damage of individual fibers thus submodules. Additionally, this feature provides even distribution of mixed liquor solids to each membrane unit, critical so that all membranes see the same process conditions. The return recirculation of mixed liquor ensures influent comes in intimate contact with the concentrated

248 PROJECT PROPONENT: ENVIRONMENT CONSULTANT:

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249 EIA DOCUMENT OF “EXPANSION OF ARTEMIS HOSPITAL” AT SECTOR- 51, GURUGRAM HARYANA BY M/S ARTEMIS MEDICARE SERVICES LIMITED biomass, offering better organism selection and added flexibility in the anoxic cycle for advanced nitrogen removal, when required. This same jet system also acts as an integral part of the membrane cleaning system, providing an efficient scouring of the membranes with chlorine cleaning solution. The integrated cleaning system allows the submodules to be quickly cleaned in place. Additionally, the clean and efficient procedure eliminates the need for membrane removal from process tanks that can damage membranes and present risks to plant operators.

Relaxation, Maintenance and in situ CIP are exclusive features of this MBR Process to ensure consistent water quality and complete membrane life. The entire operation is PLC controlled.

RAW SEWAGE CHARACTERISTICS

FLOW KLD 581

PH 7.5-8.5

BOD mg/l 200-300

COD mg/l 400-500

OIL & Grease mg/l <10

TSS mg/l 100

The sewage treatment Plant (STP) can give treated water, which can be reused for Cooling, Flushing & Gardening purposes..

TREATED SEWAGE CHARACTERISTICS

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250 EIA DOCUMENT OF “EXPANSION OF ARTEMIS HOSPITAL” AT SECTOR- 51, GURUGRAM HARYANA BY M/S ARTEMIS MEDICARE SERVICES LIMITED

FLOW KLD 581 PH 7.0-8.5

BOD mg/l <10

COD mg/l ≤60

OIL & G mg/l <10 TSS mg/l <10

Table 9-2 Schematic Diagram of STP

TREATMENT PROCESS OF ETP:

The sewage is first passed through a Bar Screen Chamber & an Oil & Grease Chamber where any extraneous / floating matter gets trapped.

The effluent is then collected in a Receiving Sump where the variations in flow and characteristics are dampened, which otherwise can lead to operational problems and moreover it allows a constant flow rate downstream. Here the sewage is kept in mixed condition by means of coarse air bubble diffusion.

The equalized sewage is then pumped to the Bio-Reactors where BOD/COD reduction is achieved by virtue of aerobic microbial activities. The oxygen required is supplied through coarse air bubble diffusers. 250 PROJECT PROPONENT: ENVIRONMENT CONSULTANT:

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251 EIA DOCUMENT OF “EXPANSION OF ARTEMIS HOSPITAL” AT SECTOR- 51, GURUGRAM HARYANA BY M/S ARTEMIS MEDICARE SERVICES LIMITED

The excess bio-solids formed in the biological process, which are separated in the downstream Plate Settler Tank. The clear supernatant is sent to the tertiary treatment section comprising of a Dual Media Filter and an Activated Carbon Filter, and UV disinfections system. If needed Softener shall be provided.

The biological sludge generated from the bio-reactor, which is settled in the Plate Settler, is drained through the Filter Press.

Table 9-3 Schematic Diagram of ETP

9.3 RAIN WATER HARVESTING/COLLECTION

9.3.1 ENVIRONMENT MANAGEMENT DURING OPERATION Block A, B & C (Existing):

5 no. of RWH pits are already operational for the existing Hospital Complex of dia. 4 m and depth 4.5 m.

Existing RWH Pit of dia 4 m & depth 4.5 m

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252 EIA DOCUMENT OF “EXPANSION OF ARTEMIS HOSPITAL” AT SECTOR- 51, GURUGRAM HARYANA BY M/S ARTEMIS MEDICARE SERVICES LIMITED

Rs. 2.31 Lacs has already been spend for regular mantainence of existing RWH pits.

AFTER FULL OPERATIONAL OF COMPLEX:

The main source of ground water recharging in the study area is rainwater, which infiltrates into the ground through various lithological units present in the study area. After expansion, 6 number of rainwater harvesting pits (5 no. of pts in existing & 1 no. of pit is proposed) are proposed within the Hospital complex. The runoff from the rooftop and storm water shall go to the recharge pits.

• Scheme for ground water recharging The rainwater will be diverted from the rooftop using rain water pipes to the surface/underground drainage network. The rainwater is diverted into the de-silting tank to remove inorganic impurities and the outflow of the de-silting tank is taken into the recharge well.

• De-silting tank The de-silting is used to remove silt and other floating impurities from rainwater. De-silting tank is like an ordinary container having provision for the inflow, outflow, and overflow. Apart from removing silt it holds the excess amount of water till it is soaked up by the recharge structure. The bottom of tank will have unpaved surface (layers of coarse sand) to allow standing water to percolate into soil. The rainwater collected in these de-silting chambers shall be utilized for horticulture.

252 PROJECT PROPONENT: ENVIRONMENT CONSULTANT:

M/S ARTEMIS MEDICARE SERVICES LTD. M/S PERFACT ENVIRO SOLUTIONS PVT. LTD.

253 EIA DOCUMENT OF “EXPANSION OF ARTEMIS HOSPITAL” AT SECTOR- 51, GURUGRAM HARYANA BY M/S ARTEMIS MEDICARE SERVICES LIMITED

• Recharge well The recharge well consists of percolation pits with 3.2 mm dia boreholes in the middle of the pits. UPVC pipe of 160 mm dia perforated will be lowered in the middle of the boreholes and the pit will be filled with gravel and pebbles in three layers of 400 mm each consisting of boulders, gravel and coarse sand. The mouth of the UPVC pipe shall be protected to avoid silt getting into it. The depth of the bore will depend on the soil condition/water strata. The schematic diagram is enclosed. It should be therefore concluded that there is no significant impact on surface water quality & hydrology of the area. The proposed rainwater-harvesting scheme will stabilize the groundwater table in the area.

Rain Water Harvesting Calculation:

SOIL TYPE Silt loam INFILTRATION RATE 20.3 mm/hr POROSITY 35% m ANNUAL RAINFALL 723 mm PEAK HOURLY RAINFALL 60 mm/ hr NUMBER OF PITS 6 (after expansion) SIZE OF PIT Dia – 4.0 m, Depth- 4.5 m

S. No. Description of Area Area Harvesting Retention Total Volume Considered Factor / time of Water (Sq. M) Collection capacity of Available for Efficiency recharge Rain Water per area tank in 20 Harvesting min (60 mm) (cu. m/20 min) 1 Water Available from 8193.479 0.90 20 147 Terraces of Apartment buildings and other roof- top surfaces 2 Paved Surfaces, Roads & 15164.66 0.70 20 212 other Built-up Areas 253 PROJECT PROPONENT: ENVIRONMENT CONSULTANT:

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254 EIA DOCUMENT OF “EXPANSION OF ARTEMIS HOSPITAL” AT SECTOR- 51, GURUGRAM HARYANA BY M/S ARTEMIS MEDICARE SERVICES LIMITED

3 Lawns, Gardens & all 10230.77 0.20 20 40 other Open Areas GRAND TOTAL 33588.91 399 cum

Table 9-4; Rain Water Harvesting collection scheme

9.2.4.1 Maintenance plan for RWH Pits • All the storm water drains are kept clean and same shall be followed for the expansion part. • No contaminated water is diverted into the storm water drains. Necessary peripheral drains shall be constructed to divert the runoff to the collection pits and same shall be followed for the expansion part. • Before the onset of the monsoon all the catchment area is cleaned so as to avoid any contamination in fresh water and same shall be followed for the expansion part.

254 PROJECT PROPONENT: ENVIRONMENT CONSULTANT:

M/S ARTEMIS MEDICARE SERVICES LTD. M/S PERFACT ENVIRO SOLUTIONS PVT. LTD.

255 EIA DOCUMENT OF “EXPANSION OF ARTEMIS HOSPITAL” AT SECTOR- 51, GURUGRAM HARYANA BY M/S ARTEMIS MEDICARE SERVICES LIMITED

• A mesh is provided on the mouth of the inlet to discard the debris entering into the collection tank. A sluice/ shutter is provided to ensure that no water other than rainwater is diverted to the rain water collection pits and same shall be followed for the expansion part. • Collection pits are cleaned Quaternally and same shall be followed for the expansion part.

9.4 NOISE ENVIRONMENT

9.4.1 DURING FUTURE CONSTRUCTION PHASE During Construction phase (Block D, Already Done):

During the construction stage, expected noise level is in the range of 80-100 dB (A) which decreases with increase in distance. Hence all the construction activities were carried out during the daytime.

➢ During the construction stage, all the construction activities were carried out during the daytime.

➢ The noise due to the construction activities was limited only for specified period of construction. However, there is an operational part of Hospital for which Green area was developed. This developed Green area helped to reduce the impacts of noise.

➢ DG set of capacity 2 x 125 KVA, 1 x 62.5 KVA &1 x 40 KVA were used in construction & were acoustically enclosed.

➢ Ear Muffs were provided to labor working in high noise areas.

➢ All the machineries were maintained regularly to reduce the noise level.

To avoid noise emission- insulated panels were installed to give acoustic insulation to achieve sound level of 45 DB on existing building Side inside the patient room as per specification from specialized agency. A lumpsum amount of Rs. 5.77 Crore has been spent for noise barricading.

During Construction phase (Phase III, Future):

• During the construction stage, expected noise level is in the range of 80-100 dB (A). Hence all the construction activities shall be carried out during the daytime. • All the machinery and equipment shall be regularly maintained to reduce the noise level. • Due to the construction activity for the project there will be some noise generation due to the movement of vehicles carrying construction materials and as this will be only a temporary 255 PROJECT PROPONENT: ENVIRONMENT CONSULTANT:

M/S ARTEMIS MEDICARE SERVICES LTD. M/S PERFACT ENVIRO SOLUTIONS PVT. LTD.

256 EIA DOCUMENT OF “EXPANSION OF ARTEMIS HOSPITAL” AT SECTOR- 51, GURUGRAM HARYANA BY M/S ARTEMIS MEDICARE SERVICES LIMITED

phenomenon, it will be managed by properly regulating the movement of vehicular traffic so that the ambient air quality with respect to noise is not adversely affected. • To prevent any occupational hazard, ear muff / ear plug shall be given to the workers working around or operating the plant and machinery emitting high noise levels. Operation of such plant or machinery shall be strictly be prohibited during night hours. Careful planning of machinery operation and scheduling of operations shall be done to minimize such impact. • DG sets shall be installed which will be acoustically enclosed. Noise barriers shall be installed to reduce traffic noise & vibrations & Green belt shall be developed

9.4.2 DURING OPERATIONAL PHASE Phase I (Existing):

The main source of noise pollution from existing facility are DG set of capacity 2 x 1250 kVA & 1 x 250 kVAwhich are bought acoustically enclosed. For vibration control, DG Sets for the hospital complex are mounted on the Anti-vibration pads to eliminate/limit the vibrations due to DG sets running

Traffic movement is another reason for noise pollutionwhich is being controlled by plantation all around the periphery of the plot.

AFTER FULL OPERATIONAL OF COMPLEX:

The main sources of the noise pollution will be D.G sets. 1 x 1500 KVA, 2 x 1250 KVA, 1 x 1000 KVA, 2 x 750 KVA & 2 x 250 KVA acoustically enclosed DG sets shall be bought meeting the norms prescribed by CPCB. As the project involves Hospital silence will be maintained within the project. However, planting of the trees at the boundary of the project will further reduce the level of the noise from the project.

9.4.2.1 Noise & Vibration Control Measures for DG Sets • DG sets shall be installed for power backup during power failure. All the D.G sets are kept in acoustically treated room and same shall be followed for the future expansion part. To meet the emission norms lay down by CPCB and Residential silencer is provided and same shall be followed for the future expansion part.

256 PROJECT PROPONENT: ENVIRONMENT CONSULTANT:

M/S ARTEMIS MEDICARE SERVICES LTD. M/S PERFACT ENVIRO SOLUTIONS PVT. LTD.

257 EIA DOCUMENT OF “EXPANSION OF ARTEMIS HOSPITAL” AT SECTOR- 51, GURUGRAM HARYANA BY M/S ARTEMIS MEDICARE SERVICES LIMITED

• Plantation of trees at the parks and boundary of the campus will also reduce the level of outside noise. • No honking zone is maintained and same shall be followed for the future expansion part. • For vibration control, DG Sets are mounted on the Anti-vibration pads to eliminate/limit the vibrations due to DG sets running and same shall be followed for the future expansion part.

Insulation of air inlet and outlet points

The sound travels along with air therefore it is necessary to control the travelling sound with the help of insulated ducts [2” glass wool pads and perforated sheets] and louvers at inlet and outlet air points. The ducts have S-type shape to prevent any direct escape of noise.

Insulated service door

The maintenance and servicing of D.G. set is done using a suitable service door of 5’ x 7’ size. The door is made of MS sheet and frames fully insulated with 3” thick glass wool pad followed by perforated aluminium sheets.

ANTI-VIBRATION PADS

Figure 9-1; Anti-vibration pads

257 PROJECT PROPONENT: ENVIRONMENT CONSULTANT:

M/S ARTEMIS MEDICARE SERVICES LTD. M/S PERFACT ENVIRO SOLUTIONS PVT. LTD.

258 EIA DOCUMENT OF “EXPANSION OF ARTEMIS HOSPITAL” AT SECTOR- 51, GURUGRAM HARYANA BY M/S ARTEMIS MEDICARE SERVICES LIMITED

LAYOUT PLAN OF D.G SET ROOM

Figure 9-2; Layout Plan of DG Set Room

DESIGNING OF CANOPY OF DG SETS

Figure 9-3 Designing of Canopy of DG sets

258 PROJECT PROPONENT: ENVIRONMENT CONSULTANT:

M/S ARTEMIS MEDICARE SERVICES LTD. M/S PERFACT ENVIRO SOLUTIONS PVT. LTD.

259 EIA DOCUMENT OF “EXPANSION OF ARTEMIS HOSPITAL” AT SECTOR- 51, GURUGRAM HARYANA BY M/S ARTEMIS MEDICARE SERVICES LIMITED

9.5 PARKING MANAGEMENT:

AFTER FULL OPERATIONAL OF COMPLEX:

Existing building has parking facility of 236 ECS Total Parking Required- 666 ECS Parking Provision: - Total Parking provision is 668 ECS, out of which 236 ECS has already been provided Parking Area Services Parking Car Scooter Mechanical Total Calculation (sq m) Area (sq Area (sq Parking m) m) (ECS) First 5134.22 1479.82 3654.40 65 75 (25 ECS) 30 120 Basement Second 5134.22 207 4927.22 76 75 (25 76 177 Basement ECS) Lower 4991.74 1354.88 3636.86 61 47(15 ECS) 59 135 Ground

Surface 8995.4 236 197 (65 165 236 Parking ECS)

Total ECS 668 ECS

9.6 WASTE & SOIL MANAGEMENT

9.6.1 DURING CONSTRUCTION PHASE During Construction phase (Block D, Already Done):

➢ For 300 labours, total 45 kg/ day of solid waste was generated from labours which was collected and disposed off at designated MSW dump site. ➢ Used oil whenever generated from the DG sets was kept in an isolated area and in leak proof container and its disposal was managed by contractor as DG sets were owned by contractor. ➢ The C & D wastes generated was kept covered at site was reused for backfilling of excavation & rest was used in Cinder flooring provided at upper ground floor.

259 PROJECT PROPONENT: ENVIRONMENT CONSULTANT:

M/S ARTEMIS MEDICARE SERVICES LTD. M/S PERFACT ENVIRO SOLUTIONS PVT. LTD.

260 EIA DOCUMENT OF “EXPANSION OF ARTEMIS HOSPITAL” AT SECTOR- 51, GURUGRAM HARYANA BY M/S ARTEMIS MEDICARE SERVICES LIMITED

➢ During the construction, approx. 30000 Cubic meters of soil was excavated for 2 level of basements & foundation as per Mining permission granted by Department of Mines & Geology, Gurgaon, Haryana. This excavated soil was re-used for backfilling, levelling & other purposes to the extent possible and rest unused soil was handed over to contractor as per the agreement for final disposal.

During Construction phase (Block E, Future):

➢ For 300 labours, approx. 45 Kg/day of Municipal Solid Waste shall be generated from temporary labours which shall be disposed off as per Municipal Solid Waste Handling norms.

➢ Used oil whenever generated from the DG sets shall be kept in an isolated area and in leak proof container and shall be sent to approved recycler.

➢ C&D waste generated shall be disposed off as per Construction and Demolition Waste Management and Handling Rules, 2016.

➢ E-waste if generated shall be disposed off as per E-waste Management and handling rules, 2016.

9.6.2 DURING OPERATIONAL PHASE Block A, B & C (Existing):

The Solid waste generation in the existing complex is 493 Kg/day. Biodegradable waste is sent to approved recycler who is responsible for final disposal.

The Bio Medical waste being generated from the complex is given to approved recycler- M/s Vulcan Waste Management Pvt. Ltd.

DG set of capacity 2 x 1250 kVA & 1 x 250 kVA has already been installed which generated Hazardous oil of 27 lit/month being collected at isolated place and given to approved vendor of CPCB as per Hazardous Wastes Rules, 2016.

AFTER FULL OPERATIONAL OF COMPLEX:

MUNICIPAL SOLID WASTE MANAGEMENT: The solid waste will be generated from hospital, etc. It will be segregated at individual levels. They will be kept in different colour coded bins. The bins will be emptied into the main bins of the project. 260 PROJECT PROPONENT: ENVIRONMENT CONSULTANT:

M/S ARTEMIS MEDICARE SERVICES LTD. M/S PERFACT ENVIRO SOLUTIONS PVT. LTD.

261 EIA DOCUMENT OF “EXPANSION OF ARTEMIS HOSPITAL” AT SECTOR- 51, GURUGRAM HARYANA BY M/S ARTEMIS MEDICARE SERVICES LIMITED

The organic waste will be treated in organic waste converter within the project area. The recyclable waste will be given to the approved recycler. The management shall engage a vendor, who will carry this recyclable waste to the recycler for recycling.

After expansion for 10963 persons around 1930 kg/day of municipal solid waste will be generated for proposed site.

The solid waste categories and disposal method detail is shown is given in below:

Type of Waste Colour of Category Disposal Method Total Waste Bins (Kg/day) (Total) Organics Green Bio Degradable Shall be treated in 1351 Organic Waste Converter Recyclable Items Blue Recyclable Approved Recycler 483 Plastic Waste Blue Recyclable Approved Recycler 96 Total Municipal Waste 1930 Kg/day

HAZARDOUS WASTES: Hazardous waste is a waste with properties that make it dangerous or potentially harmful to human health or the environment. The universe of hazardous wastes is large and diverse. Hazardous wastes can be liquids, solids, contained gases, or sludge. They can be the by-products of manufacturing processes or simply discarded commercial products, like cleaning fluids or pesticides. All hazardous wastes are required to be treated and disposed off in the prescribed manner. The main objective is to promote safe management and use of hazardous substances including hazardous chemicals and hazardous wastes, in order to avoid damage to health and environment. HAZARDOUS WASTE Type of Colours of Category Disposal Method Total Waste Waste Bins Waste shall be collected in leak proof containers at isolated place and then it will Black with Hazardous Used Oil be given to approved vendor of CPCB as per Label Waste 77 lit/month Hazardous Wastes (Management, Handling

and Transboundary Movement) Amendment Rules 2016.

261 PROJECT PROPONENT: ENVIRONMENT CONSULTANT:

M/S ARTEMIS MEDICARE SERVICES LTD. M/S PERFACT ENVIRO SOLUTIONS PVT. LTD.

262 EIA DOCUMENT OF “EXPANSION OF ARTEMIS HOSPITAL” AT SECTOR- 51, GURUGRAM HARYANA BY M/S ARTEMIS MEDICARE SERVICES LIMITED

BIO-MEDICAL WASTE MANAGEMENT

Type of Type of Waste Category Type of Waste Waste Yellow Biomedical waste generated from hospital will behanded Bio Medical waste Red over to authorized processor. In existing agreement with 298 Kg/Day M/s Vulcan Waste Management Pvt. Ltd. has already Blue been done.

E-WASTE MANAGEMENT: Other hazardous wastes like hazardous chemical waste & ETP sludge shall be collected in an isolated place & shall be handled as per Hazardous Wastes (Management, Handling and Transboundary Movement) Rules.

Type of Colors of Category Disposal Method Total Waste Waste Bins Black Hazardous With E-Waste (Management & Handling) Rules, 1-2 E-waste Waste 2011 Kg/month Label

9.7 PLANTATION

Total plantation area after complete development of the project, will be 10230.77 sq m (30.45 % of plot area). No. of trees to be planted = plot area/80 sq m = 33588.91/80 = 420 trees. • No. of trees proposed = 420 • No. of trees already planted = 250 trees • No of trees to be planted = 200 trees The following characteristics are taken into consideration while selecting plant species for green belt development and tree plantation. • They are fast growing and tall trees. • They are perennial and evergreen. • They have thick canopy cover. • They have large leaf area index.

262 PROJECT PROPONENT: ENVIRONMENT CONSULTANT:

M/S ARTEMIS MEDICARE SERVICES LTD. M/S PERFACT ENVIRO SOLUTIONS PVT. LTD.

263 EIA DOCUMENT OF “EXPANSION OF ARTEMIS HOSPITAL” AT SECTOR- 51, GURUGRAM HARYANA BY M/S ARTEMIS MEDICARE SERVICES LIMITED

Since tree trunks are devoid of foliage, scrub should form there to give coverage to the trunks. The trees maintain the regional ecological balance and conform to soil and hydrological conditions. Indigenous species would be preferred. Green belt/greenery has been developed along most of the periphery of the project area as well as along roads. The trees planted are of adequate height. Any trees that do not survive are replaced. The landscape plan is enclosed . EXISTING SPECIES S. No Botanical Name Common Name Numbers

1 Polyalthia longifolia Ashoka 20

2 Alstonia scholaris Devil Tree 20

3 Azadirachta indica Neem 18

4 Terminalia arjuna Arjun 10

5 Jacaranda mimosifolia blue jacaranda 05

6 Populus alba Silver poplar 45

7 Ficus benghalensis Banyan Tree (Vat) 02

8 Ficus benjamina Weeping tree 68

Total 188

EXISTING SMALL TREE OR SHRUBS S.No Botanical Name Common Name Numbers

1 Psidium guajava Guava 11

2 Plumeria alba Champa 38

3 Morus alba Morus alba 13

Total 62

263 PROJECT PROPONENT: ENVIRONMENT CONSULTANT:

M/S ARTEMIS MEDICARE SERVICES LTD. M/S PERFACT ENVIRO SOLUTIONS PVT. LTD.

264 EIA DOCUMENT OF “EXPANSION OF ARTEMIS HOSPITAL” AT SECTOR- 51, GURUGRAM HARYANA BY M/S ARTEMIS MEDICARE SERVICES LIMITED

PROPOSED SPECIES S.No Botanical Name Common Name Numbers

1 Polyalthia longifolia Ashoka 22

2 Alstonia scholaris Devil Tree 23

3 Azadirachta indica Neem 18

4 Terminalia arjuna Arjun 12

5 Jacaranda mimosifolia blue jacaranda 05

6 Populus alba Silver poplar 45

7 Ficus benghalensis Banyan Tree (Vat) 05

8 Ficus benjamina Weeping tree 70

Total 200

The following characteristics are taken into consideration while selecting plant species for green belt development and tree plantation. • They are fast growing and tall trees. • They are perennial and evergreen. • They have thick canopy cover • They have large leaf area index. Since tree trunks are devoid of foliage, scrub should form there to give coverage to the trunks. The trees maintain the regional ecological balance and conform to soil and hydrological conditions. Indigenous species would be preferred. A green belt/greenery shall be developed along most of the periphery of the project area as well as along roads. The trees planted will be of adequate height. Any trees that do not survive will be replaced.

PLANTATION PROGRAMME LAYOUT Plantation in the project area helps to arrest the particulate matter in the area and hence attenuate the pollution to a great extent and contribute positively to the environment. The trees also help in 264 PROJECT PROPONENT: ENVIRONMENT CONSULTANT:

M/S ARTEMIS MEDICARE SERVICES LTD. M/S PERFACT ENVIRO SOLUTIONS PVT. LTD.

265 EIA DOCUMENT OF “EXPANSION OF ARTEMIS HOSPITAL” AT SECTOR- 51, GURUGRAM HARYANA BY M/S ARTEMIS MEDICARE SERVICES LIMITED maintenance of regional ecological balance and conform to soil and hydrological conditions. Indigenous species are preferred for the purpose. Proper maintainence of the Green area will be one. A lumpsum amount of Rs. 13.61 Lacs is spent on maintainence of Existing green area

9.8 ENVIRONMENT MANAGEMENT COST

CAPITAL EXPENDITURE:

Sr Description Already Proposed Total Cost No Spent Cost (Rs. In lakhs) (Rs. in Lakhs) (Rs. in Lakhs) 1 Landscaping/ Plantation 7.98 8.0 15.98 2 STP/ Waste Water Treatment 37.00 96.09 133.09

3 Rain Water Harvesting Pits 15.00 8.82 23.82

4 Noise Barriers 577 - 577

5 Solid Waste Management 0.85 10.70 11.55

6 Community Welfare 100 10 110

Total Rs. 737.83 Rs. 133.61 Rs. 871.44 Lacs Lacs Lacs

RECURRING EXPENDITURE:

Sr. No Description Proposed Cost (Rs. in Lakhs/ Year) 1 Landscaping 2.41 2 Water Management 13.30 3 Air Management 1.00 4 Environment Monitoring 1.40 5 Solid Waste Management 1.15

265 PROJECT PROPONENT: ENVIRONMENT CONSULTANT:

M/S ARTEMIS MEDICARE SERVICES LTD. M/S PERFACT ENVIRO SOLUTIONS PVT. LTD.

266 EIA DOCUMENT OF “EXPANSION OF ARTEMIS HOSPITAL” AT SECTOR- 51, GURUGRAM HARYANA BY M/S ARTEMIS MEDICARE SERVICES LIMITED

6 Miscellaneous 2.50

Total Rs. 19.76 Lacs

9.9 CORPORATE ENVIRONMENT RESPONSIBILITY

THE TOTAL COST ALREADY SPENT ON CORPORATE SOCIAL RESPONSIBILITY: -

S. No. Thematic Project Title Project Project Total no. of Budget Area Location Period beneficiaries allocated (Rs. In Lacs) 1. Children Providing non-formal Jhajjar, 16th Jan 104 children 9.74 at Risk education and Haryana 2017- between the nutrition among the 15th Jan age group of marginalized children 2018 2-5 yeras in Passour, Jhajjar 2. Children Safe shelter and Shelter 23rd Jan 55 rescued 16.26 at Risk building the skills of home at 2017- girls children at risk sector-21, 22nd Jan Gurugram 2018 3. Enabling Enabling destitute Slums in 16th Jan 100 11.00 elderly elderly by providing Faridabad 2017- destitute them immunity & 15th Jan elderly booster food packets Gurugram 2018 above 60 & adding value to years of age quality of life of deprived elderly. 4 Armed For undertaking - 2015- - 4.90 Forces measures for the 2016 Flag Day benefit of armed Fund forces veterans, war widows and their dependents

266 PROJECT PROPONENT: ENVIRONMENT CONSULTANT:

M/S ARTEMIS MEDICARE SERVICES LTD. M/S PERFACT ENVIRO SOLUTIONS PVT. LTD.

267 EIA DOCUMENT OF “EXPANSION OF ARTEMIS HOSPITAL” AT SECTOR- 51, GURUGRAM HARYANA BY M/S ARTEMIS MEDICARE SERVICES LIMITED

5. Armed Contribute the - 2016- - 19.01 Welfare amount to Queen 2017 CSR Fund Marry Technical Institute (QMTI) for the upgradation of Auto/Elect Trade Wksp of QMTI

Total Rs. 60.91 Lacs

THE TOTAL COST TO BE SPENT ON CORPORATE SOCIAL RESPONSIBILITY: -

S. No. Activity Cost (Rs. In Lacs) 1. Drinking Water Supply 10.0 2. Sanitation 20.0 3. Skill Development 15.0 4. Waste Management 20.0 5. Road Development or repair 30.0 6. Electrification including Solar Power 30.0 7. Rain Water Harvesting 1.50 8. Plantation 25 Total Rs. 300 Lacs

9.10 HEALTH, SAFETY & OCCUPATIONAL MEASURES

Provision of Health and Welfare Facilities will be provided to the labourers to be engaged in land preparation and building construction at the entire cycle activities of the project such as:

– Provision of drinking water from an approved source. – Provision of latrines and urinals and accommodation as per the rules and their drainage and disposal treatment. – Provision of medical and first aid treatment.

267 PROJECT PROPONENT: ENVIRONMENT CONSULTANT:

M/S ARTEMIS MEDICARE SERVICES LTD. M/S PERFACT ENVIRO SOLUTIONS PVT. LTD.

268 EIA DOCUMENT OF “EXPANSION OF ARTEMIS HOSPITAL” AT SECTOR- 51, GURUGRAM HARYANA BY M/S ARTEMIS MEDICARE SERVICES LIMITED

– Facilities for sitting, shelters, rest rooms and lunch rooms, crèches, canteen etc. – Provision of Day working hours.

SAFETY:

Provision of mitigation measures regarding the Health and Safety will be made to the workers employed or proposed to be employed in the entire cycle activities of the project.

– Measures for first aid, fire-fighting and premises evacuation.

– Necessary contacts with appropriate emergency services (first aid, emergency, medical care, rescue work and fire-fighting).

– Safety helmets, belts and slings, nets.

– Properly braced scaffoldings.

– Properly laid electrical cables and connections.

– Fencing of moving parts of the transmission machinery.

– Restriction of lifting and excessive weight material.

– Framing of Health and Safety Policy, On Site Emergency Plan.

– Illumination of passages, ways, stairs, roads excavation and basement work.

– Stacking of building materials, debris and their disposal.

– Means of communications, signals, warning, signboards and barricades at the construction site. Necessary contacts with appropriate emergency services (first aid, emergency, medical care, rescue work and fire-fighting).

Mitigation Measures for Handling of Construction Materials:

– Separate raw material yard was made. Cement was separately stored under cover in bales. – Sand was stacked nearby under tarpaulin cover. – To minimize the occupational health hazard, proper mask was provided to the workers who were engaged in dust generation activity. – Tool box training was provided.

During Operational Period: 268 PROJECT PROPONENT: ENVIRONMENT CONSULTANT:

M/S ARTEMIS MEDICARE SERVICES LTD. M/S PERFACT ENVIRO SOLUTIONS PVT. LTD.

269 EIA DOCUMENT OF “EXPANSION OF ARTEMIS HOSPITAL” AT SECTOR- 51, GURUGRAM HARYANA BY M/S ARTEMIS MEDICARE SERVICES LIMITED

1) All Fire and Explosion Hazards of the project and all possible sources of fire hazards and fire mitigation measures shall be noted. All the standards, codes & legal requirements of line diagram for fire protection systems including fire water supply, storage of water, overhead water tanks, underground water tanks and their capacity, water sprinkling system (moveable, stationary) shall be fulfilled. Emergency exits, fire ladders, fire protective clothing and equipment like helmets, safety belts, safety ladders, safety boots and goggles, fire suits, cranes used for firefighting and for the rescue of the people in case of fire in multi-storeyed buildings and others shall be provided. 2) Measures shall be taken to identify the Electrical Environment Impacts (Hazards) arising during the land preparation for use, building construction operation, and the entire cycle activities of the project and proper mitigation measures shall be adopted. The location of transformers, earth pits, electric panels, boards and distribution of power from power house or generator house/switch room, cable network shall be carefully monitored. All the standards, codes or legal requirements required to be adopted during the installation of electrical equipment, appliances, electric/ battery heating/ cooling appliances/ plant distribution lines/ cables network, switch boards, circuits, earthing/ bounding, earth pits, lightning arrestors and protective equipment and clothing shall be carefully fulfilled. 3) Proper Coordination with Local Municipal Fire Brigade, police, health surveillances (To treat the effected person in fire) shall be maintained. Proper Fire Management System shall be installed with time schedule giving how far is the fire station and how long it takes to reach the building. Provision of Training programme & mock drill shall be made at regular intervals. 4) Environment Management Plan shall be prepared with Emergency Procedures (Emergency Plan) to deal with localized fire and electrical hazards and hazards due to natural calamities at the entire cycle of the activities of the project. Provision of the communication systems to call to help and assistance from nearby building complexes bodies and other external authorities like district authority, fire services, police services, medical services, civil and defence services etc. shall be provided.

269 PROJECT PROPONENT: ENVIRONMENT CONSULTANT:

M/S ARTEMIS MEDICARE SERVICES LTD. M/S PERFACT ENVIRO SOLUTIONS PVT. LTD.

270 EIA DOCUMENT OF “EXPANSION OF ARTEMIS HOSPITAL” AT SECTOR- 51, GURUGRAM HARYANA BY M/S ARTEMIS MEDICARE SERVICES LIMITED

Chapter 10: SUMMARY AND CONCLUSION On the basis of information provided by the Project Proponent by M/s Artemis Medicare Services Limited. Other documents are procured from the Government Agencies, Census Report, IMD etc. and the data generated by M/s Perfact Researches Pvt. Ltd. and analysis of generated information, the following generalized conclusions can be drawn.

The project “Expansion of Artemis Hospital” is situated at Sector-51, Gurgaon, Haryana being developed by M/s Artemis Medicare Services Limited. The hospital is operational for phase I having three towers with built-up area 32,222.50 sqm. As per new planning we are going for expansion in which Phase II having one tower has already been constructed and Phase III is to be constructed on the same plot. The total plot area of the project is 33588.91 sqm and the built up area after expansion will be 67444.652 sqm.

INTRODUCTION:

S. No. Features Details 1. Project Proponent M/s Artemis Medicare Services Limited. 2. Environmental Consultant M/s Perfact Enviro Solutions Pvt. Ltd. 3. Environmental Monitoring and M/s Perfact Researchers Pvt. Ltd. Testing Agency

4. Project Location Sector-51, Guragon, Haryana 5. Latitude and Longitude Latitude: 28⁰25’45.02” N Longitude: 77⁰04’25.23” E 6. Existing Landuse Hospital Building 7. Connectivity Nearest Highways: Netaji Subhash Marg - Adjacent to site NH-8- 3.72 Km NW Nearest Railway Station: Gurugram Rly Station -8.79 Km, NW Basai Dhankot Railway Station - 9.45 Km, NW Nearest Airport: Indira Gandhi International Airport- 12.46 Km NNE 8. Ecologically sensitive area None. However, Rajokari Protected Forest- 10.18 Km NE

270 PROJECT PROPONENT: ENVIRONMENT CONSULTANT:

M/S ARTEMIS MEDICARE SERVICES LTD. M/S PERFACT ENVIRO SOLUTIONS PVT. LTD.

271 EIA DOCUMENT OF “EXPANSION OF ARTEMIS HOSPITAL” AT SECTOR- 51, GURUGRAM HARYANA BY M/S ARTEMIS MEDICARE SERVICES LIMITED

9. Construction Status Phase I having 3 no of towers is operational. Phase II having 1 no of tower has already been constructed and Phase III is yet to be started. 10. Activities within the complex Hospital building 11. Proposed Land Use after Expansion Ground coverage (achieved)- 8193.479 sqm Green Area- 10230.77 sqm Road & Open area- 15164.66 sqm 12. Cost of the project Rs. 399 crores

Site Location on Google Map:

271 PROJECT PROPONENT: ENVIRONMENT CONSULTANT:

M/S ARTEMIS MEDICARE SERVICES LTD. M/S PERFACT ENVIRO SOLUTIONS PVT. LTD.

272 EIA DOCUMENT OF “EXPANSION OF ARTEMIS HOSPITAL” AT SECTOR- 51, GURUGRAM HARYANA BY M/S ARTEMIS MEDICARE SERVICES LIMITED

Site Photographs of Existing Complex: Tower (Exempted from procedure of EIA notification, 2006)

Site Photographs of Proposed Tower

272 PROJECT PROPONENT: ENVIRONMENT CONSULTANT:

M/S ARTEMIS MEDICARE SERVICES LTD. M/S PERFACT ENVIRO SOLUTIONS PVT. LTD.

273 EIA DOCUMENT OF “EXPANSION OF ARTEMIS HOSPITAL” AT SECTOR- 51, GURUGRAM HARYANA BY M/S ARTEMIS MEDICARE SERVICES LIMITED

Area Details:

Particulars Details Existing Proposed Total- Total after expansion mentioned in Operational -A B (A + B) EC granted letter

Cost of the 214 185 399 project in Crore

Plot Area in m2 33588.9 33588.90 - 33588.91

G.C (Achieved) in 5457.39 2736.08 8193.479 m2

FAR Achieved for 26294.57 19561.73 45856.31 Hospital in m2

FAR Achieved for 4057.22 0 4057.22 Residential in m2

Total Proposed 30351.79 19561.73 49913.526 FAR in m2

NON-FAR AREA in 1870.711 5391.98 7262.69 m2

Basement -I area 0 5134.22 5134.22 in m2

Basement -2 0 5134.22 5134.22 area in m2

Total basement 0 10268.44 10268.44 Area in m2

Built-up Area 27354 32222.50 35222.15 67444.652 (FAR + Non-FAR+ Basement area) in m2

Total Green Area 9158.69 1072.08 10230.77 in m2

Total Open & 18972.83 15164.66 15164.66 Road Area in m2

273 PROJECT PROPONENT: ENVIRONMENT CONSULTANT:

M/S ARTEMIS MEDICARE SERVICES LTD. M/S PERFACT ENVIRO SOLUTIONS PVT. LTD.

274 EIA DOCUMENT OF “EXPANSION OF ARTEMIS HOSPITAL” AT SECTOR- 51, GURUGRAM HARYANA BY M/S ARTEMIS MEDICARE SERVICES LIMITED

Activities in Hospital Block and Hospital Block Hospital Block and Hostel Hospital Hostel Block Block

No of Towers 3 2 5

Number of 0 2 2 Basements

Maximum No. of Hospital - G+8 LG + UG + 6 2B+ LG + UG + 6 2B+ LG + UG + 6 Floors Residential- G+9

Max. height of - 27.5 m 27.5 m 27.5 m building (up to terrace level) in m

No. of Beds 320 no. 400 no. 720 no.

Maximum no. of Hospital- G+8 LG+UG+6 2B+LG+UG+6 2B+LG+UG+6 Floors Residential- G+9

In patient - 395 no. 400 no. 795 no.

Total Population - 5569 no. 5394 no. 10963 no. (full occupancy)

Total Power 3100 KW 1400 KW 4500 KW required

No. of DG Sets 2 x 1250 KVA, 2 x 2 x 750 KVA, 1 x 1 x 1500 KVA, 2 x 1250 250 KVA, (1 x 500 1500 KVA, 1 x KVA, 1 x 1000KVA, 2 x 750 KVA in standby) 1000 KVA KVA, 2 x 250 KVA, (1 x 500 KVA in standby)

Project Details: -

S. Features Details No. 1 Manpower requirement During Construction: Initial: 30-40 no. of workers

274 PROJECT PROPONENT: ENVIRONMENT CONSULTANT:

M/S ARTEMIS MEDICARE SERVICES LTD. M/S PERFACT ENVIRO SOLUTIONS PVT. LTD.

275 EIA DOCUMENT OF “EXPANSION OF ARTEMIS HOSPITAL” AT SECTOR- 51, GURUGRAM HARYANA BY M/S ARTEMIS MEDICARE SERVICES LIMITED

Later Stage: 120 no. of workers During Operation: Existing Operational-A - 1518 persons Proposed Total-B- 994 persons Total after expansion (A+B)- 2512 persons 2 Water requirement During construction: 24 KLD for construction work, 13.5 KLD for drinking purpose Source: Tanker supply 15 KLD for construction activity. Source: Treated water from STP During Operation: Existing Operational-A: 483 KLD (Existing occupancy) Proposed Total-B: 621 KLD (Proposed) Total after expansion-(A+B): 1104 KLD (Total after Expansion) Source: HUDA supply 3 Waste water generation During construction: 10 KLD from domestic use by labor During operation: Existing Operational-A: 294 KLD Proposed total-B: 343 KLD Total after expansion (A+B): 637 KLD (Lab- 56 KLD, Domestic- 581 KLD) (Full occupancy) 4 STP & ETP capacity STP- Existing Operational-A: 325 KLD Proposed total-B: 400 KLD Total after expansion (A+B): 325 KLD & 400 KLD ETP- Existing Operational-A: 25 KLD Proposed total-B: 45 KLD Total after expansion (A+B): 25 KLD & 45 KLD 275 PROJECT PROPONENT: ENVIRONMENT CONSULTANT:

M/S ARTEMIS MEDICARE SERVICES LTD. M/S PERFACT ENVIRO SOLUTIONS PVT. LTD.

276 EIA DOCUMENT OF “EXPANSION OF ARTEMIS HOSPITAL” AT SECTOR- 51, GURUGRAM HARYANA BY M/S ARTEMIS MEDICARE SERVICES LIMITED

After expansion, treated water will be reused for flushing, gardening cooling tower & Filter back wash. 38 KLD Excess treated water from STP shall be discharged into sewer however, 53 KLD of treated water from ETP of capacity 25 KLD & 45 KLD shall be discharged into sewer. 5 Power requirement Existing Operational-A: 3100 KW Proposed total-B: 1400 KW Total after expansion (A+B) – 4500 KW Source: Uttar Haryana Bijli Vitran Nigam 6 Power back up Existing Operational-A: 2 x 1250 KVA, 1 x 250 KVA, (1 x 500 KVA (stand by)) Proposed total- B:- 2 x 750 KVA, 1 x 1500 KVA, 1 x 1000 KVA Total after expansion – 1 x 1500 KVA, 2 x 1250 KVA, 1 x 100 KVA, 2 x 750 KVA, 2 x 250 KVA, (1 x 500 KVA in stand by) Thermic Fluid Heater- Capacity: 2 Lac Kcal/day Stack height - 6 m above roof level Location – Surface & Basement 7 Waste Generation During Construction: Type of Waste Generation Disposal Method Construction Construction Soil excavated was &Demolition area approx. 19030.24 cubic Waste meters. This soil was stacked properly under Tarpaulin cover. The top soil was collected and used for landscaping purposes. The debris of C&D material were used in backfilling, roads etc. & 276 PROJECT PROPONENT: ENVIRONMENT CONSULTANT:

M/S ARTEMIS MEDICARE SERVICES LTD. M/S PERFACT ENVIRO SOLUTIONS PVT. LTD.

277 EIA DOCUMENT OF “EXPANSION OF ARTEMIS HOSPITAL” AT SECTOR- 51, GURUGRAM HARYANA BY M/S ARTEMIS MEDICARE SERVICES LIMITED

rest was sent to authorized C&D waste management site. Biodegradable Workers Approx. 11.68 TPA (32 Waste tenant area kg/day) of Municipal solid waste was generated from temporary labors which was disposed off at designated MSW dump site. Recyclable Construction Approx. 4.74 TPA (13 Waste area kg/day) of recyclable waste from construction labors & other Recyclable materials like aluminum, steel, wood pieces, cement bags, plastic containers, cartons, glass etc. was given to approved Recycler. Plastic waste Construction Plastic waste was sent area to approved Plastic waste Recycler. Hazardous Storage site Used oil whenever Waste generated from the DG sets was kept in leak proof containers in an 277 PROJECT PROPONENT: ENVIRONMENT CONSULTANT:

M/S ARTEMIS MEDICARE SERVICES LTD. M/S PERFACT ENVIRO SOLUTIONS PVT. LTD.

278 EIA DOCUMENT OF “EXPANSION OF ARTEMIS HOSPITAL” AT SECTOR- 51, GURUGRAM HARYANA BY M/S ARTEMIS MEDICARE SERVICES LIMITED

isolated area and was sent to approved Recycler. E-Waste As per Site E-waste whenever generated was properly disposed through approved e waste recycler

During Operation:

Type of Disposal Method Total Waste Waste after expansion

Organics The waste at present is 493.11 TPA sent to designated MSW (1351 site. However, Organic Kg/day) Waste Convertor to convert into compost will be installed and compost prepared will be used as manure in green areas of the complex.

Recyclable It is being sent to Approved 176.29 TPA Items Recycler (483 Kg/day)

Plastic Approved Recycler as per 35 TPA (96 Waste Plastic Waste Kg/day) Management Rules 2016.

278 PROJECT PROPONENT: ENVIRONMENT CONSULTANT:

M/S ARTEMIS MEDICARE SERVICES LTD. M/S PERFACT ENVIRO SOLUTIONS PVT. LTD.

279 EIA DOCUMENT OF “EXPANSION OF ARTEMIS HOSPITAL” AT SECTOR- 51, GURUGRAM HARYANA BY M/S ARTEMIS MEDICARE SERVICES LIMITED

Hazardous Waste is being collected in Waste leak proof containers at 0.92 isolated place and then it is kl/annum (77 given to approved recycler litre/month) of SPCB/CPCB.

E-waste It is collected and given to approved recycler of E- 2 kg/month waste as approved by State Pollution Control Board

Battery It is collected and given to As per Waste approved recycler of State Generation Pollution Control Board

Bio Biomedical waste Medical generated from hospital is Waste being handed over to 109 TPA (298 authorized processor, Kg/day) Biotic Waste Solutions Pvt Ltd

8 Rain water Harvesting SOIL QUALITY : Silt Loam INFILTRATION RATE : 20.3 mm/hr ANNUAL RAINFALL : 723 mm PEAK HOURLY RAINFALL : 45 mm /hr GROUND WATER LEVEL : Below 20 m bgl (as per CGWA report 2016) NUMBER OF PITS : 6 nos. (after expansion) SIZE OF PITS : Depth-4.0 m, Dia.-4.6 m Volume of each pit : 66.5 m3 Total Volume of 2 pits : 399 m3

279 PROJECT PROPONENT: ENVIRONMENT CONSULTANT:

M/S ARTEMIS MEDICARE SERVICES LTD. M/S PERFACT ENVIRO SOLUTIONS PVT. LTD.

280 EIA DOCUMENT OF “EXPANSION OF ARTEMIS HOSPITAL” AT SECTOR- 51, GURUGRAM HARYANA BY M/S ARTEMIS MEDICARE SERVICES LIMITED

9 Parking provision Total Parking Requirement: 666 ECS Total Parking Provided: 668 ECS

ENVIRONMENTAL BASELINE DATA

S. No. Features Details 1 Environmental Testing Laboratory M/s Perfact Researchers Pvt Ltd. 2 Season of Monitoring May, 2018 3 Pre-dominant wind direction West 4 Ground water level Below 20 m bgl (as per CGWA report 2016) 5 Connectivity of site Nearest Highways: NH-8: 3.72 Km NW NH-236: 5.12 Km NNW Nearest Railway Station: Gurugram railway station: 8.79 Km NW Nearest Airport: Indira Gandhi International Airport: 12.46 Km NNE

6 Socio-economic data No of villages 5

Total Urban Population 94000

No of Urban Households 10200

Literacy rate Urban 87.50%

Literacy rate rural 79.94%

SC/ST Urban 8.54%

SC/ST rural 15.31%

280 PROJECT PROPONENT: ENVIRONMENT CONSULTANT:

M/S ARTEMIS MEDICARE SERVICES LTD. M/S PERFACT ENVIRO SOLUTIONS PVT. LTD.

281 EIA DOCUMENT OF “EXPANSION OF ARTEMIS HOSPITAL” AT SECTOR- 51, GURUGRAM HARYANA BY M/S ARTEMIS MEDICARE SERVICES LIMITED

ENERGY CONSERVATION MEASURES:

Adequate design to limit the losses in transmission and distribution system.

Use of energy efficient devices like light sources such as LED lamps.

Use of insulation on roof top to reduce air-conditioning load in Hospital Building.

Use of capacitors at load centres to improve voltage and power factor to reduce distributional losses and also to avoid penalty by state electricity authority.

All high efficiency motors are being used in the complex.

1% solar power provision of connected load shall be provided.

Solar lights will be installed for the streets.

Solar lights will be used for common and open areas.

Air ducts in the design to provide proper cross- ventilation for reducing power consumption.

Energy conservation measures have been adopted as per BEE .

ENVIRONMENTAL MONITORING PROGRAMME

During Operation Phase:

During Operation Phase Frequency Sr. No. Type of Monitoring of Parameter Location Monitoring Particulate Matter (PM 2.5), Particulate Matter (PM Two Locations in and around 1 Ambient Air Quality Six Monthly 10), the project site Sulphur Dioxide (SO2), Nitrogen Oxides (NOx) Particulate Matter, Nine no of DG sets installed 2 Stack Monitoring Six Monthly Sulphur Dioxide (SO2), for backup purposes Nitrogen Oxides (NOx) Water Quality All parameters 3 Monitoring for Six Monthly One drinking water sample mentioned in IS:10500 drinking water

281 PROJECT PROPONENT: ENVIRONMENT CONSULTANT:

M/S ARTEMIS MEDICARE SERVICES LTD. M/S PERFACT ENVIRO SOLUTIONS PVT. LTD.

282 EIA DOCUMENT OF “EXPANSION OF ARTEMIS HOSPITAL” AT SECTOR- 51, GURUGRAM HARYANA BY M/S ARTEMIS MEDICARE SERVICES LIMITED

Sewage Treatment BOD, COD, TSS, Oil and 4 Six Monthly Inlet and Outlet of STP Plant Monitoring Grease and pH Ambient Noise Two locations 5 Six Monthly Day and Night noise level Level Monitoring in and around the project site DG Set Room Noise Inside and Outside of DG Two Location in the project 6 Six Monthly Monitoring Set Enclosure site

Soil Quality All parameters to check One Location in and around 7 Six Monthly Monitoring soil Fertility the project site

Monitoring of Waste Generation 8 Six Monthly _ _ and other pollution control aspects

A lumpsum amount of Rs. 2.22 Lacs will be spent on Environment Monitoring Programme ion operation stage.

PROJECT BENEFITS:

It has provided employment to the people during construction and operation phase directly & indirectly. 300 no. of labour during construction stage.

It will be a Super-speciallity hospital. It will also have its Medical training centre which will provide increase opportunities to the students looking forward to their career in this field. Also, it will help in providing best institution to the youth & will nuture their career.

The hospital and its institutes will boast of some of the best medical care infrastructure in the country. It will render tertiary and specialised treatment to general population.

The hospital will also have hostel facility.

CORPORATE ENVIRONMENT RESPONSIBILITY:

As per CER office memorandum of MOEF dated 1.5.2018, the project with cost of project is more than Rs 100 Cr but less than Rs 500 Cr have to spend 0.75% of the Capital cost on the CER activities for brownfield project.

Capital Cost

282 PROJECT PROPONENT: ENVIRONMENT CONSULTANT:

M/S ARTEMIS MEDICARE SERVICES LTD. M/S PERFACT ENVIRO SOLUTIONS PVT. LTD.

283 EIA DOCUMENT OF “EXPANSION OF ARTEMIS HOSPITAL” AT SECTOR- 51, GURUGRAM HARYANA BY M/S ARTEMIS MEDICARE SERVICES LIMITED

Sr Description Already Proposed Total Cost No Spent Cost (Rs. In lakhs) (Rs. in Lakhs) (Rs. in Lakhs) 1 Landscaping/ Plantation 7.98 8.0 15.98 2 STP/ Waste Water Treatment 37.00 96.09 133.09

3 Rain Water Harvesting Pits 15.00 8.82 23.82

4 Noise Barrier 577 - 577

5 Solid Waste Management 0.85 10.70 11.55

6 Community Welfare 100 10 110

Total Rs. 737.83 Rs. 133.61 Rs. 871.44 Lacs Lacs Lacs

Recurring Cost

Sr. No Description Proposed Cost (Rs. in Lakhs/ Year) 1 Landscaping 2.41 2 Water Management 13.30 3 Air Management 1.00 4 Environment Monitoring 1.40 5 Solid Waste Management 1.15 6 Miscellaneous 2.50

Total Rs. 19.76 Lacs

283 PROJECT PROPONENT: ENVIRONMENT CONSULTANT:

M/S ARTEMIS MEDICARE SERVICES LTD. M/S PERFACT ENVIRO SOLUTIONS PVT. LTD.

284 EIA DOCUMENT OF “EXPANSION OF ARTEMIS HOSPITAL” AT SECTOR- 51, GURUGRAM HARYANA BY M/S ARTEMIS MEDICARE SERVICES LIMITED

DISCLOSURE OF ENVIRONMENTAL CONSULTANT

284 PROJECT PROPONENT: ENVIRONMENT CONSULTANT:

M/S ARTEMIS MEDICARE SERVICES LTD. M/S PERFACT ENVIRO SOLUTIONS PVT. LTD.

285 EIA DOCUMENT OF “EXPANSION OF ARTEMIS HOSPITAL” AT SECTOR- 51, GURUGRAM HARYANA BY M/S ARTEMIS MEDICARE SERVICES LIMITED

Disclosure of Environmental Consultant

Perfact Enviro Solutions Pvt Ltd. 501 – 507, 5thFloor, Front Wing, NN Mall Sector- 3, Rohini, New Delhi - 110085 Phone: +91-11-49281360/61

285 PROJECT PROPONENT: ENVIRONMENT CONSULTANT:

M/S ARTEMIS MEDICARE SERVICES LTD. M/S PERFACT ENVIRO SOLUTIONS PVT. LTD.

286 EIA DOCUMENT OF “EXPANSION OF ARTEMIS HOSPITAL” AT SECTOR- 51, GURUGRAM HARYANA BY M/S ARTEMIS MEDICARE SERVICES LIMITED

About Environmental Consultant

➢ INTRODUCTION:

Perfact Enviro Solutions Pvt Ltd, established by experienced environmental and related experts, provides specialized services in the field of Environment and Pollution Control for all types of Industrial, Construction, Nuclear Sciences, Bio-diversity Mining, Aerial Ropeway and other related fields. Our transparent and professional approach, commitment to excellent quality and service, timely deliveries have contributed to create a name in the field of environment. We have a core group of highly qualified experts from various fields like Environment, Forestry, Chemistry, Civil Engineering, Geology, Social Sciences, Electronics and Telecommunication with rich and diversified experience in the field of environment and pollution control.

Perfact Enviro Solutions Pvt Ltd is headed by Mr. Praveen Bhargava, Managing Director who has an experience of 30 years in the field of Environment and Mrs. Rachna Bhargava, Director & C.E.O, who has an experience of 25 years in the field of Environment.

Perfact Enviro Solutions Pvt Ltd management, experience, excellence, professionalism and ultimate satisfaction has helped in achieving the heights of success in their specialized field of environment.

➢ ACCREDIATATIONS OBTAINED: • ISO-9001:2015 Certification • ISO-14001:2015 Certification • QCI – NABET Scheme for Accreditation of EIA Consultant Organization

286 PROJECT PROPONENT: ENVIRONMENT CONSULTANT:

M/S ARTEMIS MEDICARE SERVICES LTD. M/S PERFACT ENVIRO SOLUTIONS PVT. LTD.

287 EIA DOCUMENT OF “EXPANSION OF ARTEMIS HOSPITAL” AT SECTOR- 51, GURUGRAM HARYANA BY M/S ARTEMIS MEDICARE SERVICES LIMITED

➢ KEY PERSONS: S. No Brief Description of Key Persons (NABET Approved)

Mr. Praveen Bhargava is M. Phil in Chemistry, M. Sc in Inorganic Chemistry, P.G. Diploma in Ecology & Environment with overall experience of more than 30 years and currently the Managing Director of Perfact Enviro Solutions Pvt. Ltd

Mrs. Rachna Bhargava, M. Sc in Environmental Science, M. Sc in Mathematics & MA in Geography having more than 25 years of experience in the field of Environment is the Head / Team Leader of EIA Preparation Team. She is also a certified Advance EMS Auditor (ISO-14001:2004) & Laboratory Management & Internal Auditor (ISO 17025:2005) from CII and had undergone Training program on EIA, SIA, Air Dispersion Modelling, Air Quality, CSR, Advanced Training Programme on Green Building Rating System, etc.

Mr. Nipun Bhargava is Masters in Chemical Engineering with experience in the Field of Environment, Laboratory, Chemical Testing and analysis.

EIA coordinator: Neha Aggrawal

Name: Neha Aggrawal

Signature and Date: 31.10.2018

Period of involvement: ......

Contact information: 9711610984

Functional area experts:

Name of the Involvement Signature and S. No. Functional areas expert/s (period and task**) date

1 AP* Nipun Bhargava

31.10.2018

2 WP* Neha Aggarwal

31.10.2018

PROJECT PROPONENT: Page ENVIRONMENT CONSULTANT:

M/S MAHAKOSH PROPERTY DEVELOPERS 287 of M/S PERFACT ENVIRO SOLUTIONS PVT. LTD. 289 288

“EXPANSION OF ARTEMIS HOSPITAL” BY M/S ARTEMIS MEDICARE SERVICES LIMITED

3 SHW* Praveen Bhargava 31.10.2018

4 SE* Rachna Bhargava 31.10.2018

5 EB* Rajiv Kumar

31.10.2018

6 HG* Santosh Pant 31.10.2018

7 GEO* Rajneesh Mourya 31.10.2018

8 SC* Rachna Dogra

31.10.2018

9 AQ* Nipun Bhargava

31.10.2018

10 NV* Muthukumaran 31.10.2018

11 LU* Rajneesh Mourya 31.10.2018

12 RH* Nipun Bhargava

31.10.2018

*One TM against each FAE may be shown **Please attach additional sheet if required

PROJECT PROPONENT: ENVIRONMENT CONSULTANT:

M/S ARTEMIS MEDICARE SERVICES LTD. M/S PERFACT ENVIRO SOLUTIONS PVT. LTD. 289

“EXPANSION OF ARTEMIS HOSPITAL” BY M/S ARTEMIS MEDICARE SERVICES LIMITED

Declaration by the Head of the accredited consultant organization/ authorized person

I Praveen Bhargava, hereby, confirm that the above-mentioned experts prepared the EIA of “Expansion of Artemis Hospital” at Sector -51, Gurgaon, Haryana by M/s Artemis Medicare Services Ltd. I also confirm that EIA Coordinator (EC) has gone through the report, and the consultant organization shall be fully accountable for any misleading information. It is certified that no unethical practices, plagiarism involved in carrying out the work and external data / text has not been used without proper acknowledgement while preparing this EIA report.

Signature:

Name: Praveen Bhargava

Designation: Managing director

Name of the EIA consultant organization: Perfact Enviro Solutions Pvt. Ltd. NABET Certificate No. & Issue Date: QCI/NABET/EIA/ACO/18/736 valid till 27.11.2018

PROJECT PROPONENT: ENVIRONMENT CONSULTANT:

M/S ARTEMIS MEDICARE SERVICES LTD. M/S PERFACT ENVIRO SOLUTIONS PVT. LTD. 290