COMPLIANCE REPORT OF ENVIRONMENT CLEARANCE (FOR THE PERIOD APR.’2018 TO SEP.’2018) (Granted by State Environment Impact Assessment Authority, vide letter Ref. No. 131 Dt: 26.04.2016 ) FOR PROPOSED MEDANTA SUPER SPECIALITY HOSPITAL, (A PROJECT BY GLOBAL HEALTH PATLIPUTRA PVT. LTD.)

CONDITION OF ENVIRONMENT CLEARANCE ISSUED COMPLIANCE OF CONDITIONS BY SEIAA, BIHAR VIDE REF. NO. 131 DT: 26.04.16

PART A – Specific Condition

I. CONSTRUCTION PHASE i. “Consent for Establishment” shall be Bihar State Pollution Control Board has granted obtained from Bihar State Pollution Control Consent to Establish vide Ref. No. PT(NOC)- Board under Air and Water Act and a copy 1703/16/B-1556 Dt: 02.11.2018. (Copy attached shall be submitted to SEIAA, Bihar before herewith as Annexure – I.) start of any construction work at the site. ii. All around the boundary of project site 30 We provided façade 25 ft. from ground level. We will feet façade should be erected before starting raise the height further 5.0 ft of façade as per the any demolition or construction work. ongoing construction activity. iii. Provisions shall be made for the housing of We have provided temporary housing of labours labours within the site with all necessary nearby the project site (300 m.) with all necessary infrastructure and facility to maintain sanitary infrastructure and facility to maintain sanitary and and hygienic measures before starting hygienic measures. We have provided cooking gas construction activities and to be maintained and pressure cooker to the labourers for cooking throughout the construction phase. The food. housing may be in the form of temporary structure to be removed after completion of project. iv. Health and safety norms of CPWD should be We are following Health and safety norms of CPWD followed during the construction. It shall be during the construction. Construction workers are ensured that construction workers must be provided with safety and personal protective using safety and personal protective equipment while they are on project site. equipment while they are on project site. v. A first Aid Room shall be provided in the We have provided first Aid Room in the project both project both during construction and during construction and operation of the project. All operation of the project. All First Aid First Aid treatment will be free of cost. treatment shall be free of cost. vi. Adequate drinking water and sanitary Adequate drinking water and sanitary facilities have facilities should be provided for construction been provided for construction workers at the site. workers at the site. Provision should be made Provision have been made for mobile toilets. The safe for mobile toilets. The safe disposal of waste disposal of waste water and solid wastes generated water and solid wastes generated during the during the construction phase are ensured through construction phase should be ensured. proper arrangements. vii. All the topsoil excavated during construction All the excavated top soil is being reused at site for activities should be stored for use in filling of low lying areas and for plantation purpose horticulture/landscape development within around the boundary periphery.

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CONDITION OF ENVIRONMENT CLEARANCE ISSUED COMPLIANCE OF CONDITIONS BY SEIAA, BIHAR VIDE REF. NO. 131 DT: 26.04.16 the project site. viii. Disposal of muck during construction phase Disposal of muck during construction phase will be should not create any adverse effect on the done in own land, taking all necessary precautions for neighboring communities and be disposed general safety and health aspects of people, within taking all necessary precautions for general premises which will not create any adverse effect on safety and health aspects of people, only at the neighboring communities and be disposed, only at approved sites with the approval of approved sites with the approval of competent competent authority. authority. ix. Soil and ground water samples will be tested Soil and Ground Water Quality report enclosed as by the project proponent from any laboratory Annexure – II & III respectively. recognized by MoEF & CC / SPCB to ascertain that there was no threat to ground water quality by leachate of heavy metals and other toxic contaminants. x. Construction soils, including bituminous Construction soils, including bituminous material and material and other hazardous materials, must other hazardous materials, will not be allowed to not be allowed to contaminate water courses contaminate water courses and the dump sites for and the dump sites for such material must be such material will be secured by PVC linining so that secured so that they should not leach into the they should not leach into the ground water. ground water. xi. Any hazardous waste generated during Agreed construction phase should be disposed off as per applicable rules and norms with necessary approvals of the Bihar State Pollution Control Board. xii. The diesel generator sets to be used during During construction phase we are using diesel construction phase should be low sulphur generator sets of low sulphur diesel type and it diesel type and should conform to conforms to Environment (Protection) Rules Environment (Protection) Rules prescribed prescribed for air and noise emission standards. for air and noise emission standards. xiii. Vehicles hired for bringing construction Vehicles hired for bringing construction material to material to the site should be in good the site are maintained in good condition with valid condition and should have a pollution check PUC certificate. Vehicles are operated only during certificate and should conform to applicable non-peak hours. The material loaded or unloaded are air and noise emission standards and should covered before transportation to avoid fugitive dust be operated only during non-peak hours. The emission. material loaded or unloaded should be covered (especially sand, excavated soil etc. before transportation to avoid fugitive dust emission. xiv. Proper measures should be adopted to control We have provided water sprinklers to control dust dust emission during construction phase by emission during construction phase. Monitoring of providing adequate number of sprinklers. AAQ Report enclosed as Annexure – IV. xv. Ambient noise levels should conform to the Project site is located on PC Colony main road, in CPCB norms. commercial area surrounded by residential area. Noise level exceeds the norms of residential area due to noise by vehicular traffic around the project site. Ambient Noise Level Report enclosed as Annexure - V. xvi. Possibilities of use of fly ash as building Fly ash based building material will be used to material shall be explored to the maximum maximum extent possible as per the provisions of Fly extent possible as per the provisions of Fly Ash Notification of September, 1999 and amended as

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CONDITION OF ENVIRONMENT CLEARANCE ISSUED COMPLIANCE OF CONDITIONS BY SEIAA, BIHAR VIDE REF. NO. 131 DT: 26.04.16 Ash Notification of September, 1999 and on 27TH August, 2003 as the site is located within the amended as on 27TH August, 2003 as the site 100 km of Thermal Power Station. is located within the 100 km of Thermal Power Stations. xvii. Ready mixed concrete must be used in We are using ready mixed concrete in building building construction to minimize use of construction to minimize use of water and also by use water and also by use of pre-mixed concrete, of pre-mixed concrete, curing agents and other best curing agents and other best practices practices preferred. preferred. xviii. Storm water control and its re-use as per Storm water control and its re-use are planned as per CGWB and BIS standards for various CGWB and BIS standards for various applications. applications. xix. Permission to draw ground water shall be We have applied for approval from Central ground obtained from the competent Authority prior Water Authority vide application No. 21- to construction/operation of the project. The 4/387/BR/INF/2018 Dt: 08.09.2018. We will install ground water level shall be regularly Piezometer as per direction of CGWA/CGWB. (Copy monitored by installing perizometer. of NOC Application is enclosed herewith as Annexure VI.) xx. Separation of grey and black water should be Dual plumbing will be adopted as per engineering done by the use of dual plumbing line for requirement. separation of grey and black water. xxi. Fixtures for showers, toilet flushing and Low flow fixtures for showers, toilet flushing and drinking should be low flow either by use of drinking will be adopted. aerators of pressures reducing devices or sensor based control. xxii. Use of glass may be reduced by upto 40% to We will reduce the use of glass by 40% to reduce the reduce the electricity consumption and load electricity consumption and load on air-conditioning. on air-conditioning. If necessary, use high However, high quality double glass with special quality double glass with special reflective reflective coating in windows will be used. coating in windows. xxiii. Roof should meet prescriptive requirement as Roof is designed as per prescriptive requirement of per Energy Conservation Building Code by Energy Conservation Building Code by using using appropriate thermal insulation material appropriate thermal insulation material to fulfill to fulfill requirement. requirement. xxiv. Opaque wall should meet prescriptive Opaque walls will meet prescriptive requirement as requirement as per Energy Conservation per Energy Conservation Building code which is Building code which is proposed to be proposed to be mandatory for all air-conditioned mandatory for all air-conditioned spaces spaces while it is aspirational for non-air-conditioned while it is aspirational for non-air- spaces by use of appropriate thermal insulation conditioned spaces by use of appropriate material to fulfill requirement. thermal insulation material to fulfill requirement. xxv. The existing mobile tower installed on the There were no existing buildings and there is no roof of existing building should be removed mobile towers. before starting the construction activity. xxvi. The approval of the competent authority shall We have obtained approval of the competent be obtained for height of building structural authority for height of building structural safety of the safety of the buildings due to earthquake, buildings due to earthquake, adequacy of firefighting adequacy of firefighting equipment, etc. as equipment, etc. as per National Building Code per National Building Code including including protection measures from lightening etc. protection measures from lightening etc. xxvii. Traffic congestion near the entry and exist Parking will be fully internalized and no public space

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CONDITION OF ENVIRONMENT CLEARANCE ISSUED COMPLIANCE OF CONDITIONS BY SEIAA, BIHAR VIDE REF. NO. 131 DT: 26.04.16 points from the roads adjoining the proposed will be utilized. All precautionary measures to avoid project site must be avoided. Parking should Traffic congestion near the entry and exit points from be fully internalized and no public space the roads adjoining the proposed project site. should be utilized. xxviii. Dedicated pedestrian paths shall be provided Dedicated pedestrian paths are being provided along along the Hospital Building roads. the Hospital Building roads. Appropriate access for Appropriate access shall be provided for physically handicapped people in the pedestrian paths physically handicapped people in the will be provided. pedestrian paths. xxix. Regular supervision of the above and other To avoid disturbance to the surroundings, regular measures for monitoring should be in place supervision of the above and other measures for all through the construction phase, so as to monitoring will be in place all through the avoid disturbance to the surroundings. construction phase. xxx. Under the provisions of Environment Agreed (Protection) Act, 1986, legal action shall be initiated against the project proponent if it was found the environment clearance condition was not complied.

II. OPERATIONAL PHASE i. Consent to Operate under Air and Water Acts We will obtain Consent to Operate under Air and shall be obtained from BSPCB before Water Acts from BSPCB before operation of the operation failing which the Environmental project. Clearance herein shall be deemed to be withdrawn. ii. The installation of the Sewage Treatment STP is being constructed in basement area with plinth Plant (STP) should not be in the basement of 2 m. below ground level and remaining part of (UG) but at the ground level. Treated effluent STP will be above ground level. from STP shall Be recycled/reused to the maximum extent possible. Treatment of 100% grey water by decentralized treatment should be done. Discharge of unused treated effluent shall conform to the norms and standards of the BSPCB. Necessary measures should be made to mitigate the odor problem from STP. iii. The Solid waste generate should be properly The Solid waste generate will be properly collected collected and segregate. Wet garbage should and segregated. Wet garbage will be composted and be composted and dry/inert solid waste dry/inert solid waste will be disposed off through should be disposed off to the approved sites PMC. Bio-Medical Waste will be disposed of as per for a land filling after recovering recyclable the Bio-Medical Waste Management Rules, 2016 and material. Bio-Medical Waste shall be authorization will be obtained from BSPCB as per disposed of as the Bio-Medical Waste applicability. Bio-Medical waste will be disposed off (Management & Handling) Rules, 1998 and through nearby CBMWT facility at IGIMS Patna. authorization shall be obtained from BSPCB as per applicability. Provision shall be made to treat Bio-Medical waste by attaching with nearby CBWT facility if needs. iv. Provisions should made by the proponent to All the generated MSW will be disposed off through treat of MSW. PMC. v. Diesel Power generating sets proposed as All DG Sets to be installed within premises will be source of backup power for elevators and equipped with acoustic enclosures and DG Set stack

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CONDITION OF ENVIRONMENT CLEARANCE ISSUED COMPLIANCE OF CONDITIONS BY SEIAA, BIHAR VIDE REF. NO. 131 DT: 26.04.16 common area illumination during operation height will be provided as per CPCB Guidelines. phase should be enclosed type and conform to rules make under the Environment (Protection) Act, 1986. The height of stack of DG sets should conform to the norms of CPCB, Delhi. vi. Noise should be controlled to ensure that it Noise will be controlled and it does not exceed the does not exceed the prescribed standards of prescribed standards of CPCB, Delhi. CPCB, Delhi. vii. The green belt of the adequate width and The green belt of the adequate width and density density preferably with local species shall be preferably with local species will be raised as per raised as per submitted plan so as to provide submitted plan so as to provide protection against protection against SPM and noise. SPM and noise. viii. Weep holes in the compound walls shall be Weep holes in the compound walls will be provided provided to ensure natural drainage of rain to ensure natural drainage of rain water in the water in the catchment area during the catchment area during the monsoon period. monsoon period. ix. Traffic congestion near the entry and exist Parking will be fully internalized and no public space points from the roads adjoining the proposed will be utilized. All precautionary measures to avoid project site must be avoided. Parking should Traffic congestion near the entry and exit points from be fully internalized and no public space the roads adjoining the proposed project site. should be utilized. x. A report on the energy conservation measures We are preparing a report on the energy conservation conforming to energy conservation norms measures conforming to energy conservation norms finalized by Bureau of Energy Efficiency and it will be submitted shortly. should be prepared incorporating details about building materials &technology, R & U factors etc. and submit to the Ministry in three months time. xi. Energy conservation measures like Energy conservation measures like installation of installation of LED/ Solar Light for the LED/ Solar Light for the lighting the areas outside the lighting the areas outside the building should building will be in place before project be integral part of the project design and commissioning. Use of LED will be properly should be in place before project collected and disposed off/sent for recycling as per commissioning. Use of LED should be the prevailing guidelines/rules of regulatory authority properly collected and disposed off/sent for to avoid mercury contamination. Use of solar panels recycling as per the prevailing will be done to the extent possible. guidelines/rules of eh regulatory authority to avoid mercury contamination. Use of solar panels may be done to the extent possible. xii. Adequate measures should be taken to Preventive measures will be adopted to reduce odour prevent odour problem from solid wastes problem from solid wastes processing plant and STP. processing plant and STP. xiii. The building blocks should have adequate Adequate distance will be maintained between distance between them to allow movement of buildings to allow movement of fresh air and passage fresh air and passage of natural light, air and of natural light, air and ventilation. ventilation. xiv. No mobile towers shall be erected within the No mobile towers will be erected within the proposed proposed hospital premised. hospital premised.

PART – B. GENERAL CONDITIONS 1. The environmental safeguards contained in We are implementing environmental safeguards as

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CONDITION OF ENVIRONMENT CLEARANCE ISSUED COMPLIANCE OF CONDITIONS BY SEIAA, BIHAR VIDE REF. NO. 131 DT: 26.04.16 the EMP report should be implemented in per EMP report in letter and spirit. letter and spirit. 2. Provision should be made for supply of We have provided cooking gas and pressure cooker to kerosene or cooking gas and pressure cooker the labourers for cooking food. to the labourers during construction phase. 3. Six monthly monitoring reports should be We are submitting six monthly compliance report submitted to the SEIAA, Bihar, BSPCB, regularly for Apr.-Sep. (Upto 01st Dec.) and Oct.- Ministry and its Regional Office, Ranchi. Mar. (Upto 01st Jun.). Six monthly compliance report is being submitted to SEIAA, Bihar, BSPCB, MoEFCC, Regional Office, Ranchi. 4. Officials from the Regional Office of MoEF We will extend full co-operation, facilities and & CC, Ranchi, SEIAA, Bihar and BSPCB provide documents/data to the Officials from the who should be monitoring the Regional Office of MoEF & CC, Ranchi, SEIAA, implementation of environmental safeguards Bihar and BSPCB who will be monitoring the should be given full cooperation, facilities implementation of environmental safeguards. and documents/data by the project proponents during their inspection. 5. In the case of any changes in the scope of the Agreed project, the project would require a fresh appraisal by the SEIAA/SEAC, Bihar. 6. Risk Assessment study along-with Disaster Risk Assessment study along-with Disaster Management Plan(DMP) shall be prepared. Management Plan(DMP) has been prepared and The mitigative measures for disaster submitted to District Administration for their prevention and control shall be prepared and approval. (Copy of Acknowledgment from District get approval from competent authority. Magistrate Office is enclosed herewith as Annexure – VII). 7. The SEIAA, Bihar reserves the right to add Agreed additional safeguard measures subsequently, if found necessary and to take action including revoking of the environment clearance under the provisions of the Environmental (Protection) Act,1986, to ensure effective implement of the suggest safeguard measures in a time bound and satisfactory manner. The Authority reserves the right to add any new condition or modify the above conditions or to revoke the clearance if conditions stipulated above are not implemented to the satisfaction of authority or for the matter for any other Administrative reason. 8. These stipulations would be enforced among Agreed others under the provisions of Water (Prevention and Control of Pollution) Act, 1974, and the Air (Prevention and Control of Pollution) Act, 1981, the Environment (Protection) Act, 1986. 9. The project proponent should advertise in at We have publish public notice w.r.t Grant of least two local Newspapers widely circulated Environmental Clearance in Hindi Language in Hindi in the region, one of which shall be in the Daily Sanmarg & Aaj , Dt: 16.10.2018. vernacular language informing that the (Copy attached as Annexure – VIII). project has been accorded Environmental

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CONDITION OF ENVIRONMENT CLEARANCE ISSUED COMPLIANCE OF CONDITIONS BY SEIAA, BIHAR VIDE REF. NO. 131 DT: 26.04.16 Clearance and copies of clearance letters are available with the Bihar State Pollution Control Board and may also be seen on the website of the SEIAA, Bihar and Ministry of Environment and Forests at http://www.envfor.nic.in. The advertisement should be made within 10 days for the date of receipt of the Clearance letter and a copy of the same should be forwarded to the Regional Officer of MoEF&CC, Ranchi. 10. Any appeal against this Environmental Agreed. Clearance shall lie with the National Green Tribunal, if preferred, within a period of 30 days as prescribed under Section 16 of National Green Tribunal Act, 2010. The above stipulations would be enforced among others under the Water (Prevention & Control of Pollution) Act, 1974, the Air (Prevention & Control of Pollution) Act, 1981, the Environment (Protection) Act, 1986, Hazardous Wastes (Management, Handling and Transboundary Movement) Rules, 2008 and the Public Liability Insurance Act, 1991 and with their subsequent amendments and rules made there under and also any other orders passed by the Hon’ble Supreme Court of /High Court of Bihar and any other court of Law relating to the subject matter. 11. Copy of Environmental Clearance, status of We are uploading copy of Environmental Clearance, compliance to the various stipulated status of compliance to the various stipulated environmental conditions and environmental environmental conditions and environmental safeguards shall be permanently uploaded by safeguards in our website. the project proponent in its website.

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AnnexAnnex - I - XII

Annex - II Head Office : Laboratory Address :- ST 122 C, Aastha 01 FLOOR, RAJHANS NIKETAN, Road No. 5 A NEAR CANAL, RUKUNPURA, Patliputra Colony BAILEY ROAD, PATNA – 800 013 (Bihar) PATNA – 800 014 (BIHAR)

SHIVA TEST HOUSE Tel. : 0612 – 2241638 ; TeleFax : 0612 - 2590705 E.mail.: [email protected] ISO 18001:2007 OHSAS Certified RECOGNISED AS ENVIRONMENTAL LABORATORY BY CENTRAL GOVT. UNDER ENVIRONMENT ( PROTECTION ) ACT 1986), BY DEPTT. OF INDUSTRY, FORESTS & ENVIRONMENT, GOVT. OF BIHAR AND BIHAR STATE POLLUTION CONTROL BOARD & ACCREDITED BY NABL TEST REPORT

Ref. No. G/TR/18-19/684 Dt : 01.12.2018 Your Work Order No. NIL Dt : 28.11.2018 Global Health Patliputra Pvt. Ltd. (Medanta Super Speciality Hospital Project) [a] Name and address of the Customer Near Jayprabha Hospital PC Colony, PATNA – 801 503 [b] Report to be submitted to General Manager Ground Water sample from Borewell inside Project Site of [c] Details of Sample Medanta Super Speciality Hospital Project , Kankarbagh, Patna [d] Sample Collected by SHIVA TEST HOUSE on 29.11.18 [e] No. & Type of Container One polypropylene bottle & One Sterilized Glass bottle [f] Items required to be tested As per request [g] Whether any specific Method of Test has No been suggested by the party [h] Date of receiving the sample 29.11.18 Limit as per IS 10500 : 2012 Results in mg/l. except Permissible Limit in S.N. Parameters Limit (mg/l.) Method of Test colour, Odour, Taste, the absence of Acceptable Turbidity, & pH alternative source 1 Colour 5 Hazen Limit 15 IS 3025 (Part-4) < 5.00 2 Odour Agreeable Agreeable IS 3025 (Part-5) Agreeable 3 Taste Agreeable Agreeable IS 3025 (Part-7)) Agreeable 4 pH 6.5 to 8.5 No relaxation IS 3025 (Part-11) 7.21 5 Turbidity on NTU 1.0 5.0 IS 3025 (Part-10) < 1.00 6 Total Dissolved Solids (TDS) 500.00 2000.00 IS 3025 (Part-16) 340.0

7 Total Hardness as CaCO3 200.00 600.00 IS 3025 (Part-21) 166.0 8 Calcium as Ca 75.00 200.00 IS 3025 (Part-40) 48.0 9 Magnesium as Mg 30.00 100.0 IS 3025 (Part-46) 11.2 10 Iron as Fe 0.30 No relaxation IS 3025 (Part-53) 0.12 11 Residual Free Chlorine 0.2 1 IS 3025 (Part-26) < 0.1

12 Total Alkalinity as CaCO3 200.00 600.00 IS 3025 (Part-23) 184.0 13 Chloride as Cl 250.00 1000.00 IS 3025 (Part-32) 30.0

14 Sulphate as SO4 200.00 400.00 IS 3025 (Part-24) 6.8

15 Nitrate as NO3 45.00 No relaxation IS 3025 (Part-34) 4.1 16 Fluoride as F 1.0 1.5 APHA 4500 (F D) 0.58 17 Lead as Pb 0.01 No Relaxation APHA 3111 B <0.01 18 Chromium as Cr 0.05 No Relaxation APHA (3111 B) <0.01 19 Total Arsenic as As 0.01 0.05 APHA (3114 B) <0.01 20 Mercury as Hg 0.001 No Relaxation APHA 3111 B <0.0001 21 Total Coliform Bacteria Shall Not be Detectable in 100 ml. IS 1622 Not Detectable

Authorized Signatory Quality Manager / Dy. Quality Manager 1. This report applies only to sample tested as above. 2. Total Liability of our Laboratory is limited to invoiced amount. 3. Test Report endorsed only the tests and not the product certificate. 4. Test Report can not be reproduced partially or full for legal/court purpose without written permission of the Laboratory. Annex - III Head Office : Laboratory Address :- ST 122 C, Aastha 01 FLOOR, RAJHANS NIKETAN, Road No. 5 A NEAR CANAL, RUKUNPURA, Patliputra Colony BAILEY ROAD, PATNA – 800 013 (Bihar) PATNA – 800 014 (BIHAR)

SHIVA TEST HOUSE Tel. : 0612 – 2241638 ; TeleFax : 0612 - 2590705 E.mail.: [email protected] ISO 18001:2007 OHSAS Certified RECOGNISED AS ENVIRONMENTAL LABORATORY BY CENTRAL GOVT. UNDER ENVIRONMENT ( PROTECTION ) ACT 1986), BY DEPTT. OF INDUSTRY, FORESTS & ENVIRONMENT, GOVT. OF BIHAR AND BIHAR STATE POLLUTION CONTROL BOARD & ACCREDITED BY NABL TEST REPORT

Ref. No. G/TR/18-19/685 Dt : 01.12.2018 Your Work Order No. NIL Dt : 28.11.2018 Global Health Patliputra Pvt. Ltd. (Medanta Super Speciality Hospital Project) [a] Name and address of the Customer Near Jayprabha Hospital PC Colony, Kankarbagh PATNA – 801 503 [b] Report to be submitted to General Manager Soil sample collected from Project Site of Medanta [c] Details of Sample Super Speciality Hospital Project , Kankarbagh, Patna [d] Sample Collected by Shiva Test House on 29.11.18 [e] No. & Type of Container One Plastic Bag [f] Items required to be tested As per request [g] Whether any specific Method of Test has been No suggested by the Party [h] Date of receiving the sample 29.11.18 Specification for Soil Fertility (Low) / Critical Limits* by Parameters Results Ministry of Agriculture, Govt. of India 1. Colour Yellowish Brown 2. pH 6.78 3. Conductivity (mhos/cm.) Not Specified 356.0 4. Bulk density (g/cc) 1.1 5. Organic Matter (%) 0.72 6. Nitrogen < 280 Kg./ Ha. 288 Kg./ Ha. 7. Potassium < 10 Kg./Ha. 15 Kg./ Ha. 8. Phosphorous < 108 Kg./Ha. 124 Kg./ Ha. 9. Iron as Fe* 2.5 – 4.5 mg/l. 0.56 mg/l. 10. Zinc as Zn* 0.6 mg/l. 0.22 mg/l. 11. Copper as Cu* 0.2 mg/l. <0.01 mg/l. 12. Manganese as Mn* 2 mg/l. <0.01 mg/l. 13. Boron as B* 0.5 mg/l. <0.01 mg/l.

Authorized Signatory Quality Manager / Dy. Quality Manager 1. This report applies only to sample tested as above. 2. Total Liability of our Laboratory is limited to invoiced amount. 3. Test Report endorsed only the tests and not the product certificate. 4. Test Report can not be reproduced partially or full for legal/court purpose without written permission of the Laboratory. Annex - IV Head Office : Laboratory Address :- ST 122 C, Aastha 01 FLOOR, RAJHANS NIKETAN, Road No. 5 A NEAR CANAL, RUKUNPURA, Patliputra Colony BAILEY ROAD, PATNA – 800 013 (Bihar) PATNA – 800 014 (BIHAR)

SHIVA TEST HOUSE Tel. : 0612 – 2241638 ; TeleFax : 0612 - 2590705 E.mail.: [email protected] ISO 18001:2007 OHSAS Certified RECOGNISED AS ENVIRONMENTAL LABORATORY BY CENTRAL GOVT. UNDER ENVIRONMENT ( PROTECTION ) ACT 1986), BY DEPTT. OF INDUSTRY, FORESTS & ENVIRONMENT, GOVT. OF BIHAR AND BIHAR STATE POLLUTION CONTROL BOARD & ACCREDITED BY NABL TEST REPORT Ref. No. G/TR/18-19/681 Dt : 01.12.2018 Your Work Order No. NIL Dt : 28.11.2018 Global Health Patliputra Pvt. Ltd. (Medanta Super Speciality Hospital Project) a. Name and Address of the Customer Near Jayprabha Hospital PC Colony, Kankarbagh PATNA – 801 503 b. Report to be submitted to Manager- Admn. Monitoring of Ambient Air Quality at Project Site of c. Details of Sample Medanta Super Speciality Hospital Project , Kankarbagh, Patna d. Sample collected by Shiva Test House on 29.11.18 e. No. & Type of Container Filter Paper & Glass Impinger f. Items required to be tested As per Contract g. Whether any specific Method of Test has been NO suggested by the Party h. Date of Receiving the sample 30.11.18 Sampling Station Near Near Back Limit as per NAAQS Parameters Method of Test Near Site Office Main gate Gate Nov. 2009 RESULTS IN g / M3 76.7 60.5 53.4 Particulate Matter IS 5182 (Part-23) 119.8 79.8 76.1 100 g / m3 (PM10) 93.8 59.1 57.7 45.4 36.3 32.0 Particulate Matter CPCB GMAAP 71.2 47.1 45.5 60 g / m3 (PM2.5) 55.9 35.2 34.2 7.8 5.4 4.6 9.9 5.6 6.7 Sulphur Dioxide as 8.6 7.6 6.1 IS 5182 (Part-2) 80 g / m3 SO2 12.5 9.4 4.7 10.8 7.0 5.3 7.4 5.9 4.6 21.5 12.4 8.7 29.5 15.2 14.8 Nitrogen Dioxide as 25.1 21.4 13.4 IS 5182 (Part-6) 80 g / m3 NO2 35.4 26.1 12.4 30.1 18.2 10.9 21.1 13.7 9.7 Average Value

PM10 96.8 66.5 62.4

PM2.5 57.5 39.5 37.2

SO2 9.5 6.8 5.3

NO2 27.1 17.8 11.7

Authorized Signatory Quality Manager / Dy. Quality Manager 1. This report applies only to sample tested as above. 2. Total Liability of our Laboratory is limited to invoiced amount. 3. Test Report endorsed only the tests and not the product certificate. 4. Test Report can not be reproduced partially or full for legal/court purpose without written permission of the Laboratory. Annex - V Head Office : Laboratory Address :- ST 122 C, Aastha 01 FLOOR, RAJHANS NIKETAN, Road No. 5 A NEAR CANAL, RUKUNPURA, Patliputra Colony BAILEY ROAD, PATNA – 800 013 (Bihar) PATNA – 800 014 (BIHAR)

SHIVA TEST HOUSE Tel. : 0612 – 2241638 ; TeleFax : 0612 - 2590705 E.mail.: [email protected] ISO 18001:2007 OHSAS Certified RECOGNISED AS ENVIRONMENTAL LABORATORY BY CENTRAL GOVT. UNDER ENVIRONMENT ( PROTECTION ) ACT 1986), BY DEPTT. OF INDUSTRY, FORESTS & ENVIRONMENT, GOVT. OF BIHAR AND BIHAR STATE POLLUTION CONTROL BOARD & ACCREDITED BY NABL TEST REPORT

Ref. No. G/TR/18-19/682 Dt : 01.12.2018 Your Work Order No. NIL Dt : 28.11.2018 Global Health Patliputra Pvt. Ltd. (Medanta Super Speciality Hospital Project) [a] Name and address of the Customer Near Jayprabha Hospital PC Colony, Kankarbagh PATNA – 801 503 [b] Report to be submitted to Manager- Admn. Monitoring of Ambient Noise Level Project Site of [c] Details of Sample Medanta Super Specialty Hospital Project , Kankarbagh, Patna [d] Monitored by Shiva Test House on 29/30.11.18 [f] Items required to be tested As per Instruction [g] Whether any specific Method of Test has No been suggested by the party Day Time (6:00 am to Night Time (10:00 pm to 9:00 pm) Time Weighted 6:00 am) Time Weighted Monitoring Location Average (TWA) of Noise Average (TWA) of Noise Level in dB(A) Level in dB(A) 1. Near Main Gate 68.1 53.6 2. Near NE Corner of Project Area 67.4 52.7 3. Near SE Corner of Project Area 51.6 41.3 4. Near NW Corner of Project Area 66.4 51.6 5. Near SW Corner of Project Area 52.1 42.8 N.B.: 1. The Ambient Air Quality Standards in respect of Noise as per Noise Pollution (Regulation and Control ) Rules 2000 for Industrial area is 75.0 dB(A), for Commercial area is 65.0 dB(A), for Residential area is 55.0 dB(A) & for Silence Zone is 50.0 dB(A) in daytime i.e. 6.00 am to 9.0 p.m. As per Rule 7(1&2) the authority shall take action against violator if the noise level exceed the ambient noise standards by 10 dB(A) or more against any area/zone. 2. The Ambient Air Quality Standards in respect of Noise as per Noise Pollution (Regulation and Control ) Rules 2000 for Industrial area is 70.0 dB(A), for Commercial area is 55.0 dB(A), for Residential area is 45.0 dB(A) & for Silence Zone is 40.0 dB(A) in nighttime i.e. 10.00 pm to 6.00 a.m. As per Rule 7(1&2) the authority shall take action against violator if the noise level exceed the ambient noise standards by 10 dB(A) or more against any area/zone.

Authorized Signatory Quality Manager / Dy. Quality Manager 1. This report applies only to sample tested as above. 2. Total Liability of our Laboratory is limited to invoiced amount. 3. Test Report endorsed only the tests and not the product certificate. 4. Test Report can not be reproduced partially or full for legal/court purpose without written permission of the Laboratory. Government of India Central Ground Water Authority (CGWA) Ministry of Water Resources, River Development and Ganga Rejuvenation Applications for Issue of NOC to Abstract Ground Water (NOCAP)

Application for Permission to Abstract Ground Water for Infrastructure Use (Application for New NOC)

Application Number : 21-4/387/BR/INF/2018

1. General Information: Water Quality: Fresh Water Application Type Category/ Type of Application: Hospitals (i) Name of Infrastructure: JAYPRABHA MEDANTA SUPER SPECIALITY HOSPITAL (ii) Location Details of the Infrastructure Unit- (Attach Approved Site Plan with Location Map) ($) Address Line 1 : PC COLONY, KANKARBAGH, PATNA - 800 020 Address Line 2 : Address Line 3 : State: BIHAR District: PATNA Sub-District: PATNA SADAR Village/Town: Patna (M Corp. + OG) Latitude: 25.350000 Longitude: 85.900000 Area Type : Non-Notified Area Type Category : Semi Critical (iii) Communication Address Address Line 1: JAYPRABHA SUPERSPECIALITY HOSPITAL, NEAR JAYPRABHA HOSPITAL Address Line 2: PC COLONY, KANKARBAGH Address Line 3: PATNA - 800 020 State: BIHAR District: PATNA Sub-District: PATNA SADAR Pincode: 800020 Phone Number with Area Code: Mobile Number: 91 8294429281 Fax Number: E-Mail: [email protected] (iv) Type of Infrastructure : Hospitals (v) Land Use Details of the Existing/Proposed Land Use Details Existing (sq meter) Proposed (sq meter) Grand Total (sq meter) Green Belt Area 1943.89 1943.89 Open Land 1000.40 1000.40 Road/ Paved Area 10547.00 10547.00

08/09/2018 08:10 PM Page 1 of 7 Government of India Central Ground Water Authority (CGWA) Ministry of Water Resources, River Development and Ganga Rejuvenation Applications for Issue of NOC to Abstract Ground Water (NOCAP)

Application for Permission to Abstract Ground Water for Infrastructure Use (Application for New NOC)

Application Number : 21-4/387/BR/INF/2018 Rooftop area of 13230.67 13230.67 building/ sheds Total 26721.96 26721.96 (vi) Source of Availability of Surface Water for No source of surface water available near project site. Infrastructure Use (Submit Water Availability / Non Availability Certificate):($) (vii) Average Annual Rainfall in the Area (in mm): 858.00 (viii) Whether Ground Water Utilization for: New Industry Date of Commencement Infrastructure: Date of Expansion : 2. Total Number and Type of : a) Dwelling Units 500 Bed hospital b) Commercials Units 0 c) Industrial Units 0 d) Others 0 3. Details of Water Requirement (Fresh and Recycled Water Usage) (Please Enclose Water Flow Chart of Activities and Requirement of Water at each Stage)($) (i) Total Water Requirement (a+b+c+d) (m3/day) Existing Proposed Total Water Requirement Details (Fresh Water) (m3/day) (a) Ground Water Requirement (m3/day): 0.00 408.00 408.00 (b) Surface Water Available 0.00 0.00 0.00 (Canal, River, Ponds etc.) (m3/day): (c) Water Supply from Any Agency (m3/day): 0.00 0.00 0.00 Total Fresh Water Requirement 0.00 408.00 408.00 (a+b+c)(m3/day): (d) Recycled Water Usage (m3/day): 0.00 350.00 350.00 Total Water Requirement 0.00 758.00 758.00 (a+b+c+d)(m3/Day): 3. (i-a) Dewatering Required, Whether the Groundwater Table will be Intersected No (a) Depth (m bgl) Minimum (m bgl) Maximum (m bgl) (b) Maximum Depth Proposed to Dewater (m bgl) (c) Proposed Quantity of Ground Water to be Dewaterd: (m3/day) (m3/year) (d) Proposed Utilisation of Pumped Water($) (e) Any Other Information (f) Particulars (i-a) is yes (Fill details of Dewatering Existing Structures) Number of Existing Structures 0

08/09/2018 08:10 PM Page 2 of 7 Government of India Central Ground Water Authority (CGWA) Ministry of Water Resources, River Development and Ganga Rejuvenation Applications for Issue of NOC to Abstract Ground Water (NOCAP)

Application for Permission to Abstract Ground Water for Infrastructure Use (Application for New NOC)

Application Number : 21-4/387/BR/INF/2018 SNo. Type of Depth Depth Discharge Operatio Mode Horse Whether Whether Structure (Meter) to (m3/Hour) nal Hours of Power fitted Permission Name / Year / Water (day) / Lift of with Registered of Diameter Level days Name Pump Water with CGWA / If Construction (mm) (Meters (year) Meter so below Details Thereof Ground Level) (g) Particulars (i-a) is yes (Fill details of Dewatering Proposed Structures) Number of Proposed Structures 0 SNo. Type of Depth(Meter) Depth Discharge Operatio Mode Horse Whether Whether Structure / to (m3/Hour) nal of Power fitted Permission Name / Year Diameter Water Hours Lift of with Registered of (mm) Level (day) / Name Pump Water with CGWA / If Constructio (Meters days Meter so n below (year) Details Thereof Ground Level) (ii) Breakup of Water Requirement and Usage: Activity Existing Proposed Total No. of Annual Requirement Requirement Requirement Operational Requirement (m3/day) (m3/day) (m3/day) Days in a Year (m3/year) Residential/Domestic 0.00 408.00 408.00 365 148920.00 Commercial Activity 0.00 290.00 290.00 365 105850.00 Industrial Activity 0.00 0.00 0.00 0 0.00 Greenbelt 0.00 40.00 40.00 210 8400.00 Development /Environment Maintenance Other Use 0.00 20.00 20.00 365 7300.00 Grand Total 0.00 758.00 758.00 270470.00 (iii) Whether ETP/STP Proposed, if so furnish following details: Yes Breakup of Recycled Water Usage (m3/day) (Days) (m3/year) a) Total Waste Water Generated: 389.00 365 141985.00 b) Quantity of Treated Water Available : 350.00 (i) Reuse in Commercial Activity: 290.00 365 105850.00 (ii) Reuse in Industrial Activity 0.00 0 0.00 (iii) Reuse in Greenbelt 40.00 210 8400.00 Development : (iv) Other Uses 20.00 365 7300.00 c) Total Treated Water Utilised: 350.00 121550.00 Net Ground Water Requirement : 408.00 (m3/day)

08/09/2018 08:10 PM Page 3 of 7 Government of India Central Ground Water Authority (CGWA) Ministry of Water Resources, River Development and Ganga Rejuvenation Applications for Issue of NOC to Abstract Ground Water (NOCAP)

Application for Permission to Abstract Ground Water for Infrastructure Use (Application for New NOC)

Application Number : 21-4/387/BR/INF/2018 4. Whether Local Goverment Water Supply Network Exists in the Area, if yes, Yes provide details.($) Water supply through Patna Municipal Corporation 5. (i) Water Supply Application Status Applied (ii) Water Supply Agency Goverment a) Whether Water Supply Committed No b) Whether Water Supply Denied No 6. (a) Groundwater Abstraction Structure- Existing Number of Existing Structures: 0 SNo. Type of Depth Depth Discharge Operation Mode Horse Whether Whether Structure (Meter) to al Hours of Power fitted Permission Name / / Water (m3/Hour) (Day) / Lift of with Registered Year of Diameter Level Days Name Pump Water with CGWA / If Construct (mm) (Meters (Year) Meter so ion below Details Ground Thereof Level) (b) Groundwater Abstraction Structure- Proposed Number of Proposed Structures: 2 SNo. Type of Depth Depth Discharge Operation Mode Horse Whether Whether Structure (Meter) to al of Power fitted Permission Name / / Water (m3/Hour) Hours Lift of with Registered Year of Diameter Level (Day) / Name Pump Water with Construct (mm) (Meters Days Meter CGWA / If ion below (Year) so Ground Details Level) Thereof 1 Borewell / 120.00 / 5.00 25.00 10 / 365 Submersi 10.00 No No / - 2019 152 ble Pump 2 Borewell / 120.00 / 5.00 20.00 8 / 365 Submersi 7.50 No No / - 2019 152 ble Pump 7. Groundwater Availability (Please Enclose a Comprehensive Report / Note on Groundwater Condition in and Around the Area) Applicable to Industries Consuming Greater Than 500 m3/day : ($) Not Applicable, Our water requirement is 408 m3/day only 8. Details of Rainwater Harvesting / Artificial Recharge Measures for Groundwater Recharge in the Area. If already Implemented, details may be Furnished. (Attach Report on Comprehensive & Feasible Rainwater Harvesting / Recharge Proposal).- ($) Attached 9. Approval Letter of State Goverment Agency Approving the Infrastructure Development Approval from Govt. of Bihar

08/09/2018 08:10 PM Page 4 of 7 Government of India Central Ground Water Authority (CGWA) Ministry of Water Resources, River Development and Ganga Rejuvenation Applications for Issue of NOC to Abstract Ground Water (NOCAP)

Application for Permission to Abstract Ground Water for Infrastructure Use (Application for New NOC)

Application Number : 21-4/387/BR/INF/2018 10. Consent to Operate / Estibilish / Approval Letter from Statutory Bodies viz Ministry of Environment & Forests (MoEF) or State Pollution Control Board(SPCB) or State Level Expert Appraisal Committee(SEAC) or State Level Environment Impact Assessment Authority(SLEIAA):($) Attached Consent/ Approval of Government Agency (Previous:Referral Letter) Letter Number Environmental Clearance from SEIAA, Bihar, NOC from Bihar State Pollution Control Board, NOC by PMC Sr.N Attached Referral Letter Attachment Name File Name o. 1 State Pollution Control Board NOC - CTE by NOC_2016.pdf BSPCB 2 Other State Agency EC from SEIAA Bihar EC by SEIAA.pdf 3 Other State Agency NOC Patna Municipal NOC_PMC.pdf Corp 4 Other State Agency Govt of Bihar LOA by GOvt of Bihar.pdf 11. Have you Applied Earlier for Groundwater Clearance Permission from CGWA / State Government Agency: If Yes, so Details thereof with Status:

INFRASTRUCTURE USE- Self Declaration It is to Certify that the Data and Information Furnished Above are True to the Best of My Knowledge and Belief and I am Aware that if any Part of the Data / Information Submitted is Found to be False or Misleading at any Stage the Application will be Rejected Out Rightly. 1. Application Proforma is Subject to Modification from Time to Time. 2. Application should be Submitted to Regional Office. Regional Director,Central Ground Water Board Mid Eastern Region, 6th &amp; 7th Floor, Lok Nayak Jai Prakash Bhawan, Frazer Road Dak Banglow, PATNA, BIHAR, 800011 3. Incomplete Application will be Summarily Rejected. Submitted Application will not be Processed till the Print Out of the Signed Complete Application is Submitted to Regional Office. 4. Applicant has to Submit Processing Fee of Rs. 1000.00/- (Rupees One Thousand Only) through NON TAX RECEIPT PORTAL (https://bharatkosh.gov.in). A receipt will be generated. Please fill in the Transaction Ref No. and Date from the receipt, in print out of application and attach receipt along with hard copy of application. Bharatkosh Details:- Transaction Ref Number:- Dated:- Note:- The Processing Fee is Non-Refundable. Applicant should ensure and Check Eligibility of Submission of Application and Required Documents before Submitting Online Application.

Attached Files: 1). Site Plan with Location Map (Previous:Site Plan) : (Refer: 1 (ii))

S.No Attachment Name File Name 1 Site Plan 01 SITE LAYOUT PLAN.pdf 2). Location Map : (Refer: 1 (ii))

08/09/2018 08:10 PM Page 5 of 7 Government of India Central Ground Water Authority (CGWA) Ministry of Water Resources, River Development and Ganga Rejuvenation Applications for Issue of NOC to Abstract Ground Water (NOCAP)

Application for Permission to Abstract Ground Water for Infrastructure Use (Application for New NOC)

Application Number : 21-4/387/BR/INF/2018 S.No Attachment Name File Name 1 Project Location Map Medanata_Location.pdf

3). Documents of Ownership / Lease : (Refer: 1 (v)) No Attachment Found!

4). Source Water Availability/Non-availability Certificate(Previous:Source of Availability of Surface Water) : (Refer: 1 (vi)) S.No Attachment Name File Name 1 NOC from PMC NOC_PMC.pdf 5). Water Balance Flow Chart(Previous:Water Requirement - Flow Chart of Activity and Requirement) : (Refer: 3) S.No Attachment Name File Name 1 Water Requirement with Balance Water_Balance_Requirement.pdf 6). Hydrogeological Report (Previous:Groundwater Availability Report) : (Refer: 7) No Attachment Found!

7). Rain Water Harvesting/Artificial Recharge proposal (Previous:Rainwater Harvesting / Artificial Recharge Measures) : (Refer: 8) S.No Attachment Name File Name 1 RWH plan Medanta_RWH_Plan.pdf 2 RWH Layout 05 RAIN WATER PLAN.pdf 8). Authorization Letter (Previous:Authorization) :

S.No Attachment Name File Name 1 Authorization Power of Attorney Power of Attorny.pdf 9). Approval Letter of State Government Agency : (Refer 9) No Attachment Found! 10). Ground Water Quality : S.No Attachment Name File Name 1 Test Report will be submitted NOC_2016.pdf

11). Scanned Infrastructure Application : No Attachment Found!

12). Extra Attachment : No Attachment Found!

08/09/2018 08:10 PM Page 6 of 7 Government of India Central Ground Water Authority (CGWA) Ministry of Water Resources, River Development and Ganga Rejuvenation Applications for Issue of NOC to Abstract Ground Water (NOCAP)

Application for Permission to Abstract Ground Water for Infrastructure Use (Application for New NOC)

Application Number : 21-4/387/BR/INF/2018 Date : Name & Signature of the applicant Place : (With official seal)

Associated User : Medicity Submitted By User : Medicity Submission Date : 08/09/2018

* In case signed by any authorized signatory, the details of the signatory with the authorization shall be enclosed. ------

08/09/2018 08:10 PM Page 7 of 7 Annex - VII Annex - VIII