CHECKLIST A : DOCUMENTS TO BE SUBMITTED ALONGWITH FORM 1 AND FORM 1A FOR OBTAINING ENVIRONMENTAL CLEARANCE

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1 CHECKLIST A : DOCUMENTS TO BE SUBMITTED ALONGWITH FORM 1 AND FORM 1A FOR OBTAINING ENVIRONMENTAL CLEARANCE Name of the project: EXPANSION OF KPC MEDICAL COLLEGE AND HOSPITAL Location: 1F, RAJA S.C. MULLICK ROAD, P.O. & P.S. - JADAVPUR, KOLKATA , WEST BENGAL Nature of the project: EXPANSION Details of the project proponent: Name KPC Medical College and Hospital Society (KPCMCHS) Registered Address 758, Marshall House, 25, Strand Road, Kolkata Contact Number (033) , (033) ID kmullick@kpcmedicalcollege.com Details of the authorised signatory: Name Krishna Das, Secretary Registered Address 1F, Raja S.C. Mullick Road, P.O. & P.S. - Jadavpur, Kolkata Contact Number (033) , (033) ID kmullick@kpcmedicalcollege.com Details of the accredited : Name Envirotech East Pvt. Ltd. Registered Address Bengal Ambuja Commercial Complex, UNF-13, 1050/1, Survey Park, Kolkata Contact Number (033) , ID eeplkol2@gmail.com NABET Accreditation No. Valid upto NABET/EIA/1011/010

2 Sl. No. Items Yes/No/NA Annexure no. Remarks 1. Land Ownership Documents i. Title deed Yes Annexure - 1 ii. Site plan Yes Annexure - 1 iii. Mutation Certificate from local body Yes Annexure - 1 iv. Porcha / BLLRO Mutation No v. Land conversion certificate No vi. Urban Land Ceiling Certificate No vii. Lease document Yes Annexure - 1 viii. Developer s agreement No ix. Registered Power of Attorney No Annexure Accreditation certificate of EC Compliance report (for expansion / modernization) Yes Annexure - 2 Yes Annexure Current satellite image and location map. Yes Annexure Current photographs of the proposed project site Yes Annexure Conceptual site plan Yes Annexure EMP Yes Annexure EIA No 9. Area statement including percentage distribution along with drawing with polylines 10. Baseline Environmental data No 11. Water balance statement 12. Concurrence letter regarding source of water Yes Annexure - 5 Yes Concept Report Page no. - 7 Yes Annexure Permission / application for ground water extraction from SWID No 14. Details of Solid waste disposal and location of compost plant with area Yes Annexure Details of STP Yes Annexure - 9 Copy of Memorandum of Association and Regulations shall be submitted along with hardcopy along with Hardcopy along with Hardcopy along with Hardcopy Shall be prepared after obtaining Terms of Reference Shall be presented in the EIA Report Application letter for supply of water from KMC water supply system shall be submitted along with hardcopy along with Hardcopy

3 16. Details of Rainwater harvesting Yes Form 1A, Point No List of existing trees No 18. Tree cutting permission No 19. Details of proposed plantation Yes Concept Report Page no. 12, Certificate from the Chief Wildlife Warden No 21. Energy Conservation Plan Yes Form 1A, Point No Total Demand Load and percentage of proposed supply of renewable energy Yes Form 1A, Point No Microclimatic study No along with EIA report 24. Fire fighting and Disaster Management Plan Yes Annexure Corporate Environment Responsibility Plan Yes Annexure Corporate Social Responsibility Plan No NA CER is being provided 27. Summary of Geo Technical Investigation Yes Annexure - 11 Report along with hardcopy 28. Traffic circulation system and connectivity Yes Annexure Copy of AAI approval for the building height Yes Annexure - 7 along with hardcopy 30. Copy of Power Connection / supply from the concerned authority No 31. Plans and lay out map to be annexed with the application i. Site layout map (showing location of DG sets and RWH pits, as applicable) Yes Annexure - 5 Shown in Site Plan ii. Floor wise building plans Yes iii. Water supply and drainage plan No Shall be provided during sanction plan submission iv. v. Schematic map of STP along with its location on layout map Rain water harvesting scheme, if proposed, with location of RWH pits No Annexure - 5 No Annexure - 5 vi. Landscape plan Yes Annexure - 5 vii. Traffic Management Plan Yes Annexure - 12 viii. Fire fighting plan / evacuation Plan No ix. Location of DG sets etc. No STP location has been shown in Site Plan. Sectional drawing shall be provided during sanction plan submission Rainwater storage tank location has been shown in Site Plan along with EIA report along with EIA report

4 CHECKLIST B : DOCUMENTS FOR STIPULATING CONDITIONS RELATED TO ENVIRONMENTAL CLEARANCE Form IA Sl. No. Topic Items Supporting documents 1. LAND ENVIRONMENT 1.1 Conformity of proposed land use with the Development/Master Plan If there is no approved Plan, availability of consent from appropriate authority If the area is outside municipal limits /outside planning area, full justification for the proposed development and confirmation of the norms of UDPFI guidelines. Surrounding features of the proposed site (within 500 meters) 1.2 Consent letter from the appropriate authority. In case of unavailability of any such document, the project proponent should submit a duly certified declaration by an accredited to that effect. Photographs showing the surrounding areas. Site plan with contours and levels Arial image of the site and immediate surroundings within 500 m. / X / N.A. Reference (Page No. / Annexure No.) Annexure 4 & 5 Documents showing the following Total site area Form IA, Pg. No.2,3 Total built up area (provide area details) Form IA, Pg. No.2,3 Water consumption Form IA, Pg. No.2,3 Source of water supply To be mentioned in the Form Form IA, Pg. No.2,3 Quality tests of water itself Form IA, Pg. No.2,3 Sewage system of the site Form IA, Pg. No.2,3 Power requirement Form IA, Pg. No.2,3 Source of Power Form IA, Pg. No.2,3

5 Backup systems, if any Form IA, Pg. No.2,3 Connectivity to the city center, utilities and Form IA, Pg. No.2,3 transportation networks Community facilities Form IA, Pg. No.2,3 Air quality and ambient noise levels Report by MoEF&CC/ WBPCB along with EIA accredited Lab to be submitted Report Parking needs Form IA, Pg. No.2,3 Provide details of impacts on existing facilities The answers should be suitably Form IA, Pg. No.4 adjacent to existing site e.g. Storm water annexed with photographs, drainage, traffic, noise and air quality, ecology, impact analysis and projections provided in the EIA open spaces, utilities etc. as required. report Provide details of soil type, slope analysis, vulnerability to subsidence, seismicity Provide details of mitigation options adopted to reduce impacts of proposed construction with respect to above factors. c) Provide details of erosion control plan Provide details of existing drainage plan, calculations of pre and post-construction run-off and detailed storm-water management plan with necessary drainage details. Details of quantities of earthwork involved, transport of fill materials from outside the site. Provide soil quality test of top soil. To be mentioned in the FORM itself. To be mentioned in the FORM itself laboratory NA Form IA, Pg. No.5 provided in the EIA report Form IA, Pg. No.5 provided in the EIA report Form IA, Pg. No.5 provided in the EIA report Form IA, Pg. No.5 provided in the EIA report Form IA, Pg. No.5

6 c) If top soil is proposed to be preserved, provide Plan showing the proposal duly details of quantity of top soil stored, demarcated certified by accredited area on plan where top soil shall be stored and preservation plan. 1.7 Water supply source during construction. Certificate from concerned authority to confirm availability of water, indicating the groundwater level, yield of the tube well and draw down plan. Quality test report to prove water is suitable for construction activity. c) Narrative on waste handling mechanism installed on site for storage and transportation schedule to managed landfills and recyclers depending upon the type of waste. 1.8 Provide details of how low lying and wetlands are getting modified from the proposed activity. 1.9 Give quantities of various types of wastes generated during construction including the construction labour and the means of disposal. 2. Water Environment 2.1 Document indicating the water demand of the building, landscape, construction and process water use through water balance chart; source of water supplies (Groundwater, municipal, tanker etc.) and the break-up of the supply for each source 2.2, 2.5 Details of the proposed development around the site; laboratory To be mentioned in the FORM itself. In addition, location and drawings of Compost Plant to be submitted. provided in the EIA report Shall be provided in KMC supply To be mentioned in the FORM itself Form IA, Pg. No.6 To be mentioned in the FORM itself Declaration by the project proponent / Certificate from the Form IA, Pg. No.6 Form IA, Pg. No.8 Annexure - 7

7 , 2.6, 2.13, , 2.12 concerned authority indicating the groundwater level, yield of the tubewell; Certificate from the municipality indicating the capacity of the source of water supply for the region specifying the demand it will cater to. Impact on other users if any Certificate from the concerned authority Water quality for each source Certificate from accredited lab / SWID Calculation indicating the amount of wastewater generated Form IA, Pg. No.8 Details of disposal of waste water Form IA, Pg. No.9 c) Treatment plant capacity and details of the treatment system Form IA, Pg. No.9 Details and drawings of the dual plumbing system d) for separation of grey and black water or for Form IA, Pg. No.9 recycling of treated water or other source of water Wastewater characteristics and Projected treated e) water quality f) Details of the supply and storage system for reuse of the treated water g) Water balance indicating the various points and Concept Report quantity of treated water application Pg. No. - 7 Quantity of wastewater generated during construction Characteristics of the waste stream including total suspended materials and list of chemicals from the construction site c) Proposed treatment system along with the technical specifications and the capacity, storage plans for hazardous waste, if any.

8 2.7, 2.8, 2.9, 2.11 Site plan with contours showing location of i) Low lying areas ii) iii) iv) Trees to be retained Building plans with extent of foundations Rainwater harvesting structures planned Hydrogeology information and map in case of ground water recharge structure showing the following i) Soil characteristics. ii) c) i) ii) Aquifer profile including Groundwater potential of different hydro-geological units and the level of ground water development; Chemical quality of water in different aquifers Total run-off from the site (reconstruction) and Total rainwater harvesting potential of the scheme from various land uses and catchments in the planned development including projected water quality concerns from various catchments. Also attach the rainfall data used. Total rainwater planned to be harvested as a percentage of the total demand Detail design of rainwater harvesting structures A plan showing the corresponding details duly certified by accredited Certificate showing soil analysis, soil structure indicating infiltration rate by certified laboratory laboratory Necessary approval to be obtained from Central/ State ground water board in case of ground water recharge structure Plan indicating supply and delivery system from the storage facilities created and in case of ground water recharge structures, plan demonstrating adequacy of No recharging shall be done as it is a hospital complex Concept Report No recharging shall be done as it is a hospital complex

9 iii) d) 3. Vegetation 3.1, 3.2, 3.3 Proposed water quality remedial measures including details of filters to be used. Post implementation Operations, maintenance & monitoring plan proposed e.g. AMC offered in contractual document; instruction and user manual; signages planned. Site plan along with a narrative showing existing vegetation, existing buildings, proposed buildings, existing slopes and existing site drainage pattern, staging and spill prevention measures, erosion and sedimentation control measures. recharge structures during peak runoff. (Data of existing borewells should also be collected to determine the intake capacity of the recharge wells) duly certified by Consultant if storage tanks are being planned. A plan showing all corresponding features duly certified by accredited No recharging shall be done as it is a hospital complex Annexure - 6 Annexure - 5 Tree survey plan in the table 1 indicating protected / preserved / transplanted / removed trees. i) Provide proposed landscape plan with identification of trees (different colour coding for trees to be used for protected, preserved, transplanted, removed trees) corresponding to the existing and new buildings and existing tree survey table. Explain Land use plan showing existing vegetation and proposed vegetation to be submitted. A plan showing position of all landscaped features mentioning the vegetation with specific species duly certified by Consultant

10 ii) iii) iv) in brief measures adopted for protecting existing landscape. Site plan along with a narrative to demarcate areas on site from which top soil has to be gathered, designate area where it will be store, measures adopted for top soil preservation and indicate areas where it would be reapplied after construction is complete. Indicate the time of construction with respect to rains. Proposed landscape plan, clearly highlighting the trees removed (indicating the number of trees), if applicable, List details about species, which existed, and the species that have been replanted on site. v) Give details of proposal for tree plantation, landscaping, creation of water bodies etc. along with a layout plan to an appropriate scale A narrative over displacement of fauna- both terrestrial and aquatic or creation of barriers for their movement. Provide the details. A narrative on direct or indirect impacts on the avifauna of the area. A narrative describing mitigation options to overcome the adverse impacts on fauna 5. Air environment 5.1, 5.2 A document showing the following A plan showing the details as required duly certified by Consultant A time schedule duly certified by Consultant A plan showing position of all trees to be removed duly certified by Consultant Declaration for tree cutting permission to be obtained from the Forest Dept. A plan showing position of proposed tree plantation with species composition and water body (if any) duly certified by Consultant Form 1A Pg. No. 13 Form 1A Pg. No. 13 Form 1A Pg. No. 13

11 i) ii) The air quality parameters and pollution levels as analyzed as per IS Mitigation measures adopted to reduce air pollution, dust generation due to construction activity. Predicted values of air quality due to increased traffic (use dispersion model) c) Provide mitigation options to reduce heat islands d) c) d) Predict impacts of dust, fumes, smoke, hazardous gases on all meteorological parameters. Road sections showing facilities for pedestrians and bicyclists. Layout plan showing the entry and exit points, parking and circulation plan of vehicles. Architectural site plan showing all the buildings and surrounding roads and open spaces, confirming the guidelines given in section , geometric design improvement and road safety. Provide detailed parking place and provide detailed parking estimate vis-à-vis NBC norms and local bye-laws. (Cars, Two-wheelers, buses etc.) Site plan showing buildings, roads and open spaces, confirming the hierarchy of roads as per the rules given by UDPFI guidelines Site plan for construction management showing the layout of noise and dust barriers / approved laboratory A plan showing all corresponding features (including sequential details of both covered and open parking) duly certified by accredited Environmental Consultant A plan showing all corresponding features duly certified by accredited A plan showing all corresponding features duly certified by accredited Environmental Consultant Annexure - 6 Annexure 5, 12 Annexure 5 Annexure 5

12 5.6 c) 6. Aesthetics 6.1, 6.2, 6.3, 6.4 Proof of PUC check of vehicles and machinery between every 3 months period of construction work Give post construction estimate of increase in noise and mitigation options. Drawings and specification of DG room and DG sets with acoustic enclosure and stack height details. Site location along with panoramic view of the project site and vicinity. Surrounding features of the proposed site (within 500 meters). c) Buildings sited near potential views, monumental, natural, city views, narrative and details of design considerations incorporated in building design to preserve the views should be provided. d) Provide a detailed narrative with photos addressing the queries in 6.1 to Socioeconomic Aspects 7.1, The density and projected demographic profile of the proposed development A narrative over the detail of the existing social infrastructure around the proposed project. Drawings showing all details duly certified by accredited Photographs of the site and surrounding areas along with site plan 3D images of the surrounding features. In case of presence of any such building, a plan indicating the position and details of the same to be shown and certified by Consultant As mentioned in 6. A declaration to be certified by Consultant Shall be provided in Shall be provided in Shall be provided in Annexure - 4 Annexure - 4 Form IA, Point No. 16 provided in the EIA report Form IA, Point No. 16

13 c) Effects on local communities, disturbance to sacred sites or other cultural value; safeguards proposed d) Details of recycled materials used in roads and structures 8. Building Materials 8.2 Site plan showing construction management plan presenting the material storage spaces, layout of machinery and waste disposal 8.3 Specifications of materials used in each component part of the building and landscape (envelope, superstructure, openings and roads and surrounding landscape), Plans and sections of buildings showing effective methods of construction, Justification of the water saving methods in construction techniques Details of the new technologies or nonconventional materials used Details duly certified by Consultant to be submitted A plan showing all corresponding features duly certified by accredited If applied for green building rating (precertification or provisional certification) under the rating programs of GRIHA, IGBC including LEED India, a declaration mentioning corresponding details to be submitted by accredited. If not, a summary sheet mentioning the required details to be submitted by Consultant. provided in the EIA report Form IA, Point No. 16 provided in the EIA report

14 8.4 Application for planning permission accompanied by site waste management plan, including identification of volume and type of structures to be demolished and excavations, reuse and recovery of the materials. Review and detailed survey and documentation of waste generated at the demolition site and quantities of the elements to be taken out and preserved before demolition, e.g. door and window frames, glass pans, wooden panels, grills, floor tiles trees, steel members and other recyclables. If applied for green building rating (precertification or provisional certification) under the rating programs of GRIHA, IGBC including LEED India, a declaration mentioning corresponding details to be submitted by accredited. If not, a summary sheet mentioning the required details to be submitted by Consultant. 9. Energy Conservation 9.1, A document showing the following 9.2 Details of total power requirements in KVA Form IA, Pt. No. 9 i) Source of supply Details duly certified by Form IA, Pt. No. 9 ii) Back up source and capacity Form IA, Pt. No. 9 iii) Back up sizing Consultant Form IA, Pt. No. 9 iv) Fuel consumption by the backup source Form IA, Pt. No. 9 v) Energy consumption per sqm using the BEPI Form IA, Pt. No. 9 method as elaborated in section 6.5 Narrative on energy conservation techniques (solar Form IA, Pt. No. 9 vi) passive, building materials, systems, renewable energy sources) Fenestration schedule and provide details in If applied for green building Form IA, Pt. No. 9 conformance to rating (precertification or ECBC recommendations as highlighted in Table provisional certification) under the rating programs of GRIHA, U factor and SHGC of glass. Indicate if overhangs or side fins are used for compliance IGBC including LEED India, a declaration mentioning corresponding details to be Form IA, Pt. No. 9

15 purposes. If so, provide projection factor submitted by accredited calculations. If not, a summary sheet mentioning the required details to be submitted by Consultant. 9.4 One drawing showing the following i) Site plan with north line Details duly certified by ii) Building plan with internal layouts showing all functional spaces. Consultant. Building section and detailed typical wall sections iii) indicating the material and thickness of each material. Narrative on solar passive architectural techniques used c) Provide Bill of Quantities indicating the selected building materials. If applied for green building rating (precertification or provisional certification) under the rating programs of GRIHA, IGBC including LEED India, a 9.5, 9.13 Provide details of renewable energy systems including system sizing and design energy delivered, building costs and integration details. declaration mentioning corresponding details to be submitted by accredited. If not, a summary sheet mentioning the required details to be submitted by Consultant. Annexure - 5

16 , 9.7, 9.11 c) Cut sheet for each window and shading size clearly dimensioned. Along with each window cut sheet, the orientation should be marked. Provide window details in the format given in Table 2 Provide details of shading on East, West walls and roof. Narrative demonstrating the measures incorporated to mitigate negative impacts on the microclimate of the site due to building activity. Compliance document demonstrating conformance to prescriptive requirement of energy conservation building code or building envelope tradeoff options If applied for green building rating (precertification or provisional certification) under the rating programs of GRIHA, IGBC including LEED India, a declaration mentioning corresponding details to be submitted by accredited. If not, a summary sheet mentioning the required details to be submitted by Consultant. Micro climatic study report to be submitted (available in the website of WBPCB) certified by Consultant. If applied for green building rating (precertification or provisional certification) under the rating programs of GRIHA, IGBC including LEED India, a declaration mentioning corresponding details to be submitted by accredited. If not, a summary sheet mentioning the required details to be submitted by Consultant.

17 Note: Project Proponent Land Owner (s) / Developer (s) duly authorized by registered Power of Attorney by all the land owners. Laboratory - approved under Environment (Protection) Act, 1986 and the Rules made thereunder c) Accredited As mentioned in Notification No. S.O. 648(E) dated issued by MoEF&CC. d) All pages of the document to be signed with seal bearing name and designation by the project proponent and the authorized person of Accredited. e) All the documents including Form 1, Form-1A and Annexures as per the sequence mentioned in the check list must be page numbered and submitted in a hardbound form. No spiral bound copies will be accepted. 8 (eight) such hard bound copies along with 2 (two) CDs should be submitted.