FORM 1 SRI LAKSHMI GAYATRI HOSPITAL (P) LTD.

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1 FORM 1 (Submitted to Ministry of Environment, Forests & Climate Change) BY SRI LAKSHMI GAYATRI HOSPITAL (P) LTD. Proposed at: SY. NO. 306, BACHUPALLY VILLAGE, QUTHABULLAPUR MANDAL, RANGAREDDY DISTRICT, TELANGANA Prepared by Flat # 7-3 Dhruvatara Apartments Amrutha Estates Erramanjil Somajiguda Hyderabad Phone: / 71 E mail: info@pioneerenvirolabs.com PEOPLE SAVE ENVIRONMENT

2 APPENDIX I (See paragraph 6) FORM 1 S. (I) Basic Information 1 Name of the project SRI LAKSHMI GAYATRI HOSPITAL (P) LTD. (Hospital cum Hospitality building) 2 S.. in the schedule 8(b) 3 Proposed capacity / area / length / tonnage to be handled / command area Hospital cum Hospitality building with Ground + 9 Floors & 3 basements / lease area/number of wells to be Total Built up area including parking areas drilled 91, m 2 4 New / Expansion / Modernization New 5 Existing capacity/area etc. t applicable 6 Category of project i.e. A or B. B 7 Does it attract the general condition? If yes, please specify. 8 Does it attract the specific condition? If yes, please specify. 9 Location Plot/Survey / Khasra. 306 Village Bachupally Tehsil / Mandal Quthabullapur District Rangareddy State Telangana 10 Nearest railway station/airport along with distance in kms. 11 Nearest Town, city, District Headquarters along with distance in kms 12 Village Panchayats,Zilla Parishad, Municipal corporation, Local body(complete postal addresses with telephone no.s to be given) Nearest Railway station: Miyapur at a distance of 3.7 Kms. Rajiv Gandhi International Airport 33 Kms. Hyderabad Gram panchayat : Bachupally. 13 Name of the applicant Sri Lakshmi Gayatri Hospital (P) Ltd. 14 Registered Address 8, Rajbhavan Road, Somajiguda, Hyderabad Address for correspondence: Name D. SIVA RAMA RAJU Designation(owner/partner/CEO) MANAGING DIRECTOR Address 8, Rajbhavan Road, Somajiguda, Hyderabad Pin code mdsec@katriyahotel.com Telephone. Mob

3 Fax Details of Alternative sites examined, if alternate sites are considered. 16. any. Location of these sites should be shown on a topo sheet 17. Interlinked Projects 18. Whether separate application of interlinked project has been submitted? 19. If yes, date of submission t applicable 20. If no, reason t applicable 21. Whether the proposal involves approval/clearance under; if yes, details of the same and their status to be given. a) The Forest (conservation)act,1980 b) The Wildlife(protection)Act,1972 c) The C.R.Z tification,1991? Whether there is any a government 22. order/policy relevant/relating to the site? 23. Forest land involved(hectares) 24. Whether there is any litigation pending against the project and/or land in which the project is propose to be set up? (a) Name of the court (b) Case. (c) Orders/directions of the court, if any and its relevance with the proposed project. 2

4 (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.) S.. Information/Checklist 1.1 Permanent or temporary change in land use, land cover or topography including increase in intensity of land use (with respect to local land use plan) 1.2 Clearance of existing land, vegetation and buildings? / quantities /rates, wherever possible) with As per the memo no /I, 2010, Municipal Administration & Urban Development, 14 th June, 2011, the land use of the proposed site is categorized under Public and Semi Public use zone. The proposed site is rocky and barren land with sparse vegetation. Topography of the site is more or less flat without many undulations. Hence there will not be any change in land use. However a good greenbelt will be developed within the site premises In the proposed site, sparse vegetation occurs, which will be cleared before construction of the project. 1.3 Creation of new land uses? other land use other than construction of Hospital cum Hospitality building will be created in the site premises 1.4 Pre-construction investigations Soil testing and bore well testing has been e.g. bore houses, soil testing? carried out. 1.5 Construction works? An application has already been submitted to the Honourable Ministry on vide dated Construction activity has been initiated after obtaining approval from Hyderabad Metropolitan Development Authority. 1.6 Demolition works? Demolition works are involved. 1.7 Temporary sites used for construction works or housing of construction workers? 1.8 Above ground buildings, structures or earthworks including linear structures, cut and fill or excavations Construction workers will be from local area only. Temporary housing is proposed for construction workers. The proposed project involves construction of 3 basements, ground and 9 upper floors. Hence there will be linear structures and ground buildings, structures or earthworks, cut and fill or excavations in the proposed project. mining and tunneling will be involved in the proposed construction project activity. 1.9 Underground works including mining or tunneling? 1.10 Reclamation works? reclamation works are envisaged in 3

5 S.. Information/Checklist / quantities /rates, wherever possible) with proposed construction project activity Dredging? dredging activity will be involved Offshore structures? offshore structures are envisaged in the proposed construction project Production and manufacturing processes? 1.14 Facilities for storage of goods or materials? 1.15 Facilities for treatment or disposal of solid waste or liquid effluents? 1.16 Facilities for long term housing of operational workers? 1.17 New road, rail or sea traffic during construction or operation? 1.18 New road, rail, air waterborne or other transport infrastructure including new or altered routes and stations, ports, airports etc? 1.19 Closure or diversion of existing transport routes or infrastructure leading to changes in traffic movements? 1.20 New or diverted transmission lines or pipelines? t applicable as proposed construction project involves construction Hospital cum Hospitality building with 3 basements, ground and 9 upper floors. Raw materials will be stored as per norms. The raw materials like Cement, Sand, Bricks, Steel, Wood, Paint & aggregates will be stored at site only. Cement & Paint will be stored at indoors & remaining will be at outdoors. Wastewater generated during operation of the Hospital cum Hospitality building will be treated in sewage treatment plant. Treated wastewater will be utilized for nonpotable purposes like Greenbelt development & Flushing and HVAC. waste water will be discharged to the outside premises Treatment and disposal of wastewater & solid waste will be in accordance with the CPCB / SPCB norms. permanent housing will be provided for the operational workers. There will be a slight increase in traffic volume during construction and operation of the proposed Hospital cum Hospitality building project. The proposed Hospital cum Hospitality building site is well connected by Nizampet road. new road / rail / air transport infrastructure is proposed. closure or diversion of existing transport routes is envisaged. Water required for the proposed Hospital cum Hospitality building project will be sourced from ground water during 4

6 S.. Information/Checklist / quantities /rates, wherever possible) with construction & HMWSB during operation of Hospital cum Hospitality building project. culverting, realignment are envisaged. There will not be any changes to the hydrology of watercourses or aquifers Impoundment, damming, culverting, realignment or other changes to the hydrology of watercourses or aquifers? 1.22 Stream crossings? stream crossing is involved 1.23 Abstraction or transfers of water form ground or surface waters? 1.24 Changes in water bodies or the land surface affecting drainage or run-off? 1.25 Transport of personnel or materials for construction, operation or decommissioning? 1.26 Long-term dismantling or decommissioning or restoration works? 1.27 Ongoing activity during decommissioning which could have an impact on the environment? 1.28 Influx of people to the area either temporarily or permanently? Water required for the proposed Hospital cum Hospitality building project will be sourced from ground water during construction & during operation from HMWSB changes in water bodies, drainage and land surface are anticipated as the proposed construction project of Hospital cum Hospitality building project There will be a slight increase in traffic volume during construction and operation of the proposed Hospital cum Hospitality building project. The proposed Hospital cum Hospitality building site is well connected by Nizampet road. The existing roads can handle this additional increase in vehicular traffic. Hence there will not be any adverse impact on road traffic due to the proposed hospital cum Hospitality building project. such works are envisaged such works are envisaged Temporary labour required for the additional construction activity will be met from the local places Introduction of alien species? such activity is envisaged 1.30 Loss of native species or genetic As a part of greenbelt / greenery diversity? development plan native species that are suitable to that soil condition will be developed Any other actions? Nil 5

7 2.0 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.. Information/checklist 2.1 Land especially undeveloped or agricultural land (ha) 2.2 Water (expected source & competing users) unit: KLD / 2.3 Minerals (MT) Sand m Construction material stone, aggregates, sand / soil (expected source MT) 2.5 Forests and timber (source MT) 2.6 Energy including electricity and fuels (source, competing users) Unit: fuel (MT), energy (MW) 2.7 Any other natural resources (use appropriate standard units) quantities /rates, wherever possible) with source of information data The proposed Hospital cum Hospitality building project will be taken up in an area of 4 acres of land which has been already acquired. The site proposed is rocky and barren land and it is categorized under Public and Semi Public use zone vide memo no /I, 2010, Municipal Administration & Urban Development, 14 th June, 2011 Water required for the proposed Hospital cum Hospitality building will be met from ground water resources. Total water required is about 3 KLD during Construction of Hospital cum Hospitality building, During operation 870 KLD & 4 KLD for Greenbelt Development. Net water requirement will come down after recycling of treated sewage for Greenbelt, HVAC & flushing will be 388 KLD All construction materials such as Ready mix Concrete, Cement, Sand, Aggregate, Aerated Auto clave, Concrete Brick (nos.), Reinforcement Steel, Wood material, Painting material, Flooring Material, Sanitary Material, Electrical Material, Plumbing material will be sourced from nearby areas. Wood material required for Windows & Doors of Imported Quality will be procured from the areas in and around Kakinada. The total energy requirement for the proposed project is 3500 KvA (Maximum peak demand). It will be taken from TSSPDCL. However DG sets will be provided for emergency Backup Power Supply. t applicable 6

8 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.. Information/Checklist 3.1 Use of substances or materials, which are hazardous (as per MSIHC rules) to human health or the environment (flora, fauna, and water supplies) 3.2 Changes in occurrence of disease or affect disease vectors (e.g. insect or water borne diseases) 3.3 Affect the welfare of people e.g. by changing living conditions? 3.4 Vulnerable groups of people who could be affected by the project e.g. hospital patients, children, the elderly etc., / quantities/rates, wherever possible) with The hazardous wastes during construction like empty containers of paints, petroleum products, thinners, adhesives will be given to authorized recyclers. All the hazardous materials will be stored as per HWM rules. The Hazardous wastes generated during operation of Hospital cum Hospitality building will be disposed as per Bio-Medical Waste (Management & Handling) Rules. t Applicable t Applicable as the proposed project is construction of Hospital cum Hospitality building and will create direct / indirect employment opportunities in the area and thereby contributing in the improvement of socio-economic status of people in the area. Land prices will increase substantially. All drive ways will be paved Speed of the vehicles will be reduced in premises. Greenbelt will be developed. By following the above the dust generation will be minimized. The Solid waste generated in the Hospital cum Hospitality building will be segregated at source and disposed as per Bio-Medical Waste (Management & Handling) Rules. Wastewater generated from the project will be treated in sewage treatment plant and treated Sewage will be utilized for nonpotable purpose like for Gardening, Flushing and surplus will be discharged to the nearest drain. 7

9 S.. Information/Checklist / 3.5 Any other causes t Applicable quantities/rates, wherever possible) with Hence there will not be any adverse impact on vulnerable groups. 4. Production of solid wastes during construction or operation or decommissioning (MT/month) S.. Information/Checklist 4.1 Spoil, overburden or mine wastes 4.2 Municipal waste (domestic and or commercial wastes) 4.3 Hazardous wastes (as per Hazardous Waste Management Rules) / 4.4 Other industrial process wastes t Applicable 4.5 Surplus product t Applicable 4.6 Sewage sludge or other sludge from effluent treatment 4.7 Construction or demolition wastes 4.8 Redundant machinery or equipment 4.9 Contaminated soils or other materials quantities/rates, wherever possible) with t applicable as no excavation will be involved in this proposed construction project. The Solid waste generated in the Hospital cum Hospitality building will be segregated at source and disposed as per Municipal solid waste (management & Handling) & Bio-Medical Waste (Management & Handling) Rules. Used batteries & Waste oil will be given to SPCB approved vendors Agricultural wastes t applicable 4.11 Other solid wastes t applicable. Hazardous waste from Hospital cum Hospitality building will be disposed as per Bio-Medical Waste (Management & Handling) Rules Sewage sludge generated will be stored in HDPE bags and will be used as manure to develop the Greenbelt. The construction waste generated will be recycled to maximum extent possible. redundant machinery will be kept in the premises. contamination of soils or no contaminated materials will be kept in the plant. 8

10 5. Release of pollutants or any hazardous, toxic or noxious substances to air (Kg/hr) S.. Information/Checklist 5.1 Emissions from combustion of fossil fuels from stationary or mobile sources 5.2 Emissions from production processes 5.3 Emissions from materials handling including storage or transport / quantities/rates, wherever possible) with Emissions of concern will be PM, NOx, NMHC & CO. The emissions will be mainly from Vehicular traffic & from D.G. sets provided for Backup power supply. t applicable. Raw materials will be brought to the site through covered trucks / Trolleys. Minimum water spraying will be done. All the materials will be properly covered to prevent the dust emissions during high winds. 5.4 Emissions from construction activities including plant and equipment 5.5 Dust or odours from handling of materials including construction materials, sewage and waste 5.6 Emissions from incineration of waste 5.7 Emissions from burning of waste in open air (e.g. slash materials, construction debris) 5.8 Emissions from any other sources Hence there will not be any significant dust emissions due to raw material storage & transportation. Some dust emissions will be generated during construction. Dust curtains will be provided all round the area to minimize the dust emissions. Adequate precautionary measures will be taken up to control the Odour from the Construction materials like Paint material & Sewage. t applicable All such wastes will be disposed along with Municipal Solid Waste. Nil 9

11 6.0 Generation of ise and Vibration, and Emissions of Light and Heat: S.. Information/Checklist 6.1 From operation of equipment e.g. engines, ventilation plant, crushers 6.2 From industrial or similar processes / quantities/rates, wherever possible) with with source of information data All the D.G. Sets & Motor pumps manufactured in accordance with the noise level standards stipulated by MOEF vide notification dated , will be employed The sources of noise generation in the proposed project will be DG sets, pumps etc. All machinery manufactured as per OSHA / MOEF guidelines will be installed. Ambient noise levels will be in accordance with MOEF notification dated i.e. noise levels will be <55 dba during daytime and < 45 dba during night time. 6.3 From construction or demolition Construction equipment will cause some noise. Ear plugs will be provided to construction workers who work near the noise generating equipment. 6.4 From blasting or piling such operations are involved. 6.5 From construction or operational traffic 6.6 From lighting or cooling systems t applicable 6.7 From any other sources t applicable There will be slight increase in traffic noise during construction and operation of the proposed project. Speed of the vehicles will be reduced with in the premises. Greenbelt will be developed By following above control measures noise levels will be minimized. 10

12 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.. Information/Checklist 7.1 From handling, storage, use or spillage of hazardous materials 7.2 From discharge of sewage or other effluents to water or the land (expected mode and place of discharge) 7.3 By deposition of pollutants emitted to air into the land or into water / 7.4 From any other sources t applicable 7.5 Is there a risk of long term build up of pollutants in the environment from these sources? quantities/rates, wherever possible) with Good housekeeping practices will be followed to prevent any spillage of hazardous materials. Wastewater generated from the Hospital cum Hospitality building will be treated in sewage treatment plant and treated Sewage will be utilized for non-potable purposes like gardening & Flushing. Surplus treated waste water will be discharged into the drain. Hence there will not be any impact on land and water environment due to the proposed project Raw materials will be brought to the site through covered trucks / Trolleys. Minimum water spraying will be done All the materials will be properly covered to prevent the dust emissions during high winds Hence there will not be any significant dust emissions due to raw material storage & transportation. t applicable 11

13 8. Risk of accidents during construction or operation of the Project, which could affect human health or the environment S.. Information/Checklist / quantities/rates, wherever possible) with 8.1 From explosions, spillages, fires etc from storage, handling, use or Good housekeeping practices will be maintained. Hence there will not be any production of hazardous spillage, due to handling and usage of substances hazardous chemicals. 8.2 From any other causes t applicable 8.3 Could the project be affected by t applicable natural disasters causing environmental damage (e.g. floods, earthquakes, landslides, cloudburst etc)? 12

14 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.. Information/Checklist / quantities/rates, wherever possible) with 9.1 Lead to development of supporting utilities, ancillary development or development stimulated by the project which could have impact on the environment e.g.: Supporting infrastructure (roads, such activities are envisaged power supply, waste or waste water treatment, etc.) housing development extractive industries supply industries other 9.2 Lead to after-use of the site, which t applicable could have an impact on the environment 9.3 Set a precedent for later developments With the improvement in the socioeconomic status of the people in the area, later developments are expected. 9.4 Have cumulative effects due to t applicable proximity to other existing or planned projects with similar effects 13

15 (III) Environmental Sensitivity S.. Areas 1 Areas protected under international conventions, national or local legislation for their ecological, or other related value landscape, cultural 2 Areas which are important or sensitive for ecological reasons - Wetlands, watercourses or other water bodies, coastal zone, biospheres, mountains, forests 3 Areas used by protected, important or sensitive species of flora or fauna for breeding, nesting, foraging, resting, over wintering, migration 4 Inland, coastal, marine or underground waters Name/ Identity Kasu Brahmananda reddy National park Ameenapur lake Gangaram cheruvu Ambir cheruvu Kasu Brahmananda reddy National park Ground water Aerial distance (within 15 km.) Proposed project location boundary 12.7 Kms major rivers within 15 Km radius Many small ponds exists within 15 Km radius 12.7 Kms Ground water exists within the site 5 State, National boundaries Nil Nil within 15 Km 6 Routes or facilities used by the public for access to recreation or other tourist, pilgrim areas Outer ring road radius 3.7 Kms 7 Defence installations Military area 13.2 Kms 8 Densely populated or built-up area Hyderabad Outskirts of 9 Areas occupied by sensitive man-made land uses (hospitals, schools, places of worship, community facilities) 10 Areas containing important, high quality or scarce resources (ground water resources, surface resources, forestry, agriculture, fisheries, tourism, minerals) 11 Areas already subjected to pollution or environmental damage. (those where existing legal environmental standards Schools & hospitals Kasu Brahmananda reddy National park Nil Hyderabad Many within 15 km radius 12.7 Kms Nil within 15 Km radius 14

16 are exceeded) 12 Areas susceptible to natural hazard Nil Nil within 15 K radius which could cause the project to present environmental problems (earthquakes, subsidence, landslides, erosion, flooding or extreme or adverse climatic conditions) (IV). PROPOSED TERMS OF REFERENCE FOR EIA STUDIES As the proposed project is a construction project with built up area is below 1,50,000 Sq.m, no terms of reference for EIA studies is proposed. However we are here with enclosing Conceptual Plan for your kind reference. The Conceptual Plan consists the following Air emission management Effluent treatment & disposal Solid waste generation, storage & disposal Greenbelt development plan Rain water harvesting I hereby given undertaking that the data and information given in the application and enclosures are true to the best of my knowledge and belief and I am aware that if any part of the data and information submitted is found to be false or misleading at any stage, the project may be rejected and clearance given, if any to the project will be revoked at our risk and cost. Date: Place: HYDERABAD Yours faithfully, For SRI LAKSHMI GAYATRI HOSPITAL (P) LTD., D. SIVA RAMA RAJU MANAGING DIRECTOR 15