APPENDIX I (See paragraph 8.9) FORM Name of the project/s Proposed Hospital

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1 I. Basic Information APPENDIX I (See paragraph 8.9) FORM 1 S.. Item Details 1. Name of the project/s Proposed Hospital 2. S.. in the schedule 8(a) 3. Proposed capacity/ area/length/ tonnage to be handled/ command area/ Total Plot area 4870 sq m Total Built up area after expansion sq m lease area/ number of wells to be drilled 4. New/ Expansion/ New Modernization 5. Existing Capacity/ Area etc. 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. - Village Lado Sarai Tehsil - District Saket State Delhi 10. Nearest railway station/ airport along with distance in kms. Railway Station Hazrat Nizamuddin Rly Station Km NE Airport Indira Gandhi International Airport: 9.45 km NW 11. Nearest Town, city, District Headquarters along with distance in kms. 12. Village Panchayats, Zilla Parishad, Municipal Project is in Delhi (NCT) South Delhi Muncipal Corporation Prepared by: - M/s Perfact Enviro Solutions Pvt Ltd. 5

2 Corporation, Local body (complete postal addresses with telephone nos. to be given) 13. Name of the applicant Shanti Memorial Society 14. Registered Address 48/2 Malcha Marg, Commercial centre, Chankya Puri Delhi Address for correspondence: - Name Rajesh Mehta Designation (Owner/Partner/CEO) Address Member of Society 48/2 Malcha Marg, Commercial centre, Chankya Puri Delhi Pin Code chaudhrisumeet@gmail.com Telephone Fax no Details of Alternative Sites examined, if any. Location of. The land has been given on lease by DDA for development of Hospital. these sites should be shown on a topo sheet. 17. Interlinked Projects 18. Whether separate t Applicable 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? t Applicable (b) The Wildlife (Protection) Act, 1972?, Asola Wildlife Sanctuary is 9.2km SE of the project; NOC shall be applied for from the respective department. t Applicable Prepared by: - M/s Perfact Enviro Solutions Pvt Ltd. 6

3 (c) The C.R.Z. tification, 1991? 22. Whether there is any Government 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. Delhi Master Plan 2021 is applicable. forest land is involved. Nil 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 confirmation / Details thereof (with approximate quantities /rates, wherever possible) with source of information data 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? Land Use in MPD 2021 is Hospital Use Absolutely clear site with no trees. Prepared by: - M/s Perfact Enviro Solutions Pvt Ltd. 7

4 1.3 Creation of new land uses? Already Hospital Use in MPD Pre-construction investigations e.g. bore houses, soil testing? 1.5 Construction works? Soil Investigation report shall be submitted Construction will be done as per approved Building Plan/ Master Plan. 1.6 Demolition works? Demolition work is not required as there are no buildings at the site. 1.7 Temporary sites used for construction works or housing of construction workers? t required as the labour will be hired from nearby area. 1.8 Above ground buildings, structures or earthworks including linear structures, cut and fill or excavations Excavation will be done for 3 level of basements and above ground, buildings will be elevated upto a max. height of m. 1.9 Underground works including mining or tunnelling? t applicable 1.10 Reclamation works? t applicable 1.11 Dredging? t applicable 1.12 Offshore structures? t applicable 1.13 Production and manufacturing processes? production or manufacturing will be done as the proposed will be used for Hospital Facilities for storage of goods or materials? During Construction Phase:, Separate raw material yard will be made within the project site. Cement will be separately stored under cover in bales. Sand will be stacked neatly under tarpaulin cover. Prepared by: - M/s Perfact Enviro Solutions Pvt Ltd. 8

5 Bricks and steel will be laid in open. During Operation Phase: The project is Hospital hence the chemicals, medicines, other biomedical materials, radioactive material etc. will be stored in respective labs or storage rooms Facilities for treatment or disposal of solid waste or liquid effluents? 1.16 Facilities for long term housing of operational workers? During Construction phase: Approx. 23 Kg/day of Municipal Solid Waste generated from temporary labours shall be disposed off as per Municipal Solid Waste Handling norms. Mobile toilets for construction labours shall be provided. During Operation Phase: For the liquid effluent, STP & ETP have been proposed. Details of STP & ETP is given in Environment Management Plan. During Construction phase: The workers during construction phase will be hired from nearby areas and hence no need of provision of housing. Only temporary rest rooms would be provided. During Operation Phase: As the proposed project is Hospital hence staff will only be needed in the hospital which will be from the nearby Prepared by: - M/s Perfact Enviro Solutions Pvt Ltd. 9

6 1.17 New road, rail or sea traffic during construction or operation? t applicable areas. Separate housing may not be provided New road, rail, air waterborne or other transport infrastructure including new or altered routes and stations, ports, airports etc? Railway Station Hazrat Nizamuddin Rly Station 9.19 Km NE Airport Indira Gandhi International Airport: 9.45 km NW 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? 1.21 Impoundment, damming, culverting, realignment or other changes to the hydrology of watercourses or aquifers? 1.22 Stream crossings? 1.23 Abstraction or transfers of water from ground or surface waters? 1.24 Changes in water bodies or the land surface affecting drainage or run-off? Highway NH Km SW such closure or diversion of existing transport is required. new or diversion of transmission lines or pipelines would be done. impoundment, damming, culverting, realignment or other changes to the hydrology of surface watercourse is required. stream crosses the project site. abstraction of ground water is required. There will be no changes in water bodies on the land and drainage or run-off. Prepared by: - M/s Perfact Enviro Solutions Pvt Ltd. 10

7 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 an area in either temporarily or permanently? Materials during construction phase will be transported by truck, trolley etc. Ambulances, Cars, two wheeler etc. will be used during operation phase. t Applicable t Applicable Influx of people will be in the form of 150 nos. labourers during construction phase. During operation phase, influx of people will be as follows: After Phase-I In-patient- 174 nos. And After phase-ii Inpatient- 290 nos After Phase-I Medical & maintenance staff nos. And After phase-ii Medical & maintenance staff nos After phase-i Visitors nos. And After phase-ii Visitors nos Introduction of alien species? As on date, there is no history of alien species at the proposed site Loss of native species or genetic diversity? There will be no loss in native species or genetic diversity at site. Prepared by: - M/s Perfact Enviro Solutions Pvt Ltd. 11

8 1.31 Any other actions? t Applicable 2. Use of Natural resources for construction or operation of the Project (such as land, water, materials or energy, especially any resources which are nonrenewable or in short supply): S.. Information/checklist confirmation 2.1 Land especially undeveloped or agricultural land (ha) /N o Details thereof (with approximate quantities /rates, wherever possible) with source of information data 4870 sq m of land has been given on lease by DDA for development of Hospital. 2.2 Water (expected source & competing users) unit: KLD Source Delhi Jal Boad After phase-i total Water Required- 290 KLD. And After phase-ii total Water Required- 365 KLD After phase-i fresh Water Required- 195 KLD. And After phase-ii fresh Water Required- 209KLD 2.3 Minerals (MT) t Applicable 2.4 Construction material stone, aggregates, sand / soil (expected source MT) 2.5 Forests and timber (source MT) Building materials will be sourced from indigenous supply. Wood for Doors shutters/ furniture, windows will be used as per the requirement. Prepared by: - M/s Perfact Enviro Solutions Pvt Ltd. 12

9 2.6 Energy including electricity and fuels (source, competing users) Unit: fuel (MT), energy (MW) Source of power supply BSES Rajdhani Power Limited Power 1500KW requirement: DG Sets: 2 X 1010 KVA for emergency backup only. Fuel: Low sulphur Diesel 2.7 Any other natural resources t Applicable (use appropriate standard units) 3. Use, storage, transport, handling or production of substances or materials, which could be harmful to human health or the environment or raise concerns about actual or perceived risks to human health. S.. Information/Checklist confirmation 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) / Details there of (with approximate quantities/rates, wherever possible) with source of information data As proposed project is Hospital, chemicals shall be used in the labs of Hospital. Radioactive material shall be stored in the oncology department. Proper management of chemical waste, radioactive waste, used oil, Biomedical waste and E-waste will be done. 3.2 Changes in occurrence of disease or affect disease vectors (e.g. insect or water borne diseases) Suitable drainage and waste management measures including biomedical waste, has been adopted during operational phase. There is no stagnation of water or Prepared by: - M/s Perfact Enviro Solutions Pvt Ltd. 13

10 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., yes accumulation of water outside or within the complex. There would be increase in employment opportunities after the development of hospital as nurses, doctors & staff will be required. The hospital will have a positive impact as it will provide better medical facilities., vulnerable groups of people will be affected. The hospital will have a positive impact as it will provide better medical facilities 3.5 Any other causes There will be generation of Bio-medical waste, which shall be given to the approved CBWTF for treatment & disposal. 4. Production of solid wastes during construction or operation or decommissioning (MT/month) S.. Information/Checklist confirmation 4.1 Spoil, overburden or mine wastes 4.2 Municipal waste (domestic and or commercial wastes) / Details thereof (with approximate quantities/rates, wherever possible) with source of information data t applicable Domestic waste during construction 23 kg/day During operation After phase-i solid waste 196 kg/day. And After phase-ii solid waste 326 kg/day. Prepared by: - M/s Perfact Enviro Solutions Pvt Ltd. 14

11 4.3 Hazardous wastes (as per Hazardous Waste Management Rules) Detailed Solid Waste Management is given in Environment Management Plan. During Construction phase: Used oil whenever generated from the DG sets shall be kept in leak proof containers in an isolated area and shall be sent to approved recycler. During Phase: Operation 4.4 Other industrial process wastes Hazardous waste shall be disposed off as per Hazardous waste (management, handling & trans boundary movement) rules. Used oil from D.G. Set will be carefully stored in HDPE drums in isolated covered facility & will be sold to vendors authorized by CPCB for the treatment of the same. Suitable care will be taken so that spills/ leaks of used oil from storage could be avoided. t applicable 4.5 Surplus product t applicable 4.6 Sewage sludge or other After phase-i about 6 Kg / sludge from effluent day dried sludge and treatment After phase-ii about 10 Kg / day dried sludge will be generated from STP Prepared by: - M/s Perfact Enviro Solutions Pvt Ltd. 15

12 4.7 Construction or demolition wastes 4.8 Redundant machinery or equipment 4.9 Contaminated soils or other materials within complex. The sludge will be passed through filter press where it will be dewatered/ dried & form a cake and then will be used as manure in green areas and excess will be given to farmers/ nurseries. ETP sludge shall be collected in an isolated place & shall be handled as per Hazardous Wastes (Management, Handling and Transboundary Movement) Rules, 2008 and Amended till date Excavated soil generation will be approx cu m, which will be used for backfilling and levelling of land. Excess soil will be disposed off at approved site. t applicable t applicable 4.10 Agricultural wastes t applicable 4.11 Other solid wastes Biomedical waste generation from hospital will be 34.8 kg/day, which shall be given to the approved CBWTF. Radioactive waste will be generated from the Oncology department which shall be disposed off in accordance with the Atomic Energy (Safe disposal of radioactive Prepared by: - M/s Perfact Enviro Solutions Pvt Ltd. 16

13 waste) rules of 1987 promulgated by the Indian Central Government Atomic Energy Act Release of pollutants or any hazardous, toxic or noxious substances to air (Kg/hr) S.. Information/Checklist confirmation 5.1 Emissions from combustion of fossil fuels from stationary or mobile sources. / Details thereof (with approximate quantities/rates, wherever possible) with source of information data During Construction phase: DG sets of capacity 62.5 KVA shall be installed acoustically enclosed with adequate stack height. 5.2 Emissions from production processes During Operation Phase: The only source of emission from combustion of fuel will be 2 DG sets of 1010 KVA. Hence to avoid the emissions adequate stack height of 6m above roof level for each DG set shall be provided meeting all the norms of CPCB. t Applicable 5.3 Emissions from materials handling including storage or transport Dust would be generated during construction and from the movement of transport vehicles. The effect will be restricted to construction phase only. Prepared by: - M/s Perfact Enviro Solutions Pvt Ltd. 17

14 Water sprinklers will be used for dust suppression. 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. Ready Mix Concrete shall be used. Dust & emissions shall be generated during construction activities which shall be reduced by sprinkling of water in a specific time interval & timely maintenance schedule for machinery. Also the machines shall be kept shut down during idle period. During phase: Construction During loading & unloading of construction material, dust will be generated. Water will be sprinkled and tarpaulin cover will be provided over stored raw material to reduce dust emission. During Operation Phase: In-house STP & ETP shall be provided to treat wastewater. Proper ventilation will be provided in STP & ETP room. t applicable t applicable t applicable Prepared by: - M/s Perfact Enviro Solutions Pvt Ltd. 18

15 6. Generation of ise and Vibration, and Emissions of Light and Heat: S.. Information/Checklist confirmation / Details thereof (with approximate quantities/rates, wherever possible) with source of information data with source of information data 6.1 From operation of equipment e.g. engines, ventilation plant, crushers During Construction phase: During construction, the equipment such as mixer machines, JCBs, cranes, compactors will be used which will be of highest standard and will adhere to international standards. These standards itself will take care of noise pollution control/ vibration control and air emission control. Hence, an insignificant impact due to construction machinery is envisaged. Apart from this, the construction activities will be restricted to daytime only. 6.2 From industrial or similar processes 6.3 From construction or demolition During Operation Phase: Source of noise in the operational phase will be DG sets of capacity 2 X 1010 KVA. However, the D.G. Sets installed shall be kept in acoustically treated room and will be used during Power failure only. t applicable Due to the various activities there will be short-term noise impacts in the immediate vicinity of the project site. Prepared by: - M/s Perfact Enviro Solutions Pvt Ltd. 19

16 It will be restricted to day time only. It has been estimated that during the construction period the average noise level is db (A) during peak construction hours. However, embankment shall be done to further prevent the noise pollution. 6.4 From blasting or piling t Applicable 6.5 From construction or operational traffic 6.6 From lighting or cooling systems Some amount of noise will be generated from vehicular movement in construction as well as operational phase. Plantation around the boundary wall shall be done to reduce noise from traffic. t Applicable 6.7 From any other sources ne 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 confirmation 7.1 From handling, storage, use or spillage of hazardous materials / Details thereof (with approximate quantities/rates, wherever possible) with source of information data As the proposed project is Hospital, chemicals shall be used which may be hazardous in nature. The chemicals shall be stored properly as per MHISC rules. Used oil will be the hazardous material proposed to be used in the complex. It will be stored in HDPE drums and kept in covered rooms under lock Prepared by: - M/s Perfact Enviro Solutions Pvt Ltd. 20

17 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 & key and will be sold to authorize vendors only. Special care will be taken to prevent leakages and spills. After Phase-I 9 KLD laboratory waste water will be treat in 10 KLD ETP and 9 KLD treated water generated from ETP will be retreated into STP of 120 KLD. And After phase- II, 14 KLD laboratory waste water will be treat in 20 KLD ETP and 14 KLD treated water generated from ETP will be retreated into STP of 200 KLD. After Phase-I STP of 120 KLD will be installed for treating hospital domestic waste water. Total 95 KLD treated water shall be generated out of which all the treated water of 95 KLD treated water will be reused in flushing, gardening and HVAC. And after phase-ii STP of 200 KLD will be installed for treating hospital domestic waste water. Total 156 KLD treated water shall be generated out of which all the treated water of 156 KLD treated water will be reused in flushing, gardening and HVAC. Waste water shall be treated in STP and ETP within the complex and Prepared by: - M/s Perfact Enviro Solutions Pvt Ltd. 21

18 7.4 From any other sources 7.5 Is there a risk of long term buildup of pollutants in the environment from these sources? treated water from STP will be reused. Waste water from ETP will be sent to STP. After phase-i biomedical waste generation from hospital will be 34.8 kg/day and After phase-ii biomedical waste generation from hospital will be 58 kg/day which shall be disposed as per Bio medical waste (management & handling) rules, Radioactive waste will be generated from the Oncology department which shall be disposed off in accordance with the Atomic Energy (Safe disposal of radioactive waste) rules of 1987 promulgated by the Indian Central Government Atomic Energy Act ne Prepared by: - M/s Perfact Enviro Solutions Pvt Ltd. 22

19 8. Risk of accidents during construction or operation of the Project, which could affect human health or the environment. S.. Information/Checklist / Details thereof (with confirmation approximate quantities/rates, wherever possible) with source of information data 8.1 From explosions, spillages, All appropriate measures will fires etc from storage, be taken care of during handling, use or production construction phase. Proper of hazardous substances firefighting system is being installed at site, for operation phase. 8.2 From any other causes ne 8.3 Could the project be affected by natural disasters causing environmental damage (e.g. floods, earthquakes, landslides, cloudburst etc)? The area under study falls in Zone-IV, according to the Indian Standard Seismic Zoning Map. Suitable seismic coefficients in horizontal and vertical directions respectively, will be adopted while designing the structure. For reasons of earthquake: Earthquake measures has been incorporated in the building design. However, the area is not prone to flood and landslide etc. 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 confirmation 9.1 Lead to development of supporting facilities, ancillary / Details there of (with approximate quantities/rates, wherever possible) with source of information data All supporting infrastructure exists near Prepared by: - M/s Perfact Enviro Solutions Pvt Ltd. 23

20 development or development stimulated by the project which could have impact on the environment e.g.: Supporting infrastructure (roads, power supply, waste or waste water treatment, etc.) site as the project site present within city Delhi. After Phase-I STP of 120 KLD and After phase-ii STP of 200 KLD will be installed to treat the domestic wastewater from Hospital. After Phase-I ETP of 10 KLD and After phase-ii ETP of 20 KLD will be installed to treat the liquid waste from laboratory. Housing development Extractive industries Supply industries Other 9.2 Lead to after-use of the site, which could have an impact on the environment 9.3 Set a precedent for later developments ne ne ne ne Proper care shall be taken to avoid any adverse impact on the environment Proper and Planned development of the hospital area. 9.4 Have cumulative effects due to proximity to other existing or planned projects with similar effects impact III. Environmental Sensitivity S.. Areas Name/ Identity Aerial distance (within 15 km.) from Proposed project location boundary Prepared by: - M/s Perfact Enviro Solutions Pvt Ltd. 24

21 1 Areas protected under international conventions, national or local legislation for their ecological, landscape, cultural or other related value 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. 5 State, National boundaries 6 Routes or facilities used by the public for access to recreation or other tourist, pilgrim areas Rashtrapati Bhawan Parliament House India Gate Humayun s Tomb Safdarjung Tomb Qutub Minar Water Bodies Yamuna River Sanjay Lake Shamshi Talab Old Fort Lake Neela Hauz Forest Central Ridge Reserve Forest Pusa Hill Forest Southern Ridge Forest Rajokri Protected Forest Asola Wild Life Sanctuary Okhla Bird Sanctuary ne U.P Boundary Haryana Boundary NH-8 NH-2 NH-24 NH-236 New Delhi Railway Station Hazrat Nizamuddin Rly Station Indira Gandhi International Airport 9.60 Km N Km NE Km NE 9.26 Km NE 7.10 Km NE 0.66 Km SW Km NE Km NE 2.00 Km SW Km NE 1.94 Km NW Km NW Km NW 9.94 Km N 6.20 Km SW 9.2 Km SE Km NE ne Km NE 7.06 Km SE 8.68 Km W 8.76 Km NE Km NE 2.92 Km SW Km NE 9.19 Km NE 9.45 Km NW 7 Defense installations National Defense Collage Defence Area Air Force Station, Arjangarh 8.52 Km NE 3.11 Km SE 8.27 Km SW Prepared by: - M/s Perfact Enviro Solutions Pvt Ltd. 25

22 8 Densely populated or built-up area 9 Areas occupied by sensitive man-made land uses (hospitals, school, 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 are exceeded) 12 Areas susceptible to natural hazard which could cause the project to present environmental problems (Earthquakes, subsidence, landslides, erosion, flooding or extreme or adverse climatic conditions) Bandalo WalaMohalla Hospital T.B. Hospital Bhagwati Hospital National Institute of T.B. and Respiratory Diseases Post Office T.B.College Post office Mehrauli Post Office UniversityPost Office Place of Worship Little Flower Church Hanuman Mandir Shani Dham School Govt. Girls Secondary School none ne 0.33 Km SE 0.15 Km NW 1.26 Km SW 0.29 Km NW 0.40 Km NW 1.15 Km SW 1.86 Km NE 0.28 Km NE 0.29 Km SW 0.29 Km SW 0.34 Km SE none ne The project area falls in seismic zone IV. Prepared by: - M/s Perfact Enviro Solutions Pvt Ltd. 26

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