CONCEPTUAL PLAN CONCEPTUAL PLAN

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1 CONCEPTUAL PLAN

2 1.0 INTRODUCTION Improvements in national economy and literacy rates have changed the patterns and extent of use of health services in the country. Now, people are increasingly becoming concerned about their health and are acquiring the ability to make a deliberate choice of the health services they need. Also, staffs benefits in government, trade and industry and third party financing of medicare through voluntary and social insurance are further augment this demand. Moreover, India is a signatory to the "Alma Ate' declaration (1978) and is committed to attain the global objective of "Health for All by Year 2000 A.D. Thus, in order to augment and back up balanced development of health care services in the country, to achieve the above objective, private investment in health care is being welcomed especially at the tertiary level and upgraded secondary level care where investments are highly capital intensive. The Tata Memorial Centre is the national comprehensive cancer centre for the prevention, treatment, education and research in Cancer and is recognized as one of the leading cancer centres in this part of the world. The Tata Memorial Hospital is situated in Parel, Mumbai in India. It is a specialist cancer treatment and research centre, closely associated with the Advanced Centre for Treatment, Research and Education in Cancer (ACTREC). Tata Memorial Centre is now proposing a 300 Bedded Cancer Hospital for Homi Bhabha Cancer Hospital and Research Centre at Plot No. 01, Medicity, Mullanpur Village, Mohali District, Punjab with other facilities with the objective to develop with international standards and provide comprehensive and modern infrastructure for diagnosis and treatment for cancer. It is in this scenario that the proposed project of Hospitals-cum-Research Centre will have social relevance and develop lead models for delivery of high quality medical-care, which are efficient, affordable and humane. Homi Bhabha Cancer Hospital and Research Centre has proposed to develop 300 bedded Hospitals Nurses Hostel, Resident Doctors Hostel, Dharamshala, Canteen, Service Block, Recreational Facilities and Site infrastructure development work which include road, sewer line, Drainage work, parking Area, Landscaping, electrification, water supply, waste disposal system etc. as per standard laid down by Medical Council of India (MCI) Features of the project are: In-patient services: 300 beds Proposed of Hospitals Building Proposed Hostel for Resident Doctor / Nurses for essential staff building Out-patient & ambulance services Operation Theatre, labor room & Diagnostic services Help desk Solid /Biomedical/Waste water Treatment Facility Rain Water Harvesting Facility 1

3 1.1 SITE LOCATION AND SURROUNDINGS Homi Bhabha Cancer Hospital and Research Centre project site is located at in at Plot No. 01, Medicity, Mullanpur Village, Mohali District, Punjab at Latitude are 30 49'15.09"N & Longitude 76 44'26.68"E. Land has been allotted by Greater Mohali Area Development Authority (GMADA). Land documents are attached as Annexure I. Conceptual Site plan/layout Plan is attached as Annexure III. Google image showing location of project site &its surroundings within 10 km is shown in Fig. 1 to Fig. 6 below and the photographs showing the Ambient Air, Noise Monitoring, Ground Water Sample & Soil Sampling at the Project Site has been shown in Fig. 7 below. 1.2 CONNECTIVITY Project site is accessible and is well connected via network of road. It is connected by a network of state and roads to the entire Mohali/Chandigarh, as well as to the neighboring states like Haryana, and Himachal. The Kurali Chandigarh Road connects the study area with the entire Chandigarh. Nearest Railway Station is Chandigarh Railway Station/ Sahibzada Ajitsingh Nagar Railway Station, which is at distance of 16 and 17 km in South direction. Project site is also connected with Chandigarh International Airport, at a distance of 18 km. Note: All distance is in Aerial. Homi Bhabha Cancer Hospital and Research Centre Figure: 1 Location Map of the Project Site on Satellite Image 2

4 Homi Bhabha Cancer Hospital and Research Centre Figure: 2 Location Map of the Project Site on Greater Mohali Master Plan 3

5 Homi Bhabha Cancer Hospital and Research Centre MULLANPUR KHARAR CHANDIGARH MOHALI PANCHKULA Figure: 3 Location Map of the Project Site and its surrounding on Satellite Image 4

6 Homi Bhabha Cancer Hospital and Research Centre HIMACHAL PUNJAB CHANDIGARH MOHALI PANCHKULA HARYANA Figure: 4 Connectivity Map of the Project Site and its surrounding 5

7 Homi Bhabha Cancer Hospital and Research Centre Figure: 5 Location Map of the Project Site W.R.T To 10 km 6

8 Figure: 6 Site Photographs of the Proposed Project Site 7

9 Figure: 7 Ambient Air, Noise Monitoring, Ground Water Sample & Soil Sampling at the Project Site 8

10 1.3 AREA STATEMENT Total plot area for development of proposed project is Sq.Meter (m 2 )/50 Acre Statement of area detailing the propose development is given below in Table 1 & Table 2 below: Table: 1 Area Statement Particulars Name/Area ( m 2 ) Permissible Proposed Project Name M/s Homi Bhabha Cancer Hospital and Research Centre at Plot No. 01, Medicity, - - Mullanpur Village, Mohali District, Punjab. Proposed Activity in the complex Hospitals including Nurses Hostel, Resident Doctors Hostel, - - Dharamshala, Canteen, Service Block Total Plot area m m m 2 Permissible Ground 30% of the total plot area m 2 - Proposed Ground 6.64% m 2 Permissible m 2 - Proposed m 2 say m 2 Builtup Area m 2 Maximum Height meter Road Area (11.96 %) m 2 Open Parking Area (10.08%) m 2 Landscape/Green Area (33%) m 2 Maximum No. of Floor - - G +6 No. of 2ECS/100 sqm Power/Electricity Requirement & Sources - - No. of DG sets - - Water requirement & Sources Municipal Supply/Local supply (Punjab Water Supply & Sanitation Department) 4800 KVA, (Electric supply from Punjab State Power Corporation Limited) 3 x 1500 KVA + 1 x 750 KVA DG sets (5250 KVA) 265 KLD Number of Existing Bore wells 03 Sewage Treatment & Disposal - - STP capacity : 206 KLD Estimated Population -Residential, inhouse/commercial, Floating/visitors Cost of the project Crore 9

11 Table: 2 Area Statement Build No. Building Name Floors No. of Blocks Ground Floor 1 st Floor 2 nd Floor 3 rd Floor 4 th Floor 5 th Floor 6 th Floor Net. Covere d Area B1 Hospital G B2 Service Block G B3 Canteen G B4 Nurse Hostel G B5 Doctor Hostel G B6 Dharamshala G Misc. Building Site Utilities & Services (ESS/STP/P ump room/guard room G Total ESTIMATED POPULATION Estimated population at project site is 2267 including patients, staff and visitors. Details of population are given below in Table 3. Table: 3 Estimated Population for project S. No. Category Nos./Capacity 1. Residential Patient Inhouse/Commercial Floating/Visitors Total PROJECT COST Total cost of the project including land & development cost is INR 218 Crores. 10

12 S. No. 1.5 WATER REQUIREMENT During construction phase water supply will be taken / purchased from local water supply / agency (Municipal Supply / Local supply tankers (Punjab Water Supply & Sanitation Department). During operation phase, water will be taken from local water supply/agency. Total water requirement is approx. 265 KLD out of which 132 KLD is fresh water requirement for domestic use and 66 KLD water requirements for Flushing (Recycled water) Purpose. Daily water requirement calculation is given below in Table 4 & waste water calculation is given in Table 5 A. DOMESTIC Category Table 4: Water Requirement Capacity Per capita Req. (LPCD) Water Requirement (KLD) Domestic Flushing (Fresh (Recycled Water) Water) 1. Patient Visitors Total 3. Residential Inhouse/Commerci al Landscape/Horticu lture (Green Area) m 2 1 lit/sqm NIL NIL Total Say 132 Say 265 Say 66 KLD KLD KLD Table 5 :Wastewater Calculations Details Water (KLD) Water requirement for domestic purpose 132 Wastewater generated from domestic use (@ 80% of domestic water say 106 requirement) Water requirement for Flushing Purpose 66 Wastewater generated from Flushing (@ 100% of flushing 66 requirement) Total Wastewater generated =172 KLD Recycled water form 90% of wastewater generated say 155 KLD Landscape/Horticulture: KLD say 67 KLD Flushing : 66 KLD Use of Recycled Water Total : 133 KLD Rest of recycled water i.e. 22 KLD will be provided to water tanker suppliers. 11

13 Total Water Requirement (265 KLD) Fresh Water Requirement (132 KLD) Recycled/Treated Water (133 KLD) Domestic Water (132 KLD) Flushing (66 KLD) Horticulture/Landscape ( % Wastewater generated (105.6 KLD) Wastewate r generated (66 KLD) Wastewater generated (NIL) Total wastewater generated (171.6 KLD) say 172 More than 20% of wastewater generated STP ( % Water Tanker (22 KLD) Recycled/Treated water (154.8 KLD) say 155 Figure: Water Balance Chart for summer, rainy and winter Seasons Note: 1) Rest of recycled water i.e. 22 KLD will be provided to water tanker suppliers for other Project sites. 2) During rainy season when there is excess flow of water in rain water harvesting pit then the extra water will be collected in another pit having capacity of 30 KLD. And this water will be used for firefighting 12

14 Wastewater Generation & Treatment It is expected that the project will generate approx. 172 KLD of sewage effluent. Sewage will be treated in STP of capacity 206 KLD. Total 155 KLD Treated / Recycled water will be generated and out of which about 133 KLD of treated water from STP will be used for Flushing, horticulture /landscaping whereas balance 22 KLD will be will be provided to water tanker suppliers. 1.6 RAIN WATER HARVESTING Storm water harvesting system will be provided within the project site as per CPCB guideline on Rainwater Harvesting. In general the rain water from terraces and other open areas shall be collected through Rain water down take pipes and connected to catch basins. The Rain water from hard courts and landscaped area shall be collected by catch basins through a RCC pipe network / or open drains with gratings and connected to the rain water harvesting pits in the hospital complex and finally over flow from rain water harvesting will be led out to main Municipal Drainage. Rain water harvesting system is designed considering maximum peak hourly rainfall (53 mm/hr). Thus pits are designed to capture the maximum possible rainfall which could occur. Oil trap is provided to remove oil & grease, if any in the storm water. Periodic cleaning & maintenance of RWH system will be done. Conceptual design for rain water harvesting pit is given in Figure: 9. Figure 9: Schematic Diagram of Rain Water Harvesting Pit 13

15 S. No. Particulars Table 6: Rain Water Harvesting Calculations Catchment Area in m 2 (A) Runoff Coefficient (C) 1-hour Rainfall Intensity in mm (I) Discharge (m 3 /hr) 1. Rooftop area Green area/landscape and other open = ( ) area 3. Road and Paved area Total Runoff Note: 1- hour Rainfall Intensity in mm (I) = 53. Source Mullanpur Local Planning Area/Master Plan Report Taking 15 minutes retention time, total volume of storm water = = m3 Taking the effective length, breadth and depth of a Recharge pit 5.0 m, 4.5m and 2.0 m respectively, Volume of a single rectangular recharge pit (Length x Breath x Height) = 5.0 x 4.5 x 2.0 = 45 m3 Hence No. of pits required = / 45= Say 17 Pits Total 17 no. of Rain Water Harvesting pits are being proposed for artificial rain water recharge within the project premises. 1.7 VEHICLE PARKING FACILITIES Adequate parking is provided to accommodate the expected vehicles during operation phase of the project. Parking is provided in accordance to Greater Mohali Area Development Authority (GMADA) norms (provisions for 870 vehicles (Car) parking is proposed. Traffic & Parking Plan is attached as Annexure - XXIV 1.8 POWER REQUIREMENT Maximum power demand for the proposed project will be 4800 KVA, Power supply will be taken from Punjab State Power Corporation Limited. Electrical system is designed as per following standards: National Building Code of India 2005 National fire Codes 2000 Relevant Bureau of Indian Standard Indian Electricity Supply Rules & Act 14

16 Details of D.G Sets Proposed DG sets of total capacity is 5250 KVA (3 x 1500 KVA + 1 x 750 KVA). DG sets will be provided to provide uninterrupted power supply during power failure. DG sets are open to air & will be provided with acoustic enclosure. 1.9 SOLID WASTE GENERATION AND MANAGEMENT Solid waste would be generated both during construction as well as during operation phase. Solid waste expected to be generated during construction phase will comprise of excavated materials, used bags, bricks, concrete, MS rods, tiles, wood etc. Table 7 details the solid waste management plan during construction phase Table 7: Solid Waste Management during Construction Phase S. No. Solid waste Solid waste Management Waste materials like MS Material would be segregated. Recyclable material Rods, bricks, concrete, will be sold to authorize dealers. Rest will be used broken tiles, wood pieces, within project site for filling & leveling purpose. cement bags etc. Remaining will be sent for disposal through government authorized vendors. Cement bags will be used for road making. Excavated Soil Top soil will be stored in covered areas and will be later used for landscaping purpose. Remaining soil will be used for back filling & leveling of site. Un-used soil will be disposed off to designated side through authorized vendors on payment basis. During operation phase, waste will comprise of both municipal & bio-medical waste as it is a Hospital-cum-Research Centre project. Municipal waste will comprises of domestic & landscape waste, Municipal waste expected to generate from the project is estimated to be approax.941 kg per day (@1.5 kg for patients, 0.15 kg per capita per day for the guests, 0.15 kg per capita per day for the visitor, 0.25 kg per capita per day for the students &staff members, whereas 1 kg/acres/day is considered for landscape wastes). Approx. 237 kg/day of bio-medical waste generation is expected. Estimations for solid waste generation during operation phase are given in Table 8. 15

17 Table 8: Calculation of Solid Waste Generation S. No. Category Capacity (Nos.)/Area Waste Generation (Kg/day/capita) Waste generated (kg/day) 1. Patients kg/person Floating/Visitors kg/person Residential kg/person Inhouse/Commercial kg/person Green area/landscape and other open area = ( ) 5 kg/acres Total Municipal waste generation Say 941 kg/day Bio-Medical Waste (@25% of Hospitals waste after deducting horticulture kg/day waste) (Source: For Waste Collection, Chapter 3, Table 3.6, Page no. 49, & Bio-Medical waste Chapter 7, page 148 of Central Public Health & Environment Engineering Organization, Ministry of Urban Development, (Government of India, May 2000)) Waste Segregation, Collection& Disposal 1. Different color bins will be provided in each section & floor for collection of different type of waste. Three color bins will be provided in wards (green, red& blue) for collection of food waste, medical waste like bandages, medicine covers, soiled waste etc and sharps separately. Visual message for usage of different bins for different purpose indicating its significance will be placed for awareness in all the sections. In pathology lab, Operation Theater, mortuary, pathology lab, medicine room, plaster room different color bins will be provided for collection of different waste as given below in Table 9. Table 9: Bio-medical Waste Collection System Color Code Waste Category Treatment Yellow Human anatomical waste, Incineration animal waste, Micro biology Deep Burial waste & bio-technology waste, soiled waste Red Microbiology & Biotechnology waste, soiled waste, solid waste (other than sharp) Autoclave Microwaving Chemical treatment Blue/White Waste Sharp Autoclave Microwaving Black Discarded medicines & Cytotoxic waste, Chemical waste Chemical treatment Chemically treated Disposal in secured landfill Returning back to vendors 16

18 2. Waste will be collected at common place regularly from the localized collection points. Food waste, landscape waste & other municipal waste will be handed over to Municipal Corporation, Mohali. STP sludge will be used as manure for landscape area. 3. Recyclable waste like plastics, paper, thermocole, glass etc will be collected & sold to authorized vendors. 4. Bio-Medical waste will be collected in Bio-medical waste storage room & will be handed over to authorized vendors for treatment & safe disposal. 5. Trolleys with bins will be provided for transportation of bio-medical waste from generation points to storage points to protect waste handler from direct exposure. 6. E-waste generated will be stored separately & will be sold to authorized vendors periodically 1.10 GREEN AREA / LANDSCAPING Total area measuring 33% ( m 2 ) of the plot area is proposed to be put under green cover. Evergreen trees, ornamental trees & shrubs have been proposed to be planted inside the premises. Proper aftercare and monitoring of developed green belt will be done. Standard practice will be followed for planting of saplings in pits of substantial dimensions. The pits shall then be filled with earth, sand, silt and manure in predetermined proportions. Saplings planted in the pits will be watered liberally. It is also recommended that the plantation has to be taken up randomly and the landscaping aspects could be taken into consideration. Trees to be planted are given in Table 10. Landscape Plan is attached as Annexure VII. Table 10: Suitable and recommended Species for Green Belt S.No. Common Name Botanical Name 1. Neem Azardirachta indica 2. Peepal Ficus religiosa 3. Gulmohar Delonix regia 4. Amaltash Cassia fistula 5. Kachnar Bauhinia variegata 6. Bottle brush Callistemon lanceolatus 7. Harsingar Nyctanthes arbortristis 8. Silver Oak Greweliarobusta 9. Karanj Milletia pinnata 10. Saptaparni Alstoniascholaris 11. Peelagulmohar Peltophorumpterocarpum 12. KanakChampa Pterospermumacerifolium 17

19 1.11 MATERIALS USED FOR CONSTRUCTION Table 11 below lists the construction material Table 11: List of Construction Materials S. No. Type of Construction 1. Walls: a Brick: (Fly-ash bricks-fal G) b Plastered both side mm c Plastered both sides -228 mm d Autoclaved Aerated Concrete blocks-230 mm (AAC blocks) e Autoclaved Aerated Concrete blocks-150 mm (AAC blocks) f Tiles or slates on Boarding and felt with plaster ceiling 2. Roofs Flat: a Reinforced Concrete slab, 120 mm, secreed 120 mm= brick coba and thermal insulation layer underneath roof slab 3. Floors: a Concrete on stilt floor hardcore fill b Vitrified /Ceramic tile finish c Kota stone /Granite 4. Windows: Aluminum 5. Exposure all sides 6. Single glazing using e-glass LIST OF MACHINERY USED DURING CONSTRUCTION Dumper Concrete mixer with hopper Excavator Concrete Batching Plant Cranes Road roller Bulldozer Tower Cranes Hoist Labor Lifts Concrete pressure pumps Mobile transit mixer ** 18