List of Documents. List of Annexure

Transcription

1 List of Documents S.No. Description Page No. 1 Form I Application 1 to 15 2 Standard Template and Checklist 16 to 24 3 Form IA for Building & Construction Projects 25 to 35 4 Environmental Management Plan 36 to 61 List of Annexure S.No. Description Page No. Annexure 1A Project Location shown in google map 63 Annexure 1B Topo map showing the location of site (2 km Radius) 64 Annexure 1C Topo map showing the location of site (10 km Radius) 65 Annexure 2 Layout map showing the MIMS campus and Surrounding Env 66 Annexure 3 Water Balance Details 67 Annexure 4 Wastewater generation and characteristics 68 Annexure 5 STP Details (Technical Report) 69 Annexure 6 Energy Savings 67 Annexure 7 Emergency Management Plan 75 Annexure 8 Fire and Safety Equipments details 79 Annexure 9 MOU for Biomedical Waste Disposal 80 Annexure 10 Approval from APEPDCL for electricity load 85

2 List of Documents S.No. Description Page No. 1 Form I Application 1 to 15 2 Standard Template and Checklist 16 to 24 3 Form IA for Building & Construction Projects 25 to 35 4 Environmental Management Plan 36 to 61 List of Annexure S.No. Description Page No. Annexure 1A Project Location shown in google map 63 Annexure 1B Topo map showing the location of site (2 km Radius) 64 Annexure 1C Topo map showing the location of site (10 km Radius) 65 Annexure 2 Layout map showing the MIMS campus and Surrounding Env 66 Annexure 3 Water Balance Details 67 Annexure 4 Wastewater generation and characteristics 68 Annexure 5 STP Details (Technical Report) 69 Annexure 6 Energy Savings 67 Annexure 7 Emergency Management Plan 75 Annexure 8 Fire and Safety Equipments details 79 Annexure 9 MOU for Biomedical Waste Disposal 80 Annexure 10 Approval from APEPDCL for electricity load 85

3 Form 1 APPENDIX I (I) Basic Information S. Item Details No 1 Name of the Project/s Maharaja Institute of Medical Sciences D.No.31-15, Sy.No.73/7 Nellimarla , Vizianagaram Dist. (No. of Beds : 810) 2 S.No. in the Schedule 8(A) Building and Construction Project Category B: Covering an area 20,000 sq.m and built up area < 1,50,000 sq.m 3 Proposed capacity / area / length / tonnage to be handled /command area / lease area / number of wells to be drilled The project is a expansion of Medical Institute with 810 beds Hospital located at D.No.31-15, Sy.No.73/7 Nellimarla , Vizianagaram Dist. (Refer Annexure-1 for Project location). The following are the built-up area of existing buildings and built-up area of proposed building of Medical Institute. (Master Plan enclosed Annexure-2) S.no Description Builtup Area (sq.m) Plinth Area (sq.m) Vacant area (sq.m) PHASE -I 1 Nurses Hostel - I Canteen Sump Teaching hospital Central workshop 6 Generator room Central Animal house 8 Boys Hostel Girls Hostel - I College Block-I Doctor Quarters Block A 12 Doctor Quarters Block B Doctor Quarters Block C 14 Gust House College Block-II Total Phase - I (10.45 Ac) PHASE -II 8 Boys Hostel Girls Hostel Nurses Hostel - II Residential Doctor Quarters Security Office 18 Security Post - I Security post - II 19 Homeopathy College Auditorium 21 Doctor Quarters - A Page 1

4 S. No Item Details 22 Doctor Quarters - B 23 Doctor Quarters - C Doctor Quarters - D 25 Doctor Quarters - E 26 Staff Quarters Class - 3A Staff Quarters Class - 3B 28 Staff Quarters Class - 4A Staff Quarters Class - 4B Total Phase - II (2.53 Ac) 35 Play Ground Internal Roads Parking area Greenbelt (11.02 Ac) 39 Future Expansion (11.44 Ac) Total for Phase I & II PHASE -III (Proposed) 40 Girls Hostel Total for Phase I, II & III (14.57 Ac) Total Builtup area = 61, sq.m Total Land = 50 Acres 50 Ac (35.43 Ac) 4 New / Expansion / Modernization 5 Existing Capacity / Area etc. The project is execution of new building within the existing campus having the medical institute with 810 beds capacity Hospital The existing medical institute having 810 beds capacity hospital, central laboratory, educational institute and hostel facility. The existing builtup area details are Phase 1: 46,774 sq.m established in 2004 Phase 2: 11,585 sq.m established in 2006 Proposed builtup area for Phase 3: 3,107 sq.m proposed in 2015 Total Builtup area after expansion = 61,467 sq.m 6 Category of Project i.e. A or B 8(A) Building and Construction Project Category B : Covering 61,467 sq.m built up area 7 Does it attract the No general conditions? If yes, please specify 8 Does it attract the No Specific conditions? If yes, please specify 9 Location D.No.31-15, Nellimarla Plot / Survey / Khasra No Survey No.73/7 City Nellimarla Page 2

5 S. Item Details No Mandal Nellimarla District Vizianagaram State Andhra Pradesh 10 Nearest railway station / airport along with distance in kms Nearest Railway Station: Vizianagaram Railway station at ~ 5.5km SW. Nearest Air Port : Visakhapatnam Air Port- 55km SSW 11 Nearest town, city, Visakhapatnam ~ 50 km SSW district headquarters along with distance in kms 12 Village Panchayats, Zilla Nellimarla Panchayat Parishad, Municipal Nellimarla , Vizianagaram Dist. Corporation, Local body (complete postal addresses with telephone nos, to be given) 13 Name of the applicant Sri Alluri Satyanarayana Raju, Managing Trustee S/o. Sri Alluri Murthy Raju M/s. Maharaja Institute of Medical Sciences 14 Registered Address D.No.31-15, Sy.No.73/7 Nellimarla , Vizianagaram Dist. 15 Address for Correspondence Name Sri Alluri Satyanarayana Raju, Managing Trustee Designation (Owner/Partner/CEO) Managing Trustee M/s. Maharaja Institute of Medical Sciences Address D.No.31-15, Sy.No.73/7 Nellimarla , Vizianagaram Dist. Pin Code [email protected] Telephone no Fax no Details of Alternate Sites examined, if any. Location of these sites should be shown on a topo sheet 17 Interlinked Projects None 18 Whether separate Not applicable application of interlinked project has been submitted 19 If yes, date of submission Not applicable 20 If no, reason - 21 Whether the proposal No involves approval / clearance under: if yes, No alternative sites are considered. Refer Annexure-1 for the Project Location. Page 3

6 S. Item No 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. Notification, 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 proposed to set up? (a) Name of the Court (b) Case No. (c) Orders / directions of the court, if any and its relevance with the proposed project. No No No Details Page 4

7 (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.No. Information / Checklist confirmation 1.1 Permanent or temporary change in land use, land cover or topography including increase in intensity of land use (with respect to local landuse plan) 1.2 Clearance of existing land, vegetation and buildings? Yes /No Yes Details thereof (with approximate quantities /rates, wherever possible) with sources of information data The proposed land will be converted to a hostel building for the existing medical college. There will be change in Topography & land Cover due to the proposed activity. Yes The existing open land will be used for construction of hostel building for the existing Medical College with 810 beds hospital. Hence the existing vegetation kept as same at maximum level. Only necessary vegetation under buildup area will be removed and greenbelt will be developed in open areas. 1.3 Creation of new land uses? Yes Yes the site will be converted to a hostel 1.4 Pre-construction investigations e.g. bore holes, soil testing? Yes building for the existing Medical college The project involves construction of hostel building where all necessary pre-construction investigations will be carried out and Environmental clearance will be obtained. 1.5 Construction works? Yes The project involves construction of hostel building for existing medical facility 1.6 Demolition works? No Not Applicable as no demolition works are envisaged 1.7 Temporary sites used for construction works or housing of construction works? 1.8 Above ground buildings, structures or earthworks including linear structures, cut and fill or excavations 1.9 Underground works including mining or funneling? No 1.10 Reclamation Works? No Not Applicable 1.11 Dredging? No Not Applicable 1.12 Offshore structures? No Not Applicable 1.13 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? No Yes No No Yes Most of the workers will be hired from the nearby areas. The proposed hostel building construction involves minor earthworks including structures, cut and fill activities are envisaged during the construction of buildings for existing MIMS Hospital. Not Applicable Not Applicable Not Applicable The Solid waste generated during the operations of existing MIMS hospital Page 5

8 S.No. Information / Checklist confirmation Yes /No Details thereof (with approximate quantities /rates, wherever possible) with sources of information data involved generation of municipal solid waste of about 724 Kg/ Day. The domestic solid waste has been segregated into biodegradable and non -bio degradable wastes and suitably disposed at nearby municipal landfill facility. The biomedical wastes generated has been handled and disposed to a common biomedical waste management facility (Rainbow Industries) as per Bio Medical Waste Handling and Management rules, MIMS Medical college and Hospital has been made MoU with Rainbow Industries for disposal of bio-medical waste disposal. Refer Annexure-9. Wastewater generation include from domestic operations, Operation Theatre & Laboratory which have been suitably treated in a STP respectively. The treated waste water is being reused for gardening within the hospital premises Facilities for long term housing of No None operational workers? 1.17 New road, rail or sea traffic during No Not Applicable construction or operation? 1.18 New road, rail, air waterborne or No None envisaged other transport infrastructure including new or altered routes and stations, ports, airports etc? 1.19 Closure or diversion of existing No None envisaged transport routes or infrastructure leading to changes in traffic movements? 1.20 New or diverted transmission lines or No Not Applicable pipelines? 1.21 Impoundment, damming, culverting, No The Project involves newly construction of realignment or other changes to the hostel building and does not involve hydrology of watercourses or alteration of any hydrogeology of the site. aquifers? 1.22 Stream crossings? No None envisaged. There is no stream crossing in the proposed site Abstraction or transfers of water from ground or surface waters? No The domestic water requirement during the operation phase of about 287 KLD has been met through ground water supply. The wastewater has been treated in existing STP and reused for greenbelt within the campus. Page 6

9 S.No. Information / Checklist confirmation 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 which could have an impact on the environment? 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? Yes /No No Yes No No Yes Details thereof (with approximate quantities /rates, wherever possible) with sources of information data Due to proposed construction of hostel building for existing medical college, there will not be any changes in water bodies, drainage pattern etc. Runoff will be managed by existing storm water drain system. The Project site is direct access to road between Vizianagaram to Rajam. However during construction of building material will be transported through the existing road. Public bus service is available to the site for the workers. MIMS is having bus service for the employees and students. None envisaged None envisaged 1.29 Introduction of alien species? No None envisaged 1.30 Loss of native species or genetic No None envisaged diversity? 1.31 Any other actions? No None envisaged The proposed site will be developed for hostel building in the existing Medical College with 810 beds Hospital. Movement of the people will be observed during the operation phase of the Hospital. The existing Hospital capacity is as follows, 1. No of Beds : No: of Outpatients/ Visitors : Doctors & support staff : Students : No. of Students with hostels: Residential blocks : for 72 families 2. 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.No Information /Checklist confirmation Yes /No 2.1 Land especially undeveloped or agricultural land (ha) 2.2 Water (expected source & competing users) Unit : KLD Yes Yes Details thereof (with approximate quantities /rates, wherever possible ) with sources of information data The project utilizes an open land to construct ladies hostel building for existing medical institute with hospital. No agricultural activity at present in the proposed site. Water requirement for construction activities will be obtained from bore well water. Five bore well are existed in the Medical Page 7

10 S.No Information /Checklist confirmation Yes /No 2.3 Minerals (MT) No Not applicable 2.4 Construction material- Stone, aggregates, and / soil (expected source- MT) Details thereof (with approximate quantities /rates, wherever possible ) with sources of information data college and hospital. The bore well yield is average 150 KLD. The water required during operation of MIMS Hospital is 287 KLD. Water balance enclosed as Annexure-3 Yes The construction material like stone, aggregates will be obtained from nearby stone crushing units. 2.5 Forests and timber (source MT) Yes Very less quantity of timber material will be used. Timber materials will be procured nearby vendors 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) Yes No The total power required for the existing MIMS facility 331 KVA. MIMS has been applied for additional 97 KVA to APEPDCL for that approval has been obtained for total aggregating load of 428 KVA under HT Cat-II at 11 KV potential. A Copy of letter from APEPDCL is enclosed as Annexure 10. DG sets of one 350 KVA, one 250 KVA and two numbers of 125 KVA are existed for power back up. DG sets have been using only during power failure. All DG sets are installed with Acoustic enclosure type to control noise levels. DG Sets have been fixed with appropriate stack height for emission dispersion. The HSD fuel is being used and it is sourced from the local traders. Not Applicable. 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.No Information /Checklist confirmation Yes /No 3.1 Use of substance 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) No No Details thereof (with approximate quantities /rates, wherever possible ) with sources of information data The existing facility is a Medical college with Hospital and No hazardous substances (as per MSIHC rules) are used. Minor quantities of chemicals have been used in clinical laboratory. The wastewater has been treated and suitably disinfected to control any risk to human health or environment. The municipal waste and Biomedical waste will be managed as per regulatory requirement. Page 8

11 S.No Information /Checklist confirmation Yes /No 3.3 Affect the welfare or people e.g. by changing living conditions? 3.4 Vulnerable groups of people who could be affected by the project e.g. hospital patient s, children, the elderly etc., 3.5 Any other causes No None envisaged Yes No Details thereof (with approximate quantities /rates, wherever possible ) with sources of information data The proposed construction of hostel building for existing medical facility which is offering High class Medical facilities to the needy and also employment opportunities. The proposed construction of hostel building is for the students of MIMS college. The existing medical college with hospital is providing medical services to nearby people. 4. Production of solid wastes during construction or operation or decommissioning (MT/ month) S. No Information / Checklist Confirmation Yes /No 4.1 Spoil, overburden or mine wastes No Not Applicable 4.2 Municipal waste (domestic and or Yes commercial wastes) 4.3 Hazardous wastes (as per Hazardous Waste Management Rules) Yes Details thereof (with approximate quantities /rates, wherever possible ) with sources of information data The total municipal solid waste generated from the proposed Medical college with Hospital project is approximately 724 kg/day. The expected biomedical wastes generated for 810 beds and 800 Outpatients are estimated to be around 445 Kg/ day. During the operation phase, 445 Kg/ day of Biomedical waste generated and it has been handled and disposed to a common bio-medical waste management facility (Rainbow Industries) as per Bio Medical Waste Handling and Management rules, MIMS Medical college and Hospital has been made MoU with Rainbow Industries for disposal of bio-medical waste disposal. Refer Annexure Other industrial process wastes No Only Biomedical wastes will be generated as indicated above form the existing Medical college with hospital. 4.5 Surplus product No Not Applicable 4.6 Sewage sludge or other sludge from effluent treatment Yes Sludge generated from existing sewage treatment plant would be used as manure for green belt development. 4.7 Construction or demolition wastes Yes The proposed project is to construction of hostel building for existing medical college with hospital. The construction waste if any will be used to dump in low lying areas within the project site premises. 4.8 Redundant machinery or equipment No The machinery or equipments required for construction activity only which will be procured temporary. No major machinery or equipments required for operation of hospital except clinical equipments for medical treatment purpose. Page 9

12 S. No Information / Checklist Confirmation 4.9 Contaminated soils or other materials Yes /No No Details thereof (with approximate quantities /rates, wherever possible ) with sources of information data No contamination of soil will be envisaged during proposed construction activity. The solid wastes generated during existing Hospital operations have been managed and disposed in a environmentally sound way Agricultural wastes No Not Applicable 4.11 Other solid wastes No Only Municipal solid waste, STP Sludge and Biomedical wastes as mentioned in S.No: 4.1 & 4.2 are envisaged. 5. Release of pollutants or any hazardous, toxic or noxious substances to air (Kg/hr) S.No. Information /Checklist confirmation 5.1 Emissions from combustion of fossil fuels from stationary or mobile sources 5.2 Emissions from production processes 5.3 Emissions from handling including storage and transport 5.4 Emissions from construction activities including plant and equipment 5.5 Dust or odors 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) Yes/ No Yes No No Yes Yes No No Details thereof (with approximate quantities /rates, wherever possible ) with sources of information data Emissions will be mainly from vehicles running at the project site during operation period and secondly from the D.G. set used for backup power source (during power failures only for a short duration). High Speed Diesel (HSD) has been used for the DG sets. The main emissions are SO 2 and NO x. The DG sets will be operated only during power failures. D.G Sets are acoustically enclosed so as to meet the norms laid down by CPCB. Moreover proper stack height have been provided as per CPCB Norms to ensure proper dispersion of these pollutants. Not Applicable as this is a Hospital project. Not applicable Temporary in nature, which may originate during construction of buildings or roads will be taken care by proper dust suppression by sprinkling of water. Dust generated due to handling construction material will be controlled by sprinkling of water. The Sewage and effluent arising from the existing medical college and hospital of about 271 KLD and it is being treated in STP and treated effluent has been recycled and reused for greenbelt within the campus premises. Not Applicable Not Applicable. Page 10

13 S.No. Information /Checklist confirmation Yes/ No 5.8 Emissions from any other sources No Not Applicable 6. Generation of Noise and Vibration, and Emissions of Light and Heat S.No. Information /Checklist confirmation 6.1 From operation of equipment e.g. engines, ventilation plant, crushers Yes/ No No Details thereof (with approximate quantities /rates, wherever possible ) with sources of information data Details thereof (with approximate quantities /rates, wherever possible ) with sources of information data No major noise generating equipment is required for hospital except DG set of 250 KVA capacities which have been used only during power supply failure. DG sets have been procured with necessary acoustic enclosures to suppress the noise levels within the norms. Also greenbelt has been developed to attenuate the noise levels within the hospital premises. Not Applicable as this is a Medical college with Hospital activity 6.2 From industrials or similar No processes 6.3 From construction or demolition Yes Due to drilling, crushing, concrete mixing activities, these will be temporary in nature and adequate measures will be taken during construction. 6.4 From blasting or piling No No blasting is envisaged. Piling, if required will be limited to construction area 6.5 From construction or operational traffic No During construction activities care will be taken to control the noise within standard. The proposed activity is construction of hostel building for existing Medical college cum Hospital and no noise generation during operation phase is envisaged. 6.6 From lighting or cooling systems Yes The quantum of generation will be insignificant. As the sound proof generators and split air conditioning units are proposed to be installed, the impact will be minimum. 6.7 From any other sources No Not Applicable. 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.No. Information /Checklist confirmation 7.1 From handling, storage, use or spillage of hazardous materials Yes /No Yes Details thereof (with approximate quantities /rates, wherever possible ) with sources of information data During the operation phase, 445 Kg/ day of Biomedical waste has been generated which is being handled and disposed to a common Biomedical waste management and disposal facility as per Bio-medical Waste Management & Handling Rules, Page 11

14 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 Yes 7.4 From any other sources No None envisaged 7.5 Is there a risk of long term build up of pollutants in the No environment from these sources? No The effluent generated from the existing Medical college with hospital of about 271 KLD and it is being treated in existing STP before using for reuse for greenbelt purpose. No sewage will be let on the land or into the surface water body therefore no risk of any contamination. Proper Environmental management plan will be followed for air, water, noise and solid waste. Hence no long term impacts are envisaged. 8. Risk of accidents during construction or operation of the Project, which could affect human or the environment S.No. Information /Checklist confirmation 8.1 From explosions, spillages, fires etc from storage, handling, use or production of hazardous substances Yes/ No 8.2 From any other causes No Not Applicable 8.3 Could the project be affected by No natural disasters causing environmental damage (e.g. floods, earthquakes, landslides, cloudburst etc)? No Details thereof (with approximate quantities /rates, wherever possible ) with sources of information data Fire fighting systems have been installed and safety precautions adopted as per the safety rules. All precautions have been taken to avoid spillages in storage and handling of Bio-medical waste by following the Biomedical Waste Management Rules. The proposed hostel building will be designed and established with Earthquake resistant structures. Also, as the project site is in Seismic Zone-II II as defined in IS: There are very less probability of earthquakes Hazards. Necessary Disaster Management plans will be followed for preventing any disasters during natural/ accidental calamity. 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 activates in the locality S.No. Information /Checklist confirmation 9.1 Lead to development of supporting. facilities, ancillary development or development stimulated by the project which could have impact on the environment e.g.: Yes /No Yes Details thereof (with approximate quantities /rates, wherever possible ) with sources of information data The operation of medical college with hospital has been enhanced the supporting, utilities, ancillary development in the area around as this is a service sector project. Page 12

15 S.No. Information /Checklist confirmation Supporting infrastructure (roads, 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 could have an impact on the environment 9.3 Set a precedent for later developments 9.4 Have cumulative effects due to proximity to other existing or planned projects with similar effects) Yes /No No - Yes No Details thereof (with approximate quantities /rates, wherever possible ) with sources of information data Development of local community Improvement in quality of life Providing good health to neighborhood community and nearby areas. None envisaged as the existing activity is a Medical college with Hospital facility. Page 13

16 III) Environment Sensitivity S. No. Areas Yes /No 1. Areas protected under No international conventions, national or local legislation for their ecological, landscape, cultural or other related values. Aerial distances (within 15 km.) Proposed project location boundary. There are no designated area protected under the International conventions, National and Local Legislation for the ecological landscape, cultural or other related value. 2. Areas which are important or sensitive for ecological reasons- Wetlands, water courses 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 Yes No Yes Water Bodies: Bay of Bengal ~ 20 km SE Nallah ~ 0.5 km ESE Champavati Gedda ~ 1.8 km E Reserve Forest: Velagada RF ~ 1 km N Phulbag RF ~ 2 km S Damarasingi RF ~ 2.6 km NE None in study area Bay of Bengal is at a distance of 20 km SE. 5. State, National boundaries No No state boundary within 15 km. 6. Routes or facilities used by the public for access to recreation or other tourist, pilgrim areas No Nil 7. Defense installations No None in 10km radius 8. Densely populated or built-up Yes Visakhapatnam area 9. Areas occupied by sensitive man-made land uses (hospitals, Yes 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 susceptible to natural hazard which could cause the project to present environmental problems (Earthquakes, subsidence, landslides, erosion, flooding or extreme or adverse climatic conditions) No No Schools, places of worship and community facilities are located in the surrounding site. Tourism places near Bay of Bengal ~ 20 km- SE The area is not affected by earthquake, subsidence, landslides, erosion and other natural calamities. Page 14

17 IV: Proposed Terms of Reference for EIA Studies: Not Applicable As the Project is falling under Project Activity 8a Category (B) Building & Construction Project. 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 will be rejected and clearance give, if any to the project will be revoked at our risk and cost. Date: Place: Visakhapatnam Signature of the applicant Note: 1. The projects involving clearance under Coastal Regulation Zone Notification, 1991 shall submit with the application a C.R.Z map duly demarcated by one of the authorized agencies, showing the project activities, w.r.t. C.R.Z (at the stage of TOR) and the recommendations of the State Coastal Zone Management Authority (at the state of EC). Simultaneous action shall also be taken to obtain the requisite clearance under the provisions of the C.R.Z Notification, 1991 for the activities to be located in the CRZ. 2. The projects to be located within 10 km of the National Parks, Sanctuaries, Biosphere Reserves, Migratory Corridors of Wild Animals, the project proponent shall submit the map duly authenticated by Chief Wildlife Warden showing these features vis-à-vis the project location and the recommendations or comments of the Chief Wildlife Warden thereon (at the state of EC). 3. All correspondence with the Ministry of Environment & Forests including submission of application for TOS/Environmental Clearance, subsequent clarifications, as may be required from time to time, participation the EAC Meeting on behalf of the project proponent shall be made by the authorized signatory only. The authorized signatory should also submit a document in support of his claim of being an authorized signatory for the specific project. Page 15

18 STANDARD TEMPLATE AND CHECKLIST FOR EVALUATION OF PROJECT/ ACTIVITY STATE LEVEL ENVIRONMENT IMPACT ASSESSMENT AUTHORITY (SEIAA) ANDHRA PRADESH Page 16

19 STANDARD TEMPLATE FOR EVALUATION OF ALL PROJECTS/ ACTIVITIES S.No Information required Information to be furnished by the proponents 1 Name of the project or activity Construction of New Ladies Hostel building having builtup area 3,107 sq.m for existing M/s. Maharaja Institute of Medical Sciences (MIMS) Hospital and Medical College 2 Name of the M/s. Maharaja Institute of Medical Sciences (MIMS) organization/owner. 3 Address for communication D.No.31-15, Sy.No.73/7 Nellimarla , Vizianagaram district 4 Telephone numbers / / ID of the organization [email protected] or contact person 6 Location of the Proposed project or activity Sy.No.73/7, Nellimarla, Vizianagaram district. Coordinates of the MIMS campus boundary have been given below: S. No Longitude Latitude '25.91"E 18 8'50.02"N '27.38"E 18 8'51.02"N '30.73"E 18 8'49.68"N '31.04"E 18 8'46.87"N '38.63"E 18 8'49.73"N '38.24"E 18 8'53.30"N '38.99"E 18 8'59.24"N '40.05"E 18 8'59.52"N '40.80"E 18 8'53.35"N '43.60"E 18 8'53.54"N '44.15"E 18 8'51.17"N '46.58"E 18 8'50.76"N '47.24"E 18 8'44.23"N '37.12"E 18 8'39.45"N '28.39"E 18 8'37.39"N '23.96"E 18 8'38.08"N '22.00"E 18 8'42.81"N '26.44"E 18 8'44.21"N '25.51"E 18 8'45.30"N '28.49"E 18 8'47.37"N Refer Annexure 1 for Project location details 7 Appraisal Category (B2 or B1) B2 8 Nearest habitation and distance from the project or activity Nellimarla is ~ 1km North direction from the existing MIMS campus 9 Installed capacity / Production Capacities The existing medical institute having 810 beds capacity hospital, central laboratory, educational institute and hostel facility. The existing builtup area details are Phase - I: 46,774 sq.m established in 2004 Phase - II: 11,585 sq.m established in 2006 Page 17

20 S.No Information required Information to be furnished by the proponents Proposed builtup area for Phase - III: 3,107 sq.m proposed in 2015 Total Builtup area after expansion = 61,467 sq.m 10 Specify the Fuel (Coal / CNG / biomass/others) and quantity Required 11 Details of Land use/land Cover The total power required for the existing MIMS facility is 331 KVA and it has been sourced from APEPDCL load under HT Cat- II at 11 KV potential. DG sets of one 350 KVA, one 250 KVA and two numbers of 125 KVA are existed for power back up. The HSD fuel is being used and it is sourced from the local traders. The project is Construction of New Ladies Hostel having builtup area 3,107 sq.m for existing M/s. Maharaja Institute of Medical Sciences (MIMS) Hospital and Medical College. The details of existing landuse & builtup area are given below: S.no Description Builtup Area (sq.m) Plinth Area (sq.m) Vacant area (sq.m) PHASE I (Existing) 1 Nurses Hostel - I Canteen Sump Teaching hospital Central workshop 6 Generator room Central Animal house 8 Boys Hostel Girls Hostel - I College Block-I Doctor Quarters Block A 12 Doctor Quarters Block B Doctor Quarters Block C 14 Gust House College Block-II Total Phase - I (10.45 Ac) PHASE II (Existing) 8 Boys Hostel Girls Hostel Nurses Hostel - II Residential Doctor Quarters Security Office 18 Security Post - I Security post - II 19 Homeopathy College Auditorium 21 Doctor Quarters - A 22 Doctor Quarters - B 23 Doctor Quarters - C Doctor Quarters - D Page 18

21 S.No Information required Information to be furnished by the proponents 25 Doctor Quarters - E 26 Staff Quarters Class - 3A Staff Quarters Class - 3B 28 Staff Quarters Class - 4A Staff Quarters Class - 4B Total Phase - II (2.53 Ac) 35 Play Ground Internal Roads Parking area Greenbelt (11.02 Ac) 39 Future Expansion (11.44 Ac) Total for Phase I & II PHASE -III (Proposed) 40 Girls Hostel Total for Phase I, II & III (14.57 Ac) (35.43 Ac) 50 Ac 12 Occupancy, ownership of the land in which the activity is proposed: (Government land / Private land / Forest land /Revenue land /Temple land /leased land/ land belongs to other Department) 13 If it is a Forest land, the following details shall be furnished: (Whether it is a Reserved forest / Protected forest/demarcated forest/ National Parks/Sanctuaries/any land in possession of Forest Department.) (The village map with Sy. No. indicating nearest forest boundary line from the site shall be enclosed) 14 Total investment of the project/activity. a. Funds allocated for EMP (capital cost and recurring cost per annum) Total Land is 50 Acres. The entire land is Private land. The proposed new ladies hostel building will be constructed in the available land within the MIMS campus. The existing land is private land. No forest land is involved in the construction activity. The location of MIMS campus has been shown in the Topo Map showing the boundaries of existing MIMS campus. Refer Annexure 1B & 1C The total investment incurred for the existing MIMS campus as on date is Rs crores. The funds incurred for Environmental Management for the existing MIMS is given Page 19

22 S.No Information required Information to be furnished by the proponents S.N o Particulars Capital Cost (Rs. in Lakhs) Recurring Cost / Annum (Rs. In Lakhs) 1 STP Solid Waste Management Hazardous Waste Management Nil 1 4 Biomedical Waste Management Nil 14 5 Rain Water Harvesting pits Storm Water Drains Greenbelt Development Environmental Monitoring - 1 Total Brief description of the project with special reference to specific pollution and its control measures. 16 Compliance report on the following : i. Status of compliance of the conditions and environmental safeguards stipulated in the earlier clearance letters. ii. Details of the court cases, if any, pending in any Court of Law against the project as The project is execution of new ladies hostel building within the existing MIMS campus having the medical institute with 810 beds capacity Hospital. The biomedical wastes generated has been handled and disposed to a common bio-medical waste management facility (Rainbow Industries) as per Bio Medical Waste Handling and Management rules, MIMS Medical college and Hospital has been made MoU with Rainbow Industries for disposal of biomedical waste disposal. Wastewater generation include from domestic operations, Operation Theatre & Laboratory which have been suitably treated in a STP respectively. The treated waste water is being reused for gardening within the hospital premises. The effluents generated from the MIMS campus would be treated in STP and the treated effluent is being reused for plantation/ gardening within the premises only. The biomedical waste generated has been collected and segregated as per as per Bio Medical Waste Handling and Management rules, The collected biomedical waste is being sent to a authorized common bio-medical waste management facility (Rainbow Industries) for further disposal. DG sets of one 350 KVA, one 250 KVA and two numbers of 125 KVA are existed for power back up. DG sets have been using only during power failure. All DG sets are installed with Acoustic enclosure type to control noise levels. DG Sets have been fixed with appropriate stack height for emission dispersion. No court cases on the MIMS Hospital and Medication College. Page 20

23 S.No Information required Information to be furnished by the proponents well as any directions passed by the Court relating to the project directly or indirectly. iii. Details of the notices, if None any, given to the project under Section 5 of the Environmental (Protection) Act, 1986 and Section 18 of the Air (Prevention & Control of Pollution) Act, Whether the project attracts the provisions laid under the OM dt issued by the MoE&F, GOI, w.r.t. violation of EIA Notification, 2006 and its amendments there of? (Yes / No) No Present stage and status of the Project : 18 Name of the Consultant: -- The project is Construction of new Ladies Hostel having builtup area 3,107 sq.m for existing M/s. Maharaja Institute of Medical Sciences (MIMS) Hospital and Medical College. M/s MIMS is applying for obtaining Environmental Clearance for expanding its builtup area with 810 beds capacity. Page 21

24 DECLARATION (a) I/We / M/s. Maharaja Institute of Medical Sciences (MIMS), D.No.31-15, Sy.No.73/7, Nellimarla , Vizianagaram District hereby declare that I/We/ our organization does not /do not have conflict of interest with the Chairmen and members of SEAC, A.P. and SEIAA, A.P. (b) I/We hereby declare that Sri. P. R. Rao, General Manager of M/s. Maharaja Institute of Medical Sciences (MIMS), is/are authorized to submit the application and to do all necessary correspondence for obtaining environmental clearance from State Level Environment Impact Assessment Authority (SEIAA), A.P. and to attend the meeting (s) of State level Expert Appraisal Committee (SEAC), A.P. to present our case and to clarify the points raised by the Members of SEAC and SEIAA. (c) I/we hereby declare that the information furnished above is true to best of my/our knowledge and I/we shall hold personal liability for any deliberate misrepresentation and or concealment of factual information. If the information furnished is found to be false, the EC issued to our organization can be withdrawn and I/we are liable for action as per rules applicable. Date Place (Name and address of the Applicant) Signature of the Applicant. Page 22

25 VIII) BUILDING /CONSTRUCTION PROJECTS/AREA DEVELOPMENT PROJECTS AND TOWNSHIPS. 8(a) Building and Construction projects S.No Information required Information to be furnished by the proponent a. Name & Address the project. M/s. Maharaja Institute of Medical Sciences (MIMS), D.No.31-15, Sy.No.73/7, Nellimarla , Vizianagaram District b. Total Built-up area /Layout area (to evaluate category i.e. B1 or B2). Construction of New Ladies Hostel having builtup area 3,107 sq.m for existing M/s. Maharaja Institute of Medical Sciences (MIMS) Hospital and Medical College. The existing medical institute having 810 beds capacity hospital, central laboratory, educational institute and hostel facility. The existing builtup area details are Phase 1: 46,774 sq.m established in 2004 Phase 2: 11,585 sq.m established in 2006 Proposed builtup area for Phase 3: 3,107 sq.m proposed in 2015 Total Builtup area after expansion = 61,467 sq.m c. Topo plan showing the location of project. d. Schematic diagram showing the Road /route details. e. Details of Traffic study on the routes leading to project & impact on traffic after construction of project. f. Requirement of water and its source duly showing permission from authorities supplying water. If ground water is proposed the study & availability of ground water. g. Design Details of S.T.P and disposal of sewerage. Topo map showing the project location has been enclosed as Annexure 1B & 1C Layout of the MIMS campus showing the existing buildings and roads and route connecting to the road between Vizianagaram to Rajam. Refer Annexure -2 for layout showing the MIMS campus. The existing MIMS campus is well connected to the road between Vizianagaram to Rajam. There would not be increase of vehicles due to construction of new ladies hostel building. The present road is sufficient to cater the vehicles to the routes leading to MIMS campus. Water requirement for construction activities will be obtained from bore well water. Five bore well are existed in the Medical college and hospital. The each bore well yield is average 150 KLD. The water required during operation of MIMS Hospital is 287 KLD. The wastewater generated from the existing MIMS campus is being treated in the existing STP and the treated water has been reused for greenbelt purpose within the campus only. The details are enclosed as Annexure -5 Page 23

26 S.No Information required Information to be furnished by the proponent h. Parking details. parking area allocated for the existing MIMS campus is requirement is about 14,000 sq.m i. Details of rain water harvesting structures. Sl.No Vehicles Parking Area Per Vehicle (Sq.m) Nos Parking area Allocated ( Sq.m) 1 Cars Two Wheelers Ambulances The existing buildings of Medical College and hospital having the rain water harvesting system from the roof top and open area with a proper design to recharge the ground water aquifers. Recharge pits have been provided at 10 locations of the campus. Apart from this, storm water will be diverted to nearby Nalla for ground water recharge and downstream users. j. Details of Sanitation Facilities. The MIMS campus has been established with all the necessary sanitation facilities to safeguard the campus environment. The biomedical wastes generated has been handled and disposed to a common bio-medical waste management facility (Rainbow Industries) as per Bio Medical Waste Handling and Management rules, MIMS Medical college and Hospital has been made MoU with Rainbow Industries for disposal of bio-medical waste disposal. k. Vicinity map to evaluate the impacts on surrounding environment. l. Details of greenbelt development duly showing in the layout plan etc., m. Other site specific information, if any. Wastewater generation include from domestic operations, Operation Theatre & Laboratory which have been suitably treated in a STP respectively. The treated waste water is being reused for gardening within the hospital premises. Topo map showing the project location and surrounding environment is enclosed as Annexure 1B & 1C. About 24 Acres of greenbelt has been existed around the MIMS Medical College and Hospital Buildings. The layout of MIMS campus is enclosed as Annexure Page 24

27 FORM-1 A (only for construction projects listed items 8 of the Schedule) Check List of Environmental Impacts 1. LAND ENVIRONMENT (Attach panoramic view of the project site and the vicinity) 1.1 Will the existing land use get significantly altered from the project that is not consistent with the surrounding? (Proposed land use must conform to the approved Master Plan/ Development Plan of the area. Change of land use if any and the statutory approval from the competent authority are submitted). Attach Maps 1. Site location, 2.Surrounding features of the proposed site (within 500 meters) and 3. The site (indicating levels & contours) to appropriate Scales Conceptual plan. 1.2 List out all the major project requirements in terms of the land area, open area, Ground area, built up area, water consumption, power requirement, connectivity, community facilities, parking needs etc. The proposed project involves Construction of New Ladies Hostel building having builtup area 3,107 sq.m for the existing M/s. Maharaja Institute of Medical Sciences (MIMS) Hospital and Medical College. The existing medical institute having 810 beds capacity hospital, central laboratory, educational institute and hostel facility. Site Location shown google Map is enclosed in Annexure- 1. Site location shown in Topo Map is enclosed in Annexure- 1B Conceptual Plan enclosed as Annexure-2 It is proposed to construct the new ladies hostel building for the existing MIMS Medical college and hospital having 810 beds. The area details of the proposed project are as follows. S.no i. Area Details Description Builtup Area (sq.m) Plinth Area (sq.m) Vacant area (sq.m) PHASE I (Existing) 1 Nurses Hostel - I Canteen Sump Teaching hospital Central workshop 6 Generator room Central Animal house 8 Boys Hostel Girls Hostel - I College Block-I Doctor Quarters Block A 12 Doctor Quarters Block B Doctor Quarters Block C Page 25

28 14 Gust House College Block-II Total Phase - I (10.45 Ac) PHASE II (Existing) 8 Boys Hostel Girls Hostel Nurses Hostel - II Residential Doctor Quarters Security Office 18 Security Post - I Security post - II 19 Homeopathy College Auditorium 21 Doctor Quarters - A 22 Doctor Quarters - B 23 Doctor Quarters - C Doctor Quarters - D 25 Doctor Quarters - E 26 Staff Quarters Class - 3A Staff Quarters Class - 3B 28 Staff Quarters Class - 4A Staff Quarters Class - 4B Total Phase - II (2.53 Ac) 35 Play Ground Internal Roads Parking area Greenbelt (11.02 Ac) 39 Future Expansion (11.44 Ac) Total for Phase I & II PHASE -III (Proposed) 40 New Ladies Hostel Total for Phase I, II & III (14.57 Ac) (35.43 Ac) 50 Ac ii. Water Requirement: Water from borewells : 287 KLD Recycled water from STP : 269 KLD iii. Power Requirement The total power required for the existing MIMS facility is 331 KVA and it has been sourced from APEPDCL load under HT Cat-II at 11 KV potential. DG sets of one 350 KVA, one 250 KVA and two numbers of 125 KVA were installed for power back up. The HSD fuel is being used and it is sourced from the local traders. Page 26

29 1.3 What are the likely impacts of the proposed activity on the existing facilities adjacent to the proposed sites? (Such as open spaces, community facilities, details of the existing land-use, disturbance to the local ecology). 1.4 Will there be any significant land disturbance resulting in erosion, subsidence & instability? (Details of soil type, slope analysis, vulnerability to subsidence, seismicity etc may be given). 1.5 Will the proposal involve alternation of natural drainage systems? (Give details on a contour map showing the natural drainage near the propose project site ) 1.6 What are the quantities of earthwork involved in the construction activity cutting, filling, reclamation etc. (Give details of the quantities of earthwork involved, transport of fill materials from outside the site etc.) 1.7 Give details regarding water supply, waste handling etc during the construction period. 1.8 Will the low lying areas & wetlands get altered? (Provide details of how low lying and wetlands are getting modified from the proposed activity) 1.9 Whether construction debris & waste during construction cause health hazard? (Give quantities of iv. Parking Requirement A parking area allocated for the existing MIMS campus is requirement is about 14,000 sq.m The existing open land will be used for construction of hostel building for the existing Medical College with 810 beds hospital. The existing hospital has been established with necessary medical facilities to provide medical services to all the local communities. No disturbance will be caused to the local ecology or environment due to the proposed hostel building construction activity. The proposed construction of new ladies hostel building is planned to be established in the available open land. Hence no activity related to land disturbance or soil erosion will be involved. The proposed site is open terrain with slope towards NW side of the site. The type of soil is red sandy soil. No alteration of natural drainage system in the site for proposed construction activity. The storm water drainage system has been already established with rainwater harvesting pits all around the campus. There will not be any changes in drainage pattern etc. Runoff will be managed by existing storm water drain system. Hence no construction/ excavation activities causing alternation to natural drainage is envisaged. No major earthwork involved since the proposed site is open terrain. Minor leveling of proposed buildup land will be carried out within the site premises. Water required during construction period will be obtained from bore wells within the proposed site. The existing STP will cater to handle the sewage generated from construction period. No. Not applicable as the proposal involves only construction of new ladies hostel in open land within the existing MIMS medical college and hospital. Construction debris & waste generated will be utilized for leveling of land within the site premises. Other wastes like packing waste, cardboards etc., will be sent to authorized recyclers. Page 27

30 various types of wastes generated during construction including the construction labour and the means of disposal) The domestic solid waste generated by laborers during the construction activity will be collected by providing bins and same will be sent to nearby municipal bins. The exiting toilet facilities will be used by construction workers/ labours, hence the sewage is expected during construction period will cater to handle by existing STP for treatment. 2. WATER ENVIRONMENT 2.1 Give the total quantity of water requirement for the proposed project with the breakup of requirements for various uses. How will the water requirements met? State the sources & quantities and furnish a water balance statement. 2.2 What is the capacity (dependable flow or yield) of the proposed source of water? 2.3 What is the quality of water required, in case, the supply is not from a municipal sources? (Provide physical, chemical, biological characteristics with class of water quality) 2.4 How much of the water requirement can be met from the recycling of treated wastewater? (Give the details of quantities, sources and usages) 2.5 Will there be diversion of water from other users? (Please assess the impacts of the project on other existing uses and quantities of consumption) 2.6 What is the incremental pollution load from wastewater generated from the proposed activity? (Give details of the quantities and composition of wastewater generated from the proposed activity) 2.7 Give details of the water requirements met from water harvesting? Furnish details of the facilities created. The water requirement during the operation phase is about 287 KLD obtained from the existing bore wells within the site. The water balance details of the existing capacity is attached as Annexure-3 Five bore well are existed in the Medical college and hospital. The bore well yield is average 150 KLD. RO treatment system is being used for hospital purpose. About 269 KLD of treated water from STP is being reused for gardening purpose within the MIMS campus. No. The water requirement of 287 KLD is sourced through bore wells in proposed site. The total wastewater generated is 271 KLD which is being treated in STP. The wastewater generation and its characteristics are provided in Annexure - 4. The existing buildings of Medical College and hospital having the rain water harvesting system from the roof top and open area with a proper design to recharge the ground water aquifers. Recharge pits have been provided at 10 locations of the campus. Apart from this, storm water will be diverted to nearby Nalla for ground water recharge and downstream users. Page 28

31 2.8 What would be the impact of the land use changes occurring due to the proposed project on the runoff characteristics (quantitative as well as qualitative) of the area in the post construction phase on a long term basis? Would it aggravate the problems of flooding or water logging in any way? 2.9 What are the impacts of the proposal on the ground water? (Will there be tapping of ground water: give the details of ground water table, recharging capacity, and approvals obtained from competent authority, if any) 2.10 What precautions/measures are taken to prevent the run-off from construction activities polluting land & aquifers? (Give details of quantities and the measures taken to avoid the adverse impacts) 2.11 How is the storm water from within the site managed? (State the provisions made to avoid flooding of the area, details of the drainage facilities provided with a site layout indication contour levels) 2.12 Will the deployment of construction laborers particularly in the peak period lead to unsanitary conditions around the project site (Justify with proper explanation ) 2.13 What on-site facilities are provided for the collection, treatment & safe disposal of sewage?(give details of the quantities of wastewater generation, treatment capacities with technology & facilities for recycling and disposal ) 2.14 Give details of dual plumbing system if treated wastewater is used for flushing of toilets or any other use. Rain water harvesting system has been established to harvest the rainwater within the site, hence no flooding is envisaged. Water required for proposed medical college and hospital has been obtained from bore wells within the site premises. Five bore wells are existed in the Medical college and hospital. The bore well yield is average 150 KLD. Ground water recharge system has been established and provided recharge pits at 10 locations of the site. The surface channels will be constructed to collect the runoffs and over flow will be collected and let into the nearest external storm water drainage. Storm water runoff from roads and paved/ landscaped areas has been directed to shallow recharge pits constructed along storm water drains for recharging. The overflows will reach to the ESE side which drains into the Nalla located next to boundary of the campus proposed site and ultimately reached to downstream users. The existing sanitary facilities will be used by construction labour at site. Sewage generated during this phase will be treated by existing STP. The total wastewater generated is 271 KLD which is treated in STP. The Biomedical effluent of about 8 KLD is treated in a STP separately before letting it into the STP. The treated wastewater has been used for gardening within the campus premises. Solidified sludge has been removed frequently and used as manure for greenbelt development. The details of the Sewage treatment Plant are enclosed as Annexure-5. All the treated wastewater has been used for gardening. Page 29

32 3. VEGETATION 3.1 Is there any threat of the project to the biodiversity? (Give a description of the local ecosystem with it s unique features, if any) 3.2 Will the construction involve extensive clearing or modification of vegetation? (Provided a detailed account of the trees & vegetation affected by the project) 3.3 What are the measures proposed to be taken to minimize the likely impacts on important site features (Give details of proposal for tree plantation, landscaping, creation of water bodies etc along with a layout plan to an appropriate scale) No, the proposed project is a Medical College with Hospital where the environmental issues will be handled in an appropriate manner to avoid pollution thereby causing no damage to the prevailing Biodiversity. The site is at distance of 20 km South East to Bay of Bengal and ~1.8 km East to Champavati Gedda. There is very less vegetation will be cleared in the buildup area for construction of new ladies hostel building for existing Medical College and hospital. The existing vegetation will be kept as at maximum extent and if any necessary vegetation is cleared in proposed buildup area will be replaced by providing greenbelt in open areas within the site premises. About 24 Acres of greenbelt has been existed around the MIMS Medical College and Hospital Buildings which constitutes around 45 % of the total area of the Project Site. 4. FAUNA 4.1 Is there likely to be any displacement of fauna-both terrestrial and aquatic or creation of barriers for their movement? Provided the details. 4.2 Any direct or indirect impacts on the avifauna of the area? Provided details. 4.3 Prescribe measures such as corridors, fish ladders etc to mitigate adverse impacts on fauna The proposed project does not have any major terrestrial and aquatic fauna, hence no impact will be felt on the terrestrial, aquatic fauna and no displacement of the same is envisaged. The proposed project is situated nearer to the vizianagaram town and more over the area does not have any migratory path of birds. No endangered or endemic species of birds are found in the project area, The avifauna is common local type such as common sparrow, crow, myna, etc. The proposed activity is to construct new ladies hostel building for existing Medical college with hospital campus. Hence, no effect on avifauna is predicted. No adverse impacts on fauna are envisaged. Page 30

33 5. AIR ENVIRONMENT 5.1 Will the project increase atmospheric concentration of gases & result in heat islands? (Give details of background air quality levels with predicted values based on dispersion models taking into account the increased traffic generation as a result of the proposed construction) 5.2 What are the impacts on generation of dust, smoke, odorous fumes or other hazardous gases? Give details in relation to all the meteorological parameters. 5.3 Will the proposal create shortage of parking space for vehicles? Furnish details of the present level of transport infrastructure and measures proposed for improvement including the traffic management at the entry & exit to the project site. 5.4 Provide details of the movement patterns with internal roads, bicycle tracks, pedestrian pathways, footpaths etc, with areas under the category. 5.5 Will there be significant increase in traffic noise & vibrations? Give details of the sources and the measures proposed for mitigation of the above. 5.6 What will be the impact of DG sets & other equipment on noise levels & vibration in & ambient air quality around the project site? Provided details. The main pollutants from the activity will be in the form of SPM, SO 2 and NO x generated from the DG sets, and Vehicular movement. The D.G. Sets would be operated only during power failures and are acoustically enclosed. Since control measures like adequate stack height has been provided, hence there will not be major impact on the air environment due to these sources. All the internal roads have been asphalted with metal roads to control the dust generation. There will be generation of dust, SO 2 and NO x due to the vehicular movement and due to operation of DG sets at the site. As adequate control measures will be taken there will not be any impact due to these on the surrounding environment. Adequate provision has been kept for parking at the proposed project where 14,000 sq.m has been allocated. The parking requirements proposed are given below. Sl.No Vehicles Parking Area Per Vehicle (Sq.m) Nos Parking area Allocated ( Sq.m) 1 Cars Two Wheelers Ambulances The internal traffic movement pattern is given in conceptual plan. Refer Annexure 2. The major source of noise pollution will be traffic & DG sets. However the DG set will be operational only during power failure. The DG set have been acoustically enclosed to minimize noise & vibration. The proposed project is a Medical College with Hospital project and vehicular movement will be regulated inorder to minimize the effect of noise pollution. Though there is some noise generation from the DG sets at the site. All DG sets are installed with Acoustic enclosure type to control noise levels. DG Sets have been fixed with appropriate stack height for emissions dispersion. No significant impact will be felt on the ambient air and noise levels. Page 31

34 6. AESTHETICS 6.1 Will the proposed constructions in any way results in the obstruction of a view, scenic amenity or landscapes? Are these considerations taken into account by the proponents? 6.2 Will there be any adverse impacts from new constructions on the existing structures? What are the considerations taken into account? 6.3 Whether there are any local considerations of urban form & urban design influencing the design criteria? They may be explicitly spelt out. 6.4 Are there any anthropological or archaeological sites or artifacts nearby? State if any other significant features in the vicinity of the proposed site have been considered. The proposed Project will not obstruct the view, scenic amenity or landscapes. The existing campus has been established with well designed architecture Medical college and hospital buildings where it has been provided with significant greenbelt, aesthetic architecture. The proposed new ladies hostel building will be constructed within the open land available at existing Medical college and hospital campus. All the necessary environmental measured will be considered during construction activity. Hence no adverse impacts from new constructions are envisaged on the existing structures. The proposed buildings have a blend of classical Andhra traditions with urban aesthetics. No, there are no anthropological or archaeological sites or artifacts nearby. 7. SOCIO-ECONOMIC ASPECTS 7.1 Will the proposal results in any changes to the demographic structure of local population? Provide the details. 7.2 Give details of the existing social infrastructure around the proposed project. 7.3 Will the project cause adverse effects on local communities, disturbance to sacred sites or other cultural values? What are the safeguards proposed? No, the proposal will not lead to any changes in demographic structure or local population. However it would provide job opportunities to the local community. The area around the existing MIMS campus is developing area and the social infrastructure like Government Offices, community centers, bus shelters; temples etc are available in the study area. No, the project will not cause any adverse effects on local communities, disturbance to sacred sites or other cultural values. M/s. MIMS is being offered high class medical facilities in the lines of AIIMS to the public, specially to the poor. 8. BUILDING MATERIALS 8.1 May involve the use of building materials with high-embodied energy. Are the construction materials produced with energy efficient processes? (Give details of The proposed building will be constructed with high energy efficient materials as per the ECBC code, Refer Annexure-6 for further details Page 32

35 energy conservation measures in the selection of buildings materials and their energy efficiency ) 8.2 Transport and handling of materials during construction may result in pollution, noise & public nuisance. What measures are taken to minimize the impacts? 8.3 Are recycled materials used in roads and structures? State the extent of savings achieved? 8.4 Give details of the methods of collection, segregation & disposal of the garbage generated during the operation phases of the project. The proposed activity involved the construction of new ladies hostel building for Medical college and hospital facilities. However during the construction period all the roads will be sprinkled with water at regular intervals to prevent rise of dust during vehicular movement. Noise generating equipment will be kept in closed enclosure to reduce the noise generation. The broken bricks and the construction debris / waste have been used in the leveling of the roads for the proposed Medical College and Hospital complex. Paper, glass, plastic etc having commercial value would be segregated and sold to local authorized dealers. The bio degradable waste and nonbiodegradable waste will be segregated at the source by using two bin system and disposed through local authorized dealers to nearby municipal disposal collection point. During the operation phase, 445 Kg/ day of Biomedical waste generated and it has been handled and disposed to a common bio-medical waste management facility (Rainbow Industries) as per Bio Medical Waste Handling and Management rules, MIMS Medical college and Hospital has been made MoU with Rainbow Industries for disposal of bio-medical waste disposal. Refer Annexure Energy Conservation 9.1 Give details of the power requirements, sources of supply, backup source etc. What is the energy consumption assumed per square foot of built-up areas? How have you tried to minimize energy consumption? 9.2 What type of, and capacity of, power back-up to you plan to provide? 9.3 What are the characteristics of the glass you plan to use? Provide specifications of its characteristics related to both short wave and long The total power required for the existing MIMS facility is 331 KVA and it has been sourced from APEPDCL load under HT Cat-II at 11 KV potential. DG sets of one 350 KVA, one 250 KVA and two numbers of 125 KVA were installed for power back up. The HSD fuel is being used and it is sourced from the local traders. Energy savings is furnished in Annexure-6. DG sets of one 350 KVA, one 250 KVA and two numbers of 125 KVA were installed for power back up. In air conditioned areas Low e-glass is being utilized to achieve desired aesthetics, design criteria, and improve solar control & thermal performance. Page 33

36 wave radiation? 9.4 What passive solar architectural features are being used in the building? Illustrate the applications made in the proposed project. 9.5 Does the layout of streets & buildings maximize the potential for solar energy devices? Have you considered the use of street lighting, emergency lighting and solar hot water systems for use in the building complex? Substantiate with details. 9.6 Is shading effectively used to reduce cooling/heating loads? What principles have been used to maximize the shading of Walls on the East and the West and the Roof? How much energy saving has been effected? 9.7 Do the structures use energy efficient space conditioning, lighting and mechanical systems? Provide technical details. Provide details of the transformers the motor efficiencies, lighting intensity and air-conditioning load assumptions? Are you using CFC and HCFC free chillers? Provide specifications. 9.8 What are the likely effects of the buildings activity in altering the micro-climates? Provide a self assessment on the likely impacts of the proposed construction on creation of heat island & inversion effects? 9.9 What are the thermal characteristics of the building envelope? (a) roof: (b) external walls: and (c) fenestration? Give details of the materials used the U-values or the R values of the individual components. Two different types of glasses are used in the project design viz., single and double glazing with 12 mm air gap. The specifications including emissive and thermal characteristics of the glasses are: U Factor : 0.94 Skylight : 0.56 ( U factor) Clear Glass : 1.13/BT hr/degree/ Fahrenheit ( K Factor) Solar energy is proposed for water heating It is considered the use of street lighting, emergency lighting, UPS and solar hot water systems for use in the Medical College and hospital. East and West Walls: Reflective external and low e- glass inside for certain areas on East, West and South Sides of the façade are used. Reflective external and etched float internal for skylights in circulation areas. Energy consumption analysis table enclosed in Annexure-6. The building will have no impact on micro- climate since highly energy efficient designs and environmental friendly materials have been utilized. Total thermal resistance for materials used is as follows, Roof : 3.67 Sq.ft Deg F hr/ BTU Wall : 2.6 Sq.ft Deg F hr/ BTU Wall portion : Sq.ft Deg F hr/ BTU U Values: Roof : 0.33 BTU/hr Sq.ft Deg F Page 34

37 9.10 What precaution & safety measures are proposed against fire hazards? Furnish details of emergency plans If you are using glass as wall material provides details and specifications including emissive and thermal characteristics What is the rate of air infiltration into the building? Provide details of how you are mitigating the effects of infiltration To what extent the nonconventional energy technologies are utilized in the overall energy consumption? Provide details of the renewable energy technologies used. Wall : BTU/hr Sq.ft Deg F Wall portion : 0.45 BTU/hr Sq.ft Deg F Fire Precaution & safety measures enclosed in Annexure 7 & 8 Two different types of glasses are used in the project design viz., single and double glazing with 12 mm air gap. The specifications including emissive and thermal characteristics of the glasses are: U Factor : 0.94 Skylight : 0.56 ( U factor) Clear Glass : 1.13/BT hr/degree/ Fahrenheit ( K Factor) The design is based on maintaining positive pressure in the air conditioned areas. As such there shall be no indoor air filtration into the air conditioned areas. However measured amount of outdoor air will be let in to maintain Indoor air quality as per standards. Solar energy is proposed for water heating. 10 Environment Management Plan The Environment Management Plan would consist of all mitigation measures for each item wise activity to be undertaken during the construction, operation and the entire life cycle to minimize adverse environmental impacts as a result of the activities of the project. It would also delineate the environmental monitoring plan for compliance of various environmental regulations. It will state the steps to be taken in case of emergency such as accidents at the site. The Environment Management Plan is enclosed. Page 35

38 ENVIRONMENTAL MANAGEMENT PLAN M/s. MAHARAJA INSTITUTE OF MEDICAL SCIENCES WITH 810 BEDS HOSPITAL Nellimarla, Vizianagaram District Page 36

39 CONTENTS 1. Introduction 2. Project Description 3. Baseline Environmental Status 4. Anticipated Environmental Impacts & Mitigation Measures 5. Analysis of Alternatives 6. Environmental Management & Monitoring Plan 7. Safety and Security 8. Energy Environment 9. Summary & Conclusion Page 37

40 1. INTRODUCTION 1.1 PREAMBLE M/s Maharaja Institute of Medical Sciences has been established the hospital and medical college at Dr.No , Sy.No.73/7, Nellimarla, Vizianagaram District and started operating since The Hospital has been established along with Medical in the pattern of the prestigious All India Institute of Medical Sciences (AIIMS) at Delhi, aimed at providing medical services to the community, particularly who are for below poverty line. The proposed activity is construction of new ladies hostel building for existing MIMS Medical college and hospital having 810 beds capacity. The existing builtup area is 58, sq.m. M/s MIMS is now proposed for expanding the builtup area by constructing the New ladies hostel having the builtup area of 3,107 sq.m. The proposed construction activity is falling under expansion of existing builtup area which requires Environmental Clearance under the EIA Notification In this connection, requisite application along with Environmental Management Plan is hereby submitted to the SEIAA, seeking Environmental Clearance for the proposed project. This Report prepared by including the details of the Project and its specific activities that will be considered for investigation of the significant adverse impacts. The report also provides specific measures that shall be put to practice to minimize the impact on the environment. 1.2 Need for EMP As per the EIA Notification No. S.O dated 14 th September 2006, MoEF all the Building and Construction projects require Environmental Clearance and categorized as Project / Activity 8 (a) and category as B. All construction projects must co-exist satisfactorily with its surrounding environment so as to reduce the environmental impact caused due to this activity. To control the adverse impacts, sound and safe Environmental Management Plan has to be implemented by the proponents, which makes environmental protection as essential requirement along with services. In order to assess the likely impacts arising out of the existing Medical and Hospital buildings on the surrounding environment and evaluating means of alleviating the likely negative impacts, the M/s Maharaja Institute of Medical Sciences has assessed the likely impacts arising out of the proposed construction activity and also to recommend the Environmental Management Plan. 1.3 SCOPE OF EMP Any developmental activity in general is expected to cause impacts on surrounding environment at the project site during its implementation and operation phases, which can be both positive and negative. The nature and intensity of impacts on different components of environment depend on the type of project activities and geographical conditions of the study area. The EMP for the proposed construction project deals with detailed mitigation measures for various environmental components viz. Air, noise, water, land, biological and socio-economic environment. Page 38

41 1.4 JUSTIFICATION OF THE PROJECT There is a great need for improvisation in the Health Care Facilities now. The free, specialty medical treatment to be provided at the hospital would be a component of the comprehensive, public healthcare facilities being provided in the State. The existing Hospital is situated in close proximities to the Vizianagaram town and Stanley would handle the more specific cases of Clinical treatment which are through referrals from the other Government Hospitals. The medical facility would provide all healthcare specialists available on one site so that the people can deal with emergency admissions, who needs expert care to a high standard without delay. The existing hospital has been developed by the advance medical facilities available and a boon to the public especially the needy in treating the clinical disorders. 2 PROJECT DESCRIPTION 2.1 SITE DETAILS The Medical Institute with 810 beds Hospital was established in the available open land of MIMS site. The existing Medical institute and hospital is located near Nellimarla village, Vizianagaram district and lies on the road between Vizianagaram to Rajam and has a good network of road connectivity. The MIMS is 5.5 km in the South West direction to the Vizianagaram town. The site map showing the Project Location is shown in Annexure-1. The conceptual plan of the proposed Project is presented in Annexure ENVIRONMENTAL SETTING Table.2.1 Environmental Setting of the Project Site S. No Particulars Details 1 Geographical Co-ordinates Latitude and Longitudes of the Proposed site S. No Longitude Latitude '25.91"E 18 8'50.02"N '27.38"E 18 8'51.02"N '30.73"E 18 8'49.68"N '31.04"E 18 8'46.87"N '38.63"E 18 8'49.73"N '38.24"E 18 8'53.30"N '38.99"E 18 8'59.24"N '40.05"E 18 8'59.52"N '40.80"E 18 8'53.35"N '43.60"E 18 8'53.54"N '44.15"E 18 8'51.17"N '46.58"E 18 8'50.76"N '47.24"E 18 8'44.23"N '37.12"E 18 8'39.45"N '28.39"E 18 8'37.39"N '23.96"E 18 8'38.08"N '22.00"E 18 8'42.81"N '26.44"E 18 8'44.21"N '25.51"E 18 8'45.30"N '28.49"E 18 8'47.37"N Page 39

42 S. No Particulars Details 2 Elevation above mean sea level 42m to 64m MSL 3 Climatic Conditions Summer 24.4 C to 43.5 C Winter 18.0 C to 30.5 C Humidity 48 % - 77 % Annual Rainfall 945 mm Predominant Wind Direction SW (May to Sep) - NE ( Oct June) 4 Present Land Use of Project site Present land for expansion is open land converting to hostel building 5 Soil Red sandy soil 6 Nearest Road The site is adjacent to road between Vizainagaram to Razam 7 Nearest Railway Station Vizianagaram Railway station at ~ 5.5km SW. 8 Nearest Airport Visakhapatnam Air Port- 55km SSW 9 Defense Installations None in 10 km radius 10 Ecologically sensitive areas None within 15 km radius ( National Parks / Wild Life sanctuaries/ bio sphere reserves within 5 km) 11 Reserved/ Protected Forest Velagada RF ~ 1 km N Phulbag RF ~ 2 km S Damarasingi RF ~ 2.6 km NE 12 Nearest City Visakhapatnam 13 Nearest Tourist Place Tourism places near Bay of Bengal ~20 km SE 15 Nearest Water Bodies/ River/ sea Bay of Bengal ~ 20 km SE Nallah ~ 0.5 km ESE Champavati Gedda ~ 1.8 km E 16 Ground level at the Project Site Winter water level 20 m bgl Summer water level 40 m bgl 17 Rehabilitation & Resettlement Not applicable 18 Environmentally Fragile Area Not applicable 19 Seismic Zone Zone- II 20 Flood Prone Area Not applicable 21 District covered under Drought Not applicable Flood prone area 22 Zone as per ECBC, 2006 Hot and Humid Zone 2.3 DETAILS OF LAND AREA The area detail of the existing Medical Institute with Hospital is at D.No.31-15, Sy.No. 73/7, Nellimarla, Vizianagaram district. The break up details of area at the proposed project site is furnished in Table.2.2. Page 40

43 S.no Table 2.2: Land Breakup Details of MIMS Campus Description Builtup Area (sq.m) Plinth Area (sq.m) Vacant area (sq.m) PHASE I (Existing) 1 Nurses Hostel - I Canteen Sump Teaching hospital Central workshop 6 Generator room Central Animal house 8 Boys Hostel Girls Hostel - I College Block-I Doctor Quarters Block A 12 Doctor Quarters Block B Doctor Quarters Block C 14 Gust House College Block-II Total Phase - I (10.45 Ac) PHASE II (Existing) 8 Boys Hostel Girls Hostel Nurses Hostel - II Residential Doctor Quarters Security Office 18 Security Post - I Security post - II 19 Homeopathy College Auditorium 21 Doctor Quarters - A 22 Doctor Quarters - B 23 Doctor Quarters - C Doctor Quarters - D 25 Doctor Quarters - E 26 Staff Quarters Class - 3A Staff Quarters Class - 3B 28 Staff Quarters Class - 4A Staff Quarters Class - 4B Total Phase - II (2.53 Ac) 35 Play Ground Internal Roads Parking area Greenbelt (11.02 Ac) 39 Future Expansion Total for Phase I & II PHASE -III (Proposed) 40 Girls Hostel Total for Phase I, II & III (14.57 Ac) (35.43 Ac) 50 Ac Page 41

44 2.4 COST OF THE PROJECT Total Project Cost Rs cores 2.5 INSTITUTIONAL DETAILS At the Frontier of the modern medical institute along the Hospital will encompass the following Departments Cardiology & Cardiothoracic Neurology & Neurosurgery Vascular Surgery Medical & Surgical Oncology Reconstructive & Micro Hand Surgery 2.6 OCCUPANCY DETAILS The Total number of occupants in the existing MIMS campus is presented in Table.2.3. Table 2.3 Number of Persons in the Existing Medical Institute and Hospital S.No DESCRIPTION NUMBERS Medical Institute and Hospital 1 Beds Outpatients/ Visitors Doctors and support staff Students students with hostel Residential blocks (72familiesX5) POWER REQUIREMENT The total power required for the existing MIMS facility 331 KVA. MIMS has been applied for additional 97 KVA to APEPDCL for that approval has been obtained for total aggregating load of 428 KVA under HT Cat-II at 11 KV potential. A Copy of letter from APEPDCL is enclosed as Annexure 10. DG sets of one 350 KVA, one 250 KVA and two numbers of 125 KVA are existed for power back up. DG sets have been using only during power failure. All DG sets are installed with Acoustic enclosure type to control noise levels. DG Sets have been fixed with appropriate stack height for emission dispersion. The HSD fuel is being used and it is sourced from the local traders. 2.8 WATER CONSUMPTION Both Fresh water and recycled water will be used for meeting the water demand within the project. The total water required for the existing medical facility is about 287 KLD. The water will be sourced from bore wells located within the proposed site premises. The expected amount of wastewater generated is 271 KLD which has been treated and reused for greenbelt within the project premises. The details of water consumption within the medical facility are furnished in Table.2.4. The water balance chart showing the water consumption and wastewater generation for different facilities is shown in Annexure-3. Page 42

45 Table 2.4 Details of Water Consumption S.No Intended Uses Water Requirement (KLD) Total Recycled LPCD Water water (KLD) (KLD) 1 Beds 810 Nos Outpatients/ Visitors 800 Nos Doctors and support staff Students students with hostel 635 Nos Residential blocks (72 families X 5 persons) 360 Nos OPT 5lper patient 5 lit/ patient l per bed 30 lit/ bed 24 9 Greenbelt 24 Acres 10 to 11KLD/Ac 269 Total Fresh Water Fresh Water 287 KLD Total Recycled Water 269 KLD Hospital Building ( ) 120 KLD 118 KLD 8 KLD OPT & Lab Research 8 KLD Disinfection Laundry 24 KLD 24 KLD Hostels (86+49) 134 KLD 121 KLD Gardening 269 KLD STP 271 KLD Treated Water sump 269 KLD Wastewater stream Fresh Water stream Filtration 269 KLD 2.9 WASTEWATER GENERATION The total amount of wastewater that will be generated from the existing medical facility is about 271KLD and it will be treated in the existing STP. The final treated effluent discharge standards from the STP are given in Table 2.6. The treated effluent will be reused for greenbelt purpose within the hospital premises. The excess water will be discharged as per stipulated standards. Page 43

46 Table 2.5 Sewage Characteristics Sl. No. Characteristics Domestic Wastewater 1 ph Total Suspended Solids (mg/l) Total Dissolved Solids(mg/L) BOD 5 days 20 o C (mg/l) COD Oil & Grease <10 Note: Except ph all other parameters are expressed in mg/l Table 2.6: Discharge Standards Sl. No. Characteristics Value 1 ph Total Suspended Solids < 100 mg/l 3. Total Dissolved Solids < 2100 mg/l 4 BOD 5 days 20 o C < 30 mg/l 5. COD < 250 mg/l 6 Oil & Grease <10 3 ENVIRONMENTAL BASELINE STATUS Baseline Environmental status in and around the site depicts the existing conditions of Air, Noise, Water, Soil, and Ecology. The data collection in the proposed site was carried out by M/s Lotus Granges India (Private) Limited. In this report, existing Air, Water & Noise data (carried out in Oct 2015) in the site are presented. From the inputs generated with respect to the baseline status, an Environmental Management Plan has been prepared to manage and mitigate these impacts. 3.1 Water and Soil The water and soil samples had been tested for chemical analysis. The results so obtained are summarized in Tables 3.1 and Table 3.2 respectively. Total dissolved solids, and other parameters, excluding the sulphates in the water sample meet the requirements for drinking. All the other parameters are also within the permissible limits. Composition of soil shows predominance of red sandy soil. Page 44

47 Table 3.1 Results of Analysis of Ground Water Sample at the Site PARAMETERS RESULTS Permissible limits as per IS 10500, 1991 * PHYSICAL QUALITY Turbidity (NTU) < B Electrical 25 o C (Micromhos/cm) B PROCEDURE: APHA 21 st Edition 2005 ph Value at 25 o C H+A, B Total Dissolved Solids C Total hardness as CaCO C Magnesium as Mg C CHEMICAL QUALITY (in mg/l.) Alkalinity as CaCO B Chlorides as Cl Cl - B Sulphates as SO SO4 2 - E Fluorides as F F - D Nitrates as NO NO3-B Total Iron as Fe B Lead as Pb BDL (D.L.0.03) B Sodium as Na 21 Not available 3120 B Potassium as K 37 Not available 3120 B Calcium as Ca Ca B Note *: Permissible limits as per IS 10500, 1991 with amendments 3 in the absence of alternate source Table 3.2 Physico-Chemical Characteristics of Soils Sl.No Parameters Values 1 ph Conductivity at 25 o C (mmhos/cm) 50 3 Texture Red Sandy 4 Organic Carbon (%) Available Phosphorus as P (Kg/Acre) Available Potassium as K (Kg/Acre) 72 7 Organic matter ( % ) Bulk Density ( gm/cc) Available Iron ( ppm) Available Nitrogen as N (ppm) Available Calcium as Ca (meq/100g of soil) Available Magnesium as Mg (meq/100g of soil) Available Zinc(ppm) 0.7 Page 45

48 3.2 Flora & Fauna of the Site The main species along the alignment are Pipal, Neem, Kikar, Eucalyptus, Ashok, Ficus and Bakaan, etc. No rare or endangered species of trees had been noticed during field studies. 3.3 Air Quality As a part of this study ambient air quality monitoring (AAQM) had been carried out by setting up ambient air quality monitoring station near proposed site for the parameters TSPM, PM-10, SO 2, and NOx. The results so obtained are reported in Table 3.3. The ambient air quality data indicates that the ambient air quality at the project site is well within the permissible limits. Table.3.3 Ambient air Quality at the Project site Oct, 2015 At campus NAAQ Standards ( 24 hrs data) SO 2 in µg/m 3 NO X in µg/m 3 RSPM (PM 10) in µg/m 3 TSPM in µg/m 3 Min Max Mean Min Max Mean Min Max Mean Min Max Mean Seismicity The project area falls in Zone II. Suitable seismic factor as per the Indian Meteorological Department (IMD) will be considered for design purpose for Civil Engineering structures and while finishing civil designs. 3.5 Noise Levels Noise levels were measured at the existing facility. The noise levels so obtained were summarized in Table3.4. It could be concluded that the noise levels recorded below the limit during the day. The major noise contribution is due to the proximity to of roads and vehicular movement. SL.No Location Table 3.4 Noise Levels in Project Area (Leq) L day, db (A) L night db (A) Noise level Standard Noise level Standard 1 Proposed site PREDICTED ENVIRONMENTAL IMPACTS Based on project particulars and existing environmental conditions potential impacts have been identified that are likely to result from the existing Hospital facility have been quantified Positive Impacts The positive environmental impacts are listed below: High class medical facilities at low cost to all sections of public Page 46

49 Excellent education facilities for medical students Quick service and safety Employment opportunities for the local people. 4.2 Environmental Impacts Based on project particulars and existing environmental conditions, potential negative impacts likely to result from the proposed development have been quantified. Negative impacts have been listed under the following headings: Impacts due to construction works, and Impacts due to project operation Impacts Due to Project Location Change of Land use There will be change in landuse as the existing open land site will be converted for construction of new ladies hostel for existing Medical College and Hospital Loss of Trees There are few trees existed in the proposed site. All the trees are local species and No rare or endangered species of trees had been noticed during field studies. There is very less vegetation will be cleared in the buildup area for construction of new ladies hostel building. The existing vegetation will be kept as at maximum extent and if any necessary vegetation is cleared in proposed buildup area will be replaced by providing greenbelt in open areas within the site premises Loss of Historical and Cultural Monuments No historical/cultural monuments will be affected as a result of the proposed construction activity. 4.4 Impacts Due to Project Construction Construction debris & waste generated will be utilized for leveling of land within the site premises. Other wastes like packing waste, cardboards etc., will be sent to authorized recyclers. 4.5 Impacts due to Project Operation The possible beneficial and adverse impacts on each component of environment due to the operation of the proposed project are assessed and presented as follows Impact on Land Use The existing open land will be used for construction of ladies hostel for existing Medical College with hospital. Hence the existing vegetation kept as same at maximum level. Only necessary vegetation under buildup area will be removed and greenbelt will be developed in open areas Impact on Soil Quality In the absence of environmental protection measures, the land environment in and around the unit could be affected by improper disposal of liquid and solid wastes generated from different sources. Page 47

50 There will be no discharge of wastewater on the land outside. Wastewater from the unit has been treated and this treated sewage is being used for watering the gardens/greenbelt. The only possible impact on the soil could be due to improper disposal of solid wastes. The solid waste generated will also be disposed nearby municipal bins for further disposal Solid waste generation The solid waste that will be generated will mostly be in the form of garbage, rubbish, and floor sweepings that contain organic wastes, waste paper, plastic and metals. The collection and removal of refuse in a sanitary manner from the proposed construction activity will be given due importance for effective vector control, aesthetic improvement, and nuisance and pollution abatement. The quantities of solid waste that are expected to be generated after the proposed project starts its operation is given in Table 4.1. No No S. Description Table 4.1 Details of Solid Waste Generation Number of persons Assumed per Capita Waste Generation (Kg/Person/Day) Total waste Generated ( Kg/ day) 1 Beds Outpatients/ Visitors Doctors and support staff Students students with hostel Residential blocks (72families X 5nos) Total ( Kg/ Day) 724 Table 4.2 Municipal Waste Generation Sl.No Description Solid Waste Generation ( Kg/Day) Biodegradable Wastes 1 Organic Paper 29 3 Bio sludge 87 4 Plastic 29 5 Glass/ceramic 14 6 Metals 22 Total 724 Paper waste will be sent for recycling through APPCB authorized recyclers. Other non-biodegradable wastes including glass and metals, inert will be sold to authorised recyclers and the remaining municipal solid waste will be disposed off to nearby panchayat solid waste management. Page 48

51 4.5.4 Bio Medical Waste Biomedical waste results from the provision of human health care, related medical research and teaching, the operation of laboratories, morgues and funeral establishments, the use of biotechnology (such as the production and testing of vaccines), and from mobile health care activities. Although these wastes represent less than ten percent of the wastes generated in health care, biomedical wastes present a hazard to public health and safety and, therefore, must be segregated and managed accordingly. The biomedical waste management is discussed in detail in Chapter 6. i. Biomedical Waste Generation The total quantity of Biomedical waste that would be generated from the existing Hospital is presented in the following Table 4.3. No No S. Description Number of Beds/ persons Table 4.3 Bio Medical Waste Generation Per Capita Waste Generation (Kg/Person/Day) 1 Beds Total waste Generated ( Kg/ day) 2 Out Patients Total ( Kg/ Day) 445 The Bio Medical waste consists of the following which can be classified as infectious and noninfectious wastes. a. Infectious Waste: This accounts for only a small fraction comprising about 10-15% of the total volume of waste generated in a hospital. However, this small fraction is of the biggest concern as it poses direct threat to the health and hygiene of the human beings by transmitting viral, bacterial fungal or parasitic diseases. This type of waste includes: a) Pathological Waste: Human anatomical wastes, like organs, body parts, tumors, glands etc. that are removed during surgery or biopsy or any other medical procedure, amputed parts and also tissues, placentas, aborted fetuses, blood and other body fluids tc., animal carcasses and tissues from laboratories, dressings, cotton swabs soaked in blood/body fluids, hospital gowns, aprons and other similar materials which have been in contact with a patient s body, b) Infectious Plastic: Disposable items like syringes, IV sets, blood bags, catheters, gloves, endotracheal tubes, canulas, dialysis sets etc. c) Sharps: These are the most dangerous contents of the hospital waste especially for the healthcare staff handling these. Sharps include broken glass articles or metal articles such as needles, blades, scalpels, saws, nails etc. Page 49

52 b. Non-Infectious, but Hazardous Waste This type of waste does not contain any infectious, i.e. disease causing component and comprise about 5-10% of the total volume of waste generated in a hospital. However, it can cause serious health hazards like burns, corrosions, genotoxicity, chromosomal aberrations, toxicity, carcinogenic effects etc. These include: a) Chemical Waste: Chemicals like disinfectants, fumigants, other solid, liquid or gaseous substances etc. These can be hazardous, if these posses corrosive, inflammable or reactive genotoxic properties, or these can be non-hazardous, if these do not posses these properties. These include inorganic salts, buffer chemicals, sugars, amino acids etc. b) Radioactive Waste: Solids, liquids and gases from in vitro analysis of tissues and body fluids,x-rays, chemical dyes and isotopes of various radioactive elements frequently used in diagnosis and /or treatment of diseases etc. c) Cytotoxic Waste: This type of waste is generated form diagnosis and treatment of diseases like cancer. This type of waste can be found in small quantities in human excreta, I.V. solutions and containers from laboratories. d) Waste with multiple categories: At times, the waste generated in hospitals falls into more than one category like radioactive sharps, plastic I.V. tubes contaminated with cytotoxic drugs etc Impact on Water Environment Public facilities such as water supply, sanitation and toilets will require water under domestic purposes usage in the Hospital/ Medical College and research centre. Apart from this water would be used for Laundry and Biomedical treatment / research. CPHEEO has recommended 45 litres per day, water supply to Employees/ Outpatients working at the proposed Project. For In house patients and out patients the water demand is 70 lpcd and 15 lpcd respectively. The total water consumption and wastewater generation details along with the characteristics of the wastewater as discussed in Chapter Impact on Air Environment The impact on Air environment would be due operation of DG sets and vehicular traffic Impact on Noise Environment The principal sources of noise are from the DG sets and vehicular traffic. The in-house noise levels are given in Table 4.4 DG set operational activities generates high noise levels. Table 4.4 In-house Noise levels S. No. Equipment Noise at 1.0 m from source db (A) 1 DG set 75 Page 50

53 All the high noise-generating sources have been provided with suitable enclosures and barriers. The ambient noise levels recorded during the study were found to be within permissible limits as mentioned in Section 3. Nevertheless, DG set will not be operated on continual basis, as the DG set is put in operation only in case of power shut downs Impact on Socio-economic Environment The existing activity would be offering high class medical infrastructure and services to public, especially the poor. This would be generated employment opportunities for the local people in the surrounding areas. The existing medical facility is recruited about 700 staffs working for the Hospital / Medical College operations. This would give major economic boost in the area. The Hospital situated in close proximities to the Vizianagaram would handle the more specific cases of Clinical treatment which are through referrals from the other Government Hospitals. The medical facility would provide all healthcare specialists available on one site so that the people can deal with emergency admissions who need expert care to a high standard without delay. 5. ANALYSIS OF SITE ALTERNATIVES No alternative sites have been considered since the construction of ladies hostel will be within the land available in the existing medical facility. 6. ENVIRONMENTAL MANAGEMENT & MONITORING PLAN The Environmental Management Plan is prepared including the mitigation measures, evaluation of alternative to reduce or eliminate the impact that likely cause significant impact in the ambient environment. Adequate environmental management measures will be incorporated during the entire planning, modification and operating stages of the project to minimize any adverse environmental impact and assure sustainable development of the area. The Environmental Management Plan proposed during modification and operating stages of the project includes the following Air Pollution Control and Management Noise Control and Management Water and Wastewater Management Storm Water Management Solid Waste Management 6.1 Mitigation measures for Construction Phase Impacts Impact on Land Use Land use of this particular area would be changed and the changes would be permanent. The modification activity would bring in certain immediate changes in the land use pattern of the project area. The construction activities would attract a sizeable labour population. However, local labour force is proposed to be employed to reduce the size of labor camp. Page 51

54 6.1.2 Compensation for Loss of Trees There are few trees existed in the proposed site. All the trees are local species and No rare or endangered species of trees had been noticed during field studies. There is very less vegetation will be cleared in the buildup area for construction of ladies hostel building for existing Medical College and hospital. The existing vegetation will be kept as at maximum extent and if any necessary vegetation is cleared in proposed buildup area will be replaced by providing greenbelt in open areas within the site premises. Recommended tree Species for plantation include Acacia ardicafarma, Acacia manjum, Azardicta indica, Cyperus rotundus, Ficus benghalensis, Ficus religiosa, Ficus racemosa, Hibiscus rosa-sinensis, Pongamia pinnata, Dendrocalamus Sp.,Grewillfa rubusta, Cassia siamea etc Soil Management As the construction phase is already over for the Hospital building there will be no significant impact on the soil, water, air & noise environment due to any further construction activities. 6.2 Mitigation measures for Operational Phase Impacts Impact on Land Use The existing landuse pattern will changed into a ladies hostel building in existing Hospital Complex Soil Management Treated water meeting the discharge standards will be use for irrigation/ gardening purposes. Soil contamination due to improper solid waste disposal will be avoided and all solid wastes generated will handled in a scientific and non-polluting manner Solid Waste Management The collection and removal of refuse in a sanitary manner from the existing hospital campus would be given due importance for effective vector control, aesthetic improvement, and nuisance and pollution abatement. The biosludge generated from the STP would be dried and used as manure for landscaping purposes within the project site. Paper waste will be sent for recycling through APPCB authorized recyclers. Other non-biodegradable wastes including glass and metals will also be sold off to APPCB authorized recyclers and the remaining wastes will be sent to Greater Visakhapatnam Municipal Corporation for appropriate disposal Water Management Water used for drinking will be up to the drinking water standards. In addition, water required during functional phase has been met from the bore wells within the project site premises. The functional phase total water requirement, sources of wastewater and its major pollutants have already been discussed in Section 2. And the water conservation measures have been followed as already mentioned in the EMP for water management including rain water harvesting and storm water management. Page 52

55 ii. Description of the Sewage Treatment Plant Treatment Scheme (a) Domestic Waste Water: (Sewage Treatment Plant STP): The total amount of wastewater that will be generated from the existing MIMS campus is about 271 KLD and it will be treated in the STP. The final treated effluent discharge standards from the STP are given below. The treated effluent will be reused for greenbelt purpose within the hospital premises. The excess water will be discharged as per stipulated standards Mode of Disposal Wastewater of about 271 KLD after treatment will be recycled within the project for landscaping purposes Air Environment Vehicular and Stack emissions and their potential impacts have been discussed in Section 4. In this section, management of air pollution is discussed. (a) Vehicular Emissions Greenbelt have been already provided within the existing hospital premises, which will further reduce the impact of vehicular emissions within the campus. (b) Stack Emissions As mentioned in Section 4, the hospital facility operates on the electricity 331 KVA drawn from the grid. In case of power failure, plant will run on the DG set of one 350 KVA, one 250 KVA and two numbers of 125 KVA were installed for power back up. The released emissions from DG sets through sufficient stack heights Noise management During operational phase, Noise and its consequent adverse impacts will be reduced by provided acoustic lining in the DG set room. Vehicular noise will be attenuated by proposed greenbelt. Noise warning sign boards will be kept near the project site indicating the location of the hospital so that vehicles will run smoothly or avoid speed Vehicle Parking and Management The employees will be predominantly using their own vehicles where the visitors would be mostly using public vehicles for travelling to the Hospital. The Hospital have a huge car parking and two-wheeler parking in surface car parking facility. Surface parking for cars 590 nos and 800 two-wheeler and Ambulance for 3 nos parking will be available. The campus has been established such that 100% employees can enter the campus within 1 hour and 15 minutes. The number of entry /exit points provided is adequate to handle peak hour traffic also. The campus is accessed by Vizianagaram to Rajam Road. Page 53

56 The breakup details of vehicles used for accessing the campus and parking area required are detailed as follows. Table. 6.1 Parking area allotments for vehicles Sl.No Vehicles Parking Area Per Vehicle (Sq.m) Nos Parking area Allocated ( Sq.m) 1 Cars Two Wheelers Ambulances Total ~ 14,000 Around 14,000 Sq.m of Parking area has been provided in the Hospital campus in 4 locations 6.3 BIO MEDICAL WASTE MANAGEMENT The BIOMEDICAL WASTES (M&H) RULES E(P) ACT 1986 as amended in 2000, 2003 provide a system for regulating handling BMW which includes collection, segregation at source, norms for packaging labeling and options for treatment and disposal along with the standard for treatment technologies. The rules are applicable to all persons who generate, collect, receive, store, transport, treat, dispose or handle bio-medical waste in any form. proper management & Handling of Bio-Medical Waste Biomedical Waste Generation No No The total quantity of Biomedical waste that will be generated from the proposed Hospital is presented in the following table. Table 6.2 Bio Medical Waste generation S.No Description Number of Beds/ persons Assumed per Capita Waste Generation (Kg/Person/Day) 1 Beds Outpatients Total ( Kg/ Day) 445 Total waste Generated ( Kg/ day) During the operation phase of the hospital nearly 445Kg/ day of Biomedical waste will be generated which will be handled and disposed to a common bio-medical waste management facility (Rainbow Industries) as per Bio Medical Waste Handling and Management rules, MIMS Medical college and Hospital has been made MoU with Rainbow Industries for disposal of bio-medical waste disposal. Refer Annexure-9. The Bio Medical waste consists of the following which can be classified as infectious and noninfectious wastes. Page 54

57 6.3.2 Bio-Medical Waste Handling It is essential to manage the hospital waste in a proper way. Handling, segregation, mutilation, disinfection, storage, transportation and final disposal are vital steps which will be ensured for safe and scientific management of biomedial waste in our establishment. The key to minimization and effective management of biomedical waste is segregation (separation) and identification of the waste. Segregation of Waste at Source for Safe and Proper Disposal General Waste and Infectious as well as hazardous waste generated from different activities of the hospital will be properly separated. Even if a small amount of infectious waste gets mixed with general waste, it can contaminate the entire waste collected. Segregation at source means separation of the waste materials from each other at the place of its generation. For example, the quantity of the infectious waste generated in OTs, ICUs is proportionately greater than the noninfectious waste. If the waste is segregated there itself, then the risk of infection will be greatly reduced. Segregation in hospital will result in: Waste minimization Effective waste management Decrease in expenses incurred in managing waste Reduce the risk of infection ensuring better healthcare Prevent infection to communities living in the vicinity of the hospital that may be exposed to the infectious hospital waste. The most appropriate way of identifying the categories of biomedical waste is by sorting the waste into colour coded plastic bags or containers. Biomedical waste will be segregated into containers/ bags at the point of generation in accordance with Schedule II of Biomedical Waste (management and handling) Rules 1998 as given in Table 6.5. Table 6.3 Colour coding-biomedical waste (management and handling) rules, 1998 (schedule II) Cat Waste type Container Treatment & disposal 1 Human anatomical Yellow plastic bags Incineration/ deep burial 2 Microbiology & biotech Yellow plastic bags, Red-disinfec cont 3 Waste sharps Blue /white/trans-plastic bags- 4 Discarded med & cyto-drugs Black-plastic bag 5 Soiled Yellow plastic bags, Red-disinfec cont 6 Solid (disposables) Blue /white/trans-plastic bags, red-disinfec cont Autoclaving/microwaving/ Incineration Disinfection(chem)/autoclaving/micro waving/shredding Incineration/destruction /secured landfill Incineration/autoclave /microwaving Chem.disinfection/autoclaving/microwavi ng/shredding 7 Liquid Chem disinfection & discharge into drains 8 Chemical Black plastic bag Chemical treatment drains/ landfill Page 55

58 Collection and Storage All containers used for collection will be resistant to breakage, tears and leaks under normal conditions of usage. Containers designated for collection of highly infectious and hazardous chemical wastes in addition to being colour coded must be clearly labelled. Bags and containers for infectious waste will be marked with Biohazard symbol. Highly infectious waste will be sterilised by autoclaving. Cytotoxic wastes are to be collected in leak proof containers clearly labelled as cytotoxic waste. Radioactive wastes will be handled according to the rules of Atomic Energy Regulatoty Board ( AERB). Waste containing mercury will not be mixed with other waste streams. Appropriate instructions will be posted at all locations within the healthcare facility to remind the staff of segregation procedures. The untreated bio-medical waste will not be stored in the premises beyond a period of 48 hours. During on site collection the staffs will be instructed to close the waste bags when they are three quarters full by sealing the bag. Impermeable and hard standing kerb side storage area will be provided. The storage area will be located in such a way that it provides an easy access to waste collection vehicle. Transportation The segregated wastes that have been collected in the prescribed containers will be transported to the common bio medical treatment facility for subsequent treatment and disposal. Onsite Transport For inhouse transport, wheeled trolleys, containers or carts will be used. All containers will be kept covered at all times while transporting. Special care will be given while handling liquid and hazardous wastes. People involved in transportation will be imparted awareness and trained about managing spills that may occur whie transportation. Personal protective equipment such as gloves, shoes and masks will be worn while collection. The containers must be cleaned prior to re-use for collection. Off site transport All waste leaving the facility will be well packaged and clearly labeled as shown in Table 6.3. The label ( as shown in section 6.3) in addition to the nature of the waste and the weight must also indicate the address of the generator and the address of the treatment facility that the waste is being sent to. Page 56

59 Table.6.4 LABEL FOR TRANSPORT OF BIO-MEDICAL WASTE CONTAINERS/BAGS ( as per Schedule IV) Waste Category No.... Waste Class... Waste Description... Sender's Name & Address... Phone No.... Telex No.... Fax No.... Contact Person... In case of emergency please contact: Name & Address... Phone No.... Note : Lable shall be non-washable and prominently visible. Day... Month... Year... Date of generation... Receiver's Name & Address... Phone No.... Telex No.... Fax No.... Contact Person... Suitable system for securing the load during transport will be ensured. Such a vehicle will be easily cleanable with rounded corners. The transportation of waste after collection from the premises of the generator, will be complied with the rules of the Motor Vehicle Act. Accordingly only authorized vehicles will be used for transporting within or outside city limits FINAL DISPOSAL OF INFECTIOUS BMW IN A COMMON REGIONAL FACILITY The proposed hospital will collect and store the Bio-medical waste generated in a earmarked area as per Bio-medical Waste Handling & Management Rules. The collected waste will be disposed off every 24 hrs to APPCB authorized common BMW management facility at Visakhapatnam. The common Biomedical Waste Treatment and Disposal Agency will provide safe transportation of waste to offsite treatment facility and final disposal with suitable technology MANAGEMENT OF CHEMICAL WASTE: A) Chemotherapy and antineoplastc chemicals: Reducing the volume to be used. Optimizing the size of the drug container while purchasing Returning the outdated drugs to the manufacturer Centralizing chemotherapy compounding location Providing spill clean ups Segregating the wastes. B) Formaldehyde: Minimize the strength of formaldehyde solutions. Minimize the waste from cleaning dialysis machines and RO units. Capture waste formaldehyde Investigate the possibility of reuse in pathology, autopsy labs. etc. Page 57

60 C) Photographic chemicals: Return off spec developer to the manufacturer.8 Recover silver efficiency. Recycle waste film and paper. Segregate and label properly the radioactive wastes and store short lived wastes In isolation until decay permits disposal in trash. Substitute less hazardous cleaning agents, methods for solvent cleaners etc. D) Solvents: Reduce the volume requirement. Use premixed kits for tests involving solvent fixation. Use calibrated solvent dispensers for routine tests. Segregate solvent wastes. Recover used solvents through distillation. E) Mercury: Substituting electronic sensing devices for mercury containing devices. The breakage of lamps, which has potential of releasing the mercury must be avoided, to the extent possible. Secondary containers ( Catch basins and Pans) should be made of impervious material ( e.g. plastic or smooth finish paint) with edge lips. Steep ips are more effective than gemtle rises in trapping spilled mercury. Concrete floors sealed with epoxy and working surfaces with no crevices are preferred for working with mercury. Vinyl flooring may be used in laboratories. Tiled floors/ table tops should not be used inareas where mercury is used. Avoid walking on or touching surfaces contaminated with mercury. Use mercury kits with hand powered miniature vacuums or sponges to clean up spills whenever practical. Make provisions for mercury spill clean up kits and proper training to the concerned personnel. Recycle uncontaminated mercury waste using proper safety controls. F) Waste Anesthetic gases: Purchase of low leakage equipments and maintain these properly, G) Toxic corrosives and Miscellaneous chemicals: Inspect and maintain ethylene oxide sterilizers. Use less toxic compounds, cleaning agents etc. Return the containers for reuse and make use of recyclable containers. Neutralize the acidic waste by mixing with basic wastes. Avoid spills; make use of mechanical handling aids. As far as possible, use physical cleaning methods TRAINING PROGRAMMES FOR EMPLOYEES Periodic inhouse training is an essential requirement for successful implementation of biomedical waste management systems. Hence the following considerations will be taken into for training. An inhouse policy clearly assigning staff responsibilities for biomedical waste management will be formulated and implemented. Page 58

61 A record keeping and documentation system for all procedures pertaining to biomedical wastes must be maintained and inspected regularly. Information posters outlining methods for segregation will be posted at all collection locations. All staff will be trained on certain basic issues such as segregation, use of personal protective equipment, handling of highly infectious/ hazardous wastes and institutional responsibilities for biomedical waste management. Additional training specifically outlining staff responsibilities will be administered to waste handlers, transport personnel etc., 6.4 ENVIRONMENTAL MONITORING PLAN a. Air Environment frequent mentoring of ambient air quality would be carried out nearby DG set areas. b. Noise Environment Monitoring of noise levels is essential to assess the efficiency of maintenance schedules undertaken to reduce noise levels and noise protection measures. A good quality digital sound pressure level meter is essential for this purpose. c. Water Environment Wastewater should be analysed regularly for the following listed parameters as per discharge standards stipulated by the Andhra Pradesh Pollution Control board as follows. ph Suspended solids Total dissolved solids Dissolved oxygen Chemical oxygen demand (COD) Bio chemical oxygen demand (BOD) Sulphides Residual chlorine Oil and grease Following locations for sampling are recommended Influent to wastewater treatment plant Treated effluent Quarterly water quality monitoring in and around premises of the proposed Project. Methods of sample collection and preservation should be as per IS 2488(1966,68,74) 6.5 ENVIRONMENTAL MANAGEMENT SYSTEM The Environmental Management System constitutes provision of an environmental Division, which should be staffed by an Environmental Engineer/Officer, an Environmental Assistant and two other assistants (miscellaneous works). The task assigned should include supervision and coordination of studies, monitoring and implementation of environmental mitigation measures. An Environmental Adviser shall review progress of the division every year. Page 59

62 6.6 EMP BUDGET All costs involved in environmental mitigation, management and monitoring to be put on the account of the medical facility are summarized in Table 6.5. Table 6.5 Cost Estimation for Pollution Control Activities S. No Description Cost (Rs) 1. Pollution Control Wastewater Treatment Biomedical Waste Management 37,00,000 2 Operation and Maintenance 31,00,000 per annum 3 Greenbelt development 30,00, SAFETY AND SECURITY The campus has been provided with proper security personnel to streamline the entry and exit of authorized visitors only. A major impact on the safety and security environment may be due to fire accident. Therefore the campus is provided with Fire Protection System taking into consideration the location of the building. In view of the delay of the Fire Brigade to reach the spot during emergency, a well designed, well laid, well maintained fire protection system will always be helpful for the authorities for quick fire fighting facilities and thereby minimizing damage on account of fire. The established Fire and Safety Equipments are listed in Annexure 7 respectively. 8. ENERGY ENVIRONMENT The proposed buildings will be constructed with highly energy efficient building materials. Some of the energy efficient measures adopted are Energy efficient environmental friendly fluorescent lamps with electronic ballasts/ CFL. Dual Switching and occupancy based sensors in all closed cabin Energy optimization module in UPS systems to automatically switch off excess capacity during light load condition. Dry resin cast low loss transformers as against conventional oil cooled transformers. Energy efficient motors, with efficiency not lower than the limits specified in section of the ECBC code ( Energy Conservation Building Code, 2007) Timer control in the distribution board for external lighting Power conditioning equipment to list the THDI to 5 % and to improve power factor 0.95 and above Air cooled chillers to reduce energy consumption with input KW KW. Variable Frequency drive for chilled water pumps, AHUs. Demand Control ventilation for fresh air HVAC air handling unit ARI standards Page 60

63 9. SUMMARY & CONCLUSIONS The existing facility is having the Medical College with 810 beds hospital at Nellimarla, Vizianagaram district. The proposed construction of new ladies hostel will be constructed in open available land within the existing MIMS campus. The Hospital would be accommodated 810 beds, 800 Out patients, and employ around 700 Staffs and 1085 college students. The Power requirement for the Hospital is 331 KVA drawn from the grid. In case of power failure, plant will run on the DG set of one 350 KVA, one 250 KVA and two numbers of 125 KVA were installed for power back up. The released emissions from DG sets through sufficient stack heights. The total water requirement for the operation is 287 KLD. Fresh water requirement will be met from bore wells located within the proposed site premises. The total wastewater generated from the Project Operation is 271 KLD. The wastewater generated has been treated in existing STP. The treated wastewater is being reused for landscaping within the hospital premises. The Municipal solid waste generated from the project is around 724 Kg/ day. The recyclable wastes would be segregated and disposed to authorized recyclers while the remaining garbage would be disposed in local panchayat bins. The biomedical waste generated of about 445 Kg/day would be handled and disposed off to a common Biomedical Waste Management Facility as per the Biomedical Waste Handling & Management Rules, The existing high class medical facility is being accessible to public and will certainly have a positive impact on the health care of the society. Thus, it can be concluded that with the judicious and proper implementation of the pollution control and mitigation measures, the medical facility would be beneficial to the society and will provide a health care unit that fosters excellence in medical field. Page 61

64 LIST OF ANNEXURES Page 62

65 SITE LOCATION ANNEXURE 1A Road between Vizianagaram to Rajam Maharajah s Institute of Medical Sciences Campus S. No Longitude Latitude '25.91"E 18 8'50.02"N '27.38"E 18 8'51.02"N '30.73"E 18 8'49.68"N '31.04"E 18 8'46.87"N '38.63"E 18 8'49.73"N '38.24"E 18 8'53.30"N '38.99"E 18 8'59.24"N '40.05"E 18 8'59.52"N '40.80"E 18 8'53.35"N '43.60"E 18 8'53.54"N '44.15"E 18 8'51.17"N '46.58"E 18 8'50.76"N '47.24"E 18 8'44.23"N '37.12"E 18 8'39.45"N '28.39"E 18 8'37.39"N '23.96"E 18 8'38.08"N '22.00"E 18 8'42.81"N '26.44"E 18 8'44.21"N '25.51"E 18 8'45.30"N '28.49"E 18 8'47.37"N Page 63

66

67 Topo Map showing the proposed site (2 km radius) ANNEXURE 1B Page 64

68

69 Topo Map showing the proposed site (10 km radius) ANNEXURE 1C Page 65

70

71 ANNEXURE 2 PROJECT LAYOUT Page 66

72

73 ANNEXURE 3 WATER BALANCE 74 Details of Water Consumption S.No Intended Uses Water Requirement (KLD) LPCD Total Water (KLD) 1 Beds 810 Nos Outpatients/ Visitors 800 Nos Doctors and support staff Students students with hostel 635 Nos Residential blocks (72 families X 5 persons) 360 Nos OPT 5lper patient 5 lit/ patient l per bed 30 lit/ bed 24 Recycled water (KLD) 9 Greenbelt 24 Acres 10 to 11KLD/Ac 269 Total Fresh Water Fresh Water 287 KLD Total Recycled Water 269 KLD Hospital Building ( ) 120 KLD 118 KLD 8 KLD OPT & Lab Research 8 KLD Disinfection Laundry 24 KLD 24 KLD Hostels (86+49) 134 KLD 121 KLD Gardening 269 KLD STP 271 KLD Treated Water sump 269 KLD Wastewater stream Fresh Water stream Filtration 269 KLD Page 67

74 ANNEXURE - 4 WASTEWATER GENERATION AND CHARACTERISTICS The total amount of wastewater that will be generated from the existing MIMS campus is about 271 KLD and it will be treated in the STP. The final treated effluent discharge standards from the STP are given in Table 2. The treated effluent will be reused for greenbelt purpose within the hospital premises. The excess water will be discharged as per stipulated standards. Table 1 Sewage Characteristics Sl. No. Characteristics Domestic Wastewater 1 ph Total Suspended Solids (mg/l) Total Dissolved Solids(mg/L) BOD 5 days 20 o C (mg/l) COD Oil & Grease <10 Note: Except ph all other parameters are expressed in mg/l Table 2 Discharge Standards Sl. No. Characteristics Value 1 ph Total Suspended Solids < 100 mg/l 3. Total Dissolved Solids < 2100 mg/l 4 BOD 5 days 20 o C < 30 mg/l 5. COD < 250 mg/l 6 Oil & Grease <10 Page 68

75 STP Details (Technical Report) 1. DESIGN BASIS FOR SEWAGE TREATMENT PLANT 1.1 Design Flow Rate ANNEXURE -5 The sewage produced from the Maharajas institute of Medical sciences will be 150 m 3 /day@ 20 hrs per day and the plant will operate at a flow rate of 5m 3 /hr considering flow of waste water (@20hrs). Load Performance Indicator: Normal Load Peak Load Excess Load Handling of Quantity of Sewage by STP At a normal load i.e., 150 KLD the system is designed in such a way so that the efficiency will be %. The system can handle 10 % excess shock loads (Quantity) i.e., the system can than withstand up to 160KLD. If the load exceeds the peak load i.e., 160KLD than the excess quantity should be bypassed and should not be let into the system, if not it hampers the efficiency of the STP. A Flow meter will be installed for monitoring the quantity of waste water produced. Separate Waste water holding tank for the excess flow has to be provided by client in such a case. 1.2 Raw & Treated Effluent Characteristics Parameters Sewage Value Treated water Value Standards as per Andhra Pradesh Pollution Control Board ph TSS <200 <200 COD < 250 < 250 BOD < 30 < 30 O&G < 10 < 10 All parameters, except ph and colour are indicated in mg/l. 1.3 Treatment Scheme Based on the above flow rate & parameters to be treated, the treatment scheme has been designed for removal of the specified parameters in table 1.2. Primary treatment followed by secondary treatment (Aerobic Biodegradation) followed by Tertiary treatment has been suggested for the treatment of the Effluent. The unit operations are: Screening and Scum removal Collection/Equalization Aerobic Treatment Secondary Clarification Filtration Sludge Holding Tank Page 69

76 Technical Write-up on Effluent Treatment Plant Raw sewage piped from various sources is bought by gravity to the Bar screen where the large floating solids are removed. Then the sewage is passed through Oil & Scum removal chamber where the floating Oil & Grease is removed which hinders the operation of STP. After removal of large solid and O&G the sewage is let into Equalization/Collection Tank where it is aerated by coarse bubble aeration system, the sewage from the EQT is taken by gravity into the aeration tank, where it is aerated using a diffused air mixing system where the biodegradation of the waste takes place and the complex organic compounds are broken into simpler compounds in presence of the biological activity, the MLSS from the AT is taken into Secondary clarification where the settlement of solids takes place by gravity and are recirculated back to AT for activation of the bacteria and excess solids are drained to SHTs by sludge pumps. The clear treated water is separated from the solids. Air required for aeration is supplied using Air Blower. The overflow from this tank is taken to filter feed sump from where it is pumped through the dual filters for final treatment and the treated water is chlorinated and re-used as washing, gardening & floor washings purposes. 1.4 Disposal of Treated Water Treated Water Characteristics: S.No PARAMETERS TREATED WATER CHARACTERISTICS 1 ph 6.5 to Suspended Solids mg/l < 40 3 Colour Clear 4 Oil & Grease < 10 5 BOD < 30 6 COD < Air Supply and Distribution: Air Supply for the treatment plant can be either from Single or Multi stage Centrifugal Blowers or Rotary Positive Displacement Blowers. Inlet fitters should be fitted to the Blower to effectively remove contaminants from the outside air. These contaminants may either be in the form of oil or other suspended particulate matter in atmospheric air. The air is distributed vide a PVC piping manifold. The piping network is usually or nominal 110mm (4 inch) dia sections of pipe are connected to headers. Mechanical expansion joints are provided to allow for expansion and contractions. The pipes are supported and secured to the tank floor using an RCC cradle or saddle. 2. CIVIL UNITS SPECIFICATIONS S.No Qty Description 1 1 Nos BAR SCREEN CHAMBER Size:1.0 m x1.0 m x1.0m M.O.C: Brick Masonry 3 1 No COLLECTION /EQUALISATION TANK Volume:27m3 Size:3.0 m x4.0 m x2.2 m m FB M.O.C: Brick Masonry/RCC 4 1 No AERATION TANK Volume:27 m3 Size: 4.0m x 3.0m x2.2 m SWD + 0.5m FB Page 70

77 5 1 No 6 1 No 7 1 No M.O.C: Brick masonry/rcc SECONDARY CLARIFIER Volume:12 m3 Size: 2.5 dia x 2.2m + 0.5m FB M.O.C: Brick masonry FILTER FEED SUMP Volume: 6.6m3 Size: 1.0 m x3.0m x2.2 m SWD M.O.C: Brick Masonry SLUDGE HOLDING TANK Volume:8.0m3 Size: 2.0 m x2.0 m x2.0 m SWD M.O.C: Brick Masonry 3. MECHANICAL & ELECTICAL EQUIPMENT SPECIFICATIONS S.No Quantity Description 1 Two (2) Nos ROOTS TYPE AIR BLOWERS Air Blowers are of Twin lobe design complete with motor, pulleys, filter, silencer, base plate, etc. Capacity:100 cum/hr and Discharge Pressure of 0.40 kg/sqcm 2 One (1) Lot HDPE AERATION SYSTEM Network connection of the Collection tank with HDPE coarse grid aeration by milling holes at bottom of the pipe line and distributing it in the collection tank of capacity 5m x5m x2m ht. FILTER FEED PUMP 3 One (1) No. Centrifugal, non-clog design complete with motor, base plate, couplings, etc. with wetted parts in Cl construction. Capacity: ksc. 4 One (1) Nos. DUAL MEDIA FILTER Dimensions : 0.8m dia x 1.0m ht MOC: MS structure with frontal piping, valves & filter media. 5 One (1) Lot 6 Two (2) Nos. 7 Two (2) Nos. UNIT WISE DETAILS OF STP: HDPE Interconnecting piping fitting and valves within the battery limits of Effluent Treatment Plant. STARTERS FOR EACH MOTORS Provision of starters at each pump along with the cabling from starter to the pump. SLUDGE TRANSFER PUMPS Centrifugal, non-clog design complete with motor, base plate, couplings, etc. with wetted parts in Cl construction. Capacity: ksc. BARSCREEN CHAMBER: The basic principle of the screens is to stop large free floating solids from entering into the STP which hinders the treatment of the waste water. Page 71

78 COLLECTION/EQUALISATION TANK: The basic principle of this tank is equalise and homogenise the sewage entering into the STP by making suitable for treatment in the Aeration tank for biodegradation by means of reducing the shock loads quantitatively and qualitatively. 20% BOD and COD will be reduces in the tank by supply of air for mixing which will reduce the oxygen demand by 20%. AERATION TANK: The AT is the heart of the treatment where the complete biodegradation of the waste water is taken place with help of bacteria and supply of air through Air Blower. SECONDARY CLARIFIER: The solid liquid separation is taken part in this tank and the sludge is returned back to Aeration tank for re activation of the bacteria which will be used for biodegradation of the sewage in the AT. FILTER FEED SUMP: The treated effluent from the Inclined Plate Settler is let by gravity to the filter feed sump, which is being utilized just as a feed tank to the filters. DUAL MEDIA FILTER: (99% of all solids are removed in this process) The heart of the treatment in this system is the dual media filter, the filter consists of two media for effective filtration, the sand and anthracite ( activated carbon). The sand media removes all solids entering the treated water and activated caron removes colour and odour from the waste water. The water after treatment enter the treated water.multigrade Sand Filter consists of mild steel vessels, internally coated with two coats of bituminous black paint and externally painted with two coats of red oxide followed by two coats of enamel paint. Complete with frontal Pipeline, diaphragm valve, internal top distributor & bottom strainer plate, first charge of activated carbon, sand media and pressure gauges with sampling valves. The backwash frequency is three to four times in a day for minutes. Wastewater of about 271 KLD after treatment 269 KLD will be reused within the project for landscaping purpose and excess treated water 30 KLD will be discharged as per stipulated standards. Table Treated Sewage Characteristics S.No Parameters Treated Sewage Characteristics 2 Colour Colorless 3 ph SS <10 mg/l 5 TDS <1000 mg/l 6 Chlorides < Sulphates < BOD <20 mg/l 9 COD <150 mg/l 10 Oil & Grease NIL Page 72

79 SEWAGE TREATMENT PLANT FLOW CHART FLOW RATE 150 KLD BAR SCREEN CHAMBER COLLECTION /EQUALISATIONTANK TWIN LOBE Air Blower SLUDGE HOLDING TANK U/F AREATION TANK SECONDARY CLARIFIER FILTER FEED SUMP RECIRCULATION DUAL-MEDIA FILTER TREATED WATER TANK Page 73

80 ENERGY SAVINGS ANNEXURE 6 The energy efficiency measures considered and included the following for establishing the MIMS facilities: Energy efficient environmental friendly fluorescent lamps with electronic ballasts/ CFL and solar power systems have been used. Dual Switching and occupancy based sensors in all closed cabins Energy optimization module in UPS systems to automatically switch off excess capacity during light load condition. Dry resin cast low loss transformers as against conventional oil cooled transformers. Energy efficient motors, with efficiency not lower than the limits specified in section of the ECBC code ( Energy Conservation Building Code, 2007) Timer control in the distribution board for external lighting Power conditioning equipment to 5 % and to improve power factor 0.95 and above Air cooled chillers to reduce energy consumption with input KW KW. Variable Frequency drive for chilled water pumps, AHUs. Demand Control ventilation for fresh air HVAC air handling unit ARI standards Page 74

81 Emergency Management Plan ANNEXURE Fire Fighting The following areas require particular attention for exposure protection: Kitchen Transformer Room/yard DG Set Areas and Fuel storage areas Principles of Fire-Fighting Fire requires a combination of fuel, oxygen and a source of ignition. The main aim when fire-fighting must therefore be to reduce the temperature, or to remove the fuel, or to exclude the supply of air with the greatest possible speed. The most effective action to control fires is to isolate immediately, where possible, the supply of fuel to the fire by closing valves upstream of the point of escape e.g. in cases of product (LPG or HSD) escaping during transfer. Having ensured that the source of fuel has been cut off, due attention should be given to containment of the fire by influencing the direction in which a spilled liquid fire might run and by cooling adjacent installations. For burning liquids on the water surface, directional control is best achieved by water spray. Although the flow of burning liquid can also be directed to some extent using water, control can best be achieved if proper provisions for containment have been included. Water is the most common cooling agent to cool burning liquids to temperatures at which they cease to give off flammable gas. Products with low flash points cannot be cooled sufficiently with water. In these circumstances dry chemical powder or foam is used. Water sprays should be applied as soon as possible after extinguishment to cool the area and hence minimize the danger of re-ignition. Before attempting to extinguish a large fire, thought should be given to the desirability of letting it burn itself out provided the fuel source has been isolated and adjacent equipment is protected. For fires involving electrical equipment a non-conductive extinguishing agent should be used, e.g. dry chemical powder. Water and foam should not be used in electrical equipment fires Types of Fire This section deals with fires involving petroleum products which are typically used at Hospital. The choice of extinguishing agent will depend upon the quantity and flammability of the burning liquid. Fluoroprotein foam, dry chemical powder and water fog/ spray are recommended. Page 75

82 Foam is an efficient agent for extinguishing most liquid petroleum fires because of its blanketing effect. Dry chemical powder has been proved to be the most rapid extinguishing agent for small petroleum fires. Water, as fog or spray, can be used to extinguish fires involving products with high flash points, provided the fire has not been burning too long, or fires of limited size, involving low flash point products. Any oil fire, which has been burning for some time, is more difficult to extinguish with water, since the oil will have been heated to a progressively greater depth and cannot readily be cooled to a point where it ceases to give off gas. Furthermore, the use of a water jet may spread the burning oil by splashing or overflow. This effect can also arise through agitation of the oil caused by violent boiling of the water. Water should only be applied to oil fires as a spray or fog, although jets of water can play a valuable role in cooling hot bulkheads and tank walls. Details about different types of fires likely in a Multi Super Specialty Hospital should be provided in the plan. Depending on the severity and extent of fire, various stages of fires can be classified as: Stage I Stage II Stage III Burning smell only. No smoke or flames visible Smoke and/or flames visible but extent limited and containable. No need to call fire brigade Widespread fire or fire in dangerous areas. Smoke and flames visible. Fire brigade required The FEMP should be in the form of an action plan where specific responsibilities are assigned to the person who first notices a fire or some unusual occurrence in the Multi Super Specialty Hospital. Such information should be provided in the main body of the plan and should comprise: Do not panic Identify the stage of fire In case of Stage I fire, trace the equipment giving the burning smell, switch it off and inform the Maintenance department. In case of Stage II and Stage III fires, inform the reception and/or the Security Manager or the Manager on duty by paging or by calling up the operator. Raise the alarm by breaking the manual fire alarm glass. Summon few colleagues working in the vicinity and attempt fire fighting with the aid of extinguishers, if and only if you are trained in fire fighting. If electrical installations are involved, attempt to switch off power supply and if running machines are involved try to stop the affected machine. Select the fire extinguisher, which is compatible to the fire. In case you are not trained in fire fighting, do not attempt fire fighting yourself. Instead, let the first available trained person at site fight the fire. Standby for further instructions. If evacuation call is given then rush through the fire exit stairs to the open space. Page 76

83 The main components of the Emergency squad comprising personnel from various departments would be provided in the FEMP. The action plan and duties of these personnel for handling different stages of fire should be clearly identified in the plan. Moreover, a second line of personnel for each component of the Emergency squad should be identified in order to take care of emergencies in the absence of the senior most personnel. The components of the emergency squad would include the Emergency Chief, personnel from the Control desk, Telephone department, Restaurants, Maintenance & Engineering department, Kitchen, Time office, etc. In addition members should be drawn from various departments for firefighting teams and evacuation teams. It is suggested that members of all such teams may be identified keeping in mind the shift schedule. It may be ensured that at least one or two employees like bell boys, housekeepers, etc. may be instructed to stay on each unaffected floors to prevent panic and confusion among Patients. In essence, employees of each department should be apprised of their duties and the reporting officer in the event of an emergency. Control desk for manning the emergency situations should be identified in the Multi Super Specialty Hospital. For example the Reception desk or the Security Manager's office can be identified as the Control desk. The Control desk should be provided with the following facilities in view of effective management of emergencies. Two Self Controlled Breathing Apparatus (SCBA) sets Floor plans Layout of fire hydrant and sprinkler systems External and Internal telephone facilities A copy of "Fire Emergency Management Plan" Two Fire-fighting suits Telephone directory Details of all contractors and their employees List of first-aiders and members of evacuation team and fire fighting team. Shift schedule (updated every month) Fire Fighting Facilities The Hospital should be protected by fire extinguishers, sprinklers, fire hydrant system and small bore hose reels. CO 2, DCP, pressurised water type and foam type fire extinguishers are provided at various locations in the Multi Super Specialty Hospital complex. Smoke detectors, sprinklers and break glass fire alarms are provided in the Multi Super Specialty Hospital. A Security Manager heads the security department. The Security Manager with the assistance of his guards and personnel from Maintenance and Engineering and service department are responsible for firefighting operations. Training is provided to the fire fighting personnel in the Multi Super Specialty Hospital. Every employee will be trained on how to use a fire extinguisher including limitations of using these. Page 77

84 7.1.4 Fighting LPG fires A small fire at the point of leakage should be extinguished by enveloping with a smothering agent such as dry chemical powder. However, it may be stressed that as far as possible LPG fire should not be extinguished until the escape of the product has been stopped. Fire fighting procedures would vary depending upon various factors such as nature, source, size, location, etc. of the fire. In case of leakage in cylinder storage area: Caution all to clear the area where LPG has leaked. Ensure that no naked flame is brought in the vicinity around the storage area and shut off LPG stoves in the kitchen. Do not operate any electrical switches. Open doors to allow air draft. Detect the source of leakage by using soap solution. In case of leakage from the manifold header: Caution persons not required in the area to clear off from where LPG has leaked. Disconnect all cylinders and fix safety caps. Do not use LPG manifold till the leak is rectified. For the purpose of guidelines, some of the fire-fighting techniques for few common cases, which may be encountered, are given below: Case 1: Cylinder Fire If a filled LPG cylinder is involved in a fire, internal pressure may begin to rise and go beyond 70 kg/cm 2, which could ultimately rupture the cylinder. Ignition of the escaping gas would aggravate the fire. No attempt should be made to extinguish the burning LPG gas fire until the escape of LPG has been stopped. If this is not possible, the cylinder and other cylinders in the vicinity should be kept cool by water spray until the contents of the cylinder have burnt out. If the gas leakage does not ignite, the cylinder should be approached from upwind (if in an open area) and be removed to a safe place away from sources of ignition. Cylinders not directly involved in the fire should be moved away from heat exposure while applying cool water sprays on cylinders directly involved. Case 2: Leakage of LPG burning at the outlet of a cylinder valve Extinguish the fire by means of a portable fire extinguisher or smothering with a thick wet nonsynthetic cloth or sand/earth or water gel blanket. Fix the safety cap on the valve to prevent further leakage. After the fire is extinguished and if the leakage cannot be stopped, the cylinder should be moved carefully to a safe location to vent out the contents under controlled conditions. Page 78

85 Fire and Safety Equipments ANNEXURE 8 The entire building is provided with sprinklers and addressable fire alarm systems. A pump having discharge capacities of 2280 lpm (2 nos), 900 lpm (1 nos), 180 lpm (1 nos) with 110 m head has been established in the ground floor. A stand by pump of the same capacity, operated by a high power diesel engine is proposed for emergency operation during power failure. GI ERWC pipes ranging from 150 to 250 mm dia has been laid on periphery of the road all around the building with fire hydrant points along it. Internal wet pipes ranging from 100 to 150 mm dia were taken all through the building. Fire extinguishers of ABC and CO types are to be mounted on wall at critical places. The details on the safety equipment have been installed to control/minimize the fire hazards are as follows. i. External hydrant system = 9 nos ii. Internal fire hydrant system with 2 hoses drums = 40 nos iii. Hoses boxes = 9 nos. iv. Nozzles = 18 nos v. Butterfly valves = 16 nos vi. Sprinkler System bulb type 1060 nos vii. Addressable fire alarm system with optical smoke detectors 30 nos viii. Extinguishers: ABC type (5 kg) with indicating gauge = 45 nos. Page 79

86 MOU between Rainbow Industries and M/s MIMS for Bio-medical Waste disposal ANNEXURE 9 Page 80

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90 Biomedical waste segregation Room at M/s MIMS campus Page 84

91 Approval from APEPDCL for load of 428 KVA under HT Cat II at 11 KV potential ANNEXURE 10 Page 85