List of Documents. List of Annexure

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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 sretmims@yahoo.com 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 sretmims@yahoo.com 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

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