Form-2
APPLICATION FOR PRIOR ENVIRONMENTAL CLEARANCE
S. No.Item Details
1.
Whether it is a violation case and application is being submitted under Notification No. S.O.804(E) dated 14.03.2017 ? No
Details of Project:
(a)Name of the project(s) Expansion of Main Block in Acharya shree Bhikshu Govt. Hospital by M/s PWD (HMD) Delhi
(b)Name of the Company / Organisation PUBLIC WORKS DEPARTMENT (HMD) DELHI
(c)Registered Address Health Maintenance division South West Sector-3 Dawarka,West,Delhi-110015
(d)Legal Status of the Company State PSU
(e)Joint Venture No
2.
Address for the correspondence:
(a)Name of the Applicant BL Soni
(b)Designation (Owner/ Partner/ CEO) EE
(c)Address Expansion of Acharya Bhikshu Hospital at Moti Nagar-Delhi,,Patel Nagar,West,Delhi-110015
(d)Pin code 110015
(e)E-mail asbmotinagar@gmail.com
(f)STD Code. 120(f)Telephone No. 4352889
(g)Fax No.
(h)Copy of documents in support of the competence/authority of the person making this application to make application on behalf of the User Agency . Annexure-Uploaded Copy of documents in support of the competence/authority
3.
Category of the Project/Activity as per Schedule of EIA Notification,2006:
(a)Project/Activity8(a) Building and Construction projects
(b)Category B2
   Reason for Applying at Ministry SEIAA
(c)Proposal Number IA/DL/MIS/84215/2018
(d)Master Proposal Number(Single Window) SW/84211/2018
(e)EAC concerned (for category A Projects only) Infrastructure and Miscellaneous Projects  +  CRZ
(f)Project Type Expansion
4.
Location of the Project:
(a)Plot/Survey/Khasra No. moti nagar
(b)Pincode 110058
(c)Bounded Latitudes (North) FROM 0 To 0
(d)Bounded Longitudes (East) FROM 0 To 0
(e)Survey of India Topo Sheet No. 0
(f)Uploaded Topo Sheet File Copy of Topo Sheet File
(g)Maximum Elevation Above Means Sea Level(AMSL) 718
(h)Uploaded (kml) File Copy of Kml File      
(i)Distance of Nearest HFL from the project boundary within the study area 0
(j)Seismic Zone 4
5.
(a)Number of States in which Project will be Executed 1
(b)Main State of the project Delhi
Details of State(s) of the project
S. No. State Name District Name Tehsil Name Village Name
(1.)DelhiWestPatel NagarMoti Nagar
6.
Details of Terms of Reference (ToR)/EC:
(a)MoEF&CC / SEIAA File Number NIL
(b)Date of Apply of EC NIL
(c)Date of Issue of EC NIL
(d)Previous EC Letter NIL
7.
Details of Public Consultation:
(a)Whether the Project Exempted from Public Hearing?Yes
(b)Reason Public hearing is not applicable for building cons
(c)Supporting Document Copy of Supporting Document
8.
Details of Project Configuration/Product:
Details Not Applicable
9.
In case of Expansion / Modernisation / One Time Capacity Expansion (only for Coal Mining) / Expansion under Clause 7(ii) / Modernisation under Clause 7(ii) / Change of Product Mix under Clause 7(ii):
(a)Details of certified report on compliance of earlier environmental clearance condition
(i)Certified Compliance By Regional
(ii)Details of Regional Office of MoEFCC / Zonal Office of CPCB / SPCB / UTPCC from which certified report on Lucknow
(iii)Letter No. 123
(iv)Status of Compliance Compiled
(v)Certified report on compliance of earlier environmental clearance conditions (Including Monitoring Report) Copy of Certified Compliance Report
(vi)Date of site visit N/A
(b)Details of Capacity Expansion
S. No.Product/Activity (Capacity/Area)Quantity FromQuantity ToTotal UnitOther UnitMode of Transport / Transmission of ProductOther Mode of Transport / Transmission of Product
(1.)hospital156901237228062Othersbuilt up areaOthersits building construction
(2.)hospital156901237228062Othersbuilt up areaOthersits building construction
(c)Details of Configuration
S. No.Plant / Equipment / Facility Existing ConfigurationProposed ConfigurationFinal configuration after expansionRemarks
(1.)hospital block156901237228062
(2.)hospital block156901237228062
9.1.
Details of Consent to Operate
(i)Whether Consent to operate obtained ? NA
(ii)Copies of all Consent to operate obtained since inception NA
(iii)Date of Issue 05 Apr 2018
(iv)Valid Upto 19 Feb 2022
(v)File No. DPCC/WMC/2018/42666
(vi)Application No. 42666
(vii)Copy of Consent to operate valid as on date Copy of Consent to Operate
10.
Project Cost:
(a)Total Cost of the Project at current price level (in Crores) 94.38
(b) Funds Allocated for Environment Management (Capital) (in Crores) 0.94
(c) Funds Allocated Towards CER (Corporate Environment Responsibility) (in Crores) 0.94
(d) Funds Allocated for Environment Management Plan (EMP) (Recurring per Annum) (in Crores) 0.94
11.
Whether project attracts the General Condition specified in the Schedule of EIA Notification ? No
12.
Whether project attract the Specific Condition specified in the Schedule of EIA Notification ? No
13.
Raw Material / Fuel Requirement:
(a)Proposed quantity of raw material/fuel 1
(b)Existing quantity of raw material/fuel 1
(c)Total quantity of raw material/fuel 2
    13.1.        Raw Material / Fuel Profile
S. No.Raw Material / Fuel QuantityUnitOther UnitSource (incase of Import. please specify country and Name of the port from which Raw Material / Fuel is received )Mode of TransportOther Mode of TransportDistance of Source from Project Site (in Kilometres) (In case of import, distance from the port from which the raw material / fuel is received)Type of Linkage Other Type of Linkage Uploaded Copy of Linkage
(1.)Bricks11Tons per AnnumindiaConveyor Belt,OthersBC1 LinkageBCCopy of Linkage
14.
Baseline Data :
(a)Period of Base Line Data Collection FROM 01 Oct 2018 To 31 Oct 2018
(b)Season Post-Monsoon
    14.1.     No. of ambient Air Quality (AAQ) monitoring locations : 1
S. No.Criteria Pollutants Other Criteria PollutantsUnitMaximum ValueMinimum Value98 Percentile ValuePrescribed Standard
(1.)PM2.5Micro Gram per Meter Cube25812013560
(2.)SO2Mili Gram per Meter Cube84580
(3.)NOxMili Gram per Meter Cube84560
(4.)PM10Micro Gram per Meter Cube2109812380
    14.2.     No. of Ground Water monitoring locations : 3
S. No.Criteria Pollutants Other Criteria PollutantsHeavy MetalUnitOther UnitMaximum ValueMinimum ValueDesirable LimitMaximum Permissible Limit
(1.)TDSmg/l180016005002000
(2.)Total Hardnessmg/l510410200600
(3.)Othersmhmg/l0.00030.00020.010.04
(4.)Fluoridemg/l0.480.2311.53
(5.)TSSmg/l203120125123
(6.)pHNA7166
(7.)Chloridesmg/l3001252501000
(8.)Heavy Metalsarsenicmg/l0.00030.00020.010.05
    14.3.     No. of Surface Water monitoring locations : 1
S. No.Criteria Pollutants Other Criteria PollutantsUnitOther UnitMaximum ValueMinimum ValueClassification of inland water body
(1.)DOmg/l11A
(2.)pHNA0000A
(3.)Otherstotal hardnessmg/l11B
(4.)CODmg/l11B
(5.)BODmg/l11A
    14.4.     No. of Ambient Noise monitoring locations : 1
S. No.Parameter UnitMaximum ValueMinimum ValuePrescribed Standard
(1.)Leq(Day)A-weighted decibels(dB(A))624860
(2.)Leq(Night)A-weighted decibels(dB(A))453550
    14.5.     No. of Soil Sample Monitored locations : 1
S. No.Parameter UnitOther UnitMaximum ValueMinimum Value
(1.)pHOthersp76
(2.)P(Phosphorus)Kilogram per hectare3425
(3.)Electric ConductivityMilligram per Litre1210
(4.)K(Potassium)Kilogram per hectare4238
(5.)N(Nitrogen)Kilogram per hectare5142
14.6.
Details of Ground Water Table:
(a)Range of Water Table Pre-Monsoon Season (Meters Below Ground Level (m bgl)) From 20 To 22
(b)Range of Water Table Post-Monsoon Season (Meters Below Ground Level (m bgl)) From 24 To 26
(c)Whether Ground Water Intersection will be there ? No
     15.      Details of Water Requirement (During Operation)
S. No.Source Source Other Required QuantityDistance from SourceCopy of Permission from Competent Authority Mode of TransportOther Mode of TransportMethod of Water WithdrawalOther Method of Water WithdrawalLetter No.Date of IssuePermitted Quantity
(1.)Othersmunicipal3321Copy of Permission LetterPipelineOthersDJB connection12302 Feb 2011322
15.1.
(a)Whether Desalination is proposed No
    16.       Waste Water Management(During Operation)
S. No.Type/Source Quantity of Waste Water Generated (Kilolitre per Day)Treatment Capacity (Kilolitre per Day) Treatment MethodMode of DisposalOther Mode of DisposalQuantity of Treated Water Used in Recycling/Reuse (Kilolitre per Day)Quantity of Discharged Water (Kilolitre per Day)
(1.)ETP3542ETPReuse within the Plant & Recycling35
16.1.
(a)Total Waste Water Generation 35
(b)Total Discharged Water 0
(c)Total Reused Water 35
    17.       Solid Waste Generation/Management
S. No.Name of Waste Item Other ItemQuantity per AnnumUnitDistance from Site(KM)Mode of TransportOther Mode of TransportMode of DisposalOther Mode of Disposal
(1.)hospitalBio-Medical Waste1.3Tons2RoadOthersvendor
18.
    18.1.     Air Quality Impact Prediction
S. No.Criteria Pollutants Other Criteria PollutantsUnitBaseline ConcentrationDistance GLCIncremental ConcentrationTotal GLCPrescribed Standard
(1.)PM2.5Microgram per Meter Cube21058029060
(2.)Others(Specify)hyMicrogram per Meter Cube24134
(3.)PM10Microgram per Meter Cube50515160
(4.)SO2Microgram per Meter Cube840.58.560
(5.)NOxMicrogram per Meter Cube54425760
    18.2.     Stack Details
S. No.Source FuelStack Height(m)Stack Diameter(m)PollutantsOther PollutantsEmission (GLS)
(1.)dgdiesel360.23PM1058.2
19.
Power Requirement:
(a)Quantity (Kilo Volt Amps (kVA)) 6300
(b)Source BSES
(c)Uploaded Copy of Agreement Copy of Agreement
(d)Standby Arrangement (Details of DG Sets) 500
(e)Stack Height (in m) 37
20.
Land Ownership Pattern:
(a)Forest Land 0
(b)Private Land 0
(c)Government Land 0
(d)Revenue Land 0
(e)Other Land 1.93
    Total Land 1.93
21.
Present Land Use Breakup of the Study Area in Ha:
(a)Agriculture Area 0
(b)Waste/Barren Land 0
(c)Grazing/ Community Land 0
(d)Surface Water Bodies 0
(e)Settlements 0
(f)Industrial 0
(g)Forest 0
(h)Mangroves 0
(i)Marine Area 0
(j)Others : hos 1.93
    Total 1.93
    22.     Land requirement for various activities
S. No.Description of Activity / Facility / Plant / Others OthersLand RequirementRemarks
(1.)Built Up Area1.93
(2.)Area for Solid Waste Management0.01no
Total 1.94
23.
Ecological and Environmental Sensitivity (Within 10 Km):- WLS-Wild Life Species; NPA-Notified Protected Area; ESAs-Eco Sensitive Areas; ESZs-Eco Sensitive Zones :
    23.1.     Details of Ecological Sensitivity :
S. No.Details of Ecological Sensitivity NameDistance from the Project (Km)Remarks
(1.)Critically Polluted Areanone0none
(2.)ESZsnone00
(3.)WLSnone00
(4.)NPA000
(5.)ESAsnone00
(6.)Wildlife Corridorsnone0none
(7.)Corridorsnone00
    23.2.     Details of Environmental Sensitivity :
S. No.Details of Environmental Sensitivity Other Details of Environmental Sensitivity NameDistance from the Project (Km)Remarks
(1.)Archaeological Sitesn00
(2.)Defence Installationsn00
(3.)Forestn0none
(4.)Othersvn00
23.3.
(a)Whether Noc / Permission from the competent authority is required? No
(b)Whether NBWL recommendation is required? No
24.
Forest Land:
Whether any Forest Land involved? No
25.
Tree Cutting:
(a)No. of Trees Cut for the Project (if Forest Land not Involved) 35
(b)Details of Tree Cutting and Planting of Trees Copy of Details of Tree Cutting and Planting of Trees
26.
Land Acquisition Status:
(a)Acquired Land(Ha) 0
(b)Land yet to be acquired(Ha) 0
(c)Status of Land acquisition if not acquired 0
27.
Rehabilitation and Resettlement (R&R):
(a)No. of Villages 0
(b)No. of Households 0
(c)No. of PDFs (Project Displaced Families) 0
(d)No. of PAFs (Project Affected Families) 0
(e)Funds Allocated for R&R(in Rs) 0
(f)Status of R&R Completed
28.
Details of Presence of Schedule-I Species:
(a)Whether there is Presence of Schedule-I Species ? No
(b)Whether conservation plan for Schedule-I Species has been prepared ? No
(c)Whether conservation plan for Schedule-I Species has been approved by competent authority ? No
29.
Details of Presence of Water Bodies in Core Area:
(a)Whether there is Presence of Water Bodies in Core Area ? No
(b)Whether there is Diversion Required ? No
(c)Whether permission has been obtained from competent authority ? No
30.
Details of Presence of Water Bodies in Buffer Area:
(a)Whether there is Presence of Water Bodies in Buffer Area ? No
31.
Manpower Requirement:
(a)Permanent Employment-During Construction 40
(b)Permanent Employment-During Operation 20
(c)Temporary Employment- During Construction 40
(d)Temporary Employment- During Operation 20
(e)No. of working days 257
(f)Total Manpower 120
32.
Green Belt in Ha:
(a)Uploaded Green Belt plan Copy of Green Belt Plan
S. No.Description ExistingProposedTotal
(1.)Total Area of Green Belt698206982
(2.)Percentage of Total Project Area38038
(3.)No. of Plants3200320
(4.)Funds Allocated112
    33.         Project Benefits
S. No.Type of Project Benefits Details of Project Benefits
(1.)Environmental1.Wastewater treatment,2.Stormwater management,3.Groundwater recharge,4.Greenbelt development
(2.)SocialMedical Facility
   34.   CRZ Specific Details : Not Applicable
   35.   Sector Specific Details For Infrastructure and Miscellaneous Projects  +  CRZ
S. No.Item Details
1.
Details of Building Construction:
(a)Maximum Height of the Building (Meters) 31
(b)Total No. of Flats to be Build 1
(c)No. of Buildings 1
(d)Total plot area (sqm) 19365.06
(e)Total built up area (sqm) 28063
2.
Foreshore Facilities and/or Marine Disposal:
(a)Whether Project Involves Foreshore Activities and/or marine Disposal? No
3.
Rain Water Harvesting:
(a)No. of Storage 0
(b)Capacity 0
(c)No. of Recharge Pits 4
(d)Capacity 274
4.
Parking:
(a)Details of 4 Wheeler/ 2 Wheeler Parking 358
5.
Energy Saving Measures:
(a)Source/Mode solar
(b)Percentage 1
(c)Quantity 1
6.
Other details:
(a)Details of impact on Water Bodies and Drainage patters of catchment area no
(b)Details of Traffic Density Impact Assessment and Modelling Study Copy of Details of Traffic Density Impact Assessment and Modelling Study
(c)In case Underground Tunnel Project below the Forest Land - Subsidence Impact Study report Copy of Underground Tunnel Project below the Forest Land - Subsidence Impact Study report
     7.       Type of Industries to be established with Industrial Estate as per their category A/B
S. No.Type of IndustryNo. of UnitsCategory A/B
NIL
8.
Length of the alignment N/A
9.
Details Bridges/ROB/Interchanges,Flyovers,Vehicle Underpass and Pedestrian Underpass
Details Not Applicable
Additional Detail Sought Additional Detail Sought, 3.
S. No.Item Details
36.
Details of Court Cases:
(a)Whether there is any Court Cases pending against the project and/or land in which the project is proposed to be set up ? No
37.
Details of Direction Issued under Environment (Protection) Act / Air (Prevention & Control of Pollution)) Act / Water (Prevention & Control of Pollution) Act:
(a)Whether any Direction issued under EPA Act/Air Act/Water Act ? No
38.
Details of EIA Consultant:
(a)Have you hired Consultant for preparing document? Yes
(i)Accreditation No. MABET/EIA
(ii)Name of the EIA Consultant AEC
(iii)Address Noida
(iv)Mobile No. 9810085736
(v)Landline No. 0120435288
(vi)Email Id gilbertmervyn@gmail.com
(vii)Category of Accreditation A
(viii)Sector of Accreditation Infrastructure and Miscellaneous Projects  +  CRZ
(ix)Validity of Accreditation 04 Dec 2019
(x)Uploaded Certificate of Accreditation certified by QCI/NABET Copy of Certificate of Accreditation
39.
Documents to be Attached:
(a)Uploaded Copy of EIA/EMP Report Copy of EIA/EMP
Copy of EIA/EMP(Annexures)
Copy of EIA/EMP(Plans/Figures)
(b)Uploaded Copy of Risk Assessment Report Copy of Risk Assessment
(c)Uploaded Copy of Feasibility Report/ Detailed Project Report(DPR) /Detailed Engineering Report /Detailed Conceptual Plan /Approved Mining Plan Copy of Feasibility Report/ Detailed Project Report(DPR) /Detailed Engineering Report /Detailed Conceptual Plan /Approved Mining Plan
(d)Uploaded Copy of Final Layout Plan Copy of Final Layout Plan
(e)Uploaded Cover Letter Copy of Cover Letter
(f)Uploaded Copy of documents in support of the competence/authority of the person making this application to make application on behalf of the User Agency Copy of documents in support of the competence/authority of the person making this application to make application on behalf of the User Agency
(g)Uploaded Additional File Copy of Additional File
Additional Detail Sought
Sno. ADS Letter Remarks Date of ADS
1.NA

kindly see the minutes of the 41st EAC infra-II held on 27-29 May 2019

11 Jun 2019
2. ADS LetterAdditional details uploaded wrt MoM 41st EAC meeting 19 Jun 2019
Undertaking
I hereby give undertaking that the data and information given in the application and enclosures are true to be best of my knowledge and belief. And I am aware that if any part of the data and information found to be false or misleading at any stage, the project will be rejected and clearance given, if any to the project will be revoked at our risk and cost. In addition to above, I hereby give undertaking that no activity/ construction/ expansion has since been taken up.
Name of ApplicantBL Soni
DesignationEE
Name of Company (Applicant Name should not be given here)PUBLIC WORKS DEPARTMENT (HMD) DELHI
AddressHealth Maintenance division South West Sector-3 Dawarka
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