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 1241 Beds Hospital Complex
(b)Name of the Company / Organisation DIRECTORATE GENERAL OF HEALTH SERVICES
(c)Registered Address Director General, Directorate General of Health Services, F-17, Kardardooma, New Delhi,South West,Delhi-110075
(d)Legal Status of the Company State Government
(e)Joint Venture No
2.
Address for the correspondence:
(a)Name of the Applicant Arun Soni
(b)Designation (Owner/ Partner/ CEO) ExecutiveEngineer
(c)Address O/O Executive Engineer, Health Project Division West, sector-9, Dwarka, New Delhi,,Najafgarh,South West,Delhi-110075
(d)Pin code 110075
(e)E-mail pmpwddelhihealthwest@gmail.com
(f)STD Code. 11(f)Telephone No. 25084817
(g)Fax No. 25083209
(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/96918/2009
(d)Master Proposal Number(Single Window) SW/96916/2019
(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. Sector 9, Dwarka New Delhi
(b)Pincode 110075
(c)Bounded Latitudes (North) FROM 3163134.78 To 3163211.39
(d)Bounded Longitudes (East) FROM 701487.64 To 701864.01
(e)Survey of India Topo Sheet No. 53 H/02
(f)Uploaded Topo Sheet File Copy of Topo Sheet File
(g)Maximum Elevation Above Means Sea Level(AMSL) 211
(h)Uploaded (kml) File Copy of Kml File      
(i)Distance of Nearest HFL from the project boundary within the study area 2.22
(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.)DelhiSouth WestNajafgarh-
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 It is a Building construction project.
(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. 4-836/2010-RO(NZ)/622
(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.)Effective site area42000042000OthersSquare meterOthersNA
(2.)Total plot area60000060000OthersSquare meterOthersNA
(3.)Built up area127129.1421440.92148570.06OthersSquare MeterOthersNA
(c)Details of Configuration
S. No.Plant / Equipment / Facility Existing ConfigurationProposed ConfigurationFinal configuration after expansionRemarks
(1.)No. of Beds7504911241Increase
(2.)Out Patient300012004200Increase
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 08 Feb 2019
(iv)Valid Upto 14 Feb 2019
(v)File No. -
(vi)Application No. -
(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) 565
(b) Funds Allocated for Environment Management (Capital) (in Crores) 3.575
(c) Funds Allocated Towards CER (Corporate Environment Responsibility) (in Crores) 2.82
(d) Funds Allocated for Environment Management Plan (EMP) (Recurring per Annum) (in Crores) 0.34
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 0
(b)Existing quantity of raw material/fuel 0
(c)Total quantity of raw material/fuel 0
    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.)It is a construction project.0Tons per AnnumIndiaOthersNA0 MoUCopy of Linkage
14.
Baseline Data :
(a)Period of Base Line Data Collection FROM 10 Jan 2018 To 14 Jan 2018
(b)Season Winter
    14.1.     No. of ambient Air Quality (AAQ) monitoring locations : 2
S. No.Criteria Pollutants Other Criteria PollutantsUnitMaximum ValueMinimum Value98 Percentile ValuePrescribed Standard
(1.)PM2.5Micro Gram per Meter Cube140.2132.6139.260
(2.)SO2Micro Gram per Meter Cube8.98.58.780
(3.)PM10Micro Gram per Meter Cube229.5218.4228.5100
(4.)NOxMicro Gram per Meter Cube46.840.845.780
    14.2.     No. of Ground Water monitoring locations : 1
S. No.Criteria Pollutants Other Criteria PollutantsHeavy MetalUnitOther UnitMaximum ValueMinimum ValueDesirable LimitMaximum Permissible Limit
(1.)Total Hardnessmg/l144.0144.0200200
(2.)Fluoridemg/l2.582.5811
(3.)Chloridesmg/l177.9177.9250250
(4.)pHNA7.617.618.58.5
(5.)TDSmg/l791.0791.0500500
(6.)TSSmg/l0000
    14.3.     No. of Surface Water monitoring locations : 1
S. No.Criteria Pollutants Other Criteria PollutantsUnitOther UnitMaximum ValueMinimum ValueClassification of inland water body
(1.)BODmg/l24.024.0E
(2.)pHmg/l7.97.9E
(3.)DOmg/l5.45.4E
(4.)CODmg/l96.096.0E
    14.4.     No. of Ambient Noise monitoring locations : 1
S. No.Parameter UnitMaximum ValueMinimum ValuePrescribed Standard
(1.)Leq(Day)A-weighted decibels(dB(A))60.960.950.0
(2.)Leq(Night)A-weighted decibels(dB(A))52.352.340.0
    14.5.     No. of Soil Sample Monitored locations : 1
S. No.Parameter UnitOther UnitMaximum ValueMinimum Value
(1.)pHMilligram per Kilogram9.59.5
(2.)N(Nitrogen)Milligram per Kilogram19.619.6
(3.)P(Phosphorus)Milligram per Kilogram10.410.4
(4.)Electric ConductivityMillisiemens per Centimetre163.4163.4
(5.)K(Potassium)Milligram per Kilogram4.04.0
14.6.
Details of Ground Water Table:
(a)Range of Water Table Pre-Monsoon Season (Meters Below Ground Level (m bgl)) From 24.05 To 6.44
(b)Range of Water Table Post-Monsoon Season (Meters Below Ground Level (m bgl)) From 25.05 To 6.11
(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.)OthersMunicipal supply6340.1Copy of Permission LetterPipelineOthersMunicipal supplyNo10 Jan 2019634
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.)Flushig,Kitchen, Domestic695750STPReuse within the Plant & Recycling,Green Belt Renewal Plant,Others54 LOSS6950
(2.)Lab and Laundary6270ETPOthers6 KLD loses062
16.1.
(a)Total Waste Water Generation 757
(b)Total Discharged Water 62
(c)Total Reused Water 695
    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.)Bio degradable wasteMunicipal Solid Waste457.71Tons0.1OthersNAOthersOrganic waste converter waste will be ued
(2.)used oilHazardous Waste (as per Hazardous and Other Waste Management rules 2016)25.55Tons0.1RoadAuthorized Recyclers
(3.)Bio Medical wasteBio-Medical Waste169.73Tons0.1RoadAuthorized Recyclers
(4.)Non Biodegradable wasteMunicipal Solid Waste163.52Kilolitre0.1RoadAuthorized Recyclers
(5.)Plastic wastePlastic Waste32.49Tons0.1RoadAuthorized Recyclers
(6.)E-wasteE Waste5000Tons0.1RoadAuthorized Recyclers
18.
    18.1.     Air Quality Impact Prediction
S. No.Criteria Pollutants Other Criteria PollutantsUnitBaseline ConcentrationDistance GLCIncremental ConcentrationTotal GLCPrescribed Standard
(1.)PM10Microgram per Meter Cube212.30.80.3212.7100
(2.)PM2.5Microgram per Meter Cube126.250.80.09126.3560
(3.)SO2Microgram per Meter Cube7.650.80.157.980
(4.)NOxMicrogram per Meter Cube40.70.80.941.780
    18.2.     Stack Details
S. No.Source FuelStack Height(m)Stack Diameter(m)PollutantsOther PollutantsEmission (GLS)
(1.)D.G Sets (5 x 2000 KVA)Low sulpher diesel420.65PM100.067
(2.)D.G sets (5 x 2000 KVA)Low Sulpher Diesel420.65NOx0.318
(3.)D.G Sets (5 x 2000 KVA)Low Sulpher Diesel420.65SO20.24
(4.)D.G sets (5 x 2000 KVA)Low Sulpher Diesel420.65OthersPM2.50.027
19.
Power Requirement:
(a)Quantity (Kilo Volt Amps (kVA)) 7076
(b)Source BSES
(c)Uploaded Copy of Agreement Copy of Agreement
(d)Standby Arrangement (Details of DG Sets) 4 x 2000 KVA & 1 x 2000 KVA (stand by)
(e)Stack Height (in m) 42
20.
Land Ownership Pattern:
(a)Forest Land 0
(b)Private Land 0
(c)Government Land 0
(d)Revenue Land 0
(e)Other Land 6
    Total Land 6
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 : Total plot area 6
    Total 6
    22.     Land requirement for various activities
S. No.Description of Activity / Facility / Plant / Others OthersLand RequirementRemarks
(1.)OthersExpansion of 1241 beds Hospital complex6
Total 6
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.)ESAsPrasad Nagar Lake13.63NE direction of project site
(2.)ESZsNone0NA
(3.)CorridorsNone0NA
(4.)Wildlife CorridorsNone0NA
(5.)Critically Polluted AreaNaraina industrial area9.05NE direction of project site
(6.)WLSNone0NA
(7.)NPARajokari Protected Forest9.0SE direction of project site
    23.2.     Details of Environmental Sensitivity :
S. No.Details of Environmental Sensitivity Other Details of Environmental Sensitivity NameDistance from the Project (Km)Remarks
(1.)ForestRajokari Protected Forest0.95NE direction of project site
(2.)Defence InstallationsNone0NA
(3.)OthersState BoundaryHaryana Boundary6.70SW direction of project site
(4.)Archaeological SitesAncient Mosque2.13NE direction of project site
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) 0
(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) 6
(b)Land yet to be acquired(Ha) 0
(c)Status of Land acquisition if not acquired Acquired
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 ? Yes
(i)Details of Schedule-I Species Indian Peafowl
(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 ? Yes
(i)Details of Water Bodies in Buffer Area Najabhgarh Drain
(ii)Direction of Water Bodies in Buffer Area West
(iii)Distance of Water Bodies in Buffer Area 2.39
31.
Manpower Requirement:
(a)Permanent Employment-During Construction 0
(b)Permanent Employment-During Operation 2100
(c)Temporary Employment- During Construction 400
(d)Temporary Employment- During Operation 0
(e)No. of working days 300
(f)Total Manpower 2500
32.
Green Belt in Ha:
(a)Uploaded Green Belt plan Copy of Green Belt Plan
S. No.Description ExistingProposedTotal
(1.)Total Area of Green Belt01.151.15
(2.)Percentage of Total Project Area027.627.6
(3.)No. of Plants0545545
(4.)Funds Allocated0150150
    33.         Project Benefits
S. No.Type of Project Benefits Details of Project Benefits
(1.)EnvironmentalGreen area will be developed
(2.)SocialEmployment generation, better health facility opportunity will be provided to people of near by the area
(3.)FinancialAdditional revenue will be generated
   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) 36
(b)Total No. of Flats to be Build 0
(c)No. of Buildings 4
(d)Total plot area (sqm) 60000
(e)Total built up area (sqm) 148570.06
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 12
(d)Capacity 370.60
4.
Parking:
(a)Details of 4 Wheeler/ 2 Wheeler Parking 1625 ECS
5.
Energy Saving Measures:
(a)Source/Mode Solar & LED
(b)Percentage 1
(c)Quantity 71
6.
Other details:
(a)Details of impact on Water Bodies and Drainage patters of catchment area There will be impact on water body
(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. Rev 73/ February 08, 2019 at S.No.-116)
(ii)Name of the EIA Consultant Perfact Enviro Solutions Pvt. Ltd.
(iii)Address Perfact Group, 5th floor/Front wing/NN Mall/Sector-3/Rohini/New Delhi-110085
(iv)Mobile No. 9818362330
(v)Landline No. 0114928136
(vi)Email Id info@perfactgroup.in
(vii)Category of Accreditation A
(viii)Sector of Accreditation Infrastructure and Miscellaneous Projects  +  CRZ
(ix)Validity of Accreditation 27 May 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 NA
Additional Detail Sought
Sno. ADS Letter Remarks Date of ADS
1.NA

Kindly see the final minutes of 39th meeting of EAC (Infra-2)

05 Apr 2019
2. ADS LetterNA 16 May 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 ApplicantArun Soni
DesignationExecutiveEngineer
Name of Company (Applicant Name should not be given here)DIRECTORATE GENERAL OF HEALTH SERVICES
AddressDirector General, Directorate General of Health Services, F-17, Kardardooma, New Delhi
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