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) 150 Bedded Hospital
(b)Name of the Company / Organisation LAL CHAND PUBLIC CHARITABLE TRUST
(c)Registered Address 4th Floor, Gopal Dass Bhawan, Barakhamba Road, New Delhi,New Delhi,Delhi-110001
(d)Legal Status of the Company Others
(e)Joint Venture No
2.
Address for the correspondence:
(a)Name of the Applicant POOVATHINAL KURIAKOSE JOSEPH
(b)Designation (Owner/ Partner/ CEO) DIRECTOR
(c)Address 4th Floor, Gopal Dass Bhawan, Barakhamba Road, New Delhi,,Connaught Place,New Delhi,Delhi-110001
(d)Pin code 110001
(e)E-mail pk-joseph@dlf.in
(f)STD Code. 124(f)Telephone No. 4769203
(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/103234/2019
(d)Master Proposal Number(Single Window) SW/103209/2019
(e)EAC concerned (for category A Projects only) Infrastructure and Miscellaneous Projects  +  CRZ
(f)Project Type Fresh EC
4.
Location of the Project:
(a)Plot/Survey/Khasra No. Public Building Site no. 2, Greater Kailash-1, New
(b)Pincode 110048
(c)Bounded Latitudes (North) FROM 3160521.00 To 3160568.00
(d)Bounded Longitudes (East) FROM 718248.00 To 718314.00
(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) 220
(h)Uploaded (kml) File Copy of Kml File      
(i)Distance of Nearest HFL from the project boundary within the study area 0.10
(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.)DelhiSouthKalkajiGreater Kailash
6.
Details of Terms of Reference (ToR):
(a)Whether TOR is mandatory for submitting application No
7.
Details of Public Consultation:
(a)Whether the Project Exempted from Public Hearing?Yes
(b)Reason Since, it is Building Construction Project, Hence,
(c)Supporting Document Copy of Supporting Document
8.
Details of Project Configuration/Product:
     8.1.       Project Configuration
S. No.Plant/Equipment/FacilityConfigurationRemarks
(1.)Total No of Towers1
(2.)Total No of Beds150
     8.2.       Product
S. No.Product/Activity (Capacity/Area)QuantityUnitOther UnitMode of Transport / Transmission of ProductOther Mode of Transport / Transmission of Product
(1.)Total Built-up Area27964.10Otherssquare metersOthersNot Applicable
(2.)Total Plot Area4046.86Otherssquare metersOthersNot 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):
Details Not Applicable
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 02 Jan 2019
(iv)Valid Upto 23 Apr 2019
(v)File No. 0
(vi)Application No. 0
(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) 215
(b) Funds Allocated for Environment Management (Capital) (in Crores) 1.6
(c) Funds Allocated Towards CER (Corporate Environment Responsibility) (in Crores) 3.22
(d) Funds Allocated for Environment Management Plan (EMP) (Recurring per Annum) (in Crores) 0.17
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 N/A
(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.)000Others00Others00 MoUCopy of Linkage
14.
Baseline Data :
(a)Period of Base Line Data Collection FROM 18 Dec 2018 To 20 Dec 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.)PM10Micro Gram per Meter Cube225.4220.3224.4100
(2.)NOxMicro Gram per Meter Cube42.441.141.180
(3.)PM2.5Micro Gram per Meter Cube136.4133.8135.460
(4.)SO2Micro Gram per Meter Cube8.78.17.780
    14.2.     No. of Ground Water monitoring locations : 1
S. No.Criteria Pollutants Other Criteria PollutantsHeavy MetalUnitOther UnitMaximum ValueMinimum ValueDesirable LimitMaximum Permissible Limit
(1.)TSSNA0000
(2.)Heavy MetalsLeadmg/l0.010.010.010.01
(3.)pHNA7.67.68.58.5
(4.)TDSmg/l3636250250
(5.)Total Hardnessmg/l144144200200
(6.)Chloridesmg/l3636250250
(7.)Fluoridemg/l0.280.2811
    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/l4.14.1E
(2.)BODmg/l1212E
(3.)CODmg/l4040E
(4.)pHNA7.47.4E
    14.4.     No. of Ambient Noise monitoring locations : 1
S. No.Parameter UnitMaximum ValueMinimum ValuePrescribed Standard
(1.)Leq(Night)A-weighted decibels(dB(A))49.149.140
(2.)Leq(Day)A-weighted decibels(dB(A))56.956.950
    14.5.     No. of Soil Sample Monitored locations : 1
S. No.Parameter UnitOther UnitMaximum ValueMinimum Value
(1.)pH7.37.3
(2.)K(Potassium)Milligram per Kilogram54.554.5
(3.)P(Phosphorus)Milligram per Kilogram22.622.6
(4.)Electric ConductivityOthersmicroseimens per centimetre192.4192.4
(5.)N(Nitrogen)Milligram per Kilogram78.878.8
14.6.
Details of Ground Water Table:
(a)Range of Water Table Pre-Monsoon Season (Meters Below Ground Level (m bgl)) From 06.74 To 59.57
(b)Range of Water Table Post-Monsoon Season (Meters Below Ground Level (m bgl)) From 6.11 To 60.05
(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.)OthersDelhi Jal Board1490.1Copy of Permission LetterPipelineOthersDelhi Jal Board018 Mar 2019215
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.)laboratory & laundry2125ETPOthersLoss 2 KLD021
(2.)Domestic, Flushing, Gardening etc.155200STPReuse within the Plant & Recycling,Green Belt Renewal Plant,Others16 KLD Water Losses7778
16.1.
(a)Total Waste Water Generation 176
(b)Total Discharged Water 99
(c)Total Reused Water 77
    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.)Municipal Solid Waste (Non-Biodegradable)Municipal Solid Waste52.01Tons0.1RoadAuthorized Recyclers
(2.)Biomedical WasteBio-Medical Waste20.53Tons0.1RoadAuthorized Recyclers
(3.)Plastic WastePlastic Waste52.01Tons0.1RoadAuthorized Recyclers
(4.)Municipal Solid Waste (Biodegradable Waste)Municipal Solid Waste156.04Tons0.1OthersOrganic Waste ConvertorOthersOrganic Waste Convertor
(5.)Electronic WasteE Waste0.36Tons0.1RoadAuthorized Recyclers
(6.)Used OilHazardous Waste (as per Hazardous and Other Waste Management rules 2016)0.30Kilolitre0.1RoadAuthorized Recyclers
18.
    18.1.     Air Quality Impact Prediction
S. No.Criteria Pollutants Other Criteria PollutantsUnitBaseline ConcentrationDistance GLCIncremental ConcentrationTotal GLCPrescribed Standard
(1.)SO2Microgram per Meter Cube8.30.90.668.96880
(2.)PM10Microgram per Meter Cube223.80.91.2225.07100
(3.)NOxMicrogram per Meter Cube41.050.91.6642.7160
(4.)PM2.5Microgram per Meter Cube13.40.91.02135.0260
    18.2.     Stack Details
S. No.Source FuelStack Height(m)Stack Diameter(m)PollutantsOther PollutantsEmission (GLS)
(1.)DG Sets (2x1010 kVA)Low Sulphur Diesel300.30SO20.124
(2.)DG Sets (2x1010 kVA)Low Sulphur Diesel300.30NOx0.308
(3.)DG Sets (1x500 kVA)Low Sulphur Diesel300.30NOx0.308
(4.)DG Sets (1x500 kVA)Low Sulphur Diesel300.30OthersPM 2.50.189
(5.)DG Sets (2x1010 kVA)Low Sulphur Diesel300.30OthersPM 2.50.189
(6.)DG Sets(2x1010 kVA)Low Sulphur Diesel300.30PM100.236
(7.)DG Sets (1x500 kVA)Low Sulphur Diesel300.30PM100.236
(8.)DG Sets (1x500 kVA)Low Sulphur Diesel300.30SO20.124
19.
Power Requirement:
(a)Quantity (Kilo Volt Amps (kVA)) 2503.3
(b)Source Delhi Discom BSES Rajdhani Power Limited
(c)Uploaded Copy of Agreement Copy of Agreement
(d)Standby Arrangement (Details of DG Sets) 2x1010 kVA and 1x500 kVA
(e)Stack Height (in m) 51
20.
Land Ownership Pattern:
(a)Forest Land 0
(b)Private Land 0
(c)Government Land 0
(d)Revenue Land 0
(e)Other Land 0.404686
    Total Land 0.404686
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 : Plot Area 0.404686
    Total 0.404686
    22.     Land requirement for various activities
S. No.Description of Activity / Facility / Plant / Others OthersLand RequirementRemarks
(1.)Built Up Area27964.10
Total 27964.1
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.)ESAsNA0NA
(2.)ESZsAsola Wildlife Sanctuary5.30It is in SSE Direction of Project Site.
(3.)NPAOkhla Bird Sanctuary8.54It is in SEE Direction of Project Site.
(4.)CorridorsNA0NA
(5.)Wildlife CorridorsNA0NA
(6.)WLSAsola Wildlife Sanctuary6.45It is in SEE direction from project boundary
(7.)Critically Polluted AreaOkhla Industrial Area5.05It is in SEE 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.)Defence InstallationsArjangarh Air Force Station13.10It is in SW of Project Site
(2.)OthersNANA0NA
(3.)ForestCentral Ridge Reserve Forest7.23It is in NW of Project Site
(4.)Archaeological SitesRuined line if Walls, Shahpurjat1.13It is in SWW 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) 11
(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 ? 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 Drain near Project Site
(ii)Direction of Water Bodies in Buffer Area North West
(iii)Distance of Water Bodies in Buffer Area 0.10
31.
Manpower Requirement:
(a)Permanent Employment-During Construction 0
(b)Permanent Employment-During Operation 0
(c)Temporary Employment- During Construction 150
(d)Temporary Employment- During Operation 600
(e)No. of working days 365
(f)Total Manpower 750
32.
Green Belt in Ha:
(a)Total Area of Green Belt 0.123357
(b)Percentage of Total Project Area 30.48
(c)No. of Plants to be Planted 51
(d)Funds Allocated for Plantation 0.1
(e)Uploaded Green Belt plan Copy of Green Belt Plan
    33.         Project Benefits
S. No.Type of Project Benefits Details of Project Benefits
(1.)EnvironmentalGreen area of 1233.57 m2 (Out of which, 571.22 m2 on Ground and 662.35 m2 on terrace )i..e 30.48% of total plot area shall be developed which shall reduce pollution load in the nearby area.
(2.)SocialBy providing high class medical facilities, the project shall help in uplifting social status in the nearby area.
(3.)FinancialBy Tax and Revenue generation, the project shall be help in improving the financial status in nearby area and eventually shall benefit the proponent too.
   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) 56.5
(b)Total No. of Flats to be Build 1
(c)No. of Buildings 1
(d)Total plot area (sqm) 4046.86
(e)Total built up area (sqm) 27964.10
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 1
(d)Capacity 69.49
4.
Parking:
(a)Details of 4 Wheeler/ 2 Wheeler Parking 312 ECS
5.
Energy Saving Measures:
(a)Source/Mode Solar & LED
(b)Percentage 21.2
(c)Quantity 530.69
6.
Other details:
(a)Details of impact on Water Bodies and Drainage patters of catchment area There will be no excess water which will be discha
(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:   NIL ,w ,3.NIL
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 75/10th April, 2019 at S.No. 119
(ii)Name of the EIA Consultant Perfact Enviro Solutions Pvt. Ltd.
(iii)Address 5th Floor, NN Mall, Mangalam Place, Sector-3, Rohini
(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
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 ApplicantPOOVATHINAL KURIAKOSE JOSEPH
DesignationDIRECTOR
Name of Company (Applicant Name should not be given here)LAL CHAND PUBLIC CHARITABLE TRUST
Address4th Floor, Gopal Dass Bhawan, Barakhamba Road, New Delhi
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