Report Part 1

Form-2

APPLICATION FOR PRIOR ENVIRONMENTAL CLEARANCE

S. No.

Item

Details

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)	Sri Balaji Action Medical Institute
(b)Name of the Company / Organisation	LALA MUNNI LAL MANGE RAM CHARITABLE TRUST
(c)Registered Address	Lala Munni Lal Mange Ram Charitable Trust, 15/17, East Punjabi Bagh, New Delhi,,West,Delhi-110026
(d)Legal Status of the Company	Others
(e)Joint Venture	No

Address for the correspondence:
(a)Name of the Applicant	Raj Kumar Gupta
(b)Designation (Owner/ Partner/ CEO)	Trustee
(c)Address	Lala Munni Lal Mange Ram Charitable Trust, 15/17, East Punjabi Bagh, New Delhi-110026,,Punjabi Bagh,West,Delhi-110026
(d)Pin code	110026
(e)E-mail	sp.khanpuria@gmail.com
(f)STD Code.	11(f)Telephone No.	45666666
(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

Category of the Project/Activity as per Schedule of EIA Notification,2006:
(a.I)Project/Activity	8(a) Building and Construction projects
Minor Activity
(b)Category	B2
Reason for Applying at Ministry	SEIAA
(c)Proposal Number	IA/DL/MIS/91906/2019
(d)Master Proposal Number(Single Window)	SW/91902/2019
(e)EAC concerned (for category A Projects only)	INFRA-2
(f)Project Type	Fresh EC

Location of the Project:
(a)Plot/Survey/Khasra No.	FC-34
(b)Pincode	110063
(c)Bounded Latitudes (North)
From
Degree	3173616.45
Minutes
Second
From
Degree	3173764.40
Minutes
Second
(d)Bounded Longitudes (East)
From
Degree	706169.77
Minutes
Second
From
Degree	706339.91
Minutes
Second
(e)Survey of India Topo Sheet No.	53H/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	1.29
(j)Seismic Zone	4

(a)Number of States in which Project will be Executed	1
(b)Main State of the project	Delhi

Details of State of the project
S. No.	State Name	District Name	Tehsil Name	Village Name
NIL

Details of Terms of Reference (ToR):
(a)Whether TOR is mandatory for submitting application	No

Details of Public Consultation:
(a)Whether the Project Exempted from Public Hearing?	Yes
(b)Reason	As per EIA Notification, 2006, all building constr
(c)Supporting Document	Copy of Supporting Document

Details of Project Configuration/Product:

8.1. Project Configuration
S. No.	Plant/Equipment/Facility	Configuration	Remarks
(1.)	Total No of towers	3
(2.)	Total no of beds	500

8.2. Product
S. No.	Product/Activity (Capacity/Area)	Quantity	Unit	Other Unit	Mode of Transport / Transmission of Product	Other Mode of Transport / Transmission of Product
(1.)	total plot area	23400	Others	sqare meter	Others	Not Applicable
(2.)	total built-up area after expansion	83454.81	Others	sqare meter	Others	Not Applicable

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 Jun 2016
(iv)Valid Upto	25 Jul 2018
(v)File No.	37157
(vi)Application No.	35544
(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)	150
(b) Funds Allocated for Environment Management (Capital) (in Crores)	0.36
(c) Funds Allocated Towards CER (Corporate Environment Responsibility) (in Crores)	1.125
(d) Funds Allocated for Environment Management Plan (EMP) (Recurring per Annum) (in Crores)	0.175

11.

Whether project attracts the General Condition specified in the Schedule of EIA Notification ?

12.

Whether project attract the Specific Condition specified in the Schedule of EIA Notification ?

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	Quantity	Unit	Other Unit	Source (incase of Import. please specify country and Name of the port from which Raw Material / Fuel is received )	Mode of Transport	Other Mode of Transport	Distance 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.	0	Others	0	0	Others	0	0	Others	Raw Material_MOU	Copy of Linkage

14.

Baseline Data :
(a)Period of Base Line Data Collection	FROM 24 Dec 2018 To 29 Dec 2018
(b)Season	Winter

14.1. No. of ambient Air Quality (AAQ) monitoring locations : 2
S. No.	Criteria Pollutants	Other Criteria Pollutants	Unit	Maximum Value	Minimum Value	98 Percentile Value	Prescribed Standard
(1.)	PM10		Micro Gram per Meter Cube	191.1	172.4	185.2	100
(2.)	PM2.5		Micro Gram per Meter Cube	139.6	119.5	136.3	60
(3.)	SO2		Micro Gram per Meter Cube	7.9	7.1	7.7	80
(4.)	NOx		Micro Gram per Meter Cube	40.1	35.2	39.3	80

14.2. No. of Ground Water monitoring locations : 1
S. No.	Criteria Pollutants	Other Criteria Pollutants	Heavy Metal	Unit	Other Unit	Maximum Value	Minimum Value	Desirable Limit	Maximum Permissible Limit
(1.)	Chlorides			mg/l		189.9	189.9	250	250
(2.)	Fluoride			mg/l		0.22	0.22	1	1
(3.)	Heavy Metals		Lead	mg/l		0	0	0.1	0.1
(4.)	TSS			NA		0	0	0	0
(5.)	TDS			mg/l		850.2	850.2	500	500
(6.)	pH			NA		7.6	7.6	8.5	8.5
(7.)	Total Hardness			mg/l		92	92	200	200

14.3. No. of Surface Water monitoring locations : 1
S. No.	Criteria Pollutants	Other Criteria Pollutants	Unit	Other Unit	Maximum Value	Minimum Value	Classification of inland water body
(1.)	pH		NA		7.8	7.8	E
(2.)	DO		mg/l		2.8	2.8	E
(3.)	COD		mg/l		96	96	E
(4.)	BOD		mg/l		13.5	13.5	E

14.4. No. of Ambient Noise monitoring locations : 1
S. No.	Parameter	Unit	Maximum Value	Minimum Value	Prescribed Standard
(1.)	Leq(Night)	A-weighted decibels(dB(A))	47.2	47.2	40
(2.)	Leq(Day)	A-weighted decibels(dB(A))	51.5	51.5	50

14.5. No. of Soil Sample Monitored locations : 1
S. No.	Parameter	Unit	Other Unit	Maximum Value	Minimum Value
(1.)	N(Nitrogen)	Milligram per Kilogram		33.6	33.6
(2.)	P(Phosphorus)	Milligram per Kilogram		17.9	17.9
(3.)	Electric Conductivity	Others	microsiemens per centimetre	219.7	219.7
(4.)	pH			7.3	7.3
(5.)	K(Potassium)	Milligram per Kilogram		9.5	9.5

14.6.

Details of Ground Water Table:
(a)Range of Water Table Pre-Monsoon Season (Meters Below Ground Level (m bgl))	From 2.91 To 34.62
(b)Range of Water Table Post-Monsoon Season (Meters Below Ground Level (m bgl))	From 2.82 To 34.86
(c)Whether Ground Water Intersection will be there ?	No

15. Details of Water Requirement (During Operation)
S. No.	Source	Source Other	Required Quantity (Kilolitre per Day (Kld))	Distance from Source	Copy of Permission from Competent Authority	Mode of Transport	Other Mode of Transport	Method of Water Withdrawal	Other Method of Water Withdrawal	Letter No.	Date of Issue	Permitted Quantity
(1.)	Others	Delhi Jal Board & Tanker Supply	195	0	Copy of Permission Letter	Pipeline		Others	Delhi Jal Board & Tanker Supply	6005644390905	11 Jul 2017	195

15.1.

(a)Whether Desalination is proposed

16. Waste Water Management(During Operation)
S. No.	Type/Source	Quantity of Waste Water Generated (Kilolitre per Day)	Treatment Capacity (Kilolitre per Day)	Treatment Method	Mode of Disposal	Other Mode of Disposal	Quantity of Treated Water Used in Recycling/Reuse (Kilolitre per Day)	Quantity of Discharged Water (Kilolitre per Day)
(1.)	Domestic, Flushing, Gardening, DG & HVAC Cooling	282	600	STP	Reuse within the Plant & Recycling,Green Belt Renewal Plant,Others	27 KLD losses	255	27
(2.)	Laboratory	1	3	ETP	Discharge into Surface Water Body,Others	0.2 KLD losses	0	1

16.1.

(a)Total Waste Water Generation (Kilolitre per Day)	283
(b)Total Discharged Water (Kilolitre per Day)	28
(c)Total Reused Water (Kilolitre per Day)	255

17. Solid Waste Generation/Management
S. No.	Name of Waste	Item	Other Item	Quantity per Annum	Unit	Distance from Site(KM)	Mode of Transport	Other Mode of Transport	Mode of Disposal	Other Mode of Disposal
(1.)	Municipal Solid Waste (Biodegradable)	Municipal Solid Waste		128.1	Tons	0	Others	Organic Waste Converter sha;ll be installed	Others	Organic Waste Converter
(2.)	Municipal Solid Waste (Non Biodegradable)	Municipal Solid Waste		42.7	Tons	0.1	Road		Authorized Recyclers
(3.)	Electronic Waste	E Waste		0.024	Kilolitre	0.1	Road		Authorized Recyclers
(4.)	Biomedical Waste	Bio-Medical Waste		68.4	Tons	0.1	Road		Authorized Recyclers
(5.)	Plastic Waste	Plastic Waste		42.7	Tons	0.1	Road		Authorized Recyclers
(6.)	Used Oil	Hazardous Waste (as per Hazardous and Other Waste Management rules 2016)		0.192	Kilolitre	0.1	Road		Authorized Recyclers

18.

18.1. Air Quality Impact Prediction
S. No.	Criteria Pollutants	Other Criteria Pollutants	Unit	Baseline Concentration	Distance GLC	Incremental Concentration	Total GLC	Prescribed Standard
(1.)	PM10		Microgram per Meter Cube	188.15	0.9	1.21	189.37	100
(2.)	NOx		Microgram per Meter Cube	39.7	0.9	2.63	42.34	80
(3.)	PM2.5		Microgram per Meter Cube	137.5	0.9	0.726	138.227	60
(4.)	SO2		Microgram per Meter Cube	7.8	0.9	0.262	8.063	80

18.2. Stack Details
S. No.	Source	Fuel	Stack Height(m)	Stack Diameter(m)	Pollutants	Other Pollutants	Emission (GLS)
(1.)	DG sets (3 x750 kVA)	Low sulphur diesel	45.5	0.3	PM10		0.208
(2.)	DG sets (3x 750 kVA)	Low sulphur diesel	45.5	0.3	SO2		0.045
(3.)	DG sets (3 x 750 kVA)	Low sulphur diesel	45.5	0.3	Others	PM2.5	0.125
(4.)	DG sets (3 x750 kVA)	Low sulphur diesel	45.5	0.3	NOx		0.450

19.

Power Requirement:
(a)Quantity (Kilo Volt Amps (kVA))	1657
(b)Source	BSES
(c)Uploaded Copy of Agreement	Not Applicable
(d)Standby Arrangement (Details of DG Sets)	3x750 kVA
(e)Stack Height (in m)	45.5

20.

Land Ownership Pattern:
(a)Forest Land (ha.)	0
(b)Private Land (ha.)	0
(c)Government Land (ha.)	0
(d)Revenue Land (ha.)	0
(e)Other Land (ha.)	2.3400
Total Land (ha.)	2.3400

21.

Present Land Use Breakup of the Study Area in Ha:
(a)Agriculture Area (ha.)	0
(b)Waste/Barren Land (ha.)	0
(c)Grazing/ Community Land (ha.)	0
(d)Surface Water Bodies (ha.)	0
(e)Settlements (ha.)	0
(f)Industrial (ha.)	0
(g)Forest (ha.)	0
(h)Mangroves (ha.)	0
(i)Marine Area (ha.)	0
(j)Others (ha.) : Plot area	2.3400
Total (ha.)	2.34

22. Land requirement for various activities
S. No.	Description of Activity / Facility / Plant / Others	Others	Land Requirement (ha.)	Remarks
(1.)	Built Up Area		8.3454

Total (ha.)

8.3454

23.

Ecological and Environmental Sensitivity (Within 10 Km):- WLS-Wild Life Sanctuaries; NPA-Notified Protected Area; ESAs-Eco Sensitive Areas; ESZs-Eco Sensitive Zones :

23.1. Details of Ecological Sensitivity :
S. No.	Details of Ecological Sensitivity	Name	Distance from the Project (Km)	Remarks
(1.)	WLS	none	0	None
(2.)	NPA	none	0	None
(3.)	ESAs	none	0	None
(4.)	Critically Polluted Area	Naraina Industrail Area	4.09	in South East Direction from Project Site
(5.)	ESZs	none	0	None
(6.)	Corridors	none	0	None
(7.)	Wildlife Corridors	None	0	None

23.2. Details of Environmental Sensitivity :
S. No.	Details of Environmental Sensitivity	Other Details of Environmental Sensitivity	Name	Distance from the Project (Km)	Remarks
(1.)	Forest		Pusa Hill Forest	7.29	South East direction from project site
(2.)	Archaeological Sites		None	0	None
(3.)	Defence Installations		None	0	None

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)	2.3400
(b)Land yet to be acquired(Ha)	0
(c)Status of Land acquisition if not acquired	Not applicable

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 INR) (in Lacs)	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 ?	Yes
(i)Details of Water Bodies in Buffer Area	Bhagwati Lake-1.05 km, Najafgarh drain-1.29 km
(ii)Direction of Water Bodies in Buffer Area	South East
(iii)Distance of Water Bodies in Buffer Area	1.05

31.

Manpower Requirement:
(a)Permanent Employment-During Construction	0
(b)Permanent Employment-During Operation	1500
(c)Temporary Employment- During Construction	150
(d)Temporary Employment- During Operation	0
(e)No. of working days	365
(f)Total Manpower	1650

32.

Green Belt in Ha:
(a)Total Area of Green Belt	0.528761
(b)Percentage of Total Project Area	22.60
(c)No. of Plants to be Planted	0
(d)Funds Allocated for Plantation	0.05
(e)Uploaded Green Belt plan	Copy of Green Belt Plan

33. Project Benefits
S. No.	Type of Project Benefits	Details of Project Benefits
(1.)	Environmental	About 5287.61 m2 (22.60% of plot area) has already been developed as green.
(2.)	Social	It will provide better medical facility & employment opportunities to the people of nearby area.
(3.)	Financial	Revenue generation through taxes

34. CRZ Specific Details : Not Applicable

35. Sector Specific Details For INFRA-2

S. No.

Item

Details

Details of Building Construction:
(a)Maximum Height of the Building (Meters)	39.5
(b)Total No. of Flats to be Build	0
(c)No. of Buildings	3
(d)Total plot area (sqm)	23400
(e)Total built up area (sqm)	83454.81

Foreshore Facilities and/or Marine Disposal:
(a)Whether Project Involves Foreshore Activities and/or marine Disposal?	No

Rain Water Harvesting:
(a)No. of Storage	0
(b)Capacity	0
(c)No. of Recharge Pits	3
(d)Capacity	77.48

Parking:
(a)Details of 4 Wheeler/ 2 Wheeler Parking	886 ECS

Energy Saving Measures:
(a)Source/Mode	LED lights and solar heater
(b)Percentage	1
(c)Quantity	16.57

Other details:
(a)Details of impact on Water Bodies and Drainage patters of catchment area	No impact
(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 Industry	No. of Units	Category A/B
NIL

Length of the alignment

N/A

Details Bridges/ROB/Interchanges,Flyovers,Vehicle Underpass and Pedestrian Underpass
Details Not Applicable

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 72/ 17th Dec, 2018 at S.No. 117
(ii)Name of the EIA Consultant	Perfact Enviro Solutions Pvt. Ltd.
(iii)Address	5th floor, NN Mall, Mangalam palace,, Sec-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	INFRA-2
(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	Copy of Additional File
(h)Uploaded Proposal Presentation (To be given in EAC meeting)	NA

Essential Detail Sought:
Sno.	EDS Letter	Remarks	Date of EDS
1.	NA	This is an expansion project not new. Kindly correct the category in Form-1. Also submit copy of Consent to Operate and Bio Medical Waste Authorisation for the existing hospital.	23 Jan 2019
2.	NA	The correction have been made as per the instruction received	24 Jan 2019

Additional Detail Sought : NIL

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 Applicant	Raj Kumar Gupta
Designation	Trustee
Name of Company (Applicant Name should not be given here)	LALA MUNNI LAL MANGE RAM CHARITABLE TRUST
Address	Lala Munni Lal Mange Ram Charitable Trust, 15/17, East Punjabi Bagh, New Delhi