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) 545 Bedded Hospital
(b)Name of the Company / Organisation DR. NARAYAN DUTT SHRIMALI FOUNDATION INTERNATIONAL CHARITABLE TRUST SOCIETY
(c)Registered Address 823, DLF Tower A, Jasola District Centre, New Delhi- 110025,,New Delhi,Delhi-110025
(d)Legal Status of the Company Others
(e)Joint Venture No
2.
Address for the correspondence:
(a)Name of the Applicant Harsh Vardhan Bansal
(b)Designation (Owner/ Partner/ CEO) Secretary
(c)Address 823 DLF Tower A, Jasola District Centre New Delhi 110025,,Connaught Place,New Delhi,Delhi-110025
(d)Pin code 110025
(e)E-mail hospitalndsf@gmail.com
(f)STD Code. 11(f)Telephone No. 20218668
(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.I)Project/Activity8(a) Building and Construction projects
Minor Activity
(b)Category B2
   Reason for Applying at Ministry SEIAA
(c)Proposal Number IA/DL/MIS/113318/2019
(d)Master Proposal Number(Single Window) SW/113315/2019
(e)EAC concerned (for category A Projects only) INFRA-2
(f)Project Type Fresh EC
4.
Location of the Project:
(a)Plot/Survey/Khasra No. Site No. – 2, Zone - H-4/5, Facility Centre
(b)Pincode 110034
(c)Bounded Latitudes (North)
From
Degree 3175295.44
Minutes
Second
From
Degree 3175476.14
Minutes
Second
(d)Bounded Longitudes (East)
From
Degree 706256.00
Minutes
Second
From
Degree 706428.13
Minutes
Second
(e)Survey of India Topo Sheet No. H43X1
(f)Uploaded Topo Sheet File Copy of Topo Sheet File
(g)Maximum Elevation Above Means Sea Level(AMSL) 219
(h)Uploaded (kml) File Copy of Kml File      
(i)Distance of Nearest HFL from the project boundary within the study area 2.95
(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 of the project
S. No. State Name District Name Tehsil Name Village Name
NIL
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 It is an 8(a) project
(c)Supporting Document Copy of Supporting Document
8.
Details of Project Configuration/Product:
     8.1.       Project Configuration
S. No.Plant/Equipment/FacilityConfigurationRemarks
(1.)OPDFor about 2000 no. of patients
(2.)Intensive Care Units (ICU)-
(3.)Operation Theaters-
(4.)Day Care-
(5.)No.of IPD Beds545
(6.)Emergency (casualty)-
(7.)Laboratories-
     8.2.       Product
S. No.Product/Activity (Capacity/Area)QuantityUnitOther UnitMode of Transport / Transmission of ProductOther Mode of Transport / Transmission of Product
(1.)Total Plot Area29999.34OtherssqmOthersNA
(2.)Total Built up area94956.31OtherssqmOthersNA
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 01 Jul 2019
(iv)Valid Upto 31 Jul 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) 130
(b) Funds Allocated for Environment Management (Capital) (in Crores) 1.927
(c) Funds Allocated Towards CER (Corporate Environment Responsibility) (in Crores) 1.95
(d) Funds Allocated for Environment Management Plan (EMP) (Recurring per Annum) (in Crores) 0.225
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.)000OthersNA0OthersNA0 MoUCopy of Linkage
14.
Baseline Data :
(a)Period of Base Line Data Collection FROM 02 May 2019 To 10 May 2019
(b)Season Summer
    14.1.     No. of ambient Air Quality (AAQ) monitoring locations : 2
S. No.Criteria Pollutants Other Criteria PollutantsUnitMaximum ValueMinimum Value98 Percentile ValuePrescribed Standard
(1.)NOxMicro Gram per Meter Cube49.543.648.580
(2.)PM10Micro Gram per Meter Cube221.2206.3220.2100
(3.)SO2Micro Gram per Meter Cube10.17.29.180
(4.)PM2.5Micro Gram per Meter Cube128.692.4127.660
    14.2.     No. of Ground Water monitoring locations : 1
S. No.Criteria Pollutants Other Criteria PollutantsHeavy MetalUnitOther UnitMaximum ValueMinimum ValueDesirable LimitMaximum Permissible Limit
(1.)pHNA7.57.58.58.5
(2.)TSSmg/l0000
(3.)TDSmg/l10521052500500
(4.)Total Hardnessmg/l128128200200
(5.)Chloridesmg/l6666250250
(6.)Fluoridemg/l0.140.1411
(7.)Heavy MetalsLeadmg/l0.010.010.010.01
    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/l4.24.2E
(2.)CODmg/l112112E
(3.)pHNA7.27.2E
(4.)BODmg/l37.437.4E
    14.4.     No. of Ambient Noise monitoring locations : 1
S. No.Parameter UnitMaximum ValueMinimum ValuePrescribed Standard
(1.)Leq(Day)A-weighted decibels(dB(A))58.858.850
(2.)Leq(Night)A-weighted decibels(dB(A))48.848.840
    14.5.     No. of Soil Sample Monitored locations : 1
S. No.Parameter UnitOther UnitMaximum ValueMinimum Value
(1.)pH7.47.4
(2.)K(Potassium)Milligram per Kilogram30.930.9
(3.)N(Nitrogen)Milligram per Kilogram71.471.4
(4.)P(Phosphorus)Milligram per Kilogram24.424.4
(5.)Electric ConductivityOthersMicro Siemens per centimeter314.2314.2
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 34.60
(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 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 Board3600Copy of Permission LetterPipelineOthersDelhi Jal Board SupplyF3(966)/EE(P)W-I/2010/58120 May 2010360
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.)Lab1825ETPOthersRetreated in STP. Losses of 2 KLD in ETP180
(2.)Domestic, Flushing, Misc.420500STPReuse within the Plant & Recycling,OthersLosses of 21 KLD4200
16.1.
(a)Total Waste Water Generation (Kilolitre per Day) 438
(b)Total Discharged Water (Kilolitre per Day) 0
(c)Total Reused Water (Kilolitre per Day) 438
    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 Waste238.71Tons0.1RoadOthersOrganic Waste Converter
(2.)Bio-Medical WasteBio-Medical Waste75Tons10RoadOthersState Approved Biomedical Waste Service Provider
(3.)Non-Biodegradable WasteMunicipal Solid Waste79.57Tons10RoadAuthorized Recyclers
(4.)Plastic WastePlastic Waste79.57Tons10RoadAuthorized Recyclers
(5.)Used OilHazardous Waste (as per Hazardous and Other Waste Management rules 2016)0.576Kilolitre10RoadAuthorized Recyclers
(6.)E-WasteE Waste0.048Tons10RoadAuthorized Recyclers
18.
    18.1.     Air Quality Impact Prediction
S. No.Criteria Pollutants Other Criteria PollutantsUnitBaseline ConcentrationDistance GLCIncremental ConcentrationTotal GLCPrescribed Standard
(1.)SO2Microgram per Meter Cube9.750.80.59210.34380
(2.)PM10Microgram per Meter Cube218.550.81.04219.591100
(3.)PM2.5Microgram per Meter Cube93.30.80.68393.98460
(4.)NOxMicrogram per Meter Cube45.450.81.3546.8180
    18.2.     Stack Details
S. No.Source FuelStack Height(m)Stack Diameter(m)PollutantsOther PollutantsEmission (GLS)
(1.)2x 1500 kVALow Sulphur Diesel510.4SO20.29
(2.)2x 1500 kVALow Sulphur Diesel510.4OthersPM 2.50.119
(3.)2x 1010 kVALow Sulphur Diesel510.3SO20.118
(4.)2x 1010 kVALow Sulphur Diesel510.3OthersPM 2.50.136
(5.)2x 1010 kVALow Sulphur Diesel510.3PM100.208
(6.)2x 1500 kVALow Sulphur Diesel`510.4PM100.228
(7.)2x 1010 kVALow Sulphur Diesel510.3NOx0.269
(8.)2x 1500 kVALow Sulphur Diesel510.4NOx0.529
19.
Power Requirement:
(a)Quantity (Kilo Volt Amps (kVA)) 5500
(b)Source TATA Power DDL
(c)Uploaded Copy of Agreement Copy of Agreement
(d)Standby Arrangement (Details of DG Sets) 2x 1010, 2x 1500
(e)Stack Height (in m) 30
20.
Land Ownership Pattern:
(a)Forest Land (ha.) 0
(b)Private Land (ha.) 2.999934
(c)Government Land (ha.) 0
(d)Revenue Land (ha.) 0
(e)Other Land (ha.) 0
    Total Land (ha.) 2.99993
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.) : total plot area 2.999934
    Total (ha.) 2.999934
    22.     Land requirement for various activities
S. No.Description of Activity / Facility / Plant / Others OthersLand Requirement (ha.)Remarks
(1.)OthersPlot Area2.999934
Total (ha.) 2.999934
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 NameDistance from the Project (Km)Remarks
(1.)Critically Polluted AreaWazirpur Critically Polluted Area5.155NEE direction of project site
(2.)WLSNone0NA
(3.)NPANone0NA
(4.)ESAsNone0NA
(5.)ESZsNone0NA
(6.)CorridorsNone0NA
(7.)Wildlife CorridorsNone0NA
    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 SitesNone0NA
(2.)Defence InstallationsNone0NA
(3.)ForestCentral Ridge Reserve Forest8.48SE 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) 2.999934
(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 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 Lake near Madipur
(ii)Direction of Water Bodies in Buffer Area South East
(iii)Distance of Water Bodies in Buffer Area 2.14
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 1635
(e)No. of working days 365
(f)Total Manpower 1785
32.
Green Belt in Ha:
(a)Total Area of Green Belt 0.599987
(b)Percentage of Total Project Area 20.00
(c)No. of Plants to be Planted 375
(d)Funds Allocated for Plantation 3000000
(e)Uploaded Green Belt plan Copy of Green Belt Plan
    33.         Project Benefits
S. No.Type of Project Benefits Details of Project Benefits
(1.)Environmental5999.87 sqm (20% of the plot area will be developed as green area which will reduce the pollution load in the area.
(2.)SocialEmployment will be generated
(3.)FinancialRevenue will be generated
   34.   CRZ Specific Details : Not Applicable
   35.   Sector Specific Details For INFRA-2
S. No.Item Details
1.
Details of Building Construction:
(a)Maximum Height of the Building (Meters) 45
(b)Total No. of Flats to be Build 0
(c)No. of Buildings 1
(d)Total plot area (sqm) 29999.34
(e)Total built up area (sqm) 94956.31
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 7
(d)Capacity 594
4.
Parking:
(a)Details of 4 Wheeler/ 2 Wheeler Parking 1116
5.
Energy Saving Measures:
(a)Source/Mode Solar & LED
(b)Percentage 1
(c)Quantity 55
6.
Other details:
(a)Details of impact on Water Bodies and Drainage patters of catchment area There will be no extraction of ground water
(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
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. 78, 10th July 2019, Sr. No. 112
(ii)Name of the EIA Consultant Perfact Enviro Solutions Pvt. Ltd
(iii)Address 5th Floor, NN Mall , Mangalam Palace, Sector-3, Rohini, New Delhi
(iv)Mobile No. 9818362330
(v)Landline No. 0114928136
(vi)Email Id info@perfactgroup.com
(vii)Category of Accreditation A
(viii)Sector of Accreditation INFRA-2
(ix)Validity of Accreditation 21 Nov 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
(h)Uploaded Proposal Presentation (To be given in EAC meeting) NA
      Essential Detail Sought : NIL
            Additional Detail Sought:
Sno. ADS Letter Remarks Date of ADS
1.NA

Kindly see the final minutes of 44th EAC meeting held during 23 to 25 September, 2019

04 Oct 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 ApplicantHarsh Vardhan Bansal
DesignationSecretary
Name of Company (Applicant Name should not be given here)DR. NARAYAN DUTT SHRIMALI FOUNDATION INTERNATIONAL CHARITABLE TRUST SOCIETY
Address823, DLF Tower A, Jasola District Centre, New Delhi- 110025
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