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 MS LAL CHAND PUBLIC CHARITABLE TRUST
(c)Registered Address 4th floor, Gopal Dass Bhawan, 28, Barakhamba Road, New Delhi,,New Delhi,Delhi-110001
(d)Legal Status of the Company Private
(e)Joint Venture No
2.
Address for the correspondence:
(a)Name of the Applicant Ajit Singh Sirohi
(b)Designation (Owner/ Partner/ CEO) Trustee
(c)Address 4th Floor, Gopal Dass Bhawan, 28, Barakhamba Road, New Delhi,,Connaught Place,New Delhi,Delhi-110001
(d)Pin code 110001
(e)E-mail sirohi-ajit@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.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/114924/2019
(d)Master Proposal Number(Single Window) SW/114922/2019
(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. Public Building Site No. 1
(b)Pincode 110048
(c)Bounded Latitudes (North)
From
Degree 3160524.75
Minutes
Second
From
Degree 3160623.43
Minutes
Second
(d)Bounded Longitudes (East)
From
Degree 718196.60
Minutes
Second
From
Degree 718236.32
Minutes
Second
(e)Survey of India Topo Sheet No. H43X2
(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 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 Since it is a 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 Beds150
(2.)Total No. of Towers1
     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 Area4046.86Otherssquare metersOthersNot Applicable
(2.)Total Built-up Area26427.553Otherssquare 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 N/A
(iv)Valid Upto N/A
(v)File No. NA
(vi)Application No. NA
(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.)000OthersNot Applicable0OthersNot Applicable0 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.)PM2.5Micro Gram per Meter Cube135.6132.4134.660
(2.)NOxMicro Gram per Meter Cube41.640.540.680
(3.)PM10Micro Gram per Meter Cube226.3221.3225.3100
(4.)SO2Micro Gram per Meter Cube8.48.27.480
    14.2.     No. of Ground Water monitoring locations : 1
S. No.Criteria Pollutants Other Criteria PollutantsHeavy MetalUnitOther UnitMaximum ValueMinimum ValueDesirable LimitMaximum Permissible Limit
(1.)TDSmg/l452452500500
(2.)pHNA7.57.58.58.5
(3.)TSSmg/l0011
(4.)Heavy MetalsLeadmg/l0.010.010.010.01
(5.)Chloridesmg/l4242250250
(6.)Fluoridemg/l0.240.2411
(7.)Total Hardnessmg/l156156200200
    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/l1212E
(2.)CODmg/l4040E
(3.)pHNA7.47.4E
(4.)DOmg/l4.14.1E
    14.4.     No. of Ambient Noise monitoring locations : 1
S. No.Parameter UnitMaximum ValueMinimum ValuePrescribed Standard
(1.)Leq(Day)A-weighted decibels(dB(A))56.756.750
(2.)Leq(Night)A-weighted decibels(dB(A))494940
    14.5.     No. of Soil Sample Monitored locations : 1
S. No.Parameter UnitOther UnitMaximum ValueMinimum Value
(1.)P(Phosphorus)Milligram per Kilogram22.822.8
(2.)K(Potassium)Milligram per Kilogram54.654.6
(3.)N(Nitrogen)Milligram per Kilogram78.478.4
(4.)Electric ConductivityOthersmicroseimens/centimeters195.1195.1
(5.)pH7.37.3
14.6.
Details of Ground Water Table:
(a)Range of Water Table Pre-Monsoon Season (Meters Below Ground Level (m bgl)) From 59.57 To 6.74
(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 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.)OthersMunicipal Supply1500.1Copy of Permission LetterPipelineOthersPipeline-10 Jul 2019150
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.)Laundry and Laboratory2225Effluent Treatment PlantOthersRetreated in STP, Losses of 3 KLD220
(2.)Flushing, Domestic, Kitchen, Cooling etc.179240Sewage Treatment PlantReuse within the Plant & Recycling,Green Belt Renewal Plant,OthersLosses of 18 KLD1790
16.1.
(a)Total Waste Water Generation (Kilolitre per Day) 201
(b)Total Discharged Water (Kilolitre per Day) 0
(c)Total Reused Water (Kilolitre per Day) 201
    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.)Plastic WastePlastic Waste52Tons0.1RoadAuthorized Recyclers
(2.)Biomedical WasteBio-Medical Waste21Tons0.1RoadAuthorized Recyclers
(3.)Electronic WasteE Waste0.36Tons0.1RoadAuthorized Recyclers
(4.)Biodegradable WasteMunicipal Solid Waste156Tons0OthersNot ApplicableOthersOrganic Waste Convertor
(5.)Non-Biodegradable WasteMunicipal Solid Waste52Tons0.1RoadAuthorized 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.)PM10Microgram per Meter Cube223.80.90.121223.93100
(2.)SO2Microgram per Meter Cube8.30.90.2258.5380
(3.)NOxMicrogram per Meter Cube41.050.90.88841.9480
(4.)PM2.5Microgram per Meter Cube1340.90.722134.7360
    18.2.     Stack Details
S. No.Source FuelStack Height(m)Stack Diameter(m)PollutantsOther PollutantsEmission (GLS)
(1.)1x1010 kVADiesel510.30PM100.236
(2.)1x1010 kVADiesel510.30SO20.124
(3.)1x500 kVADiesel49.50.30SO20.124
(4.)1x500 kVADiesel49.50.30OthersPM2.50.189
(5.)1X1010 kVADiesel510.30NOx0.308
(6.)1x500 kVADiesel49.50.30PM100.236
(7.)1x500 kVADiesel49.50.30NOx0.308
(8.)1x1010 kVADiesel510.30OthersPM 2.50.189
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) 1x1010 kVA AND 1x500 kVA
(e)Stack Height (in m) 51
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.) 0.404686
    Total Land (ha.) 0.40468
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 0.404686
    Total (ha.) 0.404686
    22.     Land requirement for various activities
S. No.Description of Activity / Facility / Plant / Others OthersLand Requirement (ha.)Remarks
(1.)Built Up Area26427.553
Total (ha.) 26427.553
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 AreaOkhla Industrial Area5.05It is in SEE direction of the project.
(2.)WLSAsola Wildlife Sanctuary6.45It is in SSE direction of the project site.
(3.)ESZsNone0NA
(4.)NPANone0NA
(5.)CorridorsNone0NA
(6.)Wildlife CorridorsNone0NA
(7.)ESAsNone0NA
    23.2.     Details of Environmental Sensitivity :
S. No.Details of Environmental Sensitivity Other Details of Environmental Sensitivity NameDistance from the Project (Km)Remarks
(1.)ForestJahapanah Forest1.62It is in SSE direction from the project site
(2.)Archaeological SitesRuined lines of Walls1.13It is in SWW direction of the Project Site.
(3.)Defence InstallationsArjangarh Air Force Station13.10It is in SW direction of the 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) 9
(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) 0.40468
(b)Land yet to be acquired(Ha) 0
(c)Status of Land acquisition if not acquired NA
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 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 0.1215014
(b)Percentage of Total Project Area 30.02
(c)No. of Plants to be Planted 55
(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.)Environmental1215.014 sqm (503.701 sqm on Ground, 136.872 sqm on 3rd & 9th Floor , 405.942 sqm as Green Wall and 168.5 sqm as Water tank Roof) shall be developed as Green Area.
(2.)SocialEmployment will be generated.
(3.)FinancialAdditional Revenue 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 1
(c)No. of Buildings 1
(d)Total plot area (sqm) 4046.86
(e)Total built up area (sqm) 26427.553
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 2
(d)Capacity 87
4.
Parking:
(a)Details of 4 Wheeler/ 2 Wheeler Parking 310
5.
Energy Saving Measures:
(a)Source/Mode Solar Panels, LED Devices etc.
(b)Percentage 20.3
(c)Quantity 508.17
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. SNo.-112
(ii)Name of the EIA Consultant Perfact Enviro Solutions Pvt. Ltd.
(iii)Address 5th Floor, NN Mall, Sector-3, Rohini, New Delhi-110085
(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 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.NAThe proposal for “150 Bedded Hospital” Besides Archana Cinema, Public Building Site no. 2, Greater Kailash-1, New Delhi by M/s Lal Chand Public Charitable Trust is already under consideration vide online proposal no. (IA/DL/MIS/103234/2019; F.No. 21-37/2019-IA-III) Kindly withdraw this proposal from this portal. 09 Sep 2019
2.NAThe correction have been made as per the instruction received 17 Sep 2019
            Additional Detail Sought:
Sno. ADS Letter Remarks Date of ADS
1. ADS Reply LetterADS Reply Attached 19 Mar 2020
2.NAAs per the observation of EAC (infra-2), kindly submit Approved building plan for the proposed project. Or otherwise submit document showing that building plan will be provided only after getting environmental clearance. 13 Dec 2019
3. ADS Reply LetterNA 04 Dec 2019
4.NAAs per the observation of EAC (infra-2), kindly submit Approved building plan for the proposed project. Or otherwise submit document showing that building plan will be provided only after getting environmental clearance. 08 Nov 2019
5. ADS Reply LetterIn trail of the queries raised in 45th EAC (Infra-II) Meeting, Please find the attached Reply for the respective project 31 Oct 2019
6.NA

Kindly see the final minutes of 45th EAC Infra-2 meeting held during 17-18 October, 2019

29 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 ApplicantAjit Singh Sirohi
DesignationTrustee
Name of Company (Applicant Name should not be given here)MS LAL CHAND PUBLIC CHARITABLE TRUST
Address4th floor, Gopal Dass Bhawan, 28, Barakhamba Road, New Delhi
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