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 Shanti Mukand Hospital located at 2, Institutional Area, Vikas Marg Extension, Karkardooma, Delhi by Shri Mukandilal Memorial Foundation for Heart & Medical Care
(b)Name of the Company / Organisation SHRI MUKANDILAL MEMORIAL FOUNDATION FOR HEART & MEDICAL CARE
(c)Registered Address 2, institutional Area, Vikas Marg Extension, Karkardooma, Delhi,,East,Delhi-110092
(d)Legal Status of the Company Private
(e)Joint Venture No
2.
Address for the correspondence:
(a)Name of the Applicant OP Gupta
(b)Designation (Owner/ Partner/ CEO) Founder Member
(c)Address 2, Institutional Area, Vikas Marg Extension, Karkardooma, Delhi,,Gandhi Nagar,East,Delhi-110092
(d)Pin code 110092
(e)E-mail shrimukandilal@gmail.com
(f)STD Code. 11(f)Telephone No. 47276600
(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 Activity8(a) Building and Construction projects
(b)Category B2
   Reason for Applying at Ministry SEIAA
(c)Proposal Number IA/DL/NCP/154800/2020
(d)Master Proposal Number(Single Window) SW/154799/2020
(e)EAC concerned (for category A Projects only) INFRA-1
(f)Project Type Fresh EC
4.
Location of the Project:
(a)Plot/Survey/Khasra No. 2, Institutional Area, Vikas Marg Extension, Karka
(b)Pincode 110092
(c)Bounded Latitudes (North)
From
Degree 28.645969
Minutes
Second
From
Degree 28.646270
Minutes
Second
(d)Bounded Longitudes (East)
From
Degree 77.301904
Minutes
Second
From
Degree 77.302356
Minutes
Second
(e)Survey of India Topo Sheet No. H43x6
(f)Uploaded Topo Sheet File Copy of Topo Sheet File
(g)Maximum Elevation Above Means Sea Level(AMSL) 0.20
(h)Uploaded (kml) File Copy of Kml File      
(i)Distance of Nearest HFL from the project boundary within the study area 0.20
(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’s a Building and Construction project of catego
(c)Supporting Document Copy of Supporting Document
8.
Details of Project Configuration/Product:
     8.1.       Project Configuration
S. No.Plant/Equipment/FacilityConfigurationRemarks
(1.)Hospital Project400 Beds after Expansion
     8.2.       Product
S. No.Product/Activity (Capacity/Area)QuantityUnitOther UnitMode of Transport / Transmission of ProductOther Mode of Transport / Transmission of Product
(1.)Built Up Area27862.51Otherssquare meterRoad
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 18 May 2018
(iv)Valid Upto 22 Jan 2020
(v)File No. DPCC/WMC/2018/43512
(vi)Application No. O-031706
(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) 99.86
(b) Funds Allocated for Environment Management (Capital) (in Crores) 0.49
(c) Funds Allocated Towards CER (Corporate Environment Responsibility) (in Crores) 1.99
(d) Funds Allocated for Environment Management Plan (EMP) (Recurring per Annum) (in Crores) 0.12
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.)Not Applicable since there is no production/ manufacturing process involved0OthersNANAOthersNA0 OthersNACopy of Linkage
14.
Baseline Data :
(a)Period of Base Line Data Collection FROM 03 Feb 2020 To 24 Feb 2020
(b)Season Pre-Monsoon
    14.1.     No. of ambient Air Quality (AAQ) monitoring locations : 1
S. No.Criteria Pollutants Other Criteria PollutantsUnitMaximum ValueMinimum Value98 Percentile ValuePrescribed Standard
(1.)PM2.5Micro Gram per Meter Cube157.3101.7156.460
(2.)PM10Micro Gram per Meter Cube232.4185.5232.2100
(3.)OthersCOMicro Gram per Meter Cube3190144031144000
(4.)NOxMicro Gram per Meter Cube92.169.991.680
(5.)SO2Micro Gram per Meter Cube31.919.631.180
    14.2.     No. of Ground Water monitoring locations : 1
S. No.Criteria Pollutants Other Criteria PollutantsHeavy MetalUnitOther UnitMaximum ValueMinimum ValueDesirable LimitMaximum Permissible Limit
(1.)pHOthers-7.647.646.58.5
(2.)TSSmg/l0000
(3.)OthersMagnesiummg/l424230100
(4.)Heavy MetalsArsenicmg/l0.010.010.010.01
(5.)TDSmg/l128412845002000
(6.)Chloridesmg/l2832832501000
(7.)OthersCalciummg/l10710775200
(8.)Total Hardnessmg/l442442200600
(9.)Fluoridemg/l0.80.811.5
    14.3.     No. of Surface Water monitoring locations : 1
S. No.Criteria Pollutants Other Criteria PollutantsUnitOther UnitMaximum ValueMinimum ValueClassification of inland water body
(1.)pHOthers-7.767.76A
(2.)DOmg/l0.60.6A
(3.)BODmg/l3030A
(4.)CODmg/l9898A
    14.4.     No. of Ambient Noise monitoring locations : 1
S. No.Parameter UnitMaximum ValueMinimum ValuePrescribed Standard
(1.)Leq(Day)A-weighted decibels(dB(A))64.264.250
(2.)Leq(Night)A-weighted decibels(dB(A))48.648.640
    14.5.     No. of Soil Sample Monitored locations : 1
S. No.Parameter UnitOther UnitMaximum ValueMinimum Value
(1.)pHOthers-7.217.21
(2.)P(Phosphorus)Milligram per Kilogram9.49.4
(3.)Electric ConductivityMillisiemens per Centimetre635635
(4.)N(Nitrogen)Percent0.080.08
(5.)K(Potassium)Milliequivalents per 100 Gram0.460.46
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 ? NA
     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.)OthersDJB4640 Not Appliacble PipelineOthersDJB028 May 2020464
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.)Domestic171205STPOthersSTP13734
(2.)waste water6480ETPOthersETP658
16.1.
(a)Total Waste Water Generation (Kilolitre per Day) 235
(b)Total Discharged Water (Kilolitre per Day) 92
(c)Total Reused Water (Kilolitre per Day) 143
    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.)Biomedical WasteBio-Medical Waste0.28Tons0RoadOthersAuthorized Vendors
(2.)Municipal Soild WasteOthersMunicipal Solid waste1.12Tons0RoadSTPSanitary Landfills
18.
    18.1.     Air Quality Impact Prediction
S. No.Criteria Pollutants Other Criteria PollutantsUnitBaseline ConcentrationDistance GLCIncremental ConcentrationTotal GLCPrescribed Standard
(1.)PM2.5Microgram per Meter Cube130.77000.0213160
(2.)PM10Microgram per Meter Cube209.97000.02210100
(3.)NOxMicrogram per Meter Cube83.47000.868580
(4.)SO2Microgram per Meter Cube24.37000.102580
    18.2.     Stack Details
S. No.Source FuelStack Height(m)Stack Diameter(m)PollutantsOther PollutantsEmission (GLS)
(1.)D.G SetDiesel45.30.40PM100
19.
Power Requirement:
(a)Quantity (Kilo Volt Amps (kVA)) 3047
(b)Source TATA POWER DDL
(c)Uploaded Copy of Agreement Not Applicable
(d)Standby Arrangement (Details of DG Sets) 3 DG sets of total capacity (2 x 1250 + 1 x 500 KV
(e)Stack Height (in m) 45.3
20.
Land Ownership Pattern:
(a)Forest Land (ha.) 0
(b)Private Land (ha.) 0.6852
(c)Government Land (ha.) 0
(d)Revenue Land (ha.) 0
(e)Other Land (ha.) 0
    Total Land (ha.) 0.6852
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 0.6852
    Total (ha.) 0.6852
    22.     Land requirement for various activities
S. No.Description of Activity / Facility / Plant / Others OthersLand Requirement (ha.)Remarks
(1.)Built Up Area2.78
Total (ha.) 2.78
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 AreaNA0NA
(2.)ESAsNA0NA
(3.)NPANA0NA
(4.)ESZsNA0NA
(5.)WLSNA0NA
(6.)CorridorsNA0NA
(7.)Wildlife CorridorsNA0NA
    23.2.     Details of Environmental Sensitivity :
S. No.Details of Environmental Sensitivity Other Details of Environmental Sensitivity NameDistance from the Project (Km)Remarks
(1.)ForestJahanpanah City PF13.5SW Direction
(2.)Archaeological SitesNA0NA
(3.)Defence InstallationsHindon Air Force Station8NE
(4.)OthersCentral Ridge RFCentral Ridge RF9.8W
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) 0.68
(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 NA
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 Yamuna River
(ii)Direction of Water Bodies in Buffer Area West
(iii)Distance of Water Bodies in Buffer Area 3.5
31.
Manpower Requirement:
(a)Permanent Employment-During Construction 0
(b)Permanent Employment-During Operation 1314
(c)Temporary Employment- During Construction 0
(d)Temporary Employment- During Operation 0
(e)No. of working days 300
(f)Total Manpower 1314
32.
Green Belt in Ha:
(a)Total Area of Green Belt 0.15
(b)Percentage of Total Project Area 21.89
(c)No. of Plants to be Planted 86
(d)Funds Allocated for Plantation 0
(e)Uploaded Green Belt plan Copy of Green Belt Plan
    33.         Project Benefits
S. No.Type of Project Benefits Details of Project Benefits
(1.)Socialbetter facility for medical treatment & jobs
   34.   CRZ Specific Details : Not Applicable
   35.   Sector Specific Details For INFRA-1
S. No.Item Details
1.
Details of Building Construction:
(a)Maximum Height of the Building (Meters) 39.3
(b)Total No. of Flats to be Build 0
(c)No. of Buildings 2
(d)Total plot area (sqm) 6852.64
(e)Total built up area (sqm) 27862.512
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 2
4.
Parking:
(a)Details of 4 Wheeler/ 2 Wheeler Parking 327
5.
Energy Saving Measures:
(a)Source/Mode LED
(b)Percentage 10
(c)Quantity 137
6.
Other details:
(a)Details of impact on Water Bodies and Drainage patters of catchment area NA
(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. QCI/NABET/ENV/ACO/20/1328
(ii)Name of the EIA Consultant Grass Roots Research & Creation India (P) Ltd.
(iii)Address F: 374 & 375, Sec-63, Noida-201301
(iv)Mobile No. 8377904041
(v)Landline No. 0120432312
(vi)Email Id eia@grc-india.com
(vii)Category of Accreditation A
(viii)Sector of Accreditation INFRA-1
(ix)Validity of Accreditation 18 Aug 2020
(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:
Sno. EDS Letter Remarks Date of EDS
1.NAThe Application has been examined. 2. Please address following deficiencies found in your application No. IA/DL/NCP/154800/2020; 28-05-2020 19:14:55: I. Inconsistencies in data given in FORM 1/1A & Conceptual Plan and the data provided in FORM-2 e.g. Project Site Coordinates; Distance of Nearest HFL from the project boundary within the study area; Maximum Elevation Above Means Sea Level (AMSL), incomplete information on Raw Material / Fuel Profile, etc. II. Incorrect data w.r.t. Period of Base Line Data Collection in FORM 2 (FROM 28 May 2020 To 28 May 2020) and Units of various project parameters- Plot Areas, Built-up area, waste water treatment, etc. have not been mentioned in FORM 2; III. The status of CTO and authorization obtained from Delhi Pollution Control Committee have not been provided for existing building/hospital along with copy of CTO- Authorization; IV. Details of Traffic Density Impact Assessment and Modelling Study are not provided with the Application; V. Details of Monitoring Locations along with data for Ambient Air Quality, Ambient Noise Ground Water, Surface Water and Soil Quality are not provided. 3. You may like to submit the revised Application after addressing the above deficiencies. 01 Jun 2020
2.NAThe correction have been made as per the instruction received 03 Jul 2020
            Additional Detail Sought:
Sno. ADS Letter Remarks Date of ADS
1. ADS Reply LetterReply to the observation raised during 53rd EAC (Infra-2), meeting Dated 24.07.2020 w.r.t. Expansion of Shanti Mukand Hospital at 2, Institutional Area, Vikas Marg Extension, Kakardooma, Delhi by Shri Mukandi Lal Memorial Foundation for Heart & Medical Care 13 Aug 2020
2.NA

Kindly see the minutes of 53rd meeting of EAC (Infra-2). 

01 Aug 2020
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 ApplicantOP Gupta
DesignationFounder Member
Name of Company (Applicant Name should not be given here)SHRI MUKANDILAL MEMORIAL FOUNDATION FOR HEART & MEDICAL CARE
Address2, institutional Area, Vikas Marg Extension, Karkardooma, Delhi
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