(to be published in the gazette of india, part-ii, and...

FORM – I

[Vide Notification dated 1st December, 2009]

For Proposed Expansion of Existing Hospital Project

PRAVARA RURAL HOSPITAL

At

LONI BK, TAL. RAHATA, DIST. AHMENDNAGAR

Of

M/s. Pravara Medical Trust

Prepared by

GREEN CIRCLE, INC.

221, 2nd Floor, Hariom Plaza, Behind Omkareshwar Temple,

M.G. Road, Borivali (E), Mumbai - 400066

Tele No.: 022-28943090. Fax No.: 022-28943060

E- mail: [email protected]

mailto:[email protected]

M/s. Pravara Medical Trust Form-I

2

FORM – I

(I) BASIC INFORMATION

Sr.

No.

Particulars Details

1 Name of the project/s Expansion of Existing Hospital

2 S. No. in the schedule 8 (a)

3 Proposed capacity/area/length/tonnage to

handled/command area/lease area/number

wells to be drilled

Total Plot Area 5,06,040 m2

FSI area (Please

provide)

Existing: 8,291 m2

Proposed: 16,053

m2

Non FSI area (Please

provide)

Existing: 2,087 m2

Proposed: 4,393 m2

Total Construction BUA

[FSI + Non FSI area]

Existing: 10,378

m2

Proposed:20,446

m2 Total: 30,824

m2

4 New/Expansion/Modernization Expansion Project

5 Existing Capacity/Area etc. 9, 470 m2

6 Category of Project i.e. 'A' or 'B' ‘B2’ Category

7 Does it attract the general condition? If yes,

please specify. No

8 Does it attract the specific condition If’ yes,

please specify. No

9 Location

Plot/Survey/Khasra No. Gat No. 515

Village Loni Bk

Tehsil Rahata

District Ahmendnagar

State Maharashtra

10 Nearest railway station/airport along with

distance in kms

Nearest Railway Station : Belapur Railway

station 20.54 km

Nearest Airport : Shiradi airport 13.10 km

11 Nearest Town, city, District Headquarters

along with distance in kms. Nearest City : Loni Budruk, 01 km.

12 Village Panchayat, Zilla Parishad, Municipal

Corporation, Local body (complete postal

addresses with telephone nos. to be given) Town Planning authority

13 Name of the applicant Mr. Narayan Singh Pawar

14 Registered Address At. Pravara Medical Trust, Loni

Tele No. 02422-271277

15 Address for correspondence :

Name Mr. Narayan singh Pawar

Address Medical Superintendent, Pravara Rural

Hospital, Loni, Tal. Rahata,

Dist. Ahmednagar

Pin Code 413736


3

Telephone No. 02422-271277

(II) ACTIVITY

1. Construction, operation or decommissioning of the Project involving actions,

which will cause physical changes in the locality (topography, land use, changes in

water bodies, etc.)

Sr.

No. Information/Checklist confirmation

Yes

/No

Details thereof (with approximate quantities

/rates, wherever possible) with source of

information data

1.1 Permanent or temporary change in land

use, land cover or topography including

increase in intensity of land use (with

respect to local land use plan)

No There will be no significant changes in existing

land use pattern by proposed project. The

proposed project is in accordance with the

approved Development Plan of Town Planning

authority.

1.2 Clearance of existing land, vegetation

and buildings?

Yes No clearance of existing vegetation.

1.3 Creation of new land uses? No No creation of new land uses is envisaged

There is no significant changes in existing

land use pattern.

1.4 Pre-construction investigations e.g.

bore houses, soil testing?

Yes Pre-construction investigations will be done

before construction.

16 Details of Alternative Sites examined, if any

Location of these sites should be shown on a

topo sheet.

Not Applicable

17 Interlinked Projects None

18 Whether separate application of interlinked

project has been submitted?

No

19 If yes, date of submission Not Applicable

20 If no, reason Because at this stage only one project is under

consideration.

21 Whether the proposal involves

approval/clearance under: if yes, details of the

same and their status to be given.

(a) The forest (conservation) Act, 1980?

(b) The wildlife (protection) Act, 1972?

(c) C.R.Z Notification, 1991?

No, The proposal does not involve any of this

approval/clearance.

22 Whether there is any government order /

policy relevant/ relating to the site?

No

23 Forest land involved (hectares) No, there will not be any forest land involved.

24 Whether there is any litigation pending

against the project and/or land in which the

project is propose to be set up?

(a) Name of the Court

(b) Case No.

(c) Orders/directions of the Court, if any and

its relevance with the proposed project.

No. there is no litigation pending against the

project or land in which the project is proposed

to be set up.


4

1.5 Construction works? Yes Proposed project consist of hospital buildings.

1.6 Demolition works? No No demolition work involves.

1.7 Temporary sites used for construction

works or housing of construction

workers?

No Temporary shelters and sanitation facilities for

construction workers are required.

1.8 Above ground buildings, structures or

earthworks including linear

structures, cut and fill or excavations.

Yes Total excavation quantity will be very small &

shall be used for refilling.

1.9 Underground works including mining

or tunneling?

No No underground works including mining or

tunneling involved.

1.10 Reclamation works? No Not Applicable

1.11 Dredging? No No Dredging shall be required as no offshore

area is involved.

1.12 Offshore structures? No No Offshore structures involved as no offshore

area is involved.

1.13 Production and manufacturing

processes?

No No such production or manufacturing

processes will be carried out.

1.14 Facilities for storage of goods or

materials.

No Raw materials required for construction shall

be stored at the camp-sites during construction

phase.

1.15 Facilities for treatment or disposal of

solid waste or liquid effluents?

Yes On site OWC is proposed for treatment of

Biodegradable solid waste and the

compost will be used as manure in garden.

Non Biodegradable waste will be handed

over to authorized vendor for final

disposal.

Biomedical Waste generated during

operation of hospitals will be properly

segregated and handed over to authorized

MPCB vendor for treatment.

Onsite Sewage Treatment Plant (STP) is

proposed to treat the generated sewage and

reuse the treated sewage within project for

landscaping and flushing.

Onsite Effluent Treatment Plant is

provided to treat trade effluent coming

from laundry.

1.16 Facilities for long term housing of

operational workers?

Yes The Project is Hospital with an estimated

occupancy of 1275 Nos. of Beds.

1.17 New road, rail or sea traffic during

construction or operation?

Yes A temporary increase in traffic may result

during construction phase due to transport of

personnel/ materials/ equipment.

During operation, based on occupancy road

traffic will be additional.

1.18 New road, rail, air waterborne or

other transport infrastructure

including new or altered routes and

stations, ports, airports etc?

No It is intended to make maximum use of existing

road network for mobilization of man and

materials.


5

1.19 Closure or diversion of existing

transport routes or infrastructure

leading to changes in traffic

movements?

No There will not be any closure or diversion of

existing transportation routes.

1.20 New or diverted transmission lines or

pipelines?

Yes New transmission as well as pipelines shall be

required for facilitating various infrastructure

utilities for the residential building.

1.21 Impoundment, damming, culverting,

realignment or other changes to the

hydrology of watercourses or

aquifers?

No No changes in the hydrology of watercourses

/aquifers are envisaged.

1.22 Stream crossings? No There is no stream running around adjacent to

the site.

1.23 Abstraction or transfers of water from

ground or surface waters?

No Tanker water may be used as one of the source

of water for construction, for which necessary

permission from regulatory authority should be

obtained.

1.24 Changes in water bodies or the land

surface affecting drainage or run-off?

No The site shall be restored back to normal after

construction and surface run off from site shall

be channelized through storm water drains and

utilized for ground water recharge hence no

change in drainage pattern envisaged.

1.25 Transport of personnel or materials

for construction, operation or

decommissioning?

Yes Road transport will be used for transportation of

materials for construction phase.

During operation phase the road transport shall

be utilized by the floating population for

transportation.

1.26 Long-term dismantling or

decommissioning or restoration

works?

No Proposed project does not involve any long-

term dismantling or decommissioning or

restoration works.

1.27 Ongoing activity during

decommissioning which could have

an impact on the environment?

No There is no impact on environment during

decommissioning since project does not

involve any decommissioning.

1.28 Influx of people to an area in either

temporarily or permanently?

No No influx of people during construction phase

since hutments are provided for the laborers

employed during construction phase at the

camp site itself.

During operation phase permanent influx of

people shall be around 4695 Persons is

expected.

1.29 Introduction of alien species? No The green belt as per the requirements of

MoEF/CPCB will be developed. Only native

species will be planted so no introduction of

alien species is anticipated.

1.30 Loss of native species or genetic

diversity?

No Deforestation is not involved, only site

clearance shall be taken up to clear thorny

bushes or surrounding vegetation and care shall

be taken to avoid loss of any native species or

genetic diversity.


6

1.31 Any other actions? No No other actions/activities envisaged

2. Use of Natural resources for construction or operation of the Project (such as

land, water, materials or energy, especially any resources which are non-

renewable or in short supply):

Sr.

No.

Information/checklist confirmation Yes

/No

Details thereof (with approximate quantities

/rates, wherever possible) with source of

information data

2.1 Land especially undeveloped or

agricultural land (ha)

No The existing land use pattern of the plot is a non

agriculture zone which shall be converted to

Residential zone after proposed construction.

2.2 Water (expected source & competing

users) unit: KLD (m3/day)

Yes CONSTRUCTION PHASE:

Source:

Drinking purpose: Grampanchayat/Tanker Water

Construction purpose: Tanker

Domestic = 10 m3/day

Construction = 20 m3/day

Total Demand = 30 m3/day

OPERATION PHASE:

Dry Season

Fresh Water: 427.55 m3/day

Domestic Use: 422.55 m3/day

Recycled water (Flushing): 264 m3/day

Recycled water(Gardening): 49 m3/day

Total Water requirement: 737.55 m3/day

Excess treated water: 277 m3/day

Wet Season

Fresh Water: 427.55 m3/day

Domestic Use: 422.55 m3/day

Recycled water (Flushing): 264 m3/day

Recycled water(Gardening): 0 m3/day

Total Water requirement: 691.55 m3/day

Excess treated water: 326 m3/day


7

2.3 Minerals (MT) No Not applicable

2.4 Construction material – stone,

aggregates, sand / soil (expected source

– MT)

Yes The raw material required for construction purpose

shall be Cement, RMC, Sand, Aggregates, brick,

Steel, stone etc. The exact quantities of each shall

be furnished during detailed engineering.

2.5 Forests and timber (source – MT) No Not applicable

2.6 Energy including electricity and fuels

(source, competing users) Unit: fuel

(MT), energy (MW)

Yes Total power consumption for residential

buildings

Source of Supply: M.S.E.D.C.L.

Connected Load: Existing: 789 KW

Proposed: 1350 KW

No. Of Transformers: 1 no. x 750 KVA,

DG Sets: Number and capacity of the DG sets

to be used – 1 No. x 750 KVA, 2 Nos. x 500

KVA

Fuel Requirement (Diesel)- 240 lit./hr

2.7 Any other natural resources (use

appropriate standard units)

No Not Applicable

3. Use, storage, transport, handling or production of substances or materials,

which could be harmful to human health or the environment or raise concerns

about actual or perceived risks to human health.

Sr.

No.

Information/Checklist confirmation Yes/

No

Details thereof (with approximate

quantities / rates, wherever possible) with

source of information data

3.1 Use of substances or materials, which

are hazardous (as per MSIHC rules) to

human health or the environment (flora,

fauna and water supplies)

Yes The expected hazardous wastes shall be

lubricating oil & grease, required to prevent

friction in mechanical parts and spent oils,

drums etc. The quantities used shall be very

low (<2000 lit/year) and these chemicals /

materials shall be handled as per Hazardous

waste handling (2008) rules.

3.2 Changes in occurrence of disease or

affect disease vectors (e.g. insect or

water borne diseases)

No Not Applicable

3.3 Affect the welfare of people e.g. by

changing living conditions?

Yes Employment opportunities for the local

people will increase. The living condition

and welfare of the people will improve.

3.4 Vulnerable groups of people who could

be affected by the project e.g. hospital

patients, children, the elderly etc.,

No Not Applicable

3.5 Any other causes No Not Applicable


8

4. Production of solid wastes during construction or operation or decommissioning

Sr.

No.

Information/Checklist

confirmation

Yes

/No

Details thereof (with approximate quantities/rates,

wherever possible) with source of information

data.

4.1 Spoil, overburden or mine wastes No Not Applicable

4.2 Municipal waste (domestic and or

commercial wastes)

Yes Waste generation in the Pre-Construction &

Construction phase:

Waste generation : 35 kg /day

Quantity of the top soil to be preserved :

Disposal of the construction way debris:

Construction debris, Waste concrete and broken

bricks will be utilized in low-land leveling,

secondary concrete, below roads. Some quantity of

Excavation soil will be use for backfilling and

remaining will be hand over to authorized vendor.

Waste generation in the operation Phase:

Biodegradable waste: 1267.65 kg/day

Non Biodegradable waste: 845.1 kg/day

E – waste: very less amount

Hazardous waste: spent oil or oil grease for DG

sets paints etc.

Biomedical waste (Kg/month) (If applicable) :

Existing: 5600 Kg/month

Proposed: 3980 Kg/month

STP Sludge: 60.6 kg/ day

ETP Sludge: 8 kg/ day

Mode of Disposal of waste:

Dry waste: Handed over to authorize recycler for

further handling and disposal.

Wet waste: Will be converted to compost using

Organic Waste Converter [SMART 500

MECHANICAL COMPOSTER: 1 Nos.]

E – waste : Handed over to authorized Vendor

Hazardous waste : Handed over to authorized

Vendor

Biomedical waste (If applicable): Handed over

to M/s. Bioclean systems india pvt. ltd.

Ahmednagar

STP Sludge (Dry sludge) : Will be used as

manure for gardening

ETP Sludge: Handed over to authorized vendor.

4.3 Hazardous wastes (as per

Hazardous Waste Management

Rules)

No Not Applicable because proposed project is a

construction project. However, very small quantity of

hazardous waste including spent oil or grease for DG

sets and other machineries shall be generated which

will be handled as per hazardous wastes


9

Sr.

No.


confirmation

Yes

/No



data.

(management and handling) Rules.

4.4 Other industrial process wastes No Not Applicable

4.5 Surplus product No Not Applicable

4.6 Sewage sludge or other sludge

from effluent treatment

Yes Sludge about 60.6 kg/day from STP will be

generated and will be used as manure for gardening

purpose.

4.7 Construction or demolition wastes Yes Construction debris shall be generated during

construction phase which used for leveling of low

lying areas or base course of approach roads.

4.8 Redundant machinery or

equipment

No No redundant machinery as the construction and

other equipments involved shall be transported out of

the project area once the construction work is over.

4.9 Contaminated soils or other

materials

No Not Applicable

4.10 Agricultural wastes No Not Applicable

4.11 Other solid wastes No Not Applicable

5. Release of pollutants or any hazardous, toxic or noxious substances to air (Kg/hr)

Sr.

No.


confirmation

Yes/

No


quantities/rates, wherever possible) with source

of information data

5.1 Emissions from combustion of

fossil fuels from stationary or

mobile sources

Yes During Construction phase emission of Fossil fuels

shall be from use of Construction machineries,

vehicles and DG Sets. During Operation phase

emission will be from use of DG sets on power

break down and vehicles for transportation.

5.2 Emissions from production

processes

No No processes involving production.

5.3 Emissions from materials handling

including storage or transport

Yes Dusting may occur during loading and unloading of

cement bags, sand etc. however suitable mitigation

measures like sprinkling of water etc may be carried

out to control dusting.

5.4 Emissions from construction

activities including plant and

equipment.

No During Construction phase emission of Fossil fuels

shall be from use of Construction machineries,

vehicles and DG Sets.

5.5 Dust or odors from handling of

materials including construction

materials, sewage and waste.

Yes Dusting will occur during transportation and

handling of construction materials however suitable

mitigation measures like sprinkling of water etc may

be carried out to control dusting.

No odor problem will occur from solid waste since

proper segregation and treatment is proposed for the

project.

5.6 Emissions from incineration of

waste

No Not applicable as incineration will not be involved.


10

Sr.

No.


confirmation

Yes/

No



of information data

5.7 Emissions from burning of waste

in open air (e.g. slash materials,

construction debris)

No No burning of debris shall be allowed.

5.8 Emissions from any other sources No Not envisaged

6. Generation of Noise and Vibration, and Emissions of Light and Heat

Sr.

No.


confirmation

Yes/

No

Details there of (with approximate


of information data with source of information

data

6.1 From operation of equipment e.g.

engines, ventilation plant, crushers

Yes Noise expected during operation of DG set shall be

around 65 dBA however DG sets shall be used only

as backup in case of power failure. Further proper

acoustic measures shall be provided along with DG

sets to reduce the noise and vibrations.

6.2 From industrial or similar

processes

No No industrial or similar processes involved.

6.3 From construction or demolition Yes There will be marginal increase in noise upto 65 dB

(A) during construction work and it shall be

localized to work site. The activities will be

restricted to the daytime. Personnel protective

equipment will be provided and their proper usage

will be ensured for eardrum protection of the

workers.

6.4 From blasting or piling No No blasting or piling involved.

6.5 From construction or operational

traffic

Yes There will be marginal noise generation from

vehicle movement. However, the noise levels will

be less than 65 dB (A). Further suitable mitigation

measures shall be proposed to reduce the noise

generated as a result of construction or operation

traffic.

6.6 From lighting or cooling systems No Not Applicable

6.7 From any other sources No Not Applicable

7. Risks of contamination of land or water from releases of pollutants into the ground

or into sewers, surface waters, groundwater, coastal waters or the sea:

Sr.

No.


confirmation

Yes

/No



of information data


11

Sr.

No.


confirmation

Yes

/No



of information data

7.1 From handling, storage, use or

spillage of hazardous materials

No The collection and treatment and disposal of

hazardous waste will be as per hazardous waste

(Management & Handling) amendment rule, 2008

and hence no adverse impact on land environment

is envisaged.

7.2 From discharge of sewage or

other effluents to water or the

land (expected mode and place of

discharge)

No The wastewater generation during operation phase

will be 617.89 m3/day, During dry season treated

sewage will be 587 m3/day out of which 310 m3/day

will be recycled and reused for flushing and

landscaping purposes and balance 277 m3 /day shall

be discharge to Municipal drain.

7.3 By deposition of pollutants

emitted to air into the land or into

water.

No Flue gas emissions from DG set will be within the

prescribed limits. Adequate stack height shall be

provided for dispersion of the pollutants/ emissions.

7.4 From any other sources No Not applicable

7.5 Is there a risk of long term build

up of pollutants in the

environment from these sources?

No The only emissions shall be from DG sets which

shall be operated in case of power failure. Further

adequate stack height shall facilitate dispersion of

pollutants hence no risk of built of pollutants shall

occur.

The flue gas emissions from DG sets will be strictly

in conformity to the limits stipulated by CPCB.

Also the stack height will be in accordance with

CPCB stipulations.

The sewage will be treated and reused; hence no

impact on land or water bodies is anticipated.

Hence no long term build up risk of pollutants in

the environment from these sources is anticipated.

7. Risk of accidents during construction or operation of the Project, which could

affect human health or the environment.

Sr.

No.


confirmation

Yes

/No



data

8.1 From explosions, spillages, fires

etc from storage, handling, use

or production of hazardous

substances.

No Not Applicable

8.2 From any other causes No Not applicable

8.3 Could the project be affected by

natural disasters causing

environmental damage (e.g.

No Since the project falls under seismic zone – III and

the building will be designed as per seismic zone - III

norms.


12

Sr.

No.


confirmation

Yes

/No



data

floods, earthquakes, landslides,

cloudburst etc)?

8. Factors which should be considered (such as consequential development)

which could lead to environmental effects or the potential for cumulative

impacts with other existing or planned activities in the locality.

Sr.

No.


confirmation

Yes

/No


wherever possible) with source of information data

9.1 Lead to development of

supporting facilities, ancillary

development or development

stimulated by the project

which could have impact on

the environment e.g.:

• Supporting infrastructure

(roads, power supply, waste

or waste water treatment, etc.)

• housing development

• extractive industries

• supply industries

• other

No The project will set precedents for development of

transport, communication, infra-structure and other

developments in the area.

9.2 Lead to after-use of the site,

which could haven impact on

the environment

No The proposed project will have marginal & negligible

impact on the environment.

9.3 Set a precedent for later

developments

Yes The project shall set precedents for further

development of transport, communication, infra-

structure and other developments in the area.

9.4 Have cumulative effects due

to proximity to other existing

or planned projects with

similar effects

No As the environmental impact from the project is

marginal, no cumulative effects are envisaged.

(III) Environmental Sensitivity

Sr.

No.

Areas

Name

/Identity

Aerial distance (within 15 km) Proposed

project location boundary

1 Areas protected under

international conventions,

national or local legislation for

their ecological, landscape,

cultural or other related value.

None Not Applicable

2 Areas which are important or

sensitive for ecological reasons

- Wetlands, watercourses or

other water bodies, coastal

None Not Applicable


13

Sr.

No.

Areas

Name

/Identity

Aerial distance (within 15 km) Proposed

project location boundary

zone, biospheres, mountains,

forests.

3 Areas used by protected,

important or sensitive species

of flora or fauna for breeding,

nesting, foraging, resting, over

wintering, migration.

None Not Applicable

4 Inland, coastal, marine or

underground waters.

None Not Applicable

5 State, National boundaries. None Not Applicable

6 Routes or facilities used by the

public for access to recreation

or other tourist, pilgrim areas.

None Not Applicable

7 Defense installations. None Not Applicable

8 Densely populated or built-up

area.

None Not Applicable

9 Areas occupied by sensitive

man-made land uses (hospitals,

schools, places of worship,

community facilities)

None Not Applicable

10 Areas containing important,

high quality or scarce resources

(ground water resources,

surface resources, forestry,

agriculture, fisheries, tourism,

minerals)

None Not Applicable

11 Areas already subjected to

pollution or environmental

damage. (those where existing

legal environmental standards

are exceeded)

None Not Applicable

12 Areas susceptible to natural

hazard which could cause the

project to present

environmental problems.

(earthquakes, subsidence,

landslides, erosion, flooding or

extreme or adverse climatic

conditions)

No Not Applicable


14

"I hereby given undertaking that the data and information given in the application and

enclosures are true to the best of my knowledge and belief and I am aware that if any part

of the data and information submitted is found to be false or misleading at any stage, the

project will be rejected and clearance give, if any to the project will be revoked at our risk

and cost.

Date: 13.04.2016

M/s. Pravara Medical trust

(Authorized Signatory)

(to be published in the gazette of india, part-ii, and...

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