SREE AYYAPPA MEDICAL COLLEGE & RESEARCH FOUNDATION

FORM IFOR EC APPLICATION OFSREE AYYAPPA MEDICAL COLLEGE & RESEARCH

FOUNDATIONATVADASSERIKKARA VILLAGE, RANNI TALUK,PATHANAMTHITTA DISTRICT, KEREALAUNDER M/S. PSN EDUCATIONL & CHARITABLE TRUST, NAGARKOIL,

TAMILNADU

Prepared ByENVIROCHEM LABORATORIES (P) LTD,V/589/1B, THOZHUTHUNGAL BUILDING, KOVILAKATHUMPADAM,THRISSUR – 20, PH: 0487-2331462, 2321645,E mail – [email protected]

Form – I to get Environmental Clearance for the Proposed Sree AyyappaMedical College & Research Foundation, Vadasserikkara owned by M/s.PSN Educational & Charitable Trust, Nagarcoil

Envirochem Laboratories Private Ltd March 2016

FORM - I

(I) BASIC INFORMATION

S. No. Item Details1 Name of the project/s Proposed Sree Ayyappa Medical College &Research Foundation, Vadasserikkara,Pathanamthitta under M/s PSN Educational& Charitable Trust, Nagarcoil, Tamilnadu.2 S.No. in the schedule Category 8(a)3 Proposed capacity / area /length / tonnage to be handled/ command area / lease area /number of wells to be drilledTotal Plot area – 113367 Sq.meterTotal built-up area –100123.63sq.meterTotal No. of Beds – 750Expected Out Patients – 1200 Nos/ day4 New/Expansion/Modernization New5 Existing Capacity/ Area etc. Nil6 Category of Project i.e. ‘A’ or‘B’ B(1) , 8a7 Does it attract the generalcondition? If yes, pleasespecify. No

8 Does it attract the specificcondition? If yes, please specify. No9 LocationPlot/survey/ Khasra.No 453/1,453/17,453/9, 453/20,453/10,453/14-1Village VadasserikkaraTehsil RanniDistrict PathanamthittaState Kerala10 Nearest railway station /airport along with distance inKm. Chengannur Railway Station – 22.49 kmTrivandrum Airport - 93.59 km ( AirDistance )11 Nearest town, city, districtheadquarters along withdistance in Km. RanniPathanamthittaPathanamthitta12 Village panchayats, Zillaparished, municipalcorporation, localbody(complete postal addressVadasserikkara Village , VadasserikkaraPathanamthitta Phone : 04735253750Ranni Gramma Panchayath

010101



with telephone nos. to begiven)13 Name of the applicant Dr. P.Suyambu Nadar ,Managing Trustee, M/s PSN Educational &Charitable Trust,Nagarcoil.14 Registered address No. 12, Court Road, PS Nadar Building ,Nagarcoil – 629001, Tamilnadu15 Address for correspondenceName Dr. P. Suyambu Nadar,Designation(Owner/Partner/CEO) Managing TrusteeAddress No. 12, Court Road, PS Nadar Building ,NagarcoilPin Code 629001E-Mail Sreeayyappamedicalcollege @gmail.comTelephone No Site: 04735250250Mob: 9447116655Fax No ----16 Details of Alternative SitesExamined, if any, location of thesesites should be shown on a toposheet.No alternative sites are examined.

17 Interlinked Projects No18 Whether separate applicationof interlinked project has beensubmitted? Not Applicable19 If yes, date of submission Not Applicable20 If no, reason Not Applicable21 Whether the proposal involvesapproval / Clearance under thefollowing acts. If yes, details ofthe same and their status to begiven.(a) The Forest (Conservation)Act, 1980?(b) The Wildlife (Protection)Act, 1972?(c) The C.R.Z Notification,1991?

No

22 Whether there is anygovernment order/ Policyrelevant/ relating to the site? YesGovernment of Kerala Revenue DepartmentGazette No. 403/2013/RD dated 24thSeptember 2013 ( Annexure XXIV)02



23 Forest land involved (hectares) Nil24 Whether there is any litigationpending against the and/ orland in which the project isproposed to be set up?(a) Name of the Court(b) Case No.(c) Order/ directions of theCourt, if any And its relevancewith the Proposed expansionproject.

No

(II) Activity

1. Construction, operation or decommissioning of the Project involving actions,which will cause physical changes in the locality (topography, landuse, changesin water bodies, etc.)

S.No.

Information / ChecklistConfirmation

Yes /No

Details thereof with approximatequantities / rates, wherever

possible) with source ofinformation data1.1 Permanent or temporary changein landuse, land cover ortopography including increaseintensity of land use (withrespect to local land use plan)

Yes Proposed land for Medical college &Research Foundation is Dry land andconverted rubber plantation with nohabitation.The project area will be subjected tochanges in terms of land cover . Site isregged, hilly with gradual slope.During the construction phase,proper measures are to be taken toavoid soil erosion & land slips.With the coming up of the project ,there will be many indirect benefitsof development, which will add to thelocalized landuse change. ProposedConstruction of the hospital iscarried out in 28 acres of landaccredited by Kerala Governmentthrough Gazette notification and isenclosed as Annexure- XXIV Thecopy of landuse classificationcertificate is enclosed as Annexure –IX

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The construction activities bringchanges in land terrain . Theexcavated soil will be utilized withinthe site.1.2 Clearance of existing land,vegetation and Buildings? Yes About 960 numbers of rubber treeswere cut to accord constructionA green belt and landscaping planwill be developed after constructionto mitigate the loss of trees, soilerosion , land slips etc . Allecological friendly species will beplanted to avoid top soil erosion andto increase the vegetative cover.1.3 Creation of new land uses? Yes The area will be changed and thechanges will be localizedTotal Area :113367 sq. meterPlinth Area :100123.63 sq.meterGround Coverage :23.10%Green belt : 16420.5 sq.meter1.4 Pre-construction investigationse.g. Bore Houses, Soil testing? Yes Detailed soil testing ( bore hole) hasbeen carried out in six locations tofind the suitability of soil forproviding adequate foundations forthe proposed structures and thereport is given in the Annexure – XIXBore hole soil test has been carried intwelve locations. The depth of hardrock varies from 5-14m. In generalthe soil is reddish brown clayie andchanges to lateritic clay with depth.Soft laterite is present at depths of 4metres. In general the soil is hardenough to widthstand foundations.1.5 Construction works? Yes Construction activities will be carriedout in such a manner that impact onthe surrounding environment will beminimum.( Annexure IV - Project Layout)1.6 Demolition works? No No demolition work is required.1.7 Temporary sites used for Yes It is proposed to provide for the04



construction works or housing ofconstruction workers? construction workers to stay at theconstruction site with facilitiesnamely viz., water, electricity ,canteen and sanitation .1.8 Above ground buildings,structures or earthworksincluding linear structures, cutand fill or excavations.Yes Area selected for the proposedbuilding is hilly with gradual slope.Cutting and filling is required as perthe slope. Excavation of site isrequired for the internal roads andother structures. Soil excavated will beused for back filling and to reduce theslopes.1.9 Underground works mining ortunneling? No No underground works will berequired.1.10 Reclamation works? No No reclamation work is required.1.11 Dredging? No No dredging work is required.1.12 Off shore structures? No No off shore structures required.1.13 Production and manufacturingprocesses? No No production or manufacturingactivities are involved in this project.1.14 Facilities for storage of goods ormaterials? Yes Adequate facility for the storage ofconstruction materials during theconstruction phase will be provided.These materials will be stored inmaterial handling yards which will beenclosed storages within the projectsite.1.15 Facilities for treatment ordisposal of solid waste or liquideffluents? Yes During Construction phase temporarylatrines & toilets were constructedwith septic tanks . Separate sanitaryfacilities were provided in the labourcamps . Domestic Solid wastegeneration from the project duringconstruction phase will be about 90kg./ day and liquid waste water 10.8kl/ day. The biodegradable wastewill be treated by a compostingmethod and non bio degradablewaste and other packaging materialswill be sold to authorized vendors.About 40 kg/sq.meter constructionwaste is also generated duringconstruction phase, which will bereused or disposed through the

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authorized vendors.During the operation phase, STP willbe provided for the treatment ofsewage. Solid waste will be treated inBiogas plant. . For the Bio Medicalwaste Management an agreementwill be made with the M/s. IMAGE,Thiruvananthapuram for thecollection, transport, treatment anddisposal. The copy of the preliminaryagreement is enclosed in AnnexureXVIII1.16 Facilities for long term housingof operational workers? Yes Staff quarters are included in theconstruction plan for the staffworking in hospital & academicinstitutions.1.17 New road, rail or sea trafficduring Construction oroperation? Yes No additonal external roads arerequired. Although existing roadswill be strengthend. Only serviceroads ( new) inside the constructionarea are planned .Operational Phase:Internal roads will be constructed soas to make the arrangement forproper movement and vehicleparking.1.18 New road, rail, air waterborne orother transport infrastructureincluding new or altered routesand stations, ports, airports etc?

No There will be no change to theexisting transport infrastructure.1.19 Closure or diversion of existingtransport routes orinfrastructure leading to changesin Traffic movements?

No No need for closure or diversion ofexisting transport routes.1.20 New or diverted transmissionlines or pipelines? No No new or diversion of transmissionlines & pipelines are required for thisproject.1.21 Impoundment, damming,culverting, realignment or otherchanges to the hydrology ofwatercourses or aquifers?

No There will not be any alteration in thehydrology of the watercourses oraquifers due to the proposed project.

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1.22 Stream crossings? No There is no stream crossing in theproject site.1.23 Abstraction or transfers of waterform ground or surface waters? Yes Two bore wells are constructed . Thecopy of the sanction from the GroundWater Department is attached asAnnexure XXV1.24 Changes in water bodies or landsurface affecting drainage orrunoff? No There is no change in the waterbodies or land surface which affectthe drainage or runoff.1.25 Transport of personnel ormaterials for construction,operation or decommissioning? Yes Transportation of personnel orconstruction materials duringconstruction and operation phase willbe through existing roads.1.26 Long-term dismantling ordecommissioning or restorationworks? No No long term dismantling ordecommissioning or restorationworks will be involved.1.27 Ongoing activity duringdecommissioning which couldhave an impact on theenvironment?

No There will not be anydecommissioning work.1.28 Influx of people to an area eithertemporarily or permanently? Yes During Construction phase, mariginalquanity of the labourers will beaccommodated in this areatemporarily.And in Operation Phase an influx ofaround 4952 people is anticipated aspatients, medical students, staff andvisitors.1.29 Introduction of alien species? No Not applicable1.30 Loss of native species or geneticdiversity? No No loss at the site as is expected andthere are no endemic andendangered species.1.31 Any other actions? No ---

2. Use of Natural resources for construction or operation of the Project (such asland, water, materials or energy, especially any resources which are non-renewable or in short supply)

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S.No.

Information/checklistconfirmation

Yes /No

Details there of (withapproximate quantities/rates,

wherever possible) with sourceof information data2.1 Land especially undeveloped oragricultural land (ha) No The buildings will be constructedwithin the existing area of 28.0acres. The copy of the ownershipdocument is enclosed as Annexure

– II2.2 Water (expected source &competing users) Unit: KLD Yes Fresh water requirement : 688.52KLDSource: Bore well water, rain waterharvesting tank and treated waterfrom STP . Details are provided inthe Conceptual plan2.3 Minerals (MT) No No usage of minerals from the siteis envisaged for construction .2.4 Construction material - stone,aggregates, and / soil (expectedsource - MT) Yes The approximate consumption ofRMC, cement, steel, concrete, sand,etc. is given below:Cement - 79,839 TonsSteel - 18,249 TonsAggregate - 31,91,568 cftSand - 54,74,688 cftBrick - 8,21,20,324Nos2.5 Forests and timber (Source - MT) No No significant use of forests &timbers . Limited use of timberwork is required for the proposedbuilding and will be collected fromauthorized timber merchants .2.6 Energy including electricity andfuels (source, competing users)Unit: fuel (MT), energy (MW) Yes Power requirement - 2004 KWHSource – KSEBStandby source - 1000 KVA (1 No)& 750 KVA ( 1 No)Fuel – 540 Lit/hr of diesel for DGset2.7 Any other natural resources(use appropriate standard units) No Not applicable .

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3. Use, storage, transport, handling or production of substances or materials,which could be harmful to human health or the environment or raise concernsabout actual or perceived risks to human health.

S.No.

Information/Checklistconfirmation

Yes /No


wherever possible) with sourceof information data3.1 Use of substances or materials,which are hazardous (as perMSIHC rules) to human health orthe environment (flora, fauna,and water supplies)

No There will not be any use ofsubstances or materials which arehazardous to human health orenvironment.3.2 Changes in occurrence of diseaseor affect disease vectors (e.g.insect or water borne diseases) No Not applicable3.3 Affect the welfare of people e.g.by changing living conditions? Yes The welfare of people will beenhanced. Further the project willprovide employment opportunitiesto the local people (skilled,unskilled and professional workforce) and standard medicalfacility.3.4 Vulnerable groups of people whocould be affected by the projecte.g. hospital patients, children,the elderly etc.

No There are no vulnerable groups ofpeople who could be affected by theproject.3.5 Any other causes No Not applicable4. Production of solid wastes during construction or operation or

decommissioning (MT/month)

S.No.


Yes /No

Details there of (withapproximate quantities /rates,wherever possible) with source

of information data4.1 Spoil, overburden or minewastes No There will not be any spoil,overburden or mine waste.4.2 Municipal waste (domestic andor commercial wastes) Yes Domestic waste will be generatedboth during construction andoperation phases. The solid wastegeneration and its managementdetails are given in the Conceptual

09



Plan.4.3 Hazardous wastes (as perHazardous Waste ManagementRules) No No hazardous waste generationduring construction or operationalphases.4.4 Other industrial process wastes No As a hospital & educationalinstitution project, no industrialprocess wastes are generated.4.5 Surplus product No Not applicable4.6 Sewage sludge or other sludgefrom effluent treatment Yes Sewage sludge from STP will beused as manure in green beltdevelopment.4.7 Construction or demolitionwastes Yes Only Construction debris will begenerated during the constructionphase which will be utilized forleveling the proposed building /driveway area.4.8 Redundant machinery orequipment No Most of the required equipmentswill be hired during theconstruction phase.4.9 Contaminated soils or othermaterials No There is no source for contaminationof soils or other materials. Apartfrom this a provision of soil qualitymonitoring will be kept in the pre-construction, construction and postconstruction stage and suitablemeasures will be taken if anycontamination is observed.4.10 Agricultural wastes No Not applicable4.11 Other solid wastes Yes Bio medical waste is being disposedto Bio medical common treatmentfacility ( IMAGE)5. Release of pollutants or any hazardous, toxic or noxious substances to air

(Kg/hr)

S.No.


Yes /No

Details there of (withapproximate quantities / rates,wherever possible) with source

of information data5.1 Emissions from combustion offossil fuels from stationary or Yes The gaseous emissions areexpected from transport vehicles10



mobile sources moving inside the project site.These will be minimized bycontrolling the speed of vehicles,hiring well maintained vehicles,planting trees and spraying waterperiodically.Emissions are expected from DieselGeneratosr during operation phase.The DG Sets shall be provided withacoustic enclosure for noise controland adequate height of stack todisperse the emission.5.2 Emissions from productionprocesses No Not applicable5.3 Emissions from materialshandling storage or transport Yes Emissions like dust will ariseduring the transportation ofmaterials and the dust will becontrolled by slow movement ofvehicles, covering the materialsproperly and water spraying.5.4 Emissions from constructionactivities including plant andequipment. Yes Mariginal quantities of emission isenvisaged from constructionactivites which will be controlledby suitable control measures likewater spraying.5.5 Dust or odours from handling ofmaterials including constructionmaterials, sewage and waste. Yes Dust emission will be arrested bywater spraying and covering thestored materials with tarpaulincover. Septic tanks & soak pit willbe provided to treat the sewageduring construction phase.No odour is expected during theconstruction phase. Since theproposed project is an institutionalbuilding with no commercial orindustrial activities, no odour isexpected during the operationphase of the project.Proper sewage and solid wastemanagement system will beprovided and well maintained andhence no odours are expected.11



5.6 Emissions from incineration ofwaste. Yes A waste burner of 250 kg/ hr isproposed in the operation phase todispose non biodegradable ( Nonbiomedical) and non recyclablewaste . Adequate stack height willbe provided. Ash will be collectedand stored in HDPE bags anddisposed through authorizedvendors.5.7 Emissions from burning of wastein open air (e.g. slash materials,construction debris) No Burning of waste material will notbe carried out in open air.5.8 Emissions from any othersources No No emissions from any othersources6. Generation of Noise and Vibration, and Emissions of Light and Heat

S.No.

Information/Checklistconfirmation Yes/No


of information data6.1 From operation of equipmente.g., engines, ventilation plant,crushers Yes RMC will be used at site. In case ofany usage of machinery/equipment, then they will beproperly covered and workers willbe given ear plugs in noisy area.Acoustic enclosures will beprovided for DG sets.6.2 From industrial or similarprocesses No Not applicable6.3 From construction or demolition Yes Noise levels in the range of 75-85dB(A) will be generatedoccasionally during theconstruction activities. Workers inthe noisy areas will be providedwith earmuffs and earplugs.6.4 From blasting or piling Yes Piling is required which will bedone using low sound generatingequipments.6.5 From construction oroperational traffic Yes During construction phaseconstruction materials will betransported by road, through wellmaintained vehicles to controlnoise, vibration and emissions.12



During operational phase trafficnoise and emissions will beincreased slightly that will beminimized by paving roads withasphalt/concrete, well maintainedvehicles, slow movement ofvehicles and by planting treeswhose canopy will absorb sound.6.6 From lighting or cooling systems No Adequate insulation and treeplantations will be provided.6.7 From any other sources No Not Applicable7. Risks of contamination of land or water from releases of pollutants into the

ground or into sewers, surface waters, groundwater, coastal waters or thesea.

S.No.



of information data7.1 From handling, storage, use orspillage of hazardous materials No No hazardous materials arehandled.7.2 From discharge of sewage orother effluents to water or theland (expected mode and placeof discharge)No No discharge of sewage in to theland. STP is available for thetreatment of sewage. Furthertreated sewage is used for toiletflushing & landscaping.7.3 By deposition of pollutantsemitted to air into the land andinto water No Negligible

7.4 From any other sources No No other polluting sources exist.7.5 Is there a risk of long term buildup of pollutants in theenvironment from thesesources?No Not applicable .

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8. Risk of accidents during construction or operation of the Project, whichcould affect human health or the environment.

S.No.



wherever possible) with sourceof information data8.1 From explosions, spillages, firesetc from storage, handling, useor production of hazardoussubstances

No No hazardous substances will berequired either during constructionor operation phases. However,adequate safety measures tomitigate all risks anticipated out offire will be taken care of byinstalling suitable fire fightingsystem.8.2 From any other causes No No risks from any other sources.8.3 Could the project be affected bynatural disasters causingenvironmental damage (e.g.floods, earthquakes, landslides,cloudburst etc)?No The area under study falls in Zone-III according to the Indian StandardSeismic Zoning Map and therebystable in nature. Suitable seismiccoefficients in horizontal andvertical directions will be adoptedwhile designing the structures.

9. Factors which should be considered (such as consequential development)which could lead to environmental effects or the potential for cumulativeimpacts with other existing or planned activities in the locality

S.No.


Yes/No


wherever possible) with source ofinformation data9.1 Lead to development ofsupporting utilities, ancillarydevelopment or developmentstimulated by the project whichcould have impact on theenvironment e.g.

Supporting infrastructure(roads, power supply, wasteor wastewater treatment, etc.) No Proposed infrastructure like roads,power supply, waste or wastewater treatment will not create anyimpact on the environment.14



Housing development Yes There will be housingdevelopment for staff quarters Extractive industry No No Supply industry No No Other Yes Commercial development may takeplace due to the influx of peopleduring the operation stage of theproject.9.2 Lead to after-use of the site,which could have an impact onthe environment No No such impact is expected due tothe proposed activity

9.3 Set a precedent for laterdevelopments Yes The standard of living ofneighbourhood will improve.9.4 Have cumulative effects due toproximity to other existing orplanned projects with similareffectsNo Not applicable

III. Environmental Sensitivity

S. No. Areas Name/Identity

Aerial distance (within10km.) Proposedexpansion projectlocation boundary1 Areas protected underinternational conventions,national or local legislation fortheir ecological, landscape,cultural or other related value

No2 Areas which important for are orsensitive Ecological reasons -Wetlands, watercourses or otherwater bodies, coastal zone,biospheres, mountains, forests

Yes Kallar River within 10km radius3 Area used by protected,important or sensitive species offlora or fauna for breeding,nesting, foraging, resting, overwintering, migration

No No such areas with in 10km radius4 Inland, coastal, marine orunderground waters No No such areas with in 10km radius5 State, National boundaries No No state / nationalboundaries

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6 Routes or facilities used by thepublic for access to recreation orother tourist, pilgrim areas No No such areas with in 10km radius7 Defense installations No No such areas with in 10km radius8 Densely populated or built-uparea Pathanamthitta With in city limitsdistance9 Area occupied by sensitive man-made land uses Hospitals, schools,places of worship, communityfacilities)No No such areas within 10km radius

10 Areas containing important, highquality or scarce resources(ground water resources, surfaceresources, forestry, agriculture,fisheries, tourism, minerals)No No such areas with in 10km radius

11 Areas already subjected topollution environmental damage.(those where existing legalenvironmental standards areexceeded)No No such areas with in 10km radius

12 Areas susceptible to naturalhazard which could cause theproject to present environmentalproblems (earthquakes,subsidence, landslides, floodingerosion, or extreme or adverseclimatic conditions)

No The area under studyfalls in Zone-III,according to the IndianStandard Seismic ZoningMap. Suitable seismiccoefficients in horizontaland vertical directionswill be adopted whiledesigning the structures.There are no possibilitiesof the project site gettingflooded as per recordsavailable.

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dForm - I to get Environmental Clearance for the .proposed expansion ofhospital buildings at Lakeshore Hospital & Research Centre, Nettoorvillage, Ernakulam Distric| Kerala

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

and enclosures are true to the best of my knowledge ad beliefand I am aware that ifany

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 risR and cost.

Date:

Place:

(Signature of the applicant

With Name and Full Addressl

ffi

-0r2. /, (u'/rt tu 8u,,Dr. P. Suyambu /--'- Cha)f Mw^

Chairman ,.{n*

PSN Educational & Charitdble Trust

4th Floor, 12 Court RoadNagarcoil, Kanyakumaii

Prepared By Envirochem February 20i(

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