Form-1
APPLICATION FOR PRIOR ENVIRONMENTAL CLEARANCE
1. Basic Informations
Project Name Proposed 150 Admissions Medical College & Hospital at satna MP Company/Organisation Name PUBLIC WORKS DEPARTMENT (PIU- SATNA)
Registered Address Public works Department (PIU), Satna MP SH-11, Majhgawa, MP Madhya Pradesh 485331 Legal Status of the Company State Government
2.
Address for the correspondence:
(a)Name of the Applicant subhash Patil
(b)Designation (Owner/ Partner/ CEO) DPE
(c)Address Public works Department (PIU), Satna MP SH-11, Majhgawa, MP,Satna,Madhya Pradesh-485005
(d)Pin code 485005
(e)E-mail gmchsatna@gmail.com
(f)Telephone No. 120-4352889
(g)Fax No.
Copy of documents in support of the competence/authority of the person making this application to make application on behalf of the User Agency . NIL
3.
Category of the Project/Activity as per Schedule of EIA Notification,2006:
(a)Major Project/Activity8(a) Building and Construction projects
(b)Minor Project/Activity1(a) Mining of minerals
(c)Category B2
(d)Proposal Number SIA/MP/MIS/97645/2019
(e)Master Proposal Number(Single Window) SW/97642/2019
(f)EAC concerned (for category A Projects only) INFRA-2
(g)Project Type(New/Expansion/Modernization) Fresh EC
4.
(a)Number of States in which Project will be Executed 1
(b)Main State of the project Madhya Pradesh
Details of State(s) of the project
S. No. State Name District Name Tehsil Name Village Name
(1.)Madhya PradeshSatnaRaghurajnagarraghuraj nagar
5.
Details of Public Consultation:
(a)Whether the Project Exempted from Public Hearing?Yes
(c)Reason -1
(d)Supporting Document NILL
Project Profile
Location of the project kirpalpur
Town / Village
(Name of more than one town may be entered by separating with)
Kirpalpur, tehsil-Raghuraj nagar Plot/Survey/Khasra No.
(Name of more than one town may be entered by separating with)
Kirpalpur, tehsil-Raghuraj nagar
State Madhya Pradesh District Satna
Tehshil Raghurajnagar Pincode 485112
Nearest railway station Sakariya railway station Distance from the project site 3.7
Nearest airport Satna Airport Distance from the project site 3.1
Nearest Town/City/District Headquarters satna Distance from the project site 5.5
Village Panchayats, Zila Parishad, Municipal Corporation, Local body(Complete postal addresses with telephone nos. to be given) Satna Municipal Corporation MP Nagar, Satna, Madhya Pradesh 485001 Upload GPS file Copy of Kml File     
Uploaded GPS file
Shape of the project land Block (Polygon) Site alternative under consideration(If any) Uploaded Site alternative under consideration
Brief summary of project Uploaded Brief summary of project
Does your project location falls under out of any following areas None of above Areas
Proposed Built up area (Built up area or covered area on all the floors puttogether including its basement and other service areas which are proposed in the building or construction projects)(In Meter /Sqr) 84096.575 Existing Built Up Area(In Meter /Sqr) 0
Does it attract any of the general conditions given below? No
Does it attract the specific condition given below? No
Interlinked Projects No
Whether separate application of interlinked projects has been submitted? Date of Submission
Whether the proposal involves approval/clearance under the Forest (Conservation) Act,1980? No
Whether the proposal involves approval/clearance under the wildlife (Protection) Act,1972? No
Whether the proposal involves approval/clearance under the C.R.Z notification,2011? No
Whether there is any Government Order/Policy relevent/relating to the site? No
Forest land involved(hectares) 0
Is there any litigation pending against the project? No


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.)
S.No Information/Checklist confirmation Yes/No Details there of (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) Yes The proposed site shall be developed to proposed medical college and hospital so there shall be alteration in land use.
1.2 Clearance of existing land, vegetation and buildings? No The site will involve clearance of small grasses at site but will not involve the clearance of existing building.
1.3 Creation of new land uses? Yes New construction shall involve create new land use but the land use shall be in conformity to the Master Plan of the area
1.4 Pre-construction investigations e.g. bore houses, soil testing? Yes Geo technical investigation will be done to find the suitability of soil for providing for adequate foundations for the proposed structure.
1.5 Construction works? Yes Construction of new structures will be done.
1.6 Demolition works? No The project site has pre-existing structures in area but demolition is not required.
1.7 Temporary sites used for construction works or housing of construction workers? Yes All the construction activity including stocking of raw materials will be confined within the project site only. Inside the proposed site, a small area will be utilized temporarily for construction of sheds for the labor. Local labors from nearby area will be hired. Sanitation facilities will be
1.8 Above ground buildings, structures or earthworks including linear structures,cut and fill or excavations and fill or excavations Yes Excavation will be carried out for foundation of buildings. The excavated soil will be re used in backfilling and other area development activities.
1.9 Underground works including mining or tunneling? No No underground works including mining/ tunneling is required except excavation of earth for basements and foundation.
1.10 Reclamation works? No No reclamation work required.
1.11 Dredging? No
1.12 Offshore structures? No
1.13 Production and manufacturing processes? No No production/manufacturing process involved as the project is building construction project.
1.14 Facilities for storage of goods or materials? Yes Raw material will be stored at site in a covered area. Cement will be separately stored under cover in bales. Sand will be stacked neatly under tarpaulin cover. Bricks and steel will be laid in open.
1.15 Facilities for treatment or disposal of solid waste or liquid effluents? Yes During construction stage, waste will be generated mainly from construction activities and municipal solid waste from labour resting areas. Adequate measures will be taken for proper collection and disposal of the debris by the engaged civil contractors. Domestic effluents will be collected in septic tanks followed by soak pits The solid waste generated from project will be mainly domestic in nature and the quantity of the waste will be 4,476 kg/day. Solid wastes generated will be segregated in
1.16 Facilities for long term housing of operational workers? No Local labourers will be hired from nearby areas during construction phase. So, there will be no need to create permanent facilities for long-term housing of operational workers.
1.17 New road, rail or sea traffic during construction or operation? No The site has good connectivity to Kushwaha road. Only internal roads; paths will be developed for vehicular movements for transportation of construction material during construction phase whereas internal tracks and paths will be developed for traffic circulation (to avoid any congestion) during operational phase.
1.18 New road, rail, air water borne or other transport infrastructure including new or altered routes and stations, ports, airports etc? No The site is well connected through the road network. The nearest road is Kushwaha road which is adjacent to the project site.
1.19 Closure or diversion of existing transport routes or infrastructure leading to changes in traffic movements? No Since the site has good connectivity to sector road. Site has low traffic density; there will be no need for diversion or closure of existing traffic routes.
1.20 New or diverted transmission lines or pipelines? No
1.21 Impoundment, damming, culverting, realignment or other changes to the hydrology of watercourses or aquifers? No No impoundment, damming, culverting, realignment or other changes to the hydrology of surface watercourses is proposed.
1.22 Stream crossings? No
1.23 Abstraction or transfers of water from ground or surface waters? Yes Construction Phase : During the construction phase the water requirement (approx. 1,447 ML) for construction activities will be met from Private water. No ground water will be extracted. Hence, there will be no impacts on ground water environment during construction phase. Operational Phase : The water supply will be through Municipal supply. The total water requirement will be Approx. 937 KLD during operation phase out of which total domestic water requirement is 806 KLD.
1.24 Changes in water bodies or the land surface affecting drainage or run-off? No There are no water bodies in the project site. The project does not envisage any alterations in water courses or change in drainage or the land surface affecting drainage or run-off.
1.25 Transport of personnel or materials for construction, operation or decommissioning? Yes During the construction phase, about 15-20 trucks are estimated per week. Adequate parking space within the project site for loading and unloading of materials will be provided. Adequate parking space (654 ECS) will be provided
1.26 Long-term dismantling or decommissioning or restoration works? No No Long term dismantling or decommissioning or restoration works
1.27 Ongoing activity during decommissioning which could have an impact on the environment? No
1.28 Influx of people to an area in either temporarily or permanently? No Local laborers from nearby area will be employed during the construction phase. In the operation phase, most of the expected occupants will be from the surrounding areas. Hence, the project will lead to a redistribution of occupants within the city. Thus, no significant influx of people is envisaged.
1.29 Introduction of alien species? No The landscaping will be carried out with mainly local species like cassia fistula, delonix regia etc. with a few ornamental varieties of flora that are well suited to the local conditions like weigela, barberry, camellia, lilac etc.
1.30 Loss of native species or genetic diversity? No There will be no significant impact on the native species or genetic diversity.
1.31 Any other actions? No
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):
S.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) Yes Land is undeveloped, but shall be developed for the construction of medical college and residence.
2.2 Water (expected source & competing users) unit: KLD Yes During construction phase 1,447 amount of water will be required which will be provided by Private tanker supplier. During operation phase, water supply will be provided through Municipal. About 564 KLD of fresh water will be required during operation phase of the project.
2.3 Minerals (MT) Yes Minerals such as sand and aggregates will be required during the construction phase.
2.4 Construction material – stone, aggregates, sand / soil (expected source – MT) Yes All materials for construction will be arranged through select suppliers.
2.5 Forests and timber (source – MT) Yes All material forests and timber will be provided by selected suppliers. However steel frames etc. shall be used to minimize the use of timber.
2.6 Energy including electricity and fuels (source, competing users) Unit: fuel (MT),energy (MW) Yes Power/Electricity Details : Source: Madhya Pradesh Poorv Kshetra Vidyut Vitaran Company Ltd. Requirement: Demand load shall be supplied by transformers: Transformers (33 kV/433V): 2 transformers of 200 kVA each.
2.7 Any other natural resources (use appropriate standard units) No
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
S.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 Diesel for DG sets will be stored in drums in earmarked locations. It shall also be handled as per The Manufacture, Storage and Import of Hazardous Chemical Rules, 1989 and Material Safety Data Sheet.
3.2 Changes in occurrence of disease or affect disease vectors (e.g. insect or water borne diseases) Yes Suitable drainage and waste management measures (with frequent spray of insecticides etc.) will be adopted in both the construction and operational phase such that there will be no stagnation of water or
3.3 Affect the welfare of people e.g. by changing living conditions? Yes Socio-economic standard of people will improve due to increased employment opportunities provided by this project. This will provide better healthcare & educational facility
3.4 Vulnerable groups of people who could be affected by the project e.g. hospital patients, children, the elderly etc. Yes The proposed site shall be developed as hospital building and educational centre for students of medical line which will have good affect
3.5 Any other causes No
4 Production of solid wastes during construction or operation or decommissioning (MT/month)
S.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 No such spoil, overburden or mine wastes will be generated.
4.2 Municipal waste (domestic and or commercial wastes) Yes The total municipal (domestic) solid waste to be generated is approx. 4,476kg/day.
4.3 Hazardous wastes (as per Hazardous Waste Management Rules) Yes The hazardous wastes along with other wastes in the project will be used oil from DG sets, which is classified as per The Hazardous Waste Category 5.1 as per The Hazardous Wastes (Management & Handling) Rules, 1989.
4.4 Other industrial process wastes No
4.5 Surplus product No
4.6 Sewage sludge or other sludge from effluent treatment Yes The Sludge generated from the STP plant will be dried and later will be used as manure for green belt development.
4.7 Construction or demolition wastes Yes The construction waste will consist of excess earth and construction debris along with cement bags, steel in bits and pieces, insulating and packaging materials etc. Recyclable waste construction materials will be sold to recyclers. Unusable and excess construction debris will be disposed at designated places in tune with the local norms.
4.8 Redundant machinery or equipment No
4.9 Contaminated soils or other materials No
4.10 Agricultural wastes Yes Landscape wastes of 2.14 kg/day will be generated.
4.11 Other solid wastes No
5 Release of pollutants or any hazardous, toxic or noxious substances to air(Kg/hr)
S.No Information/Checklist confirmation Yes/No Details thereof (with approximate quantities/rates, wherever possible) with source of information data
5.1 Emissions from combustion of fossil fuels from stationary or mobile sources Yes The project does not envisage any major air pollution sources except operation of DG sets during power failure and vehicular traffic.
5.2 Emissions from production processes No No production processes involved. Hence, there will be no such emissions.
5.3 Emissions from materials handling including storage or transport Yes Small quantities of fugitive emissions are envisaged during transport and handling of construction materials. Such emissions will be temporary and controlled by the use of sprinkling and other viable techniques like covering of loose material.
5.4 Emissions from construction activities including plant and equipment Yes This will be restricted to the construction phase and the construction site only.
5.5 Dust or odours from handling of materials including construction materials, sewage and waste Yes Dust is anticipated during loading and unloading of construction material and excavation of upper earth surface. These will however be temporary in nature, which will be controlled by providing water sprinklers. Tarpaulin cover will be provided on stored loose materials to reduce the dust emission.
5.6 Emissions from incineration of waste No No incineration is allowed
5.7 Emissions from burning of waste in open air (e.g. slash materials, construction debris) No Open burning of biomass/other material will be prohibited on site.
5.8 Emissions from any other sources No
6 Generation of Noise and Vibration, and Emissions of Light and Heat:
S.No Information/Checklist confirmation Yes/No Details thereof (with approximate quantities/rates, wherever possible) with source of information data
6.1 From operation of equipment e.g. engines, ventilation plant, crushers Yes Source of noise in the operational phase will be from backup DG sets (which will be in operation only during power failure) and pumps & motors. All the machinery will be of highest standard of reputed make and will comply with standard i.e. The DG set room will be provided with acoustic enclosure to have minimum 25 dB(A) insertion loss or for meeting the ambient noise standard whichever is on higher side as per E (P)
6.2 From industrial or similar processes No
6.3 From construction or demolition Yes Due to various construction activities, there will be short-term noise impacts in the immediate vicinity of the project site. The construction activities will include the following noise generating activities: ? Concreting, mixing & operation of DG sets. ? Construction plant and heavy vehicle movement
6.4 From blasting or piling No
6.5 From construction or operational traffic Yes Some noise will be generated from vehicular movement in the construction and operational phase but that will be mitigated with green belt.
6.6 From lighting or cooling systems No
6.7 From any other sources No
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:
S.No Information/Checklist confirmation Yes/No Details thereof (with approximate quantities/rates, wherever possible) with source of information data
7.1 From handling, storage, use or spillage of hazardous materials No The used oil from DG sets will be carefully stored in HDPE drums at isolated storage, and periodically sold to authorized recyclers. All precautions will be taken to avoid spillage from storage as per The Hazardous Wastes (Management & Handling) Rules, 1989.
7.2 From discharge of sewage or other effluents to water or the land (expected mode and place of discharge) No There will be no discharge of untreated sewage on land or into water bodies. Adequate treatment of sewage will be carried out in a STP of capacity 830 KLD, proposed within the project premises. Treated sewage will be re-used for flushing, landscaping, and D.G. Cooling.
7.3 By deposition of pollutants emitted to air into the land or into water No The DG Sets will be provided with stacks of adequate height. Hence dispersion will be achieved and avoid deposition of pollutants in significant concentrations at any single location.
7.4 From any other sources No
7.5 Is there a risk of long term build up of pollutants in the environment from these sources? No
8 Risk of accidents during construction or operation of the Project, which could affect human health or the environment
S.No Information/Checklist confirmation Yes/No Details thereof (with approximate quantities/rates, wherever possible) with source of information data
8.1 From explosions, spillages, fires etc from storage, handling, use or production of hazardous substances Yes To deal with any fire related accident, firefighting facility of single handed hydrant valve, long hose reel, and portable fire extinguisher shall be provided.
8.2 From any other causes No
8.3 Could the project be affected by natural disasters causing environmental damage (e.g. floods, earthquakes, landslides, cloudburst etc)? Yes The project falls under seismic active Zone III indicating high damage risk zone. The buildings will be designed as earthquake resistant and comply with the required IS specifications
9 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
S.No Information/Checklist confirmation Yes/No Details thereof (with approximate quantities/rates, wherever possible) with source of information data
9.1 Lead to development of supporting utilities, 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
Yes Appropriate infrastructure like roads, power supply, waste management and waste water treatment will be developed within the project site. Development of the Project will be done as per designated land use
9.2 Lead to after-use of the site, which could have an impact on the environment No
9.3 Set a precedent for later developments Yes The project will provide good infrastructure and medical care and will set an example for later developments in the areas.
9.4 Have cumulative effects due to proximity to other existing or planned projects with similar effects No
(III) Environmental Sensitivity
S.No Areas Name/Identity Aerial distance (within 15km.) Proposed project location boundary
1 Areas protected under international conventions, national or local legislation for  their ecological, landscape, cultural or other related value
No
2 Areas which are important or sensitive for ecological reasons - Wetlands, watercourses or other water bodies, coastal zone, biospheres, mountains, forests Yes satna River-3 km
3 Areas used by protected, important or sensitive species of flora or fauna for breeding, nesting, foraging, resting, over wintering, migration Yes Satna River-Water body at the distance of approx. 3 km from the site
4 Inland, coastal, marine or underground waters Yes The depth of groundwater is 10-14 mtrs meter below the ground level.
5 State, National boundaries No
6 Routes or facilities used by the public for access to recreation or other tourist, pilgrim areas Yes Khushwaha road-Adjacent to the Site in N NH- 73 Approx. 1.36 km in S
7 Defence installations No
8 Densely populated or built-up area Yes Shiv nagar-1.37 km
9 Areas occupied by sensitive man-made land uses (hospitals, schools, places of worship, community facilities) Yes Art Degree college RK memorial Sec. school Birla hospital 1.68 km in SSW 1.04 km 2.61 km
10 Areas containing important, high quality or scarce resources.(ground water resources,surface resources,forestry,agriculture,fisheries,tourism,minerals) No
11 Areas already subjected to pollution or environmental damage.(those where existing legal environmental standards are exceeded) No
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) similar effects Yes The site falls under the zone III as per the Seismic Zone Map of India. Adequate measures will be taken during the construction of the proposed project.
Document to be attached
1. Upload a copy of PFR Uploaded a copy of PFR.
2. Upload a copy of EMP Uploaded a copy of EMP.
3. Upload Scanned copy of covering letter. Uploaded Scanned copy of covering letter..
4. Upload Additional attached if any(Single PDF) Uploaded Additional attached if any(Single PDF).
5. Whether it is a violation case and application is being submitted under Notification No. S.O.804(E) dated 14.03.2017 ? No
           Essential Details Sought
S. No.EDS Sought DateEDS SoughtLetter
(1.)10/04/2019Kindly upload the following :1)Form IA 2) Land Ownership documents to be used by the project 3)declaration regarding construction activities commenced on the project site.4)copy of permission letter (NOC) for specified quantum of water supply from concern Department 5) NOC from Municipal Corporation for disposal of MSW 6) NOC from Municipal Corporation for disposal of Extra treated waste water.
(2.)24/05/2019The correction have been made as per the instruction received
(3.)29/05/2019Kindly upload the following :1)copy of permission letter (NOC) for specified quantum of water supply from concern Department 2) NOC from Municipal Corporation for disposal of MSW 3) NOC from Municipal Corporation for disposal of Extra treated waste water.
(4.)05/06/2019The correction have been made as per the instruction received
           Additional Details Sought
S. No.ADS Sought DateADS SoughtLetter
NO Record
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 Applicantsubhash Patil
DesignationDPE
Name of Company (Applicant Name should not be given here)PUBLIC WORKS DEPARTMENT (PIU- SATNA)
AddressPublic works Department (PIU), Satna MP SH-11, Majhgawa, MP
Print