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CONCEPTUAL PLANFOR THE PROPOSED MEDICAL COLLEGE PROJECTSREE AYYAPPA MEDICAL COLLEGE & RESEARCH

FOUNDATIONATVADASSERIKKARA VILLAGE, RANNI TALUK,PATHANAMTHITTA DISTRICT, KERALAUNDER 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]

INDEX CONCEPTUAL PLAN

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S. NO. CONTENTS PAGE NO

1.0 Introduction 31.1 Background of the project 32.0 Description Of The Project 4-132.1 Project Location 42.2 Environmental Sensitivity of the project site 42.3 Site Connectivity 112.4 Topography & Drainage 122.5 Baseline Environmental Examination 123.0 Project Description 13-333.1 Over view of the project 133.2 Population details 183.3 Construction materials 193.4 Water requirement 203.5 Wastewater Generation, Treatment & Disposal 213.6 Solid Waste Generation, Collection, Transport and Disposal 253.7 Bio medical Waste management 273.8 Rainwater Harvesting & Storm Water Management 283.9 Power Requirement details 313.10 Fire fighting system 313.11 Parking area details 323.12 Project cost & schedule 335.0 COORPORATE SOCIAL RESPONSIBILITY 336.0 DISCLOSURE OF CONSULTANT ENGAGED 34

LIST OF FIGURES2.1 THE SITE MAP SHOWING THE PROJECT LOCATION 52.2 GOOGLE IMAGE OF THE PROJECT SITE 72.3 LANDUSE MAP OF PATHANAMTHITTA 82.4 PHOTOGRAPHS FROM THE FOUR SIDES OF THE PROJECT LOCATION 9-102.5 SITE CONNECTIVITY MAP 113.1 PROCESS FLOW CHART STP 223.2a WATER BALANCE CHART NON MONSOON SEASON 233.2b WATER BALANCE CHART MONSOON SEASON 2401

INDEX CONCEPTUAL PLAN

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3.3 CONSTRUCTION WASTE DISPOSAL METHODS 253.4 CONCEPTUAL PLAN 36LIST OF TABLES2.1 ENVIRONMENTAL SETTING OF THE PROJECT SITE 63.1 BREAKUP AREA STATEMENT THE PLOT AREA 143.2 BUILT UP AREA STATEMENT FOR ALL BUILDINGS 15-163.3 BUILTUP AREA SUMMARY 173.4 SALIENT FEATURES OF PROPOSED PROJECT 173.5 MANPOWER REQUIREMENT DURING CONSTRUCTION PHASE 183.6 EXPECTED POPULATION DETAILS DURING OPERATIONAL PHASE 183.7 CONSTRUCTION MATERIAL REQUIREMENT 193.8 WATER REQUIREMENT DETAILS 203.9a MUNICIPAL SOLID WASTE GENERATION CALCULATIONS(kg/day) 263.9 b TYPES OF MUNICIPAL SOLID WASTE & ITS DISPOSAL METHODS 263.10a RAIN WATER AVAILABLE FROM ROOF TOP AREAS 303.10 b RAINWATER FROM UNPAVED AREA 303.10c RAIN WATER AVAILABLE FROM PAVED AREAS 303.11 PARKING AREA PROVIDED 325.1 BUDGET FOR CSR ACTIVITY PLAN 36

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Conceptual plan to get Environmental Clearance for the proposed SreeAyyappa Medical College and Research Foundation, Vadasserikkara Village,Ranni Taluk, Pathanamthitta District by PSN Educational & Charitable Trust

Envirochem Laboratories Private Ltd March 2016

1.0 INTRODUCTION

PSN Educational and Charitable Trust a registered Trust (PSN Trust), was established in theyear 2000 having several educational institutions under its wing to provide quality educationto the rural youth in the southernmost part of India. The Trust has been carrying outphilanthropic activities like extending financial support to rural needy students, providingwelfare measures and giving quality education. PSN Trust specializes in providingcomprehensive learning in a variety of academic fields from Basic Sciences to Engineering andfrom Medicine to Management, with nearly 1200 strong teaching staff and up to 20000students under its wing. Sree Ayyappa Medical College & Research Foundation,Vadasserikkara , Pathanamthitta is a dream project of the Trust to give quality medicaleducation and hospital facility in a rural and under developed area of Kerala.1.1 Background of the project

PSN Educational and Charitable Trust, Nagarcoil proposes to construct Sree AyyappaMedical College and Research Foundation in Vadasserikkara village, Ranni Taluk,Pathanamthitta District. Vide Government Gazette Notification No. 403/2013/RD dated 24thSeptember 2013, the Government of Kerala accorded sanction to the Trust to build a MedicalCollege, Hospital, Hostel and Staff quarters in an area of 28 acres in the location mentionedabove. The proposed activity constitutes the construction of buildings with a total built up areaof more than 20000 sq. m but less than 1,50,000 Sq. m which requires EnvironmentalClearance from the State Environment Impact Assessment Authority (SEIAA) under sector 8(a)of EIA Notification 2006.The existing plot area of the project is 113367 sq. m. and the total built up area of the buildingsis about 100123.63 Sq. m. Building and Construction projects are under category B, 8 (a). TheProposed project constitutes 11 buildings including Hospital block, Academic Block, Boys &Girls Hostels, Laboratories, Staff Quarters, Lecture Hall, Reference Room, Examination Hall,Canteen and Departmental store etc. The hospital has a 750 bed capacity . The medical collegehas an annual intake of 150 students. Nearly 732 staff will be employed in the hospital,medical college and research Foundation.Since the total built up area exceeds the 20000 sq.m PSN Education and Charitable Trust ,Nagercoil has appointed M/s. Envirochem Laboratories Pvt. Ltd, , which is accredited by

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National Accreditation Board for Education and Training (NABET), Quality Council of India(QCI), New Delhi to prepare the Environmental Clearance application including Form I, FormIA and Environmental Management Plan during Construction & Operational Phases to mitigateany adverse impacts to the Environment.The Conceptual Plan describes all the details of the project and its specific activities that will beconsidered for investigation on the significant adverse impacts. The report also providesspecific measures that will be put to practice to minimize/mitigate the impacts on theEnvironment.2.0 DESCRIPTION OF THE PROJECT SITE

2.1 LocationThe proposed project is planned in an area having Survey No. 453, 453/1,453/17,453/9,453/20,453/10,453-14-1, in Block No. 31 of Vadasserikkara Village, Ranni Taluk,Pathanamthitta District which is located between Latitudes 09̊ 19’37.8” N andLongitudes 76˚50’08.2” E with a total extent of 11 Hectors 33 are 67 sq.m. The location ofthe project site is represented in Figure 2.1 and the Google image of the project site is given inFigure 2.2

2.2 Environmental Sensitivity of the project site

The project site is located in Vadasserikkara Village, Ranni Taluk of Pathanamthitta District ,Kerala State. The site is in the foot hills of the Western Ghats not far away from Sabarimalatemple and Periyar Tiger Reserve. Vadasserikkara village abodes natural forests and has beendeclared as an ecologically sensitive area (ESA) in the report of High Level Working Group onWestern Ghats (HLWG) of the MoEF GOI India 2013, other wise known as KasturiranganReport . The Kerala Government constituted a Three member expert committee to reviewHLWG report according to conditions of Kerala . In 2015 Government of Kerala submitted thisreport to MoEF on its view on Kasturirangan Report. According to this report 3115 km2 ofcultural land which were earlier designated as Natural landscape coming under ESA wasremoved from ESA. Through this the project area is today deemed a non ESA area. Thecadastral map of Block No. 31 of Vadasserikkara village downloaded from Kerala State Remote

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Sensing & Environment Centre showing the Survey No. 453 of the project is attached asAnnexure _ XXVI

The existing land use is unused dry land on which a medical college and hospital areconstructed. The proposed project is located 2.8 km away from NH 183 A which extendsfrom Kollam to Kumali . Construction activities will be carried out a terrain which is hillylocated 100 m above sea level. The Environmental setting of the project site is given inTable2.1 . Land use map of Pathanamthitta District showing project site is given in Figure 2.3.Site photographs are shown in Figure 2.4

Proposedsite

FIGURE 2.1. MAP SHOWING LOCATION OF THE PROJECT SITE

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TABLE - 2.1 : ENVIRONMENTAL SETTING OF THE PROJECT SITE

S. No. Particulars Details

1 Latitude 90 19’ 21” to 90 19’ 35” N2 Longitude 760 50’ 28” to 760 50’ 48” E3 Elevation above MSL 100 m4 Present landuse at the site Dry land5 Nearest Highway NH 183 A Kollam – Kumali on the western side6 Nearest Railway Station Chengannur Railway station – 22.49 km7 Nearest Fire Station Pathanamthitta7 Nearest Airport Thiruvananthapuram Airport – 93.59 km8 Nearest Town / City Pathanamthitta9 Nearest Water Bodies / River Kallar River flowing into Pampa10 Historical places None within 10 km radius11 Archaeologically important places None within 10 km radius12 National parks/ Wildlife Sanctuaries None within 10 km radius13 Reserved/ Protected Forests None within 10 km radius14 Seismicity Zone-III as per IS 1893 (Part-1): 200215 Defense Installations None within 10 km radius

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FIGURE 2.2 GOOGLE IMAGE OF THE PROJECT SITE

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FIGURE 2.3 LAND USE MAP OF PATHANAMTHITTA DISTRICT

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FIGURE 2.4 SITE PHOTOGRAPHS FROM FOUR SIDES OF THE PROJECT SITE

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2.3 Site Connectivity

The site is well connected to surrounding districts and neighboring states through a network ofvarious categories of roads. The project site is well connected by road NH -183 A Kollam- Kumali.Further it is only about four kilometers south east of Pathanamthitta - Sabarimala main road. Thenearest Rail head is Chengannur Station located at 22.49 km from the project site.Thiruvananthapuram airport is situated at a distance of 93.59 km.

FIGURE 2.5: SITE CONNECTIVITY MAP

2.4 Weather, Topography & Drainage

Pathanamthitta , located in southern Kerala, in the foot hills of the Western Ghats enjoysmonsoonic weather illustrated by high rain fall and high temperature. The annual rain fall isabove 3000 mm . During the year 2014 the total rain fall was 2753 mm was recorded according toIMD station at Konni. The maximum monthly rain fall of 703 mm was observed in August 2014 .The minimum rainfall was zero . The rainfall pattern was bimodal as expected in the southern parts

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of the Western Ghats. IMD provided temperature and relative humidity data from the neareststation which was located at Kottayam. The maximum mean temperature was 35.9°C. in March andminimum mean temperature 22.4 °C. in January. The mean relative humidity was maximum(91%) and in October and the mean minimum relative humidity was 55% during January andMarch 2014.The wind direction and speed changes according to season. Strong winds in the east north eastdirection to a tune of 3- 4 km/ hr are felt during the monsoon season from June – September . Whilethe direction of the wind changes to west- north west during December to March and the speedlowers to 1.5-2.0 km/hrTopographically, the proposed site is rugged and hilly. Because the site is having hilly terrain theconstruction activities in the site requires soil and water conservation measures , storm waterdrainage and treated water discharge. The area drains to Kallar river which flows into Pampa .2.5 Baseline Environmental Examination

M/s. ABC Techno Labs, Chennai, a NABL Accredited Laboratory conducted the environmentalmonitoring for the project. Monitoring and analysis of Noise , Air, Water and Soil wereconducted within project site and the surrounding locations . Surface water collected from Kallarand Pampa river . Analysis Reports are provided in Annexure XIIThe locations are:1. Project Site2. Vavolikandam3. Kalassakkuzhy4. Kumbalathamam5. Madukkamoodu6. Thalachira7. Surface Water from Kallar & Pampa2.5.1 . Ambient Air Quality Monitoring:The air environment around the project site studied by setting up locations within the study area of500 m radius from the boundary of the project site. It was carried out in six locations including

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the project site. SPM, Sulphur Dioxide and Nitrogen oxide levels were below the limits prescribedby MoEF in all the sites.2.5.2 Noise Monitoring:Noise levels were also measured in six locations including the project site. The results reveal thatthe noise levels are very much below ambient noise standards.2.5.3. Soil Analysis:The soils are weakly acid to weakly basic in reaction. Electrical conductivity, available nitrogen andphosphorous is low. Available potassium is high while exchangeable calcium is low in acidic sitesand average in alkaline sites. The levels of exchangeable magnesium, sodium and organic matterare low. Texturally the soils are sandy clay loam to sandy clay.2.5.4 Ground water:The Ground water is colourless without odour and pH alkaline but within acceptable limits.Physical and chemical parameters like TDS, hardness, alkalinity, levels of Cl, SO4, K, Mg, Fe etc arewithin acceptable limits. The results of twenty parameters reveal that the ground water is potable.2.5.5 Surface water:Surface water collected from Kallar and Pampa rivers reveal : no odour, low electrical conductivity,TDS, hardness, alkalinity, chloride, sulphate, fluoride, nitrate, ammonium and sodium . Dissolvedoxygen and chemical oxygen demand are within acceptable limits. . The fecal and total coliformcontents are high and hence surface water needs treatment before consumption.3.0 PROJECT DESCRIPTION

3.1 Overview of the project

`Sree Ayyappa Medical College and Research Foundation , located in Vadasserikkara is animportant educational project coming up in an under developed and forested location namelyVadasserikkara. The project constitutes a full fledged hospital block ( 750 bed) , academic block,hostels, staff quarters, library , examination hall, administrative block, canteen and laboratory as

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per the requirements of Medical Council of India ( MCI) . Copy of Building permit is enclosed asAnnexure _VIII. As part of the medical college & research foundation which are educationalprojects a 750 bed hospital having a built up area is 47282.54 sq.m is included. As per the OMnotification of MoEF GOI dated 22.12.2014 educational projects do not require Environmentalclearance.The break up of the land area is detailed below in Table 3.1 and the summary of the built up areais given in Table 3.2 . The silent features of the project are summarized in Table 3.3.

TABLE 3.1 : BREAK UP AREA STATEMENT OF THE PROPOSED PROJECT

S I NO Description Area in Sq. m Percentage (%)1 Plot Coverage Area 26188.04 23.10

2 Internal Roads & Pathways 21560.4 19.02

3 Landscape & Green belt area 16420.5 14.48

4 Open Parking Area 13049.5 11.51

5 Vacant & OSR area 31088.56 27.42

6 ( STP, Biogas plant, WTP , tanketc. ) 5060 4.46

Total Area 113367 100.00

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TABLE 3.2 BUILT UP AREA FLOOR WISE DETAILS OF PROPOSED PROJECT

S.\No

NAME OFBUILDING

BASEMENT 1

BASEMENT 2

BASEMENT3 GROUND FIRST

SECOND THIRD FOURTH FIFTH SIXTH SEVENTH TERRACE

DEDUCTION

TOTALAREA(SQ.

M)

1 HOSPITAL BLOCKPLINTHAREA 1023.43 2065.39 --- 4754.99 9573.48 9705.73 9705.73 9705.73 --- --- --- 947.18 199.12 47282.5

4CARPETAREA 818.74 1652.31 --- 3803.99 7658.78 7764.58 7764.58 7764.58 --- --- --- --- --- 37227.5

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2 GIRLS HOSTELPLINTHAREA --- --- --- 2365.38 2191.45 2130.62 --- --- --- --- --- 117.32 --- 6804.77CARPETAREA --- --- --- 1323.77 1230.1 1230.1 --- --- --- --- --- --- --- 3783.97

3 BOYS HOSTELPLINTHAREA --- --- --- 2365.38 2191.45 2130.62 --- --- --- --- --- 117.32 --- 6804.77CARPETAREA --- --- --- 1323.77 1230.1 1230.1 --- --- --- --- --- --- --- 3783.97

4CHAIRMAN’SBUNGALOW

PLINTHAREA --- --- --- 260.88 233.29 233.29 177.89 --- --- --- --- --- --- 905.35CARPETAREA --- --- --- 208.7 186.63 186.63 142.31 --- --- --- --- --- --- 724.27

5STAFF QUARTERS1

PLINTHAREA 582.36 582.36 582.36 357.21 339.13 339.13 339.13 339.13 339.13 339.13 339.13 72.88 --- 4551.08

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CARPETAREA 465.89 465.89 465.89 285.77 271.3 271.3 271.3 271.3 271.3 271.3 271.3 --- --- 3582.54

6STAFF QUARTERS2

PLINTHAREA --- 148.99 461.15 481.3 462.39 462.39 462.39 303.8 303.8 --- --- 71.51 --- 3157.72CARPETAREA --- 119.19 368.92 385.04 369.91 369.91 369.91 243.04 243.04 --- --- --- --- 2468.96

7ACADAEMICBLOCK

PLINTHAREA 1764.82 2596.75 --- 4406.91 4155.59 4155.59 --- --- --- --- --- 209.8 --- 17289.4

6CARPETAREA 1411.86 2077.4 --- 3525.53 3324.47 3324.47 --- --- --- --- --- --- --- 13663.7

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8ADMINISTRATIVEBLOCK

PLINTHAREA 248.33 --- --- 482.25 377.59 440.13 440.13 --- --- --- --- 58.9 2047.33CARPETAREA 198.66 --- --- 385.8 302.07 352.1 352.1 --- --- --- --- --- --- 1590.73

9 REFERENCE ROOM& EXAMINATIONHALL

PLINTHAREA 2634.7 --- --- 1626.4 --- --- --- --- --- --- --- --- --- 4261.1CARPETAREA 2107.76 --- --- 1301.12 --- --- --- --- --- --- --- --- --- 3408.88

10LECTURE HALLCUM LAB

PLINTHAREA 2528.15 --- --- 1783.3 1652.49 --- --- --- --- --- --- 57.82 --- 6021.76CARPETAREA 2022.52 --- --- 1426.64 1321.99 --- --- --- --- --- --- --- --- 4771.15

11DEPARTMENTSTORE

PLINTHAREA 364.25 --- --- 375 220.7 --- --- --- --- --- --- 37.8 --- 997.75CARPETAREA 291.4 --- --- 300 176.56 --- --- --- --- --- --- --- --- 767.96

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TABLE 3.3 BUILTUP AREA SUMMARYSINo. Identification

Plintharea

CarpetArea1 Hospital block 47282.54 37227.562 Girls hostel 6804.77 3783.973 Boys hostel 6804.77 3783.974 Chairman’s bungalow 905.35 724.275 Staff quarters 1 4551.08 3582.546 Staff quarters 2 3157.72 2468.967 Academic block 17289.46 13663.738 Administrative block 2047.33 1590.739 Reference room & examinationhall 4261.1 3408.8810 Lecture hall /lab 6021.76 4771.1511 Departmental store 997.75 767.96Total 100123.63 75773.72

TABLE 3.4 SALIENT FEATURES OF PROPOSED PROJECT

DESCRIPTION DETAILSTotal Area of site 113367Sq. m. (28 Acres)Total Built up area 1,00,123.63Sq. mPlot Coverage 23.13 %Green Belt Area including landscape 16420.50Sq. mOpen Parking Area Provided 13,049.50 Sq. mTotal Nos. of Car parking requiredTotal Nos. of Car parking providedNos. of Car parking required for disabledNos. of Car parking provided for disabled655 Nos665 Nos1417Two wheeler parking requiredTwo wheeler parking provided 2456.36 sq.m2921.60 sq.mSource of water supply Bore Well water / Rain water harvestingWater requirement Total Water Requirement – 688.252KLD

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Fresh Water – 400.775 KLDRecycled Water – 287.472KLDTreatment system for wastewater 750 KLDPower requirement & Source 2004 KWH , Kerala State Electricity BoardDG sets-Proposed – 1000KVA – 1No and 750KVA – 1 No.Solid waste generation, treatment andmanagement Municipal Solid Waste – Composting (Consturction phase ) / Biogas Plant ( TwoBio Gas plant having 25 cum capacity )STP Sludge – Manure for gardeningBio medical waste - Disposed throughIMAGENon biodegradable waste- Waste burner andrecyclable waste disposed throughauthorized recyclers .3.2. Population DetailsThe total manpower requirement during the construction phase and the expected populationduring the operational phase of the project are given below in Table - 3.4 and Table - 3.5respectively.

TABLE - 3.5 : MANPOWER REQUIREMENT DURING CONSTRUCTION PHASE

S. No. Description1 300 persons for theconstruction Period Inclusive of Workmen, Laborers, Supervisors,Engineers, Architects and ManagersTABLE – 3.6: EXPECTED POPULATION DETAILS DURING OPERATIONAL PHASE

SI NO CATEGORY TOTAL OCCUPANCYStaying Inside Staying Outside Total1 In patients 750 0 7502 Out Patients 0 1200 1200

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3 Medical Students 563 187 7504 Teaching Staff 30 116 1465 Non teaching staff 40 160 2006 Nurses 66 264 3307 Hostel Employees 28 28 568 Visitors 0 1200 12009 Staff quarters 320 0 320Total occupancy 4952

3.3 Construction MaterialsThe building materials used for this project will be ready mix concrete, TMT bars, structural steel,ceramic tiles, marble, granite , burnt clay fly ash bricks , calcium silicate plaster , cement plaster ,water based compounds and epoxy resins for water proofing / cement based water proofing ,UPVC pipes for plumbing and electrical fixtures made from UPVC . Quantity of constructionmaterials required for the proposed project is tabulated in Table 3.6

TABLE – 3.7: CONSTRUCTION MATERIAL REQUIREMENT

SI NO Material Units of Measurement Quantity1 Cement Tons 18867.512 Sand Cu.f 1293771.783 Aggregates Cu.f 754700.204 Steel Tons 4312.575 Bricks Nos 19406576.69

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3.4 Water RequirementWater requirement during Construction Phase will be about 10 KLD ( varies depending on theconstruction activity ) and 13.5 KLD for domestic purposes.Water for construction purposes willbe sourced from outside through tankers provided by civil contractors. The water for domestic usewill be sourced from the bore wells.Total Water requirement during Operation Phase will be 688.25 KLD. Out of this , 400.75 KLD isfresh water and 287.472 KLD is recycled treated wastewater. The water requirement for theoperation phase will be sourced from the four bore wells in site and rain water harvesting tank.The balance will be from the recycling of the waste water. Permission from ground waterdepartment for drilling bore wells is enclosed as Annexure XXV. The maximum waterrequirement details during operation phase of the project is given in Table 3.7.

TABLE 3.8 WATER REQUIREMENT DETAILS

S.No.

Category TotalOccupancy

Water requirement (lpd) WastewaterGeneration (lpd)

Domestic Flushing Domestic FlushingA HOSPITAL1 In Patients 750 236,250 101,250 189,000 101,2502 Out Patients 1200 6,000 12,000 4,800 12,0003 Students ( StayingOutside) 187 4,675 3,740 3,740 3,7404 Students ( StayingHostel ) 563 50,670 25,335 40,536 25,3355 Teaching Staff( Staying Outside) 116 2,900 2,320 2,320 2,3206 Teaching Staff( Staying inside ) 30 2,700 1,350 2,160 1,3507 Non teaching Staff( Staying Outside) 424 10,600 8,480 8,480 8,4808 Non teaching Staff (Staying inside ) 162 14,580 7,290 11,664 7,2909 Residents 320 28,800 14,400 23,040 14,400

10 visitors 1200 3,600 8,400 2,880 8,400

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S.No.

Category TotalOccupancy

Water requirement (lpd) WastewaterGeneration (lpd)

Domestic Flushing Domestic Flushing11 Lab Usages 30,000 24,00012 Animal HouseUsages 10,000 8,00013 Irrigation 90,31214 Incinerator stackcooling 12,600 10,080

Sub total 400,775 287,477 320,620 194,645Total 688,252 515,265

3.5. Sewage Generation, Treatment and DisposalDuring the construction phase, domestic wastewater generation of 10.8 KLD will be treatedthrough septic tanks and overflow discharged through soak pit. During the operational phase,total wastewater generation of the project is about 515.265 KLD which is proposed to treatedthrough a Sewage Treatment Plant (STP) having capacity of 750 KLD. The treated wastewater of463.73 KLD will be reused for Toilet Flushing ( 184.56KLD) and greenbelt development ( 90.312KLD) within the facility. The excess water (176.25KLD) will be disposed through the undergroundsewer.The sullage and sewage are collected separately. The sullage after screening and oil removal iscollected in Equalisation tank where sewage overflow from septic tank is also collected . From herethe waste water first undergoes anerobic treatment in Anerobic upflow filter where 40% BOD willremoved and the overflow from Anerobic Upflow filter undergoes secondary biological treatmentin MBBR reactor and subjected to activated sludge process for further reduction of BOD. Adequatequantity of PVC media with high surface area will be provided in the aerobic reactor for attachedgrowth of biomass. Over flow from the MBBR reactor is collected in Filter feed sump for furtherpurification in Pressure Sand Filter and Activated Carbon Filter. The treated water is collected inTreated water tank from where the water for recycling will undergo Ultra filtration. Figure 3.1

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shows process flow diagram. The proposed Sewage treatment plant design details and processscheme is enclosed in Annexure – XX.

3.5.1 Measures to avoid leaching of treated sewage into nearby water coursesThe Kallar river is situated 256.26m from the project site preventive methods to avoid leaching oftreated sewage have been provided.Treated sewage from Sewage Treatment Plant will be conveyed to toilet flushing and irrigationpurpose through pipelines. All the joints from piping system will be checked periodically andcarrying treated wastewater pipes will be laid in conduits wherever road crossings are expected.Thus no leaching of treated sewage into nearby water courses shall take place. Supervisors will beemployed for overall operation & maintenance of water supply, waste water treatment and otherutility services. Water balance chart for non monsoon season and monsoon season are shown inFigure 3.2 a and 3.2 b .

FIGURE 3.1 PROCESS FLOW CHART

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WATER SEASON)

FIGURE – 3.2 A: WATER BALANCE CHART NON MONSOON SEASON

TOTAL WATER REQUIREMENT688.252KLD

DRINKING, DOMESTICPURPOSE – 323.275KLD LAUNDRY37.5 KLD FLUSHING184.56KLD

SULLAGE320.62 KLDWASTE WATER TREATMENT

PLANT - 750 KLD515.265 KLD

Treatment Loss @ 10 % kld60 KLD463.73 KLD

KLD

IRRIGATION /GARDENING90.312KLD251.12 KLD

37.5 KLD 184.56KLD

RECYCLED WATER FROM STP287.477 KLDFRESH WATER FROM BORE WELL400.775 KLD

SEWAGE194.645 KLD

176.25 KLD of treated water will bedischarged through soak pit

LAB & OT40 KLD32 KLD

DG COOLING 12.6KLD10.08 KLD

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WATER REQUIREDETAILS

FIGURE – 3.2 b: WATER BALANCE CHART MONSOON SEASON

TOTAL WATER REQUIREMENT597.94 KLD

DRINKING, DOMESTICPURPOSE – 323.375KLD LAUNDRY37.5 KLD FLUSHING184.56KLD

SULLAGE325.775 KLDWASTE WATER TREATMENT

PLANT - 750 KLD515.265KLD

Treatment Loss @ 10 %kld60 KLD

459.27KLD

KLD

250.775KLD

37.5 KLD 184.56KLD

RECYCLED WATER FROM STP197.165KLDFRESH WATER FROM BORE WELL400.775 KLD

SEWAGE194.645 KLD

266.56 KLD of treated water willbe discharged through soak pit

LAB & OT40 KLD37.5 KLD

DG COOLING12.6 KLD10.08 KLD

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3.6 Solid Waste Generation, Collection, Transportation and Disposal

Solid waste will be generated both during the construction as well as during the operation phases.The solid waste expected to be generated during the construction phase will comprise of excavatedmaterials, used bags, bricks, concrete, MS rods, tiles, wood etc. Figure 3.3. The following steps areto be followed for the management solid waste:• Construction yards are for storage of construction materials.• The excavated material such as topsoil and stones will be stacked for reuse duringlater stages of construction.• Excavated top soil will be stored in temporary constructed soil bank and will bereused for landscaping of the project.Remaining soil will be utilized for refilling / road work / rising of site level at locations/selling to outside agency.

.Figure 3.3 - Construction Waste and disposal methods

CONSTRUCTION WASTE

CONSTRUCTION WASTE,BROKEN BRICKS, WASTEPLASTER ETC

WSWAS

EMPTY CEMENT BAGS ,PACKING MATERIALS ,CUTTING MATERIALS

EXCAVATED SOILAND ROCKS

Used for refillingSold to Agencies forrecycling

Top soil used forlandscapingbalance used forrefilling

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The Solid waste generation is about 1357.75 kg/day. Calculations for municipal solid wastegeneration and types of municipal solid waste and their disposal methods are given in Table 3.8 aand Table 3. 8 b

TABLE - 3.9a : CALCULATIONS OF MUNICIPAL SOLID WASTE GENERATION

SI NO Category Number MSW in Kg. / day1 In patients 750 3752 Out Patients 1200 3003 Medical Students 750 328.254 Teaching Staff 146 445 Non teaching stafff 200 606 Nurses 330 99

Hostel Employees 56 218 Visitors 650 32.59 Staff quarters 196 98

Total 1357.75

Note: Quantity of per capita per day waste generation – 0.5 kg per capita for residential / 0.25 kgper capita for non-residential / 0.05 kg per capita per day for visitors.TABLE - 3.9b : TYPES OF MUNICIPAL SOLID WASTE & THEIR DISPOSAL METHODS

S. No. CategoryQuantity(kg/day)

Method of Treatment /Disposal

MSW1 Bio-degradable waste (40%) 543.1 Bio gas plant

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2 Non biodegradable waste (55%) 746.76 Authorized Recyclers andwaste burner.3 Inert Waste (5%) 67.88 Land fillingOther Wastes4 STP Sludge 250 Manure for gardening5 E-waste 1.0 TPA Authorized E-Waste Recyclers

1. Dustbins are provided for each Building.2. The garbage will be collected and stored in garbage collection room and segregated as Bio-degradable waste, inert waste and Non-biodegradable waste using different color codedbins.3. The bio-degradable waste is being composted in the composting yard during constructionphase. The inorganic non biodegradable / recyclable waste like plastic, paper, glasses, etcwill be disposed to different type of recyclers.4. Part of the food waste generated from the kitchen / canteen is being disposed to outsidecontractors to use it as feed for animals.5. Dewatered STP sludge will be used as manure for gardening within the facility6. Construction debris will constitute approximately 1-2% of the quantum of materials usedwill be disposed off site and thought appropriate vendors .7. The quantity of total excavated earth material and demolition waste will will be used forleveling the site.3.7 Bio Medical Waste Management

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As per Bio-Medical Waste (Management and Handling) Rules, 1998 and amendments, any waste,which is generated during the diagnosis, treatment or immunization of human beings or animals orin research activities pertaining there to or in the production of testing of biological and includingcategories mentioned in schedule 1 of the Rule, is the bio medical waste. The biomedical wastequantity estimated will be 162 kg/day which include human anatomical waste, microbiology/Biotechnolgy waste , waste sharps, discarded medicines, cyclotoxic drugs and waste burner ash.The bio medical waste management starts from the point of generation. Waste minimizationoptions should be considered and adopted. After the waste is generated the immediate step issegregation followed by collection, storage, transportation, treatment and disposal. The pathbetween the two points (cradle to grave) can be segmented schematically as:1. Identification of areas of waste generation2. Categorization, quantification of waste and minimization3. Segregation, handling and storage4. Treatment, destruction and disposalThe bio medical waste of the hospital is disposed to a CPCB authorized Bio medical Waste ( BMW)management facility named M/s. IMAGE. An agreement has been executed with the company forcollection, transportation, Treatment and disposal of segregated Bio-Medical Waste and the copy ofthe same enclosed as Annexure – XVII.

3.8 Rainwater Harvesting & Storm Water Drain

A rainwater harvesting system comprises components of various stages - transporting rainwaterthrough pipes or drains, filtration, and tanks for ground water recharge. The proposed facility willcomprise only the roof top rain water for ground water recharge. The runoff from the first spell ofrain carries a relatively larger amount of pollutants from the air and catchments surface so thesystem will be provided with a filtration pit consisting of the layers of sand, gravel and pebbles ofrelevant sizes to remove the removable impurities from the runoff water from the roof top.Need for Rainwater Harvesting

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1. Rainwater harvesting and re-charging in to ground water provides raising of groundwater table.2. Rainwater harvesting prevents the flooding of low-lying areas in the campus,

3. Salinity of ground water is reduced.Recharge StructuresRainwater may be charged into the groundwater aquifers through any suitable structures likerecharge pits. As per the development control rules for DTCP the size of the Percolation pit andRecharge trench is being provided.Rain Water harvesting in the campus1. The entire campus is being designed for an effective and efficient storm water collectionand harvesting system. Seven rain water harvesting tanks will be planned to beconstructed at below ground level for the storage of maximum rain water to be collectedduring monsoon season. The total capacity of rain water harvesting tank will be 2421100litres .2. The terrace rain water shall be brought down through RW stacks. Free surface run off willbe planned in the building setbacks and on to saucer drains along internal roads. The pathways shall be graded to drain into rain water drain channels proposed in main drive ways/roads.3. The collected storm water is allowed to percolate to the sub-soil by suitably designedrainwater harvesting wells & percolation pits. The wells & pits are designed based on thesoils percolation capability.The design of percolation is made very effective and re-charges the maximum extent of storm waterin to the sub-soil. The design will also be improved so as to achieve “zero discharge” to publicdrainage system.Percolation PitsPercolation pits of 0.305 m diameter and 3.04 meters depth will be made and filled with brokenhalf bricks (or pebbles) for 2.85 m from bottom and coarse sand for the top 15 cm will be filled upand the top covered with perforated Reinforced Concrete Cement (R.C.C.) slab. These percolation

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pits will be made at intervals of 3 m centre to centre along the storm water drain. The rain watercollected in the open terrace will be collected through a 150 mm PVC pipe laid on the ground andmay be allowed to fall in the percolation pits which will improve the ground water levelA network of storm water drains are provided all along the direction along the main roads andcross roads with size of 0.6 x 0.75 m. All storm water drains are covered with RCC slabs so as toprevent the entry of soil and dust. Strom water collected through storm water drains anddischarged into a municipal drain follows in the east side boundary of the campus. Storm waterdrains are constructed on both edges of roads. Storm water drains are designed based oncoefficient of run off for catchments area and intensity of rain fall. The quantity of run-off waterpotential for the proposed construction project is given below.Table3.10 (a) RAIN WATER AVAILABLE FROM ROOF TOP AREAS

S. NO. ITEM AREA1 Roof top Areas 22662.4m22 Rainfall Average ( As per 2014 Met data) 2.753 m/Annum3 Runoff co-efficient for Roof-top area 0.94 Net quantity of water available for harvesting 56150.62m3/ AnnumTable3.10 (b) RAINWATER FROM UNPAVED AREA

S. NO. ITEM AREA1 Unpaved area 16166 m22 Rainfall Average 2.753m/ Annum3 Runoff co-efficient for paved surface area 0.74 Net quantity of water available for harvesting 28629.98 m3/ AnnumTable 3.10(c) RAIN WATERNAVAILABLE FROM PAVED AREAS

S. NO. ITEM AREA1 Paved area 24375 m22 Rainfall minimum 2.753 m/ Annum

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3 Runoff co-efficient for paved surface area 0.34 Net quantity of water available for harvesting 20,131.3 m3/ AnnumTotal Quantity of water available for Harvesting (A + B+ C) = 104911.90 m3 / Annum

3.9 Power Requirement Details

The total power requirement for the proposed project is estimated to be 2004 KWH which will besourced from the Kerala State Electricity Board. The DG sets will be installed as additional powersource to manage the emergency power requirements and backup power requirement during theperiod of power failure. A 1000 KVA DG set and 750 KVA DG set will be used to manage the powerrequirement for the entire campus.3.10 Fire Fighting System

The design of the Fire Fighting system for a proposed hospital, residential and institutionalbuildings are carried out as per the guidelines laid out in IS 2190:1992 & National Building Code ofIndia 2005 – Part IV. The common Fire and life safety requirements for the proposed buildings asper IS & NBC requires the following:Fire water ( static) storage tank : 150000 litres capacity proposed to be providedFire water ( Sprinkler) storage tank : 150000 litres capacity proposed to be providedWet-riser : Proposed to be providedFire Extinguishers : Proposed to be provided 1 no. for every 1000 sq.mtHose Reel : Proposed to be provided 1 no. for every 100Yard hydrants : Proposed to be providedDown Comer : Proposed to be providedPublic address system : Proposed to be provided in the entire buildingAutomatic Sprinkler system : Proposed to be provided in the entire buildingManually Operated ElectricFire Alarm System : Proposed to be provided in the entire building

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Pumps near ground tank : Proposed to be provided electrically drivenHydrant main pump of capacity 900 LpmTerrace Tank : Proposed to be provided of 50000 liters , 20000litres and 15000 litres for each buildingEmergency Lights : Proposed to be provided in the all floorsFire Lift : Proposed to be provided 1 no. for every1200 sq.mLightening Arrester : Proposed to be providedAutomatic Smoke VentilationSystem : Proposed to be provided in the basement floorsAC Duct with Fire Damper : Proposed to be providedFire drawings and fire NOC are enclosed as Annexure XXI and Annexure XXII.

3.11 Parking area detailsRequired parking space as per the requirement of Kerala Panchayat Building Rule and amendedguidelines will be provided and is summarized in Table 3.10 .TABLE 3.11 : PARKING AREA REQUIREMENTTotal Nos. of Car parking requiredTotal Nos. of Car parking provided 655 Nos665 NosNos. of Car parking required for disabledNos. of Car parking provided for disabled 1417Two wheeler parking requiredTwo wheeler parking provided 2456.36 sq.m2921.60 sq.m

Details and design are provided in Conceptual Plan3.12 Project CostThe proposed facilities will be established with an expected cost of about Rs. 163.54 Crores. Thebreak up cost is as follows:The break up of the cost is given below.

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1. Land - Rs 1,14,00,000.002 Building Cost - Rs 107,94,00,000.003. Hospital equipments - Rs 15,00,00,000.004. Lift & DG cost - Rs 150, 00,000.005. Pollution Control EquipmentsIncluding ETP - Rs. 2,85,00,000.006. Environmental protection and CSR activities Rs. 3,51,11,000.00==================Total - Rs 163,54,00,000.00

5.0 CORPORATE SOCIAL RESPONSIBILITYSocial Responsibility is the continuous and constant practice of serving the communityselflessly and giving back to the society by which we are sustaining. It is the moral duty of theorganization contribute something for the development of needy, poor and weaker section ofsociety. Sustainable development and development for all are the two mantras of effectiveCorporate Social Responsibility.PSN Educational and Charitable Trust , Nagarcoil registed in the year 2000, works on abovementioned principles not only in letter but in spirit , with a short term of service PSN has aremarkable name in educational field giving quality education in the urban areas for. The Trustendeavor to make a positive contribution to the underprivileged communities by supporting awide range of socio-economic, educational and health initiatives. Organizations have realizedthat Govt. alone will not be able to get success in its endeavor to uplift the downtrodden ofSociety. Proposed Project of Medical College is planned in Vadasserikkara, Pathanamthittawill also function with the same principles.Pathanamthitta District is famous for Sree Ayyappa Temple , Sannidhanam, Sabarimala, duringfestival season , lakhs of pilgrims will pass through this area and PSN Trust will ensure abetter health care facility for the pilgrims on affordable cost. The trust will also planned to

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make the modern medical facilities available to common man, to facilitate super specialtytreatment as well as medical education and research. The proposed college will also ensureMedical Education facility for 50% students in merit seat. The corporate socialresponsibilities aims to achieve the following goals such as carrying out with moral and ethicalstandards, prevention of environmental pollution , contribution towards the development ofsocial health and education . Our CSR activities include: Health Care of Local people : PSN Trust will ensure advanced medical treatment to thepeople in a minimum cost. Without taking ‘extra charges’ from the patients, PSN will take‘extra care’ to see that the poor patients, irrespective of cast and creed are given specialconsideration and concessions. Our corporate mission in health care will achieve thorugh thefollowing ways:› By providing free/subsidized treatment to poor and needy patients.› By striving to keep the cost of treatment at the minimum.› By designing and promoting health insurance schemes to ease the burden ofcost of treatment› By preparing the health care professionals to serve the health needs ofmedically underprivileged brethren.› By encouraging and enabling people from poor socio-economic backgrounds totake up health care education Free Health cares & Medical Camps : Sabarimala festival Season PSN Trust willarrange a free medical Camp during the entire season in Sannidhanam and also will planned toconduct free medical camps in the rural area to conduct free medical check up . Early detectionof diseases imperative to curingFree health lectures are also conducted at schools and educational institutes, along withresidential localities, to spread awareness about health issues that affect the children and theelderly, such as childhood obesity and rheumatism. These talks also aim at informing the publicabout preventive measures during epidemics and seasonal diseases such as swine flu anddengue.

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TABLE 5.1 BUDGET FOR CSR ACTIVITY PLAN

6.0 DISCLOSURE OF CONSULTANT ENGAGED

Envirochem Laboratories Private Ltd, Thrissur has conducted the task for preparing the report forEnvironmental Clearance of Proposed Sree Ayaappa Medical College & Research Foundation,Vadasserikkara Pathanamthitta. The details are as follows:Name: Envirochem Laboratories Private Ltd,Address: II Floor, Thozhuthungal Building , Kovilakathumpadam, Thrissur – 680 020Phone : 0487 2331462E mail: [email protected] of Accreditation : Listed in QCI – NABET Accredited consultant organization . ( ACmeeting March 06 2014 *****************

SINo

Activity Amount per year (in lakhs)1 Community Health needs 40.002 Screening Programs 6.753 Free Medical Camps 10.55 Educational & Training Programmes 5.506 Free treatment and concession for poor people 18.0Total 80.75

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