CONCEPTUAL PROPOSED EXPANSION UPGRADATION OF DISTRICT HOSPITAL BUILDING 300 BED INTO

PLAN TEACHING HOSPITAL 500 BED OF MEDICAL COLLEGE (CONSTRUCTION OF 200 BEDDED
HOSPITAL) AT BIJNOR

CONCEPTUAL PLAN OF PROPOSED

EXPANSION UPGRADATION OF DISTRICT
HOSPITAL BUILDING 300 BED INTO
TEACHING HOSPITAL 500 BED OF
MEDICAL COLLEGE (CONSTRUCTION OF
200 BEDDED HOSPITAL) AT BIJNOR

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 CONCEPTUAL PROPOSED EXPANSION UPGRADATION OF DISTRICT HOSPITAL BUILDING 300 BED INTO
PLAN TEACHING HOSPITAL 500 BED OF MEDICAL COLLEGE (CONSTRUCTION OF 200 BEDDED
HOSPITAL) AT BIJNOR

Introduction
Upgradation of District Hospital Building 300 bed into teaching hospital 500 bed of medical
college (construction of 200 bedded hospital) at Bijnor. Land area document is attached as
Annexure-I.

The Project is designated under Category “B” and falls under Item 8(a) (Building Construction) of
the Environmental Impact Assessment (EIA) Notification of September 14, 2006 and its
subsequent amendments.

• Proposed Built up Area: 21,428 m2 +

• Existing built up area is 32,230.95 sqm

• Total built up area is 53,659 sqm.

SITE AND SURROUNDINGS

The proposed project site is located at. Ram Bagh Bijnor Uttar Pradesh 246701 details are attached
as Annexure –I. The project site is shown in the Figure-1 & 2 on 1 km radius map and 10 km
radius map respectively.

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 CONCEPTUAL PROPOSED EXPANSION UPGRADATION OF DISTRICT HOSPITAL BUILDING 300 BED INTO
PLAN TEACHING HOSPITAL 500 BED OF MEDICAL COLLEGE (CONSTRUCTION OF 200 BEDDED
HOSPITAL) AT BIJNOR

Table 1: Site Coordinates

Surrounding Features:

• South: District Court Bijnor

• North: Mango trees Private Land
• East: Private Land
• West: Bijnor Haridwar Road and SSP Camp Office
• Bijnor Railway Station: 2.0 Km and Bijnor Bus stand 1.5km

SALIENT FEATURES OF THE PROJECT

The development shall be carried out as per the Local Building by-laws and as per planned land
use, hence no negative impact is envisaged due to proposed development. Further, the construction
as well as operation stage of the project generated direct and in direct employment opportunities
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 CONCEPTUAL PROPOSED EXPANSION UPGRADATION OF DISTRICT HOSPITAL BUILDING 300 BED INTO
PLAN TEACHING HOSPITAL 500 BED OF MEDICAL COLLEGE (CONSTRUCTION OF 200 BEDDED
HOSPITAL) AT BIJNOR

for a large section of society. The employment will have positive impact thereby improving the
quality of life.

Table 1A: Comparative Details of Existing & Proposed Project

Table 2: Area statement of the project

S. Particulars Details
No.
1. Plot area 67,342sqm
2. Built-up area
• Proposed Built up Area: 21,428 m2 +
• Existing built up area is 32,230.95 sqm
• Total built up area is 53,659 sqm
3. Parking area 12160sqm
4. Green area 26297sqm (39%)
5. Road area 9499sqm
6. Total water requirement ~246KLD
Fresh water: 164 KLD
Recycle Water: 100 KLD
7. Wastewater Generation 200 KLD

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CONCEPTUAL PROPOSED EXPANSION UPGRADATION OF DISTRICT HOSPITAL BUILDING 300 BED INTO
PLAN TEACHING HOSPITAL 500 BED OF MEDICAL COLLEGE (CONSTRUCTION OF 200 BEDDED
HOSPITAL) AT BIJNOR

S. Particulars Details
No.
8. STP/ ETP capacity ETP -~30KLD
STP - ~220 KLD
9. Rain Water Harvesting (in 15 min): 540 m3
Potential
10. No. of RWH of Pits 5
Proposed
11. Municipal Solid Waste 396 Kg/day
Generation
12. Quantity of Bio-Medical 500 Kg/Day
Waste
13. Power requirement 3013 KW
14. Power back up Total No. of DG set is 2,
2 x 2000 KVA
15. Connectivity • Bijnor Railway Station: 2.0 KM
• Bijnor Bus Stand 1.5KM
16. Environmental Sensitivity • Hastinapur Wildlife Sanctuary -1km East
• Ganga River at 8.83 Km W

17. Geo Coordinates

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 CONCEPTUAL PROPOSED EXPANSION UPGRADATION OF DISTRICT HOSPITAL BUILDING 300 BED INTO
PLAN TEACHING HOSPITAL 500 BED OF MEDICAL COLLEGE (CONSTRUCTION OF 200 BEDDED
HOSPITAL) AT BIJNOR

S. Particulars Details
No.
18. Total cost of the project ~325 Crores

WATER REQUIREMENT, SUPPLY AND DISTRIBUTION

Water Requirement for the proposed project is discussed below.

Water requirement during Construction phase

Water requirement during the Construction phase was met by private water tanker/treated water
from STP.

Water requirement during operation phase

During the construction phase, approx. 50 KLD sewage is being generated and it will be disposed
through mobile STP.
During the operational phase, sewage & effluent generated will be ~200 kld and it will be treated
in the onsite STP having a capacity of ~220 kld and ETP of 30 kld. The treated water will be
recycled and reused for flushing, HVAC and horticulture purposes
The water requirement for Flushing and landscaping through treated water from STP/ETP and
Details of break-up of water requirement for project are given below.

Figure 1: Details of Water Requirement

Water calculation
No of domestic/ Flushin Total water KLD
person fresh g water
water
No of Bed 500 150000 75000 225000
OPD 400 4000 2000 6000
Hostels 110 9900 4950 14850
Total water requirement 164 82 2,45,850.00 246
ETP/STP
requirement
Effluent generation @10% of total 25 30
utilisation
Sewage generation @80% of total 197 236
utilisation
Total treated water generation 266

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 CONCEPTUAL PROPOSED EXPANSION UPGRADATION OF DISTRICT HOSPITAL BUILDING 300 BED INTO
PLAN TEACHING HOSPITAL 500 BED OF MEDICAL COLLEGE (CONSTRUCTION OF 200 BEDDED
HOSPITAL) AT BIJNOR

Treated water reutilization

Treated water from ETP @ 90% of 22.13
generation
Treated water from STP @ 90% of 177.01
generation
Total treated water @90% 179.22
Recycle water reuse
Flushing water requirement (KLD) 82
Horticulture requirement @ 3 13
litre/sqm
HVAC 61
Fire fighting 12
Total 168

SOLID WASTE GENERATION AND MANAGEMENT

The well adopt a systematic approach for solid waste collection and disposal from project activates.
Solid waste generated from the project is collected properly and managed as per Solid waste
Management Rules, 2016.

The domestic solid waste generated from the occupants of the College, Residence, Hostel, Visitors,
Patients, and Staff; pertains to the two categories, Bio-degradable and Non-biodegradable. These
solid wastes is collected separately by putting different types of separate bins at the source of
generation. It is estimated that maximum solid waste generation would be about~1000 kg/day and
biomedical waste would be generated 550 kg. The solid waste generation considered is given in
Table-4.

Separate color-coded bins are being provided in the hospital campus for collection of different
types of Bio-Medical Waste for the proper treatment.

Bio-Medical Waste: Biomedical waste is waste that is either putrescible or potentially infectious.
Biomedical waste is generated from biological and medical sources and activities, such as the
diagnosis, prevention, or treatment of diseases. Biomedical waste may be solid or liquid. Examples
of infectious waste include discarded blood, sharps, unwanted microbiological cultures and stocks,
identifiable body parts, other human or animal tissue, used bandages and dressings, discarded
gloves, other medical supplies that may have been in contact with blood and body fluids, and
laboratory waste. Biomedical waste is properly collected in the separate container and will be

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 CONCEPTUAL PROPOSED EXPANSION UPGRADATION OF DISTRICT HOSPITAL BUILDING 300 BED INTO
PLAN TEACHING HOSPITAL 500 BED OF MEDICAL COLLEGE (CONSTRUCTION OF 200 BEDDED
HOSPITAL) AT BIJNOR

disposed by authorized processor for Biomedical Waste. Bio-medical Waste Treatment Facility
(CBMWTF) for disposal of Bio-Medical Waste As per rule.

Solid waste generation

per capita
waste Total waste
No generation generataion
Patient's attendant 400 0.5 200
Staff 82 0.25 20.5
Hostels 110 0.5 55
Visitor + OPD 800 0.15 120
Landscape waste(14439.17
sqmt/3.57 acre) 0.2 kg/acre 0.714
Total solid waste generated (Kg/day) 396
Bio medical waste generation 500 1 500
OPD BMW 50
Non-bio degradable @40% of soild waste 158
Bio-degradable @ 60% of solid waste 238
Total waste (Solid waste +Bio medical waste) 946

*Source: Manual on Municipal Solid Waste Management, published by Central Public Health and Environmental
Engineering Organization (CPHEEO), Ministry of Urban Development, Government of India.

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 CONCEPTUAL PROPOSED EXPANSION UPGRADATION OF DISTRICT HOSPITAL BUILDING 300 BED INTO
PLAN TEACHING HOSPITAL 500 BED OF MEDICAL COLLEGE (CONSTRUCTION OF 200 BEDDED
HOSPITAL) AT BIJNOR

The E-waste generated is managed as per the E-waste management and handling rules 2016.

RAINWATER HARVESTING/STORM WATER MANAGEMENT

Rainwater harvesting is the activity of direct collection of rainwater. Collected Rainwater is stored
for direct use or for recharging the groundwater. Rain Water Harvesting is the technique through
which rain water is captured from the roof and paved surfaces and stored in sub-surface ground
water reservoir by adopting artificial recharge techniques.

Advantages:
✓ To meet the ever-increasing demand for water.
✓ To avoid flooding of roads.
✓ To augment the ground water storage and control the decline of water table levels.
✓ To reduce ground water pollution.
✓ To improve the quality of ground water.

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 CONCEPTUAL PROPOSED EXPANSION UPGRADATION OF DISTRICT HOSPITAL BUILDING 300 BED INTO
PLAN TEACHING HOSPITAL 500 BED OF MEDICAL COLLEGE (CONSTRUCTION OF 200 BEDDED
HOSPITAL) AT BIJNOR

✓ To reduce the soil erosion.

✓ To supplement domestic water requirement during summer, drought etc.
✓ Improves the quality of ground water through dilution when recharged to ground water.
✓ In saline areas, rain water provides good quality water and when recharged to ground water,
it reduces salinity and also helps in maintaining balance between the fresh-saline water
inter-faces.
Rainwater Harvesting Calculation for the project is given in Table-. 3
Strom water plan is attached as Annexure.

RAIN WATER HARVESTING

(Design criteria 25mm rain fall per day for terraces & plotted development)

Modular system with stainless steel filter. PVC Modules wrapped with double geo fabric 400 gsm.
Storm water networks modular rain water harvesting 20-60 m3 with filters and suitable
interceptors are be planned. The drain for storm water in the area shall route to interceptor / filter
and modular rain water harvesting (As specified for terrace rain water) to achieves zero discharge
to city storm water networks. Storm water runoff reaching the drain can be determining by using
the rational formula for the calculation of storm water runoff it is given below:

Q = 10 C I A

Where:
Q = Runoff in cum/hr.
C = Coefficient of runoff.
I = Intensity of Rainfall in mm/hr.
A = Area of drainage basin in hectare
Storm Water:

Total plot area = 67,342sqm

Green = 26297sqm

Road area = 9499sqm

Runoff water as per NBC Table 4.5.11.2

Roads = 0.8 – 30%

Lawn & Park = 0.15 - 30%

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 CONCEPTUAL PROPOSED EXPANSION UPGRADATION OF DISTRICT HOSPITAL BUILDING 300 BED INTO
PLAN TEACHING HOSPITAL 500 BED OF MEDICAL COLLEGE (CONSTRUCTION OF 200 BEDDED
HOSPITAL) AT BIJNOR

Terrace = Consider 1, super charged conditions

Storm Water Design Criterion

Drain planned with 50 mm/hr rain fall as per NBC & Terrace rain water pipe planned with 100 mm/hr.
Assumed

Road area: = 14% of Plot

Landscaped Area = 39% of Plot

Built up area = 29% of Plot

Total Rain Fall volume

= Plot Area (Road % x0.8+ landscaped area x 0.15) .05cum

= 14439.17x (0.23x0.8+0.15x0.29+0.48*1) x.05

= 14439.17 x (0.18+0.04+0.48) x.05

= 14439.17 x 0.70 x .05 = 505.37 cum

PIPES TO CITY STORM WATER.

Rain Water Harvesting for Terrace Rain Water
Q = 10 C I A
Where:
Q = Runoff in cum/hr.
C = Coefficient of runoff.
I = Intensity of Rainfall in mm/hr.
A = Area of drainage basin in hectare
A = 14439.17 sqm/1.44 Ha
= 10 x 1 x 25 x 1.44
= 360 cum ------------------------ (B)
Rain Water Harvesting for External Development Rain Water
Considering 25 mm/day, the total storm water run-off from the site is

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 CONCEPTUAL PROPOSED EXPANSION UPGRADATION OF DISTRICT HOSPITAL BUILDING 300 BED INTO
PLAN TEACHING HOSPITAL 500 BED OF MEDICAL COLLEGE (CONSTRUCTION OF 200 BEDDED
HOSPITAL) AT BIJNOR

= (A)/2
= 360/2 = 180 Cum ------------------ (C)
Total Capacity of Rain Water Harvesting
Considering 25 mm/day, the total storm water run-off from the site is
= (C) + (B)
= 360 + 180
= 540 Cum
The rainwater runoff from the roofs shall be transported through underground pipes to water
recharge structures & surface rainwater shall naturally percolate in the underground aquifer
through natural filtration.

POWER REQUIREMENT
Total Power requirement is 4480 KW
Power backup

Total No. of DG set is 2,

1x 320 kva + 1x 750 kva.

FIRE FIGHTING SYSTEM

INTRODUCTION

Engineering services systems for 400 Bedded Hospital at Patna, Bihar has been conceptualized
based on conceptual architectural drawings and details mentioned in Architectural report,
standards, to produce an integrated services system design.

FIRE FIGHTING SYSTEM

SALIENT FEATURES OF ENGINEERING SYSTEMS
OBJECTIVE
The complex is categorized under 'Ordinary Hazard' as per National Code of India 2016. The main
objective of firefighting system shall be to protect loss to Life and Property duly complying or
exceeding statutory provisions. Essential Life Safety aspects relating to fire compartmentation and
emergency escapes/ egress route planning shall be dealt by Architect. However, scope of this report
shall be to highlight the proposed firefighting measures including installation of sprinkler for the

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 CONCEPTUAL PROPOSED EXPANSION UPGRADATION OF DISTRICT HOSPITAL BUILDING 300 BED INTO
PLAN TEACHING HOSPITAL 500 BED OF MEDICAL COLLEGE (CONSTRUCTION OF 200 BEDDED
HOSPITAL) AT BIJNOR

entire facility, external/ internal hydrants, hand held fire extinguishers, inert gas fire suppression
system for electrical rooms.

The entire system shall be monitored from the Fire pump room / Fire Control Room

BASIS OF DESIGN

• National Building Code of India - 2016

• Relevant Bureau of Indian Standards (BIS) Codes
• Motors, cabling, wiring and accessories as per BIS codes/IE Rules/IS codes
• Recommended practices of Equipment manufacture.
• Recommendations of CFO, BIHAR.
DESIGN PHILOSOPHY

In the event of fire, the occupant initial firefighting arrangements sprinkler system in the area shall
get activated in case of fire.

Occupants on floors would evacuate the complex as announced on the P.A. System. Firefighting
system sprinklers shall be activated in case of fire. Hose reel and landing valve on each floor will
provided.

1.4 SYSTEM DESCRIPTION

• A centralized Fire Pump Room having centrifugal pumps to maintain minimum

pressure of 3.5 kg/cm2 at the highest point.
• Separate risers for Hydrant system and Sprinkler system and for water curtain.
• System is designed that at no sprinkler / hydrant points water pressure is more than
3.5 Kg/cm2 bar in static condition. Orifice plate will be used at each Valve to control
the pressure.
• For External Protection of the buildings, Ring Main dia. 150 mm with Hydrants at
45m intervals be provided.
• Fire Water Tanks:
(i) Underground firewater tanks of 2 x 2, 00,000 liters (each tank in two halves)
since the no of hydrants exceed 100.

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 CONCEPTUAL PROPOSED EXPANSION UPGRADATION OF DISTRICT HOSPITAL BUILDING 300 BED INTO
PLAN TEACHING HOSPITAL 500 BED OF MEDICAL COLLEGE (CONSTRUCTION OF 200 BEDDED
HOSPITAL) AT BIJNOR

(ii) Over-Head Tank 20 KL on each Hospital Block and 10 KL on each

residential block.
A) Pumps & Equipments shall be as per requirement of NBC-2016 as detailed.

S. No. Description
1 Electrically driven Hydrant Pump - 2280 LPM - One No
2 Electrically driven Sprinkler Pump - Electrical Driven – 2280 LPM
3 Diesel engine driven pump (Stand by) - 2 Nos 2280 LPM
4 Jockey pump a. Hydrant – 180 LPM
b. Sprinkler – 180 LPM
5 Water Curtain Pump - 1 Nos 900 LPM
FIRE HYDRANT SYSTEM

INTERNAL HYDRANTS / FIRE HOSE CABINETS

All Buildings shall be provided with fire hydrant riser. Fire hose cabinet to have internal landing
valve isolation valve, orifice plate, swinging hose reels with valve and shutoff nozzle, fire man's
axe, 2 No 63 mm dia RRL hose, one standard nozzle, fire extinguishers Co2 1 x 4.5 kg and ABC
1 x 6 kg. Fire hose cabinet shall have framed glass door 1200 x 2000 mm.

YARD HYDRANTS / CABINETS

Yard hydrants shall be located at maximum 45-meter intervals. One no Butter fly valve, one no
hydrant valve, 2 No RRL 63 mm dia hose pipe and one nozzle shall be placed in a closed cabinet
with glass shutters in the cabinets. Yard Hydrants will be located between (2-15 mtrs.) away from
the building.

FIRE DEPARTMENT CONNECTION

Fire Brigade Connections would be provided for feeding the wet risers and the sprinklers system
directly by the fire brigade for each building. These would be provided at locations easily
accessible by the Fire Tender. 4-way fire brigade connection and draw off connection for the
underground fire war tanks to be provided.

SPRINKLER SYSTEM

Sprinklers shall be installed in all buildings as per National Building Code 2016.

Range of Sprinklers: -

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 CONCEPTUAL PROPOSED EXPANSION UPGRADATION OF DISTRICT HOSPITAL BUILDING 300 BED INTO
PLAN TEACHING HOSPITAL 500 BED OF MEDICAL COLLEGE (CONSTRUCTION OF 200 BEDDED
HOSPITAL) AT BIJNOR

(i) 12 sq.m area for pendant sprinklers for all floors except basements, 9 sq.m area for
upright sprinklers in basements.
(ii) Extended wall mounted sprinkler as per IS.
(iii) Public areas shall have pendant/extended wall mounted type sprinklers.
(iv) Upright Sprinklers will be installed above fall ceiling in case the gap between fall
ceiling and slab exceeds 799 mm.
The sprinkler pump shall be automatic operation and will start in case of a drop of pressure
in the system. Installation control valves along with hydraulic alarm will be provided in
pump house. The operation theaters shall have normal sprinklers.

Flow switches shall be provided on each floor and connected to the fire control panel
through intelligent fire alarm system in the fire control room, to announce the location of
affected floor. Valves on flow switches shall have butterfly valves chain and lock to
indicate the position of valve. Installation valves shall be provided as per NBC / Local Fire
Authority.

PASSIVE FIRE PROTECTION MEASURES:

FIRE RATED SMOKE CHECK DOORS: - These shall be provided in accordance with N.B.C.
Part IV, 2016 wherever required to stop ingress of fire/smoke to other areas. Viz all stairwells and
lift lobbies etc.

All horizontal and vertical openings in the service shafts, cable ducts etc shall be effectively sealed
with non-combustible materials to stop spread of fire/smoke.

Ventilation: Adequate ventilation shall be provided complying with NBC 2016, using ducted
system.

FIRE ALARM SYSTEM:

The entire complex shall be provided with intelligent addressable fire alarm system, public address
system and manual call points.

Electrical Sub-Station, Electrical Panels & Wiring:

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PLAN TEACHING HOSPITAL 500 BED OF MEDICAL COLLEGE (CONSTRUCTION OF 200 BEDDED
HOSPITAL) AT BIJNOR

The electrical distribution system would confirm to NBC Part-4 as applicable all wires / cables
used inside the building shall be fire resisting type. Separate circuits for firefighting pumps, lifts,
staircases and corridor lighting & blowers for pressurizing system, smoke extraction system, water
supply pumps, lifts exit signs, corridor and street lighting shall be provided so, that fire in one
circuit will not affect the others.

No other Utility Lines would be laid in the Electrical Cable ducts.

Fire Control Room & Intercommunication System:

A Fire Control Room would be provided to conform to NBC Part 4, having communication system
to all floors. This would be located on the ground floor.

PORTABLE FIRE EXTINGUISHERS

Portable fire extinguishers Carbon dioxide 4.5 kg and ABC 6 kg capacity shall be provided as first
aid fire extinguishing appliances. These extinguishers shall be suitably distributed in the entire
public as well as service areas. The appliances shall be so distributed over the entire floor area so
that a person has to travel not more than 15 m to reach the nearest appliance. These shall be hung
on wall in a group at suitable places. The number of extinguishers shall be as per IS: 2190. 5kg
Inert Gas fire extinguishers, ceiling mounted, operated through thermostats will be installed in
each electrical room.

List of Machinery are used during Construction is as follows:

1. Dumper : Shall be used for mud and material handling

2. Concrete mixer with hopper : for RCC work
3. JCB/Pock line : Shall be used for digging and earth work
4. Concrete Batching Plant : used for concrete mixing
5. Road roller : For compacting the earth

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 CONCEPTUAL PROPOSED EXPANSION UPGRADATION OF DISTRICT HOSPITAL BUILDING 300 BED INTO
PLAN TEACHING HOSPITAL 500 BED OF MEDICAL COLLEGE (CONSTRUCTION OF 200 BEDDED
HOSPITAL) AT BIJNOR

Table-17: Environmental Management Cost during Construction

Sr. Component Particulars Capital Recurring

No. Investment Expenditure
(Lakhs) per Annum
(Lakhs)
1. Air Dust Collector 2.5 1.25
2. Water ETP comprising of pre- 5.0 2.0
primary, primary, secondary &
tertiary treatment, STP, etc.

3. Solid and C&D Stackyard and its management 20 10

Waste and its
Management
4. Occupational Health medical checkup of 05 02
Health & Safety workers, PPEs for Workers.
Emergency Preparedness, Fire
hydrant systems, fire
extinguishers, emergency
control room, OHC and
HAZOP study
5. Environment Environment Monitoring as per 04 02
Monitoring & monitoring plan
Management
6. Green Belt Development and maintenance 01 03
of green belt
Total (Rs.) 37.5 20.25

Table-18: Environmental Management Cost during Operation

Sr. Component Particulars Capital Recurring

No. Investment Expenditure
(Lakhs) per Annum
(Lakhs)
1. Air Stack emission control 2.5 1.25
2. Water ETP comprising of pre- 100.00 10.0
primary, primary, secondary &
tertiary treatment, STP, etc.
3. Rain Water Installation of RWH System & 6.00 1.00
Harvesting Annual Cleaning of RWH tank

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 CONCEPTUAL PROPOSED EXPANSION UPGRADATION OF DISTRICT HOSPITAL BUILDING 300 BED INTO
PLAN TEACHING HOSPITAL 500 BED OF MEDICAL COLLEGE (CONSTRUCTION OF 200 BEDDED
HOSPITAL) AT BIJNOR

Sr. Component Particulars Capital Recurring

No. Investment Expenditure
(Lakhs) per Annum
(Lakhs)
4. Solid/Biomedical Purchase of Containers for 6.00 1.00
Waste Area and Storage of Waste
its Management
5. Occupational Health medical checkup of 3.0 1.0
Health & Safety workers, PPEs for Workers.
Emergency Preparedness, Fire
hydrant systems, fire
extinguishers, emergency
control room, OHC and
HAZOP study
6. Environment Environment Monitoring as per 0.00 3.0
Monitoring & monitoring plan
Management
7. Green Belt Development and maintenance 2.0 2.0
of green belt
Total (Rs.) 119.5 19.25

Corporate Environmental Responsibilities (CER)

We hereby request you that kindly exempt the CER condition as per the MOEF&CC OM dated 1 st May
2018. As this project is a government funded Hospital, Hence this project will benefit all Persons.

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