M/s ARTEMIS MEDICARE SERVICES LIMITED

91 Pages·2014·5.72 MB·English

Half Yearly Compliance Report on Environmental Surveillance Monitoring &
Compliance Status with respect to condition of Environmental Clearance vide
letter No. 21-292/2007-IA.III dated July 19, 2007

(Period: 01.06.2014 to 30.11.2014)

Submitted to: Copy Submitted to:

Northern Regional Office Chairman,
Ministry of Environment & Forests Haryana State Pollution Control Board
Government of India C-11, Sector-6,
Bays No. 24-25, Sector – 31-A Panchkula-134109
Dakshin Marg, Chandigarh – 160 030 Haryana

Submitted by:

M/s ARTEMIS MEDICARE SERVICES LIMITED

Hospital Site, Sector – 51, Gurgaon – 122 001, Haryana

Prepared by:
ECO CORPORATE TECH & MEDIA SERVICES PVT. LTD.

® 1st Floor, Shivom Enterprises Building,
Khasra No. 5564/195-198, Daulatabad Road Industrial Area,
Near MGF Toyota, Sector-103,
Gurgaon 122 006 Delhi (NCR)
Telephone: [phone]
Email: [email protected]

Website: www.ecocorporate.com, www.ecomedia.co.in
This report has been prepared by M/s Eco Corporate Tech & Media Services Pvt. Ltd. and its owned laboratory Ultratec Research &
Analytik Labs; with all reasonable skill, care and diligence for the industrial project by “M/s Artemis Medicare Services Ltd. situated at
Hospital Site, Sector-51, Gurgaon 122001 in Haryana”. Any matter outside the scope of work is disclaimed.

This report is a legal document of M/s Artemis Medicare Services Ltd. Use of this report in part or full, in whatever nature by any third
party, except Government Authorities concerned, should be strictly with permission of M/s Artemis Medicare Services Ltd. M/s Eco
Corporate Tech & Media Services Pvt. Ltd. disclaims any responsibility of whatever nature to third parties, except Government Authorities
concerned, to whom this report or any part thereof, is made known. Any third party relies on this report on its own risk.

Doc. No. Date of Issue Rev. No. Date of Rev. Copy No. Checked & Approved by
E/80/2014/DOC004 20-12-2014 00 -- Sunita Mishra
Table of Contents
Chapter-1: Introduction and Project Description .............................................................................. 1
1.1 Introduction .................................................................................................................................. 1
1.2 Salient features of the Project ...................................................................................................... 2
1) Area ........................................................................................................................................... 2
2) Occupancy ................................................................................................................................. 2
3) Water Consumption .................................................................................................................. 2
4) Water Balance ........................................................................................................................... 2
5) Sewage Treatment .................................................................................................................... 2
6) Parking ...................................................................................................................................... 2
7) Energy Efficiency Measures ...................................................................................................... 3
8) Fire & Safety .............................................................................................................................. 3
9) Rain water harvesting ............................................................................................................... 3
10) Disposal of Wastes .................................................................................................................. 3
1.3 Present Status of the Project ........................................................................................................ 4
1.4 Purpose of the Report .................................................................................................................. 4
1.5 Environment Management Fund ................................................................................................. 4
1.6 Schedule for next six-monthly compliance report ....................................................................... 5
Chapter-2: Compliance Status Report ............................................................................................... 6
I. Point wise compliance report w.r.t. Part-A: Specific Conditions (Construction Phase) .................. 6
II. Point wise compliance report w.r.t. Part-A: Specific Conditions (Operation Phase) ..................... 6
III. Point wise compliance report w.r.t. Part-B: General Conditions .................................................. 9
Chapter-3: Environmental Surveillance Monitoring ........................................................................ 11
3.1 General ....................................................................................................................................... 11
3.2 Objective ..................................................................................................................................... 11
3.3 Planning for environmental monitoring ..................................................................................... 11
3.4 Methodology .............................................................................................................................. 12
3.4.1 Ambient Air ........................................................................................................................ 12
3.4.2 Noise ................................................................................................................................... 13
3.4.3 Ground Water .................................................................................................................... 14
3.4.4 Soil ...................................................................................................................................... 15
3.4.5 Air Emission ........................................................................................................................ 17
3.4.6 Characterization of treated & untreated effluent ............................................................. 17
3.5 Results and Discussions .................................................................................................................. 18
3.5.1 Ambient Air ........................................................................................................................ 18
3.5.2 Ambient Noise .................................................................................................................... 19
3.5.3 Source Noise ....................................................................................................................... 19
3.5.4 Ground Water .................................................................................................................... 20
3.5.5 Soil ...................................................................................................................................... 23
3.5.6 Air Emission ........................................................................................................................ 24
3.5.7 Characterization of treated & untreated effluent ............................................................. 26
3.6 Conclusion ....................................................................................................................................... 27
Annexure-I: Copies of environmental surveillance monitoring report ............................................ 29
Credentials of Ultratec Research & ANalytik Labs, Gurgaon ............................................................ 43
Annexure-II: CTO & Authorizations ................................................................................................. 47
Annexure-III: Form-V (Environmental Statement for FY 2013-2014 ................................................ 53
Annexure-III: Bio-medical Waste Management .............................................................................. 81
Annexure-IV: Data Sheet ................................................................................................................ 88

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Chapter 1

Introduction and Project Description

1.1 Introduction

Artemis Health Institute is a 206-bed super-specialty flagship hospital established by
Artemis Health Sciences (AHS) - a healthcare venture launched by the promoters of
the Apollo Tyres Group. Artemis aims at creating an integrated world-class
healthcare system by leveraging the best
medical practices backed by cutting-edge
1. 206-bed super-specialty
technology. The super-specialities chosen by hospital
Artemis as its area of focus include 2. Location: Hospital Site, Sector-
cardiovascular, oncology, orthopedics, 51, Gurgaon, Haryana.
Geographical location of the
neurosciences and bariatric & minimal
unit could be stated as
invasive surgery. The facility at Gurgaon is
approximately 28° 37’ latitude
designed and constructed in strict accordance and 77° 04’ longitude. The
with International guidelines. location is about 225 meters
above the mean sea level
The hospital project is located in sector-51, 3. Accorded EC by the Union
Gurgaon in Haryana state. Geographical Ministry of Environment &
Forest, Govt. of India vide
location of the unit could be stated as
letter No. 21-292/2007-IA.III
approximately 28° 37’ latitude and 77° 04’
dated July 19, 2007
longitude. The location is about 225 meters 4. Haryana State Pollution
above the mean sea level. Control Board granted NOC
vide letter No.
The project has been granted approval by the HSPCB/2007/TAC-I/199A/56
Haryana Urban Development Authority vide dated 09.02.2007
5. CTO FY 2013-14:
Memo bearing No. SDE (S) 2925 dated
HSPCB/2013/3229 dated 31-
25/04/2006.
03-2013 issued by HSPCB
6. Air CTO FY 2014-15: No.
This project has been accorded
HSPCB/Consent/:
Environmental Clearance by the Union
2805714GUNOCTOHWM6948
Ministry of Environment & Forest, Govt. of 86 Dated:31/03/2014
India vide letter No. 21-292/2007-IA.III dated 7. Water CTO FY 2014-15: No.
HSPCB/Consent/:
July 19, 2007 (copy already submitted along
2805714GUNOCTO694886
with previous reports). Further, Consent to
Dated:31/03/2014
Establish (CTE)/NOC for the project was also 8. Total Land Area: 32860.83 m2
obtained from Haryana State Pollution 9. Total Built-up Area: 28801 m2
Control Board (HSPCB) vide their letter 10. Greenbelt Area: 15000 m2
11. Water Requirement:450 KLD
bearing No. HSPCB/2007/TAC-I/199A/56
12. Wastewater: 200 KLD
dated 09.02.2007. Copy of the said CTE/NOC

has already been submitted to Authorities
concerned as annexure to previous half yearly compliance reports.

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(Artemis SMR Dec.-2014) Page1 of 89.
1.2 Salient Features of the Project:

1) Area: Total plot area of the project is 32860.83 SQM and total built up area is
28801.57 SQM.
2) Occupancy: Total capacity of the hospital in terms of number of beds as per EIA
Clearance accorded by the MoEF is 206.
Month Year % Occupancy
June 2014 82
July 2014 79
August 2014 85
September 2014 81
October 2014 79
November 2014 75

3) Water Consumption: The total water requirement is 450 KLD at maximum.
However, currently the water consumption is nearly 268 KLD, out of which fresh
water requirement is about 148 KLD. Fresh water is sourced from the HUDA
water supply. Nevertheless, water is withdrawn through bore wells in case of
inadequate supply from HUDA.
4) Water Balance:
Process Water Trade effluent
NIL NIL

Domestic Water Treated Sewage

125 KLD 120 KLD
Fresh Water
148 KLD

Cooling Water Make up
70 KLD
5 KLD

Wa ter for g reenbel t 50 KLD
18 KLD

5) Sewage Treatment: Sewage generated is treated in an adequately designed
Sewage Treatment Plant (STP) with capacity to treat 325 KLD of sewage that is
installed inside the project premises. The entire (100%) treated water from STP is
recycled/ reused in cooling and horticulture in the hospital.
6) Parking: The building has separate and adequate parking facility. Parking is
provided basements, podium, stilt and on surface.
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7) Energy Efficiency Measures:

a) The building envelope for external walls made of bricks, concrete and steel. The
R-value for bricks is approximately 0.87 K.m2.W-1 while that for steel and concrete
ranges from 1.07 – 1.25 K.m2.W-1 and 0.78 – 1.25 K.m2.W-1, respectively. For
fenestration, aluminium panels with glass panes with R-value ranging between
0.004 – 0.005 K.m2.W-1 and 1.075 – 1.25 K.m2.W-1, respectively, shall be used.

b) Sun film with solar energy rejection up to 79% and glare reduction up to 91%
have been fixed in all patient rooms (South and East facing) and consultant
rooms with single glazed glass. All other area is having double glazed windows.
This would reduce the load due to solar radiation and also the heat load of the
building envelope. Typical thermal conductivity (U-values) ranges between 1.2-
1.4 W-m2-K as compared to 1.5-1.7 W-m2-K range for normal glass.

8) Fire Safety: The building is well equipped with all fire fighting equipments (i.e.
fire water tanks, fire pumps, fire hydrants, sprinkler system, fire alarms, fire
extinguishers, hose reels etc.) as required under the local fire norms.
9) Rain Water Harvesting: The rainwater collected from the rooftop and other
paved areas within the project area is conveyed into the rainwater harvesting
system consisting of de-silting chamber, Oil & grease separator and Recharge pit
with injection bore for recharge into the groundwater.
10) Disposal of Wastes: The hospital generates following types of wastes:
(a) Municipal Solid waste: Segregated at site and managed by M/s Vulcan
Waste Management Company. The final disposal is being done at the
Common waste disposal site near Bandhwari, Gurgaon.
(b) Bio-medical waste: BMW are being collected, segregated and managed by
the help of an approved company namely, M/s Vulcan Waste Management
Company. Month wise generation of biomedical waste data is given under
table 1.1:
Month, Year RED (kg) YELLOW (kg) BLUE (kg)
June, 2014 3939 3307 1355
July, 2014 6284 4115 1285
August, 2014 11265 7158 1723
September, 2014 11177 5605 1771
October, 2014 8274 4954 1621
November, 2014 7627 6037 1574

(c) Hazardous Waste: The used oil from DG sets is being stored in separate
leak proof HDPE drums, labeled as Hazardous Waste. Such wastes are
being disposed off with the help of oil recyclers with due approvals from the
Ministry of Environment & Forests. Total quantity of hazardous waste in the
form of used oil from DG sets that falls under type 5.11 generated from the
hospital during 01.06.2014 to 30.11.2014 is 160 litre. The waste has been

1 the Hazardous Waste (Management, Handling & Transboundary Movement) Rules, 2008
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stored safely for disposal. There was no disposal of used oil since 1.355 Ton
of used oil was sold to M/s Lubri Sales, 32, IDC, Mehrauli Road, Gurgaon on
01-05-2014 vide Manifest document No. 6385.

1.3 Present Status of the Project

The project is under operational phase.

1.4 Purpose of the Report
According to the section 10 (i) of EIA Notification, 2006, it is mandatory for the project
management to submit half-yearly compliance reports in respect of the stipulated
prior environmental clearance terms and conditions in hard and soft copies to the
regulatory authority concerned, on 1st June and 1st December of each calendar year.
This report is being submitted for the period December, 2013 to May, 2014, which is
due on 1st June, 2014.
Further, submission of this report meets also the condition No. (ii) specified under the
heading of Part-B: General Conditions of the Environmental Clearance letter vide No.
21-292/2007-IA.III dated July 19, 2007. Additionally, this compliance report shows
post-project impacts of the project on the local environment.
The environmental compliance report is carried out to verify the following:
(i) That the project does not have any adverse environmental impacts in the project
area and its surrounding
(ii) Compliance with the conditions stipulated in the Environmental Clearance Letter.
(iii) That the Project Management is implementing the environmental mitigation
measures and safeguards in true spirit as suggested in the approved Form-1,
Form-1A, Environmental Management Plan (EMP) and building plans.
(iv) Any non-conformity in the project with respect to the environmental implication of
the project.

1.5 Environmental Management Funds:

Details of expenses incurred in environment management would be as under-
Expenses Head Non-recurring Annual Recurring
Cost in (Rs.) Cost in (Rs.)
APCM 2.5 0.00
STP & ETP 30.4 9.13
Waste Management including bio-medical waste -- 17.40
Noise control 2.0 0.50
Monitoring -- 0.30
Rainwater Harvesting 5.0 0.50
Greenbelt Development & maintenance 3.0 8.80
Miscellaneous 23.5 5.00
TOTAL 66.4 41.63
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1.6 Schedules for Next Six-Monthly Compliance Report:

The next six-monthly progress report shall be submitted for the period 01-12-2014 to 31-05-
2015; latest by 1st June 2015 at Northern Regional Office of the Ministry of Environment &
Forests, Government of India.

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Chapter 2

Compliance Status Report

Point wise report on compliance to conditions as stipulated in Environmental
clearance (vide letter No. 21-292/2007-IA.III dated July 19, 2007):

PART A – SPECIFIC CONDITIONS
I. Construction Phase: Complete
Note: All conditions relevant to construction stage were complied during construction.
II. Operation Phase: In progress
S. Condition Note on Compliance Status
No.
1 Diesel power generating sets as Silent DG sets are installed in the project as
source of backup power for lifts and back up for lifts and all emergency areas in
common area illumination should be of the hospital. The DG sets conform to the
“enclosed type” and conform to rules prevailing rules made under Environment
made under Environment (Protection) (Protection) Act 1986, prescribed for air and
Act 1986, prescribed for air and noise noise emission standards as per CPCB
emission standards as per CPCB guidelines. Exhausts are discharged by
guidelines. Exhausts should be stack, raised above 4 meters (at about 7.5
discharged by stack, raised to 4 meters meters) from the rooftop.
above the rooftop.
2 During night time the noise levels During night time the noise levels measured
measured at the boundary of the at the boundary of the building were found to
building shall be restricted to the be 38.4 dB (A), which is less than 45 dB (A).
permissible levels to comply with the Please refer Test Report vide No. 2343
prevalent regulations dated on 17.12.2014 issued by NABL
Accredited Laboratory “M/s Ultratec
Research & Analytik Labs, Gurgaon
enclosed in Annexure-II.
3 The sewage treatment plant of One sewage treatment plant of 325 KLD
adequate capacity should be provided capacities has been installed with provision
and it should be certified by an to treat the wastewater. The treated
independent expert for adequacy as wastewater is being reused for cooling,
well as efficiency and submit a report in flushing, landscaping and gardening. The
this regard to the Ministry before the treated sewage does conform to the
project is commissioned for operation. standards prescribed by Central Pollution
The wastewater should be treated up Control Board. Please refer Test Report vide
to tertiary level and after treatment No. 2346 dated on 17.12.2014 issued by
reused for cooling, flushing, NABL Accredited Laboratory “M/s Ultratec
landscaping and gardening etc. Research & Analytik Labs, Gurgaon
However, discharge of treated sewage, enclosed in Annexure-II.
if any, shall conform to the norms &
standards prescribed by Haryana
Pollution Control Board
4 Rain water harvesting and ground Rain water harvesting to recharge the
water recharging shall be practiced. ground water is being practiced inside the
The ground water levels and its quality project. The ground water quality is being
should be monitored regularly in monitored regularly Oil & Grease trap has
consultation with the Central Ground been provided to remove oil and grease
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S. Condition Note on Compliance Status
No.
Water Authority. Oil & Grease trap from the surface run off and suspended
shall be provided to remove oil and matter is being removed in a settling tank
grease from the surface run off and before its utilization for rainwater harvesting
suspended matter shall be removed in
a settling tank before its utilization for
rainwater harvesting
5 The solid waste generated should be All the solid wastes generated are properly
properly collected & segregated. collected & segregated from the source of
Biodegradable waste should be generation. All the wastes including STP
composted and non bio-degradable sludge are being managed by external
solid waste should be disposed of to agency. The final disposal of solid waste is
municipal landfill sites after recovering being carried out at common waste
recyclable waste. STP sludge shall be management facility near Bandhwari,
used as manure for gardening Gurgaon.
6 Bio-medical Waste including (i) Bio-medical wastes are being
hazardous waste should be disposed disposed off by the help of M/s Vulcan
of as per applicable Rules & norms Waste Management Pvt. Ltd., as per
with necessary approvals of the Bio-Medical Wastes (Management &
Haryana State Pollution Control Board Handling) Rules, 1998 and subsequent
amendments.
(ii) The used oil from DG sets is being
stored in separate leak proof HDPE
drums, labeled as Hazardous Waste.
Such wastes shall be disposed off as
per Hazardous Waste (Management,
Handling & Transboundary Movement)
Rules, 2008 and subsequent
amendments.
7 The green belt design along the The green belt along the periphery of the
periphery of the plot shall achieve hospital has been designed in such a way
attenuation factor conforming to the that it helps to achieve the day and night
day and night noise standards noise standards prescribed for residential
prescribed for residential land use. The land use. Please refer Test Report vide No.
open spaces inside the plot should be 2343 dated on 17.12.2014 issued by NABL
suitably landscaped and covered with Accredited Laboratory “M/s Ultratec
vegetation of indigenous variety Research & Analytik Labs, Gurgaon
enclosed in Annexure-II.
8 Incremental pollution loads on the Monitoring of the ambient air quality, noise
ambient air quality, noise and water level and soil quality are being conducted on
quality should be periodically six-monthly basis. Water quality is being
monitored after commissioning of the monitored on monthly basis during the
project operation phase. The ambient air quality
monitoring was performed on 24 hourly
basis for the parameters such as PM ,
10
PM , Sulfur Dioxide (as SO ), Oxides of
2.5 2
Nitrogen (as NO ), Carbon Monoxide (as
2
CO) and Ozone as O . All the parameters
3
were observed to be within the permissible
limits prescribed in Central Pollution Control
Board’s National Ambient Air Quality
Standards for Residential Areas.

Ambient noise level monitoring was
conducted for 24 hours. The day and night
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S. Condition Note on Compliance Status
No.
time L values were recorded by means of a
eq
noise level meter. Instant Sound Pressure
Level from DG sets was also recorded.

Ground Water Quality has been monitored
by Ultratec Research & Analytik Labs,
Gurgaon and the test results have been
compared with the requirements of IS
10500: 2012.

Please refer Annexure-II for Test
reportsissued by NABL Accredited
Laboratory “M/s Ultratec Research &
Analytik Labs, Gurgaon.
9 Prior permission of the Central Ground Prior permission for use of ground water was
Water Authority should be obtained for obtained from Central Ground Water
the utilization of ground water Authority vide their letter No. 40-4/GUR-
Artemis/CGWA/2007-1492 dated December
11, 2007 (copy already submitted along with
previous reports)
10 The Solar energy shall be used for Tapping of solar energy shall be
water heating as well as lighting implemented during the second phase of the
common areas and verifiable project. Details shall be submitted in due
measures shall be adopted for energy course.
conservation and water conservation
11 Report on the energy conservation Report on energy audit shall be prepared
measures should be prepared and submitted shortly.
incorporating details about building
materials & technology, R & U Factors
etc and submitted to the Ministry in
three months time
12 The values of R & U for the building The building envelope for external walls
envelope should meet the made of bricks, concrete and steel. The R-
requirements of the hot & humid value for bricks is approximately 0.87
climatic location. Details of the building K.m2.W-1 while that for steel and concrete
envelope should be worked out and ranges from 1.07 – 1.25 K.m2.W-1 and 0.78 –
furnished in three months time 1.25 K.m2.W-1, respectively. For fenestration,
aluminium panels with glass panes with R-
value ranging between 0.004 – 0.005
K.m2.W-1 and 1.075 – 1.25 K.m2.W-1,
respectively, shall be used.

Sun film with solar energy rejection up to
79% and glare reduction up to 91% have
been fixed in all patient rooms (South and
East facing) and consultant rooms with
single glazed glass. All other area is having
double glazed windows. This would reduce
the load due to solar radiation and also the
heat load of the building envelope. Typical
thermal conductivity (U-values) ranges
between 1.2-1.4 W-m2-K as compared to
1.5-1.7 W-m2-K range for normal glass.

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