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AGENDA ITEM NO :Dt: 15.10.2019 M/s. OMNI R.K. HOSPITAL (A UNIT OF INCOR HOSPITAL VIZAG PVT.
LTD.,), SY.NO. 1196/15B & 29, BLOCK. NO. 56, RAMNAGAR, OPPOSITE LIONS CLUB, VISAKHAPATNAM – CFO & HWA (Expansion)
& BMWA – Reg.
M/s. Omni R.K Hospital (A unit of INCOR Hospital Vizag Pvt. Ltd.), Sy.No. 1196/15B & 29, Block. No. 56, Ramnagar, Opposite Lions Club, Visakhapatnam – Applications for Water and Air Consents and HW Authorization for CFO Expansion & BMW Authorization
The details of the Health Care Facility (HCF) as reported by the RO, Visakhapatnam is as follows:
1. Line of Activity:
This is a Health Care Facility with a project cost of Rs. 34.62 Crores Existing: 12.26 Cr, Expansion: 22.36 Cr under Orange-Haz category.
2. EC Status: ---- 3. CFE Status :
CFE vide order dated 21.10.2013, Validity Date: 5 years from the date of issue.
4. CFO, HWA & BMWA Status:
1. Consent, HWA & BMWA No. 7756/APPCB/ZO-VSP.CFO/W&A/2017-523, Dt.
05.07.2017 with validity period up to 31.07.2021.
2.
The HCF’s CFO & HWA application received through OCMMS vide application no.1124027 on 26.09.2019.
5. Details of Present CFO application:
The HCF has applied for Water and Air Consents, HW & BMW Authorization for a period upto 31.07.2021.
Date of receipt of CFO application at RO 26.09.2019 Date of receipt of additional information at RO --
Date of RO inspection 05.10.2019
Date of forwarding of CFO verification report to HO 05.10.2019
Date of commissioning of HCF Existing: Aug’2013
Expansion: commenced OP during the month of September, 2019.
Fee details:
The HCF has paid total amount of Rs. 1,49,540/- (Rs. 1,16,000/- vide DD. No. 022737, Dt.
26.07.2019, Axis bank & Rs. 33,540/- Vide Receipt No. 602794174, dated 26.09.2019).
The details are: CFE fee Rs. 67,000/-, CFO fee Rs. 67,200/- for two years on the additional project cost of Rs. 22.36Cr and BMW fee Rs. 15,000/- for the enhanced bed strength of 100 Nos. for two years i.e. upto 31.07.2021.
Previous CFO for bed strength of 150 Nos is valid upto 31.07.2021. Hence, the combined CFO, HWA & BMWA may be issued upto 31.07.2021 for 250 bed strength.
Balance amount to be paid : nil
6. Raw materials: This is a Health Care Facility
7. Products & By Products: Hospital with 250 Number of Beds Sl.
No Name of the Products and
By-products
Consented quantity as per CFE dt. 24.10.13
Consented capacity as per
existing CFO order dt.05.07.17
CFO (expansion)
applied for
Total after expansion
1. Hospital with beds
150 Nos 150 Nos 100 Nos 250 Nos
8. Water consumption:
1. Source of Water supply as per EC : ---
2. Source of Water supply as per CFE : ---
3. Present Source of Water supply : Borewell
2
S.No Purpose Consented
quantity as per CFE dt.
24.10.13
Consented Qty as per existing
CFO dt.
05.07.17
as per
(expansion) Total after expansion 1) Process & wash 40.0 KLD 40.0 KLD 27.0 KLD 67.0 KLD
2) Cooling 2.0 KLD 2.0 KLD 1.1 KLD 3.1 KLD
3) Domestic 3.0 KLD 3.0 KLD 1.8 KLD 4.8 KLD
Total 45.0 KLD 45.0 KLD 29.9 KLD 74.9 KLD 9. Waste Water Generation:
S.No Source Consented Qty. as per
CFE dt.
24.10.13
Consented Qty as per existing
CFO dt.
05.07.17
Applied as per (expansion)
Total after expansion
1) Process, Wash &
Domestic
36.0 KLD 36.0 KLD 24 KLD 60 KLD
Total 36.0 KLD 36.0 KLD 24 KLD 60 KLD
a. Out let – as per CFO order dated : 05.07.2017 Existing:
Outlet
No. Outlet
Description Max Daily
Discharge Point of Disposal
1. Process, Wash
& Domestic effluents
36 KLD After treatment & disinfection, onland for gardening within the premises excess if any shall be discharged into municipal sewer duly meeting the Board’s standards.
The HCF has installed STP 2nos. each 40 KLD capacity for treating the waste water and discharging into underground drainage of GVMC.
Out let – CFO to be issued for Outlet
No. Outlet
Description Max Daily Discharge Point of Disposal Existing Expansion Total after
expansion After treatment &
disinfection, onland for gardening within the premises excess if any shall be discharged into municipal sewer duly meeting the Board standards.
1. Process, Wash &
Domestic effluents
36 KLD 24 KLD 60 KLD
b) ETP Details & Mode of Disposal: Nil I. Outlet No. 1
a. Stream Details: Process, Wash & Domestic effluents b. Treatment unit’s
details with dimensions and treatment capacity
Two STPs of capacity 40 KLD each consisting of Bar screen chamber, Collection tank, Aeration tank, Clarified tube settler, Clarified treated tank, Sand filter, Carbon filter, Final treated tank, Sludge drying beds and Chlorine dosing pump.
c. Point of disposal After treatment & disinfection, onland for gardening within the premises excess if any shall be discharged into municipal sewer.
Effluent Analysis
Board Monitoring Data
Standards as per Board Monitored Data
pH 5.50 – 9.00
TSS 100 mg/l Collected STP outlet leading
to underground drainage of GVMC and submitted to Zonal Laboratory, Visakhapatnam for analysis.
Oil & Grease 10 mg/l
BOD 30 mg/l
COD 250 mg/l
Bio assay test 90% survival of fish after 96 hours in 100% effluent
10. Air pollution:
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S.No. Source of Pollution Controlequipment provided
Flow rate in m3/hr.
Stack height in Mts - above
GL
Limiting Standard prescribed
by Board
Board Monitoring
Data 1. Generator – 2 Nos.
2 x 250 KVA
Capacity – 500 KVA Proposed: Generator- 1no, 250 KVA
Acoustic
enclosures -- 14 m SPM – 115
mg/Nm3 --
a) Emissions from chimneys – as per CFO (after expansion)
Chimney No. Description of Chimney Quantity of Emissions at peak flow (m3/hr)
1 Attached to 3 x 250 KVA DG Sets ---
11. Hazardous/ Solid Waste details : S. No. Name of
the Hazardous
Waste
Existing
Qty HW Proposed
Qty HW Total HW Stream Number as
per HWM Rules ‘2016
Disposal Option
1. Used Oil 50 LPA 25 LPA 75 LPA 5.1 of
Schedule – I Disposal to APPCB authorized
reprocessing agencies.
Non-Hazardous Solid Waste details:
S. No. Name of the
Waste Quantity of
waste Proposed Total Qty Disposal Option 1. STP sludge 3 Kgs/day 3 Kgs/day 6 Kgs/day Shall be disposed to TSDF,
Parawada
12. Bio-medical Waste(Sources, Storage and Segregation)
(a) Sources of Biomedical
Waste Generation
(indicate ward details)
: All Inpatient rooms, Diagnostic Lab, Causality and Operation Theater, Chemotherapy wards.
(b) Categories of bio-medical waste generation and its quantity
: Waste Categories generation
Total Quantity generated in Kg per Annum
Bio medical waste(Red, Yellow and PPC)
Total: 1018 Kgs/month for 250 beds
(c) Mode of intra-mural transportation of wastes within HCFs and for transportation of waste from wards to the
temporary waste storage area
: □ Closed trolley/pull cart with bio-hazard symbol
□ No closed trolley/pull cart
□ Other like………
Manual
(d) Is Temporary Waste
Storage area : Away from the
HCF:
□ Yes □ No
Within the HCF □ Yes □ No
Provided with lighting and ventilation:
□ Yes □ No
Leachate and Wash water from waste storage area connected to ETP provided
□ Yes □ No
Access is restricted:
□ Yes □ No
4 Infrastructure
Is Waste treated by on-site or through CBWTF
: On-site :
□ Yes □ No Through
CBWTF :
□ Yes □ No
Adequate On-site Treatment
equipment rooms provided(if applicable)
: □ Yes □ No □ NA
If yes □ Satisfactor
y □ Not
Satisfactor y
Untreated Waste storage room provided
: □ Yes □ No
If yes □ Satisfactor y
□ Not Satisfactor y
Treated Waste storage room
: □ Yes □ No
Is DG set with acoustic enclosure and stack as per DG set norms provided
: □ Yes □ No
Is Washing
room/Platform for waste containers, trolleys or vehicles provided
: □ Yes □ No
Effluent Treatment Plant Provided
: □ Yes □ No
13. Compliance status of conditions stipulated in CFE order dated: nil: Directly applied for CFO (expansion) without obtaining CFE of the Board.
14. Compliance status of conditions stipulated in CFO (Schedule-B) order dated:
Applied afresh
S. No. Conditions Compliance
1. The applicant shall take steps to reduce water consumption to the extent possible and consumption shall NOT exceed the quantities mentioned below:
S No Purpose Quantity
1. Process & wash 40.0 KLD
2. Cooling 2.0 KLD
3. Domestic 3.0 KLD
TOTAL 45.0 KLD
: No flow meter was installed to assess the water
consumption.
2. The effluent discharged shall not contain constituents in excess of the tolerance limits mentioned below.
Outlet No Parameter Limiting Standards
1 pH 6.5-9.0
Total Suspended
Solids 100.00 mg/l
Oil and Grease 10.00 mg/l Biochemical Oxygen
Demand 30.00 mg/l
Chemical Oxygen
Demand (COD) 250.00 mg/l
Bio Assay Test 90% survival of fish after 96 hours in 100% effluent.
: Collected STP outlet leading to
underground drainage of GVMC and submitted to Zonal
Laboratory, Visakhapatnam for analysis.
3. The emissions shall not contain constituents in excess of the prescribed limits mentioned below:
Chimney
No. Parameter Emission Standards
(mg/Nm3)
1 SPM 115
: The HCF installed DG set of 3X 250 KVA capacity.
4. The HCF shall comply with ambient air quality standards of SO2 – 80 µg/m3; NOx – 80 µg/m3; PM2.5 - 60 µg/m3; PM10 - 100 µg/m3, measured at factory premises at the periphery of the HCF.
: --
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Noise Levels:Day time: ( 6 AM to 10 PM ) – 75 dB(A) Night time: ( 10 PM to 6 AM) – 70 dB(A)
5. The HCF shall comply with emission limits for DG sets of capacity upto 800 KW as per the Notification G.S.R.520 (E), dated 01.07.2003 and G.S.R. 448 (E), dated 12.07.2004 under the Environment (Protection) Act Rules. In case of DG sets of capacity more than 800 KW shall comply with emission limits as per the Notification G.S.R.489 (E), dated 09.07.2002 at serial no.96, under the Environment (Protection) Act, 1986.
: ---
6. The HCF shall ensure that no odour nuisance is caused to the
surrounding environment. : No odor was
observed during the inspection.
7. Thick green belt shall be maintained along the boundary of the HCF and at all possible vacant areas.
: No greenbelt was
Developed.
8. The HCF shall submit a compliance report on CFO conditions for every 6 months as on 01st January and 01st July of every year at Regional Office and Zonal Office.
: Not submitted.
15. Hazardous Waste Authorisation details:
i) Particulars of Authorization obtained under HW (M&H) Rules,
2003 (No. & Validity date) : Consent, HWA &
BMWA No.
7756/APPCB/ZO- VSP.CFO/W&A /2017-523, Dt.
05.07.2017
Now the HCF applied for expansion of bed strength.
ii) Authorization issued for
(Transportation, reception, storage, treatment and disposal) : Storage & Disposal iii) Process in which the HCF is covered (Please give Sl. No of process
as per HW Rules) : Schedule I of 5.1
iv) Description of Hazardous waste with quantities and Stream No.
as per HWM Rules, 2003 : Used oil – 75 LPA.
v) Particulars of on-site Secured Storage (Capacity with dimensions) and mention period for which secured storage is sufficient. : -- vi) Quantity of Haz Waste stored on-site presently.
*Furnish specific remarks on the storage of Haz. Waste for more than 90 days.
: 75 Lts
vii) Quantity of Hazardous waste disposed for last six months as per the following break-up:
Common TSDF –
Common HW Incinerator – For recycle / reused -
: --
viii) Whether HCF has submitted annual returns, date of latest
submission. : ---
ix) Whether HCF has installed incinerator or sending to common HW
Incinerator : Not applicable
x) Particular of own incinerator
(if applicable) : Not applicable
xi) Whether log books are maintained for incinerator. (if applicable) : Not applicable xii) Whether HCF has taken adequate steps to prevent contaminated
runoff from storage areas of Hazardous Waste. : Yes xiii) Steps taken by HCF towards waste minimization and cleaner
production. : --
xiv) Future plan for waste minimization. : --
xv) Facilities available with, HCF for waste characterization. : -- xvi) Overall House Keeping within the factory premises. : Fair xvii) Details of disposal of lead acid batteries along with nos. and
agencies to whom they are disposed : --
xviii) Details of solid waste : ---
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16. Compliance of the industry on previous Hazardous Waste Authorization conditions: applied afresh
S.
No.
Conditions Compliance
1. All the rules and regulations notified by Ministry of Environment and Forests, Government of India under the E(P) Act, 1986 in respect of management, handling, transportation and storage of the Hazardous wastes should be followed.
: The HCF was directed to comply with the same.
2. The HCF shall not store hazardous waste for more than 180 days as per the Hazardous and Other Wastes (Management and Transboundary Movement) Rules, 2016 and amendments thereof.
: Complied.
3. The HCF shall store Used / Waste Oil in a secured way in their premises till its disposal to the manufacturers / dealers on buyback basis.
: Complied.
4. The HCF shall maintain 6 copy manifest system for transportation of waste generated and a copy shall be submitted to concern Regional Office of APPCB. The driver who transports Hazardous Waste should be well acquainted about the procedure to be followed in case of an emergency during transit. The transporter should carry a Transport Emergency (TREM) Card.
: The HCF was directed to comply with the same.
5. The HCF shall maintain proper records for Hazardous Wastes stated in Authorisation in FORM-3 i.e., quantity of Incinerable waste, land disposal waste, recyclable waste etc., and file annual returns in Form- 4 as per Rule 20(2) of the Hazardous and Other Wastes (Management and Transboundary Movement) Rules, 2016.
: The HCF was directed to comply with the same.
6. The authorised person shall comply with the provisions of the Environment (Protection) Act,1986, and the rules made there under.
: The HCF was directed to comply the same.
7. The authorisation or its renewal shall be produced for inspection at the request of an officer authorised by the State Pollution Control Board.
: Complied
8. The person authorised shall not rent, lend, sell, transfer or otherwise transport the hazardous and other wastes except what is permitted through this authorization.
: Complied
9. Any unauthorised change in personnel, equipment or working conditions as mentioned in the application by the person authorised shall constitute a breach of his authorization.
: ---
10. The person authorized shall implement Emergency Response Procedure (ERP) for which this authorization is being granted considering all site specific possible scenarios such as spillage, leakages, fire etc., and their possible impacts and also carry out mock drill in this regard at regular interval of time.
11. The person authorised shall comply with the provisions outlined in the Central Pollution Control Board guidelines on “Implementing Liabilities for Environmental Damages due to Handling and Disposal of Hazardous Waste and Penalty”
: ---
12. The hazardous and other waste which gets generated during recycling or reuse or recovery or pre-processing or utilisation of imported hazardous or other wastes shall be treated and disposed of as per specific conditions of authorisation.
: ---
13. The importer or exporter shall bear the cost of import or export
and mitigation of damages if any. : ---
14. Any other conditions for compliance as per the Guidelines issued
by the Ministry of
Environment, Forest and Climate Change or Central Pollution Control Board from time to time.
: ---
15. Annual return shall be filed by June 30th for the period ensuring
31st March of the year. : Not submitted.
17. Compliance status of conditions stipulated in CFO (Schedule-D) order dated 11/10/2017
S. No. Conditions Compliance
1 The person authorized shall comply with the provisions of the Environment (Protection) Act,1986 and the Rules made there under.
: The HCF was directed to comply with the same.
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2 The authorization or its renewal shall be produced for inspection at
the request of an Officer authorized by the prescribed authority. : Complied 3 The person authorized shall not rent, lend, sell, transfer or
otherwise transport the Bio Medical Wastes without obtaining prior permission of the prescribed authority.
: Complied
4 Any unauthorized change in personnel, equipment or working conditions as mentioned in the application by the person authorized shall constitute a breach of his authorization.
: ----
5 It is the duty of the authorized person to take prior permission of the prescribed authority to close down the facility and such other terms and conditions as may be stipulated by the prescribed authority.
: The HCF was directed to comply with the same.
6 The HCF shall properly collect, segregate and dispose the bio medical waste as per the provisions of Bio-Medical Waste Management Rules, 2016. The Bio-Medical Waste shall not be mixed with other wastes.
: Complied. The HCF has provided separate bins for collection of BMW as per color code.
7 All syringes and needles should be mutilated before discarding.
Mutilation / shredding must be such as to prevent unauthorized reuse.
: Complied
8 No untreated Bio-Medical Waste shall be kept stored beyond a
period of 48 hours. : Complied
9 The HCF shall dispose Bio Medical waste for treatment after disinfection and segregation to the M/s. Maridi Eco Industries (Andhra) Pvt. Ltd., Sy.No.314, Kapulupada (V), Bheemunipatnam (M), Visakhapatnam District as per the procedure prescribed for the occupier under Bio Medical Waste Management Rules, 2016.
: Complied. The HCF has tied up with Common
Bio-Medical Waste Treatment
facility which is valid up to 30/11/2019.
10 The HCF should provide adequate fire protection equipment (such as smoke detectors, fire extinguishers, sand bucket, fire alarm, water sprinklers etc.,) at salient places within the HCFs even at Bio Medical Waste storage area, in accordance with fire safety regulations and the HCF should obtain certificate from fire department.
: Complied.
11 The person authorized shall comply with the duties as mentioned at
Rule 4 of the Bio Medical Waste Management Rules, 2016. : Complied 12 The person authorized shall comply with the Rules of the Bio
Medical Wastes Management Rules, 2016. : Complied
18. Details of clarifications, if any, called for by RO : -- 19. Inspecting Officer’s Remarks:--
Status of functioning of flow meters of water and
effluent Not provided
Status of energy meters in ETP and Air Pollution Control
Equipment (APC) The HCF provided two no. of STPs of 40
KLD capacity each and not provided dedicated energy meters.
Remarks on ETP performance and Analysis results Collected STP outlet leading to underground drainage of GVMC and submitted to Zonal Laboratory, Visakhapatnam for analysis.
Remarks on APC equipment performance and Analysis
results --
Details of specific and serious non-compliance --- Details of Court cases & Status ---
Details of complaints ---
Amendments required in the existing CFO/CFE order --- Irrelevant Conditions that need deletion in view of present compliance / non-compliance
--- Additional conditions to be imposed --- Specific comments on quantities of Hazardous Wastes as per application, existing CFO Order and actual generation
---
Details of non-hazardous solid waste generation and
disposal details separately ---
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Compliance of the industry with reference to Notifications under E(P) Act & Rules
a) Fly Ash Notification b) PLI Act Policy
c) Environmental Statement in Form – V d) Other if any
---
Mitigation Measures (Where significant adverse effects are identified, description of the remedial measures to be taken to avoid, reduce those effects).
---
1.
M/s. Omni R.K Hospital (A unit of INCOR Hospital Vizag Pvt. Ltd.,) is operating at Sy.No.1196/15B & 29, Block. No. 56, Ramnagar, Opposite Lions Club, Visakhapatnam.
2.
The HCF has obtained Consent for Establishment vide order dt.24.10.2013 and also obtained combined Consent, Authorisation & Bio-Medical Waste Authorisation order on 05.07.2017 for the bed strength of 150 Nos which is valid upto 31.07.2021.3.
The HCF constructed 2 no. of Sewage Treatment Plants (STP) capacity of 40 KLD each consisting of Bar screen chamber, Collection tank, Aeration tank, Clarified tube settler, Clarified treated tank, Sand filter, Carbon filter, Final treated tank, Sludge drying beds and Chlorine dosing pump.4.
Now the HCF has applied CFO (expansion) for the enhanced the bed strength from 150 Nos. to 250 Nos. duly paying CFE fee Rs. 67,000/-, CFO fee Rs. 67,200/- for two years on the additional project cost of Rs. 22.36Cr and BMW fee 15,000/- for the enhanced bed strength of 100 Nos. for two years i.e. upto 31.07.2021.5.
The HCF has constructed a new building adjacent to the existing building to accommodate enhanced bed strength of 100 Nos.6.
The Health Care Establishment has obtained Certificate of Registration from DM&HO for the bed strength of 250 Nos which is valid upto20.12.2023.7.
The Health Care Establishment has tied up with Common Bio-Medical Waste Treatment facility M/s. Maridi Eco Industries, Kapuluppada, Visakhapatnam for bed strength of 250 Nos which is valid upto 30.11.2019.8.
The HCF generates Red category –584 kgs/month, Yellow category – 380 kgs/month, white category – 46 kgs/month and blue category - 8 kgs/month for 250 no. of beds.9.
The existing CFO for bed strength of 150 No. is valid upto 31.07.2021. Hence, the combined CFO, HWA & BMWA may be issued upto 31.07.2021 for 250 bed strength.20. Environmental Engineer’s Remarks:
The issue of Consent for Operation & Hazardous Waste authorization may be considered with necessary conditions.
21. Head office Remarks:
1. M/s. Omni R.K Hospital (A unit of INCOR Hospital Vizag Pvt. Ltd.,) is operating at Sy.No. 1196/15B & 29, Block. No. 56, Ramnagar, Opposite Lions Club, Visakhapatnam.
2. The Board vide order dated 24.10.2013 issued Consent for Establishment and also issued combined Consent, Authorisation & Bio-Medical Waste Authorisation order on 05.07.2017 for the bed strength of 150 Nos which is valid upto 31.07.2021.
3. Now the HCF has applied CFO (expansion) for the enhanced the bed strength from 150 Nos. to 250 Nos. duly paying CFE fee Rs. 67,100/-, CFO fee Rs.
67,100/- for two years on the additional project cost of Rs. 22.36 Cr. and BMW fee 15,000/- for the enhanced bed strength of 100 Nos. for two years i.e. upto 31.10.2021.
4. As per the RO Verification report the following are observed:
a. The HCF has not developed greenbelt.
b. No flow meters were provided at the water consumption and at the effluent generation.
c. The HCF has not submitted six months compliance report.
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d. The HCF has not provided pre-treatment for the liquid chemical waste.
e. The HCF has not connected the leachate and wash water from waste storage area to STP provided.
f. The HCF is not having adequate number of needle cutters.
g. The HCF not provided log book for operation of the treatment equipment as per BMW Rules.
h. The HCF has not provided storage provision for collection of mercury spills and collection kits.
5. Photographs: The RO submitted photographic evidences of the color coded bins for collection of Bio-medical waste at different locations within the HCF, Bio- medical waste storage rooms as per color codes, Sewage Treatment Plant units.
6. The HCF shall provide an operating on-site facility for pre-treatment of laboratory waste, micro-biological waste, blood samples, blood bags etc.
7. The HCF shall comply with Environmentally Sound management of Mercury waste generated from the Health Care Facilities.
8. As per BMWM Rules, 2019, the HCF shall maintain and update on day to day basis the bio-medical waste management register and display the monthly record on its website according to the bio-medical waste generated in terms of category and colour coding and make available the annual report on its web-site within a period of two years from the date of publication of the Bio-Medical Waste Management (Amendment) Rules, 2018.
The issue of CFO, HWA & BMW Authorization may be issued for two years i.e., upto 31.10.2021 and is placed before the Committee.
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