| File Note: |
<p class="MsoBodyText" style="text-align: justify; text-indent: 35.85pt; tab-stops: 72.0pt; margin: 4.95pt 20.65pt 6.0pt 19.4pt;"><span lang="EN-US" style="font-family: 'Bookman Old Style','serif';"><span style="mso-tab-count: 1;"> </span><span style="mso-spacerun: yes;"> </span>It is submitted that the subject cited HCF is a 25 bedded hospital and was granted authorization under the Bio-Medical Waste Management Rules, 2016 vide no. BMW/Renewal/SGR/2019/9787232 dated 18/06/2019 for <strong>25 no</strong>. bedded capacity, which was valid upto <strong>31/12/2019<em> </em></strong>subject to conditions mentioned therein. The HCF has already applied for obtaining renewal of authorization under the Bio-Medical Waste Management Rules, 2016, which is being processed separately. </span></p>
<p class="MsoBodyText" style="text-align: justify; text-indent: 35.85pt; tab-stops: 72.0pt 489.05pt; margin: 4.95pt 20.65pt 6.0pt 19.4pt;"><span lang="EN-US" style="font-family: 'Bookman Old Style','serif';">The HCF was established in the year 1988 and therefore, no CLU is required by the HCF. However, it has got its building plans approved from MC, Sangrur for hospital purposes. <strong>Hence, the site is suitable for operation of a hospital.</strong></span></p>
<p class="MsoBodyText" style="text-align: justify; text-indent: 35.85pt; tab-stops: 72.0pt; margin: 4.95pt 20.65pt 6.0pt 19.4pt;"><span lang="EN-US" style="font-family: 'Bookman Old Style','serif';">Now, the HCF has also applied for obtaining fresh consent to operate under the Water (Prevention & Control of Pollution) Act, 1974 and the Air (Prevention & Control of Pollution) Act, 1981 and has also deposited consent fee under each Act as per the Board’s office order dated 688 dated 2/3/2017. The consent fee deposited by the HCF is adequate upto <strong>30/09/2025<em> </em></strong>for <strong>25 beds, </strong>as calculated w.e.f. 01.04.2016 as mentioned in the Board's officer order 688 dated 02.03.2017 regarding notification of consent fee for HCF's.</span></p>
<p class="MsoBodyText" style="text-align: justify; text-indent: 39.1pt; tab-stops: 72.0pt; margin: 0cm 20.85pt 6.0pt 19.4pt;"><strong><span lang="EN-US" style="font-family: 'Bookman Old Style','serif';"><span style="mso-tab-count: 1;"> </span></span></strong><span lang="EN-US" style="font-family: 'Bookman Old Style','serif';"><span style="mso-tab-count: 1;"> </span>The brief detail of the case applied by the healthcare facility is as under:-</span></p>
<p class="MsoBodyText" style="text-align: justify; text-indent: -29.25pt; tab-stops: 87.75pt; margin: 0cm 20.85pt .0001pt 87.75pt;"><span lang="EN-US" style="font-family: 'Bookman Old Style','serif';">1. <span style="mso-tab-count: 1;"> </span>The HCF has submitted the Location Plan of the HCF. </span></p>
<p class="MsoBodyText" style="text-align: justify; text-indent: -29.25pt; tab-stops: 87.75pt; margin: 0cm 20.85pt .0001pt 87.75pt;"><span lang="EN-US" style="font-family: 'Bookman Old Style','serif';">2. <span style="mso-tab-count: 1;"> </span>The HCF has made an agreement with M/s Medicare Environment Management Pvt. Ltd., Ludhiana on 01/08/2022 which is valid upto <strong>31/07/2027 for 25 bed capacity</strong>. </span></p>
<p class="MsoBodyText" style="text-align: justify; text-indent: -29.25pt; tab-stops: 87.75pt; margin: 0cm 20.85pt .0001pt 87.75pt;"><span lang="EN-US" style="font-family: 'Bookman Old Style','serif';">3.<span style="mso-tab-count: 1;"> </span>Undertaking regarding the bed capacity.</span></p>
<p class="MsoBodyText" style="text-align: justify; text-indent: -29.25pt; tab-stops: 87.75pt; margin: 0cm 20.85pt .0001pt 87.75pt;"><span lang="EN-US" style="font-family: 'Bookman Old Style','serif';">4.<span style="mso-tab-count: 1;"> </span>Completion certificate as well as Feasibility report regarding the ETP-cum-STP plant installed for treatment of wastewater.</span></p>
<p class="MsoBodyText" style="text-align: justify; text-indent: 39.1pt; tab-stops: 72.0pt; margin: 0cm 20.85pt .0001pt 19.4pt;"><span lang="EN-US" style="font-family: 'Bookman Old Style','serif';"> </span></p>
<p class="MsoBodyText" style="text-align: justify; text-indent: 39.1pt; tab-stops: 72.0pt; margin: 0cm 20.85pt .0001pt 19.4pt;"><span lang="EN-US" style="font-family: 'Bookman Old Style','serif';"><span style="mso-tab-count: 1;"> </span>The HCF has also submitted effluent analysis report as carried out by NABL approved lab namely M/s Industrial Testing Laboratory and as per the analysis results, the HCF is confirming to the prescribed standards laid down by the Board for Health Care Facilities. </span></p>
<p class="MsoBodyText" style="text-align: justify; text-indent: 35.85pt; tab-stops: 72.0pt; margin: 4.95pt 20.65pt 6.0pt 19.4pt;"><span lang="EN-US" style="font-family: 'Bookman Old Style','serif'; mso-bidi-language: EN-US;">Accordingly, the HCF was visited by the undersigned on 27/01/2023 and contacted Sh. Parveen Kansal, Doctor. During visit, it was observed as under:</span></p>
<p class="MsoBodyText" style="text-align: justify; text-indent: -19.95pt; mso-list: l0 level1 lfo2; margin: 4.95pt 20.65pt 6.0pt 55.4pt;"><!-- [if !supportLists]--><span lang="EN-US" style="letter-spacing: -.05pt; mso-font-width: 99%; mso-bidi-language: EN-US;"><span style="mso-list: Ignore;">1.<span style="font: 7.0pt 'Times New Roman';"> </span></span></span><!--[endif]--><span lang="EN-US" style="font-family: 'Bookman Old Style','serif'; mso-bidi-language: EN-US;">The HCF is a psychiatry hospital and was found in operation</span></p>
<p class="MsoBodyText" style="text-align: justify; text-indent: -19.95pt; mso-list: l0 level1 lfo2; margin: 4.95pt 20.65pt 6.0pt 55.4pt;"><!-- [if !supportLists]--><span lang="EN-US" style="letter-spacing: -.05pt; mso-font-width: 99%; mso-bidi-language: EN-US;"><span style="mso-list: Ignore;">2.<span style="font: 7.0pt 'Times New Roman';"> </span></span></span><!--[endif]--><span lang="EN-US" style="font-family: 'Bookman Old Style','serif'; mso-bidi-language: EN-US;">The HCF is having 25 beds capacity.</span></p>
<p class="MsoBodyText" style="text-align: justify; text-indent: -19.95pt; mso-list: l0 level1 lfo2; margin: 4.95pt 20.65pt 6.0pt 55.4pt;"><!-- [if !supportLists]--><span lang="EN-US" style="letter-spacing: -.05pt; mso-font-width: 99%; mso-bidi-language: EN-US;"><span style="mso-list: Ignore;">3.<span style="font: 7.0pt 'Times New Roman';"> </span></span></span><!--[endif]--><span lang="EN-US" style="font-family: 'Bookman Old Style','serif'; mso-bidi-language: EN-US;">The tube well is installed as source of fresh water and water meter is required to be installed with the same. The representative of HCF has informed that the same has been ordered already and will be installed in a day or two.</span></p>
<p class="MsoBodyText" style="text-align: justify; text-indent: -19.95pt; mso-list: l0 level1 lfo2; margin: 4.95pt 20.65pt 6.0pt 55.4pt;"><!-- [if !supportLists]--><span lang="EN-US" style="letter-spacing: -.05pt; mso-font-width: 99%; mso-bidi-language: EN-US;"><span style="mso-list: Ignore;">4.<span style="font: 7.0pt 'Times New Roman';"> </span></span></span><!--[endif]--><span lang="EN-US" style="font-family: 'Bookman Old Style','serif'; mso-bidi-language: EN-US;">The HCF has installed ETP-cum-STP of capacity 8.0 KLD for treatment of domestic as well as wastewater generated from Hospital's rooms, </span><span lang="EN-US" style="font-family: 'Bookman Old Style','serif';">Lab,<span style="letter-spacing: -.2pt;"> </span>operation<span style="letter-spacing: -.25pt;"> </span>theatre,<span style="letter-spacing: -.2pt;"> </span>dialysis,<span style="letter-spacing: -3.0pt;"> <span style="mso-spacerun: yes;"> </span></span>floor<span style="letter-spacing: -.05pt;"> </span>wash</span><span lang="EN-US" style="font-family: 'Bookman Old Style','serif'; mso-bidi-language: EN-US;"> etc. and the same was found in operation. </span></p>
<p class="MsoBodyText" style="text-align: justify; text-indent: -19.95pt; mso-list: l0 level1 lfo2; margin: 4.95pt 20.65pt 6.0pt 55.4pt;"><!-- [if !supportLists]--><span lang="EN-US" style="letter-spacing: -.05pt; mso-font-width: 99%; mso-bidi-language: EN-US;"><span style="mso-list: Ignore;">5.<span style="font: 7.0pt 'Times New Roman';"> </span></span></span><!--[endif]--><span lang="EN-US" style="font-family: 'Bookman Old Style','serif'; mso-bidi-language: EN-US;">The treated wastewater is being discharged into MC sewer.</span></p>
<p class="MsoBodyText" style="text-align: justify; text-indent: 35.85pt; tab-stops: 72.0pt; margin: 4.95pt 20.65pt 6.0pt 19.4pt;"><span lang="EN-US" style="font-family: 'Bookman Old Style','serif';"><span style="mso-tab-count: 1;"> </span><span style="mso-spacerun: yes;"> </span>Further, the HCF has submitted completion certificate for the installed the ETP-cum-STP plant for treatment of wastewater as per the latest guidelines issued by the Board for HCFs. </span></p>
<p class="MsoBodyText" style="text-align: justify; text-indent: 35.85pt; tab-stops: 72.0pt; margin: 4.95pt 20.65pt .0001pt 19.4pt;"><span lang="EN-US" style="font-family: 'Bookman Old Style','serif';"><span style="mso-spacerun: yes;"> </span><span style="mso-tab-count: 1;"> </span>The components of ETP-cum-STP are mentioned below:</span></p>
<p class="MsoBodyText" style="text-align: justify; text-indent: 0cm; tab-stops: 72.0pt; margin: 4.95pt 20.65pt 6.0pt 72.0pt;"><em><span lang="EN-US" style="font-family: 'Bookman Old Style','serif';">Bar screen </span></em><em><span lang="EN-US" style="font-family: Wingdings; mso-ascii-font-family: 'Bookman Old Style'; mso-hansi-font-family: 'Bookman Old Style'; mso-char-type: symbol; mso-symbol-font-family: Wingdings;"><span style="mso-char-type: symbol; mso-symbol-font-family: Wingdings;">à</span></span></em><em><span lang="EN-US" style="font-family: 'Bookman Old Style','serif';"> Equalization-cum-collection tank </span></em><em><span lang="EN-US" style="font-family: Wingdings; mso-ascii-font-family: 'Bookman Old Style'; mso-hansi-font-family: 'Bookman Old Style'; mso-char-type: symbol; mso-symbol-font-family: Wingdings;"><span style="mso-char-type: symbol; mso-symbol-font-family: Wingdings;">à</span></span></em><em><span lang="EN-US" style="font-family: 'Bookman Old Style','serif';"> Primary clarifier </span></em><em><span lang="EN-US" style="font-family: Wingdings; mso-ascii-font-family: 'Bookman Old Style'; mso-hansi-font-family: 'Bookman Old Style'; mso-char-type: symbol; mso-symbol-font-family: Wingdings;"><span style="mso-char-type: symbol; mso-symbol-font-family: Wingdings;">à</span></span></em><em><span lang="EN-US" style="font-family: 'Bookman Old Style','serif';"> Aerobic biological reactor (MBBR) </span></em><em><span lang="EN-US" style="font-family: Wingdings; mso-ascii-font-family: 'Bookman Old Style'; mso-hansi-font-family: 'Bookman Old Style'; mso-char-type: symbol; mso-symbol-font-family: Wingdings;"><span style="mso-char-type: symbol; mso-symbol-font-family: Wingdings;">à</span></span></em><em><span lang="EN-US" style="font-family: 'Bookman Old Style','serif';"> Activated sludge process (an operation tank followed by a secondary clarifier) </span></em><em><span lang="EN-US" style="font-family: Wingdings; mso-ascii-font-family: 'Bookman Old Style'; mso-hansi-font-family: 'Bookman Old Style'; mso-char-type: symbol; mso-symbol-font-family: Wingdings;"><span style="mso-char-type: symbol; mso-symbol-font-family: Wingdings;">à</span></span></em><em><span lang="EN-US" style="font-family: 'Bookman Old Style','serif';"> Secondary clarifier </span></em><em><span lang="EN-US" style="font-family: Wingdings; mso-ascii-font-family: 'Bookman Old Style'; mso-hansi-font-family: 'Bookman Old Style'; mso-char-type: symbol; mso-symbol-font-family: Wingdings;"><span style="mso-char-type: symbol; mso-symbol-font-family: Wingdings;">à</span></span></em><em><span lang="EN-US" style="font-family: 'Bookman Old Style','serif';"> Filter feed tank </span></em><em><span lang="EN-US" style="font-family: Wingdings; mso-ascii-font-family: 'Bookman Old Style'; mso-hansi-font-family: 'Bookman Old Style'; mso-char-type: symbol; mso-symbol-font-family: Wingdings;"><span style="mso-char-type: symbol; mso-symbol-font-family: Wingdings;">à</span></span></em><em><span lang="EN-US" style="font-family: 'Bookman Old Style','serif';"> Multimedia pressure depth filters </span></em><em><span lang="EN-US" style="font-family: Wingdings; mso-ascii-font-family: 'Bookman Old Style'; mso-hansi-font-family: 'Bookman Old Style'; mso-char-type: symbol; mso-symbol-font-family: Wingdings;"><span style="mso-char-type: symbol; mso-symbol-font-family: Wingdings;">à</span></span></em><em><span lang="EN-US" style="font-family: 'Bookman Old Style','serif';"> Sludge drying beds.</span></em></p>
<p class="MsoBodyText" style="text-align: justify; text-indent: 39.1pt; tab-stops: 72.0pt; margin: 0cm 20.85pt .0001pt 19.4pt;"><span lang="EN-US" style="font-family: 'Bookman Old Style','serif';"> </span></p>
<p class="MsoBodyText" style="text-align: justify; text-indent: 39.1pt; tab-stops: 72.0pt; margin: 0cm 20.85pt 6.0pt 19.4pt;"><span lang="EN-US" style="font-family: 'Bookman Old Style','serif';"><span style="mso-spacerun: yes;"> </span><span style="mso-tab-count: 1;"> </span>In view of above, if approved, the fresh consents under the Water (Prevention & Control of Pollution) Act, 1974 and the Air (Prevention &<span style="letter-spacing: .05pt;"> </span>Control of Pollution) Act, 1981 may be granted to the HCF <strong>upto 30/09/2025 for operation of 25 bedded hospital</strong> subject to the suitable conditions and additional<span style="letter-spacing: .05pt;"> </span>conditions<span style="letter-spacing: -.1pt;"> </span>as<span style="letter-spacing: .05pt;"> </span>under:</span></p>
<p class="MsoListParagraph" style="margin-top: .1pt; text-align: justify; line-height: 12.05pt; mso-line-height-rule: exactly; mso-list: l1 level2 lfo1; tab-stops: 73.4pt 73.45pt;"><!-- [if !supportLists]--><span lang="EN-US" style="font-size: 10.0pt; mso-font-width: 96%;"><span style="mso-list: Ignore;">i)<span style="font: 7.0pt 'Times New Roman';"> </span></span></span><!--[endif]--><span lang="EN-US" style="font-size: 10.0pt; font-family: 'Bookman Old Style','serif';">The<span style="letter-spacing: -.15pt;"> </span>HCF<span style="letter-spacing: -.15pt;"> </span>shall<span style="letter-spacing: -.05pt;"> </span>operate<span style="letter-spacing: -.15pt;"> </span>its<span style="letter-spacing: -.15pt;"> </span>ETP<span style="letter-spacing: -.1pt;"> </span>and<span style="letter-spacing: -.2pt;"> </span>properly<span style="letter-spacing: -.1pt;"> </span>and<span style="letter-spacing: -.15pt;"> </span>shall<span style="letter-spacing: .1pt;"> </span>maintain<span style="letter-spacing: -.15pt;"> </span>its<span style="letter-spacing: -.15pt;"> </span>record.</span></p>
<p class="MsoListParagraph" style="text-align: justify; line-height: 12.05pt; mso-line-height-rule: exactly; mso-list: l1 level2 lfo1; tab-stops: 73.4pt 73.45pt;"><!-- [if !supportLists]--><span lang="EN-US" style="font-size: 10.0pt; mso-font-width: 96%;"><span style="mso-list: Ignore;">ii)<span style="font: 7.0pt 'Times New Roman';"> </span></span></span><!--[endif]--><span lang="EN-US" style="font-size: 10.0pt; font-family: 'Bookman Old Style','serif';">The<span style="letter-spacing: -.15pt;"> </span>HCF<span style="letter-spacing: -.15pt;"> </span>shall<span style="letter-spacing: -.05pt;"> </span>ensure<span style="letter-spacing: -.1pt;"> </span>that<span style="letter-spacing: -.1pt;"> </span>no<span style="letter-spacing: -.15pt;"> </span>stagnation<span style="letter-spacing: -.05pt;"> </span>happens<span style="letter-spacing: -.1pt;"> </span>in<span style="letter-spacing: -.15pt;"> </span>the<span style="letter-spacing: -.1pt;"> </span>green<span style="letter-spacing: -.15pt;"> </span>area<span style="letter-spacing: -.1pt;"> </span>due to<span style="letter-spacing: -.15pt;"> </span>waste<span style="letter-spacing: -.15pt;"> </span>water.</span></p>
<p class="MsoListParagraph" style="margin-top: 4.45pt; text-align: justify; mso-list: l1 level2 lfo1; tab-stops: 73.4pt 73.45pt;"><!-- [if !supportLists]--><span lang="EN-US" style="font-size: 10.0pt; mso-font-width: 96%;"><span style="mso-list: Ignore;">iii)<span style="font: 7.0pt 'Times New Roman';"> </span></span></span><!--[endif]--><span lang="EN-US" style="font-size: 10.0pt; font-family: 'Bookman Old Style','serif';">The<span style="letter-spacing: -.15pt;"> </span>HCF<span style="letter-spacing: -.15pt;"> </span>shall<span style="letter-spacing: -.05pt;"> </span>maintain<span style="letter-spacing: -.15pt;"> </span>the<span style="letter-spacing: -.15pt;"> </span>record<span style="letter-spacing: -.15pt;"> </span>of<span style="letter-spacing: -.1pt;"> </span>separate<span style="letter-spacing: -.15pt;"> </span>energy<span style="letter-spacing: -.15pt;"> </span>meters<span style="letter-spacing: -.15pt;"> </span>installed with<span style="letter-spacing: -.15pt;"> </span>its<span style="letter-spacing: .15pt;"> </span>ETP-cum-STP.</span></p>
<p class="MsoListParagraph" style="text-align: justify; line-height: 12.05pt; mso-line-height-rule: exactly; mso-list: l1 level2 lfo1; tab-stops: 73.4pt 73.45pt;"><!-- [if !supportLists]--><span lang="EN-US" style="font-size: 10.0pt; mso-font-width: 96%;"><span style="mso-list: Ignore;">iv)<span style="font: 7.0pt 'Times New Roman';"> </span></span></span><!--[endif]--><span lang="EN-US" style="font-size: 10.0pt; font-family: 'Bookman Old Style','serif';">The HCF shall maintain full record of groundwater abstraction, operation of ETP-cum-STP.</span></p>
<p class="MsoListParagraph" style="text-align: justify; line-height: 12.05pt; mso-line-height-rule: exactly; mso-list: l1 level2 lfo1; tab-stops: 73.4pt 73.45pt;"><!-- [if !supportLists]--><span lang="EN-US" style="font-size: 10.0pt; mso-font-width: 96%;"><span style="mso-list: Ignore;">v)<span style="font: 7.0pt 'Times New Roman';"> </span></span></span><!--[endif]--><span lang="EN-US" style="font-size: 10.0pt; font-family: 'Bookman Old Style','serif';">The HCF shall make its arrangements for scientific disposal of its solid waste.</span></p>
<p class="MsoListParagraph" style="text-align: justify; line-height: 12.05pt; mso-line-height-rule: exactly; mso-list: l1 level2 lfo1; tab-stops: 73.4pt 73.45pt;"><!-- [if !supportLists]--><span lang="EN-US" style="font-size: 10.0pt; mso-font-width: 96%;"><span style="mso-list: Ignore;">vi)<span style="font: 7.0pt 'Times New Roman';"> </span></span></span><!--[endif]--><span lang="EN-US" style="font-size: 10.0pt; font-family: 'Bookman Old Style','serif';">The HCF shall obtain prior written permission of the Board for expansion / increasing bed capacity of the HCF.</span></p> |
