“common bio medical waste treatment facility” at village...

“Common Bio Medical Waste Treatment Facility” at Village- Ramchak Bairiya, Tehsil and District –Patna (Bihar) by M/s Sangam Mediserve Pvt. Ltd.

Pre Feasibility Report

Environmental Consultant: Fulgro Environmental & Engineering Services India Pvt. Ltd. 1

PRE-FEASIBILITY REPORT

(As per Ministry of Environment and Forests Letter dated: 30-12-2010)

1. Executive Summary A Common Bio-medical Waste Treatment Facility (CBWTF) is now proposed to be setup by Sangam Mediserve Pvt. Ltd. having its registered office at Plot 189, Sector D, Phaphamau, Santipuram, Allahabad with Indira Gandhi Institute of Medical Sciences (IGIMS)-Raja Bazaar Sekhpura, Patna on Public Private Partnership (PPP) Mode where bio-medical waste, treated from healthcare units, from currently approx. 850 Hospital that’s include all Govt. and private health care facilities operational in Patna division i.e. Ara, Buxar, Rohtash, Kaimur, Bihar Sharif and Patna districts of state of Bihar will be suitably treated to reduce adverse effects that this waste may pose. At present the waste of all the health care facilities is treated by a facility established inside the premises of the Indira Gandhi Institute of Medical Sciences (IGIMS)- Raja Bazaar, Shekhpura, Patna. The same Common Bio-medical Waste Treatment Facility (CBWTF) is shifted to a new location. After shifting same land will be utilized for the purpose of expansion of Hospital i.e. additional 500 bedded hospital. As per Bio Medical waste Management Rule - 2016 and its amendment Column No -17 Site for common bio-medical waste treatment and disposal facility: - Without prejudice to rule 5 of these rules, the department in the business allocation of land assignment shall be responsible for providing suitable site for setting up of common biomedical waste treatment and disposal facility in the State Government or Union territory Administration

On the same ground Govt. of Bihar allocated land for establishment of Common Bio-medical Waste Treatment Facility (CBWTF) to IGIMS- Patna.

The objective for the proposed project is to:-

Ø Establish an Integrated Common Bio-medical Waste Management facility including the Incinerator, autoclave, shredder and effluent treatment plant and require accessories as per the rule and guidelines.

Ø Collection of Segregated Biomedical waste and its transportation, storage, treatment and disposal in accordance to the Biomedical Waste Management Rules 2016 as amended thereof and Central Pollution Control Guideline.

Ø Compliances with statutory and environmental norms. Ø Develop concise waste management principles. Ø Introduce a continuing waste management education program for all staff members to

increase awareness of occupational health & safety issues and waste minimization principles. Ø Adopt policies and procedures to minimize the environmental impacts of waste treatment

and disposal. Ø Reporting to regulatory authorities as needed.




2.0 INTRODUCTION OF THE PROJECT/BACKGROUND INFORMATION The concern about disposal of infectious waste generated by the hospitals is increasing rapidly due to the fear of the spread of viruses such as Acquired Immune Deficiency Syndrome (AIDS) and Hepatitis B. These wastes (bio-medical waste generated from health care establishments) present a high risk of causing potential damage to the human health and the environment by way of spreading. To prevent the spread of such infectious waste that finds its genesis in bio-medical waste (from hospitals, clinics, laboratories, dispensaries etc.) a scientific approach is required. From the beginning it is essential that professionally trained personnel should handle the waste.

Keeping in view the difficulties faced by private hospitals, nursing homes and clinics that cannot make their own arrangements due to high cost involved in treatment facilities, there is a need for centralized system for treatment. Later on, in September 2003, the Central Pollution Control Board had made the guidelines for “Common bio-Medical Waste Treatment Facility” in order to discourage the individual incineration facility by health care establishments and strengthening CBWTF system.

It is roughly estimated that about 1.3 to 2.0 kg/bed/day of total solid waste is generated from health care institutions out of which 15 to 20 % are infectious biomedical waste.

The present proposal is to shifting of Common Biomedical Waste Treatment Facility (CBWTF) at Ramchak Bairiya, District Patna (Bihar) in 1.5 acres of land allotted by Nagar Nigam Patna to establish CBWTF.

2.1. IDENTIFICATION OF PROJECT AND PROJECT PROPONENT

The Proposed project of Bio-Medical Waste Treatment Facility falls under Category B, schedule 7(da) In exercise of the powers conferred by sub-section (1) and clause (v) of sub-section (2) of section 3 of the Environment (Protection) Act, 1986 (29 of 1986) read with sub-rule (4) of rule 5 of the Environment (Protection) Rules, 1986, the Central Government hereby makes the following further amendments to the notification of the Government of India, in the Ministry of Environment and Forests number S.O.1533(E), dated the 14th September, 2006 after dispensed with the requirement of notice under clause(a) of sub-rule(3) of the said rule 5 in public interest, namely:-7(da) Bio Medical Waste Treatment Facilities dated on 17th April 2015. S. No 1142 (E) F. No 3-9/2014-IA.III.

M/s Sangam Mediserve Pvt. Ltd. is proposing the Common Biomedical Waste Treatment Facility in collaboration with Indira Gandhi Institue of Medical Sciences. It is having its registered office at Plot No 189, Sector – D, Phaphamau, Santipuram, Allahabad, Uttar Pradesh and Mr. Hari Om Sharan Dwivedi is the director of the organization. Contact details area as follows: E Mail: - [email protected] & [email protected] Phone – 09670557744, 09670555533




2.2 BRIEF DESCRIPTION AND NATURE OF THE PROJECT 2.2.1 Nature of the Project A Common Bio-medical Waste Treatment Facility (CBWTF) is a set up where bio-medical waste, generated from a number of healthcare units, is suitably treated to reduce adverse effects that this waste may pose. The proposed project is of shifting of the facility as the same facility operating in the premises of IGIMS Patna (Bihar) presently where bio-medical waste, treated from healthcare units, from currently approx. 850 private that’s include all Govt. and private health care facilities operational in Patna Division i.e. Ara, Buxar, Rohtash, Kaimur, Bihar Sharif and Patna districts of State of Bihar. After establishment of the new facility old facility will be dismantled and same land will be utilized for the purpose of expansion of hospital in Indira Gandhi National Institute of Medical Sciences. New facility will treat all bio medical waste of the member health care facilities of Ara, Buxar, Rohtash, Kaimur, Bihar Sharif and Patna districts of State of Bihar. The treated waste i.e. ash may finally be sent for disposal in a secured landfill approved by Bihar State Pollution Control Board and recycled material will be sold to authorized recycler for recycling purposes. Proposed project of setting up of the Common Bio-medical Waste Treatment Facility includes Incinerator, Autoclave, Shredder, Storage Room and Effluent Treatment Plant and other necessary accessories as per rule and guidelines.

2.2.2 Size of the Project

The proposed facility is located on an area of 1.5 Acre which is allotted by Nagar Nigam, Patna. Details of the Capacity of the equipments is mentioned below: S. No. Equipment to be

installed Capacity

Number Alternate and additional arrangement

1 Incinerator 5 Ton per day

(250 Kg/Hour)

2 Install two number of Incinerator one is standby arrangement.

2 Autoclave 5 Ton per day 2 Install two number of Autoclave one is standby arrangement.

3 Shredder 3.3 Tons 1 Nil

2.3 NEED OF THE PROJECT AND ITS IMPORTANCE TO THE COUNTRY AND OR REGION Ministry of Environment, Forests & Climate Change (MoEFCC), Govt. of India has notified the Bio-Medical Waste Management Rules, 2016 and its amendment. In accordance to the rule, every occupier of a Health Care Establishment (HCE) shall either set up requisite bio-medical waste treatment facilities on site or ensure requisite treatment of the bio-medical waste at an approved Common Biomedical Waste Treatment Facility (CBWTF). No untreated bio-medical waste shall be kept stored beyond a period of 48 hours.




In most of the hospitals the infectious and non-infectious wastes are dumped together within the hospital premises, resulting in a mixing of the two, which are then disposed of with municipal waste at the dumping sites in the city. All types of wastes are collected in common bins placed outside the patients wards. Most of the hospitals do not have any treatment facility for infectious waste. The waste is deposited either inside the hospital grounds, or outside in the community bin for further transportation and finally disposed off along with municipal solid waste. The open dumping of the waste makes it freely accessible to rag pickers who become exposed to serious health hazards due to injuries from sharps, needles and other types of material used. This is the prestigious project of Bihar. Presently CBWTF is establish inside the premises of IGIMS, where bio-medical waste is treated from healthcare units, from currently approx. 850 hospital that’s include all govt. and private health care facilities operational in Patna Division i.e. Ara, Buxar, Rohtash, Kaimur, Bihar Sharif and Patna districts of State of Bihar. After establishment of the new CBWTF old CBWTF will be dismantled and same land will be utilized for the purpose of expansion of hospital. New facility will treat bio medical waste of the member health care facilities established in Ara, Buxar, Rohtash, Kaimur, Bihar Sharif and Patna districts of State of Bihar. Hence there is an important need for the common facility to manage the biomedical waste from the hospitals present in capital of Bihar. This is one of the prestigious and single CBWTF in the area.

2.4 DEMAND- SUPPLY GAP Sangam Mediserve Pvt. Ltd have proposed to establish CBWTF at RamChak Bairiya at District Patna (Bihar) on Public partnership mode with IGIMS, Patna, where bio-medical waste treated from healthcare units, from currently approx. 850 units that includes all govt. and private health care facilities operational in Patna Division i.e. Ara, Buxar, Rohtash, Kaimur, Bihar Sharif and Patna districts of State of Bihar. After establishment of the new facility old facility will be dismantled and same land will be utilized for the purpose of expansion of hospital. New facility will treat Bio medical waste of the member health care facility establish in Ara, Buxar, Rohtash, Kaimur, Bihar Sharif and Patna districts of State of Bihar. Proposed facility should treat approx 30000 Beds for the district Ara, Buxar, Rohtash, Kaimur, Bihar Sharif and Patna and other nearby district as per CPCB guideline and Bio Medical waste Management Rule.

2.5 IMPORTS VS. INDIGENOUS PRODUCTION A Common Bio-medical Waste Treatment Facility (CBWTF) is now proposed to be setup by Sangam Mediserve Pvt. Ltd. with Indira Gandhi Institute of Medical Sciences (IGIMS)-Raja Bazaar, Sekhpura, Patna on Public private Partnership (PPP) Mode where bio-medical waste, treated from healthcare units, from currently approx. 850 units that includes all govt. and private health care facilities operational in Patna Division i.e. Ara, Buxar, Rohtash, Kaimur, Bihar Sharif and Patna districts of State of Bihar.

2.6 EXPORT POSSIBILITY

Not Applicable




2.7 DOMESTIC/ EXPORT MARKETS A Common Bio-medical Waste Treatment Facility (CBWTF) where bio-medical waste, generated from healthcare units, will be treated and disposed off.

2.8 EMPLOYMENT GENERATION (DIRECT AND INDIRECT) DUE TO THE PROJECT

Direct Employment:

Total Manpower requirement for the proposed project will be 87. Details are as follows

Figure-1 Manpower Requirement

3.0 PROJECT DESCRIPTION 3.1 TYPE OF PROJECT INCLUDING INTERLINKED AND INTERDEPENDENT PROJECT, IF ANY A Common Bio-medical Waste Treatment Facility (CBWTF) is required for the treatment of the biomedical waste generated from a number of healthcare units to reduce adverse effects that this waste may pose. Proposed project of setting up of the Common Bio-medical waste treatment facility includes Incinerator, Autoclave, Shredder, Storage and Effluent treatment plant and other require accessories will treat 30000 bed per day. This project does not include any interlinked or interdependent project.




3.2 LOCATION (MAP SHOWING GENERAL LOCATION, SPECIFIC LOCATION AND PROJECT BOUNDARY & PROJECT SITE LAYOUT) WITH COORDINATES Coordinates of the Industrial Site are as follows: The site falls on Toposheet no. 72G/2

Pillars Latitude (N) Longitude (E) A 25°56'65.45 85°18'01.21 B 25°56'64.71 85°18'00.46 C 25°56'70.57 85°17'93.17 D 25°56'68.00 85°17'97.89 E 25°56'65.19 85°17'96.28

Fig 1.2 Location Plan of the study Area




Fig 1.3 Google Imaginary of the proposed project site

3.3 DETAILS OF ALTERNATE SITES CONSIDERED AND THE BASIS OF SELECTING THE PROPSED SITE, PARTICULARLY THE ENVIRONMENTAL CONSIDERATIONS GONE INTO SHOULD BE HIGHLIGHTED.

The proposed Common Bio-medical Waste Management Facility (CBWTF) is allotted by Nagar Nigam Patna to IGIMS – Patna for the development of CBWTF on an area of 1.5 acre and this area including the surrounding area has already been demarcated as the solid waste management area.

Document regarding allocation of the land as allotted area for SWM by Nagar Vikas & Aawas Vikas, Government of Bihar enclosed as Annexure No. 2.

3.4 SIZE OR MAGNITUDE OF OPERATION Following are the proposed equipment’s along with the capacity to be installed in the plant.

10 km

Common Biomedical Waste Treatment & Storage Facility




Table No. 2. Proposed Equipments

S. No. Equipment Installed Capacity

Number Alternate and additional arrangement

1 Incinerator 5 Ton per day

(250 Kg/Hour)

2 Install two number of Incinerator one is standby arrangement.

2 Autoclave 5 Ton per day 2 Install two number of Autoclave one is standby arrangement.

3 Shredder 3.3 Tons 1 Nil

4 ETP 40KLD 1 Nil

3.5 PROJECT DESCRIPTION WITH PROCESS DETAILS (A SCHEMATIC DIAGRAM, FLOW CHART SHOWING THE PROJECT LAYOUT, COMPONENTS OF THE PROJECT ETC. SHOULD BE GIVEN). A Common Bio-medical Waste Treatment Facility (CBWTF) is required for the treatment of the biomedical waste generated from a number of healthcare units to reduce adverse effects that this waste may pose. Proposed project of setting up of the Common Bio-medical waste treatment facility includes Incinerator, Autoclave, Shredder, Storage and Effluent treatment plant and other require accessories will treat 30000 bed per day. An integrated waste management system for bio-medical waste must look into various stages of the process. These key components can be broadly classified into the following: Waste Segregation: Waste segregation will reduce the load of bio-medical waste from about 2 kgs/bed/day to about 0.16- 0.2kgs/bed/day and this also minimize the environmental impacts associated with further processing. Waste will have to be segregated into domestic refuse, hazardous waste and infectious waste separately. Further the infectious waste will have to be segregated into plastics, metals. Segregation is done effectively if performed at source. CPCB has issued clear guidelines for color coded segregation. Waste Collection and Transport: Facility/unit have to ensure that there are no environmental or

human health impacts while collecting & transporting Bio-medical waste. Treatment/ Storage/ Disposal: Treatment/Storage and disposal of the waste have various options available. Waste treatment can be effectively performed by two operations running parallel to each other: Disinfecting Unit - Autoclave A Disinfecting unit is one that will effectively kill all the microorganisms. Autoclave used for the purpose of bio-medical waste management is expected to be dedicated for the purpose and is expected to operate under standards specified by CPCB. Medical Waste shall not be considered




treated unless the time, temperature and pressure indicated in the standards are reached (for e.g. 1210C, 15 psi for 1 hour for normal autoclave) Destruction Unit – Incineration Incineration incorporates the right technology featuring for a complete destruction of the waste ash. A process combination of pyrolysis and controlled air combustion, where heat and air for combustion is regulated in such a way as to first volatilize/gasify the waste in conditions of inadequate air, i.e., below stochiometric air conditions and heat, and then totally destroy it in adequate heat and excess air, thereby making the end products environmentally safe. The process is not only safe but is also today’s answer problem of hospital waste management and pollution.

The primary purpose of incineration is to burn the waste to ashes through a combustion process. Sangam Mediserve Pvt. Ltd. intends to set up incinerators of optimum capacity at allocated locations. The unit shall be a dual chambered incinerator.

The primary chamber’s main purpose would be combustion of the waste materials into safe end products (ash). The temperature of the primary chamber would be 850o C and above wherein wastes are completely destroyed. The primary chamber would have an attached burner with auxiliary fuel supply to augment the fuel requirements and ensure maintenance of temperatures. The purpose of the secondary chamber would be to burn the off-gases and ensure safe end products (gaseous). The secondary chamber would operate at a temperature of 1050o C and above. The gases would be completely burnt and safe gases then shall be let out of the incinerator unit.

Proposed both the primary and secondary burners proposed are imported Italian burners. The incinerator is completely automated with control panel and continuous recording of temperatures. The entire system is very simple and is easy to operate. The system is environmentally safe without any hazard.

Effluent Treatment Plant The entire system shall be a zero liquid discharge system in terms of wastewater discharge from the process as the entire wastewater is re-circulated and most of the water used is in terms of make-up water. This water also will meet the wastewater discharge standards for on-land disposal. Domestic wastewater will be disposed through septic tank fallowed by soak pit.

Waste disposal ETP sludge and ash residue from high temperature incineration and other material residues from the process will be collected into containers and store in ash storage room and will be disposed into a secure landfill available in the state. The project is being shifted to new location perceived to cater a large number health care establishments in the private and government, approx. 850 hospitals in Patna Division i.e. Ara, Buxar, Rohtash, Kaimur, Bihar Sharif of State of Bihar. It is estimated that about 5 MT of the waste would be treated per day.




Figure 1.4: Flow diagram for Common Bio-medical Waste Management Facility

3.5.1 Incineration Incineration incorporates the right technology featuring for a complete destruction of the waste into completely safe end products. A process combination of pyrolysis and controlled air combustion, where heat and air for combustion is regulated in such a way as to first volatilize/gasify the waste in conditions of inadequate air, i.e., below stochiometric air conditions and heat, and then totally destroy it in adequate heat and excess air, thereby making the end products environmentally safe. The process is not only safe but is also today’s answer to the rampant problem of hospital waste management and pollution.

The primary purpose of incineration is to burn the waste to ashes through a combustion process. Sangam Mediserve Pvt. Ltd. intends to set up incinerators of optimum capacity at each of the locations. The unit shall be a dual chambered incinerator.

The primary chamber’s main purpose would be combustion of the waste materials into safe end products (ash). The temperature of the primary chamber would be 850o C and above wherein wastes are completely destroyed. The primary chamber would have an attached burner with auxiliary fuel supply to augment the fuel requirements and ensure maintenance of temperatures. The purpose of




the secondary chamber would be to burn the off-gases and ensure safe end products (gaseous). The secondary chamber would operate at a temperature of 1050oC and above. The gases would be completely burnt and safe gases then shall be let out of the incinerator unit.

Proposed both primary and secondary burners are imported Italian burners. The incinerator is completely automated with control panel and continuous recording of temperatures. The entire system is very simple and is easy to operate. The system is environmentally safe without any hazard.

Figure – 1.5 Incinerator Process

3.5.2 Air Pollution Control System

The gases after being burnt at 1050o C will be run into a ventury scrubber followed by a flooded scrubber with water quenching arrangement. The scrubber shall be an alkaline scrubber to neutralize the gases and ensure trapping of any pollutants escaping into the environment. The purpose of water quenching is to reduce the temperature of the gases which are at high temperature. The clean gases are let out into the environment. The scrubbed water will be collected into a sump, where the water is neutralized, and then water is re-circulated into the scrubber after cleaning them of their particulates by way of pressure sand filter and activated carbon filter. The system is thus a zero discharge system in terms of water discharges and is pollution free.




3.5.3 Autoclave The primary purpose of autoclave is to sterilize/disinfect the waste with steam. Micro organisms which contribute to infection do not survive beyond 80oC. However, as a precaution MoEFCC has stipulated a temperature of 121o C with 15psi pressure to ensure distribution of temperature. At this temperature and pressure, micro organisms are completely destroyed and thus render the wastes infection free. Sangam Mediserve Pvt. Ltd. Intends to establish an autoclave with the above principles, thus rendering the wastes free from infection. The disinfected waste shall then be segregated into HDPE, PP, rubber, latex, glass and metal. The segregated materials will then be shredded completing the process of disinfection and ensuring non-recycling of the waste materials for medical/ food grade purposes.

Figure 1.6 – Autoclave process

Sterilization Process

Steam Boiler

Temperature Pressure

WASTE

IN

OUT

Release Valve

Steam Trap

Vacuum PumpWater

VALIDATION – Must. Daily – Indicator Strip Testing with LoadsWeekly Spore Testing for Efficiency of sterilisation

Microprocessor Controlled –

Vacuum-Steam Cycles

Temperature - Pressure

To Shredder




3.5.4 Shredder: Shredding is a process by which waste are de-shaped or cut into smaller pieces so as to make the wastes unrecognizable. It helps in prevention of reuse of bio-medical waste and also acts as identifier that the wastes have been disinfected and are safe to dispose off. Shredders consist of fallowing requirement:- (a) The shredder shall be of robust design with minimum maintenance requirement. (b) The shredder should be properly designed and covered to avoid spillage and dust generation. It should be designed such that it has minimum manual handling. (c) The hopper and cutting chamber of the shredder should be so designed to accommodate the waste bag full of bio-medical waste. (d) The shredder blade should be highly resistant and should be able to shred waste sharps, syringes, scalpels, glass vials, blades, plastics, catheters, broken ampoules, intravenous sets/ bottles, blood bags, gloves, bandages etc. It should be able to handle/ shred wet waste, especially after microwave/ autoclave/hydroclave. (e) The shredder blade shall be of non-corrosive and hardened steel. (f) The shredder should be so designed and mounted so as not to generate high noise & vibration. (g) If hopper lid or door of collection box is opened, the shredder should stop automatically for safety of operator. (h) In case of shock-loading (non-shreddable material in the hopper), there should be a mechanism to automatically stop the shredder to avoid any emergency/accident. (i) In case of overload or jamming, the shredder should have mechanism of reverse motion of shaft to avoid any emergency/accident. (j) The motor shall be connected to the shredder shaft through a gear mechanism, to ensure low rpm and safety. (k) The unit shall be suitably designed for operator safety, mechanical as well as electrical. (l) The shredder should have low rotational speed (maximum 50 rpm). This will ensure better gripping and cutting of the bio-medical waste. (m) The discharge height (from discharge point to ground level) shall be sufficient (minimum 3 feet) to accommodate the containers for collection of shredded material. This would avoid spillage of shredded material. (n) The capacity of the motor attached with the shredder shall be 5 KW for 100 kg/hr and shall be three phase induction motor. This will ensure efficient cutting of the bio-medical wastes as prescribed in the Bio-medical Waste Management Rules.

3.5.5 EFFLUENT TREATMENT PLANT The entire Liquid wastewater generated in the process shall be treated in the effluent treatment Plant (ETP). Equalization cum holding tank with a total effective volume 60000 -70000 liters capacity and having the capacity to hold all waste water discharge in a day will be constructed underground to maintain gravity flow. This is more than adequate for the plant and gives it a very good flexibility to operate the ETP once in a day.

The effluent is then pumped to oil and grease separation tank from their water will go to flash mixer where lime dosing will carried out, Lime dosing will be carried out as per requirement. Alum and




polyelectrolyte is added in flocculation chamber. Flash mixing tank and flocculation is equipped with electric mixer. After mixing effluent will go to primary settling tank through reaction tank. There suspended solid settle down in the conical primary settling tank and treated water over flow to supernatant tank. Then treated water will cross through dual sand and activated carbon filter media chamber. Then treated water will store in treated water tank. Part of store treated water is also used as make up water for the scrubber system for washing of flue gas from the incinerator. Some part of recycled water will be utilized for gardening purpose inside the premises. The treated effluent quality will complied as per standard limit of BSPCB/CPCB/MoEFCC rules and guidelines.

Sludge generated in primary settling tank will sent to sludge drying bed, when sludge will dry at sludge drying bed, the same will be collected in bag and will store in cover area, and the same will be sent for final disposal to Bihar State Pollution Control Board approved CHW-TSDF site.

3.5.6 Waste Treatment and Disposal Scheme Depending on the category/nature of the waste the following treatment and disposal method will be employed according to Bio-Medical Waste Management Rules 2016.

Figure -1.7 Waste Disposal scheme

3.5.7 COLLECTION AND TRANSPORTATION OF BIO MEDICAL WASTE Biomedical Waste segregated in color coded containers as per Biomedical Waste Management Rules will be collected. The collected waste will be transported in specially designed closed vehicle to the proposed CBWTF for treatment and disposal. Sangam Mediserve Pvt. Ltd. is having vehicle in existing facility for the collection & transportation of bio-medical waste and same will be transferred to proposed facility.




3.6 RAW MATERIAL REQUIRED ALONG WITH ESTIMATED QUANTITY, LIKELY SOURCE, MARKETING AREA OF FINAL PRODUCTS, MODE OF TRANSPORT OF RAW MATERIAL AND FINISHED PRODUCT. Raw material is Bio medical waste same is collected from member health care facility and HSD purchase from local market. Proposed Project will be handle 30000 bed. Transportation of biomedical waste from dedicated vehicle. Bio medical waste will incinerated and final outcome ash will be dispose through secure landfill approved by Bihar state pollution control board. Other recycling waste after disinfection/autoclaving followed by shredding will be given to registered recyclers. 3.7 RESOURCE OPTIMIZATION/RECYCLING AND REUSE The entire wastewater collected at Equalization tank after treatment in ETP will be used for floor washing and gardening/green belt/reused in the process for makeup water in scrubber. The plastic waste after disinfection/autoclaving followed by shredding will be given to registered recyclers. 3.8 AVAILABILITY OF WATER ITS SOURCE, ENERGY/POWER REQUIREMENT AND SOURCE Water requirement for the proposed facility is 40 KLD and waste water generation would be around 25 KLD. Water requirement for the project will be met through bore wells. Necessary permission will be taken from CGWA for abstraction of ground water. Fig 1.8: Water Balance Power requirement will be sourced from existing line by Bihar Vidhyut Nigam Limited. In case of power failure, D.G. set of 62.5 KVA capacities will be installed for standby arrangement.

Total Water Requirement- 40 KLD (Fresh Water requirement 18 KLD, recycled: 22 KLD

Industrial Process/ plant cleaning / vehicle wash 31 KLD

Plantation and reuse in the process of system. 4 KLD

Domestic Use 5 KLD

ETP of Capacity 50 KLD Septic Tank followed by soak pit

22 KLD

4 KLD

18 KLD 13 KLD 5 KLD

25 KLD




3.9 QUANTITY OF WASTE TO BE GENERATED (LIQUID AND SOLID) AND SCHEME FOR THEIR MANAGEMENT/DISPOSAL The amount of waste water generated of proposed CBWTF is which will be treated in 20- 30 KLD ETP. It will be a zero liquid discharge unit. ETP sludge will be disposed off through authorize land fill site and domestic wastewater will be disposed off through via septic tank followed by soak pit. Total 4 KLD municipal waste will be disposed by septic tank followed by soak pit. And Incinerator ash will be dispose through secure landfill approved by Bihar State Pollution control board. 4 TPD autoclaved plastic bottles will be sent to shredder and after then it will be sent to authorized recyclers. 1 TPD of sharps & glasses will be treated in autoclave. After autoclaving, sharps will be encapsulated. Glass bottles will be sold to recycler after disinfection. 5-10 lt /monthly of used oil will be generated from DG set. It will be sold to authorized vendors. ETP sludge of approx. 6 – 10 kg/day will be generated from ETP. It will be store in leak proof PVC containers in isolated area on pakka floor within the premises as per HWM Rules. ash generated from incinerator will be approximately 200 -300 kg/day. Both ash & ETP sludge will be handled over to authorized treatment and disposal facility of Bihar State Pollution Control Board.

Fig. 1.9 Flow chart of Effluent Treatment Plant

Figure – 1.10 Proposed EC Process




3.10 SCHEMATIC REPRESENTATIONS OF THE FEASIBILITY DRAWING WHICH GIVE INFORMATION OF EIA PURPOSE

The proposed CBWTF site is allotted by Nagar Nigam Patna for the development solid waste management project and earlier also EC has been granted by SEIAA through letter No. 231 dated 28th Nov 2013. So, request for exemption of public hearing. Area is being notified by gazette as solid waste management area. Necessary document enclosed as annexure.




4.0 SITE ANALYSIS

4.1 Connectivity 4.1.1 Nearest Railway Station: Rajendra Nagar Terminal (approx. 4.35 Km towards North- West direction from the proposed site)

Patna Sahib (approx. 5.54 Km towards North-East direction from the proposed site)

Patna Junction (approx. 5.78 Km towards WNW direction from the proposed site)

Parsa R.S. (approx. 6.4 Km towards WSW direction from the proposed site)

4.1.2 Nearest Airport: Jai Prakash Narayan Airport, Patna (approx 9.3 km towards NW direction from the proposed site).

4.2 LAND FORM, LAND USE AND LAND OWNERSHIP

The proposed Common Bio-medical Waste Management Facility (CBWTF) is allotted by Nagar Nigam Patna to IGIMS – Patna for the development of CBWTF on an area of 1.5 acre and this area including the surrounding area has already been demarcated as the solid waste management area.

4.3 TOPOGRAPHY (along with map)

Patna is located on the southern bank of the river Ganges in Eastern India. The total area of Patna is 136 km2 (53 sq mi) of this; the municipal area constitutes 99 km2 (38 sq mi), while the suburban area constitutes 36 km2 (14 sq mi). The exact cartographic co-ordinates of Patna are 25.6°N 85.1°E. It has an average elevation of 53 m (174 ft). A characteristic feature of the geography of Patna is at the confluence of rivers. A narrow strip of somewhat high land about 8 kilometers in width along the southern bank of the river Ganges having very fertile soil and alluvial fertile plains in the remaining portions.

Patna comes under India's seismic zone-IV, indicating its vulnerability to major earthquakes, but earthquake shave not been common in recent history.

4.1.3 Nearest Highway: SH-1 ( approx. 5.8 Km towards South direction from the proposed site).

SH-78 (approx. 12.6 Km towards South direction from the proposed site).

SH-93 (approx. 13.0 Km towards NE direction from the proposed site).

NH-98 (approx. 2.1 Km towards ESE direction from the proposed site).

NH-83 (approx. 5.5 Km towards West direction from the proposed site).

NH-30 (approx. 7.0 Km towards East direction from the proposed site).

“Common Bio Medical Waste Treatment Facility” at Village- Ram Chak Bairiya, Tehsil and District –Patna (Bihar) by M/s Sangam Mediserve Pvt. Ltd. Pre Feasibility Report


Fig: 1.11 Topographical Map of the 15 km radius study area

Source: Survey of India GT Sheet No.72G/2, G/3, G/6,G/7

“Common Bio Medical Waste Treatment Facility” at Village- Ram Chak Bairiya, Tehsil and District –Patna (Bihar) by M/s Sangam Mediserve Pvt. Ltd.



4.4 EXISTING LAND USE PATTERN (AGRICULTURE, NON-AGRICULTURE, FOREST, WATER BODIES (INCLUDING AREA UNDER CRZ), SHORTEST DISTANCES FROM THE PERIPHERY OF THE PROJECT TO PERIPHERY OF THE FORESTS, NATIONAL PARK, WILD LIFE SANCTUARY, ECO SENSITIVE AREAS, WATER BODIES (DISTANCE FROM THE HFL OF THE RIVER), CRZ. IN CASE OF NOTIFIED INDUSTRIAL AREA, A COPY OF THE GAZETTE NOTIFICATION SHOULD BE GIVEN.

The proposed Common Bio-medical Waste Management Facility (CBWTF) is allotted by Nagar Nigam Patna to IGIMS – Patna for the development of CBWTF on Public Partnership mode with Sangam Mediserve Pvt. Ltd. - Allahabad on an area of 1.5 acre and this area including the surrounding area has already been demarcated as the solid waste management area. Sanjay Gandhi National Park is located 8.5 km towards WNW direction from the project site. 4.5 Existing Infrastructure 4.5.2 Nearest Railway Station: Rajendra Nagar Terminal (approx. 4.35 Km towards North- West direction from the proposed site)



Parsa R.S. (approx. 6.4 Km towards WNW direction from the proposed site)

4.5.3 Nearest Airport: Jai Pratap Narayan Airport, Patna (approx 9.3 km towards NW direction from the proposed site).

4.6 SOIL CLASSIFICATION Soils are predominantly sandy loam with clay loam at places with low to medium nutrient status. It is generally alkaline with pH value ranging from 6.3 to 8.2.Traditionally soils in an area classified on the basis of mode of deposition. Soils are divided into three groups viz. (i) Recent alluvial (ii) Tal and










(iii) Older alluvium. The soils of the district have developed on alluvial deposits transported from relatively younger geological formation where physical weathering is predominant and the soil developed in them are generally coarser in texture.

Source: http://www.cgwb.gov.in/District_Profile/Bihar/Patna.pdf

4.7 CLIMATIC DATA FROM SECONDARY SOURCES

Patna has a Humid subtropical climate under the Koppen climate classification: (Cwa) with extremely hot summers from late March to early June, the monsoon season from late June to late September and chilly winter nights and foggy or sunny days from November to February Highest temperature ever recorded was 46.6 °C (115.9 °F), in the year 1966, the lowest ever was 1.1 °C (34 °F), on 9 January 2013, and highest rainfall was 204.5 mm (8.05 in), in the year 1997.

v Detail of the climatic data of Patna is as below.

v CLIMATOLOGICAL TABLE

v PERIOD: 1981-2010 Month Mean

Temperature(oC) Mean Total

Rainfall (mm)

Mean Number of Rainy

Days

Mean Number of days with

Daily Minimum

Daily Maximum

HAIL Thunder FOG DUST STORM

SQUALL

Jan 9.3 22.4 11.1 1.2 0.1 0.5 9.1 0.2 0.0 Feb 12.1 26.0 14.0 1.3 0.2 0.9 3.7 0.1 0.0 Mar 16.7 32.2 09.5 0.7 0.1 0.8 0.7 0.2 0.0 Apr 22.1 37.0 12.7 1.0 0.1 1.3 0.2 0.3 0.1 May 25.1 37.4 43.7 2.9 0.0 2.7 0.0 0.7 0.1 Jun 26.7 36.4 162.5 6.9 0.2 3.7 0.1 0.6 0.1 Jul 26.3 33.0 354.4 14.3 0.5 5.4 0.2 0.3 0.0

Aug 26.3 32.9 277.8 12.5 0.4 5.6 0.1 0.2 0.0 Sep 25.5 32.5 197.7 09.5 0.1 4.1 0.1 0.2 0.0 Oct 21.5 31.9 49.1 2.9 0.0 1.5 0.4 0.0 0.0 Nov 15.1 29.0 7.2 0.5 0.0 0.2 2.8 0.0 0.0 Dec 10.5 24.5 6.1 0.6 0.0 0.1 9.0 0.0 0.0

Annual 19.8 31.3 1145.8 54.2 1.6 26.8 26.4 2.8 0.2

Source: http://city.imd.gov.in/citywx/localwx.php

4.8 SOCIAL INFRASTRUCTURE AVAILABLE The well established social infrastructure like hospitals, educational facilities, temple, community

centre, roads, bridges, telecommunication and others similar are available within 15 km radius of the

proposed industrial site.

4.1.2 Nearest Railway Station: Rajendra Nagar Terminal (approx. 4.35 Km towards North- West direction from the proposed site)






Paras R.S. (approx. 6.4 Km towards WSW direction from the proposed site)

4.1.2 Nearest Airport: Jai Pratap Narayan Airport, Patna (approx 9.3 km towards WNW direction from the proposed site).

5.0 PLANNING BRIEF 5.1 PLANNING CONCEPT M/s Sangam Mediserve Pvt. Ltd. are proposing to setup a Common Bio-Medical Waste Treatment Facility (CBWTF) where bio-medical waste, treated from healthcare units, from currently approx. 850 Hospital that’s include all Govt. and private health care facilities operational in Patna division i.e. Ara, Buxar, Rohtash, Kaimur, Bihar Sharif and Patna districts of state of Bihar will be suitably treated to reduce adverse effects that this waste may pose. In order to manage this quantum of Bio-Medical waste a CBWTF needs to be established. Bio-Medical Waste shall be collected from each and every member HCE of district in different color coded bags/containers. After collecting the waste is transported in closed vehicles to Common Bio-Medical Waste Treatment Facility (CBWTF). In Common Bio-Medical Waste Treatment Facility different types of waste will be treated in different units (incinerator, Autoclave, Shredder) as applicable to that category. The project is well connected with road network. Site development is a continuous process at the location. Other facilities such as power, transportation and communication, social infrastructure facilities are locally available near project site. 5.2 POPULATION PROJECTION

The population for the project will be approximately 87 people.

5.3 Land Use Planning

Plant area is of 1.5 acre.

5.4 ASSESSMENT OF INFRASTRUCTURE DEMAND (PHYSICAL & SOCIAL)










The development of the CBWTF Plant eventually results in the development of the social infrastructure and also helps in providing employment to the local population. The road facility is already available which shall be used and properly maintained. The project is well connected with state highway and national highway. Clean drinking water and medical facilities will be made available at project area. The following infrastructure facilities will be developed due to the proposed project.

· Administration Building · Guard Room. · Staff Locker and wash room · Vehicle washing plate form · Effluent Treatment Plant · Incinerator Shed · Bio medical waste storage room · Sterilization/ Autoclave room · Shredder room · Vehicle Standing Shed. · Storeroom · Workshop · Electrical Panel room · VCB / Electrical meter room · Labour stay office · Transformer · DG set room and Bore well

5.5 AMENITIES/FACILITIES Amenities: Provision toilet facility, Canteen, electric grid, public transport & solid waste management etc., will be made.

6.0 PROPOSED INFRASTRUCTURE 6.1 INDUSTRIAL AREA: The proposed area is allotted by Nagar Nigam Patna as solid waste

management area. Document regarding allocation of the land as allotted area for solid waste

management by Nagar Nigam, Patna enclosed as Annexure No. 1.

6.2 RESIDENTIAL AREA (NON PROCESSING AREA)

As the local persons will be given employment, no residential area/ housing are proposed.

6.3 GREEN BELT DEVELOPMENT

Green belt planning will be done with ecological perspectives for the project taking into consideration availability of space and other aspects. This will help in increasing the aesthetic effect of the environment. The trees maintain the regional ecological balance and conform to soil and hydrological conditions. Indigenous species will be preferred. Green belt/greenery will be developed along most of the periphery of the project area as well as along roads. Area under plantation/greenery will be 0.495 acre (approximately 33 % of total area) with trees and plants. The trees to be planted will be of




adequate height. Any trees with less survival rate will be replaced. The plantation/greenery programme will be completed, simultaneously along with the project. Certain Species like Mango (Magnifera indica), Shisham (Dalbergia shishoo), Neem (Azadirachta indica), Jamun (Syzygium cumini), Ashoka (Saraca asoca) which are more suitable to local soil are proposed to be planted. 6.4 SOCIAL INFRASTRUCTURE

Local population will be employed during construction as well as operational phase. Further, indirect means of earnings will be created in the area of contractual jobs, vehicle driving, shops, construction etc. Therefore this project will brought a positive impact on the adjoining society. The proponent will spend 2.0 % of the project cost for the development of the area i.e. medical facilities, schools, Drinking water and other social work.

6.5 CONNECTIVITY (TRAFFIC AND TRANSPORTAION ROAD/RAIL/METRO/WATER WAYS etc.)

a) Nearest Railway Station:- Rajendra Nagar Terminal (approx. 4.35 Km towards North- West direction from the proposed site)Patna Sahib (approx. 5.54 Km towards North-East direction from the proposed site) Patna Junction (approx. 5.78 Km towards WNW direction from the proposed site) Paras Railway Station (approx. 6.4 km towards WSW direction from the proposed site)

b) Nearest Airport: - Jai Pratap Narayan Airport, Patna (approx 9.3 km towards WNW direction from the proposed site).

National Highway: - SH-1 ( approx. 5.8 Km towards South direction from the proposed site).






6.6 DRINKING WATER MANGEMENT (SOURCE & SUPPLY OF WATER) Required amount of water will be met through bore well supply. Necessary permission will be taken from CGWA. There will be water requirement of approximately 2- 4 KLD. 6.7 SEWERAGE SYSTEM

Toilet facilities will be provided. The generated sewage will be channelized to septic tank followed by soak pit.




6.8 INDUSTRIAL WASTE MANAGEMENT

The amount of waste water generated out of proposed CBWTF is which will be treated in 20-30 KLD ETP. It will be a zero liquid discharge unit. ETP sludge will be disposed off through authorize land fill site. Total 20-25 kg/day municipal solid waste will be generated which will be disposed off through approved municipal solid waste site. Incinerator ash will also be generated same will dispose through approved secure landfill. 4 TPD autoclaved plastic bottles will be sent to shredder and after then it will be sent to authorized recyclers. 1 TPD of sharps & glasses will be treated in autoclave. After autoclaving, sharps will be encapsulated. Glass bottles will be sold to recycler after disinfection.

5 - 10 lt/month of used oil will be generated from DG set. It will be sold to authorized recycler. ETP sludge of approx. 6 -10 kg/day will be generated from ETP. It will be store in leak proof PVC containers in isolated area on pakka floor within the premises as per HWM Rules and ash generated from incinerator will be approximately 200 - 300 kg/day. Both ash & ETP sludge will be handled over to authorize treatment storage and disposal facility available in the state of Bihar

6.9 SOLID WASTE MANAGEMENT The amount of waste water generated out of proposed CBWTF is which will be treated in 40 KLD ETP. It will be a zero liquid discharge unit. ETP sludge will be disposed off authorize land fill site. Total 4 KLD municipal waste will be disposed by septic tank followed by soak pit. Incinerator ash will also be generated after the incineration of Bio medical waste and will be disposed through secure landfill. 4 TPD autoclaved plastic bottles will be sent to shredder and after then it will be sent to authorized recyclers. 1 TPD of sharps & glasses will be treated in autoclave. After autoclaving, sharps will be encapsulated. Glass bottles will be sold to recycler after disinfection.

5- 10 lt/month of used oil will be generated from DG set. It will be sold to recycler. ETP sludge of approx. 6 -10 kg/day will be generated from ETP. It will be store in leak proof PVC containers in isolated area on pakka floor within the premises as per HWM Rules. Ash generated from incinerator will be approximately 200 - 300 kg/day. Both ash & ETP sludge will be handled over to authorize treatment storage and disposal facility approved by Bihar State Pollution Control Board.

6.10 POWER REQUIREMENT & SUPPLY/SOURCE

Power connection will be taken from electricity board and the same charges will pay on monthly basis. For standby arrangement 62.5 KVA DG set will be installed. The power requirement for the proposed project will be 75 kVA. The source of power will be from Bihar Vidhyut Nigam Limited.

7. REHABILITATION AND RESETTLEMENT (R &R) PLAN




Not applicable as the project is going to establish in govt. allotted site which is specifically demarcated as solid waste management area.

8.0 PROJECT SCHEDULE & COST ESTIMATES 8.1 Likely date of start of construction and likely date of completion (Time schedule for the project to be given) Construction activity will be started after obtaining Environmental Clearance from SEIAA ,BIHAR. 8.2 Estimated project cost along with analysis in terms of economic viability of the project.

Estimated project cost is 4.93 Crore (except land) Table 3: Project Cost




9.0 ANALYSIS OF PROPOSAL (FINAL RECOMMENDATION) CBWTF (Common Bio-Medical Waste Treatment Facility) is an infrastructural set up where Bio-Medical waste will be treated & disposed off in a most economical and viable method. It is a system that is designed to ensure win-win situation for all the stake holders: General Public & the End User

· Hospital Facilities: - happens to gain in cleaner & infection free environment. · Hospital Staff:- Less of work load since bulk of the responsibilities are outsourced

transferred to well trained staff of service provider. · Hospital Management:- will be able to focus better on their core competence. · Service Providers: Eventually gains from economies of scale.

Therefore this project shall ensure following benefits to the society: · Cleaner and healthier surroundings. · Reduction in the incidence of hospital acquired and general infections. · Reduction in the cost of infection control within the hospital. · Reduction in the possibility of disease and death due to reuse and repacking of infectious

disposal. · Low incidence of community and occupational health hazards. · Reduction in the cost of waste management through appropriate treatment and disposal of

waste. · Employment generation for people.

Conclusion We all have already seen the hazards posed by the mishandling of Bio Medical Waste. It is generated primarily from health care establishments and is a relatively recent issue and there are a lot of gaps in information. Management of Biomedical waste presupposes scientific approach to the process of waste generation, storage, transportation, treatment and its disposal. This arduous task can only be achieved by the synergistic efforts of the health care establishments, Government health Department, Pollution Control Boards and Service Provider for Bio-Medical Waste Management. It is then that we can build a pollution free environment & planet earth a better place to live in.

PLACE: - Allahabad (Hari Om Sharan Dwivedi)

DATE:-12.02.2018 AUTHORIZED REPRESENTATIVE

“common bio medical waste treatment facility” at village...

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