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Cheek list for getting approval for installation of new Fuel Stations along State (el 13 13.1 13.2 bbe Highways and MDRs. General Information Name of the Road Distriet State Location Chainage (in km) Side of Road (Left or right side of SHAMDR towards increasing chainage/km/direction) Name of Oil Company (As applicable) Arca of Govt. land to be used Amount of lease for 5 yrs Amount of Rent @16% per year of cost of land for Sys. Gross Amount to be deposited(LeasetRemt) = Amount Deposited in Govt. Revenue. a ma fs ] - Hem ~~ | Measurement | MORTH [ ister 7] Ne | | atsite | Norms | complying | | with | MORTH | (a alle 2 is a S 3 4 | Distance from intersection. 1,1 Non Urban (Rural) Stretch . 1.1.1 Plain and Rolling Terrain - a [__[0) Intersection with SHs/MDRs [ (000m | (ii) Intersection with Rural roads/ approach roads to privaie 300m |__| and public properties. - a ls = 1.1.2 Hilly/Mountainous Terrain A oo _| zi (i) Intersection with NHs/SHs/MDRs i" - 300m Z (ii) Intersection with all other roads and tracks — a {100m J 12 Urban Stretches: 1.2.1 Plain and Rotling Terrain (@) Urban area with population of more than 20000 and less than one lakh. ae {i) Intersection with any category of roads of carriageway | 300m | width of 3.5m end above A | (ii) Intersection with roads of carriageway width of less than 100m . 1 3.5m (b) Urban area with population of one lakh and above { iw {i) Intersection with any category of road (irrespective of TOGm |_| carriageway width) © me 1.2.2 Hilly and Mountainous Terrian (i) Untersection with any category of road (irrespective of 100m carriageway width) | Hh ld Z._| Gap in the central median from fuel station (for divided 300m carriageway only) 3. | Distance from nearest fuel station |_| @) Plain and rotting terrain in non urban (rural) azeas: (i) Undivided carriageway (for both sides of carriageway | 300m | (ii) Divided carriageway (with no gap in median at this 1000m | | location) | (©) Hilly iecrain and urban stretches (For both divided and 300m _| undivided carriageways) Ls 100m @,_| Ca} Distance from check barrier / Toll Plaza / Railway level crossing | Menifon whether the check barrier fe Tosied o service voad deparated from m: | carriageway or carriageway - ~~] (8) (i) Distance from start of approach road of ver Bridge __ 5a |G Disians ade seperaior/Ramp r _ 1 3._| Gradient of Higi io - _ — a | 6. | Slope of fuel station premises/services area for dr | _| purpose. 7 a i | 7. | (a) Width of Frontage of Plot | Min | 35m/45mf | | bs. ake 20m ad Ml (b) Depth of Plot 1 Min 1 j 35mn/4Sm/ | as __| 20m | [8 | Length of Buffer Strip Min, 12m “| | Sm in | urbanvhilly | area keeping min. width ft of opening at entry and | | exitto 7.3m) 9._| Height of kerb for buffer strip ray min. 275mm | 10. | Minimum downward slope of access roads towards the Tuel PMin2% 7 _| station, ” L 7 TI, | Difference in level between the Highway and the fuel station Min 305mm and access area measured ar the edge of the shoulder on the i i Highway est _| 12. | Provision of culvert, designed for drainage according to 1 Slab culvert IRC:SP-13 with iroa i grating of | adequate strength 13. | (i) Provision of drinking watér and 4 toilets (2 for gents & 2 Drawing For ladies) facilities alongwith proper display board at the showing two entry to the fuet station. Gents and (i) Provision of proper drainage arrangement for fuel station two Ladies premises toilets should be submitted. 14 | Provision of adequate signs and markings as per drawings Min. requirement as shown in the Drawing ian Peace 5 Qe It is certified that the fuel station is neither in operation nor energized and that construction of the fuel station has not been commence. Further, we bear full resposibility for jars mentioned above ansi Sor adherence to the stipulated norms. gemuiness of the site partic [Name, Degination and Signature of the authorized representative of the concerned Oil Company] Note:- If norms are not satisfied, detailed explanation needs to be given, otherwise the application will not be considered. In all cases supporting documents as per Annex. I have to be submitted, otherwise ! will be summarily rejected, The Right of Way (ROW) of the SW/MDR available at the proposed location. The above particulars along with the drawing and document have been verified and are certified as correct as per the prevailing site conditions. é {Name, Degination and Signature of the concerned field authority of State RCD. Salo Govt, Circulars & Orders steqa— Ae, meget searaes aie H seta geet, deal safe faq fegn gede gaa A art 29 B aveda ereiea geR GT Laake crane aug’ Fea 8 grea A GeeT Be GE GG ATA wesraeE Ite veal ae fag faeie eee Agee ST Aree 398 wesia aera ge gormin Gaara RU gale & fe SA avacral & ager orteré BY omg ¢ [4 Gent 8 wie o-gs-19/81-313! Te, fenta 28-8. 1981.) ” pes ° \ aha ere oor Te Rehee ver ST sar Bg st alee a aero Brace DCT Feet t PrRengare sew fae B eed Fear we sx Hela see at earsa fqadr a eaeed ew Ae TES Wan A gleks feardeara wears 7 frenfaing Pia Fear — ‘ (a) Marr eee cops ag ware eta AN ae wedaw mere ate seis 15 WSL Teg QviT | faure Pa age & eae err Ee sein outed at RATT 15% ing TT Re QE Ler Eh sper & fos MY AP weoeth Rat

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