Proforma © (For Long Span fridges only PRADHAN MANTRI GRAM SADAK YOJANA ( PMGSY) CHECK LIST FOR PIU &STA ( For Individual Bridge works with length more thant’ » 1 Location State: Assam District: Goalpara Block Joleswa 2 Package No. AS-07-145 3 Name of the Road: Badongdoba to Chaibari Muslimpara Road 4 Total Length of Road (Km) 1.50 5 Name of Proposed Bridge V2 6 Length of Proposed Bridge 1 x16.50 m 7 Width of Bridge in m. 7.50 8 Through Route/ Link Route Nos as per Core Network. 1) Is the road a part of core network Yes/No if yes, SI. No. Of road CH-I Sino. of road CN -VI If Yes Through Route/ Link Route No. Tr or te 0 pa 7 |i) Name of the benefitted Habitation (s) (to be cross checked with CN-VI) with Population SI. No. Name of Villag Population 1 Choibari 725 ‘Yes/No 9 Whether the Road proposal was sanctioned earlier (i) If Yes, please mention the Phase, MoRD Sanction letter No and Date of sanction MoRD Sanetion No Date Chainage From 729.15 To 146.25 Rs Lakhs No Phase: Length 1650 m (ii) Cost of the Road work sanctioned (iit) Whether any CD/ Causeway was Sanctioned at or nearby location with the road proposal and whether the ‘same was constructed or not (if yes, the details thereof with chainage: (iv) Whether the roadwork has been completed or in progress and likely date of completion: with chainage (v) If not, How the connectivity and movement of traffic was ensured. Road DPR also submitted (vi) Reasons for not proposing the Bridge at the time of submission of Road proposal, Does not arise 10 Estimated Cost (Rs. In Lakhs) ‘Approaches Br. Super Structure Br. Sub Structure MoRD Share State Share (MoRD share and State share to be calculated as per the norms of MoRD/NRRDA)414. Type of Proposed Bridge (\) Submersible Structures like Vented Causeway oF Submersible Bridge (ii) Box Culvert ii) Bridge With RCC Piers and Abutments a. Type of foundation ‘Open | Raft (Well / Pile / Any other b. Bearing Capacity at Foundation Level c. Arrangement of Spans Total Span 1 No, Of Vents ear Span of Vent 4. Critical Levels [Road top level (RTL) 701 55[m Average Ground Level(AGL) 96.96|m Nala Bed level (NBL) 96.51|m (Ordinary flood level (OFL) 9) 494)m Foundation level (FL) 2.46|m Ht of bridge A= (RTL-NBL) 5.04|m Ht. of bridge h= (RTL-FL) 79.09|m Bl e. Catchment Area (Catchment area should be based on hydrological Survey OF from toposhe [Catchment area served Not Well defined Heaviest Rainfall 67.00[mmi/h Basis of Design Discharge MV. \Waterway required 75.00|m Waterway provided 716.50|m | f. Scour Depth (m) 3.95 m15 Cost Details Cost Rs A. General Costs Cost of Preparation of DPR (Limited to 1 % of Total cost of Bridge) B, Bridge Components [Grade of Description of Components Quantity Cost Rs, concrete Foundations [Excavation of structures 797,934 7814.00 Bored cast in sity M35. 232.000 2575432.00| M35 Pile load test 301 9330.00] Pile cap 113.52 722555.00| _W-20 Leveling course for ple cap 12.45 1794.00] _ M15 Reinforcement in Foundation 37.12 2498580.00 5976505.00 Substructure RCC in substructure 39.835 260043.00]_W-20 Reinforcement in substructure 4,085 274065.00) Weep holes al Backfiling 701.427, 7106295.00 Filter media with granular materials Elastomeric Bearin, 71517 7239.00 717642.00} Super structure RCO in superstructure i) For Solid slab M25 i) For T-beam & slab ei2 490212,00] _M-25 fReinforesment in superstructure 10.973 7728558.00 Wearing Course g.647 418579,00| _M-30 IRGC railing’ 487) 132661,00| _M-30 Drainage spouts 8 64096.00 Painting on concrete surface JA) For plain surface: IB) For RCC Railing [Compression Seal Joint 15.00 71080.00 4556096.00| others [Approach slab PCC M15 levelling course M15 REC Work in Approach slab M25) Fibre board 15) 4875.00 [Boulder apron 742 80951,00 Pitching 42,825 '46722.00] Filter material 42.825) 62341.00) [Dismanting of SPT Br 16 -19600,00 Dismanting of pile 15, 45780.00 [Sub wal 15 4147075.00 374314.00 Hotal Cost of the Bridge part (Rs) 8620557.00 ic. Road Component (for approaches! Bridge) Merge with road estimate16 Five Year Routine Maintenance Year | Costin | % Cost Lakh W UT WV V. Total 17 Whether the Bridge has Geometric as per latest Circular of NRRDA Yes/No 00 #P-17035/1/2007-Tech, 30th September, 2010 18 Whether the Cost estimates are as per standard data analysis and S.S.R 19. Sources and the Lead distances of Materials are as under Lead =, Material Source | Distance | Material | Source Ro Distance (Km) Earth Gement] Guwahati | 190 csB AshaPhuka| 130 | Emulsion} Guwahati | 190 Aggregate (WBM)_|_Borvitah 43_| Bitumen | Guwahati | 190 Aggregate (PC & SC) | Borvitah 49 Steel | Guwahati | 190 This is to Certified that, 1. Span details of bridge tallies with DPR & data uploaded on omms.nic.in. & there is no deviation 2. information furnished herewith is true to the best of my knowledge. 3. Total cost of the project, State share & MoRD share worked out by PIU is justified. 4. The proposal of bridge is missing bridge proposal on sanctioned road & in the same stretch as it was sanctioned in previous phase under PMGSY DPR Prepared B y DPR Checked By DPR Checked & recommended (Name & Sign) : (Name & Sign) (Name & Sign) a (BA ow Sg d. rh Fxoowitanl H10- stision Superiftending Engineer cones Zs superinterting Engineer pw (Roads) WAC, Goalpare Asstt. Engineer Counter Signatures of Co-ordinator STA:Name of the STA: 1/7G To be filled by State Technical Agency Name ot Road: Badongtoban be CDaibar; Meshiporre. Koad, Name of Bridge (if any) : 20 Is the proposed work is for CD/Causewa i I yy of any length or brigde with span excludi ¥ 51 approaches less than 15m, : a 1 22 23 24 25 26 a7 28 29 |s the Proposal entered on the OMMS : (Data entries to be verified by STA before Clicking the Propopsal) a. Span of Bridge on web: b. Span of Bridge As perDPR /6°5 >, * Span of bridge: CIC distance along the centre line of the bridge betwoon i : n inner faces of dirt walls OF on. 2 - ¢: Whether type of foundation & resting strata as per survey report justified to be safe YesiNo (YesiNo ¢. Whether Hydraulic design is checked & found to be adequete as por site requirements, Yes/No ©. Whether RCC designs are checked and found to be economical & safe. {. Whether the provisions made by PIU are sufficient & essentia from economy point of view If the Proposal is for a Bridge for which Road was already Sanctioned Yes, Have you verified and satisfied yourself with all the items listed at Sr. No. 7, by Have you satisfied yourself that the road is a part of Core Network Are you satisfied with the following Engineering Surveys (L section, X sections must be verified) Soil/ Material investigation Hydraulic Studies. (Catchment for structures to be verified from topo sheet, Location and requirement of structures to be verified from L section and catchment area to be marked on Topo Sheet Copy ) Is the design of the following elements as per relevant | S/IRC codes Foundations / Abutments / Piers / Deck Slab Wing Walls vestiio Does the Estimation Conform to Standard Rate Analysis and SoR generated for the current Yes/No Phase for PMGSY works and a copy of SoR provided to STA Does the proposal have provisions for 4 PMGSY Logo Sign Boards and Information Board YINO Whether STA and Superintendent Engineer have visited the site? If Yes, Date of Visit ¥eaiNo — Kindly indicate whether the program of visit was informed to NRRDA for prior approval ? Secific Remarks, if any, by STA en rey ( Specific remarks of STA about the overall Bridge Project are ee on each DPR), tt Certificates: brv'oton Certified that the proposal of bridge is checked & found to be’ ce ae sing bridge on greta, Toad.& in the same stretch as it was sanctioend in previous phase under PMGSY. Certified that the Design and Estimation for the Proposed bridge are based on the latest Circular of NRRDA\vide Certified that the Design and Estimation for the Proposed bridge are based on the latest Circular of NRRDA\vide Technical Scrutiny at STA done by: Signature Signature coed Name Name ot Name Date Date S Dr ie i ryntatang r. Teiborfan 10 Rese ee asociate Professor Department of Civ Engineering Department of Cil Engineering1%, TYPICAL PHOTOGRAPHS OF PROPOSED BRIDGE LOCATION (ii) At bridge location (iii) U/s of bridge site (iv) _D/sof bridge site