APPENDIX

VACANT AND UN-ENCUMBERED LAND OF CONSTRUCTION ZONE

Name of Work: Strengthening of existing 2 lane from km 445/00 to 455/00 & km 475/00 to 500/00 (Total
Length =35.00Km) of NH-52 (New NH -15) under Annual Plan for the year of 2018-19
under Nagaon NH Division, Nagaon in the State of Assam on EPC Mode, Job No-
052(New-NH-15)/AS/2018-19/185

Date of Joint Survey: 8.11.2018 to 10.11.2018

Vacant &
Chainage (KM) Width of Encumbered Vacant &
Unencumbered Total Area of
Sr. Length EROW Const. Road width of Encumbered Un-
width of Construction
No. (m) (m) Zone Construction Area (sq.m) encumbered
Constrcution Zone
From To (Reqd.) Zone Area (sq.m)
Zone (m)

1 445.000 446.000 1000 45 16.00 0.00 16.00 0.00 16000.00 16000.00

2 446.000 447.000 1000 45 16.00 0.00 16.00 0.00 16000.00 16000.00

3 447.000 448.000 1000 45 16.00 0.00 16.00 0.00 16000.00 16000.00

4 448.000 449.000 1000 45 14.80 0.00 14.80 0.00 14800.00 14800.00

5 449.000 450.000 1000 45 14.60 0.00 14.60 0.00 14600.00 14600.00

6 450.000 451.000 1000 45 14.60 0.00 14.60 0.00 14600.00 14600.00

7 451.000 452.000 1000 45 14.60 0.00 14.60 0.00 14600.00 14600.00

8 452.000 453.000 1000 45 14.60 0.00 14.60 0.00 14600.00 14600.00

9 453.000 454.000 1000 45 16.00 0.00 16.00 0.00 16000.00 16000.00

10 454.000 455.000 1000 45 16.00 0.00 16.00 0.00 16000.00 16000.00

11 475.000 476.000 1000 45 16.00 0.00 16.00 0.00 16000.00 16000.00

12 476.000 477.000 1000 45 16.00 0.00 16.00 0.00 16000.00 16000.00

13 477.000 478.000 1000 45 16.00 0.00 16.00 0.00 16000.00 16000.00

14 478.000 479.000 1000 45 16.00 0.00 16.00 0.00 16000.00 16000.00

15 479.000 480.000 1000 45 16.00 0.00 16.00 0.00 16000.00 16000.00

16 480.000 481.000 1000 45 16.00 0.00 16.00 0.00 16000.00 16000.00

17 481.000 482.000 1000 45 16.00 0.00 16.00 0.00 16000.00 16000.00

18 482.000 483.000 1000 45 16.00 0.00 16.00 0.00 16000.00 16000.00

19 483.000 484.000 1000 45 16.00 0.00 16.00 0.00 16000.00 16000.00

20 484.000 485.000 1000 45 16.00 0.00 16.00 0.00 16000.00 16000.00

21 485.000 486.000 1000 45 16.00 0.00 16.00 0.00 16000.00 16000.00

22 486.000 487.000 1000 45 16.00 0.00 16.00 0.00 16000.00 16000.00

23 487.000 488.000 1000 45 16.00 0.00 16.00 0.00 16000.00 16000.00

24 488.000 489.000 1000 45 16.00 0.00 16.00 0.00 16000.00 16000.00

25 489.000 490.000 1000 45 16.00 0.00 16.00 0.00 16000.00 16000.00

26 490.000 491.000 1000 45 16.00 0.00 16.00 0.00 16000.00 16000.00

27 491.000 492.000 1000 45 16.00 0.00 16.00 0.00 16000.00 16000.00

28 492.000 493.000 1000 45 16.00 0.00 16.00 0.00 16000.00 16000.00

 Vacant &
Chainage (KM) Width of Encumbered Vacant &
Unencumbered Total Area of
Sr. Length EROW Const. Road width of Encumbered Un-
width of Construction
No. (m) (m) Zone Construction Area (sq.m) encumbered
Constrcution Zone
From To (Reqd.) Zone Area (sq.m)
Zone (m)

29 493.000 494.000 1000 45 16.00 0.00 16.00 0.00 16000.00 16000.00

30 494.000 495.000 1000 45 16.00 0.00 16.00 0.00 16000.00 16000.00

31 495.000 496.000 1000 45 16.00 0.00 16.00 0.00 16000.00 16000.00

32 496.000 497.000 1000 45 16.00 0.00 16.00 0.00 16000.00 16000.00

33 497.000 498.000 1000 45 16.00 0.00 16.00 0.00 16000.00 16000.00

34 498.000 499.000 1000 45 16.00 0.00 16.00 0.00 16000.00 16000.00

35 499.000 500.000 1000 45 16.00 0.00 16.00 0.00 16000.00 16000.00

Total = 35000 0.00 553200.00 553200.00

Encumbered Area of Constrcution Zone 0.0 %

Un-encumbered/Vacant Area 100 %

Remark : 100% land is available & in possession, vacant & un-encumbered.

Signed & Sealed

Contractor/ Authorized Representative Authority's Engineer Authority's Representative

Name : Name : Name :
Address: Address: Address:
 ROAD INVENTORY
Name of Work: Strengthening of existing 2 lane from km 445/00 to 455/00 & km 475/00 to 500/00 (Total
Length =35.00Km) of NH-52 (New NH -15) under Annual Plan for the year of 2018-19
under Nagaon NH Division, Nagaon in the State of Assam on EPC Mode, Job No-
052(New-NH-15)/AS/2018-19/185

Date of Joint Survey: 8.11.2018 to 10.11.2018

Main PAVED
EARTHEN
Carriageway SHOULDER
SHOULDER (ES)
(MCW) (PS)
Formation Existing
K.M Land Use Pattern
Width width Width (m) ROW (m)
Width
Type
(m) Left Right Left Right

445 Flexible 7.0 1.00 1.00 0.60-1.00 0.60-1.00 12.0 45 Agri/ Residence (mixed)

446 Flexible 7.0 1.00 1.00 0.60-1.00 0.60-1.00 12.0 45 Agri/ Residence (mixed)

447 Flexible 7.0 1.00 1.00 0.60-1.00 0.60-1.00 12.0 45 Agri/ Residence (mixed)

448 Flexible 7.0 1.00 1.00 0.60-1.00 0.60-1.00 12.0 45 Agri/ Residence (mixed)

449 Flexible 7.0 1.00 1.00 0.60-1.00 0.60-1.00 12.0 45 Agri/ Residence (mixed)

450 Flexible 7.0 1.00 1.00 0.60-1.00 0.60-1.00 12.0 45 Agri/ Residence (mixed)

451 Flexible 7.0 1.00 1.00 0.60-1.00 0.60-1.00 12.0 45 Agri/ Residence (mixed)

452 Flexible 7.0 1.00 1.00 0.60-1.00 0.60-1.00 12.0 45 Agri/ Residence (mixed)

453 Flexible 7.0 1.00 1.00 0.60-1.00 0.60-1.00 12.0 45 Agri/ Residence (mixed)

454 Flexible 7.0 1.00 1.00 0.60-1.00 0.60-1.00 12.0 45 Agri/ Residence (mixed)

475 Flexible 7.0 1.00 1.00 0.60-1.00 0.60-1.00 12.0 45 Agri/ Residence (mixed)

476 Flexible 7.0 1.00 1.00 0.60-1.00 0.60-1.00 12.0 45 Agri/ Residence (mixed)

477 Flexible 7.0 1.00 1.00 0.60-1.00 0.60-1.00 12.0 45 Agri/ Residence (mixed)

478 Flexible 7.0 1.00 1.00 0.60-1.00 0.60-1.00 12.0 45 Agri/ Residence (mixed)

479 Flexible 7.0 1.00 1.00 0.60-1.00 0.60-1.00 12.0 45 Agri/ Residence (mixed)

480 Flexible 7.0 1.00 1.00 0.60-1.00 0.60-1.00 12.0 45 Agri/ Residence (mixed)

481 Flexible 7.0 1.00 1.00 0.60-1.00 0.60-1.00 12.0 45 Agri/ Residence/Market Area

482 Flexible 7.0 1.00 1.00 0.60-1.00 0.60-1.00 12.0 45 Agri/ Residence (mixed)

483 Flexible 7.0 1.00 1.00 0.60-1.00 0.60-1.00 12.0 45 Agri/ Residence (mixed)

484 Flexible 7.0 1.00 1.00 0.60-1.00 0.60-1.00 12.0 45 Agri/ Residence (mixed)

485 Flexible 7.0 1.00 1.00 0.60-1.00 0.60-1.00 12.0 45 Agri/ Residence (mixed)

486 Flexible 7.0 1.00 1.00 0.60-1.00 0.60-1.00 12.0 45 Agri/ Residence (mixed)

487 Flexible 7.0 1.00 1.00 0.60-1.00 0.60-1.00 12.0 45 Agri/ Residence/Market Area

488 Flexible 7.0 1.00 1.00 0.60-1.00 0.60-1.00 12.0 45 Agri/ Residence (mixed)

489 Flexible 7.0 1.00 1.00 0.60-1.00 0.60-1.00 12.0 45 Agri/ Residence/Market Area

490 Flexible 7.0 1.00 1.00 0.60-1.00 0.60-1.00 12.0 45 Agri/ Residence (mixed)

491 Flexible 7.0 1.00 1.00 0.60-1.00 0.60-1.00 12.0 45 Agri/ Residence (mixed)
 Main PAVED
EARTHEN
Carriageway SHOULDER
SHOULDER (ES)
(MCW) (PS)
Formation Existing
K.M Land Use Pattern
Width width Width (m) ROW (m)
Width
Type
(m) Left Right Left Right

492 Flexible 7.0 1.00 1.00 0.60-1.00 0.60-1.00 12.0 45 Agri/ Residence (mixed)

493 Flexible 7.0 1.00 1.00 0.60-1.00 0.60-1.00 12.0 45 Agri/ Residence (mixed)

494 Flexible 7.0 1.00 1.00 0.60-1.00 0.60-1.00 12.0 45 Agri/ Residence (mixed)

495 Flexible 7.0 1.00 1.00 0.60-1.00 0.60-1.00 12.0 45 Agri/ Residence (mixed)

496 Flexible 7.0 1.00 1.00 0.60-1.00 0.60-1.00 12.0 45 Agri/ Residence (mixed)

497 Flexible 7.0 1.00 1.00 0.60-1.00 0.60-1.00 12.0 45 Agri/ Residence (mixed)

498 Flexible 7.0 1.00 1.00 0.60-1.00 0.60-1.00 12.0 45 Agri/ Residence (mixed)

499 Flexible 7.0 1.00 1.00 0.60-1.00 0.60-1.00 12.0 45 Agri/ Residence (mixed)

500 Flexible 7.0 1.00 1.00 0.60-1.00 0.60-1.00 12.0 45 Agri/ Residence/Market (mixed)

Contractor/ Authorized Authority's Engineer Authority's Representative

Representative Name : Name :
Name : Address: Address:
Address:
ket (mixed)
 INVENTORY OF BRIDGES
Name of Work: Strengthening of existing 2 lane from km 445/00 to 455/00 & km 475/00 to 500/00
(Total Length =35.00Km) of NH-52 (New NH -15) under Annual Plan for the year
of 2018-19 under Nagaon NH Division, Nagaon in the State of Assam on EPC
Mode, Job No-052(New-NH-15)/AS/2018-19/185

Date of Joint Survey: 8.11.2018 to 10.11.2018

Type of Structure
Sl. Existing Overall
Span Arrangement Remark
No. chainage Super- Width
Foundation Sub-Structure
Structure

1 445.3 Raft RCC RCC 1x25 12 Minor Bridge

2 449.31 Well RCC RCC 03x45=135 8.6 Major Bridge

3 449.905 Well RCC RCC 02x45.0=90.0 12 Major Bridge

4 474.505 Well RCC RCC 03x45=135.0 12 Major Bridge

5 476.405 Well RCC RCC 02x36.0=72.0 12 Major Bridge

6 478.34 Raft RCC RCC 1x47 12 Minor Bridge

7 480.8 Well RCC RCC 02x45.00=90.0 12 Major Bridge

8 482.715 Well RCC RCC 43x5+4x1.3=220.2 8.6 Major Bridge

9 486.7 Raft RCC RCC 1x25 12 Minor Bridge

10 490.15 Raft RCC RCC 1x46 12 Minor Bridge

54.44+11.5x2+53.3+54.1=184
11 491.024 Well RCC RCC 8.6 Major Bridge
.84

12 493.2 Raft RCC RCC 1x13.00 8.6 Minor Bridge

13 494.6 Raft RCC RCC 2x13.00 8.6 Minor Bridge

14 496.12 Raft RCC RCC 2x11.00 8.6 Minor Bridge

15 496.365 Raft RCC RCC 2x9.00 8.6 Minor Bridge

Contractor/ Authorized Representative Authority's Engineer Authority's Representative

Name : Name : Name :
Address: Address: Address:
 INVENTORY OF CULVERT

Name of Work: Strengthening of existing 2 lane from km 445/00 to 455/00 & km 475/00 to
500/00 (Total Length =35.00Km) of NH-52 (New NH -15) under Annual
Plan for the year of 2018-19 under Nagaon NH Division, Nagaon in the
State of Assam on EPC Mode, Job No-052(New-NH-15)/AS/2018-19/185

Date of Joint Survey: 8.11.2018 to 10.11.2018

Existing Chainage Span /Opening with

Sl. No. Type of Culvert Overall Width (m)
(km) (m)

1 449/650 RCC slab 01x6.00 12

2 449/900 RCC slab 01x6.00 12

3 450/430 RCC slab 1x3.00m 12

4 450/850 RCC slab 1x3.00m 12

5 451/840 RCC slab 1x3.00m 12

6 452/570 RCC slab 1x3.00m 12

7 454/450 RCC slab 1x3.00 12

8 475/340 RCC slab 1x4.00M 12

9 481/135 RCC slab 1x5.30M 12

10 487/865 RCC Slab 1x10.00M 12

11 489/335 RCC Slab 1x7.00M 12

12 489/492 RCC Box 1x3.50M 12

13 492/865 RCC Box 1x3.70M 8.6

14 492/860 RCC Box 1x3.70M 8.6

15 495/530 RCC Box 1x3.50M 12

Contractor/ Authorized Representative Authority's Engineer Authority's Representative

Name : Name : Name :
Address: Address: Address:
 INVENTORY OF TREES & UTLITIES

Name of Work: Strengthening of existing 2 lane from km 445/00 to 455/00 & km 475/00 to
500/00 (Total Length =35.00Km) of NH-52 (New NH -15) under Annual Plan
for the year of 2018-19 under Nagaon NH Division, Nagaon in the State of
Assam on EPC Mode, Job No-052(New-NH-15)/AS/2018-19/185

Date of Joint Survey: 8.11.2018 to 10.11.2018

The site has 06 nos. trees at isolated stretches falling on the extremity of earthen shoulder. The trees
requires to be felled for safety purposes, however, will not affect in construction of Project Highway. The
scope has been mentioned in Schedule-B (Annex-B1).
The Site has no other utilities affecting the existing road and proposed construction of Highway

Contractor/ Authorized Representative Authority's Engineer Authority's Representative

Name : Name : Name :
Address: Address: Address:
 INVENTORY OF OTHER STRUCTURES

Name of Work: Strengthening of existing 2 lane from km 445/00 to 455/00 & km 475/00 to 500/00
(Total Length =35.00Km) of NH-52 (New NH -15) under Annual Plan for the year of
2018-19 under Nagaon NH Division, Nagaon in the State of Assam on EPC Mode,
Job No-052(New-NH-15)/AS/2018-19/185

Date of Joint Survey: 8.11.2018 to 10.11.2018

1. Road Side Longitudinal Drain :

The Site has no existing Road side drain

2. Retaining Wall/ RE Wall/ Breast Wall :

The Site has no existing Retaining Wall/ RE Wall/ Breast Wall

3. Railway level Crossing:

The Site has no Railway Level Crossing

4. VUP/ VOP/RUB/ROB/ Grade Separators :

The Site has no VUP/ VOP/RUB/ROB/ Grade Separators structures existing.

5. Project Facilities (Toll Gate & Plaza / Bus Bays/ Truck Lay buys/ Pedestrian Facilities :
The Site has no any Toll Plaza / Bus Bays/ Truck Lay buys etc.

Contractor/ Authorized Representative Authority's Engineer Authority's Representative

Name : Name : Name :
Address: Address: Address: