uNdHaOr WLS ouop Haysnas wore. snvusieg apuovayodas ‘emyagen) owen FP, amet Aq pens sourag mestssy uoneis9g Getsequeys)——ateN HOLS arcetis fq pasedaca eonepe-a ne Ix@ Bale lm play ph Mbeammbaibey @ (aw up 67 pasodore ws [ores [wo [ree | oo wi 2 | us wes }ovse| 000 | omer | ooo | on | cor on . 3 jee ao ee oat = cre | ea | ug Jun6uer] Guay 11 oureuey 0a puis oy, ‘ary | 90 "| 1% fresovsa| om pou sa0 su 2a, | te |e" on + yoodhy owenspuaeg, uejewepn aPHD aad uoisini. c saoursug Bu eee seauBug oannogyg seaui6u3 ‘is 7 eos ze 0s wor | 070 | 070 ovo | 000 wz ie zLose zr0s2 ezoor | 00 | ooo ovo =| ooo a a = ¥ = z iz = : 6 z+1zs02) RNS 1809, sero, | Aun uos's papnout st| pasaxo.oy | [0 ? su [ausee)| us aes |Po 2 3 fesan|"aoon | As00 tease | pony [ORMBO] MIS AHS Ha 5B cuyeat |" Aen. | “Bry euompey) ASRS ene axeus a8, span vero) pung ayeig Aq at0q 2q 013809 1euonIPPY (G102"44's0 72" uss 40d Se) TdOND - Oz0z-640z + 480A (feas) ander ‘Ay 9G Peow 14 NVHLSYEVEL 1g wieAD NUE LeUPELAProforma € (For Long Span Brdiges ont) PRADHAN MANTRI GRAM SADAK YOJANA ( PMGSY) | CHECK UST FOR PLU. (For Indvidual Bridge works with length more than15 m ) | (To be filled by PIU) | t.tocation= State Rojasthan —Distet:-— BARMER Block: DHORIMANA (GUDAMALAND Circo BARMER Division Gudamleni 2, Package No: | seimic Zone From Construction of Long Span Bridge over ( Narmada Canal) Road, -04 Alp [ 3. name of he Road with code: ‘Seeloo-Gudamalan-Meghvralo ka Was-RGP Harizan Bast-Banta-GadeviDangriya- Paliyal:Gandhav Khurd Road (km 23/726) I r 4. Total Length of Road (Km) - 18.700 km ‘ 5. Name of Proposed Bridge (ifany) Construction of Long Span Bridge over { Narmada Canal ) Road 7-08 Alpura- ‘Seoloo-Gudamalani-Meghwalo ka Was-RGP Harizan Basti-Banta-Gadevi- Dangriya-Pallyall-Gandhav Khuurd Road (km 23/725) 6, Length of Proposed Bridge (Excluding Approaches) 29.60 Meter 7. Wiath of Bridge in m: 0m Through Route Link Route Nos 9s por Candte oad Hat (pls eed a por of DRRP & Canciéate road Xin ites, ‘Ino, of oad in Candidate road les. Through Route! Link Route No. o GD {iy Name of the benefited Habitation (s) with population ‘SEN]_Name of habitation Population 4 Aipura 2x7 2 Gudamaiani 6336 al Gadevi 115 4 Banta 1073 5|___dangiya 58 él Palyal vara 7 Total 39679 >. Whether the part of the road proposal was sanctioned earlier under PMGSY : YeST No (if Yes, please mention the Phase, MoRD Sanction etter No and Date of sanction Phase: 2014-15 MoRD Sanction No, Date Length 4.5km —Chainage :From 0100 To: 14500 (ii) Cost of the Read work sanctioned: Rs 45.00 Lakhs (it) 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: yest (lv). Whether any existing Causeway/bridge available at this location (W)IF Yes, please mention the type of existing structure {Age ofthe existing structure Length of existing structure Width of existing structure ‘Whether the existing structure completed its design ife Yes/No If dlalpidated, whether the bridge expert inspected the site and certified Yes/No Copy of inspection report of bridge expetis attached witn the DPR and verified by the STA Yes/No40, Estimated Cost (Rs. In Lakhs) x _ om tal Cost (Re ia Lakhs) | __costperm [Approaches a508 145 [Bridge Super Structure 7586 270 Fosnsaton 3 3a hors 3a 078 [Cost due to higher 0.00 0.00 specification suc Inigher width and tenth ete [osTe uw Ed oo [Fotar 26072 oa MoRD Sharo: Rs 150.43 ‘State Share: Rs. 100.28 (MoRD share and State share to be calculated as per the norms of MoRDINRIDA and Brid Fun tae teas ad ‘and Bridges proposed beyond 8.40.m width and ert 00 m in Special Category States/LWE areas prorata cost should be included in the State 44, INDEX MAP (not to scale): Attached eno ant ane ch : a i re } & i oe 7 vy Sten of propos ge towing cent argent Ps yar Phtorp of proponed Bn6 Lon — acoso oro (nus tenis sie [mer — os rnp so server rns no: nt cannery unm is mama Beier St cop somemon eomPN) y, soremen ose acc rire an atin if acre wt aspscled aide a arp btaton penta ty Sr - Sey coacy ot ourton arene fees ase novoons ci Span ct ert e-cmeatente rare oe ee ea aD ai aie fsspaie 8 mona eS ee OFT an a ea ao ee AD ie ee rec sae‘.catchmant Area (Catchment area should be based on hydrological survey or from topasheet) Hest Ctenment area seved Heaviest Rainfall [aon] 27 Basis of Design Discharge Waterway requiced samt Waterway provided sam {, Scour Depth (m) 45, cost Detail cost Rs. A Goneral Costs Gost of Preparation of DPR (Limited to 1 % of Total cost of Bridge) 24075288 p._Suige Components Description of Compononts [esis cousny | costrs, |r [Foundations Beas | 98657200 | was [abutments BOTTTES | 205955300 | 35 [parapets wao00 | 2aT5820.00 | sree [beck stab Taat—| 703783000 | was ers 7 o [Wing Walls aT | TBORAST.OD [ERAS laa [Wearing Course Tene | Taa0800 | Be Tee [22083400 pons [Deine [Bearngs- Elastomeric or Raler Bearing or PTFE "7e8000.00 | —118800.00 [Earhwork Gncluding for foundation) wraTs | 0713800 [Seismic Stoppers 0.00 [c. Road Component (fr approaches! Bridge) [Granutar Sub base 700 [Soi Aggregate Mix 00 \wem Grav ‘000 [wom Gear MPH ‘000 [Prine Coat ‘o08 [Teck Coat 0.00 OGRE T Surface Dressing ‘000 [Seal Goat 000 [b- Protection works BOTOSS | RIBTERTOO [ERoad Logo, other Road Furniture ZTE F Others 71808.00 IF. cst and we 72688308.63 oral Coat othe Project FS 25072713.90) Total Cost of the Project (Rs) (In Words) 250.72 __Lacs 16, Five Year Routine Maintenance Your [Costin anne [Coat r EBT Te W 3.59) 13% Wr 4.59 T33 7 5.39 25% v 6.19 287% “orar Mamienance Cost 22.57 47, Wether tho Bridge has Geometrics 28 per latest IRC Code/Guidelines and Circular of NRIDA: 1D0.4P.17035/12007-Tech. 30th September, 2010 18, Whether the Cost etmates ate as per standerd data analysis and $.8R.19, Sources andthe Lead distances of Matera are as under ie Source] Lesa Waren Sousa] Tes ace cistane| eae [Keeal_[" 15 _|Cement BEATER we Morum (Subarede) Tuya | 45 [Emulsion Vadose a3 [Aaoreaate. [Barmer|—60—[Btumen- Vases ais = Local_| 15 [Stee TAIPUR 320 This is to Certified that, 41. Span deals of bridgo tallies with DPR & data uploaded on omms.nicin. & there ts no deviation. 2. Information furnished herewith is true to the best of my knowledge, 3. Total cost of the project, Stato share & MoRD share worked out by PIU is justifd. 4. The propose! of bridge isnot a stand elone bridge and on the road proposed under PMGS\ The DRP compiled inclued page index , design crawings are numbered and signed IN In current batch, reece open ae soe ae a — sok Gudenetents Gudamalani Counter Signatures of STATE TECHNICAL AGENCY HPUR STA JODHPUR sTo be filled by State Technical Agency (STA) Nameottresta: MBM STA Todh 4, -Rarda- rurettot? “F-0¢, Al Puan -Sectoe -Cqudrnabuei —MiKavn- RGP:H-Last.— Banta Name of Bridge with Chainagé mn): Crodoras Dye Paliyals —Cramdlav Khund . LSR over NamadaCaval (23/425) 20, Is the proposed work's for CO/Causeway of any length or brigde with span excluding approaches les Than 16m. [STAs need not clear such proposals 21 te the Proposal entered on the ONMAS : (Oata entries to be verified by STA before Clicking the Propopsel) 2. Span of Bridge on wet B40. m b.Span of Bridge As perDPR B “A.D ny * Span of bridge: CIC datance along the contre ine ofthe bridge between inner faces of dit walls, 2.20 47 «©. Whether type of foundation & resting st Yes found to be adequete as per site requirements AA, ro checked and found to be economical & Yes by PIU are suticint & essai from economy point of view. YAS the Bridge is proposed on the existing PMGSY road Yes, Have you veri and sated yours wth alte ites ted at No.8,byPU ay eA, — Have you satised yourself that the road isa part of ORRP & Cenldate Rood st 23 Areyousatistod withthe following st a8 por survey report justitied to be: 4. whether Hydraulle design is checked ‘0. Whether RCC design: {Whether the provisions ma Engineering Sunveys (secon, Xsectons mustbhe verted) Wed, coo en ie te Copemeieredtestenaimennatancessnrene oie (Catchment for structures. tobe vee fom topo sheet Location and requirement of svctues tobe verified tom L secton and ‘catehment area to be marked on Tepa Sheet Cony ) 24 Is the Gesign of te folowing elements as per relevant and atest S/IRC codes Foundations 1 Abutments A" Pers / eck Siab/-~ Wing Walls b- 25 Does the Estimation Conform to Standard Rate Analysis and SOR generated forthe curent Phase Yo x, {for PMGSY works and a copy of SoR provided to STA 25 Does e proposal have provisions for PMGSY Logo Son Boars aa nomaton Board YAS 27 Wether STA and Superintending Engineer have visited th ite? Yo, Date of Vist: Yes, Date of Visit: Yes nether the jin inapection report uploaded on OMMAS Kin inicte whether the progam of visit was informed to NRIDA or por approval? 28 Secic Remar, any by STA { Spesteremars of STA abou te overal Bdge Peet re necessary on each OPR) 23. Ceaticotes: Ceriied thal he proposol of bdge Is checked & found thal he bridge Is on the curenlly proposed road under PMIGSY.ll Certified thal the Design and Estimation for the Proposed bridge are based on th IC codes and guidelines and Clrevir ot NRIDA:vide DO leer #P-17035/1/2007-Tech, 20h Seplember, 2010, Crtiied thal the Design and Estimation for the Proposed brid Propotal ater final Correction Is enlered on the OMMAS.the Propasol may be consid ‘ore based on the data and SSR provided by PIU Engineers. The sdtor clearance. “echnical Scrutiny at STA done by: ‘Signature Signature Coordinator STA: Nome Name ‘Signature Date Date Name c P Choyfinator MEMBER STATE TECHNICAL AGENCY STA JODHPUR JODHPURDAN MANTRIGRAM SADAK YONA CHACK LIST FOR PAU. & S:7.A. (For Individual Road Works) To be filed by the STA [Name ofthe roads Cc sod Li vine emstt: ong Spam Bridger o Cuda Narmada Camo’ Poserol TOY Alpura- Seeleo- Bertin — adit es 23/728) 1.70 [Km, [BARMER, [Name of nek: MANA (GUDAMALAN! Name of the S. T. A. : SGSITS Indore J = a : 2 15- [Is the proposed road entered on the OMNIS? YESTNO 16- [If the proposal is for new connectivity: —h he =__|Hiave you satsied yourself hat he proposed Road ia par ofthe Core Network YES/NO = _[Isthe unconnected Habitaon() part of ist of unconnected Habiaions as pet CN-OT YES7NO = [Doss the Propel ensure ul eonneeviy of he target Habiation: YESINO 2)__IFNo, the nane of Uneonnected Habitation up to which connected ')__Issuch Unconnected Habitation eligible Under PMGSY YES7NO T7-_[Are you satiated with the following 7 [Eneineerng Surveys DESTNO 7 [Seid Material Investigation LL STNO =_ [Traffic SunveysEsimation \LSTNO —Tivaraute Studies sino TS _|In Case Tratic is projected beyond T-3 category are you satisfied withthe reason given |'\ YES/NO abilization ete been proposed. YESINO ALA - 19: _|In Case, sub grade CBR is less than 3; has 30. [ls the design of the following clements as per Rural Roads Manual : jgnment & Geometric SINO = [Pavement Design CFESTNO [ [GD works and protection measures LPESINO > [Side drains YESTNO DA + [Integration for Cross and Longitudinal Drainage YES/NO /U}A + Tie [Does the Estimation confirm to Standard rate analysis and SSR YESTNO NAL ~ Zz [Does the proposal have provision for: ~]P.M.G.S, ¥. Logo Sign Boards ESTO [Rami Sones ESTO, = [Guard Stones (where neessan) YES! = [Trae Sign Boards (asnecsssay) TERTNO [23 Specific remarks, ifany, by S.T.A. \Corjied thatthe Design and Eximarion fr the Proposed Road work are Based onthe data and SS. R- provided by Engineer Iie Proposal afer final Correction is entered onthe OMMS. The Proposal may be considered for clearance. “Technical Serainy = ‘Coordinator Done by STA, Signature Signatu Name Name 7 i i Cootdinator MEMBER STATE TECANICAL AGENCY STA JODHPUR JODHPUR