Profoma-C: Widening and Strengthening of Undva Liladhal Vankod Road 2019-2020
Profoma-C: Widening and Strengthening of Undva Liladhal Vankod Road 2019-2020
PROFOMA-C
PRADHANMANTRI GRAM SADAK YOJANA (PMGSY)
CHECK LIST FOR P.I.U. & S.T.A.
(FOR INDIVIDUAL ROAD WORKS)
To be filled by PIU
Candidate Road?
DRRP
Road name Trace Map Rank
No
Component Road 166251 Undhva Holi Faliya Approach
1 (06/55) Road
Component Road 166380
Zinzari Ubharvan Road
2 (01/60)
Component Road 166399
Vankod Zinzari Lidhadhal Road
3 (01/69)
Component Road 1438532
Zinzari Dhal Faliya
4 (VR67)
- b) If Yes, Through Route / MRL No. T - 01 Or MRL
- Names of benefitted habitation
Three Wheelers
Cycle Rickshaw
Two Wheelers
Pedestrain
Tractors
Cycles
Truck
Carts
Cars
Bus
Days
Total
Location- Chainage (Similar type Type of CD & their Cost in Rs. (in
Length of
Of CD’s may be grouped together) Nos Lacs)
Culvert
Existing CD (Required Repair)
- - - -
- - - -
- - - -
New Proposed CD (including
complete replacement of existing
CDs)
Pipe Culvert 1 x 1000 Pipe Culvert 6 Nos 10 m 20.0 Lac
Pipe Culvert 1 x 900 Pipe Culvert 6 Nos 10 m 14.72 lac
Pipe Culvert 2 x 1000 Pipe Culvert 1 Nos 10 m 4.63 Lac
Pipe Culvert 2 x 900 Pipe Culvert 8 Nos 10 m 25.37 Lac
Pipe Culvert 3 x 1000 Pipe Culvert 2 Nos 10 m 11.96 Lac
Pipe Culvert 3 x 900 Pipe Culvert 2 Nos 10 m 7.77 lac
New Box Culvert (2.0 x 2.0) 2 Nos New Box Culvert 8.5 m 36.84 Lac
Total Cost of CD Works in Lacs 121.32 Lac
C. Protection Works:-
Chainage Average
Length (m) Cost in Rs.
From To cost/ m
Yes No
14. Whether the road has Geometrics as per Rural Roads Manual RRM /
✓
Latest Circulars of NRIDA
15. Whether C.D. works / Protection works are provided as per RRM /
✓
Latest Circulars of NRIDA / Respective Codes of IRC.
16. Does the Estimation Confirm to Standard Rate Vetted at
Analysis and SSR generated for the current Phase NRIDA Year
Yes No
17. Sources and the Lead distance of Materials are as under
Lead
Lead
Material Source Distance Material Source
Distance
(Km)
Earth Halol 34 Cement Halol 34
Murrum Sevaliya 60 Emulsion Vadodara 82
Aggregate Sevaliya 60 Bitumen Vadodara 82
Sand Halol 34 Steel Halol 34
M-Sand Halol 34
Counter Signature of
Co-ordinator STA :
To be filled by S.T.A
In case, sub grade CBR less than 5; has Soil Stabilization etc.
22 a.
been Proposed.
b. (if not, specific Reason given by PIU)
Is the design of the following elements as per rural Roads Manual /
Circulars of NRIDA
a. Alignment & Geometrics
23
b. Location and the type of CD Works and Side Drains
c. Integration for cross and longitudinal drainage
d. Protection Works
Is the design of flexible pavement as per IRC SP 72 : 2015 and
24 a.
design of rigid pavement as per IRC SP: 62 :2014.
Is the design of flexible pavement as per IRC 37 : 2018 and
b.
design of Rigid Pavement as per IRC SP 58:2011.
25 Does the proposal have provision for
a. PMGSY Logo Sign Board and Information Board
b. Km / Hm Stone
c. Guard Stone (When Necessary)
d. Traffic Sign Boards (As Necessary)
Are you satisfied with the road safety provisions made in the
26 a.
DPR
Whether Road Safety Audit certificate attached in case of the
b.
proposed lengths is more than 5 Km.
27 Specific Remarks, If any, by STA
(Specific remarks of STA about the overall project are necessary on each DPR)
Certified that the Design and Estimation for the Proposed Road work are based on the
data and SSR provided by PIU Engineers . The Proposal after final Correction is
entered on the OMMAS.The Propasal may be considered for clearance.
Signature Signature
Name Name
Date