Proforma C

PRADHAN MANTRI GRAM SADAK YOJANA ( PMGSY -III)

CHECK LIST FOR P.I.U. & S.T.A.
( For Indvidual Road Works )
To be filled by PIU.

1. Location :- State: Punjab District : Patiala Block Bhunerheri

2. Package No:-

3. Name of the Road: From Patiala-Pehowa Road To Jhungian

4. Total Length (Km) - 6.62 In Built up area - 1.12 Km In Open Area - 5.50 Km

5. Type of proposal : Upgradation

If portion of the proposed road is existing PMGSY road than indiacte

Name of the road : Patiala Pehowa Road to Ganeshpur Plant L/T No.
Year of sanction under PMGSY 2013 Year of completion 2014 Design Traffic ( CVPD/ ESAL)

Yes NO
Whether road deteriorated due non maintenance No

6. Estimated Cost Rs :
Normal Area
Cost sharing pattern for this road Special Area (90:10)
(60:40)
Item Total Cost in Rs. Average Cost per Km. Lakhs

Flexible Pavement 258.87

Rigid Pavement 0.00
Others ( CD Works, Protective works & Misc items) 173.38

Cost due to higher specification such as carriage way width, Higher -432.25
Axle load , Hard shoulders, Shifting of Utilities

GST & LWF 0.00

Total Project Cost 0.00
MoRD Share

State Share

7. Is the road a part of DRRP and Approved CUCPL Yes/No Yes

a) If Yes , Through Route/ MRL No. TR or MRL- 3
b) Names of benefitted habitations Name of Habitation Population Overall Weightage
Bibipur 835 13.13
Ibrahimpur 331 5.21
Kharabgarh 1082 17.02
Roshanpur 3029 47.64

Total weight 5277 82.99

c) Utility value = Total weight/ Length of road 12.54

d) Name of facilities located on this proposed road as per DRRP: Bibipur Agro Agro Industry
Bibipur Transport/Admin Panchayat Headquarter
Bibipur Agro Agro Industry
Ibrahimpu Transport/Admin Panchayat Headquarter
rIbrahimpu
Education High School - General
rRoshanpur
Medical Veterinary Hospital
Roshanpur Medical Primary Health Centre
Roshanpur Transport/Admin Bus Stand
Kharabgar Transport/Admin Fuel Station
h
Roshanpur Transport/Admin Bank
Roshanpur Transport/Admin Panchayat Headquarter
Kharabgarh Transport/Admin Panchayat Headquarter
e)Whether the proposed road leads to MDR SH NH

f) Average PCI of the road to which proposed TR or MRL will be connected 4

g) Average PCI value of proposed road 1.60
h) If PCI of MDR / SH / NH is 3 or below , whether the State's undertaking for simultaneouly Yes No
upgrading it from State fund is avaible

i) Age of the proposed road 40 Years

j) Existing surface of proposed road BT

k) Cummalative maintenance expenditure in last three years( in lacs) 28 Lacs
l) Whether the road proposed using new technologies Yes No No
If Yes, Name of the technology proposed
8. a) Whether the Proposed Road has the desired carriage way Carriage way Roadway width Road land width
width,Roadway width and Road Land Width (RLW )
yes No yes No yes No

b) Indicate the actual widths of the following for the proposed road In the Built Up Area (m) In the Open Area (m)
b) Indicate the actual widths of the following for the proposed road In the Built Up Area (m) In the Open Area (m)

i) Carriageway 3.75/3.05 3.75/3.05

ii) Roadway 5.50 5.50

iii) Road Land Width 10.06 10.06

c) Indicate the proposed widths of the following for the proposed road In the Built Up Area (m) In the Open Area (m)

i) Carriageway 5.5 5.50

ii) Roadway 7.50 7.50

INDEX MAP (not to scale ) : Attached saperately

Enroute Habitations Name / Chainage

H1/F1 H2/F2 H3/F3
MDR-42

H- Habitation
MSH-6
ROAD

F-Facilities name

CD1 CD2 CD3

9 Name of Road :
Cross Section details

a) Cross Section of The Existing road showing different component layers.

Item Thickness
RD 0-5.110
OGPC 20
WBM 225
GSB 255
RD 5.110-6.620
OGPC 20
WBM 225

b) Cross Section of The Proposed road showing different component layers

(Should be as per Actual Provisions of DPR) Item Thickness
RD 0-5.110
OGPC 20
WBM 150
GSB G-1 200
RD 8.480,-8.990
OGPC 20
WBM 225
GSB G-1 200

10 Base year traffic volume

Month & Year of Traffic Volume Count =

Day Vehicle Class Total
Cars, Jeeps, Motorized Light Commercial Trucks Agricultural Buses Cycles Cycle Animal
Vans, Three Two Vehicles Unlade Laden Unladen
Laden Tractors/Traliors
Laden Unladen Laden Unladen Rickshaw Drawn
Wheelers Whelers n s Vehicles
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15
Day 1 198 635 180 26 69 15 171 61 19 12 865 24 73
Day 2 202 691 179 19 64 4 138 40 13 10 931 12 59
Day 3 193 685 171 19 60 4 135 38 13 10 939 12 60
Day 4 198 639 181 14 67 12 141 32 18 7 855 21 62
Day 5 204 689 189 18 59 2 143 34 15 12 900 13 65
Day 6 194 684 168 13 65 4 158 38 19 12 926 15 61
Day 7 190 682 174 24 67 13 165 41 12 10 913 14 66
Total 1380 4704 1241 133 450 53 1051 285 109 72 6330 112 445
Average 197.1 672.0 177.2 18.9 64.3 7.6 150.2 40.7 15.6 10.3 904.2 16.0 63.6
Daily
Traffic
PCU 1.0 0.5 1.5 1.5 3.0 3.0 1.5 1.5 3.0 3.0 0.5 2.0 6.0
Factor
Average 197.1 336.0 265.9 28.4 193.0 22.9 225.2 61.0 46.9 30.9 452.1 32.0 381.4 2272.9
Daily
Traffic in
PCU's
3 days traffic cound is required in case design is done using IRC SP:72-2015 and 7 day count required in case design is done with IRC 37:2018
a Traffic Details in case degisn is done as per SP IRC 72:2015
Expected AADT (Commercial Vehicle) CVPD Total of Laden and Unladen commercial vehicles, Truck, Buses and agricultural Tractor/trailors (Before applying the PCU factor)
(6+7+8+9+10+11)
AADT after one year opening of road to the traffic from
68.19 8.09 159.17 43.13 16.58 10.92
the date of census = AADT X 1.06

VDF factor as per IRC : SP 72 2015 2.86 0.34 0.31 0.02 2.86 0.34
Total VDF AADT X VDF factor 195.04 2.75 49.34 0.86 47.41 3.71 299.11
ESAL formula= To x 4811 x L
To = 299.11
L = 1
ESAL application
= 299.11 X 4811 X1 = 1439020
or 1.44 msa
b Traffic Details in case degisn is done as per IRC 37-2001 /IRC 37 :2012

A= Intitial traffic in the year of completion of construction in terms of the number of commericial vehicles per
day
D= Lane distribution factor
 F= Vehicle damage factor
n= Design life in years
r= growth rate adopted %
N= The cumulative number of standard axles to be catered for the design in terms of msa
CVPD

11. Subgrade CBR ( for Different Sections ) =

Chainage RD 0.50 KM RD 1.50 KM RD 2.50 KM RD 3.50 KM RD 4.50 KM RD 5.50 KM RD 6.50 KM
Design
5.50 5.42 5.14 5.28 5.64 5.57 5.28
CBR %

12. Cost Details of upgradation proposal

A. Pavement Components
Description of layer Thickness in mm Quantity Rate Rs Cost Rs.

Clearing, scarifying, dismantling existing CDs etc - 1.128 29,325.01 33065

Earth Work - in Excavation/ Cutting 4762.08 27.28 129895
Earthwork- in Filling (Embankment) 4762.08 40.59 193309
Earthwork- in Filling (Embankment) 10060.96 391.22 3936046
Dismentling of flexible pavement 681.93 246.40 168028
Compacting original ground supporting 29742.00 30.12 895776
embankment.

Subgrade (if provided seperately)/ Treated subgrade 0 0 0

Shoulders (If not considered in the Earthwork) 0

Providing and layiong brick edging. 13369.52 61.07 816467

Laying, rolling and consolidation rthe old material received from 409.16 375.67 153708
scarification.
Granular Sub base 2976.46 1,321.55 3933534
0
Soil + Aggregate Mix 0 0 0
0
WBM Gr -I I 75mm 1857.94 1,996.47 3709329

WBM Gr -I I I 150mm 2766.57 2,066.95 5718356

0
WMM - 0 0 0
Bituminous Layers 0
0
Prime Coat 37301.41 28.52 1063834

Tack Coat @275kg per SQm 37301.41 9.27 345731

OGPC /SDBC/BC ( SDBC / BC if designed by IRC 37) 20mm 37301.41 96.14 3586303

Seal Coat 37301.41 32.26 1203384

BM /DBM ( if designed by IRC 37-2018) 50mm

Surface Dressing

Total cost of Flexible pavement 25886765

Cement Concrete Road
IRCSP 62:2014 IRC 58-2011 0

Design done with 0

GSB 0
WBM/WMM 0
Dry lean concrete( DLC) 0
Concrete for Pavement (M30) 0
Total Cost of Concrete Pavement 0
B: C D Works
Location - Chainage ( Similar Type of CD's may be grouped Type of CD & their Nos Total Length of Culvert Cost in Rs.( in lacs)
together)
i Existing CD ( requiring repair)
Dismentling of CD Structure -42547

ii New proposed CD ( including complete replacement of existing

CDs)
0.45 Mtr Span Type Culvert (New Const.) 4.00 74721.30 298885

0.60 Mtr Single Span Type Culvert (Repair/Extension) 1.00 68400.00 68400

1.50 Mtr Span Type Culvert (Repair/Extension) 6.00 249884.92 1499310

3.00 Mtr Span Type Culvert (Repair/Extension) 5.00 382399.53 1911998

3.00 Mtr Double Span Type Culvert (Repair/Extension) 4.00 472112.55 1888450

0.60 Mtr dia (NP-3) Hume Pipe Culvert (Repair/Extension) 8.00 42379.77 339038

Total Cost of CD works in lacs 5963534

C. Protection works
 Chainage
Length( m) Cost in Rs Average cost / m
From To
Retaining wall 0 65 65
65 132 67
132 143 11
145 200 55
1025 1065 40
2850 2875 25
263 7742656 29440
W type crash barrier 500.00 1405500 2811
Breast wall
Toe wall
Gabbion
Pitching / turfing for slopes
Total cost of protection works 9148156

D. Pucca Side Drains (if Provided) Chainage Length Cost in Rs Average cost / m
(m)
From To
300x300mm RHS 6050 6200 150
LHS 6320 6390 70
RHS 6520 6620 100
LHS 6580 6620 40 360 695880 1933
450x450mm LHS 1200 1240 40
RHS 6360 6520 160
LHS 6390 6460 70
RHS 6200 6360 160
Disposal 75 505 1090800 2160
Repair of Existing Drain 900 955 55
980 1020 40
2720 2770 50 145 208800 1440
Slab for Drains 151.50 231265 1527
Total cost of side drains works 2226745
E. Road Logo, other Road Furniture including Road safety signs
Number Cost in Rs Average cost / km
Number of Boards 177 641370 96884
Road Studs 1054 307719 46483
Road Marking with thermoplastic Sqm 268.88 163164 24647
Rumble strips 3.00 29642 4478
Boundary Pillers 56.00 58077 8773
Total cost of road furniture 1199972 181265
F. Any other Provisions (Please Specify)
DPR Preparation charges etc. 6.62 198600 30000
Total Cost of the Project (Rs) (Without GST) 44623772 6740751.03
GST 12% 5354854 808890.39
Total Cost of the Project (Rs) (With 12% GST) 49978626 7549641.42
13. Five Year Routine Maintenance
Year Cost in lakhs % Cost Cost /km
To be estimated as per provision of Operation Manual I 365483 0.73% 33105
II 457677 0.92% 41456
III 773606 1.55% 70073
IV 969184 1.94% 87788
V 1182386 2.37% 107100
Renewal coat after 5 years 7362135 14.73% 666860

Total Maintenance Cost 11110471 22.23% 1006383

Maintenance after 6th years renewal coat

I 489782 0.98% 44364

II 613331 1.23% 55555

III 1036707 2.07% 93905

IV 1298800 2.60% 117645

V 1584510 3.17% 143524

Total Maintenance Cost 5023129 10.05% 454994

Grand Total of maintenance

Yes NO
14. Whether the road has Geometrics as per Rural Roads Manual RRM / Latest Circulars of NRIDA.

Yes No
15.Whether C.D.works / Protection works are provided as per RRM / Latest Circulars of NRIDA/ Respective Codes of IRC.

16.Does the Estimation Conform to Standard Rate Analysis and SSR generated for the current Phase
Vetted at NRIDA Year
Yes No

17. Sources and the Lead distances of Materials are as under

Material Source Lead Material Source Lead Distance
Distance
(Km)
 Earth Arnoli 15 Cement Devigarh 132
Murrum (Subgrade) 0 Emulsion Panipat 107
Aggregate Burj Kotian 104 Bitumen Panipat 107
Sand Bhartgarh 124 Steel Devigarh 13

Certified that information provided is true

Prepared By Checked By Technical Scrutiny at STA

(Name) done by:

Counter Signatures of
Co-ordinator STA :

To be filled by State Technical Agency

Name of the STA:

Name of Road : Yes / NO to be filled by STA in own handwriting

18 Is the Proposed Road entered on the OMMAS under PMGSY III proposal module:
(Data entries to be verified by STA before Clicking the Propopsal)
19 Have you satisfied yourself that the proposed road is a part of DRRP
20 Are you satisfied with the following
Engineering Surveys (L section, X section on A3 size paper must be verified)
Soil/ Material Investigation ( CBR, Density, LL, PI, Gradation to be verified)
Whether Traffic Surveys / count has been done by third party
Hydraulic Studies.
( Catchment for structures with more than 2 Vents to be verified from topo sheet. Location and requirement of all CD
structures to be verified from L section )
21 In case , Traffic is projected beyond T 7 Category and road designed using IRC 37 are you satisfied with the
reason given by PIU
Whether 3rd party Traffic verification / Axle load Surveys carried out on such roads designed with more than 1
MSA traffic and carriageway width of 5.5 m
22 In case, sub grade CBR is less than 5; has Soil Stabilisation etc. been proposed

( If not , specific Reasons given by PIU)

23 Is the design of the following elements as per Rural Roads Manul / Circulars of NRIDA:

Alignment & Geometrics

Location and type of CD works and Side drains
Integration for Cross and longitudinal Drainage
Protection Works
24 Is the design of flexible Pavement as per IRC SP: 72- 2015 and design of Rigid Pavement as per IRC SP:62- 2014 .

Is the design of flexible Pavement as per IRC 37 2018 and design of Rigid Pavement as per IRC SP:58- 2002.

25 Does the proposal have provisions for

PMGSY Logo Sign Boards and Information Board
Km/Hm Stones
Guard Stones (where necessary )
Traffic Sign Boards (as necessary)
26 Are you satisfied with the Road safety provisions made in the DPR

Whether Road Safety Audit certificate attached in case of the proposed length is more than 5 Km

27 Secific 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.

Technical Scrutiny at STA done by:

Signature Co-ordinator STA:
Name Signature
Date Name

Date