Field Survey Report for Data Collection of Road

No.

Name ofAgency Name DTL

City

M/s
Puranik
Brothers
M/s
Jagadalpur Puranik
Brothers
Raipur

Mr. Hitesh
Khullar

Durg

M/s Vikas
Mr. Raju V.
Associates

Bhilai

M/s Vikas Mr. Ulla

Associates Kollabji

Mr.
M/s Vikas
Rajnandgaon
Nardeep
Associates
Tyagi

Bilaspur

M/s Manoj
Mr. Ritesh
Deshpande
Ranjan Das
Con.

Korba

M/s Manoj
Mr. M. K.
Deshpande
Singh
Con.

Raigarh

M/s Manoj
Mr.
Deshpande
Samantha
Con.

M/s Manoj
Ambikapur Deshpande
Con.

Date of
Survey

Street ID Road ID Source

Road
Name

Road
Type

Maintain
Construct Remarks Carriage
ROW
(In case
Way
ion
width (In
ed By
of any width (In meter)
Material
other):
meter)

Footpath Footpath
Status Construct
ion
Material

Survey Report for Data Collection of Road

S. No.
1
2
3

4
5

Components
Reported Filled by City office
Date of Survey
Street ID
Road ID - Source
Road ID will change in case of
junction of Roads
Change in construction
material/ change in width of
carriage
way
ROW
change in footpath status
Road Name
Road Type
Principal Main Road
Main Road
Other Private Street
Means any street
Road
Lane
Gully
Alley
Passage or square which is
not a public street
Includes any passage
securing access to four or
more premises belonging to
the same or different owners

Remark if any

7
8
9
10

Does not include a passage

provided in effecting a
partition of any masonry
building amongst joint
owners where such passage
is less than two metres and
fifty cm wide
Other Public Street
Means any street,
Road
Lane
Gully
Alley
Passage
Pathway
Square or courtyard
Whether a thoroughfare or
not, over which the public
have a right of way.
National Highway
State Hightway
District Highway
Construction Material
Concrete
WBM
Asphalt
any other
Remarks (In case of any other)
Carriage Way width (In meter)
ROW width (In meter)
Maintained By
Municipal Body
RCD
NHAI

11

12

Other
Footpath Status
Yes
No
Footpath Width (in case of
Yes, in meter)
Footpath Construction Material
Concrete
Tile
Other

Survey Report for Bridges/Flyover

1
2
3
4
5
6

7
8
9
10
11
12
13
14

Sheet ID
Bridge ID
Ward No
Road ID
Locality
Bridge Type
Culvert
Road Over Bridge
Road Bridge Constructed Over
Railway Line
Bridge Across River or Nala
Under Pass
Foot Over Bridge
Length (in Meter)
Width (in Meter)
Construction Material
Concrete
Iron
Masonry
any other
Construction Year

Survey Report for Water Supply Network

1
2
3
4
5

6
7

8
9
10
11

Sheet ID
Warter Supply Network ID
Road Name
Locality Name
Distance from edge of Road (in
Meter)
Construction Material
RCC
GI
AC
CI
PVC
Other
Remark (In case any)
Network Line Type
Distribution Line
Plmping Line
Service Line
Pipe Diameter (in MM)
Valve ID
Type of Valve
Coordinate

Survey Report for Data Collection of Sewerage Network

1
2
3
4
5
6

Sheet ID
Sewerage Network ID
Road Name
Locality Name
Distance from Road (in Mts)
Construction Material
RCC
GI

7
8

AC
CI
PVC
Other
Remark (In case any)
Network Line Type
Sewerage Line
Sewerage Pumping Line
Service Line
Pipe Diameter (in MM)

Survey Report for Other Basic Infrastructure

1
2
3
4
5
6

Sheet ID
ID
Road ID
Road Name
Locality Name
Other Basic Infrastructure
Telephone/Cell Phone Tower
Electric Substation of 33 KVa
or more
Water Treatment Plant
Drainage Pumping Station
Water pumping Stations
Over head Tanks
Sewerage Treatment Plant
Telephone Exchange
Slaughter House
Community toilet
Fire Stations
Tube Well
Hand Pump
Bus shelters

7
8

Water Supply Valves

Sluice Valve
Hydrant
Vent Shaft
Sewerage Pumping Station
Man Hole
Description (if any)
Capacity
Should be filled only for
Electric Substation of 33 KVa
or more
Water Treatment Plant
Drainage Pumping Station
Water pumping Stations
Over head Tanks
Sewerage Treatment Plant
Sewerage Pumping Stations
Status
Working
Not-Working