Proforma C

PRADHANMANTRI GRAM SADAK YOJANA (PMGSYIII)

CHECK LIST FOR P.I.U. & S.T.A.
(For individual Road Works)
To be filled by PIU
1.Location:- Patharapunji State Odisha District Ganjam Block Sanakhemundi

2.Package No :

3.Name of the Road : From :- PWD Road to Bhaliajhala To Adapada via Dharamaraypur, Patharpunji

4. Total Length (km) - 3.558 In Built up area 1.028 km In open area- 2.530 km

5.Types of proposal : Upgradation/Riding quality improvement/Both

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

Name of the Road : PWD Road to Bhaliajhala to Adapada via Dharamaraypur, Patharpunji L/T No.
Design Traffic (CVPD/ 0.00 MSA
Year of sanction PMGSY Year of completion ESAL) 210385

Whether road deteriorated due non maintenance Yes No

√
6.Estimated Cost Rs:
Cost Sharing Pattern For this road Normal Area(60:40) Special Area (90:10)

Item Total Cost In Rs. Average Per Km. Lakhs

Flexible Pavement 11465389.47 32.22
Rigid Pavement 0.00 0
Other (CD Works,
g Protective
p works & Misc items)
g y , g , 9460250.80 26.59
shoulders, Shifting of Utilities 33586.72 0.09
GST & LWF 2815667.93 7.91
Total Project Cost Rs. 2,37,74,894.92 66.81
MoRD Share 23774894.92 66.82
State Share

7.Is the road a part of DRRP and Approved CUCPL Yes/No Yes
a)If yes,What are the Trace map rankings of the components of the candidate road? Component DRRP Road
Road Name Trace Map Rank
Road 1 Number
PWD Road to Bhaliajhala to
Adapada via Dharamaraypur,
Patharpunji

b) If yes,Through Route / MRL No. T- OR MRL 24

Name of Habitation Population Overall Weightage
c) Names of benefitted habitations Patharapunji 2267
Ramachandrapur 3231
Adapada 2850
Total weight 8348
d) Utility value=Total weight/Length of road
e)Name of Facilities located on this proposed road as per DRRP:
f)Whether the proposed road leads to MDR SH NH

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

h) Average PCI value of Proposed road 2
) , g y
Upgrading it from state fund is available Yes No
j) Age of the proposed road
k) Existing surface of proposed road BT/Earthen/CC
l) cummalative maintenance expenditure in last three years(in lacs) 0
m) Whether the road proposed using new technologies Yes No
If,yes Name of the technology proposed Cold Mix
8.a) Whether the proposed Road has the desired carriage way Carriage way Road 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)
i) Carriageway 3.75 3.75
ii) Roadway 7.50 7.50
) p p iii) Road Land Width g p p Varies from 7 to 10 Varies from 7 to 10
road In the Built Up Area (m) In the Open Area (m)
i) Carriageway 3.75 3.75
ii) Roadway 7.50 7.50
iii) Road Land Width 8.00 8.00
9 Name of the Road : PWD Road to Bhaliajhala to Adapada via Dharamaraypur, Patharpunji
Cross Section details
a) Cross Section of The Existing road showing different component layers.
Item Thickness(mm)
Moorum -
Granular 175
BT Thin BT Layer
b) Cross Section of The Proposed road showing different component layers.
(Should be as per Actual Provisions of DPR)

Item for Earthen portion Thickness(mm)

GSB 175
WBM Gr-II 75
WBM Gr-III 75
PMC 20
Seal Coat -
10 Base year traffic volume
Month & year of Traffic Volume Count =
Motorised Traffic Non-motorised Traffic
cars,jeep, Motorised Light Trucks Agricultural Tractors Trallers Buses Animal Drawn vechicle
Cycle
Days vans,Three two Commercial Cycles
L U OL L U OL L U OL Rickshawa SWC Num. tyred
Wheelers Wheelers vehicle
Day 1 35 689 163 6 5 24 26 0 0 241 15 22 68
Day 2 42 625 207 4 4 19 28 0 0 357 11 13 67
Day 3 45 533 277 5 7 34 33 0 0 255 12 17 84
Average 41 616 216 5 5 26 29 0 0 284 13 17 73
3 days traffice cound is required in case desing is done using IRC SP:72-2015 and 7day count required in case desing is done with IRC 37:2018
Passenger car unit(PCU)
a) Traffic Deatails in case degisn is done as per SP IRC 72:2015
ADT in the year of Traffic Count= 1325
Growth rate adopted (%)= @6% per year Base Year Traffic AADT( T)= 1324
Desing Life = 10 Years
Number of Harvesting Seasons= 1
No. of Days in Each Harvesting season (t)=70
Value of (n) assumed = 1 . Comulative (ESAL) = 210385
Traffic Category = T5
b) Traffic Details in case degisn is done as per IRC 37-2001 / IRC 37 :2012
P=No. Of commercial vehicle as per last count
A= intial traffic in the year of completion of construction in terms of the number of commerical vehicles per day
D=Lane distribution
F=Vehicle damage factor
n=Desing life in years
r=Groth rate adopter %
No. of year between last count and the year of completion of constructionConstruction Period (x)
N=The Cumulative number of standard axles to be catered for the desing in terms of mas N=365x[(1+r)n-1]xAXDxF/r
CVPD
11 Subgrade CBR ( for Different Sections ) =
Chainage 0/0-1/0 1/0-2/0 2/0-3/0 3/0-3/558
CBR soaked 5.23 4.35 5.65 4.90
DesingCBR (%)
CBR unsoaked 9.03 7.20 9.60 8.40
12. Cost Details Of Upgradation Proposal
Cost of Preparation of DPR Per KM 15000.00 53370.00 15000.00
A. Pavement Components

Thickness in mm Quantity Rate Rs. Cost Rs. Cost/Km (Rs)

Description of layer
Clearing,Scarifying,dismantling existing CDs etc. 160528.36 45117.58
Earthwork-in Excavation /cutting 0.00 0.00
Earthwork-In Filling 12230.77 162.72 1990190.28 559356.46
Earthwork-In Filling (Embankment) 365.72 32.80 11995.62 3371.45
Excavation 256.00 28.58 7316.59 2056.38
Subgrade (If provided separately)Treated subgrade
Shoulders (if not considered in the Earthwork) 100mm 0.00 618.06 0.00 0.00
Granular Sub base 175mm 1494.82 1928.49 2882745.42 810215.13
Soil +Aggregate Mix
WBM Gr-II 75mm 40.50 1979.85 80183.93 22536.24
WBM Gr-III 75mm 765.15 2061.49 1577346.60 443323.95
Primecoat 10201.95 25.18 256885.10 72199.30
Tackcoat 10201.95 9.02 92021.59 25863.29
OGPC/SDBC/BC(SDBC/BC if designed using IRC 37-2018) 25mm 10201.95 127.60 1301768.82 365870.94
Sealcoat 10201.95 49.59 505914.70 142190.75
Total Cost of Flexible pavement 8866897.00 2492101.46
Cement Concrete Road
IRCSP 62:2014 IRC 58-2011
design done with
Earthwork 0 0 0.00 0.00
sand filling 0 0.00 0.00
PCC M-10 0 0 0.00 0.00
GSB 0.00 0.00 0.00 0.00
WBM GR-II 0.00 0.00 0.00 0.00
Dry lean concrete (DLC) 0 0 0.00 0.00
Cell fill Concrete 385.50 6380.16 2459551.68 691273.66
Total cost of concrete pavement 2459551.68 691273.66
B: C D Works g ( yp y g p
together)
p p ( g p p Types of CD Nos Total Length of culvert(in mtr) Cost in Rs.
ii existing CDs)
1000mm dia Single 2 378522.78
1000mm dia Double 3 642584.08
RCC BOX CULVERTS
2
1/33/0 2452805.32
Total Cost of CD Works in Rs. 3473912.18
C. protection Works
Chainage
From To Length(m) Cost in Rs Avrage cost / m
Toe wall 980 4091377.58 1149909.382
Pitching / turfing for slopes 185913.60 52252.27656
Total Cost of Protection works in lacs 4277291.18 1202161.658
D. Pucca Side Drains Chainage Cost in Rs Avrage cost / m
Length(m)
From To
600.00 1286208.84 361497.7066

Total cost of Side drains Works 1286208.84 361497.7066

E. Road logo, other Road Furniture including Road safety signs
Number Cost in RS Average cost / km
100 246668.20 69327.77

Number of Boards 378 305170.40 85770.21

Total cost of road furniture 551838.60 155097.98

F. Any other Provisions (Please Specify)

Shifting of electric pole 33586.72

GST 12% 2815667.93 791362.54

Total cost of the Project (Rs) 23784737.41 5380584.02
13 Five Year Routine Maintenance
To be estimated as per provision of Operation Manual
Year Cost in lakhs % Cost Cost / km
I 2.29 1.10 0.64
II 2.75 1.30 0.77
III 3.21 1.50 0.90
IV 3.67 1.80 1.03
V 4.13 1.98 1.16
Renewal coat after 5 years 43.59 12.25
Total Maintenance Cost 59.65 7.68 4.51
Maintenance after 6 th years renewal coat
I 0.44 0.16 0.12
II 0.52 0.19 0.15
III 0.61 0.22 0.17
IV 0.70 0.26 0.20
V 0.78 0.29 0.22
Total Maintenance Cost 3.05 1.12 0.86
Grand Total maintenance 62.70
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 code 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 Distance (Km) Material Source Lead Distance
Earth Local 5 Cement Berhampur 40
Moorum Local 5 Emulsion Vizag 315

Sand Ghodahada 5 Steel Berhampur 40

M-Sand Ghodahada 5

Certified that information provided is true

Prepared By
(Name) Checked By Technical Scrutiny at STA done By
Counter Signatures of
Co-ordinator STA:
 To be filled by State Technical Agency
Name of the STA: IIT,Bhubaneswar
Name of Road: PWD Road to Bhaliajhala to Adapada via Dharamaraypur, Patharpunji Yes / No to be filled by STA in own handwriting
18 Is the Proposed Road entered on the OMMAS under PMGSY III proposal module:
a. Havey you satisfied yourself
p that
p the proposedgRoad isya part of DRRP p g
19 b. trace maps rank in the same block
Are you satisfied with the following
a. Engineering Surveys (L section, X section must be verified)
b. Soil / Material Investigation (CBR, Density, LL,PI, Gradation to be verified)
c. Whether Traffic Surveys / count has been done by third party
20 d. Hydraulic
, Studies p j y g y g g y ( catchme
a. reason given pby the
y PIU y g
21 b. MSA traffic and carriageway width of 5.5m
a. In case, sub grade CBR is less than 3; has soil stabilisation etc. been proposed
22 b. ( if not , specific reason given by PIU)
Is the design of the following elements as per Rural Roads Manual / Circulars of NRRDA:
a. Alignment & Geometric
b. Location and type of CD works and side drains
c. Integration for Cross and Longitudinal Drainage
23 d. Protection works
a. Is the design of flexible pavement as per SP;72-2015 and design of Rigid pavement as per IRC SP:62-2014
24 b. Is the design of flexible pavement as per IRC 37 2018 and design of Rigid pavement as per IRC SP:58-2011
Dose the proposal have provision for
a. PMGSY Logo, Sign Boards & Information Boards
b. Km / Hm Stones
c. Guard Stones (where necessary)
25 d. Traffic Sign Boards (as necessary)
a. Are you satisfiedwith the Road safety provisions made in the DPR
26 b. Whether Road safety Audit certified attached in case of the proposed length is more than 5 Km
Specific Remarks, if any, by STA
(Specific remarks of STA about the overall project are necessary on each DPR)
27
g p p y g p p
may be considered for clearance.

Technical Scrutiny at STA done by: Co-ordinator STA :

Signature Signature
Name Name
Date Date