Application For Construction

Application Form for Construction of bridges / culverts over rivers / drainage channels / canals to be done by private persons / entities ( other than Government Departments / Organisations / Undertakings )

 

1. Name & Contact details of the Applicant
a) Name* :
b) Status* (Individual / Authorised Signatory for ) : Society Company Firm
c) Name of Firm / Company / Society (If applicable , otherwise mention 'NA')* :
d) Address* :
e) Landline No* :
f) Mobile No * :
g) Email * :
2. Name of the river / channel / canal over which new bridge / culvert work is proposed
a) Name of the river * :
b) Name of the channel * :
c) Name of the canal * :
3. Location of the proposed new bridge / culvert work
a) Mouza / Village / Locality * :
b) Gram Panchayat / Municipal work * :
c) PanchayatSamity / Municipality * :
d) Police Station * :
e) District * :
4. Appropriate geo-referencing of the location
a) Latitude * :
b) Longitude * :
5. Name of the industrial campus / residential campus with RS plot no. Dag no. of the premises associated with the proposed new bridge
a) RS Plot No. * :
b) Dag No. * :
c) Khatian No. * :
6. Distance of premises (for the benefit of which the new bridge / culvert is proposed ) from thr proposed new bridge / culvert site along alignment, for alternate access .
a) : Metre
7. Whether alternate access, stated at SL. 6. above is existing or has to be constructed / developed
a) : Contructed To Be Developed Existing
8. Proposed / existing width of the alternate access road
a) : Metre
9. In Case the alternate access is to be constructed / developed , name of the implementing / executing authority for such development and name of the local authority for according permission . Such local authority may be panchayat samity in rural areas and Municipality/Municipal Corporation/development authority in urban and semi-urban areas
a) Name of the implementing / executing authority :
b) Name of the local authority :
10. Reference number and date of letter of NoC of the local authority regarding construction of the new bridge / culvert . Such authority may be panchayat samity in rural areas and Municipality/Municipal Corporation/development authority for urban areas .
a) Ref No. :
b) Date :
11. Justification of the proposal of the proposed new bridge / culvert work (Within 3 lines / sentences. )
a) :
12. Type of Proposed new bridge / culvert
a) : FootBridge / Culvert Single lane road bridge Double lane road bridge
Note 1 : Footbridge is mainly for pedestrian traffic with occasional 4-wheeler, carriageway width 2.0m.
Note 2 : Single lane bridge for higher category of traffic carriageway width of 4.2m , upto 20m total spans.
Note 3 : Double lane bridge of minimum carriageway width of 5.5m , beyond 20m total span or heavier traffic density even at lower span.
13. Total length and width of the proposed new bridge / culvert
a) Length : (metre)
a)Carriageway Width : (metre)
14. Distance of the nearest new bridge / culvert in upstream and downstream from the proposed new bridge / culvert location
a) Upstream : (metre)
b) Downstream : (metre)
15. Attach the scanned copies of the following :
a) Index plan preferably drawing of mouza map, showing the proposed new bridge / culvert , approaches on the plots belonging to I&WD/Government, plot of the premises for which the new bridge / culvert is proposed and alignment of the access/approach road , from the new bridge / culvert site up to the entrance of the premises . :
b) Letter of Local Authority according NoC (vide Sl. 10) :
c) General arrangement drawing of the new bridge / culvert prepared by licenced structural Engineer showing :
  • > Plan
  • > Elevation
  • > Typical cross section of the structure, superimposed of the river / channel / canal section
  • > Typical cross section of the proposed protection work in upstream as well as downstream for a length of 15m from center line of bridge axis by brick block pitching / stone bloulder pitching / cement concrete block pitching over a layer of filter
:
   
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Note 1 : Standard Operating Procedure (SOP) for processing the application has been detailed at Annex-II
Note 2 : Guiding principles to be followed in the Irrigation & Waterways Department to accord permission for construction of bridge / culvert over rivers / drainage channels / irrigation canal may be perused at Annex-III
Note 3 : Standard format of undertaking to be submitted by the Applicant is at Annex-IV