input data sheets - Mahatma Gandhi National Rural...

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PO„^è Œ „Ѩ ^Õ âò „QÍg∞}Ïaè =$kú JHÍ_» g∞, ÃÇ· Ï^Œ ~åÉÏ^£ A A A A PO„^è Œ „Ѩ ^Õ âò „QÍg∞} Láêkè Ǩ g∞ Ѩ ^ä Œ Hõ O Input Data Sheet („áê^äŒq∞Hõ ã¨=∂Kå~° Ѩ„`«=Ú) EARTHEN BUNDING (=∞\˜ì Hõ@ìÅ∞) General Information (™ê^è•~°} ã¨=∂Kå~°=Ú) 1. Name of Gram Panchayat : „QÍ=∞ ѨOKå~Úf ¿Ñ~°∞ 2. Name of Village / Habitation : „QÍ=∞=Ú/Ǩa>Ë+¨<£ ¿Ñ~°∞ 3. Name of Work : (Include location/landmark details) Ѩx ¿Ñ~°∞ („Ѩ^Õâ◊=Ú/QÆ∞iÎOѨ٠ã¨÷Å=Ú) 4. Work Scope : (Mention purpose of work) Ѩx ܡÚHõ¯ Ѩikè (ѨxܡÚHõ¯ L^ÕÌâ◊º=Ú) 5. Name of the Land owners benefited : ÅaÌ á/Ok# Éèí∂q∞ Ü«∞[=∂#∞Å ¿Ñ~°∞¡ Ô~·`«∞ ¿Ñ~°∞ Farmer’s name ‰õΩÅ=Ú (Ü«∞ãπ.ã≤./Ü«∞ãπ.\˜./a.ã≤./W`«~°∞Å∞) SC/ST/BC/Others 1. 2. 6. Survey no(s) (㨈~fi <≥O|~°∞¡) : 7. G P S (Éè∫QÀoHõ ™ê÷#O) Longitude : (ˆ ~MÏOâ) Latitude : (JHΔÍOâ◊=Ú) 8. GP/MP/ZP Priority No. : „QÍ=∞ ѨOKå~Úf/=∞O_»Öò Ѩi+¨`ü/lÖÏ¡ Ѩi+¨`ü ܡÚHõ¯ „áê^è•#º`« ã¨OYº Technical Information (™êOˆHuHõ ã¨=∂Kå~°O) 1. Bund Length (m) : (Hõ@ì á/_»=Ù (g∞)) 2. Soil type : Hard (Rocky Soil/SDR/HDR) Ordinary:Red /Morum/Clay/Gravel <ÕÅ ~°Hõ=Ú : QÆ\˜ì<ÕÅ(~åu/Ü«∞ãπ._ç.P~ü/ÃÇÏK£._ç.P~ü) ™ê^è •~° }:(Z„~° /"Ú~° O/|OHõ /QÆ ~° ∞QÆ ∞) 3. No. of Stone outlets : (=∞`«Î_ç/ ~åu K«Ñ≤Ê_çÅ ã¨OYº) 4. Stone Availability : 0-2.5 2.5-5 5-10 10-15 >15 (~åà◊√§ ÅaèOKÕ ^Œ∂~°=Ú (H˜.g∞)) Name of the official filling these details : (ã¨=∂Kå~°=Ú xOÑ≤# JkèHÍi ¿Ñ~°∞) Designation of officer filling these details : (ã¨=∂Kå~°=Ú xOÑ≤# JkèHÍi Ǩϟ^•) Signature Date: 㨠O`« Hõ O `Õ k

Transcript of input data sheets - Mahatma Gandhi National Rural...

PO„ èŒ„Ñ Õâò „QÍg∞Ïaè=$kú JHÍ_»g∞, ÃÇ·Ï Œ~åÉÏ £

A A

A A

PO„ èŒ„Ñ Õâò „QÍg∞ Láêkè Çg∞ Ñ äŒHõO

Input Data Sheet („áê äŒq∞Hõ ã¨=∂Kå~° Ѩ„ «=Ú)EARTHEN BUNDING (=∞\ì Hõ@ìÅ∞)

General Information (™ê è•~° ã¨=∂Kå~°=Ú)1. Name of Gram Panchayat :

„QÍ=∞ ѨOKå~Úf ¿Ñ~°∞2. Name of Village / Habitation :

„QÍ=∞=Ú/Ǩa>Ë+¨<£ ¿Ñ~°∞3. Name of Work :

(Include location/landmark details)

Ѩx ¿Ñ~°∞ („Ѩ Õâ◊=Ú/QÆ∞iÎOѨ٠ã÷Å=Ú)4. Work Scope :

(Mention purpose of work)

Ѩx ܡÚHõ Ѩikè (ѨxܡÚHõ L ÕÌâ◊º=Ú)5. Name of the Land owners benefited :

ÅaÌ á⁄Ok# Éèí∂q∞ Ü«∞[=∂#∞Å ¿Ñ~°∞¡ Ô~· «∞ ¿Ñ~°∞ Farmer’s name ‰õΩÅ=Ú (Ü«∞ãπ.ã≤./Ü«∞ãπ.\˜./a.ã≤./W «~°∞Å∞)

SC/ST/BC/Others

1.

2.

6. Survey no(s) (ã¨~fi <≥O|~°∞¡) :

7. G P S (Éè∫QÀoHõ ™ê÷#O)Longitude :

(~MÏOâ◊=Ú)

Latitude :

(JH∆ÍOâ◊=Ú)8. GP/MP/ZP Priority No. :

„QÍ=∞ ѨOKå~Úf/=∞O_»Öò Ѩi+¨ ü/lÖÏ¡ Ѩi+¨ ü ܡÚHõ „áê è•#º « ã¨OYº

Technical Information (™êOˆHuHõ ã¨=∂Kå~°O)1. Bund Length (m) :

(Hõ@ì á⁄_»=Ù (g∞))2. Soil type : Hard (Rocky Soil/SDR/HDR) Ordinary:Red /Morum/Clay/Gravel

<ÕÅ ~°Hõ=Ú : QÆ\ì<ÕÅ(~åu/Ü«∞ãπ._ç.P~ü/ÃÇÏK£._ç.P~ü) ™ê è•~°:(Z„~°/"≥Ú~°O/|OHõ/QÆ~°∞QÆ∞)3. No. of Stone outlets :

(=∞ «Î_ç/ ~åu K«Ñ≤Ê_çÅ ã¨OYº)4. Stone Availability : 0-2.5 2.5-5 5-10 10-15 >15

(~åà◊√§ ÅaèOKÕ Œ∂~°=Ú (H˜.g∞))

Name of the official filling these details :

(ã¨=∂Kå~°=Ú xOÑ≤# JkèHÍi ¿Ñ~°∞)Designation of officer filling these details :

(ã¨=∂Kå~°=Ú xOÑ≤# JkèHÍi Ǩϟ^•)

Signature Date:

ãO «HõO Õk

PO„ èŒ„Ñ Õâò „QÍg∞Ïaè=$kú JHÍ_»g∞, ÃÇ·Ï Œ~åÉÏ £

A A

A A

PO„ èŒ„Ñ Õâò „QÍg∞ Láêkè Çg∞ Ñ äŒHõO

Input Data Sheet („áê äŒq∞Hõ ã¨=∂Kå~° Ѩ„ «=Ú)Stone Bund / Terrace (~åuHõ@ìÅ∞)

General Information (™ê è•~° ã¨=∂Kå~°=Ú)1. Name of Gram Panchayat :

„QÍ=∞ ѨOKå~Úf ¿Ñ~°∞2. Name of Village / Habitation :

„QÍ=∞=Ú/Ǩa>Ë+¨<£ ¿Ñ~°∞3. Name of Work :

(Include location/landmark details)

Ѩx ¿Ñ~°∞ („Ѩ Õâ◊=Ú/QÆ∞iÎOѨ٠ã÷Å=Ú)4. Work Scope :

(Mention purpose of work)

Ѩx ܡÚHõ Ѩikè (ѨxܡÚHõ L ÕÌâ◊º=Ú)5. Name of the Land owners benefited :

ÅaÌ á⁄Ok# Éèí∂q∞ Ü«∞[=∂#∞Å ¿Ñ~°∞¡ Ô~· «∞ ¿Ñ~°∞ Farmer’s name ‰õΩÅ=Ú (Ü«∞ãπ.ã≤./Ü«∞ãπ.\˜./a.ã≤./W «~°∞Å∞)

SC/ST/BC/Others

1.

2.

6. Survey no(s) (ã¨~fi <≥O|~°∞¡) :

7. G P S (Éè∫QÀoHõ ™ê÷#O)Longitude :

(~MÏOâ◊=Ú)

Latitude :

(JH∆ÍOâ◊=Ú)8. GP/MP/ZP Priority No. :

„QÍ=∞ ѨOKå~Úf/=∞O_»Öò Ѩi+¨ ü/lÖÏ¡ Ѩi+¨ ü ܡÚHõ „áê è•#º « ã¨OYº

Technical Information (™êOˆHuHõ ã¨=∂Kå~°O)1. Total Bund Length (m) :

("≥Ú «ÎO Hõ@ì á⁄_»=Ù (g∞))

2. CSA (Sq.M)(0.16/0.24) :

(J_»∞¤HÀ « "≥·âßźO (K«.g∞))

Name of the official filling these details :

(ã¨=∂Kå~°=Ú xOÑ≤# JkèHÍi ¿Ñ~°∞)Designation of officer filling these details :

(ã¨=∂Kå~°=Ú xOÑ≤# JkèHÍi Ǩϟ^•)

Signature Date:

ãO «HõO Õk

PO„ èŒ„Ñ Õâò „QÍg∞Ïaè=$kú JHÍ_»g∞, ÃÇ·Ï Œ~åÉÏ £

A A

A A

PO„ èŒ„Ñ Õâò „QÍg∞ Láêkè Çg∞ Ñ äŒHõO

Input Data Sheet („áê äŒq∞Hõ ã¨=∂Kå~° Ѩ„ «=Ú)Continuous Contour Trenches (x~°=kèHõ ã¨=∞ «Å HõO ŒHÍÅ∞)

General Information (™ê è•~° ã¨=∂Kå~°=Ú)

1. Name of Gram Panchayat :

„QÍ=∞ ѨOKå~Úf ¿Ñ~°∞

2. Name of Village / Habitation :

„QÍ=∞=Ú/Ǩa>Ë+¨<£ ¿Ñ~°∞

3. Name of Work :

(Include location/landmark details)

Ѩx ¿Ñ~°∞ („Ѩ Õâ◊=Ú/QÆ∞iÎOѨ٠ã÷Å=Ú)

4. Work Scope :

(Mention purpose of work)

Ѩx ܡÚHõ Ѩikè (ѨxܡÚHõ L ÕÌâ◊º=Ú)

5. Survey no(s) (ã¨~fi <≥O|~°∞¡) :

6. G P S (Éè∫QÀoHõ ™ê÷#O)Longitude :

(~MÏOâ◊=Ú)

Latitude :

(JH∆ÍOâ◊=Ú)7. GP/MP/ZP Priority No. :

„QÍ=∞ ѨOKå~Úf/=∞O_»Öò Ѩi+¨ ü/lÖÏ¡ Ѩi+¨ ü ܡÚHõ „áê è•#º « ã¨OYº

Technical Information (™êOˆHuHõ ã¨=∂Kå~°O)1. Treatment Area (Acre) :

(Ѩx J=∞Å∞KÕ¿ã „áêO « qã‘Î~°‚O(Z))2. Soil type : Hard (Rocky Soil/SDR/HDR) Ordinary:Red /Morum/Clay/Gravel

<ÕÅ ~°Hõ=Ú : QÆ\ì<ÕÅ(~åu/Ü«∞ãπ._ç.P~ü/ÃÇÏK£._ç.P~ü) ™ê è•~°:(Z„~°/"≥Ú~°O/|OHõ/QÆ~°∞QÆ∞)3. Depth of trench (M) :

(HõO ŒHõO Ö’ «∞ (g∞))4. Slope(%) :

("åÅ∞âß «O)Name of the official filling these details :

(ã¨=∂Kå~°=Ú xOÑ≤# JkèHÍi ¿Ñ~°∞)Designation of officer filling these details :

(ã¨=∂Kå~°=Ú xOÑ≤# JkèHÍi Ǩϟ^•)

Signature Date:

ãO «HõO Õk

PO„ èŒ„Ñ Õâò „QÍg∞Ïaè=$kú JHÍ_»g∞, ÃÇ·Ï Œ~åÉÏ £

A A

A A

PO„ èŒ„Ñ Õâò „QÍg∞ Láêkè Çg∞ Ñ äŒHõO

Input Data Sheet („áê äŒq∞Hõ ã¨=∂Kå~° Ѩ„ «=Ú)Water Absorption Trenches (h\˜ xÅfi HõO ŒHÍÅ∞)

General Information (™ê è•~° ã¨=∂Kå~°=Ú)

1. Name of Gram Panchayat :

„QÍ=∞ ѨOKå~Úf ¿Ñ~°∞

2. Name of Village / Habitation :

„QÍ=∞=Ú/Ǩa>Ë+¨<£ ¿Ñ~°∞

3. Name of Work :

(Include location/landmark details)

Ѩx ¿Ñ~°∞ („Ѩ Õâ◊=Ú/QÆ∞iÎOѨ٠ã÷Å=Ú)

4. Work Scope :

(Mention purpose of work)

Ѩx ܡÚHõ Ѩikè (ѨxܡÚHõ L ÕÌâ◊º=Ú)

5. Survey no(s) (ã¨~fi <≥O|~°∞¡) :

6. G P S (Éè∫QÀoHõ ™ê÷#O)Longitude :

(~MÏOâ◊=Ú)

Latitude :

(JH∆ÍOâ◊=Ú)7. GP/MP/ZP Priority No. :

„QÍ=∞ ѨOKå~Úf/=∞O_»Öò Ѩi+¨ ü/lÖÏ¡ Ѩi+¨ ü ܡÚHõ „áê è•#º « ã¨OYº

Technical Information (™êOˆHuHõ ã¨=∂Kå~°O)1. Soil type : Hard (Rocky Soil/SDR/HDR) Ordinary:Red /Morum/Clay/Gravel

<ÕÅ ~°Hõ=Ú : QÆ\ì<ÕÅ(~åu/Ü«∞ãπ._ç.P~ü/ÃÇÏK£._ç.P~ü) ™ê è•~°:(Z„~°/"≥Ú~°O/|OHõ/QÆ~°∞QÆ∞)2. Length of trench (M) :

(HõO ŒHõO á⁄_»=Ù (g∞))3. Depth of trench (M) :

(HõO ŒHõO Ö’ «∞ (g∞))

Name of the official filling these details :

(ã¨=∂Kå~°=Ú xOÑ≤# JkèHÍi ¿Ñ~°∞)Designation of officer filling these details :

(ã¨=∂Kå~°=Ú xOÑ≤# JkèHÍi Ǩϟ^•)

Signature Date:

ãO «HõO Õk

PO„ èŒ„Ñ Õâò „QÍg∞Ïaè=$kú JHÍ_»g∞, ÃÇ·Ï Œ~åÉÏ £

A A

A A

PO„ èŒ„Ñ Õâò „QÍg∞ Láêkè Çg∞ Ñ äŒHõO

Input Data Sheet („áê äŒq∞Hõ ã¨=∂Kå~° Ѩ„ «=Ú)Staggered Trenches (YO_ç « HõO ŒHÍÅ∞)

General Information (™ê è•~° ã¨=∂Kå~°=Ú)

1. Name of Gram Panchayat :

„QÍ=∞ ѨOKå~Úf ¿Ñ~°∞

2. Name of Village / Habitation :

„QÍ=∞=Ú/Ǩa>Ë+¨<£ ¿Ñ~°∞

3. Name of Work :

(Include location/landmark details)

Ѩx ¿Ñ~°∞ („Ѩ Õâ◊=Ú/QÆ∞iÎOѨ٠ã÷Å=Ú)

4. Work Scope :

(Mention purpose of work)

Ѩx ܡÚHõ Ѩikè (ѨxܡÚHõ L ÕÌâ◊º=Ú)

5. Survey no(s) (ã¨~fi <≥O|~°∞¡) :

6. G P S (Éè∫QÀoHõ ™ê÷#O)Longitude :

(~MÏOâ◊=Ú)

Latitude :

(JH∆ÍOâ◊=Ú)7. GP/MP/ZP Priority No. :

„QÍ=∞ ѨOKå~Úf/=∞O_»Öò Ѩi+¨ ü/lÖÏ¡ Ѩi+¨ ü ܡÚHõ „áê è•#º « ã¨OYº

Technical Information (™êOˆHuHõ ã¨=∂Kå~°O)1. Treatment Area (Acre) :

(Ѩx J=∞Å∞KÕ¿ã „áêO « qã‘Î~°‚O(Z))2. Soil type : Hard (Rocky Soil/SDR/HDR) Ordinary:Red /Morum/Clay/Gravel

<ÕÅ ~°Hõ=Ú : QÆ\ì<ÕÅ(~åu/Ü«∞ãπ._ç.P~ü/ÃÇÏK£._ç.P~ü) ™ê è•~°:(Z„~°/"≥Ú~°O/|OHõ/QÆ~°∞QÆ∞)3. Slope(%) :

("åÅ∞âß «O)4 Depth of trench (M) :

(HõO ŒHõO Ö’ «∞ (g∞))

Name of the official filling these details :

(ã¨=∂Kå~°=Ú xOÑ≤# JkèHÍi ¿Ñ~°∞)Designation of officer filling these details :

(ã¨=∂Kå~°=Ú xOÑ≤# JkèHÍi Ǩϟ^•)

Signature Date:

ãO «HõO Õk

PO„ èŒ„Ñ Õâò „QÍg∞Ïaè=$kú JHÍ_»g∞, ÃÇ·Ï Œ~åÉÏ £

A A

A A

PO„ èŒ„Ñ Õâò „QÍg∞ Láêkè Çg∞ Ñ äŒHõO

Input Data Sheet („áê äŒq∞Hõ ã¨=∂Kå~° Ѩ„ «=Ú)Farm Pond (¿ã^ŒºÑ¨Ù h\˜ ‰õΩO@)

General Information (™ê è•~° ã¨=∂Kå~°=Ú)1. Name of Gram Panchayat :

„QÍ=∞ ѨOKå~Úf ¿Ñ~°∞2. Name of Village / Habitation :

„QÍ=∞=Ú/Ǩa>Ë+¨<£ ¿Ñ~°∞3. Name of Work :

(Include location/landmark details)

Ѩx ¿Ñ~°∞ („Ѩ Õâ◊=Ú/QÆ∞iÎOѨ٠ã÷Å=Ú)4. Work Scope :

(Mention purpose of work)

Ѩx ܡÚHõ Ѩikè (ѨxܡÚHõ L ÕÌâ◊º=Ú)5. Name of the Farmer :

Ô~·`«∞ ¿Ñ~°∞ ‰õΩÅ=Ú (Ü«∞ãπ.ã≤./Ü«∞ãπ.\˜./a.ã≤./W «~°∞Å∞)SC/ST/BC/Others

1.

2.

6. Survey no(s) (ã¨~fi <≥O|~°∞¡) :

7. G P S (Éè∫QÀoHõ ™ê÷#O)Longitude :

(~MÏOâ◊=Ú)

Latitude :

(JH∆ÍOâ◊=Ú)7. GP/MP/ZP Priority No. :

„QÍ=∞ ѨOKå~Úf/=∞O_»Öò Ѩi+¨ ü/lÖÏ¡ Ѩi+¨ ü ܡÚHõ „áê è•#º « ã¨OYºTechnical Information (™êOˆHuHõ ã¨=∂Kå~°O)1. Approximate Catchment Area (Acres) of Pond :

(h\˜ ‰õΩO@ Ѩi"åǨÏHõ „áêO « qã‘Î~°‚O)2. Soil type : Hard (Rocky Soil/SDR/HDR) Ordinary:Red /Morum/Clay/Gravel

<ÕÅ ~°Hõ=Ú : QÆ\ì<ÕÅ(~åu/Ü«∞ãπ._ç.P~ü/ÃÇÏK£._ç.P~ü) ™ê è•~°:(Z„~°/"≥Ú~°O/|OHõ/QÆ~°∞QÆ∞)3. Top Length of Pond (M) :

(h\˜‰õΩO@ ÃÑ· á⁄_»=Ù (g∞))4. Top Width of Pond (M) :

(h\˜‰õΩO@ ÃÑ· "≥_»Å∞Ê (g∞))5. Depth of Pond (m) :

(h\˜ ‰õΩO@ Ö’ «∞ (g∞))4. Stone Availability (km) : 0-2.5 2.5-5 5-10 10-15 >15

(~åà◊√§ ÅaèOKÕ Œ∂~°=Ú (H˜.g∞))Name of the official filling these details :

(ã¨=∂Kå~°=Ú xOÑ≤# JkèHÍi ¿Ñ~°∞)Designation of officer filling these details :

(ã¨=∂Kå~°=Ú xOÑ≤# JkèHÍi Ǩϟ^•)Signature Date:

ãO «HõO Õk

PO„ èŒ„Ñ Õâò „QÍg∞Ïaè=$kú JHÍ_»g∞, ÃÇ·Ï Œ~åÉÏ £

A A

A A

PO„ èŒ„Ñ Õâò „QÍg∞ Láêkè Çg∞ Ñ äŒHõO

Input Data Sheet („áê äŒq∞Hõ ã¨=∂Kå~° Ѩ„ «=Ú)Sunken Pond (ã¨OÔH<£ áêO_£)

General Information (™ê è•~° ã¨=∂Kå~°=Ú)1. Name of Gram Panchayat :

„QÍ=∞ ѨOKå~Úf ¿Ñ~°∞2. Name of Village / Habitation :

„QÍ=∞=Ú/Ǩa>Ë+¨<£ ¿Ñ~°∞3. Name of Work :

(Include location/landmark details)

Ѩx ¿Ñ~°∞ („Ѩ Õâ◊=Ú/QÆ∞iÎOѨ٠ã÷Å=Ú)4. Work Scope :

(Mention purpose of work)

Ѩx ܡÚHõ Ѩikè (ѨxܡÚHõ L ÕÌâ◊º=Ú)5. Name of the Gully/Stream :

=OHõ ¿Ñ~°∞6. Survey no(s) (ã¨~fi <≥O|~°∞¡) :

7. G P S (Éè∫QÀoHõ ™ê÷#O)Longitude :

(~MÏOâ◊=Ú)

Latitude :

(JH∆ÍOâ◊=Ú)8. GP/MP/ZP Priority No. :

„QÍ=∞ ѨOKå~Úf/=∞O_»Öò Ѩi+¨ ü/lÖÏ¡ Ѩi+¨ ü ܡÚHõ „áê è•#º « ã¨OYº

Technical Information (™êOˆHuHõ ã¨=∂Kå~°O)1. Catchment Area (Acres) :

(Ѩi"åǨÏHõ „áêO « qã‘Î~°‚O)2. Soil type : Hard (Rocky Soil/SDR/HDR) Ordinary:Red /Morum/Clay/Gravel

<ÕÅ ~°Hõ=Ú : QÆ\ì<ÕÅ(~åu/Ü«∞ãπ._ç.P~ü/ÃÇÏK£._ç.P~ü) ™ê è•~°:(Z„~°/"≥Ú~°O/|OHõ/QÆ~°∞QÆ∞)3. Gully Width (M) :

(=OHõ "≥_»Å∞Ê (g∞))4. Depth of Pond (m) :

(‰õΩO@ Ö’ «∞ (g∞))5. Stone Availability (km) : 0-2.5 2.5-5 5-10 10-15 >15

(~åà◊√§ ÅaèOKÕ Œ∂~°=Ú (H˜.g∞))Name of the official filling these details :

(ã¨=∂Kå~°=Ú xOÑ≤# JkèHÍi ¿Ñ~°∞)Designation of officer filling these details :

(ã¨=∂Kå~°=Ú xOÑ≤# JkèHÍi Ǩϟ^•)

Signature Date:

ãO «HõO Õk

PO„ èŒ„Ñ Õâò „QÍg∞Ïaè=$kú JHÍ_»g∞, ÃÇ·Ï Œ~åÉÏ £

A A

A A

PO„ èŒ„Ñ Õâò „QÍg∞ Láêkè Çg∞ Ñ äŒHõO

Input Data Sheet („áê äŒq∞Hõ ã¨=∂Kå~° Ѩ„ «=Ú)Sunken Pit (WO‰õΩ_»∞ QÆ∞O`«)

General Information (™ê è•~° ã¨=∂Kå~°=Ú)1. Name of Gram Panchayat :

„QÍ=∞ ѨOKå~Úf ¿Ñ~°∞2. Name of Village / Habitation :

„QÍ=∞=Ú/Ǩa>Ë+¨<£ ¿Ñ~°∞3. Name of Work :

(Include location/landmark details)

Ѩx ¿Ñ~°∞ („Ѩ Õâ◊=Ú/QÆ∞iÎOѨ٠ã÷Å=Ú)4. Work Scope :

(Mention purpose of work)

Ѩx ܡÚHõ Ѩikè (ѨxܡÚHõ L ÕÌâ◊º=Ú)5. Name of the Gully/Stream :

=OHõ ¿Ñ~°∞6. Survey no(s) (ã¨~fi <≥O|~°∞¡) :

7. G P S (Éè∫QÀoHõ ™ê÷#O)Longitude :

(~MÏOâ◊=Ú)

Latitude :

(JH∆ÍOâ◊=Ú)8. GP/MP/ZP Priority No. :

„QÍ=∞ ѨOKå~Úf/=∞O_»Öò Ѩi+¨ ü/lÖÏ¡ Ѩi+¨ ü ܡÚHõ „áê è•#º « ã¨OYº

Technical Information (™êOˆHuHõ ã¨=∂Kå~°O)1. Catchment Area (Acres) :

(Ѩi"åǨÏHõ „áêO « qã‘Î~°‚O)2. Soil type : Hard (Rocky Soil/SDR/HDR) Ordinary:Red /Morum/Clay/Gravel

<ÕÅ ~°Hõ=Ú : QÆ\ì<ÕÅ(~åu/Ü«∞ãπ._ç.P~ü/ÃÇÏK£._ç.P~ü) ™ê è•~°:(Z„~°/"≥Ú~°O/|OHõ/QÆ~°∞QÆ∞)3. Gully Width (M) :

(=OHõ "≥_»Å∞Ê (g∞))4. Depth of Gully (m) :

(QÆb¡ Ö’ «∞ (g∞))5. Pit Depth (m) :

(WO‰õΩ_»∞ QÆ∞O « Ö’ «∞ (g∞))5. Stone Availability (km) : 0-2.5 2.5-5 5-10 10-15 >15

(~åà◊√§ ÅaèOKÕ Œ∂~°=Ú (H˜.g∞))Name of the official filling these details :

(ã¨=∂Kå~°=Ú xOÑ≤# JkèHÍi ¿Ñ~°∞)Designation of officer filling these details :

(ã¨=∂Kå~°=Ú xOÑ≤# JkèHÍi Ǩϟ^•)

Signature Date:

ãO «HõO Õk

PO„ èŒ„Ñ Õâò „QÍg∞Ïaè=$kú JHÍ_»g∞, ÃÇ·Ï Œ~åÉÏ £

A A

A A

PO„ èŒ„Ñ Õâò „QÍg∞ Láêkè Çg∞ Ñ äŒHõO

Input Data Sheet („áê äŒq∞Hõ ã¨=∂Kå~° Ѩ„ «=Ú)Rock Fill Dam (~åH± Ƕ≤Öò _®ºO)

General Information (™ê è•~° ã¨=∂Kå~°=Ú)1. Name of Gram Panchayat :

„QÍ=∞ ѨOKå~Úf ¿Ñ~°∞2. Name of Village / Habitation :

„QÍ=∞=Ú/Ǩa>Ë+¨<£ ¿Ñ~°∞3. Name of Work :

(Include location/landmark details)

Ѩx ¿Ñ~°∞ („Ѩ Õâ◊=Ú/QÆ∞iÎOѨ٠ã÷Å=Ú)4. Work Scope :

(Mention purpose of work)

Ѩx ܡÚHõ Ѩikè (ѨxܡÚHõ L ÕÌâ◊º=Ú)5. Name of the Gully/Stream :

=OHõ ¿Ñ~°∞6. Survey no(s) (ã¨~fi <≥O|~°∞¡) :

7. G P S (Éè∫QÀoHõ ™ê÷#O)Longitude :

(~MÏOâ◊=Ú)

Latitude :

(JH∆ÍOâ◊=Ú)8. GP/MP/ZP Priority No. :

„QÍ=∞ ѨOKå~Úf/=∞O_»Öò Ѩi+¨ ü/lÖÏ¡ Ѩi+¨ ü ܡÚHõ „áê è•#º « ã¨OYºTechnical Information (™êOˆHuHõ ã¨=∂Kå~°O)1. Soil type : Hard (Rocky Soil/SDR/HDR) Ordinary:Red /Morum/Clay/Gravel

<ÕÅ ~°Hõ=Ú : QÆ\ì<ÕÅ(~åu/Ü«∞ãπ._ç.P~ü/ÃÇÏK£._ç.P~ü) ™ê è•~°:(Z„~°/"≥Ú~°O/|OHõ/QÆ~°∞QÆ∞)2. Dam Length (M) :

(_®ºO á⁄_»=Ù (g∞))3. Dam Height (m) :

(_®ºO Z «∞Î (g∞))4. Stone Availability (km) : 0-2.5 2.5-5 5-10 10-15 >15

(~åà◊√§ ÅaèOKÕ Œ∂~°=Ú (H˜.g∞))

Name of the official filling these details :

(ã¨=∂Kå~°=Ú xOÑ≤# JkèHÍi ¿Ñ~°∞)

Designation of officer filling these details :

(ã¨=∂Kå~°=Ú xOÑ≤# JkèHÍi Ǩϟ^•)

Signature Date:

ãO «HõO Õk

PO„ èŒ„Ñ Õâò „QÍg∞Ïaè=$kú JHÍ_»g∞, ÃÇ·Ï Œ~åÉÏ £

A A

A A

PO„ èŒ„Ñ Õâò „QÍg∞ Láêkè Çg∞ Ñ äŒHõO

Input Data Sheet („áê äŒq∞Hõ ã¨=∂Kå~° Ѩ„ «=Ú)Loose Boulder Structure (q_ç~åà◊§ Hõ@ì)

General Information (™ê è•~° ã¨=∂Kå~°=Ú)1. Name of Gram Panchayat :

„QÍ=∞ ѨOKå~Úf ¿Ñ~°∞2. Name of Village / Habitation :

„QÍ=∞=Ú/Ǩa>Ë+¨<£ ¿Ñ~°∞3. Name of Work :

(Include location/landmark details)

Ѩx ¿Ñ~°∞ („Ѩ Õâ◊=Ú/QÆ∞iÎOѨ٠ã÷Å=Ú)4. Work Scope :

(Mention purpose of work)

Ѩx ܡÚHõ Ѩikè (ѨxܡÚHõ L ÕÌâ◊º=Ú)5. Name of the Gully/Stream :

=OHõ ¿Ñ~°∞6. Survey no(s) (ã¨~fi <≥O|~°∞¡) :

7. G P S (Éè∫QÀoHõ ™ê÷#O)Longitude :

(~MÏOâ◊=Ú)

Latitude :

(JH∆ÍOâ◊=Ú)8. GP/MP/ZP Priority No. :

„QÍ=∞ ѨOKå~Úf/=∞O_»Öò Ѩi+¨ ü/lÖÏ¡ Ѩi+¨ ü ܡÚHõ „áê è•#º « ã¨OYº

Technical Information (™êOˆHuHõ ã¨=∂Kå~°O)1. Soil type : Hard (Rocky Soil/SDR/HDR) Ordinary:Red /Morum/Clay/Gravel

<ÕÅ ~°Hõ=Ú : QÆ\ì<ÕÅ(~åu/Ü«∞ãπ._ç.P~ü/ÃÇÏK£._ç.P~ü) ™ê è•~°:(Z„~°/"≥Ú~°O/|OHõ/QÆ~°∞QÆ∞)2. Bund Length (M) :

(Hõ@ì á⁄_»=Ù (g∞))3. Bund Height (m) :

(Hõ@ì Z «∞Î (g∞))4. Stone Availability (km) : 0-2.5 2.5-5 5-10 10-15 >15

(~åà◊√§ ÅaèOKÕ Œ∂~°=Ú (H˜.g∞))

Name of the official filling these details :

(ã¨=∂Kå~°=Ú xOÑ≤# JkèHÍi ¿Ñ~°∞)Designation of officer filling these details :

(ã¨=∂Kå~°=Ú xOÑ≤# JkèHÍi Ǩϟ^•)

Signature Date:

ãO «HõO Õk

PO„ èŒ„Ñ Õâò „QÍg∞Ïaè=$kú JHÍ_»g∞, ÃÇ·Ï Œ~åÉÏ £

A A

A A

PO„ èŒ„Ñ Õâò „QÍg∞ Láêkè Çg∞ Ñ äŒHõO

Input Data Sheet („áê äŒq∞Hõ ã¨=∂Kå~° Ѩ„ «=Ú)Soil Conservation Gabion (<ÕÅ ã¨O~°Hí∆ QaÜ«∞<£)

General Information (™ê è•~° ã¨=∂Kå~°=Ú)1. Name of Gram Panchayat :

„QÍ=∞ ѨOKå~Úf ¿Ñ~°∞2. Name of Village / Habitation :

„QÍ=∞=Ú/Ǩa>Ë+¨<£ ¿Ñ~°∞3. Name of Work :

(Include location/landmark details)

Ѩx ¿Ñ~°∞ („Ѩ Õâ◊=Ú/QÆ∞iÎOѨ٠ã÷Å=Ú)4. Work Scope :

(Mention purpose of work)

Ѩx ܡÚHõ Ѩikè (ѨxܡÚHõ L ÕÌâ◊º=Ú)5. Name of the Gully/Stream :

=OHõ ¿Ñ~°∞6. Survey no(s) (ã¨~fi <≥O|~°∞¡) :

7. G P S (Éè∫QÀoHõ ™ê÷#O)Longitude :

(~MÏOâ◊=Ú)

Latitude :

(JH∆ÍOâ◊=Ú)8. GP/MP/ZP Priority No. :

„QÍ=∞ ѨOKå~Úf/=∞O_»Öò Ѩi+¨ ü/lÖÏ¡ Ѩi+¨ ü ܡÚHõ „áê è•#º « ã¨OYº

Technical Information (™êOˆHuHõ ã¨=∂Kå~°O)1. Soil type : Hard (Rocky Soil/SDR/HDR) Ordinary:Red /Morum/Clay/Gravel

<ÕÅ ~°Hõ=Ú : QÆ\ì<ÕÅ(~åu/Ü«∞ãπ._ç.P~ü/ÃÇÏK£._ç.P~ü) ™ê è•~°:(Z„~°/"≥Ú~°O/|OHõ/QÆ~°∞QÆ∞)2. Dam Length (M) :

(_®ºO á⁄_»=Ù (g∞))3. Dam Height (m) :

(_®ºO Z «∞Î (g∞))4. Stone Availability (km) : 0-2.5 2.5-5 5-10 10-15 >15

(~åà◊√§ ÅaèOKÕ Œ∂~°=Ú (H˜.g∞))5. Wire Mesh Qty. (Sq.m)

("≥·~ü "≥∞+π "≥·âßźO(K«.g∞))Name of the official filling these details :

(ã¨=∂Kå~°=Ú xOÑ≤# JkèHÍi ¿Ñ~°∞)Designation of officer filling these details :

(ã¨=∂Kå~°=Ú xOÑ≤# JkèHÍi Ǩϟ^•)

Signature Date:

ãO «HõO Õk

PO„ èŒ„Ñ Õâò „QÍg∞Ïaè=$kú JHÍ_»g∞, ÃÇ·Ï Œ~åÉÏ £

A A

A A

PO„ èŒ„Ñ Õâò „QÍg∞ Láêkè Çg∞ Ñ äŒHõO

Input Data Sheet („áê äŒq∞Hõ ã¨=∂Kå~° Ѩ„ «=Ú)Water Harvesting Gabion (h\˜ xÅfi QaÜ«∞<£)

General Information (™ê è•~° ã¨=∂Kå~°=Ú)1. Name of Gram Panchayat :

„QÍ=∞ ѨOKå~Úf ¿Ñ~°∞2. Name of Village / Habitation :

„QÍ=∞=Ú/Ǩa>Ë+¨<£ ¿Ñ~°∞3. Name of Work :

(Include location/landmark details)

Ѩx ¿Ñ~°∞ („Ѩ Õâ◊=Ú/QÆ∞iÎOѨ٠ã÷Å=Ú)4. Work Scope :

(Mention purpose of work)

Ѩx ܡÚHõ Ѩikè (ѨxܡÚHõ L ÕÌâ◊º=Ú)5. Name of the Gully/Stream :

=OHõ ¿Ñ~°∞6. Survey no(s) (ã¨~fi <≥O|~°∞¡) :

7. G P S (Éè∫QÀoHõ ™ê÷#O)Longitude :

(~MÏOâ◊=Ú)

Latitude :

(JH∆ÍOâ◊=Ú)8. GP/MP/ZP Priority No. :

„QÍ=∞ ѨOKå~Úf/=∞O_»Öò Ѩi+¨ ü/lÖÏ¡ Ѩi+¨ ü ܡÚHõ „áê è•#º « ã¨OYº

Technical Information (™êOˆHuHõ ã¨=∂Kå~°O)1. Soil type : Hard (Rocky Soil/SDR/HDR) Ordinary:Red /Morum/Clay/Gravel

<ÕÅ ~°Hõ=Ú : QÆ\ì<ÕÅ(~åu/Ü«∞ãπ._ç.P~ü/ÃÇÏK£._ç.P~ü) ™ê è•~°:(Z„~°/"≥Ú~°O/|OHõ/QÆ~°∞QÆ∞)2. Dam Length (M) :

(_®ºO á⁄_»=Ù (g∞))3. Dam Height (m) :

(_®ºO Z «∞Î (g∞))4. Stone Availability (km) : 0-2.5 2.5-5 5-10 10-15 >15

(~åà◊√§ ÅaèOKÕ Œ∂~°=Ú (H˜.g∞))5. Wire Mesh Qty. (Sq.m) :

("≥·~ü "≥∞+π "≥·âßźO(K«.g∞))Name of the official filling these details :

(ã¨=∂Kå~°=Ú xOÑ≤# JkèHÍi ¿Ñ~°∞)Designation of officer filling these details :

(ã¨=∂Kå~°=Ú xOÑ≤# JkèHÍi Ǩϟ^•)

Signature Date:

ãO «HõO Õk

PO„ èŒ„Ñ Õâò „QÍg∞Ïaè=$kú JHÍ_»g∞, ÃÇ·Ï Œ~åÉÏ £

A A

A A

PO„ èŒ„Ñ Õâò „QÍg∞ Láêkè Çg∞ Ñ äŒHõO

Input Data Sheet („áê äŒq∞Hõ ã¨=∂Kå~° Ѩ„ «=Ú)Mini Percolation Tank (z#fl T@ ‰õΩO@Å∞)

General Information (™ê è•~° ã¨=∂Kå~°=Ú)1. Name of Gram Panchayat :

„QÍ=∞ ѨOKå~Úf ¿Ñ~°∞

2. Name of Village / Habitation :

„QÍ=∞=Ú/Ǩa>Ë+¨<£ ¿Ñ~°∞

3. Name of Work :

(Include location/landmark details)

Ѩx ¿Ñ~°∞ („Ѩ Õâ◊=Ú/QÆ∞iÎOѨ٠ã÷Å=Ú)

4. Work Scope :

(Mention purpose of work)

Ѩx ܡÚHõ Ѩikè (ѨxܡÚHõ L ÕÌâ◊º=Ú)

5. Name of the Farmer :

Ô~·`«∞ ¿Ñ~°∞ ‰õΩÅ=Ú (Ü«∞ãπ.ã≤./Ü«∞ãπ.\˜./a.ã≤./W «~°∞Å∞)SC/ST/BC/Others

1.

2.

6. Survey no(s) (ã¨~fi <≥O|~°∞¡) :

7. G P S (Éè∫QÀoHõ ™ê÷#O)Longitude :

(~MÏOâ◊=Ú)

Latitude :

(JH∆ÍOâ◊=Ú)

8. GP/MP/ZP Priority No. :„QÍ=∞ ѨOKå~Úf/=∞O_»Öò Ѩi+¨ ü/lÖÏ¡ Ѩi+¨ ü ܡÚHõ „áê è•#º « ã¨OYº

Technical Information (™êOˆHuHõ ã¨=∂Kå~°O)

1. Soil type : Hard (Rocky Soil/SDR/HDR) Ordinary:Red /Morum/Clay/Gravel

<ÕÅ ~°Hõ=Ú : QÆ\ì<ÕÅ(~åu/Ü«∞ãπ._ç.P~ü/ÃÇÏK£._ç.P~ü) ™ê è•~°:(Z„~°/"≥Ú~°O/|OHõ/QÆ~°∞QÆ∞)

2. Catchment Area (Acres) :

(Ѩi"åǨÏHõ „áêO « qã‘Î~°‚O)

3. Jungle Type (Light or Scrub/Medium or Dense/Julie Flora):

(=Úà◊§ á⁄ ŒÅ ~°HõO( ÕeHõ ÖË • ѨÅ∞K«x/=∞ 茺ã÷ ÖËHõ QÆ∞|∞~°∞/Eb á¶È¡~å)

PO„ èŒ„Ñ Õâò „QÍg∞Ïaè=$kú JHÍ_»g∞, ÃÇ·Ï Œ~åÉÏ £

A A

A A

PO„ èŒ„Ñ Õâò „QÍg∞ Láêkè Çg∞ Ñ äŒHõO

4. Void Percentage :

(á⁄ ŒÅ =∞ 茺 MÏmÅ âß «O)

5. Top Width of Bund (m) :

(Hõ@ì ÃÑ· "≥_»Å∞Ê)

6. Depth of Stripping (m) :

(`˘ÅyOK«=Åã≤# <ÕÅ ÃÑ· á⁄~° =∞O ŒO)

7. By Wash Width :

(=∞~°=/JÅ∞QÆ∞ "≥_»Å∞Ê)

8. Stone Availability (km) : 0-2.5 2.5-5 5-10 10-15 >15

(~åà◊√§ ÅaèOKÕ Œ∂~°=Ú (H˜.g∞))

10.Chainage (m) Bund Length (m) Ground Level/Bund Height

K≥·<Õ*ò Hõ@ì á⁄_»=Ù <ÕÅ =∞@ìO/Hõ@ì Z «Î∞

Name of the official filling these details :

(ã¨=∂Kå~°=Ú xOÑ≤# JkèHÍi ¿Ñ~°∞)

Designation of officer filling these details :

(ã¨=∂Kå~°=Ú xOÑ≤# JkèHÍi Ǩϟ^•)

Signature Date:

ãO «HõO Õk

PO„ èŒ„Ñ Õâò „QÍg∞Ïaè=$kú JHÍ_»g∞, ÃÇ·Ï Œ~åÉÏ £

A A

A A

PO„ èŒ„Ñ Õâò „QÍg∞ Láêkè Çg∞ Ñ äŒHõO

Input Data Sheet („áê äŒq∞Hõ ã¨=∂Kå~° Ѩ„ «=Ú)Percolation Tank (T@ ‰õΩO@Å∞)

General Information (™ê è•~° ã¨=∂Kå~°=Ú)1. Name of Gram Panchayat :

„QÍ=∞ ѨOKå~Úf ¿Ñ~°∞

2. Name of Village / Habitation :

„QÍ=∞=Ú/Ǩa>Ë+¨<£ ¿Ñ~°∞

3. Name of Work :

(Include location/landmark details)

Ѩx ¿Ñ~°∞ („Ѩ Õâ◊=Ú/QÆ∞iÎOѨ٠ã÷Å=Ú)

4. Work Scope :

(Mention purpose of work)

Ѩx ܡÚHõ Ѩikè (ѨxܡÚHõ L ÕÌâ◊º=Ú)

5. Name of the Farmer :

Ô~·`«∞ ¿Ñ~°∞ ‰õΩÅ=Ú (Ü«∞ãπ.ã≤./Ü«∞ãπ.\˜./a.ã≤./W «~°∞Å∞)SC/ST/BC/Others

1.

2.

6. Survey no(s) (ã¨~fi <≥O|~°∞¡) :

7. G P S (Éè∫QÀoHõ ™ê÷#O)Longitude :

(~MÏOâ◊=Ú)

Latitude :

(JH∆ÍOâ◊=Ú)

8. GP/MP/ZP Priority No. :„QÍ=∞ ѨOKå~Úf/=∞O_»Öò Ѩi+¨ ü/lÖÏ¡ Ѩi+¨ ü ܡÚHõ „áê è•#º « ã¨OYº

Technical Information (™êOˆHuHõ ã¨=∂Kå~°O)

1. Soil type : Hard (Rocky Soil/SDR/HDR) Ordinary:Red /Morum/Clay/Gravel

<ÕÅ ~°Hõ=Ú : QÆ\ì<ÕÅ(~åu/Ü«∞ãπ._ç.P~ü/ÃÇÏK£._ç.P~ü) ™ê è•~°:(Z„~°/"≥Ú~°O/|OHõ/QÆ~°∞QÆ∞)

2. Catchment Area (Acres) :

(Ѩi"åǨÏHõ „áêO « qã‘Î~°‚O)

3. Jungle Type (Light or Scrub/Medium or Dense/Julie Flora):

(=Úà◊§ á⁄ ŒÅ ~°HõO( ÕeHõ ÖË • ѨÅ∞K«x/=∞ 茺ã÷ ÖËHõ QÆ∞|∞~°∞/Eb á¶È¡~å)

PO„ èŒ„Ñ Õâò „QÍg∞Ïaè=$kú JHÍ_»g∞, ÃÇ·Ï Œ~åÉÏ £

A A

A A

PO„ èŒ„Ñ Õâò „QÍg∞ Láêkè Çg∞ Ñ äŒHõO

4. Void Percentage :

(á⁄ ŒÅ =∞ 茺 MÏmÅ âß «O)

5. Top Width of Bund (m) :

(Hõ@ì ÃÑ· "≥_»Å∞Ê)

6. Depth of Stripping (m) :

(`˘ÅyOK«=Åã≤# <ÕÅ ÃÑ· á⁄~° =∞O ŒO)

7. Length of Key Trench(m) :

(H© „>ˇOK£ á⁄_»=Ù (g∞))

8. Weir Type : Flush Escape/B.C. Weir/Paved By wash/H.C.Weir

(=∞~°= ~°HõO)

9. Stone Availability (km) : 0-2.5 2.5-5 5-10 10-15 >15

(~åà◊√§ ÅaèOKÕ Œ∂~°=Ú (H˜.g∞))

11.Chainage (m) Bund Length (m) Ground Level/Bund Height

K≥·<Õ*ò Hõ@ì á⁄_»=Ù <ÕÅ =∞@ìO/Hõ@ì Z «Î∞

Name of the official filling these details :

(ã¨=∂Kå~°=Ú xOÑ≤# JkèHÍi ¿Ñ~°∞)

Designation of officer filling these details :

(ã¨=∂Kå~°=Ú xOÑ≤# JkèHÍi Ǩϟ^•)

Signature Date:

ãO «HõO Õk

PO„ èŒ„Ñ Õâò „QÍg∞Ïaè=$kú JHÍ_»g∞, ÃÇ·Ï Œ~åÉÏ £

A A

A A

PO„ èŒ„Ñ Õâò „QÍg∞ Láêkè Çg∞ Ñ äŒHõO

Input Data Sheet („áê äŒq∞Hõ ã¨=∂Kå~° Ѩ„ «=Ú)Field Channel (Ƕ‘Öò¤ Kèå<≥Öò)

General Information (™ê è•~° ã¨=∂Kå~°=Ú)1. Name of Gram Panchayat :

„QÍ=∞ ѨOKå~Úf ¿Ñ~°∞2. Name of Village / Habitation :

„QÍ=∞=Ú/Ǩa>Ë+¨<£ ¿Ñ~°∞3. Name of Work :

(Include location/landmark details)

Ѩx ¿Ñ~°∞ („Ѩ Õâ◊=Ú/QÆ∞iÎOѨ٠ã÷Å=Ú)4. Work Scope :

(Mention purpose of work)

Ѩx ܡÚHõ Ѩikè (ѨxܡÚHõ L ÕÌâ◊º=Ú)5. Survey no(s) (ã¨~fi <≥O|~°∞¡) :

6. G P S (Éè∫QÀoHõ ™ê÷#O)Longitude :

(~MÏOâ◊=Ú)

Latitude :

(JH∆ÍOâ◊=Ú)7. GP/MP/ZP Priority No. :

„QÍ=∞ ѨOKå~Úf/=∞O_»Öò Ѩi+¨ ü/lÖÏ¡ Ѩi+¨ ü ܡÚHõ „áê è•#º « ã¨OYº

Technical Information (™êOˆHuHõ ã¨=∂Kå~°O)1. Soil type : Hard (Rocky Soil/SDR/HDR) Ordinary:Red /Morum/Clay/Gravel

<ÕÅ ~°Hõ=Ú : QÆ\ì<ÕÅ(~åu/Ü«∞ãπ._ç.P~ü/ÃÇÏK£._ç.P~ü) ™ê è•~°:(Z„~°/"≥Ú~°O/|OHõ/QÆ~°∞QÆ∞)

2. Channel Length (M) :

(HÍÅ∞= á⁄_»=Ù (g∞))

3. Bottom Width (m) :

(HÍÅ∞= ¢H˜Ok "≥_»Å∞Ê (g∞))

Name of the official filling these details :

(ã¨=∂Kå~°=Ú xOÑ≤# JkèHÍi ¿Ñ~°∞)

Designation of officer filling these details :

(ã¨=∂Kå~°=Ú xOÑ≤# JkèHÍi Ǩϟ^•)

Signature Date:

ãO «HõO Õk

PO„ èŒ„Ñ Õâò „QÍg∞Ïaè=$kú JHÍ_»g∞, ÃÇ·Ï Œ~åÉÏ £

A A

A A

PO„ èŒ„Ñ Õâò „QÍg∞ Láêkè Çg∞ Ñ äŒHõO

Input Data Sheet („áê äŒq∞Hõ ã¨=∂Kå~° Ѩ„ «=Ú)Feeder Channel (Ƕ‘_»~ü Kèå<≥Öò)

General Information (™ê è•~° ã¨=∂Kå~°=Ú)1. Name of Gram Panchayat :

„QÍ=∞ ѨOKå~Úf ¿Ñ~°∞2. Name of Village / Habitation :

„QÍ=∞=Ú/Ǩa>Ë+¨<£ ¿Ñ~°∞3. Name of Work :

(Include location/landmark details)

Ѩx ¿Ñ~°∞ („Ѩ Õâ◊=Ú/QÆ∞iÎOѨ٠ã÷Å=Ú)4. Work Scope :

(Mention purpose of work)

Ѩx ܡÚHõ Ѩikè (ѨxܡÚHõ L ÕÌâ◊º=Ú)5. Survey no(s) (ã¨~fi <≥O|~°∞¡) :

6. G P S (Éè∫QÀoHõ ™ê÷#O)Longitude :

(~MÏOâ◊=Ú)

Latitude :

(JH∆ÍOâ◊=Ú)7. GP/MP/ZP Priority No. :

„QÍ=∞ ѨOKå~Úf/=∞O_»Öò Ѩi+¨ ü/lÖÏ¡ Ѩi+¨ ü ܡÚHõ „áê è•#º « ã¨OYº

Technical Information (™êOˆHuHõ ã¨=∂Kå~°O)1. Soil type : Hard (Rocky Soil/SDR/HDR) Ordinary:Red /Morum/Clay/Gravel

<ÕÅ ~°Hõ=Ú : QÆ\ì<ÕÅ(~åu/Ü«∞ãπ._ç.P~ü/ÃÇÏK£._ç.P~ü) ™ê è•~°:(Z„~°/"≥Ú~°O/|OHõ/QÆ~°∞QÆ∞)2. Bottom Width (m) :

(HÍÅ∞= ¢H˜Ok "≥_»Å∞Ê (g∞))3. Chainage (m) K≥·<Õ*ò (g∞)

Length of Channel

HÍÅ∞= á⁄_»=Ù (g∞) Depth of Channel (m)

HÍÅ∞= Ö’ «∞(g∞)

Name of the official filling these details :

(ã¨=∂Kå~°=Ú xOÑ≤# JkèHÍi ¿Ñ~°∞)

Designation of officer filling these details :

(ã¨=∂Kå~°=Ú xOÑ≤# JkèHÍi Ǩϟ^•)

Signature Date:

ãO «HõO Õk

PO„ èŒ„Ñ Õâò „QÍg∞Ïaè=$kú JHÍ_»g∞, ÃÇ·Ï Œ~åÉÏ £

A A

A A

PO„ èŒ„Ñ Õâò „QÍg∞ Láêkè Çg∞ Ñ äŒHõO

Input Data Sheet („áê äŒq∞Hõ ã¨=∂Kå~° Ѩ„ «=Ú)Supply Channel (ã¨ÃÑ¡ Kèå<≥Öò)

General Information (™ê è•~° ã¨=∂Kå~°=Ú)1. Name of Gram Panchayat :

„QÍ=∞ ѨOKå~Úf ¿Ñ~°∞2. Name of Village / Habitation :

„QÍ=∞=Ú/Ǩa>Ë+¨<£ ¿Ñ~°∞3. Name of Work :

(Include location/landmark details)

Ѩx ¿Ñ~°∞ („Ѩ Õâ◊=Ú/QÆ∞iÎOѨ٠ã÷Å=Ú)4. Work Scope :

(Mention purpose of work)

Ѩx ܡÚHõ Ѩikè (ѨxܡÚHõ L ÕÌâ◊º=Ú)5. Survey no(s) (ã¨~fi <≥O|~°∞¡) :

6. G P S (Éè∫QÀoHõ ™ê÷#O)Longitude :

(~MÏOâ◊=Ú)

Latitude :

(JH∆ÍOâ◊=Ú)7. GP/MP/ZP Priority No. :

„QÍ=∞ ѨOKå~Úf/=∞O_»Öò Ѩi+¨ ü/lÖÏ¡ Ѩi+¨ ü ܡÚHõ „áê è•#º « ã¨OYºTechnical Information (™êOˆHuHõ ã¨=∂Kå~°O)1. Soil type : Hard (Rocky Soil/SDR/HDR) Ordinary:Red /Morum/Clay/Gravel

<ÕÅ ~°Hõ=Ú : QÆ\ì<ÕÅ(~åu/Ü«∞ãπ._ç.P~ü/ÃÇÏK£._ç.P~ü) ™ê è•~°:(Z„~°/"≥Ú~°O/|OHõ/QÆ~°∞QÆ∞)

2. Bottom Width (m) :

(HÍÅ∞= ¢H˜Ok "≥_»Å∞Ê (g∞))

3. Chainage (m) K≥·<Õ*ò (g∞)

Length of Channel

HÍÅ∞= á⁄_»=Ù (g∞) Depth of Channel (m)

HÍÅ∞= Ö’ «∞(g∞)

Name of the official filling these details :

(ã¨=∂Kå~°=Ú xOÑ≤# JkèHÍi ¿Ñ~°∞)Designation of officer filling these details :

(ã¨=∂Kå~°=Ú xOÑ≤# JkèHÍi Ǩϟ^•)Signature Date:

ãO «HõO Õk

PO„ èŒ„Ñ Õâò „QÍg∞Ïaè=$kú JHÍ_»g∞, ÃÇ·Ï Œ~åÉÏ £

A A

A A

PO„ èŒ„Ñ Õâò „QÍg∞ Láêkè Çg∞ Ñ äŒHõO

Input Data Sheet („áê äŒq∞Hõ ã¨=∂Kå~° Ѩ„ «=Ú)Diversion Drain (=∞o§OѨ٠HÍÅ∞=)

General Information (™ê è•~° ã¨=∂Kå~°=Ú)1. Name of Gram Panchayat :

„QÍ=∞ ѨOKå~Úf ¿Ñ~°∞2. Name of Village / Habitation :

„QÍ=∞=Ú/Ǩa>Ë+¨<£ ¿Ñ~°∞3. Name of Work :

(Include location/landmark details)

Ѩx ¿Ñ~°∞ („Ѩ Õâ◊=Ú/QÆ∞iÎOѨ٠ã÷Å=Ú)4. Work Scope :

(Mention purpose of work)

Ѩx ܡÚHõ Ѩikè (ѨxܡÚHõ L ÕÌâ◊º=Ú)5. Survey no(s) (ã¨~fi <≥O|~°∞¡) :

6. G P S (Éè∫QÀoHõ ™ê÷#O)Longitude :

(~MÏOâ◊=Ú)

Latitude :

(JH∆ÍOâ◊=Ú)7. GP/MP/ZP Priority No. :

„QÍ=∞ ѨOKå~Úf/=∞O_»Öò Ѩi+¨ ü/lÖÏ¡ Ѩi+¨ ü ܡÚHõ „áê è•#º « ã¨OYºTechnical Information (™êOˆHuHõ ã¨=∂Kå~°O)1. Soil type : Hard (Rocky Soil/SDR/HDR) Ordinary:Red /Morum/Clay/Gravel

<ÕÅ ~°Hõ=Ú : QÆ\ì<ÕÅ(~åu/Ü«∞ãπ._ç.P~ü/ÃÇÏK£._ç.P~ü) ™ê è•~°:(Z„~°/"≥Ú~°O/|OHõ/QÆ~°∞QÆ∞)2. Bottom Width (m) :

(HÍÅ∞= ¢H˜Ok "≥_»Å∞Ê (g∞))3. Chainage (m) K≥·<Õ*ò (g∞)

Length of Channel

HÍÅ∞= á⁄_»=Ù (g∞) Depth of Channel (m)

HÍÅ∞= Ö’ «∞(g∞)

Name of the official filling these details :

(ã¨=∂Kå~°=Ú xOÑ≤# JkèHÍi ¿Ñ~°∞)Designation of officer filling these details :

(ã¨=∂Kå~°=Ú xOÑ≤# JkèHÍi Ǩϟ^•)

Signature Date:

ãO «HõO Õk

PO„ èŒ„Ñ Õâò „QÍg∞Ïaè=$kú JHÍ_»g∞, ÃÇ·Ï Œ~åÉÏ £

A A

A A

PO„ èŒ„Ñ Õâò „QÍg∞ Láêkè Çg∞ Ñ äŒHõO

Input Data Sheet („áê äŒq∞Hõ ã¨=∂Kå~° Ѩ„ «=Ú)PEBBLE BUNDING (QÆ∞ÅHõ~åà◊§ Hõ@ìÅ∞)

General Information (™ê è•~° ã¨=∂Kå~°=Ú)1. Name of Gram Panchayat :

„QÍ=∞ ѨOKå~Úf ¿Ñ~°∞2. Name of Village / Habitation :

„QÍ=∞=Ú/Ǩa>Ë+¨<£ ¿Ñ~°∞3. Name of Work :

(Include location/landmark details)

Ѩx ¿Ñ~°∞ („Ѩ Õâ◊=Ú/QÆ∞iÎOѨ٠ã÷Å=Ú)4. Work Scope :

(Mention purpose of work)

Ѩx ܡÚHõ Ѩikè (ѨxܡÚHõ L ÕÌâ◊º=Ú)5. Name of the Land owners benefited :

ÅaÌ á⁄Ok# Éèí∂q∞ Ü«∞[=∂#∞Å ¿Ñ~°∞¡ Ô~· «∞ ¿Ñ~°∞ Farmer’s name ‰õΩÅ=Ú (Ü«∞ãπ.ã≤./Ü«∞ãπ.\˜./a.ã≤./W «~°∞Å∞)

SC/ST/BC/Others

1.

2.

6. Survey no(s) (ã¨~fi <≥O|~°∞¡) :

7. G P S (Éè∫QÀoHõ ™ê÷#O)Longitude :

(~MÏOâ◊=Ú)

Latitude :

(JH∆ÍOâ◊=Ú)8. GP/MP/ZP Priority No. :

„QÍ=∞ ѨOKå~Úf/=∞O_»Öò Ѩi+¨ ü/lÖÏ¡ Ѩi+¨ ü ܡÚHõ „áê è•#º « ã¨OYºTechnical Information (™êOˆHuHõ ã¨=∂Kå~°O)1. Bund Length (m) :

(Hõ@ì á⁄_»=Ù (g∞))2. Bund Height (m) :

(Hõ@ì Z «∞Î (g∞))3. Base Width (m) :

(Hõ@ì ¢H˜Ok "≥_»Å∞Ê)4. Pebble Size :

(QÆ∞ÅHõ ~åà◊§ Ãã·A)

Name of the official filling these details :

(ã¨=∂Kå~°=Ú xOÑ≤# JkèHÍi ¿Ñ~°∞)Designation of officer filling these details :

(ã¨=∂Kå~°=Ú xOÑ≤# JkèHÍi Ǩϟ^•)

Signature Date:

ãO «HõO Õk

PO„ èŒ„Ñ Õâò „QÍg∞Ïaè=$kú JHÍ_»g∞, ÃÇ·Ï Œ~åÉÏ £

A A

A A

PO„ èŒ„Ñ Õâò „QÍg∞ Láêkè Çg∞ Ñ äŒHõO

Input Data Sheet („áê äŒq∞Hõ ã¨=∂Kå~° Ѩ„ «=Ú)Boulder Removal (~åà◊√§ `˘ÅyOK«∞@)

General Information (™ê è•~° ã¨=∂Kå~°=Ú)1. Name of Gram Panchayat :

„QÍ=∞ ѨOKå~Úf ¿Ñ~°∞2. Name of Village / Habitation :

„QÍ=∞=Ú/Ǩa>Ë+¨<£ ¿Ñ~°∞3. Name of Work :

(Include location/landmark details)

Ѩx ¿Ñ~°∞ („Ѩ Õâ◊=Ú/QÆ∞iÎOѨ٠ã÷Å=Ú)4. Work Scope :

(Mention purpose of work)

Ѩx ܡÚHõ Ѩikè (ѨxܡÚHõ L ÕÌâ◊º=Ú)5. Name of the Land owners benefited :

ÅaÌ á⁄Ok# Éèí∂q∞ Ü«∞[=∂#∞Å ¿Ñ~°∞¡ Ô~· «∞ ¿Ñ~°∞ Farmer’s name ‰õΩÅ=Ú (Ü«∞ãπ.ã≤./Ü«∞ãπ.\˜./a.ã≤./W «~°∞Å∞)

SC/ST/BC/Others

1.

2.

6. Survey no(s) (ã¨~fi <≥O|~°∞¡) :

7. G P S (Éè∫QÀoHõ ™ê÷#O)Longitude :

(~MÏOâ◊=Ú)

Latitude :

(JH∆ÍOâ◊=Ú)8. GP/MP/ZP Priority No. :

„QÍ=∞ ѨOKå~Úf/=∞O_»Öò Ѩi+¨ ü/lÖÏ¡ Ѩi+¨ ü ܡÚHõ „áê è•#º « ã¨OYºTechnical Information (™êOˆHuHõ ã¨=∂Kå~°O)1. Bund Length (m) :

(Hõ@ì á⁄_»=Ù (g∞))2. Bund Height (m) :

(Hõ@ì Z «∞Î (g∞))3. Base Width (m) :

(Hõ@ì ¢H˜Ok "≥_»Å∞Ê)4. Stone Size :

(~åà◊§ Ãã·A)

Name of the official filling these details :

(ã¨=∂Kå~°=Ú xOÑ≤# JkèHÍi ¿Ñ~°∞)Designation of officer filling these details :

(ã¨=∂Kå~°=Ú xOÑ≤# JkèHÍi Ǩϟ^•)

Signature Date:

ãO «HõO Õk

PO„ èŒ„Ñ Õâò „QÍg∞Ïaè=$kú JHÍ_»g∞, ÃÇ·Ï Œ~åÉÏ £

A A

A A

PO„ èŒ„Ñ Õâò „QÍg∞ Láêkè Çg∞ Ñ äŒHõO

Input Data Sheet („áê äŒq∞Hõ ã¨=∂Kå~° Ѩ„ «=Ú)Compost Pit (Z~°∞=Ù QÆ∞O`«)

General Information (™ê è•~° ã¨=∂Kå~°=Ú)1. Name of Gram Panchayat :

„QÍ=∞ ѨOKå~Úf ¿Ñ~°∞2. Name of Village / Habitation :

„QÍ=∞=Ú/Ǩa>Ë+¨<£ ¿Ñ~°∞3. Name of Work :

(Include location/landmark details)

Ѩx ¿Ñ~°∞ („Ѩ Õâ◊=Ú/QÆ∞iÎOѨ٠ã÷Å=Ú)4. Work Scope :

(Mention purpose of work)

Ѩx ܡÚHõ Ѩikè (ѨxܡÚHõ L ÕÌâ◊º=Ú)5. Name of the Land owners benefited :

ÅaÌ á⁄Ok# Éèí∂q∞ Ü«∞[=∂#∞Å ¿Ñ~°∞¡ Ô~· «∞ ¿Ñ~°∞ Farmer’s name ‰õΩÅ=Ú (Ü«∞ãπ.ã≤./Ü«∞ãπ.\˜./a.ã≤./W «~°∞Å∞)

SC/ST/BC/Others

1.

2.

6. Survey no(s) (ã¨~fi <≥O|~°∞¡) :

7. G P S (Éè∫QÀoHõ ™ê÷#O)Longitude :

(~MÏOâ◊=Ú)

Latitude :

(JH∆ÍOâ◊=Ú)8. GP/MP/ZP Priority No. :

„QÍ=∞ ѨOKå~Úf/=∞O_»Öò Ѩi+¨ ü/lÖÏ¡ Ѩi+¨ ü ܡÚHõ „áê è•#º « ã¨OYºTechnical Information (™êOˆHuHõ ã¨=∂Kå~°O)1. Soil type : Hard (Rocky Soil/SDR/HDR) Ordinary:Red /Morum/Clay/Gravel

<ÕÅ ~°Hõ=Ú : QÆ\ì<ÕÅ(~åu/Ü«∞ãπ._ç.P~ü/ÃÇÏK£._ç.P~ü) ™ê è•~°:(Z„~°/"≥Ú~°O/|OHõ/QÆ~°∞QÆ∞)2. Length (M) :

(á⁄_»=Ù (g∞))3. Width (m) :

("≥_»Å∞Ê (g∞))4. Depth (m) :

(Ö’ «∞ (g∞))

Name of the official filling these details :

(ã¨=∂Kå~°=Ú xOÑ≤# JkèHÍi ¿Ñ~°∞)Designation of officer filling these details :

(ã¨=∂Kå~°=Ú xOÑ≤# JkèHÍi Ǩϟ^•)

Signature Date:

ãO «HõO Õk

PO„ èŒ„Ñ Õâò „QÍg∞Ïaè=$kú JHÍ_»g∞, ÃÇ·Ï Œ~åÉÏ £

A A

A A

PO„ èŒ„Ñ Õâò „QÍg∞ Láêkè Çg∞ Ñ äŒHõO

Input Data Sheet („áê äŒq∞Hõ ã¨=∂Kå~° Ѩ„ «=Ú)Desilting of Tanks (‰õΩO@Ö’¡ ѨÓ_çHõ f`«)

General Information (™ê è•~° ã¨=∂Kå~°=Ú)1. Name of Gram Panchayat :

„QÍ=∞ ѨOKå~Úf ¿Ñ~°∞2. Name of Village / Habitation :

„QÍ=∞=Ú/Ǩa>Ë+¨<£ ¿Ñ~°∞3. Name of Work :

(Include location/landmark details)

Ѩx ¿Ñ~°∞ („Ѩ Õâ◊=Ú/QÆ∞iÎOѨ٠ã÷Å=Ú)4. Work Scope :

(Mention purpose of work)

Ѩx ܡÚHõ Ѩikè (ѨxܡÚHõ L ÕÌâ◊º=Ú)5. Name of the Land owners benefited :

ÅaÌ á⁄Ok# Éèí∂q∞ Ü«∞[=∂#∞Å ¿Ñ~°∞¡ Ô~· «∞ ¿Ñ~°∞ Farmer’s name ‰õΩÅ=Ú (Ü«∞ãπ.ã≤./Ü«∞ãπ.\˜./a.ã≤./W «~°∞Å∞)

SC/ST/BC/Others

1.

2.

6. Survey no(s) (ã¨~fi <≥O|~°∞¡) :

7. G P S (Éè∫QÀoHõ ™ê÷#O)Longitude :

(~MÏOâ◊=Ú)

Latitude :

(JH∆ÍOâ◊=Ú)8. GP/MP/ZP Priority No. :

„QÍ=∞ ѨOKå~Úf/=∞O_»Öò Ѩi+¨ ü/lÖÏ¡ Ѩi+¨ ü ܡÚHõ „áê è•#º « ã¨OYº

Technical Information (™êOˆHuHõ ã¨=∂Kå~°O)1. Pit Length (M) :

(QÆ∞O « á⁄_»=Ù (g∞))2. Pit Width (m) :

(QÆ∞O « "≥_»Å∞Ê (g∞))3. Pit Depth (m) :

(QÆ∞O « Ö’ «∞ (g∞))

Name of the official filling these details :

(ã¨=∂Kå~°=Ú xOÑ≤# JkèHÍi ¿Ñ~°∞)Designation of officer filling these details :

(ã¨=∂Kå~°=Ú xOÑ≤# JkèHÍi Ǩϟ^•)

Signature Date:

ãO «HõO Õk

PO„ èŒ„Ñ Õâò „QÍg∞Ïaè=$kú JHÍ_»g∞, ÃÇ·Ï Œ~åÉÏ £

A A

A A

PO„ èŒ„Ñ Õâò „QÍg∞ Láêkè Çg∞ Ñ äŒHõO

Input Data Sheet („áê äŒq∞Hõ ã¨=∂Kå~° Ѩ„ «=Ú)Jungle Clearance (=Úà◊§ á⁄^ŒÅ `˘ÅyOѨÙ)

General Information (™ê è•~° ã¨=∂Kå~°=Ú)1. Name of Gram Panchayat :

„QÍ=∞ ѨOKå~Úf ¿Ñ~°∞2. Name of Village / Habitation :

„QÍ=∞=Ú/Ǩa>Ë+¨<£ ¿Ñ~°∞3. Name of Work :

(Include location/landmark details)

Ѩx ¿Ñ~°∞ („Ѩ Õâ◊=Ú/QÆ∞iÎOѨ٠ã÷Å=Ú)4. Work Scope :

(Mention purpose of work)

Ѩx ܡÚHõ Ѩikè (ѨxܡÚHõ L ÕÌâ◊º=Ú)5. Name of the Land owners benefited :

ÅaÌ á⁄Ok# Éèí∂q∞ Ü«∞[=∂#∞Å ¿Ñ~°∞¡ Ô~· «∞ ¿Ñ~°∞ Farmer’s name ‰õΩÅ=Ú (Ü«∞ãπ.ã≤./Ü«∞ãπ.\˜./a.ã≤./W «~°∞Å∞)

SC/ST/BC/Others

1.

2.

6. Survey no(s) (ã¨~fi <≥O|~°∞¡) :

7. G P S (Éè∫QÀoHõ ™ê÷#O)Longitude :

(~MÏOâ◊=Ú)

Latitude :

(JH∆ÍOâ◊=Ú)8. GP/MP/ZP Priority No. :

„QÍ=∞ ѨOKå~Úf/=∞O_»Öò Ѩi+¨ ü/lÖÏ¡ Ѩi+¨ ü ܡÚHõ „áê è•#º « ã¨OYºTechnical Information (™êOˆHuHõ ã¨=∂Kå~°O)1. Jungle Type (Light or Scrub/Medium or Dense/Julie Flora):

(=Úà◊§ á⁄ ŒÅ ~°HõO( ÕeHõ ÖË • ѨÅ∞K«x/=∞ 茺ã÷ ÖËHõ QÆ∞|∞~°∞/Eb á¶È¡~å)2. Void Percentage :

(=Úà◊§ á⁄ ŒÅ =∞ 茺 MÏmÅ âß «O)3. Length (m) :

(á⁄_»=Ù (g∞))4. Width (m) :

("≥_»Å∞Ê (g∞))

Name of the official filling these details :

(ã¨=∂Kå~°=Ú xOÑ≤# JkèHÍi ¿Ñ~°∞)Designation of officer filling these details :

(ã¨=∂Kå~°=Ú xOÑ≤# JkèHÍi Ǩϟ^•)

Signature Date:

ãO «HõO Õk

PO„ èŒ„Ñ Õâò „QÍg∞Ïaè=$kú JHÍ_»g∞, ÃÇ·Ï Œ~åÉÏ £

A A

A A

PO„ èŒ„Ñ Õâò „QÍg∞ Láêkè Çg∞ Ñ äŒHõO

Input Data Sheet („áê äŒq∞Hõ ã¨=∂Kå~° Ѩ„ «=Ú)Gully Treatment (QÆb¡ „\©\ò"≥∞O\ò)

General Information (™ê è•~° ã¨=∂Kå~°=Ú)

1. Name of Gram Panchayat :

„QÍ=∞ ѨOKå~Úf ¿Ñ~°∞

2. Name of Village / Habitation :

„QÍ=∞=Ú/Ǩa>Ë+¨<£ ¿Ñ~°∞

3. Name of Work :

(Include location/landmark details)

Ѩx ¿Ñ~°∞ („Ѩ Õâ◊=Ú/QÆ∞iÎOѨ٠ã÷Å=Ú)

4. Work Scope :

(Mention purpose of work)

Ѩx ܡÚHõ Ѩikè (ѨxܡÚHõ L ÕÌâ◊º=Ú)

5. Name of the Gully/Stream :

=OHõ ¿Ñ~°∞

6. Gully/Sream No. :

QÆb¡ <≥O.

7. Gully Length (m) :

QÆb¡ á⁄_»=Ù (g∞).

8. Survey no(s) (ã¨~fi <≥O|~°∞¡) :

9. G P S (Éè∫QÀoHõ ™ê÷#O)

Longitude :

(~MÏOâ◊=Ú)

Latitude :

(JH∆ÍOâ◊=Ú)

9. GP/MP/ZP Priority No. :„QÍ=∞ ѨOKå~Úf/=∞O_»Öò Ѩi+¨ ü/lÖÏ¡ Ѩi+¨ ü ܡÚHõ „áê è•#º « ã¨OYº

PO„ èŒ„Ñ Õâò „QÍg∞Ïaè=$kú JHÍ_»g∞, ÃÇ·Ï Œ~åÉÏ £

A A

A A

PO„ èŒ„Ñ Õâò „QÍg∞ Láêkè Çg∞ Ñ äŒHõO

Technical Information (™êOˆHuHõ ã¨=∂Kå~°O)

2. Stone Availability (km) : 0-2.5 2.5-5 5-10 10-15 >15

(~åà◊√§ ÅaèOKÕ Œ∂~°=Ú (H˜.g∞))

Name of the official filling these details :

(ã¨=∂Kå~°=Ú xOÑ≤# JkèHÍi ¿Ñ~°∞)

Designation of officer filling these details :

(ã¨=∂Kå~°=Ú xOÑ≤# JkèHÍi Ǩϟ^•)

Signature Date:

ãO «HõO Õk

S.No.

=.<≥O.Gully Reach(m)

QÆb¡ "≥Ú ŒÅ∞ #∞Oz Œ∂~°=Ú (g∞)Length(m)

á⁄_»=Ù (g∞)Width(m)

"≥_»Å∞Ê (g∞)Type of Treatment

J=∞Å∞ KÕÜ«Ú@‰õΩ x~°‚~ÚOz# Hõ@ì_»OLBS (q_ç~åà◊§ Hõ@ì)/ãOÔH<£ áêO_£/ãOÔH<£Ñ≤\ò./~åH±Ç¶≤Öò _®ºO/<åÖÏ|O_£ (=∞\˜ìHõ@ì)

Height/

Depth(m)

Z «∞Î/Ö’ «∞(g∞)

PO„ èŒ„Ñ Õâò „QÍg∞Ïaè=$kú JHÍ_»g∞, ÃÇ·Ï Œ~åÉÏ £

A A

A A

PO„ èŒ„Ñ Õâò „QÍg∞ Láêkè Çg∞ Ñ äŒHõO

Input Data Sheet („áê äŒq∞Hõ ã¨=∂Kå~° Ѩ„ «=Ú)Generic Work (™ê^è•~° Ѩx)

General Information (™ê è•~° ã¨=∂Kå~°=Ú)

1. Name of Gram Panchayat :

„QÍ=∞ ѨOKå~Úf ¿Ñ~°∞

2. Name of Village / Habitation :

„QÍ=∞=Ú/Ǩa>Ë+¨<£ ¿Ñ~°∞

3. Name of Work :

(Include location/landmark details)

Ѩx ¿Ñ~°∞ („Ѩ Õâ◊=Ú/QÆ∞iÎOѨ٠ã÷Å=Ú)

4. Work Scope :

(Mention purpose of work)

Ѩx ܡÚHõ Ѩikè (ѨxܡÚHõ L ÕÌâ◊º=Ú)

5. Name of the Land owners benefited :

ÅaÌ á⁄Ok# Éèí∂q∞ Ü«∞[=∂#∞Å ¿Ñ~°∞¡ Ô~· «∞ ¿Ñ~°∞ Farmer’s name ‰õΩÅ=Ú (Ü«∞ãπ.ã≤./Ü«∞ãπ.\˜./a.ã≤./W «~°∞Å∞)

SC/ST/BC/Others

1.

2.

6. Survey no(s) (ã¨~fi <≥O|~°∞¡) :

7. G P S (Éè∫QÀoHõ ™ê÷#O)

Longitude :

(~MÏOâ◊=Ú)

Latitude :

(JH∆ÍOâ◊=Ú)

8. GP/MP/ZP Priority No. :„QÍ=∞ ѨOKå~Úf/=∞O_»Öò Ѩi+¨ ü/lÖÏ¡ Ѩi+¨ ü ܡÚHõ „áê è•#º « ã¨OYº

PO„ èŒ„Ñ Õâò „QÍg∞Ïaè=$kú JHÍ_»g∞, ÃÇ·Ï Œ~åÉÏ £

A A

A A

PO„ èŒ„Ñ Õâò „QÍg∞ Láêkè Çg∞ Ñ äŒHõO

Technical Information (™êOˆHuHõ ã¨=∂Kå~°O)

S.No.

=.<≥O.Name of Item

Ѩx q=~°=ÚLength(m)

á⁄_»=Ù (g∞)Width(m)

"≥_»Å∞Ê (g∞)Height/

Depth(m)

Z «∞Î/Ö’ «∞ (g∞)

No.

ãOYºQuantity

Ѩi=∂=ÚѶ∞.g∞/K«.g∞

2. Stone Availability (km) : 0-2.5 2.5-5 5-10 10-15 >15

(~åà◊√§ ÅaèOKÕ Œ∂~°=Ú (H˜.g∞))

Name of the official filling these details :

(ã¨=∂Kå~°=Ú xOÑ≤# JkèHÍi ¿Ñ~°∞)

Designation of officer filling these details :

(ã¨=∂Kå~°=Ú xOÑ≤# JkèHÍi Ǩϟ^•)

Signature Date:

ãO «HõO Õk

PO„ èŒ„Ñ Õâò „QÍg∞Ïaè=$kú JHÍ_»g∞, ÃÇ·Ï Œ~åÉÏ £

A A

A A

PO„ èŒ„Ñ Õâò „QÍg∞ Láêkè Çg∞ Ñ äŒHõO

Input Data Sheet („áê äŒq∞Hõ ã¨=∂Kå~° Ѩ„ «=Ú)Open Well (¿ã^ŒºÑ¨Ù ÉÏq/kQÆ∞_»∞ ÉÏq)

General Information (™ê è•~° ã¨=∂Kå~°=Ú)

1. Name of Gram Panchayat :

„QÍ=∞ ѨOKå~Úf ¿Ñ~°∞2. Name of Village / Habitation :

„QÍ=∞=Ú/Ǩa>Ë+¨<£ ¿Ñ~°∞3. Name of Work :

(Include location/landmark details)

Ѩx ¿Ñ~°∞ („Ѩ Õâ◊=Ú/QÆ∞iÎOѨ٠ã÷Å=Ú)4. Work Scope :

(Mention purpose of work)

Ѩx ܡÚHõ Ѩikè (ѨxܡÚHõ L ÕÌâ◊º=Ú)5. Name of the Farmer :

Ô~· «∞ ¿Ñ~°∞Area / Extent (Acres) :qã‘Î~°‚O (ZHõ~åÅÖ’)

6. Survey no(s) (ã¨~fi <≥O|~°∞¡) :

7. G P S (Éè∫QÀoHõ ™ê÷#O)Longitude :

(~MÏOâ◊=Ú)

Latitude :

(JH∆ÍOâ◊=Ú)

8. GP/MP/ZP Priority No. :„QÍ=∞ ѨOKå~Úf/=∞O_»Öò Ѩi+¨ ü/lÖÏ¡ Ѩi+¨ ü ܡÚHõ „áê è•#º « ã¨OYº

Technical Information (™êOˆHuHõ ã¨=∂Kå~°O)

=~°∞ã =∞@∞ì <ÕÅ ~°HõOãOYº

1. 0-2 g∞ ™ê è•~°/QÆ\˜ì2. 2-4 g∞ ™ê è•~°/QÆ\ì/Ü«∞ãπ._ç.P~ü.3. 4-6 g∞ ™ê è•~°/QÆ\ì/Ü«∞ãπ._ç.P~ü./ÃÇÏK£._ç.P~ü.4. 6-8 g∞ ™ê è•~°/QÆ\ì/Ü«∞ãπ._ç.P~ü./ÃÇÏK£._ç.P~ü.5. 8-10 g∞ ™ê è•~°/QÆ\ì/Ü«∞ãπ._ç.P~ü./ÃÇÏK£._ç.P~ü.6. 10-12 g∞ ™ê è•~°/QÆ\ì/Ü«∞ãπ._ç.P~ü./ÃÇÏK£._ç.P~ü.

PO„ èŒ„Ñ Õâò „QÍg∞Ïaè=$kú JHÍ_»g∞, ÃÇ·Ï Œ~åÉÏ £

A A

A A

PO„ èŒ„Ñ Õâò „QÍg∞ Láêkè Çg∞ Ñ äŒHõO

2. Shape : Rectangle / Circle

ÉÏq PHÍ~°O : n~°… K« «∞~°„ãHÍ~°/=$`åÎHÍ~°Oa) Rectangle (n~°… K« «∞~°„™êÎHÍ~°O) : Length (m)

(á⁄_»=Ù (g∞))Width (m)

("≥_»Å∞Ê (g∞))b) Circle (=$`åÎHÍ~°O) : diameter (m)

("åºã¨=Ú (g∞))c) Depth of Well (ÉÏq Ö’ «∞) :d) Steining required (ã‘ìxOQ∑ J=ã¨~°O): J=Ù#∞ / HÍ Œ∞e) if yes Steining depth (m) :

(J=Ù#∞ J~Ú Õ ã‘ìxOQ∑ Ö’ «∞ (g∞))f) Steining Type (ã‘ìxOQ∑ ~°HõO) : CC/Masonary/Loose boulders

HÍO¢H©@∞ / ~åu QÀ_»/ q_ç~åà◊§ QÀ_»g) Blasting Required ÉÏ¡ã≤ìOQ∑ J=ã¨~°O: Yes/No (J=Ù#∞ / HÍ Œ∞)h) If yes depth at Blasting is required:

J=Ù#∞ J~Ú Õ ÉÏã≤ìOQ∑ Ö’ «∞ (g∞) :

PO„ èŒ„Ñ Õâò „QÍg∞Ïaè=$kú JHÍ_»g∞, ÃÇ·Ï Œ~åÉÏ £

A A

A A

PO„ èŒ„Ñ Õâò „QÍg∞ Láêkè Çg∞ Ñ äŒHõO

Input Data Sheet („áê äŒq∞Hõ ã¨=∂Kå~° Ѩ„ «=Ú)Maintenance of Bio-Diesel Plantation

(|Ü≥∂_ôlÖò "≥ÚHõ Å x~°fiǨÏ)

General Information (™ê è•~° ã¨=∂Kå~°=Ú)

1. Name of Gram Panchayat :

„QÍ=∞ ѨOKå~Úf ¿Ñ~°∞

2. Name of Village / Habitation :

„QÍ=∞=Ú/Ǩa>Ë+¨<£ ¿Ñ~°∞

3. Name of Work :

(Include location/landmark details)

Ѩx ¿Ñ~°∞ („Ѩ Õâ◊=Ú/QÆ∞iÎOѨ٠ã÷Å=Ú)

4. Work Scope :

(Mention purpose of work)

Ѩx ܡÚHõ Ѩikè (ѨxܡÚHõ L ÕÌâ◊º=Ú)

5. Name of the Farmers (Attachment) :

Ô~· «∞ ¿Ñ~°∞ ([ «KÕÜ«∂e)

6. Name of the Location (Block Name) :

Ѩx ܡÚHõ ã÷ÅO (ÉÏ¡H± ¿Ñ~°∞)

7. G P S (Éè∫QÀoHõ ™ê÷#O)

Longitude :

(~MÏOâ◊=Ú)

Latitude :

(JH∆ÍOâ◊=Ú)

8. GP/MP/ZP Priority No. :„QÍ=∞ ѨOKå~Úf/=∞O_»Öò Ѩi+¨ ü/lÖÏ¡ Ѩi+¨ ü ܡÚHõ „áê è•#º « ã¨OYº

Technical Information (™êOˆHuHõ ã¨=∂Kå~°O)1. No. of Casualty :

K«x áÈ~Ú# "≥ÚHõ Å ã¨OYº2. No. of Acres Planted (to be tallied with farmers list) :

"≥ÚHõ Å∞ <å\˜# qã‘Î~°‚O (Ô~· «∞Å eãπì‰õΩ ã¨iáÈ"åe)3. Month & Year of Plantation :

"≥ÚHõ Å∞ <å\˜# <≥Å =∞iÜ«Ú ã¨O= «û~°O

PO„ èŒ„Ñ Õâò „QÍg∞Ïaè=$kú JHÍ_»g∞, ÃÇ·Ï Œ~åÉÏ £

A A

A A

PO„ èŒ„Ñ Õâò „QÍg∞ Láêkè Çg∞ Ñ äŒHõO

¢Hõ=∞ Ô~· «∞ ¿Ñ~°∞ <å@∞@‰õΩ x~°‚~ÚOz# <å@∞@‰õΩ x~°‚~ÚOz# ã¨OYº qã‘Î~°‚O (ZHõ~åÅÖ’) "≥ÚHõ ¿Ñ~°∞ ([„\’á¶ê/HÍ#∞QÆ)

PO„ èŒ„Ñ Õâò „QÍg∞Ïaè=$kú JHÍ_»g∞, ÃÇ·Ï Œ~åÉÏ £

A A

A A

PO„ èŒ„Ñ Õâò „QÍg∞ Láêkè Çg∞ Ñ äŒHõO

Input Data Sheet („áê äŒq∞Hõ ã¨=∂Kå~° Ѩ„ «=Ú)Bio-Diesel Plantation

(|Ü≥∂_ôlÖò "≥ÚHõ¯Å ÃÑOѨHõO)

General Information (™ê è•~° ã¨=∂Kå~°=Ú)

1. Name of Gram Panchayat :

„QÍ=∞ ѨOKå~Úf ¿Ñ~°∞

2. Name of Village / Habitation :

„QÍ=∞=Ú/Ǩa>Ë+¨<£ ¿Ñ~°∞

3. Name of Work :

(Include location/landmark details)

Ѩx ¿Ñ~°∞ („Ѩ Õâ◊=Ú/QÆ∞iÎOѨ٠ã÷Å=Ú)

4. Work Scope :

(Mention purpose of work)

Ѩx ܡÚHõ Ѩikè (ѨxܡÚHõ L ÕÌâ◊º=Ú)

5. Name of the Farmers (Attachment) :

Ô~· «∞ ¿Ñ~°∞ ([ «KÕÜ«∂e)

6. Name of the Location (Block Name) :

Ѩx ܡÚHõ ã÷ÅO (ÉÏ¡H± ¿Ñ~°∞)

7. G P S (Éè∫QÀoHõ ™ê÷#O)

Longitude :

(~MÏOâ◊=Ú)

Latitude :

(JH∆ÍOâ◊=Ú)

8. GP/MP/ZP Priority No. :„QÍ=∞ ѨOKå~Úf/=∞O_»Öò Ѩi+¨ ü/lÖÏ¡ Ѩi+¨ ü ܡÚHõ „áê è•#º « ã¨OYº

Technical Information (™êOˆHuHõ ã¨=∂Kå~°O)1. Area of Plantation in Acres :

"≥ÚHõ Å∞ <å>Ë qã‘Î~°‚O ZHõ~åÅÖ’2. Soil Type :

<ÕÅ ~°HõO3. Name of the Species (Jatropha/Pongamia):

"≥ÚHõ Å ~°HõO ([„\’á¶ê/HÍ#∞QÆ)

PO„ èŒ„Ñ Õâò „QÍg∞Ïaè=$kú JHÍ_»g∞, ÃÇ·Ï Œ~åÉÏ £

A A

A A

PO„ èŒ„Ñ Õâò „QÍg∞ Láêkè Çg∞ Ñ äŒHõO

4. Distance from Nursery to Block :

#~°ûs #∞Oz ÉÏ¡‰õΩ QÆÅ Œ∂~°O

5. Name of the Water Source :

h\˜ =#~°∞ ¿Ñ~°∞

6. Distance of Water source to Centre of Block :

h\˜ =#~°∞ #∞Oz ÉÏ¡H± =∞ 茺 =~°‰õΩ QÆÅ Œ∂~°O

Attachment ([ « KÕÜ«∞=Åã≤#k)

S.No.

=~°∞ããOYº

Name of the

Village

„QÍ=∞=Ú ¿Ñ~°∞

No. of Acres

Proposed for

Plantation

<å@∞@‰õΩx~°‚~ÚOz# qã‘Î~°‚O

(ZHõ~åÖ’¡)

Category of Land

(Assigned/Private/

Govt.)

Éèí∂q∞ ܡÚHõÜ«∞[=∂x q=~°O

JÃã·O_£/=ºHÎQÆ «/„ÑÉèí∞ «fi

Category of Farmer

(SC/ST/M/F/SF/

Others)

Ô~· «∞ =~°æO Ü«∞ãπ.ã≤./Ü«∞ãπ.\./z#fl/ã#fl

HÍ~°∞/W «~°∞Å∞

Name of the

Farmer

Ô~· «∞ ¿Ñ~°∞

PO„ èŒ„Ñ Õâò „QÍg∞Ïaè=$kú JHÍ_»g∞, ÃÇ·Ï Œ~åÉÏ £

A A

A A

PO„ èŒ„Ñ Õâò „QÍg∞ Láêkè Çg∞ Ñ äŒHõO

Input Data Sheet („áê äŒq∞Hõ ã¨=∂Kå~° Ѩ„ «=Ú)Nursery Raising for Bio-Diesel Plantation

(|Ü≥∂_ôlÖò "≥ÚHõ¯Å ÃÑOѨHõO)

General Information (™ê è•~° ã¨=∂Kå~°=Ú)

1. Name of Gram Panchayat :

„QÍ=∞ ѨOKå~Úf ¿Ñ~°∞

2. Name of Village / Habitation :

„QÍ=∞=Ú/Ǩa>Ë+¨<£ ¿Ñ~°∞

3. Name of Work :

(Include location/landmark details)

Ѩx ¿Ñ~°∞ („Ѩ Õâ◊=Ú/QÆ∞iÎOѨ٠ã÷Å=Ú)

4. Work Scope :

(Mention purpose of work)

Ѩx ܡÚHõ Ѩikè (ѨxܡÚHõ L ÕÌâ◊º=Ú)

5. Location of Nursery Site :

#~°ûs HÀã¨O x~å÷iOz# ã÷ÅO ܡÚHõ q=~°=Ú

6. Name of the Nursery Site Owner : Forest / Horticulture /Agriculture/DWMA

#~°ûs ã÷ÅO ܡÚHõ Ü«∞[=∂x ¿Ñ~°∞ : J@g âßY / ѨO_»¡/=º=™êÜ«∞/lÖÏ¡ h\˜ Ü«∂[=∂#º ã¨Oã÷

7. Name of Dept Extending Technical Support :

™êOˆHuHõ ã¨Ç¨ÏHÍ~°=Ú JOkOKÕ ã¨Oã÷ ¿Ñ~°∞

Technical Information (™êOˆHuHõ ã¨=∂Kå~°O)Details of Habitations to be covered under the Nursery

(D #~°ûs ѨikèÖ’xH˜ =KÕÛ „QÍ=∂Å q=~åÅ∞ :S.No.

=~°∞ããOYº

Name of the Habitation

„QÍ=∞=Ú ¿Ñ~°∞

No.of Plants Estimated

JOK«<å "Õã≤# "≥ÚHõ Å ã¨OYºName of identified for

Pongamia/Jatropha

HÍ#∞QÆ / [„\’á¶ê "≥ÚHõ Å∞ <å@∞@‰õΩQÆ∞iÎOz# qã‘Î~°‚O (ZHõ~åÖ’¡)

PO„ èŒ„Ñ Õâò „QÍg∞Ïaè=$kú JHÍ_»g∞, ÃÇ·Ï Œ~åÉÏ £

A A

A A

PO„ èŒ„Ñ Õâò „QÍg∞ Láêkè Çg∞ Ñ äŒHõO

S.No.

=~°∞ããOYº

Name of the

Habitation

„QÍ=∞=Ú ¿Ñ~°∞

No. of Acres

Proposed for

Plantation

<å@∞@‰õΩx~°‚~ÚOz#

qã‘Î~°‚O(ZHõ~åÖ’¡)

Category of

Land

(Assigned/

Private/Govt.)

Éèí∂q∞ ܡÚHõѨ\Ïì q=~°O

JÃã·O_£/=ºHÎQÆ «/„ÑÉèí∞ «fi

Category of

Farmer

(SC/ST/M/F/

SF/Others)

Ô~· «∞ =~°æOÜ«∞ãπ.ã≤./

Ü«∞ãπ.\./z#fl/ã¨#fl HÍ~°∞/W «~°∞Å∞

Name of the

Farmer

Ô~· «∞ ¿Ñ~°∞

Attachment ([ « KÕÜ«∞=Åã≤#k)Name of the

Plant Selected

by Farmer

Ô~· «∞ Z#∞fl‰õΩ#fl"≥ÚHõ¯ ¿Ñ~°∞

[„\’á¶ê/HÍ#∞QÆ