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APPENDIX-II

                        PROFORMA FOR THE ANNUAL INSPECTION OF RAILWAY AFFECTING TANKS
                                            FOR THE YEAR ENDING WITH 2020

             1. District                                      S.P.S.R NELLORE
             2. Village / Panchayat Samithi                   Periyavaram / Venkatagiri
             3. Name of the Tank bounded water source         Periyavaram tank
             4. Numberofthe Distmap of Railway Affecting tank  108
             5. Agency responsible ofthe maintenance (I.e.) PWS
                Irrigation/Agl. Private etc.,                 : WR Dept / Venkatagiri.
             6. Railway mileage ofcrossing ofsurplus          :KM 36/15-16
                 (Also Railway Bridge No. affected)             BrNo: 43
             7. Railway mileageofcrossing of surplus course
                ofthe tankofwatersource (also railway
                Bridge No. affected)                          : Venkatagiri - Yallakaru

             8. Date of Inspection                            : 12/02/2020
             9. Name &Designationof Inspection Officer        : Sri G Raghuram Murthy
                                                              Deputy Executive Engineer, WR Dept.
             10. Bund
             a) Standards ofthe tank bundas per the Railway
               Affecting tank list
             b) Arethere T.B.L stones or other permanent marks
               to verify whether top of bunds as at prescribed
                level or not
             c) As the top of bund any whether below prescribed
               level Ifso, specify changes and shortage in height  Good Condition
             d) Are there dangerous gullies and car track runts etc
               which inyour opinion must be repaired urgently?
               Ifso specify location
             e) whether the bund is constructed with the suitable
               Materialsand proper slopes
             f) Action taken up to rectify defects noted in (b)to( c)
             g) Progress ofwork, ifany on hand and the probable
               date of completion of the work

             11. Surplus weir
                                                              Surplusweir repairs required
             a) Length ofsurplusweiras per the Railway Affecting
               tank list
             b) Whether the surplus at site are as per the list or
               Not? Specify the variation ifany
             c) Whether either the M.W.L has exceeded or
               anything has expanded to indicatethat the surplus
               weirare indelete or made in operative by
               forming bunds in front etc.
            d) Ifso the remedial measures completed and
               action taken

            12. Sluice and other Masonry works are in Sluices
                                                              Good condition
                and other necessary works in good order as not to
                endanger the safety of the bunds
                                                              Surpusweir repairs to be carried out
            13. Special remarks ifany by the Inspection officer

            14. When was the latest'checked by the Deputy   : The resoration works proposed under
               Executive Engineer a  what action taken of the  NABARD Programme
               same Taluk Offic^

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