GOVERNMENT OF MEGHALAYA

APPLICATION FORM FOR ROAD CUTTING PERMISSION

Application Processing Location

Select Office to which application is to be submitted(PWD-Roads Circle) *

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Applicant is: *

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Individual

Firm/Company etc

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Applicant Details

Applicant Name(in case of firm/company, mention the name of Power of Attorney): *

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Designation *

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Name of Firm/Company *

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Address Line1 *

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Address Line2 *

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Town/Village *

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State *

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District *

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Pincode *

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Mobile Number *

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E-Mail ID *

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Permission for Road Cutting

Permission for Road Cutting for the purpose of: *

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Optical Fibre cable (OFC)

Laying electrical cable

Laying pipeline/ Repair of pipe line

Laying Sewer line/Repair of Sewer line

Opening for Trenchless cable laying

Other

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Please specify *

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Length of road to be cut: *

(a). /m *

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(b).Number of locations *

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(c).With a size of(Meters) *

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x Meters(for trenchless system) *

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Location and Address of Road to be cut (a).Address *

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b). Town/Village: *

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c).District *

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Declaration

It is to submit the following details/documents to pursue the request of road cutting and accept to remit the fees, as per the claim of local body, required to restore the cut open area of the road as proposed

We understand that the Road Cutting permission will be given based on submission of mandatory enclosures and following terms and conditions. I/We accept the terms & conditions:

(i).Proper barricading has to be done and cautionary tape and cautionary light have to be provided.

(ii).The road cut have to be done only using a road cutting blade to line and should be in regular/square shape.

(iii).The cut portion has to be drilled and removed using pneumatic drill.

(iv).The excavated material should be carried away immediately and cut portion filled immediately with inert material such as M-sand/CS sand/ Stone dust /4mm below blue metal chips and compacted in layers to the brim/top surface.

(v).The work should be completed within the date as would be specified by the department; if not the permission obtained will become invalid.

I Agree *