[Corporate Identity Number (CIN):L40109RJ2000SGC01648S]

RAJASTHAN RAJYAVIDYUT PRASARAN NIGAM LIMITED.

An ISO 9001:2008CertIfIedComPllny

(Regd. Office: Vidyut Bhawan, Jan Path, Jyoti Nagar, Jaipur - 302 005)OFFICE OF THE EXECUTIVE ENGINEER (PTCC)

No. RVPN/ XEN (PTCC)/JPR/F. 31/0.105 Dated ~ \ b-

ONLINE SUBMISSIONOF NH CROSSING CASE

1. To register NHAI crossing case online login www.morth.nic.in

2. At home page click on " Online Access Permission for Fuel Stations" icon.

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......APPUCANT REGISTRATION

[ Guidelines for Retail OUtlet or Private Property JI

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AppItynt Type ..

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1_''''''''I ~ Contkt Addre_"!II ..... ·I""''''''IPIN'le __ .IE_ill<I

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Barmer

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1hereby declare that the information proltided in the form are true to the: best of my knowl«ige and belief.

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5. Following Logincredentials will be mailed to your email id e.g.Login name= xyaplS69Password = 7hb4KLO

Enter Login name& Passwordand click on "LOGIN".

_ ..(Cue Mnsiti\"~) ~~ '.'..==Load New Code

6. The following window pops up and dick on "Add New"

~q; qQCl6G'1 ~ "l1G1if1laf a:i~MINISTRY OF ROAD TRMISPORT & HIGHWAYS

Govtmrnef't of India

7. Enter all the mandatory details(samplecaseindicated) & click on submit.

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8. Clickon the "Edit" button corresponding to your application in order to make corrections.Following screenappearsagain I makecorrections and submit.

.....

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10. Clickon the II Retail/Public Utility/Industrial Utility" in the window indicated atS.No.9 on link corresponding to your application. The following window popsup

Service Road

Provided* :No

STRETCH TYPE C URBAN r- NON-URBAN(RURAL)r- PLAIN & ROLLING TERRAIN CHILLY/MOUNTAINOUSTERRAIN TYPE

TERRAIN

1 Distance from intersection:

1.1 Non-Urban (Rural) Stretch

1.1.1 Plain and Rolling Terrain

(i) Intersection with NHs/SHs/MDRs/City Roads 1000m15.120

(metres)

(ii) Intersection with Rural Roads /Approch roads toprivate and public properties 300m

I NlA(metres)

2 Gap in the central median from fuel station (fordivided carriageway only) 300mlNiA(metres)

3 Is it a part of Rest Area complex?C r-Yes

No

4 Distance from nearest Fuel Station (For FuelOutlets Only)

(a) Plain and rolling terrain in non-urban areas.

(i)Undivided carriageway (for both sides ofcarriageways)

Minimum NlA300m (metres)

(ii) Divided carriageway (with no gap in median atthis location)

Minimum L=1000m (metres)

5 (a)Distance from Check barrier(other than RailwayLevel Crossings) /Toll PlazaMinimum I. NlA1000m (metres)

Mention whether the check barrier is located onmain carriageway or on service road separated frommain carriageway

rYes r-No

Fill all details whichever is applicable and Submit.11. After submitting abovementioned details ,following screenagainpops up :

~q) 4QCl601 3th" "liG1d'1iaf -a:r~MINISTRY OF ROAD TRANSPORT & HIGHWAYS

New~["'""'-'.W~~."""'t:t=",u..a09kMXm;1..i:c:erIoe:f'ee[A~"'''.'_~;jFiMj~G ... tT

10,000.00

lX«aFee~~.T~f UO.!OO.CO !Jpioad4W""".f!

220,500,00

12. Clickon "Documents" correspondingto your application,following screen popsup:

~q) 4fiCl601 3{t~ "ll iJ1d'I Iaf -a:r~MINISTRY OF ROAD TRANSPORT & HIGHWAYS

-Govemment of india_",1"*." ....IAppIkMionc.te1tOl"r. {Retan/public utllitv/In4u.,.,..1 Utility}

13. At S. No.1 Upload License Agreement Copy.14. At S.No. 3 Upload a pdf file which includes following documents:

• Covering letter

• Check List• Certificate by PD , NHAI /XEN( PWD )

• Drawings• Undertaking as per Sr. No. 10.1 to 10.8 of guidelines dtd.22.11.2016 issued by MORTH

15. Click on II submit".16. Following screenpops up, in the right most of your application,

Select " Upload" in "Fee Type --- New Application"

* t"RqCl5 q~(U;G1 ~ 'l1ci1d1IClf CFi~MINISTRY OF ROAD TRANSPORT & HIGHWAYS

GovernMent of India

......

17. Below screenwill opens, fill required Data and upload Scannedcopy of documents related to

f ( . II b lt"Per ormance BankGuarantee PBG)and click on SU ml "

16. In Home page in II Add New" click on "Preview & Submit" asshown below

~q) Q\1C16G1 3ih: iliJIit1laf ahllC1~MINISTRY OF ROAD TRMISPORT & HIGHWAYS

Govemm~t of India

10,000.00 view

10,000.00 Upi06d

17. Reviewyour application and in II clarification" boxtype matter indicated at S.No1 of Declarationand

[1

(tv) If Yes,whether the documentry evidence of the LA. details areattached.

Not Applicable(iii)Whethe-radditiofla! land acquisition as above is required by thesite of ROW (to prescribed turning radius) has been done by theownerof the fuel station.

Not Applicable

18

N!A17

Difference in In level betweenaccess area measur9d at the

N/A

I.,.."wn ofculvert, designedto, .,aln"9' .cconl'ng to 'ReS"" No

I(1.) Provi~iooof drinking water and toilet facilities alongwith. properdlsplaVat ttw entry to the fuel stationth} provisionof properdrainage arrangementfer fuel statIonpremises

No

21 ercvtsscnof adequate signs and markings as per the dr.JwtngsMinimum requirement asshownin the Drawil'l9

22

No

the oil companyhascertified that the fuel station is neitherlI'n op'..... ion nor energizedand that constructionof the fuel stationhasnot beencommenced.

No

Clarification

DECLARATIONL I herebycec'erethat all the statementsmadein the applicationsare true to the bestof my knowledqeand beNef.2. Any wi:lful misrepresentationof facts aodconcealedof informationwill result in the cancellationof the applicatlooandmay debarpermanentlyor for ill speaRed

pettedfrom applying i~ f?JtL;re3. r pectare that I have already iubmltted !will submit with in 24 hours,hard copy of all requisite document drawings in two copiesasper ministryguidelines

r Declarethat 1havealready submitted! will submit with 1024 hours,D.O. for Application fee as per ministry 9uide!ine~I agree with the dedartttfons mentioned above

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Checkthe checkbox under II Iagree with the declarations mentioned above" and click onII Submit" button.