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8/3/2019 Tech.scre Formet
1/192
Annexure IITechnical Screening of Non Notified Slums
(This form is to be completed for every slum an signed by Town Project Officer, Town PlanningOfficer, Municipal Engineer and Municipal Commissioner).
Name of the Municipality
Name of the SlumA. General
1. Ward Number
2. Area in Hectares
3. Boundaries of Slum
(indicate house numbers,
names of lanes or
localities abutting the
slum)
North
South
East
West
4. Population (As per HH
survey-2003)5. No. of Houses
6. No. of Households
7. BPL population
8. SC & ST populationSC ST
9. Slum map at scale of
1:600 Enclosed / Not Enclosed
B. Land Tenure
1. Specify ownership of
the land in which slum islocated
Government Land Railway Land
Municipal Land Other semi Govt.
Waqf Land Private Land
Endowment Land Other (specify)
2. Ownership of individual
household in the slumNo. of HHs
Pattas
Possession Certificates
Ownership documents
No Ownership
Total
8/3/2019 Tech.scre Formet
2/192
3. Necessary Certificate that
slum not slated for
clearance for the next 10
years enclosed (in case ofgovt./quasi govt. lands
without pattas)
Competent Authority Yes No
1.
2.
3.
4. Is there any court
litigation?
5. If yes, indicate the status Name of the court :
File No :
Injunction order / status quo/under trial
6. Can land issues be
resolved to allow provision
of infrastructure (if yes,
explain briefly)
Yes No
7. If so, what is the time
frame?
C. Environmental
Conditions
Is the slum :
Yes
No
1. Located on or any other
environmentally sensitive
area? Indicate Yes / No
Tank bed, embankment
River embankment
Riverbed
Canal
Nala
Other (specify)
2. Located on places of
public interest? Indicate Yes/ No
Road Margins
Proposed master plan roads
Layout open spaces
Other (specify)
8/3/2019 Tech.scre Formet
3/192
3. Located on hazardous
areas? Indicate Yes / No (If
yes, describe pollution and
mention source)
Steep hill side
Marshy land
Industrial pollution
D. Infrastructure
Conditions
No. of HHs
1. Source of Water
Supply
Individual Tap
Group Tap
Public Tap
Tankers (municipality and private)
Borewell
Open Well
Others
2. Water Supply Length of existing distribution lines
Length of required distribution lines
No. of HHs not covered by piped water supply
% of HHs not covered by piped water supply
3. Water supply per day
in hours
4. Distance to the off-site
water supply
5. Drains Length of existing pucca drains
Length of required pucca drains
No. of HHs not covered by pucca drains
% of HHs not covered by pucca drains
6. Distance to the
disposal drain (in metres)
8/3/2019 Tech.scre Formet
4/192
7. Frequency of flooding
per year
8. Roads Length of existing pucca roads
Length of required pucca roads
No. of HHs not covered by pucca roads
% of HHs not covered by pucca roads
9. Street Lights No. of existing street lights
No. of required street lights
No. of HHs not covered by street lights
% of HHs not covered by street lights
10. Is there a proper
drainage outfall point
from the slum?
Yes No
It is hereby certified that the ----------------------- Locality is eligible for notification asslum. The slum is free from tenure problems, not located on environmentallyobjectionable area and has poor and vulnerable people and it has infrastructuredeficiency. In view of this it is feasible to take up the environmental infrastructureworks and other improvements is the slum.E
nclosures :1. Slum map2. Socio-economic details3. Ownership details4. Certificate by competent authority5. Details of court litigation if any6. Date relating to infrastructure7. Abstract of HH survey report
Town Project Officer Town Planning Officer Municipal Engineer
Municipal Commissioner
8/3/2019 Tech.scre Formet
5/192
Annexure IITechnical Screening of Non Notified Slums
(This form is to be completed for every slum an signed by Town Project Officer, Town PlanningOfficer, Municipal Engineer and Municipal Commissioner).
Name of the Municipality
Name of the SlumA. General
1. Ward Number
2. Area in Hectares
3. Boundaries of Slum
(indicate house numbers,
names of lanes or
localities abutting the
slum)
North
South
East
West
4. Population (As per HH
survey-2003)5. No. of Houses
6. No. of Households
7. BPL population
8. SC & ST populationSC ST
9. Slum map at scale of
1:600 Enclosed / Not Enclosed
B. Land Tenure
1. Specify ownership of
the land in which slum islocated
Government Land Railway Land
Municipal Land Other semi Govt.
Waqf Land Private Land
Endowment Land Other (specify)
2. Ownership of individual
household in the slumNo. of HHs
Pattas
Possession Certificates
Ownership documents
No Ownership
Total
8/3/2019 Tech.scre Formet
6/192
3. Necessary Certificate that
slum not slated for
clearance for the next 10
years enclosed (in case ofgovt./quasi govt. lands
without pattas)
Competent Authority Yes No
1.
2.
3.
4. Is there any court
litigation?
5. If yes, indicate the status Name of the court :
File No :
Injunction order / status quo/under trial
6. Can land issues be
resolved to allow provision
of infrastructure (if yes,
explain briefly)
Yes No
7. If so, what is the time
frame?
C. Environmental
Conditions
Is the slum :
Yes
No
1. Located on or any other
environmentally sensitive
area? Indicate Yes / No
Tank bed, embankment
River embankment
Riverbed
Canal
Nala
Other (specify)
2. Located on places of
public interest? Indicate Yes/ No
Road Margins
Proposed master plan roads
Layout open spaces
Other (specify)
8/3/2019 Tech.scre Formet
7/192
3. Located on hazardous
areas? Indicate Yes / No (If
yes, describe pollution and
mention source)
Steep hill side
Marshy land
Industrial pollution
D. Infrastructure
Conditions
No. of HHs
1. Source of Water
Supply
Individual Tap
Group Tap
Public Tap
Tankers (municipality and private)
Borewell
Open Well
Others
2. Water Supply Length of existing distribution lines
Length of required distribution lines
No. of HHs not covered by piped water supply
% of HHs not covered by piped water supply
3. Water supply per day
in hours
4. Distance to the off-site
water supply
5. Drains Length of existing pucca drains
Length of required pucca drains
No. of HHs not covered by pucca drains
% of HHs not covered by pucca drains
6. Distance to the
disposal drain (in metres)
8/3/2019 Tech.scre Formet
8/192
7. Frequency of flooding
per year
8. Roads Length of existing pucca roads
Length of required pucca roads
No. of HHs not covered by pucca roads
% of HHs not covered by pucca roads
9. Street Lights No. of existing street lights
No. of required street lights
No. of HHs not covered by street lights
% of HHs not covered by street lights
10. Is there a proper
drainage outfall point
from the slum?
Yes No
It is hereby certified that the ----------------------- Locality is eligible for notification asslum. The slum is free from tenure problems, not located on environmentallyobjectionable area and has poor and vulnerable people and it has infrastructuredeficiency. In view of this it is feasible to take up the environmental infrastructureworks and other improvements is the slum.E
nclosures :1. Slum map2. Socio-economic details3. Ownership details4. Certificate by competent authority5. Details of court litigation if any6. Date relating to infrastructure7. Abstract of HH survey report
Town Project Officer Town Planning Officer Municipal Engineer
Municipal Commissioner
8/3/2019 Tech.scre Formet
9/192
Annexure IITechnical Screening of Non Notified Slums
(This form is to be completed for every slum an signed by Town Project Officer, Town PlanningOfficer, Municipal Engineer and Municipal Commissioner).
Name of the Municipality
Name of the SlumA. General
1. Ward Number
2. Area in Hectares
3. Boundaries of Slum
(indicate house numbers,
names of lanes or
localities abutting the
slum)
North
South
East
West
4. Population (As per HH
survey-2003)5. No. of Houses
6. No. of Households
7. BPL population
8. SC & ST populationSC ST
9. Slum map at scale of
1:600 Enclosed / Not Enclosed
B. Land Tenure
1. Specify ownership of
the land in which slum islocated
Government Land Railway Land
Municipal Land Other semi Govt.
Waqf Land Private Land
Endowment Land Other (specify)
2. Ownership of individual
household in the slumNo. of HHs
Pattas
Possession Certificates
Ownership documents
No Ownership
Total
8/3/2019 Tech.scre Formet
10/192
3. Necessary Certificate that
slum not slated for
clearance for the next 10
years enclosed (in case ofgovt./quasi govt. lands
without pattas)
Competent Authority Yes No
1.
2.
3.
4. Is there any court
litigation?
5. If yes, indicate the status Name of the court :
File No :
Injunction order / status quo/under trial
6. Can land issues be
resolved to allow provision
of infrastructure (if yes,
explain briefly)
Yes No
7. If so, what is the time
frame?
C. Environmental
Conditions
Is the slum :
Yes
No
1. Located on or any other
environmentally sensitive
area? Indicate Yes / No
Tank bed, embankment
River embankment
Riverbed
Canal
Nala
Other (specify)
2. Located on places of
public interest? Indicate Yes/ No
Road Margins
Proposed master plan roads
Layout open spaces
Other (specify)
8/3/2019 Tech.scre Formet
11/192
3. Located on hazardous
areas? Indicate Yes / No (If
yes, describe pollution and
mention source)
Steep hill side
Marshy land
Industrial pollution
D. Infrastructure
Conditions
No. of HHs
1. Source of Water
Supply
Individual Tap
Group Tap
Public Tap
Tankers (municipality and private)
Borewell
Open Well
Others
2. Water Supply Length of existing distribution lines
Length of required distribution lines
No. of HHs not covered by piped water supply
% of HHs not covered by piped water supply
3. Water supply per day
in hours
4. Distance to the off-site
water supply
5. Drains Length of existing pucca drains
Length of required pucca drains
No. of HHs not covered by pucca drains
% of HHs not covered by pucca drains
6. Distance to the
disposal drain (in metres)
8/3/2019 Tech.scre Formet
12/192
7. Frequency of flooding
per year
8. Roads Length of existing pucca roads
Length of required pucca roads
No. of HHs not covered by pucca roads
% of HHs not covered by pucca roads
9. Street Lights No. of existing street lights
No. of required street lights
No. of HHs not covered by street lights
% of HHs not covered by street lights
10. Is there a proper
drainage outfall point
from the slum?
Yes No
It is hereby certified that the ----------------------- Locality is eligible for notification asslum. The slum is free from tenure problems, not located on environmentallyobjectionable area and has poor and vulnerable people and it has infrastructuredeficiency. In view of this it is feasible to take up the environmental infrastructureworks and other improvements is the slum.E
nclosures :8. Slum map9. Socio-economic details10.Ownership details11.Certificate by competent authority12.Details of court litigation if any13.Date relating to infrastructure14.Abstract of HH survey report
Town Project Officer Town Planning Officer Municipal Engineer
Municipal Commissioner
8/3/2019 Tech.scre Formet
13/192
Annexure IITechnical Screening of Non Notified Slums
(This form is to be completed for every slum an signed by Town Project Officer, Town PlanningOfficer, Municipal Engineer and Municipal Commissioner).
Name of the Municipality
Name of the SlumA. General
1. Ward Number
2. Area in Hectares
3. Boundaries of Slum
(indicate house numbers,
names of lanes or
localities abutting the
slum)
North
South
East
West
4. Population (As per HH
survey-2003)5. No. of Houses
6. No. of Households
7. BPL population
8. SC & ST populationSC ST
9. Slum map at scale of
1:600 Enclosed / Not Enclosed
B. Land Tenure
1. Specify ownership of
the land in which slum islocated
Government Land Railway Land
Municipal Land Other semi Govt.
Waqf Land Private Land
Endowment Land Other (specify)
2. Ownership of individual
household in the slumNo. of HHs
Pattas
Possession Certificates
Ownership documents
No Ownership
Total
8/3/2019 Tech.scre Formet
14/192
3. Necessary Certificate that
slum not slated for
clearance for the next 10
years enclosed (in case ofgovt./quasi govt. lands
without pattas)
Competent Authority Yes No
1.
2.
3.
4. Is there any court
litigation?
5. If yes, indicate the status Name of the court :
File No :
Injunction order / status quo/under trial
6. Can land issues be
resolved to allow provision
of infrastructure (if yes,
explain briefly)
Yes No
7. If so, what is the time
frame?
C. Environmental
Conditions
Is the slum :
Yes
No
1. Located on or any other
environmentally sensitive
area? Indicate Yes / No
Tank bed, embankment
River embankment
Riverbed
Canal
Nala
Other (specify)
2. Located on places of
public interest? Indicate Yes/ No
Road Margins
Proposed master plan roads
Layout open spaces
Other (specify)
8/3/2019 Tech.scre Formet
15/192
3. Located on hazardous
areas? Indicate Yes / No (If
yes, describe pollution and
mention source)
Steep hill side
Marshy land
Industrial pollution
D. Infrastructure
Conditions
No. of HHs
1. Source of Water
Supply
Individual Tap
Group Tap
Public Tap
Tankers (municipality and private)
Borewell
Open Well
Others
2. Water Supply Length of existing distribution lines
Length of required distribution lines
No. of HHs not covered by piped water supply
% of HHs not covered by piped water supply
3. Water supply per day
in hours
4. Distance to the off-site
water supply
5. Drains Length of existing pucca drains
Length of required pucca drains
No. of HHs not covered by pucca drains
% of HHs not covered by pucca drains
6. Distance to the
disposal drain (in metres)
8/3/2019 Tech.scre Formet
16/192
7. Frequency of flooding
per year
8. Roads Length of existing pucca roads
Length of required pucca roads
No. of HHs not covered by pucca roads
% of HHs not covered by pucca roads
9. Street Lights No. of existing street lights
No. of required street lights
No. of HHs not covered by street lights
% of HHs not covered by street lights
10. Is there a proper
drainage outfall point
from the slum?
Yes No
It is hereby certified that the ----------------------- Locality is eligible for notification asslum. The slum is free from tenure problems, not located on environmentallyobjectionable area and has poor and vulnerable people and it has infrastructuredeficiency. In view of this it is feasible to take up the environmental infrastructureworks and other improvements is the slum.E
nclosures :8. Slum map9. Socio-economic details10.Ownership details11.Certificate by competent authority12.Details of court litigation if any13.Date relating to infrastructure14.Abstract of HH survey report
Town Project Officer Town Planning Officer Municipal Engineer
Municipal Commissioner
8/3/2019 Tech.scre Formet
17/192
Annexure IITechnical Screening of Non Notified Slums
(This form is to be completed for every slum an signed by Town Project Officer, Town PlanningOfficer, Municipal Engineer and Municipal Commissioner).
Name of the Municipality
Name of the SlumA. General
1. Ward Number
2. Area in Hectares
3. Boundaries of Slum
(indicate house numbers,
names of lanes or
localities abutting the
slum)
North
South
East
West
4. Population (As per HH
survey-2003)5. No. of Houses
6. No. of Households
7. BPL population
8. SC & ST populationSC ST
9. Slum map at scale of
1:600 Enclosed / Not Enclosed
B. Land Tenure
1. Specify ownership of
the land in which slum islocated
Government Land Railway Land
Municipal Land Other semi Govt.
Waqf Land Private Land
Endowment Land Other (specify)
2. Ownership of individual
household in the slumNo. of HHs
Pattas
Possession Certificates
Ownership documents
No Ownership
Total
8/3/2019 Tech.scre Formet
18/192
3. Necessary Certificate that
slum not slated for
clearance for the next 10
years enclosed (in case ofgovt./quasi govt. lands
without pattas)
Competent Authority Yes No
1.
2.
3.
4. Is there any court
litigation?
5. If yes, indicate the status Name of the court :
File No :
Injunction order / status quo/under trial
6. Can land issues be
resolved to allow provision
of infrastructure (if yes,
explain briefly)
Yes No
7. If so, what is the time
frame?
C. Environmental
Conditions
Is the slum :
Yes
No
1. Located on or any other
environmentally sensitive
area? Indicate Yes / No
Tank bed, embankment
River embankment
Riverbed
Canal
Nala
Other (specify)
2. Located on places of
public interest? Indicate Yes/ No
Road Margins
Proposed master plan roads
Layout open spaces
Other (specify)
8/3/2019 Tech.scre Formet
19/192
3. Located on hazardous
areas? Indicate Yes / No (If
yes, describe pollution and
mention source)
Steep hill side
Marshy land
Industrial pollution
D. Infrastructure
Conditions
No. of HHs
1. Source of Water
Supply
Individual Tap
Group Tap
Public Tap
Tankers (municipality and private)
Borewell
Open Well
Others
2. Water Supply Length of existing distribution lines
Length of required distribution lines
No. of HHs not covered by piped water supply
% of HHs not covered by piped water supply
3. Water supply per day
in hours
4. Distance to the off-site
water supply
5. Drains Length of existing pucca drains
Length of required pucca drains
No. of HHs not covered by pucca drains
% of HHs not covered by pucca drains
6. Distance to the
disposal drain (in metres)
8/3/2019 Tech.scre Formet
20/192
7. Frequency of flooding
per year
8. Roads Length of existing pucca roads
Length of required pucca roads
No. of HHs not covered by pucca roads
% of HHs not covered by pucca roads
9. Street Lights No. of existing street lights
No. of required street lights
No. of HHs not covered by street lights
% of HHs not covered by street lights
10. Is there a proper
drainage outfall point
from the slum?
Yes No
It is hereby certified that the ----------------------- Locality is eligible for notification asslum. The slum is free from tenure problems, not located on environmentallyobjectionable area and has poor and vulnerable people and it has infrastructuredeficiency. In view of this it is feasible to take up the environmental infrastructureworks and other improvements is the slum.E
nclosures :15.Slum map16.Socio-economic details17.Ownership details18.Certificate by competent authority19.Details of court litigation if any20.Date relating to infrastructure21.Abstract of HH survey report
Town Project Officer Town Planning Officer Municipal Engineer
Municipal Commissioner
8/3/2019 Tech.scre Formet
21/192
Annexure IITechnical Screening of Non Notified Slums
(This form is to be completed for every slum an signed by Town Project Officer, Town PlanningOfficer, Municipal Engineer and Municipal Commissioner).
Name of the Municipality
Name of the SlumA. General
1. Ward Number
2. Area in Hectares
3. Boundaries of Slum
(indicate house numbers,
names of lanes or
localities abutting the
slum)
North
South
East
West
4. Population (As per HH
survey-2003)5. No. of Houses
6. No. of Households
7. BPL population
8. SC & ST populationSC ST
9. Slum map at scale of
1:600 Enclosed / Not Enclosed
B. Land Tenure
1. Specify ownership of
the land in which slum islocated
Government Land Railway Land
Municipal Land Other semi Govt.
Waqf Land Private Land
Endowment Land Other (specify)
2. Ownership of individual
household in the slumNo. of HHs
Pattas
Possession Certificates
Ownership documents
No Ownership
Total
8/3/2019 Tech.scre Formet
22/192
3. Necessary Certificate that
slum not slated for
clearance for the next 10
years enclosed (in case ofgovt./quasi govt. lands
without pattas)
Competent Authority Yes No
1.
2.
3.
4. Is there any court
litigation?
5. If yes, indicate the status Name of the court :
File No :
Injunction order / status quo/under trial
6. Can land issues be
resolved to allow provision
of infrastructure (if yes,
explain briefly)
Yes No
7. If so, what is the time
frame?
C. Environmental
Conditions
Is the slum :
Yes
No
1. Located on or any other
environmentally sensitive
area? Indicate Yes / No
Tank bed, embankment
River embankment
Riverbed
Canal
Nala
Other (specify)
2. Located on places of
public interest? Indicate Yes/ No
Road Margins
Proposed master plan roads
Layout open spaces
Other (specify)
8/3/2019 Tech.scre Formet
23/192
3. Located on hazardous
areas? Indicate Yes / No (If
yes, describe pollution and
mention source)
Steep hill side
Marshy land
Industrial pollution
D. Infrastructure
Conditions
No. of HHs
1. Source of Water
Supply
Individual Tap
Group Tap
Public Tap
Tankers (municipality and private)
Borewell
Open Well
Others
2. Water Supply Length of existing distribution lines
Length of required distribution lines
No. of HHs not covered by piped water supply
% of HHs not covered by piped water supply
3. Water supply per day
in hours
4. Distance to the off-site
water supply
5. Drains Length of existing pucca drains
Length of required pucca drains
No. of HHs not covered by pucca drains
% of HHs not covered by pucca drains
6. Distance to the
disposal drain (in metres)
8/3/2019 Tech.scre Formet
24/192
7. Frequency of flooding
per year
8. Roads Length of existing pucca roads
Length of required pucca roads
No. of HHs not covered by pucca roads
% of HHs not covered by pucca roads
9. Street Lights No. of existing street lights
No. of required street lights
No. of HHs not covered by street lights
% of HHs not covered by street lights
10. Is there a proper
drainage outfall point
from the slum?
Yes No
It is hereby certified that the ----------------------- Locality is eligible for notification asslum. The slum is free from tenure problems, not located on environmentallyobjectionable area and has poor and vulnerable people and it has infrastructuredeficiency. In view of this it is feasible to take up the environmental infrastructureworks and other improvements is the slum.E
nclosures :15.Slum map16.Socio-economic details17.Ownership details18.Certificate by competent authority19.Details of court litigation if any20.Date relating to infrastructure21.Abstract of HH survey report
Town Project Officer Town Planning Officer Municipal Engineer
Municipal Commissioner
8/3/2019 Tech.scre Formet
25/192
Annexure IITechnical Screening of Non Notified Slums
(This form is to be completed for every slum an signed by Town Project Officer, Town PlanningOfficer, Municipal Engineer and Municipal Commissioner).
Name of the Municipality
Name of the SlumA. General
1. Ward Number
2. Area in Hectares
3. Boundaries of Slum
(indicate house numbers,
names of lanes or
localities abutting the
slum)
North
South
East
West
4. Population (As per HH
survey-2003)5. No. of Houses
6. No. of Households
7. BPL population
8. SC & ST populationSC ST
9. Slum map at scale of
1:600 Enclosed / Not Enclosed
B. Land Tenure
1. Specify ownership of
the land in which slum islocated
Government Land Railway Land
Municipal Land Other semi Govt.
Waqf Land Private Land
Endowment Land Other (specify)
2. Ownership of individual
household in the slumNo. of HHs
Pattas
Possession Certificates
Ownership documents
No Ownership
Total
8/3/2019 Tech.scre Formet
26/192
3. Necessary Certificate that
slum not slated for
clearance for the next 10
years enclosed (in case ofgovt./quasi govt. lands
without pattas)
Competent Authority Yes No
1.
2.
3.
4. Is there any court
litigation?
5. If yes, indicate the status Name of the court :
File No :
Injunction order / status quo/under trial
6. Can land issues be
resolved to allow provision
of infrastructure (if yes,
explain briefly)
Yes No
7. If so, what is the time
frame?
C. Environmental
Conditions
Is the slum :
Yes
No
1. Located on or any other
environmentally sensitive
area? Indicate Yes / No
Tank bed, embankment
River embankment
Riverbed
Canal
Nala
Other (specify)
2. Located on places of
public interest? Indicate Yes/ No
Road Margins
Proposed master plan roads
Layout open spaces
Other (specify)
8/3/2019 Tech.scre Formet
27/192
3. Located on hazardous
areas? Indicate Yes / No (If
yes, describe pollution and
mention source)
Steep hill side
Marshy land
Industrial pollution
D. Infrastructure
Conditions
No. of HHs
1. Source of Water
Supply
Individual Tap
Group Tap
Public Tap
Tankers (municipality and private)
Borewell
Open Well
Others
2. Water Supply Length of existing distribution lines
Length of required distribution lines
No. of HHs not covered by piped water supply
% of HHs not covered by piped water supply
3. Water supply per day
in hours
4. Distance to the off-site
water supply
5. Drains Length of existing pucca drains
Length of required pucca drains
No. of HHs not covered by pucca drains
% of HHs not covered by pucca drains
6. Distance to the
disposal drain (in metres)
8/3/2019 Tech.scre Formet
28/192
7. Frequency of flooding
per year
8. Roads Length of existing pucca roads
Length of required pucca roads
No. of HHs not covered by pucca roads
% of HHs not covered by pucca roads
9. Street Lights No. of existing street lights
No. of required street lights
No. of HHs not covered by street lights
% of HHs not covered by street lights
10. Is there a proper
drainage outfall point
from the slum?
Yes No
It is hereby certified that the ----------------------- Locality is eligible for notification asslum. The slum is free from tenure problems, not located on environmentallyobjectionable area and has poor and vulnerable people and it has infrastructuredeficiency. In view of this it is feasible to take up the environmental infrastructureworks and other improvements is the slum.E
nclosures :22.Slum map23.Socio-economic details24.Ownership details25.Certificate by competent authority26.Details of court litigation if any27.Date relating to infrastructure28.Abstract of HH survey report
Town Project Officer Town Planning Officer Municipal Engineer
Municipal Commissioner
8/3/2019 Tech.scre Formet
29/192
Annexure IITechnical Screening of Non Notified Slums
(This form is to be completed for every slum an signed by Town Project Officer, Town PlanningOfficer, Municipal Engineer and Municipal Commissioner).
Name of the Municipality
Name of the SlumA. General
1. Ward Number
2. Area in Hectares
3. Boundaries of Slum
(indicate house numbers,
names of lanes or
localities abutting the
slum)
North
South
East
West
4. Population (As per HH
survey-2003)5. No. of Houses
6. No. of Households
7. BPL population
8. SC & ST populationSC ST
9. Slum map at scale of
1:600 Enclosed / Not Enclosed
B. Land Tenure
1. Specify ownership of
the land in which slum islocated
Government Land Railway Land
Municipal Land Other semi Govt.
Waqf Land Private Land
Endowment Land Other (specify)
2. Ownership of individual
household in the slumNo. of HHs
Pattas
Possession Certificates
Ownership documents
No Ownership
Total
8/3/2019 Tech.scre Formet
30/192
3. Necessary Certificate that
slum not slated for
clearance for the next 10
years enclosed (in case ofgovt./quasi govt. lands
without pattas)
Competent Authority Yes No
1.
2.
3.
4. Is there any court
litigation?
5. If yes, indicate the status Name of the court :
File No :
Injunction order / status quo/under trial
6. Can land issues be
resolved to allow provision
of infrastructure (if yes,
explain briefly)
Yes No
7. If so, what is the time
frame?
C. Environmental
Conditions
Is the slum :
Yes
No
1. Located on or any other
environmentally sensitive
area? Indicate Yes / No
Tank bed, embankment
River embankment
Riverbed
Canal
Nala
Other (specify)
2. Located on places of
public interest? Indicate Yes/ No
Road Margins
Proposed master plan roads
Layout open spaces
Other (specify)
8/3/2019 Tech.scre Formet
31/192
3. Located on hazardous
areas? Indicate Yes / No (If
yes, describe pollution and
mention source)
Steep hill side
Marshy land
Industrial pollution
D. Infrastructure
Conditions
No. of HHs
1. Source of Water
Supply
Individual Tap
Group Tap
Public Tap
Tankers (municipality and private)
Borewell
Open Well
Others
2. Water Supply Length of existing distribution lines
Length of required distribution lines
No. of HHs not covered by piped water supply
% of HHs not covered by piped water supply
3. Water supply per day
in hours
4. Distance to the off-site
water supply
5. Drains Length of existing pucca drains
Length of required pucca drains
No. of HHs not covered by pucca drains
% of HHs not covered by pucca drains
6. Distance to the
disposal drain (in metres)
8/3/2019 Tech.scre Formet
32/192
7. Frequency of flooding
per year
8. Roads Length of existing pucca roads
Length of required pucca roads
No. of HHs not covered by pucca roads
% of HHs not covered by pucca roads
9. Street Lights No. of existing street lights
No. of required street lights
No. of HHs not covered by street lights
% of HHs not covered by street lights
10. Is there a proper
drainage outfall point
from the slum?
Yes No
It is hereby certified that the ----------------------- Locality is eligible for notification asslum. The slum is free from tenure problems, not located on environmentallyobjectionable area and has poor and vulnerable people and it has infrastructuredeficiency. In view of this it is feasible to take up the environmental infrastructureworks and other improvements is the slum.E
nclosures :22.Slum map23.Socio-economic details24.Ownership details25.Certificate by competent authority26.Details of court litigation if any27.Date relating to infrastructure28.Abstract of HH survey report
Town Project Officer Town Planning Officer Municipal Engineer
Municipal Commissioner
8/3/2019 Tech.scre Formet
33/192
Annexure IITechnical Screening of Non Notified Slums
(This form is to be completed for every slum an signed by Town Project Officer, Town PlanningOfficer, Municipal Engineer and Municipal Commissioner).
Name of the Municipality
Name of the SlumA. General
1. Ward Number
2. Area in Hectares
3. Boundaries of Slum
(indicate house numbers,
names of lanes or
localities abutting the
slum)
North
South
East
West
4. Population (As per HH
survey-2003)5. No. of Houses
6. No. of Households
7. BPL population
8. SC & ST populationSC ST
9. Slum map at scale of
1:600 Enclosed / Not Enclosed
B. Land Tenure
1. Specify ownership of
the land in which slum islocated
Government Land Railway Land
Municipal Land Other semi Govt.
Waqf Land Private Land
Endowment Land Other (specify)
2. Ownership of individual
household in the slumNo. of HHs
Pattas
Possession Certificates
Ownership documents
No Ownership
Total
8/3/2019 Tech.scre Formet
34/192
3. Necessary Certificate that
slum not slated for
clearance for the next 10
years enclosed (in case ofgovt./quasi govt. lands
without pattas)
Competent Authority Yes No
1.
2.
3.
4. Is there any court
litigation?
5. If yes, indicate the status Name of the court :
File No :
Injunction order / status quo/under trial
6. Can land issues be
resolved to allow provision
of infrastructure (if yes,
explain briefly)
Yes No
7. If so, what is the time
frame?
C. Environmental
Conditions
Is the slum :
Yes
No
1. Located on or any other
environmentally sensitive
area? Indicate Yes / No
Tank bed, embankment
River embankment
Riverbed
Canal
Nala
Other (specify)
2. Located on places of
public interest? Indicate Yes/ No
Road Margins
Proposed master plan roads
Layout open spaces
Other (specify)
8/3/2019 Tech.scre Formet
35/192
3. Located on hazardous
areas? Indicate Yes / No (If
yes, describe pollution and
mention source)
Steep hill side
Marshy land
Industrial pollution
D. Infrastructure
Conditions
No. of HHs
1. Source of Water
Supply
Individual Tap
Group Tap
Public Tap
Tankers (municipality and private)
Borewell
Open Well
Others
2. Water Supply Length of existing distribution lines
Length of required distribution lines
No. of HHs not covered by piped water supply
% of HHs not covered by piped water supply
3. Water supply per day
in hours
4. Distance to the off-site
water supply
5. Drains Length of existing pucca drains
Length of required pucca drains
No. of HHs not covered by pucca drains
% of HHs not covered by pucca drains
6. Distance to the
disposal drain (in metres)
8/3/2019 Tech.scre Formet
36/192
7. Frequency of flooding
per year
8. Roads Length of existing pucca roads
Length of required pucca roads
No. of HHs not covered by pucca roads
% of HHs not covered by pucca roads
9. Street Lights No. of existing street lights
No. of required street lights
No. of HHs not covered by street lights
% of HHs not covered by street lights
10. Is there a proper
drainage outfall point
from the slum?
Yes No
It is hereby certified that the ----------------------- Locality is eligible for notification asslum. The slum is free from tenure problems, not located on environmentallyobjectionable area and has poor and vulnerable people and it has infrastructuredeficiency. In view of this it is feasible to take up the environmental infrastructureworks and other improvements is the slum.E
nclosures :29.Slum map30.Socio-economic details31.Ownership details32.Certificate by competent authority33.Details of court litigation if any34.Date relating to infrastructure35.Abstract of HH survey report
Town Project Officer Town Planning Officer Municipal Engineer
Municipal Commissioner
8/3/2019 Tech.scre Formet
37/192
Annexure IITechnical Screening of Non Notified Slums
(This form is to be completed for every slum an signed by Town Project Officer, Town PlanningOfficer, Municipal Engineer and Municipal Commissioner).
Name of the Municipality
Name of the SlumA. General
1. Ward Number
2. Area in Hectares
3. Boundaries of Slum
(indicate house numbers,
names of lanes or
localities abutting the
slum)
North
South
East
West
4. Population (As per HH
survey-2003)5. No. of Houses
6. No. of Households
7. BPL population
8. SC & ST populationSC ST
9. Slum map at scale of
1:600 Enclosed / Not Enclosed
B. Land Tenure
1. Specify ownership of
the land in which slum islocated
Government Land Railway Land
Municipal Land Other semi Govt.
Waqf Land Private Land
Endowment Land Other (specify)
2. Ownership of individual
household in the slumNo. of HHs
Pattas
Possession Certificates
Ownership documents
No Ownership
Total
8/3/2019 Tech.scre Formet
38/192
3. Necessary Certificate that
slum not slated for
clearance for the next 10
years enclosed (in case ofgovt./quasi govt. lands
without pattas)
Competent Authority Yes No
1.
2.
3.
4. Is there any court
litigation?
5. If yes, indicate the status Name of the court :
File No :
Injunction order / status quo/under trial
6. Can land issues be
resolved to allow provision
of infrastructure (if yes,
explain briefly)
Yes No
7. If so, what is the time
frame?
C. Environmental
Conditions
Is the slum :
Yes
No
1. Located on or any other
environmentally sensitive
area? Indicate Yes / No
Tank bed, embankment
River embankment
Riverbed
Canal
Nala
Other (specify)
2. Located on places of
public interest? Indicate Yes/ No
Road Margins
Proposed master plan roads
Layout open spaces
Other (specify)
8/3/2019 Tech.scre Formet
39/192
3. Located on hazardous
areas? Indicate Yes / No (If
yes, describe pollution and
mention source)
Steep hill side
Marshy land
Industrial pollution
D. Infrastructure
Conditions
No. of HHs
1. Source of Water
Supply
Individual Tap
Group Tap
Public Tap
Tankers (municipality and private)
Borewell
Open Well
Others
2. Water Supply Length of existing distribution lines
Length of required distribution lines
No. of HHs not covered by piped water supply
% of HHs not covered by piped water supply
3. Water supply per day
in hours
4. Distance to the off-site
water supply
5. Drains Length of existing pucca drains
Length of required pucca drains
No. of HHs not covered by pucca drains
% of HHs not covered by pucca drains
6. Distance to the
disposal drain (in metres)
8/3/2019 Tech.scre Formet
40/192
7. Frequency of flooding
per year
8. Roads Length of existing pucca roads
Length of required pucca roads
No. of HHs not covered by pucca roads
% of HHs not covered by pucca roads
9. Street Lights No. of existing street lights
No. of required street lights
No. of HHs not covered by street lights
% of HHs not covered by street lights
10. Is there a proper
drainage outfall point
from the slum?
Yes No
It is hereby certified that the ----------------------- Locality is eligible for notification asslum. The slum is free from tenure problems, not located on environmentallyobjectionable area and has poor and vulnerable people and it has infrastructuredeficiency. In view of this it is feasible to take up the environmental infrastructureworks and other improvements is the slum.E
nclosures :29.Slum map30.Socio-economic details31.Ownership details32.Certificate by competent authority33.Details of court litigation if any34.Date relating to infrastructure35.Abstract of HH survey report
Town Project Officer Town Planning Officer Municipal Engineer
Municipal Commissioner
8/3/2019 Tech.scre Formet
41/192
Annexure IITechnical Screening of Non Notified Slums
(This form is to be completed for every slum an signed by Town Project Officer, Town PlanningOfficer, Municipal Engineer and Municipal Commissioner).
Name of the Municipality
Name of the SlumA. General
1. Ward Number
2. Area in Hectares
3. Boundaries of Slum
(indicate house numbers,
names of lanes or
localities abutting the
slum)
North
South
East
West
4. Population (As per HH
survey-2003)5. No. of Houses
6. No. of Households
7. BPL population
8. SC & ST populationSC ST
9. Slum map at scale of
1:600 Enclosed / Not Enclosed
B. Land Tenure
1. Specify ownership of
the land in which slum islocated
Government Land Railway Land
Municipal Land Other semi Govt.
Waqf Land Private Land
Endowment Land Other (specify)
2. Ownership of individual
household in the slumNo. of HHs
Pattas
Possession Certificates
Ownership documents
No Ownership
Total
8/3/2019 Tech.scre Formet
42/192
3. Necessary Certificate that
slum not slated for
clearance for the next 10
years enclosed (in case ofgovt./quasi govt. lands
without pattas)
Competent Authority Yes No
1.
2.
3.
4. Is there any court
litigation?
5. If yes, indicate the status Name of the court :
File No :
Injunction order / status quo/under trial
6. Can land issues be
resolved to allow provision
of infrastructure (if yes,
explain briefly)
Yes No
7. If so, what is the time
frame?
C. Environmental
Conditions
Is the slum :
Yes
No
1. Located on or any other
environmentally sensitive
area? Indicate Yes / No
Tank bed, embankment
River embankment
Riverbed
Canal
Nala
Other (specify)
2. Located on places of
public interest? Indicate Yes/ No
Road Margins
Proposed master plan roads
Layout open spaces
Other (specify)
8/3/2019 Tech.scre Formet
43/192
3. Located on hazardous
areas? Indicate Yes / No (If
yes, describe pollution and
mention source)
Steep hill side
Marshy land
Industrial pollution
D. Infrastructure
Conditions
No. of HHs
1. Source of Water
Supply
Individual Tap
Group Tap
Public Tap
Tankers (municipality and private)
Borewell
Open Well
Others
2. Water Supply Length of existing distribution lines
Length of required distribution lines
No. of HHs not covered by piped water supply
% of HHs not covered by piped water supply
3. Water supply per day
in hours
4. Distance to the off-site
water supply
5. Drains Length of existing pucca drains
Length of required pucca drains
No. of HHs not covered by pucca drains
% of HHs not covered by pucca drains
6. Distance to the
disposal drain (in metres)
8/3/2019 Tech.scre Formet
44/192
7. Frequency of flooding
per year
8. Roads Length of existing pucca roads
Length of required pucca roads
No. of HHs not covered by pucca roads
% of HHs not covered by pucca roads
9. Street Lights No. of existing street lights
No. of required street lights
No. of HHs not covered by street lights
% of HHs not covered by street lights
10. Is there a proper
drainage outfall point
from the slum?
Yes No
It is hereby certified that the ----------------------- Locality is eligible for notification asslum. The slum is free from tenure problems, not located on environmentallyobjectionable area and has poor and vulnerable people and it has infrastructuredeficiency. In view of this it is feasible to take up the environmental infrastructureworks and other improvements is the slum.E
nclosures :36.Slum map37.Socio-economic details38.Ownership details39.Certificate by competent authority40.Details of court litigation if any41.Date relating to infrastructure42.Abstract of HH survey report
Town Project Officer Town Planning Officer Municipal Engineer
Municipal Commissioner
8/3/2019 Tech.scre Formet
45/192
Annexure IITechnical Screening of Non Notified Slums
(This form is to be completed for every slum an signed by Town Project Officer, Town PlanningOfficer, Municipal Engineer and Municipal Commissioner).
Name of the Municipality
Name of the SlumA. General
1. Ward Number
2. Area in Hectares
3. Boundaries of Slum
(indicate house numbers,
names of lanes or
localities abutting the
slum)
North
South
East
West
4. Population (As per HH
survey-2003)5. No. of Houses
6. No. of Households
7. BPL population
8. SC & ST populationSC ST
9. Slum map at scale of
1:600 Enclosed / Not Enclosed
B. Land Tenure
1. Specify ownership of
the land in which slum islocated
Government Land Railway Land
Municipal Land Other semi Govt.
Waqf Land Private Land
Endowment Land Other (specify)
2. Ownership of individual
household in the slumNo. of HHs
Pattas
Possession Certificates
Ownership documents
No Ownership
Total
8/3/2019 Tech.scre Formet
46/192
3. Necessary Certificate that
slum not slated for
clearance for the next 10
years enclosed (in case ofgovt./quasi govt. lands
without pattas)
Competent Authority Yes No
1.
2.
3.
4. Is there any court
litigation?
5. If yes, indicate the status Name of the court :
File No :
Injunction order / status quo/under trial
6. Can land issues be
resolved to allow provision
of infrastructure (if yes,
explain briefly)
Yes No
7. If so, what is the time
frame?
C. Environmental
Conditions
Is the slum :
Yes
No
1. Located on or any other
environmentally sensitive
area? Indicate Yes / No
Tank bed, embankment
River embankment
Riverbed
Canal
Nala
Other (specify)
2. Located on places of
public interest? Indicate Yes/ No
Road Margins
Proposed master plan roads
Layout open spaces
Other (specify)
8/3/2019 Tech.scre Formet
47/192
3. Located on hazardous
areas? Indicate Yes / No (If
yes, describe pollution and
mention source)
Steep hill side
Marshy land
Industrial pollution
D. Infrastructure
Conditions
No. of HHs
1. Source of Water
Supply
Individual Tap
Group Tap
Public Tap
Tankers (municipality and private)
Borewell
Open Well
Others
2. Water Supply Length of existing distribution lines
Length of required distribution lines
No. of HHs not covered by piped water supply
% of HHs not covered by piped water supply
3. Water supply per day
in hours
4. Distance to the off-site
water supply
5. Drains Length of existing pucca drains
Length of required pucca drains
No. of HHs not covered by pucca drains
% of HHs not covered by pucca drains
6. Distance to the
disposal drain (in metres)
8/3/2019 Tech.scre Formet
48/192
7. Frequency of flooding
per year
8. Roads Length of existing pucca roads
Length of required pucca roads
No. of HHs not covered by pucca roads
% of HHs not covered by pucca roads
9. Street Lights No. of existing street lights
No. of required street lights
No. of HHs not covered by street lights
% of HHs not covered by street lights
10. Is there a proper
drainage outfall point
from the slum?
Yes No
It is hereby certified that the ----------------------- Locality is eligible for notification asslum. The slum is free from tenure problems, not located on environmentallyobjectionable area and has poor and vulnerable people and it has infrastructuredeficiency. In view of this it is feasible to take up the environmental infrastructureworks and other improvements is the slum.E
nclosures :36.Slum map37.Socio-economic details38.Ownership details39.Certificate by competent authority40.Details of court litigation if any41.Date relating to infrastructure42.Abstract of HH survey report
Town Project Officer Town Planning Officer Municipal Engineer
Municipal Commissioner
8/3/2019 Tech.scre Formet
49/192
Annexure IITechnical Screening of Non Notified Slums
(This form is to be completed for every slum an signed by Town Project Officer, Town PlanningOfficer, Municipal Engineer and Municipal Commissioner).
Name of the Municipality
Name of the SlumA. General
1. Ward Number
2. Area in Hectares
3. Boundaries of Slum
(indicate house numbers,
names of lanes or
localities abutting the
slum)
North
South
East
West
4. Population (As per HH
survey-2003)5. No. of Houses
6. No. of Households
7. BPL population
8. SC & ST populationSC ST
9. Slum map at scale of
1:600 Enclosed / Not Enclosed
B. Land Tenure
1. Specify ownership of
the land in which slum islocated
Government Land Railway Land
Municipal Land Other semi Govt.
Waqf Land Private Land
Endowment Land Other (specify)
2. Ownership of individual
household in the slumNo. of HHs
Pattas
Possession Certificates
Ownership documents
No Ownership
Total
8/3/2019 Tech.scre Formet
50/192
3. Necessary Certificate that
slum not slated for
clearance for the next 10
years enclosed (in case ofgovt./quasi govt. lands
without pattas)
Competent Authority Yes No
1.
2.
3.
4. Is there any court
litigation?
5. If yes, indicate the status Name of the court :
File No :
Injunction order / status quo/under trial
6. Can land issues be
resolved to allow provision
of infrastructure (if yes,
explain briefly)
Yes No
7. If so, what is the time
frame?
C. Environmental
Conditions
Is the slum :
Yes
No
1. Located on or any other
environmentally sensitive
area? Indicate Yes / No
Tank bed, embankment
River embankment
Riverbed
Canal
Nala
Other (specify)
2. Located on places of
public interest? Indicate Yes/ No
Road Margins
Proposed master plan roads
Layout open spaces
Other (specify)
8/3/2019 Tech.scre Formet
51/192
3. Located on hazardous
areas? Indicate Yes / No (If
yes, describe pollution and
mention source)
Steep hill side
Marshy land
Industrial pollution
D. Infrastructure
Conditions
No. of HHs
1. Source of Water
Supply
Individual Tap
Group Tap
Public Tap
Tankers (municipality and private)
Borewell
Open Well
Others
2. Water Supply Length of existing distribution lines
Length of required distribution lines
No. of HHs not covered by piped water supply
% of HHs not covered by piped water supply
3. Water supply per day
in hours
4. Distance to the off-site
water supply
5. Drains Length of existing pucca drains
Length of required pucca drains
No. of HHs not covered by pucca drains
% of HHs not covered by pucca drains
6. Distance to the
disposal drain (in metres)
8/3/2019 Tech.scre Formet
52/192
7. Frequency of flooding
per year
8. Roads Length of existing pucca roads
Length of required pucca roads
No. of HHs not covered by pucca roads
% of HHs not covered by pucca roads
9. Street Lights No. of existing street lights
No. of required street lights
No. of HHs not covered by street lights
% of HHs not covered by street lights
10. Is there a proper
drainage outfall point
from the slum?
Yes No
It is hereby certified that the ----------------------- Locality is eligible for notification asslum. The slum is free from tenure problems, not located on environmentallyobjectionable area and has poor and vulnerable people and it has infrastructuredeficiency. In view of this it is feasible to take up the environmental infrastructureworks and other improvements is the slum.E
nclosures :43.Slum map44.Socio-economic details45.Ownership details46.Certificate by competent authority47.Details of court litigation if any48.Date relating to infrastructure49.Abstract of HH survey report
Town Project Officer Town Planning Officer Municipal Engineer
Municipal Commissioner
8/3/2019 Tech.scre Formet
53/192
Annexure IITechnical Screening of Non Notified Slums
(This form is to be completed for every slum an signed by Town Project Officer, Town PlanningOfficer, Municipal Engineer and Municipal Commissioner).
Name of the Municipality
Name of the SlumA. General
1. Ward Number
2. Area in Hectares
3. Boundaries of Slum
(indicate house numbers,
names of lanes or
localities abutting the
slum)
North
South
East
West
4. Population (As per HH
survey-2003)5. No. of Houses
6. No. of Households
7. BPL population
8. SC & ST populationSC ST
9. Slum map at scale of
1:600 Enclosed / Not Enclosed
B. Land Tenure
1. Specify ownership of
the land in which slum islocated
Government Land Railway Land
Municipal Land Other semi Govt.
Waqf Land Private Land
Endowment Land Other (specify)
2. Ownership of individual
household in the slumNo. of HHs
Pattas
Possession Certificates
Ownership documents
No Ownership
Total
8/3/2019 Tech.scre Formet
54/192
3. Necessary Certificate that
slum not slated for
clearance for the next 10
years enclosed (in case ofgovt./quasi govt. lands
without pattas)
Competent Authority Yes No
1.
2.
3.
4. Is there any court
litigation?
5. If yes, indicate the status Name of the court :
File No :
Injunction order / status quo/under trial
6. Can land issues be
resolved to allow provision
of infrastructure (if yes,
explain briefly)
Yes No
7. If so, what is the time
frame?
C. Environmental
Conditions
Is the slum :
Yes
No
1. Located on or any other
environmentally sensitive
area? Indicate Yes / No
Tank bed, embankment
River embankment
Riverbed
Canal
Nala
Other (specify)
2. Located on places of
public interest? Indicate Yes/ No
Road Margins
Proposed master plan roads
Layout open spaces
Other (specify)
8/3/2019 Tech.scre Formet
55/192
3. Located on hazardous
areas? Indicate Yes / No (If
yes, describe pollution and
mention source)
Steep hill side
Marshy land
Industrial pollution
D. Infrastructure
Conditions
No. of HHs
1. Source of Water
Supply
Individual Tap
Group Tap
Public Tap
Tankers (municipality and private)
Borewell
Open Well
Others
2. Water Supply Length of existing distribution lines
Length of required distribution lines
No. of HHs not covered by piped water supply
% of HHs not covered by piped water supply
3. Water supply per day
in hours
4. Distance to the off-site
water supply
5. Drains Length of existing pucca drains
Length of required pucca drains
No. of HHs not covered by pucca drains
% of HHs not covered by pucca drains
6. Distance to the
disposal drain (in metres)
8/3/2019 Tech.scre Formet
56/192
7. Frequency of flooding
per year
8. Roads Length of existing pucca roads
Length of required pucca roads
No. of HHs not covered by pucca roads
% of HHs not covered by pucca roads
9. Street Lights No. of existing street lights
No. of required street lights
No. of HHs not covered by street lights
% of HHs not covered by street lights
10. Is there a proper
drainage outfall point
from the slum?
Yes No
It is hereby certified that the ----------------------- Locality is eligible for notification asslum. The slum is free from tenure problems, not located on environmentallyobjectionable area and has poor and vulnerable people and it has infrastructuredeficiency. In view of this it is feasible to take up the environmental infrastructureworks and other improvements is the slum.E
nclosures :43.Slum map44.Socio-economic details45.Ownership details46.Certificate by competent authority47.Details of court litigation if any48.Date relating to infrastructure49.Abstract of HH survey report
Town Project Officer Town Planning Officer Municipal Engineer
Municipal Commissioner
8/3/2019 Tech.scre Formet
57/192
Annexure IITechnical Screening of Non Notified Slums
(This form is to be completed for every slum an signed by Town Project Officer, Town PlanningOfficer, Municipal Engineer and Municipal Commissioner).
Name of the Municipality
Name of the SlumA. General
1. Ward Number
2. Area in Hectares
3. Boundaries of Slum
(indicate house numbers,
names of lanes or
localities abutting the
slum)
North
South
East
West
4. Population (As per HH
survey-2003)5. No. of Houses
6. No. of Households
7. BPL population
8. SC & ST populationSC ST
9. Slum map at scale of
1:600 Enclosed / Not Enclosed
B. Land Tenure
1. Specify ownership of
the land in which slum islocated
Government Land Railway Land
Municipal Land Other semi Govt.
Waqf Land Private Land
Endowment Land Other (specify)
2. Ownership of individual
household in the slumNo. of HHs
Pattas
Possession Certificates
Ownership documents
No Ownership
Total
8/3/2019 Tech.scre Formet
58/192
3. Necessary Certificate that
slum not slated for
clearance for the next 10
years enclosed (in case ofgovt./quasi govt. lands
without pattas)
Competent Authority Yes No
1.
2.
3.
4. Is there any court
litigation?
5. If yes, indicate the status Name of the court :
File No :
Injunction order / status quo/under trial
6. Can land issues be
resolved to allow provision
of infrastructure (if yes,
explain briefly)
Yes No
7. If so, what is the time
frame?
C. Environmental
Conditions
Is the slum :
Yes
No
1. Located on or any other
environmentally sensitive
area? Indicate Yes / No
Tank bed, embankment
River embankment
Riverbed
Canal
Nala
Other (specify)
2. Located on places of
public interest? Indicate Yes/ No
Road Margins
Proposed master plan roads
Layout open spaces
Other (specify)
8/3/2019 Tech.scre Formet
59/192
3. Located on hazardous
areas? Indicate Yes / No (If
yes, describe pollution and
mention source)
Steep hill side
Marshy land
Industrial pollution
D. Infrastructure
Conditions
No. of HHs
1. Source of Water
Supply
Individual Tap
Group Tap
Public Tap
Tankers (municipality and private)
Borewell
Open Well
Others
2. Water Supply Length of existing distribution lines
Length of required distribution lines
No. of HHs not covered by piped water supply
% of HHs not covered by piped water supply
3. Water supply per day
in hours
4. Distance to the off-site
water supply
5. Drains Length of existing pucca drains
Length of required pucca drains
No. of HHs not covered by pucca drains
% of HHs not covered by pucca drains
6. Distance to the
disposal drain (in metres)
8/3/2019 Tech.scre Formet
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7. Frequency of flooding
per year
8. Roads Length of existing pucca roads
Length of required pucca roads
No. of HHs not covered by pucca roads
% of HHs not covered by pucca roads
9. Street Lights No. of existing street lights
No. of required street lights
No. of HHs not covered by street lights
% of HHs not covered by street lights
10. Is there a proper
drainage outfall point
from the slum?
Yes No
It is hereby certified that the ----------------------- Locality is eligible for notification asslum. The slum is free from tenure problems, not located on environmentallyobjectionable area and has poor and vulnerable people and it has infrastructuredeficiency. In view of this it is feasible to take up the environmental infrastructureworks and other improvements is the slum.E
nclosures :50.Slum map51.Socio-economic details52.Ownership details53.Certificate by competent authority54.Details of court litigation if any55.Date relating to infrastructure56.Abstract of HH survey report
Town Project Officer Town Planning Officer Municipal Engineer
Municipal Commissioner
8/3/2019 Tech.scre Formet
61/192
Annexure IITechnical Screening of Non Notified Slums
(This form is to be completed for every slum an signed by Town Project Officer, Town PlanningOfficer, Municipal Engineer and Municipal Commissioner).
Name of the Municipality
Name of the SlumA. General
1. Ward Number
2. Area in Hectares
3. Boundaries of Slum
(indicate house numbers,
names of lanes or
localities abutting the
slum)
North
South
East
West
4. Population (As per HH
survey-2003)5. No. of Houses
6. No. of Households
7. BPL population
8. SC & ST populationSC ST
9. Slum map at scale of
1:600 Enclosed / Not Enclosed
B. Land Tenure
1. Specify ownership of
the land in which slum islocated
Government Land Railway Land
Municipal Land Other semi Govt.
Waqf Land Private Land
Endowment Land Other (specify)
2. Ownership of individual
household in the slumNo. of HHs
Pattas
Possession Certificates
Ownership documents
No Ownership
Total
8/3/2019 Tech.scre Formet
62/192
3. Necessary Certificate that
slum not slated for
clearance for the next 10
years enclosed (in case ofgovt./quasi govt. lands
without pattas)
Competent Authority Yes No
1.
2.
3.
4. Is there any court
litigation?
5. If yes, indicate the status Name of the court :
File No :
Injunction order / status quo/under trial
6. Can land issues be
resolved to allow provision
of infrastructure (if yes,
explain briefly)
Yes No
7. If so, what is the time
frame?
C. Environmental
Conditions
Is the slum :
Yes
No
1. Located on or any other
environmentally sensitive
area? Indicate Yes / No
Tank bed, embankment
River embankment
Riverbed
Canal
Nala
Other (specify)
2. Located on places of
public interest? Indicate Yes/ No
Road Margins
Proposed master plan roads
Layout open spaces
Other (specify)
8/3/2019 Tech.scre Formet
63/192
3. Located on hazardous
areas? Indicate Yes / No (If
yes, describe pollution and
mention source)
Steep hill side
Marshy land
Industrial pollution
D. Infrastructure
Conditions
No. of HHs
1. Source of Water
Supply
Individual Tap
Group Tap
Public Tap
Tankers (municipality and private)
Borewell
Open Well
Others
2. Water Supply Length of existing distribution lines
Length of required distribution lines
No. of HHs not covered by piped water supply
% of HHs not covered by piped water supply
3. Water supply per day
in hours
4. Distance to the off-site
water supply
5. Drains Length of existing pucca drains
Length of required pucca drains
No. of HHs not covered by pucca drains
% of HHs not covered by pucca drains
6. Distance to the
disposal drain (in metres)
8/3/2019 Tech.scre Formet
64/192
7. Frequency of flooding
per year
8. Roads Length of existing pucca roads
Length of required pucca roads
No. of HHs not covered by pucca roads
% of HHs not covered by pucca roads
9. Street Lights No. of existing street lights
No. of required street lights
No. of HHs not covered by street lights
% of HHs not covered by street lights
10. Is there a proper
drainage outfall point
from the slum?
Yes No
It is hereby certified that the ----------------------- Locality is eligible for notification asslum. The slum is free from tenure problems, not located on environmentallyobjectionable area and has poor and vulnerable people and it has infrastructuredeficiency. In view of this it is feasible to take up the environmental infrastructureworks and other improvements is the slum.E
nclosures :50.Slum map51.Socio-economic details52.Ownership details53.Certificate by competent authority54.Details of court litigation if any55.Date relating to infrastructure56.Abstract of HH survey report
Town Project Officer Town Planning Officer Municipal Engineer
Municipal Commissioner
8/3/2019 Tech.scre Formet
65/192
Annexure IITechnical Screening of Non Notified Slums
(This form is to be completed for every slum an signed by Town Project Officer, Town PlanningOfficer, Municipal Engineer and Municipal Commissioner).
Name of the Municipality
Name of the SlumA. General
1. Ward Number
2. Area in Hectares
3. Boundaries of Slum
(indicate house numbers,
names of lanes or
localities abutting the
slum)
North
South
East
West
4. Population (As per HH
survey-2003)5. No. of Houses
6. No. of Households
7. BPL population
8. SC & ST populationSC ST
9. Slum map at scale of
1:600 Enclosed / Not Enclosed
B. Land Tenure
1. Specify ownership of
the land in which slum islocated
Government Land Railway Land
Municipal Land Other semi Govt.
Waqf Land Private Land
Endowment Land Other (specify)
2. Ownership of individual
household in the slumNo. of HHs
Pattas
Possession Certificates
Ownership documents
No Ownership
Total
8/3/2019 Tech.scre Formet
66/192
3. Necessary Certificate that
slum not slated for
clearance for the next 10
years enclosed (in case ofgovt./quasi govt. lands
without pattas)
Competent Authority Yes No
1.
2.
3.
4. Is there any court
litigation?
5. If yes, indicate the status Name of the court :
File No :
Injunction order / status quo/under trial
6. Can land issues be
resolved to allow provision
of infrastructure (if yes,
explain briefly)
Yes No
7. If so, what is the time
frame?
C. Environmental
Conditions
Is the slum :
Yes
No
1. Located on or any other
environmentally sensitive
area? Indicate Yes / No
Tank bed, embankment
River embankment
Riverbed
Canal
Nala
Other (specify)
2. Located on places of
public interest? Indicate Yes/ No
Road Margins
Proposed master plan roads
Layout open spaces
Other (specify)
8/3/2019 Tech.scre Formet
67/192
3. Located on hazardous
areas? Indicate Yes / No (If
yes, describe pollution and
mention source)
Steep hill side
Marshy land
Industrial pollution
D. Infrastructure
Conditions
No. of HHs
1. Source of Water
Supply
Individual Tap
Group Tap
Public Tap
Tankers (municipality and private)
Borewell
Open Well
Others
2. Water Supply Length of existing distribution lines
Length of required distribution lines
No. of HHs not covered by piped water supply
% of HHs not covered by piped water supply
3. Water supply per day
in hours
4. Distance to the off-site
water supply
5. Drains Length of existing pucca drains
Length of required pucca drains
No. of HHs not covered by pucca drains
% of HHs not covered by pucca drains
6. Distance to the
disposal drain (in metres)
8/3/2019 Tech.scre Formet
68/192
7. Frequency of flooding
per year
8. Roads Length of existing pucca roads
Length of required pucca roads
No. of HHs not covered by pucca roads
% of HHs not covered by pucca roads
9. Street Lights No. of existing street lights
No. of required street lights
No. of HHs not covered by street lights
% of HHs not covered by street lights
10. Is there a proper
drainage outfall point
from the slum?
Yes No
It is hereby certified that the ----------------------- Locality is eligible for notification asslum. The slum is free from tenure problems, not located on environmentallyobjectionable area and has poor and vulnerable people and it has infrastructuredeficiency. In view of this it is feasible to take up the environmental infrastructureworks and other improvements is the slum.E
nclosures :57.Slum map58.Socio-economic details59.Ownership details60.Certificate by competent authority61.Details of court litigation if any62.Date relating to infrastructure63.Abstract of HH survey report
Town Project Officer Town Planning Officer Municipal Engineer
Municipal Commissioner
8/3/2019 Tech.scre Formet
69/192
Annexure IITechnical Screening of Non Notified Slums
(This form is to be completed for every slum an signed by Town Project Officer, Town PlanningOfficer, Municipal Engineer and Municipal Commissioner).
Name of the Municipality
Name of the SlumA. General
1. Ward Number
2. Area in Hectares
3. Boundaries of Slum
(indicate house numbers,
names of lanes or
localities abutting the
slum)
North
South
East
West
4. Population (As per HH
survey-2003)5. No. of Houses
6. No. of Households
7. BPL population
8. SC & ST populationSC ST
9. Slum map at scale of
1:600 Enclosed / Not Enclosed
B. Land Tenure
1. Specify ownership of
the land in which slum islocated
Government Land Railway Land
Municipal Land Other semi Govt.
Waqf Land Private Land
Endowment Land Other (specify)
2. Ownership of individual
household in the slumNo. of HHs
Pattas
Possession Certificates
Ownership documents
No Ownership
Total
8/3/2019 Tech.scre Formet
70/192
3. Necessary Certificate that
slum not slated for
clearance for the next 10
years enclosed (in case ofgovt./quasi govt. lands
without pattas)
Competent Authority Yes No
1.
2.
3.
4. Is there any court
litigation?
5. If yes, indicate the status Name of the court :
File No :
Injunction order / status quo/under trial
6. Can land issues be
resolved to allow provision
of infrastructure (if yes,
explain briefly)
Yes No
7. If so, what is the time
frame?
C. Environmental
Conditions
Is the slum :
Yes
No
1. Located on or any other
environmentally sensitive
area? Indicate Yes / No
Tank bed, embankment
River embankment
Riverbed
Canal
Nala
Other (specify)
2. Located on places of
public interest? Indicate Yes/ No
Road Margins
Proposed master plan roads
Layout open spaces
Other (specify)
8/3/2019 Tech.scre Formet
71/192
3. Located on hazardous
areas? Indicate Yes / No (If
yes, describe pollution and
mention source)
Steep hill side
Marshy land
Industrial pollution
D. Infrastructure
Conditions
No. of HHs
1. Source of Water
Supply
Individual Tap
Group Tap
Public Tap
Tankers (municipality and private)
Borewell
Open Well
Others
2. Water Supply Length of existing distribution lines
Length of required distribution lines
No. of HHs not covered by piped water supply
% of HHs not covered by piped water supply
3. Water supply per day
in hours
4. Distance to the off-site
water supply
5. Drains Length of existing pucca drains
Length of required pucca drains
No. of HHs not covered by pucca drains
% of HHs not covered by pucca drains
6. Distance to the
disposal drain (in metres)
8/3/2019 Tech.scre Formet
72/192
7. Frequency of flooding
per year
8. Roads Length of existing pucca roads
Length of required pucca roads
No. of HHs not covered by pucca roads
% of HHs not covered by pucca roads
9. Street Lights No. of existing street lights
No. of required street lights
No. of HHs not covered by street lights
% of HHs not covered by street lights
10. Is there a proper
drainage outfall point
from the slum?
Yes No
It is hereby certified that the ----------------------- Locality is eligible for notification asslum. The slum is free from tenure problems, not located on environmentallyobjectionable area and has poor and vulnerable people and it has infrastructuredeficiency. In view of this it is feasible to take up the environmental infrastructureworks and other improvements is the slum.E
nclosures :57.Slum map58.Socio-economic details59.Ownership details60.Certificate by competent authority61.Details of court litigation if any62.Date relating to infrastructure63.Abstract of HH survey report
Town Project Officer Town Planning Officer Municipal Engineer
Municipal Commissioner
8/3/2019 Tech.scre Formet
73/192
Annexure IITechnical Screening of Non Notified Slums
(This form is to be completed for every slum an signed by Town Project Officer, Town PlanningOfficer, Municipal Engineer and Municipal Commissioner).
Name of the Municipality
Name of the SlumA. General
1. Ward Number
2. Area in Hectares
3. Boundaries of Slum
(indicate house numbers,
names of lanes or
localities abutting the
slum)
North
South
East
West
4. Population (As per HH
survey-2003)5. No. of Houses
6. No. of Households
7. BPL population
8. SC & ST populationSC ST
9. Slum map at scale of
1:600 Enclosed / Not Enclosed
B. Land Tenure
1. Specify ownership of
the land in which slum islocated
Government Land Railway Land
Municipal Land Other semi Govt.
Waqf Land Private Land
Endowment Land Other (specify)
2. Ownership of individual
household in the slumNo. of HHs
Pattas
Possession Certificates
Ownership documents
No Ownership
Total
8/3/2019 Tech.scre Formet
74/192
3. Necessary Certificate that
slum not slated for
clearance for the next 10
years enclosed (in case ofgovt./quasi govt. lands
without pattas)
Competent Authority Yes No
1.
2.
3.
4. Is there any court
litigation?
5. If yes, indicate the status Name of the court :
File No :
Injunction order / status quo/under trial
6. Can land issues be
resolved to allow provision
of infrastructure (if yes,
explain briefly)
Yes No
7. If so, what is the time
frame?
C. Environmental
Conditions
Is the slum :
Yes
No
1. Located on or any other
environmentally sensitive
area? Indicate Yes / No
Tank bed, embankment
River embankment
Riverbed
Canal
Nala
Other (specify)
2. Located on places of
public interest? Indicate Yes/ No
Road Margins
Proposed master plan roads
Layout open spaces
Other (specify)
8/3/2019 Tech.scre Formet
75/192
3. Located on hazardous
areas? Indicate Yes / No (If
yes, describe pollution and
mention source)
Steep hill side
Marshy land
Industrial pollution
D. Infrastructure
Conditions
No. of HHs
1. Source of Water
Supply
Individual Tap
Group Tap
Public Tap
Tankers (municipality and private)
Borewell
Open Well
Others
2. Water Supply Length of existing distribution lines
Length of required distribution lines
No. of HHs not covered by piped water supply
% of HHs not covered by piped water supply
3. Water supply per day
in hours
4. Distance to the off-site
water supply
5. Drains Length of existing pucca drains
Length of required pucca drains
No. of HHs not covered by pucca drains
% of HHs not covered by pucca drains
6. Distance to the
disposal drain (in metres)
8/3/2019 Tech.scre Formet
76/192
7. Frequency of flooding
per year
8. Roads Length of existing pucca roads
Length of required pucca roads
No. of HHs not covered by pucca roads
% of HHs not covered by pucca roads
9. Street Lights No. of existing street lights
No. of required street lights
No. of HHs not covered by street lights
% of HHs not covered by street lights
10. Is there a proper
drainage outfall point
from the slum?
Yes No
It is hereby certified that the ----------------------- Locality is eligible for notification asslum. The slum is free from tenure problems, not located on environmentallyobjectionable area and has poor and vulnerable people and it has infrastructuredeficiency. In view of this it is feasible to take up the environmental infrastructureworks and other improvements is the slum.E
nclosures :64.Slum map65.Socio-economic details66.Ownership details67.Certificate by competent authority68.Details of court litigation if any69.Date relating to infrastructure70.Abstract of HH survey report
Town Project Officer Town Planning Officer Municipal Engineer
Municipal Commissioner
8/3/2019 Tech.scre Formet
77/192
Annexure IITechnical Screening of Non Notified Slums
(This form is to be completed for every slum an signed by Town Project Officer, Town PlanningOfficer, Municipal Engineer and Municipal Commissioner).
Name of the Municipality
Name of the SlumA. General
1. Ward Number
2. Area in Hectares
3. Boundaries of Slum
(indicate house numbers,
names of lanes or
localities abutting the
slum)
North
South
East
West
4. Population (As per HH
survey-2003)5. No. of Houses
6. No. of Households
7. BPL population
8. SC & ST populationSC ST
9. Slum map at scale of
1:600 Enclosed / Not Enclosed
B. Land Tenure
1. Specify ownership of
the land in which slum islocated
Government Land Railway Land
Municipal Land Other semi Govt.
Waqf Land Private Land
Endowment Land Other (specify)
2. Ownership of individual
household in the slumNo. of HHs
Pattas
Possession Certificates
Ownership documents
No Ownership
Total
8/3/2019 Tech.scre Formet
78/192
3. Necessary Certificate that
slum not slated for
clearance for the next 10
years enclosed (in case ofgovt./quasi govt. lands
without pattas)
Competent Authority Yes No
1.
2.
3.
4. Is there any court
litigation?
5. If yes, indicate the status Name of the court :
File No :
Injunction order / status quo/under trial
6. Can land issues be
resolved to allow provision
of infrastructure (if yes,
explain briefly)
Yes No
7. If so, what is the time
frame?
C. Environmental
Conditions
Is the slum :
Yes
No
1. Located on or any other
environmentally sensitive
area? Indicate Yes / No
Tank bed, embankment
River embankment
Riverbed
Canal
Nala
Other (specify)
2. Located on places of
public interest? Indicate Yes/ No
Road Margins
Proposed master plan roads
Layout open spaces
Other (specify)
8/3/2019 Tech.scre Formet
79/192
3. Located on hazardous
areas? Indicate Yes / No (If
yes, describe pollution and
mention source)
Steep hill side
Marshy land
Industrial pollution
D. Infrastructure
Conditions
No. of HHs
1. Source of Water
Supply
Individual Tap
Group Tap
Public Tap
Tankers (municipality and private)
Borewell
Open Well
Others
2. Water Supply Length of existing distribution lines
Length of required distribution lines
No. of HHs not covered by piped water supply
% of HHs not covered by piped water supply
3. Water supply per day
in hours
4. Distance to the off-site
water supply
5. Drains Length of existing pucca drains
Length of required pucca drains
No. of HHs not covered by pucca drains
% of HHs not covered by pucca drains
6. Distance to the
disposal drain (in metres)
8/3/2019 Tech.scre Formet
80/192
7. Frequency of flooding
per year
8. Roads Length of existing pucca roads
Length of required pucca roads
No. of HHs not covered by pucca roads
% of HHs not covered by pucca roads
9. Street Lights No. of existing street lights
No. of required street lights
No. of HHs not covered by street lights
% of HHs not covered by street lights
10. Is there a proper
drainage outfall point
from the slum?
Yes No
It is hereby certified that the ----------------------- Locality is eligible for notification asslum. The slum is free from tenure problems, not located on environmentallyobjectionable area and has poor and vulnerable people and it has infrastructuredeficiency. In view of this it is feasible to take up the environmental infrastructureworks and other improvements is the slum.E
nclosures :64.Slum map65.Socio-economic details66.Ownership details67.Certificate by competent authority68.Details of court litigation if any69.Date relating to infrastructure70.Abstract of HH survey report
Town