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As-Is and e-Readiness Study report on Public Health EngineeringDepartment, Govt. of AssamCertification of Gram PanchayatI certify that safe drinking water in adequate quantity is made available to all sections of thecommunity during the last 3 years and the incidence of water borne/water based diseases hasbeen controlled. Also, ___________ Panchayat, has been awarded Nirmal Gram Puraskaraward in the year _______.Date :Verification(Signature of GP Sarpanch)The details provided above by the GP have been verified and found to be correct.(PHE official) (GW official) (BDO) (Health official)Recommendation of Zilla Panchayat(at the block level to be identified by ZP/DWSM)Recommendation of concerned State Government Department in charge of rural water supplyReport Card of the Review Mission constituted by the Department of Drinking WaterSupply, Ministry of Rural Development, Government of IndiaName of the GP inspected :Name of Block District and State:Period of visit :Sl.No.CriteriaMarks/Weightage awardedRef.: AEDC/AOP/EOI/2009/10 Copyright : AEDC Ltd. 50
As-Is and e-Readiness Study report on Public Health EngineeringDepartment, Govt. of Assam1 Availability of safe and adequate drinking water (40 lpcd)on equitable and sustainable basis catering to all sectionsof the society during the last 3 years• Measures taken for ground/ surface water recharge• Measures taken for roof-water harvesting2 Absence of water borne and water-based diseases during To be checked fromthe last 3 yearsPHC/Health Dept. Foracceptable level3 Community initiative in water harvesting/ recharge andbudgeting for water understanding the availability scenarioduring different months including revival of traditionalponds4 Sanitary protection of all drinking water sources andcatchments5 Monitoring the water levels for quantity and qualityimprovement, changing budgets for water in differentseasons6 Use of new and renewable energy sources and/or nonutilizationof electricity power7 Recovering atleast 50% cost of O&M either throughstructured tariff plan and proper utilization of 12 th FinanceCommission/ GP funds for taking up 100% O&M• Recovery of atleast 50% through TFC• Additional Recovery of O&M by any tariff plan8 Water Quality Monitoring of all drinking water sources by the community using simple touse filed test kits and confirming the same with district/other laboratories.9 Convergence of water conservation issues with activity of other departments for droughtproofing measures (NREGA, DDP, DPAP, MOWR, MoA, MoEF, etc.)10 Achieving “Nirmal Gram Puraskar” for open defecation free and environmentally safesanitation status (Compulsory)Total marks awarded out of 100View of Department of Drinking Water SupplyThe proposal is examined and qualify / does not qualify for award of Sajal GramPuraskarIf the proposal is not qualifying, reasons thereof :1)2)3)Ref.: AEDC/AOP/EOI/2009/10 Copyright : AEDC Ltd. 51
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