overload_permit_form_1_Pg.doc

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Attached to
BIG DRAW PIT CRUSH AND STOCKPILE Federal contract opportunity
Solicitation number
12-94TZ-18-B-0001
Issued by
Department of Agriculture Forest Service R3-Southwestern Region

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OVERLOAD PERMIT

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Text version

U.S. DEPARTMENT OF AGRICULTURE – FOREST SERVICE

APPLICATION AND PERMIT FOR ROAD OPERATIONS

36CFR 261.10(a), 261.12 and 261.50

DATE RECEIVED:

PERMIT NO.

EFFECTIVE DATES OF PERMIT:

BEGINNING:

TERMINATING:

EXCLUDING:

PERMITTEE/APPLICANT: ______________________________________ PHONE:

ADDRESS:

IF PERMIT IS FOR A TIMBER SALE, SALE NAME:

DESIRED TRAVEL DATES:

BEGIN:

END:

(ALLOW 7 DAYS MIN FOR APPROVAL)

DESIRED TRAVEL ROUTE:

ATTACH MAP AND LIST BRIDGES

TYPE OF VEHICLE:

TOTAL GROSS WEIGHT:

POUNDS

LICENSE NO.

STATE

MAXIMUM DIMENSIONS:

LENGTH:

WIDTH:

HEIGHT:

VEHICLE DESCRIPTION

AXLE WIDTH

TIRE WIDTH (OUT-OUT)

NO. OF

AXLE

AXLE SPACING

AXLE LOAD

(OUT – OUT)

PER WHEEL LINE

TIRES

TIRE

NO.

FEET & INCHES

POUNDS

FEET

INCHES

INCHES

PER AXLE

SIZE

P1

D1

P2

D2

P3

D3

P4

D4

P5

D5

P6

D6

P7

D7

P8

D8

P9

D9

P10

SIGNATURE OF APPLICANT:

REGIONAL ENGINEER & BRIDGE ENGINEER RECOMMENDATION

THIS PERMIT IS RECOMMENDED FOR APPROVAL, SUBJECT TO

SIGNATURE: ________________________________

THE PROVISIONS AND ATTACHMENTS INCLUDED HEREIN

TITLE: ______________________________________

SIGNATURE: ____________________________ DATE: __________

REGIONAL ENGINEER

DATE: _____________________

SIGNATURE: ____________________________ DATE: __________

BRIDGE ENGINEER

APPROVAL OF PERMIT

PERMISSION IS HEREBY GIVEN TO THE ABOVE APPLICANT FOR THE USE OF THE DESIGNATED ROADS AND BRIDGES IN THE MANNER DESCRIBED, SUBJECT TO THE PROVISIONS AND ATTACHMENTS INCLUDED WITH THIS PERMIT.

SIGNATURE: ____________________________________ DATE: _______________________

TITLE: FOREST SUPERVISOR

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