BLANK HAUL REQUEST.docx
DOCX document 19 KB Posted
- Attached to
- AK BLM GFO 2019 (1) Sourdough Campground Bridge
- Solicitation number
- 69056722B000023
About this file
This document contains a Bureau of Land Management (BLM) haul authorization request form and details of a related federal contract opportunity.
The haul authorization request form collects information needed for BLM approval to haul oversized loads on BLM roads, including vehicle dimensions, axle weights, haul route, and requested dates. Applicants must complete a separate form for each haul vehicle. If approved, BLM will issue a haul authorization letter within 60 days providing hauling instructions.
The related federal contract opportunity is a full and open solicitation from the Department of Transportation Federal Highway Administration to replace the Sourdough Campground Bridge in Alaska. No further requirement details are provided.
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Text version
BLM Haul Authorization Request
1. BLM Office:
2. Date:
3. Company Name:
4. Description of the Load or Equipment and Model No.:
| Haul |
| Drive |
| Tow |
X
5. Dimensions of Load:
6. Description of Hauling Equipment:
7. Vehicle Width:
8. Kingpin to Last Axle:
10. Semi-Trailer Length:
11. Comb Vehicle Length:
| 12. Axle Number |
| 1 |
| 2 |
| 3 |
| 4 |
| 5 |
| 6 |
| 7 |
| 8 |
| 9 |
| 10 |
| 11 |
| 12 |
13. Number Of Tires Per Axle
14. Distance Between Axles
15. Width of Axles at Tire Side Wall
16. Weight per Axle (kips)
17. Loaded Height:
18. Loaded Width:
19. Loaded Overall Length:
20. Loaded Overhang:
21. FHWA Weight Class:
| 22. Origin: |
| 23. Destination: |
24. List all BLM Roads and Bridges that you are requesting authorization to cross (provide road number and milepost, legal location, or lat/long of each bridge):
25. Requested haul date (or time frame).
Fill out one form per haul vehicle.
Box 1. Enter name of person requesting haul authorization Box 2. Enter date of request Box 3. Enter company name Box 4. Enter a description of the load or equipment that will cross BLM lands and mark the box on hoe that load/equipment will be traveling on the roads (hauled, driven or towed).
Box 5. Provide dimensions of the load (off the truck).
Box 6. Provide a description of the truck/equipment that will be used for hauling.
Box 7 -11. Provide the vehicle width and length measurements.
Box 12. Axle number 1 is the front axle and all other axles are numbered sequentially from front to back.
Box 13. Enter the number of tires for each axle on the hauling vehicle.
Box 14. Enter the distance between each axle on the hauling vehicle.
Box 15. Enter the axle widths for each axle on the hauling vehicle.
Box 16. Enter the weight of each axle on the hauling vehicle in kips (1 kip = 1,000 pounds).
Boxes 17-20. Enter the height, width, overall length and overhang of the loaded hauling vehicle (truck and load).
Box 21. Enter the Federal Highway Administration (FHWA) weight class of the loaded hauling vehicle.
Box 22. Enter the origin of the loaded hauling vehicle.
Box 23. Enter the destination of the loaded hauling vehicle.
Box 24. List all BLM roads and bridge that will be crossed with the hauling vehicle. Provide road numbers and mileposts, legal location, or latitude/longitude of each bridge or a map of the proposed haul route.
Box 25. Enter date of requested haul. If haul requires more than one trip enter the range of dates requested for hauling.
BLM Policy: It is BLM’s policy to approve or reject a Haul Authorization Request within 60 days of receiving a completed request form. The BLM will issue the requestor a Haul Authorization Letter either approving or denying the request. All approved haul requests will have hauling instructions within the Haul Authorization Letter that all trucks must follow while traveling on BLM roads.
File details come from the government source that posted it. Updated .