FLH Bridge oversized or overload vehicle permit request form August 2023.pdf
PDF 297 KB Posted
- Attached to
- NM NP MULTI PMS(1), Pavement Preservation New Mexico Federal contract opportunity
- Solicitation number
- 69056724R000026
About this file
This is a permit request form for oversized/overweight vehicle loads crossing Federal Lands Highway (FLH) bridges. The two-page form, revised in August 2023, requires applicants to provide detailed information including company details, USDOT number, load description, route description, date of movement, and vehicle configuration specifications (width, height, length, and gross weight).
The second page contains spaces for vehicle top view and side view sketches with dimensions, plus a detailed axle configuration table requiring information on axle spacing, load per axle, number of tires per axle, and total weight. The form includes an agency review section for approval/denial and permit conditions, with a note that incomplete, illegible, or inconsistent applications will be returned for correction. This form appears to be associated with a pavement preservation project across multiple National Park Service sites in New Mexico.
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Text version
Revised 8/3/23 Page 1 of 2
FLH BRIDGE OVERSIZED/OVERWEIGHT PERMIT LOAD REQUEST
APPLICATION DATE:
APPLICANTS NAME:
COMPANY NAME:
USDOT#:
PHONE NUMBER:
EMAIL ADDRESS:
DESCRIPTION OF LOAD:
DESCRIPTION OF ROUTE:
DATE OF MOVEMENT:
PERMIT VEHICLE CONFIGURATION
WIDTH: HEIGHT: LENGTH:
GROSS WEIGHT:
(COMPLETE VEHICLE CONFIGURATION SKETCH ON NEXT PAGE)
APPLICANTS SIGNATURE: DATE:
(AGENCY USE ONLY)
REVIEWED BY: DATE:
DENIED APPROVED
PERMIT CONDITIONS:
Revised 8/7/23 Page 2 of 2
VEHICLE TOP VIEW
(w/ dimensions)
VEHICLE SIDE VIEW
(w/ dimensions)
Axle Number TOTAL Axle spacing (ft) WEIGHT (lbs) Load (lbs) per axle No. of Tires per axle
*Adjacent axles carrying the exact same load, dimensions and tires may be grouped in the axle table
A PERMIT SUBMITTED WITH INCOMPLETE, ILLEGIBLE, OR INCONSISTENT DATA WILL BE RETURNED FOR CORRECTION
| TOTAL WEIGHT lbsLoad lbs per axle: |
| Axle Number: |
| Axle width ft: |
| Load lbs per axle: |
| No of Tires per axle: |
| Axle Number2: |
| Axle Number3: |
| Axle Number6: |
| Axle Number7: |
| Axle Number8: |
| Axle width ft2: |
| Axle width ft3: |
| Axle width ft4: |
| Axle width ft5: |
| Axle width ft6: |
| Axle width ft7: |
| Axle Number4: |
| Axle Number5: |
| Axle Number5b: |
| Axle Number9: |
| Axle width ft8: |
| Axle width ft9: |
| Axle width ft10: |
| Load lbs per axle2: |
| No of Tires per axle2: |
| Load lbs per axle3: |
| No of Tires per axle3: |
| Load lbs per axle4: |
| No of Tires per axle4: |
| Load lbs per axle5: |
| No of Tires per axle5: |
| Load lbs per axle6: |
| No of Tires per axle6: |
| Load lbs per axle7: |
| No of Tires per axle7: |
| Load lbs per axle8: |
| No of Tires per axle8: |
| Load lbs per axle9: |
| No of Tires per axle9: |
| Load lbs per axle10: |
| Check Box1: Off |
| Permit Condition: |
| height: |
| length: |
| Date1: |
| Name: |
| Company name: |
| USDOT #: |
| Phone #: |
| Date3: |
| Date4: |
| Date2: |
| Route: |
| Load Description: |
| Email address: |
| Check Box2: Off |
| width: |
| GVW: |
| No of Tires per axle10: |
| Top view and side view truck: |
File details come from the government source that posted it. Updated .