FLH Bridge oversized or overload vehicle permit request form August 2023.pdf

PDF 297 KB Posted

Attached to
AK PRA DENA 10(36), Replace Ghiglione Bridge Federal contract opportunity
Solicitation number
69056725B000009
Issued by
Department of Transportation Federal Highway Administration

About this file

This document is an FLH Bridge Oversized/Overweight Permit Load Request application form designed for transportation operators seeking permission to transport oversized or overweight vehicles across bridges. The two-page form requires detailed vehicle configuration information, including dimensions (width, height, length), gross weight, axle details, and a comprehensive vehicle configuration sketch. Applicants must provide their company information, contact details, load and route descriptions, and planned movement date.

The form includes spaces for a top view and side view of the vehicle with dimensions, an axle table for specifying axle number, spacing, load weight per axle, and number of tires per axle. A warning note indicates that permits submitted with incomplete, illegible, or inconsistent data will be returned for correction. The document appears to be an official permit request form, revised on 8/3/23 and 8/7/23, with sections for both applicant submission and agency review, including checkboxes for permit approval or denial.

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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 .