Pennsylvania Oversize Overweight Permit Details

In order to get tax-exempt status for your nonprofit organization, you'll need to complete Form M 936A. This form is relatively straightforward, and most of the information you'll need is readily available on your nonprofit's website. Completing the form should only take a few minutes, but be sure to double-check all of the information before submitting it. Ensuring that your nonprofit is registered with the IRS is an important first step in getting your organization off the ground.

You can find info about the type of form you want to submit in the table. It will show you the span of time you will need to complete form m 936a, what parts you will have to fill in and some other specific facts.

QuestionAnswer
Form NameForm M 936A
Form Length10 pages
Fillable?No
Fillable fields0
Avg. time to fill out2 min 30 sec
Other namespa overweight permit, pennsylvania hauling permit, m 936a, pennsylvania hauling

Form Preview Example

M-936A (7-14)

www.dot.state.pa.us

OVERSIZE/OVERWEIGHT APPLICATION FOR SPECIAL HAULING PERMIT

''ALL LINES (EXCEPT DASHES) MUST BE COMPLETED"

PREVIOUS

PERMIT NO.:

APPLICATION ID:

 

TYPE PERMIT REQUESTED:

Single Trip

Single Trip & Return

Annual

 

 

Seasonal ________months

 

 

 

 

Emergency

Preliminary Superload

Final Superload _______ of _______

 

 

 

 

 

 

 

 

 

 

 

 

 

PERMIT OFFICE________________________________

NAME ________________________________________________________________________

 

 

 

 

 

 

 

 

REGISTERED NAME (Responsible Motor Carrier)

 

 

 

 

 

 

 

ACCOUNT NO. _________________________________

STREET ______________________________________________________________________

 

 

MOTOR CARRIER/PERMIT SERVICE

 

 

ADDRESS

 

 

 

 

 

 

 

 

 

 

 

 

FEIN/SSN _____________________________________

CITY-STATE-ZIP CODE __________________________________________________________

 

IF NO MOTOR CARRIER ACCT. NO.

 

1 = IMMEDIATE PAYMENT

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

3 = MONTHLY BILLING

 

 

 

 

 

 

 

 

 

 

 

 

BILL CODE ___________________________________

4 = GOVERNMENTAL

 

 

 

 

 

 

 

PERMIT FEE

 

 

 

 

 

CHECK/MO #

 

CHECK/MO #

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

<

 

 

 

 

LEGAL WEIGHT = __________________(lbs.)

 

 

 

<

 

 

 

GROSS WEIGHT __________________ (lbs.)

 

TOTAL LENGTH __________(ft.) ______ (in.)

 

TOTAL WIDTH

<

 

 

 

BODY WIDTH (63A/63B)=

 

 

(ft.) _______ (in.)

TOTAL HEIGHT

<

 

 

 

________ (ft.) ______ (in.)

 

 

__________(ft.) ______ (in.)

 

LOAD_____________

_____________________________________

_________________

__________________________________________

 

QUANTITY

(1) SERIAL ID (LAST SIX DIGITS)

(2) BOL

 

 

TYPE CODE

 

 

 

LOAD DESCRIPTION - BE SPECIFIC

 

 

 

VEHICLE #

EQUIPMENT TYPE (List Power & Drawn Units)

 

US DOT #

PLATE#/VIN #

 

 

STATE

# AXLES

 

1

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

2

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

3

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

TOTAL AXLE WEIGHTS __________________________________________________________________________________________________________

 

(LBS.)

 

Front Axle

 

2nd Axle

 

3rd Axle

4th Axle

5th Axle

 

6th Axle

 

7th Axle

8th Axle

9th Axle

AXLE DISTANCES (Ft. In.) ________________________________________________________________________________________________________

ORIGIN:____________________________

___________

_______________________________________________________

 

COUNTY

STATE

POINT OF INTEREST or MILES & DIRECTION FROM INTERSECTION

MUNICIPALITY

 

 

 

DESTIN: ___________________________

___________

_______________________________________________________

 

COUNTY

STATE

POINT OF INTEREST or MILES & DIRECTION FROM INTERSECTION

MUNICIPALITY

 

 

 

 

 

 

 

ROUTE NO(S): _________________________________________________________________________________________________________________

LIST EACH PROPOSED ROUTE AND DIRECTION OF TRAVEL (e.g., I-80E, I-81N)

______________________________________________________________________________________________________________________________

LIST ANY INTERIM NON-STATE ROUTES IN PARENTHESES

__________________________________________________________________________________ TOTAL MILES ______________________________

DATE MOVE BEGINS ____________________________________________

DATE MOVE ENDS_______________________________________________

APPLICANT WILLING TO ACCEPT ALTERNATE ROUTES? NO YES

IF YES: _____________  ADDITIONAL MILES.

VENDOR NAME ______________________________________________

FAX PERMIT TO _______________________________________________

(WALK-IN APPLICANTS: LEAVE BLANK)

(WALK-IN APPLICANTS: LEAVE BLANK)

 

 

 

Complete this section and attach a certiicate of insurance if account number is not provided above [See 67 PA Code, §179.7(a) and (b)]

Insurance Company ___________________________________________________________ Agent Phone No. ___________________________________

Policy No(s) _____________________________________________________

Effective Period(s) ___________________________________ providing:

(a)Commonwealth is added as an additional insured for property damage and personal injury, and

(b)Insurance covers public liability and property damage in the amounts of at least $250,000 per person and at least $1,000,000 per occurrence.

I have read the reverse of this form and hereby certify that the data submitted is correct to the best of my knowledge and belief, that the load is nondivisible, that satisfactory arrangements have been made with the proper authorities to travel all roads and cross over and under all structures not under the jurisdiction of the Department of Transportation, that required insurance will be in effect until permit expires and that the driver will be provided with a copy of both the issued permit and Department Form M-938.

NAME OF APPLICANT (PRINT)

SIGNATURE OF APPLICANT

DATE APPLIED

TIME APPLIED

PHONE NO.

EMAIL ADDRESS

 

 

 

 

 

 

DEPARTMENT USE ONLY

PERMIT RESTRICTIONS:

RIGHT OF APPEAL

Applicants may appeal a denial of a permit by the Department under 2 PA C.S. Sections 501-508, 1 PA Code Part II and Chapter 491, by submitting a written request for a hearing within 30 days after service of the document containing the denial, to the Administrative Docket Clerk, Ofice of Chief Counsel, 400 North Street, 9th Floor, Harrisburg, Pennsylvania 17120-0096. A iling fee as prescribed under Chapter 491,made payable to the ''Commonwealth of Pennsylvania,'' shall accompany each request.

PERMIT FEES

Application made in person or by mail shall be accompanied by a certiied check or money order in the prescribed amount, however, company checks are acceptable from persons having a valid Account Number. Applicants are encouraged to obtain an account number.

General Issuance Fee (plus 4 cents per ton-mile for overweight)

$35 (If < 14' in width)

Mobile Home or Similar Oversize Trailer, Modular Unit or Undercarriage

$39 (If < 14' in width)

$71 (If > 14' in width) $76 (If > 14' in width)

For other fees, see Chapter 19 of the Vehicle Code and Department Regulation 179.9.

In addition to the General Issuance Fee above, a ton-mile fee is assessed on all weight in excess of the registered gross weight. To compute this fee, ill in the correct amounts from the front of the application (i.e., Gross Weight, Legal Weight, Total Miles).

Gross Weight

 

Legal Weight

(-)

Difference(=)

Difference converted to WHOLE TONS (divided by 2000) (Always convert to the next highest whole ton)

Total Distance

(x)

Ton-Mileage

(=)

at 4 cents per ton-mile

(x)

Ton-Mile Fee

(=)

(''Legal Weight'' is the registered gross weight

or legal gross weight, whichever is less.)

.04

PENNSYLVANIA COUNTIES AND CODES

Adams

01

Berks

06

Cambria

11

Clarion

16

 

 

 

 

Allegheny

02

Blair

07

Cameron

12

Clearield

17

Cumberland

21

Monroe

45

Armstrong

03

Bradford

08

Carbon

13

Clinton

18

 

 

Montgomery

46

Beaver

04

Bucks

09

Centre

14

Columbia

19

Dauphin

22

 

 

 

47

Bedford

05

Butler

10

Chester

15

Crawford

20

Delaware

23

Montour

 

 

 

 

 

 

 

 

Elk

24

Northampton

48

 

 

 

ENGINEERING DISTRICTS

 

 

 

Erie

25

Northumberland

49

 

 

 

 

 

 

Fayette

26

Perry

50

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Forest

27

Philadelphia

67

 

 

 

 

 

 

 

 

Franklin

28

Pike

51

 

 

 

 

 

 

 

 

Fulton

29

Potter

52

 

 

 

 

 

 

 

 

Greene

30

Schuylkill

53

 

 

 

 

 

 

 

 

Huntingdon

31

Snyder

54

 

 

 

 

 

 

 

 

Indiana

32

Somerset

55

 

 

 

 

 

 

 

 

Jefferson

33

Sullivan

56

 

 

 

 

 

 

 

 

Juniata

34

Susquehanna

57

 

 

 

 

 

 

 

 

Lackawanna

35

Tioga

58

 

 

 

 

 

 

 

 

Lancaster

36

Union

59

 

 

 

 

 

 

 

 

Lawrence

37

Venango

60

 

 

 

 

 

 

 

 

Lebanon

38

Warren

61

 

 

 

 

 

 

 

 

Lehigh

39

Washington

62

 

 

 

 

 

 

 

 

Luzerne

40

Wayne

63

 

 

 

 

 

 

 

 

Lycoming

41

Westmoreland

64

 

 

 

 

 

 

 

 

McKean

42

Wyoming

65

 

 

 

 

 

 

 

 

Mercer

43

York

66

 

 

 

 

 

 

 

 

Miflin

44

 

 

CONTACTS

For current contact information for Permit Offices, visit our website at: www.dot.state.pa.us

(More Links > Hauling Permits > Permit Contacts)

HOW TO COMPLETE GENERAL APPLICATION FORM M-936A

Completing PA Permit Application Form M-936A

Following are detailed instructions for completing a Permit Application (Form M-936A). All ields underscored with solid lines must be completed. All ields underscored with dashed lines should be completed where applicable if information is known (e.g., from this guide or a recent similar permit). If any information is incomplete, inaccurate or inconsistent, the application will be denied, so be sure to review each application for completeness, accuracy and consistency before submitting it to

PENNDOT.

PREVIOUS PERMIT NO.: Complete only if a previous permit was issued within the past 30 days and is similar (particularly the

routing) to the application being submitted.

APPLICATION ID: PENNDOT will assign the Application ID upon processing of the application data. This number should be used to identify any application processed by the Department.

TYPE PERMIT REQUESTED: Indicate the type of permit being requested by checking each applicable box and completing each applicable blank.

PERMIT OFFICE: 3-digit number (e.g., 070). List the Permit Ofice organization number where application is being submitted (e.g., where movement on State Routes in PA starts or ends).

ACCOUNT NO.: List the 6-digit account number under which the applicant is registered with the Central Permit Ofice (see Department Regulation 179.4). If applicant is not registered, enter N/A.

Unregistered applicants must apply in person or by mail and must include an Insurance Certiicate (see “INSURANCE” below) and a certiied check, cashier’s check or money order with their application. To obtain an account number to apply online, visit our web site at www.dot.state.pa.us > More Links > Hauling Permits > Hauling Permits for hauling account registration forms. Online applications are processed faster than any other application method. All applicants are encouraged to apply via APRAS WEB.

FEIN/SSN: List the FEIN (Federal Employer Identiication Number) of the Responsible Motor Carrier. If an applicant is self- employed, has no FEIN, and has no contract with a responsible motor carrier, list the Social Security Number. The FEIN must always be the Responsible Motor Carrier’s FEIN (do not use the FEIN or social security number of a Permit Service).

BILL CODE: List 1-digit code from the menu below:

1 = Unregistered applicants. Before a permit can be issued under this Bill Code, a payment must be received in the correct amount. The Permit Fee will be determined at the time of issuance. Therefore, applicants paying any ton-mile fees with a certiied check, cashier’s check or money order are encouraged to wait until the permit is approved before obtaining the certiied check, cashier’s check or money order. Provide the Check Number(s) in the space(s) provided.

Cash is not acceptable.

3 = Registered applicants. Account # must be entered. PENNDOT’s Central Ofice will invoice each account monthly.

4 = Governmental.

NAME: List complete name of the responsible motor carrier (e.g., owner, lessee or sub-lessee of a motor vehicle - not the owner of the load, any drawn vehicle or any other person).

STREET: List applicant’s complete street address or P.O. Box.

CITY/STATE/ZIP CODE: List applicant’s municipality, State and Zip Code.

PERMIT FEE: The Permit Fee will be determined at the time of issuance. The permit fee is the sum of the issuance fee and any ton-mile, escort or other established fees (e.g., $1 wire fee). See reverse of Form M-936A for the formula used to compute

ton-mile fees. Permit issuance fees are non-refundable and mileage-based fees are non-refundable on used Permits.

GROSS WEIGHT: List total combined weight of the vehicle or combination and nondivisible load, in pounds. Gross Weight must be equal to the sum of all stated axle weights.

If Gross Weight exceeds either 136,000 pounds or Department Regulation 179, Table 8-1 combination general gross weight limits, applicants must also submit a Supplemental Application, Form M-936AS.

LEGAL WEIGHT: List Registered Gross Weight (in pounds) as it appears on the motor vehicle registration (i.e., owner’s) card. The maximum registered Gross Weight in PA is 80,000 pounds for combinations.

Visit our web site at www. dot.state.pa. us > More Links > Hauling Permits

< 80,000 lbs - Seasonal - Not obtainable thru a Permit Service > 80,000 lbs - Seasonal - Not obtainable thru a Permit Service –

TOTAL LENGTH: List maximum overall operating length of the vehicle or combination and nondivisible load, in feet and

inches.

TOTAL WIDTH: List maximum overall operating width (excluding mirrors) of the vehicle or combination and nondivisible load,

in feet and inches. Manufactured Housing roof eaves must be included in the Total Width.

BODY WIDTH (63A/63B): Field only needs to be completed for Load Types 63A and 63B. List just the body width, not including eaves, door knobs, etc.

TOTAL HEIGHT: List the maximum overall operating height of the vehicle or combination and nondivisible load, in feet and

inches.

Load Information:

Quantity: List the precise number of loads to be transported under the Permit. If none, list “0” as the Quantity.

If requested, the applicant will need to provide details on Form M-936AM on the sizes of each load whenever more than ONE load is identiied on the application (e.g., boats, beams, empty tanks), to help Permit Ofice staff to decide whether the additional articles constitute an oversize/overweight divisible load.

Serial Id: List at least the last six digits of the load serial number, if there is any load. In the rare event that a serial number has

less than six digits, use leading zero(s). If the load has no serial number, list the load bill of lading number (e.g., BOL#: 013579

or WO#: 024680) for each article being transported. If there is no bill of lading number or other shipping document, list hand- painted 6-digit identiication number of the load. For example, list serial number for modular unit section or unregistered vehicle being hauled (e.g., 12345A) and the bill of lading number for steel plates.

Type Code: Select from the general Type Code menu below.

34. . . . . .Excess Damage (overweight) Combination – Annual – Not obtainable thru a Permit Service – No refunds

35A . . . .Crane (self-propelled) < 100,000 lbs – Seasonal – Not obtainable thru a Permit Service – No refunds

35B . . . .Crane (self-propelled) > 100,000 lbs – Seasonal – Not obtainable thru a Permit Service – No refunds

37A . . . .Float/Flat Glass (overweight) 5-axle Combination – Annual - Not obtainable thru a Permit Service – No refunds 38A . . . .Waste Coal (overweight) Combination - Annual - Not obtainable thru a Permit Service – No refunds

38B . . . .Beneicial Combustion Ash (overweight) Combination - Annual - Not obtainable thru a Permit Service – No refunds 38C . . . .Limestone (overweight) 6-axle Combination - Annual - Not obtainable thru a Permit Service – No refunds

39. . . . . .Reined Oil (overweight in bulk) Combination - Annual - Not obtainable thru a Permit Service – No refunds

40. . . . . .Construction Equipment (over width) Combination - Annual/Blanket - Not obtainable thru a Permit Service -

No refunds

41. . . . . .Particleboard/Fiberboard (overweight) Combination – Annual - Not obtainable thru a Permit Service – No refunds

42A . . . .Building Structural Components Combination –

– No refunds

42B . . . .Building Structural Components Combination –

No refunds

43. . . . . .Wooden Structures (oversize) Combination – Annual - Not obtainable thru a Permit Service – No refunds

44. . . . . .Live Domestic Animals (overweight) Combination - Annual - Not obtainable thru a Permit Service – No refunds

45. . . . .Animal Feed/Grain (overweight in bulk) Combination - Annual - Not obtainable thru a Permit Service – No refunds

46. . . . .Special Mobile Equipment (overwidth on freeways) Hauling or Towing Combination - Annual - Not obtainable thru a

Permit Service – No refunds

48. . . . . .Special Mobile Equipment (overweight axles) – Driven - Annual - Not obtainable thru a Permit Service – No refunds 50A . . . .Course of Manufacture – Raw Milk (overweight) – Combination - Annual - Not obtainable thru a Permit Service –

No refunds

50B . . . .Course of Manufacture – Hot Ingot/Hot Box (overweight) Combination – Annual – Not obtainable thru a Permit Service

– No refunds

Visit our web site at www. dot.state.pa. us > More Links > Hauling Permits

< 1 Mile – (overweight) Combination – Annual – Not obtainable thru a

50C . . . .Course of Manufacture – Flat Rolled Steel Coils or Slabs (overweight) Combination – Annual – Not obtainable thru a

Permit Service – No refunds

50D . . . .Course of Manufacture – Road Tested Crane (overweight) Special Mobile Equipment driven – Annual – Not obtainable thru a Permit Service – No refunds

50E . . . .Course of Manufacture – Raw Coal (overweight) Combination - Annual – Not obtainable thru a Permit Service – No refunds

50F . . . .Course of Manufacture – Raw Milk/Raw Coal -

Permit Service – No refunds

50G . . . .Course of Manufacture – Raw Water (overweight) 6-axle Combination – Annual – Not obtainable thru a Permit Service

– No refunds

50H . . . .Course of Manufacture – Pulpwood/Chips (overweight) 5-axle Combination – Annual – Not obtainable thru a Permit

Service – No refunds

50I . . . . .Course of Manufacture - Cryogenic Liquid (overweight) Combination – Annual – Not obtainable through a permit service – No Refunds

50J. . . . .Course of Manufacture – Pulpwood/Chips (overweight) 6-axle Combination – Annual – Not obtainable thru a Permit

Service – No refunds

50K . . . .Course of Manufacture – Milk (except Raw Milk) (overweight) Combination – Annual – Not obtainable through a permit service – No Refunds

50L. . . . .Course of Manufacture - Eggs (overweight) Combination – Annual – Not obtainable through a permit service – No Refunds

50X . . . .Course of Manufacture – Nonhazardous liquid Glue (overweight) Combination – Annual – Not obtainable through a permit service – No Refunds

51A . . . .Course of Manufacture - < 8’ 6” wide (oversize) Unloaded Combination - Annual – Not obtainable thru a Permit

Service – No refunds

51B . . . .Course of Manufacture - < 12’ wide (oversize) Single Truck or Combination - Annual – Not obtainable thru a Permit

Service – No refunds

51C . . . .Course of Manufacture - > 12’ wide (oversize) Single Truck or Combination - Annual – Not obtainable thru a Permit

Service – No refunds

51D . . . .Course of Manufacture – Basic Oxygen Furnace Lances (over length) Combination – Annual – Not obtainable thru a

Permit Service – No refunds

51E . . . .Course of Manufacture - < 9’ wide (oversize) Single Truck or Combination – Annual – Not obtainable thru a Permit

Service – No refunds

52A . . . .Highway Crossing (oversize/overweight) Unloaded Special Mobile Equipment – Annual – Not obtainable thru a Permit

Service – No refunds

52B . . . .Highway Crossing (legal size/legal weight) Unloaded Special Mobile Equipment – Annual – Not obtainable thru a

Permit Service – No refunds

52C . . . .Highway Crossing (legal – 2 or more trailers) Combination - Annual – Not obtainable thru a Permit Service – No refunds

52D . . . .Highway Crossing (oversize/overweight truck) Single Truck - Annual – Not obtainable thru a Permit Service – No refunds

52E . . . .Highway Crossing (oversize/overweight) Combination - Annual – Not obtainable thru a Permit Service – No refunds 53. . . . . .“Tracked” Vehicle Crossing (oversize/overweight) Unloaded Special Mobile Equipment – Single Trip

54A . . . .Quarry Equipment – Across highway – Unloaded Special Mobile Equipment - Annual – Not obtainable thru a Permit

Service – No refunds

54B . . . .Quarry Equipment – Along highway - Unloaded Special Mobile Equipment - Annual – Not obtainable thru a Permit

Service – No refunds

55. . . . . .Utility Construction Equipment (oversize/overweight) Unloaded Special Mobile Equipment – Seasonal – Not obtainable thru a Permit Service – No refunds

56A . . . .Containerized Cargo (overweight) Combination (1 – 15 permits) - Annual – Not obtainable thru a Permit Service – No refunds

Visit our web site at www. dot.state.pa. us > More Links > Hauling Permits

56B . . . .Containerized Cargo (overweight) Combination (16 - 50 permits) - Annual – Not obtainable thru a Permit Service – No refunds

56C . . . .Containerized Cargo (overweight) Combination (51 - 100 permits) - Annual – Not obtainable thru a Permit Service – No refunds

56D . . . .Containerized Cargo (overweight) Combination (101 - 150 permits) - Annual – Not obtainable thru a Permit Service – No refunds

56E . . . .Containerized Cargo (overweight) Combination (151 - 200 permits) - Annual – Not obtainable thru a Permit Service – No refunds

56F . . . .Refrigerated Meat Products (overweight) 6-axle Combination - Annual – Not obtainable thru a Permit Service – No refunds

57A . . . .Emergency Move (public safety criteria) (drawn) Single Truck or Combination – Single Trip

57B . . . .Emergency Move (public safety criteria) (driven) Unloaded Special Mobile Equipment – Single Trip

58A . . . .Governmental Move (government motor vehicle) (drawn) Single Truck or Combination – Single Trip or Annual 58B . . . .Military Convoy – Single Truck or Combination – Seasonal

58C . . . .Military “Certiied” (drawn) Single Truck or Combination – Single Trip

58D . . . .Government Agency (drawn) Single Truck or Combination – Annual

58E . . . .PennDOT Contract (drawn) Single Truck or Combination – Seasonal or Annual 58F . . . .Governmental Holiday Tree – Combination – Single Trip

58G . . . .Governmental “Paint Truck” – Single Truck – Annual

58H . . . .Governmental Agency (drawn) Unloaded Special Mobile Equipment – Annual

58J. . . . .General Governmental (driven) Unloaded Special Mobile Equipment – Single Trip 59A . . . .Radioactive Material - Lead Cask (loaded) Combination – Single Trip

59B . . . .Radioactive Material - Lead Cask (empty) Combination – Single Trip 59C . . . .Radioactive Transfer Cask (empty) Combination – Single Trip

60. . . . . .Building (built on-site) or “Antique” Diner - Single Truck or Combination – Single Trip

61. . . . . .Dozer (hauled) Combination – Single Trip

62. . . . . .Boat (hauled) Single Truck or Combination – Single Trip

63A . . . .Mobile Home (oversize trailer – no load) Combination – Single Trip

63B . . . .Modular Housing Unit (load-residential use) Combination – Single Trip 63C . . . .Modular Housing Undercarriage (trailer) Combination – Single Trip

64. . . . . .Super Load ( > 201,000 lbs, > 160’ long, > 16’ wide) - Applicants must be registered and apply through PennDOT’s Automated Permit Routing Analysis System (APRAS) Web. Applicants cannot apply thru a Permit Service. “How to Complete an Application Package for a Super Load Permit” guide is available on www.dot.state.pa.us >More

Links>Hauling Permits>Hauling Permits

65A . . . .Motor Vehicle – Unloaded Special Mobile Equipment – Single Trip

65B . . . .Crane with Boom – Unloaded Special Mobile Equipment – Single Trip 65C . . . .Crane – Unloaded Special Mobile Equipment – Single Trip

66. . . . . .Vehicle – Oversize Nondivisible Load – Single Truck – Single Trip 66A . . . .Vehicle – (Oversize) Empty Truck – Single Truck – Single Trip

67A . . . .Combination – Load – General (nondivisible) Combination – Single Trip 67B . . . .Combination – Crane (nondivisible) Combination – Single Trip

67C . . . .Combination – Excavator (nondivisible) Combination – Single Trip

67D . . . .Combination – Loader (nondivisible) Combination – Single Trip

67E . . . .Combination – Paver (nondivisible) Combination – Single Trip

67F . . . .Combination – Scraper (nondivisible) Combination – Single Trip

67G . . . .Combination – Truck (nondivisible) Combination – Single Trip

Visit our web site at www. dot.state.pa. us > More Links > Hauling Permits

67H . . . .Combination – Load – Miscellaneous Vehicle (nondivisible) Combination – Single Trip 67J. . . . .Combination – Oversize Built-up (nondivisible) Combination – Single Trip

68A . . . .Miscellaneous - Scraper Drawn Piggyback - Combination – Single Trip 68B . . . .Miscellaneous – Towed Vehicle(s) - Combination – Single Trip

68C . . . .Miscellaneous – Towed Mobile Unit - Combination – Single Trip

68D . . . .Miscellaneous – Manufactured Building Unit - Combination – Single Trip

68E . . . .Miscellaneous – Crane & Boom Dolly - Special Mobile Equipment – Single Trip

68F . . . .Miscellaneous – Movement of Load “After” Citation – Single Truck or Combination – Single Trip 68G . . . .Miscellaneous – Oversize/overweight Semitrailer (empty) – Combination – Single Trip

68J. . . . .Miscellaneous Construction Equipment – Combination – Single Trip

NOTE: Use the Load Type Code having the lowest numerical value if more than one Code is applicable.

Description: List description of load. (e.g., crane, backhoe and transformer).

VEHICLE INFORMATION:

Vehicle #: List each vehicle in sequential order. For example: a combination consisting of a truck tractor (vehicle #1), a jeep dolly (vehicle #2) and a semi-trailer (vehicle #3) requires three separate lines of vehicle information.

Equipment Type: For each vehicle, list the type of the vehicle (For example, the irst vehicle would be a truck, a truck tractor or an SME. The second vehicle would typically be a semi-trailer, a trailer or a jeep dolly.)

Plate#/VIN #: For each vehicle, list the license plate number. List last six digits of the VIN-serial number only if the vehicle is exempt from registration in PA under Section 1302 of the Vehicle Code (e.g., oversize special mobile equipment, mobile home or oversize trailer).

State: For each vehicle, list the State in which licensed. If the vehicle is unlicensed, enter N/A.

#Axles: For each vehicle, list the total number of axles (including the steering axle).

An axle is deined as “load-bearing” wheels in a transverse line across the full width of a vehicle. Thus, a “lift-axle” that is not bearing weight is not an axle.

A single axle is “any axle located over 8 feet (2.438 meters) from another axle” or located less than 40 inches (1.016 meters) from another axle (Federal interpretation). “Split-axle” conigurations are still single axles by deinition and, therefore, do not qualify as tandem axles for additional weight. “Slightly offset axle” conigurations that are located less than 40 inches (1.016 meters) from another axle are still single axles by deinition and, therefore, do not qualify as tandem axles for additional weight. By deinition, an axle group is “a group of axles in which every axle is located within 8 feet (2.438 meters) of another axle”.

Tracked vehicles are not authorized to travel along the highway. A permit will not be issued for a vehicle with other than

pneumatic tires to operate along the highway.

TOTAL AXLE WEIGHTS: List each axle weight (front to rear) of vehicle or combination. Sum of all axle weights must equal

stated Gross Weight.

If any axle weight exceeds 27,000 pounds or Department Regulation 179, Table 8-2 combination axle weight limits, applicant must also submit a Supplemental Application, Form M-936AS.

In the rare event that a combination has more than nine axles and Form M-936AS is not being submitted, continue the axle information on Form M-936AM.

AXLE DISTANCES: List the actual distances, in feet and inches, from the center of each axle to the center of the previous adjacent axle (front to rear).

ORIGIN INFORMATION:

County: List the county within which movement upon a PA State highway starts.

State: List PA if beginning within PA. List the bordering state if movement begins outside PA. List PA Turnpike if movement begins in PA on the PA Turnpike.

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Point Of Interest: A Point of Interest is a private driveway from which permitted movements frequently begin and which has been identiied in the Department’s Roadway Management System (RMS). If a Point of Interest has been established, list it

here.

Miles & Direction: If a point of interest has not been entered, list the exact location where movement begins in PA, using reference points identiied on the Oficial State Highway Transportation Map. Also list the miles (to nearest tenth of a mile), the direction, and the closest intersection before the State Route (.5 mile before River Rd on SR 22). If beginning at a state border or an intersection of a state highway and a non-state highway, list a distance of zero miles.

Municipality: Leave this ield blank unless you are sure movement begins within the municipal boundary.

DESTINATION INFORMATION:

County: List the county within which movement upon a PA State highway ends.

State: List PA if ending within PA. List the bordering state if movement ends outside PA. List PA Turnpike if movement ends in

PA on the PA Turnpike.

Point Of Interest: A Point of Interest is a private driveway at which permitted movements frequently end and which has been identiied in the Department’s Roadway Management System (RMS). If a Point of Interest has been established, list it here.

Miles & Direction: If a point of interest has not been entered, list the exact location where movement ends in PA, using reference points identiied on the Oficial State Highway Transportation Map. Also list the miles (to nearest tenth of a mile), the direction, and the closest intersection after the State Route (.5 mile after River Rd on SR 22). If ending at a state border or an intersection of a state highway and a non-state highway, list a distance of zero miles.

Municipality: Leave this ield blank unless you are sure movement ends within the municipal boundary.

ROUTE NO(S): List all proposed routes (and direction of travel) upon which the movement may traverse. To request a return trip, include proposed return routes on Form M-936AM.

Use the most direct limited access highways wherever possible, then multi-lane numbered trafic routes, then two-lane numbered trafic routes, using 4-digit “quad” SR (State Route) numbers (e.g., SR 2001) only when necessary with consideration given to vehicle weights, dimensions, turning capabilities, construction projects, condition of pavements and bridges, horizontal and vertical curves, highway grades, intersection turning radii, railroad crossings and other highway features. Permitted vehicles/loads will not be routed from point “A” to point “B” (e.g., drop-off) and continue to point “C” under one single-trip permit.

List 4-digit “quad” SR (State Route) numbers only (e.g., SR1234) when there is no trafic route number.

List interim non-PA State Routes such as a Turnpike “gate number”, a local road and other non-PA State roads in [parentheses] to provide continuity of routing between authorized State Routes. Do not use parentheses in the route section for anything other than routes that are not PA State highways (e.g., use (parentheses) around bridges or highways owned by cities, counties, townships, the Turnpike, railroads or another state). For example, do not show an SR exit number in parentheses. List SR exit numbers in “quotes.”

Permission must be obtained from local authorities for the use of all local roads and streets, which are listed in [brackets] on the

permit.

Unless otherwise provided in the law or Department Regulation 179, a permit shall be valid only for a single trip in one direction between the two points designated. The permit does not authorize a return trip unless requested (on Form M-936AM) and speciically indicated on the permit.

The Department may authorize scheduled detours off a limited access highway of up to 1 mile (total) for service or rest, when requested on the application and speciically indicated on the permit. For example: I-83 N, I-81 N, “Exit 27” TR39 W, 0.5 mile & return, I-81 N. See Department Regulation 179.10(9).

Consistent with Section 6104 of the Vehicle Code, Permit Ofice staff may request a route survey (See Form M-936ARS) from applicants certifying that routes have been surveyed for excessively oversize movements, including:

Super Loads (required);

16 foot wide manufactured housing units on non-limited access highways;

Bridge vertical clearance disputes;

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Construction project lateral clearance disputes;

Excessively long (e.g., more than 100 feet) movements involving turns in urban areas.

TOTAL MILES: List estimated total number of miles traveled -- in one direction -- on PA State Routes only. Do not include mileage of non-PA State Routes such as the Turnpike or local roads in this ield. The permit fee will be based on actual miles to be traversed. If requesting a return trip, list estimated total number of miles traveled -- on return trip only -- on Form

M-936AM in the Return Trip Miles section.

DATE MOVE BEGINS: List the date on which the move is scheduled to begin in PA. Restricted holiday travel periods cannot be entered as move begins dates (except authorized emergencies). Permits will only be issued up to one week in advance due

to changes to the road and bridge infrastructure.

DATE MOVE ENDS: PENNDOT will determine the date on which the move must end, which is ive authorized weekdays after the move begins date for single-trip permits.

WILLING TO ACCEPT ALTERNATE ROUTES & ADDITIONAL MILES: Enter a check in the box --

NO or

YES -- indicating your willingness to accept alternate routes for a single-trip permit (YES is recommended for single-trip permits and required for other permits). If yes is checked, list the number of additional miles you will accept (100 miles is recommended). If an applicant is not willing to accept alternate routes for a single-trip permit and the applicant’s proposed routes are unacceptable, the application will be denied. If an applicant is willing to accept alternate routes and the applicant’s proposed routes are unacceptable but no acceptable route can be found within the designated additional miles, the application will be denied. If the application is for other than a single-trip permit, the applicant must be willing to accept alternate routes (e.g., seasonal and annual permits are subject to re-analysis and re-route due to changes to the road and bridge infrastructure over the time a permit is valid).

VENDOR NAME: If Account # is provided (see “Account Number” above), an applicant may list the fax vendor service over whose lines you decide you want the permit to be faxed. The permit fee will be increased by $1 if an applicant requests the permit to be faxed, in accordance with Department Regulation 179.9(e)(3), to offset costs incurred by the Department. The fax vendor will assess additional fees for this service.

FAX PERMIT TO: If Account # is provided (see “Account Number” above), list fax number where you decide the permit will be faxed. Applicants must identify fax machines with automatic call pick-up only.

INSURANCE:

A Motor carrier with Account # (see “Account Number” above) is required to have a current Certiicate of Insurance on ile with the Central Permit Ofice and, therefore, does not have to complete these ields -- unless speciically requested by Permit Ofice staff.

Applicants that do not list a valid Account Number (see above) must complete these ields and attach a copy of their Certiicate of Insurance to each Form M-936A Application.

Permit Services must provide, upon request, current Insurance Certiicates to verify insurance coverages. The Certiicate must show the following:

Duration: Insurance is in effect while individual Permit is valid.

Amount:

$250,000 per person (public liability and property damage) and

$1,000,000 per occurrence (public liability and property damage). NOTE: $1,000,000 combined single limits is acceptable.

Type: Occurrence-based insurance (not claims based).

Additional Insured: Commonwealth of PA must be added as ‘additional insured’ for property damage and personal injury, in the above amounts. Central Permit Ofice, PO Box 2671, Harrisburg, PA 17105-2671 may be listed as the certiicate holder. ‘Certiicate holder’ is not the same as ‘additional insured’ and application will be denied if certiicate does not name Commonwealth of PA as ‘additional insured’.

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A current “Certiicate of Insurance” for each pilot car shall be open to inspection, verifying all insurance coverage required under

Department Regulations 179.7(a) and (b) are in effect.

CERTIFICATION:

Review the certiication statement and, if true, print/type the name of the applicant, write applicant’s signature, list date, time, phone and email address in the space provided at the bottom of the Form:

Name of Applicant - Printed name of person signing application.

Signature of Applicant - Signature of person completing application (i.e., applicant contact).

Date Applied - Date application submitted.

Time Applied - Time application submitted.

Phone No. - Applicant contact’s Phone No.

Email address – Applicant contact’s email

The driver must sign any single-trip Permit on the “Driver’s Signature” line before the move begins, to verify the permit, vehicle(s) and any load were inspected and are in good order.

DEPARTMENT USE ONLY: Do not enter any information in this section.

PENNDOT staff cannot anticipate whether or when an application may be approved or denied until their reviews are completed and a inal decision is made. All applications are processed initially by APRAS. While about four of every ive applications are processed automatically by APRAS in about one minute, one of every ive applications requires manual review. Applications are manually processed by PENNDOT staff in the order analyzed by APRAS, normally

within one full workday.

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