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State of New Hampshire

Department of Transportation

7 Hazen Drive, PO Box 483 - Concord, NH 03302-0483

Phone: 603-271-2691 Fax: 603-271-5990 - Email: overhaul@dot.state.nh.us - Website: http://www.nhpermits.org

Request Date:

Application for a Permit to Move a Load in

State Use Only

Excess of Legal Limits

Permit #(s)_________

APPLICANT INFORMATION

Please check all that apply.

Renewal Annual (yearly)

*Please Provide a valid copy of your registration with this application.

New Annual (yearly)

Company Name:

Name

Statewide (single trip)

Legal Address:

Street

NETC (multi-state)

Mailing Address:

Mailing

Government/Municipal

City

State

Zip

Payment Type

Contact Name:

Cash

Contact Phone:

Fax:

Check # ____________

Contact Email:

Name:____________________

Load:

S/N: Required for Mobile & Modular Homes

Itinerary: Annual

Itinerary: Single Trip

Anticipated Dates / Times:

No Return

Expiration Date:

Origin:

Start Date

Return Date

State

Effective Date:

Start Time

Return Time

Town

Region:

Destination:

Region:

Statewide

Limited Radius

State

Statewide

(On NH Designated Routes - Below)

Town

Multi-state

(On NETC Approved Routes - Below)

Radius: (mi from business)

Route: (Must be in order of travel and in following format: 4-93-3)

Supplemental (instant)

(Must complete single trip information)

Annual Permit #

Vehicle:

Hauling Unit

Trailing Unit

* Overall Vehicle & Load *

*Type:

Truck or Tractor

Trailer Type

Total Gross Wt:

*Reg #:

State

Plate #

State

Plate #

Overall Length:

*Registered Wt.:

(Overall Length includes Front and Rear Overhang)

*Total Axles:

Overall Width:

Overall Height:

**GVWR:

**GCWR:

Trailer Length:

Front Overhang:

VIN / SN:

Rear Overhang:

DOT #:

Mobile/Modular

Homes Only

*Req.Field-**Gross Vehicle Weight Rating –**Gross Combined Weight Rating

Eave Overhang:

Comments:

By applying you are accepting and agreeing to all the terms and conditions with the permitting process, and the holder certifies that he/she is familiar with all New Hampshire traffic, motor vehicle, and other laws, requirements, and rules governing a move including, but not limited to, time, date, and location, as well as size of load, and will be in full compliance during movement. The applicant agrees that all dimensions and weights applied for are true and correct and that a permit does not allow the permit holder to cross any load posted bridges without prior review, as well as exceed manufacturers’ Gross Combined Weight Rating (GCWR) or Gross Vehicle Weight Rating (GVWR), axle capacities, or tire capacities on any portion of the permitted equipment. If the applicant crosses any load posted bridges without prior review or the load on any portion of the permitted equipment exceeds any of these manufacturers’ criteria, the permit shall be null and void. The applicant agrees to move at own risk and assume all responsibility for injury to persons or

damage to public or private property caused directly or indirectly by the transportation of the vehicle or load under the permit.

(rev. 03/09)

SUMMARY OF LEGAL DIMENSIONS AND GROSS WEIGHTS

STATE OF NEW HAMPSHIRE

INCLUDING FEE INFORMATION FOR OVERSIZE/OVERWEIGHT PERMITS

	MAXIMUM LEGAL LIMITS FOR SINGLE UNIT					MAXIMUM LEGAL LIMITS FOR COMBINATION UNITS
Maximum Legal Gross Weight in Lbs. if Registered for that Amount						Maximum Legal Gross Weight in Lbs. if Required for that Amount
	Interstate			Non-Interstate and		All Systems Without Certification			Non-Interstate and General
	&			General Highway System					Highway System Only
	Defense			Without	With	AXLES	DBEA * GROSS WEIGHT		With Special Certification
Axles	Hwy. System			Certification	Certification *	3	25	54,500
2	33,400			33,400	37,000		26	55,500
3	47,500			55,000	65,000		27	56,000
4	or weight formula			60,000	73,000		28	57,000
							29	57,500
*Primarily for vehicles hauling “Divisible Loads” which are ineligible for							30	58,500
OS/OW Permits and Only a Non-Interstate and General Highway							31	59,000
System for Vehicles with Additional Weight Certification. Certification							32	60,000		***	_____
obtained through Department of Safety.						4	28	60,500	4	8	59,000
________________________________________________________________							29	61,500	or	9	60,000
							30	62,000	more	10	61,000
			MAXIMUM LEGAL DIMENSIONS				31	62,500		11	62,000
			Single Unit	Combination			32	63,500		12	63,000
	Width		8’6”		8’6”		33	64,000		13	64,000
	Length		45’0”		48’ Semi-Trailer		34	64,500		14	65,000
	Height		13’6”		13’6”		35	65,500		15	66,000
_________________________________________________________________							36 **	66,000		16	67,000
			SINGLE TRIP PERMIT FEES				37 **	66,500		17	68,000
	Overlength, Width or Height of Combination Thereof: $6.00						38 **	67,500		18	69,000
							39	68,000_______________________________
	Overweight: Vehicle and load over registered weight but not					5	39	72,500	5	19	70,000
			exceeding -				40	73,000	or	20	72,000
							41	73,500	more	21	74,000
	50,000			pounds	$5.50		42	74,000		22	76,000
	50,001	to	60,000	“	6.50		43	75,000		23	78,000
	60,001	to	70,000	“	7.50		44	75,500		24	80,000
	70,001	to	80,000	“	8.50		45	76,000		25	80,000
	80,001	to	90,000	“	9.50		46	76,500		26	80,000
	90,001	to	100,000	“	10.50		47	77,500		27	80,000
							48	78,000		28	82,000
	$2.00 additional charge added to the above rate for each						49	78,500		29	84,000
	additional 10,000 pounds.						50	79,000
_________________________________________________________________							51	80,000________________________________
			ANNUAL PERMITS FEES						6	30	86,000
									or	31	88,000
			STATEWIDE		$115.00				more	32	90,000
			100 MILE RADIUS *		$60.00					33	92,500
										34	95,000
	* Only if based and registered in New Hampshire									35	97,500
_________________________________________________________________										36	99,000

	PAYMENT
Application must include check or money order for required fee		* Distance in feet between the extremes of any group of 2
made payable to:		or more consecutive axles.
	TREASURER, STATE OF NEW HAMPSHIRE	** Distance in feet between the extremes of 4 axles.
		(2 sets of 2 axles)
MAIL TO:	PERMIT OFFICE	*** The distance in feet noted is that between extreme
	NHDOT	axles, excluding the steering axle.
	PO Box 483
	Concord, NH 03302-0483

________________________________________________________________________________________________________________________________

Permit authorizes travel only during DAYLIGHT HOURS on only those highways and bridges over which the New Hampshire Department of Transportation has jurisdiction. The permittee assumes all responsibility for any damage to highways and bridges, agrees to keep all other traffic off bridges while crossing same. ESCORT: One (1) pilot car, provided by the applicant required for all overall width loads at twelve (12) feet, zero (0) inches or more or overall length loads at eighty (80) feet, zero (0) inches or more. The pilot car precedes load on all but four lane divided highways and shall display a sign for approaching traffic reading OVERSIZE LOAD. This sign shall have ten inch high black letters of a one inch stroke on a yellow background. Pilot cars drive with headlights on low beam and will be equipped with flashing amber light.

Rev. 03/09

Question	Answer
Form Name	New Hampshire Load Form
Form Length	2 pages
Fillable?	No
Fillable fields	0
Avg. time to fill out	30 sec
Other names	amherst nh burn permits, nh burn permits online, nh dot permits, town of peterborough nh burn permits

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