| Richmond Township Ordinance 02-2010 Permit No: Richmond Township 563 Valley Road Special Hauling Permit Mansfield PA 16933 570-662-3774 FAX: 570-662-1284 (if you are faxing the permit in - please fax your PennDOT permit also.) Subject to all the conditions, restrictions, and regulations prescribed by Richmond Township in Ordinance 02-2010 MOTOR CARRIER NAME AND ADDRESS PERMIT Permit Type: Duration: Date Issued: Time Issued: Total Fee: SIZE INFORMATION Length / Width / Height LOAD INFORMATION Quantity / Load Type WEIGHT INFORMATION Gross Weight / Legal Weight AXLES ROUTE INFORMATION Origin: Destination: Take shortest route to delivery point on a Richmond Township road. PERMIT RESTRICTIONS Same restrictions as permit M-936P from PennDOT. AUTHORIZED ROUTES NAME OF ROAD NUMBER OF ROAD LENGTH OF ROAD Airport Road 730 1.23 Austin Drive * 492 0.32 Benson Drive 772 0.08 Blacktop Lane 494 0.62 Brooklyn Road ** 754 1.19 Brueilly Road 775 0.32 Bryant Road 573 1.68 Bullock Road 678 2.42 Burley Ridge Road * 503 0.3 Carpenter Road 543 1.68 Cherry Ridge Road * 510 0.21 Cooper Road 499 0.31 Crittenden Drive 774 0.23 East Mulberry Hill Road * 732 1.42 Erie Avenue * 488 0.05 Firetower Road 713 1.23 Fish Road ** 546 0.12 Fourth Street 505 0.11 Hemlock Drive * 485 0.15 Hollow Road 491 1.6 Inscho Lane 776 0.14 Kellytown Road 571 3.34 Kelsey Road 676 0.74 Kingsley Road 575 1.92 Korb Road 568 0.02 Lake Road 680 0.48 Lambs Creek Road * (2000' dirt) 844 2.17 Mann Creek Heights Road 542 0.61 Mann Creek Road 545 2.68 Mitchell Tree Road 711 0.17 Moore Road 710 0.92 Mudge Road 646 0.82 Mulberry Hill Road 731 1.46 Mulberry Lane * 490 0.26 O’Dell Road 728 1.19 Old Mainesburg Road 507 0.32 Orebed Road 501 4.53 Pitts Road 497 1.95 Putnam Road 565 0.15 Rice Road 496 0.48 Richmond Drive * 489 0.1 Ritz Road 521 0.3 Schodac Road 708 1.37 Scouten Road 519 0.81 Shaw Road 541 2.9 Skyline Drive 777 0.22 Smith Road 569 1.21 Smoke Rise Road * 509 0.42 Spencer Road ** 493 3.38 Sportsmens Club Road 712 0.62 Spruce Drive * 487 0.15 Sumner Road 539 1.58 Thorn Apple Lane * 486 0.09 Valley Road * 498 1.66 Westgate Road 770 1.67 Whittaker Road 495 1.6 Wood Road 574 1.63 * Black Top ** Bridge Driver's Signature Date Richmond Township Ordinance 02-2010 Permit No: Richmond Township 563 Valley Road Notice of Determination of Local Traffic Mansfield PA 16933 570-662-3774 Subject to all the conditions, restrictions, and regulations prescribed by email: richmondtwp@epix.net Richmond Township in Ordinance 02-2010 Determination Type Richmond Township has reviewed the anticipated overweight / oversize hauling request of the individual or company listed below. As of this review, Richmond Township has determined the hauler is taking the only available route to or from the stated destination and will not cause significant damage to the highway therefore should be considered "Local Traffic" in accordance with the provisions listed below. IT IS AGREED: This Determination may be terminated at any time by the Township, acting through Richmond Township or the Enforcement Authority, if it has been determined that fraud or abuse of the "Local Traffic" privilege exist. This designation does not authorize the bearer to exceed any maximum vehicles size or weight limits other than exceeding said posted weight limit. In order for the "Notice of Determination of Local Traffic" to be valid, the original of this document shall be carried in the vehicle while traveling upon the highway specified. "NO PHOTO COPIES ARE PERMITTED" In the absence of this document the user may be subject to fines and penalties. If deterioration occurs due to said heavy hauling, the bearer will be notified and required to enter into an Excess Maintenance Agreement. Maximum, Number of Loads: A maximum of 2 load(s) per day with a total not to exceed 14 loads(s) per week, regardless of the number of vehicles utilized beginning at: Hauler Information: Individual/Company: Address: Vehicle License Number: Route Designation Origin: Destination: Township: Richmond County: Tioga Certifications I, the undersigned hereby certify the information supplied is correct to the best of my knowledge and belief. User Signature Title Date Richmond Township Title Date |
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| Oversize/Overweight Permitting |
| Richmond Township is making every effort to have the permits available for you to fill out 24/7. Please work with Richmond Township and FAX your permit to us as soon as you know you will be moving an Oversize/Overweight load on our roads. Please call/fax/email us any questions you might have. |
| If you block and copy this permit form and paste it into WORD, you can add your information. When information is requested about the vehicle, simply put "See PennDOT Permit". Circle the roads you will be using. Fax this to me with the copy of your PennDOT Permit (fax-570-662-1284). I will fax it back to you signed with a Permit #. Have your driver sign it and put it with the PennDOT Permit that he will carry in his truck. Our fee is $15 per complete move. If you have 6 items going from Point A to Point B that equals "One Move". I hope this information helps - please call with any questions you might have. Phone 570-662-3774 |