Single Trip Application

Single Trip Permit
555 Courthouse Road
Cobourg, Ontario
K9A 5J6
Phone: (905) 372-3329
Fax:
(905) 372-1696
Permit No.:
Fee:
Issued By:
Date:
Time:
$25.00
Permit applications are to be submitted via email to transportationdept@northumberlandcounty.ca or
faxed to 905-372-1696 at least two (2) business days prior to the move.
Please Print
Company Name:
Telephone #:
Contact Name:
Fax #:
Address:
Email:
1. Authorizing the movement of:
2. For the following period from:
to:
3. Overall Length (m):
Overall Height (m):
Inclusive
Overall Weight (kgs):
Overall Width (m):
to:
4. Authorized route from:
via County Road (s):
5. This permit not valid:
(i) On roadways other than the County Roads specified above;
(ii) From one half hour after sunset or one half hour before sunrise or at any other time when, due to
insufficient light or unfavorable atmospheric conditions, persons and vehicles on the highway are not clearly
discernible at a distance of 150 metres or less
6. A copy of this permit (including any attachments) must be carried in the vehicle and produced on demand of
a Police Officer or an Officer appointed for carrying out the provisions of the Highway Traffic Act.
7. This permit is issued on condition the permit holder accepts responsibility for any and all damage that
may be caused to overhead wires, structures, highways, encroachments or railway right of ways. The
permit holder must obtain the necessary approvals from all encroachments and/or any municipal
permits required for the selected routes.
8. Permit holder must comply with Ontario Regulation 363/04 - Security of Loads
9. A printed e-mail copy, photocopy or fax copy of this permit is deemed to be an Original.
Signature:
Date:
See Conditions on Next Page
PV01.2016
Page 1 of 3
Conditions:
A. Where a permit is issued in respect of:
1) Height: The load shall not be composed of articles loaded one on top of the other.
2) Width: The load shall not be composed of articles loaded side by side or crosswise.
3) Length: The load shall not be composed or articles loaded one behind the other and any overhang to the rear
shall not exceed 4.65 m from the centre of the rearmost axle unless otherwise stated.
4) Weight: The load shall not be composed of more than one article. When crossing bridges, vehicles of over
45,400kg gross weight must be operated at the lowest practicable speed. Bridge postings and load restrictions
pursuant to Part VII Of the Highway Traffic Act apply.
B. Vehicles and loads, in excess of the width and/or length prescribed under Section 109 of the Highway Traffic Act shall be
marked with four or more flags, one as near as practicable to each corner of the vehicle or load. The flags shall
be bright red or orange in colour and shall be not less than 40 cm square. Where a vehicle or load is wider at any
point or points on either side than at the corner, it shall, where practicable, be so marked with such a flag at the
widest point on each side.
C. Vehicles and loads in excess of the length prescribed under Section 109 Highway Traffic Act shall, in addition to the flags
required under Conditions B, display on the rear, in a clearly visible position, a sign bearing the words “Long Load” in black
letters at least 200 mm high with lines forming the letters at least 30 mm wide on a yellow background, or a
“D” sign as illustrated below. The sign to be removed or covered when not in use.
D. Note: Where a permit is issued on condition the permit holder provide Private Escort Vehicle or Vehicles:
1) The escort vehicle (s) shall be operated by a person not less than 18 years of age.
2) The escort vehicle (s) shall not have more than 2 axles and a wheelbase length of not less than 2.65 metres and
shall be equipped with an amber flashing roof light visible from the front and rear for a distance of at least 150
metres and shall precede on a two lane highway or follow on a four lane highway at a distance of 60 to 150 metres
and shall bear a sign clearly visible for a distance of at least 150 metres, which reads “CAUTION OVERSIZE
LOAD FOLLOWS” or “CAUTION OVERSIZE LOAD AHEAD” as the case may be in black letters at least 200mm
high with lines forming the letters at least 30mm wide on a yellow background, or a “D” sign as illustrated below.
The sign to be removed or covered when not in use.
3) When escorting a movement in excess of 4.00 metres in width, the escort vehicle(s) and towing vehicle(s) shall
be equipped with a working two way radio communication device permitting inter-communication between the
vehicles.
4) An escort vehicle shall be equipped with a fire extinguisher in effective working order, six 45 cm (18") traffic cones
and/or portable reflectors approved by the County, and extra bulbs to maintain all lights required by this schedule.
5) All units, including the escort vehicle (s) will be operated with headlights on, when traveling on a County Roadway.
PV01.2016
Page 2 of 3
555 Courthouse Road
Cobourg, Ontario
K9A 5J6
Phone: (905) 372-3329
Fax:
(905) 372-1696
Permit No.:
Fee:
Issued By:
Date:
Time:
$25.00
Issued under Section 110 of the Highway Traffic Act
1. Operator to provide traffic flagging and police point support as required.
2. Permit issued for County of Northumberland roads only; applicant to secure other
necessary permits.
3. For all trips on County Road 45 north over the Swing Bridge in the Village of
Hastings contact :
Brett McLellan – Parks Canada
1-705-750-4943 or brett.mclellan@pc.gc.ca
This attachment must be affixed to the permit matching the permit number above. The attachment
must be carried in the vehicle and produced on demand of a police officer or an officer appointed
for carrying out the provisions of the Highway Traffic Act.
PV01.2016
Page 3 of 3