special non tac configuration permit - Highways and Public Works ...
special non tac configuration permit - Highways and Public Works ...
special non tac configuration permit - Highways and Public Works ...
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<strong>Highways</strong> <strong>and</strong> <strong>Public</strong> <strong>Works</strong>Box 2703, Whitehorse, Yukon Y1A 2C6PERMIT NUMBER: YT_____-NTCP-______PART I Application:SPECIAL NON TAC CONFIGURATION PERMITI, ___________________________________________________________________________________(Name of Company Owner or leasee), representing___________________________________________________________________________________(Name of Company),___________________________________________________________________________________(Mailing address)_______________________(Phone number)hereby make application to the Minister of <strong>Highways</strong> <strong>and</strong> <strong>Public</strong> <strong>Works</strong> for a <strong>special</strong> Non-TACConfiguration Permit to operate the vehicle(s) <strong>and</strong>/or vehicle combination listed in Schedule “A”<strong>and</strong> agree to comply with the Permit Terms <strong>and</strong> Conditions, as well as the Yukon <strong>Highways</strong> Act<strong>and</strong> Regulations.____________________________(Name of Company)This _______ day of _______________________, ________(day) (month) (year)_______________________________Signature of Company Owner_____________________________Witness*Note: This application may be reviewed by a vehicle safety/stability expert *PART II Approval:A <strong>special</strong> Non TAC Configuration Permit is hereby issued to___________________________________________________ (“Permit Holder”) under Yukon<strong>Highways</strong> Regulations 23(3) , O.I.C. 2002/174 (the “Regulations”), authorizing the operation ofvehicle(s) listed in Schedule “A” of this Permit subject to the following Terms <strong>and</strong> Conditions:1
TERMS AND CONDITIONS1. Applicability of Permita) This Permit applies only to the vehicle(s) listed in Schedule “A” of this Permit.b) The Permit Holder owns the vehicle(s) listed in Schedule “A” of this Permit.2. Maximum Permit LengthAn escort vehicle will not be required for overall length of the vehicle combination described inSchedule A, up to a length of 28.5 meters. A rear escort vehicle will be required when the overalllength exceeds 28.5 meters.3. Vehicle/Vehicles Inspection/safety, insurance <strong>and</strong> registration requirementsThe <strong>permit</strong> holder shall at all times:a) Maintain a valid Periodic Motor Vehicle Inspection (PMVI) decal for the vehicle(s) listedin Schedule “A” <strong>and</strong> display a PMVI decal on each vehicle(s).b) Maintain valid registration for the vehicle(s) operated under this <strong>permit</strong>.c) Maintain insurance coverage for the vehicle(s) that meets or exceeds the minimumestablished under the Yukon Motor Vehicles Act.4. Suspension of the PermitThe <strong>permit</strong> will be suspended, <strong>and</strong> the <strong>permit</strong> holder notified in writing of the suspension, when itis demonstrated that the <strong>permit</strong> holder is in <strong>non</strong>-compliance with:Requirements relating to vehicle(s) inspection/safety, or insurance or registration as set out in this<strong>permit</strong>.5. Reinstatement of PermitThe <strong>permit</strong> may be reinstated once the <strong>permit</strong> holder can demonstrate that the:Vehicle(s) inspection/safety, insurance <strong>and</strong> registration requirements in Section 3 of this Permithave been met.6. Offense to operate at lengths in excess of the maximum overall length established by this<strong>permit</strong>.a) It is an offense to operate a vehicle(s) under this <strong>permit</strong> with a length that exceeds themaximum overall length authorized by this Permit without an escort vehicle at the rear.b) A fine may be assessed under the Summary Conviction Regulations for this offense.7. Cancellation of the PermitThe Minister may cancel this <strong>permit</strong> for repeated suspensions of the <strong>permit</strong> for <strong>non</strong>-compliancewith <strong>permit</strong> conditions.8. Sale of a vehicle(s) or permanent removal from the Roada) When the vehicle(s) is sold or permanently removed from the road, the Permit Holder shallimmediately notify the Manager, Carrier Compliance, Transport Services Branch inwriting.b) The Permit is not transferable.2
9. Expiry of the PermitUnless suspended or cancelled, this <strong>permit</strong> is valid for the life of the vehicle(s) listed in Schedule“A”.SIGNED for <strong>and</strong> on behalf of:GOVERNMENT OF YUKONthis______day of ______________, ______(day) (month) (year)as represented bythe Director, Transport Services Branch______________________________Director or Designate______________________________WitnessAt<strong>tac</strong>hments:Copy of Non TAC <strong>configuration</strong> application (Schedule “A”) <strong>and</strong> Drawing form.Copy of registration for each Vehicle listedCopy of Insurance for each vehicle listedCopy of current PMVI Inspection Report for each vehicle listedFront Axle Rating for each vehicle listedDistribution:Original to Permit HolderCopy to Manager, Carrier ComplianceAPPLICATIONS MAY BE MAILED, FAXED OR HAND DELIVERED TO:Whitehorse Weigh Station W-18Transport Services BranchP.O. Box 2703Whitehorse, Yukon Y1A 2C6(867) 393-6408ORWatson Lake Weigh StationP.O. Box 211Watson Lake, Yukon Y0A 1CO(867)536-75773
Applications will not be processed without at<strong>tac</strong>hments.Schedule “A”Truck or TractorYukon LicencePlate NumberYear Make Model Serial NumberTrailer(s)Yukon LicencePlate NumberYear Make Model Serial Number4
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