Form FS-7700-40 Application for Road Use Permit

USDA Forest Service OMB 0596-0016
APPLICATION FOR PERMIT NON-FEDERAL COMMERCIAL USE OF ROADS RESTRICTED BY ORDER (Reference to FSM 7730)
NOTE: This report is authorized by Acts of June 10, 1914; April 24, 1950; June 12, 1960, and October 13, 1964 (USC 478,572,530 and 532-38). No permit may be issued unless a completed Form 7700-40 is received.
For Official Use Only							DATE OF APPLICATION
REGION      	STATE      		COUNTY      	FOREST      		RANGER DISTRICT      	     
1. APPLICANT (Name, address, and Zip Code) TELEPHONE NUMBER       (   )     -                 
2. DESCRIPTION AND MILEAGE OF ROAD(S) OR ROAD SEGMENT(S) TO BE USED (as shown on attached map)      
3. PURPOSE OF USE HAULING LOGS OR LUMBER       MBF (Quantity) HAULING OTHER MATERIALS       TONS (Quantity) DESCRIBE MATERIALS      
4. USE SCHEDULE NUMBER OF DAYS TYPE OF TRUCKS TYPE OF LOADING SEASON OF USE TO BE USED TO BE USED                                                                                                
5. PLANS FOR FUTURE USE (Not applied for on this application) HAULING LOGS OR LUMBER       MBF (Estimated Quantity) HAULING OTHER MATERIALS       TONS (Estimated Quantity) DESCRIBE MATERIALS       ESTIMATED PERIOD OF USE FROM       TO      
SIGNATURE OF APPLICANT							DATE      
Page 1 of 2							FS-7700-40(8/95)
USDA Forest Service OMB 0596-0016 REPORT ON APPLICATION (To Be Completed By District Ranger)
1. GENERAL DESCRIPTION AND ADAPTABILITY OF ROAD(S) FOR PROPOSED USE. (Show road(s) on 1/2" Forest Transportation Map)      
2. IMPROVEMENTS FOR BETTERMENT WORK NEEDED ON ROAD(S) TO SAFELY ACCOMMODATE THE ADDITIONAL TRAFFIC      
3. IMPROVEMENTS OR BETTERMENT WORK DESIRED      
4. RECOMMENDATION OR COMMENTS (Include any factors which might affect the granting of the hauling permit or future use of the road(s).)       According to the Paperwork Reduction Act of 1995, an agency may not conduct or sponsor, and a person is not required to respond to, a collection of information unless it displays a valid OMB control number. The valid OMB control number for this information collection is 0596-0016. The time required to complete this information collection is estimated to average 15 minutes per response, including the time reviewing for the instructions, searching existing data sources, gathering, and maintaining the data needed, and completing and reviewing the collection of information.
REPORT SUBMITTED      		NAME AND SIGNATURE			TITLE      			DATE      
REPORT APPROVED      		NAME AND SIGNATURE			TITLE      			DATE      
Page 2 of 2								FS 7700-40(8/95)