GROUND WATER DISCHARGE PERMIT Russell’s Truck & Travel Center 2
Ready-Mixed Concrete Truck Permit Application
Transcript of Ready-Mixed Concrete Truck Permit Application
All permit fees are per vehicle. This section will be auto-populated by information entered on page 2.
The Annual Ready-Mixed Concrete Truck Permit may only be used by a truck operating on three-axles. Steering axle weight cannot exceed 650 PSI x Tire Tread Width x No. of Tires (ex: 650 X 10:00 X 2 = 13,000 lbs.) Any single axle, regardless of tire size, may not exceed 25,300 lbs. Two-axle groups may not exceed 50,600 lbs.
The Texas Department of Motor Vehicles maintains the information collected through this form. With few exceptions, you are entitled upon request to be informed about the information that we collect about you. Under Sections 552.02, 552.023 and 559.004 of the Texas Government Code, you are entitled to receive and review the information, and to have us correct erroneous information.
Annual Ready-Mixed Concrete Truck Permit P. O. Box 13529 - Annual Ready-Mixed Concrete Permit
Austin, Texas 78711-3529 Phone: 800/299-1700
$ =X$ $1,000Annual Ready-Mixed Concrete Permit FeeTOTAL FEE AMOUNTTOTAL VEHICLESFEE
All permit fees are non-refundable.
Form 1755 (Rev. 05/21) Page 1 of 3
Section 1 - Customer InformationCompany Name Customer Account Number
Mailing Address City State Zip
Daytime Phone Number Fax Number/Email Address
Contact Person Permit Start Date
Section 2 - Permit Conditions
I attest that the vehicle(s) listed in this application will not operate on more than three axles when operating under the provisions of the permit.
Section 3 - Permit Fees
Section 4 - Payment
For faster processing apply online via the Texas Permitting and Routing Optimization System (TxPROS) at TxPROS.TxDMV.gov.
Check, Cashier's Check or Money Order (Make payable to the Texas Department of Motor Vehicles)
To pay by credit card or ACH apply online via TxPROS.
Year/Make Complete VIN Current License Plate Number State
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23.
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14.
12. 11. 10. 9. 8. 7. 6.
5. 4. 3.
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19.
25.
24.
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18. 17. 16.
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Vehicle must be registered for the maximum gross weight for the vehicle. A Ready-Mixed Concrete Truck Permit does not authorize the vehicle(s) to exceed the manufacturer's tire load rating FMCSR 393.75f.
Total number of vehicles:
Unit Number
Annual Ready-Mixed Concrete Truck Permit
Vehicle Report
Form 1755 (Rev. 05/21) Page 2 of 3
Section 5 - Vehicle Report
Mark an (X) for each selection (county name and number) in which permitted vehicle(s) will be operated. Make your selection(s) carefully as they cannot be changed once the permit has been issued.
Note: A separate application must be submitted for vehicles with different county selections.
Total Number of Counties Selected
Anderson Andrews Angelina Aransas Archer Armstrong Atascosa Austin Bailey Bandera Bastrop Baylor Bee Bell Bexar Blanco Borden Bosque Bowie Brazoria Brazos Brewster Briscoe Brooks Brown Burleson Burnet Caldwell Calhoun Callahan Cameron Camp Carson Cass Castro Chambers Cherokee Childress Clay Cochran Coke Coleman Collin Collingsworth Colorado Comal Comanche Concho Cooke Coryell
All Counties in Texas Cottle Crane Crockett Crosby Culberson Dallam Dallas Dawson Deaf Smith Delta Denton DeWitt Dickens Dimmit Donley Duval Eastland Ector Edwards Ellis El Paso Erath Falls Fannin Fayette Fisher Floyd Foard FortBend Franklin Freestone Frio Gaines Galveston Garza Gillespie Glasscock Goliad Gonzales Gray Grayson Gregg Grimes Guadalupe Hale Hall Hamilton Hansford Hardeman Hardin Harris Harrison
Hartley Haskell Hays Hemphill Henderson Hidalgo Hill Hockley Hood Hopkins Houston Howard Hudspeth Hunt Hutchinson Irion Jack Jackson Jasper Jeff Davis Jefferson Jim Hogg Jim Wells Johnson Jones Karnes Kaufman Kendall Kenedy Kent Kerr Kimble King Kinney Kleberg Knox Lamar Lamb Lampasas LaSalle Lavaca Lee Leon Liberty Limestone Lipscomb Live Oak Llano Loving Lubbock Lynn Madison
Marion Martin Mason Matagorda Maverick McCulloch McLennan McMullen Medina Menard Midland Milam Mills Mitchell Montague Montgomery Moore Morris Motley Nacogdoches Navarro Newton Nolan Nueces Ochiltree Oldham Orange Palo Pinto Panola Parker Parmer Pecos Polk Potter Presidio Rains Randall Reagan Real Red River Reeves Refugio Roberts Robertson Rockwall Runnels Rusk Sabine San Augustine San Jacinto San Patricio San Saba
Schleicher Scurry Shackelford Shelby Sherman Smith Somervell Starr Stephens Sterling Stonewall Sutton Swisher Tarrant Taylor Terrell Terry Throckmorton Titus Tom Green Travis Trinity Tyler Upshur Upton Uvalde Val Verde Van Zandt Victoria Walker Waller Ward Washington Webb Wharton Wheeler Wichita Wilbarger Willacy Williamson Wilson Winkler Wise Wood Yoakum Young Zapata Zavala
Annual Ready-Mixed Concrete Truck Permit
County Designation Report
For more information about Annual Ready-Mixed Concrete Truck Permits, visit our website at www.TxDMV.gov. For comments concerning the application process contact (800) 299-1700 or email [email protected].
Page 3 of 3Form 1755 (Rev. 05/21)
Section 6 - County Designation Report