Load Zone Data:

Highway No

County

District

Load Zone ID

Control and Section

Length, Miles

Limits Geographic

TRM: Begin

End

Current Load Restrictions

Minute Order Number

Recommended Load Zoning

Remarks

Will this Load Zoning affect haul roads for scheduled Highway construction projects?

Yes

(If “Yes”, Explain:)

Step 2 of 3

Engineering Data:

Surface Type and Thickness

Base Type and Thickness

Total Pavement Width (mainlanes and shoulders)

Description of Subgrade Soil

Pavement Design Report Available (PDR)

Rehabilitation Type Completed or Scheduled Date

Present Condition

FWD Deflection Survet(If no PDR available)

If "Yes", Avg. Rut Depth in

Alligator Cracking %

Step 3 of 3

Avg. 10 Heaviest Wheel Load Daily

Percent Tandem Axles

Present A.D.T.

Future A.D.T.

20 Yr. Accumulated 18 Kip ESAL