PROJECT WORKSHEETSRetaining Wall Systems Earth Retaining Systems Project Information Date* Respond by Date* Planned Construction Start Date* Project Name* Project Address* Project City* Project State* —Please choose an option—AlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyoming Project Zip* Site Drawings Available? —Please choose an option—YesNo Specifications Available? —Please choose an option—YesNo Application —Please choose an option—Access RoadBoat RampBridge Abutment ProtectionBridge ScourChannel LiningDam/Spillway ProtectionDrainage Ditch LiningDrop StructureLevee StabilizationLow-Water CrossingOutfall ProtectionPipeline/Cable ProtectionRetention BasinShoreline ProtectionToe StabilizationWeirOther Geotechnical Report Available? —Please choose an option—YesNo Design Status —Please choose an option—PreliminaryIn Progress % Complete Permit/Approval Status —Please choose an option—PermittedApproved Delliverable(s) Check all that apply. Size/Cost EstimateStandard Details/SpecificationMaterial SubmittalQuote Supporting Documents Upload Supporting Documents jpg, jpeg, png, gif, pdf, eps, doc, docx, ppt, pptx (Max file size: 25mb) Design Information Max. Wall Height or Text Note With Range Units—Please choose an option—FeetMeters Min. Wall Height or Text Note With Range Units—Please choose an option—FeetMeters Desired Wall Geometry—Please choose an option—Single height without terracesTerraced If 'Terraced', Please Specify Number Of Levels Degrees From Vertical or H:V Wall Type Desired—Please choose an option—Gravity WallGeosynthetic Reinforced WallStacked Fascia If a geosynthetic-reinforced wall is desired, please list... Reinforcement Type... ...OR Product Line/Manufacturer: Long-Term Design Strength Units—Please choose an option—lb/ft2kN/m Type of Surcharge On Top Of Wall—Please choose an option—NoneAutomobileBuildingHighwayOther If 'Building', List Loading If 'Other', Specify & List Loading Distance From Front Face of Wall To Surcharge Units[select [distance-front-face-to-surcharge-units] include_blank "Feet" "Meters"] Angle of Back Slope (H:V) Length of Backslope Units—Please choose an option—FeetMeters Hydraulic Data Directional attributes assume looking downstream. Channel Bottom Width or Text Note With Range Units—Please choose an option—FeetMeters Manning's "n" Velocity or Text Note With Range Units —Please choose an option—Ft/SecM/Sec Discharge Q or Text Note With Range Units —Please choose an option—Ft3/SM3/S Bed Slope (%) Flow Type —Please choose an option—ContinuousIntermittent If 'Intermittent', List Duration Wave Action/Height Units—Please choose an option—FeetMeters Ice Action —Please choose an option—YesNo Groundwater Seepage —Please choose an option—YesNo If Other Hydraulic Condition, Please Specify: Soil Properties Infill Description Internal Friction Angle (Degrees) Unit Weight Units —Please choose an option—lb/ft3kN/m3 Backfill Soil Description Internal Friction Angle (Degrees) Unit Weight Units —Please choose an option—lb/ft3kN/m3 Retained Soil Description Internal Friction Angle (Degrees) Unit Weight Units —Please choose an option—lb/ft2kN/m2 Cohesion Units —Please choose an option—lb/ft2kN/m2 Foundation Soil Description Internal Friction Angle (Degrees) Unit Weight Units —Please choose an option—lb/ft3kN/m3 Cohesion Units —Please choose an option—lb/ft3kN/m3 Exposed Face Cell Infill—Please choose an option—Top Soil/VegetationCrushed AggregateConcreteOther If 'Other', Please Specify Wall Fascia Color Desired—Please choose an option—BlackGreenTanOther If 'Other', Please Specify Contact Information First Name* Last Name* Company* Email* Phone* Address* City* State* —Please choose an option—AlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyoming Zip Code* Relationship With Project ArchitectConsulting EngineerContractorOwnerOther If other, please describe: Did you speak with a BaseLok representative about your project? —Please choose an option—YesNo If YES please name the representative Please wait after submitting...do not hit 'submit' button more than once. Δ
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