Engineered Retaining Wall Request Form

Select Block:
Clifton Beveled Straight
Select Color:
Select Wall Style:
Enter Dimensions:
Porter Quarry Gray
Sienna Tan
Porter Quarry Gray
Sienna Tan
Autumn Blend Cobalt Sienna
Tan Silver Mist
Denver Beveled Straight Lakewood Lakewood XL Combined
Did you estimate your retaining wall using the Menards Online Designer? Yes No
If No, why?_______________________________________ If Yes, Design #______________
Wall Height Wall Length Slope Height Slope Length Setback
NAME: __________________________________
ADDRESS: ______________________________
CITY: ___________________________________
STATE: ___________ ZIP CODE: ___________
PHONE: ________________________________
EMAIL: _________________________________
DATE: __________________________________
MENARDS STORE LOCATION: ________________
TEAM MEMBER: _____________________________
PROJECT NAME: ____________________________
PROJECT ADDRESS: _________________________
PROJECT CITY: ______________________________
PROJECT ZIP CODE: _________________________
ENGINEERING REQUIRED: YES NO
Curved Walls - Lengths should follow the path of the wall for nal measurment
Standard Top slope L Top slope R Bottom slope L Bottom slope R Tiered Wall
E
ENGINEERED RETAINING
WALL REQUEST FORM
engineering@midwestmanufacturing.com
1) BLOCK TYPE & COLOR
2) WALL INFORMATION
(Please use a separate page for each wall design)
A B C D
3) SURCHARGE/LOAD INFORMATION
Indicate Load at the Top of the Wall:
(pool, deck, fence, existing wall, guardrail, etc.)
None Lawn & Garden Light Auto Truck/RV Other
Distance from the wall
A
C
C
A
C
E
A
B
B Length of wall
D
B
B
D
B
D
D
B
A
A
C
A
C
4) SOIL INFORMATION
5) ADDITIONAL INFORMATION SENT WITH REQUEST FORM
(Please provide if available)
Type of Soil (by inspection):
Check All that Apply:
Additional Wall Details:
Clay
Site layout
Corners
# of inside corners Stair width
# of outside corners
Grading plan Pictures
Stairs
Sand Silt Gravel Soils test
Email completed form and additional information to engineering@midwestmanufacturing.com
Special Notes:

Summary of content (1 pages)