9025 Centre Pointe Dr.

, Suite 400, West Chester, OH 45069

800-338-1122 513-645-7000 513-645-7993 FAX

2013 Contech Engineered Solutions LLC CONTECH Project No.:______________ Region: _____________ www.ContechES.com
Product Design Worksheet CON/SPAN O-Series
Email completed formto: info@conteches.com



Project Information RUSH REQUEST:
Date: Respond By Date: Site Drawings Available: Specifications Available:
Project Name: Funding: End Market/Land Use:
Project City: State: Project Zip Code: Application:
Design Status: % Complete Permitted Approved Deliverable: Eng. Est. Proposal Dwg. DYOB Other
Design & Loading Requirements
Series/Shape: Span (ft): Clear Rise (ft): Precast Rise (ft): Length (ft):
Loading: Design Code: Regulatory Agency:
Soil Bearing Capacity (psf): psf Assumed Report Geotechnical Report Detail:
Hydraulic Modeling / Data Available: Foundation Type: EXPRESS Foundations: Yes No
Formliner: Large Blockouts/Utility Openings: Epoxy/ Other Rebar:
Headwall Height (ft): Upstream Downstream Thickness Sloped Wall Geometry Unknown; Assume :1 Grading
Wingwalls: Headwalls: Finished Grade Elevation (ft): Min / Max
Dimensions & Elevations
Length End Elevation Degree Upstream Downstream
Wingwall 1: Flow Line:
Wingwall 2: Top of Arch:
Wingwall 3: Bottom of Arch:
Wingwall 4: Bottom of Leg:
Roadway Skew Angle: Skewed Ends Required: Bottom of Footing:
Notes (Design Alternatives, Design Assumptions, Challenges, Constraints, etc.)



Contact Information
Name: E-mail:
Company: Phone:
Address: Fax: