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<br />fl1. <br /> <br />DEPARTMENT OF HIGHWAYS <br />S:TATE OF COLORADO <br />DIVISION OF HIGHWAYS <br />DOH Form No. 293 <br />Rev. June, 1983 <br /> <br />SEND TO: <br /> <br />STAFF DESIGN <br />HYDRAULICS UNIT <br />4201 East Arkansas Avenue <br />Denver. CO 80222 <br /> <br />DRAINAGE STRUCTURE FLOOD SUMMARY <br /> <br />CAUSE: <br />Rainfall rn/ <br /> <br />DATE OF FLOODING <br /> <br />u / .3'1 <br />FLOODING LOCATION (Include SH No., direction and distance from a reference point such as a highway junction, major <br />structure, geographical reference, or milepost.) <br /> <br />Snowmelt 0 <br /> <br />Other <br /> <br /> <br />tJ. <br />CULVERT: <br />./ <br />Size /3 <br /> <br />Type sTeeL cutvel'T <br /> <br />STREAM NAME <br /> <br /> <br />i <br />AMOUNT F RAINFALL (Give local reports of the depth and duration of the rainfall. Indicate ground moisture condition <br />before the storm.) <br /> <br />. l't"A II <br />DEPTH OF WATER OVER ROADWAY Width <br /> <br />J <br /> <br /> <br /> <br />DEBRI : (Indicate the debris. that affected the structure's capacity.) <br /> <br /> <br />, <br /> <br />Trees 0 <br /> <br />Brush 0 <br /> <br />Rocks 0 <br /> <br />Silt 0 <br /> <br />Other <br /> <br />T./I'''' JJ LA. uJ 112 e. d <' <br /> <br />Amount <br /> <br />WATER DEPTH AT STRUCTURE ENTRANCE: (Reference the highwater to some permanent object such asthebo llomofa <br />bridge girder, top of the culvert, or shoulder of the roadway. This should be as accurate as possible.) <br /> <br />DAMAGE OR SCOUR: Yes No <br />If yes, specify (Describe extent of damage and neede<1 repair.) <br /> <br /> <br />COMMENTS: (List any pertinent facts, such as traffic delays, detours, duration of highwater. Suggestions for improving design <br />to alleviate problem. Also, list any other undocumented flood history at this location) <br /> <br />CqyS <br />/oq.cJ <br /> <br />were sLoe.cJecl / o..l1J I wenT eJPF l'eJt:t.J. <br />heeaS To be eLel/4"rerJ wlTIt 1J193e~ <;'(.(t.v~rT.$, <br /> <br />SOURCE OF INFORMATION: (Give name of person(s) observi.ng the highwater or damage. <br />List address and phone number so he may be contacted for additional information. <br />Include years familiar with area) . . B 'L ,V . J. A;de"'/Vicddem..'" <br />ST4. ~ Tft:HJPeJA f).t.f'ct-nel'ao er ctn /1', "" <br /> <br />sR, It igJ, wety ""Tee. man. P/It>"e ~5/-':2~t:J <br /> <br /> <br />, <br /> <br />(Date) Phone <br />6- 5- a9 '5/- ,:1 ')() <br /> <br />UI ~ <br />;t CD <br />Z "II <br />? 0 <br />In <br /> - <br />Ij.,) ~ <br />ao "- <br />" ~ <br /> <br />Recorder (Namol <br /> <br />Use reverse Ilde for any additional comments, sketches, or photographs. <br />