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<br />l(P- <br /> <br />DEPARTMENT OF HIGHWAYS <br />STATE 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: DATE OF FLOODING <br />Rainfall }il Snowmelt 0 Other ~- -3 - 1t <; <br /> <br />FLOODING LOCATION (Include SH No., direction and distance from a reference point s~ch as a highway junction, major <br />structure, geographical reference, or milepost.) <br /> <br />~A <br />STRUCTURE NO. <br /> <br />1 <br /> <br /> <br />C.o O. <br />CULVERT: <br />Size ~ /~ <br /> <br />Type .ste~ <br /> <br />f:.. <br /> <br /> <br />STREAM NAME <br /> <br />AMOUNT OF RAINFALL (Give local reports of the depth and duration of the rainfall. Indicate ground moisture condition <br />before the storm.)" \ (. . 1 r ~.~. J ~ <br />~$ ~ I!. I .. I 110\ ::1.1-1 'If' ...11' (j .]:.1'1'/ dIDo!. <br />DEPTH OF WATER OVER ROADWAY Width <br />/( <br /> <br />DEBRIS: (Indicate the debris that affected the structure's capacity.) <br /> <br />Trees 0 Br~sh fROCkS 0 Silt..-fil Other (;.,...",.( tll~"" Sho...ti"l/ <br /> <br />Amount S <br />WATER DEPT AT STRUCTURE ENTRANCE: (Reference the highwater to some permanent object such as the bo ttomofa <br />bridge girder, top of the culvert, or shoulder of the roadway. This should be as accurate as possible.) <br /> <br /> <br /> <br /> <br /> <br />".I, -t <br /> <br /> <br />,p. WO c". <br />DAMAGE OR SCOUR: Yes No ~ <br />If yes, specify (Describe extent of damag~ and needed repair.) <br /> <br />10- <br />~.. <br />~ <br />~ <br />~ <br /> <br />~ <br />.~ <br /> <br />COMMENTS: (List any pertinent facts, such as traffic delays, detours, duration of highwater. Suggestions for improving design <br />to aileviate problem. Also, list any other undocumented flood history at this location) "7'e. ~ y ,,. wI.' 7' . <br />. \ .P ""6 ...u.,jc- ..,J <br />t~ "T"'.... ~:;-.!t..t~ """-~ fbi" kqo ''''7 w...-+u.., .....o(pl~W\s. 'Jrt";,<t-U.""\. .J;-(.(. ~ )-".,.."(,,, <br /> <br />.sOlA";).,"'oe~"" 4.~ P4'\..1<' b4.<:......-de 6~ h~...", t'D.~"'Q#f.J ~<<" 04F/'o.... <br /> <br />6-u."'1.u......( eS1-ft"t.!.s. T~..s ct..I......-t c..lsb .D".t,;"J lA3i!.:t..,ct...<#~~";: sh.i" ()~ -r;AJ~'(; <br />~........~&. 0"" R...... 01'-,. 1"""'" ~O<A.$~"i' J.~"~I"lII4",,,.......-r, t36~ t....lu~....T f't\'6.'I( ~. n'4l"J..,J <br />,... t.t-{...~ <br />SOURCE OF INFORMATION: (Give name of person(s) observing the highwater or damage. <br />List address and phone number so he may be contacted for additional information. <br />Include years familiar with area) M:~ ~'r 'S'(?, H'Pl ....6: ...1. Wk1\ 'pq It ~ ~ ~ ~.....I <br /> <br />~()\ -ti I '^'kr. tl.. "-I1.(.1'I./.3g;),. - 1{~.J...a9 .1 'J.. ik"trl I (j <br /> <br />Ul <br />~ <br />Z <br />~ <br /> <br />~ <br />if <br />"'II <br />o <br />.. <br />- <br /> <br />I <br />, I <br />I <br />I <br /> <br />I <br />, <br /> <br />iJ} <br />~ <br /> <br />C) <br />. <br />!=>a <br />o <br /> <br /> <br />~ <br /> <br /> <br />,- t,... i'ft <br /> <br />Phone <br />LJI..fJ.... 81;l.~ <br /> <br />(Dale) <br /> <br />reverse Ilde tor <br />