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<br />~I <br /> <br />DEPARTMENT OF HIGHWAYS <br />S1"ATE.OF COLORADO <br />DIVISION OF HIGHWAYS <br />DOH Form No. 293 <br />Rev. June, 1983 <br /> <br />STAFF DESIGN <br />HYDRAULICS UNIT <br />4201 East Arkansas Avenue <br />Denver. CO 80222 <br /> <br />SEND TO: <br /> <br />DRAINAGE STRUCTURE FLOOD SUMMARY <br /> <br />CAUSE: <br />Rainfall llV" Snowmelt 0 <br /> <br />DATE OF FLOODING <br /> <br />Other <br /> <br /> <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 /> <br />') <br /> <br /> <br />CULVERT: <br />Size ~1J,/f <br /> <br /> <br />STREAM NAME <br /> <br /> <br />AMOUNT OF RAINFALL (Give local reports of the depth and duration of the rainfall. Indicate ground moisture condition <br />before the storm.) <br /> <br /> <br />DEPTH OF WATER OVER ROADWAY <br /> <br />Width <br />/ <br /> <br />/ <br /> <br /> <br />: (Indicate the debris that affected the structure's capacity.) <br /> <br />Trees 0 <br /> <br />Brush 0 <br /> <br />Rocks 0 <br /> <br />Silt 0 <br /> <br />Other <br /> <br />J?~YlP. <br /> <br />Amount <br /> <br />WATER DEPTH AT STRUCTURE ENTRANCE: (Reference the highwaterto some permanent object such as the bottom of a <br />bridge girder, top of the culvert, or shoulder of the roadway. This should be as accurate as possible.) <br /> <br />ah<puT <:1 F<H,T a..btHJe The s/,6IfLdeJ'cF TlJe rDetJ_ <br />DAMAGE OR SCOUR: Yes No 0 <br />If yes, specify (Describe extent of damage and needed repair.) <br /> <br />wo..sJ,eJ 'souTh we5T shlJ<< L de; .sF raqJ 4"-' -. y. <br /> <br />t.Je w/I.J.. puT m<lye .$~tH.d..J_J' IrlfATel"Ic.L ill and J.er/eL /r uA <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 />-rl'Q"FFIc. /,o..J i. be sJ.ouJeJ 411T/l l1i9" 4U__Te~ <br /> <br />IYJo..yhe ct!>e,(J.,d (..($8 a. b;9:Jsr Ct.fJ.,l/e;-1 wiTA <br /> <br />tVeJolT down. <br /> <br />TillS In'" ell <br /> <br />r<:1;IfF<</..L. <br /> <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) <br /> <br />f/I <br />;z: <br />z <br />? <br /> <br />s.R. hwy. "",c.e. mQ.n <br /> <br />AI'Jel1 9. N/c.DJemt.fS 'pPDhljl 6!/-'~') <br /> <br />Recorder (Name) <br /> <br />Phone <br /> <br />~ <br />'1 <br /> <br />(Date) <br /> <br /> <br />~-.5-8'1' <br /> <br />65/- {,.:l'D <br /> <br />Use rev.,.. Ilde for any additional comments. sketche., or photographs. <br /> <br />~ <br /><i' <br />'V <br />o <br />.. <br />- <br /> <br />