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<br />., <br /> <br />3 <br /> <br />;I <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 />DATE OF FLOODING <br /> <br />?' -/9$9 <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 />CAUSE: _/ <br />Rainfall ur <br /> <br />Snowmelt 0 <br /> <br />Other <br /> <br />H' <br /> <br />STRUCTU <br /> <br />I, <br /> <br />/VtL.~ I./O/.;t... <br />CULVERT: <br />Size .J..'I~ <br /> <br />Type <br /> <br />NO. <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.) :L' ~ <br /> <br />DEPTH OF WATER 0 ER ROADWAY Width <br />. ~~ ' &, <br />DEBRIS: (Indicate the debris that affected the structure's 5I'pacity.) <br /> <br />Trees 0 Brush 0 Rocks . 0 Silt fi Other <br /> <br /> <br />Amount <br /> <br />WATER DEPTH AT STRUCTURE ENTRANCE: (Reference the highwatertosome permanent object such as thebo ttomofa <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 D. No <br />If yes, specify (Describe extent of damage and needed repair.) <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 />~ ~-1- '9~ ?~ ~~ ~~ <br />~ ~ ~~--~ ~ ~ .'i2:.:Z/~ <br /> <br />1~~ <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) ti)~~ 57-.2. _.J-6"1 / <br /> <br />I' 7t!?(J f/d. 61 . . <br /> <br />7~ I eu4 ~() 11-g" <br /> <br />\ <br /> <br />rn ~ <br />;t ii' <br />z "D <br />? 0 <br />III <br /> - <br />G' C7 <br /> <br />Recorder (Nama) <br /> <br />(Datel <br /> <br />. Phone <br /> <br />Use reverse side for any addltJona. comments, sketches, or photographs. <br />