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<br />".1iP <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: <br />Rainfall ~ <br /> <br />DATE OF FLOODING <br /> <br />Snowmelt 0 <br /> <br />Other <br /> <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 />STREAM NAME <br /> <br /> <br />f.tf ,-jr fd <br />CULVERT: <br />Size <br /> <br /> <br />STRUCTURE NO. <br /> <br /> <br />Type <br /> <br />4.-v L <br />AMOUNT OF RAINFALL (Give local reports of the depth and duration of the rainfall. Indicate ground moisture condition <br />before the storm.) III <1J, ""- ,l I ",/ I <br />- 1f19, T /? AIIM.-r,f' ""'A'..' <br />DEPTH OF WATER OVER ROADWAY Width <br /> <br /> <br /> <br />DEBRIS: (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 />Amount <br /> <br />WATER DEPTH AT STRUCTURE ENTRANCE: (Reference thehighwaterto some permanent object such as the bo llomofa <br />bridge girder, top of the culvert, or shoulder of the roadway. This should be as accurate as possible.) <br /> <br />. '_h <br /> <br /> <br />DAMAGE OR SCOUR: Yes No JB <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 />Rff:)/' ,;'sfil!Mf,;", If t!J~rl- "",Jr /""iMlt c/,.,;"jA/;4)'. <br />11Jl~J ""If)' c~~, J...~ ~. ~"P...6J,(.HN J?'vn' no cL~. <br />tJ.~r '/'t'II/IIINel M 1"''''/ ~".. 19/,/hY,;"19hfr 12)"1: <br /> <br />SOURCE OF INFORMATION: (Give name of person(s) observing the highwateror damage. <br />List address and phone number so he may be contacted for additional information. <br />Include years familiar with area) <br /> <br />~ $,r4/ ItJ'f~. 31 J;;.~ ai. <br /> <br />\ <br />~7.J>I- P..z'7J' <br /> <br />II) <br />it <br />z <br />!:l <br /> <br />~ <br />Ii' <br />'tI <br />o <br />.. <br />- <br /> <br />(Datel <br /> <br />Phone <br /> <br /> <br />, <br /> <br />Recorder (Name) <br /> <br />.1:5: <br /> <br /> <br />Use reverae .Ide for .ny additional comment., .ketch.., or photograph.. <br /> <br />