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<br />1<(,
<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 g
<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 />
<br />Type
<br />
<br />.
<br />STRUCTURE NO.
<br />
<br />
<br />
<br />(Give local reports of the depth and duration of the rainfall. Indicate ground moisture condition
<br />
<br />DEPTH OF WATER OVER ROA
<br />11
<br />
<br />DEBRIS: (Indicate the d
<br />
<br />Trees I/ilI Brush ~
<br />
<br />Rocks 0
<br />
<br />Silt PJI
<br />
<br />Other
<br />
<br />Amount s.: W A
<br />
<br />WATER DEPTH AT STRUCTURE ENTRANCE: (Referencethehighwatertosome 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 />
<br />
<br />(
<br />
<br />
<br />DAMAGE OR SCOUR: Yes No 0
<br />If yes, specify (Describe extent of damage and needed repair.)
<br />
<br />Chlo~n .rJ.I'l!' /,~II':' d",H-'jl'/ A~~C'~Alr ~ ",,/..III'ftO~.
<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 />$)j",,4/' W,#f c./8m/ FI,., . Jet. .;'1 tl-JrS ~ $.,..'~;f,.l .J:-,., /~-Id n .!UI.
<br />;:7.a'/'? ~r 6~1 M ?"-,,t- .. . . .
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<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 />I~cly~, years ,f'}"'iliy with area) /, v)
<br />/iIH;e/ ,M-...nc ~Y'l1 t.RJ. J J;/,,/:, ,JUo. :!OJ'.l~~ '7~(. ~ J:.u,,..,/ '''''''1:
<br />EJ,,,, b~/ P9>6 t.. ;fJ..z. kj~6N) CU. jIJ.J-JS'/--mf (L;/~;1;'t')
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<br />7Zt J',,"'~f IllY- !1,t/..Jt Xr.> f.~. ;70J~75f-'.;7! (I/!J-d').
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<br />(Date)
<br />
<br />Phone
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<br />
<br />Use ro.e... oIde lor any additional commenl., .kelche., or photograph..
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