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<br />4f <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 />Rai nfall j'iO <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 />STRUCTURE NO. <br /> <br /> <br />I' <br /> <br />Type <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.) )..If <br />.J. ~....r <br />DEPTH OF WATER OVER ROADWAY Width <br />II <br /> <br />DEBRIS: (Indicate the debris that affected the structure's capacity.) <br /> <br />Trees 0 Brush 0 Rocks 0 Silt liD Other 7:".r j t;.",.. '{';;.11r <br /> <br /> <br /> <br />Amount <br /> <br />WATER DEPTH 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 />'II( <br /> <br />DAMAGE OR SCOUR: Ves No <br />If yes, specify (Describe extent of damage and needed repair.) <br /> <br />COMMENTS: (List any pertinent facts, such as traffici:telays, detours, duration of highwater. Suggestions for improving design <br />to alleviate problem. Also, list any other undocumented flood history at this location) <br />}J,~r ",,;11 ""....01 n J, cJ.;folfll'/oIlAH. ;oS Sf#-? ~j'h; M9G.L:.y -.r ~J. !;,MJ"Na! <br />"(l,,J WAf t!~su/ JIN! .Ici ~'p.Jje..tI ;f!"u ~* '~). <br />tJl9;h ~I'f",;..".j ;,.1 hA/ ;9-jP/",p;.,Nhp,.,/4 "tH. <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 /> <br />(Oat81 <br /> <br />Phone <br /> <br />fI) !; <br />;z: CD <br />Z "U <br />9 0 <br />II> <br /> - <br />~ <br />~ ~ <br /> .~ <br /> <br />Recorder (Nama) <br /> <br /> <br /> <br />U.. reve... sid. lor .ny addltlonel commenl.. .ketc"", or photographs, <br />