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<br />-"'----,--.. <br /> <br />t+ <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 />CAUSE: <br />Rainfall)l1:. <br /> <br />Snowmelt 0 <br /> <br />Other <br /> <br /> <br />DATE OF FLOODING <br />- 99 <br /> <br />FLOODING LOCATION (Include SH No., direction and distance from a reference point such as a highway junction, major <br />structure, geographical.!eference, or milepos!.) )/1,03 LA/c.!,'"",) .JI5'!C.J lCG''''''& J(co<( "",;; <! Ccc<'yPc0<! .1.~ <br />v'crfe r flotc,;tJ '1 f't1,,-l ,ikrc.5S "'('-;-'1 - '" <';0 I !.-c<c~( h1 /11 ~ 1'5)-: ~ C <br />Y (//>1 ct ~; 1(; S ('or, "-/,,, <br />STRUCTURE NO. <br /> <br /> <br />C <br />CULVERT: <br />Size <br /> <br />v <br /> <br />II <br /> <br />Type ;<(~!;:< .',? .f" ,/ <br /> <br />STREAM NAME <br /> <br />AMOUNT OF RAINFALL (Give local reports of the depth and duraU\ln of the rainfall. Indicate ground moisture condition <br />before the storm.) 7Je/tJlIt: tJ' f R",,'III f,; rA~ /.c!.RSTd{'...f/II3' /lr~C1, . <br />. r~ <br /> <br />DEPTH OF WATER OVER ROADWAY / /I <br />rt' 5"tJ <br />DEBRIS: (Indicate the debris that affected the structure's capacity.) J. . 5', ." . ! <br /> <br />Trees 0 Brush 0 Rocks 0 Silt 0 Other. (J I'h, /"//I'I/) 1/ JtJ It-.f A (1/ N <br /> <br />Amount Gh?;/~? w'; PSi ry .:0 ;<'.1( (j <br /> <br />WATER DEPTH AT STRUCTURE ENTRANCE: (Referencethehighwatertosomepermanentobjectsuchasthebollomofa <br />bridge girder, top of the culvert, or shoulder of the roadway. This should be as accurate as possible.) <br /> <br />Width <br /> <br /> <br />I <br /> <br />DAMAGE OR SCOUR: Yes 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 />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 /> <br />(Date) <br /> <br />Phone <br /> <br />I/) ~ <br />~ jD <br />Z "0 <br />~ 0 <br />en <br /> - <br />~ <br />'" <br /> C) <br /> <br /> <br />t <br /> <br /> <br />Use reverse .Ide for any additional comments, .ketc .., or photographs. <br />