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<br />-;?'L <br /> <br />DEPARTMENT O~'t!IGHWAYS <br />STATE OF COL('lRAi30 <br />DIVISION OF.H1GHWAYS <br />DOH Form No. 293 <br />Rev. June, 1983 <br /> <br />STAFF DESIGN <br />HYDRAULICS UNIT <br />4201 East Arkansas Avenue <br />Denver, CO 80222 <br /> <br />SEND TO: <br /> <br />DRAINAGE STRUCTURE FLOOD SUMMARY <br /> <br />CAUSE: DATE OF FLOODING <br />Rainfall ~ Snowmelt 0 Other c:; _,< - Ii <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 /> <br />-b <br /> <br />STRUCT <br /> <br /> <br />- <br /> <br />(j <br /> <br />STREAM NAME <br /> <br /> <br />- <br /> <br />Type <br /> <br />AMOUNT OF RAINFALL (Give local reports of the depth and duration of the rainfall. Indicate ground moisture condition <br />before the storm.) <br /> <br />II <br /> <br />,//y <br /> <br />/s- <br /> <br /> <br />DEPTH OF WATER OVER ROADWAY <br /> <br />Width <br /> <br /> <br />~r;1' <br />4,:rN ... <br />. <br /> <br /> <br />DEBRIS: (Indicate the debris that affected the structure's capacity.) <br />Trees 0 Brush 0 Rocks 0 Silt 0 Other <br /> <br />Amount <br /> <br />WATER DEPTH AT STRUCTURE ENTRANCE: (Reference the highwater to some permanent object such asthebo ttomofa <br />bridge girder, top of the culvert, or shoulder of the roadway. This should be as accurate as possible.) <br /> <br /> <br />~MAGE OR SCOUR: Yes No 0 <br />If yes, specify (Describe extent of damage and needed repair.) <br /> <br />5o//l~ s: 6 v//-eA LJ -I,/r / <br /> <br />COMMENTS: (Ust any pertinent facts, such as traffic delays,detour ,duration of hi water. Suggestions for improving design <br />to alleviate problem. Also, list any other undocumented flood history at this location) <br /> <br />,,110 TJ.-4;:,t:;e- P~/~:l':; ~ #AJ..d /rA-/.4UJA-/f!).. ;t(VA/ .b~~".y <br />OOT bFpI>A5'~,A..t!:.. ;l :h~/cI.~.h/h-d p,rd C40;;~".A'i <br />W,4,/t',A ;I-~ APA~ t:JAr h' ()/f r/ ' <br /> <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 />r;J.(I.,,~.)$~ ~ ~- . '-s'./'//~ tWdhA-~;. <br /> <br />III <br />;t <br />Z <br />~ <br /> <br /> <br /> <br />(Oala) <br /> <br />Phone <br /> <br /> <br />side for any additional comment., sketchel, or photographs. <br /> <br />!!; <br />.. <br />'V <br />o <br />II> <br />- <br /> <br />-...) <br />"" <br />0- <br />o <br />