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<br />,... <br /> <br />"23\ <br /> <br />DEPARTMENT 01' HIGHWAYS <br />STATE"bF COLORADO <br />DI';ISION OF HIGHWAYS <br />D"H 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 /> <br />DATE OF FLOODING <br /> <br />FLOODI <br />structure, 9 <br /> <br /> <br />Snowmelt 0 <br /> <br />Other <br /> <br /> <br />US <br />STRUCTUR <br /> <br />N (Include SH No., direction and distance from a reference point such as a highway junction, major <br />phic~(i!ference, or milepost.) <br />\l,J''I)'':I . <br /> <br />I b~ 0 - /3. ~ () <br /> <br /> <br /> <br />Size <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 m <br />before the storm.) <br />6ft> /__ <br />DEP~H Of WATER OVER ROADWA #,S/~e / <br />'I '" Ch~ .. IJ!'IV') ~f;/ r <br />DEBRIS: (Indicate the debris that affec the structure's capacity.) <br /> <br /> <br />t,/;I/ <br />Width <br /> <br />A/AI ;::;,./ <br /> <br /> <br />Trees 0 <br /> <br />Brush {j{ <br /> <br />Rocks 0 <br /> <br />Silt ~ <br /> <br />Other W L"'"",-r/ ,,,\ <br /> <br />Amount <br /> <br />WATER DEPTH AT STRUCTURE ENTRANCE: (Reference the highwaterto some permanent object such as the bottom of a <br />bridge girder, top of the culvert, or shoulder of the roadway. This should be as accurate as possible.) <br /> <br />.'.3 t=r <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 t.raffic delays, detours, duration of highwater. Suggestions for improving design <br />to alleviate problem. Also, list any other undocumented flood history ~t this 10ca~)O) L _._ _ <br /> <br />,. . ~~.,ht~~~~O~- <br />.tit ~ ~ A/./-d ~ ~. /J?~ <br />~. ' h /YItJ-d ~ ~ ~/'t'1 <br /> <br />I <br /> <br />It"l .;;Co <br />/YI~ <br /> <br /> <br /> <br />, <br />SOURCE OF INFORMATJpN: (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 /> <br />Includ;/;S~liari;;; a/wt frt t N fU( c> <br /> <br />tIl <br />~ <br />z <br />9 <br /> <br />~ <br />Ci' ,::t;. <br />"Il ' <br />~~ <br />~ <br />c;) <br /> <br />Recorder .(N'ame' <br />L~: <br /> <br /> <br />(Date) <br /> <br />!'-/..ff <br /> <br /> <br />- <br />1: <br />0'. <br />o <br /> <br />reverse side for any additional comments, sketches, or photographs. <br />