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<br />DEPARTME:NT OF.HIGHWAYS <br />S4.'.l':: Of COLORADO. <br />DIVISION OF HIGHWAYS <br />DOH Form No. 293 <br />Rev. June, 1983 <br /> <br /> <br />^_J~ <br /> <br />SEND TO: <br /> <br />ST AFF DESIGN <br />HYDRAULICS UNIT <br />4201 East Arkansas Avenue <br />Denver. CO 80222 <br /> <br />DR~NAGESTRUCTUREFLOODSUMMARY <br /> <br />CAUSE: DATE OF FLOODING <br />Rainfall~ Snowmelt 0 Other - tJ... _ (f' <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.) /?,.' ~ \ /? -1/c / .s <br />tis '10 /11;> .5-:90 It> hlf S.()C' ~(:1m//c:.,J d ~Vr!/V <br /> <br />7'e/vr;. t? ~' ec ~ '. tlfi.. <br />STRUCTURE NO. CULVERT: ;e;e~h1'.),'1 -rO ii Pi c/..{{ve€ti; <br />. Size ///~ . if'rt. Ty c H1I!'N T <br />STREAM NAME , C) X <br />-rtJ /rJ V.!~flS,( j "":;Y <br />AMOUNT OF RAINFAll (Give local reports of the depth and duration of the rainfall. Indicate ground moisture condition <br />before the storm.) " <br />GltoU.N nt CST;'W,I"IT ~10 /N /lI~""I//N /1~rl <br />DEPTH OF WATER OVER ROADWAY Width <br />~ te~ > 3" I <br />DE RIS: (indicate the debris that affected the structure's capacity.) <br /> <br />Trees Jlir Brush ~ Rocks 0 Silt ~ Other ~ J !'!'ecls. <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 />I7NCfwle.l'e FRoM 3,cr ;to ~S MUC.A 195 :1-0 FT <br />DAMAGE OR SCOUR: Yes No 0 <br />':Jr?;;;:ty J!1;;'::);;nt o.;-~ama'f;;;d n;rd reea~) (II ~R-r f FT /17 /11 f s-: 9 () <br />OAh1.Af.e To LfFt><yf"t /lI,l?o1'{ c;W' SOu.'!' '2NcI Or=- ;;"''I/N a..1..(!Uf'k( <br />m. ~, (j ~ jvtlNell... Dr)'''''' .70 !J".i'/o<u D:I~ I')/I),'("V( :.> <br />COMMENTS: (List any pertinent facts, such as traffic delays, etburs, duration of highwater. Suggestions for improving design <br />to alleviate problem. Aiso, list any other undocumented fiood history at this iocation) <br />t;/N &f WliiM ~fle~ ti/r/iAJl/if T/2rlFFt'c ~I/S' <;;-!nLvi?d U04JA./ (3cd <br />/'loT 'Si4/tc/ <lv\IV~*1 tit- ""P S':9oCPNS1Sr ~F />1.c-t4L 8Ft TI2OH-' <br />N s:d~ StJu.1he:l/li.-i I'I/~>< '10Ft -rleN I'S 9Ft' >< 1/ FT r2t'hle-'/i 80'>( The t?t'.fr- <br />gf fA.) I'lJ fi CfofS .,.X/ S -Sei:ht S7,~ (! Roe'" te Ii fR<J~Ie...... ~I'I -N ENd L f 1 :t /'It..-, S <br />&J ej.rt''';"JC~ Tt> Mt!t ~L g ~1 l r ~ fl!! S AI ~r If;'i ve /1# /I PRo)./" cN I,. <br />t. .1. IN ftv./v ~SSI).f nUl S'hl.1 g, tl1/r <br />SOURCE OF INFORMATION: (Give name of pers n(s) obs rving the highwater or damage. <br />List address and phone number~ he max pe contacted for additional information. <br />Include years familiar w,~~ -";d /(f1 J) 3 ,.. <br />~ ,,?;titf L ~~4 ~ /?,e-r / f,ey(}~ - 'j? 7" ,.}, 1 i <br /> <br />\~ otw~. oy\ fJwif tlf;€O'l.. a)t-S <br /> <br /> <br />Ul <br />;x: <br />z <br />? <br /> <br />;: <br />iD <br />~ <br />o <br />!!l. <br /> <br />C:> <br /> <br /><:1 <br />~ <br />t. <br />, <br />"'\ <br />(). <br />() <br /> <br />Recorder (Name) <br /> <br />IDale' Phone <br /> <br /> <br />'if ,(- Ii r <br /> <br /> <br />Use reverse aide tor sny additional comments, sketches, or photographs. <br />