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<br />-.!J/ <br /> <br />DEPARTI:1ENT OF HIGHWAYS <br />ST ATE 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 Eaat Arkansas Avanua <br />Oenv8r, CO 80222 <br /> <br />DR~NAGESTRUCTUREFLOODSUMMARY <br /> <br />CAUSE: DATE OF FLOODING R'7 <br /> Rainfall m Snowmelt 0 Other ('J..I./ "fa '?! <br />FLOODING LOCATION (Include SH No.. direction and distance from a reference point sd'ch as a highway junction, major <br />structure. geographical reference. or milepost.) ~ <br />j...I Ie f.I".cy :::l r; J /14/11 -So :::< <br />STRUCTURE NO, CULVERT: <br /> Size Type <br />STREAM NAME <br />AMOUNT OF RAINFALL (Give local reports of the depth and duration of the rainfall. Indicate ground moisture condition <br />before the storm.) <br />/.,~- r- ) ,..).0_ ~ ./.' .'~'<. (:/J),"').,? ..^ /.~ ".. '<'< /)p V <br />DEPTH OF WATER OVER ROADWAY Width <br />DEBRIS: (Indicate the debris that affected the structure's capacity.) <br />Trees 0 Brush 0 Rocks 0 Silt 0 Other <br />Amount <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 />DAMAGE OR SCOUR: Yes ~ No 0 13",.,1V/( ..v!?S wl"lS/'"f Rb /1-0-/'1";/ . ':V?1.1$1 <br />If yes. specify (Describe extent of damage and needed repair.) "'10 yJ!I".. o p ;r>/r /P~ -V.. .......... <br />ht'-". ~C /? 0;0 ,Co o.<',Pv 7'"0 0 IT !;:'iv;f" 'O?~/ /O",,m...p ;1-:0,",.0 S <br /> , <br />/ .~ t."n~ (' r. /i'o;o (' /3,1'1,1;: 1'9/V/J ,4 ;61'/ r) ,C /",y <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) )?IP ~ IOH 'l-c tfE.1:J <br /> flPD TO /.Je- T.l19 ~E<J eUY'f,J.. /f- ~~S FI' )t'~t? <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. III ~ <br />Include years familiar with area) i: .. <br /> z " <br /> !> 0 <br /> !e. <br /> ~ !'V <br /> '3'. '" <br /> <br /> <br />Recorder (Name, <br /> <br />(Date) <br /> <br />Phone <br /> <br />VI) <br /> <br />"1 <br /> <br /> <br />/'f4-t/ <br /> <br /> <br />S"3 ~e- ? <br /> <br />Us. revers. side for any additional comment., ake cheSt or photographs. <br />