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<br />;yp <br /> <br />D1:PARTtJE~T OF HIGHWAYS <br />STATE OF COLORADO. <br />DIVISION OF HIGHWAYS <br />DOH Form No. 2~3 <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: , ,)/ DATE OF FLOODIN.,~ . <br />Ramfal!/'(.. Snowmelt 0 Other "7 - -:??f _ g y <br /> <br />FLOODING LOCATION (Include SH No., direction and distance from a reference point such as a highway junction, major <br /> <br />struce, r~;a~~!~a~~~~~r~..~r,m~e~~~t.)J.',,,) .,'..))! /1 I J i. \ !.. ,I (; <br /> <br />1v'OIY E <br /> <br />CULVERT: <br />Size <br /> <br />)/6)/[ <br /> <br />Type <br /> <br />STRUCTURE NO. <br /> <br />STREAM NAME <br /> <br />AMOUNT OF RAINFALL (Give local reports of the depth and duration of the rainfall. Indicate ground moisture condition <br />before the storm.) II y, 1 \.,.. <br />tj /~, PiCl) i cJ I//'$ f)~. \! <" I I <br />DEPTH OF WATER OVER ROADWAY Width / ), \ <br />"5 ,. te 1/ ,. C/r.7 t' j)_S ;2 c? i.0~ l: I ( <br />DEBRIS: (Indicate the debris that afflIcted the structure's capacity.) <br /> <br />\ Trees <br /> <br />Ii <br /> <br />o <br /> <br />Brush <br /> <br />o <br /> <br />Rocks <br /> <br />o <br /> <br />Silt -q <br /> <br />Other <br /> <br />'-'/ ' ( <br /> <br />Amount <br /> <br />WATER DEPTH AT STRUCTURE ENTRANCE: (Reference the highwater to 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 />-.--..- ....-. .7"'''----- J <br />C.(:}~: (.'.' "'; . <br />~.,. <br /> <br />DAMAGE OR SCOUR: Yes 0 No Jl:t <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 106ation) <br /> <br />7. " ... <br />,r"" ;~ , <br /> <br />, <br />,,"-. ."' <br />, . <br /> <br />/! '/ f)" <br /> <br />SOURCE OF INFORMATION: (Give name of person(s) observing the highwater or damage. <br /> <br />List address and phone number so he may be contacted for additional information. <br /> <br />Include years familiar with area) ,.' /,..' h.. <br />/ '.') , _ 1....J e ,v Nt <) <br /> <br />I. , <br />I.: r '" <br /> <br />, (Jl ~ <br />II ( <+ :r iD <br /> z "0 <br /> ? 0 <br /> en <br /> (~ - <br /> - <br /> , <br /> . \ - , <br /> r, <br /> '---." <br /> , <br /> <br />,z <br /> <br />f/1!../... I <br />~ <br /> <br />. . <br />(I' f" <br /> <br />1 I,. I' .' <br />- ) '" <br />. ;7"/' 7,/')"; <br /> <br />Recorder INam~1 / <br /> <br />~1., <br />n // I <br />/ <br /> <br />/ /' . (Datel Pho.ne <br />A-r" /(/( 7/~:C/K j "J:>J/- c; <br />v Use reverse "side for ~ny additional comments. sketcher. or photographs. <br /> <br />- /J oil', <br />"> ~...... "- <br />