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<br />'?;,( <br /> <br />bEF'AR1'MENT OF HIGHWAYS <br />STATE OF COLORADO. <br />DIVISION OF HIGHWAYS <br />DOH Form No. 293 <br />Rev. Jun8, 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: <br />Rainfall . <br /> <br />DATE OF FLOODING <br /> <br />9- <br /> <br />FLOODING LOCATION (Include SH No., direction and distance from a reference point sue as a highway junction, major II <br />structure, geographical reference, or milepost.) IN f,f Ie SEe T/ c;~;/ 0 J= II / (# II.", ~ Y ?.7 /1.... J, ::2 <br /> <br />Snowmelt 0 <br /> <br />Other <br /> <br /> <br />, <br />I <br />., <br />, , <br /> <br />;:- t' Y, t <br /> <br />STRUCTURE NO. <br /> <br />CULVERT: <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 moisture condition <br />before the storm.) <br /> <br />F. <br />DEPTH OF WATER OVER ROADWAY <br /> <br /> <br />Width <br /> <br />DEBRIS: (Indicate the debris that 8ffected the structure's capacity.) <br /> <br />Trees 0 <br /> <br />Brush 0 <br /> <br />Rocks 0 <br /> <br />Silt 0 <br /> <br />Other <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 /> <br />., . <br /> <br />! <br /> <br />DAMAGE OR SCOUR: Yes tI No <br />If yes, specify (Describe extent of damage and needed repair.) ..r t.( s r /l /Jou"'-' "...,;<J S 1/ [<0 ()?<.,-- <br />!fOI'/I:)W"'I'I #nc"",O H'#M'<" AOT cPr /y,'1O I?rt;::> 7-:0 SeCI-I/?6 /rcMO <br />FI?()n" w-~.. /1,-,.. (;, 15 i,! 'i 5"yd <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 location) <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 />~ <br />~ <br />Z <br />~ <br /> <br />;c <br />10 <br />"'0 <br />o <br />.. <br />- <br /> <br />Recorder (Nama) <br /> <br />(Dale) <br /> <br />Phone <br /> <br /> <br /> <br />..v- <br />UI' reverse side for any additIonal comments, sketches, or photographs. <br /> <br />~- <br /> <br />