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<br />'V. <br /> <br />/1.; <br /> <br />. <br /> <br />DEPARTMENT OF HIGHWAYS <br />STATE OF COLORADO <br />DIVISION OF HIGHWAYS <br />DOH Form No. 293 <br />Rev. June, 1993 <br /> <br />SEND TO: <br /> <br />STAFF DESIGN <br />HYDRAULICS UNIT <br />4201 East Arkansas Avenue <br />Denvar, CO 80222 <br /> <br />DRAINAGE STRUCTURE FLOOD SUMMARY <br /> <br />CAUSE: . <br />URainfall ~Snowmelt 0 <br /> <br />Other <br /> <br />DATE OF FLOODING <br />s:- /. <br /> <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.) <br /> <br /> <br />3y/j.. <br /> <br /> <br />o5f .;:;-(0, 0 <br />CULVERT: <br />Size 2-- ~ 3- <br /> <br />II <br /> <br />Type <br /> <br />&1/ del <br /> <br />I . 'c--' <br />AMOUN OF RAINFALL (Give local reports of the depth and duration of the.rainfall. Indicate ground moisture condition <br />before the storm.) <br /> <br /> <br /> <br /> <br />DEPTH OF WATER <br />/1 <br /> <br />: (Indicate the debris that affected the structure's capacity.) <br /> <br />/ <br /> <br />~ <br /> <br />. Trees 0 <br /> <br />Brush 0 <br /> <br />Rocks 0 <br /> <br />Silt (l( <br /> <br />Other <br /> <br />Amount ~ ~ <br /> <br />WATER DEPT T STRUCTURE E RANCE: (Re erencethehi hwatertosomepermanentobjectsuchasthebottomofa <br />brid... ge.)lllrd.e..r, t.o.. p ofthe c.u~. r.~s.houl~er of the roadway. This ShOuld..be as accurate as possible.) <br />-hI"H..-tfA<)~'",,?~~~ r.Z/I; <br /> <br />DAMAGE OR SCOUR: Ves NO <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 location) <br /> <br />/(/~hffN'~~r~~' <br /> <br />. SOURCE OF INFORMATION: (Give name of person(s) observing the hlghwater or damage. <br />List address and phone number 80 he maybe contacted for additional Information. <br />Includ.e.. yeara. familia. r with area) '. J .> '._ ~. ; . "" J, <br />&";V~ /J1i~1t~/..$4"'" - ~ 7., -.., 3~-~ ~L..M1A:~~' -,., f-MI'II?1e- <br /> <br />~(/vlo!1:"'?.6r:.J.- n~~ ~-9'~'f --:~'?~~ ''b9';;-/~ ~I <br /> <br /> <br />S--:-/1- <br /> <br />u.. rev..... lid. for any addlllonal comm.nts, sketch.., or photographs. <br /> <br /> <br />-sl/b <br /> <br /> <br />(Dale) <br /> <br />Phone <br />