SAN JUAN COUNTY, COLORADO BOARD OF COMMISSIONERS TOWN OF SILVERTON BOARD OF TRUSTEES MEETING AGENDA September 28, 2022 Due to the continuing COVID-19 concerns, San Juan County meetings will be conducted in a hybrid virtual/in- person format. All persons including Board Members, Staff and those with appointments scheduled on the agenda may meet in person or via zoom. At risk participants are strongly encouraged to wear a mask. We encourage community members to participate via zoom. The information necessary to connect to the public meeting is listed below. CALL TO ORDER: 6:30 P.M. BOCC Meeting Minutes for September 14, 2022 APPOINTMENTS 6:35 P.M. Board of Health Dayna Kranker and Becky Joyce - Community Health Assessment 7:00 P.M. Terri Brokering-Eureka Campground Update 7:20 P.M. Resolution 2022-08 Designate The Denver and Rio Grande Western Railroad Narrow Gauge Boxcar #3101 To Be Listed On The San Juan County's Historic Register 7:35 P.M. Justin Jacobs, President Cascade Village Community Association 8:00 P.M. Executive Session - Land Negotiations with Sunnyside Gold New Business: Opus Hut - Liquor License Renewal Colorado Roadhouse LLC - Liquor License Renewal 2022 San Juan County Property Assessment Study Correspondence: Jack Clark - Dust on CR 2 CCI- Winter Conference Public Comment Commissioner and Staff Reports Other Adjourn Times listed above are approximate. Discussion of an agenda item may occur before or after the assigned time. Next Regular Meeting - October 12, 2022 8:30 A.M. Join Zoom Meeting https lzoom. Us//92136473203 Meeting ID: 921 3647 3203 One tap mobile +16699006833,92136473203# US (San Jose) +12532158782,92136473203# US (Tacoma) Dial by your location +1 00 6833 US (San Jose) +1 1 15 8782 US (Tacoma) +1 346 248 7799 US (Houston) +1 646 376 9923 US (New York) +1 8592 US (Germantown) +1 312 /99 US (Chicago) Meeting ID: 921 3647 203 SAN JUAN COUNTY BOARD OF COMMISSIONERS REGULAR MEETING WEDNESDAY, September 14, 2022 AT 8:30 A.M. Call to Order: The meeting was called to order by Chairman Scott Fetchenhier. Present were Commissioner Ernest Kuhlman, Commissioner Austin Lashley and Administrator William Tookey. Payment of Bills: Commissioner Kuhlman moved to authorize payment of the warrants as presented. Commissioner Lashley seconded the motion. The motion passed unanimous. Minutes: Commissioner Lashley moved to approve the minutes of August 24, 2022 as submitted. Commissioner Kuhlman seconded the motion. The motion passed unanimously Public Health Director Becky Joyce was present to provide the Commissioners with an update. The vaccine bus will be in town on Tuesdays. The first 200 people to get the latest Covid booster will receive a $50 gift card. Public Health is providing radon tests for local residents. Social Services Director Martha Johnson was present along with Krissy Rhoades to provide the Commissioners with an update. Commissioner Lashley moved to approve Transmittal #7 in the amount of $7,862.19. Commissioner Kuhlman seconded the motion. The motion passed unanimously. Deputy Clerk MacKenzie Gillespe was introduced to the Commissioners. Commissioner Lashley moved to add MacKenzie Gillespe as a signature to the Citizens State Bank Accounts and to remove Evelyn Archuleta from the accounts. Commissioner Kuhlmna seconded the motion. The motion passed unanimously. Administrator Tookey asked that the Commissioners consider changing the meeting dates for November. It was the consensus of the Commissioners to moved the meeting dates to November 7th and 21st. Notice of the changed dates will be printed in the Silverton Standard. Resolution 2022-07 A Resolution of the Board of County Commissioners of San Juan County, Colorado, supporting the Silverton Singletrack Society's grant application for a Community Impact Program Grant from the State Board ofthe Great Outdoors Colorado Trust Fund and for the completion ofthe Baker's Park Trail System was presented to the Commissioners for their consideration. Commissioner Lashley moved to adopt Resolution 2022-07 as submitted. Commissioner Kuhlman seconded the motion. The motion passed unanimously. The Treasurer' S Monthly Report was presented to the Commissioners for their review. The Sales Tax Reports were presented to the Commissioners for their review. Melissa Smeins and Lisa Merrill ofthe BLM were present to provide the Commissioners with an update on their reclamation projects at Midway and Forest Queen. Jim Lovelace of BLM was present to request a letter of support for a Colorado Parks and Wildlife grant for maintenance on nonmotorized trails. It was the consensus of the Commissioners to provide a letter of support as requested. Mark Rudolph of CDPHE was present and provided the Commissioners with an update on the reclamation of the original Pride ofthe West Millsite. Austin Lashley moved to approve the 2021 Audit as submitted. Commissioner Kuhlman seconded the SAN JUAN COUNTY BOARD OF COMMISSIONERS REGULAR MEETING WEDNESDAY, September 14, 2022 AT 8:30 A.M. motion. The motion passed unanimously. Mark Rudolph of CDPHE was present to provide the Commissioners with an update. The Commissioners were presented with a sales tax update for their review. Planning Director Lisa Adair presented her staff report to the Commissioners. Having no further business, the meeting was adjourned at 11:57 A.M. Scott Fetchenhier, Chairman Ladonna L. Jaramillo, County Clerk Community Health Assessment for San Juan County, Colorado September 2022 Submitted to: San Juan County Board of Health and County Commissioners and Colorado Department of Public Health & Environment Prepared by: Public Health Service San Juan County, Colorado SAN JUAN COUNTY - L COLORADO PUBLIC HEALTH V Department of Public preventin KEAl tha panb CDPHE Health & Environment 2022 Community Health Assessment: San Juan County, Colorado Letter from the Director Dear San Juan County community, We sincerely thank everyone for helping us with this Community Health Assessment. This assessment is not just a public health requirement every five years - it is an important step to shape the health priorities for our community. Your opinions and input really do make a difference! The timing of this assessment was especially unique. We are just emerging from the worst pandemic of our lifetimes thus far. In the last two years, San Juan County Public Health staff have primarily focused on the COVID-19 pandemic response. Since spring of 2020, our community came together and demonstrated our grit, resilience and our sense of responsibility to one another. The majority rose up and showed up by following "Safer At Home" public health orders, getting vaccinated, and isolating and quarantining when necessary. During the 1918 influenza pandemic, San Juan County had the highest per capita death toll in the nation. This time around, San Juan County gained recognition nationwide with the highest immunization rates and very minimal hospitalizations or deaths. We could not have achieved this outcome without each other. It is something to be proud of and I will always be extremely grateful to our community for your support. This Community Health Assessment will shape how we hope to provide the best and most equitable access to care as possible in our rural, frontier community. As this Community Health Assessment shows, we desperately need better access to medical and behavioral health care. We also need programs, structures, and supports to: live healthier lives with less dependence on substances; increase our consumption of healthy foods; improve the availability of stable and affordable housing; address mobility and physical health challenges in our environment; and decrease stress and social isolation, especially for our seniors and youth. We can tackle these challenges. While the pandemic stretched us significantly, we learned that we can do hard things and we are not alone. Silvertonians have always been known to be tough and resilient and, even though we may not always see eye to eye, we truly care about each other's well-being. Sincerely, Becky Joyce, RN, BSN Director 2022 Community Health Assessment: San Juan County, Colorado Acknowledgements San Juan County Public Health Service would like to thank the Colorado Department of Public Health and Environment and the Colorado Office of Partnership and Planning for their financial and technical support. In particular, we thank Kelsey Robinson and Alison Grace Bui for providing direct support on this Community Health Assessment. We also thank the numerous community leaders and members who shared their time and experience with us 50 we could understand the unique health challenges, opportunities, and successes in San Juan County. The Board of Health, the County Commissioners have provided helpful support of health services for San Juan County residents. We also thank the Town and County Representatives, law enforcement officers, EMS and fire department representatives, medical and behavioral health providers, business owners, social service providers, parents, youth, teachers, seniors, and individuals from our Mexican community who gave their time and voice to this assessment. San Juan County Public Health Service would lastly like to express our gratitude for Dayna Kranker's energy, expertise and focus to complete this project in a high quality and timely manner. 2022 Community Health Assessment: San Juan County, Colorado Contents Background 5 Community Health Assessment Key Findings 7 Priority 1: Access to Care 9 Health Care Services in San Juan County. 10 Health Care Access Needs in San Juan County 16 Priority 2: Behavioral Health 19 Behavioral Health Care Services in San Juan County, 20 Behavioral Health Care Needs in San Juan County. 22 Priority 3: Healthy Living. 25 Housing 25. Air Quality 26 Physical Activity. 26 Built and Natural Environment 27 Access to Healthy Foods 28 Social Services 29 Organizational Infrastructure. 29 Water Quality. 30 Conclusions and next steps. 33 Appendix 37 A. Methodology. 37 Focus groups 37 Key Informant Interviews. 37 Coding Interviews and Focus Groups.. 38 B. Appendix Table 1. Community Level Estimates Data from CDPHE. 40 C. Health Resources Brochure.. 41 2022 Community Health Assessment: San Juan County, Colorado Background San Juan County is a rural, remote county situated in the heart of the San Juan Mountain Range in southwest Colorado. The vast majority of San Juan County's (approximately) 740 year-round residents live within the Town of Silverton, the county's only municipality, situated at 9,318 feet elevation. 1,2 The county is in a rugged, mountainous area and most of its 389 square miles of consists of federally managed land. With less than 2 people per square mile, it is the least populated county in Colorado. Services and amenities are limited. For Silverton residents, the nearest hospital, urgent care, pharmacy, airport, and full-service grocery store is 50 miles to the south in Durango or 60 miles to the north in Montrose. US highway 550, or the Million Dollar Highway, is the only road in and out of Silverton; crosses multiple high mountain passes; and is vulnerable to closures due to rock and mud slides, avalanches and snowstorms, car accidents, and other causes. Residents also experience internet, power and cell phone service disruption due to environmental events. There is one primary care clinic, open one day a week and the Public Health Service and Emergency Medical Service are the only other entities who offer limited local healthcare. Population and demographics. San Juan County's population has aged in the last decade, with its 2019 median age increasing from 45 years in 2014 to 51 years in 2019.3 According to the local Area Agency on Aging representative, nearly one-third of residents in town are over the age of 60.4 The number of families with children increased between 2010 and 2019." Females make up 47 percent of the population and males account for 53 percent. Ninety-four percent of residents identify as White and 3 percent identify with two or more races. Fourteen percent of county residents claim Hispanic origin ethnicity and twenty-eight percent of residents over the age of five San Juan County demographics speak a language other than English at home. 6 740 year-round residents The poverty rate decreased, though it remains higher than Aging population: Median age surrounding areas; the US Census Bureau now estimates 11.3 percent increased to 51 years and 30 percent of persons are in poverty in San Juan County (compared to 9.5 percent of residents with 60 years or older for Durango, 6.7 percent for Ouray or 12 percent nationwide). .7 Many Fourteen percent Hispanic San Juan County residents used to work in the mining industry now Twenty-eight percent of residents tourism is the main economic driver. Median household income in San speak Spanish at home Juan County is $53,000/year (compared to $75,000 for the state of Median household income below Colorado) with the majority of residents employed in the retail and state levels ($53,000 versus $75,000) 1US Census Bureau - Population Estimates Program. Colorado Health intormation Dataset (COHID), Population Estimates, htpslicoheaithvi dphe. stale. cai ws//HeallhinlormatioPuBiiEwa/ColeradoPopwalunfalmtePopulalionfstimatles. Accessed 8/31/22. 2The assessment will refer to both San Juan County and Silverton somewhat interchangeably, since nearly all of county residents live in Silverton. 3 Region 9 Dashboard, Data Source: US Census American Community Survey, Table B01001 5-Year Estimates. https//www. regiongedd org/dashboards. Accessed 8/30/22. 4 Another data source is the US Census, which reports that 25 percent of the population is between the ages of 60 and 69. Town Of Silverton, Housing Needs Assessment Prepared by: Root Policy Research 2021, htps/townoblvertons cndawhtsyoanowmebetoneams 20Juan% atslstonbssanssncoheatAss ments 20Auxuts20202Lpd. Access 8/30/22. Data Source: 2010 and 2019 5-year ACS estimate. 6United States Census. QuickFacts. San. Juan County Colorado. htps//wyv.census, sov/guixktacts/fast/abe/anluancountycolede/PEI20220HPE120220. Accessed 9/8/2022. 7 United States Census. QuickFacts. San Juan County Colorado. hites/lvww.census: gov/quMacts/laccounteleade/P020220HPE120224, Accessed 9/8/2022. 2022 Community Health Assessment: San Juan County, Colorado accommodation/lood services sector. According to a Housing Needs Assessment and the American Community Survey from the Census Bureau, San Juan County's median household income increased significantly between 2010 and 2019 (48 percent)." Community Health Assessment for San Juan County. During the spring of 2022, San Juan County Public Health Service conducted a Community Health Assessment, funded by the Colorado Department of Public Health and Environment (CDPHE), to understand the top health priorities for San Juan County. 10 This report summarizes the 2022 Community Health Assessment findings. A previous Community Health Assessment from 2015 identified the following community health priorities: 1. Primary care, especially access to care 2. Mental health 3. Substance abuse 4. Senior services, including medical and social services 5. Environmental health1l For the 2022 Community Health Assessment, we wanted to understand if these priorities had changed in the last seven years; what kind of progress had been made; what challenges and health Have community priorities opportunities remained; and how the COVID-19 pandemic had changed in recent years? affected health priorities. We gained important insights on the health needs of our community, the successes we can celebrate and the continued work we can do. Since our last assessment the community has made progress in the following areas: Added local behavioral health professionals Established new senior supports Built community trust in the public health infrastructure Increased access to telemedicine during COVID-19 Established strong partnerships between community organizations during COVID-19 response Raised awareness around environmental health needs and water quality During the 2022 assessment, we conducted four focus groups and seventeen in-depth interviews. We also collected quantitative data relevant to the community's health needs. The Appendix includes details about the 2022 Community Health Assessment's methodology. 8 Region 9 Dashboard, Data Source: US Census American Community Survey, Table B01001 5-Year Estimates. httos:/ www. rezonealderasbonn ds. Accessed 8/30/22. 9 Town Of Silverton, Housing Needs Assessment, Prepared by: Root Policy Research 2021, hts/lomnoblvertoncanamhines/oanolibpectonk /files/San% 20Ju an asbhsteonist 2DaspagoInar Access 8/30/22. Data Source: 2010 and 2019 5-year ACS estimate. 10 The Community Health Assessment was funded by the Centers for Disease Control through the Colorado Department of Health and Environment, Office of Public Health Practice, Planning, and Local Partnerships. 11 Community Health Assessment 2015. San. Juan County. https//drives sools.com/arveolepAVAAEROVERAPK8/OmFDOREPN 2p4n4GS. Accessed 9/21/22. 2022 Community Health Assessment: San Juan County, Colorado Community Health Assessment Key Findings The 2022 San. Juan County Community Health Assessment shows that we have made progress in some areas identified in our 2015 assessment, but our priorities have not changed significantly. Considering the priorities from the 2015 assessment and the feedback from interviewees and focus group participants, three priorities emerged as the most important for improving the health of San Juan County residents in 2022: 1. Access to Care. More local health care professionals are needed to offer adequate levels of services to county residents and visitors. 2. Behavioral Health. Two local behavioral health providers improved access to services, made possible by COVID relief funding. But, behavioral health concerns remain top priorities according to respondents and we see higher rates of binge drinking, cigarette use, and depression than surrounding areas. 3. Healthy living. Various external factors that affect health remain community priorities. The environmental health concerns (like air quality), built environment, access to healthy foods, housing, organizational infrastructure, and social services arose as themes in this priority area. Issues specific to seniors and youth remain crosscutting and social determinants of health (SDOH) surfaced as important for addressing What Are Social Determinants of Health these priorities. Respondents shared increasing needs for housing (SDOH)? availability and affordability, organizational stability, and economic SDoH are the conditions in the diversification-all common themes currently facing many Colorado environments where people are born, live, mountain communities. learn, work, play, worship, and age that The COVID-19 pandemic brought some surprising benefits, including affect a wide range of health, functioning, increased funding and capacity for public health to respond to the and quality-of-life outcomes and risks.12 pandemic, improved coordination among stakeholder groups, and enhanced emergency preparedness and senior supports. However, the pandemic also contributed to significant solation, social disconnection, depression, economic instability, increased disease burden and it distracted from other priorities. The remainder of this report contains sections on each of the three priorities. For each priority, we explain the current need, discuss related services available to San Juan County residents, and identify gaps that remain between what the community needs and what is available, touching on the needs of seniors and youth or the role of SDOH where applicable. 12 Healthy People 2030, U.S. Department of Health and Human Services, Office of Disease Prevention and Health Promotion. hrtps//hoalth. oMathesosARNcNs daterminaptshaal. Accessed 8/9/2022. 2022 Community Health Assessment: San Juan County, Colorado Priority 1: Access to Care San Juan County is one of the most medically underserved counties in the state of Colorado. San Juan County is designated as both a Medically Underserved Area and a Health Professional Shortage Area, according to the US Health Resources & Services Administration (HRSA). 13,14 The map below demonstrates the absence of local providers for San Juan County (Figure 1). The county has limited primary care services, some behavioral health services, and some public health, senior, and social services through the county departments. In all the interviews and focus groups, access to care remained a top priority for residents and community leaders. Residents often receive care outside the county, or delay or forgo care due to access Residents delay or forgo care, challenges, especially screenings and preventive or routine care. Data especially screenings and preventive from CDPHE corroborates this, estimating that 47 percent of adults in or routine care, due to access San Juan County did not have a medical checkup within the last year challenges. (compared to 37 percent statewide and 41 percent regionally).15 Many residents access care 50 miles away in Durango or Montrose and transportation challenges, especially for seniors, contribute to delayed or missed care. Community members desire more extensive local health care services. Figure 1: Access to health care in Colorado in 2021 +e te +e He edgwl Nural Cime" Logan Ronal Toptalt Moffst +enillip RoeH + walt + + Morgan +e te osler Lrban Cuunty Riol Blno o seafirid Vama + + pi Dervd Aa Nul lapnal Clar Crek 4 4 Aripale No ural linic or +e Garfieid Fagle t huspital +e + +a Pitkin k Fark KiCaron r Mas + TI - +e Lincoln te àle te de + Delta Chaffee Paso Cheyenn e Guaaia te Fremont + t M Kiow de + OfColorado's 471 rural 1 ugad +e counties: De Prowers ions Huerfano II don nolb have hospital M te + +e 2 domoth have a rural +e te cliaic or hospital La Plala + te Costilla Las Animas Ba Za Monie rhulet Source: Colorado Rurai Health Center, Map Resources ssmosisaEsSNES 13 Health Resources & Services Administration. HPSA Find. https//data. hrsagow/tools/hortageares/ipsa find. Accessed 9/8/2022, 14 Health Resources & Services Administration. MUA Find. https//data SACSA find. Accessed 9/8/2022. 15 CDPHE Community Level Estimates 2014-2017). Indicator: Percent of Adults with who did not have a regular Medical Checkup within the past year (Census Tracts). https://data cdphe. opendata. argscom/latasets/ne regular medical checkup-in adults cdohe ESCSCSA as/pvploatonan 999008% 2C- 105 085 9620 65. . Accessed 9/7/22. 2022 Community Health Assessment: San Juan County, Colorado Health Care Services in San Juan County Some health services operate locally, but these have limited availability, as described below. The Miner's Union Hospital building houses many of the services listed below. Since the 2015 Community The Miner's Union Hospital building Health Assessment, the Historic Society and San Juan County provides space to expand health rehabilitated and renovated the Miner's Union Hospital building and it services and is a significant new now accommodates the public health offices; exam rooms used by the resource since the 2015 assessment. Silverton Clinic; and office space for the Office of Emergency Management and several non-medical private-practice providers. San Juan County Public Health Service San Juan County Public Health Service is a division of the county government and operates out of the Miner's Union Hospital building. Public Health provides routine and limited travel vaccinations; COVID-19 testing and vaccinations; communicable disease surveillance; emergency preparedness and response; tobacco prevention programs; and environmental health programs (e.g., radon awareness, air and water quality monitoring, Gold King Mine spill stakeholder representation) and oversees the Silverton School nursing. Restaurant inspections and off-site well water inspection are provided by San Juan Basin Public Health in Durango. The three County Commissioners serve as the Board of Health. Public Health staff includes the Director and one full-time office manager who also supports grant programming. Both Public Health positions largely rely on grant funding. Focus group and interview participants indicated strong praise for the public health services during the COVID-19 pandemic. Respondents were thankful for the strong leadership. As one local business-owner reported, "There's a level of trust and confidence in the public health process that maybe they [residents) just weren't too aware of more than two years ago. Respondents referred to significant, crucial coordination during the COVID-19 pandemic between San Juan County Public Health, Silverton Public School nurse and Administration, the Office of Emergency Management, the Ambulance Association, law enforcement, the Town of Silverton, and San Juan County to provide testing, vaccines, social and health support, and financial assistance. "For the most part the community was pretty united in their response [to the COVID-19 pandemic). 1 County Administrator San Juan County saw one of the highest vaccination rates in the Federal funding enabled a strong country during the early phases of vaccine roll-out, which indicates COVID-19 response the strong trust of the community and participation in the public health response. As the Director of the Office of Emergency BUT Management stated, "With COVID we had really good community The local COVID-19 response engagement in getting vaccinated and to me, that's a huge success. distracted from other public health Because you take similar rural communities on the western slope, priorities. [and it is a] very different picture. - Federal funding for the COVID-19 pandemic response enabled local public health officials to provide a level of community health services not previously available. 10 2022 Community Health Assessment: San Juan County, Colorado Since spring 2020, San Juan County saw very few hospitalizations (8) Since the beginning of the COVID-19 related to COVID-19 and only one death attributed to COVID-19. pandemic in early 2020, San Juan County The strong public health response to the COVID-19 pandemic enabled Public Health: residents to avoid severe disease and mortality, but it also distracted Administered over. 2,000 COVID-19 from other public health priorities. With only two full-time staff tests members, the public health office has been limited in implementing Distributed 9,000 COVID-19 home new or existing programs, pursuing new funding opportunities, and tests expanding services during the pandemic. Progress on tobacco Coordinated 15 Mobile Vaccine Bus prevention programs, air quality monitoring, radon mitigation, healthy services in Silverton foods promotion, and behavioral health education has been limited. "All our time and energy was dedicated tO vaccines and pdemoogtaireponis to COVID for over. 2 years. We did not want to repeat the 1918 Influenza pandemic, where San Juan County the highest death rate per capita I the country, - Director ofPublic Health Silverton Clinic Founded as a non-profit by a local physician and his wife, the Silverton Clinic has remained true to its mission to provide free health care to Silverton residents since 2014, including a very limited pharmacy. Many of those interviewed praised what the Silverton Clinic offers to the community as a free local clinic. We are verylucky to have the Silverton CHnic. * Clinic patient Ar nurse practitioner and a nurse manager staff the clinic, which operates out of the Miner's Union Hospital building, and they conducted over 470 patient visits in 2021. The dedicated staff provides high-touch primary care and follow-up on a shoe-string budget. It serves as a primary care provider for numerous residents and Silverton Clinic: coordinates follow-up care, refers urgent care, coordinates Free clinic, open on most Thursdays telemedicine with outside providers, and works with specialists outside 470 patient visits in 2021 the county. The clinic offers blood draws for lab work through LabCorp, 95 percent of clinic patients have and over 200 blood draws were completed between January and July some form of health insurance 2022. These blood draws reduce the number of trips residents must Staffed by nurse practitioner and make outside Silverton for blood monitoring or pre-operative blood nurse manager work. The Silverton Clinic also manages an Emergency Medical Fund, Charitable organization, with funding which includes nearly $15,000 donated by community members to from San Juan County and Mercy provide low or no-interest loans to residents for emergency medical Regional Medical Center expenses. This fund is not well advertised and has not been utilized by residents. Despite high praise for the benefits of the Silverton Clinic, multiple respondents expressed concerns about its restricted hours and its limitations to add new patients. The clinic typically sees 81 to 10 patients a day, whereas national averages for a full-time non-physician provider are typically 15 to 18 patients a day. Patients can only access the clinic on Thursdays, which is a prohibitive schedule for many residents. Many respondents stated they could not get an appointment and that the clinic was not convenient because of its limited hours. As one individual indicated, "lt's hard to get an appointment here [at the Silverton Clinic), because it is such a well utilized resource. " Many interviewees and focus groups participants felt that the current schedule for primary care was insufficient. S7 recilyjust kind of a Band Aid. laterviewee referring bou ourcurrent primary carel 11 2022 Community Health Assessment: San Juan County, Colorado "Not all illness happens on a Thursday: Nurse Practitioner, Silverton Clinic Interviewees and focus groups participants also expressed concerns about the clinic's financial sustainability. The clinic currently operates under a pro-bono medical license and cannot bill insurance for 95 percent of clinic patients have services provided. According to clinic records, 95 percent of clinic insurance, but the clinic structure patients have insurance; however, the clinic neither receives does not support charging insurance payments as a source of income nor charges patients for insurance. services as a "free clinic. " Instead, (1) San Juan County provides free clinic space at the Miner's Union Hospital building and pays for the nurse manager's salary, (2) Mercy Regional Medical Center (Mercy) in Durango provides the salary for the nurse practitioner, and (3) the clinic receives limited income through donations. The clinic operates as an IRS 501(c)(3) charitable organization with an independent board of directors, and its principal funders (San Juan County and Mercy) provide minimal operational guidance and oversight. The clinic's operations are also vulnerable to potential staffing changes. Over a year ago, the nurse manager requested to resign once a replacement was found. However, the clinic has not hired a new Sustainability challenges for Silverton nurse in the time since, due in part to non-competitive compensation Clinic and limited housing availability. In addition, it is uncertain if Mercy Lack of revenue, without would continue funding a provider if (or when) the nurse practitioner billing insurance retires. Limited succession planning for key The clinic operates with paper medical charts, which creates staff inefficiencies and challenges fori increasing patient volume and billing Inefficiencies from (1) paper charting insurance. Respondents also indicated confusion about what the clinic and (2) below-average number of currently offers and how it differs from San Juan County Public Health. patients seen per day The clinic does not market itself more extensively because its capacity for new patients is limited. Silverton San Juan County Ambulance Association Considering its small population, San Juan County maintains a robust Emergency Medical Services (EMS) team. Silverton's EMS is a 501(c)(3) Ambulance Association utilization private, non-profit ambulance agency operating under the 200 calls in 2021: permissions of the San Juan County Board of County Commissioners. 94 calls resulted in patient In 2012 and 2017 the voters in San Juan County approved additional transports by ambulance or Flight- sales tax collection to pay for Emergency Services coverage in San Juan for-Life heliçopter to a hospital County (1 percent tax in 2012, increased to 2.5 percent in 2017). As 83 trauma patients one local leader indicated: 81 patients refused transport la a couple years, the Ambulance Association has gone from a struggling organization to C7 high quality operationt with, paramedics and 24-hour coverage -but this has cost money The Ambulance Association has orofessional EMS staff: a paramedic and an EMT with intravenous therapy (IV) certification are on call 24 hours per day, 365 days a year. The Association also includes volunteers who are trainees and cannot respond to calls without oversight. While staffing levels are typically sufficient, Silverton can be without EMS 12 2022 Community Health Assessment: San Juan County, Colorado coverage for over three hours if the crew is responding to a call that includes a medical transport to a hospital by ground. Ambulance Association leadership has expressed support for a community paramedicine approach in Silverton, which includes utilizing EMS staff for welfare/senior checks, oxygen monitoring, intravenous (IV) therapies, vital sign screenings, and other basic medical services when they are not responding to emergency calls. EMS staff currently provides some of these services. Interviewees and focus group participants expressed strong support for this idea, including the local sheriff who said: "lt (community paramedicine) is a lot better than someone with a gun showing up because we're doing a welfare check because your aunt called and hasn't heard from you for a month. Another respondent shared, "We do have some very talented, educated paramedics up here that no one even knows about. And so why aren't we utilizing them more?" Barriers to mplementing a community paramedicine approach include recent changes in staffing, busy summer seasons, access to funds, and organizational capacity to institutionalize a new model. The county and Ambulance Association could explore a community paramedicine approach. Silverton Public School The Silverton Public School serves nearly 80 children in kindergarten through 12th grade and the Silverton Family Learning Center serves 20 children, ages 5 months to 5 years. Sixty-five to 70 percent of children Silverton School & Silverton Family in the two schools qualify for free or reduced lunch and are covered Learning Center: by Medicaid or Child Health Plan Plus (CHP+), the state-funded health 80 children in kindergarten through insurance for low-income children. To meet the physical and 12th grade behavioral health needs of children and families, the school employs a 20 children, ages 5 months to 5 years part-time school nurse, school counselor and a licensed social worker Employs a school nurse, school who is the Family Resource Coordinator. The school was described by counselor and a licensed social worker one respondent as the "heartbeat of the community" because of its role in facilitating social and health services for families and children. The part-time school nurse coordinates routine well-child medical and Spotlight on SDoH dental services. 16 In addition to typical school nurse duties, she also The school serves a significant percentage managed the school's COVID-19 response, including conducting a of children from low-income families: 70 of children for robust COVID-19 testing program for students and staff. nearly percent qualify free or reduced lunch and are covered by The school nurse coordinates with Pediatric Partners of the Southwest Medicaid or CHP+. in Durango to provide well-child checks and immunizations in the spring and fall at the school. Families are billed on a sliding scale and providers see nearly 50 children a year. San Juan Public Health also supports Pediatric Partners and the school nurse throughout the year to provide additional childhood vaccines in Silverton. Other families Services provided at the Silverton School typically seek routine pediatric care on their own in Montrose or 50 children receive well-child checks Durango. About five years ago, Pediatric Partners of the Southwest and immunizations and San Juan Public Health established a robust a telehealth program, 30 children receive twice a year dental including Bluetooth-enabled otoscope, stethoscope, telemedicine screenings, cleanings, and referrals screen, and testing supplies. This service ended during the COVID-19 pandemic as families began using their own phones and computers for telemedicine. 16 In addition, two licensed mental health professionals work at the school; they will be discussed on the next section (Priority 2: Behavioral Health). 13 2022 Community Health Assessment: San Juan County, Colorado San Juan Basin Public Health in Durango sends a dental hygienist to the Silverton School twice a year to provide pediatric dental screenings, cleanings, fluoride treatment and referrals for nearly 30 children biannually. Several interviewees indicated that they would be thrilled if adults were offered the same level of screening services and routine care that the school facilitates for children. Overall, respondents reported high levels of satisfaction with the support offered to children in San Juan County through the school. As one respondent indicated: "It [the school] is a model to look up to and to try and strive towards that level of success as a community. " One respondent highlighted how telemedicine and coordination through Pediatric Partners of the Southwest connected their family to a therapist and osychiatrist in Durango for their child. Without this partnership and telemedicine option, this family's needs wouid not have been met. To address the needs of its Spanish-speaking students, the school recently established a cultural broker position, a local resident who speaks Spanish and English and who provides interpretation services for parenting workshops, communicates with families, and can help schedule medical or behavioral health appointments and follow-up care for families. While there was positive feedback from the Mexican community regarding this cultural broker program, this position was grant funded and its sustainability is uncertain. Area Agency on Aging (AAAI Since the last assessment in 2015, the local Area Agency on Aging (AAA) has been established and during the COVID-19 response, the AAA representative made significant progress in supporting seniors during emergency management. For example, she signed up seniors for emergency alerts; documented medicine and evacuation needs for seniors; established a protocol for a temporary emergency hospital with oxygen and generator support through a local hotel; and pushed to establish a senior center for community connection and support during rates of lower COVID-19 transmission. The AAA representative also coordinates a snow shoveling program; social events for seniors; and partners with the school to use school vehicles for transporting seniors to Durango for social outings, errands, and medical appointments. Consequently, we've seen progress in the area of senior services in the last 7 years; but continued work remains as Silverton's population ages. As one respondent indicated: "Silverton isa' t a nice place for people as they get oider. Local Private Practice Providers There are periodically massage therapists, acupuncturists, chiropractors or physical therapists who offer services in town. These services are paid for out of pocket by patients and are dependent on Health Services in the Miner's Union providers who are in town seasonally. Many practitioners operate Hospital Building: from the historic Miner's Union Hospital building, a recently Public Health renovated, county-owned building that was formerly a hospital and Silverton Clinic now contains office and examination rooms. Behavioral health professionals (2) There are also two licensed behavioral health professionals in town. Massage therapists (periodic) Acupuncturists (periodic) One operates a local private practice, the other provides school Chiropractors (periodic) counseling services at the Silverton Public School (mentioned above) Physical therapists (periodic) and offers private practice hours, both of whom will be discussed in the next section on behavioral health. 14 2022 Community Health Assessment: San Juan County, Colorado Receiving care outside the county The county does not have any urgent, specialty, or dental care. A1 full-service pharmacy does not exist in Silverton, although the small grocery store and gas stations have limited medical supplies and over-the-counter medicines and the Silverton Clinic has a very small pharmacy for established patients and is only open on Thursdays. Regionally, residents seek primary care, specialists, behavioral health, dental health providers and crisis care in Montrose, Durango, or Ouray through private practice providers, San Juan Basin Public Health, or Axis Health Systems. Pregnant women in Silverton also face unique challenges as they seek obstetric care regionally. Mountain passes can be closed during winter months and expectant mothers may need to stay in Durango or Montrose during forecasted storms to ensure access to labor and delivery services. For emergencies, the nearest rural hospital is a 90-minute ambulance transfer or a Flight-for-Life helicopter ride away. Residents can also access urgent care at Mercy Urgent Care at Purgatory Resort (20 miles away) during the winter months. Durango and Montrose have full-service pharmacies, therapists, and other health professionals. Nonetheless, there are some health care needs that cannot be met regionally, and it is not uncommon for San Juan County residents to travel to Grand Junction, Denver, or other urban areas for care. Of note, several focus group participants spoke highly of their experience receiving primary and dental care through Axis Health Systems in Durango. They had good experiences with their providers, and both were able to receive services without health coverage, paying an affordable rate through Axis' S sliding scale fee structure. In spring 2022, a representative from Axis Health Systems expressed a willingness to consider expanding their locations and providing integrated health services in Silverton and San Juan County, although this idea was not pursued by the county and remains an undeveloped concept. Accessing health care outside the county introduces a variety of challenges, including: Getting to and from appointments or to pick up prescriptions involves taking a whole day off work, which is inconvenient if Spotlight on SDoH you have a salaried job and costly if you work at an hourly. job Transportation and time off work are or are self-employed. significant barriers to accessing care, With current gas prices at $4.50/gallon, a trip to Durango can especially for seniors and our Mexican costs $30 in gas. community members. Many seniors do not have reliable transportation or are not Language barriers and health coverage comfortable driving the mountain passes to get to further limit access to care for the appointments and thus rely on family or neighbors. Mexican community in San Juan County The highway can be closed, as noted previously, leaving residents with limited options. San Juan County's Mexican community faces additional challenges to accessing care due to language barriers, transportation issues, documentation status, and health coverage. A lack of Spanish-speaking providers regionally creates additional barriers for the Mexican community in San Juan County. 17 Please see the Appendix for a Health Resources Brochure for more information on local and regional services. Telemedicine Telemedicine has been one positive outcome of COVID-19, according to residents. As telemedicine became more available for medical and behavioral health services during the COVID-19 pandemic, access to regional and even national 17- The Hispanic and Spanish-speaking community in Silverton has expressed their desire to be called the "Mexican community" as opposed to Latin(o)(a) or Latin(x) 15 2022 Community Health Assessment: San uan County, Colorado providers improved for San Juan County residents. The Silverton Clinic, Public Health, and the school all indicated that they have coordinated telemedicine support for residents to access care and the Miner's Union Hospital building provides space and equipment for patients to access telemedicine outside their home. Health Care Access Needs in San Juan County In focus groups and interviews, residents indicated that they delay or forgo screenings, check-ups, or follow-up care primarily because of barriers to accessing care. As mentioned previously, an estimated 47 percent of adults in San Juan County did not have a medical check-up in the last year, compared to 37 percent of adults statewide. 18 A large literature has linked access (proximity) to health care providers to the use of health care services and health outcomes. 19 20 Further, a key goal for ealthy People 2030 is to: Increase access to comprehensive, high-quality health care services. "21 When thinking about access to care, we want to understand if our current services are sufficient to meet expected demand. San Juan County is designated as both a Medically Underserved Area and a Health Professional Shortage Area by the Health Resources & Services Administration (HRSA). According to HRSA, San Juan County lacks at least. .17 FTE for primary care (14 hours/week) and .12 FTE for dental providers (10 hours/week),22 When asked if they thought people would use more health services (physical, behavioral, oral) if they were offered in town, participants resoundingly said, "Yes.' There is likely more demand for health services in town than is currently being met, as demonstrated by the data from Health Resources & Services Administration mentioned above, residents traveling outside the county to receive care, and interview respondents saying they cannot access primary care locally because the Silverton Clinic is booked out or unavailable. Further, data shows that cost and insurance status are not significant barriers to accessing care for most residents, at least in comparison to other Colorado counties. Community Level Estimates from CDPHE indicate (Figure 2): The percent of adults in San Juan County who have any form of health insurance is higher than the rest of the state (94 percent for San Juan County versus 88 percent statewide)24 The percent of adults in San Juan County who delayed medical care due to costs is quite low (1.8 percent in San Juan County versus 12.4 percent statewide)25 18 CDPHE Community Level Estimates 2014-2017). Indicator: Percent of Adults with who did not have a regular Medical Checkup within the past year (Census Tracts). https//data cophe. stsaIsEscANSns checkup-in- adults cdphe-communit y-level-estinates- census act/epor/ocations 38. 99900892C- -105. 585118%2C7. 65. Accessed 9/7/22. 19 Healthcare Access in Rural Communities. Rural Health Information Hub. httos/www.ralheathitooglopic/pealthcare- Accispoplatorhaats, Accessed 9/2G/22. 20 Elements of Access to Health Care: Services. Content last reviewed June 2018. Agency for Healthcare Research and Quality, Rockville, MD. https//www: ahrg. rovesearch/imdnsnhsharbonlakes/lement2html. Accessed 9/26/22. 21 Health Care Access and Quality. Healthy People 2030. htps/heatn.gov/hsathpenasectves-and-au/De owse- obiectives/health. careraccess- and- quality. Accessed 9/26/22. 22 Health Resources & Services Administration. HPSA Find. https//data.hrsa.go/tools/hortage-area/hpsa-find. Accessed 9/8/2022. 23 HRSA data does not count Silverton Clinic because it is a free clinic, staffed by a nurse practitioner. However, Silverton Clinic is open at most one day a week and sees fewer patients per day than most health providers. 24 CDPHE Community Level Estimates (2014-2017). Indicator Percent of Adults who have Health Insurance Coverage of any kind (Census Tracts)- https: /daca- cdphe. opendata-ard Rscom/datast/hea I hinsucinge-coyeaselbradutsdahesommuntv-leyet: estimates-censust trac ex on Ploc ation: = 38. / 7602 2%2 05. 5506009 20 65. Accessed 9/7/22. 25 CDPHE Community Level Estimates (2014-2017). Indicator Percent of Adults who delayed Medical Care because of Cost (Census Tracts). https//data cophe. opendata. AEAKCVNCUVCe medical-care-in- adultss S-cdphe cuntsaisatmtes ensus-tracts/abova Jt. Accessed 9/7/22. 16 2022 Community Health Assessment: San Juan County, Colorado Rather, proximity to a doctor, hospital or clinic and transportation are major barriers for residents. These estimates may not apply to the Mexican community in Silverton, many of whom indicated cost and insurance status as major barriers to accessing care during focus groups. Figure 2: Health Access - San Juan County, Region, Statewide 100 75 50 25 Percent of Adults who have any form of Percent of Adults who delayed medic cal Percent of Adults who did not have a Healthcare Insurance care due to costs Medical Checkup within the Past Year San. Juan "Region - State Scurce: CDHPE Community Lever Estimates 12014- 2017) pArchatrmmidehe sat.cobsdone community levei estimates Some interviewees and focus group participants raised the concern that long-time residents may not switch from their established providers in Montrose or Durango to local providers if local health care access were to increase. However, interviewees indicated that new residents might use local providers for primary care and long time residents might use local services for routine care or screenings. One interviewee also mentioned that senior residents with established providers elsewhere may be forced to access local care as they age and increasingly face issues around transportation. Multiple interviewees and focus group participants indiçated a need for more routine screenings (blood pressure, cholesterol, mammograms, prostate exams, blood draws, etc.). These kinds of screenings are often delayed due to the access challenges discussed previously. San Juan County Public Health formally supported a Channel 9 Health Fair that offered many of these screenings to local residents, but this service was not offered recently due to COVID-19 and public health staffing challenges. Tjust think little things are goig to add up to big things, - Area Agency on Aging representative Overall, the interviews and focus groups strongly supported the idea that San Juan County needs additional health care services, including: 1. Sustainable, expanded primary care services 2. Periodic screenings 3. Periodic dental care 4. Community paramedicine 5. Continued and expanded behavioral health services 2022 Community Health Assessment: San Juan County, Colora ado Priority 2: Behavioral Health Behavioral health, which includes mental health and substance abuse, remains a top priority. for San Juan County. We have made progress in this area with the addition of two behavioral health professionals in town and one social worker available through the school, but behavioral health continues to emerge as a top priority in the interviews and quantitative data. Silverton is an isolated, small mountain community with mining and skiing history, and its culture can include heavy alcohol consumption, isolation, and depression. There's a lot of trouma in our COmmUAIY. Nurse Practitioner at Siiverton Clinic CDPHE community-level estimates, covering 2014 to 2017, estimated binge drinking rates for adults in San Juan County at 33 percent of the population, compared to 20 percent statewide (Figure 3),26 Further, smoking rates are higher in San Juan County than statewide (34 versus 15 percent of adults, respectively). 27 Interestingly, marijuana use is estimated to be lower in San Juan County compared to the state estimates (9.4 percent of adults who used marijuana at least 1 day out of the past 30 days in San Juan County versus 14 percent statewide). 28 Please see the Appendix Table 1. Community Level Estimates Data from CDPHE for more details. Life can be a struggle as residents face economic uncertainty, natural disasters, limited local services, and complete isolation due to avalanches or mudslides. The rugged beauty of the surrounding San Juan Mountains can lift the soul and bring a harshness to daily life. As one interviewee expressed: "Siverton IS an easy, place to isolate, drink, and get depressed. Community-leve! estimates from CDPHE estimate 23 percent of adults in San Juan County have been told they have a Depressive Disorder, Spotlight on Seniors and Youth compared to 18 percent statewide. 29 Several local employers Seniors and youth share concerns reporting seeing mental health and substance abuse affect job regarding isolation and depression due to performance and family life. Seniors and youth expressed similar limited transportation options and social concerns regarding isolation and depression since they have limited outlets transportation options and social outlets. 26 CDPHE Community Level Estimates 2014-2017). Indicator: Alcohol Consumption: Adults Who Binge Drink CDPHE Community Level Estimates (Census Tracts). htei/ardersaeiw arcgis. com/datasets s/alcohol- consumption-adul ts-who-binge-drink dphecommunity-levek SATACVeSSeA Plocation=38. 979909%2C- 105 550600%2C7 65. Accessed 8/31/22. 27 CDPHE Community Level Estimates (2014-2017). Indicator: Percent of Adults who currently Smoke Cigarettes (Census Tracts). hitos/atadpheonepedanargeicondlataset/crirette. smoking. adults-C cdphe- communiry- levei- estimates census: ndporpatons 976022%2C 105. 550600% C7. 65. Accessed 8/31/22. 28 CDPHE Community Level Estimates (2014-2017). Indicator: Percent of Adults who used Marijuana 1+ days out of the past 30 days (Census Tracts).https/ data- dolsoxedsaraiconatmsunn se: n adults-cdohe- -community- level estimates: cemutractesplarelos ionE 7602. 05 550600 05. Accessed 8/31/22. 29 CDPHE Community Level Estimates (2014-2017). Indicator: Depression: Percent of Adults who have been told they have a Depressive Disorder. httos://data- cdphe. openda ta. are C com/dat asets/depression: in adults cdphe. community levels estimates: enatrattesoorelba ion=39 2C6 13. Accessed 8/31/22. 19 2022 Community Health Assessment: San Juan County, Colorado Figure 3: Behavioral Health Indicators: San Juan County, Region, and Statewide 50 25 Percent of Adults who are Binge Percent of Adults who currently Smoke Percent of Adults who have been told Drinking Cigarettes they have a Depressive Disorder San Juan . Region a State Interviewees and focus groups participants also indicated that behavioral health remains a top priority, and while access has improved with two local providers in town, the need for services remains significant. Since Silverton is a very small town, some interviewees expressed hesitation about the stigma of accessing local behavioral health services and fears around confidentiality and "small town gossip.' " However, one local behavioral health provider indicated significant use of his services, even estimating treating up to 30 percent of the population over time. Further, interviewees noted a decrease in stigma due to the COVID-19 pandemic. As one individual put it, since the pandemic: "t's 's okay to not be okay. Longtime resident Behavioral Health Care Services in San Juan County Some access to behavioral health care services exists in San Juan County, as described below. Private-Practice Providers San Juan County leadership has supported behavioral health services for many years. Since the late 1980s, San Juan County has provided free office space to a licensed therapist who commuted to Silverton from Durango. In the last two years, this behavioral health professional moved full-time to Silverton, provides private practice therapy and until recently, provided school- based behavioral health services. He also supervised another local San Juan County has gained two therapist who was seeking licensure. This newly licensed therapist licensed in the works now at the school and provides private practice therapy. Thus, full-time therapists last two with licensed San Juan County has gained two full-time licensed therapists in the years, along a social worker last two years. Additionally, the school recently hired a licensed social employed by the worker to serve as a Family Resource Coordinator (discussed below). school. As one participant indicated, "We've gone from no local mental health providers to two local providers. That is significant. 1 20 2022 Community Health Assessment: San Juan County, Colorado These two licensed therapists are highly regarded by everyone from the Sheriff to the Chamber of Commerce members to parents and teachers. This increase in access to behavioral health services has been a major benefit for residents. Working together, these providers have: supported crisis services in town, established robust school-based counseling and family support, and provided individual therapy. During COVID-19, the school and one of the local therapists received funding to administer a behavioral health program that included 10 free therapy sessions. According to the therapist, nearly 10 percent of Nearly 10 percent of the local the population took advantage of this free program during the population received free behavioral pandemic. Expanding or continuing this service could be a significant health services during COVID. opportunity for behavioral health services in San Juan County. School Based Services The Silverton School prioritizes social and emotional health for students and families and has two licensed behavioral health professionals on staff available to students and families. A licensed therapist (one of the two providers mentioned above) provides counseling services and classroom support to children and families. A licensed social worker serves as the Family Resource Coordinator and provides services to children and families, including: parent workshops, group sessions with youth, and other social services coordination. Further, the school's curriculum emphasizes socio-emotional awareness and skill-building for emotional regulation. This curriculum is built into regular school activities and is principaily provided to students by school staff (including but not limited to teachers.) In addition, staff and parents or caregivers can access training and support for meeting children's social-emotional needs. As mentioned above, the school also facilitated free therapy sessions for any Silverton resident during the early days of the COVID-19 pandemic. Due to its small size, the school and its staff remain deeply connected to the social and familial lives of its students. As one respondent indicated, "The school is the mothership of the community" providing Spotlight on SDOH significant social supports to students and families. The school directly The school directly impacts social impacts social determinants of behavioral health for students and determinants of behavioral health for families as it provides food or rent assistance and crisis support. As students and families as it provides food mentioned in the access to care section, the school nurse or counselor or rent assistance and crisis support also coordinate referrals to regional behavioral health providers who accept Medicaid. Crisis Services Since the COVID-19 pandemic, multiple respondents indiçated increased collaboration between San Juan Public Health, the Sheriff's Department, the Ambulance Association, the Area Agency on Aging, and the local behavioral health providers for crisis intervention. Some local staff also received crisis intervention training and these entities form an informal crisis response team, checking on locals as possible. The Sheriff also referenced a Crisis Intervention Team through Axis Health Systems in Durango. This team includes a medical professional and social worker who are dispatched from Durango for behavioral health crisis calls to San Juan County. This team may take up to four hours to arrive (a downside mentioned by the local therapist) but overall, law enforcement and public health indicated that this crisis intervention team benefits San Juan County residents. There have also been increased efforts to collaborate with Axis Health systems and local partners around crisis response and vulnerable populations, though initial conversations have not led to actual programs. 21 2022 Community Health Assessment: San Juan County, Colorado Silverton Clinic The Silverton Clinic nurse practitioner refers patients to the local private practice therapist (mentioned above) or a grief counselor as needed. The local therapist indicated a need for the Silverton Clinic provider to prescribe psychotropic medications for people who are in therapy. More collaboration between the local behavioral health providers and primary care provider at the Silverton Clinic could benefit residents. Receiving care outside the county Residents can access behavioral health professionals in the region (Durango and Montrose) through private practice, San Juan Basin Public Health (usually through local referrals) or Axis Health System. Some providers accept Medicaid, but we are only aware of one provider who speaks Spanish. Accessing care outside the county can be burdensome, as noted in the previous section. Interviewees noted increased availability of therapy and psychiatry through telemedicine since COVID-19 pandemic. Behavioral Health Care Needs in San Juan County Depression, anxiety, and isolation remain top concerns for San Juan County residents, according to both the qualitative research and available quantitative data. As mentioned earlier, binge drinking, tobacco use, and rates of depression are higher in San Juan County than the region or state. Some respondents also noted the weather and remote location of San Juan County may impact substance use. In the winter, residents are bored, isolated, and need something to entertain themselves. Summer is very busy, many residents work long hours or multiple jobs, and they may use substances to support these physical demands. Respondents from law enforcement and the judicial system indicated that drug use was prevalent in the past, improved over the last 10 years, and now may be increasing again, though respondents did not elaborate on potential reasons for these recent trends. Individuals expressed skepticism on the effectiveness of local Alcoholics Anonymous programs due to stigma in accessing local services - interviewees speculated that residents did not want to be seen attending local substance abuse programs. There is no regional in-patient treatment center for substance abuse; individuals can, however, seek substance abuse treatment in Pueblo or Grand Junction. Previous research led by a high school teacher indicated that depression, anxiety, and isolation remain the root causes of all other challenges facing Silverton youth and these issues were echoed in the interviews. 30 Despite availability of local behavioral Issues for Youth health professionals, some youth expressed that their peers feel Top Mental health isolated and depressed. Young people we interviewed expressed Substance use in (marijuana, difficulty connecting to youth who are "like them" due to the small vaping/nicotine, and alcohol) school population. Some progress has been made to connect youth Social issues (access to youth space, with the Rainbow Youth Center in Durango, a youth center that activities, and outside peers) spccifically supports lesbian, gay, bisexual, transgender, queer, and/or questioning (LGBTQ+) young people, but both teachers and youth expressed the need to reopen the local youth center, which was closed during the COVID-19. Several youth also expressed divides for students who are able to access activities and play sports outside Silverton and those that are not, due to transportation, financial, or family challenges. 30 Root Cause Analysis done through Social Justice Coalition at the Silverton School from 2017-2019, funded through the UpRise Coalition. Root cause analysis with youth in Silverton indicated that everyi issue facing youth in Silverton (substance abuse, alcohol use, tobacco use, suicidal thoughts, etc.) was connected to the root causes of depression, anxiety, and isolation. 22 2022 Community Health Assessment: San Juan County, Colorado Respondents also indicated that youth and seniors share similar challenges regarding access to social outlets, isolation, and Spotlight on Seniors and Youth depression. Al historic culture of self-sufficiency may lead some older Seniors and youth need events and residents to resist asking for or receiving behavioral health or social gathering spaces (e.g., senior center, supports, though the establishment of the Area Agency on Aging and youth center, recreation center) Senior Center has improved senior services. Nearly all respondents agreed that social connections remain highly important for a healthy community and behavioral health. Residents noticed the COVID-19 pandemic had a significant negative effect on social and civic connection, especially at the height of the pandemic when local-focused gatherings and events were cancelled. Multiple respondents indicated a need to combat solation, depression, and substance abuse, especially for youth and seniors by restoring social events, public meetings, gatherings and keeping shared spaces (like the youth center and senior center) open. Despite the availability of local behavioral health professionals, financial barriers remain for residents to access behavioral health services. The local behavioral health providers do not have the administrative support to charge insurance and they bill patients on a sliding scale. COVID-19 brought some additional funding for behavioral health services, but the county needs sustainable funding to continued services in future years. As mentioned earlier, only one Spanish-speaking behavioral health professional exists in the entire region, leaving the Spanish-speaking community of San Juan County with very limited behavioral health support. Interviewees also expressed confusion on what behavioral health services are available through local or regional providers, though a recently updated Health Resources Brochure from Public Health attempts to provide clarification. Please see the Appendix for this brochure. 23 2022 Community Health Assessment: San Juan County, Colorado Priority 3: Healthy Living Respondents continue to prioritize factors in San Juan County that contribute to health. This priority area encompasses a wide range of issues. Though progress has been made, according to interview and focus group participants, more work is needed, especially in the areas of: Housing Physical activity Built environment Air quality Access to healthy foods The following sections outline the themes that surfaced in qualitative interviews related to healthy living. Housing The lack of available or affordable housing means residents must Spotlight on SDoH spend more of their income on housing, making tradeoffs in areas of Lack of affordable housing is a significant health expenditures or access to healthy foods. Renters may remain social determinant of health. Residents in older housing stock due to lack of additional housing options. Like must spend more of their income on many mountain communities in Colorado, Silverton has been facing a housing, making tradeoffs in areas of housing crisis, including a significant increase in the cost to purchase health expenditures or access to healthy foods. or rent a housing unit. According to a recent local housing study by Root Policy Research, "For sale home prices in San Juan County rose Workers have declined employment due faster than in any other county between 2018 and 2020 at 59 percent. to lack of housing (both availability and The median price of sold homes in the county was $385,000 in 2021 affordability) compared to $242,500 in 2018. The inventory of homes priced at less than $250,000 declined by half, and were offset by a jump in homes priced at more than $750,000." The median rent in the Town of Silverton (where most residents live) doubled between 2010 and 2019 Much oft the housing stock is older, ($575/month to $1026/month). Importantly, the median income for with few units constructed since renters also increased significantly, which meant that renters have somewhat kept up with rising rent prices. 31 2010 Workers have declined employment due to lack of housing (both Older means maintenance availability and affordability) and important health-care and non- housing health care positions remain unfilled (paramedics, preschool and or upkeep challenges, high heating elementary teachers), partly due to housing. Even if someone can costs and may contain lead pipes or afford the increase in housing prices, a lack of housing inventory lead paint. prohibits growth. Considering these challenges, the Town of Silverton and San Juan County seek to support housing needs in the area. The Town and County have worked on affordable housing projects since the early 2000s, and the Town of Silverton recently purchased 1.2 acres, made possible through a state-level grant, to build future affordable housing. The town also 31 Town Of Silverton, Housing Needs Assessment, Prepared by: Root Policy Research 2021. https/townofsiyerton.colorado, ROVStE/CMndeTORzoants 620and% 0Sbetten:g0Hpusngsangt20Heds20Ases ASONSAR2ONINAN Access 8/30/22. Data Source: 2010 and 2019 5-year ACS estimate. 25 2022 Community Health Assessment: San Juan County, Colorado received a grant to support the build-out of the Anvil Subdivision for workforce housing. Housing is a top priority for the Town Board of Trustees 2022-2023 goals. 32 Air Quality Respondents mentioned air quality as a main environmental health concern, particularly related to the continued presence of coal burning boilers and wood burning stoves for winter residential and commercial heating. The Miners Hospital, which houses the San Juan County Public Health and The Silverton Clinic uses a coal burning boiler for heating, as do some other commercial buildings. One business owner indicated he could not open his doors or windows for better ventilation during the early days of the COVID-19 pandemic due to fumes from a nearby business burning coal. Many residential homes are heated by wood-burning stoves and Silverton residents maintain a long-standing seasonal tradition of harvesting and processing wood for the winter. More work is needed to measure the air quality during the winter months, though initial data from one air quality monitor indicate that air quality during winter months was double the recommended actionable level. Air quality can affect all residents, and have especially negative consequence for children and those with lung or respiratory conditions. 33 34 35 36 San Juan County also has the potential to experience diminished air quality more often during the summer months due to the increased presence of wildfires in the nearby and distant areas. The presence of radon gas in homes emerged as another environmental health and air quality concern. Radon is a naturally occurring radioactive gas that can cause lung cancer. San Juan County Public Health has worked to raise awareness of radon in homes and to distribute radon tests to residents. High remediation costs remain a barrier to addressing indoor air quality. Interviewees and focus groups raised the issue of dust from unpaved roads in the air, especially during the summer months when Silverton sees the most visitors. However, this is perceived as a diminishing concern. The town previously allowed Off Highway Vehicles (OHVs) on some town streets, until town residents voted in 2021 to confine OHVS to county roads (that is, outside of town). Several respondents believed the presence of dust particulates in town decreased after this change, although there has not been systematic monitoring of air quality in or out of town. Efforts by a local scientist to measure the air quality in town and county proved challenging because the dust particulates were too large to be measured by the air quality monitors. The town and county treat the dirt roads with water and magnesium-chloride to contain the dust. Physical Activity Access to the natural environment and the outdoors remains an important component of a healthy community for San Juan County residents, according to nearly all interviewees and focus group participants. Individuals indicated that many residents take advantage of the diverse recreational opportunities available in the area, including a variety of sports and activities (mountain biking, alpine/backcountry skiing, paragliding, rock climbing, rafting, hiking/trekking, 32 Town of Silverton. Trustee Goals 2022-24. https//drive, google. com/lle/d/lfmEWOStASU2CBPwK3BGm9eu 1a/view. Accessed 9/8/2022. 33 American Academy of Pediatrics Committee on Environmental Health, Ambient Air Pollution: Health hazards to children. Pediatrics. 2004; 114: 1699-1707. Statement was reaffirmed in 2010. Dietert RR, Etzel RA, Chen D, et al. Workshop to identify critical windows of exposure for children's health: Immune and respiratory systems workgroup summary. Environ Health Perspect. 2000; 108 (supp 3): 483-490. 34 Gauderman WJ, Urman R, Avol E, Berhane K, McConnell R, Rapport E, Chang R, Lurmann F, Gilliland F. Association of improved air quality with lung development in children. N Eng. J Med. 2015; 372: 905-913. 35 Gilliland F, Avol E, McConnell R, Berhane K, Gauderman WJ, Lurmann FW, et al. 2017. The Effects of Policy-Driven Air Quality Improvements on Children's Respiratory Health. Research Report 190. Boston, MA:Health Effects Institute. 36 Kurt OK, Zhang J, Pinkerton KE. Pulmonary health effects of air pollution. Curr Opin Pulm Med. 2016 Mar,222)138-43.doi: 10.1097/MCP.0000000000000248. PMID: 26761628; PMCID: PMC4776742. 26 2022 Community Health Assessment: San Juan County, Colorado trail-running, walking, snow-shoeing or Nordic skiing). The town hosts many sports events (such as the Iron Horse Bicycle Classic and Hardrock Hundred Mile Run) and the local ski area, Silverton Mountain is one of the only lift-assisted back country terrain options in the nation. Multiple sponsored athletes (skiers, runners, cyclists) live or train in San Juan County and a culture of physical fitness exists. Data from CDPHE Community Level Estimates supports the qualitative data, indicating San Juan County residents experience greater physical activity and lower rates of obesity than statewide estimates (Figure 4). Figure 4: Physical Health and Activity Indicators: San Juan County, Region, and Statewide 65 40 15 Percent of Adults that did not Percent of Adults who are Obese (BMI Percent of Adults who are Overweight 10 participate in Physica al Activity or </-30) (BMI </=25) Exercise SanJ Juan "Region - State Source. CDHPE Community Level Estimates (2014-2017) www conealthmaps dphe. state CO dona.cemmunyen, estimates Built and Natural Environment The built environment of San Juan County and Silverton strongly relates to physical activity discussed above. While many residents maintain high levels of physical activity, the built environment of the town remains less accessible to seniors or those with mobility needs: few sidewalks exist in town and the majority of roads are unpaved, and are thus icyi in the winter, muddy in the spring and fall, and uneven in the summer. All of these factors contribute to risk for injuries or falls for seniors and residents with limited mobility. While the town and county contain significant natural beauty, there and Walkability pedestrian/bicycle are few trails or sidewalks that provide connected access around town will be safety important for future and residents frequently walk on streets or share trails with motorized planning in Silverton and San Juan traffic. As the town and county considers future growth and traffic County movement, pedestrian and bicycle safety should be considered. - 2022 Community Health Assessment: San Juan County, Colorado The altitude and climate also bring challenges, especially for seniors. Silverton is at 9,318 feet elevation and diminished oxygen levels can Spotlight on Seniors affect residents recovering from illness, pregnant mothers, and those Seniors face particular challenges in with respiratory conditions. Many seniors also live in older homes, Silverton's environment: where heating is expensive and maintenance is difficult. Further, older High elevation and lack of oxygen homes often do not accommodate wheelchairs or walkers and several Ice and snow of the historic town and county buildings are not ADA compliant. Older homes with maintenance challenges As mentioned previously, seniors also face transportation constraints barriers Transportation to doctors, to access doctors, therapists, and pharmacies. Altogether, aging in therapists and pharmacies place is challenging for seniors in Silverton. Respondents frequently referenced the need for indoor recreation Spotlight on Seniors and Youth spaces, especially for seniors and youth. Youth and teachers Interviewees and focus group participants indicated that young people need recreational opportunities outside often mention the need for an indoor of skiing, hiking or biking and need indoor spaces, like a gym, pool, or recreation space, especially for youth and youth center. Youth can use the school gym for exercise and weight seniors lifting and respondents cited this as an important benefit. Adults and seniors oreviously had access to the school gymnasium, although this was discontinued during COVID-19 and has not been reestablished. Respondents emphasized the unmet need for indoor recreation spaces for seniors, including a gym, pool, and community space. The library and senior center have offered Tai Chi, yoga, and some senior exercise programs. Overall, residents were asking for more events that support local recreation and social connection. Access to Healthy Foods Silverton remains a food desert, especially in the winter, due to its remote location. 37 One well-stocked but small grocery store is open year-round with limited affordable fresh produce available. Stocking fresh items at an affordable price remains difficult due to supply chain, inflation, and transportation challenges. The nearest large supermarket is 50 miles away. A trip to Durango for groceries can cost up to 30 dollars in gas round trip. Beyond the local grocery store, residents have access to healthy foods as follows: School meals: During the school year, all students receive free lunch and breakfast and the school café manager provides a variety of fresh fruits and vegetables. Farmer's Market and produce stand: A weekly farmers market and produce stand bring fresh items to residents in the summer months and goods are often sold out, indicating strong demand. Local gardens: Some locals have seasonal gardens and a school community garden supplies summer produce to the county food bank and WIC/SNAP participants. The Area Agency on Aging representative is working to erect a grow-dome for gardening access for seniors. Produce delivery: Some residents utilize produce delivery services, through UPS or FedEx. However, these options are not accessible for all low-income households. Food bank: According to the school garden manager, we have a solid food bank for such a small town, though the county social services representative indicated that the commodities distribution does not easily accommodate special diets (e.g., low-sodium, gluten free, vegetarian) and some individuals are reluctant to receive grocery items due to stigma. 37 Economic Research Service (ERS), U.S. Department of Agriculture (USDA). Food Environment Atlas. https://www ers.usda.gov/data products/tpod-environmentatas. Accessed 8/31/22. 28 2022 Community Health Assessment: San Juan County, Colorado More details on the commodities distribution and SNAP participation is found in the Social Services section below. Overall, access to healthy foods and fresh produce in rural areas like San Juan County is limited and often higher priced. Social Services The median income in San Juan County is below state levels ($53,000 Spotlight on SDOH versus $75,000). Persons in poverty is estimated at 11.3 percent Median income in San Juan County is (compared to 9.5 percent for Durango, 6.7 percent for Ouray or 12 below state levels percent nationwide), according to the U.S. Census.3 38 Many residents Persons in poverty in San Juan County struggle with economic security as most jobs remain seasonal and is higher than the surrounding regions tourism dependent. According to the U.S. Department of Agriculture Eight percent of the San Juan County Food Environment Atlas, 8 percent of the San Juan County population population receives SNAP benefits receives SNAP benefits and nearly 80 percent of those eligible actually receive food assistance.39 San Juan County has one staff member who coordinates the San Juan County Department of Social Services. The County provides: Food and medical assistance, processing applications for: SNAP, WIC, and Medicaid Energy assistance (through Energy Outreach Colorado) Heating assistance (through LEAP November - April) Food commodities (including fresh produce from school garden in the summer) Snow shoveling program for seniors (60 years and older) Affordable housing property management According to those interviewed, the snow shoveling program for seniors (coordinated by the AAA) has been successful and interviewees praised the local food bank. Some indicated that local residents may not realize they qualify for the heating or energy assistance, especially due to seasonal employment status. More work is needed to advertise and promote the available social services. Some respondents noted that the county's social services department is not typically involved in regional stakeholder discussions, grant writing, or programming. More collaboration and initiative could potentially bring additional funding or services for residents. Organizational Infrastructure Though not directly related to health, organizational infrastructure came up frequently in the interviews because of its impact on the ability to recruit and retain staff, establish systems and processes to support effective governance and town or county planning, and its overall impact on residents' health and wellbeing. For example: The Ambulance Association cannot support a community paramedicine program if they cannot fill key roles due to housing shortages. 38 United States Census. QuickFacts. San Juan County Colorado. https//www. en gow/s Auat/Ba/aBaw ncountedlorads/PEIz020-PE1022. Accessed 9/8/2022. 39 Economic Research Service (ERS), U.S. Department of Agriculture (USDA). Food Environment Atlas. P/PeoMAGIRANENAARRNCVEAeotsrvtoomentatia. Accessed 8/31/22. 29 2022 Community Health Assessment: San Juan County, Colorado The Silverton Clinic faces challenges in recruiting new providers when the current nurse manager and nurse practitioner retire. The preschool and K-12 school cannot fill staff positions, which puts additional burden on existing staff and limits staff time to pursue additional behavioral health or youth programming. Historically, frequent changes in town administration and limited county capacity leads to inefficiencies in local government, which hampers the region's ability to seek grant funding to support the health and wellbeing of residents. The Town of Silverton and San Juan County are well-positioned to seek grant funding or partnerships for a variety of projects that could support the physical and behavioral health of residents such as: Expanded local clinic services Community paramedicine Senior transportation and supports Expanded public health services community health services or screening, improved air quality monitoring, increased radon mitigation, substance abuse prevention) Affordable housing Expanded recreational opportunities for residents (recreation center, trails systems, playgrounds or parks) Expanded school programming and behavioral health support Youth services and programming Free early childhood education and childcare Social events and activities for local residents The town and county, the schools, and local organizations have historically been well-positioned to acquire grant funding to establish innovative and successful programs, facilities, and services. However, writing and managing grants often requires more capacity than these institutions have. As one key stakeholder indicated in a focus group: "We khow moneyis out there and we have lots af ideas, but we don 't have the orgonzatonarcoacty ort infrastructure to mdintain progress Successful programming is often dependent on one or two qualified and passionate individuals and the programming or services end if these individuals leave (due to housing challenges, "burn out", I or life changes). In contrast, some leadership positions have not changed in many years and, as one participant described, decision making can get stuck in a mindset that can limit change and progress. Themes of: "The good old days," or "This is the way we've always done it" can hamper growth. Further, many town and county leaders must assume multiple Local organizations or institutions leadership roles, which decreases their capacity to address priorities. can suffer from the loss of Also, a history of deferred maintenance due to financial constraints dedicated leaders or get stuck in in the town and county distracts from other important health- # "The way we've always done it. related priorities. Water Quality In 2015, the Gold King Mine spill brought increased attention to legacy mining and natural metal loading in water and soils around San Juan County. Environmental health and water quality featured as a top priority in 2015 Community Health Assessment. Since the Gold King Mine spill, areas in San Juan County have since been designated an Environmental Protection Agency (EPA) Superfund site, called the Bonita Peak Mining District, which consists of 48 historic mines or mining-related 30 2022 Community Health Assessment: San Juan County, Colorado sources where ongoing releases of metal-laden water and sediments are occurring within the Mineral Creek, Cement Creek and Upper Animas River drainages in San Juan County. Clean-up through the EPA has been ongoing. 40 A Citizens Advisory Group was established in 2018 to disseminate information about activities at the Bonita Peak Mining District site to the community and to provide community input back to EPA.4 41 Despite this situation, water quality from the municipal water sources (Bear and Boulder Creeks) remains strong, meeting or exceeding state standards as measured through our water treatment plant. 42 In contrast to the 2015 assessment, water quality did not arise as a high priority in the interviews and focus groups. This difference is likely due to the recent occurrence oft the Gold King spill at the time of the previous assessment, including the media and community attention given to water and soil quality in San Juan County in 2015. Presence of lead pipes in some older homes remains a concern and San Juan Public Health would benefit from additional resources for lead testing and water quality education. 40 United State Environmental Protection Agency. Superfund Site: Bonita Peak Mining District. https/lcumulisepas gov/supercpad/cursites/sitinfo.ctmPid-0902497. Accessed 9/8/2022. Bonita Peak Mining District Info Map Tool. httpsllstorymaps. aombichNcNADkaNSKIBNANeNS Accessed 9/8/2022 41 Bonita Peak Mining District Community Advisory Group (CAG) Official Site. httos://www. bonitapeakcazorl. Accessed 9/8/2022 42 Town of Silverton. Department of Public Works. 2021 Drinking Water Consumer Confidence Report. httes//ddye.google. com/He/d/okekNe. 86-OASIPLA Hgtc7ANIG9/iew. Accessed 9/8/2022. 31 2022 Community Health Assessment: San Juan County, Colorado Conclusions and next steps San Juan County has experienced successes and challenges since the last health assessment in 2015. We have added local behavioral health professionals, established new senior supports, and raised awareness around environmental health needs. Increased use oftelemedicine during COVID-19 improved residents' access to health care services. Rates of obesity remain lower than our surrounding region and rates of physical activity remain higher. Community trust in the public health infrastructure remains high and can be leveraged for future programming. However, access to expanded, integrated health care remains elusive as the Silverton Clinic faces sustainability challenges. Rates of binge drinking, cigarette use, and depression remain higher than our neighboring counties. Youth and seniors expressed feelings of isolation, anxiety and lack of social support. Housing availably and affordability represents a new challenge for social determinants of health and local organizations struggle to recruit and retain staff. Overall, we've made progress in some areas, but our priorities have not changed significantly. Based on the 2022 Community Health Assessment, the three priorities for improving the health of San Juan County residents are: 1. Access To Care 2. Behavioral Health (Mental Health and Substance Abuse) 3. Healthy Living Social determinants of health surfaced as important for addressing these priorities. Issues specific to seniors and youth remain crosscutting. Children appear to be the best-served cohort within the county, with relatively better access to health care services and behavioral health programming through the Silverton School. Future programs and services to address health care needs in San Juan County should focus on the three identified priorities and seek stable funding, staffing, and organizational support to sustain programming. The next step to addressing health care priorities in San Juan County is the development of a Public Health Improvement Plan (PHIP). San Juan County Public Health secured grant funding from CDPHE for 2022-2023 to support a local part-time Health Planner. The Health Planner will develop the Public Health Improvement Plan and will focus on next steps to address the priorities identified in this assessment. Table 1 and Table 2 highlight key successes to build on and key gaps that could be addressed in the Public Health Improvement Plan, based on the finding of this Community Health Assessment. 33 2022 Community Health Assessment: San Juan County, Colorado Table 1. Successes to Celebrate Area Items of note Free one-day clinic in Silverton Stable Emergency Medical Service (through grants and tax funding) Health High health insurance coverage in county Services Telehealth availability Local blood draws for lab work IVt therapy or some welfare checks from EMS Community engagement and trust Public Established teams and coordination Health Services COVID funding enabled robust pandemic response Community awareness of services offered Three local behavioral health providers Free behavioral health therapy (during COVID) Behavioral School-based behavioral health services Health Services Increase awareness of behavioral health needs, decreased stigma, and increased use Second Chance program (eliminates school suspension for possession of illicit substance) Crisis Intervention Team through AXIS Senior Center and Area Agency on Aging (AAA) established Senior AAA representative offering senior programming and some senior transportation Services COVID prompted creation of lists of vulnerable seniors Seniors signed up for emergency alerts Behavioral health support through school Youth Success in reducing substance use, truancy, juvenile delinquency since early 2000s Services School gym access for youth Connection with Rainbow Youth Center for LGBTQ+ support School-based services, including oral and well-child checks Child Low or no-cost childcare and preschool Services Strong social supports for kids and families through school Cultural broker through school to support Mexican community Social Strong local food bank Services Shoveling program and energy assistance Renovation of Miner's Union Hospital building Town and New town administrator and staff County Acquisition of affordable housing funding Services Strong partnerships between groups during COVID Strong community connections 34 2022 Community Health Assessment: San Juan County, Colorado Table 2. Gaps to Address Area Items of note More local health providers Sustainability or transition plan for Silverton Clinic Promotion and distribution of Emergency Loan Fund through Silverton Clinic Establishment of non-emergency or crisis response teams Awareness of current services Health Community paramedicine to provide welfare checks and other health care services using Services local providers (EMS, AAA, Silverton Clinic) Spanish-speaking services Access to some local or online prescriptions Transportation to outside providers Utilization of Axis Peer Navigator for care coordination Public Establishment of local screening services: Health Fair, vital clinics, dental screenings Health Development of air quality monitoring strategy and plan Services Continued education on radon mitigation and expanded education on lead exposure Funding to continue free or reduced cost behavioral health services Promotion of available behavioral health services Spanish-speaking providers Behavioral Spanish language materials and information Health Tobacco prevention programming Services Alcohol abuse prevention programming Decrease in stigma for accessing local care Establishment of a Public Behavioral Health Officer Establishment of a plan or team for most vulnerable seniors Senior Support for community spaces for social connection (senior center, Kendall Recreation Services Center, Youth Center, future recreation center) Funding to sustain current successful programming Re-establishment ofYouth Center Youth Support for other common community spaces for social connection (Kendall Recreation Services Center, Youth Center, future recreation center) Funding to sustain current successful programming Child Continued funding low-cost preschooi Services Continued school-based health programming Social Promotion of current social services Services Connection of social services to other stakeholder groups/funding Affordable and available housing Funding or stipends for housing (especially to attract/retain medical providers) Town and Funding to preserve open space and build trails County Services Investment in community spaces, especially for seniors and youth Effective staff recruitment and retention at town, county and local organizations Establish radon mitigation in town or county building code 2022 Community Health Assessment: San Juan County, Colorado Appendix A. Methodology Focus groups and interviews were the primary means of qualitative data collection for the Community Health Assessment. The Health Planner and Public Health Director created a list of Key Informant interviews and Focus Groups, as outlined below: Focus groups 1. Key takeholders/Service Providers (5 individuals) a. Many of the priorities deal with health services or access to care, thus we sought feedback from local service providers at EMS, Silverton Clinic, the Silverton School, senior center, and social services. 2. Spanish-speaking population (5 individuals) a. We wanted to understand the unique needs of our Mexican community since they predominantly work in the service industry, are more likely to be uninsured, and face unique barriers to accessing care. 3. Chamber of Commerce Board members (5 individuals) a. Since many of our local residents own or work in local businesses we wanted to hear from the Chamber of Commerce members who provided feedback both as community members and employers. 4. Silverton Clinic Board members (6 individuals) Key Informant Interviews We conducted Key Informant interviews with 17 individuals, representing a variety of perspectives, including: 1. Town and county elected officials 2. Parents 3. Youth 4. Teachers 5. Seniors 6. Behavioral health professionals 7. Municipal judge and EPA communication liaison 8. Health Services providers/First responders a. Sheriff b. Fire Department Chief C. Office of Emergency Management (OEM) Director d. Public Health Director e. Nurse Practitioner at Silverton Clinic f. Social Services coordinator g. Senior Services representative Interviews lasted between 20 and 40 minutes and were recorded and transcribed using Otter. ai software. The interviews included common questions across all interviews, with some variation depending on interviewee role. We also conducted a short open-ended survey with a small group of middle school girls for insight on issues facing youth. 37 2022 Community Health Assessment: San Juan County, Colorado In the research, we also reviewed two sources of existing qualitative data on Silverton, including a Quality-of-Life Survey that the Town of Silverton administered in August 2020 and qualitative data from a Master Plan process by the Town of Silverton. We reviewed these sources for themes related to local health care access and comments on health needs. 43 44 Coding Interviews and Focus Groups To analyze the interviews and focus groups, we used the template approach to coding, which involves developing an a priori template, then making modifications during the data collection and coding process. 45 46 47 The Health Planner reviewed all interviews for common themes based on the research questions. Research Questions: Have the health priorities changed in the last 7 years? What are the barriers to address the priorities? What are the strengths to address the priorities? What progress have we made? Based on these themes and the research questions, an a priori codebook was developed to test on four interviews. The codebook contained six high-level domains and thirty specific codes. The Health Planner coded the four interviews with the codebook and made additions or revisions to the codebook based on the four test interviews. The codebook was revised and the remaining interviews were coded with the revised codebook. The domains and codes include: Domains: Access to Care Senior Services Substance Use Environmental Health Mental Health Social Determinants of Health Codes: Health Priorities Health Services Organizational capacity Preventive care Primary Care Alcohol Healthy Community Dental care Drug use Silverton Clinic Social Services Tobacco use Public health Youth Marijuana Barriers (individual barriers) Seniors Telehealth Challenges (institutional Covid-19 School-based services challenges) Healthy foods Urgent care Opportunities Obesity Prescriptions Success Air quality Strengths Housing 43 Quality of Life Survey, Town of Silverton. htps/loxnolilverton,oloradogoy/gol. Accessed. July 2022. 44 Silverton Master Plan Draft, Town of Silverton. tp/egsadarompseDAnsRwCL, Accessed August 2022 45 Keith, R.E., Crosson, J.C., O'Malley, A.S. et al. Using the Consolidated Framework for Implementation Research (CFIR) to produce actionable findings: a rapid-cycle evaluation approach to improving implementation. Implementation Sci 12, 15 (2017). tps/oio/011BSA1186/13020120507 Accessed May 2022 46 King, N. (2012). Doing template analysis. In G. Symon, & C. Cassell Qualitative organizational research (pp. 426-450). SAGE Publications, Inc., tPs/Asd0.0,/041597815784587024 Accessed May 2022. 47 Brooks, J., McCluskey, S., Turley, E., & King, N. (2015). The Utility of Template Analysis in Qualitative Psychology Research. Qualitative research in psychology, 12(2), 202-222. OPA.CRAAN2 .2014.955224. Accessed May 2022. 38 2022 Community Health Assessment: San Juan County, Colorado The Health Planner then created summaries of themes related to each code and domain in the interviews and extracted quotes related to the code themes. Finally, pertinent quantitative data were collected from CDPHE and various US agencies. Refer to the figures and chapter footnotes for details. Additional data are presented in Appendix Table 1. Community Level Estimates Data from CDPHE. 39 41 JSL WIFOZ 5 U RF( OZ 5 e E = - DE 2021 Eureka Campground Annual Report APOLOGIES: Husbands Covid with hospitalization at University Colorado in September 2021 caused me to forget to file this report in 2021 The Campground opened Memorial Day weekend, closing October 1, 2021 Gross Income $65,718.00 EXPENSES: Salary - camp hosts $ 9600.00 Utilities (electric and internet) $ 4043.00 Trash $ 2753.00 Portable Toilets $ 2270.00 Campground Repair $ 6350.00 Store Purchases-for resale $ 1375.00 TOTAL EXPENSES $26,391.00 NET PROFIT $ 39,327.00 5%: = $ 1,966.35 Payable to County $2 2,000.00 Vault for toilet reimbursement NOTES: Covid impacted the campground. - believe more people went camping in 2021 since they could not travel easily by air or out of the country. Several overflow sites were reserved for long term campers, specifically some construction workers working on a cabin in the Animas Forks area. The concern regarding long term campers who were summer workers in Silverton requesting a site at the campground did not materialize. My few long term campers were simply retired or semi-retired folks who did not want to haul the camper home and kept the camper at the campground and came in on weekends. July 4 week had an average of 150 units in the campground and in overflow, up slightly from the previous year, income levels - store and camp fees were higher for the holiday week than in 2016. The addition of internet at the camp store has been helpful in allowing use of credit cards and was appreciated by the campers. Internet access is not available to the general public, the hope is that internet can be used to contact Sheriffs Office in an emergency. There were several instances when a call to the sheriff was necessary, usually to request a tow truck. Almost all sites have picnic tables including group sites. Repair and replacement will be ongoing. Wood picnic tables are being replaced with lifetime plastic tables. Steel fire rings have been added to the majority of the sites, including group sites. Overflow sites do not have picnic tables. Reservations are accepted beginning February 1 of each year. The July 4th week has a 4 night minimum, all electric sites are reserved within 12 hours of reservation opening date, dry sites usually full by the end of February. We are booking the electric sites for other dates months in advance of the visit. It appears that word has spread favorably about allowed ATV use in town as well as ease of access from Eureka Campground to the Alpine Loop. field many inquiries throughout the year regarding the trail system and book many ATV specific groups. 2022 Eureka Campground Annual Report The Campground opened Memorial Day weekend, will close September 25,2022 Gross Income end of August $59,988.00 EXPENSES: Salary - camp hosts $ 12,000.00 Utilities (electric and internet) $ 2,673.00 end of August Trash $ 2,981.00 end of August Portable Toilets cleaning $ 2,699.00 estimate Campground Repair $ 4,868.00 Store Purchases-for resale $ 4,971.00 end of August TOTAL EXPENSES $ 30,192.00 estimate NET PROFIT $ 29,796.00 5% = $ 1,489.00 Payable to County ESTIMATE $ 2,000.00 Vault for toilet reimbursement NOTES: Average business was down about 20% this year, I attribute this to cost of fuel foremost followed by OHV ban in the town limits. We especially saw a decrease in the visitors to the camp store who were passing through. Pit toilets are cleaned annually by Ball Septic. This year they were unable to clean the toilet located at the ATV staging area, the toilet vault has plastic garbage bags and other non-organic material in the vaults. They will have to return with shovels and elbow length gloves to clean the toilet. This will be a significant added expense as they estimate 4-6 hours to complete thej job. This will most likely happen in the spring of 2023 when they return to pump out BLM pit toilets. - would like to close this toilet this winter as believe most of the abuse happened during the winter months or early in the spring. Ithink the county also may need to look at replacing this toilet soon, Not sure how long it has been in Eureka, at least 20 years, perhaps 25 or more. With three pit toilets located at the campground perhaps we can just eliminate the toilet entirely. There is a BLM toilet located at Middleton, about 2 miles down the road towards Silverton. We added a solar panel and a pump to supply water to the storage tank on the property. Upgrades are planned for next year. We were unable to leave this pump in the river and fill the tank continuously due to theft that happened. do not have an estimate of the number of gallons removed from the river for the campers use. It was not very high since we could not run the pump daily. Overnight OHV parking was offered for a nominal charge to Silverton Guests who did not want to trailer their rig every day, this was moderately successful. did not note an increase in overnight parking of OHVS or trailers at the staging area located across the river. Starlink internet was finally obtained. Campers were able to access the internet while seated at the camp store. We can use cell phones with a very good connection that stays stable throughout phone calls. This was appreciated and found to be very popular. Unfortunately, have to pay year-round for the service which is only utilized 4 months of the year. Starlink does not have a vacation mode option. RESOLUTION 2022 - 08 A RESOLUTION DESIGNATING A PARTICULAR SITE OR SITES AS A COUNTY HISTORIC LANDMARK OR COUNTY HISTORIC DISTRICT WHEREAS, San Juan County Resolution 98-6 provides for the preservation of cultural, historic, and architectural history within San Juan County through the creation of the San Juan County Historic Preservation Advisory Board: and WHEREAS, the San Juan County Historic Preservation Advisory Board has made a recommendation to the Board of County Commissioners in favor of designating a particular site or sites as a Historic Landmark or Historic District; and WHEREAS, the Board of County Commissioners concurs with the recommendation of the San Juan County Historic Preservation Advisory Board. NOW THEREFORE, BE IT RESOLVED by the Board of Commissioners of San Juan County, that the Denver and Rio Grande Western Railroad narrow gauge Boxcar #3101 receive historic designation and be listed on the San Juan County's Historic Register. READ. PASSED AND ADOPTED this 28th day of September, 2022 by the Board of Commissioners of San Juan County, Colorado. Attest: Scott Fetchenhier, Chair Ernest F. Kuhlman Ladonna L. Jaramillo Clerk and Recorder Austin Lashley San Juan Regional Planning Commission SAN JUAN COUNTY TOWN OF SILVERTON Silverton, Colorado 81433 P.O. Box 223 September 20, 2022 Board ofCounty Commissioners San Juan County Silverton, CO 81433 Members of the Commission: RE: Nomination for Listing on San Juan County's Historic Register Denver & Rio Grande Western Railroad Narrow Gauge Boxcar #3101 At the regular meeting of the San Juan Regional Planning Commission on September 20, 2022, members of that Commission held a meeting to discuss the Nomination for listing on the San Juan County's Historical Register for Denver & Rio Grande Western Railroad Narrow Gauge Boxcar #3101. After discussion and background of the project nomination, the Planning Commission voted unanimously to recommend to the San Juan County Commissioners that you approve the nomination for listing on the San Juan Count's Historic Register the Denver & Rio Grande Western Railroad Narrow Gauge Boxcar #3101. Thank you for considering this recommendation, Sincerely, The Planning Commission Members and James Weller Chairman NOMINATION FORM FOR LISTING ON SAN JUAN COUNTY'S HISTORIC REGISTER 1. Legal description: Denver & Rio Grande Western Railroad (D&RGW) narrow gauge Boxcar #3101 Ifyou are nominating a mine site, use the claim name and survey number as well as the historical mine name. Ify you are nominating a district (such as a townsite), include all claims and/or historical boundary information. Map references may be included as part of the legal description. 2. Owner of the nominated property: Durango Railroad Historical Society (DRHS), PO Box 654, Durango, CO 81302 3. Owner's signature ofa approval for nomination (not needed for historic sites on public land): George F. Niederauer, treasurer of DRHS - hy7hsih 4. The following information is attached: NO Signature sheet for property owners within a district YES Photograph(s) YES Map NO Nomination justification NO Historic structure inventory form(s) (structures can be buildings, dumps, tailings piles, mill foundations, railroad beds, trails) YES Supporting information (drawings, historic photographs, oral history, newspaper articles, bibliography): references. State Site Number: Site Name: Township 41, Range 7, Section Number 17, and USGS Quad Name: Silverton, 7.5 min, 1955; 107.6638 W, 37.8076 N, based on a Google map. Location: (distance and direction from Silverton): Boxcar 3101 currently (31 August 2022) is located at 855 CR 18, Gunnison, on the estate of] Jim Coleman. The family has donated it to DRHS, and iti is expected to be moved to the DRHS railcars display track before the end of September 2022 - as soon as arrangements can be made. It will be on the DRHS railcar display track between the D&SNG depot on 10th Street and the Silverton Northern Engine 1 House at 817 Cement Street, and just behind Bill Jones house (old SN depot) at 416 10th Street. Date of Construction (Inclusive dates can be given for structures or districts built over a number ofyears): Denver & Rio Grande (D&RG, which became D&RGW in 1921) ordered 750 boxcars in the series 3000-3749 from American Car and Foundry in 1903, and they began to arrive in early 1904. The cars were completely rebuilt in 1926, reusing the metal parts from the old cars and replacing all wood parts. Condition (example: ruins, abandoned, intact, stabilized): Boxcar 3101 is intact and in good shape. The running board and platforms on the roof need replacing. A few sheathing boards need replacing. The top of the brake shaft was cut off for transporting, and the brake wheel is missing, both ofwhich are located with the car. It needs new paint and lettering. Use (briefly note the structure's original use and its present use): Boxcars were used extensively over the entire D&RG (D&RGW from 1921) narrow gauge system, as well as on the Rio Grande Southern and the smaller railroads serving Silverton. They were used to ship a wide array ofdry commodities, including agricultural products such as beans, building materials (including lumber, hence the small door on one end), high-grade ore, bullion and ore concentrates, and less-than-carload-lot (LCL) such as consumer goods, industrial equipment, mining machinery and parts. During the gas and oil boom of the 1950s and 1960s, they were also used to deliver "drilling mud" to Farmington. Its present use, since about 1970) is as a collection item on the Jim Coleman property in Gunnison. Jim Coleman was a scrapper for the D&RGW line between Chama and Durango and saved this car is the best he saw at the time. General site description: Boxcar 3101 currently is located at 855 CR 18, Gunnison, on the estate of Jim Coleman. The family has donated it to DRHS, and it is expected to be moved to the DRHS railcars display track before the end of September 2022, as soon as arrangements can be made. The it will be under a car shed on the DRHS railcar display track between the D&SNG depot on 10th Street and the Silverton Northern Engine House at 817 Cement Street, and just behind Bill Jones house at 416 10th Street. Materials (examples: rough-cut wood trestle, oxidized rock dump, log cabin, concrete foundation, wood frame house): Boxcars have wood frames and superstructure. Trucks, couplers, brake gear, steps, handholds, and other hardware are steel. NOTE: Use additional pages if needed for district Historical Significance (briefly discuss the history of the site as it relates to the themes of mining, transportation, frontier life): Boxcars, the most ubiquitous railcars for hauling general freight, are symbolic in representing historic Colorado narrow-gauge railroading, specifically their roles played in supporting the mining, railroad, agricultural, construction, and commercial businesses. They were pivotal to the successful economic development of 2 early Colorado communities, especially in the formidable mountains. They were much more effective than wagons and pack animals for transporting goods. For decades they performed the pervasive roles that trucks on modern highways do today. Boxcar 3101 was known to be in both Durango and Silverton (see photo section). Boxcar 3101 References Robert E. Sloan, A Century + Ten of D&RGW Narrow Gauge Freight Cars, 1871 to 1981, 2nd ed., 2008. [Primary reference] Robert L. Grandt, Narrow Gauge Pictorial, Gondolas, Boxcars and Flatcars ofthe D&RGW, Vol. III, 1984. Includes photos of 3600-3649 series boxcars] Tim Mulina & Rick Blanchard, Quick Pic Book: Denver & Rio Grande Western Narrow Gauge 3000 Series Boxcars, 2nd ed., 2003. Boxcar 3101 Photographs Photo of Boxcar 3101 in Silverton; no other information on the Friends of C&TS website. -Dorman Collection 3 00. 5 -26-67 a 1 - a Two photos of Boxcar 3101 at 855 CR 18, Gunnison. Printed on the air reservoir is evidence that the car was in Durango on 26 May 1967. --Leighton Moreland 4 Boxcar 3101 Maps SILVERTON BM9305 D&S Depot Display Track SN Engine House Silverton Quadrangle, 7.5 minute, 1955 (poor quality; apparently USGS lost the original and is making copies from a file copy, as marked on the map) 5 & TOh a aIdSN Depot & & properly: A - boundary & 9h - à 2 DiS s o A / E Two caon Location of 3101 Tracis - hed by 1 Oct 2022 E1c Peici N Reiseo SNE Dasproperty S nge ouse 3 - Google aerial photo annotated by George Niederauer of planned location for Boxcar 3101 in Silverton when it is moved from Gunnison in September 2022. 6 DR 8400 (03/10/22) Fees Due COLORADO DEPARTMENT OF REVENUE Liquor Enforcement Division Renewal Fee 550.00 Submit to Local Licensing Authority Storage Permit $100) X $ Sidewalk Service Area $75.00 $ OPUS HUT Additional Optional Premise Hotel & $ PO BOX 833 Restaurant $100 X Ophir CO 81426 Related Facility Campus Liquor $ Complex $160.00 per facility Amount Due/Paid $ Make check payable to: Colorado Department of Revenue. The State may convert your check to a one- time electronic banking transaction. Your bank account may be debited as early as the same day received by the State. lfconverted. your check will not ber returned. lfyour check is rejected due to insufficient or uncollected funds. the Department may collect the payment amount directly from your banking account electronically. Retail Liquor or Fermented Mait Beverage License Renewai Application Please verify & update all information below Return to city or county licensing authority by due date Licensee Name Doing Business As Name (DBA) OPUS HUT LLC OPUS HUT Liquor License # License Type 03-03330 Tavern (county) Sales Tax License Number Expiration Date Due Date 02558823-0000 09/16/2022 08/02/2022 Business Address Phone Number 3660 COUNTY ROAD 8 Silverton CO 81433 9707080092 Mailing. Address Email PO BOX 833 Ophir CO 81426 OPMRBBYG GMAIL.Com Operating Manager Date of Birth Home Address Phone Number RBERT / 3 164 AuRon Po BL 4633 320-728-8710 1. Do you have legal possession of the oremises at the street address above? Yes No Are the premises owned or rented? Owned Rented* *If rented, expiration date oflease, 2. Are you renewing a storage permit, additional optional premises, sidewalk service area, or related facility? If yes, please see the table in upper right hand corner and include all fees due. Yes No 3a. Are you renewing a takeout and/or delivery permit? (Note: must hold a qualifying license type and be authorized for takeout and/or delivery license privileges) Yes No 3b. Ifso, which are you renewing? Delivery Takeout Both Takeout and Delivery 4a. Since the date of filing of the last application, has the applicant, including its manager, partners, officer, directors, stockholders, members (LLC), managing members (LLC), or any other person with a 10% or greater financial interest in the applicant, been found in final order of a tax agency to be delinquent in the payment of any state orl local taxes, penalties, or interest related to a business? Yes X No 4b. Since the date of filing of the last application, has the applicant, including its manager, partners, officer, directors, stockholders, members (LLC), managing members (LLC), or any other person with a 10% or greater financial interest in the applicant failed to pay any fees or surcharges mposed pursuant to section44-3-503, C. R.S.? Yes No 5. Since the date of filing of the last application, has there been any change in financial interest (new notes, loans, owners, etc.) ) or organizational structure (addition or deletion of officers, directors, managing members or general partners)? If yes, explain in detail and attach a listing of all liquor businesses in which these new lenders, owners (other than licensed tinancial institutions), otticers, directors, managing members, or general partners are materially interested. Yes No 6. Since the date of filing of the last application, has the applicant or any of its agents, owners, managers, partners or lenders (other than licensed financial institutions) been convicted of a crime? If yes, attach a detailed explanation. Yes No 5 DR 8400 (03/10/22) COLORADO DEPARTMENT OF REVENUE Liquor Enforcement Division 7. Since the date of filing of the last application, has the applicant or any ofi its agents, owners, managers, partners or lenders (other than licensed financial institutions) been denied an alcohol beverage license, had an alcohol beverage license suspended or revoked, or had interest in any entity that had an alcohol beverage license denied, suspended or revoked? If yes, attach a detailed explanation. Yes No 8. Does the applicant or any of its agents, owners, managers, partners or lenders (other than licensed financial institutions) have a direct or indirect interest in any other Colorado liquor license, including loans to or from any licensee or interest in a loan to any licensee? Ify yes, attach a detailed explanation, Yes No Affirmation & Consent declare under penalty of perjury in the second degree that this application and all attachments are true, correct and complete to the best of my knowledge. Type or Print Name of ApplicanVAuthorized, Agent of Business Title OPERI ReEpr - KINLER OWNER MANAGEE > ECANPLER Signature Date 422 Report & Approval of City or County Licensing Authority Thet foregoing application has been examined and the premises, business conducted and character of the applicant are satisfactory, and we dol hereby report that such license, if granted, will comply with the provisions of Title 44, Articles 4 and 3, CF R.S., and Liquor Rules, Therefore this application is approved. Local Licensing Authority For Date Signature Title Attest 6 DR 8400 (03/10/22) Fees Due COLORADO DEPARTMENT OF REVENUE Liquor Enforcement Division Submit to LocalLicensing Authority Renewal Fee 550.00 Storage Permit $100 X. $ Sidewalk Service Area $75.00 $ COLUMBINE ROADHOUSE LLC Additional Optional Premise Hotel & $ P.O. BOX 647 Restaurant $100) X Silverton CO 81433 Related Facility Campus Liquor $ Complex $160.00 per facility Amount Due/Paid 5 e Make check payable to: Colorado Department of Revenue. The State may convert your check to a one- time electronic banking transaction. Your bank account may be debited as early as the same day received by the State. Ifc converted, your check willi not be returned. lfyour check is rejected due toi insufficient or uncollected funds: the Department: may collect the payment amount directly from your banking account electronically. Retail Liquor or Fermented Malt Beverage License Renewal Application Please verify & update all information below Return to city or county licensing authority by due date Licensee Name Doing Business As Name (DBA) COLUMBINE ROADHOUSE LLC COLUMBINE ROADHOUSE LLC Liquor License # License Type 03-10254 Tavem (county) Sales Tax License Number Expiration Date Due Date 398146650000 11/19/2022 10/05/2022 Business Address Phone Number 71450 HIGHWAY: 550 Silverton CO 81433 8085577349 Mailng Address Email P.O. BOX 647 Silverton CO 81433 Operating Manager Date of Birth Home Address Phone Number ARK ICFANAZN 7/-1 Huey 550 SiwvERkwLo 87433 302 377-6716 1. Do you have legal possession of the premises at the street address above? Yes No Are the premises owned or rented? Owned Rented* *if rented, expiration date oflease 2. Are you renewing a storage permit, additional optional premises, sidewalk service area, or related facility? If yes, please see the table in upper right hand corner and include alli fees due. Yes No 3a. Are you renewing a takeout and/or delivery permit? (Note: must hold a qualifying license type and be authorized for takeout and/or delivery license privileges) Yes No 3b. Ifs so, which are you renewing? Delivery Takeout Both Takeout and Delivery 4a. Since the date of filing of the last application, has the applicant, including its manager, partners, officer, directors, stockholders. members (LLC), managing members (LLC), or any other person with a 10% or greater financial interest in the applicant, been found in final order of at tax agency to be delinquent in the payment of any state or local taxes, penalties, or interest related to a business? Yes No 4b. Since the date of filing of the last application, has the applicant, including its manager, partners, officer, directors, stockholders, members (LLC), managing members (LLC), or any other person with a 10% or greater financial interest in the applicant failed to pay any fees or surcharges imposed pursuant to section 44-3-503, C.R.S.? Yes No 5. Since the date of filing of the last application, has there been any change in financial interest (new notes, loans. owners, etc. ) or organizational structure (addition or deletion of officers, directors, managing members or general partners)? If yes, explain in detail and attach a lisling of all liquor businesses in which these new lenders, owners (other than licensed finaricial inslilulions), officers, directors, managing members, or general partners arel materially interested. Yes No 6. Since the date of filing of the last application, has the applicant or any of its agents, owners, managers, partners or lenders (other than licensed financial institutions) been convicted of a crime? If yes, attach a detailed explanation. Yes No 5 DRE 8400 (03/10/22) COLORADO DEPARTMENT OF REVENUE Liquor Enforcement Division 7. Since the date of filing of the last application, has the applicant or any of its agents, owners, managers, partners or lenders (other than licensed financial institutions) been denied an alcohol beverage license, had an alcohol beverage license suspended or revoked, or had interest in any entity that had an aicohol beverage license denied, suspended or revoked? Ify yes, attach a detailed explanation. Yes No 8. Does the applicant or any of its agents, owners, managers, partners or lenders (other than licensed financial institutions) have a direct or indirect interest in any other Colorado liquor license, including loans to or from any licensee or interest in a loan to any licensee? If yes, attach adetailed explanation. Yes No Affirmation & Consent declare under penalty of perjury in the second degree that this application and all attachments are true, correct and complete to the best of my knowledge. Type or Print Name of Applicant/Authorized Agent of Business Title MARK L Mc FADAEN NER Signature Date % a % -/6 -32 Report & Approval of City or County Licensing Authority Thei foregoing application has been examined and the premises, business conducted and character oft the applicant are satisfactory, and we do hereby report that such license, ifg granted, will comply with the provisions of Title 44, Articles 4 and 3, C.R.S., and Liquor Rules. Therefore this application is approved. Local Licensing Authority For Date Signature Title Attest DRE 8400 (03/10/22) Fees Due COLORADO DEPARTMENT OF REVENUE Liquor Entorcement Division Renewal Fee 550.00 Submit to Local Licensing Authority Storage Permit $100 X. $ Sidewalk Service Area $75.00 $ OPUS HUT Additional Optional Premise Hotel & $ PO BOX 833 Restaurant $100X Ophir CO 81426 Related Facility Campus Liquor $ Complex $160. 00 per facility Amount Due/Paid $ Make check payabie to; Colorado Department of Revenue. The State may convert your check to a one- time electronic banking transaction Your bank account may be debited as early as the same day received by the State. Ifconverted. your check will not be returned. Ifyour check is rejected due to insufficient or uncollected funds. the Department may collect the payment amount directly from your banking account electronically. Retail Liquor or Fermented Mait Beverage License Renewal Application Please verify & update all information below Return to city or county licensing authority by due date Licensee Name Doing Business As Name (DBA) OPUS HUT LLC OPUS HUT Liquor License # License Type 03-03330 Tavern (county) Sales Tax License Number Expiration Date Due Date 02558823-0000 09/16/2022 08/02/2022 Business Address Phone Number 3660 COUNTY ROAD 8 Silverton CO 81433 9707080092 Mailing Address Email POI BOX 833 Ophir CO 81426 RMRRBYG GMAIL.Co Operating Manager Date of Birth Home Address Phone Number RPERT A SEh ARo Po L 4633 B20-728-8710 1. Do you have legal possession of the premises at the street address above? Yes No Are the premises owned or rented? Owned Rented* *If rented, expiration date oflease 2. Arey you renewing a storage permit, additional optional premises, sidewalk service area, or related facility? If yes. please see the table in upper right hand corner and include all fees due. Yes * No 3a. Are you renewing a takeout and/or delivery permit? (Note: must hold a qualifying license type and be authorized for takeout and/or delivery license privileges) Yes No 3b Ifso. which are you renewing? Delivery Takeout Both Takeout and Delivery 4a, Since the date of filing of the last application. has the applicant, including its manager, partners. officer directors, stockholders, members (LLC), managing members (LLC). or any other person with a 10% or greater financial interest in the applicant, been found in final order of a tax agency to be delinquent in the payment of any state or local taxes, penalties, or interest related to a business? Yes X No 4b Since the date of filing of the last application, has the applicant, ncluding its manager, partners, officer directors, stockholders, members (LLC), managing members (LLC), or any other person with a 10% or greater financial interest in the applicant failed to pay any fees or surcharges imposed pursuant to section44-3-503, C RS? Yes No 5 Since the date of filing of the last application, has there been any change in financial interest (new notes, loans, owners, etc.) or organizational structure (addition or deletion of officers, directors, managing members or general partners)? If yes, explain in detail and attach a listing of all liquor businesses in which these new lenders: owners (other than licensed tinancial institutions), otticers, directors, managing members: or general partners are materially interested. Yes No 6 Since the date of filing of the last application, has the applicant or any of its agents, owners, managers, partners or lenders (other than licensed financial institutions) been convicted of a crime? If yes. attach a detailed explanation. Yes No 5 DR 8400 (03/10/22) COLORADOI DEPARTMENT OF REVENUE Liquor Enforcement Division 7. Since the date of filing of the last application, has the applicant or any ofi its agents, owners, managers, partners or lenders (other than licensed financial institutions) been denied an alcohol beverage license, had an alcohol beverage license suspended or revoked, or had interest in any entity that had an alcohol beverage license denied, suspended or revoked? If yes attach a detailed explanation. Yes No 8. Does the applicant or any of its agents, owners, managers, partners or lenders (other than licensed financial institutions) have a direct ori indirect interest in any other Colorado liquor license, including loans to or from any licensee or interest in a loan to any licensee? Ify yes, attach a detailed explanation Yes No Affirmation & Consent I declare under penalty of perjury in the second degree that this application and all attachments are true correct and comple ete to the best of my knowledge. Type or Print Name of Applicant/Authorized Agent of Business Title OWERI RGERr KINLER OWNER MANAGEE > ICANPLER Signature Date 422 Report & Approval of City or County Licensing Authority The foregoing application has been examined andi the premises, business conducted and character oft the applicant are satisfactory and we do hereby report that such license. if granted. will comply with the provisions of Title 44 Articles 4 and 3 CF R: S and Liquor Rules Therefore this application is approved. Local Licensing Authority For Date Signature Title Attest DR 8400 (03/10/22) Fees Due COLORADO DEPARTMENT OF REVENUE Liquor Enforcement Division Submit to Local Licensing Authority Renewal Fee 550.00 Storage Permit $100 X $ Sidewalk Service Area $75.00 $ COLUMBINE ROADHOUSE LLC Additional Optional Premise Hotel & $ P.O. BOX 647 Restaurant $100 X Silverton CO 81433 Related Facility Campus Liquor $ Complex $160.00 per facility Amount Due/Paid $ Make check payable to: Colorado Department of Revenue, The State may convert your check to a one- time electronic banking transaction. Your banks account may be debited as early ast the same day received by the State. Ifo converted, your check will not be retumed. fyour check is rejected due to insufficient or uncollected funds. the Department may collect the payment amount directly from your banking account electronically. Retail Liquor or Fermented Malt Beverage License Renewal Application Please verify & update all information below Return to city or county licensing authority by due date Licensee Name Doing Business As Name (DBA) COLUMBINE ROADHOUSE LLC COLUMBINE ROADHOUSE LLC Liquor License # License Type 03-10254 Tavem (county) Sales Tax License Number Expiration Date Due Date 398146650000 11/19/2022 10/05/2022 Business Address Phone Number 71450 HIGHWAY 550 Silverton CO 81433 8085577349 Mailing Address Email P.O. BOX 647 Silverton CO 81433 Operating Manager Date of Birth Home Address Phone Number ARK IcEALAZN /- Suy 550 SiuverkwLo 81433 30 377 -676 1, Do you have legal possession of the premises at the street address above? Yes No Are the premises owned or rented? Owned Rented* *If rented, expiration date oflease 2. Are you renewing a storage permit, additional optional premises. sidewalk service area or related facility? If yes, please see the table in upper right hand corner and include alli fees due. Yes No 3a. Are you renewing a takeout and/or delivery permit? (Note: must hold a qualifying license type and be authorized for takeout and/or delivery license privileges) Yes No 3b Ifso, which are you renewing? Delivery Takeout Both Takeout and Delivery 4a. Since the date of filing of the last applicatlon, has the applicant, including ts manager, partners, officer, directors, stockholders members (LLC), managing members (LLC), or any other person with a 10% or greater financial interest in the applicant, been found in final order of a tax agency to be delinquent in the payment of any state or local taxes: penalties or interest related to a business? Yes No 4b: Since the date of filing of the last application, has the applicant, including its manager, partners, officer. directors stockholders. members (LLC). managing members (LLC), or any other person with a 10% or greater financial interest in the applicant failed to pay any fees or surcharges imposed pursuant to section44-3-503, C.F R.S.? Yes No 5. Since the date of filing of the last application, has there been any change in financial interest (new notes, loans. owners, etc.) or organizational structure (addition or deletion of officers, directors, managing members or general partners)? If yes. explain in detail and attach a listing of all liquor businesses inl which these new lenders. owners (other lhan licensed fnancial inslitulions). officers. directors, managing members, or general partners are materially interested. Yes No 6. Since the date of filing of the last application. has the applicant or any of its agents. owners. managers. partners or lenders (other than licensed financial nstitutions) been convicted of a crime? If yes. attach a detailed explanation. Yes - No 5 DR 8400 (03/10/22) COLORADO DEPARTMENT OF REVENUE Liquor Enforcement Division 7. Since the date of filing of the last application, has the applicant or any of its agents, owners, managers. partners or lenders (other than licensed financial institutions) been denied an alcohol beverage license, had an alcohol beverage license suspended or revoked, or had interest in any entity that had an aicohol beverage license denied, suspended or revoked? If yes, attach a detailed explanation. Yes No 8. Does the applicant or any of its agents, owners, managers, partners or lenders (other than licensed financial institutions) have a direct or indirect interest in any other Colorado liquor license, including loans to or from any licensee or interest in a loan to any licensee? If yes, attach adetailed explanation. Yes No Affirmation & Consent declare under penalty of perjury in the second degree that this application and all attachments are true. correct and complete to the best of my knowledge. Type or Print Name of ApplicantAuthorized Agent of Business Title MARK MCA FADAEN ONER Signature Date - % -/6 32 Report & Approval of City or County Licensing Authority Thei foregoing application has been examined and the premises. business conducted and character oft the applicant are satisfactory. and we do hereby report that such license, if granted, wili comply with the provisions of Title 44, Articles 4 and 3, C. RS and Liquor Rules. Therefore this application is approved. Local Licensing Authority For Date Signature Title Attest - 2 SAN JUA - COUNTY PROPERT) ASSESSMENT TID WILDROSE Audit Division WILDROSE Audit Division September 15, 2022 Ms. Natalie Mullis Director of Research Colorado Legislative Council Room 029, State Capitol Building Denver, Colorado 80203 RE: Final Report for the 2022 Colorado Property Assessment Study Dear Ms. Mullis: Wildrose Appraisal Inc. Audit Division is pleased to submit the Final Reports for the 2022 Colorado Property Assessment Study. These reports are the result of two analyses: A procedural audit and a statistical audit. The procedural audit examines all classes of property. It specifically looks at how the assessor develops economic areas, confirms and qualifies sales, develops time adjustments and performs periodic physical property inspections. The audit reviews the procedures for determining subdivision absorption and subdivision discounting. Valuation methodology is examined for residential properties and commercial properties. Procedures are reviewed for producing mines, oil and gas leaseholds and lands producing, producing coal mines, producing earth and stone products, severed mineral interests, and non- producing patented mining claims. Statistical audits are performed on vacant land, residential properties, commerdal/industrial properties and agricultural land. A statistical analysis is performed for personal property compliance on the eleven largest counties: Adams, Arapahoe, Boulder, Denver, Douglas, El Paso, Jefferson, Larimer, Mesa, Pueblo and Weld. The remaining counties receive a personal property procedural study. Wildrose Appraisal Inc. Audit Division appreciates the opportunity to be of service to the State of Colorado. Please contact us with any questions or concerns. Harry J. Fuller Project Manager Wildrose Appraisal Inc. Audit Division WILDROSE - Audit Division TABLE OF CONTENTS Introduction 3 Regional/Historical Sketch of San Juan County 4 Ratio Analysis. 6 Time Trending Verification 8 Sold/Unsold Analysis 9 Agricultural Land Study 11 Agricultural Land 11 Agricultural Outbuildings 12 San Juan County is exemptfrom the Agricultural Land Under Improvements Study 13 Sales Verification. 14 Economic Area Review and Evaluation 16 Natural Resources 17 San Juan County is exempt_from the Natural Resources Study. 17 Vacant Land.. 18 San Juan County is exemprfrom the Vacant Land Subdivision Discount Study. 18 Possessory Interest Properties 19 Personal Property Audit. 20 Wildrose Auditor Staff. 22 Appendices 23 WILDROSE Audit Division INTRODUCTION The procedural analysis includes all classes of Colorado property and specifically looks at how the assessor develops economic areas, confirms and qualifies sales, and develops time The State Board of Equalization (SBOE) adjustments. The audit also examines the procedures for reviews assessments for conformance to the adequately discovering, classifying and Constitution. The SBOE will order valuing agricultural outbuildings, revaluations for counties whose valuations do discovering subdivision build-out and subdivision not reflect the proper valuation period level of value. discounting procedures. Valuation methodology for vacant land, improved The statutory basis for the audit is found in residential properties and commercial C.R.S. 39-1-104 (16)(a)(b) and (c). properties is examined. Procedures for producing mines, oil and gas leaseholds and The legislative council sets forth two criteria lands producing, producing coal mines, producing earth and stone severed that are the focus ofthe audit group: products, mineral interests and non-producing patented mining claims are also reviewed. To determine whether each county assessor is applying correctly the constitutional and Statistical analysis is performed on vacant land, statutory provisions, compliance requirements residential commerdal/industrial of the State Board of Equalization, and the properties, manuals published by the State Property Tax properties, agricultural land, and personal property. The statistical study results are Administrator to arrive at the actual value of compared with State Board of each class of property. Equalization compliance requirements and the manuals published the State Property Tax determine by To if each assessor is applying Administrator. correctly the provisions of law to the actual values when arriving at valuations for Wildrose Audit has completed the Property assessment of all locally valued properties Assessment Study for 2022 and is to to pleased subject the property tax. report its findings for San Juan County in the The property assessment audit conducts a two- following report. part analysis: A procedural analysis and a statistical analysis. WILDROSE aU Audit Division REGIONAL HISTORICAL SKETCH OF SAN JUAS COUNTY Gunnison, Hinsdale, Jackson, La Plata, Mesa, Moffat, Montezuma, Montrose, Ouray, Pitkin, San Juan County is located in the Western Rio Blanco, Routt, San Juan, San Miguel, and Slope region of Colorado. The Western Slope Summit counties. of Colorado refers to the region west of the Rocky Mountains. It includes Archuleta, Delta, Dolores, Eagle, Garfield, Grand, Walden C LOGAN g 36 Hckyoke 48 MOFFAT ROUTT IACKSON LARIMER WELD Slerkrg PHILUPS 41 Caig 54 29 35 62 R Colins Steembcat Spgs Greevey MORGAN Awren Meeker 7 44 Way CRAND BOLLDER Funt Maigan RIO BLANCO 25 C Suchu + CNFED YUMA $3 62 AS syr e ADAMS WASHINGTON Eagke Geider 61 CALEK -OENVER EAGLE G E ARAPAHOE GARFIELD SUMMIT 23 Grerwoca Spgs 19 59 'Brs 4 Faarpt 30 Cape RO hiowa 20 Bermgton PITKIN 4 Vie DOUGLAS ELSERT Grand Juncton 49 Aipen KE Farçlay 19 Hige KIT CARSON 5K PARK 32 47 TELLER LINCOLN Cheyenne MESA DELTA 60 Coxraco Spgs 37 39 16 CHEVENNEA * Dene Grepie ELI PASO GUNNISON CHAFFEE eA 21 Monrose 26 Snse Eads Gunnison MONTROSE FREMONT. KIOWA 31 43 22 CananCy Fueblo CROWLEY OURA SAGUACHE Wegtciife PUEBLO 19p LesAamas 46 56 Saguacie CUSTER 51 amar SAN MICUEL ay HINSDALE Luke 14 La vens Cove Creek 57 7enur de 27 OTERO BENT 6 PROWERS 5E Creece 46 50 DRLORES ATLRV MINERAL HUERFANO 40 CeiNorte 28 Serngfiele Corlez RIOCRANDE ALAMOSA Vanserbug, 53 Auhe Eurarge MONTEZUMA LAPLATA Pagosa Spgs rosTI A Tancce LAS ANIMAS BACA 3 34 ARCHULETA CONEJOS 12 36 5 4 "cersa Saniuis WILDROSE I Audit Division isioen Information San Juan County has approximately 387.5 conditions in their pursuit of the minerals they square miles and an estimated population of hoped would make them rich. approximately 728 people, according to the u.s. Census Bureau's 2020 estimated census Not all who settled were miners. By 1875 the data. This represents a 4.1 percent change 100 sturdy souls who lived in Silverton proper from April 1, 2010 to July 1, 2019. worked in the post office, sawmills, blacksmith shop, mercantile, newspaper, liquor stores, San Juan County is the least populous of the 64 smelters, assay offices. The town's population Colorado counties. The locale is recognized grew to 500 by 1876. In addition to the worldwide for premier big game hunting and miners, Silverton caught the eye of a railroad for abundant fishing, particularly in the quality company in Denver. In July 1882 the first train waters of the three rivers (Animas, La Plata, & operated by the Denver & Rio Grande Railroad San Juan River), which flow through the area. rolled in to Silverton from Durango. By 1883, Numerous outdoor activities may be enjoyed Silverton boasted of having a population of year round. 2,000 people with 400 buildings. The Town of Silverton is a Statutory Town that Silverton offers a variety of unique attractions is the county seat of, and the only incorporated for visitors, including the Silverton Brass Band, municipality in, San Juan County. The gun fight reinactments, a local theater group, Silverton district opened legally to miners in the Mining Heritage Center, Mayflower Gold 1874, following the Brunot Treaty with the Mill Tour, Old Hundred Gold Mine Tour, Utes. An estimated 2,000 men moved into the Durango & Silverton Narrow Guage Railroad, region that year. They came from across the Bar D Chuckwagon, stage coach rides, u.S., many parts of Europe and even China, to Silverton Hillside Cemetary, and The Christ of endure severe winters and dangerous mining the Mines Shrine. Galrertoncolorado.com, www.wikpedia.org. www.sjcounty. net) WILDROSE a Audit Division RATIO ANAIYSIS trimming to ensure that only true outliers were excluded. Any county with a significant All significant classes of property were portion of sales excluded this Sales by trimming analyzed. were collected for each method was examined further. No county was property class over the eighteen month period allowed to pass the audit if more than 5% of from January 1, 2019 through June 30th, 2020. the sales were "lost" because of trimming. Property classes with less than thirty sales had the sales period extended in six month All sixty-four counties were examined for increments up to an additional forty-two compliance on the economic area level. Where months. If this extended sales period did not there were sufficient sales data, the produce the minimum thirty qualified sales, the neighborhood and subdivision levels were Audit performed supplemental appraisals to tested for compliance. Although counties are reach the minimum. determined to be in or out of compliance at the class level, non-compliant economic areas, Although it was required that we examine the neighborhoods and subdivisions (where median and coefficient of dispersion for all applicable) were discussed with the Assessor. counties, we also calculated the weighted mean and price-related differential for each class of Data on the individual economic areas, property. Counties were not passed or failed neighborhoods and subdivisions are by these latter measures, but were counseled if found in the STATISTICA AL APPENDIN there were anomalies noted during our analysis. Qualified sales were based on the qualification code used by each county, which were typically coded as either "Q" or "C." The For this final analysis report, the minimum ratio analysis included all sales. The data was acceptable statistical standards allowed the trimmed by for counties with obvious outliers State Board of Equalization are: using IAAO standards for data analysis. In every case, we examined the loss in data from ALLOWABLE STANDARDS RATIO GRID Unweighted. Coefficient of Property Class Median Ratic Dispersion Commercainl Minitastral Between.95-1.05 Less than 20.99 Katicemimar Between.95-1.05 Less than 15.99 rgle Far Between.95-1.05 Less: than 15.99 aarl Ld Between .95-1.05 Less than 20.99 WILDROSE HI Audit Division The results for San Juan County are: San Juan County Ratio Grid Number of Unweighted Price Coefficient Qualified Median Related of Time Trend Property Class Sales Ratio Differential Dispersion Analysis -Commerchl/lmoutral N/A N/A N/A N/A N/A Single Family 38 1.006 1.013 5.8 Compliant ' acant Land N/A N/A N/A N/A N7A *Due to the small number gf sales, a procedural audit was performed After applying the above described with SBOE, DPT, and Colorado State Statute methodologies, it is concluded from the sales valuation guidelines. ratios that San Juan County is in compliance None WILDROSE s M : a Audit Division TIME TRENDING VFRITICATION trending adequately, and a further examination Methodology is warranted. This validation method also While we recommend that counties use the considers the number of sales and the length of inverted ratio regression analysis method to the sale period. Counties with few sales across account for market (time) trending, some the sale period were carefully examined to counties have used other IAAO-approved determine ifthe statistical results were valid. methods, such as the weighted monthly median onclusions approach. We are not auditing the methods used, but rather the results of the methods After verification and analysis, it has been used. Given this range of methodologies used determined that San Juan County has complied to account for market trending, we concluded with the statutory requirements to analyze the that the best validation method was to examine effects of time on value in their county. San the sale ratios for each class across the Juan County has also satisfactorily applied the appropriate sale period. To be specific, if a results of their time trending analysis to arrive county has considered and adjusted correctly at the time adjusted sales price (TASP). for market trending, then the sale ratios should RFGn T nas ao remain stable (i.e. flat) across the sale period. None If a residual market trend is detected, then the county may or may not have addressed market WILDROSE M Audit Division SOID/T UNSOID ANALYSIS Methodce . 5 or if there are other explanations for the observed difference. San Juan County was tested for the equal treatment of sold and unsold properties to that If the unsold have a median ensure "sales chasing" has not occurred. properties higher The auditors value per square foot than the sold employed a multi-step process to properties, determine if sold and unsold or if the median change in value is greater for properties were the unsold than the sold valued in a consistent manner. properties properties, the analysis is stopped and the county is concluded to be in with sold and We test the hypothesis that the assessor has compliance valued unsold properties consistent with what unsold guidelines. All sold and unsold is observed with the sold properties based on properties in a given class are first tested, several units of comparison and tests. The although properties with extreme unit values units of comparison include the actual value or percent changes can be trimmed to stabilize per the analysis. The median is the square foot and the change in value from the primary previous base year period to the current base comparison metric, although the mean can also year. The first test compares the actual value be used as a comparison metric if the per square foot between sold and unsold distribution supports that type of measure of properties by class. The median and mean central tendency. value per square foot is compared and tested for any significant difference. This is tested The first test (unit value method) is applied to both residential and commerial/industrial sold using non-parametric methods, such as the and unsold properties. The second test is Mann-Whitney test for differences in the distributions or medians between sold and applied to sold and unsold vacant land unsold groups. It is also examined graphically properties. The second test (change in value and from an appraisal perspective. Data can be method) is also applied to residential or stratified commercial sold and unsold if the based on location and subclass. The properties second test compares the difference in the first test results in a significant difference median change in value from the previous base observed and/or tested between sold and unsold properties. The third test year to the current base year between sold and (valuation unsold class. The modeling) is used in instances where the results properties by same from the first two tests indicate a combination of non-parametric and appraisal significant difference between sold and unsold testing is used as with the first test. A third test properties. It can also be used when the number of sold empluying a valuation model testing a sold/unsold binary variable while and unsold properties is SO large that the non- controlling for property attributes such as location, size, parametric testing is indicating a false rejection of the hypothesis that there is no difference age and other attributes. The model determines between the sold and unsold property values. if the sold/unsold variable is statistically and empirically significant. If all three tests indicate These tests were supported by both tabular and a significant difference between sold and unsold properties for a given graphics presentations, along with written class, the Auditor may meet with the county to documentation explaining the methodology used. determine if sale chasing is actually occurring, WILDROSE Mriirst Audit Division Sold/Unsold Results Property Class Results Commercal/Indumtrial N/A Condominium N/A Vacant Land N/A Conclusions Recommencations After applying the above described None methodologies, it is concluded that San Juan County is reasonably treating its sold and unsold properties in the same manner. WILDROSE M2i Audit Division AGRICULTURAL LAND STUDY s Subrlay TafueBy Subelass 3500 3000 2.500 2000 1500 1000 500 - f hlasdow Hay 103 0096 Agneurural Land County records were reviewed to determine Administrator (PTA), were applied properly. major land categories such as irrigated farm, (See Assessor Reference Library Volume 3 dry farm, meadow hay, grazing and other Chapter 5.) lands. In addition, county records were reviewed in order to determine if: Aerial - photographs are available and are being used; An analysis of the agricultural land data soil conservation guidelines have been used to indicates an acceptable appraisal of this classify lands based on productivity; crop property type. Directives, commodity prices rotations have been documented; typical and expenses provided by the PTA were commodities and yields have been determined; properly applied. County yields compared orchard lands have been properly classified and favorably to those published by Colorado valued; expenses reflect a ten year average and Agricultural Statistics. Expenses used by the are typical landlord expenses; grazing lands county were allowable expenses and were in an have been properly classified and valued; the acceptable range. Grazing lands carrying number of acres in each class and subclass have capacities were in an acceptable range. The been determined; the capitalization rate was data analyzed resulted in the following ratios: properly applied. Also, documentation was required for the valuation methods used and any locally developed yields, carrying capacities, and expenses. Records were also checked to ensure that the commodity prices and expenses, furnished by the Property Tax WILDROSE AIHASENE Audit Division San Juan County Agricultural Land Ratio Grid Number County County WRA Abstract Of Value Assessed Total Code Land Class Acres Per Acre Total Value Value Ratiol 14137 Meadow Hay 42 76 3,161 3,161 1.00 Total/Avg 42 75.77 3,161 3,161 1.00 None Agniniral ut tbufliding Property Taxation for the valuation of agricultural outbuildings. Data was collected and reviewed to determine if the guidelines found in the Assessor's 0117 Reference Library (ARL) Volume 3, pages 5.74 None through 5.77 were being followed. San Juan County has complied with the procedures provided by the Division of WILDROSE Arrses SCGREKE MIEI Audit Division San Juan County 15 exempt from the Agricultural Land Under Improvements Study WILDROSE Audit Division SALES VERIFICATION According to Colorado Revised Statutes: Part of the Property Assessment Study is the A representative body of sales is required when sales verification analysis. WRA has used the considering the market approach to appraisal. above-cited statutes as a guide in our study of the county's procedures and practices for (8) In any case in which sales prices of comparable verifying sales. properties within any class oI subclass are utilized when considering the market approach to appraisal in WRA reviewed the sales verification the determination of actual value gf any taxable procedures in 2022 for San Juan County. This property, the following limitations and conditions study was conducted by checking selected sales shalld apply: from the master sales list for the current valuation period. Specifically WRA selected 66 (a)(1) Use of the market approach shall require a sales listed as unqualified. representative body of sales, including sales by a lender or government, sufficient to set a pattern, and All of the sales in the unqualified sales sample appraisals shall reflect due consideration gf the had reasons that were clear and supportable. degree ofo comparability gfsales, including the extent gf similarities and dissimilarities among properties For residential, commercial, and vacant land that are compared for assessment purposes. In order sales with considerations over s100,000, the to obtain a reasonable sample and to reduce sudden contractor has examined and reported the ratio price changes or fluctuations, all sales shall be of qualified sales to total sales by class and included in the sample that reasonably reflect a true performed the following analyses of unqualified or typical sales price during the period specified in sales: section 39-1-104 (10.2). Sales ofr personal property exempt pursuant to the provisions gf sections 39-3- The contractor has examined the 102, 39-3-103, and 39-3-119 to 39-3-122 shall manner in which sales have been not be included in any such sample. classified as qualified or unqualified, including a listing of each step in the (b) Each such sale included in the sample shall be sales verification process, any coded to indicate a typical, negotiated sale, as adjustment procedures, and the county screened and verified by the assessor. (39-1-103, official responsible for making the final C.R.S.) decision on qualification. The assessor is required to use sales gf real property The contractor has reviewed with the only in the valuation process. assessor any analysis indicating that sales data are inadequate, fail to reflect (8)) Such true and typical sales shall include only typical properties, or have been those sales which have been determined on an disqualified for insufficient cause. In individual basis to reflect the selling price gfthe real addition, the contractor has reviewed property only or which have been adjusted on an the disqualified sales by assigned code. individual basis to reflect the selling price ofthe real If there appears to be any inconsistency property only. (39-1-103, C.R.S.) in the coding, the contractor has WILDROSE lyi- Audit Division conducted further analysis to agreed with the county's reason for determine if the sales included in that disqualifying each of the sales selected in the code have been assigned appropriately. sample. There are no recommendations or suggestions. Conclusions Recommendations San Juan County appears to be doing an None adequate job of verifying their sales. WRA WILDROSE UrusL SCORR" Audit Division ECONOMIC AREA REVIEW AD EVALUATION Mechodologs adequately identified homogeneous economic San Juan County has submitted a written areas comprised of smaller neighborhoods. Each economic area defined is narrative describing the economic areas that equally subject make the market to a set of economic forces that impact the up county's areas. San Juan value of the within that County has also submitted a map illustrating properties geographic area and this has been adequately addressed. these areas. Each of these narratives have been Each economic area defined read and analyzed for logic and appraisal adequately delineates an area that will give "similar values sensibility. The maps were also compared to similar 39 for similar properties in areas. the narrative for consistency between the written description and the map. a :as 103.5 a None After review and analysis, it has been determined that San Juan County has WILDROSE Audit Division NATURAL RESOURCES SanJuan County is exempt from theNatural Resources Studs WILDROSE EPR MAI INCORPOR TD Audit Division VACANT LAND San Juan County is exempt from the Vacant Land Subdivision Discount Stud. WILDROSE PP L Audit Division POSSESSORY INTEREST PROPERTIES Possessors Interest Possessory interest property discovery and and ski area possessory interest properties. valuation is described in the Assessor's The county has also been queried as to their Reference Library (ARL) Volume 3 section 7 confidence that the possessory interest in accordance with the requirements of properties have been discovered and placed on Chapter 39-1-103 (17)(a) (II) C.R.S. the tax rolls. Possessory Interest is defined by the Property onelasions Tax Administrator's Publication ARL Volume 3, Chapter 7: A private property interest in San Juan County has implemented a discovery government-owned property or the right to the process to place possessory interest properties on the roll. They have also and occupancy and use of any benefit in correctly govemment-owned property that has been consistently applied the correct procedures and granted under lease, permit, license, valuation methods in the valuation of concession, contract, or other agreement. possessory interest properties. Mlatines San Juan County has been reviewed for their None procedures and adherence to guidelines when assessing and valuing agricultural, commercial WILDROSE Audit Division PERSONAL PROPERTY AUDIT San Juan County was studied for its procedural compliance with the personal property San Juan County is compliant with the assessment outlined in the Assessor' s Reference guidelines set forth in ARL Volume 5 regarding Library (ARL) Volume 5, and in the State discovery procedures, using the following Board of Equalization (SBOE) requirements for methods to discover personal property the assessment of personal property. The accounts in the county: SBOE requires that counties use ARL Volume 5, including current discovery, classification, Public Record Documents documentation procedures, current economic MLS Listing and/or Sold Books lives table, cost factor tables, depreciation Chamber of Commerce/Economic table, and level of value adjustment factor Contacts Development table. Local Telephone Directories, The personal property audit standards narrative Newspapers or Other Local Publiçations must be in place and current. A listing of businesses that have been audited by the Personal Observation, Physical assessor within the twelve-month period Canvassing or Word of Mouth reflected in the plan is given to the auditor. Questionnaires, Letters and/or Phone The audited businesses must be in conformity Calls to Buyer, Seller and/or Realtor with those described in the plan. The county uses the Division of Property Aggregate ratio will be determined solely from Taxation (DPT) recommended classification the personal property accounts that have been and documentation procedures. The DPT's physically inspected. The minimum assessment recommended cost factor tables, depreciation sample is one percent or ten schedules, tables and level of value adjustment factor whichever is greater, and the maximum tables are also used. assessment audit sample is 100 schedules. San Juan County submitted their personal For the counties having over 100,000 property written audit plan and was current for population, WRA selected a sample of all the 2022 valuation period. The number and personal property schedules to determine listing of businesses audited was also submitted whether the assessor is correctly applying the and was in conformance with the written audit piovisions of law and manuals of the Property plan. Thc following audit triggers werc uscd Tax Administrator in arriving at the assessment by the county to select accounts to be audited: levels of such property. This sample was selected from the personal property schedules Businesses in a selected area audited by the assessor. In no event was the Accounts with obvious discrepancies sample selected by the contractor less than 30 New businesses filing for the first time schedules. The counties to be included in this Accounts with greater than 10% study are Adams, Arapahoe, Boulder, Denver, change Douglas, El Paso, Jefferson, Larimer, Mesa, Incomplete or inconsistent declarations Pueblo, and Weld. All other counties received Accounts with omitted property aj procedural study. WILDROSE Audit Division Businesses with no deletions or Conclusions additions for 2 or more years San Juan County has employed adequate Non-filing Accounts Best Information discovery, classification, documentation, Available valuation, and auditing procedures for their Accounts close to the $50,000 actual personal property assessment and is in value exemption status statistical compliance with SBOE requirements. Accounts protested with substantial Recommendations disagreement None WILDROSE AErRL biL LIK Audit Division WILDROSE AUDITOR STAFF Harry J. Fuller, Audit Project Manager Suzanne Howard, Audit Administrative Manager Steve Kane, Audit Statistician Carl W. Ross, Agricultural/Natura) Resource Analyst J. Andrew Rodriguez, Field Analyst WILDROSE Audit Division APPENDICES WILDROSE Audit Division STATISTICAL COMPLIANCE REPORT FOR SAN JUAN COUNTY 2022 I. OVERVIEW San Juan County is a rural mountain county located in southwestern Colorado. The county has a total of 1,053 real property parcels, according to data submitted by the county assessor' s office in 2022. The following provides a breakdown of property classes for this county: 600 Real Property Class Distribution 500 400 5 C 300 510 2001 374 100 111 58 Vacant Land Res Imp Comm Ind Imp Other type Based on the number of vacant land parcels in San Juan County, we were not required to analyze this class of property for audit compliance. For residential improved properties, single family properties accounted for 76.9% of all residential properties. Commercial and industrial properties represented a much smaller proportion of property classes in comparison, Commercial/industrial sales accounted for 5.5% of all real property parcels in this county. II. DATA FILES The following sales analyses were based on the requirements of the 2022 Colorado Property Assessment Study. Information was provided by the San Juan Assessor's Office in May 2022. The data included all 5 property record files as specified by the Auditor. WILDROSE Audit Division III. RESIDENTIAL SALES RESULTS A total of 38 qualified residential sales were analyzed for the 36 month period ending June 30, 2020. The following are the results of the sales ratio analysis: No. Sales Price Related Coefficient of Median Differential Dispersion 38 1.006 1.013 5.8 The above ratio statistics were in compliance with the standards set forth by the Colorado State Board of Equalization (SBOE) for the overall residential sales. Given the small number of sales, we did not perform a stratified sales ratio analysis. The following graphs describe further the sales ratio distribution for all of these properties: Sales Ratio Distribution Mear A 059 0 G ICC 1C CC salesratio WILDROSE Audit Division PRD Analysis 1.30 1.20 le 1.10 1.00 90 .80 $200,000 $400,000 $600,000 $800,000 TIMEADJPRICE The above graphs indicate that the distribution of the sale ratios was within state mandated limits, and that there were no significant price-related differential issues. Subclass 1212 PRD Analysis We next analyzed residential properties identified as 1212 using the state abstract code system. These include single family residences, town homes and purged manufactured homes. The following indicates the distribution of sales ratios across the sale price spectrum: PRD. Analysis 1.30 1.20 le 1.10 1.00 90 .80 $200.000 $400.000 5600,000 $800.000 TIMEADJPRICE WILDROSE Audit Division The Price-Related Differential (PRD) for all sales is 1.013, which is within the IAAO acceptable range for the PRD. We performed a regression analysis between the sales ratio and the assessor' s current value to further test for regressivity or progressivity in the residential sales valuation, as follows: Coefficients* Standardized Unstandardized Coefficients Coefficients Model B Std, Error Beta - Sig (Constant) 1.085 .045 24.192 000 CURRTOT 000000173 .000 -.234 -1.425 163 a. Dependent Variable: salesratio We also stratified the sales ratio analysis by the sale price range, as follows: Case Processing Summary Count Percent SPRec $150K to $200K 3 8.1% $200K to $300K 13 35.1% $300K to $500K 15 40.5% $500K to $750K 6 16.2% Overall 37 100.0% Excluded 0 Total 37 Ratio Statistics for CURRTOT I TASP Coefficient of Price Related Coefficient of Variation Group Median Differential Dispersion Median Centered $150K to $200K 1.163 999 035 5.4% $200K to $300K 1.014 999 .065 10.5% $300K to $500K 999 999 .037 5.0% $500K to $750K .998 1.000 .050 8.6% Overall 1.005 1.013 .059 9.0% The above results indicate no significant regressivity in the sale data. Residential Market Trend Analysis We next analyzed the residential dataset using the 60-month sale period, with the following results: Coefficients" Standardized Unstandardized Coefficients Coefficients Model B Std Error Beta Sig (Constant) 1.052 025 42.311 .000 SalePeriod -.002 .001 -.221 -1.357 .183 a. Dependent Variable: salesratio WILDROSE Audit Division Sales Ratio Market" Trend 1.30 1.20 1.10 1.00 90 80 10 20 30 40 TIMEADJPRICE The above analysis indicated that no residential market trend was present in the sale data. We concluded that the assessor has adequately addressed market trending for residential properties in San Juan County. Sold/Unsold Analysis In terms of the valuation consistency between sold and unsold residential properties, we compared the median actual value per square foot for 2022 between each group, both by class and by economic area, as follows: Report VALSF sold N Median Mean UNSOLD 467 $213 $219 SOLD 38 $233 $237 Hypothesis Test Summary Null Hypothesis Test Sig. Decision Independent- Samples Retain the The distribution of VALSF is the Mann- 029 null same across categories of sold Whitney U hypothesis Test Asymptotic significances are displayed. The significance level is 01 WILDROSE Audit Division Based on the above analysis, we concluded that sold properties were not valued at a rate greater that unsold properties. IV. COMMERCIAL/INDUSTRIAL SALE RESUILTS The County had less than ten qualified commercial sales for the June 30, 2020 valuation date. Consequently, a procedural analysis was performed by Wildrose staff for taxable year 2021. That procedural analysis is in effect for taxable year 2022. No other commercial analysis is required. V. CONCLUSIONS Based on this statistical analysis, there were no compliance issues concluded for San Juan County as of the date of this report. - a WILDROSE Audit Division Residential Median Ratio Stratification Subclass Case Processing Summary Count Percent ABSTRIMP 1212 30 78.9% 1215 1 2.6% 1216 6 15.8% 1236 1 2.6% Overall 38 100.0% Excluded U Total 38 Ratio Statistics for CURRTOT / TASP Coefficient of Price Related Coefficient of Variation Group Median Differential Dispersion Median Centered 1212 1.003 1.011 .061 9.2% 1215 1.018 1.000 .000 1216 1.013 1.027 .054 9.4% 1236 .998 1.000 .000 Overall 1.006 1.013 .058 8.8% Improvement Age Case Processing Summary Count Percent AgeRec Over 100 22 57.9% 75 to 100 1 2.6% 25 to 50 4 10.5% 5t to 25 11 28.9% Overall 38 100.0% Excluded 0 Total 38 Ratio Statistics for CURRTOT / TASP Coefficient of Price Related Coefficient of Variation Group Median Differential Dispersion Median Centered Over 100 1.011 1.007 .060 8.7% 75 to 100 1.207 1.000 .000 25 to 50 1.021 1.019 .065 10.9% 5 to 25 998 1.005 .032 6.2% Overall 1.006 1.013 .058 8.8% WILDROSE Audit Division Improvement Area Case Processing Summary Count Percent ImpSFRec 500 to 1,000 sf 9 23.7% 1,000 to 1,500 sf 13 34.2% 1,500 to 2,000 sf 5 13.2% 2,000 to 3,000 sf 10 26.3% 3,000 sf or Higher 1 2.6% Overall 38 100.0% Excluded 0 Total 38 Ratio Statistics for CURRTOT / TASP Coefficient of Price Related Coefficient of Variation Group Median Differentiai Dispersion Median Centered 500 to 1,000 sf 1.008 1.010 .046 7.8% 1,000 to 1. 500 si 1.001 1.011 091 12.6% 1,500 to 2,000 sf 993 1.000 .007 1.2% 2,000 to 3.000 sf 1.018 1.006 .032 4.7% 3.000 sf or Higher 825 1.000 .000 Overall 1.006 1.013 058 8.8% Improvement Quality Case Processing Summary Count Percent QUALITY 4 7 18.4% 5 20 52.6% 7 3 7.9% 8 8 21.1% Overall 38 100.0% Excluded 0 Total 38 Ratio Statistics for CURRTOT / TASP Coefficient of Price Related Coefficient of Variation Group Median Differentian Dispersion Median Centered 4 1.001 1.010 .046 7.8% 5 1.024 1.016 .079 10.7% 7 .987 1.000 .008 1.3% 8 1.003 1.000 .020 3.3% Overall 1.006 1.013 .058 8.8% WILDROSE Audit Division Improvement Condition Case Processing Summary Count Percent CONDITION AV 13 34.2% BW 4 10.5% FR 1 2.6% GD 16 42.1% VG 4 10.5% Overall 38 100.0% Excluded 0 Total 38 Ratio Statistics for CURRTOT - TASP Coefficient of Price Related Coefficient of Variation Group Median Differential Dispersion Median Centered AV 1.035 1.009 .082 11.2% BW 1.034 1.011 .076 9.5% FR .993 1.000 000 GD .998 1.005 .035 5.8% VG 1.002 1.001 009 1.1% Overall 1.006 1.013 .058 8.8% 9/27/22, 9:40. AM San Juan County Mail COUNTY ROAD 2 Gmail Willy Tookey sdmmennuanedendour COUNTY ROAD 2 1 message Jack Clark ctnararock@aol.com Tue, Sep 27, 2022 at 8:00 AM Reply-To: Jack Clark Scthardrock@aol.com> To:' admingsnuancdondous sdingimvarcondous, scomletn@gmal.com scom.ein@gmai.como, commissoneriashey@sanuancoloradous commisonerlshey@sanuancolodous, ykuhiman@msn.com" runiman@msn.com> Willy Tookey, & County Commissioners. we are writing to ask if you would elevate the issue of the dust situation on county road 2 at the commissioners meeting on Wednesday, 9/28/2022, a discussion between the road department, the commissioners, & the community is needed SO that a solution to this health problem with the dust on this road can be achieved. Thank You: Jack & Barbara Clark 3815 County Road 2 San Juan County htps.lmail.google.commailuonk-taseaeb2lesvew-pisearcheallpermind-thnead-P3A1745131640128400761asimplmsg-PA3A17451316401. 1/1 9/27/22, 9:43 AM San Juan County Mail Conçerned citizen re: dust CR2 Gmail Willy Tookey sddunuancendour Concerned citizen re: dust CR2 1 message Becky Joyce director@sicph.org> Mon, Sep 26, 2022 at 4:38 PM To: Austin Lashley commssonerishe/@sanuancdoradous, Scott fetchenhier syomletcn@gmai.como, Judy Kuhlman ykuniman@msn.om> Cc: Willy Tookey <admin@sanjuancolorado.us> Hi Ernie, Scott and Austin, Jack Clark called today very concerned about the dust on CR2. He was upset that there doesn't appear to be any change in the road conditions (after previous complaints), that there isn't clay put in with the graded dirt and that his wife is starting to have health issues. He mentioned being concerned about the potential silica being hazardous to breathe in. I encouraged him to reach out to each of you and to attend the Wednesday night meeting with his concerns, which he said he already was planning on. He cited other areas that are able to craft roads that aren't as heinously dusty through mitigation efforts. I continue to agree: it is not a problem that will go away. It is also dangerous. encourage you to review the technique the road crew is using to see if there are other practices that aren't being used. I know they just graded the road again Friday (?) which always makes it worse, but it sounds like many neighbors are also fed up. He also asked for more law enforcement for people to go the speed limit, since that keeps the dust down. Several of us have brought this issue up before for several years, when I submitted a picture to the BOCC where one bicyclist was riding CR 2, reaching out to steady his partner because they couldn't see through the dust of the passing cars. It was awful to watch. Please, please address this in a meaningful and timely manner. I appreciate your time- Thank you-- Becky Joyce, RN Becky Joyce, BSN, RN San Juan County Public Health Director 1315 Snowden SL. Silverton: CO 81433 (970) 387-0242 (970) 387-5036 (Fax) htps/mail.google.com'malwork-taseaeb2leavewepisearch-alspermhnd-lhvea-Pa3A17450736784695426708simpl-msg-A43A1745073674 1/1 9/23/22, 9:17 AM San Juan County Mail REGISTRATION NOW OPEN! CCI Winter Conference Gmail Willy Tookey sdmndrnuamedendour REGISTRATION NOW OPEN! CCI Winter Conference 1 message Annie Olson aolson@cionline.org Fri, Sep 23, 2022 at 8:56 AM Reply-To: Annie Olson <aolson@ccionine.orye To: Annie Olson aolson@cdonine.arg Registration for the CCI Foundation Winter Conference is NOW OPEN! Register today to reserve your spot at the early bird rate. CCI Foundation Winter Conference December 12-14, 2022 Jefferson County To register and view hotel information, please click here. A tentative agenda will be available soon. CCIAwards CCIis accepting nominations for Commissioner of the Year and Distinguished Service awards for 2022. Please click here to view the nomination form and submission guidelines. Nominations are due by October 31, 2022. Please reach out to me with any questions. We look forward to seeing you in Jefferson County! DAE WINTER CONFERENCE CCI htpsilmail.gogle.commaluo7H-laseseb2lesview-plsearh-alépermhnd-hvead-P3A17447282123328827isimpl-msg,"AA3A17447728212.. 1/2 COLORADO DOLA Department of Local Affairs 2022 Small Communities Workshop Tuesday, October 11 5:00-7:00 Networking Reception Tres Litros, 118 N. E Street, Salida, Light appetizers and cash bar Wednesday, October 12 The SteamPlant Event Center 220 West Sackett Avenue, Salida, CO 81201 9:00-9:20 Welcome and Opening Remarks DOLA Colorado Counties, Inc. Special District Association of Colorado Colorado Municipal League 9:20-9:30 Local Welcome City of Salida 9:30-10:45 Infrastructure Planning The importance of partnering where and why do we get stuck? Working with State, federal and local partners to find affordable solutions to big ticket problems. 10:45-11:00 Break 11:00-12:15 Housing Solutions Regional ideas for addressing the housing crisis in our communities. 12:15-1:00 Networking Lunch (provided) 1:00-2:15 Inclusive Economic Development How Colorado communities are expected to change, and how community leaders can approach economic development in a more successful, inclusive, and holistic way. 2:15-2:30 Break 2:30-3:45 Wildfire Mitigation What works to protect homes, citizens, and first responders? Explore hazard mitigation and resilience through planning and leadership. 3:45-4:15 Closing Remarks Partner Agencies CML COLORADO Se MUNICIPAL SDA LEAGUE CCI P MAO pANTE Date: September 26, 2022. SANJUAN COUNTY For: September 28 Board ofCounty Commissioners Meeting. From: Planning Department. Regarding: Summary of Recent Planning Department Work. C PO Box 466 Silverton, CO: 81433 The Planning Department has recently been working on these County applications: The County staff has continued working on the Improvement Permit for the Two Proposed 11-Unit Condo Buildings, on a parcel known as "Phase 1," located at Cascade Village PUD, on Highway 550. A second plan submittal was received on Sept. 12. A second "administrative review" Improvement Permit Letter was sent out on Sept. 22. Preparation ofthe staff report/packets for the Sept. 20 Planning Commission review ofthe Improvement Permit Application for the Proposed Hawn Cabin, Log Cabin Lode, County Road 14, near Red Mountain Pass. The Legal Notice will be prepared today, for the upcoming October BOCC Public Hearing. Preparation ofthe staff report/packets for the Sept. 20 Planning Commission review of an Improvement Permit Application for the Proposed Robertson Accessory Dwelling Unit (ADU), on Tract 13, Know Your Neighbor Subdivision, Lime Creek Road. The Legal Notice will be prepared today, for the upcoming October BOCC Public Hearing. The San Juan Regional Planning Commission reviewed and adopted the updated Master Plan during a Work Session on Sept. 20. The information in the updated Master Plan focuses on the Town rather than the County. The updated Master Plan is now headed to the Town Board and citizens for further review during a Public Hearing this week. The County staff is awaiting some additional documents regarding the continued Public Hearing for a Proposed Subdivision Plat Amendment, for proposed development of Lot 1 in the Cole Ranch Subdivision. We expect that to be on one of your October meeting agendas. The County Planning and Building Dept. staff has been busy responding to many questions from mining claim buyers, mining claim owners, and realtors, about the County application process, septic system regulations, and what the County allows on mining claims. Some ofthe properties generating questions over the past two weeks are: the Anglo Saxon Placer "group. 13 Helena Roux Lode, Comstock Lode, Rouene and Minnehaha Lodes, Gladstone Girl Lode, Last Chance Lode, Spring Lode, portions oft the Ophir Placer, Mineral King Lode, the Forest Queen Lodes, several properties in the vicinity of Idaho Gulch, and other misc. mining claims. The Planning and Building Dept. staff went on a group site visit last week, in order to observe some mining claims in the area of Red Mountain Pass before snow arrives. A County Improvement Permit Application has been received for a proposed fence and proposed gates, located on a mining claim near the Animas River on the edge ofTown limits. The Building and Planning Dept staffpersons are researching some alleged violations ofthe County Zoning and Land Use Regulations, for example one unpermitted structure which is now being deconstructed, and a report ofsome unknown recent grading in Prospect Gulch. The Planning Dept. spoke with the San Juan Basin Public Health Department "septic system department" staff. The purpose was to check in on any recent regulation changes (and there have been no changes). The County staff has been receiving many requests this summer to allow proposed compostingincinerating toilets without the associated proposed leachfield. The SJBPH staff kindly verified some ofthe details of the current State regulations, and that that all residences are required to have a septic leachfield (regardless ot toilet type). Commissioners/cttzens can çontact me with any questions at Plamerésmpumobndowr Page 1 of1, Staff Report for BOCC, Lisa Adair PE, September 26, 2022. 9/26/22, 11:41 AM Boebert calls proposed executive action to protect Camp Hale a land grab pushed by' extremist enviro The Durango Herald Regional News Boebert calls proposed executive action to protect Camp Hale a land grab pushed by 'extremist environmentalists ( * Sens. Bennet, Hickenlooper request protection for World War II training ground By Sara Wilson, Colorado Newsline Friday, Sep 23, 2022 5:26 A view of Camp Hale in Coiorado, (Courtesy of EcoFlight) Courtesy of EcoFlight X The three Republican C.S. representatives from Colorado urged President Joe Biden in a letter dated Thursday against using his authority to designate land named in the stalled Colorado Outdoor and Recreation Act as a national monument, arguing that the designation does not have congressional or local support. Rep. Lauren Boebert. along with Reps. Ken Buck and Douy Lamborn. are the lead signatories on the letter asking Biden not to use authority under the 1906 Antiquities Act to name tens of1 thousands of acres surrounding Camp Hale in Leadville a national historie landscape, which would protect it from drilling and mining. Camp Hale is a former World War Il-era military training ground. htps/wwwdurangeheraldcomancas.boeberclspopoedereautweadomiopoleccamphaealangabpusredbyesrentremis-envro?utm.c. 1/4 9/26/22, 11:41 AM Boebert calls proposed executive action to protect Camp Hale a land grab pushed by extremist enviro - The Durango Herald : a * Colorado, asked Biden to use the Antiquities Act to accomplish those aims after they hosted U.S. Secretary of Agriculture Tom Vilsack at the site to court him as an ally. Boebert, who has been a vocal opponent ofthe CORE: Act, disagrees with the plan to use executive action instead of going through Congress. "While Camp Hale and our service members that were stationed there made important contributions to World War II, we don't support the efforts ofe extremist environmentalists who are seeking to hijack this historic place to create a new land designation," the Boebert letter reads. "We urge you to reject this overreach and request for unilateral use of executive power. There is no compelling reason why local opposition and the United States Congress should be ignored or undermined, particularly as CORE Act proponents have not been able to get their egregious bill and related provisions signed into law after more than a decade," the letter continues. Six other Republican members ofCongress including Louie Gohmert ofTexas and Andy Biggs and Paul Gosar of Arizona - from states other than Colorado signed the letter. The signatories argue that "locking up hundreds of thousands of acres through the stroke of a pen" does not fulfill the original intent of the Antiquities Act.' They wrote that an Antiquities Act designation could disturb private water rights, prohibit timber harvesting and cut off access to natural gas deposits. So far, Biden has restored full protections to three national monuments that former President Donald Trump reduced in size: Bears Ears and Grand Staircase-Escalante in Utah and the Northeast Canyons and Seamounts Marine National Monument in the Atlantic Ocean off the coast of New England. The former Camp Hale, near Leadville, is where 10th Mountain Division soldiers trained before heading to fight in World War II. The U.S. Army continued to use the location for winter training exercises until 1965. It is now a popular recreation spot. For more stories from Colorado. Newsline, visit coloradomeusimecom. You might also like a Calendar SLE MIGH 14 15 13 A 20 21 22 27 28 Weekly planner for Sept. 26-Sept. 30 Denver program offers free rent to fill On the Colorado River,growing concern Sep 25. 2022 empty storefronts for fish as waters warm Sep 24, 2022 Sep! 24. 2022 htpslwwwdurangoher.adcomlandestoeterealspoosadeneueadontopolaccamphaie-alandyandgnabpwanedbyearenskenvwro?um.c. 2/4