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USE BY SPECIAL REVIEW (USR) APPLICATION
FOR PLANNING DEPARTMENT USE:
AMOUNT $
APPLICATION RECEIVED BY
DATE RECEIVED;
CASE # ASSIGNED:
PLANNER ASSIGNED:
i
PROPERTY INFORMATION
Is the property currently in violation?❑No /EYes Violation Case Number: ZCV22-00048
Parcel Number: 1 4 7 3- 2 5. 0 - 0
Site Address: 1644 COUNTY ROAD 47
0 0 4 0
Legal Description: PART OF THE NW4 OF S25, TIN, R65W
Section: 25 , Township 1 N, Range 65 W Zoning District: AGRI Acreage: 39.77 {/-
Within subdivision or townsite? ENo ClYes Name: hcf000clO
Water (well permit # or water district tap #): lfi514
Sewer (On -site wastewater treatment system permit # or sewer account #):
Floodplain ❑� No /0Yes Geological Hazard0 No /[]Yes Airport Overlay ONo I f Yes
PROJECT
USR Use being applied for: KENNEL & DOG TRAINING
Name of proposed business: K9 c a- .ar
PROPERTY OWNER(S) (Attach additional sheets if necessary.)
Name: STEVEN & KELLY ROLL
Company: KSCATION
Phone #: 303-419-6234 1
Street Address: 1644 COUNTY'ROAD 47
City/State/Zip Code: HUDSON, CO 80642
APPLICANT/AUTHORIZED AGENT (Authorization Form must be included if there is an Authorized Agent)
Name:
Email: KSROLL409@GMAIL.COM
Company:
Phone #:
Email:
Street Address:
City/State/Zip Code:
I (We) hereby depose and statelunder penalties of perjury that all statements. proposals, and/or plans submitted with or
contained within the application are true and correct to the best of my (our) knowledge. All fee owners of the property must
sign this application. If an Authofzed Agent signs, an Authorization Form signed by all fee owners must be included with
the appli ion. If th- - - - ner is a corporation, evidence must be included indicating the signatory has the legal authority
to or the po . •i� � ("..
Date Signature U Date
Print
12/15/21
9
Planning Questionnaire
1. Describe your proposal in detail.
Proposed use of the property is for a dog -boarding kennel, dog daycare and dog training
facility for 25 dogs. We will provide indoor and outdoor play areas where dogs can
exercise and train. The property will be utilized for dog sports to include 4-H, agility, barn
hunt, catch the flag, dock diving, swimming, swim therapy, dog socialization, obedience,
rally, carting, rodear, stock dog herding, with additional dog sports added over time. The
owner of the facility is an AKC certified trainer and has shown and trained dogs her
entire life.
DBA K9cation, LLC
Your Dog's Favorite Place to Play & Stay!
2. Explain the need for the proposed use:
The mission of K9cation is to reduce shelter populations by providing services to dog
owners that keep dogs in their homes. K9cation will provide training, daycare, dog
sports, and boarding which will help owners build a better connection, understanding
and communication with their dog. Dogs will go home tired from their experience and
activities at K9cation, which incorporates both mental and physical stimulation. Dog
owners who are able to build a relationship with a care facility are able to maintain their
own lifestyle and have less guilt when traveling and are less likely to abandon their dogs
to shelters. Dogs with training and that are able to share their dog sport experiences
with their owners are more likely to be well behaved and bonded to their owners also
reducing their likelihood of being abandoned to a shelter.
Municipalities around the rural location have grown in population and have become more
urbanized creating a need for dogs that live in neighborhoods to have good behavior and
to have a location to exercise, play, train and stay while their owners are out of town.
Additionally, people who live in Denver will enjoy the opportunity to drive to the country
and give their dog a unique experience, a doggie vacation of their own while their
owners are away.
3. Existing use of land.
Current tenants have horses, sheep, fowl, stock dogs and harvest grass alfalfa hay for
our livestock. Nothing changes upon implementing this plan as far as agriculture use,
which will still continue.
4. Describe the proximity of the proposed use to residences.
The property currently has 2 residences, one primary and one mother in law that are
located on the North West edge of the property along County Road 47.
5. Describe the surrounding land uses of the site and how the proposed use is
compatible with them.
Surrounding properties are used for farming and agriculture in large sections of land.
The proposed facility has no impact on surrounding agricultural land uses.
6. Describe the hours and days of operations.
Monday — Friday, 6:00am to 6:00pm[5EP
Saturday & Sunday, 8:00am to 5:00pm
Business will be primarily operated Monday through Saturday, with very few
appointment exceptions on Sundays.
7. Describe the number of employees including full time and part time and contractors.
To start the business will be operated with family on site, husband and wife team with
our mother and father. Over time we hope to add staffing from the local and depressed
community to encourage jobs in this area.
There will be two shifts with a 7:OOam-3:OOpm morning overlapping with swings
10:00am-6pm.
Once the business is operational we will have approximately 2 employees per workday.
A typical day should include:
• Management and staff show up at 6:00am to start receiving daycare dogs and to
check kennels for cleanliness and to prepare for the day. Check on any boarding dogs,
move to turnout area for break.
• Daycare dogs arrive and are placed into kennels or moved to turnout.
• Start morning feeding and watering.
• Once dogs are fed, staff will bring dogs back in for feeding and down time to allow
food to settle.
• While dogs are out of the kennels, a staff member will check kennels for
cleanliness and clean as needed. Staff members will collect solid wastes in the turnout
areas as they monitor the dogs during any turnout time.
• Staff will return the dogs to the kennels for mid -day rest. Those dogs that
require a mid -day meal will receive it at this time. Staff members will inspect the turnout
areas and perform any cleaning and watering required
• Staff will again take dogs to turnout for afternoon play.
• Staff will return their dogs to the kennels for afternoon rest and prepare for the
daycare or boarder dogs departure.
• Daycare and/or boarder dogs depart.
• Some staff starts evening feeding/watering while the rest perform nightly cleaning
duties.
• Staff leaves for the day, 5-7pm
8. Describe the maximum numbers of users, patrons, members, and buyers to be on the
site at any one time
Approximately 20 people will use the facility throughout the day. Approximately 140
people a week. Possibly 10 people in one group training class at one time outside.
Primarily regular civilian cars approximately 20 a day as well as a trash truck once a
week and porta potty maintenance service. Deliveries from mail services as necessary.
9. List the types and maximum numbers of animals to be on the site at any one time.
Horses: 7 or less
Sheep/Goats: 15
Chickens: 5
Ducks/Geese: 15
Personally owned dogs (2 residences): 5
Boarded Dogs: 25
Daycare Dogs: 10
Weekly Training Classes and/or private lessons: 20
10. List the types and number of operating and processing equipment.
NA
11. List the types, number and uses of the existing and proposed structures.
The main building will be 100 foot long by 36 feet wide that will contain an entry area
with counter, indoor exercise/ training area. Customers and staff will have a porta potty
to use.
The kennels for boarding are constructed out of modern PVC style paneling, high
end, and from a local CO company, designed for increased comfort and safety of dogs.
This design also allows for maximum cleanliness as it resists more and cleans better
then cinder block or cement because it is non porous. Each kennel will have a raised
bed, water and food bowl. The building is built using a pole framed Cleary steel
building. The concrete floor will be smoothed and sealed for cleanliness. All exterior
and interior walls will be closed cell foam insulated for maximum noise abatement and
energy savings.
The outside turnout area will be fully fenced with 6 -foot chain link fence. Screening
(either slats or mesh screens) will be used as needed to isolate the dogs from outside
factors to minimize barking. The outside turnout will have artificial turf as to allow
maximum cleanliness, dust and noise abatement. Shade and water will be abundant for
the health and safety of the dogs during turnouts.
The outdoor training field will provide a flat artificial turfed area approximately 190'x135'
with a 5' fence around the perimeter. There will be pass through gates at the entry/exit
points to control dogs. This turf area will greatly eliminate dust and nuisance weeds
along with ease of cleaning due to being able to clean/spray down any area. This area
will allow for all types of dog training to include dog obedience, dog socialization, agility
and an above ground pool for dock diving.
12. Describe the size of any stockpile, storage or waste areas.
No stockpile, waste will be removed weekly and contained in a commercial closed
dumpster, for waste that will be further enclosed in sealed trash bags removed weekly
from property to an official landfill.
13. Describe the method and time schedule of removal or disposal, junk and other
waste associated with the proposed use.
The commercial closed dumpster will be emptied weekly on Wednesdays and removed
from the property. Dog waste will be picked up continuously throughout the day, bagged
and put in the dumpster.
14. Include a timetable showing the periods of time required for the construction of the
operation.
The kennel building is currently built as of March 2020. However, it needs final permit
approvals. Property infrastructure is already in place. Upon approval of all usage and
permits then business can start immediately.
15. Describe the proposed and existing lot surface type and the square footage of each
type
Kennel Building: 3,600
Recycled Materials/Turf: 25,000 training field/ 3,500 turnout field.
Driveway is already maintained in recycled asphalt: 25,000
16. How many parking spaces are proposed? How many handicap -accessible parking
spaces are proposed?
The driveway and parking area will be recycled materials (asphalt) and will have 25
regular parking spaces and 4 handicapped (ADA) parking spaces. There will be
adequate space for emergency vehicles and two access drives to enter the property.
17. Describe the existing and proposed fencing and screening for the site including all
parking and outdoor storage areas.
Kennel, training field, turnout field and parking are off the main road by approximately
200'. Existing houses, buildings, established trees and landscaping all screen the
facility.
18. Describe the existing and proposed landscaping for the site.
Existing landscaping is groomed and maintained daily or weekly depending on need and
time of year. There is already established grass, trees and bushes with the
homesteads. There is a tree line along the south and a large established tree by the
training field. Seasonal planters with flowers will be maintained around the area for
esthetic during the season.
19. Describe reclamation procedures to be employed as stages of the operation are
phased out or upon cessation of the Use by Special Review activity.
Little reclamation is needed, as the proposed areas will have a building or turf on them.
20. Describe the proposed fire protection measures.
Fire extinguishers will be located at each exit along with fire exit signs above each
door.
21. Explain how this proposal is consistent with the Weld County Comprehensive Plan
per Chapter 22 of the Weld County Code.
Our family has origins of being Weld County pioneers and the heritage of our family that
were before us and farmed, and produced livestock and vegetation and dairy are very
important to us. We intend to carry on the tradition of rural and agricultural heritage
through the services we provide. This property will remain animal and agriculture based
(20 acres in hayfield) and will be operated in a manner that supports agriculture with no
known impact on the area other than maintaining the property that we currently live on in
the manner it has been since we moved here in 2013.
Policy 7.2 conversion of agricultural land should be accommodated when the subject site
is in an area that can support such development and should be compatible with the
region.
Kennels are consistent with the intent of the Weld County Code, Chapter 23, Zoning and
the zone district in which this site is located.
22. Kennels are consistent with the intent of Weld County Code, Chapter 23 and the
zone district in which this site is located. 80% of the property will be maintained in
existing grasses, hay field, trees, fields, livestock pens, etc.
Our intent to maintain the use of agricultural land will occur through sharing the lifestyle
of country and rural life with dog owners by preserving the purposes that dogs have
been bred for and sharing dog's instinctual behaviors with dogs and their owners. We
have over 100 years of combined dog training experience and have led 4-H classes
since the early 90s. We continue to offer 4-H kids a discount and to help them with their
projects. We also are one of very few dog trainers who have the experience and
knowledge to train stock dogs to herd and test them for instinct. We will offer sheep,
duck/geese for dogs to develop their herding abilities. We will offer catch the flag, lure
course events for dogs that were bred to chase and hunt. We also offer skills such as
dock diving and swimming, which are hunting dog skills. We will offer tracking in our
fields to protection dogs and for dogs that are bred to do nose work. We will continue to
perform with our dogs at the National Western Stock Show in herding and other events
to draw people and their dogs to participate and learn more about dog sports. Our
facility has been designed to allow people who do not know about their dog's abilities
and are new to dog sports to come to a welcoming environment and develop a
relationship with their dog, which also develops positive behaviors from their dog at
home when the dog has a purpose and is using their abilities. All kenneled dogs will be
offered "try its" where owners can add dog sports do a dog's stay to see photos of the
dogs learning new skills. We also offer kenneled dogs training while they are here for
their stay as an add on, which increases positive dog behaviors in the local communities
we serve. We are one of few instructors in CO who are certified to offer AKC Farm Dog
exams to help dog's be useful to their owners feeding and tending livestock while being
obedient and not chasing or harming livestock. Our proposed business model is unique
in nature and agricultural offerings and will be unique to CO offering dog sports training
of all kinds in a rural and natural setting.
We will continue to plant trees, and seed our land to preserve agricultural land, provide
shade and wind/dust abatement.
23. N/A Not in any master plans of affected municipalities.
This proposal will have no impact on any future development in the area or affect any
municipalities or their master plans. Our understanding is that we are located off a truck
route that already experiences a lot of traffic. Additionally, the property to the West of us
has been bought by Burlington Northern to be a rail yard and has been rezoned as light
industrial. We believe that this special use permit will not impact any future development
of this area and will instead help maintain the agricultural zoning on the East side of
County Road 47.
24. This proposal has no impact on the protection of health, safety, welfare of the
inhabitants of the surrounding neighborhood and County.
This dog kennel, daycare and training facility will not interfere with the protection of
health, safety or welfare of the inhabitants of the neighborhood and the County. The
mission of our facility is to keep dogs in their homes through the services we provide.
Often dogs are abandoned in shelters, etc. due to lack of training or lack of being able to
live a traveling lifestyle. Our training and facility will help dog owners gain a better
relationship with their dog and provide a resource to individuals to maintain their dogs
while incorporating their dog into their lifestyle.
25. The North property line is bordered by the Box Elder Ditch, the land to the North of
our property is owned by the City of Castle Rock and is leased by the Rupple family for
farming. 20 acres on the East side of our proposed Kennel building is our land is
planted in grass alfalfa hay, which we irrigate with an irrigation well. Water runoff from
the tops of buildings on our property is diverted through irrigation ditches and drainage
improvements to ensure the water is put back into the ground.
26. N/A
27. Once our business is county approved we will seek the State requirement of PACFA
as noted in the State policy. No Federal requirements.
Public Works Drainage Narrative
1. Any existing and proposed improvements to the property.
Historically all water run off from existing buildings and property has been
directed by ditch lines both from the property and by the County into Box
Elder Ditch. Proposed run off will be now directed from the buildings on the
property into 4" plastic pipes to a sump pump that will move water runoff to
the same location as the former ditch line. No plan to adjust any open ditches
that the County runs along 47 into Box Elder.
2. The exception being requested for consideration.
No exception is being requested due to permissions by Henrylyn Ditch
Company to allow run off to continue. See attached document.
3. Where the water originates if it flows onto the property from and off -site
source.
Only water that flows on property is from rainfall or through the Box Elder
Ditch in their maintained ditchline on southside of property.
4. Where the water flows across the property.
Same as #3 above.
5. The direction of flow across property.
Water tends to flow south to north due to terrain then is directed to open
ditches to flow as described above.
6. Previous drainage problems with the property, if any.
None known.
7. The location of any irrigation facilities adjacent to or near the property.
None known as far as facilities however Box Elder Ditch is on southside of
property.
8. Any additional information pertinent to the development.
Historically since moving here in 2013 no concerns with flooding or drainage
has occurred.
Public Works Drainage Narrative
1. Any existing and proposed improvements to the property.
Historically all water run off from existing buildings and property has been
directed by ditch lines both from theproperty and by the County into Box
Elder Ditch. Proposed run off will be now directed from the buildings on the
property into 4" plastic pipes to a sump pump that will move water runoff to
the same location as the former ditch line. No plan to adjust any open ditches
that the County runs along 47 into Box Elder.
2. The exception being requested for consideration.
No specific exception is being requested at this time.
3. Where the water originates if it flows onto the property from and off -site
source.
Only water that flows on property is from rainfall or through the Box Elder
Ditch in their maintained ditchline on southside of property.
4. Where the water flows across the property.
Same as #3 above.
5. The direction of flow across property.
Water tends to flow south to north due to terrain then is directed to open
ditches to flow as described above.
6. Previous drainage problems with the property, if any.
None known.
7. The location of any irrigation facilities adjacent to or near the property.
None known as far as facilities however Box Elder Ditch is on southside of
property.
8. Any additional information pertinent to the development.
Historically since moving here in 2013 no concerns with flooding or drainage
has occurred.
Section 8-11-40 Appendix B -Q
1. Access is an existing road, right of way entering off of County Road 47, residential and
agricultural/farming, ditch company access. No new access is, or will be proposed.
2. No changes to existing access will be proposed.
3. No new access gates will be proposed.
4. Residential and oil and gas access are existing on the South side of the property from
County Road 47. Agriculture farming and ditch company access are on the North and
East side of the property.
5. No visibility difficulties from North or South as the property is located in an open flat
agricultural land with long visibility.
6. No curves within any reasonable distance from access.
7. Road is completely flat in all directions for any reasonable distance of the access.
ZPAG Traffic Impact Study
1. Describe how many round trips/day vehicles are expected for each vehicle type
a. Passenger Cars/Pickups: 25
b. Tandem Trucks: 1-2 (Porta Potty and Trash)
c. Semi Truck/Trailer/RV1:0
2. Entering and exiting on the North drive
3. Describe the travel distribution:
a. 75% from the South - County Road 47
b. 25% from the North - County Road 47
4. The proposed site would allow drop offs as early as 6am on weekdays to 6pm, with
highest volume of traffic on weekdays from Gam-10am and evenings from 4pm-6pm.
Weekends would have traffic mid day for classes and training.
Environmental Health Questionnaire
1. Only bottled water is provided for employees and patrons. Potable water will be
brought in for dogs and kept in a holding tank.
2. A porta potty will be provided for staff. Septic permit #1900090 attached.
3. No additional on -site storage is proposed.
4. All waste is removed via dumpster weekly.
5. No fuel storage is required with this proposal.
6. No washing of vehicles required for this proposal.
7. Floor drains are located within each kennel and gray/black water is moved
through a sump pump into the septic system.
8. No air emissions involved in this proposal.
9. No composting and landfills for this proposal.
10. Noise and dust abatement will occur through artificial turf, tall fences and well
trained staff that will discourage dog barking. Dogs that bark will be screened
out. We will play soft music throughout the kennel building to ensure dogs are
buffered from outside noises to discourage barking and help to keep dogs calm
during rest time.
11. NA
Oil, Gas and Power Providers
• Power lines on South side of property- United, Power, 500 Cooperative Way, Brighton,
CO 80603
• Water supply: Box Elder Creek Ranch Water Company 141 Union Blvd. Suite 150,
Lakewood, Colorado 80228
No railroad or gas lines.
FOR COMMERCIAL OR INDUSTRIAL BUILDINGS,
PLEASE COMPLETE THE FOLLOWING INFORMATION:
Business Name: }; J ► U,1 Phone: 75o3 -r-Oct .. 3L
Address: 1 ,9c/ Cs,,..4 hr- 1#7 City, state, zip: C-- 5a„-,) 800-1C72
Business Owner: S� v— i- le -, k .,, h Phone: 3o
Home Address: 1 fQ�f (_ ur, .1 ,�. 4 7 City, state, zip: 5On1 CO. i .
List up to three persons in the order to be called in the event of an emergency:
NAME TITLE PHONE ADDRESS
7r��-., r `1b7 _ 388- 5753 'acc7' 5 C 6 ILnCO7
Business Hours: M'F 6 $ 8 5p Days: Mon —St," 7 S
UTILITY SHUT OFF LOCATIONS:
Main Electrical:
Gas Shut Off: I r)rt-1• ,dam X 64, in
Exterior Water Shutoff: J- tiQ t. O F
Interior Water Shutoff: E.cyl; C iri n -.I ; roOvv‘ c'r e._ N
7/29/2019
21
Landscape and Screening Plan
Ru:1 Residence
raining Field
Buildings and ectahrfshed
landscape provide the
majority of screening.
Lighting Plan
The site lighting consists of dawn/dusk censored lights in the site driveway and
surrounding the kennel building. The lights are mounted on the existing structures. The
building has mounted lights on all entrances and exits and doorways. All light fixtures
are LED/Dark Sky compliant and full cut off.
Parking Lot and Drive lighting are controlled from the kennel building for use only when
needed by staff for potential evening events, or emergency after hour pickups. The
fixtures are controlled by a photocell to prevent being accidentally turned on in the
daytime.
Building: The fixtures at the entrance and exit are controlled by photocell and are
controlled from dusk to dawn. These fixtures also provide the required illumination
Illumination levels are based on IESNA lighting environmental zone El, Dark landscape.
.Noise Stu. dy
Test conducted at 7:30pm with ambient levels checked first Then with a test group
p
of 5 dogs played with to induce actually barking for the second reading. Four
readings were taken at each of the three test points near the kennel building and the
training field. First two readings showing the baseline ambient noise and the
second two showing the barking of the five dogs. Photographs are included of the
readings along with a map of the locations relative to the kennel and training field.
For further reference a quick search shows the average dog barking decibels of 80e
90dB.
A BAFX Products, digital sound level meter was used for the readings and is
guaranteed calibrated for the first year from purchase date. It was purchased on
3/25/22.
The proposed kennel and training facility will be staffed with dog trainer's not just
handlers. This staff will be very cognitive of excessive barking dogs and will
immediately address this excessive barking with positive training and as necessary
removal from the situation to keep barking at a minimum. Or goal is to have a
respectfully environment for all.
Point 1
30 seconds
30seconds
Point 2
30 seconds
30 seconds
Point 3
30 seconds
30 seconds
Low Reading 41.9d13/39.6d8
High Reading 616dB 72.odB
Low Reading 41.9dB/ 42.1dB
High Reading 62.5 dB/ 64.9 dB
Low Reading 3 8.4dB/38.6dB
High Reading 67.5dB/ .9dB
Y tit �'Mlw,ra:.y.� n■
¢"a faaI Until 'n
Waste Handling Plan
All waste will be picked up daily and placed into trash bags and then sealed shut. All waste is
then placed into a commercial dumpster that is picked up on a weekly basis.
Dust Abatement Plan
Artificial turf has been placed in high activity locations to control dust, mitigate noise,
reduce mud and long term erosion, reduce use of water for irrigating grass,
Additionally, the current landscaping of the property contains evergreens and various other
trees to reduce dust. The property is regularly seeded with grass seed to reduce noxious
weeds and control dust.
The driveway of the property is covered in recycled asphalt to reduce dust and mud.
Nuisance Abatement Plan
Noise (Dog Barking):
The proposed kennel will be staffed with dog trainers, and not simple kennel attendants.
Dogs will be positively trained to ensure minimal barking. Dogs will be engaged in activities
such as play and exercise to reduce boredom and nuisance barking. Dogs will be screened
prior to being accepted as clients and only dogs that meet behavior requirements will be
accepted.
Problem barking dogs will be turned out for play and potty then returned to kennel upon any
concern of excessive barking. Building will be closed cell foam insulated on exterior and
interior walls for maximum noise reduction. Kennel wails will have noise dampening material
added to further reduce any noise (similar to music studios).
Dogs will be screened from roadway visibility to reduce barking and will be contained on
artificial turf which will further reduce and insulate noise.
Odor (Dog waste):
Quickly removing waste and placing it into sealed trash bags, dog waste will be picked up
throughout the day and placed in sealed bags, which will then be placed in the commercial
dumpster which will be removed weekly.
Industrial standard Kennel cleaning agents that reduce odor will be applied regularly and as
needed to all areas that dogs use (Wysiwash).
Document must be filed electronically.
Paper documents are not accepted.
Fees & forms are subject to change.
For more information or to print copies
of filed documents, visit www.sos.state.co.us.
-Frye d
Colorado Secretary of State
Date and Time: 02/23/2022 01:02 PM
ID Number: 20211268013
Document number: 20221189441
Amount Paid: $10.00
ABOVE SPACE FOR OFFICE USE ONLY
Periodic Report
filed pursuant to §7-90-301, et seq. and §7-90-501 of the Colorado Revised Statutes (C.R.S)
ID number:
Entity name:
Jurisdiction under the law of which the
entity was formed or registered: Colorado
20211268013
K9cation, LLC
1. Principal office street address: 1644 County Road 47
2. Principal office mailing address:
(if different from above)
(Street name and number)
Hudson CO 80642
(City)
(Slate) (Postal/Zip Code)
United States
(Province — if applicable) (Country — f not US)
(Street name and number or Post Office Box information)
(City)
3. Registered agent name: (if an individual) Roll
or (if a business organization)
(State) (Postal/Zip Code)
(Province — if applicable) (Country — if not US)
(Last)
Kelly
(First)
A
(Lfrridle)
4. The person identified above as registered agent has consented to being so appointed.
5. Registered agent street address: 1644 County Road 47
(Street name and number)
Hudson
(City)
(Suffix)
CO 80642
2
(Slate) (Postal/Zip Code)
6. Registered agent mailing address: 32400 E 147TH AVE
(if different from above) (Street name and number or Post Office Bar information)
REPORT
BRIGHTON CO 80603
(City)
(State) (Postal/Zip Code)
United States
(Province — if applicable) (Country — if not US)
Page 1 of 2 Rev 12/01/2012
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CDSEngineering Corporation
GEOTECHNICAL EXPLORATION
FOR
1644 COUNTY ROAD 47,
(HUDSON),
WELD COUNTY, COLORADO
FOR
STEVE ROLL
CDS ENGINEERING CORPORATION
LOVELAND, COLORADO
PROJECT NUMBER
18-9586
OCTOBER 30, 2018
CDSEngineering Corporation
October 30, 2018
Project No. 18-9586
Mr. Steve Roll
1 644 County Road 47
Hudson, CO 80642
Dear Steve,
Enclosed is the report you requested of the geotechnical exploration for the proposedbuilding
to be located at 1644 County Road 47, (Hudson), Weld County, Colorado.
The site appears to be suitable for the construction of the proposed structure, provided the
design criteria and recommendations given in this report are followed.
If you have any further questions concerning the information in this report, please contact this
office.
Reviewed by:
Is' III
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fr
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641.
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•
Kevin. F. Becker, R.E. -
Enclosures
Respectfully,
FOR AND ON BEHALF OF
CIS ENGINEERING O O TION
Eriz, Engineering Technician
165 2nd Street S.W. • Loveland, CO 80537 • (970) 667-8010 • Fax (970) 667-8024 • i cd -en e net
M
TABLE OF CONTENTS
agc
r
L.
Letter of Tran s mitt al
Table of Contents
Scope
Site Investigation
Site Location and Description
Subsurface Conditions
Foundation Recommendations
- Continuous Spread Footing and Isolated Pad Foundation
Lateral Earth Pressures
Slab Construction
Conclusions
ATTACHMENTS
Location of Test Borings
Symbols and Soil Properties
Log of Borings
Summary of Test Results
Post -Construction Site Preparation and Maintenance
Placement of Compacted Fill Materials
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2
2
2
3
3
4
5
Figure No. 1
Figure No. 2
Figure No.
Table No. 1
Appendix 1
Appendix
1
SCOPE
This report presents the results of a geotechnical exploration for the proposed building to be
located at 1644 County Road 47, (Hudson), Weld County, Colorado. The building is anticipated to
be of typical steel frame construction. Slab -on -grade construction is anticipated for this structure,
with the anticipated foundation bearing depths to range from one (1) to four (4) feet below grades
which existed at the time of this exploration.
This exploration was conducted to provide recommendations pertaining to the type and depth
of foundation system, allowable soil bearing pressures, groundwater conditions, and to identify any
complications that may be encountered during or after construction due to subsurface conditions,
SITE INVESTIGATION
The field investigation performed on September 18, 2018, consisted of drilling, logging, and
sampling two (2) test borings within the approximate building envelope at the site. The borings were
drilled to a depth of twelve (12) feet. The location of the Test Holes is shown on Figure No. 1.
Boring locations were established by a representative of CDS Engineering Corporation based
on locations provided by the client. Graphical logs of the borings are shown on Figure No. 3. The
descriptions of the soils and/or bedrock strata are based, primarily, on visual and tactual methods
which are subject to interpretation.
The test borings were advanced using a truck mounted, four -inch (4") diameter, continuous
flight auger drill rig. Laboratory samples were obtained by driving a two and one-half inch (2W')
diameter California Barrel Sampler twelve (12) inches (or as shown) into undisturbed soils with a
140 -pound hammer falling thirty (30) inches. Bag samples of auger cuttings may have also been
collected.
Laboratory tests performed were - Natural Moisture and Grain Size Analysis. All tests were
conducted in accordance with ATM standards. A Summary of Test Results is shown on Table No.
1.
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SITE LOCATION AND DESCRIPTION
The site is located south of Hudson, south of County Road 6, and on the east side of County
Road 47, Weld County, Colorado. The site is generally in a plains region with dirt roads and
utilities, and vegetation was largely nonexistent. The site is relatively flat. An existing house and
several out buildings are located on the property. An irrigation ditch is located on the north property
line.
SUB SURFACE C ONDITIONS
Based on the borings drilled within the proposed building footprint, the subsurface conditions
at the site consist of existing fill material underlain by a sandy/silty soil,
It is unclear at this time if the fill materials were tested during placement and approved
for structural support. We recommend that no part of the structure be placed on these fill
materials.
On -site soils are typically used for overlot grading which could make determining the extent
of the fill material difficult from borings and auger cuttings. The contact depth reported here may
vary from actual depths in the excavation. The excavation may need to extend deeper, or could be
shallower, than anticipated.
Groundwater levels were recorded after completion of the drilling operations. During our
field exploration groundwater was not encountered in the test borings. The groundwater table should
be expected to fluctuate throughout the year depending on seasonal moisture variations. Refer to the
Log of Borings, Figure No. 3, for additional details specific to each boring,
FOUNDATION RECOMMENDATIONS
The type of foundation best suited for a particular building site is dependant not only on the
characteristics of the soil and rock but also depends on the type of structure, depth to groundwater,
the proposed depth of excavation, and owner preference. The recommendations that follow are
primarily based on the type of soil encountered.
3
Based on the conditions observed in the field and laboratory tests, we recommend the
foundation be a continuous spread footing and isolated pad foundation.
Continuous
read Footing and Isolated Pad Foundation
The foundation should be a continuous spread footing and isolated pad foundation designed
for a maximum allowable bearing capacity of 1500 pounds per square foot (dead load plus full
live load). The foundation is to bear on the native, undisturbed sands or silts, and not on
unapproved fill, topsoil, or frozen ground. The bottom of all foundation components should be
kept at least thirty (30) inches (or per local code) below finished grade for frost protection. The
open excavation should not be left open for an extended period of time or exposed to adverse
weather conditions. Excessive wetting or drying of the excavation should be avoided during
construction. Excavations that are inundated with water may soften and require re -compaction,
or removal, of the exposed subgrade soils, The completed open excavation should be observed
by a representative of CTS Engineering Corporation in order to verify the subsurface conditions
from test -hole data.
LATERAL EARTH PRESSURES
Lateral earth pressures are forces exerted on earth retaining structures and foundation
components, by the soil. The pressure exerted is influenced by wetting of the backfill soils, type and
compaction of the backfill and the methods used to compact the backfill. For the soils, above the free
groundwater surface at this site, we recommend the foundation components be designed using the
following equivalent fluid pressures.
• Active Pressure = 35 pcf
• At Rest Pressure = 50 pcf
These values assume that the positive drainage will be maintained throughout the life of the
structure. It is our opinion that the on -site soils encountered could be used as backfill material
against foundation walls. The soils shall be moisture conditioned and well pulverized so that all
fragments are smaller than six (6) inches. Refer to Appendix 1 for additional backfill information. If
there is opportunity for the backfill soils to become saturated, we shall be notified to revise the
4
minimum equivalent fluid density. These values do not include a factor of safety or take into
account any surcharge loading.
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SLAB CONSTRUCTION
Changes in the moisture contents may result in consolidation or swelling of the subsoil,
resulting in differential slab movement. The soils encountered and tested at this site are anticipated
to exhibit no swell potential as moisture contents are increased. According to the Guideline for Slab
Performance Risk Evaluation and Residential Basement Floor System Recommendations, developed
by the Colorado Association of Geotechnical Engineers, slab performance risk at this site would be
considered low. Slabs placed on the native, unaltered soils at this site may experience slight heaving
and cracking, but should not be excessive.
If slabs -on -grade are chosen and the owner is willing to accept the risks ofpotential damage
from slab movement, slabs should be constructed to be "free-floating" and isolated from all
structural members of the foundation, utility lines, and partition walls. There should be a minimum
two-inch (2") void constructed below partition walls located over slabs -on -grade. The void should
be increased to four (4) inches for slabs placed on potentially expansive bedrock stratum. Eliminate
under -slab plumbing where feasible. Where such plumbing is unavoidable, it should be pressure
tested before and after slab construction to minimize leaks which would result in wetting of the
subsoil. Failure to allow the slab to float independently could result in functional, structural,
architectural, and utility line damage. All slabs should be scored into maximum 225 square foot
areas or maximum dimensions of fifteen (15) feet with a minimum depth of one (1) inch to localize
and control any cracking due to heaving. Any slabs less than thirty (30) square feet should be scored
at least once in each direction. The minimum slab thickness should be four (4) inches, with four (4)
inches of clean, washed gravel under the slab. Slabs should be reinforced with welded wire fabric, or
equivalent, to help control cracking and separation. Fiber mesh shall not be considered an equivalent
substitute for the welded wire fabric
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CONCLUSIONS
The soils encountered at this site are anticipated to exhibit no swell potential as moisture
contents are increased. Future owners should be cautioned that there may be some risk of future
damage caused by introduction of excess water to the soils. All new and future owners should be
directed to those items under "Post -Construction Site Preparation and Maintenance" in Appendix 1,
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included in this report. Our experience has shown that damage to foundations usually results from
saturation of the foundation soils caused by improper drainage, excessive irrigation, poorly
compacted backfills, and leaky water and sewer lines. The elimination of the potential sources of
excessive water will greatly minimize the risks of construction at this site. It is recommended that a
copy or summary of this report be provided to any new or future owners of this property. A copy of
A Guide to Swelling 'oils far Colorado Homebuyers and Homeowners, Colorado Geological Survey
Special Publication 43 should also be provided to any new or future owners of the property.
The findings and recommendations of this report have been obtained in accordance with
accepted professional engineering practices in the field of Geotechnical Engineering. However,
standard Geotechnical Engineering practices and related government regulations are subject to
change. The recommendations provided in this report are only valid as of the date of this report. If
the construction is at a later date, we would be glad to review the information presented in this report
with regard to updated governmental requirements or industry standards. There is no other warranty,
either expressed or implied. We do not guarantee the performance of the project in any respect, but
only that our engineering work and judgments rendered meet the standard of care of our profession.
This report applies only to the type of construction anticipated in the area tested. The current
technology is not at a stage where a guarantee of "absolutely no damage" can be assured by design
and construction practices.
1.
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PROPOSED
BUILDING
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LOCATION E TEST BORING
Client: Steve Roll
Project: 1644 County Road 47 (Hudson)
Weld County, Colorado
Engineering
Corporation
SCALE 1" 1 5O'
Date:
Project No.
10/30/18
18-9586
Drawn: „LSE
185 2nd St. St,
Loveland. Colorado 80537
Tele: (970) 887-8018
Figure: 1
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Symbols & Sdi
FIGURE NO. 2
Fill
Gravel
Sand
Silt
Silty Clay
Clay
Weathered Bedrock
Siltstone
Claystone
Sandstone
Limestone
Igneous ez Metamorphic
Prooerties
N/12 CALIFORNIA
N/12 SPLIT SPOON
THIN WALLED (SHELBY)
BAG SAMPLE
PITCHER SAMPLE
Penetration Resistance and Strength Classifications
are Based on The Standard Penetration Test
Number of Blows
Per foot (N)*
0-4
4-10
10-30
30-50
50+
Relative Density
Cohesionless Soils
Very Loose
Loose
Medium
Dense
Very Dense
* BLOWS PER FOOT - BLOWS OF 140 LB.
HAMMER DROPPED 30 IN. TO DRIVE
SPLIT SPOON OR CALIFORNIA SAMPLER
1 t (IN.) (ASTM 0L556---67)
** EQUIVALENT TO PP/2 AND Qua
Consistency
Cohesive Sails
Soft
Firm
Stiff
Very Stiff
Hard
Approximate
Cohesion ksf**
Less than 0.5
0.5-1.0
1.0-2.0
2.0-4.0
Greater than 4.0
Engineering 165 2nd St. S.P.
a}•Loveland, CU�� �'r4��. �� � Tee: [$7�b) 6$7-810
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5 Ff.
f 1 0 FT.
15 FT.
20 FT..
r,
25 FT.
30 FT.
35 FT.
0 F7.
TH-1 TH-1
a a
1 2/1 2
13/12
0 FT.
t
re' ~I
12/12
1 t
8/12
m
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0
5 FT.
. 47
1 7/1 2
Irmo
iva
FILL; clay, sand, gravel, moist, firm to hard, Borings drilled 09/18/18
using a 4" diameter, continuous flight
truck mounted drilling rig.
dark brown
SAND/SILT: sand and silt, sl. moist to moist,
sl, to med. dense, brown
10 FT.
15 FT.
20 Ft
25 FT.
30 FT.
35 FT.
Goundwater ID drilling
All soil and/or rock contacts shown on boring logs are approximate and represent subsurface conditions at time
of drilling, Boring Logs and information presented on logs are subject to discussion and Limitations of this report,
Boring Log
Client: Steve Roll
Project: 1644 County Road 47 (Hudson)
We!d County, Colorado
Engineering
Corporation
ley 2nd St. S.W.,
Loveland. Colorado 80537
Tele: OM) 867-8010
Date: 10/30/18
Project No. 18-9586
Drawn By: UDE
Figure;
SUMMARY IR OF TEST RESULTS
TABLE NO. I
Project No.: 18-9586
Boring Depth
No_
(ft)
# of blows/ I Natural
penetration Moisture
3 12/12
Natural Dry
Density
(pct
11.9
2
9.1
Swell Pressure Swell Pressure
500 psf
Surcharge
1000 psf
Surcharge
•S
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Unconfined
Compressive
Strength (psi)
Unconfined
Compressive
Strength (pat)
Passing
#4 ! #200
Seive (%)
Description
as o .w.}wa-i-. .
ra'. . , .':
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*Swell due to wetting under a 500 psf or 1000 psf surcharge - Negative values indicate consolidation
*Unconfined compressive strength estimated using a pocket penetrometer
iwi i � i •••■Y nY9 • "_
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100 / 70.1
Silt
100 / 61.2
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Sheet 1 of 1
APPENDIX I
POST -CONSTRUCTION SITE PREPARATION AND MAINTENANCE
Backfill
When encountering potentially expansive or consolidating soils, measures should be taken to prevent
the soil from being wetted during and after construction. Generally, this can be accomplished by
ensuring only minimal settlement of the backfill placed around the foundation walls. It should be
understood that some backfill settlement is normal and should be anticipated. Areas that do settle
should be repaired immediately to prevent ponding around the foundation. Water may need to be
added to backfill material to allow proper compaction do not puddle or saturate. Backfill should
be mechanically compacted to at least 90% of Standard Proctor. Compaction requirements could be
verified with field tests by the Engineer. It is the contractor's responsibility tocontact the engineer
for such tests.
Surface Drain
The final grade should have a positive slope away from the foundation walls on all sides. At
minimum, the slope shall meet the requirements of the governing Building Code. Where site grading
allows, we recommend a minimum of six inches (6") in the first five feet (5'). Downspouts and sill
cocks should discharge into splash blocks that extend beyond the limits of the backfill. Splash
blocks should slope away from the foundation walls. The use of long downspout extensions in lieu
of splash blocks is advisable. Surface drainage away from the foundation shall be maintained
throughout the lifetime of the structure.
Lawn Irrigation
Do not install sprinkler systems next to foundation walls, porches, or patio slabs. If sprinkler
systems are installed, the sprinkler heads should be placed so that the spray from the heads under full
pressure does not fall within five feet (5') of foundation walls, porches, or patio slabs. Lawn
irrigation must be carefully controlled.
If the future owners desire to plant next to foundation walls, porches, or patio slabs, and are willing
to assume the risk of structural damage, etc., then it is advisable to plant only flowers and shrubbery
(no lawn) of varieties that require very little moisture. These flowers and shrubs should be hand
watered only. Landscaping with a plastic covering around the foundation area is not recommended.
Check with your local landscaper for fabrics which allow evaporation when inhibiting plant growth
when a plastic landscape covering is desired.
Experience shows that the majority of problems with foundations due to water conditions are
generally due to the owner's negligence of maintaining proper drainage of water from the foundation
area. The future owners should be directed to pertinent information in this report.
REV 7/30/13
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APPENDIX 3
GENERAL SPECIFICATIONS FOR THE PLACEMENT ENT F COMPACTED FILL MATERIAL
PLACED BELOW A STRUCTURE
Moisture -Density Deferral not ioin
Representative samples of the materials to be used for fill shall be furnished by the contractor at least
seventy two (72) hours prior to compaction testing. Samples with higher moisture contents will
require extra time for test results due to the required drying for sample preparation. Tests to
determine the optimum moisture and density of the given material will be made using methods
conforming to the most recent procedures of ASTM D698 (standard Proctor) or other approved
methods, whichever may apply. Copies of the Proctor Curves will be furnished to the contractor.
These test results shall be the basis of control for the field moisture/density tests.
Materials
The soils used for compacted fill shall be selected or approved by the Engineer. The material shall
be free of vegetation, topsoil or any other deleterious materials. The material should be relatively
impervious and non -swelling for the depth specified in the soils report with no material greater than
six (6) inches in diameter.
Site Preparation
All timber, logs, trees, brush and rubbish shall be removed from the area and disposed in a manner
approved by the local governing agency. All vegetation and a substantial amount oftop soil shall be
removed from the surface upon which the fill is to be placed. Where applicable, the surface shall
then be scarified to a depth of at least six inches, moistened or dried as necessary to allow for
uniform compaction by the equipment being used. The scarified surface shall be compacted to not
less than 95% of maximum dry density based on ASTM D698, or to such other density as may be
determined appropriate for the materials and conditions and acceptable to the Engineer. Fill shall not
be placed on frozen or muddy ground.
Moisture
The fill material, while being compacted should contain, as nearly as practical (typically +/- 2%), the
optimum amount of moisture as determined by the Standard Proctor Test ASTM D698, or other
approved method. The moisture shall be uniform throughout the fill material. The effort required
for optimuun compaction will be minimized by keeping soils near optimum moisture contents,
Freezing temperatures and/or inclement weather conditions may impede moisture control and
compaction operations.
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Placement of Fill
The Geotechnical Engineer shall be retained to supervise the placement of fill material. The fill
material shall be placed in uniform layers and be compacted to not less than 95% of maximum dry
density based onASTM D698, or to such other density as may be determined appropriate for the
materials and conditions and acceptable to the Engineer. Prior to compacting, each layer shall have a
maximum loose layer height of twelve (12) inches (or as dictated by the compaction equipment
and/or soil conditions) with the surface relatively level. Test areas are recommended to determine
the optimum layer thickness. Thinner lifts may be necessary in order to achieve the required
compaction. Compacted layer thickness shall not exceed six (6) inches. Each twelve (12) inches of
compacted fill shall be approved by the Engineer prior to placing succeeding lifts.
Fill shall be compacted with machinery appropriate for the type of earthen material being installed.
Granular materials shall be compacted with vibratory type machinery. Clay and silt material shall be
compacted with a sheepsfoot or other segmented pad type compaction equipment. "wheel rolling"
is not considered an appropriate method to achieve the recommended compaction specifications.
"wheel rolling" is not recommended for extensive areas or depths and cannot be relied upon to give
uniform results.
Moisture and Density Testing
It is the contractor's responsibility to contact the Engineer with a minimum of 24 -hours notice to
schedule compaction testing. The density and moisture content of each layer of compacted fill will
be determined by the Engineer, or qualified technician, in accordance with ASTIR! D6938 (nuclear
method), or other approved method. If the tests show inadequate density, that layer, or portion
thereof, shall be reworked until the required conditions are obtained. Additional layers shall not be
placed until each underlying lift has been approved. The results of all density tests will be furnished
to both the owner and the contractor by the Engineer.
4
•
•
COLORADO
Department of Agriculture
Iwection 6 Consumer Services Division
STATE OF COLORADO
APPLICATION FOR PACFA LICENSE
use
SPACFPIP
Saray,uarding Would Pats
Pet Animal Care Facilities Act Program
lication Instructions and Requited Documents Checklist:
Please read and use this instructions page to ensure you understand and include all requirements for this
application. ALL information on the application is required.
Applications will not be processed if incomplete and/or required documents are not included.
Please allow at least two business days to process your application.
U
For New Applications: A confirmation email will be sent to you from our office once your application is
successfully processed.
• For NEW applications submitted on or after November 1, 2021, the Primary Business Contact/Licensee named
on the application will be REQUIRED to complete the PACFA Qualifying Education (QE) course prior to a pre -
license inspection being scheduled. You will have 7 days to complete the PACFA QE online course.
• Applicants will receive a confirmation email that will provide information regarding login credentials for the
PACFA Learning Management System (LMS) portal and (QE) course enrollment.
• If this application, is being submitted for PrimaryBusiness contact that already holds an existing license, please
provide your AgLUcense ID on page 2 of the application. Current licensees will be required to take a Continuing
Education course at a later time and are NOT required to take the QE course for this new application.
For Renewal Applications: Pursuant to 35-B0-106(2), C. R.S,, Renewalapplicationsmust be postmarked or
received by March 1st. A 10% penalty will be assessed for renewal applications received after that date.
❑ Application Fee/Payment: Application Fees are listed in the license categories section and is due with
the application.
• Acceptable Forms of Payment - Credit Card, Check or Money Order.
• Please make Checks/Money Orders payable to: Colorado Deportment of Agriculture.
E1 For Registered Entities, such as LLC's, Corporations and Non -profits, only: Your business must be
registered with the Colorado Secretary of State if you are not a Sole Proprietor.
• include a printed Business Summary Sheet from your business listing found on the Colorado SOS website.
For Out of State Businesses/Facilities, only: You are required to register as a Foreign Entity using a
Colorado Registered Agent with the Colorado Secretary of State (www.sos.stateico.us/biz).
• Include a printed Business Summary Sheet from your business listing found on the Colorado SOS website.
• For Out Of State Pet Transporters Please include a note or in an email with this application indicating which
area /county of Colorado you plan on doing your first transport into. Informing us of your first transport
will allow us to schedule your pre -license inspection as soon as possible.
For Town, City, or County Government facilities, only: Include a signed letter from an appointing
ointin
authority, such as the city.„ town or county manager, uthorizin the person on this application t B
g f g pto be the Primary
Business Contact for the license..
Hours of Operation: All applicants are REQUIRED to provide at least two timeslots / hours on two different
days that you are available.
• If you do not maintain regular business hours for the public, you must identify the hours when your business
is open for inspection.
• If you are an IC Pet Groomer: Please provide the hours you work, not the hours of the facility you contract
from.
For Change of Primary Business Contact, only: Include a signed letter from the business' legal authority.
• Find more information on the PACFA webpage under the Facility Reporting Forms box.
• The new Primary Business Contact is REQUIRED to complete the QE Course prior to the license being
updated as new licensee.
For Shelter/Rescue/Breeder/Pet Transporter License Renewals, only: Your annual statistics report is
required to be submitted with your renewals application.
PP
• Stats must be submitted via the PACFA Reporting Statistics portal. You may find the Report Statistics portal
on the PACFA webpage.
• If this is your first year submitting stats, you will need to Register as a New User to get started.
J Submit your application by Email (Preferred), Fax, or Mail:
• Email: cda_pacfa@state.co.us • Fax: 720-634-0934 • Mail: 305 I'nterlocken Pkwy, Broomfield, CO, 80021
Office: 303-869-9146 PACFA • Webpage: https://a .coloradctgov/ics]pacfa
Please contact our office with any questions (email preferred).
Instructions Page
COLORADO
Department of Agriculture
inspection 8 Consumer serif division
STATE OF COLORADO
APPLICATION FOR PACFA LICENSE
AC Fir
5i9quaSInp COFo'redQ'6 P*t*
Pet Animal Care Facilities Act Program
Please
select
all
that
aDPIv
to this
application:
❑
New Application
❑
Renewal
Provide AgLice tisel o U
Add Category to Existing License Provide A,gLicensel D
your
your
_
❑
New Business/Facility
❑
Business moved locations
❑
Change of Ownership
❑
Change of Primary Business Contact
Business Facility
information:
All
Business Facility Information below is required. Do NOT leave anything
• Business Type: Please select one O Sole Proprietor
blank.
❑
Registered Business: Corporation,
LLC, Non -Profit
❑
Government or Local Municipality
• Business Name: All applicants must provide a
-If you are a Sole Proprietor: Your Ie:al
Business
Name in
name must be
the space below.
in this field.
• DBA (Doi ng
advertised if different
Business
than
As) Name: Please provide your business trade
the business name listed above. If none write
name, the name on exterior of building/signage, or business name as
UN/An.
•
Business Physical Address: All applicants must provide a Business
-If you are an IC Groomer: Enter the physical
Physical Address in the spaces below.
address of your home. Do NOT list the address of the facility you work at.
Street
Address Cit
State ti
Code State Coun
*
License
Cate
or
and
A
Fees: From the options
below, select all categories that apply to your business.
* For two or more
categories,
the
-lication
fee will be the cost of the highest
priced category plus $50 for each additional category.
Q
Pet Grooming Facility $400
❑Aquarium
Only $450 (Aquarium retail wholesale only)
Only select the category that applies to your grooming business below.
Primary Facility Owner: Owns/Leasesirviaintains a physical facility.
• Customers compensate Primary Facility Owner far all work done by
the owner, employees, and by contract with IC groomers.
• May rent space to Secondary Facility Owners and IC groorners.
0 Secondary Facility Owner: Rents space from Primary Facility Owner.
• Customers compensate Secondary Facility Owner directly.
• Does not perform grooming services for Primary Facility owner.
❑
Commercial Pet Animal Facility $4500
❑
Pet Boarding and/or Training $500
❑
Pet Handler $225 (Transport pet animals for walks appointments,
and/or to their hoarding facility)
❑
Retail
/ Wholesale of Pet Animals
$500
■
Mobile Groomer: Performs mobile grooming services by means of
❑
Bird Breeder $275
a vehicle, trailer, or performs grooming at customer's homes.
[�
Cat Breeder $400
D
Self Wash Facility: Owns/Leases/Maintains a physical facility where
customers wash their own pets.
❑
Small Scale Dog Breeder ( q99 transfers) $450
Q
*Independent Contractor (IC) Pet Groomer $350
❑
Large Scale Dog Breeder (>100 transfers) 550
•
legal
• IRS
Note:
and
website:
Before
Colorado
requirements
applying
Dept,
htt
to be an IC Pet Groomer, please
of Labor laws and rules to ensure
of an independent contractor.
www,Irs. ov business�esf:small-businesses-self-
review the IRS
you meet all
i
Reptile / Amphibian Breeder $275
❑
Small Animal Breeder $425
emoloyed/indevendent
-s..
contractor--seat-empilaved-or-employee
• IC Pet Groomers
• REQUIRED: List
below
Business Name:
may work at up to 3 locations.
the business name and address of your locations
Address;
❑
Pet Animal Small Rescue ( <100 transfers) $325
❑
Pet Animal Large Rescue I >100 transfers) $425
❑
Pet Animal Sanctuary $450
Business Name: Address:
❑
Pet Animal Small Shelter (t3000 transfers) $450
In
Business Name: Address;
❑
Pet Animal Large Shelter (>3000 transfers) $600
❑
Pet Transporter $350
(Transports pet animals to retail, wholesale,
.. PACFA Rule 2,7,1- IC Groomers are required to notify PACFA in writing if they drop
tocattons. Location changes must be submitted within 15 days on the online form an
PACFA webpage.
or add
the
rescues ��f� i�r shelters. Outstate
transporters6�it o ode a
ofp
Colorado location of your,, tit transport with this application.)
Page l of 3
PACFA App I Icy Irian —V9
(COLORADO
D ep ri rtrnent of Ag riculture
Tnc .I.a� Consumer Servtees Dtgzsbn
STATE OF COLORADO
APPLICATION FOR PACFA LICENSE
?AC F
5MttulnitaaC Coiorarkru f"tts
Pet Animal Care FacFllties Act Program
Hours of Operation: Please circle your hours (Monday - Friday only) below. See the instructions page for more information.
8 am -5 pm
R am -10 am
10 am -12 pm
l2pm-2 pm
2 pm -4 pm
4 pm -6 pm
am 5 pm
a am 10 am
10 am -12 pm
12pm-2 pm
2 pm -4 pm
4 pm —6 pm
8 am —5 pm
S arn-10 am
10 am -12 pm
12pm-2 pm
2 pm -4 pm
4 pm —6 pm
Thursday
8 am —5 pm
8 am 10 am
10 am -12 pm
12pm-2 prri
2 pm -4 pm
4 pm —6 pm
8 am —5 pm
8 am 10 am
10 am -12 pm
12pm-2 pm
2 pm -4 pm
4 pm -6 pm
Pr imar Business Contact (Licensee Information: This information is for the person who holds legal responsibility and
obligation for the business and the PACFA License, and will be the main point of contact for the facility. Ali informadon below is REQUIRED.
• This person is REQUIRED to complete the PACFA GE course prior to a pre -license inspection being scheduled.
• If the Primary Business Contact currently holds a PACFA license, please provide the AgLicen se ID for verification:
Date of Birth: Legal First Name:
Mailing Address: Street Address
Legal Middle Initial: Legal Last Name:
City State Zip Code
Main/Cell Phone Number: Business/Facility Phone Number:
Email Address (We use your email for PACFA / CDA related purposes only):
Secondary Contact for Business (Full name): Secondary Contact's Phone Number:
Primary Business Contact Ce fi cati O n : This section must be completed and signed by the Primary Business Contact, only.
1) I certify that I am in compliance with all federal, state and local laws, codes or ordinances pertaining to my business activities.
Yes No. If No, please identify any code, ordinance, or law with which you are not in compliance and identify how you
intend to resolve the matter;
2) I am aware the information provided in this application will be used to perform a background search of public records to include
municipal, county and state court records. (initial)
3) i am aware it is my responsibility to review and comply with the PACFA Rules & Regulations (see the PACFA website). (initial)
4) i understand that PACFA Application/License Fees are non-refundable. if for any reason I do not open or close my business during the
license year my applicationllicense fee will not be refunded. F also understand that the license is non -transferable between locations
and that if I move to a new location I must reapply and pay a new license fee. (initial)
5) Has the applicant or applicant's principals, partners, officers, or agents been charged, fined, sentenced, convicted, or entered a plea of
guilty or no contest under any federal, state or local law pertaining to theft, cruelty, neglect or abuse of animals? Yes No
If Yes, provide the disposition , case number r jurisdiction and name (s) of the defendants
involved;
Charging and Disposition court documents may be required.
6) Has the applicant or applicant's principals, partners, officers, or agents had a PACFA or similar license denied, revoked or suspended?
Yes No, if Yes, please provide specifics:
By signing below, I affirm that the statements contained herein and all information on this application are true and accurate to the best of
my knowledge. i understand the submission of my application does not license me and/or my business, that I am required to complete the
PACFA Qualified Education course, and that a pre -license inspection is required. I understand that this application is a legal document and
that making a material misstatement in this application is grounds for disciplinary action against my license, which may include denial of this
application for licensure/renewal.
Signature of Primary Business Contact Date of Application
Page 2 of 3
PACFA App I icatio i7 --V9
COLORADO
Department of Agriculture
Inspection Ft Consumer Services Milton
STATE OF COLORADO
APPLICATION FOR PACFA LICENSE
sili
TIPACFAC
Safeguarding Colorado's Pets
Pet Animal Care Facilities Act Program
Credit Card Payment Form
If you wish to pay by credit card, please fill out this form and submit with your completed application.
ALL FIELDS MUST SE FILLED OUT.
Type of Credit Card:
9 Visa
0 MasterCard
■
■
American Express
Discover
Credit Card Number:
Name (as it appears on the card):
Email address (where payment summary will be sent to)
Expiration Date:
Billing Street Ad d ress ;
City: _ State: Zip Code: Billing Phone Number:
By signing below, I agree that the credit card above will be charged the full application amount. In addition, I
agree to pay an additional non-refundable 2.25% of the total amount due to cover the cost of the credit card
transaction and a one-time non-refundable processing fee of $0.75,
Signature: __ Date:
Page 3 of 3
PACPA Application --V9
Weld County Treasurer
Statement of Taxes Due
Account Number R0125295
Assessed To
Parcel 147325000040
ROLL STEVEN
1644 COUNTY ROAD 47
HUDSON, CO 80642-8702
Legal Description
I 0840-B PT NW4 25 165 LYING S OF N LN BOX ELDER LATERAL DESC AS BEG S2031 6' OF N4 COR SEC WLY ALG N LN
LATERAL 572O32'W 49 19' SS5D59'W 95 43' N67D58'W 108 48' N55D15'W 189 3' N73O41'W 50 72' N86D30'W 726 25' N77D23W
82 98' N85D23'W 72 52' S72D24'W 136 I5' S52D55'W 97 96' 841D30'W 167 45' $65D0 Additional Legal on File
Year Tax
Interest
Fees
Situs Address
1644 COUNTY ROAD 47 WELD
Payments Balance
Tax Charge
2021 $4,190.30
Total Tax Charge
$0.00 $0.00 ($2,095.15) $2,095.15
82.095.15
First Half Due as of 03/29/2022
Second Half Duc as of 03/29/2022
$0.00
$2.095.15
Tax Billed at 2021 Rates for Tax Area 2497 - 2497
Authority
WELD COUNTY
SCHOOL DIST RE3J
CENTRAL COLORADO WATER
(CCW
CENTRAL COLORADO WATER
SUBD
HUDSON FIRE
AIMS JUNIOR COLLEGE
HIGH PLAINS LIBRARY
Taxes Billed 2021
* Credit Levy
Mill Levy
15.0380000*
19.0630000
1.4040000
2.1890000
9.2400000
6.3420000
3.1970000
Amount Values
$1,115.81 AG -FLOOD
$1,414 48 IRRRIGATED LAND
$104.18
$162.43
FARMJRANCH
RESIDENCE -IMPS
OTHER BLDGS.-
AGRICULTURAL
$685.61 Total
$470.58
$237.21
56 4730000 $4,190 30
Actual Assessed
$24,490 $7,100
$576,865 $41,250
$89,154 $25,850
$690,509 $74,200
ALL TAX LIEN SALE AMOUNTS ARE SUBJECT TO CHANGE DUE TO ENDORSEMENT OF CURRENT TAXES BY THE
LIENHOLDER OR TO ADVERTISING AND DISTRAINT WARRANT FEES.
CHANGES MAY OCCUR AND THE TREASURER'S OFFICE WILL NEED TO BE CONTACTED PRIOR TO REMITTANCE AFTER THE
FOLLOWING DATES: PERSONAL PROPERTY, REAL PROPERTY, AND MOBILE HOMES - AUGUST 1.
TAX LIEN SALE REDEMPTION AMOUNTS MUST BE PAID BY CASH OR CASHIER'S CHECK.
POSTMARKS ARE NOT ACCEPTED ON TAX LIEN SALE REDEMPTION PAYMENTS. PAYMENTS MUST BE IN OUR OFFICE AND
PROCESSED BY THE LAST BUSINESS DAY OF THE MONTH
Weld County Treasurer's Office
1400 N 17th Avenue
PO Box 458
Greeley, CO 80632
Phone: 970-400-3290
Pursuant to the Weld County Subdivision Ordinance, the attached Statement of Taxes Due
issued by the Weld County Treasurer, are evidence of the status as of this date of all property
taxes, special assessments, and prior tax liens attached to this account.
Current ar's taxes are due but not delinquent.
Signed:
Date:
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