Packet - Kenosha County

transcript

COUNTY oF KExoSHAOrucn oF THE CouNry ExncurrvnJim Kreuser, County Executive

1010 - 56th Street, Third FloorKenosha, Wisconsin 53 140

(262) 6s3-2600Fax: (262) 653-2817

ADMINISTRATIVE PROPOSAL

COTINTY EXECIIT IVE APPOINTMENT 2O2II22-I9

RE: KENOSHA COUNTY BOARD OF HEALTH

TO THE HONORABLE KENOSHA COUNTY BOARD OF SUPERVISORS:

Placing special trust in her judgment and based upon her qualifications, I hereby submit to theHonorable Kenosha County Board of Supervisors for its review and approval the name of

Dr. Dominique PritchettKenosha, WI53140

to serve a five-year term on the Kenosha County Board of Health beginning immediately uponconfirmation of the County Board and continuing until the 4th day of February 2022 or until asuccessor is appointed by the County Executive and confirmed by the Kenosha County Board ofSupervisors.

Dr. Pritchett will be replacing Mark Modory on the board.

Dr. Pritchett will serve without pay.

Respectfully submitted this lOth day of June 2021 .

/,*Jim KreuserKenosha County Executive

COLINTY OF KENOSHAOFFICE OF THE COUNTY EXECUTIVE

JIM KREUSER

APPOINTMENT PROFILEKENOSHA COUNTY COMMISSIONS. COMMITTEES. & BOARDS

(Please type or print)

NameFirst Middle Last

Residence Address:

Previous Address if above less than 5 years:

Occupation:Company Title

Business Address: bqVq 4ltlllTelephone Number: Residence Business

Daytime Telephone Number:

Mailing Address Preference: Business ( r/; Residence ( )

Email Address:

y\\l$,,, f,utg *01 fu*owi frtff'E;6n

Do you or have you done business with any part of fi.enosha County Government in thepast5years? Yes( ) No(r')

If yes, please attach a detailed document.

Affiliations: List afhliations in all service groups, public service organizations, social orcharitable groups, labor, business or professional organization, and indicate if it was a

or staff

Soecial Interests: Indicate organizations or activities in which you have a special interestbut mav not have actively involved.

*lf more space is needed, please attach another sheet.

Kenosha County Commissions, Committees, & BoardsAppointment Profile - Page 2

Nominee's Supervisory District q0VV\01c" 4

List services with any governmental unit.

Additional Information: List any qualifications or expertise you possess that wouldbenefit the Board, Commis etc

It rnappropnate you, as a or "tNappointee, to have a member of your immediate family directly involved with anythat may come under the inquiry or advice of the appointed board, commission, orcommittee. A committee member declared in conflict would be prohibited from votingon any motion where "direct involvement" had been declared and may result inembarrassment to you and/or Kenosha County

frh-qLtDate

Please Return To: Kenosha County Executive1010 - 56th StreetKenosha, WI 53140

(For Office Use Only)

Appointed ToCommission/Committee/B oard

trnrli gTerm: Beginning

Confirmed by the Kenosha County Board on:

Reappointment _

Previous Terms:

New Appointment

COUNTYoF KExoSHAOrrrcn oF THE Couxry ExncurrvnJim Kreuser, County Executive

(262) 6s3-2600Fax: (262) 653-2817

COUNTY EXECUTIVE APPOINTMENT 2021122-20

RE: KENOSHA COUNTY BOARD OF ADMINISTRATIVE APPEALS

TO THE HONORABLE KENOSHA COUNTY BOARD OF SUPERVISORS

Placing special trust in his judgment and based upon his qualifications, I hereby submit to theHonorable Kenosha County Board of Supervisors for its review and approval the name of

Mr. Bill EricksonKenosha, WI 53140

to serve on the Kenosha County Board of Administrative Appeals beginning immediately uponconfirmation of the County Board and continuing until the 30th day of June 2024, or until asuccessor is appointed by the County Executive and confirmed by the Kenosha County Board ofSupervisors.

Since his last appointment, there have been no meetings held. This Board meets on an as-neededbasis.

Mr. Erickson will serve without pay but will receive a per diem

Mr. Erickson will be succeeding himself.

Respectfully submitted this 1Oth day of June 2021.

Jim KreuserKenosha County Executive

COUNTY OF KENOSHAOFFICE OF THE COUNTY EXECUTIVE

JIM KREUSER

(Please type or print) rt

Name LLFirst

Residence Address:

ERLLKSoJMiddle Last

Previous Address if above less than 5 years

Occupation:Company Title

Business Address

Telephone Number: Residence

Daytime Telephone Number

Mailing Address Preference: Business ( )

Email Address:

) Business

Residence ({)

Do you or have you done business with any part of Kenosha County Government in thepast 5 years? Yes (X) No ( )

Affiliations: List affiliations in all service groups, public service organizations, social orcharitable groups, labor, business or professional organization, and indicate if it was a

staff affrliation.

Special Interests: Indicate organizations or activities in which you have a special interestbut not have been actively involved.

*If more space is needed, please attach another sheet.

Nominee's Supervisory District

Govemmental Services: List services with any govemmental unit.L

Additional Information: List any qualifications or expertise you possess that wouldbenefit the Board, Committee, Commission, etc.

Conflict Of Interest: It would be inappropriate for you, as a current or prospectiveappointee, to have a member of your immediate family directly involved *ith *y actionthat may come under the inquiry or advice of the appointed board, commission, orcommittee. A committee member declared in conflict would be prohibited from votingon any motion where "direct involvement" had been declared and may result inembarrassment to you and/or Kenosha County.

Signature of Nominee

-1(' \alDate

Please Retum To: Kenosha County Executive1010 - 56th StreetKenosha, WI53140

Term: Beginning

ReappointmentNew Appointment

Previous Terms:

RESUME

Bill Erickson

EDU.CATION

Columbus High School, Marshfield, WtUniversity of Wisconsin, Madison, BA Psychology

WORK HISTORY

1,1"/2U83-12/3O/A3 Kenosha County Department of Human Services3,1/ 21/ 83-5 / 3i / 36 Caseworker, Genera i Assistance program

6 / L / S6-LZ /30/03 Su pervisor, Econom ic Su p port progra m

IlL2/A4-LA/1/14-Andrea & Orendorff, LLp, Special projects Manager

Utzl1.4- RAMAC-Certifi ed Appl ication Cou nse lor for th eAffordable Care Act

AA Plan {eff. date t2/31/t4t

PAST iOB DUTIES at the KOCWelfare Fraud Program SupervisorCivil Rights Compliance Coordinator

Medicaid Transportation CoordinatorI nterpreter Services Coordi nator

OtherMember of American Legion Post 21

504 58th St, Kenosha, Wl 53140

I am familiar with the Administrative Appeal process. while an EconomicSupport Supervisor, I took my turn with other Supervisors and represented theDivision of Workforce Development by preparing cases and defending them inAdministrative Hearings conducted by the State of Wisconsin to hear complaintsby FoodShare and Medicaid fusistance clients.

I understand the application and interpretation of wisconsin Statutes,administrative code and regulatory rules. I know how to conduct regulatoryappeal hearings and write decisions that are acceptable in a circuit court if theissue at hand is advanced.

COUNTY oF KExoSHAOrrrcn oF THE CouNry ExpcuuvnJim Kreuser, County Executive

(262) 6s3-2600Fax: (262) 653-2817

ADMINISTRATIVE PROPO SAL

COUNTY EXECT]TIVE INTMENT 2021122-21

Ms. Gail GentzKenosha, WI 53144

to serve on the Kenosha County Board of Administrative Appeals beginning immediately uponconfirmation of the County Board and continuing until the 30ft day of June 2024, or until asuccessor is appointed by the County Executive and confirmed by the Kenosha County Board ofSupervisors.

Since her last appointment in June of 2018, there have been no meetings held. This Board meetson an as-needed basis.

Ms. Gentz will serve without pay but will receive a per diem.

Ms. Gentz will be succeeding herself.

Respectfully submitted this 10th day of June 2021.

Jim KreuserKenosha County Executive

COUNTY OF KENOSHAOFFICE OF THE COLINTY EXECUTIVE

JIM KREUSER

Name: Cr^ .L &*.First

Residence Address:

Middle Last

Occupation:

Company Title

Business Address:

Telephone Number: Residence Business

Email Address:

Residence ( )

Do you or have you done business with any part of Kenosha County Government in thepast 5 years? Yes ( ) No X)If yes, please attach a detailed document.

Affiliations: List affiliations in all service groups, public service organizations, social orcharitable groups, labor, business or professional organization, and indicate if it was aboard or staff affiliation.

eP -Bd o4 , nc-c,*o n eSha l" OenlYh

Special Interests: Indicate organizations or activities in which you have a special interestbut may not have been actively involved.

Nominee's Supervisory District tqGovernmental Services: List services with any govemmental unit.

Additional Information: List any qualifications or expertise you possess that wouldbenefit etc.

Conflict Of Interest: It would be inappropriate for you, as a current or prospectiveappointee, to have a member of your immediate family directly involved with any actionthat may come under the inquiry or advice of the appointed board, commission, orcommittee. A committee member declared in conflict would be prohibited from votingon any motion where "direct involvement" had been declared and may result inembarrassment to you and/or Kenosha County.

Signature of Nomlnee

.S' t7 -)rDate

Term: Beginning

Confirmed by the Kenosha County Board on

New Appointment Reappointment

Previous Terms:

COUNTY oF KnIvoSHAOmrcn oF THE Couxry ExrcurrvnJim Kreuser, County Executive

l0l0 - 56ft Street, Third FloorKenosha Wisconsin 53140

(262) 6s3-2600Fax: (262) 653-2817

ADMINI STRATIVE PROPO SAL

couNTY EXEQUTTYE APPOTNTMENT 20?.r/22-12

RE: KENOSHA COTJNTY HUMAN SERVICES BOARI)

TO THE HONORABLE KENOSHA COI'NTY BOARD OF SUPERVISORS:

Placing special trust in his judgment and based upon his qualifications, I hereby submit to theHonorable Kenosha County Board of Supervisors for its review and approval the name of

Supervisor Andy BergKenosha, WI53144

to serve a term on the Kenosha County Human Services Board beginning immediately uponconfirmation by the County Board, and continuing until the 3l$ day of December, 2023 or until asuccessor is appointed by the County Executive and confirmed by the Kenosha County Board ofSupervisors.

Supervisor Berg will serve without pay.

Supervisor Berg will be filling avacancy on the Board.

Respectfully submitted this 28n day of April 2021.

/*Jim KreuserKenosha County Executive

COLINTY OF KENOSHAOFFICE OF THE COUNTY EXECUTIVE

JIM KREUSER

APPOINTMENT PROFILE

(Please type or prin9

Residence Address

Middle

Previous Address if above less than 5 years: trhlOccupation: "-*#Title

BusinessAddress: Gs;s /qA r{ru-

Telephone Number: Residence Business/@ 2*t;55-7of4 Py', IDaytime Telephone Number:

Mailing Address Preferenge: Business ( )

Email Address:

Residence (-;{

Do you or have you done business with any part of Kenosha County Government in thepast 5 years? Yes ( ) No (X )

If yes, please attacha detailed document-

Affiliations-: List affrliations in all service groups, public service organizations, social orcharitable groups, labor, business or professional organization, and indicate if it was a

Special Interests: Indicate organizations or activities in which you have a special interestbutpqipy not havg beenpctivgly involved

J<.e- afihzAd

Nominee's Supervisory District toGovernmental Services: list services with any governmental unit.

Additional lnformation: List any qualifications or expertise you possess that wouldCommi etc

Conflict Of Interest: It would be inappropriate for you, as a current or prospectiveappointee, to have a member of your immediate family directly involved with any actionthat may come under the inquiry or advice of the appointed board, commission, orcommittee. A committee member declared in conflict would be prohibited from votingon any motion where "direct involvement" had been declared and may result inembarrassment to you and/or Kenosha County

of Nominee

Please Return To: Kenosha County Executive1010 - 56th StreetKenosha, WI53140

(For Ofhce Use Only)

Appointed To:Commission/Committee/B oard

Term: Beginning

ReappointmentNew Appointment JPrevious Terms:

Affiliations: Kenosha County Veterans Council-President

VFW Post 7308-Lifetime Member

Garden of Eatin-Kenosha-Executive Director

Kenosha Masons Unity Lodge 367-member

City of Kenosha Hometown Hero's Commission-member

University of Wisconsin-Parkside Community Engagement AdvisoryCommittee-member

Special Interests: I have been in talks with a private Behavioral Health organization,tri-county executives, and a developer. The purpose of these talks is to attain a

minimum of a27-bed mental health facility here in Kenosha County.

Nomineels Supervisorv District: District 10

Additional Information: Kenosha County Supervisor-District L0

Kenosha County-Legislative Committee-Chair

Kenosha County-Human Service Committee-Vice Chair

Kenosha County Public Works Committee-member

COUNTYoFKnxoSHAOrrrcn oF THE Couxry ExrcurrvnJim Kreuser, County Executive

1010 - 56ft Street, Third FloorKenosha, Wisconsin 53140

(262) 653-2600Fax: (262) 653-2817

ADMINISTRATIVE PROPO SAL

couNTY EXECUTTVE APPOTNTMENT 202 1/22-13

RE: KENOSHA COUNTY COMMISSION ON AGING AND DISABILITY SERVICES

TO THE HONORABLE KENOSHA COLINTY BOARD OF SUPERVISORS:

Ms. Julie FreseKenosha, WI53142

to serve aterm on the Kenosha County Commission on Aging and Disability Services beginningimmediately upon confirmation of the County Board and continuing until the 3l$ day ofDecember, 2A22 or until a successor is appointed by the County Executive and confirmed by theKenosha County Board of Supervisors.

Ms. Frese will serve without pay.

Ms. Frese will be replacing Carol Schaufel on the Commission.

Respectfully submitted this 28th day of April 2021.

COLTNTY OF KENOSHAOFFICE OF THE COUNTY EXECUTIVE

JIM KREUSER

APTOTNTMENT PROFTLn

Name: . L Jrr. |.lLi.nnp, Frn , o,First Middle Last

Residence Address:

Previous Address if above less than 5 years: N /1

Occupation: v(r^Company T

Business Address:

TelephoneNumber: Residence Business

Email Address:

Residence ( r,/)

Do you or have you done business with any parl of Kenosha County Government in thepast 5 years? Yes ( ) No (/)

Ifyes, please attach a detailed document.

Affiliations: List affiliations in all service groups, public service organizations, social orcharitable groups, labor, business or professional organization, and indicate if it was aboard or staff affiliation.

ITe ento r

fr ter;ly ve>tucn?t 'Qi"is fn-4$pecial Inte_rests: Indicate orgaruzattons or activities in which you have a special interestbut may not have been actively involved.

Nominee's Supervisory District

Governmental Services: List services with any goverrrmental unit.Nnno.

4 2r t4t'oxoJ

nteveloonenl 4<De'rt4''tCt'-lt

Conflict Of Interest: It would be inappropriate for you, as a current or prospectiveappointee, to have a member of your immediate family directly involved with any actionthat may come under the inquiry or advice of the appointed board, commission, orcommittee. A committee member declared in conflict would be prohibited from votingon any motion where "direct involvement" had been declared and may result inembarrassment to you and/or Kenosha County.

q^^AL ,/.%-- PA D.{g/rature of N6minee

Anri/ 21 ZoztDate/

Appointed ToCommi s sion/Committee/B oard

Term: Beginning

ReappointmentNew Appointment ,r/

Previous Terms:

Julie S. Freseo PhD

Kenosha, Wisconsin I Phone: 262-909-2374 | Email: jfrese99@gmail.com

Educational LeaderJulie is a highly-respected educator and institutional leader with a record ofexcellence in the leadership offaculty, staff, and students,to meet high quality standards that motivate and capitalize on student leaming and success, and align with institutional mission, vision,and values. With over 26 years of experience lnK-12 public schools and public and private universities, she has demonstrated skills ingathering, analyzing and reporting institutional, program and individual student leaming outcome data to optimize instructionalprograms to meet evolving learner needs.

Anuls oF SrRENcrrrr InstructionalLeadership. OrganizationalLeadership. CurriculumDevelopment

. Strategic Planning

' Goal-Setting. AccreditationPlanning. Program Developmentr Process Improvement

Eoucarrox

r Assessment & Evaluation. Student Retention & Success. Faculty & Staff Development. Quality Systems & Mefics

Master of Arts, PsychologyRegis University I Denver, Colorado

PhD Curriculum Leadership - Educational Technology CognateDenver University I Denver, Colorado

Master of Science, Reading - Curriculum & InstructionUniversity of Wisconsin lMadison, Wisconsin

Bachelor of Sciencen Behavioral DisabilitiesUniversity of Wisconsin I Madison, Wisconsin

CnnrrrrcATns AND CREDENTTALS

Wisconsin Certification - Mentally Retarded, Special Learning Disabilities, Emotionally Disturbed - ElementaryTeacher - Grades K-8

Colorado Certificate, K-12 Educable Mentally Handicapped, K-12 Reading Specialist

California Professional Clear Specialist Instruction Credential, Reading and Language Arts, 2006

California Preliminary Level I Education Specialist Instruction Credential, Mild/TVloderate Disabilities

RrcrNr PnorussroNAl Exprnmncr

2016-2018 I)irector of Teaching and Learning I University of the Rockies I Denver, Colorado. Oversee a team which includes an Assessment Specialist, Manager of Academic Quality, and Manager of

Academic Integrity.

' Collaborate withthe Associate Director of Curriculum and Academic Quality to include reliable and validassessments which align with the weekly, course, program, and institutional learning outcomes.r Monitor and evaluate faculty perfiormance in online courses, including doctoral-level faculty.

. Offer and evaluate professional development opportunities for faculty and staff.. Involved in regulatory compliance, quality, and curriculum, instruction, and assessment to implement andintegrate strategic objectives aligrred with irtstitutional mission.

2014-2015

2012-2014

201S-present

julie S. Frese, PhD

. Involved in preparing for accreditation visits by the University for the Higher Learning Commission (HLC)and Council for Accreditation of Counseling and Related Educational Programs (CACREP).

. Manage a one-million dollarbudget.

Key Accomplishments & Contributions:. Played a key rcle in the self-study process for a successful Higher Learning Commission reaffirmation of

accreditation visit.r Increased rigor and student success while reducing program costs by re-engineering a comprehensive exam

and in-residency program.r Leveraged end-of-coune survey data with other data to assist in determining the root cause of problems,

Director of Curriculum, Assessment & Academic Quality I Univenity of the Rockies lDenver, Colorado. Oversaw a team to include an Associate Director of Curriculum, three Instructional Designers, an

Assessment Specialist, a Manager of Academic Quality, and a Rubric Specialist.

' Developed a program review process with the Provost, Deans, and Manager of Academic Quality.I Instrunental in creating a more efficient course development system.

' Identified and revised specific prcgrams including specialization areas

Key Accomplishments & Contributions:. Comprehensively assessed student leamrng outcomes across all progftrms by developing a sophisticated

curriculum mapping process.I Collaborated with Business Intelligence personnel to gather, analyze, and report Noel-Levitz and Alumni

Survey data.

Ilirector of Assessment & Aeademic Quality I University ofthe Rockies I Denver, Colorado. Devised assessment plans for all programs.. Collected, analyzed, and communicated assessment data to administration and Assessment Team.

Key Accomplishments & Contributions:r Comprehensively assessed student learning outcomes across all programs by developing a sophisticated

curriculum mapping process.. Revived the Assessment Team to include additional stakeholders (from other departments) and increased

engagement in developing a universif5r-wide assessment culture. Set and achieved yearly goals.r Presented Assessment and Academic Quality Date to the Board of Trustees.

Peer Mentor for the Assessment of Student Learning Academy I Higher Learning Commission. Attend regular training sponsored by Hrgher Learning Commission staff.

Key Accomplishments & Contributions:. Collaboratively mentor and provide regular feedback on numerous university team assessment projects in

collaboration with a Higher Learning Commission assessment scholar.

Anurrrouar, PnonnssroNAl Expnnmxcn

2012-present

2An-2015

2010-2018

2009-2012

2012-2013

2409-2012

2008-present

2001-2008

2001-2012

2000-2001

Quality Matters Peer Reviewer

Quality Matters Research Colleague

Instructor, University of the Rockies -Masters and Doctorate of Organizational Leadership Program

Assessment Specialist, University of the Rockies

Faculty Development Specialisf University of the Rockies

Contributing Faculty and Supervisor - Walden University, Special Education MA Endorsement Program

Chair/Mentor & Committee Member (EdD and PhD), Walden University, Education and Self-Designed Programs

Afiiliate Faculty and Supervisor, Chapman University

Affiliate Faculty and Course Designer, Regis University

Associate hofessor and Academic Advisor, Supervisor, Regis University

|ulie S. Frese, PhD

1991-2000

1997-2000

t997-2000

1980-2000

1986-1988

1979-1980

1974-1976

Instructional Resource Teacher, School Technology Coach, Aurora Public Schools, Aurora, CO

Affiliate Faculty, University of Denver, Moderate Needs and Teacher Education Program, Denveq CO

Affiliate Faculqz, University of Colorado - Denver, CO

English lnstructor, Itsukaichi, Japan

Academic Teacher (Math, Science, Reading, Language Arts), Aurora Public Schools - Aurora, CO

Continuing Education Insfructor (Adult Basic Education and GED Programs), Aurora Public Schools, Aurora, CO

Reading Specialist (Grades 5-7), Aurora Public Schools, Aurorq CO

Leaming Disabilities Resource Teacher (Grades 6-8), Shawano School District, Shawano, Wl

Hoxons & Awanns

20152013

Engagement Award, University of the RockiesDepartment of Assessment and Academic Quality: In Appreciation for Outstanding Service and

Commitment to Excellence

Quality Matters - Making a Difference for Students Award

UFnvsRsrry AND CoMn,ruNrry PRoFESSToNAL Srnwce

2010-2018

2013-2018

2012-present

2010-present

2010-2012

1998-2012

2010-2018

i998-2018

1994-1996

1998-2012

2010-2013

Assessment Committee, Universify of the Rockies

Program Review Steering Committee, University of the Rockies

Quality Matters Research Colleague, Quality Matters

Qualrty Matters Course Reviewer, Qualrty Matters

Assessment Consultant

Online Course Designer and Reviewer

Library Committee, Walden University

Mentor for New Online lnstructors

Initiated first Learning Disabilities Program, Shawano Public Schools

Curriculum and Assessment Committees and Task Forces, Regis University, Walden University

Online Llteracy Coach volunteer, Regis University

CoNsur.rATroN

200t-2002

2000-2001

California teacher performance assessment trainer, California Credential Commission, Sacramento, CA

Support provider and trainer - Beginning teacher support and assessment program, Santa Barbara County, CA

Gear-up grant reviewer and chairperson, National Grant Review, Washington D.C.

|ulie S. Frese, PhD

Eurronrl.l, Wonx

2012-2016 Reviewer for Editorial Board, Journal of Psychnlogical Issues in Organizational Culnre,University of the Rockies, Denver, CO

Snr-n cr Punr,tc.q.TroNs

Frese, J. (April, 2013). Assessment academy results forum impact report. Assessment Academy. Higher Leaming Commission,Chicago, [L.

Frese, J. & Mantione, R. (in press). Literacyfor the diverse learner. Denver, CO: College Network

Frese, J., Rogers, A., &Werner, P- (1996). Sand Creek Park. In R. Schukar, J. Johnson, & L.R Singleton,Service learnrng in the middle school curriculum: A resource book (pp.92-99). Boulder, CO: Social Science Education Consortium.

Frese, J. S. (1996). A Case Study of School District Restructuring: Stakeholder Construction of Meaning, College of Education,Dissertation, Universify of Denver, Denver, Colorado.

Ser,rcr PnnsrxtarroNs

Frese, J. & Kahn, A. (April,2014). Asynchronous Curriculum Development. University ofthe Rockies, Annual Higher LeamingCommission Conference, Chicago, IL.

Frese, J. & Parenteau, C. (October,2013). Games...Really? Quality Matters Conferencq Nashville, TN

Frese, J., Parenteau, C. & Spencer, C. (August, 2013). lntegrating Quality Matters into the Course Development Process. COLTTConference, Boulder, CO.

Frese, J. & Kahn, A. (April, 2013). Assessing Diversity for Student Success. University ofthe Rockies, Chicago, IL.

Frrcsen J. (November, 2012). Supporting Student Learning: Fonnative and Summative Assessment. University of the Rockies,Colorado Springs, CO

Frese, J. (January 3,2012\. Classroom assessment: Why? How? University of the Rockies, Colorado Springs, CO.

Frese, J. (2012). Effective feedback. University of the Rockies, Colorado Springs, CO

Frese, J. & Steed, J. (2010). Threaded discussions to support faculty understanding of assessment. Higher Learning CommissionWorkshop. Chicago,IL.

Frese, J. S. (February, 1997). A Case Study of School District Restructuring: Stakeholder Constraction of Meaning. Paper presentedat the Annual Convention of the Association for Educational Communications and Technology, Albuquerque, NM.

'Wonrsuors

2010-2013

Higher Learning Commission Persistence & Completion Academy Midpoint Roundtable, Oak Brook, IL.

Higher Learning Commission Assessment Academy Workshops. Lisle and St. Charles, IL.

1994-1999

1996-1997

Faculty Fellows Grant * Utilizing Burning Glass to Create Career-Relevant Instruction, University of the Rockies

Faculty Fellows Grant - Faculty Engagement Strategies, University of the Rockies

Turn Time into Money Grant - Planning and conducting student-led conferences, Aurora Public Schools

Turn Time into Money Grant - Conducting and scoring a secured assessment in Mathematics, Aurora Public Schools

RrsrancH Acrwrrrrs

|ulie S. Frese, PhD

GnaNrs

2008-2012

The Impoct of Feedback on Student Motivstion in Online Courses, Regis University, Denver, Colorado

A Case Study of School District Restructuring: Stskeholder Canstraction of Meaning, College of Education,Dissertation, University of Denver, Denver, Colorado

Development of the Creative Materials Resource Center, University of Wisconsin, Madison, Wisconsin

PnornssroNAl Ar\iD Acaurnrrc AssocrATroN MEMBERSHTpS

AECT (Association for Educational Communications and Technology)

ASCD (Association for Supervision and Curricuium Development)

CEC (Council for Exceptional Children)

PDK (Phi Delta Kappa)

ConnnrulnrY SERvrcE

2017 - 2018 - Mentor elementary student - KAFASI (Kenosha Area Family and Aging Services, Inc.)

2017 - current - Lead coach for senior Sip 'n Swipe program - KAFASI (Kenosha Area Family and Aging Services, Inc.)

COUNTYOF KnxoSHAOnrrcn oF THE Couury ExrccuuvrJim Kreuser, County Executive

" (262) 6s3-2600Fax: (262) 653-2817

ADMINISTRATIVB PROPOSAL

EXECUTIVE APPO I

Ms. Leah BloughKenosha, WI53142

to serve a term on the Kenosha County Board of Administrative Appeals beginning immediatelyupon confirmation of the County Board and continuing until the 30th day of June 2022, or until asuccessor is appointed by the County Executive and confirmed by the Kenosha County Board ofSupervisors.

Ms. Blough will serve without pay but will receive a per diem.

Ms. Blough will be succeeding Lauren Fox on the Board.

Respectfully submitted this l2th day of May 2021.

/*Jim KreuserKenosha County Executive

COUNTY OF KENOSHAOFFICE OF THE COUNTY EXECUTTVE

JIM KREUSER

(Please type or prin|

Name: Leah V. BloughFirst Middle Last

Residence Address:

Previous Address if above less than 5 years

Occupation : AbbVie Senior Clinical $afety AnalystCompany Title

Business Address: 1 Northe Waukegan Rd., Building AP51-3, Waukegan lL 60L&t

Telephone Number: Residence Businsss n/O

Email Address:

Residence ( ,/ )

Do you or have you done business with any part of Kenosha Counfy Government in thepast5years? Yes( ) No({l

Affiliations: List affiliations in all service groups, public service organizations, social orcharitable groups, labor, business or professional organization, and indicate if it was aboard or staff affiliation.Board member, Kenosha County Mental Health/AODA CommifteeKenosha County Multiuse Trail Committee- committee memberKenosha County Democratic Party- executive board member

IISpecial Interests: Indicate organizations or activities in which you have a special interestbut may not have been actively involved.

*If more space is needed, please affach another sheet.

Kenosha County Commissions, Committees, & BoardsAppointrrent Profile - Page 2

Nominee's Supervisory District 12

Governmental Services: List services with any govemmental unit.

, Former Kenosha County Board Supervisor, District 12 (2014-2018)

Conflict Of Interest: It would be inappropriate for you, as a current or prospectiveappointee, to have a member of your immediate family directly involved with any actionthat may come under the inquiry or advice of the appointed board, commission, orcommittee. A committee member declared in conflict would be prohibited from votingon any motion where "direct involvement" had been declared and may result inembarrassment to you and/or Kenosha County

ofNominee

26Apr2O21

Please Return To: Kenosha County Executive1010 - 56th StreetKenosh4 WI53140

Appointed To:Commission/C ommittee/Board

Fnrl gTerm: Beginning

Confirrned by the Kenosha County Board on:

ReappointmentNew Appointment X

Previous Terms:

COUNTYoF KExoSHAOrnrcn oF THE Counry ExncurrvnJim Kreuser, County Executive

(262) 6s3-2600Fax: (262) 653-2817

ADMINI STRATIVE PROPO SAL

COUNTY EXECUTIVE APPOINTMENT 2021122.17

RE: KENOSHA COUNTY COMMISSION ON AGING AND DISABILITY SERVICES

Ms. PaulineLorcnzKenosha, WI 53140

to serve a term on the Kenosha County Commission on Aging and Disability Services beginningimmediately upon confirmation of the County Board and continuing until the 3l't day ofDecember 2022 or until a successor is appointed by the County Executive and confirmed by theKenosha County Board of Supervisors.

Ms. Lorenz will serve without pay.

Ms. Lorenz will be replacing Daniel Neururer on the Commission.

Respectfully submitted this 12th day of May 2021.

COUNTY OF KENOSHAOFFICE OF THE COTINTY EXECUTIVE

JIM KREUSER

Name: ArAZ-First Last

Residence Address

Occupation S, s ftssCs rrtc 'f)e

f ('orr/,n -h,Company

Business Address 5 */a / lJr 9il(aTitle

Telephone Number: Residence

Mailing Address Preference: Business (4- Residence ( )

Business ZCZ qls boqT

OrEmail Address: 1,, ZQDo you or have you done business with any part of Kenosha County Government in thepast 5 years? Yes ( ) No (*1*-

Affiliations: List affiliations in all service groups, public service organizations, social orcharitable groups, labor, business or professional organization, and indicate if it was aboard or staff

Special Interests: Indicate organizations or activities in which you have a special interestbut may not have been actively involved.

Kenosha County Commissions, Committees, & BoardsAppointment Profile - P age 2

Nominee's Supervisory District#-

Govemmental Services: List services with any governmental unit.

Additional Information: List any qualifications or expertise you possess that wouldbenefit the Board, Commission, etc.

-vn\Q,- lv-".e- orl (/ft^e",*

Ltn 0tConflict Of Interest: It be inappropriate for you, as a current or prospectiveappointee, to have a member of your immediate family directly involved with any actionthat may come under the inquiry or advice of the appointed board, commission, orcommittee. A committee member declared in conflict would be prohibited from votingon any motion where "direct involvement" hadembarrassment to you and/or Kenosha County.

been declared may result in

Si of Nominee

a henlC,'/- S"ai'rl,

Appointed ToC ommi s sion/C ommittee/B oard

trndiTerm: Beginning

ReappointmentNew Appointment X

Previous Terms

PAULINE L. LORENZ

OBJECTTVE

To obtain a position that will utilizs my experience and education to help clients navigate outlying barriets toobtain proper care to achieve oprimal secudty in their health and ljves.

SKILLS

o Culturally sensitiveo Knowiedge of resources and programs in

service ateao Strong leadership skillso Ability to work in a variety of environmentsr Skrlled in working vrith diverse groups

o Values constructive criticismo Adiusts easily to changeo Strong desire to leam and gtowo Excelient communication skills

(written and verbal)o Microsoft Suite proficient

WORK EXPERIENCE

October 2016 - PresenrProgtam Cootdinator of the Independent Living Department - Society's Assets, Inc. (Racine, Sil)

t Oversaw implementation of Youth Transition classeso Monitored qualiry of service delivery by IL staffo Ptovided program management inciudrng odentation and ongoing training for IL staffo Monitored Home Modification referrals and assignment to staff, review of reports, and follow up with

IRJS regarding questjonso Assisted Directot of IL with nmely completion of state and federal reporrs and data monitodng

July 2016 - October 2016Long Term Cate Social Worker - Kenosha Estates Living & Care Center (Kenosha, WI)

o Focused on cteating and maintaining positive, healthy reiationships with residents and their familieso Provided support and cteated indrvidualized care plans to assist residents with adjusting to long term careo Facilitated a smooth discharge by connecting residents with community sewices and resource agencieso Built sftong and ptofessional telationships with home health agencies, hospitals, Meals on \Vheels,

equipment companies, as well as the attending physician, directot of nursing, activities coordinator,dietjuan, biiiing and facilities maintenance team in order to better assist residents'return to thecommunity and reducing hkelihood of returning to the hospital or nursing home

May 201j -July 2016Cetified Adult Long-Tetm Cate Functional Screener, Durable Medical Equipment Loan ClosetSupervisor - Agitg and Disability Resource Center of Kenosha County (Kenosha, S/I)

o Met wrth applicants in their home, nursing home, or hospital setting to complete assessment for longterm care waiver funding

o Cenfied in The Alliance of Information and Referral Systems (AIRS)o Assisted with apphcation process of !7I Nursing Home Medical Assistanceo Supervised staff and volunteers of Medical Equipment Loan Closet, tracked data for reporting and

receipt of funding, and expanded programo Tmined in accessing public database of resources to assist with care and quality information and referal

Aptil2006 - May 2013Independent Living Coordinator - Society's Assets, Inc. (Kenosha, WI)

o Effective delivery of the four core services of an IL center which are Information and Referral, Peersupport, Assistive Technology, and Advocacy

r Assessments of private homes and public spaces for appropriate modifications to improve accessibilityand compliance urith the Americans With Disabilities Act

o Case management for Medical Assistance, Family Cate, and IRIS as well as Independent Living SkillsTrarning

EDUCATION

Graduated 1990Bachelor of Arts in Social Wotk - University of Oklahoma (Norman, OI!

o Concentration in gerontologyo Interned at Aging Services, Inc. ${ormatr, OI9 performing screens for eligibility and continuation of

Meals on Wheels for residents of Cleveland Countyo Acted as secretary of Social Work Club

DocuSign Envelope ID: 0E93290C-56O4-4 7 A 1-8700-44C3AC4F7B02

Kenosha County

BOARD OF SUPERVISORS

RESOLUTION NO. ---- Subject: Request to Approve the Appointment of Dr. Thomas Radmer to the Kenosha County Civil Service Commission.

Original□ Original□ Original□ Resubmitted D

Date Submitted: June 15, 2021 Date Resubmitted:

Submitted By: Judiciary & Law and Finance & Administration Committees Fiscal Note Attached D Legal Note Attached D

Prepared By: Clara Tappa, Director Signature~ jappo., 5/25/2021 Division of Human Resources -

WHEREAS,

pursuant to County Executive Appointment 2021/22-10, the County Executive has appointed Dr. Thomas Radmer to serve on the Kenosha County Civil Service Commission; and

the Finance & Administration Committee has reviewed the request of the County Executive for confirmation of his appointment of the above-named to serve on the Kenosha County Civil Service Commission and is recommending to the County Board the approval of the appointment.

NOW, THEREFORE BE IT RESOLVED, that the Kenosha County Board of Supervisors confirms the appointment of Dr. Thomas Radmer to the Kenosha County Civil Service Commission. Dr. Thomas Radmer's appointment shall be effective immediately and continue until the 31st day of December 2025 or until a successor is appointed by the County Executive and confirmed by the Kenosha County Board of Supervisors. Dr. Radmer will serve without pay, but will receive a per diem. Dr. Radmer will be succeeding himself.

JUDICIARY & LAW ENFORCEMENT COMMITTEE

Aye No Abstain Excused

A/(~L- ~ □ □ □ Boyd Frederick, Chairperson

~6A//o □ □ avid Celebre, Vice-Chairperson

g...-- □ □ □ JeWamboldt

□ □ □

□ □ □ Sharon ~ville

.~--?~c-+--/// __ ----_·· - ~/ □ ,, Je ,/

□ □

Resolution to appoint Dr. Thomas Radmer to the Kenosha County Civil Service Commission Page 2

Approved by:

FINANCE/ADMINISTRATION COMMITTEE Aye No Abstain Excused

□ □ □

□ □

□ □ □

Monica Yuhas ~,/ ~ □ □ □

~ ~ □ □ □ ~~

1010- 56th Street, Third Floor Kenosha, Wisconsin 53140

(262) 653-2600 Fax: (262) 653-2817

COUNTY EXECUTIVE APPOINTMENT 2021/22-10

RE: KENOSHA COUNTY CIVIL SERVICE COMMISSION

Placing special trust in his judgment and based upon his qualifications, I hereby submit to the Honorable Kenosha County Board of Supervisors for its review and approval the name of

Dr. Thomas Rad.mer Trevor, WI 53179

to serve on the Kenosha County Civil Service Commission beginning immediately upon confirmation of the County Board and continuing until the 31st day of December, 2025 or until a successor is appointed by the County Executive and confirmed by the Kenosha County Board of Supervisors.

Since his last appointment, Dr. Radmer attended 36 of the 36 meetings held.

Dr. Radmer will serve without pay but will receive per diem.

Dr. Radmer will be succeeding himself.

Respectfully submitted this 28th day of April 2021.

Jim Kreuser Kenosha County Executive

Kenosha County Commissions, Committees, & Boards Appointment Profile - Page 2

Nominee's Supervisory District sl,J•p -,J (cJ-r II) cc I/; de. Governmental Services: List services with any governmental unit.

Additional Information: List any qualifications or expertise you possess that would benefit the Board, Committee, J

· sf Y, r), Uri lc_e_

Conflict Of Interest: It would be inappropriate for you, as a current or prospective appointee, to have a member of your immediate family directly involved with any action that may come under the inquiry or advice of the appointed board, commission, or committee. A committee member declared in conflict would be prohibited from voting on any motion where "direct involvement" had been declared and may resul · embarrassment to you and/or Kenosha County.

;) l?-:t I p_ 0 )- f Date

Please Return To: Kenosha County Executive 1010- 56th Street Kenosha, WI53140

----------------------------------------M-------------------~-------------------------------- ,-------------- (For Office Use Only)

Appointed To: Commission/Committee/Board

Term: Beginning _ Ending _

Reappointment / New Appointment __

Previous Terms: ----------

2002-2013 Undergraduate Program Director in Oral and Maxillofacial Surgery !Mlal1nq1,Uetttre illhmi~!!fl~i~ i(tl~I d IOx1!1111llii:f.tt11W,. !Mliil~wil~,, WI

2000-2013 Adjunct clinical professor Medical College of Wisconsin l!JleJµra11r1!JTJnle rrntt off Smmig:errw-- (())rr;ail l almJll !Ml;aoo illlkoJfiill(iiall Swl~IIW !MliilE1U1iic£e, WII

Previous Experience:

llmltterianm IIT.ITTll@r.J1rrrm trnimt!tdf:lllxr Undergraduate Program in Oral and Maxmofacrai Surgery Marquette University School of Dentistry, Milwaukee, WI

b\all]w11roo:1t ~'.51ta11mtt dliirrniall u;Nrllliff te5'Wir

Division of Oral Surgery Marquette University School of Dentistry, Milwaukee, WI

1982-1994: Adjunct clinical professor Medical college of Wisconsin S1t.. IC.!IUJtM!'nliM's ~ilralll U111111l )Ol(U5 IICe1rrmJlllill. 'W

1992-96 Guest lecturers Forensic Science, Carthage College, Kenosha, WI

lliiillnrn raittnmw lblm111 rwldium !JWM Department or ZooVogyl'fcoVogy, Mulwaullc:ee 'M

Teaching Experience OoimseDi'recwr Summmmer :Z((D].(O) ll))IEINITT (n.(001 ].]_]. [)iktl\iJ.d.iic Grnne IO.!JJlllli i!OUJl lw11nm Gm .. IE!mne irigemn:..w MedlllClllltit:

[)IESS 12311011Fo11.11TDdaittiKl11US OiraO/!MaxiilJ ~rger1 DESS 7314 Surgical Science Clinical Practicum 1

Fall 2009

IDl!ESS #Mtlwunimoe.1111 Oral! al!OO!I JM1moliimllllfm1Ciicillll Slu8fP't!W 1.'..J'15'Si 773122415.w~ti;Kralil Sitik!!ffl :('l.f.!$ ((liiJminl lP1riil!'.tt iil:wimTI

DESS 7310 Int. Oral /Maxillofacial Surgery IOIESS 713M Swltrg1bll S'<Ciielll'iCe IClliirrnfllC.!I II IJl'11a:d!1liDlllmm l!JJIEINITT (fi(OOJ2 ].\M. IDiitllir..ctli ic ~re (OuJIIJliiolJl ll1U1111111 Grrarll i!>ltncillrr1~~

DESS 7324 Surgica l Sciences Clinica l Practicum

1Fa111111 2ilJIIDlll

Spring 2004

IF.1111112003

Spring2003

1FaIm1002

IDllE5$ 'Illlfill lhmtt.. tmradl /(1Mk1~ilko,tfaxciiall Su,r!ID,1!.1tW [!])BS 13:Il.41 ~II Scii'e.m~ Ofiill1liiraU iP1r.il(cJtii«:11.11m DENT 6002104 Didactic Core Curriculum Grad Pharmacology DENI 6001111 Olidird: iic Corre Oul1nrikc11J1ft11.1111111 Gtrad. Emelf®ell'llitV Medioiine !!)BS 11311. 11.IID]_ ffillJ!imrll.illttiilDl!ns Orall#Miroliill Siulingeny IIJJBS 713:ll.4 Siul1~iiall Sciietmre 1Cllii1111iic..!III IP'tr.tdiia:w11m 1'.

DESS Advanced Oral and Maxillofacial Surgery '.'.l'!5Si 'Il1.4i ~urnr,ikl:iillll Sciu,m.s, <Cliirrniul IP'traJXdliioumm

[!])BS 'D]Jil) lhmtt:.. Oral! #lMlc!llli!!~lf.axciiall ~rw DESS 7314 Surgical Science Clinical Practicum DENT 6002 104 Did.awe Core ui11TICGJ!um Grad Phairrmaro!ogy IDIEIN/l 16/illID :Il. ].U !Diiail.oc1!iic (tnirne Gu11nrikOUIIIW1mm Gtr.M:II IE111T11errgie:lfnlcy IM!ie«liflciil!lle IIJJBS n.31]. ].«])]. !Fo11J11M,llllikam Crall#IMIDttl 5ultlfir.eiry DESS 7314 Surgical Science Oinical Practicum 1

DESS Advanced Oral and Maxillofacial Surgery 1Jl!F5$ 'Il1.4i 5wlrigjiCillll Sdil!'mmt!'$ Oiirrniiriilill lP,raxcttik1JlJ111ll)

1Dl!ES5 v'l].@ lltrutt:.. Orall /lMlml~faa:ilillU Swnrg1!!11W DESS 7314 Surgical Science Clinical Practicum DENI lfi002 1M Diid.M:ft'k Core Oulll'lri"wft11Jm Grad .. Phailfllll'll.!:cof~

Summer2010

Fall 2009

Summer2009

DESS 7230 Emergency Medical Interventions DEIN 7134 Introduction to Clinical Practice

OOl~ 11.fi].$1Dxeimtl~l lb1m:ifui ll li))fESS 1'41-M S'~U11iiolr Oii111ii«:all ll1'1radlimtr!J11 iitm ~~i«:al! Sri~ 'l. DEJN 7221 Care of the Pediatric Patient DEnlN 7120 Ora! Medicine and Dnag.llWSl'is3 [l)IEIIINI ?UIS: llllerm1rall !RoWIIIMls 2 [}IE!Wlr 'l.(IJ)3... ].(O):ll.4 tlmmplla1111ttJonQ&';·

DESS 7414 Senior Clinical Practicum in Surgical Sciences 1 "Ji.Ell~ 7/4t]_iJ!\ lffie>tmlralll IRl©'Au1tTlrlf£ 1lfill ~ISC 7/41.Jl.41 (S.(fJJT(fjta!ill lHi~f.aa1 ssc 715iU(51l$ i!Jji«Dnlrtmi!:.BII $ws,ttu!1nrns 3l/Ei.4l DEJN 7210 Oral Medicine and Diagnosis 2 DEIN 7218 DentaA Rounds 4 IDIEIIIMI n1.t lhmlt1nrrxd!wdm 11ml l(!lii1111fkC41lll lP'ira'it.1tikc'e 4.

DESS 7230 Emergency Medical Interventions

DEIN 7220 Oral Medicine and Diagnosis 3 IIJ) IEl l1t41 1' Jl1 $ llJ\ eim ttn11 II IRlio xurnxd l;; 1 IlJJIEJrllllf l'filJ3l... ]Jlll:Il.4J.1111111ljlnla1tmllu:rl-

FaH 2006 DESS 7414 Senior Clinical Practicum in Surgical Sciences 1 DEftlN 7418 De1!11ta! RoUJ1oos 10 IHIISC 71&111&11 Getrneirall !Hliistt.D llogy IHIISC 71SU j15iU 1Biioi1mTi>l!Q;tii icall Swstt ie1!1111S 3&4 DEIN 7210 Oral Medicine and Diagnosis 2 DEIN 7218 Dental Rounds 4 OllEllit41 llJL&ll lhmttmnxdfwlr.llim 1ti!D OiinniiGal ll l"'r.m.tliioe 41 CJl!EIW1r 4KOl]_ IFcmu1nxdli!ltlikm11'$ «Dfl' ((Jma\fl lH~illttJITI

Summer 2006

Fall2005

Sumn11mn~1r M0'/5i

Spring 2005

DESS 7230 Emergency Medical Interventions DE!IN 7134 ft111trodocoo111 to di111icaft Practice

IDIEII~ 141Ul IDle lllllral l\ R([J)11JJlfm 11 DESS 7424 Senior Clinical Practicum in Surgical Sciences 2 DEIN 7221 Care of the Pediatric Patient IIJ)l811t41 n11ID ~II IM'ke:l'dikciil!M!! ~ Irn~ii!!; l DJIEll!f:li TI.JI$ !Dxe1mitarll IRlio'.l.lllB 1 '.'))lflWlf M~'.ll(.Q)].4l, llmrn~i.Brm1rol~

DESS 7414 Senior Clinical Practicum in Surgical Sciences 1 IDIEII~ 141-] $ ID\em11till ll i!b11JJl!Mlis li«D IHIISC 1SU j15U 1Biioi111111(!!'«J!iic;Ji ll 5WSlti!!1!1111S 3&~ IDIEIIINI 12].aII Oral\ IMledliiciirnie alllld !Duagoosiis 2 DEIN 7218 Dental Rounds 4 DEAN 7214 ftiml\lr,o~ ro On1111i\ca! Pirac:G:fice 4

M'S$ 71B.llll lftrft'lt~q IMllf'«fii:ralll ihm~r~emltikm11'$ DEIN 7134 Introduction to Oinrcai Practice

DENT 203-1014 lmplantology IDIEII~ M]l!l\ !Il\ellll1ti!l ll !Rt!llNms. 11 ID[SS 7/tl!-M Semim ((lliilllliiGalll 1!1'11cMttiwmm iill1\ 5Alli lf)gl1'caill S«:iietm:e51 IDIEUINI 7221 Caire of ithe lP'edtii!lttlrUc IP'a!l:oent DElN 7220 Oral Medidne and Diagnosis 3 [)IE.n!M 1:1.2$ IThl!lTl\tt.nfl ~ 2

llll!E.'51£ MJ141, Stamm Oiimikrall lP1r;mrttikCWm iill1l ~nriii;~I Srike:'!nxc15 ]. DEIN 7418 Dental Rounds 10 BISC 7517/7518 Biomedical Systems 3&4 IDIEIIINI ll].(ll) ~II IM!texrl!ikciill1llE arrooJI IDi~iJS 2 IDIEIIINI ll.]$ lm!!m1ttn11II IRl!llllllllll«is 4. [)IEIIINI ll].4 U!TTl1!1nodoc100 rro 11:0 Clliil!lliicall IP'radliice 4

Summer2DD1

1Fail1!IDDXID

Spring 2000

FaJJ 1999

Summer 1999

!Fa11llll~8

Summer1998

ORSU 541 Advanced Oral Surgery D-4 GIEM 5i3]. llllfr.mll Siurrr~ «:liirriir:affl <Gi!Em: 541-li Orall i(u11111}-e:nw «:liirriir:

ORSLJ 532 OraJ Surgery CJinic-D-3 ORSU 542 Oran Swlirgerry dinnc D-4

Oll5QJI 512 ID!rall ~l!'f Oliirmiic ID-3 ORSU 542 Oral Surgery Clinic D-4 Coco 542 Advance

imlR'W 5i3]. IHrotijp-jiltinl l 111\f1mttimmw Olll5UJJ 541-]. ~ool!'<I!l <mrall ~nw ll)-4!. GfDf 531 Oral Surgery Clinical GEDE 541 Oraft Sutrgerry dnnk

[J)IRSllJI 5i3l2 Orall S1UJ1r,gie'lrw <ClliilTllikt-lD-3 ORSU 542 Oral Surgery Oinic 0-4

ORSU 532 Oral Surgery Clinic D-3 l1R51UJ 541:Z <mrall Sl.ull~'IIW <Cliirriir: ll)-4!. CiafillD 5i41:Z llm'ltna1llelltiimm 5".(adraitllimm --<diilliir:affl

Comp 524 Anxiety & Pain Control GEDE 531 Oran Swl,rgerry .!11J1111fior dninfic GIEIO)IE 541-]. Orall Swl~"W Sermiiorr Cllioi::: ~o SU 1+tdh¥1,i111111Ce Orall Swirrigerrw D-41 ORSU 531 Hospital Dentistry

ORSU 532 Oral Surgery Clinic-D-3 (O)f!5(UJ 541-:Z Orall ~rm1mw ((]iimiir: ll)-4!.

luai!nrnl!D 5illi OraU Suu!Tg!BJW rnimiic ID>-l Comp 542 Ora) Surgery Clinic D-4

Comp 531 Oral Surgery Oinic D-3 Comp 542 Oral Surgery Clinic D-4

(ummf\JlD 5i3li [Jgjl S'iu~ ((]iirriir: ID>-3l wmnl!I) 541-1 Orall Slu~,w ((]ftirrniic ll)-4!.

Fall 1997 Comp 524 Pain and Anxiety Control-clinical

BISC 7517 /7518 Biomedica l Systems 3 & 4 ~111$ ltru:mnr Ml- .lHIDJIJl ((.cmre <Ourrniiowkumm:: IEJlllM!if!PJermrw [Mkl!:{dlidim:e !Mlfllr 2«B-Jl«D:D.4l iU11!re O!Mnrum: llmpl/alli1t.CJI~ DENT 6002-104 Core CurricuJum: PharmacoJogy/Pain IDBIN 7110 Fo11.11irndainMliims of Oral Heaftnh 1 SttlUIIf.ems 001~ 1n 4 llmrt!Jltoolwdiiotm m Otiitmikt.Bll ll"aac.1tiioe 1 Students

Second Year Dental

(fi)rilldlura~ 5U.wnfl:amlt!E Gtr.1~ Sltwmleml11$ Graduate Students fnm Yeair Dema!

Publications: f?'eer~ Oripmall hpeffs ~ llltniwffliM

iltl.mltnrue11 ir, .ll:cilnrnmrnrn ILlr, Waing !Ml, Wulrtlz T, 11/Je Quarrl:ilicatioo of Tooth Dispi:acement. J. Forensic /dent. 2010, Jan/Feb Vol 60 (1) p 4-18.

Jkollhurrmmm IL Tn lffi.llall~ lf,, QJJantiflC3tion of the HUiman Dentition JI lfome1111~fo: lkt&e: 1m1t. . 'lloll 59 «16:, ~m~irfll)eremrnllrerr 2illl00 pp5:«JJ1'-623,,

Radmer T, Kassab M, Lynch D, Walsh, M "Teaching Casual Random Blood Glucose Screening to Sn:111111d Ye;mr llJel1tl'llaU S1tudleln!11$ "'Jm11111ra1II «D1f IID:e: 1mttmll 1Eafulll:.n1tim 'll<a:11 n,:!J):n.Jl)) l~nn~iixe,r ~$ illi.ll35-ll7/3L

Radmer TW, Johnson l T. The CorreJation of DentaJ Arch Width and Ethnicity, J Forensic ldent Vo!.. 59 (3) May/June 2009 pp 263--27~

M1rncrorn1 IL T,, Sliil1rnll\al 1 ID,, ',iarm SWtt1l.e: u IF. lltui«VtmT6 lr,, Quantif Kalion al the lrmiduall Chaiacteristic of the Human Dentition: Methodology, Journal of Forensic Identification Vol. 58 (4) July/August 2008 p 409-418.

V/ci1111rw}h~ S,, l(<iimnm!rel ~, lw...oofll1100!1r ,r,, 1Wlrmxd4~ 1f' «i,, rai.ui!lrxc-o!llll .JJ,, In ~lttl!V 1£~ el 1IIIDe n:nsa!T"'' i?owtaiJlle X-Ray Unit for Forem.ic OdmdollacY .. .Jkoomm.ilrll lFID:lne1nmic aJ,ooxmllu!lkoww arrrotf ~1tlr!Ilhrm'# Volume 22 No.1,June 2004.

Radmer T, lohnson LT, "Quantiiication of Tooth Displacement"/ proceedings International k5(1JXrir.m.aJ11m @ff' 1Fttlllft!!l11\'£ikc ilafu!m11bifu.tittiXIJ!/11\ ~1U1g>,Wl91: 1lllm

.llirlhvTT$ll'.lm ILlf',, 11Rilxdtl11fl.t!'lr lf,, 1he \feniclt Is In,; Jkoxumnml coif fF«nrimrmikC $tike:tm.rr~ fni:moxcttldlifl{gii ~rm~/ Forensic Science Feb 2008 Washington O.C.

Other Research Achievement

Co-~~ "Toml''s lf«acrill»m@)'" ~ Map Agleenaent Tom"s Vool!ilmw- lTllriii> iii> a software application developed for the quantification of dental characteristics used in foirel!lSnc blite-maurAc appnba~nl!Tts .. lbe aOJJtioom.;nretA rofb.11aire pa,ckage e!nmnrrnates the hand idllr.BIM1l 1t0015 <IDlf Pwo:ill<e> IP'lhil»lllnl'ilh);!))jpl cs:z-.. IIU: 1~1.e:imtts a WUJ,WWlliitted applliC,i!Jlti\nl!ll a-rJ-aiil!albl\e m lfuriir1e1m'Siic ikd\smttiiffiic.11Uim tt1e•aunm"s rmattik!l>ln111vNiui'a! ..

VI Presentations and Lectures Refereed

• International Conference "'~lion ofToolllhi Displaa!ment' " ll11111lie!11f!lillltim.aill ~aitti'IIDllll full" lide1mUiifii1ctalti:o, .• 1ra11111T11Jmill .. lRI .. 200"1

Dental Science Assists Criminal Justice" International Association for Identification ~ IIW~., CiJl!iiffuDlmrjia 1Jwll fw 2«lllll7l

• National Conferences

Radmer T, Johnson L Academy of Forensic Science annual meeting Washington D.C. IFa!:illlrr\Ul.'ill lfW 200$ "'J1he Venlict IS 1111•

Radmer T American Dental Association Mid-Winter meeting Feb. 1975: "Advances in ')~ Swgety".

'l;;mfmnxer 1r ~iram lll'<eimtt;illll /'A-'Rll!I(Cl~mtm IMliml-WJ/imrtner ~~ ~4i "'lf.ulrl~ (ciiirriic ':'lefined odontectomy techniques,.

Radmer T American Dental Association Mid-Winter meeting Feb.1973; "Table clinic MJ'.Cap design for im~ teellr"'

hemorrhage"

Stt.. ([;a1t1l!oo:i rii1TMe 1'$ louriittDll11 l(<se:mmltw.n,, IIXUit:flD!ttlfrfjim:: lffie' 1mUm1II mmmmmiilt1tJI..'ll!! 1rt0llilnnilri:: "1)1fl)I!' 11i:m0Jlbllenm oriented medical record."

ll{re>i!1Xlf6Jtw.D l[oomrttw ID\emlti!JII Sotiettw ffil.~rm,oo :1191$\: 5.w&l!!'JP1ttHlbiiilliitt.w d IO.Xlfumn tr<w.geirniic infections by culture and sensitivity'"

Kenosha County Dental Society May 1977: "Impactions for the general dentist"

V. A. Hospital Wood Wisconsin: Dental Rounds 1975 "New techniques in Maxillary ~-/,(/Jm lfir.ixc:lllllire-ffltiilp ~i~ aimdl W.al'5JO!Jllli111riie.ntti:oc.'

V. A. Hospital Wood, Wisconsin: Grand Rounds 1974- " A case of Bantu Sider.osis- iron ~eirr.mw lfrromm foir1!111le111111ll!iJ:ft ~ slt~e"' ..

V.A. HospmJi Wood, WLisconswn 1973: "'Anatomy of lhead' and' ned space abscesses"

V.A. Hospital Wood, Wisconsin 1972 " Review of odontogenic infection treatment"

V.A. Hospital Martinez California 1970- Grand rounds: "Odontogenic Infections"

VII Dissertation Qualifying Exams

VIII Committees And Service

• Kenosha County Civil Service Commission - ~hairman 1993-present

• '»:Uf5.1! :re,mm l~e.1nm1Sllnm H:Gi-w,illJrriis lfiloxaur«I I ]SJ?/71-llQlOXOJ

• Montessori School Board- 1977-1982

• ruiimTil.'illtt~lt!! ~u.&:1mnw Will'& fft!l1n1ID(!.' IJl1la11rnrrnih~ IB'ooird :n9n-l!f.7

C.MEMBERSHIPS:

I (e_"tflXIDJlh1a1 '°1rulmrtt.W IThfm1tta1ll 5lllxr:ii.eU.~ffi-1p11esem1t

Wisconsin Dental Association 1970-present

~nerriira1111 l!k1rnttdllll .M<roxcililrtti ia:Dml :n97ll!»-1pvr5ent

Student American Dental Society (1966-1970)

American Association of Oral and Maxillofacial Surgeons (Fellow/board qualified)

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Greatt: IL.;iil\re$ Smiiettw i!-'Jn;p :l!ii llll.u'1f ;;r1Ciiall 5mrrr~1mrns; 11'.91715-2(0:00

Wisconsin Society of Oral and Maxil!ofacial Surgeons 1975 present

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American Academy of Forensic Science 2006-2008

D.JIOSPIT Affll.lATION::

Staff 1975-2000

Vice President 1984-1985

Past Presidents committee (nominating) 1987-1991

IX Honors, Awards, Grants

• Office of Research and Graduate Studies Marquette University Schoo) of Oeirn~itsttJrw Grant Ul-1-2010 Repfication of Known Dental Clraraderisl ics in P«tine Sirin: A Pi Study. 2@].lOl, $:llUS.75 1?11

• MFRC $ 57, 500.00 2008-9 Co-Pl

• MFRC$ 57,500.00 2007-8 Co-Pl

• American Board of Forensic Odontology Acorn $500.00 2005. Co-Pl

• Caiifomia forensic Oentai Society Acom $1,500.00

• March 2, 2010 NU Co Pl $757,525 National Institute of Justice IJ&e,p:liir.a1ttim «Dff l~'({flm !Dxf1mtl;;ml (!m-aJJr~iwliG iim IP\o:md ine Slblim:: IEimrlf.tlmjnrg ·ir fflrlirlrrmlb:r@k15 ffw 1tltne rnlll!'i~nrg 5iµie.1tiiiBi5:tt

• MUJD 06-132 Quantification of the Individual Characteristics of the Huma1111 De1111~ntno~ $254,,910. Co-Pt

X.. Dissertation Committees' PhD Committees

PhD committee Peggy Van Scatter Asbach !Plttn~ mmoonriit!11l!!\l!' K!artlfhw St.tll1mutlrl~

vG511er"s; 11/nesis Masters committee Sean Vergase 2002-04

KENOSHA COUNTYBOARD OF SUPERVISORS

RESOLUTION NO.

WHEREAS, pursuant to Chapter 8.01 of the Municipal Code of Kenosha the SheriflsDepartment received the application from Kim Blevins for an Activity Control License forCountry Thunder East LLC, 2305 Lance Drive, Twin Lakes, Wisconsin, in the Town of Randall,made during the month of March 202I md

WHEREAS, the Sheriff s Department has reviewed the documentation of the applicant, and

WHEREAS, the actual physical inspection of said property indicates that all items that could be,have been complied with pursuant to Chapter 8.01 of the Municipal Code of Kenosha County.

BE IT FURTHER RESOLVED, by the Kenosha County Board of Supervisors that an ActivityControl License for Country Thunder East, LLC be granted to Kim Blevins for the dates of Julyl5th-19, 202r.

Respectfully submitted,

Judiciary & Law Committee AyC No Abstain

Subject: Resolution to Approve the ACTIVITY CONTROL LICENSE-Country ThunderEast, LLCOrieinat X Corrected E 2nd Correction E Resubmitted trDate Submitted: June 15th,2021 Date Resubmitted:Submitted By: Judiciary & Law Committee

X'iscal Note Attached tr Lesal Note Attached trPrepared By: Daniet J. Ruth #195Lieutenant - Detective Bureau

Gulley

MEMODATE:

May 191h,2021

Judiciary and Law Committee

Lieutenant Daniel Ruth #195

Country Thunder 2021

Country Thunder is scheduled for July 1Sth through 18th, 2021, at the Shadow Hill Ranch in TwinLakes, Wisconsin. The ownership of the event has not changed since 2014. lts principal owneris lrving One, LLC from Odessa, Texas, Agent Roger Gearhart. This firm is listed on the Class BLiquor License with the Town of Randall which will expire on June 30th, 2021. The Town ofRandall has approved the 2021-2022 Class B Liquor License to expire on June 301h,2022. .

The Kenosha County Department of Planning and Development received the Conditional UsePermit Application in December of 2020 and approved the permit at their March 10th, 2021meeting. Andy Buehler of Planning and Development confirmed all restrictions would be met tothe Planning and Development's satisfaction.

The operations of the event are under the direction of Kim Blevins of Country Thunder East LLC,Madison, Tennessee. No major changes to the operation are anticipated. This year, CountryThunder anticipates 25,000-35,000 in attendance per day. Country Thunder has posted the$225,000.00 bond for the Kenosha County Sheriff's Department and associate agency costs.Country Thunder has also applied for the Activity Control License and has paid that fee.

The Sheriff's Operation will continue the 2019 increase from past years to enhance the lncidentCommand Operation and Special Response capabilities in case of a mass casualty incident.Additional Police manpower will be requested from neighboring agencies to cover neededassistance on the grounds and increases in traffic. Traffic control will be enhanced with traffic onLance Drivewith restriction of west boundtrafficfrom Lance Drive (North Bound) at 11Oth Streetand 1 19th Street. Local traffic will be allowed to travel north and south on Lance Drive throughoutthe event.

The Kenosha County Sheriff's Department continues to adapt to the growing activity and threatsassociated with such a large event. Costs for professional coverage of this event will rise asfuture technology, equipment and manpower are required.

Lie na iel . RuthDetective Bureau

Kenosha County Sheriff's Department

CC:SheriffChief DeputyExecutive Secretary

Judiciary and Law CommMEMO2021

Kenosha Gou nty Sheriff's DepartmentSummary

Print Date/Time:Login lD:Case Number:

0511912021 15:48kcad\druth2021-00320388

Kenosha County Sheriffs DepartmentORI Number: W0300000

CaseNumber: 2021-00320388Location: 2305 LANCE DR

TWN LAKES, W 53181

Reporting Officer lD: 195 - Ruth

Offenses

Incident Type:Occurred From:Occurred Thru:Disposition:Disposition Date:Reported Date:

Service0511712021 09:43

05h712021 09:43

051 17 12021 09:43 Monday

No. Group/ORl Grime Code Statute Descri Counts

Property

Date Gode Type Make Model Description Tag No. ltem No.

Routing:

Page:1 of4

CoutxrY oF KnnosHAOffice of the Sheriff

April2t,2O2I

Country Thunder Music FestivalsAttn: Allison Farden

730 Gallatin Pike N

Madison, TN 37115

INVOICE

David G. BethSheriff

1000 - 55th StreetKenosha, WI 53140

(262) 60s-sl0lFax:: (262)653-6903

Make Check Payable to & Send to:

Kenosha Co Sheriff Dept

1000 - 55th Street

Kenosha, Wl 53140

Attn: Accountant *bfheJl^

DESCRIPTION AMOUNTs225,000.002021 Country Thunder Music Festival estimated expenses for

security, enforcement, dispatch services, traffic and parkingcontrol, sanitation and health services.

This invoice serves as an estimate of the expenditures for law enforcementservices, etc. Pre-payment is required based on this estimate. Once theend settlement of expenses is complete, any surplus will be returned.Kenosha County will invoice for actuaf expenses that exceed this pre-payment.

TOTAT DUE

Twin Lakes, Kenosha County, Wl

July 15, 2O2L - July 18, 2021

s225,ooo.o0

[|AR 2s 2021R

@loooqrt86t

KE}I(ISHA CIIUIITY

County Clerkl0l0 56th $troet

Kenosha, lll 53140

003818-000r Roslna B, 03/29/2021 08:26Atl

C(IUI{TV CLERK

CL20 SpBclal EventsCabaret LlcenseI 0 200.00

CL20 Speclal EvEntsCabaret Llcense 200,00

200 ,00c1 00- ls0- I 51 0-444010--

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=d)btrozDoo..

SuhtotalTotal

Check l.lumbe14058

Change due

Pald byr Country Thunder East LLC

200.00

200.00200.00

200.00

Comments: County Activlty Control Llcense2021

FoR CHECK PAYl'lE|.lTS, RECEIpT trS t'l(]T VALIoUllTIT THE CHECK HAS CLEAREI) JALL BAtiKS.

KENOSHA COUI'ITY COPY

I)UFLICATE RECEIPT

Aoctlo

NoFc,tciro

KEl{)St{A C[IJ}|TVCqfity Clerk

l0t0 S6th StreetKenosha, fI 53140

' 003129-0003 Dentse E. 07/16/2020 09:57Al',|

HU}Iry CLERK

CLll Cabaret LicenseRenewal

1 0 150,00Clll Cabaret LicenseRenemal 150.00

150.00cI 00-1 50- 1 51 0-44401 0- -

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$&totalIotal

Check Number004t21

ftange fue

Paid by; COUiITRY THUNDER EAST LLC

150,00

150,m150.m

150,00

Col is: Cabaret License Renewal 20-21

FOR_CHECK PAYI,IEiITS, RECEIPI I$ t.l(}T VALIOUI'ITIL THE CHECK HAS CLEARED ALL BAiiKS:

CUSruHER C{]PY

COITNTY OF KENOSHA .-. STATE OFWISCONSIN

COPY Expites: August t"2021

CABARET LICENSETo AII to Whom it may Concern" Gteetings:

WHEREAS, pursuaot to Section 8.02 of the Municipal Code of the Couaty of Kenosba, application has been received andis on fiIe in ttre office of the County Clerk for aCabaretlicense for the premises hereinaftet described, and

!7HEREAS, said applicant has paid to the Clerk of Kenosha Couoty, the sr::n of $150.00, and

WHEREAS, prrsuant to Section 8.02 of the Municipal Code of the County of Kenosha" the County Board of Supervisotsof the County of Keoosba has authorized the gtaffiog of a Cabaret License to

SHADOW HILL RANCH, Licensing IIZ-VI Ranch LLC.

NOI7, THEREFORE, a Cabatet License is ho.by gaated to Gary Martin at?305 Lance Dtive, Town of Randall toprovide entertaif,ment pursuant to the ptovisions of said Munic@ Code,

BE IT FLIRTHER KNOITN, that this license is ganted subject to the provisions and conditions of said Municipal Codeand subject to revocation as thetein provided.

BoatdApptoval7 /t6/202A

Given under my hand and the Of6cial SeaI of the County ofKenosha at my offi.ce, in the City of I(enosba, in Countyaforesai4 tlis 16th day ofJutyA.D.?Im,

County Cler}t99t

APPUCATION FOR RENEWALKenoeha Gounty, Wisconsin

OITE:@TO THE KE]{O6}IA COUI{TY BOARD OF

I, ashoUerda Oass B tiqrcrl,irnse, hetebyapplyfor

Sholo.- *l l\-*a^e)n, L;ce-.si 4 lz- ws Rr,'..l",, ur-c-

a @barct tiense br?sc€ L4'rca-bal vq-'

Tw;,n r-r.Ka5, \rlC S3l9'

JUL 1 5 20Al

Name of Prcmises

1?o g'rtta-lin?1'(c- \t,lddress

nnol;so n, ail 31115

Mailirg Address fi&dle

locat€d in the Town of 7 ,,n ).oI ll -. . ,ln the County of Kenosha

frrom the daE hereof b-August il021, anO t frereby agtBe b deposlt

t150,OO br sald license and-f oomply wlth all the plwlslorn of the Cabaletucerse ordinance adopbd by the co6ti'Boatd and ln-effect Marctr O 200r and

all the laws of tlte StaE of Wsonsln pertalnirp hercb.

prwlotts l,ear.

Please check one of the following: gtr There has been m stnJctJralchanges made b the prcmlses.

H Therc has been stsuctlnlclranges made b the pemises.-l,l:l'Ajt"it'*t'^(any dranges will require a sheriffs lnspection at no ct) i6 no+ wr

E The holder/agent of tfie Oass B lJquor LJense has not dtanged ftom the

I xA*,vlfu

PRINT HOI..DER'S NAME 5tb'iD6rc 6 fppttcan(tm'* u rGr,.rc".t

1Aq- 23L- 53 5qDay-Ume Telephone Number

PI"EASE t{OTEr fHE rcilOSHA (I}Ullil ADltlItlISfRATIOtl BUII"DING IS CURRENTLYCI.OSED TO THE PUBUC - DUE TO ITIE OOVID.1g PANDEMIC. ALL APruFEE Ar{D COPY OF CURRENT 1IQUOR I'ICEIISE tlUS[ BE MAILED.Please trlAll appllca0on, paynentand updated copy of Oast B Uquor LJcense by Jtly t7, 21120 b:

KETIOSHA COUTITV CIER,K1010 56111 5r.KEllosHA, Wr 53140

A PHOTOCOFT OF YOUR CI.0SS B LIQUOn UCEilSE HUSr BE SUB}IITIED U,Inl TillsAPruCATIOTT

IIOIE: AII UPDATED IIQUOR I.ICEIISE TIIUST BE FIIID WIT}I THE C|IRKS OFFICEFOITJOWIT{G RE]IEWAL Iil'ULY

KENOSHA SHERIFFFIELD CASE REPORT cASEf 2021-00320388

Fzl!t!

REPORTED OA]E/NilE

0511712021 09:43occuRREo ltcp€l{T wPf

ServiceOCSURM FROH MMfiE

0511712021 09:43

occuRftu tnau mtutffi

0511712021 O9:43

LOCATIOTI OF OCCURRENCT

2305 LANCE DRTWIN LAKES WI,53181

InlrJoztuILlro

ilaillwsRfnr COUilTS (llEl,tFt/coill{tt

oule3(t

ryPE (LAST,

ROGERAEE RANCE crY zrP)

1222TX 79760

lAc€ I SEX

1""," lHEEHroiMNGE l**"** l*.White

F(,lrJ

JAgEI/SiltsCI IYft

H.:AdultOther

Female

HEGHTOTUK ffiEHTOT MreE iAR EYE

DEI.ITIFICATIOII TYPE ffiotrffi

JACI{ET/SUBJEgT TYPT

AdultOther

I.IAHE (LASI FIRST. MIDOtf SUFFIX}

PURNELL IVAN CLINTONW6

12t0111958 62

AIDR€SS (SIRf,ET. CTY. STAIE, ZIP}

N941 DAISY DRGENOA C|TY Wt 53128-

White 245 245

PfiOIIE il3

iEPORIIIC OFFICER OATf

Ruth Daniel 195 05t17t2021

FfVEWfO BY

Wilke, John B 05t18t2021

KSD Case 2021-00320388 Page 1 OF 3

KENOSHA SHERIFFFIELD CASE REPORT c sE* 2021-00320388

ADDITIONAL SUBJECTS

outo=o

FIRST, IIODIE SUFFD()

ALLISON

TN 37115-utr

[:,"".n hire

ntEHr 0rqM rcEHt 0ruru!

PhoneHOffiK

F(,ul6to

JACreTNilEfrWE {AtitE (LAST, F|RST, t DDtr SUFFX}

ma ATX)RESS (smEEr, Crv, STATE, ZtP)

ucf RATIGE oI RAIIGE gYE

trilTlFHrpil ryft JHIMKY PIgR

tsogJ-'Gfo

NKEI'5UilECI IYE NAttE (LAST, FRST, t{totttE SUFFD()

DOA AtxrR[ss (srREEl crY, sTAlE, ztP]

RACE fl HE6HT OT Uffi trEEHI OT UW IAR ]Y€

N€MflFICATOI'I TYF€ PRUIIARY PHOI€ PflOilE f2 ffioflE *3

C'lr,l

hffi,SUBJECTffi UKE (NI FRST,ITMLE SUFFX)

AIDRESS (SIRE€T, CITY, STATt. ZtP)

UG u [tEht or Mw fltE!, or u[e HAR EYE

IXI{IIFICAIION WPE RffMY PHOM ffioffip PHOreF

olrj?ofo

AC&T'SUzuEflTE MilE (l.N, FRS, HWLE SUFFX}

ffMESS (SNEE[. CW, STAft, ZIP)

or RAIIGE NA[G HAIR EYE

EffMIPtrWE NffiY PHONE 40ilE n TSNE F

umffioFFtftR DA1E IEVMSEYI witr", John BI

Ruth Daniel 195 05t17t2021 05t18t2021

KSD Case 202140320388 Page 2 OF 3

KENOSHA SHERIFFFIELD CASE REPORT ccsE* 2021-00320388

NARRATIVE

l: Gearhart, Rogerl: Blevins, Kimberly (General Manager)l: Farden, Allisonl: Purnell, lvan

Country Thunder East LLC (of 730 Gallatin Pike North Madison, TN 371 15) is the current operatorof the Country Thunder music festival scheduled for July 15th through 18th, 2021 , in the propertyat and adjacent to 2305 Lance drive in Twin Lakes (Randall Township), Wl. Country ThunderLLC has applied for an Activity Control License, under Kenosha County Ordinance 8.01.

Kenosha County Division of Planning and Development received, and on March 1Oth,2021, approved an application for a conditional use permit for the music festival. The applicationwas submitted by Kimberly Blevins and Allison Farden of Country Thunder East LLC.

The terms and agreements are consistent with 2019, and the previous years. (The Festival wascancelled in 2020)

Kenosha County also has received the payment stipulated in the Conditional Use Permit($225,000.00) to pay for services during the event, including the costs for law enforcement thehighway department and health department services.

The festival layout is expected to remain consistent with previous years. The anticipatedattendance is estimated at 25,000-35,000 people per day.

The Town of Randall has issued a Class B Liquor License to the festival for several years. Theliquor license (number 202012021-- 001) expires on June 30,2021. The Randall Town Boardrenewed the Class B Liquor License for 2021-2022 at the May 6th, 2021, Randall Town Boardmeeting.

The Activity Control License requirements for 2021 will have been met.

The Activity Control License application will be presented to the Kenosha County Board Judiciaryand Law Committee on June 2nd,2021.

This will be followed up on in June

cruatrc 9IHGR OA'TE

Ruth Daniel 195 05117t2021REVEY'rEO BY

Wilke, John B 05/18t2021

KSD Cas€ 202140320388 Page 3 OF 3

DocuSign Envelope lD: 43D9DBCA-EBA2-4DBD-AF58-D8777A26E63F

CoUNTYOF I(pNOSHADivision of Planning & Development Andy M. Buehler, Director

Division of Planning & Development19600 75e Street, Suite 185-3

Bristol, WI53104-9772Q62) 8s7-1.895

Irving One, LLC1222N. Grant Ave.Odessa, TX 79761

Diedrich Family Fatm, LLC2000 Richmond RoadTwin Lakes, !7I 53181

March 78,2027

Russell Btothers, LLC11909 Richmond RoadTwin Lakes, WI 53181

Country Thundet East, LLC730 Gallatin Pike NMadison, TN 37115

Dear Applicants

On March 70,2021., the Planning, Development & Extension Education Committee of the I(enoshaCounty Board of Supervisors approved your request for a Conditional Use Permit to allow a countrymusic festival (fuly 15-18, 2021) wtth an assembly over 5,000 people on the following Tax Parcels:

#60-4-71,9-304-0405 (Irving One, LLC), #60-4-119-304-0100 piedrich) & part of #60-4-1,1,9-31,7-

0200 (Russeli) Iocated in the S 1./2 of Section 30 & the N 1/2 of Section 31, T1N, R19E, Town ofRandall.

Your tequest is approved, subject to the conditions signed by I(im Blevins and Allison Fatden, ^

copyof which is enclosed. Please note that it is your responsibility to ensure compliance with theseconditions.

Should you have any questions or cornments, please contact me at the phone number or address listedabove.

Sincerely

ANDY M. BUEHLER, DirectorDivision of Planning & Development

AMB:awEnclosurecc: Randall Town Clerk

dffi3,i||dh '

'u,.,quund'Depatment of Planning and Development RECE1GD

DEC 2t McoNDrTtoNAL USE PERMIT APPLTAI1ON

December 2012

Note: Unless the property owne/s eignature can be obtalned in lhe above Bpao€, a lotter of agent status Eionod by the legal property owner S!E!be submlttod if you aro a tonant, leaesholder, or authorized agent repreeenting the lcgal owner, allowing you to aot on thelr behalf.

-srvupfil€Ft

SlgnaturePrint Name: Roger Gearhart

Phone Number: 432-557-9920

Mailing Address: 1222 N. Grant St

lrvi LLC

Odessa 79761

(a) Property Owner's Name;

E-mall (optional): 7.comstarc:][zip'

Madison 371 15$ate: TN , zip:

Signature:

Business Narne: Country Thunder East, LLC

Mailing Address: 730 Gallatin Pike N

Phone Number: 615-970-0980 E-mail (optional) kim @countrythunder.com

Print Name: Kim Blevins(b) Agent's Name (if applicable):

(cl Architect's Name (if applicable):

Print Name: Signature:

Gity: State: _ Zip:

Phone Number: E-mall(optionaD

Business Name:

Mailing Address:

Signature:

Phone Number: E-mail (optional);

(d) Engineer's Name (if applicable):

Print Name

Slato: _Zip:_

Business Name:

Mailing Address:

CONDITIONAL USE PERMIT APPLICATION

(ef Tax key number($ of subject site:

60-4-1 19-304-0405

60-4-119-304-0100

60-4-1 19-31 1-0200

Address of the subject site:

please see attached

(f) Plan of Operation (or attach separate plan of operation)

Type of structure:

Please see attached.

Proposed operation or use of the structure or site

Please see attached.

Number of employees (by shift): Please see attached.

Hours of Operation: Please see attached.

Any outdoor enterlainment? lf so, please explain . Please see attached.

Any outdoorstorage? lf so, please explai n. Please see attached.

Zoning district of the property: A-2, A-1 , PR-1, B-5, C-1

(g) Attach a plat of survey prepared by a land surveyor registered by the State of \Msconsin or site plan drawn toscale and approved by the Department of Planning and Development showing all of the information required undersection 12.05-1 (h)3 for a zoning permit. In addition, the plat of survey or site plan layout shatt show the location,elevation and use of any abutting lands and the location and foundation elevations of structures within 50 feet of thesubject site; soil mapping unit lines; ordinary high water mark, historic high wator marks and floodlands on orwithin50 feet of the subject premises, and existing and proposed landscaping.

CONDITIONAL USE PERMIT APPLICATION

For conditiOnal uso permit applications that are made within shoreland and floodland areas, such ctescription shallalso include information that is necessary forthe County Planning, Delrelopment & Extension Education Committeeto determine whether the proposed development will hamper flood flows, impair floodplain storage capacity, or csus€dangerto human, animal or aquatic life. This additional information may include plans, certified by a registeredprofessional engineer or land surveyor, showing existing and proposed elevalions or contours of the ground; filt orstorage elevation; basement and first floor elevations of structures; size, localion, and spatia I arangement of allexisting and proposed structures on the site; location and elevation of streets water supply ancl sanitary facilities;aerial photographs, and photographs showing existing sunounding land uses and vegetation upstream anddownstream;soiltypes and any other pertinent information required by eitherthe Planning, Development &brtension Education Committee or the Office of Planning and Zoning Administration;

(h) The Kenosha County Department of Planning and Development may ask for additional information.

of this ordinance.$780.00

(For other fees see the Fee Schedule)

DocuSign Envelope lD: C4CFE0BC-378F-4780-ABC7-E2E9808F6846

CoUNTY oF I(eNoSHADivision of Planning & Development

CONDITIONS OF APPROVAT

tRVtNG ONE LLC, D|EDR|CH FAMttY FARM LLC, RUSSEII BROTHERS ttc (OWNERS)

couNTRY THUNDER EAST, ttc (LESSEE)

REQUESTING A CONDITIONAL USE PERMIT FOR

A COUNTRY MUSIC FESTIVAL WITH AN ASSEMBIY OVER 5,OOO PEOPIEAND OVERNIGHT CAMPING OF IOO OR MORE INDIVIDUATS

ON TAX PARCELS

#60-4-1 1 9-304-040 5, #60-4-1 I 9-304-0 1 00 AND PART OF #60-4-1 I 9-3 1 1 -0200TOWN OF RANDALL

[NOTE: ALt DEADLINE DATES ARE SHOWN lN BOID]

Subiect to the conditionol use permit opplicotion doled December 18,2020 ond slomped receivedby Plonning & Development on December 21 , 2020, which includes festivql doles, times, generoloverview, event set-up ond teor down schedule. comping overview, lroffic summory, food ondbeveroge operotions, ticket informolion ond ottendonce, generol site informqtion, rules ondregulotions, ond emergency procedures. lmplementqtion of improvemenls lo the sites ond odiocentqreqs mqy require permits from lhe Slote, Kenosho Counfy, or the Town of Rondqll. ln oddition,permits moy be required for signs in ond olong the right-of-woy of Wolworth Couniy, ond Slole,County ond locql highwoys in the Stote of lllinois. The opplicont is responsible for obtqining ftesepermits olong with contqcting ond implemenling $e conditions os required by these units ofgovernment.

Subiect lo ihot opproved by the Town of Rqndoll Town Boord on Jonuory 28,2021 ,

Subiecr lo complionce with ony conditions estqblished by the Villoge of Genoo City os port oftheir Speciol Events Permil.

lf the Country Music Festivol is to be held next summer, the opplicolion for lhe Conditionql Use Permitshqll be filed by no loter thon Febtuotv 9, 2022 for the Morch 9, 2Q22 Plqnning, Development &Exlension Educotion Committee ("PDEEC") meeting to ensure odequole time for the plonning ondpermitting of the eveni.

This conditionol use permit is being gronted solely for o single event, which sholl be operoted July l4-19,2021. Any odditionql feslivol evenls will require opplying for ond receiving o conditionol usepermit from PDEEC, qs well os receiving opprovol from the other offected units of governmenl hoving

iurisdiction over events of this noture. lf opprovol for this lype of evenl is nol gronted in 2021, or theopplicont chooses not lo hove qn evenl in 2021, oll londs lhot were rezoned from A-l AgriculturolPreservolion Districl lo A-2 Generql Agriculturol sholl be rezoned bock to A-l AgriculturolPreservotion District by the opplicont(s) or its ogent.

Subiect to the emergency trench lhol wqs dug during the 2019 event olong the eqst side of fte Encorecompground being reconstrucled into q swole following Noturol Resources Conservolion Service(NRCS) Conservotion Prqclice Stqndqrd for grossed woterwoys (Exhibit A, oltoched), or filled bqck inond leveled lo mqlch surrounding grode, by June 30,2021 ,

An evenl production schedule sholl be provided for review to the Kenosho County Deportment ofPlonning & Development ("Plonning & Development") by June 30, 2021.

Andy M. Buehler, DirectorDivision of Planning & Development

19600 75s Street, Suite 185-3Bristol, WI 531.04-977 2

Q62) 8s7-1.8es

Docusign Envelope lD: C4CFEOBC-37BF-4780-ABC7-E2E9808F6846

CONDITIONS - COUNTRY THUNDER 2021Poge 2 of 5

Applicont sholl provide proof of liobility insurqnce lo Plonning & Developmenl by no lqler thqn June30,2021.

A site plon showing fte locotion of oll temporory ond permonent slructures ond their intended use forthe durotion of the Country Thunder event shqll be provided to Plonning & Development by June 30,2021.

A list of qmusement rides thqt will be present ot the event ond proof of liobility insuronce shqll beprovided to Plonning & Developmenl by Jvly 9,2O21 . All omusement rides shqll be properlyregistered ond operqted in occordonce with Wisconsin Administrqtive Code Chopfer SPS 334 -Arnusemenl Rides.

The County Thunder Disoster Preplons, prepored by rhe Town of Rqndoll Fire Deportment in 2009qnd revised qs needed, sholl be followed for ony fire, rescue, emergency ond evqcuolion needs

during the event. Notionql Oceqnic ond Atmospheric Associotion (NOAA) weother rodios shqll be on

hqnd qnd used to moniior weqther conditions from lhe Notionql Weother Service offices in Sullivon,Wl ond Chicogo, lL during the durqtion of fte festivql, os referred lo in lhe emergency plqn. Sitemonogers sholl be briefed on their use ond must be fomilior with lhe use of rodio communicolionequipment for interfqcing wilh response ogencies os necessory.

The grounds, including oreos not visible to lhe public, shqll be kept neot qnd cleon qt qll times. Stoffsholl be provided for the purposes of picking up litter whenever the public is on ihe site. ln oddition, itis the responsibility of fte opplicont to remove oll litter thqt mqv be blown from the site onto qbultingproperties qnd/or roqd rights-of-wqv, with finql on & off-site cleon-up beinq completed no loter thqnJulv 30. 2021.

All Country Thunder-reloled slructures, lents, temporory fences ond equipment sholl be removed fromthe event properties no loler thon July 30,2O2l ,

TRAFFIC AND PARKING

14. Troffic potterns/troffic control for the event sholl be bosed on o troffic plon os depicted in theqttoched Exhibil B. Any chonge lo ftis plon sholl be reviewed ond opproved by representotives ofCounlry Thunder, the Kenosho County Sheriff's Deporlmenf, lhe Kenosho County Deportment of PublicWorks, Plonning & Developmenl ond ony other qffected governmentol ogencies. The plon sholl

include lhe lroining ond coordinotion of porking oltendonls ond the offected county ogencies. A series

of coordinotion meelings including oll offected ogencies will be needed to solve troffic problems.

Any costs ossocioted wiih ihis lroffic plonning qre the responsibility of the opplicont. Any directionolmops thot qre distributed by Counlry Thunder sholl be reviewed ond opproved by the Kenosho

County Sheriff's Deportment, the Kenoshq Counly Deporlment of Public Works ond Plonning &Developmenl.

15. A detoiled site plon showing oll porking oreos, comping oreos ond troffic flow potterns shqll besubmitted to Plonning & Developmenl by no lqter thqn June 30, 2021. Porking sholl toke ploce onlyin the designqted qreqs shown on lhe plon. Entronce ond exit roods sholl be groveled ondmointoined for o minimum distonce of 'l 00 feet from the edge of povemenl of the public roqd ondthe remoining entronce ond exit roods sholl be mointoined in q dust free condition qt qll times. Efforlsshould be pursued to improve the condition of ony iniernol festivol roodwoys which historicollybecome muddy ond, lherefore, difficult or impossible for potrons ond stoff to novigote. No off-sileporking is ollowed, including wilhin public rights-of-woy. "No Porking" signs must be instolled byKenoshq Counly in lhe vicinity of the event ot lhe cost of the oppliconl. Direclionol signoge, povementmorking, qnd roodwqy potrol sholl be in qccordqnce wirh memorqndums ond opprovols from fteKenoshq County Sheriff's Deportment ond/or the Kenosho County Deportment of Public Works.

16. Toller qnd more visible signoge ql the moin entronce gote ond drop-off oreo sholl be providedfor this yeor's event. Signoge shqll be two-sided so os to be visible by troffic opprooching fromeither direction qnd toll/lorge enough so os to not be obstructed from view by porked or queuedvehicles entering the site. Plons for signoge sholl be submitted by no loter thon @[!lQil! toollow odequote lime for review ond opprovol prior lo the event.

DocuSign Envelope lD: C4CFE0BC-37BF-4780-ABC7-E2E9808F6846

CONDITIONS - COUNTRY THUNDER 2O2IPoge 3 of 5

17. The drop-off qreo shqll be designed for efficient vehicle flow into qnd out of the oreo, includingproviding prominent directionol/informotionol signoge ond groveled or poved drive lqnes inoreqs of mud or potentiol mud. Any chonge of lhe locqlion or configurqtion of the drop-off oreobetween opprovol of this Conditionol Use Permit qnd the stqrt of the event shqll be reviewed ondopproved by the Kenoshq County Sheriff's Deportment, the Kenosho County Deportment of PublicWorks ond Plonning & Development.

ACTIVITY CONTROL LICENSE

I 8. The oppliconl is responsible for opplying for qnd obtoining o Kenoshq County Activity ControlLicense with lhe Kenosho Counly Sheriff's Deporlmenl qnd the Kenosho County Clerk's Office, tobe opproved by lhe Kenoshq County Boord of Supervisors prior to the event ond complying withony ossocioted conditions qs set forth in soid Activity Control License.

It should be noted lhql where q conflict exists belween the proposed number of focilities, securiiystoffing, porking otlendonls, toilels, elc., lhe oppliconr sholl provide the greoter number, bul sholl.under no circumstonces, provide less lhon lhe required number qs set forth in the Kenosho CountyActivily Control Ordinonce, being Chopter 8 of the Municipol Code of Kenosho County.

HEALTH

r9. The Kenoshq County Division of Heqlth shqll test both wells qnd the distribution system by June 9,2021. Repoirs, moinlenonce qnd chlorinoting of the wells, if needed, must be completed prior tothis dole. Any temporqry wqter lines in the comping qreqs shqll be shown on o plon ondopproved by lhe Kenosho County Division of Heqlth.

The Counry Environmentol Sonitorion sholl be conlocted 30 doys prior to lhe music festival toinspect the exisling privote onsite wostewqter treqtment systems (POWTS) on the festivql groundsto determine complionce with rhe Stqte ond County Sonitory Codes.

Any new or exisling buildings served with woter ond hoving sonitory woste droins ond notconnected to on qcceptoble POWTS will be identified ot the time of the Sonitqrion's inspection.Bosed on ihe proiect qnd time permitting, o complete plon submifiol ond on opplicotion for qSonitory Permit moy be required to be submitted to the Sqnitoriqn with instollotion qnd inspectionby lhe county occurring before Jvly 5,2021 ,

21. It is the responsibility of the opplicont to comply wirh oll Stqte qnd locol regulotions regordingpublic heolth. This includes proper ond odequote loilel ond hond woshing focilities, showeringfocilities, proper food preporolion ond serving conditions, odequote tested potoble woter, properdisposol of refuse qnd food by-products on o limely bqsis. The Kenosho County Division of Heolthrequires permits ond inspections lo ossure the event is conducted wilhin lqws of proper sqnitotionond heolth. The opplicont shqll obtoin oll necessory heolth-reloted permits ond ossure thot ollnecessory tests ond inspeclions ore conducled. Above-mentioned fqcilities must be in ploce forinspection by July 12,2021.

Plqns showing lhe locolion of the vendor oreqs, olong with q list of vendors occupying booths shollbe provided lo lhe Kenosho County Sheriff's Deportment, Kenosho County Division of Heolth ondPlonning & Development by June 30, 2021. The plon sholl be kept current, ond updotes shqll beprovided prior lo the event.

lnformotion regording service qnd service provider of greose disposol shqll be provided to theKenosho Counly Division of Heolth ond Plonning & Development by June 30, 2021.

lnformotion on solid wosle removql service provider qnd schedule of service to be provided toKenosho County Division of Heqlth ond Plonning & Development by June 30,2021.

The Kenoshq County Division of Heolth sholl be provided wilh q list of nomes of individuqls whoore responsible for servicing porloble toilet unils, servicing hond wqshing slotions, shower wosledisposol, ond supervising the food courl ond VIP food service oreos by June 30,2021. All hqndwoshing stotions sholl be in ploce qnd instolled with soop dispensers ond single-service towel

DocuSign Envelope lD: C4CFE0BC-378F-4780-ABC7-E2E9808F6846

CONDITIONS - COUNTRY THUNDER 2021Poge 4 of 5

dispensers before fte festivql opens. Hqnd woshing slotions must be provided for qll foodpreporotion/serving qreqs. Hqnd wqshing stolions need to be monilored ond mointqined withwoter, soop, ond lowels. ln qreqs where woter is not ovqiloble under pressure, q minimum of qfive- (5) gollon insulqted contoiner wilh o spigot ond opproved liquid woste disposol sholl beprovided.

Any individuql considering tqttooing qt the event must conloct the Kenosho County Division ofHeqlth by June 30,2021.

Poymenl ond opplicotions for temporqry reslquronl licenses sholl be received by July 12,2021. Poyment must be mqde to the Kenosho Counly Division of Heqhh in the form of o cerlifiedcheck.

Poyment for speciol event compground licenses ond woler testing fees sholl be received by July 12,2021. Poyment must be mode lo the Kenosho Countv Division of Heolth in the form of o certifiedcheck.

Seporote enclosed toilets for mqles ond femqles meeting qll stqte ond locol specificotions musl beconveniently locqled throughout the grounds ond in proximity to lhe compground, sufficienl loprovide focilities for the moximum number of people to be ossembled ol the rqle of ol leqsl onetoilel for every 200 oersons, with soid focilities to be evenly-divided between mole ond femqlelogelher with on efficienl, sqnitory meqns of disposing of woste molter deposited, which is incomplionce with oll slqle qnd locol lows ond regulotions.

There must be one lqvqlory for every 500 persons wilh running wqler under pressure ond ocontinuous supply of soop ond poper lowels to be provided with eqch lovqtory or in theohernotive o sufficient number of chemicolly treoted sonitory towels.

Prep kitchens ond the VIP buffet lenl shqll be completely screened, ond olher food boofts shqll bescreened os needed.

Thermomelers must be provided in oll refrigerqtion units. A long slem thermometer sholl beprovided in oll food tenls/preporqlion qreqs to check hot food temperqtures.

No bqre hqnd conlqcl of reody-lo-eql food will be qllowed. Employees shqll use suiloble ulensilssuch os deli tissue, spotulos, tongs or single-use gloves.

One (l ) hond-held rodio unit must be provided to Kenosho County Division of Heqlth stoff to fqcilitqtecommunicotion with Counlry Thunder stoff.

Three (3) oll occess posses with VIP porking qnd on on-site oll-lerrqin vehicle must be provided forKenosho Counly Division of Heolth inspection stoff.

GENERAL

36. To qssure thot proper focilities ore provided to those ottending qnd lo qssure thot the festivol hosq minimum effed on lhe neighboring oreo, copies of service contrqcts qs listed in lhe opplicolionsholl be provided to Plonning & Development by June 30, 2021.

37. No on- or off-premise signs, bonners, or billboords sholl be conslrucled, erected, or disployedwithoul first obtoining proper permits from lhe Stote, County or locol unit of governmeni in whichthey ore being locoted. The existing billboqrd sign locqted on the Country Thunder propertlolonq CTH P (Richmond Rd.) sholl not be used to qdvertise for off-premise businesses or servicesond shqll be used only for odvertising the Country Thunder event or other events toking plqce onthe premises.

\!g operqtion of qmusemenl rides pqst Midnight.

No hot oir bolloon rides qre permitted.

Docusign Envelope lD: C4CFE0BC-378F-4780-ABC7-E2E9808F6846

CONDITIONS. COUNTRY THUNDER 2021Poge 5 of 5

40, All speokers focing owoy from permonent dwellings, qs sloted in the submitted Conditionql Use

Permit opplicotion dqted December 18, 2020, must be enforced ond observed.

41 . A 2:00 o.m. curfew for excessive or loud noise must be striclly enforced qnd observed.

42, lnformqtion on electricol generotors, number of unils lo be used ond o site plon loyout of theirlocqtions to be provided to Plonning & Development by June 30,2021.

43. On-site security sholl be bosed on o plon prepored by the opplicont ond submitted to theKenosho County Sheriff's Deportment by July 5,2021 for review ond opprovol prior to the event.This musl include security guords, either regulorly-employed, duly sworn off-duty Wisconsin peoceofficers or privote guords, Iicensed in Wisconsin, sufficient to provide odequote security for fiemoximum number of people to be qssembled ot the rote of qt leost one (l)securilv guord foreverv 250 people. Except thot in the cose of qssemblies of less thon 750 people, continuingbetween the hours of midnight ond 8:00 o.m., there sholl be ql leqst one (l)security guord.

44. lt hos been determined thqt Kenosho County must ossign stoff ond equipment to ossure thqt ihis

event is operoted in occordonce within the rules estqblished by the stote ond the county qnd loensure thot this event hqs q minimol effeci on the generol public. ln order to ensure thot thetqxpoyers of Kenosho County ore not burdened for cost(s) requiring stoffing ond equipmentossocioled with this event, such os pofrol ond rroffic control, highwoy mointenqnce, ond thepossibility of cleoning the public right-of-woy, heolth inspections, golf corts, emergency servicesplonning, olong with review ond verificqtion by Plonning & Development stoff, opprovol of thisrequest would be gronted provided Kenoshq County sholl receive from the opplicont or its ogentq check. This check shqll be in qn omount os determined by the Kenosho Countv Sheriff'sDepqrlmenl ond psvoble lo Kenosho Counlv. Kenoshq County mqy use lhe money solely for thepurpose of reimbursing costs reloted to the event prior lo, during, or qfler the evenl tokes ploce.The County will provide o list of ocluol expendilures requiring reimbursemenl by lhe oppliconl. ln

oddition, if Kenoshq County determines thol its qctuol costs reloted to the event exceeds theomounl of the check, lhe opplicont or ils ogent qgrees by the signing of these conditions toreimburse Kenosho County for the odditionql costs reloted lo the event. This check sholl bereceived before review of the Activity Control License by the Judiciory & Low EnforcementCommitlee.

45. lt is the responsibility of the pelitioner to qssure ond guorontee lhqt lhe obove conditions ore fullycomplied with. This includes, but is not necessorily limited to, meeting conditions estqblished herein,providing lelters of credit, providing ond following opproved plons, obtoining permits prior toconstruction, moking improvemenls, porticipoting in coordinotion meelings with governmentolofficiols, following estqblished time f romes, meeling deodlines, ond providing odditionolinformqtion where deemed necessqry. Any unouthorized deviotion from the opproved plons ondcondilions sholl result in the issuqnce of o citqtion ond/or opplicoble stop work order by Plonning& Development or other opplicoble ogencies until the conditionol use permil is brought bock intocomplionce. Continued violotion of lhe conditions crs set forth herein shqll resuh in qrecommendotion for revocqtion of the Conditionql Use Permit.

I hove reqd ond understond the obove conditions ond hereby ogree ftot I om willing to comply with them.

Kim Blevins 3/L7 /202LTE:PRINT NAME:

SIGNATU Li* Htuit^t

nllison parden

PRINT NAME: DATE:/-*,"'c,*""',

sTGNATURE: I [ll;so* Forlm

3/L7 /202L

\- , roororora*0"o...

2021 -03-l 0 - Country Thunder

Docusign Envelope lD: C4CFE0BC-37BF-4780-ABC7-E2E9808F6846

EXHIBIT AUSDA

united states Departmentof Agricurture

cPs 4'12-1

NATURAL RESOURCES CONSERVATION SERVICECONSERVATION PRACTICE STANDARD

GRASSED WATERWAY

coDE 412(FT.)

DEFINITIONA shaped or graded channel that is established with suitable vegetation to convey surface waterat a non-erosive velocity using a broad and shallow cross section to a stable outlet.

PURPOSE. To convey runolf from terraces, diversions, or other water concentrations without causing

erosion or flooding.. To prevent gully formation.. To protect/improve water quality.

CONDITIONS WHERE PRACTICE APPLIESThis practice is applied in areas where added water conveyance capacity and vegetativeprotection are needed to prevent erosion and improve runoffwater quality resulting fromconcentrated su rface fl ow.

CRITERIAGeneral Criteria Applicable To All PurfosesPlan, design, and construct grassed waterways to comply with all federal, state, tribal, and locallaws and regulations.

Drainage areas must be treated to minimize sediment deposition to the grassed waterway.

Capacity. Design the waterway to convey the peak runoff expected from the 1 O-year frequency,24-hour duration storm.Waterways which are components of waste management systems shallhave a minimum capacity to convey the peak runofffrom the 25-year frequency, 24hour storm.lncrease capacity as needed to account for potential volume of sediment expected to accumulatein the waterway between planned maintenance activities. When the waterway slope is less than 1

percent, out-of-bank flow may be permitted if such flow will not cause excessive erosion. Ensurethat the design capacity, at a minimum, will remove the water before crops are damaged.

Peak discharge for all storms will be determined by the method outlined in NRCS NationalEngineering Handbook (NEH), Part 650 - Engineering Field Handbook (EFH), Chapter 2; orTechnical Release 55 (TR-55).

Conservation practice standards are reviewed periodically and updated if needed. To obtain the cunent version ofthis standard, contact your Natural Resources Conservation Service (NRCS) State oflice or visit the Field officeTechnical Guide.

NRCS, WI

July 2016

DocuSign Envelope lD: C4CFE0BC-37BF-4780-ABC7-E2E9808F6846

cPS 412-2

The vegetative retardance used shall consider the types of grasses to be seeded and the type ofmanagement anticipated.The retardance used shall be in accordance with the EFH, Chapter 7,

fableT-4,

Capacity of waterways shall be based on vegetative retardance A, B, or C.

Stability. Determine the minimum depth and width requirements for stability of the grassed

waterway using the procedures in EFH, Chapter 7, Grassed Waterways; the Agricultural Research

Service (ARS), Agriculture Handbook 667, Stability Design of Grass-Lined Open Channels, or theHandbook of Channel Design for Soil and Water Conservation (SCS-TP-61).

Ensure that the vegetation species selected are suited to the current site conditions and intendeduses. Select species that have the capacity to achieve adequate density, height, and vigor withinan appropriate time frame to stabilize the waterway.

Stability of waterways shall be based on vegetative retardance C, D, or E.

Stability of waterways shall convey the peak discharge expected from the design storm withoutexceeding the allowable effective stress or permissible velocity.

Design velocities shall not exceed the values shown in Table 1.

Evaluate the potential effect of waterways with velocities exceeding the criticalvelocity (super

critical).

Table 1

ng cover proper ance can be obtained.2Cohesive (clayey) fine-grain soils and coarse-grain soils with cohesive fines with a plasticity index of 10 to 40 (CL, CH, 5C, and GC).

35oils that do not meet the requirements for erosion-resistant soils.

Alignments. Except for short transition sections, flow in the range of 0J to 1.3 of the criticalslope must be avoided unless the waterway is straight.

Velocities exceeding the critical velocity shall be restricted to straight reaches.

Use transition sections of at least 50 feet long to change channel dimensions.

Width. Keep the bottom width trapezoidal waterways less than 100 feet unless multiple, ordivided waterway, or other means are provided to control meandering of low flows.

Side slopes. Keep the side slopes flatter than a ratio of two horizontal to one vertical (2:1).

Reduce the side slopes as needed to accommodate the equipment anticipated to be used formaintenance and tillage/harvesting equipment so that damage to the waterway is minimized.

NRCS, WI

July 2016

PermissibleVelocity'

Easily ErodedSoilsr (ft./sec.)

Waterway SlopeRange (o/o) Erosion Resistant

Soils2 (ft./sec.)

0-5 7 5

5.1-10 6 4

Over 5 3

Docusign Envelope lD: C4CFE0BC'378F-4780-ABC7-E2E9808F6846

cPs 412-3

Depth. The capacity of the waterway must be large enough so that the water surface of thewaterway is below the water surface of the tributary channel, terrace, or diversion that flows intothe waterway at design flow.

The minimum designed depth of the waterway shall be 0.6 feet.

Provide 0.5 foot freeboard above the designed depth when flow must be contained to preventdamage. Provide freeboard above the designed depth when the vegetation has the maximumexpected retardance.

Drainage. When needed to establish or maintain vegetation on sites having prolonged flows,high water tables, or seepage problems, use Wisconsin NRCS Conservation Practice Standards(Wl NRCS CPS), Subsurface Drain (606), Underground Outlet (620), or other suitable measures inwaterway designs.

Where drainage practices are not practicable or sufficient to solve these seepage problems, useWl NRCS CPS, Lined Waterway or Outlet (468) in place of Wl NRCS CPS, Grassed Waterway (412).

All grassed waterways shall have stable inlet areas. The area downstream of bridges, culverts,or other structures shall be stabilized with durable lining materials if vegetation cannot beestablished.

Outlets. Provide a stable outlet with adequate capacity. The outlet can be another vegetatedchannel, an earthen ditch, a grade-stabilization structure, filter strip or other suitable outlet.

Grassed waterways that serve as terrace outlets shall be established with adequate vegetationprior to the terrace construction.

Crossings. Provide livestock and vehicular crossings as necessary to prevent damage to thewaterway and its vegetation. Crossings shall be in accordance with the criteria contained in WlNRCS CPS, Stream Crossing (578), Access Road (560), orTrail and Walkways (575).

Vegetative Establishment. Establish vegetation as soon as possible using the criteria listedunder"Establishment of Vegetation"in Wl NRCS CPS, CriticalArea Planting (342).

Establish vegetation as soon as conditions permit. Use mulch anchoring, nurse crop, rock orstraw or hay bale dikes, fabric or rock checks, filter fences, or runoff diversion to protect thevegetation until it is established. Planting of a close growing crop, e.9., smallgrains or millet, onthe contributing watershed prior to construction of the grassed waterway can also significantlyreduce the flow through the waterway during establishment.

CONSIDERATIONSWhere environmentally-sensitive areas need to be protected from dissolved contaminants,pathogens, or sediment in runoff, consider establishment of an increased width of vegetation onthe waterway above the flow area. lncreasing the width of the waterway above the flow area willincrease filtering of sediment and pathogens as well as increase infiltration of runoff and increasenutrient removal. Where sediment control is the primary concern, consider using vegetationin the waterway which can withstand partial burial and adding sediment control measuresabove the waterway such as residue management. Consider increasing the channel depth and/or designing areas of increased width or decreased slope to trap and store sediment to reduce

NRCS, WJuly 2016

cPs 412-4

the amount of sediment that leaves a field. Be sure to provide for regular cleaning out of thewaterway when trapping sediment in this manner.

Tillage and crop planting often takes place parallel to the waterway, resulting in preferential flow- and resulting erosion - along the edges of the waterway. Consider installation of measures thatensure that runofffrom adjacent areas will enter the waterway. Measures such as directing spoilplacement or small swales can direct this preferential flow into the grassed waterway.

Avoid areas where unsuitable plant growth limiting subsoil and/or substratum material such

as salts, acidity, root restrictions, etc. may be exposed during implementation of the practice.Where areas cannot be avoided, seek recommendations from a soil scientist for improving thecondition or, if not feasible consider over-cutting the waterway and add topsoil over the cut area

to facilitate vegetative establishment.

Avoid or protect, if possible, important wildlife habitat, such as woody cover or wetlands whendetermining the location of the grassed waterway.

lf trees and shrubs are incorporated, they should be retained or planted in the periphery ofgrassed waterways so they do not interfere with hydraulic functions. Medium or tall bunchgrasses and perennialforbs may also be planted along waterway margins to improve wildlifehabitat.

Waterways with these wildlife features are more beneficial when connecting other habitat types;e,9., riparian areas, wooded tracts and wetlands. When possible, select plant species that canserve multiple purposes, such as benefiting wildlife, while still meeting the basic criteria neededfor providing a stable conveyance for runoff

Water-tolerant vegetation may be an alternative to subsurface drains or stone center waterwayson some wet sites.

Use irrigation in dry regions or supplemental irrigation as necessary to promote germination andvegetation establishment.

Wildlife habitat benefits can be provided by adding width of appropriate vegetation to the sidesof the waterway. Care should be taken to avoid creating small isolated planting zones that couldbecome population sinks where wildlife attracted to an area experience reproductive loss due topredation.

Consider including diverse legumes, forbs, and flowering plants such as milkweeds that providepollen and nectar for native bees and other pollinators. ln dry regions, these sites may be ableto support flowering forbs with higher water requirements and thus provide bloom later in thesummer

The construction of a grassed waterway can disturb large areas and potentially affect culturalresources. Be sure to follow state cultural resource protection policies before construction begins.

Consider using energy dissipating features when velocities exceeding the critical velocity are

abruptly reduced to a subcriticalvelocity.

NRCS, WI

July 2016

cPs 412-5

PLANS AND SPECIFICATIONSPrepare plans and specifications for grassed waterways that describe the requirements forapplying the practice according to this standard. This should include:

. A plan view of the layout of the grassed waterway.

. Typical cross sections of the grassed waterway(s).

. Profile(s) of the grassed waterway(s).

. Disposal requirements for excess soil material.

. Site specific construction specifications that describe in writing the installation ofthe grassed waterway. Include specification for control of concentrated flow duringconstruction and vegetative establishment.

. Vegetative establishment requirements.

OPERATION AND MAINTENANCEProvide an operation and maintenance plan to review with the landowner. lnclude the followingitems and others as appropriate in the plan:

Establish a maintenance program to maintain waterway capacity, vegetative cover,and outlet stability. Vegetation damaged by machinery, herbicides, or erosion must berepaired promptly.Protect the waterway from concentrated flow by using diversion of runoff or mechanicalmeans of stabilization such as silt fences, mulching, hay bale barriers and etc. to stabilizegrade during vegetation establishment.Minimize damage to vegetation by excluding livestock whenever possible, especiallyduring wet periods. Permit grazing in the waterway only when a controlled grazingsystem is being implemented.lnspect grassed waterways regularly, especially following heavy rains. Fill, compact, andreseed damaged areas immediately. Remove sediment deposits to maintain capacity ofgrassed waterway.Avoid use of herbicides that would be harmful to the vegetation or pollinating insects inand adjacent to the waterway area.Avoid using waterways as turn-rows during tillage and cultivation operations.Mow or periodically gtaze vegetation to maintain capacity and reduce sedimentdeposition. Mowing may be appropriate to enhance wildlife values, but must beconducted to avoid peak nesting seasons and reduced winter cover.Apply supplemental nutrients as needed to maintain the desired species compositionand stand density of the waterway.Control noxious weeds.Do not use waterways as a field road. Avoid crossing with heavy equipment when wet.Lift tillage equipment off the waterway when crossing and turn off chemical applicationequipment.

NRCS, WI

July 2016

cPs 412-6

REFERENCESUSDA, ARS. (1987). Stability design of grass-lined open channels. Washington, D.C.: U.S. Dept. ofAgriculture, Agricultural Research Service.

USDA, NRCS (2007). National Engineering Handbook, Part 650, Engineering Field Handbook,Chap. 7, Grassed waterways.

Stillwater Outdoor Hydraulic Laboratory (1954). Handbook of Channel Design for Soil and WaterConservation SCS-TP-61 (Revised. ed.).Washington: United States Department of Agriculture, Soiland Conservation Service.

ln occordonce with Federol civil rights low ond U.S. Deportment of Agriculture (USDA) civil rights regulotions and policies, the USD4 its Agencies,

offices, and employees, and institutions participating in or odministefing USDA programs are prohibited from dismiminoting bdsed on roce, color,

national origin, religion, sex, gender identity (including gender expression), sexuol orientotion, disobility, oge, maritol stotus, fomily/parentol status,income derived from o public ossistance program, political beliefs, or reprisal or retoliotion for prior civil rights octivity, in ony progrom or octivityconducted or funded by USDA (not oll bdses apply to oll progrdms). Remedies and complaint filing deadlines vory hy progrom or incident. Persons withdisabilities who require dlternotive means of communication for program information (e.g., Broille, Iorge print, oudiotape, American Sign Longuage,

etc.) should contdct the responsible Agency ot USDA'| TARGET Center ot (202) 720-2600 (voice and TTY) or contact USDA through the Federal Relay

Seruice ot (800) 877-8339. AdditionollV progrom informotion moy be made ovailoble in longuages othet than English. To file o prcgram discilminotioncomploint, complete the USDA Program Discriminotion Complaint Form, AD-3027, found online at How to File o Prooram Discriminotion Complointand ot ony USDA ofice or write a letter oddressed to USDA ond provide in the letter all of the informotion requested in the form. To request o copyof the comploint forn, call (866) 632-9992. Submit yout completed form or letter to USDA by: (1) moil: U.S. Deportment of Agriculture, OIfice of theAssistont Secretdry for Civil Rights, 7400 lndependence Avenue, SW Woshington, D.C. 20250-9410; (2) fox: (202) 690-7442; or (3) emoil: Blpggm,intoke@usdo.aov. USDA is on equol opportunity provideL employen ond lenden

NRCS, WI

July 2016

January 28,2O2I

Town Board Meetings were conducted remotely via Zoom due to COVID-l9.To Join Zoom Meeting

https ://us02web.zoom. us/j / 820838tL4L1?pwd=aW1 KdWE4d UZMem UvSO5TM Eg0ODd5 QT09

Meeting lD:820 8381 1411 Passcode:305441

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Meeting lD:820 8381 141L, Passcode:305441

Find your local n u mber: https://us02web.zoom.us/u/ke6HtLOjV

Present remotely were: Bob Stoll, Julie Horbach, Paula Soderman, Randy Kaskin, Nancy Kemp, Callie

Rucker, George Bailitz, Gary Franzen, Ken Mangold, Bruce Melling, BillWesterlundAbsent were Amy Hookstead

Meeting was called to order by Chairman Stoll at 7:00 p.m

Pledge of Allegiance - individually

3. Approval of minutes from the January L4,zOZt meeting as presented was made by Kaskin/Kemp,

motion carried. Unanimously.

a. Reports from the floor: none

b. Building lnspector: none

c. Clerk: none

d. Treasurer: none

e. Supervisors:

. Mrs. Horbach: none

. Mrs. Soderman: none

. Ms. Kemp: commended on the snow plowing of the County roads.

. Mr. Kaskin: none

f. Chairman Stoll: none

5. Citizen Comments: none

Reports4

6. Business:

Town Board

a. none

Town Board/Plan Commission items

b. Irving One, LLC, 1 222 N Gront Ave, Odesso, TX 79761 ; Diedrich Fomily Form LLC, 2000Richrnond Roo4 lwrn lokes, W 531 8l ; Russell Brothers, LLC, 1 1909 Richmond Rood fwrnlokes, W 53181 (Owners),CountryThunder Eost, LLC,730 Gollotin Pike N, Modison, IN371 1 5 (Agenl), requesfing o Condifionol Use Permil f or o country music fesfivol (July 1 5-l 8,2021) wilh on ossembly over 5,000 people on fhe following lox Porcels: #60-4-1 19-304-0405 (lrving One, [C), #60-4-1 l9-304-0100 (Diedrich Fomily Form LLC) & port of #60-4-I 19-31 I -0200 (Russell Brolhers Ll,C) locoted rn fhe S I /2 of Secfion 30 & the N I /2 ofSecfion 3 l, f l N, Rl9E, Town of Rondqll. Discussion, consideration, and action if any.

Kim Blevins and Allison Farden from Country Thunder were present (remotely) to answerquestions. A motion by Bailitz/Melling to send a favorable recommendation to the TownBoard on the above. The motion carried unanimously. A motion by Soderman/Kaskin tosend a favorable recommendation to the County on the above event. Motion carried

unanimously.

7. Other business: none

8. Bills: Motion by Kaskin/Kemp to approve the bills as presented in the amount of 538,923.10 check

numbers 39292-39322 including Jan-2 & LIAB CHK. Motion carried unanimously.

9. Adjourn: A motion by Kaskin/Kemp to adjourn, motion carried, meeting was adjourned at

7:27 p.m.

Collie RuckerTown Clerk

RENEWA.|: ALCOHOLSubnlt to municipal c/erk Reed

For the license period beginning:

BEVERAGE LICENSE APPLICATIONlnctructions on reverse slds.

(MM OD YYYY}

Eltown ofTO THE GoVERNING BODY of the: n Vittage ot

flcity ot

'1- r - ?ozt endins: b' b'2oZL(MM DD YYYY)

f?ar.rtAuuIt

County of KEr.)o5nA Aldermanic DisL No. (if requir€d by ordinance)

CHECK oNE n lndividual I Partnership ffitimiteo Liability Company

n Corporation/Nonprofit Organization

Gomplete A or B. All must complete c.A. lndividual or Partnership:

Full Name{sf (Last, First and Middle Name} Home Address)

Post Office & Zlp Gode

)LICENSE REQUESTED

fl chss A beerTYPE FEE

sfl Clase B beer

E Class C wine $

Ll Class A liquor $

$ HIRI Class A llquor (cider only)

I class B liouor s

$I Reservs Glass B liquorI Class B (wine only) winery $

Publication fse $

rcTAL FEE $

B. Full Name of Corporation/Nonprofit Organizatiott/Limited Liability Company

Address of Corporation/Limited Laability Company (if differ€nt fom licensed premlees) ) a27'4 ,l'

Mce PresidenUMember

6 LLC,

All otflce(s) Directo(6) and Agent of Corporatlon and MembervManagers and Agent of Limitod Liabillty Company:Title _ Name {lnc. Middle Name} Honre Address Post Office & Zip Code

presidenvMembe, QP,6d,L ai*4ldsga blob I4O69OMA tl t Or,arJ D.-Dc 1q1o 1

Secretary/MemberTreasurer/Member

Agent )Diredor$/Managors

c.'l . Trade Narne Businese Phone Number

2. Addressof Premises ) PoS Offhe & Zip Corb )3. Does the applicant undedand that they must purcfnse alcohol bevenges on[ ltom Wscorsin wholeealers, bn$tetics

4. Premises descriptign: Describe building or buildings rvhere alcohol b€verag€s are to be sold and stored. The appllcant mustinclude all rooms including living quarters, if used, forlhe sales, service, , and/or storag€ of and records.(Alcohol beverages may be sold and stored only on the promls€s descrlb€d,)

5. Legal description (omit if street address is given aboye):

6. a. Since liling of the last appllcation, has the named llcens€€, any member of a partnership licensee, or any member, ofiicer,director, manager or agent for either a limited liability company licensee, corporation licens€e, or nonprofit organizationlicensee been convicted of any offcnses (excluding traffic ofiense$ not rolated to alcohol) for vlolatlon of any lederallaws, any lrvisconsin laws, any laws of olher states, or ordinances of any county or municipalfi? lf yec, cornplete reverse side I Yes

b. Are charges for any offenses presently pending (exduding traffic ofienses not related to alcohol) against the namedlicensee or any other persons affiliated ivith this license? lf yes, explain firlly on reverse side

7. Except for questions 6a and 6b, have there been any chang€G in the ansilrers to the queslions as submitted by you on yourlast applicaiion for this license? lf yee, explain. I Yes

8. \ttAs lhe prolit or loss from the sale of alcohol beverages for the previous year reponed on the Wsconsin lncome or{*,{""*{n"fl Yes

d*,dNo

doI tto

luoffNo

Franchise Tax return ofthe licensee? lfnot, exphin.

9. Does the applicant undestard they mu$ hoH a Wisconsin S€llsr's Permal?

[phone (608) 266-27761

10. Does the applicant understand that alcohol beverage invoices must be kept at the licensecl premises lor 2 y€ars from thedate of invoice and made available br inspection by law enforcemenR . .

1 1 . ls the applicant indebted to any wholesaler beyond 15 days for beer or 30 days bt liquof .

READ CAREFULLY BEFORE SlGNll{G: Under penalty provided by law, the applicant staies thateach of the above questions has baen truthfully answered to theb€st ot tho knowlgdge of lhe signers. Signe.s agrooif granted, will not be assign€d to anolher. (lndfuldusof Llmited Llabllity Conpanies must sign.)

io operate this bu$lness accotding to hw and that the dghts and responsibilities confurrsd by ih€ lic€nse(s),I spplicants and each member of a applkant must sig n; corporate offi c€r(E), m€ mborslrnnagsrs

SUBSCRI AND SWORN TO BEFORE ME

My expl]es

TO BE COMPLETED BY CLE

&mNlctrclt

Dat6 llcanae granted

ggnatufg of cl€rR I uopury clcrK

AT-115 (R.7-15)

,20 a-\

Wcconsin Dspadrngnt ol R6vonuo

|NSTBUCnONS FOR RENEWAL ALGOHOL BEVERAGE LTCENSE APPLTCATION (AT-115)

TIIIS RENEWAL FORM CANNOTBE USED IF:

1. There is a change in business entity (i.e., individual haschanged to partnership or corporation/limited liabilitycompany; partnership changed to individual or copo-ration/limited liability company; corporation changed loindivldual, partnership or limited liability company) andif limited liability company has been dissolved.

2. Partners are added or dropped.

3. Application is made in a different municipality.

PARTNERSHIPS:lndicate fullname and home address of each partner. Eachpartner must sign application. Reminder: lf partners havebeen added ordropped since yourlast application, you mustuse Form AT- 1 06 (Orig inal Beverage License Application).

CORPORATIONS:The fficer(s) must sign application. Be sure to answerQueslion No. 7 by indicating any change of ofiicers,directors, and/orchanges in home address. lfthere are anychanges in ofiicers and/or diredors each must completeFormAT-103 (Auxiliary Questionnaire). lf there has beena change in agent since your last approved agent, he/shemust complete Forms AT-1 04 (Schedule for AppointmenlofAgent) ANDAT-1 03 (Auxiliary Questionnaire) in additionto this (AT-115) form.

UMITED LIABILITY GOMPANY:

Members/managers must sign application. Follow pro-

cedure under Corporations for any change of membercor agent.

NOTE: Application must be signed where indicated on

all copies in the presence of a notary public- Use ink or

$pewriter when filling in applications. Be sure to answ€rall questions tully and accurately. Any lack of access toany portion of a lioensed premises during inspection willbe deemed a retusalto permit inspection. Such refusal isa misdemeanor and grounds for revocation of this license.

DISCRIMINATION CLAUSE- (City of Milwaukee only)

The applicant shall not willtully refuse to provide thoseservices offered under this license or refuse to employ ordischarge any person otherwise qualified because of race,color, creed, sex, national origin or ancestry, the applicantshall not seek information as a conclition of employment,or penalize any employee or discriminate in the selectionof personnelforlraining orpromotion solely on the basis ofsuch information. The applicant also shall not discriminateagainst any memberofthe military seMce dressed in uniformby willfully refusing services ofiered uncler this license.

Complete, sign and retum this form to the clerk.

lf answer to Questions No. 6a and/or 6b on reverse sideare YES," outline details below:

coNvrcTroNS

STATUTE NO./LOCAL ORDINANCE

\,lil-IERE CONVICTED

nursoElueRruoR flpEt-ot'tv

STATUTE NO.iLOCAL ORDI NANCE

\^,|.IERE CONVICTED

n rursoeMEnNon fl reloruv

STATUTE NO./LOCAL ORDINANCE

WHERE CONVICTED

flursoeuemron [ ruloruv

PENDING CHARGE

STATUTE NO./LOCAL ORD INANCE

1. NAME I'-.t /ACHARGE

2. NAME

PENALry

CHARGE

3. NAME

PENAUTY

CHARGE

DATE PENALTY

1. NAME

PENDING CHARGE

AUXILIARY QUESNON NAIREALCOHOL BEVERAGE LICENSE APPLICATION

Submit to munieipal clerk.

The above naned iMividudlprovides ths folloWng informaUon as a person who ls (oDeckoael: '

t] Applying for an alcohot bevorage llcense as an indlvldual.

I A member of a partnership whlch is making application for an alcohol bwerage license.

fl Roger Gearhart Manager- of AZ-WI RanchLicensi LLG

P fftqni4oltlqrrbdntan$gtl&enl) lNsr7'! Unt[att UanW C'rrtpary or l,lqrpdil aryenlzaibo)

whlch is making appllcatlon for an alcohol bwerage license.

The above named individual provides the following information to tho liconsing authority:

1. How long have you continuously reslded ln Weconsln prior to thls date? 0

lndtyldualbFullName (plusopflnt) (lasaratno,

Gearhart Roger(ll/Atneme)

Glen(mkktbnane)

Home Addroso /slrosl4polo]

6706 Mosswood DrPodtOfllce Clly

MidlandSlale

TXzlp Codo

79707Home PhoneNunter

432657€920Ago

65Dal6 of Blrlh

12t07t1954Phce of Bhth

Gahado, TX

2. Have you ever been oonvicted ofany offenees (other than trafflc unrolaled to alcohol beveragae) forvlolation of any federal lavw, any Wsconsin lanc, any laws of any other states or ordinances of any county

' ormunicipali$?.,.,,,..j..lf yes, glve law or orcllnance violded, ttal court, trlal date and penalg lmpose4 and/ordate, descdption andstatue of charges pending- ftlnate'momlsneedad,confnu€ otrel,gr€e€fds ofthlsfom)

Ives )lff.tto

3. Are charges for any offenses presently pending agaiirst you (other than trafilc unrelatsd to alcqhol beverages)for violation of any fedelal laun, any MJlsconein lauts, any laws of olher etatee or ordinancee of any county ormunicipality?

lfyes, describe atatus of charges pendlng.

4. Do you hold, are you making appllcalion for orare you an officer, director or agent of a corporalion/nonprofltorganization or memberlrnanager/agent of a limited llabilig company holding or applying for any othsr alcohol

beverage llcense or permiP. . . . .

lf yes,idendfy. MGR DBSB Midland, LLC Manager GBE, Midland Odessa, LLC(thna Lwt*'', ad flpo d L*€rBdPq/'',l/,

5. Do you hold andlor aro you an offlcer, direotor, stockholder, agent or employo of any percon or corporatlon ormember,/manager/agont of a limited liability company holding or applying for a wholssale beer permil

breweryirinery permit or wholesale liquor, manufactursr or recfifler permit in the Stale of Wsconeln?.Itye6,ldentiry. ---@rffi?'ffitr-ffis A' iffi) -'' -'

O Named individual must list ln chronological order last $/ro ernployors.

fJYes ts[ruo

XR yu" [ ruo

ll Y"s ffino

(A.Idte&t By Cryaril Cdnty)

Graham Bros. Ent. 1222 N Grant Ave Odessa, TX 11t19t1976N8m Bnphy€d Fmm

The underoigned, being first duly sworn on oath, deposes and say€ that heishe ls lhe person named in the foregolng appllcation; thatthe applicant has read and made a complete an$wer to €aoh quesUon, and that the anBwers in each lnstancs aratrue and conect Theundersigned futthsr understands that any license issued contrary to Cha$er 125 ot the \lMeconsin Statutos ehall be void, and underpenalty of state law, the appllcant may bo prosecuted for submltffng fal6e ctatemenb and affidavlts in connecflon wlth thie appticalion.

and swon to before me

I ehl lena4tl

lD I'lo l2&{u46?

My commisslon expiree

TOWNOFRANDAI.I"

Sf530 Bassett Road

Burllngton Wl 53X.05

2162-877-2L65

Fam 262.8774032

QUESTIONNAIRE FOR I.ICENSE IN THE TOWN OF RANDATL

lnformatlon of

\,n(mlddlel (last)

Address:

0y) Ar1

-1 '5oate of Bhth:

Place of Blrth:

Female: ,.,

Race -/Whltei,,r' Black -- AsianorPaclflclslander:- AmericanlndlanorAlaskanNagvo:-Unknown:-

$rgnaturc of

Gallle Rucker

Town Clsrk

AUXILIARY QUESTION NAIREALCOHOL BEVERAGE LICENSE APPLICATION

Submtl to municlpal clerk.

The abovd namod lndlvidual provldee ths following information as a person who as (chackone)l

I Applying for an alcohol beverago licenee as an individuaL

I A mernber of a partnershlp whlch ls making application for an alcohol beverage license.

(Ofi hdDr&otMsnbqNl enaoql& ql

whioh is making application for an alcohol beverago license.

The abova named indivldual provldes the following lnformation to lhe llcenslng authorlty:

1. How long have you continuously reslded in \Msconsln prlor to this date? 0

Herbert Graham-Ownsr of AZ-W Ranch Licensing, LLC:,iJ ii cdd;ia'tM"ttE tba)

--'- ----

lndiylduEl's Full Nsrfrg (pk4s,w p,Int)

Graham(lastrrarc)

Herbettrna',nl Lgrrmsn"mel

Homo Add.es8 (s0Eslzorrtg)

1222N GrantAvePodOtn6r City

OdessaSlale

TXZlp codo

79761Home Phone Nwnber

432-557€920Ago

82Dato ol Bldh

5/15/2038Prace ofBlilh

Eunice, NM

2. Have you ever been convicted ofany offensee (otherthan trafiic unrelated to alcohol beverageslforvlolatlon of any federal laws, any VMeconsin larryo, any lawe of any other slatog or ordinances of any countyormunicipality? .,,,.

lf yee, glve law or ordinance violated, trial court, trial date and penalty imposed, and/or date, deecdption andstatus of charges psndlng. (lf mom mom is needad, @ntnue oa rercnse dde ot lhls tom.)

I Yee ElXNo

3. Ar€ charge$ for any offenses presenty pondlng agalnst you (olher than traffic unrelatod lo alcohol b€vorages)for violation of any federal lavus, any Wsconsln laws, any laws of other etates or ordinances of any coung ormunldpallty?

n )Nbxlfyes, describe status of chargee pending.

4. Do you hold, are you rnaking appllcation for or are you an officer, dlrector or agent ofa corporation/nonprofitorganization or member/manager/agent of a limited liability company holding or applylng for any other alcohol

beverage liconse orpermin . . . - fl,yer fl ruo

lfyes, ldendfy.(NQ/tp, rr rcn dno typo, LoeBor'F'nfi)

5. Do you hdd and/or are you an offioer, director, stockholder, agent or employoe of any person or oorporatlonormember/manager/agent of a llmited liabllity company holdlng or applylng for a wholeeale be€r permlt,

breweryrtlnery petmit or wholesale liquor, manufiac-turer or rectiliq permit in the State of Wsconeln? . . . . . . ,

lf yes, identlff.Nd,tF d W'os{,EI' L,a'at6€ t Ftiiifi&pF (Mto{t 8y C,vaN corry)

6. Named individual must llet in chronological order lasttwo employere.

The undetsigned, belng firet duly sworn on oath, deposes and says that he/she ls the person named ln the foregoing application; that

[ye" ffiruo

lhe applicantundersigned

hae read and madefunher understands

a compete snswer to each question, and lhat tho answgr$ in sachthat any license issued oontrary to Chapter 125 of lhe lMsconsin

instance are trus and coneot. The

penalty of Btate law, the appllcant may

Subscribed and sworn to before me

Statutee shall be vold, and underbe prosecutod for eubmifing false statements and affldsvits in oonneotion thie applicalion.

Graham Companies 1222N Grant, Odesga, TX 01/01/1968Emploi€/F Addrsse From TO

My commiesion expires

20 aI(Slenih/r'e al

Prhlsd onReqyci.d Papor

TOT'I'N OFRANDAII

3*590 Barsett Road

Surllngton, WI 53105

262-877-2L65

Faxt 262-8774O32

qUESTJONNAIRE FOR L]CENSE IN THE TOWN OF RANDATI

lnformatlon of

(mlddlel (lastl

Addras:

Date of Blrth: \.3tr

nvww1bl

IPlace of Blrth:

Female

-ffiffi"r--4r.k- Aslsn orPacltlc tslander:- Amerlcsn lndtan or Ahskan Naflvo:-Unknowrt: __

Calils Rqckor

Town Clsrk

AUXILIARY QUESTIONNAIREALCOHOL BEVERAGE LIGENSE APPLICATION

Submlt to munlclpal clerk.

The above named individual provides the following lnformatlon as a person whols (checkone);

I Applylng for an alcohol beverage license as an indivldual.

I n memUer of a parlnerchlp whlch is maklng application for an alcoholboverage license.

E n(Olfi ceilohe do lMembe tlMa na go ilAgent)

whioh ls maklng application for an alcohol beverage llcense.

The above named lndlvidualprovldes the following information to the llcenslng authorily:1, How long have vou continuously reslded in \Alisconsin prior to thls date? 77

lndlvldual'sFullNsme (pl6aiopdnl) (106lnane)

Martin(fi/'st ndme)

Gary(nlddh namet

DHome Addresg (slrcefitoula)

3074 MitchellAvePosl Oflice Clty

Eau ClaireStato

WIZlp Code

54703Home Phono Numbsr

715-834-2377Age

77Dote of Blrth

11r05t1943Place of Blrlh

Eau Claire, Wl

2. Have you ever been convlcted of any offensee (other than traftlc unrslated to alcohol beverages) forviolation of any federal laws, any Wsconsin laws, any laws of any othsr states or ordlnances of any countyormunlcipallg?..,,,

lf yes, gfue law or ordlnance violaled, lrial court, lrlal date and penalty lmposed, and/or date, descrlplion andstatusof chargespendlng. (lf moreroomisneeded,@ntinueonr€verso sideof thtsfom)

X ves &Kt'lo

3. Are charges for any offenses presenlly pendlngfor violation of any federal laws, any Wisconsinmunlcipality?

agalnst you (otherthan lrafflc unrelated to alcohol beverages)laws, any laws of other states or ordlnances of any county or

Yes&[rlo

lfyes, descrlbe stalus ofchargee pending.

4' Do you hold, are you maltlng applicalion for or are you an officer, director or agent of a oorporalion/nonprolitorganlzatlon or member/manager/agent of a fimfted liabllity company holding or applying for any olher alcohotbeverage license or permit? .. flves Itrolf yes, identiff. Sole Martin, Eau Clalre W

5. Do you hold and/or are you an offlcer, director, stockholder, agenl or employe of any person or corporalion ormember/manager/agent of a limited llablllty company holdlng or applying for a wholosale beer permit,breweryAvinery pemit or wholesale llquor, manufaoturor or reclifior pormit in tho State of Wsconsin?. .

lf yes,ldentlff.I Yes &llo

of wnol'sa/a &cerseo or Peffnlllee) (r'ddrBs,$ By CIU aN Counil6. Named lndlvldual must llst ln chronological order last two employers.

Empbyi/s Nsmo

Gary MartinEmploysis Add.€3s

Same as aboveEmployod From

1t01t1959To

Emp[oys/8 Name

Gary MartinE npbys/e A&tos8

Same as aboveEmpby8d Frorn

1101t1959To

Subscrlbed and sworn to before me

thls_____,___-_day

(Chtuthtaty Puwlc) lNivkluat)

My commlsslon explres

P,lnl€d onR6cycl6d Papor

The underslgned, belng lirst duly sworn on oath, deposes and says that helshe le lhe person named in lhe foregolng application; thatthe applicant has read and made a complete answer lo each queslion, and that the ans'wers ln each lnstance are true aid correct. Theunderslgned furlher understands that sny license ls8ued contrary to Chapter 126 of the t/Visconsln Statutes shall be JoiO, anO unOerpenalty of state law, the appllcant may be proeecuted for submltting false statemenls and aflidavits in connecfion w1h this appllcafion.

trAT-1o3(n.8-11)

Wigconsln Departrnonl ot Rov€nue

TOWN OF RANDALL

31530 Basseft Road

Burllngton,Wl 53105

262-877-2165

Faxt 262-877-9032

QUESTIONNAIRE FOR LICENSE IN THE TOWN OF RANDALL

lnformatlon of appllcant:

Name: 6c. o V (vln'n.\ ; tvD(flrst) (middle) (laet)

{.*u C. icr'.,, o"q 4.*/t" 5

Placeof Ctor'iv<.* LJ;

Mab: l. F6mal6:

RaceWhite:J Bhck- Asian or Paclfic lslander:- Amerlcan lndlan or Alaekan Natlve:-Unknown:_

Slgnature release of

Callle Rucker

Town Glerk

Borricode with

Smoll Bqrricode wilh

BARRICADE \^/ITHACLASS

Borricode with

tvIESSAGE BQARD

CLASS "A'' BARRICADE WITH

(3) SMA|-L

BARRICADES

FESTIVAL SITE

ENTRANCE

BARRICADE WITHCLASS

ID CLOSED"TNAFFIC ONIY

t- "R(

I roce

Borricode with

Smoll Borricode with

Borricode with

BARRICADE WITHCLASS

104tn St--* -

+* m.10th

=f*n+^n'

F;* It:' {]5

Y:-,,rd "D t- tr o2t\at'P

:lmc'Lm

:^d 5t.

''r" --q-r, '+^.-*

'5 G\.ao.lrl-r'fE_\"'*(

(i)tO.irc.+

tldqFl-ose'id'--

ElrilF

-l- -jtttr-st 'm

F.d l-

;'o,-I63

ilr3il - j:*"J-l -5 1

IlN .\;,r -.<j:

unsel Dt r, , ;-. 2;.*..?e s

l,jL-3r:

,r\.l.:io

q .d I tlolv F,IItpAR{a eroe I|at:[

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Country Thunder Wisconsin202L

Kenosha County Conditional Use PermitApplication

General Manager: Kim BlevinsDecember 18, 2020

ilustc FESTIVA LS

Dates of Event:

fuly 1Sth - Iuly L8th, 202L

Times: ThursdayFridaySaturdaySunday

Event Information

Zpm - ZamLpm - 2am1pm - 2am1pm - 2am

Campground Dates and Times:

Open: Wednesday, July 14th,2021- 9:00amCloses: Monday, July L9th, 202L - 5:00pm

2am to 9am : Event site is closed to ingress except securiW andgrounds -cleaning personnel.

General Campground #LGeneral Campground #2Preferred CampgroundMiller CampgroundEncore CampgroundCrown CampgroundGlamping Campground

583 campsites availableCampsites unavailableI,540 campsites available47 5 campsites available580 campsites available25 campsites availableL7 campsites available

Maximum number of tickets to be sold or distributed:

4-Day Tickets 35,000 maximum

The majority of tickets sold are 4-day tickets, which should reduce theamount of daily traffic in and out of the venue. Limited number of daytickets will be sold.

Assuming that the festival sells out in advance as it has done in the past,Country Thunder will use its radio and print advertisers, website, socialmedia and communication through its sponsors to get the message tothe public that the event is sold out and no on-site ticket sales areavailable.

First Aid:

First Aid will be provided by the licensed medical trained staff withrequired number of attendants on duff at all times during the event. A24-hour medical area will be established in the event grounds.

Lighting:

All entries, exits, and walk ways are covered with permanent lightingandf or generated light towers.

Parking:

General Parking - North bound traffic on Hwy P will turn left on 1l"9thStreet to Williams Rd. then turn right to Hwy O, then right to the eventsite. Entrance to parking will be at Main Entrance, Gate 6.

Gate 7 - 600' west of Main Entrance, allowing L exit lane.

RSVD/ADA Parking - North bound traffic to enter and exit directly offHwy P at Gate 1 on Hwy P.

Approximately 50 acres with capacity for up to 10,000 vehicles isreserved for parking. Additional locations for parking are currentlybeing researched, and Country Thunder will update all information as itbecomes available.

Parking attendants - Management and parking and traffic directors willbe provided by a local vendor. All attendants will be equipped withorange-colored vests. In addition to vests, all night crew directionalpersonnel will carry flashlights.

Camping:Preferred and General Camping will enter at the Main Entrance, Gate 6.

General Camping will exit through the gates off 1L9th street on the Northand South side of roads. Preferred Camping will be allowed to exit froma separate egress point directly onto Hwy O. Once campers fromGeneral 1- Camping have checked in at the front gate, they will beallowed access back into the venue through the gates off 119th Street inan effort to alleviate congestion through the front gate.

Security:Security on festival grounds will be provided by Country Thunderthrough a contracted vendor.

Security in the campgrounds will be provided by Country Thunder andKenosha County Sheriff s Department.

Fire Prevention:A minimum of 30' wide roadways and20'wide walkways surround thesite, allowing for emergency and service vehicles. Portable fireextinguishers are provided in all cooking areas, at all stages, and inexisting structures on property. A contracted Fire Departmentmaintains a presence on-site through the duration of the festival with atruck and all needed fire prevention equipment.

Fencing and Barriers:Entire event site is enclosed with 7'high permanent and rental fencestructure with entrance and exit gates allowing for crowd control.Festival grounds have three main entrances and exits for attendees.Three additional service gates are available. All entrances and exitshave security present during hours of operation,

Sound System:Speakers are located on stages allowing full ground coverage withouthigh volume. All speakers face away from permanent dwellings.

Food and Beverage Concessions!All food and beverage will be provided by licensed vendors.

Alcoholic Beverages:Alcoholic beverages sale locations are TBD and will be decided by fuly 1,

2021. All people entering are required to be pre-checked and wristbanded for proper age. All customers will be required to wear an IDwristband to purchase any alcoholic beverages. Customers will be solda maximum of (3) three alcoholic beverages at a time.

Attractions:Attractions and/or amusement rides will be supplied by a licensedamusement vendor to be located at the back of the venue, near the mainentrance. The TBD amusement vendor will provide two to three (2-3)rides, including ones geared for a youth market. All rides will bepermitted by the supplier.

Event Production Schedule:An event production schedule will be provided for review by fuly 1,

2021..

Camping Overview

Campgrounds to be operated as temporary according to WisconsinAdministrative HSS 178

Anticipated Attendance at the Event:Capacity: 35,000 per day Expected Attendance: 25,000-35,000

Campgrounds Capacity: 3,220

Toilet Facilities:

3220 Sites(Approx)

900 Total units1200 Unisex units

602 Private units

Two (2) additional units will be provided for each 75 sites over 5,183.AII units are portable with urinals included.

Portable Toilet Services:

Provider of toilet services is TBD.

Assuming that we follow the same procedure as 2019's festival,pumping of toilets begins at 4:00 a.m. daily with two services daily forcampground and one for event grounds, with on-site emergency servicefrom 4:00pm to closing. Number of personnel and trucks will bedetermined by ticket sales.

Solid Waste RemovalSolid Waste will be removed by TBD during and after the festival.

Assuming we follow the same procedures as 2019's festival, theprojected number of box containers:Garbage - 4x 30 yd containers

- 25 x 6 yd containers- curbside service

All roll-offs and dumpsters to be emptied each morning before eventsite opens. Final schedule to follow by fuly 1,202t.

Water Supply:Provided by two on-site wells with designated drinking and hand washareas.

Miscellaneous Waste:Charcoal: All used charcoal and coals are to be placed in designatedbarrels. Our Shower Waste Disposal provider is TBD.

Campground Information

Hours of Operation:

Open - Wednesday, fuly'J,4th,202L at 9:00amClose - Monday, fuly 19th, 2021at 12:00pm

Registration/Drive-in Main Gate:

Wednesday, fuly 14, 2021Thursday, fuly 15, 202LFriday, fuly 16, 2027Saturday, Iuly L7,2021

9am - 10pm9am - 10pm9am - 10pm9am - 10pm

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THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CEBTIFICATE HOLDER. THISCERTIFICATE DOES NOT AFFIBMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFOFDED BYTHEPOLICIESBELOW. TH|S CERTTFTCATE OF TNSURANCE DOES NOT CONSTTTUTE A CONTRACT BETWEEN Tl-lE ISSUING INSURER(S), AUTHORIZEDREPRESENTATIVE OF PRODUCER, AND THE CERTIFICATE HOLDER,

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APPLICATION F'ORCONDITIONAL USE PERMIT

The undenigned hcrcby opptics to lhc Yilluge of Ganoa Clty parsuanl to Scction 3IA.$ of lhe Villuge of Genoa City

Zonlng Ordinonccrtot o conditional use permft ond rcprcsenls asfollorw:

Phone fl866-3884007

CilyrStalcr'LrpMadison, TN 37216

Ptoncfl

City, Strtc'Odessa, TX 79761

Engioccr

Addrcsr City,Sttlc,T.ip

Progoscd Urc rc rndlor Sitc lnArea to be uscd for vehicle Parking and festival camping in the sarnc manneras used for the 2019 Festival.

Applicant Signature Datc fqlrgaryJ6,2g2l_

Owner Signaturc Datelsbrua ry *l $, 2QZl . _ftf other lhun

Approvcd byiClerlelTreesurer'.

Aoolicrnt or AccnlCciuntry Thrinder West, LLC

Addrcrr730 Gallatin Pike

Owncr of Propcrt! (if othct thsr apglicont)

GAVLB, LLC

Addrrrr1222N GrantAve

I Cbsh I Chcck flPzymentReccivcd by: loiti.ls;._-

June 21.21,19

> Hearing fce of $225.00 due at time of submission. Additional cost of legal notice andpublication will be invoiced at a later date.

FAILURE TO APPEAR MAY RESULT IN THE IIEARING EITIIER BEING POSTPONED AND/ORTHE CONDITIONAL USE BEING POSTPONED OR DENIED.

Thefollowing i4fornutlon mast be submitted before lhis application will be processed (Refer to Section

3 10.53 throagh 3 10.58):

) Plat of survey or scale map of subject site.) Site plan showing location of building, roads, and other perlinent facilities.) Highway ascess locations) Drainage Plan/Waste Disposal Plan/Operational Plan) Number of employees) Special plans required to specific operation to control the following: Screening, tree cutting, efihmoving, dust' noise,

odors, air and water pollution, fire, explosion, glare, hea! radioactivity, electrical disturbance or vibration.

More information may be requested by the Planning Commission if deemed necessary to properly evaluate your request.

THE LACK OF INFORMATION REQUESTED MAY IN ITSEI.F BE SUFFIECIENT CAUSETO DENY APETITION, Ifyou have any questions regarding the procedurq please contact the village oflice at 262-279-6472-

INCLUDING:

310-53 (B) (D) Approval Procedure

B. Costs. Costs incurred by the Plan Commission and/or Village Board in retaining legal, planning, engineering and other

technicd and professional advice in connection with the review of conditional use applications and the preparation ofconditions to be imposed on such uses shall be charged to the applicanl The applicant shall be notified if costs will be

incurred.

D. Notice and Publication. A Notice shall be published one time and state the reason for the conditional use application. Aminimum of l4 days will elapse between the date the application is acted upon to schedule the hearing date and theconditional use hearing date.

June 21, 2019

Consent of Property Owner

The undersigned, being first duly sworn on oath, does hereby affirm:

a.) That we are the legal owners of the following described real property

located in the Village of Genoa City, County of Kenosha and State ofWisconsin:

LotZ of Certified Survey map no. 2729 recorded with the Kenosha County

recorder of deeds as document no. 1699801, as corrected by that correction

instrument recorded with the Kenosha County recorder of deeds as

documente d 1'/ 00445 on April 25 , 2AL3 , being part of the southwest

fractional quarter of section 30 in town I north of range 19 east of the fourthprinoiple meridian, in the Village of Genoa City, County of Kenosha and

State of Wisoonsin, containing approximately 90.2 acres, more or less.

b.) That we are aware of the intention of Country Thunder East, LLC toconduct an outdoor counfiry music festival upon the above described

party during 2021.

c.) The Country Thunder East, LLC has requested and received permission

to use the above described property for the use of parking and camping

during the outdoor country music and camping festival of 2021.

Dated 202t

1222 N Grant Ave

Odessa, TX 79761

BIB ComblnEthn Class B R€tall Uceniewr@nrln Oeprrtmcnt ol Rw6nua, In€0m6, Sales & Exd6e To( OMdon

COMEINATIOI{

No, 2olo./202f - 006$290.00

CLASS.B RETAII,ER'S LICENSEtor th€ 3.lo of

FERMENTED HAIT BEVERAGES gNd TNTOXICATING LIQUORS

WHEREAS, the local governlng body of the TOWN of RAI{DALL, County of |GI{OSHA, Wisconsln, has.upon appllcatlon duly made, granled and authorized the lssuance of a Retall Class "8" Llcense !oLiccnrlng AZ-WI Ranch LLC, Gary lrlartln, Agcnt to sell Fermented Malt Beverages asdeflned by and pursuant to Sectlon 125.26 of the Sta$tes of the State of Wlsconsln and Local Oltlnancesand the satd appltcant has pald to the Treasurer the sum of $12O,OO fior such Class "8" Retaller'sFermenled Malt Beverage llcense aE requlred by local ordlnances, AND WHEREAS, the local govemlngbody has granted and authorlzed the lssuance of a "Class B" Intoxlcatlng Llquor Llcense to sald appllcantto sell lntoxlcatlng llquor as deflned ln and pursuant to Chept€r 125.51(3) of the Statutes of the State ofWlsconsln snd local ordlnances and the sald Eppllcant has pald to thc Treasur€r the sum of !$170.00 forsuch "Class B" Intoxlcatlng Llquor lJcens€ as provlded by local ordlnances and has complled wlth all therequlrements necessary for obtalnlng such llcenses,

TICENSES ARE HEREBY lSttUED to sald appllcant to sell, cleal and trafflc ln, at retsll, Fermented Malt

BoveraE€s and Intoxlcaflng Llguors at the following descrlbed premises COuntry Thundcr tluslCF€3tlval, tlE14 Rlchmond Rd.' T\rln Lakec, WI.

FOR TllE PERIOD frcm July I,2OZ0 thru June 30,2027,

Glven under my hand and th€ corporafe seal 0f theTOWN OI RAIIDAlI.COUNTY of KEI{OSHAthls 22nd day of June 2020

GENOA CITYllrLrm hnrnr.r. rrrhrgn: tlr 1'I )tJ'

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The undercigned hercby opplics to lhc Vitlage of Ganoa Clty pursaufi lo Scclion 310,53 of lhc Villuge of Genoa City

Zonlng Ordinance,tot q conditional use permil and rcprcsenls asfallons:

Phonc #866-3884007

Cily, StaL,

Madison, TN 37216

ciay,snt4zipOdess4 TX 79761

Conlnctor/A rchitcct/Profcssionrl Engioccr Phonc fl

Addrccr City,Stile,Zip

being in the village ofGenoa ofKenosha and

Area to be used for vehicle ParkingDctelland festival camping in lhe sarne manner as used for the 2019 Festival.

ofStructurc

Applicant Datc F'sbrgaryJ6,292!_

Owner Signaturc DatelSbrua ry *l g, 282L _(ifother lhan

75J lcllols rtd EI P0 Box 42tGcnoaCily, Wl t3l2t262-279-(0472 a 262a79-f6lt t.axwn w.genoacily.info

Approvcd hylClerk/Treesurer:

APPLICATION F'ORCONDITIONAL USE PERMIT

Applicrnt or AgcnlCountry Thunder West, LLC

Addrcrr730 Callatin Pike

Owncr of Prcpcrty (ifothcr thu spplicoat)

GAVLB, LLC

Addrers

1222N Grant Ave

TypcrlSlructurc

Oflice Use Only

t Cash I Chcck flPzymcna Recrivcd by: lnitisb:._-

June 21,2(tlt)

l)atcl

> Hearing fee of $225.00 due at time of submission, Additional eost of legal notice and

publication will be invoiced at a later date.

FAILURE TO APPEAR MAY RESULT IN THE IIEARING EITIIER BEING POSTPONED AND/OR

THE CONDITIONAL USE BEING POSTPONED OR DENIED.

Thefoltowing informttlon must be sabmitted before this opplication will be processed (Refer to Seclion

3 10.53 through 3 10.58):

> Plat of survey or scale map of subject site.) Site plan showing location of building, roads, and other pertinent facilities.) Highway access locations) Drainage Plar/Waste Disposal Plan/Operational Plan) Number of employees) Special plans required to specific operation to control the following: Screening, tree cutting, earthmoving, dust, noise,

odors, air and water pollutiorq fire, explosion" glare, hea! radioactivity, electrical disturbance or vibration.

More information may be requested by the Planning Commission if deemed necessary to properly evaluate your request.

THE LACK OF INFORMATION REQUESTED MAY IN ITSEI-F BE SUFFIECIENT CAUSETO DENY APETITION. If you have any questions regarding the procedure, please contact the village oflice at 262479'6472-

INCLUDING:

310-53 (B) (D) Approval Procedurc.

B. Costs. Costs incuned by the Plan Commission and./or Village Board in retaining legal, planning, engineering and other

technical and professional advice in connection with the review of conditional use applications and lhe preparation ofconditions to be imposed on such uses shall be charged to the applicanl The applicant shall be notified if coss will be

incurred.

D. Notice and Publication. A Notice shall be published one time and state the rcason for the conditional use application. Aminimum of l4 days will elapse between the date the application is acted upon to schedule the hearing date and the

conditional use hearing date.

June 21, 2019

Consent of Properly OwnerThe undersigned, being first duly sworn on oath, does hereby affirm:

a.) That we are the legal owners of the following described real property

located in the Viltage of Genoa City, County of Kenosha and State ofWisconsin:

Lotz of Certified Survey map no. 2729 recorded with the Kenosha County

recorder of deeds as document no. 1699801, as corrected by that correction

instrtunent recorded with the Kenosha County recorder of deeds as

documentedl'100445 on April 25,2}l3,beingpart of the southwest

fractional quarter of section 30 in town I norlh of range 19 east of the fourthprinciple meridian, in the Village of Genoa City, County of Kenosha and

State of Wisconsin, containing approximately 90.2 acres, more or less.

b.) That we are aware of the intention of Country Thunder East, LLC toconduct an outdoor country music festival upon the above described

parly during 2021.

c.) The Country Thunder East, LLC has requested and received permission

to use the above described property for the use of parking and camping

during the outdoor country music and camping festival of 2021.

Dated 2021,

1222N Grant Ave

Odessa, TX 79761

GENOA CITY

l:SL ftl:t(l

VILLAGE OF GENOA CITY755 Fellows Rd; P.O. Box 428

Genoa City, wI 53128www.genoacity.info

(262) 27 9 -6472 office (262) 27 9-66 I 8 fax

Name of Organization: _Country Thunder East

Title of Authorized Person : _General Manager

Name: Kim Blevins

Address: J30 Gallatin Pike N

City I State I Zip : _Madison, TN 37115

Phone# 866-388-0007

HOLD HARMLESS AI\D INDEMNIFICATION AGREEMENTWITH

THE VILLAGE OF GENOA CITY

The undersigned agrees to indemnify and hold the Village of Genoa City, Wisconsin

harmless from any injury, loss, damage or expense, including reasonable attorney's fees, or any

legal liability which the Village of Genoa City may suffer, incur or sustain or for which said

Village of Genoa City or the undersigned may become liable as a result of any injury to persons

or to real or personal property caused by the undersigned's use of Village Public and Private

property, Genoa City, Wisconsin for special events on July 15 - 18, 2021 _ (date(s) of event). Ifthe undersigned is a representative of an organization or corporation, the undersigned represents

that he/she has full authority to enter into this Agreement on behalf of such organization or

corporation.

Dated this 16th _ day of February,2}Zl

Kim Blevins Kim BlevinsPrint Name

Signature

GENOA CITY\\tLrms bururqr, irr,in(ni & \OUr

ESr. r8B0' EVENTS PERMIT APPLICATION?55 Fcllows Rd I PO Box {28Genor Cityl Wl 51128(26212794472!r,.urw. genoac ity. inf o

Please fill in all blanks completely, as incomplete applications will be rejected.

Applications must be submitted AT LEAST 60 DAYS prior to the proposed event date(s).

Applicant Name: Kim Blevins Organization Name: Country Thunder East, LLC-

Section I - What type of Permit(s) will your event require?

tl Parade Permit. Required for any parade on publicproperty.

O Map or description of the requested route to betraveled.

{e**{tPublic Assembly Permit. Required for any public gathering on public or Privateproperty. Feerequired.

0 Street Use Permit. Required for any event using a public street. Per Sec. 97'7 of.themunicipal code, this application must include the followingattachments:

Ct Certificate of Comprehensive General Liability Insurance with the Village, itsemployees and agents as additional insured with coverage for conhactualliability with minimum limits of $50O000 per ocmrrence for bodily injury andproperty damage limits of $250,000 Per occurrence.

El Petition signed by more than half of the residential dwelling units and/orconrmercial units residing along that portion of the street designated for theproposed use or whose property is denied access by virtue of the granting ofthe permit

O Park Permit. Required for resenring the use of a park facility orshelter for an event lastingmore ttran one daY.

O Veteran's Park- Additional rental feesapply.

D Memorial Park- Additional rental fees apply.

Certificate of Comprehensive General Liability Insurance with the Village, itsemployees and agents as additional insured with coverage for contractual liabilitywith minimum limits of $500000 per occunence for bodily injury and propertydamage limits of $250,000 Per occurrence.

A Hold Harmless and Indemnity Agreement will be required of each applicant.

E Revision Date: 6/20/19

1. Applicant Name: Kim Blevins of Application: February 16, 2021

2. Organization Name: Countrv Thunder East

3. Organization Type: XXO For Profit E Non-Profit (501(c)J Tax ID:

5. City, State, Zip: Madison, TN 37115

6. Phone: 866-388-0007 - E-mail: kim@countrvthunder.com

7. Applicant's Driver's License #: #724087887

Section III - Event Information

1. Title of Evenh Countrv Thunder East. LLC

State license issued: TN

2. Date(s) of Evenfi lulv 15-18. 2021

3. Location(s) of Event: Shadow Hill Ranch, I.akes-Twin

4. Hours: Noon to 2:30 am each dav /Iulv 15-18. 2021\StartTime End Time

5. Event Chair/Contact Person: Kim Blevins Phone:

5. Day of Event Contact Name: Kim Blevins Phone: 615-970-0980

7. Is the event open to the public? XXXO Yes O No

8. WiU you charge an admissionfee? XXXO Yes O No

9. Estimated Attendance Number: 32,000

10. Basis for Estimate: 2019 attendance

11. WiU you be setting up a tent? O Yes XXXO NoIf yes, Iist the location, size, Rental Company, and proof of completion of locates.

12. Will there be any animals?If yes, what type and how manY:

tr Yes XXXtr No

13. Detailed of event with of exact location of the event and or routeSee Attached.

14.lDestf&'tiSrimlQtdia,IfiFFprfdlilig refuse collection and after-event clean-up'Rcvtsioz Date: 6/20/19

We will have a conhact with ASDA Enterprise, a refuse and recycling service.

15. for event a

1.6,. Witlyoureventincludethesaleofbeerand/orwine? XXO Yes tr Nolf yes, pleax attach d conryletedTenryorary Alcohol License & Aperator License Application.

17. Will you or any other vendors be selling food or merchzurdise? XXCI Yes O NoIf yes, plense attachlist of proposeilvendorc, inclnlingbusiness nanrc and type of foodfinerchandise sold.

Section fV - Street UseE Check if this section does not apply

Anticipated SenricesPlease indicate below any additional seruices you are requesting for your eaent, Estimated Fees or Deposits for tlrcse

seruices may be required prtor b issuance of permit(s),

Explain: Ameritemp

Electricity

Traffic Control

Police Services

Fire/EMS Services

Explain:

Explain: Flasher Barricade

Explain: Kenosha Countv Sheriff's

Explain: Curtis Ambulance

Country Thunder will be working with EIIS Security and the Kenosha County Sheriff's Departnrent.

1. Description of the portion(s) of road(s) to beused: Wildrose Road, 110th, Williams Road will allbe used the |uly 15-1& 2021 Country ThunderWisconsin event.

a Event@67p{ Application Page E{f1ai12 Revision Darc: 6/20/19

Section V- Signature of Applicant

"The information provided in this application is true and correct to the best of my knowledge andbelief. I understand that cancellation of any event, for any reason, shall result in the forfeiture ofpermit fees. I understand that application fees are not refunded in the event the application is notapproved. I understand that in addition to the schedule of fees, if any additional Village services are

requested or determined to be an additional fee will be charged for those senrices. I agree tocomply with all applicable and municipal regulations and ordinances."

APPLICAAITSTGNAruRE: DATE: -February 76, 2021

Vse On

Section VI - Fees

Anotication and Perrnit Feec I liaa Annlirnhlp Fee

o Parade Permit Application Fee $25.00 (n o n-refunilab lel

r Street Use Permit Fee

r Fireworks Events Permit Fee

r Police Services

o DPW Sen'ices

r FirdEMS Services

Park Resenration Permit - Veteran's Park

r Large Pavilion with Serving Room

o Large Pavilion without Serving Room

o Small Pavilion

$2s.00

$150.00 (per eaert)

$17s.00

$12s.00

$100.00

o Memorial Park TBD

Total PAID with Application: $Accepteil by cash or check (payable to: Village of Geuoa Cit11)

Office U se O nla co ntinu ed...

Date Filed with Clerk Pavment with Application: #

Additional Feee Collccted: $__Receipt #

Departmental review (all that apply):

Event Permit Application Page 4 oJ'5 Revision Date: 6/20/19

O Police Chief: El Approved E Denied

Additional services needed:

Signed

Additional fees or deposit:

oFireChief: D Approved O Denied Signed:

OSheetDept: O Approved O Denied Signed:

Commifteq/Board review (all that apply):

El Park Comnittee: Meeting

Reasons/Conditions:

D Financs MeetingDate(s):

Reasons/Conditions:

tr Councit Meeting Date(s):

Reasoru/Conditions:

Clerk'e Office Completion:

O Approved O Denied

tr Approved fl Denied

Approved O Denied

Total add'l fee/deposit to be collected: $_Receip

Permit(s) issued: O Parade/PA Cl StreetUse Cl ParkPermit

Date of issue: Deposit Rehrrned: $-Deposit withheld: $

Reason withheld:

Event Permit Application Poge 5 of 5 Revision Date: 6/20/19

c0ull NOEN

COVID-l9 Ma aoement Plan

Following is a draft version of the Country Thunder plan to mitigate risks at the event

Country Thunder is committed to hosting a safe event. As part of that commitment, the spread

of Covid 19 continues to be a consideration and as such, we are committed to considering the

following in order to mitigate any risk. This is of course dependent on the state, county and local

guidelines in place during the time of the planned event.

ln accordance with Centers for Disease Control and Prevention (CDC) guidance for Events and

Gatherings, we will consider the following measures to enable both Maintaining HealthyEnvironments and Healthy Behaviors in order to prevent the spread of COVID-19.

1. Maintaininq Healthv Environments

Testing/Vaccination: a COVID-19 negative test verification or vaccination record during

the days prior to arriving will be requested.- This will entail each individual planning to attend the event to, on their own, seek

out and facilitate a COVID test prior to arrival and will encourage people to be

vaccinated prior to arrival.- The event will communicate with patrons with e-newsletters, messaging on pdf

based tickets, social media etc. Media partners will also be encouraged to pass

on this messaging.- Non-vaccinated people will be encouraged to wear a mask. Masks will be

available at the event.

Event Layout: as this is an outdoor event, the layout will remain the same as in prior

years. Socially distanced entrances and vendor lines will be considered dependent upon

the current requirements. Maps including traffic flow can be included if required.

Gleaning: expect additional cleaning at high touchpoint areas such as portolets,

handwashing stations, food vendor areas, ticket booths, etc. Country Thunder is working

with sanitization companies and washroom facilities to ensure additional cleaning and

sanitation. As well, hand sanitizing stations will be placed at all high traffic areas around

the site. Patrons will be encouraged to use them throughout the day.

MUSIC FESTIVALS

00uN DENT

2. Maintaininq Healthv Behaviors

Gommunications: leading up to the event, social media, media, event newsletters and

any other form of communication will include messaging about the following. During theevent, signage posted in high traffic areas around the event site, large screenmessaging, messaging through the event app and staff messaging will also include thisinformation.

- Hand Hygiene and Respiratory Etiquette, washing your hands often,

especially during key times (food prep, bathroom, handling garbage, afterblowing nose, sneezing or coughing). Cover mouth and nose when coughing and

sneezing.- Self Monitor, self-monitor for illness and stay home if experiencing known

symptoms as listed by the CDC (Fever or chills, Cough, Shorfness of breath ordifficulty breathing, Fatigue, Muscle or body aches, Headache, New /oss of tasteor smell, Sore throat, Congestion or runny nose, Nausea or vomiting, Diarrhea).

- Negative Covid TesUProof of Vaccination, patrons will be reminded that thebest way to prevent the spread of Covid 19 is to ensure they have either a recentnegative Covid test, or proof of vaccination.

Staffing- All full time Country Thunder staff will be vaccinated. Part time and seasonal staff

will receive the same message as event patrons, recommending they shouldeither be vaccinated or have a negative Covid test before arriving for the event.

- lf required, Country Thunder will consider providing gloves and masks for eventstaff.

MUSIC FESTIVALS

COUNTY OF KENOSHA

Division of Planning & Development

M E M O R A N D U M

Communication to Kenosha County Board of Supervisors (For Informational Purposes Only)

As required by Section 59.69(2)(e), the following report is being made on the petitions to the July 14, 2021 Planning, Development & Extension Education Committee meeting that have been filed in the Kenosha County Clerk & Kenosha County Planning & Development Offices for future consideration by the County Board. 1. Robert and Kay Drissel Revocable Trust, 15941 Durand Ave #37D., Union Grove, WI

53182 (Owner), Diane & John Myers, 20307 15th St., Union Grove, WI 53182 (Agent), requests an amendment to the Adopted Land Use Plan map for Kenosha County: 2035 (map 65 of the comprehensive plan) from “Farmland Protection” to “Farmland Protection” & “Rural-Density Residential” on Tax Parcel #30-4-220-011-0204, located in the northeast ¼ of Section 1, T2N, R20E, Town of Brighton.

2. Robert and Kay Drissel Revocable Trust, 15941 Durand Ave #37D., Union Grove, WI 53182 (Owner), Diane & John Myers, 20307 15th St., Union Grove, WI 53182 (Agent), requesting a rezoning from A-1 Agricultural Preservation Dist. to A-1 Agricultural Preservation Dist. & R-1 Rural Residential Dist. on Tax Parcel #30-4-220-011-0204, located in the northeast ¼ of Section 1, T2N, R20E, Town of Brighton.

3. Robert and Kay Drissel Revocable Trust, 15941 Durand Ave #37D., Union Grove, WI 53182 (Owner), Diane & John Myers, 20307 15th St., Union Grove, WI 53182 (Agent), requesting a Certified Survey Map on Tax Parcel #30-4-220-011-0204, located in the northeast ¼ of Section 1, T2N, R20E, Town of Brighton.

4. Jerome N. Fliess, 422 144th Ave., Union Grove, WI 53182 (Owner), requests an amendment to the Adopted Land Use Plan map for Kenosha County: 2035 (map 65 of the comprehensive plan) from “Farmland Protection” to “Farmland Protection” & “Suburban-Density Residential” on Tax Parcel #45-4-221-023-0100, located in the southwest ¼ of Section 2, T2N, R21E, Town of Paris.

5. Jerome N. Fliess, 422 144th Ave., Union Grove, WI 53182 (Owner), requesting a rezoning from A-1 Agricultural Preservation Dist. to A-1 Agricultural Preservation Dist., R-2 Suburban Single-Family Residential Dist. & PUD Planned Unit Development Overlay Dist. on Tax Parcel #45-4-221-023-0100, located in the southwest ¼ of Section 2, T2N, R21E, Town of Paris.

6. Jerome N. Fliess, 422 144th Ave., Union Grove, WI 53182 (Owner), requesting a Certified Survey Map on Tax Parcel #45-4-221-023-0100, located in the southwest ¼ of Section 2, T2N, R21E, Town of Paris.

7. Kenneth R. & Karen M. Kerkman Rev. Trust, PO Box 923, New Munster, WI 53152 (Owner), Bill Glembocki, Glembocki Concrete Inc., 33911 Geneva Rd., Burlington, WI 53105 (Agent), requesting a conditional use permit to allow a contractor business in the B-5

Andy M. Buehler, Director Division of Planning & Development

19600 75th Street, Suite 185-3 Bristol, WI 53104-9772

(262) 857-1895

DocuSign Envelope ID: 900E9FA2-C9BE-4860-A219-2B765F7C3EA0

Wholesale Trade & Warehousing Dist. on part of Tax Parcel 95-4-119-032-0411, located in the W ½ of Section 3, T1N, R19E, Town of Wheatland.

8. Kenneth R. & Karen M. Kerkman Rev. Trust, PO Box 923, New Munster, WI 53152 (Owner), Bill Glembocki, Glembocki Concrete Inc., 33911 Geneva Rd., Burlington, WI 53105 (Agent), requesting a Certified Survey Map on Tax Parcel #95-4-119-032-0411, located in the W ½ of Section 3, T1N, R19E, Town of Wheatland.

9. Tabled Request of John P. Lourigan Trust, 844 172nd Ave., Union Grove, WI 53182 (Owner), John P. Lourigan, 844 172nd Ave., Union Grove, WI 53182 (Agent), requesting a rezoning from A-1 Agricultural Preservation Dist., R-2 Suburban Single-Family Residential Dist., C-1 Lowland Resource Conservancy Dist. & PUD Planned Unit Development Overlay Dist. to A-1 Agricultural Preservation Dist., R-2 Suburban Single-Family Residential Dist., C-1 Lowland Resource Conservancy Dist. & PUD Planned Unit Development Overlay Dist. on Tax Parcel #45-4-221-091-0314, located in the east ½ of Section 9, T2N, R21E, Town of Paris.

10. Tabled Request of John P. Lourigan Trust, 844 172nd Ave., Union Grove, WI 53182

(Owner), John P. Lourigan, 844 172nd Ave., Union Grove, WI 53182 (Agent), requesting a Preliminary Plat of Foxtail Hollow on Tax Parcel #45-4-221-091-0314, located in the east ½ of Section 9, T2N, R21E, Town of Paris.

11. Tabled Request of DeBell Dairy LLC, 27425 31st St., Salem, WI 53168 (Owner),

Jasper Duerig, 27700 41st St., Salem, WI 53168 (Agent), requesting a rezoning from A-1 Agricultural Preservation Dist., C-2 Upland Resource Conservancy Distr. & C-1 Lowland Resource Conservancy Dist. to A-1 Agricultural Preservation Dist., A-2 General Agricultural District, C-2 Upland Resource Conservancy Dist. & C-1 Lowland Resource Conservancy Dist. on Tax Parcel #30-4-220-283-0101, located in the southwest ¼ of Section 28, T2N, R20E, Town of Brighton.

12. Approval of Minutes

13. Citizens Comments

14. Any Other Business Allowed by Law

15. Adjournment Sincerely,

ANDY M. BUEHLER, Director Division of Planning & Development

AMB:BF:aw

DocuSign Envelope ID: 900E9FA2-C9BE-4860-A219-2B765F7C3EA0

Packet - Kenosha County

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