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20190206 NORTON-BROWN.pdf19020601 SAWYER COUNTY SHERIFFS DEPT 15880 EAST FIFTH STREET HAYWARD, WI 54843 (715) 634-4858 6VL15CPTK9 WISCONSIN MOTOR VEHICLE CRASH REPORT Secondary CrashAmendedCrash Type DT4000 (STANDARD CRASH)Reportable TagsSchool Bus Related NOActive School ZoneGovernment Property Reporting ThresholdTrailer or TowedWork ZoneLane ClosureHit and RunOn Emergency Total Killed 00 Total Injured 00 Total Units 02 Time Notified 05:41 AM Date Notified 02/06/2019 Time Arrived 06:10 AM Date Arrived 02/06/2019 Crash Time 05:41 AM Crash Date 02/06/2019 Investigating Officer/Deputy SERGEANT GREG RIPCZINSKI Agency Crash Number 19020601 Primary Crash Document #Document Number Override 6V L 1 5 C P T K 9 Additional InformationNONE, PHOTOS Photos BySGT GREG RIPCZINSKI #326 Reconstruction ByDiagram Description I, a sworn law enforcement officer, agree that I have not added any CJIS data in this report. UNIT # 1 WAS SOUTHBOUND ON STH 27/70, PROCEEDED TO PASS UNIT #2 AS UNIT # 2 WAS TURNING LEFT INTO THE DRIVEWAY OF 10386W STH 27/70, UNIT #1 COLLIDED WITH UNIT #2, UNIT #1 THEN PROCEEDED INTO TO THE DITCH LINE AREA AND OVER AN EMBANKMENT WHERE IT OVERTURNED AND CAME TO REST ON THE ROOF. Crash Time 05:41 AM Crash Date 02/06/2019Wisconsin Motor Vehicle Crash Form DT4000 1 of 6 This report does not include any CJIS data. 19020601 SAWYER COUNTY SHERIFFS DEPT 15880 EAST FIFTH STREET HAYWARD, WI 54843 (715) 634-4858 6VL15CPTK9 WISCONSIN MOTOR VEHICLE CRASH REPORT Structure Type FIRE Y Coordinate 5077856 X Coordinate 173273.265625 Longitude -91.202755363 Latitude 45.77690998 ON 10386W STH27 SB 1104 FT W OF ENDICOTT RD (FIRE 10386W) IN THE TOWN OF RADISSON IN SAWYER COUNTY Location Special StudyAccess Control NO CONTROL Tribal Land Crash Classification - Jurisdiction NO SPECIAL JURISDICTION Crash Classification - Location PUBLIC PROPERTY Relation To Trafficway TRAFFICWAY - ON ROAD Animal Type Weather Condition(s) SNOW, BLOWING SNOW Environment Factor(s) WEATHER CONDITIONS Roadway Factor(s) NONE Road Surface Condition(s) SNOW Light Condition DARK-UNKNOWN LIGHTING Manner of Collision 05--SIDESWIPE/SAME DIRECTION First Harmful Event Location ON ROADWAY First Harmful Event MOTOR VEH IN TRANSPORT Crash Scene Intersection Type NOT AN INTERSECTION Junction Location NON-JUNCTION Within Interchange Area NO Truck Bus or HazMat NO Road Grade LEVEL Road Curvature STRAIGHT Surface Type BLACKTOP (BITUMINOUS) Traffic Control Inoperative/Missing NO Traffic Control NO CONTROL Traffic Way TWO-WAY, NOT DIVIDED Emergency Motor Vehicle Use NOT APPLICABLE Special Function NO SPECIAL FUNCTIONMost Harmful Event: Collision With OVERTURN/ROLLOVER Total Lanes 2 Speed Limit 55Pre CrashTire Mark Direction Of Travel SOUTHBOUND Insurance? YES Total HazMat Types 0 Total Trailers 0 Total # Citations Issued 0 Train/Bus # InjuredTotal Occs 1 Operating As EndorsementsVehicle Type UTILITY TRUCK/PICKUP TRUCK01 Unit Type TRUCK Vehicle Operating As Classification D CLASS Unit Status IN TRANSIT Unit Summary UN IT Extent Of Damage DISABLING DAMAGE Vehicle Damage ALL AREAS Initial Contact Point 2--RIGHT SIDE FRONT Bus UseNOT A BUSBody Style TK - TRUCK Color BLK - BLACK Model SIERRA Year 2003 Make GENERAL MOTORS COR Vehicle Identification Number 64290101 Country of Issuance UNITED STATES St WI Plate Type LTK - LIGHT TRUCK License Plate Number VE H I C L E UN I T Vehicle Crash Time 05:41 AM Crash Date 02/06/2019Wisconsin Motor Vehicle Crash Form DT4000 2 of 6 This report does not include any CJIS data. 19020601 SAWYER COUNTY SHERIFFS DEPT 15880 EAST FIFTH STREET HAYWARD, WI 54843 (715) 634-4858 6VL15CPTK9 WISCONSIN MOTOR VEHICLE CRASH REPORT Owner Address STONE LAKE, WI 54876 , US Owner Name 01 Driver DistractionsUNKNOWN IF DISTRACTED 01 Driver Actions SPEED TOO FAST/COND, FAILED TO YIELD RIGHT-OF-WAY, FAILURE TO CONTROL, IMPROPER OVERTAKING / PASSING LEFT Driver Prior Action Other Vehicle Factors NOT APPLICABLE What Driver Was Doing OVERTAKE LEFT Vehicle Removed ByTowed Due To Damage TOWED DUE TO DISABLING DAMAGE UN I T VE H I C L E Sequence Of Events EventCROSS CENTERLINE01 EventMOTOR VEH IN TRANSPORT02 EventRUN OFF ROADWAY LEFT03 EventOVERTURN/ROLLOVER04 Individual LEIF NORTON Insurance Company MT-MORRIS-MUTUAL-INS-CO Policy Holder UN I T Injury Trapped/Extricated NOT TRAPPED Ejection Path NOT EJECTED/NOT APPLICABL Ejected NOT EJECTED Airbag NON DEPLOYED Injury Severity NO APPARENT INJURY00 1 01 Tint ComplianceEye Protection Helmet ComplianceHelmet Use Seat Position 1--FRONT SEAT-LEFT SIDE (DRIVER/MOTORCY Safety Equipment SHOULDER & LAP BELT On Duty Crash Driver License Number STATE: WISCONSIN COUNTRY: UNITED STATES Address STONE LAKE, WI 54876 , US Race WHITE Date of Birth 01/01/ Sex MALE Citations Issued 0 Driver IT Equipment Individual UN IN D I V ID U A L Crash Time 05:41 AM Crash Date 02/06/2019Wisconsin Motor Vehicle Crash Form DT4000 3 of 6 This report does not include any CJIS data. 19020601 SAWYER COUNTY SHERIFFS DEPT 15880 EAST FIFTH STREET HAYWARD, WI 54843 (715) 634-4858 6VL15CPTK9 WISCONSIN MOTOR VEHICLE CRASH REPORT Drug & Alcohol Individual Condition APPEARED NORMAL Drug Type 00 1 01 Drug Test ResultsDrug Test TypeDrug Test GivenTEST NOT GIVEN Alcohol Test ResultsAlcohol Test TypeAlcohol Test Given TEST NOT GIVEN Suspected Drug Use NO Suspected Alcohol Use NO Action Other Action To/From SchoolLocationPrior ActionStriking Unit # Time of DeathDate of DeathHospital EMS Run #EMS Agency IdentifierMedical Transport NOT TRANSPORTED UN I T Non Motorist IN D I V I D U A L Truck Bus or HazMat TRUCK OR TRUCK COMBINATION > 10,000LBS GVWR/GCWR Road Grade LEVEL Road Curvature STRAIGHT Surface Type BLACKTOP (BITUMINOUS) Traffic Control Inoperative/Missing NO Traffic Control NO CONTROL Traffic Way TWO-WAY, NOT DIVIDED Emergency Motor Vehicle Use NOT APPLICABLE Special Function NO SPECIAL FUNCTIONMost Harmful Event: Collision With MOTOR VEH IN TRANSPORT Total Lanes 2 Speed Limit 55Pre CrashTire Mark Direction Of Travel SOUTHBOUND Insurance? YES Total HazMat Types 0 Total Trailers 0 Total # Citations Issued 0 Train/Bus # InjuredTotal Occs 1 Operating As EndorsementsVehicle Type SNOW PLOW02 Unit Type TRUCK Vehicle Operating As Classification B CLASS Unit Status IN TRANSIT Unit Summary UN IT Extent Of Damage MINOR DAMAGE Vehicle Damage 10--LEFT SIDE FRONT Initial Contact Point 10--LEFT SIDE FRONT Bus UseNOT A BUSBody Style CB - CAB CHASSIS Color RED - RED Model CAB CHASIS Year 2012 Make INTERNATIONAL Vehicle Identification Number 1660202 Country of Issuance UNITED STATES St WI Plate Type MUN - MUNICIPAL License Plate Number VE H I C L E UN I T Vehicle Crash Time 05:41 AM Crash Date 02/06/2019Wisconsin Motor Vehicle Crash Form DT4000 4 of 6 This report does not include any CJIS data. 19020601 SAWYER COUNTY SHERIFFS DEPT 15880 EAST FIFTH STREET HAYWARD, WI 54843 (715) 634-4858 6VL15CPTK9 WISCONSIN MOTOR VEHICLE CRASH REPORT Owner Address HAYWARD, WI 54843 , US Owner Name 02 Driver DistractionsNOT DISTRACTED 02 Driver Actions NO CONTRIBUTING ACTION Driver Prior Action Other Vehicle Factors NOT APPLICABLE What Driver Was Doing LEFT TURN Vehicle Removed By OPERATOR Towed Due To Damage NOT TOWED UN I T VE H I C L E Sequence Of Events EventMOTOR VEH IN TRANSPORT01 Event 02 Event 03 Event 04 Government SAWYER COUNTY Insurance Company COUNTRY-MUTUAL-INSURANCE-CO Policy Holder UN I T Injury Trapped/Extricated NOT TRAPPED Ejection Path NOT EJECTED/NOT APPLICABL Ejected NOT EJECTED Airbag NON DEPLOYED Injury Severity NO APPARENT INJURY00 2 02 Tint ComplianceEye Protection Helmet ComplianceHelmet Use Seat Position 1--FRONT SEAT-LEFT SIDE (DRIVER/MOTORCY Safety Equipment SHOULDER & LAP BELT On Duty Crash Driver License Number STATE: WISCONSIN COUNTRY: UNITED STATES Address EXELAND, WI 54835 , US Race WHITE Date of Birth 10/02 Sex MALE Citations Issued 0 Driver IT Equipment Individual UN IN D I V ID U A L Crash Time 05:41 AM Crash Date 02/06/2019Wisconsin Motor Vehicle Crash Form DT4000 5 of 6 This report does not include any CJIS data. 19020601 SAWYER COUNTY SHERIFFS DEPT 15880 EAST FIFTH STREET HAYWARD, WI 54843 (715) 634-4858 6VL15CPTK9 WISCONSIN MOTOR VEHICLE CRASH REPORT Drug & Alcohol Individual Condition APPEARED NORMAL Drug Type 00 2 02 Drug Test ResultsDrug Test TypeDrug Test GivenTEST NOT GIVEN Alcohol Test ResultsAlcohol Test TypeAlcohol Test Given TEST NOT GIVEN Suspected Drug Use NO Suspected Alcohol Use NO Action Other Action To/From SchoolLocationPrior ActionStriking Unit # Time of DeathDate of DeathHospital EMS Run #EMS Agency IdentifierMedical Transport NOT TRANSPORTED UN I T Non Motorist IN D I V I D U A L Measured WeightMeasured WidthMeasured LengthMeasured Height Escort Vehicle PresentEscort Vehicle Required By Permit Permitted Vehicle On Permitted Route WI Permit NumberOS/OW Load Permitted Load NOT APPLICABLE Carrier Type NOT IN COMMERCE/GOVERNMENT US DOT # 105177 Cargo Body Type DUMP Vehicle Configuration SINGLE-UNIT TRUCK (2-AXLE AND GVWR MORE THA GVWR 10,001-26,000 LBS 01 Address 14688 W CTH B HAYWARD, WI 54843 , US Name SAWYER COUNTY USDOT# 105177 02 Source DRIVERUse Vehicle Owner Same as Carrier Carrier CK BU S UN IT TR U Crash Time 05:41 AM Crash Date 02/06/2019Wisconsin Motor Vehicle Crash Form DT4000 6 of 6 This report does not include any CJIS data.