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20190923 kerner19092331 SAWYER COUNTY SHERIFFS DEPT 15880 EAST FIFTH STREET HAYWARD, WI 54843 (715) 634-4858 6VL0F03P3C 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 01 Total Units 01 Time Notified 11:50 PM Date Notified 09/23/2019 Time Arrived 12:05 AM Date Arrived 09/24/2019 Crash Time 11:45 PM Crash Date 09/23/2019 Investigating Officer/Deputy DEPUTY LUCAS SHEPARD Agency Crash NumberPrimary Crash Document #Document Number Override 6VL0F03P3CAdditional InformationNONE Photos By Reconstruction ByDiagram Description I, a sworn law enforcement officer, agree that I have not added any CJIS data in this report. ON 9/23/2019, AT APPROXIMATELY 11:50PM, DEPUTY SHEPARD WAS REQUESTED TO RESPOND TO A ONE VEHICLE CRASH ON STATE HWY 27/70 NEAR THE FIRE NUMBER 15388 IN THE SAND LAKE TOWNSHIP. WHEN DEPUTY SHEPARD ARRIVED ON SCENE HE IDENTIFIED THE DRIVER OF THE VEHICLE INVOLVED IN THE CRASH AS . VEHICLE WAS IN THE NORTH DITCH AND SEVERELY DAMAGED. IT APPEARED HE HAD ENTERED THE DITCH APPROXIMATELY 50 YARDS WEST OF WHERE THE VEHICLE CAME TO REST AND AFTER TRAVELING STRAIGHT IN THE DITCH FOR APPROXIMATELY 25 YARDS THE VEHICLE ROLLED MULTIPLE TIMES. HAD WHAT APPEARED TO BE MINOR INJURY TO HIS FOREHEAD AND ARM. ADVISED THAT THE ACCIDENT OCCURRED WHEN HE SWERVED TO MISS A BEAR IN THE ROADWAY. HE HAD BEEN TRAVELING EAST AND SWERVED INTO THE NORTH DITCH. WAS TRANSPORTED FROM THE SCENE TO THE HOSPITAL BY AMBULANCE AS A PRECAUTION AND THE VEHICLE WAS TOWED. Crash Time 11:45 PM Crash Date 09/23/2019Wisconsin Motor Vehicle Crash Form DT4000 1 of 4 This report does not include any CJIS data. 19092331 SAWYER COUNTY SHERIFFS DEPT 15880 EAST FIFTH STREET HAYWARD, WI 54843 (715) 634-4858 6VL0F03P3C WISCONSIN MOTOR VEHICLE CRASH REPORT Structure Type NO STRUCTURE Y Coordinate 5086968.5 X Coordinate 153317.359375 Longitude -91.465232012 Latitude 45.848960717 ON STH27 SB 108 FT W OF TURKEY TROT LN IN THE TOWN OF SAND LAKE 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 - NOT ON ROAD Animal Type Weather Condition(s) CLOUDY Environment Factor(s) NONE Roadway Factor(s) NONE Road Surface Condition(s) DRY Light Condition DARK/UNLIT Manner of Collision NO COLLISION W/VEHICLE IN TRANSPORT First Harmful Event Location ROADSIDE First Harmful Event DITCH Crash Scene Intersection Type NOT AN INTERSECTION Junction Location NON-JUNCTION Within Interchange Area NO Time Scene Cleared 01:10 AM Date Scene Cleared 09/24/2019 Time All Lanes Open 12:55 AM Date All Lanes Open 09/24/2019 Time Initial Lane/Rd Closed 12:45 AM Date Initial Lane/Rd Closed 09/24/2019 Reasons for Closure TOW TRUCK Closure Type FULL CLOSURE Truck Bus or HazMat NO Road Grade LEVEL Road Curvature CURVE LEFT 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 FUNCTION Most Harmful Event: Collision With OVERTURN/ROLLOVER Total Lanes 2 Speed Limit 55 Pre CrashTire Mark Direction Of Travel EASTBOUND Insurance? YES Total HazMat Types 0 Total Trailers 0 Total # Citations Issued 0 Train/Bus # RecordedTotal Occs 1 Operating As EndorsementsVehicle Type PASSENGER CAR01 Unit Type AUTOMOBILE Vehicle Operating As Classification D CLASS Unit Status IN TRANSIT Unit Summary UNITModel AVEO/LS Year 2007 Make CHEVROLET Vehicle Identification Number 34760101 Country of Issuance UNITED STATES St WI Plate Type AUT - AUTOMOBILE License Plate Number Vehicle Crash Time 11:45 PM Crash Date 09/23/2019Wisconsin Motor Vehicle Crash Form DT4000 2 of 4 This report does not include any CJIS data. 19092331 SAWYER COUNTY SHERIFFS DEPT 15880 EAST FIFTH STREET HAYWARD, WI 54843 (715) 634-4858 6VL0F03P3C WISCONSIN MOTOR VEHICLE CRASH REPORT Owner Address . RADISSON, WI 54867 , US Owner Name 0101Driver Actions RAN OFF ROADWAY, SWERVED OR AVOIDED DUE TO WIND, SLIPPERY SURFACE, MOTOR VEHICLE, OBJECT, NON- MOTORIST IN ROADWAY, ETC. Driver Prior Action Other Vehicle Factors NOT APPLICABLE What Driver Was Doing NEGOTIATING CURVE Vehicle Removed By ROADRUNNER TOWING Towed Due To Damage TOWED DUE TO DISABLING DAMAGE Extent Of Damage DISABLING DAMAGE Vehicle Damage ALL AREAS Initial Contact Point 12--FRONT Bus Use NOT A BUS Body Style SD - SEDAN Color RED - RED VEHICLEUNITUNITVEHICLE Sequence Of Events Event CROSS CENTERLINE01 Event DITCH02 Event OVERTURN/ROLLOVER03 Event 04IndividualInsurance Company PROGRESSIVE-ADVANCED-INSURANCE-CO Policy Holder UNITInjury EMS Run #EMS Agency Identifier 6000954 Medical Transport EMS GROUND Trapped/Extricated NOT TRAPPED Ejection Path NOT EJECTED/NOT APPLICABLE Ejected NOT EJECTED Airbag DEPLOYED-FRONT Injury Severity SUSPECTED MINOR INJURY00101 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 . RADISSON, WI 54867 , US Race WHITE Date of Birth 03/23/ Sex MALE Citations Issued 0 Driver UN Individual Safety EquipmentITIDUALINDIV Crash Time 11:45 PM Crash Date 09/23/2019Wisconsin Motor Vehicle Crash Form DT4000 3 of 4 This report does not include any CJIS data. 19092331 SAWYER COUNTY SHERIFFS DEPT 15880 EAST FIFTH STREET HAYWARD, WI 54843 (715) 634-4858 6VL0F03P3C WISCONSIN MOTOR VEHICLE CRASH REPORT Drug & Alcohol Distracted By Individual Condition APPEARED NORMAL Drug Type 00101Drug Test ResultsDrug Test TypeDrug Test Given TEST NOT GIVEN Alcohol Test ResultsAlcohol Test TypeAlcohol Test Given TEST NOT GIVEN Suspected Drug Use NO Suspected Alcohol Use NO To/From SchoolAction Other Action Prior Action LocationStriking Unit # Distracted By Action UNKNOWN Distracted By Source UNKNOWN Time of DeathDate of DeathHospital HAYWARD AREA MEM HOSP Non Motorist UNITINDIVIDUALCrash Time 11:45 PM Crash Date 09/23/2019Wisconsin Motor Vehicle Crash Form DT4000 4 of 4 This report does not include any CJIS data.