20190909 burtCASE NUMBER 19090922
DEPUTY NAME DENNIS NELSON
BADGE NUMBER #382
REPORT DATE SEPTEMBER 13TH, 2019 @ 0545
TYPIST JULIE BRAATZ
ON SEPTEMBER 9TH, 2019 AT 1902, DEPUTY NELSON ALONG WITH DEPUTY JORSTAD AND SGT. HALL WERE DISPATCHED TO THE AREA OF CTH B
AND HEMLOCK HAVEN ROAD IN REGARDS TO A ONE VEHICLE ACCIDENT. SAWYER COUNTY DISPATCH ADVISED THEY RECEIVED A 911 CALL OF A
ONE VEHICLE ACCIDENT WITH A FEMALE ENTRAPPED INSIDE THE VEHICLE.
19090922
SAWYER COUNTY SHERIFFS DEPT
15880 EAST FIFTH STREET
HAYWARD, WI 54843
(715) 634-4858
6VL0HPL4FF 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
07:03 PM
Date Notified
09/09/2019
Time Arrived
07:23 PM
Date Arrived
09/09/2019
Crash Time
07:00 PM
Crash Date
09/09/2019
Investigating Officer/Deputy
DEPUTY DENNIS NELSON
Agency Crash NumberPrimary Crash Document #Document Number Override
6VL0HPL4FFAdditional InformationPHOTOS
Photos ByDEPUTY NELSON
Reconstruction ByDiagram
Description
I, a sworn law enforcement officer, agree that I have not added any CJIS data in this report.
Crash Time 07:00 PM
Crash Date 09/09/2019Wisconsin Motor Vehicle Crash
Form DT4000 1 of 4
This report does not include any CJIS data.
DEPUTY NELSON RESPONDED FROM THE RADISSON AREA. WHILE EN ROUTE DEPUTY NELSON OVERHEARD EMS STAFF AND FIRE STAFF
ADVISING THE SUBJECT WAS ENTRAPPED AND EXTRICATION WAS BEING DONE.
DEPUTY NELSON ARRIVED ON SCENE AT 1923. AT THAT TIME DEPUTY NELSON BRIEFLY MET WITH DEPUTY JORSTAD WHO WAS ASSISTING EMS
AND FIRE IN THE EXTRACTION OF THE LONE DRIVER WHO WAS LATER IDENTIFIED AS A . DEPUTY NELSON ASKED IF HE WOULD TAKE
PICTURES OF THE CRASH AS DEPUTY NELSON AND SGT. HALL WERE THERE TO DIRECT TRAFFIC.
WHILE DEPUTY NELSON WAS DIRECTING TRAFFIC, DEPUTY NELSON MADE CONTACT WITH A WITNESS AND 911 CALLER. ADVISED
DEPUTY NELSON SHE WAS HEADING WESTBOUND ON CTH B WHEN SHE OBSERVED THE VEHICLE THAT HAD CRASHED. ADVISED AS
SHE APPROACHED THE VEHICLE SHE OBSERVED THE VEHICLE DRIVING THROUGH THE DITCH THEN BACK UP ON TO THE ROAD. SHE ADVISED
THAT SHE BEGAN TO SLOW DOWN AS SHE WAS AFRAID THAT THE VEHICLE WAS GOING TO COME INTO HER LANE. ADVISED THAT
VEHICLE THEN REVVED UP AND WENT BACK INTO THE DITCH WHERE IT THEN HIT TREES. DEPUTY NELSON HAD FILL OUT A
STATEMENT FORM. THE STATEMENT OF IS ATTACHED. DEPUTY NELSON LOCATED THE TRACKS FROM JODI BURT'S VEHICLE. THE
VEHICLE HAD TRAVELED THROUGH THE DITCH FOR ABOUT 50FT ON THE SOUTH SIDE OF THE ROAD. THE VEHICLE THEN CAME BACK UP ON TO
THE ROAD AND THEN ENTERED THE DITCH SHORTLY LATER, WHERE IT ENTERED THE TREES AND CAME TO REST.
DEPUTY NELSON DIRECTED TRAFFIC WITH SGT. HALL. DURING THAT TIME JODI BURT WAS EXTRACTED FROM T
19090922
SAWYER COUNTY SHERIFFS DEPT
15880 EAST FIFTH STREET
HAYWARD, WI 54843
(715) 634-4858
6VL0HPL4FF WISCONSIN MOTOR VEHICLE
CRASH REPORT
Structure Type
Y CoordinateX Coordinate
LongitudeLatitudeON CTHB EB
2.00 MI W
OF CTHW
IN THE TOWN OF HUNTER
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)
RAIN
Environment Factor(s)
NONE
Roadway Factor(s)
NONE
Road Surface Condition(s)
WET
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
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 FUNCTION
Most Harmful Event: Collision With
TREE
Total Lanes
1
Speed Limit
55
Pre CrashTire
Mark
Direction Of Travel
EASTBOUND
Insurance?
YES
Total HazMat Types
0
Total Trailers
0
Total # Citations Issued
1
Train/Bus # RecordedTotal Occs
1
Operating As EndorsementsVehicle Type
(SPORT) UTILITY VEHICLE01 Unit Type
AUTOMOBILE
Vehicle Operating As Classification
D CLASS
Unit Status
IN TRANSIT
Unit Summary
UNITCrash Time 07:00 PM
Crash Date 09/09/2019Wisconsin Motor Vehicle Crash
Form DT4000 2 of 4
This report does not include any CJIS data.
19090922
SAWYER COUNTY SHERIFFS DEPT
15880 EAST FIFTH STREET
HAYWARD, WI 54843
(715) 634-4858
6VL0HPL4FF WISCONSIN MOTOR VEHICLE
CRASH REPORT
Truck Bus or HazMat
NO
Owner Address
LORETTA, WI 54896 , US
Owner Name
0101Driver Actions
FAILURE TO CONTROL
Driver Prior Action Other
Vehicle Factors
NOT APPLICABLE
What Driver Was Doing
GOING STRAIGHT
Vehicle Removed ByTowed 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
UT - SPORT UTILITY VEHICLE
Color
SIL - SILVER (ALUMINUM)
Model
GRAND CHER
Year
2001
Make
JEEP
Vehicle Identification Number
08460101 Country of Issuance
UNITED STATES
St
WI
Plate Type
AUT - AUTOMOBILE
License Plate Number
VEHICLEUNIT Vehicle
UNITVEHICLE Sequence Of Events
Event
DITCH01
Event
TREE02
Event
03Event
04IndividualInsurance Company
PROGRESSIVE-CLASSIC-INS-CO
Policy Holder
UNITHelmet 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
LORETTA, WI 54896 , US
Race
WHITE
Date of Birth
05/12/
Sex
FEMALE
Citations Issued
1
Driver
UN Individual
Safety EquipmentITIDUALINDIV
Crash Time 07:00 PM
Crash Date 09/09/2019Wisconsin Motor Vehicle Crash
Form DT4000 3 of 4
This report does not include any CJIS data.
19090922
SAWYER COUNTY SHERIFFS DEPT
15880 EAST FIFTH STREET
HAYWARD, WI 54843
(715) 634-4858
6VL0HPL4FF WISCONSIN MOTOR VEHICLE
CRASH REPORT
Drug & Alcohol
Injury
Distracted By
Individual Condition
EMOTIONAL (DEPRESSED, ANGRY, DISTURBED, ETC)
Drug Type
00101Drug Test Results
PENDING
Drug Test Type
BLOOD
Drug Test Given
TEST REFUSED BUT OBTAINED
Alcohol Test Results
PENDING
Alcohol Test Type
BLOOD
Alcohol Test Given
TEST REFUSED BUT OBTAINED
Suspected Drug Use
YES
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
EMS Run #EMS Agency Identifier
6000954
Medical Transport
EMS GROUND
Trapped/Extricated
TRAPPED/EXTRICATED
Ejection Path
NOT EJECTED/NOT APPLICABLE
Ejected
NOT EJECTED
Airbag
NON DEPLOYED
Injury Severity
SUSPECTED SERIOUS INJUR00101 Tint ComplianceEye Protection
Non Motorist
UNITINDIVIDUAL Violations
DescriptionOPERATING WHILE UNDER THE INFLUENCE(3RD)Statute Number346.63(1)(a)Issue To?
001
UTC Number
BE65180501
Crash Time 07:00 PM
Crash Date 09/09/2019Wisconsin Motor Vehicle Crash
Form DT4000 4 of 4
This report does not include any CJIS data.