20190717 lummis19071732
SAWYER COUNTY SHERIFFS DEPT
15880 EAST FIFTH STREET
HAYWARD, WI 54843
(715) 634-4858
6VL0GNQ6N2 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
05:30 PM
Date Notified
07/17/2019
Time Arrived
05:37 PM
Date Arrived
07/17/2019
Crash Time
05:30 PM
Crash Date
07/17/2019
Investigating Officer/Deputy
DEPUTY MICHAEL SIMPSON
Agency Crash NumberPrimary Crash Document #Document Number Override
6VL0GNQ6N2Additional InformationPHOTOS
Photos ByDEPUTY MICHAEL SIMPSON #357
Reconstruction ByDiagram
Description
I, a sworn law enforcement officer, agree that I have not added any CJIS data in this report.
UNIT 1 WAS TRAVELING NORTH ON STATE HWY 27, CROSSED THE HIGHWAY, AND ENTERED A SMALL SWAMP. THE VEHICLE WAS SUBMERGED IN
APPROXIMATELY 2FT OF WATER. DRIVER WAS OUT OF VEHICLE AT TIME THE DEPUTY ARRIVED. DRIVER SAID THAT SHE BECAME DISORIENTED
WHILE DRIVING AND COULD NOT TELL WHAT SIDE OF THE ROAD SHE WAS ON. ODOR OF ALCOHOL WAS NOT PRESENT BUT DRIVER SEEMED
UNSTEADY ON HER FEET AND HAD SLURRED SPEECH. WHILE DRIVER WAS IN BACK OF AMBULANCE THE DEPUTY ASKED DRIVER IF SHE HAD ANY
MARIJUANA IN THE VEHICLE. THE DRIVER STATED THAT SHE HAD MARIJUANA CANDIES IN THE VEHICLE. DRIVER WAS TAKEN TO HOSPITAL WHILE
ANOTHER DEPUTY FOLLOWED THE AMBULANCE. ONCE THE VEHICLE WAS REMOVED FROM SWAMP A SEARCH REVEALED MULTIPLE ITEMS THAT
FIELD TESTED POSITIVE FOR THC.
Crash Time 05:30 PM
Crash Date 07/17/2019Wisconsin Motor Vehicle Crash
Form DT4000 1 of 4
This report does not include any CJIS data.
19071732
SAWYER COUNTY SHERIFFS DEPT
15880 EAST FIFTH STREET
HAYWARD, WI 54843
(715) 634-4858
6VL0GNQ6N2 WISCONSIN MOTOR VEHICLE
CRASH REPORT
Structure Type
NO STRUCTURE
Y Coordinate
5087095.5
X Coordinate
153111.375
Longitude
-91.467968165
Latitude
45.849994397
ON STH27 NB
904 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)
CLEAR
Environment Factor(s)
NONE
Roadway Factor(s)
NONE
Road Surface Condition(s)
DRY
Light Condition
DAYLIGHT
Manner of Collision
NO COLLISION W/VEHICLE IN TRANSPORT
First Harmful Event Location
SHOULDER LEFT
First Harmful Event
EMBANKMENT
Crash Scene
Intersection Type
NOT AN INTERSECTION
Junction Location
NON-JUNCTION
Within Interchange Area
NO
Time Scene Cleared
07:17 PM
Date Scene Cleared
07/17/2019
Time All Lanes Open
07:17 PM
Date All Lanes Open
07/17/2019
Time Initial Lane/Rd Closed
07:00 PM
Date Initial Lane/Rd Closed
07/17/2019
Reasons for Closure
TOW TRUCK
Closure Type
FULL CLOSURE
Truck Bus or HazMat
NO
Road Grade
LEVEL
Road Curvature
CURVE RIGHT
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
EMBANKMENT
Total Lanes
2
Speed Limit
55
Pre CrashTire
Mark
Direction Of Travel
NORTHBOUND
Insurance?
YES
Total HazMat Types
0
Total Trailers
0
Total # Citations Issued
0
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
UNITModel
UNKNOWN
Year
2014
Make
HONDA
Vehicle Identification Number
67380101 Country of Issuance
UNITED STATES
St
CO
Plate Type
AUT - AUTOMOBILE
License Plate Number
Vehicle
Crash Time 05:30 PM
Crash Date 07/17/2019Wisconsin Motor Vehicle Crash
Form DT4000 2 of 4
This report does not include any CJIS data.
19071732
SAWYER COUNTY SHERIFFS DEPT
15880 EAST FIFTH STREET
HAYWARD, WI 54843
(715) 634-4858
6VL0GNQ6N2 WISCONSIN MOTOR VEHICLE
CRASH REPORT
Owner Address
WOODLAND PARK, CO 80934 , US
Owner Name
0101Driver Actions
FAILED TO KEEP IN DESIGNATED LANE
Driver Prior Action Other
Vehicle Factors
NOT APPLICABLE
What Driver Was Doing
NEGOTIATING CURVE
Vehicle Removed By
OPERATOR
Towed Due To Damage
TOWED DUE TO DISABLING DAMAGE
Extent Of Damage
DISABLING DAMAGE
Vehicle Damage
1--RIGHT FRONT CORNER, 11--LEFT FRONT CORNER, 12--FRONT,
UNDERCARRIAGE
Initial Contact Point
11--LEFT FRONT CORNER
Bus Use
NOT A BUS
Body Style
4H - HATCHBACK 4 DOOR
Color
BLU - BLUE
VEHICLEUNITUNITVEHICLE Sequence Of Events
Event
EMBANKMENT01
Event
02Event
03Event
04IndividualInsurance Company
PROGRESSIVE-CLASSIC-INS-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
POSSIBLE 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: COLORADO COUNTRY: UNITED STATES
Address
WOODLAND PARK, CO 80934 , US
Race
WHITE
Date of Birth
04/02/
Sex
FEMALE
Citations Issued
0
Driver
UN Individual
Safety EquipmentITIDUALINDIV
Crash Time 05:30 PM
Crash Date 07/17/2019Wisconsin Motor Vehicle Crash
Form DT4000 3 of 4
This report does not include any CJIS data.
19071732
SAWYER COUNTY SHERIFFS DEPT
15880 EAST FIFTH STREET
HAYWARD, WI 54843
(715) 634-4858
6VL0GNQ6N2 WISCONSIN MOTOR VEHICLE
CRASH REPORT
Drug & Alcohol
Distracted By
Individual Condition
UNDER THE INFLUENCE OF MEDICATIONS/DRUGS/ ALCOHOL, CONFUSED OR DISORIENTED (NON LUCID)
Drug Type
00101Drug Test Results
PENDING
Drug Test Type
BLOOD
Drug Test Given
TEST GIVEN
Alcohol Test ResultsAlcohol Test TypeAlcohol Test Given
TEST NOT GIVEN
Suspected Drug Use
YES
Suspected Alcohol Use
NO
To/From SchoolAction Other
Action
Prior Action
LocationStriking Unit #
Distracted By Action
NOT DISTRACTED
Distracted By Source
NOT APPLICABLE (NOT DISTRACTED)
Time of DeathDate of DeathHospital
HAYWARD AREA MEM HOSP
Non Motorist
UNITINDIVIDUALCrash Time 05:30 PM
Crash Date 07/17/2019Wisconsin Motor Vehicle Crash
Form DT4000 4 of 4
This report does not include any CJIS data.