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200305 walter20030513 SAWYER COUNTY SHERIFFS DEPT 15880 EAST FIFTH STREET HAYWARD, WI 54843 (715) 634-4858 6VL0F03P3K 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 01 Time Notified 12:57 PM Date Notified 03/05/2020 Time Arrived 01:15 PM Date Arrived 03/05/2020 Crash Time 12:57 PM Crash Date 03/05/2020 Investigating Officer/Deputy DEPUTY LUCAS SHEPARD Agency Crash NumberPrimary Crash Document #Document Number Override 6VL0F03P3KAdditional InformationPHOTOS Photos ByDEPUTY L. SHEPARD Reconstruction ByDiagram Description I, a sworn law enforcement officer, agree that I have not added any CJIS data in this report. ON MARCH 5TH, 2020, AT APPROXIMATELY 12:57PM, DEPUTY SHEPARD WAS REQUESTED TO RESPOND TO A ONE VEHICLE CRASH ON MORELAND RD, IN THE ROUND LAKE TOWNSHIP, IN SAWYER COUNTY. IT WAS REPORTED AS A DUMP TRUCK VS TREE CRASH WITH A SINGLE OCCUPANT AND NO INJURY. DEPUTY SHEPARD RESPONDED AND LOCATED THE INCIDENT ON MORELAND RD APPROXIMATELY 300 YARDS NORTH OF COUNTY HWY B. THE DRIVER WAS IDENTIFIED AS AND THE VEHICLE HE WAS DRIVING WAS 2012 INTERNATION DUMP TRUCK REGISTERED TO BOB THOMPSON AND SONS INC. OUT OF HAYWARD, WI. WALTER WAS AN EMPLOYEE AND WAS DRIVING THE VEHICLE FOR WORK WITH A VALID COMMERCIAL DRIVERS LICENSE. THE VEHICLE HAD A FULL DUMP LOAD OF LARGE BOULDER TYPE ROCKS. IT WAS ACTIVELY SNOWING AND THE ROAD HAD A LAYER OF SLUSH MAKING THE ROAD SURFACE SLIPPERY. WALTER WAS TRAVELING NORTH ON MORELAND ROAD. THE INCIDENT OCCURRED AS THE ROAD CURVED LEFT AND WAS ALSO A RELATIVELY STEEP DOWNWARD DECLINE. AS HE NEGOTIATED THE CURVE THE VEHICLE SLID OUT OF HIS CONTROL AND CONTINUED STRAIGHT OFF THE ROAD AND INTO A TREE. THE FRONT END OF THE VEHICLE HAD EXTENSIVE DISABLING DAMAGE DUE TO THE COLLISION. HE HAD VALID INSURANCE AND ARRANGED FOR THE VEHICLE TO BE UNLOADED AND REMOVED BY PRIVATE PARTY. Crash Time 12:57 PM Crash Date 03/05/2020Wisconsin Motor Vehicle Crash Form DT4000 1 of 4 This report does not include any CJIS data. 20030513 SAWYER COUNTY SHERIFFS DEPT 15880 EAST FIFTH STREET HAYWARD, WI 54843 (715) 634-4858 6VL0F03P3K WISCONSIN MOTOR VEHICLE CRASH REPORT Structure Type Y Coordinate 5102474 X Coordinate 166296.6875 Longitude -91.30932654 Latitude 45.994527261 ON MORELAND RD 617 FT N OF CTHB NB IN THE TOWN OF HAYWARD 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) SNOW Environment Factor(s) WEATHER CONDITIONS Roadway Factor(s) ROAD SURFACE CONDITION (WET, ICY, SNOW, SLUSH, ETC) Road Surface Condition(s) WET, SLUSH Light Condition DAYLIGHT Manner of Collision NO COLLISION W/VEHICLE IN TRANSPORT First Harmful Event Location ROADSIDE First Harmful Event TREE Crash Scene Intersection Type NOT AN INTERSECTION Junction Location NON-JUNCTION Within Interchange Area UNKNOWN Truck Bus or HazMat TRUCK OR TRUCK COMBINATION > 10,000LBS GVWR/GCWR Road Grade DOWNHILL 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 TREE Total Lanes 2 Speed Limit 25 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 AGCMV (AG COMMERCIAL MOTOR VEHICLE)01Unit Type TRUCK Vehicle Operating As Classification B CLASS Unit Status IN TRANSIT Unit Summary UNITExtent Of Damage DISABLING DAMAGE Vehicle Damage 12--FRONT, UNDERCARRIAGE Initial Contact Point 12--FRONT Bus Use NOT A BUS Body Style CB - CAB CHASSIS Color WHI - WHITE Model DUMP Year 2012 Make INTERNATIONAL Vehicle Identification Number 60250101 Country of Issuance UNITED STATES St WI Plate Type HTK - HEAVY TRUCK License Plate Number Vehicle UNITVEHICLECrash Time 12:57 PM Crash Date 03/05/2020Wisconsin Motor Vehicle Crash Form DT4000 2 of 4 This report does not include any CJIS data. 20030513 SAWYER COUNTY SHERIFFS DEPT 15880 EAST FIFTH STREET HAYWARD, WI 54843 (715) 634-4858 6VL0F03P3K WISCONSIN MOTOR VEHICLE CRASH REPORT Owner Address HAYWARD, WI 54843 , US Owner Name BOB THOMPSON &AMP SONS INC 0101Driver Actions FAILURE TO CONTROL, RAN OFF ROADWAY Driver Prior Action Other Vehicle Factors NOT APPLICABLE What Driver Was Doing NEGOTIATING CURVE Vehicle Removed By OWNER Towed Due To Damage TOWED DUE TO DISABLING DAMAGE VEHICLEUNIT Sequence Of Events Event RUN OFF ROADWAY RIGHT01 Event TREE02 Event 03Event 04Organization/Company BOB THOMPSON &AMP SONS INC Insurance Company WESTERN-NATIONAL-MUTUAL-INS-CO Policy Holder UNITInjury Distracted By Distracted By Action UNKNOWN Distracted By Source UNKNOWN Time of DeathDate of DeathHospital EMS Run #EMS Agency IdentifierMedical Transport NOT TRANSPORTED Trapped/Extricated NOT TRAPPED Ejection Path NOT EJECTED/NOT APPLICABLE Ejected NOT EJECTED Airbag NON DEPLOYED Injury Severity NO APPARENT 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 STONE LAKE, WI 54876 , US Race WHITE Date of Birth 06/05/ Sex MALE Citations Issued 0 Driver UN Individual Safety EquipmentITIDUALINDIV Crash Time 12:57 PM Crash Date 03/05/2020Wisconsin Motor Vehicle Crash Form DT4000 3 of 4 This report does not include any CJIS data. 20030513 SAWYER COUNTY SHERIFFS DEPT 15880 EAST FIFTH STREET HAYWARD, WI 54843 (715) 634-4858 6VL0F03P3K WISCONSIN MOTOR VEHICLE CRASH REPORT Drug & Alcohol 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 #Non Motorist UNITINDIVIDUALMeasured 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 OTHER OPERATION/NOT SPECIFIED US DOT # 350152 Cargo Body Type DUMP Vehicle Configuration TRUCK MORE THAN 10,000 LBS, CAN NOT CLASSIFY GVWR MORE THAN 26,000 LB01 Address HAYWARD, WI 54843 , US Name BOB THOMPSON &AMP SONS INC USDOT# 35015201 Source DRIVERUse Vehicle Owner Same as Carrier Carrier CKBUSUNITTRUCrash Time 12:57 PM Crash Date 03/05/2020Wisconsin Motor Vehicle Crash Form DT4000 4 of 4 This report does not include any CJIS data.