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20121209 olsonSAWYER COUNTY SHERIFFS DEPT 15880 EAST FIFTH STREET HAYWARD, WI 54843 (715) 634-4858 6VL0G4NQ6T 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 08:31 AM Date Notified 12/12/2020 Time Arrived 08:31 AM Date Arrived 12/12/2020 Crash Time 08:00 PM Crash Date 12/11/2020 Investigating Officer/Deputy DEPUTY CRAIG DEPEW Agency Crash Number 20121209 Primary Crash Document #Document Number Override 6VL0G4NQ6TAdditional InformationPHOTOS Photos ByDEPUTY C DEPEW Reconstruction ByDiagram Description I, a sworn law enforcement officer, agree that I have not added any CJIS data in this report. OPERATOR AND PASSENGER WERE TRAVELING SOUTHBOUND ON COLBROTH LAKE ROAD AT APPROXIMATELY 8 PM . OPERATOR AND PASSENGER STATED THAT BOTH OF THEM WERE DRINKING INTOXICATING BEVERAGES. OPERATOR STATED THAT THE ROAD HAD A SHARP CORNER AND WAS ICE COVERED AND CAUSED HIM TO LOOSE CONTROL CAUSING THE VEHICLE TO HIT THE DITCH AND OVERTURN. OPERATOR AND PASSENGER WERE ABLE TO EXIT VEHICLE AND HAD LEFT THE SCENE DUE TO BEING INTOXICATED. Crash Time 08:00 PM Crash Date 12/11/2020Wisconsin Motor Vehicle Crash Form DT4000 1 of 5 This report does not include any CJIS data. SAWYER COUNTY SHERIFFS DEPT 15880 EAST FIFTH STREET HAYWARD, WI 54843 (715) 634-4858 6VL0G4NQ6T WISCONSIN MOTOR VEHICLE CRASH REPORT Structure Type Y Coordinate 5098980.5 X Coordinate 149999.640625 Longitude -91.516579426 Latitude 45.955060075 ON COLBROTH RD 0.57 MI S OF RAINBOW RD IN THE TOWN OF BASS 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 - ON ROAD Animal Type Weather Condition(s) UNKNOWN Environment Factor(s) NONE Roadway Factor(s) NOT APPLICABLE Road Surface Condition(s) ICE, GRAVEL Light Condition UNKNOWN Manner of Collision 00 - NO COLLISION W/VEHICLE IN TRANSPORT First Harmful Event Location ON ROADWAY First Harmful Event OVERTURN/ROLLOVER Crash Scene Intersection Type NOT AN INTERSECTION Junction Location NON-JUNCTION Within Interchange Area NO Truck Bus or HazMat NO Road Grade DOWNHILL Road Curvature CURVE LEFT Surface Type DIRT 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 35 Pre CrashTire Mark Direction Of Travel SOUTHBOUND Insurance? NO Total HazMat Types 0 Total Trailers 0 Total # Citations Issued 1 Train/Bus # RecordedTotal Occs 2 Operating As EndorsementsVehicle Type UTILITY TRUCK/PICKUP TRUCK01 Unit Type TRUCK Vehicle Operating As Classification D CLASS Unit Status IN TRANSIT Unit Summary UNITExtent Of Damage DISABLING DAMAGE Vehicle Damage 15 - ALL AREAS Initial Contact Point 99 - UNKNOWN Bus UseBody Style PK - PICKUP Color BLU - BLUE Model DAKOTA Year 1994 Make DODGE Vehicle Identification Number 29440101 Country of Issuance UNITED STATES St WI Plate Type LTK - LIGHT TRUCK License Plate Number VEHICLEUNIT Vehicle Crash Time 08:00 PM Crash Date 12/11/2020Wisconsin Motor Vehicle Crash Form DT4000 2 of 5 This report does not include any CJIS data. SAWYER COUNTY SHERIFFS DEPT 15880 EAST FIFTH STREET HAYWARD, WI 54843 (715) 634-4858 6VL0G4NQ6T WISCONSIN MOTOR VEHICLE CRASH REPORT Owner Address HAYWARD, WI 54843 , US Owner Name 0101Driver Actions SPEED TOO FAST/COND Driver Prior Action Other Vehicle Factors NOT APPLICABLE What Driver Was Doing NEGOTIATING CURVE Vehicle Removed ByTowed Due To Damage TOWED DUE TO DISABLING DAMAGE UNITVEHICLE Sequence Of Events Event OVERTURN/ROLLOVER01 Event 02Event 03Event 04Distracted By Injury LocationStriking Unit # Distracted By Action NOT DISTRACTED Distracted By Source NOT APPLICABLE (NOT DISTRACTED) 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 POSSIBLE INJURY00101 Tint ComplianceEye Protection Helmet ComplianceHelmet Use Seat Position 07 - LEFT Row 01 - FRONT ROW Safety Equipment NONE USED - VEHICLE OCCUPANT On Duty Crash Driver License Number STATE: WISCONSIN COUNTRY: UNITED STATES Address HAYWARD, WI 54843 , US Race WHITE Date of Birth 10/12/ Sex MALE Citations Issued 1 Driver ITSafety Equipment Non Motorist Individual UNINDIVIDUALCrash Time 08:00 PM Crash Date 12/11/2020Wisconsin Motor Vehicle Crash Form DT4000 3 of 5 This report does not include any CJIS data. SAWYER COUNTY SHERIFFS DEPT 15880 EAST FIFTH STREET HAYWARD, WI 54843 (715) 634-4858 6VL0G4NQ6T WISCONSIN MOTOR VEHICLE CRASH REPORT Drug & Alcohol Individual Condition NOT OBSERVED Drug Type 00101Drug Test ResultsDrug Test TypeDrug Test Given TEST NOT GIVEN Alcohol Test ResultsAlcohol Test TypeAlcohol Test Given TEST NOT GIVEN Suspected Drug UseSuspected Alcohol Use To/From SchoolAction Other Action Prior Action UNITINDIVIDUALDistracted By Injury Prior Action LocationStriking Unit # Distracted By Action Distracted By Source 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 INJURY00201 Tint ComplianceEye Protection Helmet ComplianceHelmet Use Seat Position 09 - RIGHT Row 01 - FRONT ROW Safety Equipment SHOULDER & LAP BELT On Duty Crash Driver License Number STATE: WISCONSIN COUNTRY: UNITED STATES Address HAYWARD, WI 54843 , US Race WHITE Date of Birth 11/28/ Sex MALE Citations Issued 0 Passenger ITSafety Equipment Non Motorist Individual UNINDIVIDUALCrash Time 08:00 PM Crash Date 12/11/2020Wisconsin Motor Vehicle Crash Form DT4000 4 of 5 This report does not include any CJIS data. SAWYER COUNTY SHERIFFS DEPT 15880 EAST FIFTH STREET HAYWARD, WI 54843 (715) 634-4858 6VL0G4NQ6T WISCONSIN MOTOR VEHICLE CRASH REPORT Drug & Alcohol Individual Condition APPEARED NORMAL, NOT OBSERVED Drug Type 00201Drug 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 UNITINDIVIDUAL Violations DescriptionFAILURE OF OPERATOR TO NOTIFY POLICE OF ACCIDENTStatute Number346.70(1)Issue To? 001 UTC Number BE65001901 Crash Time 08:00 PM Crash Date 12/11/2020Wisconsin Motor Vehicle Crash Form DT4000 5 of 5 This report does not include any CJIS data.