20170719 Lepeska17072001
SAWYER COUNTY SHERIFFS DEPT
15880 EAST FIFTH STREET
HAYWARD, WI 54843
(715) 634-4858
6VL13QBC3G Wisconsin Motor Vehicle
Crash Report
Secondary
CrashAmendedCrash Type
DT4000 (Standard Crash)Reportable
TagsSchool Bus Related
NoActive School ZoneGovernment
Property
Trailer or TowedWork ZoneLane ClosureHit and RunOn Emergency
Total Killed
00
Total Injured
02
Total Units
01
Time Notified
11:06 PM
Date Notified
07/19/2017
Time Arrived
11:09 PM
Date Arrived
07/19/2017
Crash Time
11:05 PM
Crash Date
07/19/2017
Investigating Officer/Deputy
SERGEANT JEFF JOHNSON
Agency Crash Number
17072001
Primary Crash Document #Document Number Override
6V
L
1
3
Q
B
C
3
G
Additional InformationNone, Photos, Reconstruction
Photos BySGT. N. AL-MOGHRABI
Reconstruction BySAWYER COUNTY SHERIFFDiagram
Description
Narrative: I, a sworn law enforcement officer, agree that I have not added any CJIS data in this report.
VEH 1 WAS TRAVELING SOUTHBOUND ON MCCLAINE RD IN ROUND LAKE TWSP. THE DRIVER WAS EXCEEDING THE POSTED SPEED LIMIT AND UNDER THE INFLUENCE OF ALCOHOL. HE FAILED TO NEGOTIATE A RIGHTHAND CURVE, LEFT THE ROADWAY AND STRUCK A LARGE TREE WITH
THE REAR DRIVER SIDE TIRE AREA, WHICH RIPPED OFF THE REAR DRIVER SIDE TIRE. THE VEHICLE THEN BEGAN SPINNING COUNTERCLOCKWISE
WHILE STILL MOVING FORWARD AND STRUCK ANOTHER LARGE TREE WITH THE FRONT OF THE VEHICLE. THE VEHICLE THEN CONTINUED
SPINNING COUNTERCLOCKWISE FOR APPX 360 DEGREES AND CAME TO REST IN THE LEFT DITCH. THE SECOND TREE THAT WAS STRUCK FELL
ACROSS MCCLAINE RD, BLOCKING BOTH LANES OF TRAVEL. UPON ARRIVAL, I CHECKED ON THE DRIVER AND SINGLE PASSENGER TO SEE IF THEY
WERE OKAY. THE DRIVER STATED, "I'M FUCKED UP AND I MADE A MISTAKE." I ASKED HIM WHAT HE MEANT AND HE SAID THAT HE'D DRANK TOO MUCH TO DRIVE.
Crash Time 11:05 PM
Crash Date 07/19/2017Wisconsin Motor Vehicle Crash
Form DT4000 1 of 5
This report does not include any CJIS data.
17072001
SAWYER COUNTY SHERIFFS DEPT
15880 EAST FIFTH STREET
HAYWARD, WI 54843
(715) 634-4858
6VL13QBC3G Wisconsin Motor Vehicle
Crash Report
Structure Type
Other
Y Coordinate
5106268
X Coordinate
168124.453125
Longitude
-91.288426193
Latitude
46.029463849
INTERSECTION
ON 1 MC CLAIN RD 4
AT MENGLER RD
(OTHER 1)
IN THE TOWN OF ROUND 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
Non Trafficway - Other
Animal Type
Weather Condition(s)
Clear
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
Outside Right-Of-Way (Trafficway)
First Harmful Event
Tree
Crash Scene
Intersection Type
Not an Intersection
Junction Location
Non-Junction
Within Interchange Area
NO
Time Roadway RepairedDate Roadway RepairedTime All Lanes Open
12:46 AM
Date All Lanes Open
07/20/2017
Time Initial Lane/Road Closed
11:05 PM
Date Initial Lane/Road Closed
07/19/2017
Reasons for Closure
Law Enforcement, Other
Closure Type
Full closure
Reporting Threshold
No
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 UseNot ApplicableSpecial FunctionNo Special FunctionMost Harmful Event: Collision With
Tree
Total Lanes
2
Speed Limit
45Pre CrashTire
Mark
Direction Of Travel
Southbound
Insurance?
YES
Total HazMat Types
0
Total Trailers
0
Total # Citations Issued
2
Train/Bus # InjuredTotal Occs
2
Operating As EndorsementsVehicle Type
Passenger Car
Unit Type
Automobile
Vehicle Operating As Classification
D CLASS
Unit Status
In Transit
UN
I
T
01
Unit Summary
Model
MUSTANG
Year
1989
Make
FORD
Vehicle Identification Number
959
Country of Issuance
UNITED STATES
St
MN
Plate Type
AUT - Automobile
License Plate Number
966WWT01
Vehicle
Crash Time 11:05 PM
Crash Date 07/19/2017Wisconsin Motor Vehicle Crash
Form DT4000 2 of 5
This report does not include any CJIS data.
17072001
SAWYER COUNTY SHERIFFS DEPT
15880 EAST FIFTH STREET
HAYWARD, WI 54843
(715) 634-4858
6VL13QBC3G Wisconsin Motor Vehicle
Crash Report
Driver DistractionsNot Distracted
Driver ActionsExceed Speed Limit, Speed Too Fast/Cond, Failed To Keep In Designated Lane, Operated Motor Vehicle In Aggressive/Reckless
Manner, Other Contributing Action
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
VE
H
I
C
L
E
UN
I
T
01
Extent Of Damage
Disabling Damage
Vehicle Damage
All Areas
Initial Contact Point
8--Left Side Rear
Bus UseNot A BusBody Style
2D - 2DR
Color
BLK - Black
VE
H
I
C
L
E
UN
I
T
Address
EDINA, MN 55435 , US
IndividualPAMELA S LEPESKA01
VE
H
I
C
L
E
OW
N
E
R
Vehicle Owner
Sequence Of Events
EventDitch01
EventTree02
EventTree03
Event
04
Individual
PAMELA LEPESKA
Insurance Company
STATE-FARM-GENERAL-INS-CO
Policy Holder
UN
I
T
Crash Time 11:05 PM
Crash Date 07/19/2017Wisconsin Motor Vehicle Crash
Form DT4000 3 of 5
This report does not include any CJIS data.
17072001
SAWYER COUNTY SHERIFFS DEPT
15880 EAST FIFTH STREET
HAYWARD, WI 54843
(715) 634-4858
6VL13QBC3G Wisconsin Motor Vehicle
Crash Report
Individual Condition
Not Observed
Drug Type
Drug Test ResultsDrug Test TypeDrug Test GivenTest Not Given
Alcohol Test ResultsAlcohol Test TypeAlcohol Test Given
Test Not Given
Suspected Drug UseSuspected Alcohol Use
Action Other
IN
D
I
V
I
D
U
A
L
UN
I
T
Action
To/From SchoolLocationPrior ActionStriking Unit #
00
1
01
Time of DeathDate of DeathHospital
ST MARYS MEDICAL CENTER
EMS Run #EMS Agency Identifier
6001349
Medical Transport
EMS Air
Trapped/Extricated
Not Applicable
Ejection Path
Not Ejected/Not Applicable
Ejected
Not Applicable
Airbag
Not Applicable
Injury Severity
Suspected Serious Injury
IN
D
I
V
I
D
U
A
L
UN
I
T
Tint ComplianceEye Protection
Helmet ComplianceHelmet Use
Seat Position
1--Front Seat-Left Side (Driver/Motorcycle/Bicycl
00
1
Safety Equipment
Restraint Use Unknown
On Duty Crash
01
mber
State: Minnesota Country: UNITED STATES
Address
EDINA, MN 55435 , US
RaceWHITEDate of Birth
10/19/
Sex
Male
Citations Issued
2
DriverANDREW WILLIAM LEPESKA
IN
D
I
V
I
D
U
A
L
UN
I
T
Injury
Drug &
Alcohol
Individual
Non Motorist
Equipment
Crash Time 11:05 PM
Crash Date 07/19/2017Wisconsin Motor Vehicle Crash
Form DT4000 4 of 5
This report does not include any CJIS data.
17072001
SAWYER COUNTY SHERIFFS DEPT
15880 EAST FIFTH STREET
HAYWARD, WI 54843
(715) 634-4858
6VL13QBC3G Wisconsin Motor Vehicle
Crash Report
Individual Condition
Not Observed
Drug Type
Drug Test ResultsDrug Test TypeDrug Test GivenTest Not Given
Alcohol Test ResultsAlcohol Test TypeAlcohol Test Given
Test Not Given
Suspected Drug UseSuspected Alcohol Use
Action Other
IN
D
I
V
I
D
U
A
L
UN
I
T
Action
To/From SchoolLocationPrior ActionStriking Unit #
00
2
01
Time of DeathDate of DeathHospital
HAYWARD AREA MEMORIAL HOSPITAL
EMS Run #EMS Agency Identifier
6000954
Medical Transport
EMS Ground
Trapped/Extricated
Not Applicable
Ejection Path
Not Ejected/Not Applicable
Ejected
Not Applicable
Airbag
Not Applicable
Injury Severity
Suspected Minor Injury
IN
D
I
V
I
D
U
A
L
UN
I
T
Tint ComplianceEye Protection
Helmet ComplianceHelmet Use
Seat Position
3--Front Seat-Right Side (Train Engineers/Right
00
2
Safety Equipment
Shoulder & Lap Belt
On Duty Crash
01
ense Number5
State: Louisiana Country: UNITED STATES
Address
HAYWARD, WI 54843 , US
RaceWHITEDate of Birth
01/24/1
Sex
Female
Citations Issued
0
PassengerWALLACE ANNE RAKOCZY
IN
D
I
V
I
D
U
A
L
UN
I
T
Injury
Drug &
Alcohol
Individual
Non Motorist
Equipment
Violations
DescriptionOPERATING UNDER INFLUENCE 1ST/CAUSING INJURYSeq Num001Statute Number346.63(2)Issue To?
001
UTC Number
AE01470901
DescriptionUNREASONABLE AND IMPRUDENT SPEEDSeq Num001Statute Number346.57(2)Issue To?
001
UTC Number
AE01471002
Crash Time 11:05 PM
Crash Date 07/19/2017Wisconsin Motor Vehicle Crash
Form DT4000 5 of 5
This report does not include any CJIS data.