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20170809 MertensSAWYER COUNTY SHERIFFS DEPT 15880 EAST FIFTH STREET HAYWARD, WI 54843 (715) 634-4858 6VL131BQ6V 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 00 Total Units 01 Time Notified 10:49 PM Date Notified 08/09/2017 Time Arrived 11:23 PM Date Arrived 08/09/2017 Crash Time 10:49 PM Crash Date 08/09/2017 Investigating Officer/Deputy DEPUTY NICOLE RIPCZINSKI Agency Crash Number 17080606 Primary Crash Document #Document Number Override 6V L 1 3 1 B Q 6 V Additional InformationPhotos Photos ByN. RIPCZINSKI Reconstruction ByDiagram Description Narrative: I, a sworn law enforcement officer, agree that I have not added any CJIS data in this report. ON AUGUST 6, 2017 I, DEPUTY RIPCZINSKI WAS DISPATCHED TO THE AREA OF 10749N TIGER CAT RD FOR A REPORT A VEHICLE ROLL-OVER NEAR THAT ADDRESS. I ARRIVED ON-SCENE AND OBSERVED A SILVER FOUR-DOOR VEHICLE ROLLEDOVER ON THE EAST SHOULDER OF TIGER CAT RD ON ITS HOOD. THE VEHICLE APPEARED TO HAVE BEEN TRAVELING NORTHBOUND ON TIGER CAT RD. I LOOKED UNDER THE VEHICLE AND DID NOT OBSERVE ANYONE IN, NEAR, OR AROUND THE VEHICLE. DEPUTY NELSON ALSO ARRIVED ON-SCENE AND OBSERVED SAME. THERE WAS A SMALL ODOR OF INTOXICANTS FROM THE VEHICLE. ROADRUNNER HAD BEEN NOTIFIED BY THE REGISTERED OWNER OF THE VEHICLE AND ROADRUNNER TOWING CALLED IN THE ACCIDENT. NO ONE INVOLVED IN THE CRASH CALLED THE SHERIFF'S DEPARTMENT. AFTER THE VEHICLE WAS UPRIGHT, THERE WAS ONE OPEN CAN OF COORS LIGHT IN THE VEHICLE AND AN UNOPEN CAN OF COORS LIGHT. THERE WAS NO OTHER ALCOHOL OR DRUGS LOCATED IN THE VEHICLE. THE REGISTERED OWNER WAS CONTACTED. THE REGISTERED OWNER ADVISED THAT THE REGISTERED OWNER WAS NOT THE OPERATOR OF THE VEHICLE AND THAT THE OPERATOR OF THE VEHICLE HAD TAKEN OFF ON FOOT IMMEDIATELY FOLLOWING THE ACCIDENT. THE REGISTERED OWNER OF THE VEHICLE ADVISED THAT THERE WERE 4 OCCUPANTS ALL TOGETHER 2 OF WHICH WERE KNOWN, THE OPERATOR WHICH WAS NOT. THE VEHICLE WAS REMOVED BY ROADRUNNER TOWING AND CITATIONS WERE MAILED TO THE REGISTERED OWNER. SEE FULL REPORT. END OF NARRATIVE. Crash Time 10:49 PM Crash Date 08/09/2017Wisconsin Motor Vehicle Crash Form DT4000 1 of 8 This report does not include any CJIS data. SAWYER COUNTY SHERIFFS DEPT 15880 EAST FIFTH STREET HAYWARD, WI 54843 (715) 634-4858 6VL131BQ6V Wisconsin Motor Vehicle Crash Report Structure Type No Structure Y Coordinate 5105430 X Coordinate 170302.375 Longitude -91.259783799 Latitude 46.022993442 ON TIGER CAT RD 0.38 MI S OF TIGER CAT DAM RD 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 Trafficway - On Road Animal Type Weather Condition(s) Clear Environment Factor(s) None Roadway Factor(s) Not Applicable Road Surface Condition(s) Dry Light Condition Dark/Unlit Manner of Collision No Collision W/Vehicle In Transport First Harmful Event Location Shoulder Left First Harmful Event Ditch Crash Scene Intersection Type Not an Intersection Junction Location Non-Junction Within Interchange Area NO Reporting Threshold No Truck Bus or HazMat No 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 UseNot ApplicableSpecial FunctionNo Special FunctionMost Harmful Event: Collision With Overturn/Rollover Total Lanes 2 Speed Limit 45Pre CrashTire Mark Direction Of Travel Southbound Insurance? UNKNOWN Total HazMat Types 0 Total Trailers 0 Total # Citations Issued 1 Train/Bus # InjuredTotal Occs 4 Operating As EndorsementsVehicle Type Passenger Car Unit Type Automobile Vehicle Operating As Classification D CLASS Unit Status Hit and Run UN I T 01 Unit Summary Extent Of Damage Disabling Damage Vehicle Damage 1--Right Front Corner, 2--Right Side Front, 3--Right Side Middle, 8--Left Side Rear, 9--Left Side Middle, 10--Left Side Front, 11--Left Front Corner Initial Contact Point Undercarriage Bus UseNot A BusBody Style SD - SEDAN Color SIL - Silver (Aluminum) Model TAURUS Year 2007 Make FORD Vehicle Identification Number 758 Country of Issuance UNITED STATES St WI Plate Type AUT - Automobile License Plate Number 583ZYL VE H I C L E UN I T 01 Vehicle Crash Time 10:49 PM Crash Date 08/09/2017Wisconsin Motor Vehicle Crash Form DT4000 2 of 8 This report does not include any CJIS data. SAWYER COUNTY SHERIFFS DEPT 15880 EAST FIFTH STREET HAYWARD, WI 54843 (715) 634-4858 6VL131BQ6V Wisconsin Motor Vehicle Crash Report Driver DistractionsUnknown If Distracted Driver Actions Failure To Control, Failed To Keep In Designated Lane, Operated Motor Vehicle In Inattentive, Careless or Erratic Manner 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 VE H I C L E UN I T 01 Address HAYWARD, WI 54843 , US IndividualJORDAN C MERTENS01 VE H I C L E OW N E R Vehicle Owner Sequence Of Events EventDitch01 EventTree02 EventOverturn/Rollover03 Event 04 Crash Time 10:49 PM Crash Date 08/09/2017Wisconsin Motor Vehicle Crash Form DT4000 3 of 8 This report does not include any CJIS data. SAWYER COUNTY SHERIFFS DEPT 15880 EAST FIFTH STREET HAYWARD, WI 54843 (715) 634-4858 6VL131BQ6V 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 EMS Run #EMS Agency IdentifierMedical Transport Not Transported Trapped/Extricated Not Applicable Ejection Path Not Ejected/Not Applicable Ejected Not Applicable Airbag Not Applicable Injury Severity No Apparent 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 None Used - Vehicle Occupant On Duty Crash 01 Driver License NumberM6354239830109 State: Wisconsin Country: UNITED STATES Address HAYWARD, WI 54843 , US RaceWHITEDate of Birth 08/21 Sex Male Citations Issued 1 PassengerJORDAN C MERTENS IN D I V I D U A L UN I T Injury Drug & Alcohol Individual Non Motorist Equipment Crash Time 10:49 PM Crash Date 08/09/2017Wisconsin Motor Vehicle Crash Form DT4000 4 of 8 This report does not include any CJIS data. SAWYER COUNTY SHERIFFS DEPT 15880 EAST FIFTH STREET HAYWARD, WI 54843 (715) 634-4858 6VL131BQ6V 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 EMS Run #EMS Agency IdentifierMedical Transport Not Transported Trapped/Extricated Not Applicable Ejection Path Not Ejected/Not Applicable Ejected Not Applicable Airbag Not Applicable Injury Severity No Apparent 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 2 Safety Equipment None Used - Vehicle Occupant On Duty Crash 01 State: Wisconsin Country: UNITED STATES Address HAYWARD, WI 54843 , US RaceINDIANDate of Birth 08/29 Sex Male Citations Issued 0 PassengerLOGAN A THAYER IN D I V I D U A L UN I T Injury Drug & Alcohol Individual Non Motorist Equipment Crash Time 10:49 PM Crash Date 08/09/2017Wisconsin Motor Vehicle Crash Form DT4000 5 of 8 This report does not include any CJIS data. SAWYER COUNTY SHERIFFS DEPT 15880 EAST FIFTH STREET HAYWARD, WI 54843 (715) 634-4858 6VL131BQ6V 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 3 01 Time of DeathDate of DeathHospital EMS Run #EMS Agency IdentifierMedical Transport Not Transported Trapped/Extricated Not Applicable Ejection Path Not Ejected/Not Applicable Ejected Not Applicable Airbag Not Applicable Injury Severity No Apparent 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 3 Safety Equipment None Used - Vehicle Occupant On Duty Crash 01 ber State: Wisconsin Country: UNITED STATES Address HAYWARD, WI 54843 , US RaceINDIANDate of Birth 05/27/ Sex Male Citations Issued 0 PassengerSTEVEN P SMITH IN D I V I D U A L UN I T Injury Drug & Alcohol Individual Non Motorist Equipment Crash Time 10:49 PM Crash Date 08/09/2017Wisconsin Motor Vehicle Crash Form DT4000 6 of 8 This report does not include any CJIS data. SAWYER COUNTY SHERIFFS DEPT 15880 EAST FIFTH STREET HAYWARD, WI 54843 (715) 634-4858 6VL131BQ6V 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 4 01 Time of DeathDate of DeathHospital EMS Run #EMS Agency IdentifierMedical Transport Not Transported Trapped/Extricated Not Applicable Ejection Path Not Ejected/Not Applicable Ejected Not Applicable Airbag Not Applicable Injury Severity No Apparent 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 4 Safety Equipment None Used - Vehicle Occupant On Duty Crash 01 Driver License NumberAddress , , RaceDate of Birth SexCitations Issued 0 Driver IN D I V I D U A L UN I T Injury Drug & Alcohol Individual Non Motorist Equipment Violations DescriptionFAILURE OF OCCUPANT TO NOTIFY POLICE OF ACCIDENTSeq Num004Statute Number346.70(1)Issue To? 001 UTC Number AE01412601 AddressUnknown01 Property Owner Crash Time 10:49 PM Crash Date 08/09/2017Wisconsin Motor Vehicle Crash Form DT4000 7 of 8 This report does not include any CJIS data. SAWYER COUNTY SHERIFFS DEPT 15880 EAST FIFTH STREET HAYWARD, WI 54843 (715) 634-4858 6VL131BQ6V Wisconsin Motor Vehicle Crash Report , , PR O P OW N E R Fixed Objects Struck Damage Tag NumberStruck Object Ditch Striking Unit 0101 Damage Tag NumberStruck Object Tree Striking Unit 0102 Crash Time 10:49 PM Crash Date 08/09/2017Wisconsin Motor Vehicle Crash Form DT4000 8 of 8 This report does not include any CJIS data.