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SAWYER COUNTY SHERIFFS DEPT
15880 EAST FIFTH STREET
HAYWARD, WI 54843
(715) 634-4858
6VL0Z6J8VX WISCONSIN MOTOR VEHICLE
CRASH REPORT
Secondary
CrashAmendedCrash Type
PRIVATE PROPERTY/PARKING LOTReportable
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
07:33 PM
Date Notified
10/22/2020
Time Arrived
08:08 PM
Date Arrived
10/22/2020
Crash Time
07:33 PM
Crash Date
10/22/2020
Investigating Officer/Deputy
DEPUTY MATHIAS HALBUR
Agency Crash Number
20102209
Primary Crash Document #Document Number Override
6VL0Z6J8VXAdditional InformationPHOTOS
Photos ByDEP. MATHIAS HALBUR #318
Reconstruction ByDiagram
Description
I, a sworn law enforcement officer, agree that I have not added any CJIS data in this report.
ON OCTOBER 22ND, 2020, I DEPUTY MATHIAS HALBUR WAS ON DUTY FOR THE SAWYER COUNTY SHERIFF'S OFFICE. I WAS REQUESTED BY DISPATCH TO
RESPOND TO THE LCO TRIBAL OFFICE REFERENCE A SINGLE VEHICLE PROPERTY DAMAGE ACCIDENT WITH NO INJURIES. DISPATCH ENTERED THE PLATE
OF THE VEHICLE INVOLVED AS WITH THE DRIVER BEING THE REGISTERED OWNER, DOB: / / THE VEHICLE CAME
BACK ON A WHITE 2017 GMC ACADIA. I ARRIVED AT THE LCO TRIBAL OFFICE LOCATED AT 13380 TREPANIA RD. AT 7:56 PM. I DID NOT OBSERVE ANYONE OR
ANY VEHICLES MATCHING THE DESCRIPTION GIVEN TO ME BY DISPATCH. I ATTEMPTED PHONE CONTACT WITH BUT WAS UNSUCCESSFUL AS
THERE WAS NO PHONE SERVICE IN THE PARKING LOT OF THE TRIBAL OFFICE. I DROVE TO SEVERAL DIFFERENT PARTS OF THE PARKING LOT AND WAS
ABLE TO GET SUFFICIENT SERVICE TO MAKE A PHONE CALL. I CONTACTED USING A PHONE NUMBER OF ( )- SAID THAT
SHE WAS AT HER RESIDENCE WITH THE VEHICLE AT ALSO TOLD ME THAT SHE HAD HIT A LAMPPOST IN THE PARKING LOT
WHILE PULLING OUT OF HER PARKING SPOT, WHICH WAS DIRECTLY NEXT TO THE LAMPPOST. THE LAMPPOST THAT SHE HAD DESCRIBED WAS NOT
ILLUMINATED. QUADERER TOLD ME THAT SHE HAD ATTEMPTED TO CALL THE SHERIFF'S OFFICE BUT BECAUSE OF THE LACK OF SERVICE, DROVE THE
VEHICLE TO HER RESIDENCE AND CALLED WHEN SHE HAD SERVICE. I THEN CLEARED FROM THE TRIBAL OFFICE AND BEGAN EN ROUTE TO
RESIDENCE AT APPROXIMATELY 8:00 PM. I ARRIVED AT THE RESIDENCE AT 8:08 PM. I MET WITH AND ASKED IF SHE WAS INJURED AT ALL IN THE
Crash Time 07:33 PM
Crash Date 10/22/2020Wisconsin Motor Vehicle Crash
Form DT4000 1 of 4
This report does not include any CJIS data.
318
SAWYER COUNTY SHERIFFS DEPT
15880 EAST FIFTH STREET
HAYWARD, WI 54843
(715) 634-4858
6VL0Z6J8VX WISCONSIN MOTOR VEHICLE
CRASH REPORT
CRASH. SHE SAID SHE WAS NOT. I OBSERVED DAMAGE TO THE LEFT FRONT QUARTER PANEL OF THE VEHICLE, WITH YELLOW PAINT SCRAPED ON THE
BUMPER. THE LAMPPOST THAT TOLD ME SHE HAD HIT HAD A YELLOW CONCRETE BASE. I ASKED IF SHE HAD INSURANCE AND SHE
SAID SHE DID, THROUGH NATIONAL GENERAL INSURANCE, POLICY # THIS WAS A VALID INSURANCE POLICY. I PROVIDED WITH THE
AGENCY CASE NUMBER FOR T
Structure Type
NO STRUCTURE
Y Coordinate
5096855.5
X Coordinate
161598.640625
Longitude
-91.365847283
Latitude
45.941803299
ON TREPANIA RD
0.52 MI E
OF CTHE SB
IN THE TOWN OF BASS LAKE
IN SAWYER COUNTY
Location
Special StudyAccess Control
NO CONTROL
Tribal Land
LAC COURTE OREILLES BAND
Crash Classification - Jurisdiction
INDIAN RESERVATION/TRUST
Crash Classification - Location
TRIBAL LAND
Relation To Trafficway
NON TRAFFICWAY - PARKING LOT
Animal Type
Weather Condition(s)
RAIN
Environment Factor(s)
WEATHER CONDITIONS
Roadway Factor(s)
NOT APPLICABLE
Road Surface Condition(s)
WET
Light Condition
DARK/UNLIT
Manner of Collision
00 - NO COLLISION W/VEHICLE IN TRANSPORT
First Harmful Event Location
IN PARKING LANE OR ZONE
First Harmful Event
OTHER POST, POLE OR SUPPORT
Crash Scene
Intersection Type
NOT AN INTERSECTION
Junction Location
NON-JUNCTION
Within Interchange Area
NO
Truck Bus or HazMat
NO
Road Grade
LEVEL
Road Curvature
STRAIGHT
Surface Type
BLACKTOP (BITUMINOUS)
Traffic Control Inoperative/Missing
NO
Traffic Control
NO CONTROL
Traffic Way
PARKING LOT OR PRIVATE PROPERTY
Emergency Motor Vehicle Use
NOT APPLICABLE
Special Function
NO SPECIAL FUNCTION
Most Harmful Event: Collision With
OTHER POST, POLE OR SUPPORT
Total Lanes
0
Speed Limit
10
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
UNITInitial Contact Point
11 - LEFT FRONT CORNER
Bus UseBody Style
UT - SPORT UTILITY VEHICLE
Color
WHI - WHITE
Model
ACADIA
Year
2017
Make
GENERAL MOTORS COR
Vehicle Identification Number
08950101 Country of Issuance
UNITED STATES
St
WI
Plate Type
AUT - AUTOMOBILE
License Plate Number
Vehicle
Crash Time 07:33 PM
Crash Date 10/22/2020Wisconsin Motor Vehicle Crash
Form DT4000 2 of 4
This report does not include any CJIS data.
318
SAWYER COUNTY SHERIFFS DEPT
15880 EAST FIFTH STREET
HAYWARD, WI 54843
(715) 634-4858
6VL0Z6J8VX WISCONSIN MOTOR VEHICLE
CRASH REPORT
Owner Address
HAYWARD, WI 54843 , US
Owner Name
0101Driver Actions
NO CONTRIBUTING ACTION, OVER-CORRECTING/OVER-STEERING
Driver Prior Action Other
Vehicle Factors
NOT APPLICABLE
What Driver Was Doing
LEFT TURN
Vehicle Removed By
OPERATOR
Towed Due To Damage
NOT TOWED
Extent Of Damage
FUNCTIONAL DAMAGE
Vehicle Damage
10 - LEFT SIDE FRONT, 11 - LEFT FRONT CORNER
VEHICLEUNITUNITVEHICLE Sequence Of Events
Event
MOTOR VEH IN TRANSPORT01
Event
LEFT TURN02
Event
OTHER POST, POLE OR SUPPORT03
Event
DOWNHILL RUNAWAY04
Individual
Insurance Company
NATIONAL-GENERAL-INS-CO
Policy Holder
UNITInjury
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
07 - LEFT
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
INDIAN
Date of Birth
03/10/
Sex
FEMALE
Citations Issued
0
Driver
ITSafety Equipment
Individual
UNINDIVIDUALCrash Time 07:33 PM
Crash Date 10/22/2020Wisconsin Motor Vehicle Crash
Form DT4000 3 of 4
This report does not include any CJIS data.
318
SAWYER COUNTY SHERIFFS DEPT
15880 EAST FIFTH STREET
HAYWARD, WI 54843
(715) 634-4858
6VL0Z6J8VX WISCONSIN MOTOR VEHICLE
CRASH REPORT
Distracted By
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 #
Distracted By Action
NOT DISTRACTED
Distracted By Source
NOT APPLICABLE (NOT DISTRACTED)UNITNon Motorist
INDIVIDUALCrash Time 07:33 PM
Crash Date 10/22/2020Wisconsin Motor Vehicle Crash
Form DT4000 4 of 4
This report does not include any CJIS data.