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Home My WebLink About20180109 Skweres.pdf18010906 SAWYER COUNTY SHERIFFS DEPT 15880 EAST FIFTH STREET HAYWARD, WI 54843 (715) 634-4858 6VL14VWD6X 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 04:42 PM Date Notified 01/09/2018 Time Arrived 05:15 PM Date Arrived 01/09/2018 Crash Time 04:42 PM Crash Date 01/09/2018 Investigating Officer/Deputy DEPUTY MICHAEL SIMPSON Agency Crash NumberPrimary Crash Document #Document Number Override 6V L 1 4 V W D 6 X Additional InformationNone Photos By Reconstruction ByDiagram Description Narrative: I, a sworn law enforcement officer, agree that I have not added any CJIS data in this report. SUBJECT WAS TRAVELING SOUTH ON COLBROTH RD IN THE TOWNSHIP OF BASS LAKE COUNTY OF SAWYER. SUBJECT LOST CONTROL OF VEHICLE TO ICEY SNOW COVERED ROAD CONDITIONS. SUBJECT SLID OF ROADWAY DOWN AN EMBANKMENT AND INTO A TREE CAUSING WHAT THE DEPUTY BELIEVES TO BE MORE THAN $1, 000 IN DAMAGE TO THE VEHICLE. VEHICLE WAS TOWED BY LOCAL TOW COMPANY ROADRUNNER. Crash Time 04:42 PM Crash Date 01/09/2018Wisconsin Motor Vehicle Crash Form DT4000 1 of 4 This report does not include any CJIS data. 18010906 SAWYER COUNTY SHERIFFS DEPT 15880 EAST FIFTH STREET HAYWARD, WI 54843 (715) 634-4858 6VL14VWD6X Wisconsin Motor Vehicle Crash Report Structure Type No Structure Y Coordinate 5099113.5 X Coordinate 149911.453125 Longitude -91.517811058 Latitude 45.956208771 ON COLBROTH RD 0.36 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) Clear Environment Factor(s) Weather Conditions Roadway Factor(s) Road Surface Condition (Wet, Icy, Snow, Slush, Etc) Road Surface Condition(s) Snow, Ice Light Condition Daylight Manner of Collision No Collision W/Vehicle In Transport First Harmful Event Location Roadside First Harmful Event Embankment 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 Uphill 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 UseNot ApplicableSpecial FunctionNo Special FunctionMost Harmful Event: Collision With Embankment Total Lanes 2 Speed Limit 35Pre CrashTire Mark Direction Of Travel Southbound Insurance? YES Total HazMat Types 0 Total Trailers 0 Total # Citations Issued 0 Train/Bus # InjuredTotal Occs 1 Operating As EndorsementsVehicle Type Utility Truck/Pickup Truck Unit Type Truck Vehicle Operating As Classification D CLASS Unit Status In Transit UN I T 01 Unit Summary Extent Of Damage Functional Damage Vehicle Damage 1--Right Front Corner, 12--Front Initial Contact Point 12--Front Bus UseNot A BusBody Style 2D - 2DR Color BLK - Black Model SIERRA Year 2000 Make CHEVROLET Vehicle Identification Number 1040 Country of Issuance UNITED STATES St WI Plate Type LTK - Light Truck License Plate Number KW6492 VE H I C L E UN I T 01 Vehicle Crash Time 04:42 PM Crash Date 01/09/2018Wisconsin Motor Vehicle Crash Form DT4000 2 of 4 This report does not include any CJIS data. 18010906 SAWYER COUNTY SHERIFFS DEPT 15880 EAST FIFTH STREET HAYWARD, WI 54843 (715) 634-4858 6VL14VWD6X Wisconsin Motor Vehicle Crash Report Driver DistractionsNot Distracted Driver Actions No Contributing Action Driver Prior Action Other Vehicle Factors Other Disabled 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 Address HAYWARD, WI 54843 , US Individual 01 VE H I C L E OW N E R Vehicle Owner Sequence Of Events EventEmbankment01 EventTree02 Event 03 Event 04 IndividualInsurance Company WISCONSIN-MUTUAL-INS-CO Policy Holder UN I T Crash Time 04:42 PM Crash Date 01/09/2018Wisconsin Motor Vehicle Crash Form DT4000 3 of 4 This report does not include any CJIS data. 18010906 SAWYER COUNTY SHERIFFS DEPT 15880 EAST FIFTH STREET HAYWARD, WI 54843 (715) 634-4858 6VL14VWD6X Wisconsin Motor Vehicle Crash Report Individual Condition Appeared Normal 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 Trapped Ejection Path Not Ejected/Not Applicable Ejected Not Ejected Airbag Non Deployed 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 Shoulder & Lap Belt On Duty Crash 01 ber State: Wisconsin Country: UNITED STATES Address HAYWARD, WI 54843 , US RaceWHITEDate of Birth 02/21/ Sex Male Citations Issued 0 Driver IN D I V I D U A L UN I T Injury Drug & Alcohol Individual Non Motorist Equipment Crash Time 04:42 PM Crash Date 01/09/2018Wisconsin Motor Vehicle Crash Form DT4000 4 of 4 This report does not include any CJIS data.