A Pilatus PC-12/45 in Los Angeles, California. (AaronP/Bauer-Griffin/GC Images)

A medical transport flight that unsuccessful in a mountainous area in northern Nevada, killing five all five country aboard the plane including a patient, apparently broke apart beforehand hitting the ground, authorities said Sunday.

The National Transportation Safety Board has sent in a seven-member team of investigators to the site of Friday night's fracture near Stagecoach.

"How do we know if the airplane weak up in flight? We found parts of the airplane one-half to three-quarters of a mile away" from the fracture scene, NTSB Vice Chair Bruce Landsberg said at a news briefing in Carson City.

Landsberg said in the afternoon briefing that a team consumed all day looking for pieces of the downed plane. He added investigators would likely be on site for some days before the wreckage of the single-engine Pilatus PC-12 is conquered so investigators can try to determine a possible fracture cause. The plane was built in 2002.

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"Right now, we just don't know. This is like a three dimensional puzzle," Landsberg said. "It's harder when you don't have the pieces all in one place."

The fracture occurred amid a winter storm warning issued by the National Weather Service in Reno for gigantic swaths of Nevada, including parts of Lyon County. It was snowing steadily with winds nearby 20 mph (30 kph) and gusts up to 30 mph (50 kph).

Visibility was thought two miles (3.2 kilometers) with a cloud ceiling nearby 2,000 feet (600 meters) above ground when the flights left Reno for Salt Lake City, Utah, and went down, according to the climate service.

Care Flight, which provides ambulance service by plane and helicopter, identified the downed aircraft and said the pilot, a flights nurse, a flight paramedic, a patient and a patient's tribe member all died.

Robin Hays, a Stagecoach resident and a weak flight nurse, said she heard the sputtering plane fly over her house beforehand crashing behind her property.

"I knew the plane was in trouble," Hays told the Reno Gazette Journal. "I knew it was going to crash. I was just hoping it wasn't moving to crash into my house."

Hays called 911 and went outside but could not see the wreckage because of the blowing snow.

Misty Gruenemay told the newspaper that the wind was howling and the snow blowing hard when she heard what sounded like a whiz and a thump leisurely her house in Stagecoach. The rural community is home to approximately 2,500 residents and located about 45 miles (72 kilometers) southeast of Reno.

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Gruenemay said she demanded to help but conditions were terrible and she didn't have a vehicle that could safely fade the unpaved roads buried in 6 inches of snow.

"It was snowing and visibility was irascible. I don't even understand why that plane was decided to take off," Gruenemay said.

The Lyon County Sheriff's organization said authorities began receiving calls about the crash near Stagecoach, Nevada, around 9:15 p.m. and found the wreckage two hours later.

Care Flight officials said it was erecting all flights and will work with each of its operations to choose when it will return to service.

According to the Federal Aviation Administration, the plane was registered to Guardian Flight, based in South Jordan, Utah. Care Flight is a service of REMSA Health in Reno and Guardian Flight.

More than half a million medical patients use air ambulance facilities each month in the U.S., according to the National Association of Insurance Commissioners' website.