Summary of Lead Service Line Inventory - Country Club Estates (NY0121401)

I. System Information

Water System Name Country Club Estates
PWS ID Number NY0121401

II. Contact Information for Owner / Licensed Operator of Record Completing the Form

Contact Name Ryan Green
Contact Phone Number 518-577-3547
Contact Email Address rgreen@townofnewscotland.com

III. Summary of Inventory

Total Number of Service Lines in the Distribution System 41
Total Number of Identified Service Lines 41
Total Number of Lead Service Lines 0
Total Number of GSLRR 0
Total Number of Non-LSL 41
Total Number of Unknown Service Lines 0
Service Lines Lead GSL or GSLRR Non-Lead Unknown
PWS - Side Service Lines 0 0 GSL 41 0
Customer - Side Service Lines 0 0 GSL 41 0
Total Number of Service Lines in the Distribution System 0 0 GSLRR 41 0
Service Line Identification Methods
Identification Methods PWS- Side SLs Customer-Side SLs
Historical Records 41 0
Field Inspection 0 41
Customer Identification with Photo or other Verification NA 0
Excavation 0 0
Sequential Sampling 0 0
Statistical Analysis/Predictive Model 0 0

IV. Inventory Availability - The inventory must be available to public

If 50,000 customers or greater: Posting the inventory online water system's website. 2029 New Scotland Rd, Slingerlands NY 12159
If under 50,000 customers: Explain how to access the inventory Printed information available at our municipal office.

V. Certifications

By submitting this form, I have verified and certify the information listed in this form is true and accurate to the best of my knowledge and belief.

Ryan Green
Name
Operator
Title
10/16/24
Date