Summary of Lead Service Line Inventory - Town of Dickinson WD 5 (NY0311221)

I. System Information

Water System Name Town of Dickinson WD 5
PWS ID Number NY0311221

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

Contact Name Matthew Fitzpatrick
Contact Phone Number 607-723-3099
Contact Email Address mfitzpatrick@townofdickinson.com

III. Summary of Inventory

Total Number of Service Lines in the Distribution System 39
Total Number of Identified Service Lines 39
Total Number of Lead Service Lines 0
Total Number of GSLRR 0
Total Number of Non-LSL 39
Total Number of Unknown Service Lines 0
Service Lines Lead GSL or GSLRR Non-Lead Unknown
PWS - Side Service Lines 0 0 GSL 39 0
Customer - Side Service Lines 0 0 GSL 39 0
Total Number of Service Lines in the Distribution System 0 0 GSLRR 39 0
Service Line Identification Methods
Identification Methods PWS- Side SLs Customer-Side SLs
Historical Records 30 0
Field Inspection 9 39
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. Address:
If under 50,000 customers: Explain how to access the inventory Posted on the bulleting board at the town hall, and on the town website

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.

Matthew Fitzpatrick
Name
Water/Sewer Superintendent
Title
10/24/24
Date