Summary of Lead Service Line Inventory - Holly Park Terrace LLC (NY0700777)

I. System Information

Water System Name Holly Park Terrace LLC
PWS ID Number NY0700777

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

Contact Name Robert Nocchi
Contact Phone Number 607-738-6230 or 607-565-4535
Contact Email Address palmerhomes@hotmail.com

III. Summary of Inventory

Total Number of Service Lines in the Distribution System 98
Total Number of Identified Service Lines 98
Total Number of Lead Service Lines 0
Total Number of GSLRR 0
Total Number of Non-LSL 98
Total Number of Unknown Service Lines 0
Service Lines Lead GSL or GSLRR Non-Lead Unknown
PWS - Side Service Lines 0 58 GSL 40 0
Customer - Side Service Lines 0 0 GSL 98 0
Total Number of Service Lines in the Distribution System 0 0 GSLRR 98 0
Service Line Identification Methods
Identification Methods PWS- Side SLs Customer-Side SLs
Historical Records 0 0
Field Inspection 98 98
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: 858 Roberts Hollow Lowman,NY
If under 50,000 customers: Explain how to access the inventory Community bulletin board

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.

Robert Nocchi
Name
Water Operator
Title
09/30/24
Date