Summary of Lead Service Line Inventory - Norwich Town Water District #3 (NY0830015)

I. System Information

Water System Name Norwich Town Water District #3
PWS ID Number NY0830015

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

Contact Name Edward Pepe, PE
Contact Phone Number 607-334-1255
Contact Email Address edwardpepe@norwichnewyork.net

III. Summary of Inventory

Total Number of Service Lines in the Distribution System 44
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 5
Service Lines Lead GSL or GSLRR Non-Lead Unknown
PWS - Side Service Lines 0 0 GSL 45 0
Customer - Side Service Lines 0 0 GSL 39 5
Total Number of Service Lines in the Distribution System 0 0 GSLRR 39 5
Service Line Identification Methods
Identification Methods PWS- Side SLs Customer-Side SLs
Historical Records 45 0
Field Inspection 0 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 www.norwichnewyork.net

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.

Edward Pepe
Name
Superintendent of DPW
Title

Date