Summary of Lead Service Line Inventory - Northway Mobile Home Park (NY0901535)

I. System Information

Water System Name Northway Mobile Home Park
PWS ID Number NY0901535

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

Contact Name Bonnie Dutton
Contact Phone Number 518-561-8939
Contact Email Address bdutton56@charter.net

III. Summary of Inventory

Total Number of Service Lines in the Distribution System 41
Total Number of Identified Service Lines 23
Total Number of Lead Service Lines 0
Total Number of GSLRR 0
Total Number of Non-LSL 23
Total Number of Unknown Service Lines 18
Service Lines Lead GSL or GSLRR Non-Lead Unknown
PWS - Side Service Lines 0 0 GSL 24 17
Customer - Side Service Lines 0 0 GSL 23 18
Total Number of Service Lines in the Distribution System 0 0 GSLRR 23 18
Service Line Identification Methods
Identification Methods PWS- Side SLs Customer-Side SLs
Historical Records 24 0
Field Inspection 0 23
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 at 5 Northway Court Plattsburgh NY 12901

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.

Bonnie Dutton
Name
Property Manager
Title
12/02/24
Date