Summary of Lead Service Line Inventory - Ausable Heights Water System (NY0910809)

I. System Information

Water System Name Ausable Heights Water System
PWS ID Number NY0910809

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

Contact Name Rusty Gravelle
Contact Phone Number (518)834-7238
Contact Email Address wastewater@townofausable.com

III. Summary of Inventory

Total Number of Service Lines in the Distribution System 30
Total Number of Identified Service Lines 25
Total Number of Lead Service Lines 0
Total Number of GSLRR 0
Total Number of Non-LSL 25
Total Number of Unknown Service Lines 5
Service Lines Lead GSL or GSLRR Non-Lead Unknown
PWS - Side Service Lines 0 0 GSL 25 5
Customer - Side Service Lines 0 0 GSL 25 5
Total Number of Service Lines in the Distribution System 0 0 GSLRR 25 5
Service Line Identification Methods
Identification Methods PWS- Side SLs Customer-Side SLs
Historical Records 6 3
Field Inspection 7 13
Customer Identification with Photo or other Verification NA 0
Excavation 13 9
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 111 Ausable Street Keeseville ny12944

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.

_____________________________________
Name
Water Operator
Title
10/15/24
Date