Summary of Lead Service Line Inventory - Halcottsville Water District (NY1200264)

I. System Information

Water System Name Halcottsville Water District
PWS ID Number NY1200264

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

Contact Name Town of Middletown – Sarah Hubbell
Contact Phone Number 845-586-4566
Contact Email Address middtwnnclerk@gmail.com

III. Summary of Inventory

Total Number of Service Lines in the Distribution System 36
Total Number of Identified Service Lines 19
Total Number of Lead Service Lines 0
Total Number of GSLRR 0
Total Number of Non-LSL 19
Total Number of Unknown Service Lines 17
Service Lines Lead GSL or GSLRR Non-Lead Unknown
PWS - Side Service Lines 0 0 GSL 36 0
Customer - Side Service Lines 0 0 GSL 19 17
Total Number of Service Lines in the Distribution System 0 0 GSLRR 19 17
Service Line Identification Methods
Identification Methods PWS- Side SLs Customer-Side SLs
Historical Records 36 0
Field Inspection 0 15
Customer Identification with Photo or other Verification NA 4
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

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.

Sarah Hubbell
Name
Town Clerk / Water Clerk
Title
10/17/24
Date