Summary of Lead Service Line Inventory - Delaware County Chapter New York State ARC (NY1215515)

I. System Information

Water System Name Delaware County Chapter New York State ARC
PWS ID Number NY1215515

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

Contact Name Shane Boice (operator)
Contact Phone Number 607-267-6871
Contact Email Address wwtp@villageofwalton.com

III. Summary of Inventory

Total Number of Service Lines in the Distribution System 1
Total Number of Identified Service Lines 1
Total Number of Lead Service Lines 0
Total Number of GSLRR 0
Total Number of Non-LSL 1
Total Number of Unknown Service Lines 0
Service Lines Lead GSL or GSLRR Non-Lead Unknown
PWS - Side Service Lines 0 0 GSL 1 0
Customer - Side Service Lines 0 0 GSL 1 0
Total Number of Service Lines in the Distribution System 0 0 GSLRR 1 0
Service Line Identification Methods
Identification Methods PWS- Side SLs Customer-Side SLs
Historical Records 1 0
Field Inspection 0 0
Customer Identification with Photo or other Verification NA 1
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:34570 State Highway 10 Suite 1, Walton, NY 13856
If under 50,000 customers: Explain how to access the inventory File on site with photo

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.

Shane Boice
Name
Operator
Title
06/12/22
Date