Summary of Lead Service Line Inventory - Chelsea Ridge Apartments (NY1303216)

I. System Information

Water System Name Chelsea Ridge Apartments
PWS ID Number NY1303216

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

Contact Name Shannon McGarvey
Contact Phone Number 845--831-4745
Contact Email Address smcgarvey@dawnhomes.com

III. Summary of Inventory

Total Number of Service Lines in the Distribution System 38
Total Number of Identified Service Lines 38
Total Number of Lead Service Lines 0
Total Number of GSLRR 0
Total Number of Non-LSL 38
Total Number of Unknown Service Lines 0
Service Lines Lead GSL or GSLRR Non-Lead Unknown
PWS - Side Service Lines 0 0 GSL 38 0
Customer - Side Service Lines 0 0 GSL 38 0
Total Number of Service Lines in the Distribution System 0 0 GSLRR 38 0
Service Line Identification Methods
Identification Methods PWS- Side SLs Customer-Side SLs
Historical Records 0 0
Field Inspection 3 0
Customer Identification with Photo or other Verification NA 37
Excavation 6 1
Sequential Sampling 0 0
Statistical Analysis/Predictive Model 29 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 Contact Chelsea Ridge 845-831-4745

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.

Shannon McGarvey
Name
Property Manager
Title
07/23/24
Date