Summary of Lead Service Line Inventory - Nature Preserve (NY1330679)

I. System Information

Water System Name Nature Preserve
PWS ID Number NY1330679

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

Contact Name Tyler Post
Contact Phone Number 845-677-3839
Contact Email Address tylerp@vri-usa.com

III. Summary of Inventory

Total Number of Service Lines in the Distribution System 50
Total Number of Identified Service Lines 50
Total Number of Lead Service Lines 0
Total Number of GSLRR 0
Total Number of Non-LSL 50
Total Number of Unknown Service Lines 0
Service Lines Lead GSL or GSLRR Non-Lead Unknown
PWS - Side Service Lines 0 0 GSL 50 0
Customer - Side Service Lines 0 0 GSL 50 0
Total Number of Service Lines in the Distribution System 0 0 GSLRR 50 0
Service Line Identification Methods
Identification Methods PWS- Side SLs Customer-Side SLs
Historical Records 0 0
Field Inspection 0 0
Customer Identification with Photo or other Verification NA 0
Excavation 0 0
Sequential Sampling 0 0
Statistical Analysis/Predictive Model 50 50

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 Please contact VRI at 845-677-3839 for copies

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.

Tyler Post
Name
Operations Director
Title

Date