Summary of Lead Service Line Inventory - Lewis WD (NY1500285)

I. System Information

Water System Name Lewis WD
PWS ID Number NY1500285

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

Contact Name Andy Cassavaugh, Water Operator
Contact Phone Number 518-390-3884
Contact Email Address acassavaugh72@yahoo.com

III. Summary of Inventory

Total Number of Service Lines in the Distribution System 124
Total Number of Identified Service Lines 124
Total Number of Lead Service Lines 0
Total Number of GSLRR 0
Total Number of Non-LSL 124
Total Number of Unknown Service Lines 0
Service Lines Lead GSL or GSLRR Non-Lead Unknown
PWS - Side Service Lines 0 0 GSL 124 0
Customer - Side Service Lines 0 29 GSL 95 0
Total Number of Service Lines in the Distribution System 0 0 GSLRR 124 0
Service Line Identification Methods
Identification Methods PWS- Side SLs Customer-Side SLs
Historical Records 124 0
Field Inspection 0 18
Customer Identification with Photo or other Verification NA 106
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 www.lewisny.com

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.

Andy Cassavaugh
Name
Water Operator
Title
04/12/24
Date