Summary of Lead Service Line Inventory - Port Henry Water District (NY1500290)
I. System Information
| Water System Name |
Port Henry Water District |
| PWS ID Number |
NY1500290 |
II. Contact Information for Owner / Licensed Operator of Record Completing the Form
| Contact Name |
Matthew Brassard |
|---|
| Contact Phone Number |
518-546-8631 |
| Contact Email Address |
supervisor@townofmoriahny.gov |
III. Summary of Inventory
| Total Number of Service Lines in the Distribution System |
533 |
| Total Number of Identified Service Lines |
510 |
| Total Number of Lead Service Lines |
4 |
| Total Number of GSLRR |
36 |
| Total Number of Non-LSL |
470 |
| Total Number of Unknown Service Lines |
23 |
| Service Lines |
Lead |
GSL or GSLRR |
Non-Lead |
Unknown |
| PWS - Side Service Lines |
0 |
0 GSL |
512 |
21 |
| Customer - Side Service Lines |
4 |
36 GSL |
491 |
2 |
| Total Number of Service Lines in the Distribution System |
4 |
36 GSLRR |
470 |
23 |
Service Line Identification Methods
| Identification Methods |
PWS- Side SLs |
Customer-Side SLs |
| Historical Records |
512 |
34 |
| Field Inspection |
0 |
347 |
| Customer Identification with Photo or other Verification |
NA |
150 |
| 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: N/A |
| If under 50,000 customers: Explain how to access the inventory |
The inventory will be kept on file at the Town office. Statement will be added to the Annual Water Quality Report. |
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.
__________Matthew Brassard____________
Name |
___________Town Supervisor___________
Title |
Date |
