Summary of Lead Service Line Inventory - Ticonderoga Water District (NY1500293)

I. System Information

Water System Name Ticonderoga Water District
PWS ID Number NY1500293

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

Contact Name Derrick Fleury
Contact Phone Number 518-585-7855
Contact Email Address tiwater@townofticonderoga.org

III. Summary of Inventory

Total Number of Service Lines in the Distribution System 1727
Total Number of Identified Service Lines 407
Total Number of Lead Service Lines 1
Total Number of GSLRR 0
Total Number of Non-LSL 406
Total Number of Unknown Service Lines 1320
Service Lines Lead GSL or GSLRR Non-Lead Unknown
PWS - Side Service Lines 0 0 GSL 634 1092
Customer - Side Service Lines 1 3 GSL 414 1308
Total Number of Service Lines in the Distribution System 1 0 GSLRR 406 1320
Service Line Identification Methods
Identification Methods PWS- Side SLs Customer-Side SLs
Historical Records 356 184
Field Inspection 3 2
Customer Identification with Photo or other Verification NA 8
Excavation 286 198
Sequential Sampling 0 0
Statistical Analysis/Predictive Model 0 1

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 Inventory list is located at 137 Burgoyne Road Ticonderoga, NY 12883

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.

Derrick Fleury
Name
Water & Sewer Superindendent
Title
10/07/24
Date