Summary of Lead Service Line Inventory - Ausable Forks Water District (NY1516260)
I. System Information
| Water System Name |
Ausable Forks Water District |
| PWS ID Number |
NY1516260 |
II. Contact Information for Owner / Licensed Operator of Record Completing the Form
| Contact Name |
Paul Mintz |
|---|
| Contact Phone Number |
518-578-5957 |
| Contact Email Address |
watersewersuper@townofjayny.gov |
III. Summary of Inventory
| Total Number of Service Lines in the Distribution System |
237 |
| Total Number of Identified Service Lines |
39 |
| Total Number of Lead Service Lines |
0 |
| Total Number of GSLRR |
17 |
| Total Number of Non-LSL |
22 |
| Total Number of Unknown Service Lines |
198 |
| Service Lines |
Lead |
GSL or GSLRR |
Non-Lead |
Unknown |
| PWS - Side Service Lines |
0 |
1 GSL |
27 |
209 |
| Customer - Side Service Lines |
0 |
17 GSL |
134 |
86 |
| Total Number of Service Lines in the Distribution System |
0 |
17 GSLRR |
22 |
198 |
Service Line Identification Methods
| Identification Methods |
PWS- Side SLs |
Customer-Side SLs |
| Historical Records |
28 |
20 |
| Field Inspection |
0 |
0 |
| Customer Identification with Photo or other Verification |
NA |
131 |
| 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.
______________Paul Mintz____________
Name |
_________Chief Water Operator________
Title |
Date |
