Summary of Lead Service Line Inventory - Town of Northampton-Sacandaga Park Water District (NY1700022)

I. System Information

Water System Name Town of Northampton-Sacandaga Park Water District
PWS ID Number NY1700022

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

Contact Name Ken Cramer
Contact Phone Number
Contact Email Address

III. Summary of Inventory

Total Number of Service Lines in the Distribution System 233
Total Number of Identified Service Lines 77
Total Number of Lead Service Lines 0
Total Number of GSLRR 1
Total Number of Non-LSL 76
Total Number of Unknown Service Lines 156
Service Lines Lead GSL or GSLRR Non-Lead Unknown
PWS - Side Service Lines 0 3 GSL 76 157
Customer - Side Service Lines 0 3 GSL 103 129
Total Number of Service Lines in the Distribution System 0 1 GSLRR 76 156
Service Line Identification Methods
Identification Methods PWS- Side SLs Customer-Side SLs
Historical Records 80 59
Field Inspection 0 0
Customer Identification with Photo or other Verification NA 48
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

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.

_____________________________________
Name
_____________________________________
Title

Date