Summary of Lead Service Line Inventory - Twin Pines Estates (NY1701514)

I. System Information

Water System Name Twin Pines Estates
PWS ID Number NY1701514

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

Contact Name Kevin Moore
Contact Phone Number 518-339-0266
Contact Email Address cccreekside@aol.com

III. Summary of Inventory

Total Number of Service Lines in the Distribution System 16
Total Number of Identified Service Lines 16
Total Number of Lead Service Lines 0
Total Number of GSLRR 0
Total Number of Non-LSL 16
Total Number of Unknown Service Lines 0
Service Lines Lead GSL or GSLRR Non-Lead Unknown
PWS - Side Service Lines 0 16 GSL 0 0
Customer - Side Service Lines 0 16 GSL 0 0
Total Number of Service Lines in the Distribution System 0 0 GSLRR 16 0
Service Line Identification Methods
Identification Methods PWS- Side SLs Customer-Side SLs
Historical Records 0 0
Field Inspection 14 14
Customer Identification with Photo or other Verification NA 0
Excavation 2 2
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 Available in Office

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.

Kevin Moore
Name
Owner
Title
12/31/24
Date