Summary of Lead Service Line Inventory - Hensonville (Windham W.D.) (NY1900029)

I. System Information

Water System Name Hensonville (Windham W.D.)
PWS ID Number NY1900029

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

Contact Name Kyle Schwarz
Contact Phone Number 607 643 1519
Contact Email Address kschwarz@windhammountain.com

III. Summary of Inventory

Total Number of Service Lines in the Distribution System 298
Total Number of Identified Service Lines 298
Total Number of Lead Service Lines 0
Total Number of GSLRR 0
Total Number of Non-LSL 298
Total Number of Unknown Service Lines 0
Service Lines Lead GSL or GSLRR Non-Lead Unknown
PWS - Side Service Lines 0 0 GSL 298 0
Customer - Side Service Lines 0 0 GSL 298 0
Total Number of Service Lines in the Distribution System 0 0 GSLRR 298 0
Service Line Identification Methods
Identification Methods PWS- Side SLs Customer-Side SLs
Historical Records 0 0
Field Inspection 0 0
Customer Identification with Photo or other Verification NA 0
Excavation 298 298
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.
If under 50,000 customers: Explain how to access the inventory 371 NY-296, Hensonville, NY 12439

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.

Kyle Schwarz
Name
_____________________________________
Title

Date