Summary of Lead Service Line Inventory - Sleepy Hollow Lake (NY1915264)

I. System Information

Water System Name Sleepy Hollow Lake
PWS ID Number NY1915264

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

Contact Name Timothy Moreton
Contact Phone Number 1-845-677-3839
Contact Email Address timm@vri-usa.com

III. Summary of Inventory

Total Number of Service Lines in the Distribution System 880
Total Number of Identified Service Lines 880
Total Number of Lead Service Lines 0
Total Number of GSLRR 0
Total Number of Non-LSL 880
Total Number of Unknown Service Lines 0
Service Lines Lead GSL or GSLRR Non-Lead Unknown
PWS - Side Service Lines 0 0 GSL 880 0
Customer - Side Service Lines 0 0 GSL 880 0
Total Number of Service Lines in the Distribution System 0 0 GSLRR 880 0
Service Line Identification Methods
Identification Methods PWS- Side SLs Customer-Side SLs
Historical Records 880 0
Field Inspection 0 0
Customer Identification with Photo or other Verification NA 0
Excavation 0 0
Sequential Sampling 0 0
Statistical Analysis/Predictive Model 0 880

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 Access will be at www.sleepyhollowlake.org on the members only page

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.

Timothy Moreton
Name
Operator
Title
09/13/24
Date