Summary of Lead Service Line Inventory - Indian Lake water district #1 - Blue Mt. Lake WD (NY2000135)

I. System Information

Water System Name Indian Lake water district #1 - Blue Mt. Lake WD
PWS ID Number NY2000135

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

Contact Name Patrick Mahoney
Contact Phone Number 518 648 5303
Contact Email Address wastewater2@frontiernet.net

III. Summary of Inventory

Total Number of Service Lines in the Distribution System 180
Total Number of Identified Service Lines 180
Total Number of Lead Service Lines 0
Total Number of GSLRR 0
Total Number of Non-LSL 180
Total Number of Unknown Service Lines 0
Service Lines Lead GSL or GSLRR Non-Lead Unknown
PWS - Side Service Lines 0 1 GSL 180 0
Customer - Side Service Lines 0 1 GSL 179 0
Total Number of Service Lines in the Distribution System 0 0 GSLRR 180 0
Service Line Identification Methods
Identification Methods PWS- Side SLs Customer-Side SLs
Historical Records 45 1
Field Inspection 36 57
Customer Identification with Photo or other Verification NA 41
Excavation 31 19
Sequential Sampling 0 0
Statistical Analysis/Predictive Model 59 63

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 at Town 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.

Patrick Mahoney
Name
Water Superintendent
Title
10/01/24
Date