Summary of Lead Service Line Inventory - Village of Antwerp (NY2202330)

I. System Information

Water System Name Village of Antwerp
PWS ID Number NY2202330

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

Contact Name Franklyn Marshall
Contact Phone Number 315 659-8121
Contact Email Address antwerpvillage@yahoo.com

III. Summary of Inventory

Total Number of Service Lines in the Distribution System 266
Total Number of Identified Service Lines 75
Total Number of Lead Service Lines 0
Total Number of GSLRR 0
Total Number of Non-LSL 75
Total Number of Unknown Service Lines 191
Service Lines Lead GSL or GSLRR Non-Lead Unknown
PWS - Side Service Lines 0 50 GSL 216 0
Customer - Side Service Lines 0 8 GSL 67 191
Total Number of Service Lines in the Distribution System 0 0 GSLRR 75 191
Service Line Identification Methods
Identification Methods PWS- Side SLs Customer-Side SLs
Historical Records 216 2
Field Inspection 0 73
Customer Identification with Photo or other Verification NA 0
Excavation 2 0
Sequential Sampling 0 0
Statistical Analysis/Predictive Model 48 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. email the village at: antwerpvillage@yahoo.com
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.

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Name
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Title
10/16/24
Date