Summary of Lead Service Line Inventory - Village of Black River (NY2202331)

I. System Information

Water System Name Village of Black River
PWS ID Number NY2202331

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

Contact Name Eric Nier
Contact Phone Number 315-773-5092 315-773-5721
Contact Email Address superintendent@blackriverny.org

III. Summary of Inventory

Total Number of Service Lines in the Distribution System 477
Total Number of Identified Service Lines 438
Total Number of Lead Service Lines 0
Total Number of GSLRR 147
Total Number of Non-LSL 291
Total Number of Unknown Service Lines 39
Service Lines Lead GSL or GSLRR Non-Lead Unknown
PWS - Side Service Lines 0 35 GSL 303 140
Customer - Side Service Lines 0 180 GSL 269 28
Total Number of Service Lines in the Distribution System 0 147 GSLRR 291 39
Service Line Identification Methods
Identification Methods PWS- Side SLs Customer-Side SLs
Historical Records 140 68
Field Inspection 23 370
Customer Identification with Photo or other Verification NA 2
Excavation 38 6
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 Village Office 107 Jefferson Place Black River NY 13612

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.

Leslie Williams
Name
Superintendent of Public Works
Title
10/09/24
Date