Summary of Lead Service Line Inventory - Deferiet Village (NY2202336)

I. System Information

Water System Name Deferiet Village
PWS ID Number NY2202336

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

Contact Name Keith Heames
Contact Phone Number 315-767-3096
Contact Email Address keithheames@yahoo.com

III. Summary of Inventory

Total Number of Service Lines in the Distribution System 174
Total Number of Identified Service Lines 174
Total Number of Lead Service Lines 0
Total Number of GSLRR 0
Total Number of Non-LSL 174
Total Number of Unknown Service Lines 0
Service Lines Lead GSL or GSLRR Non-Lead Unknown
PWS - Side Service Lines 0 0 GSL 174 0
Customer - Side Service Lines 0 46 GSL 128 0
Total Number of Service Lines in the Distribution System 0 0 GSLRR 174 0
Service Line Identification Methods
Identification Methods PWS- Side SLs Customer-Side SLs
Historical Records 174 174
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 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. 68 Riverside Dr. p.o box# 243 Deferiet,
If under 50,000 customers: Explain how to access the inventory NY 13628

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.

Keith Heames
Name
V/o Deferiet DPW Superintendent
Title
10/16/24
Date