Summary of Lead Service Line Inventory - Village of Copenhagen (NY2402361)

I. System Information

Water System Name Village of Copenhagen
PWS ID Number NY2402361

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

Contact Name Richard Ross
Contact Phone Number 315-688-4229
Contact Email Address dpw@villageofcopenhagen.com

III. Summary of Inventory

Total Number of Service Lines in the Distribution System 256
Total Number of Identified Service Lines 147
Total Number of Lead Service Lines 0
Total Number of GSLRR 1
Total Number of Non-LSL 146
Total Number of Unknown Service Lines 109
Service Lines Lead GSL or GSLRR Non-Lead Unknown
PWS - Side Service Lines 0 19 GSL 192 45
Customer - Side Service Lines 0 1 GSL 146 109
Total Number of Service Lines in the Distribution System 0 1 GSLRR 146 109
Service Line Identification Methods
Identification Methods PWS- Side SLs Customer-Side SLs
Historical Records 88 2
Field Inspection 122 119
Customer Identification with Photo or other Verification NA 26
Excavation 1 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. Address:
If under 50,000 customers: Explain how to access the inventory https://copenhagen.racog.org/

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.

Richard Ross
Name
DPW Superintendent
Title

Date