Summary of Lead Service Line Inventory - Town of Mount Morris Water Dept. (NY2500703)

I. System Information

Water System Name Town of Mount Morris Water Dept.
PWS ID Number NY2500703

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

Contact Name Edward Haefner
Contact Phone Number 585.278.8529
Contact Email Address mmtownhighway@townofmtmorris.com/mtmorrishighway@hotmail.com

III. Summary of Inventory

Total Number of Service Lines in the Distribution System 84
Total Number of Identified Service Lines 56
Total Number of Lead Service Lines 0
Total Number of GSLRR 0
Total Number of Non-LSL 56
Total Number of Unknown Service Lines 28
Service Lines Lead GSL or GSLRR Non-Lead Unknown
PWS - Side Service Lines 0 1 GSL 55 28
Customer - Side Service Lines 0 0 GSL 56 28
Total Number of Service Lines in the Distribution System 0 0 GSLRR 56 28
Service Line Identification Methods
Identification Methods PWS- Side SLs Customer-Side SLs
Historical Records 0 0
Field Inspection 56 56
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. Address:
If under 50,000 customers: Explain how to access the inventory Water Dept. Photo Records & Inventory kept on file at the Highway Department Office 80 Parker Road/Mount Morris, NY 14510

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.

Samuel J. Cipriano
Name
Supt. of Highways/Head of Water Dept.
Title
10/16/01
Date