Summary of Lead Service Line Inventory - Village of Fort Plain (NY2800139)

I. System Information

Water System Name Village of Fort Plain
PWS ID Number NY2800139

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

Contact Name George Capece Jr.
Contact Phone Number 518 993 4271
Contact Email Address georgecapece@yahoo.com

III. Summary of Inventory

Total Number of Service Lines in the Distribution System 864
Total Number of Identified Service Lines 841
Total Number of Lead Service Lines 0
Total Number of GSLRR 44
Total Number of Non-LSL 797
Total Number of Unknown Service Lines 23
Service Lines Lead GSL or GSLRR Non-Lead Unknown
PWS - Side Service Lines 0 2 GSL 808 54
Customer - Side Service Lines 0 168 GSL 673 23
Total Number of Service Lines in the Distribution System 0 44 GSLRR 797 23
Service Line Identification Methods
Identification Methods PWS- Side SLs Customer-Side SLs
Historical Records 122 63
Field Inspection 197 634
Customer Identification with Photo or other Verification NA 0
Excavation 499 144
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

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.

George Capece Jr.
Name
Superindent
Title
10/14/24
Date