Summary of Lead Service Line Inventory - Village Of Nelliston (NY2800141)

I. System Information

Water System Name Village Of Nelliston
PWS ID Number NY2800141

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

Contact Name John Mack
Contact Phone Number (518) 993-8009
Contact Email Address villageofnellistondpw@gmail.com

III. Summary of Inventory

Total Number of Service Lines in the Distribution System 216
Total Number of Identified Service Lines 177
Total Number of Lead Service Lines 0
Total Number of GSLRR 0
Total Number of Non-LSL 177
Total Number of Unknown Service Lines 39
Service Lines Lead GSL or GSLRR Non-Lead Unknown
PWS - Side Service Lines 0 87 GSL 91 38
Customer - Side Service Lines 0 90 GSL 125 1
Total Number of Service Lines in the Distribution System 0 0 GSLRR 177 39
Service Line Identification Methods
Identification Methods PWS- Side SLs Customer-Side SLs
Historical Records 0 0
Field Inspection 8 195
Customer Identification with Photo or other Verification NA 7
Excavation 42 11
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 11 River St Nelliston NY (Village Hall) Nelliston.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.

John Mack
Name
Superintendent Public Works
Title
10/16/24
Date