Summary of Lead Service Line Inventory - MAPLE TREE (NY3501333)

I. System Information

Water System Name MAPLE TREE
PWS ID Number NY3501333

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

Contact Name Donna Hemsley Agent for Landlord
Contact Phone Number 845-297-2109
Contact Email Address hemsleyd@bottiniproperties.com

III. Summary of Inventory

Total Number of Service Lines in the Distribution System 58
Total Number of Identified Service Lines 58
Total Number of Lead Service Lines 0
Total Number of GSLRR 0
Total Number of Non-LSL 58
Total Number of Unknown Service Lines 0
Service Lines Lead GSL or GSLRR Non-Lead Unknown
PWS - Side Service Lines 0 0 GSL 93 0
Customer - Side Service Lines 0 0 GSL 58 0
Total Number of Service Lines in the Distribution System 0 0 GSLRR 58 0
Service Line Identification Methods
Identification Methods PWS- Side SLs Customer-Side SLs
Historical Records 0 0
Field Inspection 54 55
Customer Identification with Photo or other Verification NA 0
Excavation 39 9
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. Bottiniproperties.com
If under 50,000 customers: Explain how to access the inventory Inventory to be found under community tab on website

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.

Donna Hemsley
Name
Manufactured Home Parks Manager
Title
10/03/24
Date