Summary of Lead Service Line Inventory - Monroe WD #12 (NY3503539)

I. System Information

Water System Name Monroe WD #12
PWS ID Number NY3503539

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

Contact Name John Mulligan
Contact Phone Number 845-782-8583 EXT 137
Contact Email Address waterops@monroeny.org

III. Summary of Inventory

Total Number of Service Lines in the Distribution System 42
Total Number of Identified Service Lines 3
Total Number of Lead Service Lines 0
Total Number of GSLRR 0
Total Number of Non-LSL 3
Total Number of Unknown Service Lines 39
Service Lines Lead GSL or GSLRR Non-Lead Unknown
PWS - Side Service Lines 0 0 GSL 8 34
Customer - Side Service Lines 0 0 GSL 16 26
Total Number of Service Lines in the Distribution System 0 0 GSLRR 3 39
Service Line Identification Methods
Identification Methods PWS- Side SLs Customer-Side SLs
Historical Records 0 0
Field Inspection 0 15
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: 87 Mine Road, Monroe, NY 10950
If under 50,000 customers: Explain how to access the inventory *Upload on Town Website for Viewing*

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 C. Mulligan
Name
Water Administrator
Title

Date