Summary of Lead Service Line Inventory - Village of Montgomery (NY3503542)

I. System Information

Water System Name Village of Montgomery
PWS ID Number NY3503542

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

Contact Name Jake Henry
Contact Phone Number 845-457-5321
Contact Email Address DPW@villageofmontgomery.org

III. Summary of Inventory

Total Number of Service Lines in the Distribution System 1448
Total Number of Identified Service Lines 1432
Total Number of Lead Service Lines 0
Total Number of GSLRR 0
Total Number of Non-LSL 1432
Total Number of Unknown Service Lines 16
Service Lines Lead GSL or GSLRR Non-Lead Unknown
PWS - Side Service Lines 0 0 GSL 1448 0
Customer - Side Service Lines 0 5 GSL 1427 16
Total Number of Service Lines in the Distribution System 0 0 GSLRR 1432 16
Service Line Identification Methods
Identification Methods PWS- Side SLs Customer-Side SLs
Historical Records 760 611
Field Inspection 3 48
Customer Identification with Photo or other Verification NA 1
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

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.

Greg Jackson
Name
Water Operator
Title
10/09/24
Date