Summary of Lead Service Line Inventory - Town of Montgomery Water District 1 (NY3512264)

I. System Information

Water System Name Town of Montgomery Water District 1
PWS ID Number NY3512264

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

Contact Name Jim Farr, P.E.
Contact Phone Number 914-474-1980
Contact Email Address jfarr@farr-engineering.com

III. Summary of Inventory

Total Number of Service Lines in the Distribution System 62
Total Number of Identified Service Lines 62
Total Number of Lead Service Lines 0
Total Number of GSLRR 0
Total Number of Non-LSL 62
Total Number of Unknown Service Lines 0
Service Lines Lead GSL or GSLRR Non-Lead Unknown
PWS - Side Service Lines 0 0 GSL 62 0
Customer - Side Service Lines 0 0 GSL 63 0
Total Number of Service Lines in the Distribution System 0 0 GSLRR 62 0
Service Line Identification Methods
Identification Methods PWS- Side SLs Customer-Side SLs
Historical Records 63 63
Field Inspection 0 0
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:
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.

James M. Farr, P.E.
Name
Town Engineer
Title

Date