Summary of Lead Service Line Inventory - The Cottages at Troutburg (NY3630405)

I. System Information

Water System Name The Cottages at Troutburg
PWS ID Number NY3630405

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

Contact Name Christopher Nau
Contact Phone Number (508)332-0513
Contact Email Address Cnau@midlandmgmtllc.com

III. Summary of Inventory

Total Number of Service Lines in the Distribution System 41
Total Number of Identified Service Lines 41
Total Number of Lead Service Lines 0
Total Number of GSLRR 0
Total Number of Non-LSL 41
Total Number of Unknown Service Lines 0
Service Lines Lead GSL or GSLRR Non-Lead Unknown
PWS - Side Service Lines 0 0 GSL 41 0
Customer - Side Service Lines 0 0 GSL 41 0
Total Number of Service Lines in the Distribution System 0 0 GSLRR 41 0
Service Line Identification Methods
Identification Methods PWS- Side SLs Customer-Side SLs
Historical Records 0 0
Field Inspection 41 41
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 Sales office/email

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.

Christopher Nau
Name
Operator In Responsible Charge
Title
09/26/24
Date