Summary of Lead Service Line Inventory - Town of Schaghticoke Water District #3 (NY4100062)

I. System Information

Water System Name Town of Schaghticoke Water District #3
PWS ID Number NY4100062

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

Contact Name Shawn M Cross
Contact Phone Number 518-461-3350
Contact Email Address waterandsewer@townofschaghticoke.org

III. Summary of Inventory

Total Number of Service Lines in the Distribution System 361
Total Number of Identified Service Lines 361
Total Number of Lead Service Lines 0
Total Number of GSLRR 0
Total Number of Non-LSL 361
Total Number of Unknown Service Lines 0
Service Lines Lead GSL or GSLRR Non-Lead Unknown
PWS - Side Service Lines 0 0 GSL 361 0
Customer - Side Service Lines 0 1 GSL 360 0
Total Number of Service Lines in the Distribution System 0 0 GSLRR 361 0
Service Line Identification Methods
Identification Methods PWS- Side SLs Customer-Side SLs
Historical Records 361 0
Field Inspection 0 29
Customer Identification with Photo or other Verification NA 110
Excavation 0 0
Sequential Sampling 0 0
Statistical Analysis/Predictive Model 0 222

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.

Shawn M Cross
Name
Operator in Responsible Charge
Title
10/01/24
Date