Summary of Lead Service Line Inventory - Village of Gouverneur (NY4404385)

I. System Information

Water System Name Village of Gouverneur
PWS ID Number NY4404385

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

Contact Name Terry Simmons
Contact Phone Number 315-287-0110
Contact Email Address tsimmons@villageofgouverneurny.gov

III. Summary of Inventory

Total Number of Service Lines in the Distribution System 1468
Total Number of Identified Service Lines 567
Total Number of Lead Service Lines 3
Total Number of GSLRR 30
Total Number of Non-LSL 534
Total Number of Unknown Service Lines 901
Service Lines Lead GSL or GSLRR Non-Lead Unknown
PWS - Side Service Lines 1 7 GSL 972 488
Customer - Side Service Lines 2 33 GSL 707 725
Total Number of Service Lines in the Distribution System 3 30 GSLRR 534 901
Service Line Identification Methods
Identification Methods PWS- Side SLs Customer-Side SLs
Historical Records 573 3
Field Inspection 2 279
Customer Identification with Photo or other Verification NA 197
Excavation 398 265
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. Village of Gouverneur website
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.

Terry Simmons
Name
Supt. of Public Works
Title

Date