Summary of Lead Service Line Inventory - Emerald Green/Lake Louise Marie Water Company (NY5203346)

I. System Information

Water System Name Emerald Green/Lake Louise Marie Water Company
PWS ID Number NY5203346

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

Contact Name William D. Culligan
Contact Phone Number 845-313-9522
Contact Email Address williamdculligan@yahoo.com

III. Summary of Inventory

Total Number of Service Lines in the Distribution System 915
Total Number of Identified Service Lines 915
Total Number of Lead Service Lines 0
Total Number of GSLRR 0
Total Number of Non-LSL 915
Total Number of Unknown Service Lines 0
Service Lines Lead GSL or GSLRR Non-Lead Unknown
PWS - Side Service Lines 0 0 GSL 915 0
Customer - Side Service Lines 0 0 GSL 915 0
Total Number of Service Lines in the Distribution System 0 0 GSLRR 915 0
Service Line Identification Methods
Identification Methods PWS- Side SLs Customer-Side SLs
Historical Records 915 915
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. 224 Lake Louise Marie Road, Rock Hill, N.Y. 12775
If under 50,000 customers: Explain how to access the inventory A Hard Copy on File at Water Co. Office

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.

William D. Culligan
Name
Operator of Record
Title
11/18/20
Date