Summary of Lead Service Line Inventory - LSLI_NY5404415 (NY5404415)

I. System Information

Water System Name LSLI_NY5404415
PWS ID Number NY5404415

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

Contact Name Chad Shurtleff
Contact Phone Number 6078983345
Contact Email Address chaddpw@gmail.com

III. Summary of Inventory

Total Number of Service Lines in the Distribution System 783
Total Number of Identified Service Lines 348
Total Number of Lead Service Lines 1
Total Number of GSLRR 6
Total Number of Non-LSL 341
Total Number of Unknown Service Lines 435
Service Lines Lead GSL or GSLRR Non-Lead Unknown
PWS - Side Service Lines 1 17 GSL 480 285
Customer - Side Service Lines 0 28 GSL 357 398
Total Number of Service Lines in the Distribution System 1 6 GSLRR 341 435
Service Line Identification Methods
Identification Methods PWS- Side SLs Customer-Side SLs
Historical Records 500 385
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: www.grotonny.org
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.

Chad Shurtleff
Name
DPW Supervisor
Title
10/17/24
Date