Summary of Lead Service Line Inventory - Pine Hill Water District (NY5503381)

I. System Information

Water System Name Pine Hill Water District
PWS ID Number NY5503381

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

Contact Name Ethan Birnstein
Contact Phone Number 845-688-7165
Contact Email Address Amie Goodrich

III. Summary of Inventory

Total Number of Service Lines in the Distribution System 165
Total Number of Identified Service Lines 165
Total Number of Lead Service Lines 0
Total Number of GSLRR 0
Total Number of Non-LSL 165
Total Number of Unknown Service Lines 0
Service Lines Lead GSL or GSLRR Non-Lead Unknown
PWS - Side Service Lines 0 0 GSL 165 0
Customer - Side Service Lines 0 0 GSL 165 0
Total Number of Service Lines in the Distribution System 0 0 GSLRR 165 0
Service Line Identification Methods
Identification Methods PWS- Side SLs Customer-Side SLs
Historical Records 165 165
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:
If under 50,000 customers: Explain how to access the inventory www.shandaken.us/core-documents/

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.

Peter DiSclafani
Name
Town Supervisor
Title
07/26/25
Date