Summary of Lead Service Line Inventory - Belleayre Ski Center (NY5517377)

I. System Information

Water System Name Belleayre Ski Center
PWS ID Number NY5517377

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

Contact Name Mitchell VanKeuren
Contact Phone Number 8452546197
Contact Email Address Mvankeuren@belleayre.com

III. Summary of Inventory

Total Number of Service Lines in the Distribution System 12
Total Number of Identified Service Lines 12
Total Number of Lead Service Lines 0
Total Number of GSLRR 0
Total Number of Non-LSL 12
Total Number of Unknown Service Lines 0
Service Lines Lead GSL or GSLRR Non-Lead Unknown
PWS - Side Service Lines 0 0 GSL 12 0
Customer - Side Service Lines 0 0 GSL 12 0
Total Number of Service Lines in the Distribution System 0 0 GSLRR 12 0
Service Line Identification Methods
Identification Methods PWS- Side SLs Customer-Side SLs
Historical Records 2 0
Field Inspection 5 11
Customer Identification with Photo or other Verification NA 0
Excavation 5 1
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.
If under 50,000 customers: Explain how to access the inventory Inventory will be posted in obvious, high foot traffic areas.

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.

Mitchell VanKeuren
Name
Water Operator In Charge
Title

Date