Summary of Lead Service Line Inventory - Rogers Cottages and Condominiums (NY5615195)

I. System Information

Water System Name Rogers Cottages and Condominiums
PWS ID Number NY5615195

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

Contact Name Jim Masten
Contact Phone Number 518-538-0344
Contact Email Address fishhawk@frontiernet.net

III. Summary of Inventory

Total Number of Service Lines in the Distribution System 16
Total Number of Identified Service Lines 16
Total Number of Lead Service Lines 0
Total Number of GSLRR 0
Total Number of Non-LSL 16
Total Number of Unknown Service Lines 0
Service Lines Lead GSL or GSLRR Non-Lead Unknown
PWS - Side Service Lines 0 0 GSL 16 0
Customer - Side Service Lines 0 0 GSL 16 0
Total Number of Service Lines in the Distribution System 0 0 GSLRR 16 0
Service Line Identification Methods
Identification Methods PWS- Side SLs Customer-Side SLs
Historical Records 0 0
Field Inspection 16 16
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. Association Office
If under 50,000 customers: Explain how to access the inventory 605 Atateka Drive Chestertown, NY 12817

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.

Jim Masten
Name
Maintenance
Title
10/09/24
Date