Summary of Lead Service Line Inventory - FORT EDWARD VILLAGE (NY5730110)

I. System Information

Water System Name FORT EDWARD VILLAGE
PWS ID Number NY5730110

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

Contact Name William Caprood
Contact Phone Number 518-792-0419
Contact Email Address water@villageoffortedward.com

III. Summary of Inventory

Total Number of Service Lines in the Distribution System 54
Total Number of Identified Service Lines 49
Total Number of Lead Service Lines 0
Total Number of GSLRR 0
Total Number of Non-LSL 49
Total Number of Unknown Service Lines 5
Service Lines Lead GSL or GSLRR Non-Lead Unknown
PWS - Side Service Lines 0 0 GSL 54 0
Customer - Side Service Lines 0 0 GSL 49 5
Total Number of Service Lines in the Distribution System 0 0 GSLRR 49 5
Service Line Identification Methods
Identification Methods PWS- Side SLs Customer-Side SLs
Historical Records 54 48
Field Inspection 0 0
Customer Identification with Photo or other Verification NA 0
Excavation 0 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. Address:
If under 50,000 customers: Explain how to access the inventory Village Hall - 118 Broadway, Fort Edward NY 12828

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 Caprood
Name
Water Superintendent
Title
11/12/24
Date