Summary of Lead Service Line Inventory - Fort Miller Group (NY5730148)

I. System Information

Water System Name Fort Miller Group
PWS ID Number NY5730148

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

Contact Name Mark Bold
Contact Phone Number 518-692-5000 x 262
Contact Email Address mbold@fmgroup.com

III. Summary of Inventory

Total Number of Service Lines in the Distribution System 22
Total Number of Identified Service Lines 22
Total Number of Lead Service Lines 0
Total Number of GSLRR 0
Total Number of Non-LSL 22
Total Number of Unknown Service Lines 0
Service Lines Lead GSL or GSLRR Non-Lead Unknown
PWS - Side Service Lines 0 7 GSL 15 0
Customer - Side Service Lines 0 6 GSL 16 0
Total Number of Service Lines in the Distribution System 0 0 GSLRR 22 0
Service Line Identification Methods
Identification Methods PWS- Side SLs Customer-Side SLs
Historical Records 0 0
Field Inspection 22 22
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: Engineers Office
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.

Mark Bold
Name
Plant Engineer
Title
10/09/24
Date