Summary of Lead Service Line Inventory - St. Nersess Armenian Seminary (NY5930011)

I. System Information

Water System Name St. Nersess Armenian Seminary
PWS ID Number NY5930011

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

Contact Name Dn. Levon Altiparmakian / Adam Smith
Contact Phone Number (914) 273-0200 / (914) 849-8754
Contact Email Address levona@stnersess.edu / aswd@msn.com

III. Summary of Inventory

Total Number of Service Lines in the Distribution System 4
Total Number of Identified Service Lines 4
Total Number of Lead Service Lines 0
Total Number of GSLRR 0
Total Number of Non-LSL 4
Total Number of Unknown Service Lines 0
Service Lines Lead GSL or GSLRR Non-Lead Unknown
PWS - Side Service Lines 0 0 GSL 4 0
Customer - Side Service Lines 0 0 GSL 4 0
Total Number of Service Lines in the Distribution System 0 0 GSLRR 4 0
Service Line Identification Methods
Identification Methods PWS- Side SLs Customer-Side SLs
Historical Records 4 4
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 The lead service line inventory can be accessed by contacting Facilities & Operations Manager at (914) 273-0200

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.

Adam Smith
Name
Water Operator
Title
08/01/24
Date