Private Sewer Lateral Incentive Application
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1 Purpose To assist and encourage homeowners to repair or replace their sewer lateral line. Homeowners are responsible for the entire sewer lateral from the building to the point of connection (including the connection) with the City of Laguna Beach (CLB) main line. Sewer spills cause very expensive damage to the interior of a house and the environment, particularly the beaches. Laterals that are not regularly maintained become inoperable because tree roots enter the line and block the flow or misalign the pipe joints. Without regular maintenance, the damage becomes severe and excavation, repair or replacement of the lateral becomes necessary. Regular maintenance will also remove other blockages including debris, rocks and grease. Who is Eligible to Apply? The incentive program only applies to property owners that live within the CLB Sewer Service Area, (approximately Cardinal Way to the northern city limits). Contribution by the City of Laguna Beach The CLB will reimburse 50% of the homeowner s cost to repair or replace a private sewer lateral, up to a maximum of $1,600 total per residential parcel. Incentive payments are subject to IRS reporting regulations. As such, a completed W-9 must be submitted along with each incentive application and a 1099 may be issued to the incentive recipient. Incomplete applications may result in a delay in processing. How to Apply Submit a completed application and W-9 to: City of Laguna Beach Water Quality Department 505 Forest Avenue, Laguna Beach, CA Application and more program details available at Program Limitations Homeowners may only apply for participation in the program once. The City Manager has discretion over all decisions. Residents must cooperate by adhering to the Program Requirements. The incentive is only available for residential property, not for commercial or industrial property. Any work completed prior to approval of application is not eligible for reimbursement. Funding for this program is limited. Reimbursement is on a first come, first served basis. NOTE: Receiving financial assistance REQUIRES PRIOR APPROVAL TO THE PROGRAM by CLB. A before video of the sewer lateral interior must be submitted PRIOR to CLB granting approval, and an after video is required prior to reimbursement. ALL REPAIR work requires a PERMIT. A penalty fee will be assessed for work done without a permit. Private Sewer Lateral Incentive Application Page 1 of 6
2 BEFORE BEGINNING WORK: 1. Property owner calls a plumber for a closed circuit television video (CCTV) inspection and to complete Private Sewer Lateral Inspection Report Must have date and footage counter shown on the video screen. Narration (of address, date, and contractor) is required. Must include the entire lateral line (from house until past the point of connection to CLB main line) Camera must be moved through the line at a uniform speed of less than 30 feet per minute to enable independent review and evaluation. Camera should be stopped for a minimum of 5 seconds at broken sections, root intrusion, misaligned joints or other defects. CLB reserves right to request re-video of any video not sufficiently clear enough to view. THERE ARE NO EMERGENCY REPAIRS - Snake a hole for drainage & CCTV for review; any work performed prior to approval for program is not eligible for reimbursement. 2. Property owner submits application & CCTV (DVD/Thumb drive) video Submit a completed application and a before video of sewer lateral to CLB. Videos older than three months will not be accepted. Work must be completed within six months from application date. 3. CLB Staff reviews video Staff reviews videos within 5 business days of receipt and contacts property owner/manager to discuss. If it is determined from CCTV review that homeowner s lateral line is defective, the owner will be noticed to participate in the City s Private Sewer lateral Program, and should solicit bids from at least three (3) licensed plumbing contractors to ensure a fair competitive bid. 4. Contractor obtains permit from CLB before beginning repairs Penalty fees will be assessed for work performed without a permit. BEFORE COMPLETING WORK: 5. Contractor calls CLB for inspection Call CLB inspector at least 2 hours in advance to schedule inspection. Work must be completed within six months. AFTER WORK IS COMPLETE: 6. Property owner submits an after video & paid receipt to CLB Property owner obtains an after video from licensed plumber and submits to CLB. Property owner submits copies of paid-in-full invoices and proof of payment (cancelled check or credit card statement) for work performed. CLB reimburses 50% of cost, up to $1,600 to property owner. Private Sewer Lateral Incentive Application Page 2 of 6
3 Private Sewer Lateral Inspection Report Customer Name: Address: Date: Phone: Company Name: Company Address: Inspector s Name: Phone: Sewer Usage: Residential Commercial Condo/Apt Pipe Size: Pipe Material: Camera Direction: With Flow Against Flow CCTV Date: Time: Total Length: Cleanout is accessible outside of building. Private Sewer lateral required cleaning/jetting to perform video inspection. There is a sewer ejector pump at this property Private sewer lateral crosses neighboring private property. Private sewer lateral connects to City sewer in public right of way. There is more than one structure at this address served by the private sewer lateral. There is more than one private sewer lateral serving this property. Verified property does not require a backflow prevention device (backwater valve). * Verified property has properly working backflow prevention device. Property needs a backflow prevention device. Verified no outside drains connected to City sewer system. * Only for minor repairs on existing laterals I recommend the following repairs to restore normal lateral function: NO REPAIRS NECESSARY FOR CITY USE ONLY Received Date: APN number: Compliance Repairs to sewer lateral at: are required to correct a: The lateral needs to be replaced or rehabilitated. Reviewed By: Comments: Date: Private Sewer Lateral Incentive Application Page 3 of 6
4 OBSERVATION CODES B BROKEN I INFILTRATION R ROOTS: 25% 50% 75% C CRACK O OFFSET CP CHANGE IN PIPE F FRACTURE S SAG OR OUT OF ROUND LATERAL INSPECTION LOG CODE DISTANCE OBSERVATION BRIEF SUMMARY OF WORK PERFORMED The information submitted here complies with all requirements set forth by the City of Laguna Beach Municipal Code inclusive. I declare under penalty of perjury that all information submitted here applies to the listed address only. Plumber s signature: Date: License # SITE SKETCH SHOW FOOTAGE DISTANCE FROM CAMERA ACCESS POINT (C.O./FIXTURE/ROOF) TO CITY SEWER MAIN Private Sewer Lateral Incentive Application Page 4 of 6
5 Date: Property Address: Phone #: Property Owner: Owner s Address (if different from property address ): APN number: Repair/Replacement Incentive (Up to $1,600): Attach copy of original private sewer lateral inspection report. Attach a copy of three quotes from licensed plumbers to complete the work. Attach a copy of post repair private sewer lateral inspection report. Attach a copy of invoice from licensed plumber. Attach a copy of a completed W-9 Work Performed: (check all that apply) Sewer Lateral Inspection Clean Out of Sewer Lateral Replacement of entire length of sewer lateral on private property Repair of lateral on private property Replacement of entire length of sewer lateral in the public right-of-way Repair portion of private sewer lateral in public right-of-way. Installation of clean-out(s) Installation of back-water valve Other (list): Date Work was performed: Contractor performing work: Cost of work: Description of Sewer Lateral Problem: Please allow four weeks for processing the incentive payment. Receiving financial assistance REQUIRES PRIOR APPROVAL TO THE PROGRAM by Laguna Beach Water Quality Department. A before video of the sewer lateral interior must be submitted PRIOR to CLB granting approval and an after video is required prior to reimbursement. ALL REPAIR work requires a PERMIT. A penalty fee will be assessed for work done without a permit. Private Sewer Lateral Incentive Application Page 5 of 6
6 Have you participated in the City of Laguna Beach Private Sewer Lateral Incentive program before? Yes / No I have thoroughly read pages 1 4 of this application and understand the requirements for the Sewer Lateral Assistance Program including but not limited to: Application and before video must be submitted prior to any work being performed THERE ARE NO EMERGENCY REPAIRS Penalty fees will be assessed for work performed without a permit Work must be completed within 6 months of application date After video and paid invoices must be submitted within 6 months of application date It is the responsibility of the property owner to make sure all invoices have been submitted I agree to abide by all requirements. I understand that applicants who do not follow the requirements of this program will not be eligible for reimbursement. INITIAL: As the owner of the property listed on this application, I agree to indemnify, defend and hold the City of Laguna Beach and its officers, employees and agents harmless from any and all claims or liability arising out of the work performed and actions taken in connection with the Sewer Lateral Incentive Program. Property Owner Signature Print Full Name Date Phone Number FOR CITY USE ONLY Received Date: APN number: Incentive Approved Amount $ Account # Check Payable To: Address to Send Check: Reviewed By: Private Sewer Lateral Incentive Application Page 6 of 6
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