Certification Report
SM-07
Engineering Department
City of Bismarck
221 N. 5
th
Street
P.O. Box 5503
Bismarck, ND 58506
701-355-1505
For Office Use Only:
Date Received:
_________________
TRAKiT #:
_________________
(Complete all applicable items)
Page 1 of 4 January 1, 2018
Project Information:
Site Address:
________________________________________________________________________
________________________________________________________________________
Lot & Block Number:
Subdivision (if
applicable):
Contact Information:
PERMITTEE:
_____________________________
Phone:
____________
Fax: _____________
Contact Name:
_____________________________
Email:
_______________________________
Mailing Address:
_____________________________
State _____
Zip Code ___________
DESIGN
ENGINEER:
_____________________________
Phone:
____________
Fax: _____________
Mailing Address:
_____________________________
State _____
Zip Code ___________
CERTIFYING
ENGINEER:
_____________________________
Phone:
____________
Fax: _____________
Contact Name:
_____________________________
Email:
_______________________________
Mailing Address:
_____________________________
State _____
Zip Code ___________
Summary of Site Conditions
The purpose of this summary is to provide a brief comparison of the Basis of Design Post-Construction pervious and impervious
areas utilized in the As-Constructed pervious and impervious areas.
Pervious Area
(square feet)
Impervious Area
(square feet)
Total Area
(square feet)
Basis of Design Post-Construction
As-Constructed Conditions
Change in Area (+/-)
Certification Report Requirements
The Certification Report is to provide documentation that the installed post-construction BMP will function as described in the
approved SWMP and/or Basis of Design Reports. The Certifying Engineer is to provide the information listed below and provide a
statement that the project was, or was not, completed consist with the conditions of the PCSMP approval.
Item
Description
Complete
Comment
1.0
Narrative & Summary Tables
Yes N/A
1.1A
Post-Construction Peak Flow BMP(s)
(See Table 1)
Implemented N/A
1.1B
Post-Construction Water Quality BMP(s)
(See Table 1)
Implemented N/A
1.1C
Street Drainage
(Provide Updated Streets Summary Table)
Implemented N/A
1.1D
Storm Sewer
(Summarize Changes in a Narrative)
Implemented N/A
Certification Report
SM-07
(Complete all applicable items)
Page 2 of 4 January 1, 2018
Certifying Engineer
All Certification Report materials are to be submitted under the seal and signature of a Professional Engineer registered
in the State of North Dakota.
Have all items included in the Certification Report been
sealed and signed by a Professional Engineer registered in
the State of North Dakota?
Yes
No
Page
Submittal Copies:
1 PDF Copy Uploaded to TRAKiT
Application Fee Paid
Comments:
__________________________________________________________________________________________________
__________________________________________________________________________________________________
__________________________________________________________________________________________________
__________________________________________________________________________________________________
__________________________________________________________________________________________________
__________________________________________________________________________________________________
__________________________________________________________________________________________________
__________________________________________________________________________________________________
__________________________________________________________________________________________________
1.1E
Culverts
(See Table 2)
Implemented N/A
1.1F
Open Channels
(Summarize Changes in a Narrative)
Implemented N/A
1.1G
Outlet Protection
(Summarize Changed in a Narrative)
Implemented N/A
1.2
Final Hydrology & Hydraulics
(See Table 3 & Table 4)
Yes N/A
2.0
Statement on Function of Implemented Post-
Construction BMPs
Yes N/A
3.0
Quality Assurance Testing Results
Yes N/A
4.0
Record Drawings
Yes N/A
Certification Report
SM-07
(Complete all applicable items)
Page 3 of 4 January 1, 2018
Required Summary Tables:
(Note: The Certifying Engineer may reproduce the following tables electronically and attach to this checklist as a
summary.)
Table 1: Basin & Outlet Sizing
Approved
As-Constructed
Size
Invert
Elevation
Volume
(acre-feet)
Size
Invert
Elevation
Volume
(acre-feet)
Outlet 1
N/A
Outlet 2
N/A
Outlet 3
N/A
Outlet 4
N/A
Outlet 5
N/A
Overflow
N/A
Table 2: Culverts
Approved
As-Constructed
Size
(inches)
Length
(feet)
Upstream
Invert
Downstream
Invert
Size
(inches)
Length
(feet)
Upstream
Invert
Downstream
Invert
Culvert 1
N/A
Culvert 2
N/A
Culvert 3
N/A
Culvert 4
N/A
Culvert 5
N/A
Table 3: Project Post-Construction Hydrologic Modeling Summary Peak Flows
Storm Event
Peak Flow (cfs) by Point of Analysis
Point 1
Point 2
Point 3
Approved
Constructed
Approved
Constructed
Approved
Constructed
2-year 24-hour
5-year 24-hour
10-year 24-hour
100-year 24-hour
Certification Report
SM-07
(Complete all applicable items)
Page 4 of 4 January 1, 2018
Table 4: Project Post-Construction Hydrologic Modeling Summary Total Volume
Storm Event
Total Volume (acre-feet) by Point of Analysis
Point 1
Point 2
Point 3
Approved
Constructed
Approved
Constructed
Approved
Constructed
2-year 24-hour
5-year 24-hour
10-year 24-hour
100-year 24-hour
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