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SWG2023-00420 - SWG Application / Design - 10/3/2023
MASONCOUNTY 415 N6THSTREE ,SHELTON, 58 SHELTON: -9670.EXT 400 BELFAIR:360-275-4467.EXT 400 Public Health & Human Services ELMA:360-482-5269,EXT 400 FAX:360-427-7787 On-Site Sewage System Permit: SWG2023-00420 APPLICANT DEIR LIVING TRUST RICHARD G & Phone: DEBRA J Address: 511 222ND ST SW BOTHELL, WA 98021 OWNER DEIR LIVING TRUST RICHARD G & Phone: DEBRA J Address: 511 222ND ST SW BOTHELL, WA 98021 SEPTIC DESIGNER CINDY WAITE-Septic Designer Phone: 3607010205 Address: 80 E PICKERING LANE SHELTON, WA 98584 Site Address: 130 SE Crescent Dr Primary Parcel Number: 319045500027 Permit Description: 2-bedroom OSCAR X02 w/ 0S-50 coils: repair Permit Submitted Date: 10/03/2023 Permit Issued Date: 10/11/2023 Issued By: David Anderson Current Permit Fees Paid: $780.00 (additional fees may be required upon installation of system). Permit Expiration Date: 10/10/2024 (based on date of inspection) Permit Conditions: Proposed development subject to zoning requirements and approval by the planning department staff per Mason County Title 17. 2 Permit must be installed by a Mason County Certified Installer unless prior written authorization from Mason County is obtained. 3 Drainfield installation not to exceed designed upslope and downslope depth specified on design form. 4 Installer is responsible for obtaining Mason County installation approval prior to backfill of system components. 5 Installer is responsible for obtaining Septic Designer/Engineer installation approval prior to backbll of system components. 6 Mason County Asbuilt Form, Record Drawing, and Installation fee must be submitted for final installation approval. 7 Remove driveway gravel from mound site before preparing the basal area for the OSCAR installation sand layer. THIS PERMIT MUST BE ONSITE DURING INSTALLATION OF OSS. PROPERTY OWNERS ARE RESPONSIBLE FOR DETERMINING AND MARKING ALL PROPERTY LINE AND EASEMENT LOCATIONS. THIS PERMIT MAY BE REVOKED IF THE SITE CONDITIONS HAVE CHANGED SINCE THE SITE WAS INSPECTED AND DESIGN APPROVED. FINAL INSTALLATION APPROVAL IS REQUIRED PRIOR TO TEMPORARY OR FINAL OCCUPANCY OF ANY RELATED STRUCTURES. For Final Inspection visit: masoncountywa.gov/healthlenvironmentallonsiteloss-inspection-request.php or call: 360.427-9670, extension 400. 4 N ` MASON COUNTY I o —.j _ - co a COMMUNITY SERVICES L - co N • N Public Health Community i iomm�lal neaem - - — � g S W G apt"? - Co ,-( 10o 0 ON-SITE SEWAGE SYSTEM APPLICATION n• 'z m n APP IEANT ^.IONL m DEIR LIVING TRUST 1206-465-5503 z MAf INC AHDRF SS STREET CITE STATE ZIP C ODE 3 511 222ND STREET SW BOTHELL WA 98021 m z S IT L ADDRESS-STRFF-CITY ZIP CODE 130 SE CRESCENT DR SHELTON WA 98584 _ . NAME OF DESIGNER PhwF I` CINDY WAITE 360-701-0205 NAME OF M1ST LLER 4IN( 1 TBD _ p PERMIT T PE V lb, _DRINKIN TFR 501R E h RESIDENTIAL ass Fl COMMUNITY 055 In COMMERCIAL 05S !1 PHIVA I F INDIVIDUA1 WEI I ❑ PRIVATE TWO-PARTY WELL TYPE OF WORx LSeIeC Duel 2. PUBLIC WATER SYSTEM FAWN LAKE W E h _. . I NEW CONSTRUCTION'UPGRADES FiI REPAIR:REPLACEMENT on a F17:. Lt rva 0 TABLE IX REPAIR I<P1 a'UBMTTALS ❑ SURFACING$6NAGS 0 EXI$'ING FAILURE ❑SHORELINE IM 14(DESIGN FORM(REQUIRED) ill SEPTIC DESIGN REQUIRED I I III Io'SIZE 5 WAIVER'S)(IF APPLICABLE! 2 I 61'X 146' I DIRECTIONS TO SIT:AND 5I E CONDIT I e .i e GO INTO FAWN LAKE, TURN ON CRESCENT DRIVE, FOLLOW TO 130 SE I� CRESCENT DRIVE, ON THE LEFT SIDE OF DR(LAKE SIDE) o IJ J S ITE MUST BE FLAGGED FROM MAIN ROAD AND TEST HOLES MOST BE FLAGGED WITH TEST HOLE NUMBERS - — -- - - O I(IAI .ISI ON' fl I OW BIG I 'Ni PLRADE'FAILURE SOUR, 'e E�•o, o n .ea a . U 0 VOLUNTARY 0 MAINTENANCE:PUMPING 0 BUILDING PFRMI' ❑HOME SALE ❑COMPLAINT I:OTIIER ,. INPI r.1DR saL LDGs Nf vls NI. uN, TH�vO-2I` bt; 1-t d��, pirtur,0*-n ceol TH7,; 6 -7 99r&4I + lI 7 ZS' 4 t 5 SOIL CODES .LI<U .F N.:AND INS'..LLAT DN HCFJRI =VFRV P=GRAVE LLY S-SAND L LD.A . SILI n E IXT LY RLML + .o, I pH Hie-I.MIR N -:PROCAI INSP I OR SIGNATURE I'IIC ION Eh lONDnI : ISSNIEY DeIL IG/lq&lj 10/1 /Zn7 /1 p//77023 THIS FORM MAY BE SCANNED AND AVAILABLE FOR PUBLIC VIEW ON THE MASON COUNTY WEBSITE DESIGN FORM-PAGE ONE Assessor's Parcel Number: 3 1 9 0 4 - 5 5 - 0 0 0 2 7 A design will be reviewed when 3 copies of each of the following are submitted: v Completed design form that has been signed and dated_ v Scalnl Iayout dutch_Mel tiding all applicable items on checklist v Scaled plot plan, including all applicable items on checklist. v Cross-section sketch, including all applicable items on checklist. This form may be scanned and available for public view on the Mason County Web site. Ala.v inun peeper sire. I I ..1'17- � ) PARCEL IDENTIFICATION Permit Number SWG 20 23 -00 L(Zn Designer's Name: CINDY WAITS Applicants Name: DEIR LIVING TRUST Delifiner s_ 360-701-0205 Phone Number: Mailing Address: 511 222ND ST SW - - Dcsianeris Address: 80 E PICKERING LANE BOTHELL WA 982021 SHELTON WA 98584 City State Li ._ _. . P Gil' State Zip DESIGN PARAMETERS Treatment Device ❑ Glendon BioGlter 0 Sand Filler ❑ Mound ❑ Sand I nick] Ureinlicld 0 Recirculating lintel_l ys: ❑ Aerobic Unit Make/Model - 0 Uiri nl:clion I nil MakdModel Other XO2 TO OSCAR DF Drainfteld Type - — _ — ❑ Gravity 0 Pressure ❑ 1 reach Bed ❑ Sub Stu-lace Drip Septic Tank/Draintield Specifications Laterals Number of Bedrooms 2 t l SchcduleCluss NETAFIM Daily Flow: Operating Capacity 180 gpd Length 50 11 Daily Flow: Design Flow 240 gpd Diameter in Septic"Tank Capacity(working) 1000 EXISTING Hal_. Number 4 Receiving Soil Type(1-6) 3 — Separation .5 ft Receiving Soil Appl. Rate .8 gpd/fir Orifices Required Primary Area 300 1i - Loud Number or( ri lice. 4X50-200 Designed Primary Area 300 11E- Diameter EMITTER in Designed Reserve Area VERY LIMITED g- Spacing, .5 m French/Bed Width 14 li i i1i Manifold 'I Tench/Bedlength 22.5 ft Sch l"Ie.(' I SCHEDULE 40 i— Elevation Measurements I I . S i i it Ts 1wa 60 ft Draineld Area Slope >5 n' `4., 4 ft New Slope. If Altered i Pl 4 ( rift \ - • 1 in .L, II IA�s' ulatia used'. ❑ Yes 0 No Depth of Excavation upslon° 0 in is > 041. from Original Grade I'c DV E wort t 'fraosport Pipe umm smnc 0 V ENsflp DesuNB 41 ins S :� �� J NA �� __ Designed Vertical Separation 12 in 1.@h?_1Pfis n5:'°' ft Gravelless Chambers Required'? ❑ Y cs 0 No 0 Optional Diameter in Pump Required? 0 Yes D No Dosing and Pump Chamber \Vv Pump/Siphon Specifications Number of doses/dad 360 Dirt- in Elevation Between Pump& Uppermost Orifice_ Ii Dose qu ant ily gal Drainfteld Squirt Height/Selected Residual (head) —. _ Ii C'ham her Capacity(flood) 1200 gal Uppermost Orifice 0 Higher 0 Lower than Pump ShutoffPump controls: Please check those required. Capacity 42 Total Pressure Head gpm 75I imcr Gill:la Meter ry Gil:lapse na Event Counter Calculated Total Pressure Head It If I hoer Pump on 30 SEC , Pump off 3.5 MIN Y Comments INSTALLER TO NOTIFY DESIGNER PRIOR TO STARTING INSTALL.CONCRE I E I ANK REQUIRED.EXISTING TANK WILL HOUSE THE X02.EXISTING TANK MUST BE RETRO HTTED WITH RISERS.ANY CROSSING OF WATERLINE AND MANIFOLD MUST BE CASED.DRIVEWAY WILL NEED TO BE ALTERED TO AVOID THE CORNER OF DRAINFIELD.BARRIERS SHOULD BE PLACED ON THE DRIVEWAY END TO ELIMINATE TRAFFIC.GRAINFIELD TO BE JUTED. upsIGN FORM—PAGE TWO Assessors Parcel Number 3 1 9 0 4 -- 5 5 -- 0 0 0 2 7 Permit Number: SWG DESIGN CHECKLISTS Scaled plot Plan Scaled Layout Sketch Cross-Section Sketch ❑ Test hole locations ❑ DrainFeld orientation and layout Reference depth from ❑ Soil logsoriginal grade: 0 'french/bed dimensions and 0 Septic tank ❑ Property lines critical distances within layout 0 Drainlicld cover ❑ Existing and proposed wells 0 D-Dox/Valve box locations within 100 R of properly 0 Septic lank/pump chamber Reference depth Gorr original grade and restrictive strata: ❑ Measurements to cuts, banks. and locations surface water and critical areas 0 Observation port location 0 u b tcruls, trench/bed top and bottom ❑ Location and orientation of 0 Clean-out location l ❑ Curtain grain collector curtain drain and all absorption components ❑ Manifold placement 0 Sand augmentation O Orifice placement Other cross-section detail:❑ Location and dimension of primary system and reserve area Lateral placement with distance 0 Observation ports/clean-outs ❑ Buildings toedge of bed Other Information ❑ And iblc/e isual alarm referenced Yes No ❑ Direction of slope indicator ��( ❑ Waterlines ❑ Scale of drawing shown on scale P'c 0 Design slaked out bar ❑ 0 Recorded Notices attached ❑ Roads,easements,driveways, 0 0 Waivers)attached parking 0 0 Pump curve attached ❑ North arrow and scale drawing pgr.t4 I I j}Cm/ SI ❑ Evaluation of failure shown on scale bar Non-residential justification O ❑ Waste strength O ❑ Flow DESIGN APPROVAL The undersigned designer must be notifi h install r at time or installation 0 Yes 0 No Signature otdesigner qlL Z v /Mite the undersigned has reviewed this design on behalf of Mason County Public health and determined if efi t ; compliance with state and local on site regulations: , 1 1_077/76 G/ 7 El vironmental Specialist Dale CAUTION: DESIGN APPROVAL IS VALID ONLY UNDER 711E FOLLOWING CONDITION: ✓ The design is stamped `Approved" by Mason (bunts Public I lea Ith_✓ The Onsite Sewage Permit has not expired the Permit I xpirnrzm Date is: 1071 07k 3, f / Drainfield site conditions have not been altered to adversely af Met conditions of design approval. W Please Note: The system must be installed by a certified installer, unless prior authorization is obtained from Mason County Public Health. An Installation Fee is required. This form may be scanned and available for public view on the Mason County Web site. I ipdalcd Date: I J7/2015 Y Z H W C.) Z W J d CO o W 0 -.1 N Y F- o0 Z O r2 LLI aZ w a, J a � LLZw2 to .1 C9• O7J � J0 J s " Q K — Z Z .. '_1 p o a J 0 > Q W cpHODH (06w - 0 N _-' ' R w zw � 2o � a � � � � h� a o E > OQo = xwOZ 1 1: 2 NRZ2p2WQZN ~ J W J L » �i •Y w X O H < J W Q N Q W = k V 45. - , N vi v ui co r co of h h 1 7 a 11 1J; ? 3 \ n, 2 s 30 ( 'bye v`� Z N v� T e c vi S , r i 4 91 h t 7�1�1 ,'Ali ^ I so s,�o' ' '8VA m1112 `\I 1 \ V ' Sr VE W ITE ;1 �,T ,�i S LICENSED DESIGNER 41 \'lid W\ %N\ \ ..\i\1. ExPiRLS IuinI BASAL WIDTH l /✓ i 3 z y i 1 0 \\ -o 0 o (U ➢INE � iA Z ♦ N , 11= y /� 1 T 11 © V.1::::‘:_ 2 L I_ 1,0 0 X v. C Am O NJ N ..0 Lel ID i" iI 5 I f { (1Cr { I 4. [ . -Yai� I �� f N'1'al f \ I J l w v �Y WAGN I "' L�fpi]_1_iD IJCENS DESIGNER �I S'M. AWN V A1.q.I. UgsES 0510: • TABLE 2 Hydraulic Layout 05-50 coils Design Tota LM ;' 1 Flow c.-1 240 4 4 1 1.4 7.8 50' o'• :; 5 5 1 1.75 9.75 50' 360 " 6 3 2 2.1 6.2 50' 450 8 4 2 2.8 9.2 50' 480 ` 8 4 2 2.8 9.2 50' ;TM" 10 5 2 3.5 11.5 50' TABLE 3 Hydraulic Layout 05-100 coils Design Flow 240 2 2 1 1,4 4.6 50' Sel 360 3 3 1 2.1 6.9 50% / 480 4 4 1 2.8 9.2 ' s 600 . 5 5 1 3.5 11.5 y ;LP p. LICE or AIII•Iams. TABLE 4 E• Minimum Shoulder Lengths OS OS=50 Design Flow r 240 22.5 / i 300 lei.0 N/� 28 ,r "s11 360 33.5 . >.c. . . Ott _. 480 44.5 600 55.5 The dimensions in Table 4 represent the minimum required length of the outer shoulder which include coils, spacing between coils, and shoulders. These lengths �'�w can be extended to match site conditions. Minimum shoulder spacing and spacing between coils is 6 inches. See illustration below for example of shoulder length. `-'°C15 lei X02 Tanks 1CO2. rr q,.rk- 2/3 1 1/3 C l 41 aton€ '-\\ I, 77 --- >, '-' . -> — '.r:"fl / -Th. — Ci❑ 17 • r :l 1000 Gallon 1000 Gallon 15111lme 1/3 1/3 NIB. —. • • , -: I , f 1: Treatmentw/ tank Discharge tank - _ Illustration 1 Introduction: The OSCAR-X02 treatment system is comprised of two technologies: the X0)(4 chambers: septic, aeration, clarifier, and pump chambers) and the OSCAR: drip tubing coils, C-33 sand, reverse flush headworks, and control equipment. Wastewater is collected in the septic chamber where gross solids are separated. The waste stream is then aerated in the aeration chamber Aerated effluent passes through the clarifier then into the pump chamber. The expected waste strength from the X02 will be 30 mg/I CBODS and 5 mg/I TSS. Effluent is 's through a 120 mesh disc filter to OSCAR coils, installed in ASTM C-33 sand. Effluent char from the coils is treated by the sand prior to infiltrating into the receiving soil. 10 r,7t9ri) t level in the final discharge is expected to reach 2 mg/I CBOD, 1 mg/I TSS, a v f.� eeting Treatment Level A. The X02 can `V only be used with the OSCAR. '' s m 1 s 9 51 1 s� or EN w t[ EN esi 1 EXPIRES nsno, /N�11 Design: Single family residence packages are designated as: OSXO2-240, OSX02-300, O5X02-360, OSXO2-450, OSXO2-480, and OSX02-600 and have the corresponding design flows of 240, 300, 360, 450, 480, and 600 gallons per day. The OSX02-240 - 480 are standard packages. Design flows greater than 480 gallons per day are considered custom and will require design assistance from Lowridge Onsite Technologies, inc. For the standard single family residence OSCAR-X02 package parts list see the appendix. The X02 can only be used with OSCAR coils. All tanks must be approved by Washington Department of Health as wastewater vessels. The system can be designed in increments of flow up to 3500 gallons per day. The OSCAR has different sizing criteria than the X02. The X02 is designed in increments ranging from 500 to 3,500 gallons per day (for reference, see Table 1-2). The OSCAR is designed in increments of 62.5 or 125 gallons per coil per day, depending on coil model (see Tables 2 and 3). Consequently, a design for a 7 bedroom system (840 gpd) could incorporate two 1750 gallon, two compartment tanks plus an addition aerator (OXz+1 kit) with 14 0S-50 OSCAR coils (875 gpd). X02: The tanks for the XO2 can be arranged in different formats. One option is to use two double compartment tanks of the same size, either made of polyethylene or concrete, with the following criteria: Treatment Tank: The partition wall between the first and second compartment of the treatment tank must have either a 4 inch by-pass hole or the Men bottom of a tee baffle must extend down between 40% to 60% of the liquid depth of the tank. 1 Discharge Tank: The partition between the first and second compartment of the discharge tank must have a 4t inch by-pass hole located at least 18 inches above the floor of the tank or no more than 27 inches between the bottom of the by-pass hole and floor of the tank. Recommended hight of by-pass hole is 18 inches. To determine the tank size for design flows greater than 500 gpd, the tanks can be up size proportionally. Example: - - • Tanks for a 500 gpd design = 1,000 gallons A 7-bedroom design (120 gpd x 7) is 840 gpd. 840 gpd/500 gpd = 1.68 or 68% increase P n im nk size for 840 gpd = 1,000 gal. x 1.68 = 1,680 gallons AN A a 1750 gallon, two compartment tank can be used. - \ \V m F-y IDE 18 CINDY E. IT LI D IG pik\ 2,4n nI • ,ceHlSa, v L� For tanks with water tight, structurally sound partitions: for both the treatment tank and discharge tank a double compartment tank with tee baffles can be used (no flow through ports). Flip the discharge tank around so the smaller compartment is first as shown (see Illustration 2). The clarifier chamber is to remain full. .-ALL l_ r u - r i- - F s 1 • g 3 �.v+,�4:ka. - --s..^r. ,� , .. ho-. TA. ., ? Illustration 2 As the daily design flow rates increase, larger tanks will be needed. It may become necessary to have individual tanks for each chamber or a combination of tanks to meet the volume requirements. For example: 3.000 god design flow (refer to Table 1-2). Septic chamber = 4000 gal. needed, use a 3000 gal. tank + 1000 gal. tank. Aeration Chamber = 2-1000 gal. tanks. Clarifier chamber = 2- 1000 gal. tanks. Pump chamber = 3000 gal. tank + 1000 gal. tank. " ' i 3 In this example, the septic chambers could be connected using standard tee . baffles making a two compartment chamber. The aerator chamber could be arranged the same as the septic chambers. Half of the diffusors would be placed in each 1,000 aeration chamber. The clarifier chambers could either use tee baffles or be connected together below the liqui level. The combined pump chambers must be connected below the liquid ley- i it J_ T or il r1 510 41 '�m 1 l/ I ON AI E i p S LI Ep SIGNER w \N \ ex.=wis us.in, Headworks: HWN-.7-RF • inches Arkal disc fitter, mesh, 130 micron • '/ inches Arad flow meter • Three oil fitted pressure gauges (0-100 psi) • 5 Netafim normally closed solenoid valves (Model 80) 1 i�• „.„, r, 4,,,k. OSCAR-X02 Parts list (500 gpd). Each OSCAR-X02 unit will include: - _ • LF1P-RF-AR or LF1 P-RF-ARA control panel • LOT-30, 1/2 hp, 120 volt pump • Hi-Blow Aerator, HB-80 (80 liter/minute)• Hi-Blow diffusers • • OS-50 or 0S-100 Coils • PVC fittings and drip tubing adapters ' HWN-.7-RF automatic headworks 0 • S 11 Solid 1/2inches poly tubing for connections 11 • 2 float switches oci- A (i orkif3c �__ i, myNtf IA ;it, 510018 eA '-y1I ct INDY AINE "' •1 1 1 Or LI D 60 SIGNER 1, \ ..N� ILli WA. \ .....tfi E)PIRLS 0510, • OSCAR-X02 coil Connections \.s.. - -'4 44, rk r , Manifolds and supply lines are 1 inches Sch 40 PVC s,r> •. s hVf s'".ea, . Manifold and blank tech line adapter and connection. ,./ - , y14'x %i , 1rf P v' ry} 1A. -14a,+"�� r 1Y Blank tech liner and Bioline connection with internal coupling 10 si 5 s,ca 19 S o= cin�o a ER $ \Zu21 LI 0 o icHEA • Installation Notes Oscar-X02 Treatment System 130 SE Crescent Dr 31904-55-00027 1. The on-site septic system has failed. Drainfield is in driveway, compacted and root bound. 2. Existing septic tank will be retrofitted with risers. 3. Stumps in the drainfield area must be cut down to ground level or below. ''\, 4. Installer and designer must meet on site prior to installation. i5. Oscar drainfield: ASTM C-33 sand media as per Washington Department of I Health's Recommended Standards and Guidance for Intermittent Sand Filter. 6. Concrete two compartment tanks required for septic and pump (See illustration 1 and 2 on pages 6 and 8) 7. The prepared site plan is not a survey. It's the owner's responsibility to verify property lines. utility lines (water, sewer. power. phone and gas) prior to installation. 8. Minimum of 6" of sand throughout out the lateral area, must be level. 9. The tanks may be moved as necessary to accommodate building requirements. 10. Septic tank location must meet all required setbacks. 11. Keep wheeled vehicles off the drainfield area before, during and after installation. 12. Tracked equipment only 13. ,All ground, surface water and roof drains must be diverted away from the septic tanks and drainfield. 14. Ensure the final grade slopes away from these areas and water doesn't collect on or around them. Use swales, berms, catch basin and tight lines, curtain drains, etc. to divert all waters 15. Curtain drains can be no closer than 10' upgradient and 30' down gradient of the drainfield 16. Exposed restrictive layers, cuts, banks, etc. can be no closer than 50' downhill from the drainfield. 17. Install access risers on all tanks, valve box and ends of laterals. _ 18. Make sure septic tank risers are epoxied or caulked to cast in riser rings on tank. 19. Lids must form a water and gas tight seal with the access risers. Gni , 20. This system must be installed by a Mason County Certified installer. 21. Deviation from this design without prior approval from the designer and Mason County Health Department will make this design null and void. • 22. This design was sized per Washington Administrative CodeWAC246-272A-0230. The operating capacity is based on 45 gallons per day per capita with two persons per bedroom. The minimum design flow per bedroom per day is the operating capacity of ninety gallons multiplied by 1.33. This results in a mi urn design flow of one hundred twenty gallons per day. This creates a surge factor o but anticipated flow is ninety gallons per bedroom per day. Pe pA M1e ems„ IA 5 Sic 1)or IND w it 1\ LIG ODE GNER� ExPIgLS , 10 System Owner Responsibilities: 1. Operation and Maintenance is required by Washington State Department of Health and Mason County Health Department. 2. The septic tank and pump tank should be pumped every three to five years or as needed. 3. System owners are responsible for having maintenance performed annually. 4. System owners are responsible for responding to septic issues in a timely manner. 5. System owners shall not at any time change or alter settings in the control box. 6. System owner agrees to read and abide by information regarding theft system in the User Manual provided by Mason County Public Health. 7. Keep the flow of sewage at or below the approved design operating capacity. 8. Leaky plumbing can hydraulic overload your on-site septic system 9. Keep waste strength at residential waste strength parameters. 10. Spread loads of laundry through the week. 11. Do not use excessive bleach or detergents with added whiteners. 12. Do not shower, do laundry and dishwasher at the same time 13. Antibiotics can kill or impair the biological process in the septic tank. OCT 1 C3 e� a Z� 041 0 CINDY E.WAITE `\� LICENSED DESIGNER , Exr'E5 acnu