HomeMy WebLinkAboutSWG2023-00516 - SWG Application / Design - 12/11/2023 MASON COUNTY 415N6TH STREET,SHELTON,WA98584
SHELTON:360-427-9670,EXT 400
BELFAIR:360-275-4467,EXT 400
' . 1 Public Health & Human Services ELMa.360-482-5269,EXT 400
FAX:360-427-7787
On-Site Sewage System Permit: SWG2023-00516
APPLICANT KING DAVID W& LISA D Phone:
Address: PO BOX 1404 ALLYN, WA 98524
OWNER KING DAVID W&LISA D Phone:
Address: PO BOX 1404 ALLYN, WA 98524
SEPTIC DESIGNER Bob Paysse-Pioneer Digging Inc Phone: 360-426-1803
Address: 3083 E Mason Benson Road GRAPEVIEW, WA 98546
Site Address: 171 E Nelson Rd
Primary Parcel Number: 122294400030
Permit Description: New SFR-4BR Nuwater BNR500 and Subsurface Drip
Permit Submitted Date: 12/11/2023
Permit Issued Date: 01/04/2024
Issued By: Jeff Wilmoth
Current Permit Fees Paid: $525.00 (additional lees may be required upon installation of system).
Permit Expiration Date: 01/02/2027 (based on dale of inspection/
Permit Conditions:
1 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
backlit!of system components.
6 Mason County Asbuilt Form, Record Drawing, and Installation fee must be submitted for
final installation approval.
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/health/environmental/onsite/oss-inspection-request.php or call:
360-427-9670,extension 400.
OFFICIAL USE ONLY e
.6,.,D42
MASON COUNTY DAT.REEBNE I2-jk - 13 ��
leiCOMMUNITY SERVICES °MLA ,� �1d `
Public Health(Community Health/Environmental nmental Health) C
rl:s,.:,.a La.I,�pwn9w,M ,..no SWG �,b 2`3- 665 ( 62 o53
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ON-SITE SEWAGE SYSTEM APPLICATION > A
APPLICANT PHONE m
DAVID KING z
c
MAILING ADDRESS STREET CITY STATE ZIP CODE E
PO BOX 1404 ALLYN WA 98524 m
z
SITE ADDRESS-STREET CITY.ZIP CODE
173 E NELSON ROAD ALLYN WA 98524 I -1
NAME OF DESIGNER PHONE I N
ROBERT H. PAYSSE 360-426-1803
NAME OF INSTALLER Pr IONE O I N
TBD <
PER TYPE Ise.4a one) DRINKING WATER SOURCE W I �
IaG MIT MI'RESIDENTIAL 055 F COMMUNITY OSS FCOMMERCIAL OSS ft PRIVATE INDIVIDUAL WELL PRIVATE TWO-PARTY WELL Z INJ
TYPE OF vvORK(select ore/ PUBLIC WATER SYSTEM
ff NEW CONSTRUCTION I LPGRADES 9-REPAIR/REPLACEMENT OTHER DETAILS(sexeo all Mat LAMY/ 0 TABLE IX REPAIR IA
sUBBMMTTALs 0 SURFACING SEWAGE 0 EXISTING FAILURE RI SHORELINE
03
M.DESIGN FORM(REQUIRED) WI SEPTIC DESIGN(REQUIRED) BEDROOMS LOT SIZE OryrS I a
5-WAIVER(S){IF PPLICAB_E) 4 1.65 AC x I o
DIIRECOONS TO SITEAND S:TE CONDITIONS(et Iockee gale)
N. HWY 3. RIGHT ON GRAPEVIEW LOOP ROAD JUST BEFORE ALLYN. FOLLOW 1 I o
GLR AROUND TO 7000 ADDRESS AREA AND TURN LEFT ONTO NELSON ROAD. r
FOLLOW TO INTERSECTION AND STAY RIGHT. DRIVEWAY IS THEN ON LEFT. SITE ° o
ADDRESS 173, PDI SIGN POSTED. I w
SITE MUST BE FLAGGED FROM MAIN ROAD AND TEST HOLES MUST BE FLAGGED WITR TEST HOLE NUMBERS. I CD
OFFICIAL USE ONLY BELOW THIS LINE ----
UPGRADE I FAILURE SOURCE liar repoong purposes)
0 VOLUNTARY 0 MAINTENANCE/PUMPING 0 BUILDING PERMIT 0HOME SALE ❑COMPLAINT 0OTHER.
INSPECTOR SOIL LOGS COMMENTS I CONDIT;ORS
2- y 6G 6 -14 I e k I
SOIL cODFs'. RECORD DRAWINGAND INSTALLATION REPORT
V=VERY G=GRAVELLY S-SAND L=LOAM s'.=SILT C=CLAY _=EXTREMELY R=ROOTS RE• RED FOR FINAL APPROVAL
ECTOR SIGNATURE -Cost DATE APPLICATION EXPIRATION DATE . ATi nA OVE°I lssk°BY DATE
p �
I MAY BE SCANNED AND AVAILABLE FOR PUBLIC VIEW ON THE MASON COUNTY WEBSITE
1-c1, REVISED1MrzOl5
DESIGN FORM—PAGE ONE Assessor's Parcel Number: l 2 2 2 9 — 4 4 — 0 0 0 3 0
A design will be reviewed when 3 copies of each of the following are submitted:
"Completed design form that has been signed and dated. " Scaled layout sketch,including all applicable items on checklist
"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.Maximum paper size' I I-X!'"
PARCEL IDENTIFICATION
Permit Number: SWG 2023 . 005I(Q Designer's Name: ROBERT H. PAYSSE
Applicant's Name: DAVID KING Designer's Phone Number: 360-026-1803
Mailing Address: PO BOX 1404 _ Designer's Address: 3083 E MASON BENSON RD
ALLYN WA 98524 GRAPEVIEW WA 98546
City State Zip City State Zip
DESIGN PARAMETERS
Treatment Device
❑Glendon Riot-liter 0 Sand Filler 0 Mound 0 Sand Lined Drainlield 0 Recirculating Filler.Type:
g Aerobic[nit Make/Model NUWTER BNRT50 M Disinfection[nil Make/Model Other: 1000 GAL TRASH
Drainfield Type
0 Gravity 0 Pressure ❑ Trench 0 Bed g Sub Surface Drip
Septic Tank/Drainfield Specifications Laterals
Number of Bedrooms 4 Schedule/Class NETAFIM
Daily Flow:Operating Capacity 360 gpd Length 200 ft
Daily Flow: Design Flow 480 gpd Diameter 0.5 in
Septic Tank Capacity(working) 1000+ BNR500 gal Number 3
Receiving Soil Type(1-6) 4 Separation 1,5 fi
Receiving Soil Appl. Rate 0.6 gpd/ft' Orifices
Required Primary Area 900 fta Total Number of Orifices 600
Designed Primary Area 900 ft'- Diameter .42 GPH in
Designed Reserve Area 1200 R' Spacing 12 in
Trench/Bed Width 18 ft Manifold
Trench/Bed Length 50 ft Schedule'Class SCH.40
Elevation Measurements Length 20 ft
Original Drainfield Area Slope 2 % Diameter 1 in
New Slope,If Altered 2 We Preferred manifold configuration used? fib Ycs 0 No
Depth of Excavation I'0—lipc 6-8 in Transport Pipe
from Original Grade nownnslope 6-8 in Schedule/Class SCH.40
Designed Vertical Separation 12+ in Length 600+/- ft
Gravel less Chambers Required? 0 Yes g No 0 Optional Diameter 2 in
Pump Required? g Yes 0 No Dosing and Pump Chamber
Pump/Siphon Specifications Number of doses/day 12
Diff. in Elevation Between Pump& Uppermost Orifice 30 fi Dose quantity 30-40 gal
Drainfield Squirt Heighd Selected Residual (head) - ft Chamber Capacity(flood) 1500 gal
Uppermost Orifice 'Higher 0 Lower than Pump Shutoff Pump controls: Please check those required.
Capacity A[%Total Pressure Head 9 gpm gTimer ap��y7ter fib Event Counter
Calculated Total Pressure Head 143 ft If Timer: Pump on ,PuIM f 1 .:.
Comments JAN 0 4 (
Jn W
DESIGN FORM-PAGE TWO Assessor's Parcel Number: l 2 2 2 9 -- 4 4 -- 0 0 0 3 0
Penn it Number: SWO
DESIGN CHECKLISTS
Scaled Plot Plan Scaled Layout Sketch Cross-Section Sketch
Fil I est hole locations 0 Drainfield orientation and layout Reference depth from original grade:
O Soil logs lid Trench/bed dimensions and lI Septic tank
91 Property lines critical distances within layout 1 Drainfield cover
• Existing and proposed wells g D-Box/Valve box locations Reference depth from original grade
within 100 ft of property fii Septic tank/pump chamber and restrictive strata:
Pi Measurements to cuts.banks,and locations LZ Laterals,trench/bed.top and
surface water and critical areas filj Observation pod location bottom
gi Location and orientation of fill Clean-out location 0 Curtain drain collector
curtain drain and all absorption fif Manifold placement 0 Sand augmentation
components
12I Orifice placement Other cross-section detail:
(a Location and dimension of Iii Lateral placement with distance g Observation pops/clean-outs
primary system and reserve area to edge of bed
Other Information
0 Buildings lifAudible/visual alarm referenced Yes No
FA Direction of slope indicator Scale of drawing shown on scale d ❑ Design staked out
WI Waterlines bar 0 Ri Recorded Notices attached
10 Roads,easements, driveways, 0 Rld Waiver(s)attached
parking Cd ❑ Pump curve attached
VT North arrow and scale drawing 0 lif Evaluation of failure
shown on scale bar P P R O V E Non-residential justification
0 0 Waste strength
JAN 0 G c'i'y P ❑ RI Flow
M1PSONf '§ite4pVA9rE//AlOYAIr!Fal t;s
The undersigned designer must be notified v it t ertc3n1�� of installation g Yes ❑ No
gna ure Design Date
The undersigned has reviewed this design on behalf of Mason County Public Health and determined it to be in
compliance with state and local on- regulations'
Envi on t ea th Speci s Date
CAUTION: DESIGN APPROVAL IS VALID ONLY UNDER THE FOLLOWING CONDITION:
✓ The design is stamped"Approved' by Mason County Public Health.✓ The Onsite Sewage Permit has not expired,the Permit Expiration Date is: _l-- 2- — 7
✓ Drainfield site conditions have not been altered to adversely affect conditions of design approval.
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.
Updated Date: 12/712015
t4 I
NE . ' \\ PROPOSED 4 BEDROOM
,..„\-S:CS°
N ��
PROPOSED B DROO EAREAS
FOLLOW CONTOURS OF SLOPE
• A\ EXISTING TANK AND
V . �� DRAINFIELD TO BE PUMPED
�‘ � , AND ABAN PON EP AT TIME
OF INSTALLATION
EXISTING \ MAINTAIN 50'+ FROM WELL
DRIVEWAY TO TRANSPORT LINE
PROPOSED AV A INSTALL NEW 4"/ 3034
1" SCR, 40 SEWER LINES FROM EXISTING
TRANSPORT \ HOME AND FUTURE ADU
RETURN LINES \
EXISTING/ PROPOSED \ ____
WATERLINE LOCATIONS \ ,-
UNKNOWN. MAINTAIN \ , \ i' /
10'+ FROM SEPTIC \ __
EXISTING
COMPONENTS AND FUTURE ,/
LINES. POUBLE- SLEEVE / so ADU /
CROSSINGS 10' EA. SIDE. i� V ` A 1
*±�gg / .�T �� \ EXISTING
Pl gt r y \ wti \ GARAGE
�1 EXISTING I
11 ARED WELL --v v ! "
iAN (7 r =i°t a� „ I 1_��--1/ V s EXISTING F
I v v / .I HOME a
�_ 61AF v PROPOSED TANKS /
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4r CASE INLET
AN ASBUILTI INSTALL SIGNOFF FEE WILL
BE CHARGED AT TIME OF INSTALLATION
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s:12229 11 00030 So/.9
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SEPTIC DESIGNS vDDRF=3. 173E NELSON RD IL I to RLVI" so Roar. so
90%3 r 313332N BF\,-C\RD CRAP[\II' 1A 198510 DL ICNLR: ROBERT FL PAYSSE
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RESERVE AREA
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\ ` PRIMARY AREA.
/ % : 900 SOFT/ 600 LN FT
4////////////1/2/ 12n50FT/ 3HOOKUPS
600 EMITTERS
, , / ,
15 FT SPACING
12
1„ SCH. 40 `./1/ /2
\ TRANSPORT S 41 /;
RETURN LINES
,I_ T� I- ADWORKS �' .„.0
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J AN ASBUILTI INSTALL SIGNOFF FEE WILL
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PIONEER DIGGING, NC. P,R( e �zz9waoo30 11°1I,;1 ;'1.1 1 :1 IL L
SEPTIC DESIGNS vDDREs:.. W E NELSON RD 11y I 10 1100T3 30 130013 30
308i EIIiOA BEN3CN RD GRAPEV'II N.AAV 085133 DGIGNER'. ROBERT H.PAYRSE
Cl !REPOSES ONLY PROPOSED REHR SEMEN" Mn, u SHOJECT TO OTHER
3ILE-3b04301803 I \ 300 ID-2353 II I I' DF DETM. SGLLE I' 10 EEP.a COMEENE TIE
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DEPTH
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t9"SCH. 40
6" ICV BOX TO AIR/VAC
FIN. GRAPE RELIEF VALVE 0 H D Fowler Company
Continuous Flush Headwork
Quality Performance, Long-Lit,and
Reliable Onsite Effluent Control
Applcalons:
y onnle weslHdlIN NV ateCereel systems�llllll- : treatd rMiern ns[aimed tor
treated e111Vem lies including
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AN ASSORT/INSTALL SIGNOFF FEE WILL as
BE CHARGED AT TIME OF INSTALLATION
PIONEER DIGGING, INC ;,;REEL"' 7D9;° °
SEP[IC DI SIGNS -ADDRI-*, l73ENILSONRD
Fcasr sI'LyBLv>.N RI) ckar1' InV,Ices)$-,k DPSICLNIR. ROBERT H.PAYSSE
.YACF. %O420I80 1 1 'A RR/ 1272)53 SI U T: DRIP DETAILS SCALE: NA _ nn.c REVELS
a SICKER
NOT RE". WALKS LATE:
Millirl=
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scciectecese Reseed 1.9 use 000
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n.ne.rmM&,DWr flaw P.rze' Miscellaneous Information
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Pump Selection
Reis IGPL SD
Save to File TDH(Meal m D va wa Feet ofHeed
DRIPFIELD SPECIFICATIONS
REQUIRED DESIGNED
BEDROOM COUNT FOUR
DAILY FLOW(GPO) 480
DRA IN El ELL)AREA REQUIRED(FT^2) 900 900 ORENCO PF 2010
LINEAR FEET REQUIRED(FT) 603 600 (OR EQVI VILENT)
EMITTER COUNT 600 600 Em
DESIGNED SPACING OF DRIPLIN ES(FT) 1.5 1.5 PFms.rleamps os-tsp
am Grin . I . •
EMITTER FLOW 1 -
EMITTER FLOW RATE(GP H) 0.42 - mo� .
TOTAL EMITTER FLOW RATE(GPH) 252 C +®
CONVERSION TO MINUTES(GPM) 4.2 2 xm
HOOKUP/LATERALS
TOTAL HOOKUPS/LATERALS 3 4
FLOW RATE PER HOOKUP/LATERAL(GPM) 1.6 a Im i .
TOTAL FLOW RATE FOR HOOKUPS/LATERALS(GPM) 4.8 m r I I-
TOTAL GPM(PUMP REQUIREMENTS) to E� qyLt
PUMPFLOWRATING(GPM) 9 r / a as a
DOSING SETTINGS 'R 1 I -inum 30(ppm)
TOTAL DOSES/CYCLES 12 LAN Q
OPERATING CAPACITY(GPO) 3W " .
GALLONS PER CYCLE 30 .. _
DRAINFIELD DISCHARGE RATE(EMITTER FLOW) 4.2 Jaz.M
ON TIME(MINUTES) 6
OFF TIME(MINUTES) 54 „ ..2
PIONEER DIGGING, INC `1acrI`°'v7°9a !CNC
SI PIIC DI SIGNS A FUR L5: 173ENELSONRD F / ' aa
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APPROVER .: NI/WATER BNR500
OF SEWAGE
AGE
I ANKS
P'✓MP TANKS OVER
1000 CAL REQUIRES �� .Y LSE RUBBER
Trio ACCESS RISERS CROMETS FOR
10 CRADE • TRANSPORT INE
PUMP TANKS ON RISERS MAKE
LOCATED AT HIGHER SURE ALL HOLES
ELEVATION THAN NVWATER CONTROL PANEL ARE INATYR-ncHT
DRAINFIFI D MHST £ RIBBED RISERS
HAVE AN FI-SIPHON' W/WATER TIGHT LIPS
DEVICE INSTALLED.
ts.---._ FINISHED GRADE
II
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. -
IN:F7 S
11 UNION N BALL VALVE
WATER-TIGHT 1500 GALLON WA 7ER77GHT CHECK VALVE
JOINTS CONCRETE PUMP TANK
5(28. CAL. /IN.'
.. HIGH WATER FLOAT FLO-INDUCER
•
ON/OFF FLOAT �� USE'IANKSHUED
1/CAST IN WATER
TIGHT FITTINGS FOR
o•".w. PUMP: ORENCO PF i . INLET/OWI BAND
,=" p �J i G�,ST IN RISER
- ae •. • • - } :•.• #'- ADAPTERS TO t ENSURE WATER
' :-ficx. Ab k.. , c i4. TIGHTNESS
PIONEER DIGGING, INC PAR. IA 799 qq 00030 INSTALI TA.N'KS ON ORIGINAL OR
SEPTIC DESIGNS ADDRFS: 173ENELSONRD COMPACTED LEVEL SOILS RUN CROSS
3083 L 51ADJN BEw0S RD. CA 11115IF&,5Cn 985 to DISGNER. ROBERT 1-1 .N
PAYSSE CONEC IIO.NS INTO ORIGINAL SOILS TO
OF 360 4261803 FA\ aft, 1272351 DFSIGN I'VA' TANKS DETAILAVOID SEJ1 L[NG.
Installation & System Notes
1. Installer must contact designer for final inspection of the installation prior to cover. All components, including tanks, lids,
transport line,drainfield,and water lines must be open for inspection. A$350.00 fee will be charged for time involved with the
inspection of the installation and creation of the record drawing. The designer reserves the right to charge additional fees if
multiple visits are needed due to installation errors or inaccessible components.
2. This septic design must be installed by a certified installer with the local health department. All components shall be installed
according to state,county,and manufacturer requirements. For Homeowner Installs,the owner must get approval from the
designer and local health department prior to attempting installation.
3. Designer is not a surveyor. Installer must familiarize themselves with property line locations prior to installation. Any
confusion or conflicts with line locations should be reported to the property owner. A licensed surveyor may be necessary prior
to installation to confirm all line locations. Any discrepancies found must be reported to the designer immediately.
4. Drainfield area may only be cleared by a licensed installer familiar with sensitive drainfield area preservation. The builder, lot
developer, or property owner shall not clear the drainfield area. Any clearing required for drainfield installation shall not
remove or disturb any top soil in Primary and Reserve areas. Removal or disturbance to drainfield soils could render design
void.
5. The property owner and installer are responsible for locating all underground utilities(ex. water,gas,electric)prior to
installation. Any utility locations shown within design drawings are likely approximate and may not be exact.
6. All proposed tanks must be installed on original soils or compacted gravels. Extend all tank connection lines out onto original
soil to avoid settling issues. Risers and lids must be brought to finished grade and left accessible for future operations and
maintenance. Component manufacturers (ex. ATU, Glendons,) may have other requirements not listed within this design.
7. All electrical wiring shall be done by a licensed electrician or homeowner(if allowed)and must be permitted through Labor
and Industries. Designer not responsible for electrical permitting or other electrical specific code requirements.
8.The proposed septic system should be installed in dry weather conditions. Any failed attempts at installation during wet
weather conditions may render this design void.
9. Maintain 10ft to waterlines with all septic components. If less than 10ft is required,sleeving in sch. 40 pvc is required. If
sewage transport lines and waterlines must cross, waterline must be 18"above sewage line with one of the lines sleeved in sch.
40 pvc loft in each direction of crossing.
10. This design may include waiver applications with specific mitigation measures pertaining to installation,operation and
maintenance of the proposed components.
11.Stormwater runoff,footing drains, roof drains must be diverted away from any septic system components. No curtain,
foundation, perimeter drains shall be installed 30ft downslope and loft upslope of drainfield areas.
12. This design is site specific and intended to meet state and county requirements that are related to the system components
being proposed. Any placement of proposed buildings, proposed wells or other non-related items on these drawings mayor
may not meet other requirements.
13.All onsite septic systems require regular maintenance to verify satisfactory operation. The systtn owner/operator is
responsible for the continuous operation and maintenance of the system per WAC 246-272A. Fo ery, n maintenance
information, refer to Mason County Public Health Homeowner's Manual, which should be recei fteY in ll oOp
14. System owner should be cautious of landscaping around septic components. Root intrusion, J/ ,
can cause premature failure of the drainfield area. In addition, bushes and trees should be kept t co4'.I
away from lids and other septic maintenance points.
15. Changes made at time of installation may impact designer calculations, pump sizing,and airy
compliance w/county and state requirements. Contact designer prior to install w/any : `.
proposed variations from design. Changes may result in additional fees and permitting. w"µr
PIONEER DIGGING, INC. \ 113 IL: DAVID KING
FAR( I I=:1222944-00030
•SI:I)I IC. DISIGNS \DDRFbS. 173 E NELSON RD q! /1Z'r Yi/%nr.
30d31111 h`C RF\COA RI) (µ.3PEl IISK{985 in DLSIGAER: ROBERT H.PAYSSE 1,-'
OFFICE 3o0 12-I803 FVA 3o01271351 SI II I I: NOTES SCALE NA