FOR GREYWATER TREATMENT SYSTEMS, DRY COMPOSTING TOILET SYSTEMS AND COMMERCIAL-SCALE TREATMENT SYSTEMS

INSTRUCTIONS
(1) READ THE LATEST VERSION OF EPA PUBLICATION 935 “GUIDANCE ON APPLYING FOR A CERTIFICATE OF APPROVAL FOR AN ONSITE WASTEWATER TREATMENT SYSTEM” – AVAILABLE FROM THE EPA WEBSITE AT www.epa.vic.gov.au/environment/water/onsite_wastewater
(2) CONTACT EPA TO ENSURE YOU HAVE THE LATEST APPLICATION FORM AND TO GET ADVICE.
(3) FILL OUT THE APPLICATION FORM AND ENSURE THAT ALL DETAILS ARE ACCURATE AND COMPLETE.
(4) WHERE INFORMATION THAT IS REQUESTED IS CITED AS ‘NOT APPLICABLE’, A STATEMENT EXPLAINING WHY THE ITEM IS NOT APPLICABLE MUST ACCOMPANY THIS APPLICATION.
(4) ATTACH ALL WRITTEN AND ELECTRONIC (ON CD) INFORMATION DETAILED IN CHECKLIST SECTION 8.0
(5) POST THE COMPLETED APPLICATION FORM AND ALL ATTACHMENTS TO THE ONSITE WASTEWATER PROGRAM MANAGER (ADDRESS ON THE LAST PAGE OF THIS FORM).
1.0 MANUFACTURER or IMPORTER’S DETAILS
1.1 Full Name of Company
1.2 Registered business name
1.3 Australian Company No. (ACN)
1.4 Australian Business No. (ABN)
1.5 Address of Registered or Principal Office
1.6 Postal address
1.7 Name and address of Victorian agent if different from above
1.8 Name of Contact Person
1.9 Contact details / Phone: ………………………………………………………...
Mobile: …………………………………………………………
Fax: ………………………………………………………….…
Email: ………………………………………………………....
Website: …………………………………………………………
2.0 ON-SITE WASTE WATER MANAGEMENT SYSTEM DETAILS
2.1 Name and Model Number of the system
2.2 Wastewater source
(circle ONE only) / All wastewater (blackwater and greywater)
All wastewater (excluding urine)
Greywater including kitchen wastewater
Greywater (no kitchen wastewater)
Blackwater (toilet water including urine)
Blackwater (toilet water without urine)
Faeces and urine only
Faeces only
2.3 State the maximum hydraulic load of each model (L/day)
2.4 State the maximum organic load of each model (g /day BOD5)
2.5 State the peak flow rate (L/hr) for commercial-scale systems
2.6 Treatment types
(Circle ALL that apply)
Primary treatment
Secondary treatment
Disinfection /
Anaerobic Septic tank
Aerobic Biological Filter (Wet composting / Vermiculture)
Dry composting
Aerated Wastewater Treatment System (AWTS)
Aerobic Biological Filter (Wet composting / Vermiculture)
Electro-flocculation
Membrane Filtration
Ozonation
Reedbed
Sand Filter
Trickling Filter / Packed Bed Reactor
Other:
Chlorine / Bromine
Ultra-Violet Light
Other:
3.0 EFFLUENT END USE
3.1 Identify the proposed end uses for the treated water or residual liquid from a dry compost toilet.
(circle ALL options) / Not Applicable (no effluent)
Infiltration/soil absorption trench
Evapo-transpiration bed/trench
Mound
Subsurface irrigation
Surface irrigation (greywater only)
Toilet flushing (greywater only)
Cold water use in the washing machine (greywater only)
3.2 Identify the end use or deposition of the sludge or composted biosolids
(circle ALL options) / Tankered off-site to a sewage treatment plant
Discharged to sewer
Composted and buried on-site
Composted and taken off-site
Not applicable (no residual sludge / compost does not need to be extracted)
Other:
4.0 ENERGY CONSUMPTION
4.1 List the brand, model and type of each electrical component of the system, including any fans, aerator pumps and the irrigation pump for secondary treated effluent. / Electrical component
(brand, model & type) / Energy rating in Watts of each component / Estimated daily hours of operation for a 4-person house
5.0 TEST REGIME
5.2 For greywater treatment systems and dry composting toilets state the residential address where it is proposed that the system will be tested and the age of each householder. / Address of residential test site:
Occupants’ ages:
5.3 For commercial-scale treatment systems (2-5 kL/day) state the address of the commercial premises where it proposed that the system will be tested, details about the business and the constituents of the wastewater. / Name of commercial premises:
Address of commercial test site:
Type of business:
Number of days of operation per week:
Hours of operation per day:
Number of staff per day:
Average number of clients per day:
Constituents of the wastewater:
5.4 Indicate the water quality standard that more than 90% of the effluent samples taken throughout the testing regime must achieve.
NOTE: The 10/10/10 & 10/10 standards are only applicable to greywater treatment systems that have been accredited in accordance with the NSW Health Domestic Greywater Treatment Systems Accreditation Guidelines (February 2005) (as amended) or an international equivalent. / Tick Here / BOD
(mg/L) / SS
(mg/L) / E.coli
(cfu/100mL)
<10 / <10 / <10
<10 / <10 / n/a
<20 / <30 / <10
<20 / <30 / n/a
5.5 Nominate the maximum Nitrate concentration that the effluent may achieve (optional) / mg/L NO3-N
5.6 Nominate the Total Phosphorus (TP) concentration that the effluent may achieve (optional) / mg/L TP
5.7 List other water quality parameters that will be monitored during the test regime
5.8 State the nominated ambient air temperature range in accordance with AS/NZS 1546.3 cl. 2.4.3 and Appendix A2, or AS/NZS 1546.2 cl. 3.5.2. / Range: from …………. to …………. degrees Celsius
Tests must be conducted to verify this range.
6.0 SYSTEM AND END-PRODUCT QUALITY ASSURANCE PROTOCOLS
6.1 Circle all the quality assurance programs that will be used to assess:
·  the performance of the treatment system,
·  the structural integrity of the components of the system, or
·  the quality of the water or compost end product. / AS 1547: 2012 Onsite domestic wastewater management
AS 1546:1 2008 Onsite domestic wastewater treatment units – Septic tanks
AS 1546:2 2008 Onsite domestic wastewater treatment units – Waterless composting toilets
NSW Health Domestic Greywater Treatment Systems Accreditation Guidelines (February 2005) (as amended)
An international standard.
7.0 CHECKLIST OF REQUIRED DOCUMENTS
All the following items must be collated in one bound paper copy plus as individual documents on a CD or memory stick and posted with the completed application form
Documents Required
Item No. / Type the reference number of the item in the attached document or type ‘not applicable’
7.1 Table of contents of the documents accompanying this application form.
7.2 Covering letter and overview of the system describing any special features.
7.3 Detailed description of the treatment train and processes of each model including a description of the equipment and process that returns sludge from the secondary chamber to the primary chamber (a manually-operated sludge return mechanism is not acceptable).
7.4 Detailed description of the influent and effluent water quality sampling mechanism and a diagram of their locations.
7.5 Name of the NATA-registered laboratory with which has been engaged to collect the influent and effluent samples or the composted biosolids.
7.6 Detailed description of the alarm system
7.7 Manufacturer’s specification sheet for each electrical component
7.8 Manufacturer’s membrane specification sheets
7.9 Manufacturer’s specification sheets for the UV unit including the wavelength range, maximum flow rate per minute, lamp intensity and any transmissivity monitoring
7.10 Description of any nutrient reduction equipment or mechanism, an explanation of its processes and justification of its long-term capability.
7.11 Schematic diagram in plan and cross-sectional view showing the tanks, chambers, components, sludge return mechanism, internal and external pipe work and the flow path of the wastewater through the system.
7.12 Certificate of Accreditation by JAS-ANZ of the company (third party Conformity Assessment Body) conducting and reporting on the tests.
7.13 Certificate of Accreditation plus Scope of Accreditation issued by NATA for the laboratory conducting the biological testing (eg E.coli, salmonella)
7.14 Certificate of Accreditation plus Scope of Accreditation issued by NATA for the laboratory conducting the chemical testing (eg BOD, TSS, nutrients)
7.15 Certificate of Accreditation plus Scope of Accreditation issued by NATA for the engineering laboratory conducting the engineering tests in accordance with AS/NZS 1546.1 (2008).
7.16 Risk assessment and trouble-shooting advice (eg. AS/NZS4360 based)
7.17 Site installation plan showing all tanks and pipework including the effluent discharge to sewer pipe.
Commercial-scale systems (2000L to 5000L/day) design justification in accordance with latest version of Pub. 500 Small Wastewater Treatment Systems
7.18 Calculations to justify the minimum operating capacity (volume) of the primary treatment tank, relative to the claimed maximum hydraulic (see 2.3) and organic (BOD5) (see 2.4) design loadings. The calculations must demonstrate the provision of adequate sludge storage (not less than 2m3/kg BOD.day).
7.19 Calculations to justify the minimum operating capacity (volume) of the secondary treatment tank(s), relative to the claimed maximum hydraulic (see 2.3) and organic (BOD5) (see 2.4) design loadings.
7.20 Calculations to justify the maximum daily organic (BOD5) loading of each fixed media process.
7.21 Calculations to justify the maximum operational capacity (volume) for aerobic biological chambers for aeration, submerged fixed media or activated sludge processes, relative to the maximum daily BOD and hydraulic loadings. (A maximum BOD5 reduction of 30% can be allowed only if primary settling tanks with excess sludge storage capacity are provided – see 7.18 above.)
7.22 Calculations to justify the storage capacity of the chlorine contact chamber or any other treated effluent disinfection chamber or tank.
7.23 Calculations to justify the maximum desludging interval based on the maximum hydraulic and organic design loadings (BOD5) of the system.
7.24 Calculations that demonstrate the ability of the primary treatment tank(s) to provide at least 24 hours emergency storage capacity i.e. to store raw sewage above the alarm activation level and below the outlet pipe (not relevant for tanks with pump wells).
7.25 Method of oxygen injection and details of proven scientific test data to determine operational dissolved oxygen concentrations at the bottom of the aeration, activated sludge or bioreactor (submerged fixed media processes) aerobic chamber.
7.26 Calculations to justify the storage capacity of each treated effluent clarifier.
7.27 Method and frequency of automatic clarified sludge return (a manual sludge return mechanism is not acceptable).
7.28 Details of automatic standby pumping equipment, standby aeration equipment and method of deployment in the event of primary equipment failure.
7.29 Above- and in-ground tanks: in the absence of a suitable Australian Standard certification of any tank structure, the STP manufacturer must provide computations from a certified structural engineer to demonstrate that the tank structures are suitable for the respective application.
8.0 CERTIFICATION THAT ALL OF THE INFORMATION SUPPLIED IS ACCURATE AND COMPLETE
8.1 Full name of applicant:
8.2 Position in company:
8.3 Company address:
8.4 Phone number:
8.5 I certify that the information contained in this application, (including attachments) is accurate and complete / Signature:
Date:

INCOMPLETE APPLICATIONS WILL BE RETURNED TO THE APPLICANT

For assistance with completing this application form phone the EPA Onsite Wastewater Program Manager on 1300EPAVIC (1300 372 842)

POST THE COMPLETED APPLICATION FORM AND ALL THE REQUIRED WRITTEN AND ELECTRONIC DOCUMENTS (IN HARDCOPY AND ON CD OR MEMORY STICK) LISTED IN THE CHECKLIST TO:

Onsite Wastewater Program Manager

EPA Victoria

GPO Box 4395

Melbourne VIC 3001

NOTE: Information contained in the completed application form may be shared with interstate onsite wastewater regulators for the purpose of peer review and national consistency.

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Guidelines and information to assist in submitting a complete application:
(i)  Where information that is requested in the application form is cited as ‘not applicable’, include a page referencing the item and a statement explaining why it is not applicable.
(ii)  All drawings or specifications are to conform to the general standard of drawing practice included in AS 1100 and be prepared by an appropriately qualified engineer or other qualified person with knowledge and experience in waste water management and design.
(iii)  All drawings must be prepared on no less than A4 and/or no greater than A3 size paper.
(iv)  Any claims or statements made by the supplier or designer must be backed up by appropriate supporting documentation and/or expert opinion(s).
(v)  The requirement for the manufacturer to nominate the temperature range of the system in the specifications should not be taken as a requirement to design systems for a particular climate, but simply to allow the specifications to be verified during tests, and to allow for informed decisions regarding selection and fit for purpose.
(vi)  Industry standard terminology and symbols must be used in the application documentation.
(vii)  A table of contents must form part of the application documentation and is to include the items contained in the checklist with corresponding page numbers showing where the relevant information can be found.

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