HomeMy WebLinkAbout15 Appendix ALa Pine National Decentralized Wastewater Treatment Demonstration Project
Appendix A: Field Test Program Implementation Page A-1
Appendix A
Forms and Other Supporting Documents for Field Test Program Implementation
Figure Document...........................................................................................................................................................Page
A-1 Application form...................................................................................................................................................A-2
A-2 Property owner informational meeting agenda .....................................................................................................A-4
A-3 Innovative system Request for Proposals..............................................................................................................A-6
A-4 Wastewater sampling procedures..........................................................................................................................A-8
A-5 Groundwater sampling procedures........................................................................................................................A-9
A-6 Sampling follow-up activities.............................................................................................................................A-11
La Pine National Decentralized Wastewater Treatment Demonstration Project
Page A-2 Appendix A: Field Test Program Implementation
Figure A-1. Field test program application form.
Application Form
Alternative and Innovative
On-site Sewage Disposal Systems
APPLICATION REQUIREMENTS:
1. Complete the application form and provide the appropriate original signature(s).
2. Include a copy of the deed showing the current property owners.
3. Include a plot plan that shows all property lines and existing and proposed structures, driveway
and parking, landscaping, utilities, etc.
4. A statement indicating your reasons for wanting to participate in the program.
PLEASE PRINT
PROPERTY OWNER: PHONE: ( )
MAILING ADDRESS: CITY: ST: ZIP:
E-MAIL: FAX PHONE: ( )
PROPERTY DESCRIPTION: Township Range Section Tax Lot
PROPERTY ADDRESS:
PROPERTY ZONE(S): PROPERTY SIZE (acres or sq. ft.):
Have you had a site evaluation approved? Date: YES NO
Will this house be used as a second home? YES NO
If so, how often and for how long will you be using the house during a typical year?
Will this house be used as a rental? YES NO
If so, will the rental be long-term (years) or short-term (days, weeks or months) Please be specific:
What number of people will be living in the house?
How many children will be living in the house?
What are their ages? (circle all that apply) 0-5 6-10 11-15 16-20
If you have an existing house please describe any plans for remodels or additions:
If this is new construction, when do you expect to begin construction?
If this is new construction, when do you expect to occupy the house?
La Pine National Decentralized Wastewater Treatment Demonstration Project
Appendix A: Field Test Program Implementation Page A-3
Do you have pets or livestock? YES NO
If so what kind and how many?
BASIC INFORMATION:
Participation in this program will require that the property owner obtain a WPCF (Water Pollution Control
Facilities) permit from OR DEQ for the alternative on-site disposal system. The project team will assist
you with the application. Other permits may be required (electrical, mechanical, plumbing) depending on
the type of installation. The project funds will cover the cost of the permits. The property owner is
expected to pay for power or phone service required by the on-site system. The property owner is
expected to register the monitoring wells installed on the property as part of this project.
The long term success of any on-site sewage disposal system depends upon proper operation and
maintenance. Therefore, the vendor of the alternative/innovative on-site disposal system and the
homeowner will be required to enter into a contract or other binding agreement for routine operation and
maintenance activities.
Participation in this program will require that personnel from Deschutes County Environmental Health, OR
Department of Environmental Quality, and US Geological Survey enter your property on a regular basis to
monitor the performance of the on-site disposal system for the duration of the study. Your signature on
this form will provide your permission to these personnel to perform duties required under the La Pine
National On-Site Wastewater Treatment and Disposal Demonstration Project
BASIC REQUIREMENTS
9 Permanent residents
9 Currently approved for a sand filter, pressure
distribution system or standard system
9 Owner applies for the program (no spec
homes)
9 Owner-occupied
9 Planning to build and occupy by summer of
2001 (Replacement systems may qualify)
9 Willing to allow access to property for
state/county personnel to sample and
otherwise monitor the on-site disposal system
9 Willing to enter into an agreement with the
system vendor/manufacturer or designated
service provider for on-going operation and
maintenance services
9 Willing to keep a log on your experiences with
the system
9 Willing to notify and otherwise work with
vendor/project team in the event of trouble
9 Willing to obtain WPCF permit (including
annual renewal) and other
(electrical/plumbing/etc.) permits as needed
Property Owner Date
original signature required
For office use only:
Septic permit/Site evaluation number:
Building permit status:
Land use permits required:
Notes:
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Page A-4 Appendix A: Field Test Program Implementation
Figure A-2. Property owner informational meeting agenda.
Property Owner Informational Meeting Agenda
Name:
Review the purpose/short history of the project
To test on-site sewage treatment systems that remove nitrogen from the wastewater
To study the groundwater, how and where it moves, how fast and how contaminants move with the water
Develop operation and maintenance strategy for on-site systems
Develop a low-interest loan program to replace failing or inappropriately located septic systems
Requirements in the agreement with the county and in the WPCF permit
In the event that the experimental system fails – the system will be repaired or replaced with a system that
will work on the property.
We need to get good consistent data for the first three years so any changes in property ownership are a
significant issue. The WPCF system requires a re-application for the permit. We require full-time owner-
occupied residences for the three years of intensive study. Potential lien on the property in the event of
property transfer and a change in the character of sewage flows at the household.
Homeowner log – record all observations/maintenance activities and submit monthly/quarterly
Contract with Maintenance service provider for the duration of the permit – may transition to a regional
maintenance program at the end of the grant
Sampling schedule
Monthly for the first year then bi-monthly after that
Sampling schedule provided upon request
Sampling the various components of the system and monitoring wells
Monitoring wells on the perimeter of the property will be installed prior to system installation to define the
groundwater gradient.
Monitoring well installation
3-4 monitoring wells per property, tentatively scheduled the second week of October
___________ is the hydrogeologist that will be drilling the wells
Well locations staked
It is the responsibility of the homeowner to record the Oregon well registration forms with the County
Clerk (~$31 each)
Innovative system
Type of system/components to be installed:
Typical requirements – power usage, need power/water to site for testing the system, use of phone line,
possible other permits needed
Permit for the system
WPCF permit – sample provided
Application/renewal fees: During the project all fees will be taken care of through project funds. There is
an annual compliance fee that will become the homeowner’s responsibility after completion of the project.
This fee may be reduced or eliminated if a maintenance program is created for the county.
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Appendix A: Field Test Program Implementation Page A-5
After the Grant
Permitting issues with WPCF
Operation and Maintenance requirements will continue after the project is completed
Timelines
Our expected timelines
Any homeowner timing constraints?
Other Issues
Property owner signature:
Date:
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Page A-6 Appendix A: Field Test Program Implementation
Figure A-3. Innovative System Request for Proposals
La Pine National Decentralized Wastewater Treatment Demonstration Project
Appendix A: Field Test Program Implementation Page A-7
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Page A-8 Appendix A: Field Test Program Implementation
Figure A-4. Wastewater sampling procedures.
WASTEWATER SAMPLING PROCEDURES
Equipment:
PH meter (calibrated daily to standard in lab)
Conductivity meter (calibrated daily to standard in lab)
Bailers
Dippers
Buckets (2)
Ratchet socket wrench, 9/16
Knife
Field notebooks
Supplies:
Sample bottles (P, R, C, DP, and X)
Blue ice/ice
Ice chests
Sulfuric acid (sample preservative)
Distilled water
Sanitizer
Gloves
Garbage bag
Pens
Cleaning setup (detergent, rinse, sanitizer)
Bottle type Parameter Preservative
Basic 1 (STP): BOD5; TSS; TOTAL P; TOTAL ALK Ice
Nutrient (R): NH4-N; NO2+NO3-N; TKN 12 drops H2SO4
Basic 2: (DP): Cl- Ice, filtered 45μm filter
Bacteria (C): Fecal Coliform; E. Coli Ice
Organic (X): Fats. Oil and Grease 12 drops H2SO4
UPON ARRIVAL ON SITE
1. Perform an instrument check upon arrival at the site.
a. Calibrate dissolved oxygen to the altitude (4200 feet).
b. Calibrate the ambient air temperature. Record in field notebook.
2. Record the flow meter reading in the field notebook.
3. Record the event and time meters in the control panels for septic tank and treatment unit effluent pumps as
appropriate. Remember to also record data in each logbook inside the control panels.
WASTEWATER SAMPLING
1. Always take wastewater treatment samples from “clean to dirty.” In other words, start with the lysimeter
effluent and work up the treatment train to end with the septic tank/primary clarifier.
2. Sludge judge quarterly at the inlet and outlet of the septic tank. Record measurements in the field book
3. Use the number and type of sample bottles specified in the Quality Assurance Project Plan.
4. Record bottle numbers in the field notebook.
5. Rinse the dipper or dedicated bailer with effluent and then use it to rinse and fill field parameter bottle.
Take field measurements from this sample and record readings.
6. Single-rinse the sample bottles. Fill the sampling containers and screw cap back on.
7. Add 12 drops of acid to the nutrient bottle, replace the lid securely and shake the bottle gently to mix.
8. Place all the bottles into the ice chest.
9. Repeat Steps 3-9 for each sample station.
10. After completing the sampling at each site, clean and sanitize the sampling equipment.
11. Filter the chloride sample in the lab.
La Pine National Decentralized Wastewater Treatment Demonstration Project
Appendix A: Field Test Program Implementation Page A-9
Figure A-5. Groundwater sampling procedures.
MONITORING WELL SAMPLING PROCEDURE
1. Transport necessary equipment from vehicle to well.
Socket wrench, screwdriver, padlock key
Water level reader
Knee pad (optional)
Meters – Conductivity and pH
Peristaltic pump
Tubing for peristaltic pump
Extension cord
Field notebook, pen
5 gallon bucket containing 1 P bottle for field parameters and appropriate sample bottles:
Drainfield well: 2 P bottles, 1 R, 1 DP, 1 Coli-lert
Non-drainfield well: 1 R, 1 DP, 1 Coli-lert
2. Open well
a. Use socket wrench to loosen bolts
b. Pry off lid with screwdriver.
c. Unlock and remove padlock
d. Raise metal clip and twist white cap to loosen and remove.
3. Take water level measurement
a. Test water level reader by pushing red button on side to make sure buzz sounds. Sensitivity dial
should be set to 7 or 8.
b. Lower end of reader into ½ inch PVC pipe until it hits bottom of well screen (meet resistance),
back tape out until buzzing sound stops.
c. Take measurement to mark point (black mark on end of 2 inch PVC pipe).
d. Repeat measurement to confirm reading. Record in field notebook.
How to Read the Water Level Tape:
Water levels are measured in 1/10th and 1/100th of feet. The feet and 1/10th measurements are
printed on the tape. Feet measurements are shown in yellow and 1/10th of ft. measurements are
shown in white. The feet measurements are shown in the middle of the first 1/10th of the
corresponding foot. The 1/10th measurement is written in the middle of the corresponding 1/10th
of ft. interval. The 1/100th measurements are shown by hash marks within the 1/10th intervals.
4. Set up equipment to purge well.
a. Using extension cord, connect pump to power source.
La Pine National Decentralized Wastewater Treatment Demonstration Project
Page A-10 Appendix A: Field Test Program Implementation
b. Thread sterile tubing into ½ inch PVC pipe (careful not to let tubing touch ground) until it hits
bottom of well screen (meet resistance).
c. Put tubing that remains outside well through peristaltic pump and close latch.
d. Turn pump on and place end of tubing into the bottom of a P bottle.
e. Secure tubing to side of 5 gallon bucket using a large binder clip.
5. Prepare meters.
a. Conductivity meter should already be “on” to accommodate equilibration.
b. At the first well of the day, the conductivity meter needs to be calibrated for altitude:
i. Press the up arrow and down arrow at the same time, this will show the programmed
elevation.
ii. Press the up arrow to 42 (4200 ft).
iii. Press “enter” twice.
c. Put the probe into P bottle with groundwater flowing through it.
d. Turn pH meter on. Place glass probe in P bottle.
e. Place temperature probe in shaded place to obtain ambient air temperature.
f. Do not enable “auto” on pH meter.
6. Take field measurements.
a. When temperature on pH meter has stabilized, record A.A. (ambient air) temperature in the field
notebook and place the probe into the P bottle.
b. Begin taking groundwater readings, record in field notebook:
i. Time
ii. Temperature (small numbers in lower portion of conductivity meter screen)
iii. Specific conductivity (push “mode” on conductivity meter until shows “μs” with flashing
“C”)
iv. pH (large numbers on pH meter)
v. Dissolved Oxygen (push “mode” on conductivity meter until shows “Mg/L”).
c. Repeat measurements every few minutes until parameters have stabilized.
7. Take samples.
a. Rinse P bottles 3 times with groundwater and fill to top.
b. Rinse R and DP bottles 3 times and fill to shoulder.
c. DO NOT rinse Coli-lert bottle, use sterile technique and fill to 100-ml. fill-line.
8. Clean-up.
a. Pull tubing from ½ inch PVC pipe and turn pump off.
b. Replace well cap, lock and lid.
c. Remove meter probes from P bottle, rinse with DI (de-ionized) water. Leave Conductivity meter
on, but turn pH meter off.
d. Load all equipment and samples in vehicle.
9. Sample storage.
a. Add 12 drops sulfuric acid to R (nutrient) bottles, close lid tightly and shake lightly to mix.
b. Place all samples in ice chest.
La Pine National Decentralized Wastewater Treatment Demonstration Project
Appendix A: Field Test Program Implementation Page A-11
Figure A-6. Sampling follow-up activities.
End-of-Sampling-Day Activities
To complete sampling event:
1. Unload vehicles.
2. Sort and put away dirty/clean supplies.
3. Filter chloride samples.
4. Add reagent to today’s Coli-lert samples and put in
incubator.
5. Complete paperwork, make copies, put originals in zip-loc
inside cooler.
6. Secure coolers with strapping tape.
7. Take samples to UPS for overnight delivery.
8. Call DEQ lab to notify that samples are on the way. Call
Oregon Health Dept Lab and report the number of bacteria
samples being sent for analysis.
Other jobs:
1. Check Coli-lert samples in incubator from yesterday.
Record results on Bacteria Log Sheet.
2. Sanitize hoses and lysimeter containers.
3. Unload cooler/supply shipments.
4. Compile supplies for next sampling day (bottles, coolers,
pump, tubing, etc).
5. Take inventory. Make list of needed lab supplies. Make
small purchases. Requisition other needed supplies.
6. Fill vehicles with gas if needed.