Manufactured Treatment Device Summary Form

General Information

Project Name:

Click here to enter text.

Site Location:

Click here to enter text.

MTD Structure ID:

Click here to enter text.

Site Design Characteristics

Total Project Area [ha]:

Click here to enter text.

Catchment Area to MTD [ha]:

Click here to enter text.

% Impervious of Catchment Area:

Click here to enter text.

Design Requirement - SWM Background

Application:

• [ ] ☐ Standalone

• [ ] ☐ Treatment Train / Multi-Component

Water Quality Target (%):

• [ ] ☐

• [x] Site-Wide: Click here to enter text.

• [ ] ☐

• [ ] MTD-Specific: Click here to enter text.

Location:

• [ ] ☐ No U/S or D/S SWM Detention

• [ ] ☐ U/S of SWM Detention

• [ ] ☐ D/S of SWM Detention

General MTD Information

Type:

• [ ] ☐ Oil-Grit Separator ☐ Filter Device

Proposed Model Name / Number:

Click here to enter text.

Tested Model Name / Number:

Click here to enter text.

Testing / Verification / Certification [select one]

• [ ] ☐ [For OGS] Canada ETV OGS Lab Protocol + ISO 14034: ETV Verification

• [ ] ☐ [For Filter Device] TAPE Field Test Protocol 1 + TAPE Certification

• [ ] ☐ [For Filter Device] TAPE Field Test Protocol 1 + ISO 14034: ETV Verification

Scaling [applicable where proposed model is not the same as tested model]

• [ ] ☐ Scaling Provisions Met

MTD Characteristics

Diameter [m]:

Click here to enter text.

Surface Area [m2]: Click here to enter text.

Box Height / Width [m]:

Click here to enter text.

Treatment Depth 3 [m]: Click here to enter text.

Depth 2 [m]:

Click here to enter text.

Sediment Storage Capacity 4

[L]: Click here to enter text.

Internal Weir Height [m]:

Click here to enter text.

Total Storage Capacity [L]:

Click here to enter text.

Oil Storage Capacity [L]:

Click here to enter text.

Max Treatment Rate [L/s]:

• [ ] Click here to enter text.

☐ [For OGS] Sizing and Performance Evaluation

Design Treatment Flows 5 :

_________________ to _________________ [L/s]

Design Surface Loading Rates 5 :

_________________ to _________________ [L/min/m2]

Removal Efficiency 5 :

_________________ to _________________ [%]

Total Annual Volume-Weighted Removal Efficiency [%]:

• [ ] Click here to enter text.

Annual Sediment Loading Volume [L]:

Click here to enter text.

Manufactured Treatment Device Summary Form

☐ [For Filter] Sizing and Performance Evaluation

Design Treatment Flow (90% Annual Rainfall Volume Capture) [L/s]: Click here to enter text.

Removal Efficiency [%]: Click here to enter text.

Installation Configuration [select Option A, B or C]

• [ ] ☐ A. Inline OGS

• [ ] ☐ Internal By-pass Capacity > Inlet Pipe Capacity minus 90% Annual Rainfall Flow Rate; and

• [ ] ☐ Internal By-pass Capacity > Inlet Pipe Capacity minus Maximum Scour Flow Rate; and

• [ ] ☐ Maximum Scour Concentration at Maximum Tested Scour Flow Rate <= 25mg/L

• [ ] ☐ B. Inline Filter

• [ ] ☐ Internal By-pass Capacity > Inlet Pipe Capacity minus 90% Annual Rainfall Flow Rate

• [ ] ☐ C. Off-line OGS or Filter

• [ ] ☐ Diversion By-pass Capacity > Inlet Pipe Capacity minus 90% Annual Rainfall Flow Rate

Operations & Maintenance

• [ ] ☐ [For OGS] Provided MTD Storage Capacity > Annual Sediment Loading Volume

• [ ] ☐ [For Filter Device]

• [ ] Manufacturer Designed and Recommended Maintenance Interval: _________________ year

Attachments with SWM Report [select all applicable]

• [ ] ☐ MTD Engineering Drawings

• [ ] ☐ Verification Statements/Certification Report

• [ ] ☐ MTD Sizing and Performance Calculation Sheet

• [ ] ☐ Hydraulic Calculations for Inline/Offline Installation

• [ ] ☐ Operations & Maintenance Manual

• [ ] ☐ Other; Specify: Click here to enter text.

Note: MTD Summary Form to completed in accordance with Design Criteria for MTDs and appended as part of Stormwater Management Report

1. Includes capture of min 3 events with rainfall intensity and depth corresponding to 90% average annual rainfall volume
2. Chamber depth is measured from the outlet invert to the bottom of the device.
3. Maximum Treatment Depth = Chamber Depth minus 50% of Maximum Sediment Storage Depth
4. Measured from the bottom of the device to manufacturer-recommended sediment cleanout depth
5. Calculated range for design intensities corresponding from 10% to 100% of Annual Rainfall Volume Captured