The combination of treatment wetlands (TWs) with microbial electrochemical technologies (MET) is often studied in the lab to improve the performance and decrease the footprint of TWs. In this article we evaluated the long-term performance of four pilot-scale vertical sub-surface flow TWs for major pollutants' and organic micropollutants' removal from domestic wastewater. Three of them were filled with electroconductive material and operated under saturated (MET SAT), unsaturated (MET UNSAT) and unsaturated-saturated (MET HYBRID) conditions while the fourth one was a saturated intensified aerated system (AEW) filled with gravel. The MET-TWs achieved significant removals of COD (>78 %) with no clogging issues at the maximum applied OLR (249 g COD m d) while under these loading conditions TSS removal exceeded 84 %. Among all electroactive TWs, UNSAT could remove 25 g NH-N m d through nitrification when peak ammonium loading rate was applied; however this removal was significantly lower than AEW (35 g NH-N md). No important removal of P was observed in all systems with the exception of MET-SAT were precipitation reactions of P with iron occurred when anaerobic pretreated wastewater was used. The removal of the sum of studied organic micropollutants ranged between 70 ± 18 % (MET UNSAT) to 91 ± 4 % (AEW) and improved with feeding pulses increase. Moderate to high removal of specific microcontaminants was observed depending on the target compound, the studied system and the operational conditions. AEW and MET HYBRID systems complied with the limits set by EU for wastewater discharge to non-sensitive water bodies and for Class B water reuse. Scale-up calculations for a settlement of 500 PE showed that these systems require much less area per PE (0.51 m PE) comparing to conventional TWs while the operational cost was calculated to 0.07 € m for the AEW and 0.02 € m for the MET HYBRID.
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