Unlike many other VOC's, MtBE is not easily removed from water. The two most widely used methods are Aeration and Carbon Adsorption.
It is the opinion of many qualified water treatment professionals, that when dealing with the removal of health related contaminants like VOC's, both methods should be used in series to create redundancy.
First, an appropriately sized aeration system should be installed to oxidize and safely vent out any volatile gasses, then, follow it with an appropriately sized carbon adsoption tank that is loaded with enough activated carbon to act as a second line of defense, "polishing" the water and catching anything that may not have been effectively removed by the aeration system. The first stage aeration system will also help to keep the second stage carbon adsorption system free from collecting and storing any potential waterborne radon and radon decay products that may cause possible increased radiation in the home and create a low level radionuclide waste problem.
The EPA recommends that before a treatment system is purchased, sufficient water quality testing should be done to identify the following:
1) The short term variability of the contaminant(s).
2) Whether the contaminant concentrations are rising or falling over the long term.
3) What other contaminants are in your general area and how many are predicted to affect your well in the future.
If contaminants are present in a "pure product" state in the well, a recovery method is also necessary. This will reduce the size of the water treatment equipment needed.