Primary Treatment

In the primary sedimentation stage, sewage flows through large tanks, commonly called "pre-settling basins", "primary sedimentation tanks" or "primary clarifiers". The tanks are used to settle sludge while grease and oils rise to the surface and are skimmed off.

. Primary settling tanks are usually equipped with mechanically driven scrapers that continually drive the collected sludge towards a hopper in the base of the tank where it is pumped to sludge treatment facilities. Grease and oil from the floating material can sometimes be recovered for saponification (soap making).

Secondary Treatment

Secondary treatment is designed to substantially degrade the biological content of the sewage which are derived from human waste, food waste, soaps and detergent. The majority of municipal plants treat the settled sewage liquor using aerobic biological processes. To be effective, the biota require both oxygen and food to live. The bacteria and protozoa consume biodegradable soluble organic contaminants (e.g. sugars, fats, organic short-chain carbon molecules) and bind much of the less soluble fractions into floc.

Secondary treatment systems are classified as fixed-film or suspended-growth systems.

• Fixed-film or attached growth systems include trickling filters, constructed wetlands, bio-towers, and rotating biological contactors, where the biomass grows on media and the sewage passes over its surface. The fixed-film principle has further developed into moving bed biofilm reactors (MBBR) and Integrated Fixed-Film Activated Sludge (IFAS) processes. An MBBR system typically requires a smaller footprint than suspended-growth systems.
• Suspended-growth systems include activated sludge, where the biomass is mixed with the sewage and can be operated in a smaller space than trickling filters that treat the same amount of water. However, fixed-film systems are more able to cope with drastic changes in the amount of biological material and can provide higher removal rates for organic material and suspended solids than suspended growth systems.

Some secondary treatment methods include a secondary clarifier to settle out and separate biological floc or filter material grown in the secondary treatment bioreactor.

Tertiary Treatment

The purpose of tertiary treatment is to provide a final treatment stage to further improve the effluent quality before it is discharged to the receiving environment (sea, river, lake, wet lands, ground, etc.). More than one tertiary treatment process may be used at any treatment plant. If disinfection is practiced, it is always the final process. It is also called "effluent polishing".