Abstract: A sewage treatment system is divided into two stages with a collection system dispersed therebetween. The first stage includes anoxic treatment units producing an anaerobic effluent which is moved through the vacuum tight collection system to the second stage of treatment including an oxidation unit producing an aerobic effluent containing nitrates, dissolved oxygen and activated sludge. The two liquids are mixed in a chamber and are subjected to treatment before discharge for producing a highly treated effluent from which a major part of the nutrients have been removed.