Tertiary treatment is simply additional treatment beyond secondary! Tertiary treatment can remove more than 99 percent of all the impurities from sewage, producing an effluent of almost drinking-water quality. The related technology can be very expensive, requiring a high level of technical know-how and well trained treatment plant operators, a steady energy supply, and chemicals and specific equipment which may not be readily available. An example of a typical tertiary treatment process is the modification of a conventional secondary treatment plant to remove additional phosphorus and nitrogen.
Disinfection, typically with chlorine, can be the final step before discharge of the effluent. However, some environmental authorities are concerned that chlorine residuals in the effluent can be a problem in their own right, and have moved away from this process. Disinfection is frequently built into treatment plant design, but not effectively practiced, because of the high cost of chlorine, or the reduced effectiveness of ultraviolet radiation where the water is not sufficiently clear or free of particles.