A waste treatment method and apparatus including an aeration basin for holding waste, an aerating device for aerating the waste and an integral clarifier in which sludge particles separate out of the waste, leaving discharge water and recycled sludge. Between the clarifier and the aeration basin there is at least one opening or conduit through which either or both waste from the aeration basin may flow into the clarifier or recycled sludge from the clarifier may flow into the aeration basin. Preferably, the apparatus facilitates both activated sludge and fixed film processes in a single main tank.