In this case study, process startup and operation of the Effluent Treatment plant of a paper mill that converts waste paper to paper and paper boards were investigated for 120 days. To meet water requirements for a revised production target of 100 t/d, apart from recycling 1000 m3/d of wastewater after DAF process, required additional facilities to provide secondary treatment for another 1000 m3/d of wastewater in ASP (A-B process) were provided. A new ASP (A) with an AT of 900 m3 was arranged to work in line with the existing ASP (B) of 1200 m3 capacity. Initiating culture development, 19.6 tons of fresh cow dung (seed) was added to AT of unit B containing 600 m3 of fresh ground water and the tank content was aerated. N, P, micronutrients and protein were added to AT every day. Good flocs were observed on 9th day of operation. MLSS of 1500 mg/l and a sludge volume 50 ml/l was observed on 27th day of aeration. Addition of appropriate nutrients and protein are believed to have aided sludge development and floc formation. During secondary startup, wastewater addition started (108 m3/d) on a regular basis on 27th day and was increased stepwise to 388 m3/d in 7 days and was continued till the end of this phase of the study. During 33 days of secondary startup influent BOD was in the range of 1170–1500 mg/l, organic loading ranged from 0.13 to 0.46 kg BOD/m3.d and F/M ratio ranged between 0.07 to 0.17 kg BOD/kg MLSS/d. BOD/N/P ratio of 200/5/1.5 was maintained along with addition of micronutrients and protein. On 60th day, MLSS was 6050 mg/l indicating that culture developed from cow dung got acclimatized easily to paper mill waste mostly containing cellulose. Initiating the next phase, required quantity of sludge was transferred from B to A to get an MLSS of 2800 mg/l in A and of 4200 mg/l in B. The wastewater flow of 388 m3/d, then flowing to B, was made to flow in the A-B process by providing stepwise increase to A, correspondingly reducing direct flow to B in 43 days. On 104th day, the MLSS rose to 11400 mg/l in A. During these 43 days of operation, unit A stabilized a total BOD of 6870 kg, and the volatile content of the sludge yielded was 4644 kg resulting in a yield coefficient, Y of 0.68. Organic loading ranged from 0.35 to 1.09 kgCOD/m3.d and F/M ranged between 0.04 to 0.12 kg COD/kg MLSS.d. Effluent COD ranged from 500 − 63 mg/l for an average inlet COD of 1940 mg/l. There after MLSS in A was reduced to 3600 mg/l in 4 days by harvesting sludge and the same was recycled to the pulping section of the mill. Flow was increased to 488 m3/d stepwise and the MLSS increased to 7800 mg/l in next 12 days in A. Effluent COD of A ranged from 550 − 258 mg/l and COD of the final effluent, that is, of unit B ranged from 98–105 mg/l. The production seized in the paper mill due to Covid 19 and hence this study was terminated at this stage.