A one-stage anaerobic ammonium oxidation (ANAMMOX) reactor can be quickly started within 40 days by mixing partial nitrifying sludge with ANAMMOX granular sludge with an average temperature of 30 °C. After 70 days of nitrogen load acclimation, Acinetobacter, including Candidatus Kuenenia, became the dominant strain of the system within the reactor, which exhibited high efficiency and a stable nitrogen removal performance. At an influent chemical oxygen demand (COD), NH4+-N content, total nitrogen (TN) content, hydraulic retention time (HRT), temperature, and reactor dissolved oxygen (DO) content of 100, 60, and 70 mg/L, 6 h, 30 ± 1 °C, and below 0.6 mg/L, respectively, the one-stage ANAMMOX reactor could effectively treat domestic sewage on campus. The removal rates of COD, NH4+-N, and TN were approximately 89%, 96.7%, and 70%, respectively.