The combination of suspended activated carbon (AC) and submerged microfiltration (SMF) processes was applied to polish a biotreated effluent generated in a refinery industry. Preliminary results indicated that Norit 1240 W AC was more suitable than Carbomafra AC brand for Total Organic Carbon (TOC) removal due to the highest Freundlich adsorption constant value (1.97 ± 0.42 and 0.96 ± 0.23 (mg/g)(L/mg)1/n, respectively), thus the first one was used in the combined system. Among all particle sizes of AC tested (0.041–1.01 mm), AC/SMF system was better performed, according to permeation flux, when applying granular AC instead of the powder one. On the other hand, the best response regarding TOC removal and Absorbance at 254 nm (ABS254 nm) reduction were observed when applying powder AC (89 and 97%, respectively). Statistical analysis with Two-sample T-test (p-value <0.05) endorsed the need of both air purge (20 L/h) and backwash strategies (8 min of permeation and 10 seconds of backwash) to diminish fouling occurrence in the SMF system. Finally, it was found that 2 g/L of Norit 1240 W PAC (0.041 mm particle size) condition fitted the effluent to further EDR process (3.4 mg/L TOC) with consistent normalized permeate flux after 5 h of permeation (0.76 ± 0.1 J/J0).