The most important advances in sustainability in the water industry are focused on the reuse of water treatment sludge. The Antaviliai Water Supply Plant, which is located in Lithuania, treats groundwater by removing iron and manganese from it. This technology does not produce water waste, as the iron sludge is used for recycling. In this study, iron sludge received from groundwater treatment is used to remove natural organic matter from river Neris water, which can be used as drinking water. Twelve doses (from 1 to 6 g/L and from 0.1 g/L to 0.9 g/L) of iron sludge powder, with acid and without it, were used. The most effective removal of organic compounds (55.51%) and reduction in water colour (53.12%) were observed when 0.3 g of iron sludge powder and 8 ml of 0.95% H 2 SO 4 solution were added to the tested water. It was found that the use of a conventional coagulant (Al 2 (SO 4 ) 3 *17H 2 O), with and without iron sludge powder, decreased the concentration of organic compounds and water colour from 2.8 to 28.2% compared with the use of a pure coagulant (Al 2 (SO 4 ) 3 *17H 2 O) alone.Sustainability 2019, 11, 639 2 of 15 with granular activated carbon and membrane filtration [8], has an influence on pipeline corrosion [9], and has an influence on bacterial regrowth in distribution systems [10]. For these reasons, NOM should be removed from drinking water. According to the European Union Council Directive 98/83/EC and the Lithuanian hygiene norm HN24:2017 "Drinking Water Safety and Quality Requirements", the total amount of organic matter (the permanganate index (PI) determines the amount of organic matter) should not exceed 5.0 mgO 2 /L.The most common technologies used for NOM removal are coagulation [11][12][13], coagulation and hallow-fibre nanofiltration [14], nanofiltration [15], biofiltration [3,4,16], ion exchange [17,18], various oxidation processes [19], carbon nanotubes [20], and adsorption by granulated active carbon [21,22].Coagulation is the most common method for NOM removal. Iron and aluminium salts are used in large amounts, and play an essential role in the production of drinking water and the removal of NOM, colour, and turbidity. A large amount of iron-rich drinking water treatment sludge is produced during coagulation. That sludge requires handling and ultimate disposal through, e.g., landfill [23]. The term "water treatment sludge" (further referred to as the WTS) covers all wastes produced during the treatment of water in the WTS, and the properties of the WTS depend typically on the quality of the raw water and the applied treatment method [24]. The most important advances in sustainability in the water industry are focused on minimizing energy usage and reusing wastewater sludge. The conventional coagulant treatment has a considerable impact on the improvement of sustainability through coagulant recovery, which enables the atoms of coagulant metals to be repeatedly recycled and reused [25]. Different techniques have been adopted to recover iron or aluminium salts from the precipitate: ac...