Continuous sand filtration (CSF) offers interesting potential for the extensive treatment of wastewater treatment plant (WWTP) effluents for water reclamation and/or restrictive discharge. Research on concentration profiles over the height of the CSF shows that most bacteriological conversions are restricted to the lower part of the filter bed. Dissolved oxygen (DO) rapidly decreases to below 1 mg/L in the first 0.4 m of the filter bed, applying hydraulic velocities of 12.9 ∼ 14.9 m/h and 10 ∼ 20 mm/min sand velocities, independent of the methanol dosage. The DO decrease agrees with the observed decrease in chemical oxygen demand (COD). At the given operational conditions, NO(x)-N and N-total removal is dedicated to the first 0.9 m of the filter bed. Results show that by optimising the CSF operational conditions the very restrictive effluent N and P values of 2.2 and 0.15 mg/L, respectively, as described in the European Water Framework Directive, can be met.