This study investigated coal-mine drainage (AMD) and municipal wastewater (MWW) contaminant concentrations and conducted the combined treatment in phases I and II: phase I, evaluating effects of mixing the two based on extent of acid neutralization and metals removal; phase II: conducting anaerobic batch reactor treatment of AMD and MWW under varying COD/sulfate ratios (0.04-5.0). In phase I, acid mine drainage water quality conditions are as follows: pH 4.5, acidity 467.5 mg/L as CaCO3, alkalinity 96.0 mg/L as CaCO3, Cl- 11.8 mg/L, SO42- 1722 mg/L, TDS 2757.5 mg/L, TSS 9.8 mg/L, BOD 14.7 mg/L, Fe 138.1 mg/L, Mg 110.8 mg/L. Mn 7.5 mg/L, Al 8.1 mg/L, Na 114.2 mg/L, and Ca 233.5 mg/L. Results of the mixing experiments indicated significant removal of selected metals (Fe 85~98%, Mg 0~65%, Mn 63~89%, Al 98~99%, Na 0~30%), acidity (77~95%) from the mine water and pH was raised to above 6.3. The Phase II results suggested under the wide range of COD/sulfate ratios, COD and sulfate removal varied from 37.4%-100% and 0%-93.5% respectively. During biological treatment, alkalinity was generated which leads to pH increase to around 7.6-8.5. The results suggested feasibility of the proposed technology for co-treatment of AMD and MWW. A conceptual design of co-treatment system which is expected to remove a matrix of pollutants has been provided to utilize all the locally available water resources to achieve the optimum treatment efficiency. The technology also offers an opportunity to significantly reduce capital and operating costs compared to the existing treatment methodologies used.