Citizen outcry in the 1960s led to passage of the 1972 U.S. Clean Water Act. Expansion of industrial permitting and availability of federal grants to municipalities controlled industrial waste and untreated municipal sewage entering the Rouge River. However, many sources persisted – notably wet weather discharges, stormwater runoff, and contaminated sediments. This remaining pollution led state officials to cooperatively craft the Rouge River Remedial Action Plan in 1985. This plan addressed all pollution sources, but was not substantially implemented until 1993 when the federal government, encouraged by Congressmen Dingell and Knollenberg, committed to the Rouge River National Wet Weather Demonstration Project. The federal government ultimately delivered $350 million that was matched by $700 million in local funds. Efforts have been sustained through multi-year state and federal grants, with additional funding from local communities and other stakeholders. Early focus of the Rouge Project was on untreated sewage from combined sewer overflows, but quickly expanded to address other impairments from sanitary sewer overflows, stormwater runoff, illicit connections and failing septic systems. With major sewage discharges under control, efforts shifted to remediating contaminated sediments and improving in-stream water quality and habitat. In total, over 380 projects were completed by 75 communities and agencies at a cost of over $1 billion since 1988, resulting in improved water, sediment, and biological quality. Prior to the U.S. Clean Water Act, the Rouge River nearly continuously failed to meet water quality standards. After decades of effort and investment, it now rarely violates standards. This miraculous recovery was initiated by a small handful of citizens, facilitated by local municipal leaders, and supported by the federal government. The Rouge River is a model for how a holistic, ecosystem approach to water pollution can result in cost-effective and greater and faster achievement of restoration, while meeting local needs.