South Africa is a country where first world wastewater treatment technology and management must take into account third world related problems. In the past, the diversity of a large number of local authorities within the PWV area of South Africa aggravated the problem of proper wastewater management.On the East Rand in the Gauteng province of South Africa, the problem was attended to by means of a strategic analysis and strategic plan. In the evaluation of the options, the various wastewater management models in use in various regions of the world were evaluated. The investigation resulted in the formation of the ERWAT wastewater management model and implementation.The paper also evaluates the success of the wastewater management model utilizing the tariff model and other qualitative parameters.