This report describes a twenty month case study of a successive alkalinity producing system (SAPS) treating a strong acid mine drainage (AMD) source in Coshocton County, Ohio. Prior to the commencement of the project, a large volume of black amorphous sludge had accumulated in several of the constructed wetlands. The sludge was found to be 43% organic, with very high concentrations of sulfur, iron, aluminum, and acidity. Based on several biological, physical, and chemical analyses, the sludge was determined to be an anaerobic biofilm with a large population of sulfur-reducing bacteria and a high mineral content due to the formation of iron sulfide and aluminum precipitates. On average the system performed well, generating 26 kg CaCO3/d of alkalinity and capturing 5.0 kg/d of iron and 1.7 kg/d of aluminum. Several simple performance analysis tools were presented in this work. By comparing the pollutant influent and effluent loading, it was determined that the SAPS was performing at capacity and over the past year increased effluent concentrations were due to increased influent loadings and not system deterioration. Further, by performing a detailed cell-by-cell loading analysis of multiple chemical components, the alkalinity generated by limestone dissolution and by sulfate reduction was determined. Interestingly, 61% of the alkalinity generation in the vertical flow wetlands was due to sulfur-reducing bacteria activity, indicating that sulfur-reducing bacteria may play a more significant role in SAPS than expected.