Fukushima nuclear accident of March 11, 2011, soil and water had been contaminated by radioactive cesium. Moreover, radioactive cesium was found in the ocean sludge in Tokyo Bay flowing from rivers. Cesium which is adsorbed to the sludge cannot be easily removed. One of the authors developed decomposition and purification system, a circulation-type system by fine bubbles, that is, by creating aerobic state, aerobic bacteria are activated resulting to decomposition and purification of ocean sludge. Based on the hypothesis that radioactive cesium is adsorbed on the surface of the sludge deposition. It is considered that cesium can be eluted after decomposing the deposited sludge. Once the cesium is eluted in the water, it can fix to a mineral such as zeolite. Eluting and fixing cesium adsorbed on sludge takes so much time. In this case, the concept of removing the left sludge by flocculation method and then followed by coagulating sedimentation method is studied. In this study, our objects are to show the effectivity and efficiency of using flocculation and coagulating sedimentation in removing radioactive cesium. As the results, we pointed out this method is very good.