The invention discloses a sewage treatment precipitation device, which structurally comprises a box cover, a box body, a rotating body and a drainage structure, wherein the box cover is arranged on the box body, the box body is connected with the drainage structure, the rotating body is arranged on the drainage structure, the box body is composed of a U-shaped box and a material moving structure,the U-shaped box is provided with the material moving structure, and the drainage structure comprises an upper column, a hole column and a pipe supporting column, the hole column is connected with theupper column and the pipe supporting column in a mounting mode, the pipe supporting column is provided with an outlet pipe and an inlet pipe, the rotating body comprises a rotating body mounting shaft, an inclined flow plate and a flow detection structure, and the rotating body mounting shaft is connected with the inclined flow plate in a mounting mode. The rotating body mounting shaft rotates onthe pipe supporting column, detection is conducted through a bottom detector and an upper detector when the rotating body mounting shaft passes through the flow detection structure, water flow sampling and detection are conducted, and the detection is convenient and rapid, the distance between the rotating balls changes when the rotating balls move, reasonable control over the precipitation areaand the water flow state is achieved, and the precipitation effect and the separation efficiency are improved.