1) The Cloaca Maxima was an ancient sewer system constructed in Rome around 600 BC, considered one of the earliest sewage systems in the world. 2) It helped drain local marshes and carry human waste from the dense city of Rome out to the nearby Tiber River. 3) The Cloaca Maxima innovation integrated earlier sewer designs and allowed Rome's hilltop villages to consolidate, helping Rome become a major urban center.