A multidisciplinary research project series has sought to identify and better understand multiple hygienic-microbiological and chemical contaminations from both point sources and diffuse pollution to contribute to the improvement in surface water quality. In the catchment area of the river Swist (Germany), municipal sewage treatment plants were investigated, followed by event-based investigation of combined sewer overflows, rainwater retention basins and diffuse pollution by surface and subsurface run-off as well as drain pipes. Recently, retention soil filters installed between stormwater storage basins and receiving surface waters in order to provide further treatment of combined sewer overflows were investigated. Geographical information system analysis helped to examine the data in their temporal and spatial dimensions. A model for calculating microbial and chemical loads within a catchment area was developed ("Swistbox") which provides an efficient tool for risk assessment. Nearly two decades of investigation has demonstrated that several elements of the landscape's water balance account for surface water pollution from both diffuse and point sources. Depending on land cover characteristics, wastewater technology and the proportion of wastewater as compared to total river water flow, a source can vary in its importance for the catchment area. The findings can be applied for sustainable and health-sensitive catchment management in relation to recreational or agricultural water use as well as ecological aspects.