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The presence of multiple contaminant species in surface waters makes surface water treatment difficult to accomplish through a single process. Herein, we evaluated the ability of an integrated adsorption/ultrafiltration (UF) membrane filtration system to simultaneously remove phosphates and dissolved organic matter (DOM). When bare powdered activated carbon (PAC) and PAC impregnated with amorphous ferrihydrite (FHPAC) adsorbents were compared, FHPAC showed a greater adsorption rate and capacity for phosphate. FHPAC had a phosphate adsorption capacity of 2.32 mg PO43−/g FHPAC, even when DOM was present as a competing adsorbate. In a lab-scale hybrid FHPAC-UF system (i.e. integrated adsorption by FHPAC with UF membrane filtration), irreversible membrane fouling was ca. three times lower than that in a PAC-UF system. When membrane fouling in the PAC-UF system was described with pore blockage models, we found that the main cause of fouling was bacterial deposition on the membrane surface. CLSM analysis determined that the chemical composition of foulants in the PAC-UF system included higher proportions of proteins, nucleic acids, and alpha-polysaccharides than that in the FHPAC-UF system. Overall, FHPAC’s ability to undergo ligand exchanges with DOM helped to reduce the nutrients and bacteria that cause biofouling to accumulate on the membrane surface.