Many studies were conducted to investigate arsenic mobilization in different alluvial plains worldwide. However, due to the unique endemic disease associated with arsenic (As) contamination in Taiwan, a recent research was re-initiated to understand the transport behavior of arsenic in a localized alluvial plain. A comprehensive approach towards arsenic mobility, binding, and chemical speciation was applied to correlate groundwater hydrogeochemistry with parameters of the sediments that affected the As fate and transport. The groundwater belongs to a Na-Ca-HCO 3 type with moderate reducing to oxidizing conditions (redox potential = −192 to 8 mV). Groundwater As concentration in the region ranged from 8.89 to 1131 µg/L with a mean of 343 ± 297 µg/L, while the As content in the core sediments varied from 0.80 to 22.8 mg/kg with a mean of 9.9 ± 6.2 mg/kg. A significant correlation was found between As and Fe, Mn, or organic matter, as well as other elements such as Ni, Cu, Zn, and Co in the core sediments. Sequential extraction analysis indicated that the organic matter and Fe/Mn oxyhydroxides were the major binding pools of As. Batch adsorption experiments showed that the sediments had slightly higher affinity for As(III) than for As(V) under near neutral pH conditions and the As adsorption capacity increased as the contents of Fe oxyhydroxides as well as the organic matter increased.