One of the world's richest manganese (Mn) deposits and largest Mn mining areas lies in the foothills of the Caucasus Mountains, near the city of Chiatura in the Republic of Georgia. This study was an initial evaluation of the effects of Mn mining on water quality in the Chiatura region. Seven river and stream locations (three on the Kvirila River and four on tributaries), five untreated drinking water supplies (four springs and one groundwater well), and one untreated industrial wastewater discharge (Mn processing) were sampled and analyzed for field indicator parameters, anions, cations, and metals. Five river bed sediment sites (co-located with river water sites) were also sampled and analyzed for metals. Three of the public water supplies were contaminated by coliform bacteria, and concentrations of dissolved Mn, Fe, and Ni exceeded Georgian drinking water criteria in the groundwater supply well. The Kvirila River had very high concentrations of total Mn and Fe relative to an upstream location, especially downstream of the industrial discharges. Several tributaries also had elevated concentrations due to nonpoint source pollution from mine waste near the streams. Mn and Fe loads in the Kvirila River and tributaries were primarily in the particulate form. The river bed sediments at all five sampled river sites contained elevated metal concentrations. Mn and Ni, in particular, were very high in the Kvirila River near the discharges compared to background soil levels. Although Mn and Fe oxide solids in sediment can increase adsorption and attenuation of other metals from the water column, the contaminated sediments can also serve as a long-term residual source of metal contamination of river water, with potentially significant adverse ecological and human health effects.