The study area is located in the Eastern Sayan hydrogeological folded area. The objects of the study were groundwaters, surface waters and ground ice in the Sentsa River basin on the Oka Plateau. Cold and thermal groundwaters are associated with Proterozoic and Paleozoic metamorphic and igneous rocks. Their discharge as springs occurs in the river valleys along fault zones. Ground ice was studied in mineral frost mounds (lithalsas) composed of clays, clayey silts and silts of lacustrine-alluvial and fluvioglacial genesis. It has been established that thermal and cold groundwaters have HCO3 Ca-Na compositions, river and lake waters, as a rule, have HCO3 Ca-Na compositions, and ground ice melts – HCO3, SO4-HCO3 and NH4-HCO3 Ca. Thermal waters are largely enriched in Li, Be, B, Si, Mn, Ga, Ge, Se, As, Br, Rb, Sr, Cs, Ba and all REE relative to river and rain waters, and have the highest values of trace elements enrichment factor (EFREE). The latter shows that atmospheric precipitation participates in the formation of the composition of groundwaters (cold and thermal) and surface waters. The specificity of the geochemistry of ground ice is determined by the composition of precipitation, the injection of ice-forming groundwater from taliks, the interaction in the water-rock system, and the presence of organic matter in unconsolidated sediments. The participation of river water and groundwater in the formation of the frost mound ice core is also evidenced by similar values of stable isotopes (δ18O, δD) in surface water, groundwater and ground ice. The 3He/4He ratio points to a possible influx of mantle helium into thermal waters, and δ13С points to the magmatic and thermometamorphic mechanisms of carbon dioxide accumulation in thermal waters. The 87Sr/86Sr ratio in travertines indicates a significant contribution of intrusive rocks to the formation of fluid composition.