Abstract Enhanced coagulation and adsorption were investigated in separate and combined processes to alleviate problems created by high levels of NOM (15 mg L−1) and ammonia (2.5 mg L−1 NH4-N) in dam water. Raw water acidification to pH 6.2 with optimised enhanced coagulation in jar tests achieved effective (68%) DOC reduction and satisfactory residual turbidity, aluminium, and colour, however removed only 5% ammonia. Adsorption on the nano-adsorbent (termed ACZ) led to 45% DOC reduction and excellent 58% ammonia removal in 30 min. Concurrent enhanced coagulation and complementary adsorption using only 80 mg L−1 alum and 150 mg L−1 ACZ doses showed high performance with 76% ammonia, 90% DOC, and 95% trihalomethanes formation potential (THMFP) reduction in 20 min time. Concurrent treatment can be simply implemented utilising readily available rapid mixers and flocculators, and operated on demand. Pre-adsorption and consecutive enhanced coagulation using the same alum and ACZ doses resulted in slightly better DOC but reduced (61%) ammonia removal. The results showed that concurrent treatment could safely resolve a challenging operational problem. ACZ combines the distinct advantages of zeolite and activated carbon in a single product, and may find additional uses in removing taste and odour, heavy metals, and synthetic organic matter from ground and surface waters.