Identifying nitrate sources and migratory pathways is crucial for controlling groundwater nitrate pollution in agricultural watersheds. This study collected 35 shallow groundwater samples in the Nansi Lake Basin (NLB) to identify groundwater nitrate sources and potential health risks. Results showed that NO3- concentration in 62.9% of groundwater samples exceeded the drinking water standard (50 mg/L). Hierarchical cluster analysis (HCA) was used to classify the sampling points into three groups based on hydrochemical and isotopic data. Groups A and C were situated in the eastern recharge and discharge regions of Nansi Lake, while Group B was located in the Yellow River floodplain west of the lake. Hydrochemical data and nitrate stable isotopes (δ15N-NO3- and δ18O-NO3-) indicated that elevated NO3- primarily originated from soil organic nitrogen (SON) in Group A, while manure and sewage (M&S) were the primary sources in Groups B and C samples. Microbial nitrification was identified as the primary nitrogen transformation process across all groups. The source apportionment results indicated that SON contributed approximately 40.1% in Group A, while M&S contributed about 53.9% and 81.2% in Groups B and C, respectively. The Human Health Risk Assessment (HHRA) model indicated significant non-carcinogenic risks for residents east of Nansi Lake, primarily through the oral pathway, with NO3- concentration identified as the most influential factor by sensitivity analysis. These findings provide new perspectives on identifying and handling groundwater nitrogen pollution in agriculture-dominated NLB and similar basins that require enhanced nitrogen contamination management.
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