N-nitrosodimethylamine (NDMA) is a carcinogenic disinfection byproduct formed from reactions between dichloramine and organic nitrogen-containing precursors. It is unclear if NDMA precursors in surface water intakes originate in anthropogenic (i.e., wastewater) or natural sources. The Truckee River has a single point source release of treated wastewater effluent, making it an ideal system to study the relative importance of precursor sources. Three Lagrangian sampling events were conducted. NDMA formation potential (FP, a measurement of precursors) above the wastewater outfall indicated that the natural background of NDMA precursors was 2-28 ng/L. NDMA FP increased to 18-31 ng/L immediately downstream of the wastewater outfall, but decreased rapidly in a first order manner, and were not statistically different from the upstream samples in only ∼6 km. This suggests that the dominant source of NDMA precursors may be wastewater derived only near wastewater outfalls and deviates from the previous belief that wastewater-derived precursors are responsible for NDMA formation in drinking water sources located further downstream. Additionally, given the rapid loss of the wastewater precursors in this study, precursors which are slow to biodegrade/photolyze/adsorb to sediment are likely to be poor surrogates for the overall wastewater NDMA precursor pool. To understand temporal changes in the wastewater impact on environmental NDMA precursor loading, two 24-hour sampling events were conducted near (<3 km) the wastewater outfall and demonstrated that temporal changes in the NDMA precursors directly downstream of the wastewater outfall are directly linked to the wastewater flow contribution.