Large-scale irrigation projects have impacted the regional surface-groundwater interactions in the North China Plain (NCP). Given this concern, the aim of this study is to evaluate levels of PAH pollution, identify the sources of the PAHs, analyze the influence of surface–groundwater interactions on PAH distribution, and propose urgent management strategies for PAHs in China’s agricultural areas. PAH concentrations, hydrochemical indicators and stable isotopic compositions (δ18O and δ2H) were determined for surface water (SW) and groundwater (GW) samples. PAHs concentrations in surface water and groundwater varied from 11.84 to 393.12 ng/L and 8.51–402.84 ng/L, respectively, indicating mild pollution. The seasonal variations showed the following trend: PAHs in surface water at the low-water phase > PAHs in groundwater at the low-water phase > PAHs in surface water at the high-water phase > PAHs in groundwater at the high-water phase. Hydrochemical and δ18O value of most groundwater samples distributed between the Yellow River and seawater. The mean value of mixture ratio of the Yellow River water recharge to the groundwater was 65%, few anomalous sites can reach to 90%. Surface–groundwater interactions influence the spatial distribution of PAHs in the study area. In light of the ongoing serious pollution, management practices for source control, improved control technologies, and the construction of a monitoring network to warn of increased risk are urgently needed.