Efficient water resources management is the most important environmental priority of Kuzbass development strategy up to 2035. The priority is aimed at providing people with high-quality fresh water, protecting water supply sources from pollution and maintaining strategic security of water sources. Secure natural water supply can be maintained by creating efficient water resources management framework in the region. The author establishes the tasks which are essential for the priority’s realization. The main ones include building up a unified system of management of Kuzbass surface water and groundwater, implementation of efficient system of monitoring the state of water resources, development of the regional renewable hydrogeological pattern which will allow making reasonable managerial decisions. It is suggested to accumulate the functions of controlling and managing the surface water and groundwater resources in one Centre under the Government of Kuzbass to fulfill the tasks stated. The system of monitoring water pollution must be the key function of strategic management. The author suggests a scheme of a unified net of monitoring water resources that will be the basis for operative and efficient management of this important life support area. Fulfillment of the tasks stated will provide the opportunity for systemic assessment of ecological damage to natural waters and for determining the areas demanding immediate attention and restoration. They should become the basis for developing measures and project decisions on water resources restoration and protection from pollution and rehabilitation of polluted areas. As a result of the priority’s realization people will be provided with fresh water which is the essential condition of the decent quality of life.