In this study, an acoustic Doppler current profiler (ADCP) operating at 600 kHz was installed on an ocean data buoy in the Qigu waters, Taiwan, to gather real-time sound echo intensity data. These data were then correlated with turbidity measurements obtained by a turbidimeter mounted on the buoy’s mooring line at a water depth of 13 m. The data buoy operated from 6 June to 16 August 2017. During this period, turbidity measurements were recorded from 6 to 21 June 2017. This study established a calibration between the sound echo intensity measured by the ADCP and the turbidity measured using the turbidimeter; a strong linear correlation was discovered between these two variables. This correlation enabled the conversion of echo intensity data into a continuous time series of turbidity measurements, facilitating real-time and long-term monitoring of coastal water turbidity through the deployment of a buoy equipped with an ADCP. The relationships between turbidity and environmental factors such as rainfall, tides, current speeds, and wave activity over an extended period were then investigated. The results revealed that stronger tides and currents in the Qigu waters often lead to higher turbidity, suggesting that these two factors are the primary driving forces for sediment transport in the Qigu waters. Additionally, sampling of water in the Qigu area revealed sediment particles of size ranging from 2 to 120 μm.