Since the 1990s, sandstone-type uranium in the northern basin of China has become the main target for mining. Uranium mining can cause a series of impacts on the environment. A conceptual model of the geo-environment for sandstone-type uranium in northern China was described, which covers the changes in the geo-environmental characteristics in the natural state, in the mining process, during decommissioning and after treatment. Sandstone-type uranium is mainly distributed in the Songliao, Erlian, Ordos, Turpan–Hami and Ili Basins, which have arid climates and poor stratum permeability. Pitchblende is the main uranium-bearing mineral and is associated with iron, copper, coal, organic matter and other minerals. The mineral often has a low ore grade (0.01–1.0%) and high carbonate content (2–25%). Uranyl carbonate accounts for more than 90% of the total uranium in groundwater. The uranyl content is closely related to the TDS. The TDS of groundwater in the eastern and central ore belts is usually lower than 2 g/L, while in the western region, such as Xinjiang, it can exceed 10 g/L. In situ leaching (ISL) is the main mining method that results in groundwater pollution. Acid leaching leads to a pH decrease (<3), and heavy metals represented by U and Fe exceed the background values by hundreds of times, resulting in groundwater pollution. CO2 leaching is more environmentally friendly, and the excess ions are usually Ca2+, Mg2+, NO3− and HCO3−. Soil chemical anomalies originate mostly from wind erosion and precipitation leaching of decommissioned tailings. Uranium pollution is mainly concentrated within 20 cm of the surface, and the exceedance generally varies from two to 40 times. During ISL, a series of environmental measures will be taken to prevent pollution from being exposed to the surface. After treatment, the decommissioned uranium mines will likely have no impact on the surrounding environment. In the future, the protection of groundwater should be strengthened during production, and remediation methods based on electrokinetic, microbial and permeable reactive barrier (PRB) technology should be further researched.