Urban development interferes with water resources by altering the hydrological cycle and increasing demands on provision of water services in the affected areas. Changes in the hydrological cycle include altered fluxes of water, sediment, chemicals and microorganisms, and increased releases of waste heat. In general, such changes lead to flow and sediment regime changes, geomorphological changes, impaired water quality, reduced biodiversity and overall degradation of water resources. At the same time, growing urban populations impose increasing demands on provision of water services, including water supply, drainage, wastewater collection and management, and beneficial uses of receiving waters. Integrated urban water management is used to mitigate the conflicts between urban development demands on water services and the resulting impacts on local water resources. Specific aspects of urban development impacts on receiving waters and threats to water availability for municipal water supply are addressed in this chapter. Even though the emphasis was placed on water quantity and availability issues, certain aspects of water quality are also included where appropriate.