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The report documents the presence of toxic metals in surface and groundwaters downstream from two coal combustion waste (CCW) disposal sites in Preston County, West Virginia: the Stacks Run Refuse Site Extension and the Albright site. Despite the use of alkaline fluidized bed combustion (FBC) ash, which is often believed to prevent the dissolution of toxic chemicals, the report finds that very high levels of selenium and thallium were detected at the Stacks Run site nearly a decade after disposal began. The document argues that current monitoring practices by the West Virginia Department of Environmental Protection (WVDEP) are insufficient and calls for enforceable regulations to protect water resources.