Coal ash may have poisoned a source of drinking water for thousands of North Carolinians.

When Hurricane Florence was approaching the state, experts feared that excessive flooding could cause widespread spills of hog feces and coal ash into surrounding bodies of water. Those fears have now materialized.

On Friday, the Associated Press reported that a dam holding back coal ash—the heavy metal-laden byproduct from burning coal—had breached at a North Carolina plant due to flooding. Duke Energy, which owns the dam, said that the product might be flowing into the Cape Fear River, which provides drinking water to approximately 60,000 residents of Wilmington, North Carolina.

This is the third coal ash spill that’s been reported since Florence’s historic rainfall caused catastrophic flooding throughout the state. Duke Energy, the country’s largest electric company, has been fighting attempts to force clean-up of these ponds for years. President Donald Trump’s administration has also loosened several regulations on coal ash storage.

In addition to coal ash spills, at least 110 ponds of pig feces have either released their contents into the environment or are at “imminent risk of doing so,” The New York Times reported on Wednesday. Those spills are presenting health concerns, too. “You basically have a toxic soup for people who live in close proximity to those lagoons,” Sacoby Wilson, a professor of public health at the University of Maryland, told Vice News. “All of these contaminants that are in the hog lagoons, like salmonella, giardia, and E-coli, can get into the waterways and infect people trying to get out.”

Coal ash often contains high levels of arsenic, lead, mercury, and chromium, which can cause myriad health problems. North Carolinians risk coming into contact with these metals and pathogens through drinking water, but also through open wounds and mucous membranes if they wade through the ongoing floods.