Treated wastewater injected into UIC wells flow through groundwater toward the ocean where it often emerges through openings on the reef, direct pathways from the wastewater treatment plant to the reef. Once introduced, the wastewater can mix with the seawater and potentially affect the health of these reef ecosystems (Lapointe 1997, Sutherland et al. 2010, Redding et al. 2013, Vega Thurber et al. 2014, Prouty et al. 2017).