A study was performed between June 2001 and December 2004 with the primary objective of assessing long-term leaching from municipal solid waste incineration bottom ash in a test road construction in relation to a reference road made up of conventional materials and the natural geochemical conditions in the surroundings. The metal leaching from the test road and the reference road was compared with the natural weathering in the regional surroundings for three time scales: 16, 80 and 1000 years. The results show that Cu and Zn cause a geochemical anomaly from the test road compared with the surroundings. The leaching of Cu from the test road is initially high but will decline with time and will in the long term be exceeded by natural weathering. Zn on the other hand has low initial leaching, which will increase with time and will in the long term exceed that of the test road and the surroundings by a factor of 100-300. For the other metals studied, Al, Na, K and Mg, there is only very limited leaching over time and the potential accumulation will not exceed the background values in a 1000 years.