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Livingston County, Kentucky: environmental and disease records

Cancer mortality in Livingston County is 215.2 deaths per 100,000 people per year against a U.S. rate of 143.2, a statistically significant excess. The strongest disease signals are Lung & bronchus deaths at 1.9 times the U.S. rate. Federal databases place 135 regulated facilities, sites and hazards inside the county, led by Industrial wastewater discharge (85), NPDES wastewater discharge permit (34), Air permit holder (minor source) (4). EPA AirToxScreen estimates a lifetime cancer risk from outdoor air toxics of 30 in a million, driven mainly by formaldehyde.

Rates are age-adjusted per 100,000 people. A cancer signal is marked significant when the lower bound of its 95 percent confidence interval is above the U.S. rate. Facility counts use active federal records located inside the county boundary. Approximate county center: 37.2036, -88.3263.

How this county ranks in Kentucky

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Cancer deaths and new cases versus the United States

Source: NCI and CDC State Cancer Profiles, both sexes, all ages. Sorted by the ratio of the county rate to the U.S. rate.

Cancer rates for Livingston County compared with the United States
Cancer	Measure	County rate	U.S. rate	Times U.S.	95% interval	Years
Lung & bronchus	New cases	122.5	51.8	2.36xSignificant	96.5 to 154.4	2019-2023
Melanoma of the skin	New cases	47.1	23.8	1.98xSignificant	29.3 to 71.9	2019-2023
Lung & bronchus	Deaths	58.7	30.2	1.94xSignificant	41.9 to 81.2	2020-2024
Bladder	New cases	28.9	18.7	1.55x	17.3 to 46.7	2019-2023
All cancer	Deaths	215.2	143.2	1.5xSignificant	181.2 to 254.6	2020-2024
All cancer	New cases	615.8	453.4	1.36xSignificant	553.1 to 684.4	2019-2023
Kidney & renal pelvis	New cases	23.3	17.9	1.3x	12.6 to 40.6	2019-2023

Mortality measures versus the U.S. county median

Source: County Health Rankings, built from CDC National Vital Statistics System death records. The comparison value is the median of all U.S. counties.

Mortality measures for Livingston County
Measure	County	U.S. median	Difference	Unit
Premature death	13,207.5	9,842.6	+34%	years of life lost before age 75 per 100,000
Life expectancy	71	75.3	-6%	years
Child mortality	n/a	59.8	n/a	deaths under age 18 per 100,000
Infant mortality	n/a	6.2	n/a	deaths under age 1 per 1,000 live births
Injury deaths	92.5	96.9	-5%	deaths per 100,000
Drug overdose deaths	n/a	28.6	n/a	deaths per 100,000

Air toxics and air quality

EPA AirToxScreen 2020

Lifetime cancer risk from outdoor air toxics: 30 in a million. EPA treats 100 in a million as the upper end of acceptable risk and 1 in a million as the goal.

Formaldehyde21.92 per million
Carbon Tetrachloride2.98 per million
Acetaldehyde2.25 per million
Benzene1.01 per million

EPA Air Quality Index 2025

Monitored on 228 days: 202 good, 0 unhealthy for sensitive groups or worse. Median AQI 40, peak 93.

Regulated facilities, sites and hazards by type

135 active records inside the county from EPA ECHO, TRI, Superfund, Brownfields, NPDES, EIA, FAA, FRA and corrections data.

Industrial wastewater discharge85
NPDES wastewater discharge permit34
Air permit holder (minor source)4
Gas station (mapped facility)4
Hydroelectric plant2
EPA air quality monitor1
Public airport1
Large hazardous waste generator1
Heliport1
Rail grade crossing1
Wastewater plant (mapped facility)1

Highest-severity records

The 25 records with the highest Envyrofax severity in the county, with the agency identifier to cite in a records request.

Smithland Stp, Smithland
NPDES wastewater discharge permit. Penalties $10,000.
EPA FRS registry ID 110006654584 (U.S. EPA ECHO) Agency record
Severity 4
Warren Paving Inc - Slats Lucas Quarry, Salem
NPDES wastewater discharge permit. Penalties $80,000.
EPA FRS registry ID 110020159442 (U.S. EPA ECHO) Agency record
Severity 3.8
Mid America Fuels Inc, Ledbetter
Large hazardous waste generator.
EPA FRS registry ID 110031433606 (U.S. EPA ECHO) Agency record
Severity 3
San Tan Stone, Inc., Burna
NPDES wastewater discharge permit.
EPA FRS registry ID 110037486066 (U.S. EPA ECHO) Agency record
Severity 3
Crittenden Livingston Wtp, Salem
Industrial wastewater discharge. No Violation Identified.
NPDES permit KYG640022: (U.S. EPA NPDES)
Severity 3
Livingston Co Maintenance Garage, Smithland
Industrial wastewater discharge. No Violation Identified.
NPDES permit KYR004626: (U.S. EPA NPDES)
Severity 2.7
Vulcan Construction Materials Llc - Grand Rivers Quarry, Grand Rivers
Industrial wastewater discharge. No Violation Identified.
NPDES permit KYG840241: (U.S. EPA NPDES)
Severity 2.6
Salem Stp, Salem
Industrial wastewater discharge. No Violation Identified.
NPDES permit KY0066541: (U.S. EPA NPDES)
Severity 2.5
Ledbetter Sanitation District #1, Ledbetter
NPDES wastewater discharge permit.
EPA FRS registry ID 110006748804 (U.S. EPA ECHO) Agency record
Severity 2.3
Vulcan Construction Materials, Llc - Lake City Quarry, Grand Rivers
Industrial wastewater discharge. No Violation Identified.
NPDES permit KYG840245: (U.S. EPA NPDES)
Severity 2.1
Salem Stp, Salem
NPDES wastewater discharge permit.
EPA FRS registry ID 110006750989 (U.S. EPA ECHO) Agency record
Severity 2
Grand Rivers Wwtp, Grand Rivers
NPDES wastewater discharge permit.
EPA FRS registry ID 110006751871 (U.S. EPA ECHO) Agency record
Severity 2
Holcim - Mamr Inc Â Three Rivers Quarry, Smithland
NPDES wastewater discharge permit.
EPA FRS registry ID 110011194359 (U.S. EPA ECHO) Agency record
Severity 2
Wastewater Plant
Wastewater plant (mapped facility). Mapped facility presence only; no compliance or exposure measurements.
Record ID way/1378830363 (OpenStreetMap contributors) Agency record
Severity 2
Kinder Morgan Bulk Terminal, Grand Rivers
NPDES wastewater discharge permit.
EPA FRS registry ID 110006654389 (U.S. EPA ECHO) Agency record
Severity 1.8
Thalle Construction Company, Grand Rivers
NPDES wastewater discharge permit.
EPA FRS registry ID 110044952254 (U.S. EPA ECHO) Agency record
Severity 1.8
Pine Bluff Materials Llc, Ledbetter
NPDES wastewater discharge permit.
EPA FRS registry ID 110071374715 (U.S. EPA ECHO) Agency record
Severity 1.8
Jim Smith Contracting Inc, Grand Rivers
NPDES wastewater discharge permit.
EPA FRS registry ID 110001231881 (U.S. EPA ECHO) Agency record
Severity 1.5
Ledbetter Water District, Ledbetter
NPDES wastewater discharge permit.
EPA FRS registry ID 110006682660 (U.S. EPA ECHO) Agency record
Severity 1.5
National Maint & Repair Inc, Ledbetter
NPDES wastewater discharge permit.
EPA FRS registry ID 110009934946 (U.S. EPA ECHO) Agency record
Severity 1.5
Crittenden Livingston Wtp, Salem
NPDES wastewater discharge permit.
EPA FRS registry ID 110009959660 (U.S. EPA ECHO) Agency record
Severity 1.5
Ktc Livingston County Maintenance Garage, Smithland
NPDES wastewater discharge permit.
EPA FRS registry ID 110009960257 (U.S. EPA ECHO) Agency record
Severity 1.5
Holcim - Mamr Inc Â Three Rivers Quarry, Smithland
Air permit holder (minor source).
EPA FRS registry ID 110011194359 (U.S. EPA ECHO) Agency record
Severity 1.5
Livingston Hospital & Healthcare Service, Salem
NPDES wastewater discharge permit.
EPA FRS registry ID 110011588567 (U.S. EPA ECHO) Agency record
Severity 1.5
Vulcan Construction Material Lp - Grand Rivers Quarry, Grand Rivers
NPDES wastewater discharge permit.
EPA FRS registry ID 110013847953 (U.S. EPA ECHO) Agency record
Severity 1.5

Correctional facilities

Prisons, jails and corrections operations with an EPA facility record, and the drinking water and wastewater compliance attached to them.

No correctional facility with an EPA record is located in this county.

Discovery / public records

Records to request for Livingston County

Kentucky state cancer registry
Cancer incidence counts by census tract or ZIP code, by cancer type and year (de-identified). Any cancer cluster inquiries or investigations in Livingston County, and their findings.
Kentucky vital statistics office
Death certificate counts by cause of death and residence tract or ZIP code, and the years behind the mortality measures above.
Kentucky health department, environmental epidemiology
Health consultations or assessments by ATSDR or the state health department covering the county, and any exposure investigations.
Kentucky environmental agency and the U.S. EPA regional office
Compliance history, inspection reports, notices of violation, penalties and enforcement actions for each facility above, cited by EPA FRS registry ID.
Kentucky drinking water program
Violation notices, sampling results and sanitary surveys for the public water systems serving the county, including any system serving a correctional facility.
Department of corrections or county sheriff
Water testing, grievances and environmental health inspections for the correctional facilities listed above.

Each Envyrofax address report includes a printable records request worksheet with the custodian and the exact request wording per finding.

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