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Montgomery County, North Carolina: environmental and disease records

Cancer mortality in Montgomery County is 154.1 deaths per 100,000 people per year against a U.S. rate of 143.2. Federal databases place 255 regulated facilities, sites and hazards inside the county, led by Rail grade crossing (109), NPDES wastewater discharge permit (53), Air permit holder (minor source) (26). One correctional facility operates in the county. 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: 35.3237, -79.8985.

How this county ranks in North Carolina

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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 Montgomery County compared with the United States
Cancer	Measure	County rate	U.S. rate	Times U.S.	95% interval	Years
Pancreas	New cases	20.4	13.9	1.47xSignificant	14.8 to 28	2019-2023
Kidney & renal pelvis	New cases	25	17.9	1.4xSignificant	18.3 to 33.7	2019-2023
Pancreas	Deaths	15.3	11.3	1.35x	10.6 to 21.9	2020-2024
Liver & bile duct	Deaths	8.3	6.6	1.26x	4.8 to 13.9	2020-2024
Liver & bile duct	New cases	10.8	8.7	1.24x	6.5 to 17.2	2019-2023
Lung & bronchus	New cases	62.7	51.8	1.21xSignificant	52.3 to 75	2019-2023
Melanoma of the skin	New cases	28.7	23.8	1.21x	21.1 to 38.5	2019-2023
Lung & bronchus	Deaths	35.2	30.2	1.17x	27.6 to 44.8	2020-2024
Leukemia	New cases	16.8	14.5	1.16x	10.8 to 25.1	2019-2023
Bladder	New cases	20.7	18.7	1.11x	14.7 to 28.6	2019-2023
All cancer	Deaths	154.1	143.2	1.08x	137 to 173.1	2020-2024
All cancer	New cases	485	453.4	1.07x	452.8 to 519.2	2019-2023
Thyroid	New cases	13.7	13	1.05x	8 to 21.9	2019-2023
Non-Hodgkin lymphoma	New cases	18.3	18.5	0.99x	12.3 to 26.4	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 Montgomery County
Measure	County	U.S. median	Difference	Unit
Premature death	14,448.4	9,842.6	+47%	years of life lost before age 75 per 100,000
Life expectancy	72.3	75.3	-4%	years
Child mortality	59.9	59.8	+0%	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	125.2	96.9	+29%	deaths per 100,000
Drug overdose deaths	54.5	28.6	+90%	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.

Formaldehyde21.26 per million
Carbon Tetrachloride2.92 per million
Acetaldehyde2.21 per million
Benzene0.91 per million

EPA Air Quality Index 2025

Monitored on 363 days: 297 good, 0 unhealthy for sensitive groups or worse. Median AQI 39, peak 85.

Regulated facilities, sites and hazards by type

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

Rail grade crossing109
NPDES wastewater discharge permit53
Air permit holder (minor source)26
Gas station (mapped facility)19
TRI reporting facility9
Toxic chemical release facility (TRI)9
Solar power plant7
Auto repair or body shop (mapped facility)6
Major air pollution source5
Hydroelectric plant3
EPA air quality monitor2
Public airport2
Correctional facility (prison or jail)1
Large greenhouse gas emitter1
Small hazardous waste generator1
Heliport1
Biomass power plant1

Highest-severity records

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

Troy Lumber Company Inc., Troy
TRI reporting facility. Penalties $37,011.
EPA FRS registry ID 110009857397 (U.S. EPA ECHO) Agency record
Severity 8.8
Troy Lumber Co, Troy
Toxic chemical release facility (TRI). Chemicals: Methanol, Lead. Reports carcinogens. 156,552 lbs released over 5 years.
TRI facility ID 27371TRYLM110LE (U.S. EPA Toxics Release Inventory)
Severity 8.5
Flakeboard America Llc, Biscoe
Toxic chemical release facility (TRI). Chemicals: Formaldehyde. Reports carcinogens. 42,690 lbs released over 5 years.
TRI facility ID 2720WFLKBR157AT (U.S. EPA Toxics Release Inventory)
Severity 8.1
Unilin Flooring, N.V., Mount Gilead
TRI reporting facility. Penalties $25,849.
EPA FRS registry ID 110022561379 (U.S. EPA ECHO) Agency record
Severity 8
Unilin Us Mdf, Mount Gilead
Toxic chemical release facility (TRI). Chemicals: Methanol. 385,543 lbs released over 5 years.
TRI facility ID 27306HMNTS149HO (U.S. EPA Toxics Release Inventory)
Severity 7.3
Jordan Lumber & Supply Co, Mount Gilead
Toxic chemical release facility (TRI). Chemicals: Methanol. 225,796 lbs released over 5 years.
TRI facility ID 2730WJRDNL1959H (U.S. EPA Toxics Release Inventory)
Severity 7.1
Grede Ii Llc, Biscoe
Toxic chemical release facility (TRI). Chemicals: Copper, Lead. Reports carcinogens. 1,709 lbs released over 5 years.
TRI facility ID 27209FNDRY530EM (U.S. EPA Toxics Release Inventory)
Severity 7
Gvk America Incorporated, Biscoe
TRI reporting facility. Penalties $5,595.
EPA FRS registry ID 110000576859 (U.S. EPA ECHO) Agency record
Severity 6.8
Troy Wwtp, Troy
NPDES wastewater discharge permit. Penalties $3,926.
EPA FRS registry ID 110006710602 (U.S. EPA ECHO) Agency record
Severity 6.8
Troy Lumber Company Inc., Troy
Major air pollution source. Penalties $37,011.
EPA FRS registry ID 110009857397 (U.S. EPA ECHO) Agency record
Severity 6.3
Grede Ii Llc, Biscoe
TRI reporting facility.
EPA FRS registry ID 110000345573 (U.S. EPA ECHO) Agency record
Severity 6.2
Jordan Lumber & Supply, Co, Mount Gilead
TRI reporting facility.
EPA FRS registry ID 110070071267 (U.S. EPA ECHO) Agency record
Severity 6.1
Troy Lumber Company Inc., Troy
NPDES wastewater discharge permit. Penalties $37,011.
EPA FRS registry ID 110009857397 (U.S. EPA ECHO) Agency record
Severity 5.8
Mcrae Footwear: Troy, Troy
Toxic chemical release facility (TRI). Chemicals: Diisocyanates. 2,500 lbs released over 5 years.
TRI facility ID 2737WMCRFT1737H (U.S. EPA Toxics Release Inventory)
Severity 5.6
Star Wwtp, Star
NPDES wastewater discharge permit. Penalties $24,393.
EPA FRS registry ID 110006709053 (U.S. EPA ECHO) Agency record
Severity 5.3
Biscoe Wwtp, Biscoe
NPDES wastewater discharge permit. Penalties $550.
EPA FRS registry ID 110009845766 (U.S. EPA ECHO) Agency record
Severity 5.3
Unilin Flooring, N.V., Mount Gilead
Major air pollution source. Penalties $25,849.
EPA FRS registry ID 110022561379 (U.S. EPA ECHO) Agency record
Severity 5.3
Mcrae Footwear: Troy, Troy
TRI reporting facility.
EPA FRS registry ID 110046123538 (U.S. EPA ECHO) Agency record
Severity 5.2
Unilin Flooring, N.V., Mount Gilead
NPDES wastewater discharge permit. Penalties $25,849.
EPA FRS registry ID 110022561379 (U.S. EPA ECHO) Agency record
Severity 4.8
Montgomery County Airport, Star
NPDES wastewater discharge permit.
EPA FRS registry ID 110045405655 (U.S. EPA ECHO) Agency record
Severity 4.5
Uwharrie Mountain Renewable Energy, Llc, Mount Gilead
Major air pollution source. Penalties $8,411.
EPA FRS registry ID 110054884069 (U.S. EPA ECHO) Agency record
Severity 4.5
Mcrae Woodtreating Inc, Mount Gilead
NPDES wastewater discharge permit.
EPA FRS registry ID 110055107389 (U.S. EPA ECHO) Agency record
Severity 4.5
Jordan Innovative Fabrication Llc, Biscoe
NPDES wastewater discharge permit.
EPA FRS registry ID 110057593251 (U.S. EPA ECHO) Agency record
Severity 4.5
Candor: EPA CASTNet Site, Candor
EPA air quality monitor.
Record ID 371230001 (U.S. EPA AirData)
Severity 4.3
Mountaire Farms Inc Candor Feed Mill, Candor
TRI reporting facility.
EPA FRS registry ID 110006804985 (U.S. EPA ECHO) Agency record
Severity 4.3

Correctional facilities

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

Nc Doc - Southern Correctional Institute, Troy
EPA FRS registry ID
110001492929
Wastewater permit
None on record
EPA detailed facility report

Discovery / public records

Records to request for Montgomery County

North Carolina 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 Montgomery County, and their findings.
North Carolina vital statistics office
Death certificate counts by cause of death and residence tract or ZIP code, and the years behind the mortality measures above.
North Carolina health department, environmental epidemiology
Health consultations or assessments by ATSDR or the state health department covering the county, and any exposure investigations.
North Carolina 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.
North Carolina 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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