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Billings County, North Dakota: environmental and disease records

County cancer statistics are not published for Billings County. Federal databases place 57 regulated facilities, sites and hazards inside the county, led by NPDES wastewater discharge permit (32), Air permit holder (minor source) (10), Rail grade crossing (8). EPA AirToxScreen estimates a lifetime cancer risk from outdoor air toxics of 10 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: 46.9602, -103.4202.

How this county ranks in North Dakota

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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.

No county-level cancer statistics are published for this area. Request counts directly from the North Dakota state cancer registry.

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 Billings County
MeasureCountyU.S. medianDifferenceUnit
Premature deathn/a9,842.6n/ayears of life lost before age 75 per 100,000
Life expectancyn/a75.3n/ayears
Child mortalityn/a59.8n/adeaths under age 18 per 100,000
Infant mortalityn/a6.2n/adeaths under age 1 per 1,000 live births
Injury deathsn/a96.9n/adeaths per 100,000
Drug overdose deathsn/a28.6n/adeaths per 100,000

Air toxics and air quality

EPA AirToxScreen 2020

Lifetime cancer risk from outdoor air toxics: 10 in a million. EPA treats 100 in a million as the upper end of acceptable risk and 1 in a million as the goal.

  • Formaldehyde10.33 per million
  • Carbon Tetrachloride2.82 per million
  • Benzene0.66 per million
  • Acetaldehyde0.62 per million

EPA Air Quality Index 2025

Monitored on 364 days: 301 good, 8 unhealthy for sensitive groups or worse. Median AQI 38, peak 195.

Regulated facilities, sites and hazards by type

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

  • NPDES wastewater discharge permit32
  • Air permit holder (minor source)10
  • Rail grade crossing8
  • Major air pollution source1
  • EPA air quality monitor1
  • Gas station (mapped facility)1
  • Large greenhouse gas emitter1
  • Scrapyard (mapped facility)1
  • TRI reporting facility1
  • Toxic chemical release facility (TRI)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.

  1. Fryburg Rail Terminal, Belfield

    Toxic chemical release facility (TRI). Chemicals: n-Hexane, Xylene (mixed isomers), Cyclohexane, Toluene and 2 more. Reports carcinogens. 10,613 lbs released over 5 years.

    TRI facility ID 5862WNDLND37261 (U.S. EPA Toxics Release Inventory)

    Severity 7.6

  2. Nd Land Holdings Llc Dba Dory Land Llc, Belfield

    TRI reporting facility.

    EPA FRS registry ID 110060280253 (U.S. EPA ECHO) Agency record

    Severity 5.4

  3. Riverwater, Llc, Unknown

    NPDES wastewater discharge permit.

    EPA FRS registry ID 110070567086 (U.S. EPA ECHO) Agency record

    Severity 4.3

  4. PAINTED CANYON

    EPA air quality monitor.

    Record ID 380070002 (U.S. EPA AirData)

    Severity 4.2

  5. Burning Hills Amphitheater Wwtp, Medora

    NPDES wastewater discharge permit.

    EPA FRS registry ID 110070250111 (U.S. EPA ECHO) Agency record

    Severity 4

  6. Hild Scoria Pit, Medora

    NPDES wastewater discharge permit.

    EPA FRS registry ID 110071068469 (U.S. EPA ECHO) Agency record

    Severity 3.8

  7. Little Knife Gas Plant, Killdeer

    Major air pollution source.

    EPA FRS registry ID 110000878998 (U.S. EPA ECHO) Agency record

    Severity 3.5

  8. Teddy Roosevelt Medora Fdation, Medora

    NPDES wastewater discharge permit.

    EPA FRS registry ID 110043673012 (U.S. EPA ECHO) Agency record

    Severity 3.5

  9. Medora City Of, Medora

    NPDES wastewater discharge permit.

    EPA FRS registry ID 110010827089 (U.S. EPA ECHO) Agency record

    Severity 2.8

  10. Little Knife Gas Plant, Killdeer

    Large greenhouse gas emitter.

    EPA FRS registry ID 110000878998 (U.S. EPA ECHO) Agency record

    Severity 2.5

  11. Tesoro Logistics Gp, Llc-Roxanne 21-16h Swd, Belfield

    NPDES wastewater discharge permit.

    EPA FRS registry ID 110070131139 (U.S. EPA ECHO) Agency record

    Severity 2.3

  12. Chimney Butte Disposal Facility, Fairfield

    NPDES wastewater discharge permit.

    EPA FRS registry ID 110056237308 (U.S. EPA ECHO) Agency record

    Severity 2

  13. Nps - Juniper Campground Lagoons, Medora

    NPDES wastewater discharge permit.

    EPA FRS registry ID 110043673021 (U.S. EPA ECHO) Agency record

    Severity 1.5

  14. Nps - Nu Headquarters Lagoons, Medora

    NPDES wastewater discharge permit.

    EPA FRS registry ID 110043673049 (U.S. EPA ECHO) Agency record

    Severity 1.5

  15. Nps - Painted Canyon Lagoons, Medora

    NPDES wastewater discharge permit.

    EPA FRS registry ID 110043673058 (U.S. EPA ECHO) Agency record

    Severity 1.5

  16. Billings County-District 1 Shop, Fairfield

    NPDES wastewater discharge permit.

    EPA FRS registry ID 110056216839 (U.S. EPA ECHO) Agency record

    Severity 1.5

  17. Billings County-Fryburg Shop, Fryburg

    NPDES wastewater discharge permit.

    EPA FRS registry ID 110056230724 (U.S. EPA ECHO) Agency record

    Severity 1.5

  18. Fryburg Rail Terminal, Belfield

    NPDES wastewater discharge permit.

    EPA FRS registry ID 110070131137 (U.S. EPA ECHO) Agency record

    Severity 1.5

  19. Billings County-Medora Shop, Medora

    NPDES wastewater discharge permit.

    EPA FRS registry ID 110070530938 (U.S. EPA ECHO) Agency record

    Severity 1.5

  20. Fhwa-Central Federal Lands Highway, (Unknown City)

    NPDES wastewater discharge permit.

    EPA FRS registry ID 110070621017 (U.S. EPA ECHO) Agency record

    Severity 1.5

  21. Meridian Energy Group Inc., (Unknown City)

    NPDES wastewater discharge permit.

    EPA FRS registry ID 110071359884 (U.S. EPA ECHO) Agency record

    Severity 1.5

  22. Nd Ftnp Thro 11(10) South Unit Scenic Loop Slide Repair, (Unknown City)

    NPDES wastewater discharge permit.

    EPA FRS registry ID 110071401155 (U.S. EPA ECHO) Agency record

    Severity 1.5

  23. Theodore Roosevelt Presidential Library, (Unknown City)

    NPDES wastewater discharge permit.

    EPA FRS registry ID 110071504299 (U.S. EPA ECHO) Agency record

    Severity 1.5

  24. Nd Flap 795(1) Whitetail Crossing, (Unknown City)

    NPDES wastewater discharge permit.

    EPA FRS registry ID 110071813873 (U.S. EPA ECHO) Agency record

    Severity 1.5

  25. Nd Flap 704(1) Magpie Crossing, (Unknown City)

    NPDES wastewater discharge permit.

    EPA FRS registry ID 110071814924 (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 Billings County

  • North Dakota 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 Billings County, and their findings.

  • North Dakota 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 Dakota health department, environmental epidemiology

    Health consultations or assessments by ATSDR or the state health department covering the county, and any exposure investigations.

  • North Dakota 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 Dakota 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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