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Cheatham County, Tennessee: environmental and disease records

Cancer mortality in Cheatham County is 198.5 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 1.6 times the U.S. rate. Federal databases place 169 regulated facilities, sites and hazards inside the county, led by NPDES wastewater discharge permit (94), Rail grade crossing (18), Gas station (mapped facility) (14). 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: 36.2483, -87.0842.

How this county ranks in Tennessee

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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 Cheatham County compared with the United States
Cancer	Measure	County rate	U.S. rate	Times U.S.	95% interval	Years
Lung & bronchus	Deaths	48.1	30.2	1.59xSignificant	39.8 to 57.8	2020-2024
Liver & bile duct	Deaths	10	6.6	1.52x	6.6 to 14.9	2020-2024
All cancer	Deaths	198.5	143.2	1.39xSignificant	180.5 to 217.8	2020-2024
Kidney & renal pelvis	New cases	24.8	17.9	1.39xSignificant	18.7 to 32.4	2019-2023
Non-Hodgkin lymphoma	New cases	25.6	18.5	1.38xSignificant	19.3 to 33.2	2019-2023
Lung & bronchus	New cases	71.5	51.8	1.38xSignificant	61.2 to 83.2	2019-2023
Brain & nervous system	Deaths	6	4.4	1.36x	3.3 to 10.1	2020-2024
Bladder	New cases	23.3	18.7	1.25x	17.5 to 30.4	2019-2023
Brain & nervous system	New cases	7.7	6.2	1.24x	4.4 to 12.4	2019-2023
All cancer	New cases	507.8	453.4	1.12xSignificant	479.3 to 537.7	2019-2023
Liver & bile duct	New cases	9.5	8.7	1.09x	6.2 to 14.1	2019-2023
Pancreas	New cases	14.8	13.9	1.06x	10.2 to 20.9	2019-2023
Pancreas	Deaths	11.6	11.3	1.03x	7.6 to 16.9	2020-2024
Stomach	New cases	6.7	6.6	1.02x	3.9 to 11.1	2019-2023
Leukemia	New cases	14	14.5	0.97x	9.7 to 19.7	2019-2023
Thyroid	New cases	12.1	13	0.93x	7.7 to 18	2019-2023
Melanoma of the skin	New cases	20.5	23.8	0.86x	15 to 27.5	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 Cheatham County
Measure	County	U.S. median	Difference	Unit
Premature death	12,436.7	9,842.6	+26%	years of life lost before age 75 per 100,000
Life expectancy	72.3	75.3	-4%	years
Child mortality	64.5	59.8	+8%	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	154.2	96.9	+59%	deaths per 100,000
Drug overdose deaths	92.4	28.6	+223%	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.

Formaldehyde22.69 per million
Carbon Tetrachloride2.92 per million
Acetaldehyde2.41 per million
Benzene0.99 per million

EPA Air Quality Index

No EPA air quality monitor reports daily AQI for this county.

Regulated facilities, sites and hazards by type

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

NPDES wastewater discharge permit94
Rail grade crossing18
Gas station (mapped facility)14
Air permit holder (minor source)13
Auto repair or body shop (mapped facility)6
Public airport4
Large hazardous waste generator4
Toxic chemical release facility (TRI)4
Major air pollution source3
TRI reporting facility3
Small hazardous waste generator2
Scrapyard (mapped facility)2
Correctional facility (prison or jail)1
Hydroelectric 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.

Caymas Boats Llc, Ashland City
Toxic chemical release facility (TRI). Chemicals: Styrene, Methyl methacrylate, Diisocyanates. Reports carcinogens. 405,756 lbs released over 5 years.
TRI facility ID 37015BXMFGHWY12 (U.S. EPA Toxics Release Inventory)
Severity 8.8
State Industries Inc., Ashland City
Toxic chemical release facility (TRI). Chemicals: 1,2,4-Trimethylbenzene, n-Butyl alcohol, Certain glycol ethers, Diisocyanates and 4 more. Reports carcinogens. 375,339 lbs released over 5 years.
TRI facility ID 37015STTND500BY (U.S. EPA Toxics Release Inventory)
Severity 8.8
Arcosa Marine Products Inc Plt 296, Ashland City
Toxic chemical release facility (TRI). Chemicals: Xylene (mixed isomers), n-Butyl alcohol, 1,2,4-Trimethylbenzene, Ethylbenzene and 4 more. Reports carcinogens. 206,399 lbs released over 5 years.
TRI facility ID 37015TRNTY1050N (U.S. EPA Toxics Release Inventory)
Severity 8.6
Caymas Boats Llc, Ashland City
Toxic chemical release facility (TRI). Chemicals: Styrene. Reports carcinogens. 22,108 lbs released over 5 years.
TRI facility ID 37015TMCNC13BLU (U.S. EPA Toxics Release Inventory)
Severity 7.8
State Industries Inc, Ashland City
TRI reporting facility.
EPA FRS registry ID 110000369850 (U.S. EPA ECHO) Agency record
Severity 6.7
Arcosa Marine Products, Inc. [Plant No. 296], Ashland City
TRI reporting facility.
EPA FRS registry ID 110000369869 (U.S. EPA ECHO) Agency record
Severity 6.3
Bix Enterprises, Ashland City
TRI reporting facility.
EPA FRS registry ID 110000589827 (U.S. EPA ECHO) Agency record
Severity 6.2
State Industries Inc, Ashland City
Major air pollution source.
EPA FRS registry ID 110000369850 (U.S. EPA ECHO) Agency record
Severity 4
Arcosa Marine Products, Inc. [Plant No. 296], Ashland City
Major air pollution source.
EPA FRS registry ID 110000369869 (U.S. EPA ECHO) Agency record
Severity 3.8
State Industries Inc, Ashland City
Large hazardous waste generator.
EPA FRS registry ID 110000369850 (U.S. EPA ECHO) Agency record
Severity 3.5
State Industries Inc, Ashland City
NPDES wastewater discharge permit.
EPA FRS registry ID 110000369850 (U.S. EPA ECHO) Agency record
Severity 3.5
Pegram Stp, Pegram
NPDES wastewater discharge permit. Penalties $2,000.
EPA FRS registry ID 110009707013 (U.S. EPA ECHO) Agency record
Severity 3.5
Kingston Springs Stp, Kingston Springs
NPDES wastewater discharge permit. Penalties $21,700.
EPA FRS registry ID 110009787686 (U.S. EPA ECHO) Agency record
Severity 3.5
Ashland City Wwtp, Ashland City
NPDES wastewater discharge permit.
EPA FRS registry ID 110039907679 (U.S. EPA ECHO) Agency record
Severity 3.5
Caymas Boats Llc, Ashland City
Major air pollution source.
EPA FRS registry ID 110070507201 (U.S. EPA ECHO) Agency record
Severity 3.5
Arcosa Marine Products, Inc. [Plant No. 296], Ashland City
Large hazardous waste generator.
EPA FRS registry ID 110000369869 (U.S. EPA ECHO) Agency record
Severity 3.3
Arcosa Marine Products, Inc. [Plant No. 296], Ashland City
NPDES wastewater discharge permit.
EPA FRS registry ID 110000369869 (U.S. EPA ECHO) Agency record
Severity 3.3
Ashland City Wastewater Treatment Facility, Ashland City
NPDES wastewater discharge permit.
EPA FRS registry ID 110070948180 (U.S. EPA ECHO) Agency record
Severity 3.3
Bix Enterprises, Ashland City
Large hazardous waste generator.
EPA FRS registry ID 110000589827 (U.S. EPA ECHO) Agency record
Severity 3
Jl Processing, Llc, Kingston Springs
Large hazardous waste generator.
EPA FRS registry ID 110071679864 (U.S. EPA ECHO) Agency record
Severity 3
Cheatham County Industrial Park Stp, Ashland City
NPDES wastewater discharge permit.
EPA FRS registry ID 110009787953 (U.S. EPA ECHO) Agency record
Severity 2
Strategic Materials, Inc., Ashland City
NPDES wastewater discharge permit.
EPA FRS registry ID 110001864803 (U.S. EPA ECHO) Agency record
Severity 1.8
Mid-Packaging Incorporated, Kingston Springs
Small hazardous waste generator.
EPA FRS registry ID 110004996577 (U.S. EPA ECHO) Agency record
Severity 1.8
Ashland City Water Department-Cumberland River, Ashland City
NPDES wastewater discharge permit.
EPA FRS registry ID 110022468462 (U.S. EPA ECHO) Agency record
Severity 1.8
Highway 70 Auto Parts, Inc., Kingston Springs
NPDES wastewater discharge permit.
EPA FRS registry ID 110070002873 (U.S. EPA ECHO) Agency record
Severity 1.8

Correctional facilities

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

Cheatham Co. Courthouse Jail, Ashland City
EPA FRS registry ID
110071540384
Wastewater permit
Yes
EPA detailed facility report

Discovery / public records

Records to request for Cheatham County

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