Radioactive material is found naturally in water, soils and rock. When this type of radioactive material is found in its original location and in its natural concentration distributions (including ore bodies) it is referred to as Naturally Occurring Radioactive Material (NORM). Many industrial processes use or come in contact with natural raw materials that contain NORM such as ore, water, soil, rock, oil and natural gas. When industrial processes separate or concentrate the NORM found in these raw materials and expel this radioactive material in their waste streams, the resulting concentrated NORM is referred to as Technologically Enhanced Naturally Occurring Radioactive Material (TENORM). The intent of this guidance document is to increase awareness regarding TENORM waste generation, as well as the regulatory and radiological complexities surrounding appropriate and protective TENORM waste management methods.