Permits Needed for Hospital Businesses

Above ground storage tanks are regulated by the Missouri Department of Agriculture. For more information, please visit their Fuel Device Safety and Accuracy Program webpage.

If your business is required to obtain a Part 70 Operating Permits but accepts voluntary, practically enforcement limitation to reduce emissions to less than 100 tons per year of any regulated pollutant and is less than 10 tons per year of any single hazardous air pollutant and less than 25 tons per year of any combined hazardous air pollutant, you may require an Air Intermediate Operating Permit to address potential air emissions.

If your business plans to construct a new installation or modify an existing minor installation and the project has the potential to emit more than major emission levels of a regulated air containment or construct a new installation or modify an existing major installation and the project has the potential to emit more than the minor levels per year, you may require an Air Major Construction Permit Sections (7), (8) & (9) to address potential air emissions.

If your business plans to construct a new installation or modify an existing minor installation and the project has the potential to emit less than major source levels per year; or you plan to construct a new installation or modify an existing major installation and the project has the potential to emit less than the minor levels per year, you may require an Air Minor Construction Permit to address potential air emissions.

If your business has the potential to emit greater than 100 tons per year of any regulated pollutant, has the potential to emit greater than 100 tons per year of any single hazardous air pollutant, or greater than 25 tons per year of combined hazardous air pollutants, or is required by a New Source Performance Standard or a Maximum Achievable Control Technology, you may require an Air Part 70 Operating Permit.

The department requires notification of demolitions and abatement projects involving regulated structures at least 10 working days before crews begin a project. To learn more, visit the department's Asbestos webpage.

If you or your business plans to transport hazardous waste including waste oil, explosives, gases, flammable and combustible liquids, flammable solids, oxidizers and organic peroxides, poisons, radioactive materials, corrosives or infectious waste, you must obtain a Hazardous/ Infectious Waste Transporter License.

If you or your business is capable of producing 100,000 gallons per day, or approximately 70 gallons per minute, including all wells or surface intakes, you are required to register with the department as a Major Water User. This registration is not for permitting purposes or to regulate water usage. Major water users are required by law to report the volume of water they used by March 31 of the year following the usage. Registration is required in order to submit reports.

The Major Water Users Program is established to simply gather water use data. Missouri collects water use data to better understand and manage the state’s water inventory. For more information, or to complete the online registration, please visit the Major Water Users webpage.

If your business plans to discharge from a regulated Phase II Municipal Separate Storm Sewer Systems, you must obtain a Phase II Municipal Separate Storm Sewer Systems Comprehensive General Stormwater Permit MOR04C000 to address stormwater discharges from the property. This system collects stormwater runoff from roads with drainage systems, municipal streets, catch basins, curbs, gutters, ditches, man-made channels, storm drains from cities, townships, counties, military bases, hospitals, prison complexes, highway departments, universities and more. Learn more about Municipal Separate Storm Sewer Systems (MS4).

If your business plans to discharge from a regulated Phase II Municipal Separate Storm Sewer Systems, you must obtain a Phase II Small Municipal Separate Storm Sewer Systems MORo40000 general permit to address stormwater discharges from the property. This system collects stormwater runoff from roads with drainage systems, municipal streets, catch basins, curbs, gutters, ditches, man-made channels, storm drains from cities, townships, counties, military bases, hospitals, prison complexes, highway departments, universities and more.

If your business plans to construct a public water system that will supply drinking water to the public, you must obtain a Public Drinking Water Construction Permit. You must obtain this permit if you also plan to complete the following construction projects to the water system: waterline extensions, waterline replacements, drilling water supply well, construction a storage tank, adding a disinfection system, treatment changes, building a pump station or other improvements or modifications. A public water system has at least 15 service connections or serves at least 25 people at least 60 days out of the year. If your business plans to connect to a permitted public water system, then you are not required to obtain this permit.

If your business plans to operate a public water system that supplies drinking water to the public, you must obtain a Public Drinking Water Permit to Dispense. A public water system has at least 15 service connections or serves at least 25 people at least 60 days out of the year. If your business plans to connect to a permitted public water system, then you are not required to obtain this permit.

If your business plans to build a facility where solid wastes are transferred from one container to another or are processed, you are required to apply for a Solid Waste Processing Facility Construction Permit. Types of processing facilities include incinerator, compost plant, infectious waste, transfer station and material recovery, with or without composting.

If your business plans to operate a facility where solid wastes are transferred from one container to another or are processed, you are required to apply for a Solid Waste Processing Facility Operating Permit. Types of processing facilities include incinerator, compost plant, infectious waste, transfer station and material recovery, with or without composting.

Missouri solid waste disposal areas and solid waste processing facilities designated by rule, must be operated under the direction of a certified solid waste technician. For more information, please visit the department's Solid Waste Technician Certification webpage.

If your business includes an underground storage tank on the property used to store either petroleum or certain hazardous substances, or if you plan to have a tank installed for these reasons, you may be required to submit an Underground Storage Tank Registration with the department.