The Missouri Department of Natural Resources describes a Medical/ Infectious Waste business as:

This type of business handles the proper disposal of medical and infectious waste materials generated from health care facilities such as hospitals, clinics, physician’s offices, dental practices, blood banks and veterinary hospitals/ clinics as well as medical research facilities and laboratories.

You may need some or all of the following permits for a Medical/ Infectious Waste business:

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Air Intermediate Operating Permit

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.

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Air Major Construction Permit Sections (7), (8) & (9)

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.

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Air Minor Construction Permit Section (5)

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.

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Air Part 70 Operating Permit

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.

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Dam and Reservoir Safety Registration Permit

If you own an existing dam built prior to Aug. 13, 1981 that is 35 feet or more in height, you are required to obtain a Dam and Reservoir Safety Registration Permit.

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Hazardous Waste/ Infectious Waste Transporter License

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.

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Public Drinking Water Permit to Dispense

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.