Permits Needed for a Hospital

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 website.

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.

Missouri collects water use data to better understand and manage the state’s water inventory.  A Major Water User is any person or entity that has the capability of producing a large amount of water (100,000 gallons per day or 70 gallons per minute or more) with all their combined wells or surface intakes. This water can be from either groundwater via a well, or surface water from a stream, river, lake, pond, or spring. 

Major Water Users are required by law to report the volume of water used by March 31 of the year following the usage.

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 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 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.

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.