Právní předpis byl sestaven k datu 23.11.2024.
Zobrazené znění právního předpisu je účinné od 01.01.2002.
1. xxxxxxxxxxxxxx xxxxxx v xxxx xxxxxxxxxxxxx stanic včetně xxxxx xxxxxxx pokrývky x xxxxx xxxxxxx xxxxx, případně xxxxxxxxxx xxxxxxxx xxxxxx x xxxxxxxxxxxxxxxx xxxxxxx x xxxx klimatických xxxxxx xxxxxxxxxx xxx xxxxxxx xxxxxxxxx xxxxx v xxxxxx,
2. xxxxxx xxxxxxx x xxxxxxx xxxxxxxxxxxxxxxx xxxxxxx (xxxx. xxxxxxxxx) xxxxxxxxx x pozorování x xxxx xxxxxxxxxxxx xxxxxx,
3. xxxxxxx vody xx vodních xxxxxx x xxxx vodoměrných xxxxxx,
4. hladin xxxxxxxxxx xxx x xxxx xxxxxxx xxxxxxxxxx xxx,
5. xxxxxxxxxx xxxxxxx x xxxx xxxxxxxxxxx xxxxxxx;
XXX XXXX
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Odběr xxxxxxxx xxxx
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xxxxx xxxxxx:
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xxxxx jímacího xxxxxxxx:
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xxxx xxxxxxxxxx xxxxxxxx:
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Xxxxxx xxxxx - sídlo xxxxxxxxx xxxxxxxx
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Xxxxxx xxxxx - xxxxx provozovatele:
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IČ:
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IČ:
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OKEČ:
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OKEČ:
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01
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Identifikační xxxxx xxxxxx xxxxxxxx xxxx
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02
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Xxxxx xxxxxxxx xxxxx xxxxx xxxx
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Xxxxx polohy xxxxx toku
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Číslo xxxxxxxxxxxxxx xxxxxx
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Xxxxxxxxxxxxxxx xxxxx
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Xxxxx / Xxxx / Xxxxxxxxxxx xxxxx
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Xxxxx xxxxxxxxx vody
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hlubinná
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mělká
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není xxxxx
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Xxxxxx zachycení xxxx
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xxxxxx
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xxxxx
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xxxx xxxxx
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(xxx)
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Xxxxxx xxxxxx xxxx
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xxx úpravy
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dezinfekce
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jiná
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Způsob xxxxxxxxx xxxxxx xxxxxx
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xxxxxx
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xxxxxxx
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xxxxx
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Xxxxx / Xxx / Xxxxxxxx xxxxxxxx zařízení x x/x
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Xxxxxxxxxx o xxxxxxxx x xxxxxx xxxxxxxx xxxx
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xxx x.x.:
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v xxxxxxxx:________________ l/s
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max. x/x
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xxx. x3/xxx
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xxx účel:
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Rozhodnutí o xxxxxxxxx ochranného pásma xxxxxxx zdroje
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vydal:
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dne:
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pod čj.:
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Žádáme x xxxxxxxxx xxxxxxxx xxxxxxxxxx o xxxxxxxx x xxxxxx podzemní xxxx
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Xxx / Ne
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Žádáme x přiložení xxxxxxxx xxxxxxxxxx x xxxxxxxxx xxxxxxxxxx pásma xxxxxxx xxxxxx
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Xxx / Xx
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X xxxxxxx se xxxxxxx xxxxx xxxx x xxxxxxxxxx xxxxx odběru
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Ano / Xx
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Xxxxxxxx:
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Xxxxx:
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Xxxxxxx:
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Xxxxxxx x xxxxxx:
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Xxx:
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x-xxxx:
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Xxxxxxxxxxxxx číslo
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odběru xxxxxxxxxx xxx
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II
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III
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IV
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VI
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VII
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VIII
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XI
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XII
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celkem
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výhled 5 xxx
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množství xxxx xxxxxx xxxxxxxxx xxxxxxxxx, xxx xxxxxxxx vody xxx úpravě x xxxx xxxxx v xxxxxxxxx
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Vyřizuje:
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- xxxxx xxxxxxxxxxx pracovníka;
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Telefon:
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Xxx:
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- číslo xxxx xxxxxxxxxxx xxxxxxxxxx;
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x-xxxx:
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x-xxxxxxx xxxxxx xxxxxxxxxxx xxxxxxxxxx;
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Xxxxxxx x xxxxxx: xxxxxxx xxxxxxxxx subjektu, xxxxxxxx provozovatele x xxxxxx odpovědného xxxxxxxxxx.
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XXX XXX 9297 (75 7420), XXX 830520-11
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XXX EN XXX 10304-1 (75&xxxx;7391)
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XXX XXX 9280 (75&xxxx;7476)
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XXX XXX 7150-1,2 (75&xxxx;7451)
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XXX XX XXX 11732 (75&xxxx;7454)
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XXX EN ISO 8467 (75 7519)
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měď
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ČSN ISO 8288 (75 7382)
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ČSN 830520-44
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XXX XXX 8288 (75&xxxx;7382)
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Xxxxx xxxxxxxxx xxxx -
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místo xxxxxx:
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Trvalý xxxxx - xxxxx xxxxxxxxx subjektu
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Trvalý xxxxx - xxxxx provozovatele:
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IČ:
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IČ:
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OKEČ:
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OKEČ:
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1
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Identifikační xxxxx xxxxxx xxxxxxxxx xxxx
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02
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Xxxxx xxxxxxxx xxxxx xxxxx xxxx
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Xxxxx xxxxxx xx úseku toku
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03
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Číslo xxxxxxxxxxxxxx pořadí
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04
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Název xxxxxxx xxxx
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05
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Xxxxx kilometr
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06
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Břeh
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Levý
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Střed
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Pravý
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07
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Okres/Obec/Katastrální xxxxx
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08
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Xxxxxx xxxxxxxxx xxxxxx xxxxxx
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xxxxxx
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xxxxx
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09
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Xxxx xxxxxxxxx xxxxxxxx x x. n.m. (Balt xx xxxxxxxxx)
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10
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Xxxxxxxxxx x xxxxxxxx x xxxxxx xxxxxxxxx vody
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vydal:
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dne:
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platnost do:
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pod x.x.:
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x xxxxxxxx:_______________ x/x
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_________xxx.x3/xxx
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pro xxxx:
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Xxxxxxxxxx x stanovení xxxxxxxxxx xxxxx xxxxxxx zdroje
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vydal:
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pod x.x.:
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Xxxxxx x xxxxxxxxx xxxxxxxx xxxxxxxxxx o xxxxxxxx x odběru xxxxxxxxx vody
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Ano/Ne
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13
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Žádáme x xxxxxxxxx xxxxxxxx xxxxxxxxxx x xxxxxxxxx xxxxxxxxxx xxxxx xxxxxxx zdroje
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Ano/Ne
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14
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V xxxxxxx xx xxxxxxx xxxxx mapy x xxxxxxxxxx xxxxx odběru
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Ano/Ne
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Vyřizuje:
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Datum:
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Razítko x podpis:
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Fax:
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e-mail:
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Xxxxxxxx:
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- jméno xxxxxxxxxxx xxxxxxxxxx;
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Xxxxxxx:
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- xxxxx xxxxxxxx xxxxxxxxxxx pracovníka;
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Fax:
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- xxxxx xxxx xxxxxxxxxxx pracovníka;
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e-mail:
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e-mailová xxxxxx xxxxxxxxxxx xxxxxxxxxx;
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Xxxxx:
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xxxxx xxxxxxxx xxxxxxxxx;
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Xxxxx xxxxxx tiskopisu
xxxxxxx vody
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ČSN 75&xxxx;7342
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xX
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xxxxxx vody
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ČSN ISO 10523 (75 7365)
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konduktivita
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ČSN XX 27888
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XXX5
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xxxxxxxxxxx xxxxxxxx xxxxxxx xxxxxxxxx
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XXX XX 1899 (75&xxxx;7517)
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XXXXXx
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xxxxxxxx xxxxxxxx kyslíku xxxxxxxxxxx
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XXX 830530-29
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X-XX4-
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xxxxxxxxxxx xxxxx
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XXX XXX 7150-1,2 (75&xxxx;7451)
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XXX XXX 5664 (75 7449)
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ČSN XXX 6778 (75&xxxx;7450)
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X-XX3-
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xxxxxxxxxxx xxxxx
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XXX ISO 7890-1,2,3 (75&xxxx;7453)
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Xxxxx
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xxxxxxx xxxxxx
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XXX XX 1189 (75 7465)
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XXX XXXX
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Xxxxxxxxxx xxxx -
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xxxxx xxxxxxxxxx:
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xxxxx vypouštění:
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druh ekonomické xxxxxxxx:
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Xxxxxx xxxxx - xxxxx povinného xxxxxxxx
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Xxxxxx xxxxx - xxxxx xxxxxxxxxxxxx:
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XX:
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XX:
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XXXX:
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XXXX:
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01
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Xxxxxxxxxxxxx xxxxx vypouštění xxxx
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|||||||||||
02
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Xxxxx xxxxxxxx xxxxx xxxxx toku
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Číslo xxxxxx xx úseku xxxx
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||||||||||
03
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Xxxxx xxxxxxxxxxxxxx xxxxxx
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|||||||||||
04
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Xxxxx xxxxxxx xxxx
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|||||||||||
05
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Xxxxx kilometr
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|||||||||||
06
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Břeh
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Levý
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Střed
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Pravý
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|||||||
07
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Okres/Obec/Katastrální území
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|||||||||||
08
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Způsob xxxxxxxxx množství xxxxxxxxxxxx xxx
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xxxxxx
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xxxxxxx
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xxxxxxxx
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xxxxx
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09
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Xxxxxx xxxxxxxxx xxxxxx xxxxxxx xxxxxxxxxxxx xxx
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xxxxxx
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xxxxxxx
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xxxxx
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10
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Xxx xxxxxxx / Xxxxx xxxxxxx
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X
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X2
|
X8
|
X24
|
X24x
|
&xxxx; | |||||
11
|
Xxxxxxxx xxxxxxxxx vod
|
Ano/Ne
|
Biologické xxxxxxx xxxxxxxxx xxx
|
Xxx/Xx
|
||||||||
12
|
Xxxxxxx xxxxx čištění xxxxxxxxx xxx (uveďte xxxxxx)
|
|||||||||||
13
|
Xxxxxxxxxx x xxxxxxxx k xxxxxxxxxx xxx
|
|||||||||||
&xxxx; |
xxxxx:
|
xxx:
|
||||||||||
&xxxx; |
xxx x.x.:
|
xxxxxxxx xx:
|
||||||||||
&xxxx; |
x množství:
|
v xxxxxxx:
|
||||||||||
&xxxx; |
_________________xxx. x/x
|
XXX5 hodnota "x" "x"
|
XXXXXx hodnota "x" "x"
|
|||||||||
&xxxx; |
_________________xxx.x3/xxx
|
_________xx/x
|
_________
|
___________
|
xx/x
|
|||||||
&xxxx; |
_________________xxx.x3/xxx
|
_________x/xxx
|
_________
|
___________
|
x/xxx
|
|||||||
14
|
Xxxxxx x xxxxxxxxx xxxxxxxx xxxxxxxxxx x xxxxxxxxxx vod
|
Ano/Ne
|
||||||||||
15
|
V příloze xx xxxxxxx kopie xxxx k xxxxxxxxxx xxxxx x xxxxxxxxxx
|
Xxx/Xx
|
Xxxxxxxx:
|
Xxxxx:
|
Xxxxxxx:
|
Xxxxxxx x xxxxxx:
|
Xxx:
|
|
x-xxxx:
|
|
Xxxxxxxxxxxxx číslo
|
|
vypouštění xxx
|
&xxxx; |
xxx **)
|
X
|
XX
|
XXX
|
XX
|
X
|
XX
|
XXX
|
XXXX
|
XX
|
X
|
XX
|
XXX
|
xxxxxx
|
16
|
&xxxx; | &xxxx; | &xxxx; | &xxxx; | &xxxx; | &xxxx; | &xxxx; | &xxxx; | &xxxx; | &xxxx; | &xxxx; | &xxxx; | &xxxx; | &xxxx; |
17
|
&xxxx; | &xxxx; | &xxxx; | &xxxx; | &xxxx; | &xxxx; | &xxxx; | &xxxx; | &xxxx; | &xxxx; | &xxxx; | &xxxx; | &xxxx; | &xxxx; |
18
|
xxxxxx 5 let
|
&xxxx; |
xxx **)
|
X
|
XX
|
XXX
|
XX
|
X
|
XX
|
XXX
|
XXXX
|
XX
|
X
|
XX
|
XXX
|
xxxxxx
|
19
|
&xxxx; | &xxxx; | &xxxx; | &xxxx; | &xxxx; | &xxxx; | &xxxx; | &xxxx; | &xxxx; | &xxxx; | &xxxx; | &xxxx; | &xxxx; | &xxxx; |
&xxxx; |
xxx **)
|
BSK5
|
CHSKCr
|
NL
|
RAS
|
N-NH4+
|
Nanorg
|
Pcelk
|
20
|
||||||||
21
|
||||||||
22
|
výhled 5 xxx
|
&xxxx; | &xxxx; | &xxxx; | &xxxx; | &xxxx; | &xxxx; | &xxxx; |
&xxxx; | &xxxx; |
XXX5
|
XXXXXx
|
XX
|
XXX
|
X-XX4+
|
Xxxxxx
|
Xxxxx
|
&xxxx; | &xxxx; | &xxxx; | &xxxx; | &xxxx; | &xxxx; | &xxxx; | &xxxx; | &xxxx; |
&xxxx; | &xxxx; | &xxxx; | &xxxx; | &xxxx; | &xxxx; | &xxxx; | &xxxx; | &xxxx; |
&xxxx; | &xxxx; |
XXX5
|
XXXXXx
|
XX
|
XXX
|
X-XX4+
|
Xxxxxx
|
Xxxxx
|
&xxxx; |
XXXXXXXXXX XXXXX
|
&xxxx; | &xxxx; | &xxxx; | &xxxx; | &xxxx; | &xxxx; | &xxxx; |
23
|
Xxxxxxxxxx xxxxxxxxxx x&xxxx;x/xxx dle vzorce
|
|||||||
(prům. xx/x x xxx. x3/xxx) / 1000
|
&xxxx; | &xxxx; | &xxxx; | &xxxx; | &xxxx; | &xxxx; | &xxxx; | |
24
|
Xxxxxxxxxxx xxxxxxxxxx x&xxxx;x/xxx xxx xxxxxx
|
&xxxx; | &xxxx; | &xxxx; | &xxxx; | &xxxx; | &xxxx; | &xxxx; |
&xxxx; |
(xxxx. xx/x x xxx. m3/rok) / 1000
|
&xxxx; | &xxxx; | &xxxx; | &xxxx; | &xxxx; | &xxxx; | &xxxx; |
25
|
Xxxxx skutečně xxxxxxxxxxx xxxxxxxx
|
Xxx xxxxxxxxxx
|
xxxxxxxx
|
xxxxxxx
|
xxxx
|
chladící xxxx
|
xxxxxxxx xxxx
|
xxxxxxx xxx
|
xxxxxxxxxx pro
|
důlní
|
ostatní
|
celkem
|
|
z xxxxxxxxxx
|
x cirkulačního
|
chladících
|
veřejnou
|
vody
|
|
|
|
chlazení
|
chlazení
|
vod
|
potřebu
|
|
|
|
|
26
|
&xxxx; |
xxxxxxxxx
|
xxxxxxxx
|
xxxxxxx
|
xxxxxxxxx
|
xxxxx
|
xxxx
|
xxxxxx
|
&xxxx; |
xxxx
|
xxxx
|
xxxxxxx
|
xxxx
|
xxxx
|
xxxxx
|
&xxxx;
|
27
|
&xxxx; | &xxxx; | &xxxx; | &xxxx; | &xxxx; | &xxxx; | &xxxx; |
**) xxxxxx správce xxxxxx
První xxxxxx tiskopisu
Xxxxxxxx:
|
- jméno xxxxxxxxxxx pracovníka;
|
Telefon:
|
- xxxxx xxxxxxxx odpovědného xxxxxxxxxx;
|
Xxx:
|
- xxxxx xxxx xxxxxxxxxxx xxxxxxxxxx;
|
x-xxxx:
|
x-xxxxxxx xxxxxx odpovědného xxxxxxxxxx;
|
Xxxxx:
|
xxxxx vyplnění xxxxxxxxx;
|
XXX5
|
xxxxxxxxxxx xxxxxxxx xxxxxxx xxxxxxxxx x xxxxxxxxxx xxxxxxxxxxx
|
XXX EN 1899-1,2 (75&xxxx;7517)
|
|
XXXXXx
|
xxxxxxxx xxxxxxxx xxxxxxx xxxxxxxxxxx
|
XXX 830540-8
|
|
NL.
|
nerozpuštěné látky
|
ČSN XX 872 (75&xxxx;7349)
|
|
XXX.
|
xxxxxxxxxx xxxxxxxxxxx xxxx
|
XXX 830540-3B
|
|
N-NH4-
|
amoniakální xxxxx
|
XXX XXX 5664, 7150-1
|
|
Xxxxxx
|
xxxxxxx anorganický xxxxx
|
xxxxxxxxxx xxxx xxxxxx xxxxxxxxxxxx xxxxxxxxxxx xxxxxx xxxxxxxxxxxxx,
|
|
xxxxxx
|
xxxxxxxxxxxx, xxxxxxxxxxx podle XXX XX 26&xxxx;777 (830540-11) x xxxxxx
|
xxxxxxxxxxxxx, xxxxxxxxxxx xxxxx XXX XXX 7890-3 (830540-12)
|
|
Pcelk
|
celkový fosfor
|
ČSN XX 1189 (75&xxxx;7465)
|
ROK XXXX
|
|
Xxxxxxxxx xxxx akumulace
|
název xxxxxxx xxxx:
|
xxxxxxxxx xxxx
|
xxxxx xxx:
|
xxxx ekonomické činnosti:
|
|
Trvalý xxxxx - sídlo xxxxxxxxx subjektu
|
Trvalý pobyt - sídlo xxxxxxxxxxxxx:
|
XX:
|
XX:
|
XXXX:
|
XXXX:
|
01
|
Xxxxxxxxxxxxx xxxxx vodního xxxx
|
|||
02
|
Xxxxx xxxxxxxx xxxxx úseku xxxx
|
Xxxxx xxxxxx na xxxxx xxxx
|
||
03
|
Xxxxx xxxxxxxxxxxxxx xxxxxx
|
|||
04
|
Xxxxx vodního xxxx
|
|||
05
|
Xxxxx xxxxxxxx
|
|||
06
|
Xxxxx/Xxxx/Xxxxxxxxxxx území
|
|||
07
|
Hydrologická data:
|
Qa = x3/x
|
XX = x3/x
|
XXX = x3/x
|
Xxxxxxxxxxxxxxx xxxxxxx xxxx:
|
Xxxx xxxxxxx (x x.x.)
|
Xxxxx (xxx. x3):
|
Xxxxx. xxxxxx (ha):
|
|
08
|
Stálý xxxxxxx:
|
|||
09
|
Xxxxxxx xxxxxxx:
|
|||
10
|
Xxxxxxx xxxxxxxxxxx xxxxxxx:
|
|||
11
|
Xxxxxxxxxx x povolení x xxxxxxxxx x xxxxxx na xxxxxx xxxx:
|
|||
xxxxx:
|
xxx:
|
|||
xxx x.x.:
|
||||
12
|
Xxxxxxxxxx x xxxxxxxxx Manipulačního xxxx:
|
|||
xxxxx:
|
xxx:
|
|||
xxx x.x.:
|
||||
13
|
Xxxxxx x přiložení xxxxxxxx xxxxxxxxxx x xxxxxxxx x xxxxxxxxx x xxxxxx xx xxxxxx díle
|
Ano/Ne
|
||
14
|
Žádáme x xxxxxxxxx xxxxxxxx xxxxxxxxxx x xxxxxxxxx Manipulačního xxxx
|
Xxx/Xx
|
Xxxxxxxx:
|
Xxxxx:
|
Xxxxxxx:
|
Xxxxxxx a podpis:
|
Fax:
|
|
e-mail:
|
|
Identifikační xxxxx
|
|
xxxxxxx díla
|
&xxxx; |
Xxxxx
|
xxxxxxxx
|
1.1.
|
1.2.
|
1.3.
|
1.4.
|
1.5.
|
1.6.
|
1.7.
|
1.8.
|
1.9.
|
1.10.
|
1.11.
|
1.12.
|
1.1.
|
15
|
Xxxx hladiny
|
m x.x.
|
&xxxx; | &xxxx; | &xxxx; | &xxxx; | &xxxx; | &xxxx; | &xxxx; | &xxxx; | &xxxx; | &xxxx; | &xxxx; | &xxxx; | &xxxx; |
16
|
Xxxxx xxxxxx xxxx
|
xxx. x3
|
&xxxx; | &xxxx; | &xxxx; | &xxxx; | &xxxx; | &xxxx; | &xxxx; | &xxxx; | &xxxx; | &xxxx; | &xxxx; | &xxxx; | &xxxx; |
17
|
Xxxxxxxx plocha
|
ha
|
Xxxxxxxx:
|
- xxxxx xxxxxxxxxxx xxxxxxxxxx;
|
Xxxxxxx:
|
- xxxxx xxxxxxxx xxxxxxxxxxx xxxxxxxxxx;
|
Xxx:
|
- xxxxx xxxx xxxxxxxxxxx pracovníka;
|
e-mail:
|
e-mailová xxxxxx xxxxxxxxxxx xxxxxxxxxx;
|
Xxxxx:
|
xxxxx xxxxxxxx xxxxxxxxx;
|
množství xxxxxxxxx vody (mil. x3/xxx)
|
xxxxxxx xxxxxx xxxxxxx
|
xxx 10
|
1x xx 14 xxx (2x xx xxxxx)
|
0,5 - 10
|
1x xx měsíc
|
0,1 - 0,5
|
1x za 2 xxxxxx
|
xxx 0,1
|
1x xx xxxxxxxx
|