Právní předpis byl sestaven k datu 01.01.2002.
Zobrazené znění právního předpisu je účinné od 01.01.2002.
1. xxxxxxxxxxxxxx xxxxxx x xxxx xxxxxxxxxxxxx xxxxxx včetně xxxxx sněhové xxxxxxxx x vodní xxxxxxx xxxxx, případně xxxxxxxxxx xxxxxxxx xxxxxx a xxxxxxxxxxxxxxxx veličin x xxxx xxxxxxxxxxxx stanic xxxxxxxxxx pro výpočet xxxxxxxxx zásob x xxxxxx,
2. xxxxxx xxxxxxx x xxxxxxx meteorologických xxxxxxx (např. evaporací) xxxxxxxxx x pozorování x xxxx xxxxxxxxxxxx xxxxxx,
3. průtoků xxxx xx vodních tocích x síti xxxxxxxxxxx xxxxxx,
4. hladin podzemních xxx x síti xxxxxxx xxxxxxxxxx xxx,
5. xxxxxxxxxx xxxxxxx v xxxx xxxxxxxxxxx pramenů;
XXX XXXX
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Xxxxx xxxxxxxx xxxx
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xxxxx odběru:
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název xxxxxxxx xxxxxxxx:
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xxxx xxxxxxxxxx xxxxxxxx:
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Xxxxxx xxxxx - sídlo xxxxxxxxx subjektu
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Trvalý pobyt - 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 číslo xxxxx xxxx
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Xxxxx xxxxxx xxxxx xxxx
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03
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Xxxxx xxxxxxxxxxxxxx xxxxxx
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04
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Xxxxxxxxxxxxxxx xxxxx
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05
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Xxxxx / Xxxx / Katastrální xxxxx
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Xxxxx xxxxxxxxx xxxx
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xxxxxxxx
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xxxxx
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xxxx xxxxx
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07
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Xxxxxx xxxxxxxxx xxxx
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xxxxxxxx
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xxxxxx xxxxx
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xxxxxx
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xxxx
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xxxxx
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xxxx xxxxx
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(xxx)
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08
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Xxxxxx úpravy xxxx
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xxx xxxxxx
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xxxxxxxxxx
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xxxx
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09
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Xxxxxx xxxxxxxxx xxxxxx xxxxxx
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xxxxxx
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xxxxxxx
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xxxxxxxx
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xxxxx
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10
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Xxxxx / Xxx / Xxxxxxxx xxxxxxxx xxxxxxxx v x/x
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11
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Xxxxxxxxxx x povolení x xxxxxx xxxxxxxx xxxx
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xxxxx:
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xxx:
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xxx č.j.:
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platnost xx:
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x xxxxxxxx:________________ x/x
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_______________
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xxx. l/s
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________________tis.m3/měs
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_______________
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tis. x3/xxx
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xxx účel:
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12
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Rozhodnutí x xxxxxxxxx xxxxxxxxxx xxxxx xxxxxxx xxxxxx
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xxxxx:
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xxx:
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xxx xx.:
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13
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Xxxxxx x xxxxxxxxx xxxxxxxx xxxxxxxxxx o xxxxxxxx x xxxxxx xxxxxxxx xxxx
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Xxx / Ne
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14
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Žádáme x xxxxxxxxx xxxxxxxx xxxxxxxxxx x stanovení xxxxxxxxxx xxxxx vodního xxxxxx
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Xxx / Ne
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15
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V xxxxxxx se xxxxxxx xxxxx xxxx x xxxxxxxxxx xxxxx xxxxxx
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Xxx / Xx
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Xxxxxxxx:
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Xxxxx:
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Xxxxxxx:
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Xxxxxxx a 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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16
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17
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&xxxx; | &xxxx; | &xxxx; | &xxxx; | &xxxx; | &xxxx; | &xxxx; | &xxxx; | &xxxx; | &xxxx; | &xxxx; | &xxxx; | &xxxx; | &xxxx; |
18
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xxxxxx 5 xxx
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&xxxx; | &xxxx; | &xxxx; | &xxxx; | &xxxx; | &xxxx; | &xxxx; | &xxxx; | &xxxx; | &xxxx; | &xxxx; | &xxxx; | &xxxx; |
rok**)
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I
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II
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III
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IV
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V
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VI
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VII
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VIII
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IX
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X
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XI
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XII
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celkem
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19
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&xxxx; |
xxxxx
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20
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&xxxx; | &xxxx; | &xxxx; | &xxxx; | &xxxx; | &xxxx; | &xxxx; | &xxxx; | &xxxx; | &xxxx; | &xxxx; |
21
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&xxxx; | &xxxx; | &xxxx; | &xxxx; | &xxxx; | &xxxx; | &xxxx; | &xxxx; | &xxxx; | &xxxx; | &xxxx; |
&xxxx; |
xxx xxxxxxxx
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xxx xxxxxxxxxx
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xxx xxxxxxxx
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XXX
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xxxxxx
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&xxxx; |
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(xxx. spotřebu)
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odběry
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PMV
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22
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23
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xxxxxxxx xxxx xxxxxx xxxxxxxxx uživateli, xxx xxxxxxxx xxxx xxx úpravě a xxxx xxxxx x xxxxxxxxx
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&xxxx; |
**) vyplní xxxxxxx xxxxxx
Vyřizuje:
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- xxxxx xxxxxxxxxxx xxxxxxxxxx;
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Xxxxxxx:
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- xxxxx xxxxxxxx xxxxxxxxxxx xxxxxxxxxx;
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Xxx:
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- xxxxx xxxx xxxxxxxxxxx xxxxxxxxxx;
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x-xxxx:
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x-xxxxxxx xxxxxx xxxxxxxxxxx xxxxxxxxxx;
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Xxxxx:
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xxxxx xxxxxxxx xxxxxxxxx;
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Xxxxxxx a podpis: xxxxxxx povinného subjektu, xxxxxxxx provozovatele a xxxxxx xxxxxxxxxxx xxxxxxxxxx.
xxxxxxxx
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XXX ISO 9297 (75&xxxx;7420), ČSN 830520-11
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xxxxxx
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XXX XX ISO 10304-1 (75 7391)
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ČSN ISO 9280 (75&xxxx;7476)
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xxxxxx xxxxx
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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 XXX 5664 (75&xxxx;7449)
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xxxxxxxxx
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XXX XXX 7890-1,2,3 (75&xxxx;7453)
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XXXXXx
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xxxxxxxx xxxxxxxx kyslíku xxxxxxxxxxxxx
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XXX EN XXX 8467 (75&xxxx;7519)
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xxx
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XXX ISO 8288 (75&xxxx;7382)
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XXX 830520-44
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xxxxxxx
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XXX XXX 8288 (75&xxxx;7382)
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XXX XX ISO 5961 (75&xxxx;7418)
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xxxxx
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XXX 830520-43
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ČSN XXX 8288 (75&xxxx;7382)
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xX
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XXX XXX 10523;
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XXX XXXX
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Xxxxx xxxxxxxxx xxxx -
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xxxxx xxxxxx:
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xxxxx xxxxxx:
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xxxx xxxxxxxxxx xxxxxxxx:
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Xxxxxx xxxxx - xxxxx xxxxxxxxx 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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1
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Xxxxxxxxxxxxx xxxxx odběru povrchové xxxx
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|||||
02
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Xxxxx maticové xxxxx xxxxx toku
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Číslo polohy 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 xxxxxxxx
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06
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Xxxx
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Xxxx
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Xxxxx
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Xxxxx
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07
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Xxxxx/Xxxx/Xxxxxxxxxxx území
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|||||
08
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Způsob xxxxxxxxx xxxxxx odběru
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měření
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výpočet
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odvození
|
odhad
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09
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Kóta xxxxxxxxx xxxxxxxx v x. n.m. (Balt xx vyrovnání)
|
|||||
10
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Rozhodnutí o xxxxxxxx x odběru xxxxxxxxx vody
|
|||||
vydal:
|
dne:
|
|||||
platnost xx:
|
||||||
xxx x.x.:
|
||||||
x xxxxxxxx:_______________ x/x
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____________________xxx. x/x
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|||||
_________xxx.x3/xxx
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____________________xxx. x3/xxx
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|||||
xxx xxxx:
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||||||
11
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Xxxxxxxxxx x stanovení xxxxxxxxxx xxxxx xxxxxxx zdroje
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|||||
vydal:
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dne:
|
|||||
pod x.x.:
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||||||
12
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Xxxxxx x přiložení xxxxxxxx rozhodnutí x xxxxxxxx x xxxxxx xxxxxxxxx xxxx
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Xxx/Xx
|
||||
13
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Xxxxxx x xxxxxxxxx xxxxxxxx rozhodnutí x xxxxxxxxx xxxxxxxxxx xxxxx xxxxxxx zdroje
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Ano/Ne
|
||||
14
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V xxxxxxx se xxxxxxx xxxxx mapy k xxxxxxxxxx místa xxxxxx
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Xxx/Xx
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Xxxxxxxx:
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Xxxxx:
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Xxxxxxx:
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Xxxxxxx x podpis:
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Fax:
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e-mail:
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&xxxx; |
xxx**)
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X
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XX
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XXX
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XX
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X
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XX
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XXX
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XXXX
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XX
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XX
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15
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16
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&xxxx; | &xxxx; | &xxxx; | &xxxx; | &xxxx; | &xxxx; | &xxxx; | &xxxx; | &xxxx; | &xxxx; | &xxxx; | &xxxx; | &xxxx; | &xxxx; |
17
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xxxxxx 5 let
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XX
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&xxxx;
18
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&xxxx; |
xxx xxxxxxxx
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xxx xxxxxxxxxx
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xxx xxxxxxxx
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&xxxx; |
xxxxxxxx
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xxxxxxxx
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xxxxxxx
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xxxxxx
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(xxx. xxxxxxxx)
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xxxxxx
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&xxxx;
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19
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&xxxx; | &xxxx; | &xxxx; | &xxxx; | &xxxx; | &xxxx; | &xxxx; | &xxxx; |
20
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xxxxxxxx vody xxxxxx konečnému uživateli, xxx xxxxxxxx xxxx xxx xxxxxx x xxxx ztrát x xxxxxxxxx
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&xxxx; |
&xxxx;
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Xxxxx
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xxxxxxxx
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xxxxxxx
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xX
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XXX5
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X-XX4+
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xX/x
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xx/x
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xx/x
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xx/x
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xx/x
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xx/x
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&xxxx;
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21
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23
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27
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28
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29
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30
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33
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34
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35
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36
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38
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39
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40
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41
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42
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43
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44
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Xxxxxxxx:
|
- xxxxx xxxxxxxxxxx xxxxxxxxxx;
|
Xxxxxxx:
|
- číslo xxxxxxxx xxxxxxxxxxx xxxxxxxxxx;
|
Xxx:
|
- xxxxx xxxx xxxxxxxxxxx xxxxxxxxxx;
|
x-xxxx:
|
x-xxxxxxx xxxxxx xxxxxxxxxxx xxxxxxxxxx;
|
Xxxxx:
|
xxxxx xxxxxxxx xxxxxxxxx;
|
Xxxxx strana xxxxxxxxx
xxxxxxx xxxx
|
XXX 75&xxxx;7342
|
xX
|
xxxxxx vody
|
ČSN XXX 10523 (75&xxxx;7365)
|
|
xxxxxxxxxxxx
|
XXX EN 27888
|
XXX5
|
xxxxxxxxxxx xxxxxxxx xxxxxxx xxxxxxxxx
|
XXX EN 1899 (75&xxxx;7517)
|
|
XXXXXx
|
xxxxxxxx spotřeba xxxxxxx xxxxxxxxxxx
|
XXX 830530-29
|
|
X-XX4-
|
xxxxxxxxxxx xxxxx
|
XXX XXX 7150-1,2 (75&xxxx;7451)
|
|
XXX XXX 5664 (75&xxxx;7449)
|
|
XXX XXX 6778 (75 7450)
|
|
N-NO3-
|
dusičnanový xxxxx
|
XXX ISO 7890-1,2,3 (75&xxxx;7453)
|
|
Xxxxx
|
xxxxxxx xxxxxx
|
XXX EN 1189 (75&xxxx;7465)
|
XXX XXXX
|
|
Xxxxxxxxxx xxxx -
|
xxxxx xxxxxxxxxx:
|
xxxxx vypouštění:
|
|
druh xxxxxxxxxx xxxxxxxx:
|
|
Xxxxxx xxxxx - xxxxx xxxxxxxxx subjektu
|
Trvalý xxxxx - xxxxx xxxxxxxxxxxxx:
|
XX:
|
XX:
|
XXXX:
|
XXXX:
|
01
|
Xxxxxxxxxxxxx xxxxx xxxxxxxxxx xxxx
|
|||||||||||
02
|
Xxxxx xxxxxxxx číslo xxxxx toku
|
Číslo xxxxxx xx úseku toku
|
||||||||||
03
|
Číslo xxxxxxxxxxxxxx xxxxxx
|
|||||||||||
04
|
Xxxxx xxxxxxx xxxx
|
|||||||||||
05
|
Xxxxx xxxxxxxx
|
|||||||||||
06
|
Xxxx
|
|
Xxxx
|
Xxxxx
|
Xxxxx
|
|||||||
07
|
Xxxxx/Xxxx/Xxxxxxxxxxx území
|
|||||||||||
08
|
Způsob xxxxxxxxx xxxxxxxx vypouštěných xxx
|
xxxxxx
|
xxxxxxx
|
xxxxxxxx
|
xxxxx
|
|||||||
09
|
Xxxxxx stanovení hodnot xxxxxxx xxxxxxxxxxxx xxx
|
xxxxxx
|
xxxxxxx
|
xxxxx
|
||||||||
10
|
Xxx xxxxxxx / Počet xxxxxxx
|
X
|
X2
|
X8
|
X24
|
X24x
|
&xxxx; | |||||
11
|
Xxxxxxxx xxxxxxxxx xxx
|
Xxx/Xx
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Xxxxxxxxxx xxxxxxx xxxxxxxxx vod
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Ano/Ne
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12
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Ostatní xxxxx xxxxxxx xxxxxxxxx xxx (xxxxxx xxxxxx)
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13
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Xxxxxxxxxx x xxxxxxxx k xxxxxxxxxx xxx
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&xxxx; |
xxxxx:
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xxx:
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&xxxx; |
xxx č.j.:
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platnost xx:
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&xxxx; |
x množství:
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v jakosti:
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_________________max. x/x
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XXX5 xxxxxxx "p" "x"
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XXXXXx xxxxxxx "p" "x"
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&xxxx; |
_________________xxx.x3/xxx
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___________
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xx/x
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_________________xxx.x3/xxx
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_________x/xxx
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_________
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___________
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x/xxx
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14
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Xxxxxx x xxxxxxxxx xxxxxxxx xxxxxxxxxx x xxxxxxxxxx xxx
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Xxx/Xx
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15
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X příloze xx předává xxxxx xxxx k xxxxxxxxxx xxxxx x xxxxxxxxxx
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Xxx/Xx
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Xxxxxxxx:
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Xxxxx:
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Xxxxxxx:
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Xxxxxxx x podpis:
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Fax:
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e-mail:
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Identifikační xxxxx
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xxxxxxxxxx xxx
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&xxxx; |
xxx **)
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&xxxx; | &xxxx; | &xxxx; | &xxxx; | &xxxx; | &xxxx; | &xxxx; | &xxxx; | &xxxx; | &xxxx; | &xxxx; | &xxxx; | &xxxx; | &xxxx; |
18
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xxxxxx 5 xxx
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21
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&xxxx; | &xxxx; | &xxxx; | &xxxx; | &xxxx; | &xxxx; | &xxxx; | &xxxx; |
22
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xxxxxx 5 xxx
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&xxxx; | &xxxx; | &xxxx; | &xxxx; | &xxxx; | &xxxx; | &xxxx; |
&xxxx; | &xxxx; |
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23
|
Xxxxxxxxxx xxxxxxxxxx x&xxxx;x/xxx xxx vzorce
|
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(prům. xx/x x xxx. x3/xxx) / 1000
|
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24
|
Produkované xxxxxxxxxx v t/rok xxx xxxxxx
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&xxxx; | &xxxx; | &xxxx; | &xxxx; | &xxxx; | &xxxx; | &xxxx; |
&xxxx; |
(xxxx. mg/l x xxx. m3/rok) / 1000
|
&xxxx; | &xxxx; | &xxxx; | &xxxx; | &xxxx; | &xxxx; | &xxxx; |
25
|
Xxxxx xxxxxxxx xxxxxxxxxxx xxxxxxxx
|
Xxx xxxxxxxxxx
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&xxxx; |
xxxxxxxx vody
|
chladící xxxx
|
xxxxxxx xxx
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xxxxxxxxxx pro
|
důlní
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ostatní
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celkem
|
z xxxxxxxxxx
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x xxxxxxxxxxxx
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&xxxx; |
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&xxxx; | &xxxx; | &xxxx; | &xxxx; | &xxxx; | &xxxx; | &xxxx; |
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27
|
&xxxx; | &xxxx; | &xxxx; | &xxxx; | &xxxx; | &xxxx; | &xxxx; |
**) xxxxxx xxxxxxx xxxxxx
Xxxxx xxxxxx tiskopisu
Xxxxxxxx:
|
- jméno xxxxxxxxxxx xxxxxxxxxx;
|
Xxxxxxx:
|
- xxxxx xxxxxxxx xxxxxxxxxxx xxxxxxxxxx;
|
Xxx:
|
- xxxxx faxu odpovědného xxxxxxxxxx;
|
x-xxxx:
|
x-xxxxxxx xxxxxx odpovědného xxxxxxxxxx;
|
Xxxxx:
|
xxxxx vyplnění tiskopisu;
|
XXX5
|
xxxxxxxxxxx xxxxxxxx xxxxxxx xxxxxxxxx x potlačením xxxxxxxxxxx
|
XXX XX 1899-1,2 (75&xxxx;7517)
|
|
XXXXXx
|
xxxxxxxx xxxxxxxx xxxxxxx xxxxxxxxxxx
|
XXX 830540-8
|
|
XX.
|
xxxxxxxxxxxx xxxxx
|
XXX XX 872 (75&xxxx;7349)
|
|
XXX.
|
xxxxxxxxxx xxxxxxxxxxx soli
|
ČSN 830540-3X
|
|
X-XX4-
|
xxxxxxxxxxx xxxxx
|
XXX XXX 5664, 7150-1
|
|
Xxxxxx
|
xxxxxxx anorganický xxxxx
|
xxxxxxxxxx xxxx xxxxxx xxxxxxxxxxxx xxxxxxxxxxx xxxxxx amoniakálního,
|
|
dusíku
|
dusitanového, xxxxxxxxxxx podle XXX XX 26&xxxx;777 (830540-11) x xxxxxx
|
xxxxxxxxxxxxx, xxxxxxxxxxx xxxxx XXX XXX 7890-3 (830540-12)
|
|
Pcelk
|
celkový xxxxxx
|
XXX XX 1189 (75&xxxx;7465)
|
&xxxx;
XXX XXXX
|
|
Xxxxxxxxx nebo akumulace
|
název xxxxxxx xxxx:
|
xxxxxxxxx xxxx
|
xxxxx xxx:
|
xxxx xxxxxxxxxx xxxxxxxx:
|
|
Xxxxxx xxxxx - xxxxx xxxxxxxxx xxxxxxxx
|
Xxxxxx pobyt - sídlo provozovatele:
|
IČ:
|
IČ:
|
OKEČ:
|
OKEČ:
|
01
|
Identifikační xxxxx xxxxxxx xxxx
|
|||
02
|
Xxxxx xxxxxxxx xxxxx xxxxx xxxx
|
Xxxxx xxxxxx xx xxxxx toku
|
||
03
|
Číslo xxxxxxxxxxxxxx xxxxxx
|
|||
04
|
Xxxxx xxxxxxx xxxx
|
|||
05
|
Xxxxx xxxxxxxx
|
|||
06
|
Xxxxx/Xxxx/Xxxxxxxxxxx území
|
|||
07
|
Hydrologická xxxx:
|
Xx = x3/x
|
XX = x3/x
|
XXX = x3/x
|
Xxxxxxxxxxxxxxx xxxxxxx díla:
|
Kóta hladiny (x n.m.)
|
Objem (xxx. x3):
|
Xxxxx. xxxxxx (xx):
|
|
08
|
Xxxxx xxxxxxx:
|
|||
09
|
Xxxxxxx prostor:
|
|||
10
|
Celkový xxxxxxxxxxx xxxxxxx:
|
|||
11
|
Xxxxxxxxxx x xxxxxxxx x xxxxxxxxx x xxxxxx xx xxxxxx xxxx:
|
|||
xxxxx:
|
xxx:
|
|||
xxx č.j.:
|
||||
12
|
Rozhodnutí x xxxxxxxxx Xxxxxxxxxxxxx řádu:
|
|||
vydal:
|
dne:
|
|||
pod x.x.:
|
||||
13
|
Xxxxxx o xxxxxxxxx xxxxxxxx rozhodnutí x xxxxxxxx x nakládání x vodami xx xxxxxx xxxx
|
Xxx/Xx
|
||
14
|
Xxxxxx o xxxxxxxxx xxxxxxxx xxxxxxxxxx x schválení Xxxxxxxxxxxxx xxxx
|
Xxx/Xx
|
Xxxxxxxx:
|
Xxxxx:
|
Xxxxxxx:
|
Xxxxxxx x xxxxxx:
|
Xxx:
|
|
x-xxxx:
|
|
Xxxxxxxxxxxxx xxxxx
|
|
xxxxxxx xxxx
|
Datum
|
jednotky
|
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
|
Kóta xxxxxxx
|
x x.x.
|
&xxxx; | &xxxx; | &xxxx; | &xxxx; | &xxxx; | &xxxx; | &xxxx; | &xxxx; | &xxxx; | &xxxx; | &xxxx; | &xxxx; | &xxxx; |
16
|
Xxxxx vzduté vody
|
mil. x3
|
&xxxx; | &xxxx; | &xxxx; | &xxxx; | &xxxx; | &xxxx; | &xxxx; | &xxxx; | &xxxx; | &xxxx; | &xxxx; | &xxxx; | &xxxx; |
17
|
Xxxxxxxx xxxxxx
|
xx
|
&xxxx; | &xxxx; | &xxxx; | &xxxx; | &xxxx; | &xxxx; | &xxxx; | &xxxx; | &xxxx; | &xxxx; | &xxxx; | &xxxx; | &xxxx; |
Xxxxxxxx:
|
- xxxxx xxxxxxxxxxx pracovníka;
|
Telefon:
|
- xxxxx xxxxxxxx odpovědného xxxxxxxxxx;
|
Xxx:
|
- xxxxx xxxx xxxxxxxxxxx pracovníka;
|
e-mail:
|
e-mailová xxxxxx xxxxxxxxxxx pracovníka;
|
Datum:
|
datum xxxxxxxx xxxxxxxxx;
|
množství xxxxxxxxx vody (mil. x3/xxx)
|
xxxxxxx xxxxxx xxxxxxx
|
xxx 10
|
1x xx 14 xxx (2x za xxxxx)
|
0,5 - 10
|
1x xx xxxxx
|
0,1 - 0,5
|
1x xx 2 xxxxxx
|
xxx 0,1
|
1x xx xxxxxxxx
|