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 xxxxxx xxxxx xxxxxxx xxxxxxxx x xxxxx xxxxxxx xxxxx, xxxxxxxx xxxxxxxxxx xxxxxxxx srážek a xxxxxxxxxxxxxxxx xxxxxxx x xxxx klimatických xxxxxx xxxxxxxxxx xxx xxxxxxx xxxxxxxxx zásob x xxxxxx,
2. xxxxxx xxxxxxx x xxxxxxx xxxxxxxxxxxxxxxx xxxxxxx (xxxx. xxxxxxxxx) xxxxxxxxx x xxxxxxxxxx x xxxx xxxxxxxxxxxx xxxxxx,
3. xxxxxxx vody xx xxxxxxx xxxxxx x xxxx xxxxxxxxxxx xxxxxx,
4. xxxxxx xxxxxxxxxx xxx x síti xxxxxxx xxxxxxxxxx vod,
5. xxxxxxxxxx xxxxxxx x xxxx xxxxxxxxxxx pramenů;
XXX XXXX
|
|
Odběr xxxxxxxx xxxx
|
xxxxx xxxxxx:
|
xxxxx xxxxxxxx xxxxxxxx:
|
|
xxxx ekonomické xxxxxxxx:
|
|
Xxxxxx xxxxx - xxxxx xxxxxxxxx xxxxxxxx
|
Xxxxxx xxxxx - xxxxx xxxxxxxxxxxxx:
|
&xxxx; | |
XX:
|
XX:
|
XXXX:
|
XXXX:
|
01
|
Xxxxxxxxxxxxx xxxxx xxxxxx podzemní xxxx
|
||||
02
|
Xxxxx xxxxxxxx xxxxx xxxxx xxxx
|
Xxxxx polohy xxxxx xxxx
|
|||
03
|
Xxxxx xxxxxxxxxxxxxx xxxxxx
|
||||
04
|
Xxxxxxxxxxxxxxx rajon
|
||||
05
|
Okres / Xxxx / Katastrální xxxxx
|
||||
06
|
Xxxxx xxxxxxxxx vody
|
hlubinná
|
mělká
|
není xxxxx
|
|
07
|
Xxxxxx xxxxxxxxx xxxx
|
xxxxxxxx
|
xxxxxx xxxxx
|
xxxxxx
|
xxxx
|
xxxxx
|
xxxx xxxxx
|
(xxx)
|
|||
08
|
Xxxxxx xxxxxx xxxx
|
xxx xxxxxx
|
xxxxxxxxxx
|
xxxx
|
|
09
|
Xxxxxx xxxxxxxxx xxxxxx xxxxxx
|
xxxxxx
|
xxxxxxx
|
xxxxxxxx
|
xxxxx
|
10
|
Xxxxx / Xxx / Xxxxxxxx xxxxxxxx zařízení x x/x
|
||||
11
|
Xxxxxxxxxx o povolení x xxxxxx xxxxxxxx xxxx
|
||||
xxxxx:
|
xxx:
|
||||
xxx x.x.:
|
xxxxxxxx xx:
|
||||
x xxxxxxxx:________________ l/s
|
_______________
|
max. x/x
|
|||
________________xxx.x3/xxx
|
_______________
|
xxx. x3/xxx
|
|||
xxx xxxx:
|
|||||
12
|
Xxxxxxxxxx o xxxxxxxxx ochranného pásma xxxxxxx xxxxxx
|
||||
xxxxx:
|
xxx:
|
||||
xxx xx.:
|
|||||
13
|
Xxxxxx x xxxxxxxxx platného xxxxxxxxxx o xxxxxxxx x odběru xxxxxxxx xxxx
|
Xxx / Xx
|
|||
14
|
Xxxxxx x přiložení xxxxxxxx xxxxxxxxxx x xxxxxxxxx xxxxxxxxxx xxxxx xxxxxxx xxxxxx
|
Xxx / Xx
|
|||
15
|
X xxxxxxx xx xxxxxxx xxxxx xxxx k xxxxxxxxxx místa odběru
|
Ano / Xx
|
Xxxxxxxx:
|
Xxxxx:
|
Xxxxxxx:
|
Xxxxxxx x xxxxxx:
|
Xxx:
|
|
x-xxxx:
|
|
Xxxxxxxxxxxxx xxxxx
|
|
xxxxxx xxxxxxxxxx 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 xxx
|
&xxxx; | &xxxx; | &xxxx; | &xxxx; | &xxxx; | &xxxx; | &xxxx; | &xxxx; | &xxxx; | &xxxx; | &xxxx; | &xxxx; | &xxxx; |
rok**)
|
I
|
II
|
III
|
IV
|
V
|
VI
|
VII
|
VIII
|
IX
|
X
|
XI
|
XII
|
celkem
|
|
19
|
&xxxx; |
xxxxx
|
xxxxxxxx
|
xxxxxx
|
xxxxxx
|
xxxxxxxxx
|
XXXXXx
|
xxx
|
xxxxxxx
|
xxxxx
|
xX
|
&xxxx;
|
&xxxx; | &xxxx;
|
&xxxx;
|
&xxxx;
|
xxxxx
|
&xxxx;
|
&xxxx;
|
&xxxx;
|
&xxxx;
|
&xxxx;
|
&xxxx;
|
&xxxx;
|
20
|
&xxxx; | &xxxx; | &xxxx; | &xxxx; | &xxxx; | &xxxx; | &xxxx; | &xxxx; | &xxxx; | &xxxx; | &xxxx; |
21
|
&xxxx; | &xxxx; | &xxxx; | &xxxx; | &xxxx; | &xxxx; | &xxxx; | &xxxx; | &xxxx; | &xxxx; | &xxxx; |
&xxxx; |
xxx xxxxxxxx
|
xxx xxxxxxxxxx
|
xxx
|
xxx xxxxxxxxxx
|
xxx průmyslovou
|
pro xxxxxxxx
|
xxxxxxx
|
XXX
|
xxxxxx
|
&xxxx; |
xxxxxxxx
|
xxxxxxxx
|
xxxxxxx
|
xxxxxx
|
xxxxxxxxxxx
|
(xxx. spotřebu)
|
odběry
|
PMV
|
|
22
|
23
|
množství xxxx xxxxxx konečnému uživateli, xxx xxxxxxxx xxxx xxx xxxxxx x xxxx ztrát v xxxxxxxxx
|
&xxxx; |
**) vyplní xxxxxxx xxxxxx
Xxxxxxxx:
|
- xxxxx xxxxxxxxxxx xxxxxxxxxx;
|
Xxxxxxx:
|
- xxxxx xxxxxxxx xxxxxxxxxxx xxxxxxxxxx;
|
Xxx:
|
- číslo xxxx xxxxxxxxxxx xxxxxxxxxx;
|
x-xxxx:
|
x-xxxxxxx adresa xxxxxxxxxxx xxxxxxxxxx;
|
Xxxxx:
|
xxxxx vyplnění xxxxxxxxx;
|
Xxxxxxx x podpis: xxxxxxx xxxxxxxxx xxxxxxxx, xxxxxxxx provozovatele x xxxxxx odpovědného pracovníka.
xxxxxxxx
|
XXX ISO 9297 (75 7420), XXX 830520-11
|
xxxxxx
|
XXX EN XXX 10304-1 (75 7391)
|
ČSN XXX 9280 (75&xxxx;7476)
|
|
xxxxxx xxxxx
|
XXX XXX 7150-1,2 (75 7451)
|
ČSN XX ISO 11732 (75&xxxx;7454)
|
|
XXX XXX 5664 (75&xxxx;7449)
|
|
xxxxxxxxx
|
XXX XXX 7890-1,2,3 (75&xxxx;7453)
|
XXXXXx
|
xxxxxxxx xxxxxxxx xxxxxxx xxxxxxxxxxxxx
|
XXX XX ISO 8467 (75 7519)
|
|
měď
|
ČSN ISO 8288 (75 7382)
|
ČSN 830520-44
|
|
xxxxxxx
|
XXX XXX 8288 (75&xxxx;7382)
|
XXX XX XXX 5961 (75&xxxx;7418)
|
|
xxxxx
|
XXX 830520-43
|
XXX XXX 8288 (75&xxxx;7382)
|
|
xX
|
XXX XXX 10523;
|
XXX XXXX
|
|
Xxxxx xxxxxxxxx xxxx -
|
název xxxxxx:
|
xxxxx xxxxxx:
|
|
xxxx xxxxxxxxxx xxxxxxxx:
|
|
Xxxxxx xxxxx - xxxxx xxxxxxxxx subjektu
|
Trvalý xxxxx - sídlo provozovatele:
|
IČ:
|
IČ:
|
OKEČ:
|
OKEČ:
|
1
|
Identifikační xxxxx xxxxxx xxxxxxxxx xxxx
|
|||||
02
|
Xxxxx maticové xxxxx xxxxx toku
|
Číslo xxxxxx xx xxxxx xxxx
|
||||
03
|
Xxxxx xxxxxxxxxxxxxx xxxxxx
|
|||||
04
|
Xxxxx xxxxxxx xxxx
|
|||||
05
|
Xxxxx xxxxxxxx
|
|||||
06
|
Xxxx
|
|
Xxxx
|
Xxxxx
|
Xxxxx
|
|
07
|
Xxxxx/Xxxx/Xxxxxxxxxxx xxxxx
|
|||||
08
|
Xxxxxx xxxxxxxxx xxxxxx xxxxxx
|
xxxxxx
|
xxxxxxx
|
xxxxxxxx
|
xxxxx
|
|
09
|
Xxxx xxxxxxxxx xxxxxxxx x x. n.m. (Xxxx xx xxxxxxxxx)
|
|||||
10
|
Xxxxxxxxxx x xxxxxxxx k odběru xxxxxxxxx xxxx
|
|||||
xxxxx:
|
xxx:
|
|||||
xxxxxxxx do:
|
||||||
pod x.x.:
|
||||||
x xxxxxxxx:_______________ x/x
|
____________________xxx. x/x
|
|||||
_________xxx.x3/xxx
|
____________________xxx. m3/rok
|
|||||
pro účel:
|
||||||
11
|
Rozhodnutí x xxxxxxxxx ochranného xxxxx xxxxxxx xxxxxx
|
|||||
xxxxx:
|
xxx:
|
|||||
xxx x.x.:
|
||||||
12
|
Xxxxxx x přiložení xxxxxxxx xxxxxxxxxx x xxxxxxxx x odběru xxxxxxxxx vody
|
Ano/Ne
|
||||
13
|
Žádáme x xxxxxxxxx xxxxxxxx xxxxxxxxxx x xxxxxxxxx xxxxxxxxxx xxxxx xxxxxxx xxxxxx
|
Xxx/Xx
|
||||
14
|
X xxxxxxx xx xxxxxxx xxxxx xxxx x xxxxxxxxxx místa xxxxxx
|
Xxx/Xx
|
Xxxxxxxx:
|
Xxxxx:
|
Xxxxxxx:
|
Xxxxxxx x xxxxxx:
|
Xxx:
|
|
x-xxxx:
|
&xxxx; |
xxx**)
|
X
|
XX
|
XXX
|
XX
|
X
|
XX
|
XXX
|
XXXX
|
XX
|
X
|
XX
|
XXX
|
xxxxxx
|
15
|
&xxxx; | &xxxx; | &xxxx; | &xxxx; | &xxxx; | &xxxx; | &xxxx; | &xxxx; | &xxxx; | &xxxx; | &xxxx; | &xxxx; | &xxxx; | &xxxx; |
16
|
&xxxx; | &xxxx; | &xxxx; | &xxxx; | &xxxx; | &xxxx; | &xxxx; | &xxxx; | &xxxx; | &xxxx; | &xxxx; | &xxxx; | &xxxx; | &xxxx; |
17
|
xxxxxx 5 xxx
|
&xxxx; | &xxxx; | &xxxx; | &xxxx; | &xxxx; | &xxxx; | &xxxx; | &xxxx; | &xxxx; | &xxxx; | &xxxx; | &xxxx; | &xxxx; |
&xxxx; |
xxx**)
|
X
|
XX
|
XXX
|
XX
|
X
|
XX
|
XXX
|
XXXX
|
XX
|
X
|
XX
|
XXX
|
xxxxxx
|
&xxxx;
18
|
&xxxx; | &xxxx; | &xxxx; | &xxxx; | &xxxx; | &xxxx; | &xxxx; | &xxxx; | &xxxx; | &xxxx; | &xxxx; | &xxxx; | &xxxx; | &xxxx; |
pro průtočné
|
pro xxxxxxxxxx
|
xxx
|
xxx xxxxxxxxxx
|
xxx xxxxxxxxxxx
|
xxx xxxxxxxx
|
xxxxxxx
|
xxxxxx
|
|
&xxxx; |
xxxxxxxx
|
xxxxxxxx
|
xxxxxxx
|
xxxxxx
|
xxxxxxxxxxx
|
(xxx. spotřebu)
|
odběry
|
|
19
|
20
|
množství xxxx xxxxxx xxxxxxxxx xxxxxxxxx, xxx xxxxxxxx xxxx xxx xxxxxx x xxxx ztrát x xxxxxxxxx
|
&xxxx; |
&xxxx;
|
Xxxxx
|
xxxxxxxx
|
xxxxxxx
|
xX
|
xxxxxxxxxxxx
|
XXX5
|
XXXXXx
|
X-XX4+
|
X-XX3-
|
Xxxxx
|
&xxxx;
|
&xxxx;
|
&xxxx;
|
&xxxx;
|
xxxxxx
|
&xxxx;
|
xxxx
|
&xxxx;
|
&xxxx;
|
&xxxx;
|
&xxxx;
|
&xxxx;
|
&xxxx;
|
&xxxx;
|
&xxxx;
|
&xxxx;
|
&xxxx;
|
&xxxx;
|
&xxxx;
|
xxxxxxxx
|
°X
|
-
|
xX/x
|
xx/x
|
xx/x
|
xx/x
|
xx/x
|
xx/x
|
&xxxx;
|
&xxxx;
|
&xxxx;
|
21
|
&xxxx;
|
&xxxx;
|
&xxxx;
|
&xxxx;
|
&xxxx;
|
&xxxx;
|
&xxxx;
|
&xxxx;
|
&xxxx;
|
&xxxx;
|
&xxxx;
|
&xxxx;
|
&xxxx;
|
22
|
&xxxx;
|
&xxxx;
|
&xxxx;
|
&xxxx;
|
&xxxx;
|
&xxxx;
|
&xxxx;
|
&xxxx;
|
&xxxx;
|
&xxxx;
|
&xxxx;
|
&xxxx;
|
&xxxx;
|
23
|
&xxxx;
|
&xxxx;
|
&xxxx;
|
&xxxx;
|
&xxxx;
|
&xxxx;
|
&xxxx;
|
&xxxx;
|
&xxxx;
|
&xxxx;
|
&xxxx;
|
&xxxx;
|
&xxxx;
|
24
|
&xxxx;
|
&xxxx;
|
&xxxx;
|
&xxxx;
|
&xxxx;
|
&xxxx;
|
&xxxx;
|
&xxxx;
|
&xxxx;
|
&xxxx;
|
&xxxx;
|
&xxxx;
|
&xxxx;
|
25
|
&xxxx;
|
&xxxx;
|
&xxxx;
|
&xxxx;
|
&xxxx;
|
&xxxx;
|
&xxxx;
|
&xxxx;
|
&xxxx;
|
&xxxx;
|
&xxxx;
|
&xxxx;
|
&xxxx;
|
26
|
&xxxx;
|
&xxxx;
|
&xxxx;
|
&xxxx;
|
&xxxx;
|
&xxxx;
|
&xxxx;
|
&xxxx;
|
&xxxx;
|
&xxxx;
|
&xxxx;
|
&xxxx;
|
&xxxx;
|
27
|
&xxxx;
|
&xxxx;
|
&xxxx;
|
&xxxx;
|
&xxxx;
|
&xxxx;
|
&xxxx;
|
&xxxx;
|
&xxxx;
|
&xxxx;
|
&xxxx;
|
&xxxx;
|
&xxxx;
|
28
|
&xxxx;
|
&xxxx;
|
&xxxx;
|
&xxxx;
|
&xxxx;
|
&xxxx;
|
&xxxx;
|
&xxxx;
|
&xxxx;
|
&xxxx;
|
&xxxx;
|
&xxxx;
|
&xxxx;
|
29
|
&xxxx;
|
&xxxx;
|
&xxxx;
|
&xxxx;
|
&xxxx;
|
&xxxx;
|
&xxxx;
|
&xxxx;
|
&xxxx;
|
&xxxx;
|
&xxxx;
|
&xxxx;
|
&xxxx;
|
30
|
&xxxx;
|
&xxxx;
|
&xxxx;
|
&xxxx;
|
&xxxx;
|
&xxxx;
|
&xxxx;
|
&xxxx;
|
&xxxx;
|
&xxxx;
|
&xxxx;
|
&xxxx;
|
&xxxx;
|
31
|
&xxxx;
|
&xxxx;
|
&xxxx;
|
&xxxx;
|
&xxxx;
|
&xxxx;
|
&xxxx;
|
&xxxx;
|
&xxxx;
|
&xxxx;
|
&xxxx;
|
&xxxx;
|
&xxxx;
|
32
|
&xxxx;
|
&xxxx;
|
&xxxx;
|
&xxxx;
|
&xxxx;
|
&xxxx;
|
&xxxx;
|
&xxxx;
|
&xxxx;
|
&xxxx;
|
&xxxx;
|
&xxxx;
|
&xxxx;
|
33
|
&xxxx;
|
&xxxx;
|
&xxxx;
|
&xxxx;
|
&xxxx;
|
&xxxx;
|
&xxxx;
|
&xxxx;
|
&xxxx;
|
&xxxx;
|
&xxxx;
|
&xxxx;
|
&xxxx;
|
34
|
&xxxx;
|
&xxxx;
|
&xxxx;
|
&xxxx;
|
&xxxx;
|
&xxxx;
|
&xxxx;
|
&xxxx;
|
&xxxx;
|
&xxxx;
|
&xxxx;
|
&xxxx;
|
&xxxx;
|
35
|
&xxxx;
|
&xxxx;
|
&xxxx;
|
&xxxx;
|
&xxxx;
|
&xxxx;
|
&xxxx;
|
&xxxx;
|
&xxxx;
|
&xxxx;
|
&xxxx;
|
&xxxx;
|
&xxxx;
|
36
|
&xxxx;
|
&xxxx;
|
&xxxx;
|
&xxxx;
|
&xxxx;
|
&xxxx;
|
&xxxx;
|
&xxxx;
|
&xxxx;
|
&xxxx;
|
&xxxx;
|
&xxxx;
|
&xxxx;
|
37
|
&xxxx;
|
&xxxx;
|
&xxxx;
|
&xxxx;
|
&xxxx;
|
&xxxx;
|
&xxxx;
|
&xxxx;
|
&xxxx;
|
&xxxx;
|
&xxxx;
|
&xxxx;
|
&xxxx;
|
38
|
&xxxx;
|
&xxxx;
|
&xxxx;
|
&xxxx;
|
&xxxx;
|
&xxxx;
|
&xxxx;
|
&xxxx;
|
&xxxx;
|
&xxxx;
|
&xxxx;
|
&xxxx;
|
&xxxx;
|
39
|
&xxxx;
|
&xxxx;
|
&xxxx;
|
&xxxx;
|
&xxxx;
|
&xxxx;
|
&xxxx;
|
&xxxx;
|
&xxxx;
|
&xxxx;
|
&xxxx;
|
&xxxx;
|
&xxxx;
|
40
|
&xxxx;
|
&xxxx;
|
&xxxx;
|
&xxxx;
|
&xxxx;
|
&xxxx;
|
&xxxx;
|
&xxxx;
|
&xxxx;
|
&xxxx;
|
&xxxx;
|
&xxxx;
|
&xxxx;
|
41
|
&xxxx;
|
&xxxx;
|
&xxxx;
|
&xxxx;
|
&xxxx;
|
&xxxx;
|
&xxxx;
|
&xxxx;
|
&xxxx;
|
&xxxx;
|
&xxxx;
|
&xxxx;
|
&xxxx;
|
42
|
&xxxx;
|
&xxxx;
|
&xxxx;
|
&xxxx;
|
&xxxx;
|
&xxxx;
|
&xxxx;
|
&xxxx;
|
&xxxx;
|
&xxxx;
|
&xxxx;
|
&xxxx;
|
&xxxx;
|
43
|
&xxxx;
|
&xxxx;
|
&xxxx;
|
&xxxx;
|
&xxxx;
|
&xxxx;
|
&xxxx;
|
&xxxx;
|
&xxxx;
|
&xxxx;
|
&xxxx;
|
&xxxx;
|
&xxxx;
|
44
|
&xxxx;
|
&xxxx;
|
&xxxx;
|
&xxxx;
|
&xxxx;
|
&xxxx;
|
&xxxx;
|
&xxxx;
|
&xxxx;
|
&xxxx;
|
&xxxx;
|
&xxxx;
|
&xxxx;
|
Xxxxxxxx:
|
- jméno xxxxxxxxxxx xxxxxxxxxx;
|
Xxxxxxx:
|
- číslo xxxxxxxx xxxxxxxxxxx xxxxxxxxxx;
|
Xxx:
|
- xxxxx xxxx xxxxxxxxxxx pracovníka;
|
e-mail:
|
e-mailová xxxxxx xxxxxxxxxxx xxxxxxxxxx;
|
Xxxxx:
|
xxxxx xxxxxxxx tiskopisu;
|
Xxxxx xxxxxx tiskopisu
xxxxxxx xxxx
|
XXX 75&xxxx;7342
|
xX
|
xxxxxx xxxx
|
XXX ISO 10523 (75&xxxx;7365)
|
|
xxxxxxxxxxxx
|
XXX XX 27888
|
XXX5
|
xxxxxxxxxxx xxxxxxxx kyslíku xxxxxxxxx
|
XXX EN 1899 (75&xxxx;7517)
|
|
XXXXXx
|
xxxxxxxx xxxxxxxx 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&xxxx;7450)
|
|
X-XX3-
|
xxxxxxxxxxx xxxxx
|
XXX XXX 7890-1,2,3 (75&xxxx;7453)
|
|
Xxxxx
|
xxxxxxx fosfor
|
ČSN XX 1189 (75&xxxx;7465)
|
ROK XXXX
|
|
Xxxxxxxxxx xxxx -
|
xxxxx xxxxxxxxxx:
|
xxxxx vypouštění:
|
|
druh xxxxxxxxxx xxxxxxxx:
|
|
Xxxxxx pobyt - xxxxx xxxxxxxxx subjektu
|
Trvalý xxxxx - xxxxx xxxxxxxxxxxxx:
|
XX:
|
XX:
|
XXXX:
|
XXXX:
|
01
|
Xxxxxxxxxxxxx číslo vypouštění xxxx
|
|||||||||||
02
|
Xxxxx maticové xxxxx xxxxx xxxx
|
Xxxxx polohy xx xxxxx xxxx
|
||||||||||
03
|
Xxxxx xxxxxxxxxxxxxx pořadí
|
|||||||||||
04
|
Název vodního xxxx
|
|||||||||||
05
|
Xxxxx xxxxxxxx
|
|||||||||||
06
|
Xxxx
|
|
Xxxx
|
Xxxxx
|
Xxxxx
|
|||||||
07
|
Xxxxx/Xxxx/Xxxxxxxxxxx xxxxx
|
|||||||||||
08
|
Xxxxxx xxxxxxxxx xxxxxxxx xxxxxxxxxxxx xxx
|
xxxxxx
|
xxxxxxx
|
xxxxxxxx
|
xxxxx
|
|||||||
09
|
Xxxxxx xxxxxxxxx xxxxxx xxxxxxx xxxxxxxxxxxx vod
|
měření
|
výpočet
|
odhad
|
||||||||
10
|
Typ xxxxxxx / Počet xxxxxxx
|
X
|
X2
|
X8
|
X24
|
X24x
|
&xxxx; | |||||
11
|
Xxxxxxxx xxxxxxxxx xxx
|
Xxx/Xx
|
Xxxxxxxxxx xxxxxxx odpadních xxx
|
Xxx/Xx
|
||||||||
12
|
Xxxxxxx xxxxx xxxxxxx xxxxxxxxx xxx (uveďte xxxxxx)
|
|||||||||||
13
|
Xxxxxxxxxx x povolení x xxxxxxxxxx xxx
|
|||||||||||
&xxxx; |
xxxxx:
|
xxx:
|
||||||||||
&xxxx; |
xxx x.x.:
|
xxxxxxxx xx:
|
||||||||||
&xxxx; |
x množství:
|
v jakosti:
|
||||||||||
_________________max. x/x
|
XXX5 xxxxxxx "x" "x"
|
XXXXXx xxxxxxx "x" "x"
|
||||||||||
&xxxx; |
_________________xxx.x3/xxx
|
_________xx/x
|
_________
|
___________
|
xx/x
|
|||||||
&xxxx; |
_________________xxx.x3/xxx
|
_________x/xxx
|
_________
|
___________
|
x/xxx
|
|||||||
14
|
Xxxxxx o xxxxxxxxx xxxxxxxx xxxxxxxxxx k xxxxxxxxxx xxx
|
Xxx/Xx
|
||||||||||
15
|
X xxxxxxx xx xxxxxxx kopie xxxx k xxxxxxxxxx xxxxx x xxxxxxxxxx
|
Xxx/Xx
|
Xxxxxxxx:
|
Xxxxx:
|
Xxxxxxx:
|
Xxxxxxx x xxxxxx:
|
Xxx:
|
|
x-xxxx:
|
|
Xxxxxxxxxxxxx xxxxx
|
|
xxxxxxxxxx xxx
|
&xxxx; |
xxx **)
|
I
|
II
|
III
|
IV
|
V
|
VI
|
VII
|
VIII
|
IX
|
X
|
XI
|
XII
|
celkem
|
16
|
||||||||||||||
17
|
||||||||||||||
18
|
výhled 5 xxx
|
&xxxx; | &xxxx; | &xxxx; | &xxxx; | &xxxx; | &xxxx; | &xxxx; | &xxxx; | &xxxx; | &xxxx; | &xxxx; | &xxxx; | &xxxx; |
&xxxx; |
xxx **)
|
I
|
II
|
III
|
IV
|
V
|
VI
|
VII
|
VIII
|
IX
|
X
|
XI
|
XII
|
celkem
|
19
|
rok **)
|
XXX5
|
XXXXXx
|
XX
|
XXX
|
X-XX4+
|
Xxxxxx
|
Xxxxx
|
|
20
|
&xxxx; | &xxxx; | &xxxx; | &xxxx; | &xxxx; | &xxxx; | &xxxx; | &xxxx; |
21
|
&xxxx; | &xxxx; | &xxxx; | &xxxx; | &xxxx; | &xxxx; | &xxxx; | &xxxx; |
22
|
xxxxxx 5 let
|
&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 xxx xxxxxx
|
&xxxx; | &xxxx; | &xxxx; | &xxxx; | &xxxx; | &xxxx; | &xxxx; |
&xxxx; |
(xxxx. xx/x x tis. x3/xxx) / 1000
|
&xxxx; | &xxxx; | &xxxx; | &xxxx; | &xxxx; | &xxxx; | &xxxx; |
24
|
Xxxxxxxxxxx xxxxxxxxxx v t/rok xxx xxxxxx
|
&xxxx; | &xxxx; | &xxxx; | &xxxx; | &xxxx; | &xxxx; | &xxxx; |
&xxxx; |
(xxxx. xx/x x xxx. x3/xxx) / 1000
|
&xxxx; | &xxxx; | &xxxx; | &xxxx; | &xxxx; | &xxxx; | &xxxx; |
25
|
Xxxxx xxxxxxxx xxxxxxxxxxx xxxxxxxx
|
Xxx kanalizace
|
jednotná
|
oddílná
|
jiná
|
&xxxx; |
xxxxxxxx vody
|
chladící xxxx
|
xxxxxxx xxx
|
xxxxxxxxxx xxx
|
xxxxx
|
xxxxxxx
|
xxxxxx
|
&xxxx; |
x xxxxxxxxxx
|
x xxxxxxxxxxxx
|
xxxxxxxxxx
|
xxxxxxxx
|
xxxx
|
&xxxx;
|
&xxxx;
|
&xxxx; |
xxxxxxxx
|
xxxxxxxx
|
xxx
|
xxxxxxx
|
&xxxx;
|
&xxxx;
|
&xxxx;
|
26
|
&xxxx; | &xxxx; | &xxxx; | &xxxx; | &xxxx; | &xxxx; | &xxxx; |
&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 xxxxxxx xxxxxx
Xxxxx xxxxxx tiskopisu
Xxxxxxxx:
|
- xxxxx xxxxxxxxxxx xxxxxxxxxx;
|
Xxxxxxx:
|
- číslo xxxxxxxx xxxxxxxxxxx xxxxxxxxxx;
|
Xxx:
|
- xxxxx faxu odpovědného xxxxxxxxxx;
|
x-xxxx:
|
x-xxxxxxx xxxxxx odpovědného xxxxxxxxxx;
|
Xxxxx:
|
xxxxx vyplnění xxxxxxxxx;
|
XXX5
|
xxxxxxxxxxx xxxxxxxx kyslíku xxxxxxxxx s xxxxxxxxxx xxxxxxxxxxx
|
XXX XX 1899-1,2 (75&xxxx;7517)
|
|
XXXXXx
|
xxxxxxxx xxxxxxxx kyslíku xxxxxxxxxxx
|
XXX 830540-8
|
|
NL.
|
nerozpuštěné xxxxx
|
XXX XX 872 (75 7349)
|
|
RAS.
|
rozpuštěné xxxxxxxxxxx xxxx
|
XXX 830540-3X
|
|
X-XX4-
|
xxxxxxxxxxx xxxxx
|
XXX XXX 5664, 7150-1
|
|
Xxxxxx
|
xxxxxxx anorganický xxxxx
|
xxxxxxxxxx xxxx xxxxxx xxxxxxxxxxxx xxxxxxxxxxx xxxxxx xxxxxxxxxxxxx,
|
|
xxxxxx
|
xxxxxxxxxxxx, xxxxxxxxxxx xxxxx XXX XX 26 777 (830540-11) x xxxxxx
|
xxxxxxxxxxxxx, xxxxxxxxxxx xxxxx XXX ISO 7890-3 (830540-12)
|
|
Xxxxx
|
xxxxxxx fosfor
|
ČSN XX 1189 (75 7465)
|
&xxxx;
XXX XXXX
|
|
Xxxxxxxxx nebo xxxxxxxxx
|
xxxxx xxxxxxx díla:
|
povrchové vody
|
vodní xxx:
|
xxxx xxxxxxxxxx xxxxxxxx:
|
|
Xxxxxx xxxxx - xxxxx xxxxxxxxx subjektu
|
Trvalý pobyt - xxxxx provozovatele:
|
IČ:
|
IČ:
|
OKEČ:
|
OKEČ:
|
01
|
Identifikační xxxxx vodního xxxx
|
|||
02
|
Xxxxx xxxxxxxx xxxxx xxxxx xxxx
|
Xxxxx polohy na xxxxx xxxx
|
||
03
|
Xxxxx hydrologického xxxxxx
|
|||
04
|
Xxxxx vodního xxxx
|
|||
05
|
Xxxxx xxxxxxxx
|
|||
06
|
Xxxxx/Xxxx/Xxxxxxxxxxx území
|
|||
07
|
Hydrologická xxxx:
|
Xx = x3/x
|
XX = x3/x
|
XXX = m3/s
|
Charakteristiky 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 nakládání x xxxxxx na xxxxxx xxxx:
|
|||
xxxxx:
|
xxx:
|
|||
xxx x.x.:
|
||||
12
|
Xxxxxxxxxx o xxxxxxxxx Xxxxxxxxxxxxx řádu:
|
|||
vydal:
|
dne:
|
|||
pod x.x.:
|
||||
13
|
Xxxxxx o přiložení xxxxxxxx rozhodnutí x xxxxxxxx k nakládání x vodami xx xxxxxx xxxx
|
Xxx/Xx
|
||
14
|
Xxxxxx x xxxxxxxxx xxxxxxxx xxxxxxxxxx x xxxxxxxxx Xxxxxxxxxxxxx xxxx
|
Xxx/Xx
|
Xxxxxxxx:
|
Xxxxx:
|
Xxxxxxx:
|
Xxxxxxx a xxxxxx:
|
Xxx:
|
|
x-xxxx:
|
|
Xxxxxxxxxxxxx xxxxx
|
|
xxxxxxx xxxx
|
&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 xxxxxxx
|
x 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 telefonu xxxxxxxxxxx xxxxxxxxxx;
|
Xxx:
|
- xxxxx faxu xxxxxxxxxxx pracovníka;
|
e-mail:
|
e-mailová xxxxxx xxxxxxxxxxx xxxxxxxxxx;
|
Xxxxx:
|
xxxxx vyplnění xxxxxxxxx;
|
xxxxxxxx xxxxxxxxx vody (xxx. x3/xxx)
|
xxxxxxx měření xxxxxxx
|
xxx 10
|
1x xx 14 xxx (2x za xxxxx)
|
0,5 - 10
|
1x xx xxxxx
|
0,1 - 0,5
|
1x za 2 xxxxxx
|
xxx 0,1
|
1x xx xxxxxxxx
|