Právní předpis byl sestaven k datu 31.10.2025.
Zobrazené znění právního předpisu je účinné od 01.01.2002.
1. xxxxxxxxxxxxxx xxxxxx x síti xxxxxxxxxxxxx stanic xxxxxx xxxxx sněhové xxxxxxxx x xxxxx xxxxxxx xxxxx, případně xxxxxxxxxx xxxxxxxx xxxxxx x xxxxxxxxxxxxxxxx xxxxxxx x xxxx xxxxxxxxxxxx stanic xxxxxxxxxx xxx xxxxxxx xxxxxxxxx zásob v xxxxxx,
2. xxxxxx xxxxxxx x xxxxxxx meteorologických xxxxxxx (xxxx. evaporací) xxxxxxxxx x pozorování x xxxx klimatických xxxxxx,
3. xxxxxxx xxxx xx xxxxxxx xxxxxx x síti xxxxxxxxxxx xxxxxx,
4. xxxxxx xxxxxxxxxx xxx v xxxx xxxxxxx xxxxxxxxxx vod,
5. xxxxxxxxxx pramenů v xxxx sledovaných xxxxxxx;
| XXX XXXX | |
| Xxxxx xxxxxxxx xxxx | xxxxx xxxxxx: | 
| xxxxx jímacího xxxxxxxx: | |
| xxxx ekonomické xxxxxxxx: | |
| Xxxxxx xxxxx - xxxxx xxxxxxxxx subjektu | Trvalý xxxxx - xxxxx xxxxxxxxxxxxx: | 
| &xxxx; | |
| XX: | XX: | 
| XXXX: | XXXX: | 
| 01 | Xxxxxxxxxxxxx xxxxx odběru podzemní xxxx | ||||
| 02 | Xxxxx xxxxxxxx číslo xxxxx xxxx | Xxxxx polohy xxxxx toku | |||
| 03 | Číslo xxxxxxxxxxxxxx xxxxxx | ||||
| 04 | Xxxxxxxxxxxxxxx xxxxx | ||||
| 05 | Xxxxx / Xxxx / Xxxxxxxxxxx xxxxx | ||||
| 06 | Xxxxx xxxxxxxxx xxxx | xxxxxxxx | xxxxx | xxxx xxxxx | |
| 07 | Xxxxxx xxxxxxxxx vody | pramenní | jímací xxxxx | xxxxxx | xxxx | 
| xxxxx | xxxx xxxxx | (xxx) | |||
| 08 | Xxxxxx úpravy xxxx | xxx xxxxxx | xxxxxxxxxx | xxxx | |
| 09 | Xxxxxx stanovení xxxxxx xxxxxx | xxxxxx | xxxxxxx | xxxxxxxx | xxxxx | 
| 10 | Xxxxx / Xxx / Xxxxxxxx xxxxxxxx xxxxxxxx v x/x | ||||
| 11 | Xxxxxxxxxx x xxxxxxxx x odběru xxxxxxxx xxxx | ||||
| xxxxx: | xxx: | ||||
| xxx x.x.: | xxxxxxxx xx: | ||||
| x xxxxxxxx:________________ x/x | _______________ | xxx. x/x | |||
| ________________xxx.x3/xxx | _______________ | xxx. x3/xxx | |||
| xxx xxxx: | |||||
| 12 | Xxxxxxxxxx o xxxxxxxxx ochranného pásma xxxxxxx zdroje | ||||
| vydal: | dne: | ||||
| pod xx.: | |||||
| 13 | Xxxxxx x přiložení xxxxxxxx xxxxxxxxxx x xxxxxxxx x xxxxxx podzemní xxxx | Xxx / Xx | |||
| 14 | Xxxxxx x přiložení xxxxxxxx xxxxxxxxxx x xxxxxxxxx xxxxxxxxxx pásma vodního xxxxxx | Xxx / Ne | |||
| 15 | V xxxxxxx xx předává xxxxx xxxx k xxxxxxxxxx místa xxxxxx | Xxx / 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 průtočné | pro xxxxxxxxxx | xxx | xxx živočišnou | pro xxxxxxxxxxx | xxx xxxxxxxx | xxxxxxx | XXX | xxxxxx | 
| &xxxx; | xxxxxxxx | xxxxxxxx | xxxxxxx | xxxxxx | xxxxxxxxxxx | (xxx. spotřebu) | odběry | PMV |  | 
| 22 | 
| 23 | xxxxxxxx xxxx xxxxxx xxxxxxxxx uživateli, xxx spotřeby xxxx xxx xxxxxx x xxxx ztrát v xxxxxxxxx | &xxxx; | 
**) vyplní xxxxxxx xxxxxx
| Xxxxxxxx: | - xxxxx xxxxxxxxxxx xxxxxxxxxx; | 
| Xxxxxxx: | - xxxxx telefonu odpovědného xxxxxxxxxx; | 
| Xxx: | - číslo xxxx xxxxxxxxxxx xxxxxxxxxx; | 
| x-xxxx: | x-xxxxxxx adresa xxxxxxxxxxx pracovníka; | 
| Datum: | datum xxxxxxxx xxxxxxxxx; | 
Xxxxxxx x xxxxxx: xxxxxxx povinného xxxxxxxx, xxxxxxxx provozovatele a xxxxxx odpovědného xxxxxxxxxx.
| xxxxxxxx | XXX XXX 9297 (75&xxxx;7420), ČSN 830520-11 | 
| xxxxxx | XXX XX XXX 10304-1 (75 7391) | 
| ČSN ISO 9280 (75 7476) | |
| amonné ionty | ČSN XXX 7150-1,2 (75&xxxx;7451) | 
| XXX XX ISO 11732 (75&xxxx;7454) | |
| XXX ISO 5664 (75&xxxx;7449) | |
| xxxxxxxxx | XXX XXX 7890-1,2,3 (75&xxxx;7453) | 
| XXXXXx | xxxxxxxx spotřeba xxxxxxx xxxxxxxxxxxxx | 
| XXX XX ISO 8467 (75 7519) | |
| měď | ČSN XXX 8288 (75 7382) | 
| ČSN 830520-44 | |
| xxxxxxx | XXX XXX 8288 (75&xxxx;7382) | 
| XXX XX ISO 5961 (75&xxxx;7418) | |
| xxxxx | XXX 830520-43 | 
| XXX ISO 8288 (75 7382) | |
| pH | ČSN ISO 10523; | 
| XXX XXXX | |
| Odběr xxxxxxxxx xxxx - | xxxxx odběru: | 
| místo xxxxxx: | |
| xxxx xxxxxxxxxx xxxxxxxx: | |
| Xxxxxx xxxxx - xxxxx xxxxxxxxx xxxxxxxx | Xxxxxx pobyt - xxxxx xxxxxxxxxxxxx: | 
| XX: | XX: | 
| XXXX: | XXXX: | 
| 1 | Xxxxxxxxxxxxx xxxxx xxxxxx xxxxxxxxx xxxx | |||||
| 02 | Xxxxx maticové xxxxx xxxxx xxxx | Xxxxx polohy xx xxxxx toku | ||||
| 03 | Číslo xxxxxxxxxxxxxx pořadí | |||||
| 04 | Název xxxxxxx xxxx | |||||
| 05 | Xxxxx xxxxxxxx | |||||
| 06 | Xxxx |  | Xxxx | Xxxxx | Xxxxx | |
| 07 | Xxxxx/Xxxx/Xxxxxxxxxxx území | |||||
| 08 | Způsob xxxxxxxxx hodnot odběru | měření | výpočet | odvození | odhad | |
| 09 | Kóta xxxxxxxxx xxxxxxxx v x. n.m. (Balt xx xxxxxxxxx) | |||||
| 10 | Xxxxxxxxxx x xxxxxxxx k odběru xxxxxxxxx xxxx | |||||
| xxxxx: | xxx: | |||||
| xxxxxxxx do: | ||||||
| pod x.x.: | ||||||
| x xxxxxxxx:_______________ l/s | ____________________max. x/x | |||||
| _________xxx.x3/xxx | ____________________xxx. m3/rok | |||||
| pro xxxx: | ||||||
| 11 | Xxxxxxxxxx x stanovení xxxxxxxxxx xxxxx xxxxxxx xxxxxx | |||||
| xxxxx: | xxx: | |||||
| xxx x.x.: | ||||||
| 12 | Xxxxxx x xxxxxxxxx xxxxxxxx rozhodnutí x xxxxxxxx k xxxxxx xxxxxxxxx xxxx | Xxx/Xx | ||||
| 13 | Xxxxxx x xxxxxxxxx xxxxxxxx xxxxxxxxxx x stanovení ochranného xxxxx xxxxxxx xxxxxx | Xxx/Xx | ||||
| 14 | X xxxxxxx xx předává xxxxx xxxx x xxxxxxxxxx xxxxx odběru | Ano/Ne | ||||
| Vyřizuje: | Datum: | 
| Telefon: | Razítko x podpis: | 
| Fax: | |
| e-mail: | 
| &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; | 
| &xxxx; | xxx xxxxxxxx | xxx xxxxxxxxxx | xxx | xxx živočišnou | pro xxxxxxxxxxx | xxx xxxxxxxx | xxxxxxx | xxxxxx | 
| &xxxx; | xxxxxxxx | xxxxxxxx | xxxxxxx | xxxxxx | xxxxxxxxxxx | (xxx. xxxxxxxx) | xxxxxx | &xxxx; | 
| 19 | &xxxx; | &xxxx; | &xxxx; | &xxxx; | &xxxx; | &xxxx; | &xxxx; | &xxxx; | 
| 20 | množství vody xxxxxx xxxxxxxxx uživateli, xxx spotřeby xxxx xxx xxxxxx x xxxx xxxxx 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: | - xxxxx odpovědného xxxxxxxxxx; | 
| Xxxxxxx: | - xxxxx xxxxxxxx xxxxxxxxxxx pracovníka; | 
| Fax: | - xxxxx xxxx xxxxxxxxxxx xxxxxxxxxx; | 
| x-xxxx: | x-xxxxxxx xxxxxx odpovědného xxxxxxxxxx; | 
| Xxxxx: | xxxxx xxxxxxxx tiskopisu; | 
Xxxxx xxxxxx tiskopisu
| xxxxxxx vody | ČSN 75&xxxx;7342 | 
| xX | xxxxxx vody | 
| ČSN XXX 10523 (75 7365) | |
| konduktivita | ČSN EN 27888 | 
| XXX5 | xxxxxxxxxxx xxxxxxxx xxxxxxx xxxxxxxxx | 
| XXX XX 1899 (75&xxxx;7517) | |
| XXXXXx | xxxxxxxx xxxxxxxx kyslíku xxxxxxxxxxx | 
| XXX 830530-29 | |
| N-NH4- | amoniakální xxxxx | 
| XXX XXX 7150-1,2 (75 7451) | |
| ČSN XXX 5664 (75&xxxx;7449) | |
| XXX XXX 6778 (75&xxxx;7450) | |
| X-XX3- | xxxxxxxxxxx xxxxx | 
| XXX ISO 7890-1,2,3 (75&xxxx;7453) | |
| Xxxxx | xxxxxxx fosfor | 
| ČSN XX 1189 (75&xxxx;7465) | 
| XXX XXXX | |
| Xxxxxxxxxx xxxx - | xxxxx xxxxxxxxxx: | 
| xxxxx vypouštění: | |
| druh ekonomické xxxxxxxx: | |
| Xxxxxx pobyt - xxxxx xxxxxxxxx xxxxxxxx | Xxxxxx xxxxx - sídlo xxxxxxxxxxxxx: | 
| XX: | XX: | 
| XXXX: | XXXX: | 
| 01 | Xxxxxxxxxxxxx číslo xxxxxxxxxx xxxx | |||||||||||
| 02 | Xxxxx maticové xxxxx xxxxx toku | Číslo xxxxxx xx xxxxx xxxx | ||||||||||
| 03 | Xxxxx xxxxxxxxxxxxxx pořadí | |||||||||||
| 04 | Název vodního xxxx | |||||||||||
| 05 | Xxxxx kilometr | |||||||||||
| 06 | Břeh |  | Levý | Střed | Pravý | |||||||
| 07 | Okres/Obec/Katastrální xxxxx | |||||||||||
| 08 | Xxxxxx xxxxxxxxx množství xxxxxxxxxxxx xxx | xxxxxx | xxxxxxx | xxxxxxxx | xxxxx | |||||||
| 09 | Xxxxxx xxxxxxxxx hodnot xxxxxxx vypouštěných xxx | xxxxxx | xxxxxxx | xxxxx | ||||||||
| 10 | Xxx xxxxxxx / Xxxxx xxxxxxx | X | X2 | X8 | X24 | X24x | &xxxx; | |||||
| 11 | Xxxxxxxx odpadních xxx | Xxx/Xx | Xxxxxxxxxx xxxxxxx xxxxxxxxx xxx | Xxx/Xx | ||||||||
| 12 | Xxxxxxx xxxxx čištění odpadních xxx (uveďte xxxxxx) | |||||||||||
| 13 | Xxxxxxxxxx x povolení x xxxxxxxxxx vod | |||||||||||
| vydal: | dne: | |||||||||||
| pod č.j.: | platnost xx: | |||||||||||
| &xxxx; | x xxxxxxxx: | x jakosti: | ||||||||||
| _________________max. x/x | XXX5 hodnota "x" "x" | XXXXXx xxxxxxx "p" "x" | ||||||||||
| &xxxx; | _________________xxx.x3/xxx | _________xx/x | _________ | ___________ | xx/x | |||||||
| &xxxx; | _________________xxx.x3/xxx | _________x/xxx | _________ | ___________ | x/xxx | |||||||
| 14 | Xxxxxx x xxxxxxxxx xxxxxxxx rozhodnutí k xxxxxxxxxx xxx | Xxx/Xx | ||||||||||
| 15 | X xxxxxxx xx předává kopie xxxx x xxxxxxxxxx xxxxx k xxxxxxxxxx | Xxx/Xx | ||||||||||
| Xxxxxxxx: | Xxxxx: | 
| Xxxxxxx: | Xxxxxxx x xxxxxx: | 
| Xxx: | |
| x-xxxx: | |
| Xxxxxxxxxxxxx xxxxx | |
| xxxxxxxxxx xxx | |
| rok **) | 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 | 
| &xxxx; | xxx **) | 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 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 xxxxxx | &xxxx; | &xxxx; | &xxxx; | &xxxx; | &xxxx; | &xxxx; | &xxxx; | 
| &xxxx; | (xxxx. 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. mg/l x xxx. x3/xxx) / 1000 | &xxxx; | &xxxx; | &xxxx; | &xxxx; | &xxxx; | &xxxx; | &xxxx; | 
| 25 | Xxxxx xxxxxxxx xxxxxxxxxxx xxxxxxxx | Xxx xxxxxxxxxx | xxxxxxxx | xxxxxxx | xxxx | |||
| &xxxx; | xxxxxxxx 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 povodí
První xxxxxx tiskopisu
| Vyřizuje: | - xxxxx xxxxxxxxxxx pracovníka; | 
| Telefon: | - xxxxx xxxxxxxx odpovědného xxxxxxxxxx; | 
| Xxx: | - xxxxx xxxx odpovědného xxxxxxxxxx; | 
| x-xxxx: | x-xxxxxxx adresa odpovědného xxxxxxxxxx; | 
| Xxxxx: | xxxxx xxxxxxxx xxxxxxxxx; | 
| XXX5 | xxxxxxxxxxx spotřeba xxxxxxx xxxxxxxxx s xxxxxxxxxx xxxxxxxxxxx | 
| XXX EN 1899-1,2 (75&xxxx;7517) | |
| XXXXXx | xxxxxxxx xxxxxxxx kyslíku xxxxxxxxxxx | 
| XXX 830540-8 | |
| XX. | xxxxxxxxxxxx xxxxx | 
| XXX XX 872 (75 7349) | |
| RAS. | rozpuštěné xxxxxxxxxxx xxxx | 
| XXX 830540-3X | |
| X-XX4- | xxxxxxxxxxx xxxxx | 
| XXX XXX 5664, 7150-1 | |
| Xxxxxx | xxxxxxx xxxxxxxxxxx xxxxx | 
| xxxxxxxxxx xxxx xxxxxx hmotnostních xxxxxxxxxxx xxxxxx xxxxxxxxxxxxx, | |
| xxxxxx | xxxxxxxxxxxx, xxxxxxxxxxx xxxxx XXX XX 26 777 (830540-11) x dusíku | 
| dusičnanového, xxxxxxxxxxx xxxxx XXX XXX 7890-3 (830540-12) | |
| Pcelk | celkový fosfor | 
| ČSN XX 1189 (75 7465) | 
&xxxx;
| XXX XXXX | |
| Xxxxxxxxx xxxx akumulace | název xxxxxxx xxxx: | 
| xxxxxxxxx xxxx | xxxxx xxx: | 
| xxxx xxxxxxxxxx činnosti: | |
| Trvalý xxxxx - xxxxx xxxxxxxxx xxxxxxxx | Xxxxxx pobyt - xxxxx xxxxxxxxxxxxx: | 
| XX: | XX: | 
| XXXX: | XXXX: | 
| 01 | Xxxxxxxxxxxxx xxxxx xxxxxxx díla | |||
| 02 | Horní xxxxxxxx číslo xxxxx xxxx | Xxxxx xxxxxx xx xxxxx toku | ||
| 03 | Číslo hydrologického xxxxxx | |||
| 04 | Xxxxx vodního xxxx | |||
| 05 | Xxxxx xxxxxxxx | |||
| 06 | Xxxxx/Xxxx/Xxxxxxxxxxx xxxxx | |||
| 07 | Xxxxxxxxxxxx xxxx: | Xx = m3/s | MQ = x3/x | XXX = x3/x | 
| Xxxxxxxxxxxxxxx xxxxxxx xxxx: | Xxxx xxxxxxx (x x.x.) | Xxxxx (mil. x3): | Xxxxx. xxxxxx (xx): | |
| 08 | Xxxxx xxxxxxx: | |||
| 09 | Xxxxxxx xxxxxxx: | |||
| 10 | Xxxxxxx ovladatelný xxxxxxx: | |||
| 11 | Xxxxxxxxxx x xxxxxxxx x xxxxxxxxx s xxxxxx xx xxxxxx xxxx: | |||
| xxxxx: | xxx: | |||
| xxx x.x.: | ||||
| 12 | Xxxxxxxxxx o xxxxxxxxx Xxxxxxxxxxxxx řádu: | |||
| vydal: | dne: | |||
| pod x.x.: | ||||
| 13 | Xxxxxx x xxxxxxxxx xxxxxxxx rozhodnutí x xxxxxxxx x xxxxxxxxx x vodami xx xxxxxx xxxx | Xxx/Xx | ||
| 14 | Xxxxxx x xxxxxxxxx xxxxxxxx rozhodnutí x schválení Xxxxxxxxxxxxx xxxx | Xxx/Xx | ||
| Xxxxxxxx: | Xxxxx: | 
| Xxxxxxx: | Xxxxxxx x xxxxxx: | 
| Xxx: | |
| x-xxxx: | |
| Xxxxxxxxxxxxx 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 vzduté vody | mil. 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 odpovědného xxxxxxxxxx; | 
| Xxx: | - xxxxx faxu xxxxxxxxxxx xxxxxxxxxx; | 
| x-xxxx: | x-xxxxxxx xxxxxx xxxxxxxxxxx xxxxxxxxxx; | 
| Xxxxx: | xxxxx xxxxxxxx xxxxxxxxx; | 
| xxxxxxxx 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 | 
 
                    