Právní předpis byl sestaven k datu 02.11.2025.
Zobrazené znění právního předpisu je účinné od 01.01.2002.
1. atmosférických xxxxxx v xxxx xxxxxxxxxxxxx stanic včetně xxxxx xxxxxxx pokrývky x xxxxx xxxxxxx xxxxx, xxxxxxxx pozorování xxxxxxxx srážek x xxxxxxxxxxxxxxxx veličin x xxxx xxxxxxxxxxxx xxxxxx xxxxxxxxxx xxx xxxxxxx xxxxxxxxx xxxxx v xxxxxx,
2. xxxxxx vzduchu x dalších xxxxxxxxxxxxxxxx xxxxxxx (xxxx. evaporací) xxxxxxxxx x pozorování x xxxx xxxxxxxxxxxx xxxxxx,
3. xxxxxxx xxxx xx xxxxxxx xxxxxx x xxxx xxxxxxxxxxx xxxxxx,
4. xxxxxx xxxxxxxxxx xxx v xxxx xxxxxxx xxxxxxxxxx xxx,
5. xxxxxxxxxx pramenů x xxxx sledovaných xxxxxxx;
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XXX XXXX
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Odběr podzemní xxxx
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xxxxx odběru:
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název 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 xxxxxxxxxxxxx:
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XXXX:
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XXXX:
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01
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Xxxxxxxxxxxxx xxxxx odběru xxxxxxxx xxxx
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Xxxxx xxxxxxxx xxxxx xxxxx xxxx
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Xxxxx xxxxxx xxxxx xxxx
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Xxxxx xxxxxxxxxxxxxx xxxxxx
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Xxxxxxxxxxxxxxx xxxxx
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Xxxxx / Xxxx / Xxxxxxxxxxx xxxxx
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Xxxxx xxxxxxxxx xxxx
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xxxxx
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xxxx xxxxx
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Xxxxxx zachycení xxxx
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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 zářez
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(vrt)
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Způsob xxxxxx xxxx
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xxx xxxxxx
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xxxx
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Xxxxxx xxxxxxxxx xxxxxx xxxxxx
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xxxxx
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Xxxxx / Xxx / Xxxxxxxx xxxxxxxx xxxxxxxx v x/x
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Xxxxxxxxxx x xxxxxxxx x xxxxxx podzemní xxxx
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xxxxx:
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xxx x.x.:
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x xxxxxxxx:________________ x/x
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________________xxx.x3/xxx
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xxx. x3/xxx
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Xxxxxxxxxx x xxxxxxxxx xxxxxxxxxx xxxxx xxxxxxx xxxxxx
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xxx xx.:
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Xxxxxx x xxxxxxxxx xxxxxxxx xxxxxxxxxx x povolení x xxxxxx podzemní xxxx
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Xxx / Ne
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Žádáme x xxxxxxxxx xxxxxxxx xxxxxxxxxx x xxxxxxxxx xxxxxxxxxx xxxxx xxxxxxx xxxxxx
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Xxx / Xx
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X xxxxxxx xx xxxxxxx xxxxx mapy 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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xxxxxx 5 xxx
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&xxxx; | &xxxx; | &xxxx; | &xxxx; | &xxxx; | &xxxx; | &xxxx; | &xxxx; | &xxxx; | &xxxx; | &xxxx; |
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pro průtočné
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pro xxxxxxxxxx
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xxx
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xxx xxxxxxxxxx
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xxx průmyslovou
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pro xxxxxxxx
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XXX
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xxxxxxx
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xxxxxx
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(xxx. spotřebu)
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odběry
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PMV
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množství xxxx xxxxxx xxxxxxxxx xxxxxxxxx, xxx xxxxxxxx xxxx xxx xxxxxx x xxxx xxxxx v xxxxxxxxx
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&xxxx; |
**) xxxxxx správce xxxxxx
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Xxxxxxxx:
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- xxxxx odpovědného xxxxxxxxxx;
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Xxxxxxx:
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- xxxxx telefonu xxxxxxxxxxx xxxxxxxxxx;
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Xxx:
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- xxxxx faxu 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 xxxxxx: xxxxxxx povinného xxxxxxxx, xxxxxxxx xxxxxxxxxxxxx x xxxxxx xxxxxxxxxxx xxxxxxxxxx.
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xxxxxxxx
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XXX ISO 9297 (75 7420), XXX 830520-11
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xxxxxx
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XXX XX XXX 10304-1 (75&xxxx;7391)
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XXX 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 xxxxxxx xxxxxxxxxxxxx
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XXX XX ISO 8467 (75 7519)
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měď
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ČSN XXX 8288 (75 7382)
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ČSN 830520-44
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xxxxxxx
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XXX XXX 8288 (75 7382)
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ČSN XX XXX 5961 (75&xxxx;7418)
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xxxxx
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XXX 830520-43
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XXX 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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název xxxxxx:
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xxxxx xxxxxx:
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xxxx ekonomické xxxxxxxx:
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Xxxxxx xxxxx - xxxxx 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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1
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Identifikační xxxxx odběru xxxxxxxxx xxxx
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02
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Xxxxx maticové číslo xxxxx toku
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Číslo xxxxxx xx xxxxx xxxx
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Xxxxx xxxxxxxxxxxxxx xxxxxx
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Xxxxx xxxxxxx xxxx
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Xxxxx xxxxxxxx
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Xxxx
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Xxxx
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Xxxxx
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Xxxxx
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Xxxxx/Xxxx/Xxxxxxxxxxx xxxxx
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Xxxxxx xxxxxxxxx xxxxxx odběru
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měření
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výpočet
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odvození
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odhad
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Kóta xxxxxxxxx zařízení x x. n.m. (Xxxx xx xxxxxxxxx)
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Xxxxxxxxxx o xxxxxxxx x xxxxxx xxxxxxxxx xxxx
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xxxxx:
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xxx:
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xxx x.x.:
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x xxxxxxxx:_______________ l/s
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____________________max. x/x
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_________xxx.x3/xxx
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____________________xxx. m3/rok
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pro xxxx:
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Xxxxxxxxxx x xxxxxxxxx xxxxxxxxxx xxxxx xxxxxxx xxxxxx
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xxx x.x.:
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Xxxxxx o xxxxxxxxx xxxxxxxx xxxxxxxxxx x xxxxxxxx x xxxxxx xxxxxxxxx vody
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Ano/Ne
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Žádáme x xxxxxxxxx xxxxxxxx rozhodnutí x xxxxxxxxx ochranného xxxxx vodního xxxxxx
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Xxx/Xx
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X xxxxxxx se xxxxxxx xxxxx xxxx k xxxxxxxxxx místa odběru
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Ano/Ne
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Vyřizuje:
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Datum:
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Telefon:
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Razítko x podpis:
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Fax:
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e-mail:
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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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výhled 5 xxx
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pro xxxxxxxx
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xxx xxxxxxxxxx
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xxx
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xxx živočišnou
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pro průmyslovou
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pro xxxxxxxx
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xxxxxxx
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xxxxxx
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xxxxxxxxxxx
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(xxx. spotřebu)
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odběry
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19
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20
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množství xxxx xxxxxx xxxxxxxxx xxxxxxxxx, xxx xxxxxxxx xxxx xxx úpravě x xxxx xxxxx v xxxxxxxxx
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Xxxxx
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Xxxxxxxx:
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- xxxxx odpovědného xxxxxxxxxx;
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Xxxxxxx:
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- xxxxx telefonu xxxxxxxxxxx xxxxxxxxxx;
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Xxx:
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- číslo 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
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xxxxxxx xxxx
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XXX 75&xxxx;7342
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xX
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xxxxxx xxxx
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XXX XXX 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 EN 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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N-NH4-
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amoniakální dusík
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ČSN 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 XXX 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&xxxx;7465)
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XXX XXXX
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Xxxxxxxxxx vody -
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xxxxx xxxxxxxxxx:
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xxxxx vypouštění:
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druh xxxxxxxxxx xxxxxxxx:
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Xxxxxx pobyt - 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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01
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Xxxxxxxxxxxxx číslo xxxxxxxxxx xxxx
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|||||||||||
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02
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Xxxxx xxxxxxxx číslo xxxxx xxxx
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Xxxxx xxxxxx xx xxxxx toku
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03
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Číslo xxxxxxxxxxxxxx pořadí
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|||||||||||
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04
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Název 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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|||||||
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07
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Xxxxx/Xxxx/Xxxxxxxxxxx xxxxx
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|||||||||||
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08
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Xxxxxx xxxxxxxxx xxxxxxxx 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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|||||||
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09
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Xxxxxx xxxxxxxxx hodnot xxxxxxx xxxxxxxxxxxx xxx
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xxxxxx
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xxxxxxx
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xxxxx
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||||||||
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10
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Xxx xxxxxxx / Počet xxxxxxx
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X
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X2
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X8
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X24
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X24x
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&xxxx; | |||||
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11
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Xxxxxxxx odpadních xxx
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Xxx/Xx
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Xxxxxxxxxx xxxxxxx xxxxxxxxx vod
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Ano/Ne
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||||||||
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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 povolení x xxxxxxxxxx xxx
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|||||||||||
| &xxxx; |
xxxxx:
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xxx:
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||||||||||
| &xxxx; |
xxx x.x.:
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xxxxxxxx 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 hodnota "x" "x"
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XXXXXx hodnota "x" "x"
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||||||||||
| &xxxx; |
_________________xxx.x3/xxx
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_________xx/x
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_________
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___________
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xx/x
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|||||||
| &xxxx; |
_________________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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|||||||
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14
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Xxxxxx x přiložení xxxxxxxx rozhodnutí x xxxxxxxxxx xxx
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Xxx/Xx
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||||||||||
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15
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X příloze xx předává xxxxx xxxx k zakreslení xxxxx x xxxxxxxxxx
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Xxx/Xx
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||||||||||
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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 **)
|
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
|
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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16
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||||||||||||||
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17
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||||||||||||||
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18
|
výhled 5 let
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| &xxxx; |
xxx **)
|
X
|
XX
|
XXX
|
XX
|
X
|
XX
|
XXX
|
XXXX
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XX
|
X
|
XX
|
XXX
|
xxxxxx
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19
|
&xxxx; | &xxxx; | &xxxx; | &xxxx; | &xxxx; | &xxxx; | &xxxx; | &xxxx; | &xxxx; | &xxxx; | &xxxx; | &xxxx; | &xxxx; | &xxxx; |
| &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 ÚDAJE
|
|||||||
|
23
|
Vypouštěné 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 připojených xxxxxxxx
|
Xxx kanalizace
|
jednotná
|
oddílná
|
jiná
|
|||
| &xxxx; |
xxxxxxxx vody
|
chladící xxxx
|
xxxxxxx bez
|
kanalizace xxx
|
xxxxx
|
xxxxxxx
|
xxxxxx
|
| &xxxx; |
x xxxxxxxxxx
|
x cirkulačního
|
chladících
|
veřejnou
|
vody
|
|
|
|
chlazení
|
chlazení
|
vod
|
potřebu
|
|
|
|
|
|
26
|
|
povrchová
|
podzemní
|
veřejný
|
minerální
|
důlní
|
jiný
|
celkem
|
|
|
voda
|
voda
|
vodovod
|
voda
|
voda
|
původ
|
|
|
|
27
|
**) xxxxxx správce xxxxxx
Xxxxx xxxxxx xxxxxxxxx
|
Vyřizuje:
|
- xxxxx xxxxxxxxxxx xxxxxxxxxx;
|
|
Xxxxxxx:
|
- xxxxx xxxxxxxx xxxxxxxxxxx pracovníka;
|
|
Fax:
|
- xxxxx xxxx xxxxxxxxxxx xxxxxxxxxx;
|
|
x-xxxx:
|
x-xxxxxxx xxxxxx xxxxxxxxxxx xxxxxxxxxx;
|
|
Xxxxx:
|
xxxxx xxxxxxxx tiskopisu;
|
|
XXX5
|
xxxxxxxxxxx spotřeba xxxxxxx xxxxxxxxx x potlačením xxxxxxxxxxx
|
|
XXX XX 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 830540-3X
|
|
|
X-XX4-
|
xxxxxxxxxxx xxxxx
|
|
XXX XXX 5664, 7150-1
|
|
|
Xxxxxx
|
xxxxxxx xxxxxxxxxxx xxxxx
|
|
xxxxxxxxxx xxxx xxxxxx xxxxxxxxxxxx xxxxxxxxxxx xxxxxx amoniakálního,
|
|
|
dusíku
|
dusitanového, xxxxxxxxxxx podle ČSN XX 26&xxxx;777 (830540-11) x dusíku
|
|
dusičnanového, xxxxxxxxxxx xxxxx XXX XXX 7890-3 (830540-12)
|
|
|
Xxxxx
|
xxxxxxx xxxxxx
|
|
XXX XX 1189 (75 7465)
|
&xxxx;
|
XXX XXXX
|
|
|
Xxxxxxxxx nebo xxxxxxxxx
|
xxxxx xxxxxxx xxxx:
|
|
xxxxxxxxx xxxx
|
xxxxx xxx:
|
|
xxxx xxxxxxxxxx činnosti:
|
|
|
Trvalý xxxxx - sídlo xxxxxxxxx xxxxxxxx
|
Xxxxxx xxxxx - xxxxx xxxxxxxxxxxxx:
|
|
XX:
|
XX:
|
|
XXXX:
|
XXXX:
|
|
01
|
Xxxxxxxxxxxxx xxxxx vodního xxxx
|
|||
|
02
|
Xxxxx xxxxxxxx xxxxx xxxxx xxxx
|
Xxxxx xxxxxx xx xxxxx xxxx
|
||
|
03
|
Xxxxx xxxxxxxxxxxxxx xxxxxx
|
|||
|
04
|
Xxxxx xxxxxxx xxxx
|
|||
|
05
|
Xxxxx xxxxxxxx
|
|||
|
06
|
Xxxxx/Xxxx/Xxxxxxxxxxx xxxxx
|
|||
|
07
|
Xxxxxxxxxxxx data:
|
Qa = x3/x
|
XX = x3/x
|
XXX = m3/s
|
|
Charakteristiky xxxxxxx xxxx:
|
Xxxx xxxxxxx (x x.x.)
|
Xxxxx (xxx. x3):
|
Xxxxx. xxxxxx (xx):
|
|
|
08
|
Xxxxx xxxxxxx:
|
|||
|
09
|
Xxxxxxx prostor:
|
|||
|
10
|
Celkový 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 rozhodnutí x xxxxxxxx x nakládání x vodami xx xxxxxx díle
|
Ano/Ne
|
||
|
14
|
Žádáme x xxxxxxxxx platného rozhodnutí x xxxxxxxxx Manipulačního xxxx
|
Xxx/Xx
|
||
|
Xxxxxxxx:
|
Xxxxx:
|
|
Xxxxxxx:
|
Xxxxxxx x 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 xxxxxx
|
xx
|
&xxxx; | &xxxx; | &xxxx; | &xxxx; | &xxxx; | &xxxx; | &xxxx; | &xxxx; | &xxxx; | &xxxx; | &xxxx; | &xxxx; | &xxxx; |
|
Vyřizuje:
|
- xxxxx xxxxxxxxxxx xxxxxxxxxx;
|
|
Xxxxxxx:
|
- xxxxx telefonu xxxxxxxxxxx xxxxxxxxxx;
|
|
Xxx:
|
- xxxxx xxxx xxxxxxxxxxx xxxxxxxxxx;
|
|
x-xxxx:
|
x-xxxxxxx adresa xxxxxxxxxxx xxxxxxxxxx;
|
|
Xxxxx:
|
xxxxx xxxxxxxx xxxxxxxxx;
|
|
xxxxxxxx xxxxxxxxx vody (xxx. 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 za 2 xxxxxx
|
|
xxx 0,1
|
1x xx xxxxxxxx
|