Právní předpis byl sestaven k datu 01.01.2002.
Zobrazené znění právního předpisu je účinné od 01.01.2002.
1. atmosférických xxxxxx x síti xxxxxxxxxxxxx xxxxxx včetně xxxxx xxxxxxx pokrývky x xxxxx hodnoty xxxxx, případně xxxxxxxxxx xxxxxxxx srážek x xxxxxxxxxxxxxxxx xxxxxxx v xxxx klimatických xxxxxx xxxxxxxxxx xxx xxxxxxx xxxxxxxxx zásob x xxxxxx,
2. xxxxxx xxxxxxx x xxxxxxx meteorologických xxxxxxx (xxxx. xxxxxxxxx) xxxxxxxxx x xxxxxxxxxx x síti xxxxxxxxxxxx xxxxxx,
3. xxxxxxx xxxx xx xxxxxxx xxxxxx x xxxx xxxxxxxxxxx xxxxxx,
4. xxxxxx xxxxxxxxxx xxx v síti xxxxxxx podzemních xxx,
5. xxxxxxxxxx pramenů x xxxx sledovaných xxxxxxx;
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XXX XXXX
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Xxxxx podzemní xxxx
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xxxxx odběru:
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název xxxxxxxx xxxxxxxx:
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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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01
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Identifikační xxxxx odběru xxxxxxxx xxxx
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02
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Xxxxx maticové číslo xxxxx xxxx
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Xxxxx xxxxxx xxxxx xxxx
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03
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Xxxxx hydrologického 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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06
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Xxxxx odebírané 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 zachycení 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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Xxxxxx xxxxxx 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 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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10
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Počet / Xxx / Xxxxxxxx xxxxxxxx zařízení x x/x
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Xxxxxxxxxx o xxxxxxxx x odběru xxxxxxxx xxxx
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xxxxx:
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xxx:
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xxx x.x.:
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xxxxxxxx xx:
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x xxxxxxxx:________________ x/x
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_______________
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xxx. x/x
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________________xxx.x3/xxx
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_______________
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xxx. x3/xxx
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xxx xxxx:
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Xxxxxxxxxx x xxxxxxxxx xxxxxxxxxx xxxxx xxxxxxx xxxxxx
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xxxxx:
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xxx:
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xxx čj.:
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Žádáme x přiložení platného xxxxxxxxxx o xxxxxxxx x xxxxxx xxxxxxxx xxxx
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Xxx / Xx
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14
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Xxxxxx x přiložení platného xxxxxxxxxx x xxxxxxxxx xxxxxxxxxx pásma 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 místa odběru
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Ano / Xx
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Xxxxxxxx:
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Xxxxx:
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Xxxxxxx:
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xxxxxx 5 xxx
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xxx xxxxxxxxxx
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xxx živočišnou
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23
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množství vody xxxxxx xxxxxxxxx xxxxxxxxx, xxx xxxxxxxx xxxx xxx xxxxxx x xxxx xxxxx x xxxxxxxxx
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Xxxxxxxx:
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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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- číslo xxxx xxxxxxxxxxx xxxxxxxxxx;
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x-xxxx:
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x-xxxxxxx xxxxxx xxxxxxxxxxx pracovníka;
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Datum:
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datum xxxxxxxx xxxxxxxxx;
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Xxxxxxx x podpis: xxxxxxx povinného xxxxxxxx, xxxxxxxx xxxxxxxxxxxxx x xxxxxx xxxxxxxxxxx pracovníka.
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xxxxxxxx
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XXX ISO 9297 (75&xxxx;7420), XXX 830520-11
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xxxxxx
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XXX XX ISO 10304-1 (75 7391)
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ČSN XXX 9280 (75 7476)
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amonné xxxxx
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XXX XXX 7150-1,2 (75 7451)
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ČSN XX ISO 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 EN XXX 8467 (75&xxxx;7519)
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xxx
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XXX XXX 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 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 ISO 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 činnosti:
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Trvalý 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 xxxxxxxxx xxxx
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02
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Xxxxx xxxxxxxx xxxxx xxxxx xxxx
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Xxxxx xxxxxx xx úseku toku
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03
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Číslo xxxxxxxxxxxxxx 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 xxxxx
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08
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Xxxxxx xxxxxxxxx xxxxxx xxxxxx
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xxxxxx
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xxxxxxx
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09
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Xxxx xxxxxxxxx xxxxxxxx v x. x.x. (Xxxx xx xxxxxxxxx)
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10
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Xxxxxxxxxx x xxxxxxxx x xxxxxx xxxxxxxxx xxxx
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xxxxxxxx xx:
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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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12
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Xxxxxx o xxxxxxxxx xxxxxxxx xxxxxxxxxx x xxxxxxxx k xxxxxx xxxxxxxxx xxxx
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Xxx/Xx
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13
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Xxxxxx x xxxxxxxxx platného xxxxxxxxxx x xxxxxxxxx xxxxxxxxxx xxxxx vodního xxxxxx
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Xxx/Xx
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14
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X xxxxxxx xx xxxxxxx xxxxx xxxx x xxxxxxxxxx místa xxxxxx
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Xxx/Xx
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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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15
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16
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17
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výhled 5 let
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19
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Xxxxxxxx:
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- xxxxx odpovědného xxxxxxxxxx;
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Xxxxxxx:
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- číslo xxxxxxxx xxxxxxxxxxx xxxxxxxxxx;
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Xxx:
|
- xxxxx xxxx odpovědného xxxxxxxxxx;
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x-xxxx:
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x-xxxxxxx xxxxxx odpovědného pracovníka;
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Datum:
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datum xxxxxxxx xxxxxxxxx;
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Xxxxx xxxxxx tiskopisu
|
xxxxxxx xxxx
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XXX 75&xxxx;7342
|
|
xX
|
xxxxxx xxxx
|
|
XXX ISO 10523 (75&xxxx;7365)
|
|
|
xxxxxxxxxxxx
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XXX EN 27888
|
|
XXX5
|
xxxxxxxxxxx xxxxxxxx xxxxxxx xxxxxxxxx
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XXX XX 1899 (75&xxxx;7517)
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|
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XXXXXx
|
xxxxxxxx spotřeba kyslíku xxxxxxxxxxx
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XXX 830530-29
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|
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X-XX4-
|
xxxxxxxxxxx xxxxx
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XXX XXX 7150-1,2 (75 7451)
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|
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ČSN XXX 5664 (75&xxxx;7449)
|
|
|
XXX XXX 6778 (75 7450)
|
|
|
N-NO3-
|
dusičnanový xxxxx
|
|
XXX XXX 7890-1,2,3 (75&xxxx;7453)
|
|
|
Xxxxx
|
xxxxxxx xxxxxx
|
|
XXX XX 1189 (75 7465)
|
|
ROK XXXX
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|
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Xxxxxxxxxx xxxx -
|
xxxxx xxxxxxxxxx:
|
|
xxxxx xxxxxxxxxx:
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xxxx xxxxxxxxxx xxxxxxxx:
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|
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Xxxxxx xxxxx - xxxxx povinného xxxxxxxx
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Xxxxxx xxxxx - xxxxx xxxxxxxxxxxxx:
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|
XX:
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XX:
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XXXX:
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XXXX:
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01
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Xxxxxxxxxxxxx číslo vypouštění xxxx
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|||||||||||
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02
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Xxxxx xxxxxxxx xxxxx xxxxx toku
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Číslo polohy xx xxxxx xxxx
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03
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Xxxxx xxxxxxxxxxxxxx pořadí
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04
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Název xxxxxxx xxxx
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05
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Xxxxx kilometr
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06
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Břeh
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Levý
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Střed
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Pravý
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07
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Okres/Obec/Katastrální území
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08
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Způsob 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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09
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Xxxxxx xxxxxxxxx hodnot xxxxxxx xxxxxxxxxxxx vod
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měření
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výpočet
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odhad
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||||||||
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10
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Typ xxxxxxx / Xxxxx 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 xxx
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Xxx/Xx
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||||||||
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12
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Xxxxxxx xxxxx xxxxxxx odpadních xxx (uveďte xxxxxx)
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13
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Xxxxxxxxxx x povolení x xxxxxxxxxx vod
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vydal:
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dne:
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pod x.x.:
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xxxxxxxx xx:
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| &xxxx; |
x xxxxxxxx:
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x xxxxxxx:
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||||||||||
| &xxxx; |
_________________xxx. x/x
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XXX5 xxxxxxx "p" "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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14
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Xxxxxx x přiložení xxxxxxxx xxxxxxxxxx k xxxxxxxxxx vod
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Ano/Ne
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||||||||||
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15
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V xxxxxxx xx xxxxxxx kopie xxxx x 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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rok **)
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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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X
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XX
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XXX
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xxxxxx
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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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&xxxx; | &xxxx; | &xxxx; | &xxxx; | &xxxx; | &xxxx; | &xxxx; | &xxxx; | &xxxx; | &xxxx; | &xxxx; | &xxxx; | &xxxx; | &xxxx; |
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18
|
xxxxxx 5 xxx
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&xxxx; | &xxxx; | &xxxx; | &xxxx; | &xxxx; | &xxxx; | &xxxx; | &xxxx; | &xxxx; | &xxxx; | &xxxx; | &xxxx; | &xxxx; |
| &xxxx; |
xxx **)
|
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
|
XXX
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XXXX
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XX
|
X
|
XX
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XXX
|
xxxxxx
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19
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&xxxx; | &xxxx; | &xxxx; | &xxxx; | &xxxx; | &xxxx; | &xxxx; | &xxxx; | &xxxx; | &xxxx; | &xxxx; | &xxxx; | &xxxx; | &xxxx; |
| &xxxx; |
xxx **)
|
BSK5
|
CHSKCr
|
NL
|
RAS
|
N-NH4+
|
Nanorg
|
Pcelk
|
|
20
|
||||||||
|
21
|
||||||||
|
22
|
výhled 5 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 ÚDAJE
|
|||||||
|
23
|
Vypouštěné znečištění 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 kanalizace
|
jednotná
|
oddílná
|
jiná
|
|||
| &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 xxxxxx
Xxxxx xxxxxx xxxxxxxxx
|
Vyřizuje:
|
- jméno xxxxxxxxxxx xxxxxxxxxx;
|
|
Xxxxxxx:
|
- číslo xxxxxxxx odpovědného pracovníka;
|
|
Fax:
|
- xxxxx xxxx xxxxxxxxxxx xxxxxxxxxx;
|
|
x-xxxx:
|
x-xxxxxxx xxxxxx xxxxxxxxxxx xxxxxxxxxx;
|
|
Xxxxx:
|
xxxxx vyplnění xxxxxxxxx;
|
|
XXX5
|
xxxxxxxxxxx xxxxxxxx xxxxxxx xxxxxxxxx s potlačením xxxxxxxxxxx
|
|
XXX XX 1899-1,2 (75&xxxx;7517)
|
|
|
XXXXXx
|
xxxxxxxx spotřeba kyslíku xxxxxxxxxxx
|
|
XXX 830540-8
|
|
|
XX.
|
xxxxxxxxxxxx xxxxx
|
|
XXX XX 872 (75&xxxx;7349)
|
|
|
XXX.
|
xxxxxxxxxx xxxxxxxxxxx xxxx
|
|
XXX 830540-3X
|
|
|
X-XX4-
|
xxxxxxxxxxx xxxxx
|
|
XXX ISO 5664, 7150-1
|
|
|
Xxxxxx
|
xxxxxxx anorganický dusík
|
|
vypočítaný xxxx xxxxxx hmotnostních xxxxxxxxxxx xxxxxx xxxxxxxxxxxxx,
|
|
|
xxxxxx
|
xxxxxxxxxxxx, xxxxxxxxxxx xxxxx ČSN XX 26 777 (830540-11) x xxxxxx
|
|
xxxxxxxxxxxxx, xxxxxxxxxxx xxxxx XXX XXX 7890-3 (830540-12)
|
|
|
Pcelk
|
celkový xxxxxx
|
|
XXX XX 1189 (75 7465)
|
|
ROK XXXX
|
|
|
Xxxxxxxxx xxxx akumulace
|
název xxxxxxx xxxx:
|
|
xxxxxxxxx xxxx
|
xxxxx xxx:
|
|
xxxx ekonomické činnosti:
|
|
|
Trvalý xxxxx - xxxxx xxxxxxxxx xxxxxxxx
|
Xxxxxx pobyt - xxxxx provozovatele:
|
|
IČ:
|
IČ:
|
|
OKEČ:
|
OKEČ:
|
|
01
|
Identifikační xxxxx xxxxxxx xxxx
|
|||
|
02
|
Xxxxx xxxxxxxx číslo 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 xxxx:
|
Xxxx hladiny (x n.m.)
|
Objem (mil. x3):
|
Xxxxx. plocha (ha):
|
|
|
08
|
Stálý xxxxxxx:
|
|||
|
09
|
Xxxxxxx xxxxxxx:
|
|||
|
10
|
Xxxxxxx xxxxxxxxxxx xxxxxxx:
|
|||
|
11
|
Xxxxxxxxxx o xxxxxxxx x nakládání x xxxxxx xx vodním xxxx:
|
|||
|
xxxxx:
|
xxx:
|
|||
|
xxx č.j.:
|
||||
|
12
|
Rozhodnutí x xxxxxxxxx Xxxxxxxxxxxxx xxxx:
|
|||
|
xxxxx:
|
xxx:
|
|||
|
xxx x.x.:
|
||||
|
13
|
Xxxxxx x xxxxxxxxx xxxxxxxx rozhodnutí x xxxxxxxx x xxxxxxxxx x xxxxxx xx xxxxxx díle
|
Ano/Ne
|
||
|
14
|
Žádáme x xxxxxxxxx xxxxxxxx xxxxxxxxxx x xxxxxxxxx Manipulačního xxxx
|
Xxx/Xx
|
||
|
Xxxxxxxx:
|
Xxxxx:
|
|
Xxxxxxx:
|
Xxxxxxx 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 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 xxxxxx
|
xx
|
&xxxx; | &xxxx; | &xxxx; | &xxxx; | &xxxx; | &xxxx; | &xxxx; | &xxxx; | &xxxx; | &xxxx; | &xxxx; | &xxxx; | &xxxx; |
|
Xxxxxxxx:
|
- xxxxx odpovědného xxxxxxxxxx;
|
|
Xxxxxxx:
|
- xxxxx xxxxxxxx xxxxxxxxxxx xxxxxxxxxx;
|
|
Xxx:
|
- xxxxx xxxx xxxxxxxxxxx pracovníka;
|
|
e-mail:
|
e-mailová xxxxxx xxxxxxxxxxx xxxxxxxxxx;
|
|
Xxxxx:
|
xxxxx vyplnění 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
|