1

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PROIECTANT

Agenia Regional de Protecie a Mediului

Cluj

FIA TEHNIC
n vederea emiterii Acordului Unic,
pentru obinerea acordului de mediu

1. DATE DE IDENTIFICARE A OBIECTIVULUI DE INVESTIII

1. Denumire (1)____________________________________________________________
2. Amplasament(1)_________________________________________________________
3. Beneficiar(1)____________________________________________________________
4. Proiectant(1)______________elaborator (1)____________________________________
2. CARACTERISTICILE TEHNICE SPECIFICE ALE INVESTIIEI (1) (n
funcie de tipul de construcie i n conformitate cu anexele nr.1.1 i 1.2 din Ordinul
MAPM nr. 860/2002).
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3. MODUL DE INDEPLINIRE A CERINELOR AVIZATORULUI (1):
Se va complecta cu lista actelor, planelor i documentaiilor depuse la dosar
conform punctului I-2 pagina 3
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4. MODUL DE INDEPLINIRE A CONDIIILOR I RESTRICIILOR IMPUSE
1.______________________________________________________________________
2.______________________________________________________________________
3.______________________________________________________________________
4.______________________________________________________________________
5.______________________________________________________________________
6.______________________________________________________________________

INTOCMIT (2):

5. Vznd specificrile prezentate n FIA TEHNIC privind modul de

indeplinire a cerinelor de avizare, precum i documentaia depus pentru autorizare
( PAC / PAD / POE ), se acord :

AVIZ FAVORABIL
n vederea emiterii Acordului Unic fr / cu urmtoarele condiii (3)
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(3)

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(nume, prenumel, semntura)

L.S.
Data : _______________