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F.8.1.

Pag.1
(1)

______________________________________
( DENUMIRE PROIECTANT)

FI TEHNIC
n vederea emiterii Acordului Unic
aviz pentru amplasament i/sau branament (racord)
pentru reele de gaze naturale
1. DATE DE IDENTIFICARE A OBIECTIVULUI DE INVESTIII
1. Denumire (1)
__________________________________________________________________________________________
2. Amplasament (1)
__________________________________________________________________________________________
3. Beneficiar (1)
__________________________________________________________________________________________
4. Proiect (1) nr. ______________/______ elaborator (1) ____________________________________________
__________________________________________________________________________________________

2. CARACTERISTICILE TEHNICE SPECIFICE ALE INVESTIIEI (1)


2.1.

AMPLASAMENT (1) :
____________________________________________________________________________________________
____________________________________________________________________________________________
____________________________________________________________________________________________

2.2.
BRANAMENT / RACORD (1) :
____________________________________________________________________________________________
____________________________________________________________________________________________
2.3.

CARACTERISTICILE TEHNICE CARE TREBUIE ASIGURATE PRIN PROIECT (1)


____________________________________________________________________________________________
____________________________________________________________________________________________

3. MODUL DE NDEPLINIRE A CERINELOR AVIZATORULUI (1):


____________________________________________________________________________________________
____________________________________________________________________________________________

4. MODUL DE NDEPLINIRE A CONDIIILOR I RESTRICIILOR IMPUSE (1):


____________________________________________________________________________________________
____________________________________________________________________________________________
NTOCMIT (2)
____________________________________________________________________________________________
5. Vznd specificrile prezentate n FIA TEHNIC privind modul de ndeplinire a cerinelor de
avizare precum i documentaia depus pentru autorizare ( PAC/PAD/POE), se acord:

AVIZ FAVORABIL
in vederea emiterii Acordului Unic fr/cu urmtoarele condiii (3) ___________________________________
____________________________________________________________________________________________
____________________________________________________________________________________________
____________________________________________________________________________________________
____________________________________________________________________________________________
Sector Reia

L.S.

(ing

. ADRIAN POPESCU )

(reprezentant CAU Laboda Ana)

Data _________________ 200___

F.8.1.
Pag.2

PRECIZRI
PRIVIND COMPLETAREA FORMULARULUI FI TEHNIC
pentru INSTALAII GAZE
I. DATE GENERALE
1.1. Baza legal : Normativul de proiectare i execuie a reelelor de gaze naturale I 6/98.
1.2. Coninutul documentaiilor
Certificatul de urbanism ( copie)
Memoriu tehnic al lucrrii
Plan ncadrare n zon
Plan de situaie
Titlul asupra imobilului (copie)
Planuri de situaie/ncadrare n zon anex la CU (dac
este cazul)
1.3. Durata de emitere a avizului
Se calculeaz la 15 zile calendaristice de la data depunerii documentaiei complete.
II. CONDIII I RESTRICII SPECIFICE INVESTIIEI IMPUSE DE AVIZATOR *):
(n funcie de tipul de construcie)
__________________________________________________________________________________________
__________________________________________________________________________________________
__________________________________________________________________________________________
__________________________________________________________________________________________
__________________________________________________________________________________________
2.1. AMPLASAMENT
*)
_____________________________________________ ___________________________________________
*)
_____________________________________________ ___________________________________________
2.2. BRANAMENT / RACORD
*)
___________________________________________ ___________________________________________
*)
___________________________________________ ___________________________________________
2.3. CARACTERISTICILE TEHNICE CARE TREBUIE ASIGURATE PRIN PROIECT
*)
___________________________________________ ___________________________________________
*)
___________________________________________ ___________________________________________
III. INDICAII PRIVIND TAXA DE AVIZARE

a) Temei legal: Tarifar stabilit de SC e.on Gaz Romania SA


b) Valoarea taxei de avizare este de 444.000 lei
c) Modalitatea de achitare a taxei : la Casieria Consiliului Judeean sau Trezoreria Reia
Cont RO85TREZ6215069XXX001011 sau BRD RESITA cont RO75BRDE360SV07183033600
IV. ALTE DATE FURNIZATE DE AVIZATOR
_____________________________________________ ___________________________________________
_____________________________________________ ___________________________________________
_____________________________________________ ___________________________________________
_____________________________________________ ___________________________________________
_____________________________________________ ___________________________________________

,____________________________________________________________________________________
NOT: PRIVIND COMPLETAREA FORMULARULUI FI TEHNIC pentru utiliti urbane:
Rubricile numerotate ale formularului se completeaz dup cum urmeaz:
(1)
De ctre proiectant cu datele rezultate din documentaie conform cerinelor avizatorului
(2)
De ctre proiectant cu numele, prenumele i titlul profesional al acestuia ( cu drept de semntur, abilitat / autorizat n domeniu,
potrivit prevederilor legale).
(3)
De ctre avizator ca urmare a analizei documentaiei i a FISEI TEHNICE depuse.
*) Rubricile marcate cu asterisc se completeaz de avizator la faza CERTIFICAT DE URBANISM n funcie de caracteristicile lucrrilor
i de condiiile de amplasament

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