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F.8.

1
Pag. 1

1)
________________________________________ *) ECOAQUA S.A. CALARASI
____________________________________
(DENUMIRE PROIECTANT) (DENUMIRE SOCIETATE / REGIE
FURNIZOR / ADMINISTRATOR DE UTILITI URBANE )

FI TEHNIC
n vederea emiterii Acordului Unic
aviz pentru amplasament si/sau branament (racord)
pentru ____________________________
utilitatea urban *)

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

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)
L.S.
_________________________________________________________________________________________

5. V znd specificaiile prezentate in FIA TEHNIC privind modul de ndeplinire a cerinelor de


avizare, precum si documentaia depusa pentru autorizare (DTAC/DTAD/DTOE), se acord :

AVIZ FAVORABIL
n vederea emiterii Acordului unic fr/cu urmtoarele condiii (3) _________________________________
_________________________________________________________________________________________

*) ___________________________
(SOCIETATEA / REGIA AVIZATOARE)
(nume, prenume, semn
tura)
L.S.

Data: ________________
F.8.1
Pag. 1

1)
________________________________________ *) ROMTELECOM S.A. CALARASI
____________________________________
(DENUMIRE PROIECTANT) (DENUMIRE SOCIETATE / REGIE
FURNIZOR / ADMINISTRATOR DE UTILITI URBANE )

FI TEHNIC
n vederea emiterii Acordului Unic
aviz pentru amplasament si/sau branament (racord)
pentru ____________________________
utilitatea urban *)

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

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)
L.S.
_________________________________________________________________________________________

5. V znd specificaiile prezentate in FIA TEHNIC privind modul de ndeplinire a cerinelor de


avizare, precum si documentaia depusa pentru autorizare (DTAC/DTAD/DTOE), se acord :

AVIZ FAVORABIL
n vederea emiterii Acordului unic fr/cu urmtoarele condiii (3) _________________________________
_________________________________________________________________________________________

*) ___________________________
(SOCIETATEA / REGIA AVIZATOARE)
(nume, prenume, semn
tura)
L.S.

Data: ________________
F.8.1
Pag. 1

1)
________________________________________ *) G.D.F. SUEZ ENERGY ROMANIA S.A.
____________________________________
(DENUMIRE PROIECTANT) (DENUMIRE SOCIETATE / REGIE
FURNIZOR / ADMINISTRATOR DE UTILITI URBANE )

FI TEHNIC
n vederea emiterii Acordului Unic
aviz pentru amplasament si/sau branament (racord)
pentru ____________________________
utilitatea urban *)

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

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)
L.S.
_________________________________________________________________________________________

5. V znd specificaiile prezentate in FIA TEHNIC privind modul de ndeplinire a cerinelor de


avizare, precum si documentaia depusa pentru autorizare (DTAC/DTAD/DTOE), se acord :

AVIZ FAVORABIL
n vederea emiterii Acordului unic fr/cu urmtoarele condiii (3) _________________________________
_________________________________________________________________________________________

*) ___________________________
(SOCIETATEA / REGIA AVIZATOARE)
(nume, prenume, semn
tura)
L.S.

Data: ________________