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The document ceased to be valid since May 4, 2016 according to Item 1 of the Order of the Government of the Republic of Kazakhstan of April 15, 2016 No. 224 

ORDER OF THE GOVERNMENT OF THE REPUBLIC OF KAZAKHSTAN

of November 21, 2014 No. 1217

About approval of the application form on receipt of permission to special water use and forms of permission to special water use

According to subitem 20-1) of article 36 of the Water code of the Republic of Kazakhstan of July 9, 2003 the Government of the Republic of Kazakhstan DECIDES:

1. Approve enclosed:

1) the application form on receipt of permission to special water use;

2) form of permission to special water use.

2. This resolution becomes effective since November 21, 2014 and is subject to official publication.

Prime Minister of the Republic of Kazakhstan

K. Masimov

Approved by the Order of the Government of the Republic of Kazakhstan of November 21, 2014 No. 1217

The application form on receipt of permission to special water use

в_____________________________________________________

     (full name of state body)

от____________________________________________________

 (full name of physical person or legal entity)

Statement for issue of permission to special water use

I ask to issue permission on (to note in the corresponding cell):

 

[]

dumping of industrial, household, drainage and other sewage into superficial water objects, water management constructions or land relief;

[]

use from part of subsoil of economic and drinking and technological underground waters with withdrawal limits from fifty to two thousand cubic meters per day;

[]

fence and (or) use of surface water using constructions or technical devices specified in Item 1 of article 66 of the Water code of the Republic of Kazakhstan.

 

1. Data on physical person or legal entity:

1) data of the identity document for physical persons, certificates * or the certificate of state registration (re-registration) of the legal entity for legal entities or the certificate on state registration of the individual entrepreneur acting without formation of legal entity

________________________________________________________________________________________________________________

                                                                        (No. by whom and when it is issued)

 

* Note. The certificate on the state (accounting) registration (re-registration) of the legal entity (branch, representation) issued before enforcement of the Law of the Republic of Kazakhstan of December 24, 2012 "About modification and amendments in some legal acts of the Republic of Kazakhstan concerning state registration of legal entities and accounting registration of branches and representations" is valid before the termination of activities of the legal entity;

2) адрес________________________________________________________________________________________________________;

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