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Domestic waste water

Company*
Private person
Name*
Address*
Tel/Mobile*
E-mail*
Cities/Villages. Inhabitants
Quantity of water (water supply) (m3/month) or (m3/annum)
Living building, hotel, vacation village. Inhabitants (number of beds)
Discharge license
Remark: If available, please send it as attached file!	Extensions: jpg,gif,jpeg,pdf,doc,zip
Place for discharge	Select Onegulchriverdamplakeseaother
Category of the place for discharge
Remarks
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