Get the free This Form Replaces Form 3510-9 (8-98)Refer to the Following ...

See page three for instructionsForm Approved OMB No. 20400004United States Environmental Protection Agency Washington, DC 20460NPDES Follow Proximity Waiver (LEW) Certifications form provides notice

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What is this form replaces form?

This form replaces the previous version of the form.

Who is required to file this form replaces form?

Individuals or entities subject to the reporting requirements.

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Fill out the form according to the instructions provided by the issuing authority.

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