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<br />PERMITTEE NAME/ADDRESS (Ind~J,F,rfhryN~./Lxur°" 1/Dgjvmq NHTIOI'1AE pOIWTANT OISCHMOE ELIMINATION SYSTEM (NPUESI OMB Nc 2040-G00~+
<br />NAME [E RESOURCES LIMITED
<br />ADOaESS ~ E NO . 2 MIN E
<br />BOX 483
<br />'.iIA C0 8142Q
<br />FACILrTV E NO. 2 MINE
<br />LocArION ':i IA CO 82428
<br />SIAM A BEAR JR. MINE MGR
<br />DISCHARGE MONITORING REPORT /D RJ
<br />PERMIT NUMBER OISCHMOE NUMBER
<br />MONITORING PERIOD
<br />Y AR MO D Y AR MO D Y
<br />FROM TO
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<br />MINIMUM
<br />AVERAGE
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<br />UNITS EX ~rl~trsls TYPE
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<br /> MEASUREMENT
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<br />NAMERITLE PRINCIPAL EXECUTIVE OFFICER 1 ctrtll) ° er W". I) ° I„' Ih,l thb da°"K"1 '"e'll'll.cnmfnt. wene
<br />re rfe under m dlrecllon or w
<br />v w ~ pfrrNon In Kford,nte wllb .:~flem dnl[Iw'd
<br />TELEPHONE
<br />DATE
<br /> to L1fOR IbN qu,Nfled pernnnN pn,peA~ [,IAef ,nd ev,lu,le Ihf Infornyllon
<br /> fubmllted. !„eA on m7 Irpulry of !Af preen or pfnar wAo m,n,[f tbf /)sleet.
<br />or lhUfe pfnom dlrectlf rf~ponObM fef [,IbMn[ the Infom»Ilon, Ibe Infonlrllon ~ ,.
<br />~ -
<br /> fubmilltd Is. to the best or mT Y"ewted[f ,nd DeMef, Irw. ,ccvnte. ,nd tolrlp{rtf.
<br />I ,m,.,re U,1 Ibfn ,re sl[nlfinwl pen,llla for wlbrnlltln[ fhe Infornullon,
<br />tiIONATLIRE Of rRINCI-Al EXECUTIVE
<br />~ _
<br />~- -
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<br />n/pED OR PRWTED Incfidln[ Ibf po~IbI111T of Ifne,ld I,nprlsen,nenl fw \nowln[ .1d,Uona OFFICER OR AUTHORIZED AGENT CODE NUMBER YEAR MO DAY
<br />6.vMMtaV 15 /1NU Cnrv+r~.. ~ wn yr ..~. ~ .win ~ wr.a I/slrrtfrmc• M ~rr~rnmlrnfs n~i~/
<br />' ". ' ~ >-iR PRFCIP EVENT IS CI_AIMEL7. IF CLAIM APPP.O~>1=L` T3 `f tr!!ICD,
<br />" . MENTS-~ : PG ~ C.r•. L ~sr""- ~_ ifs
<br />EPA Form 3320-1 (Rev. 3/99) Previous editions maybe used. :) j i ~' TINS 'FS 8 4-p~ft fOfTTI. PAGE 'OF
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