Mining Proposal and Closure Plan for Low Impact Mining ...

1 Government of Western AustraliaDepartment of Mines, Industry Regulation and SafetyPetroleumGovernment of Western AustraliaDepartment of Mines, Industry Regulation and SafetyMineral TitlesGovernment of Western AustraliaDepartment of Mines, Industry Regulation and SafetyEnvironmentGovernment of Western AustraliaDepartment of Mines, Industry Regulation and SafetyResources SafetyGovernment of Western AustraliaDepartment of Mines, Industry Regulation and SafetyGeological Survey of Western Australia1 Office use only: Registration ID: _____DRAFT ONLY FOR COMMENTLEGENDText within this section has been revised from the previous version to incorporate stakeholder within this section has not been revised however it has moved within the document. Mining Proposal and Closure plan for Low Impact Mining OperationsProponents are required to contact the relevant Department of Mines, Industry Regulation and Safety (DMIRS) Environmental Officer for the region in which the low Impact Mining operation is proposed to confirm the use of this pro objective of this form is to assist small operators in the preparation of a Mining Proposal and Mine Closure plan .

2 This form is to be used for small-scale developmental Mining and is not intended to replace the Programme of Work form which can still be used for exploration and prospecting activities. Guidance information has been provided in this form to assist in its completion. For additional assistance please contact a DMIRS Environmental Officer or consult the Guideline for Mining Proposals in Western Australia 2016 and Guidelines for Preparing Mine Closure Plans 2015. A separate template will be available for completing standalone Mine Closure Plans lodged without a Mining Proposal as per the requirements of Section 84 AA of the Mining Act Mining Proposal and Mine Closure plan for low Impact Mining operations is required to meet the following criteria: low risk, small-scale activities, including scrape and detecting, small-scale test pits, small mobile dry/wet plants, small-scale vat/heap leach operations , small shafts or winzing, small precious stones Mining , small-scale gypsum Mining , small-scale basic raw material extraction and small-scale river-sand Mining .

3 The assessment of risk is based on the type, scale, location or scope of activities to be conducted. operations which are free of high risk issues that may require ongoing management post Closure , for example fibrous minerals, radioactive materials, elevated heavy metals, material capable of generating acid and/or metalliferous drainage, erodible material that is capable of compromising the stability and or safety of the waste dump or overburden stockpile, permanent surface water diversions. operations which do not include permanent excavations below the water table. operations with less than 4,000 litres of fuel on site. operations which do not require referral under Part IV of the Environmental Protection Act 1986. which are not located within reserved land ( conservation, water or town site reserve, with the exception of unoccupied town sites) or Public Drinking Water Source your proposed activities narrowly miss these criteria, you may discuss possible use of this form with the DMIRS Environmental Team Leader for your region (Environment Inspectorate Map).

4 Contact InformationNorthern RegionSouthwest RegionGoldfields RegionPh: (08) 9222 3484 Email: (08) 9222 3737 Email: Ph (08) 9021 9494 Email: Environmental Division Inspectorate MapBefore the commencement of Mining operations , an approved project management plan (PMP) is a requirement under the Mines Safety and Inspection Act 1994 and Mines Safety and Inspection Regulations 1995. For more information please contact Mines Safety (1800 SAFEMINE) or 2 DRAFT ONLY FOR COMMENTM ining Proposal and Mine Closure plan for Low Impact Mining operations ChecklistY/N/NAComment(s)Please acknowledge that you understand and commit to complying with all tenement you aware that this Mining Proposal is publicly available? Is there any information in this Mining Proposal that should not be publicly available? If yes please provide confidential information in a separate document. A non-confidential version of all Mining proposals will be made available to the public. For tenements with multiple tenement holders, have all of the holders consented to this Proposal being submitted?

5 Mining Proposals and Mine Closure Plans which have not been submitted by the tenement holder must include authorisation from the tenement holder. Endorsement of Tenement Holders/Authorised Person/s I hereby certify that to the best of my knowledge, the information contained within this Mining Proposal and Mine Closure plan and checklist is true and :Signature: Date:Name:Signature: Date:3 DRAFT ONLY FOR COMMENTMINING Proposal AND MINE Closure plan FOR LOW Impact Mining OPERATIONSP roject Title:Tenements:Project Code (J code) (if known):Environmental Group Site (EGS) Code:(Code is derived from the EARS2 system. Leave blank if new site)Operator(s):Contact Name:Address:Phone:Email:Tenement Holder s Name (if different to above)*:*Attach authorisation of Tenement Holder if SCOPE OF Please describe the activities, nature and scope of the Mining operation proposed, including information to demonstrate how the operation meets the low Impact Mining operations Mineral(s) of Maximum depth of excavations (m) Description of waste rock Estimated length of operations (months/years) (including commencement and completion dates) Estimated workforce (persons) Will ore be processed on or off site?

6 If off-site, where will processing occur? Detail the ore transportation route or attach a map showing the If on-site, please describe the type of processing ( dry/wet plant) and estimated total throughput (t) for the life of the operation:4 DRAFT ONLY FOR Is a heap/vat leach proposed? If yes provide a description of the heap/vat leach facility ( max. height, liner type, process chemicals used). Description of other support facilities ( camp).2. EXISTING Describe the existing area ( historic mines, waste dumps, old plant sites, general rubbish/scrap, large previously cleared areas). Describe Existing Vegetation and Landform ( mulga shrublands, eucalypt/saltbush woodland, spinifex grassland, flat alluvial plain, greenstone, range, creek/drainage lines, hillsides etc.).A flora and fauna desktop enquiry/search is required to determine if there are any known species of conservation significance (ie. threatenead, priority, declared rare flora and fauna species) within the area.

7 At a minimum, a search of the project tenements is to be conducted on the Department of Biodiversity, Conservation and Attractions (DBCA) NatureMap website. Please contact a DMIRS Environmental Officer if you require assistance using the search identifies flora or fauna of conservation significance, then further work, including on-ground surveys, may be required. This should be discussed with the relevant DMIRS Environmental Officer. DMIRS recommends the applicant includes photos of the proposed disturbance area to assist the assessment process. A search of the project tenements has been conducted in NatureMap and results are Were any conservation significant flora or fauna species ( threatened, priority, declared rare) located in the search? If yes to above please confirm whether the proposed activities will have any Impact on conservation significant flora or fauna. Please detail the results and management Please describe any additional flora and/or fauna surveys conducted by suitably qualified persons.

8 Please include any relevant documents as ONLY FOR COMMENT3. SOCIAL IMPACTS, LAND USE AND CONSULTATION Please mark the box provided to confirm that a desktop enquiry/search(s) of Department of Planning, Lands and Heritage (DPLH) Register has been undertaken to identify any places or objects of heritage significance that are currently Please mark the box provided to confirm that the Cultural Heritage Due Diligence Guidelines prepared by the DPLH and Department of the Premier and Cabinet have been considered to determine the level of risk (overall Impact assessment) posed by the Proposal . Depending on the level of risk (as determined by the Cultural Heritage Due Diligence Guidelines), evidence of on-site survey(s) identifying places or objects of heritage significance that are currently known or unknown may be : Should the outcome of a survey indicate the proposed activities will intersect with an Aboriginal heritage site, a copy of written consent or clearance (s18 approval under the Aboriginal Heritage Act 1974) from DPLH regarding the potential Impact of the Mining project on the identified place, or objects, of heritage significance will need to be What are the underlying and pre-existing land uses of the area?

9 Please list those stakeholders affected and the consultation undertaken to date, including any issues raised and how they are to be Is the underlying/pre-existing land use expected to change after the completion of this Mining Proposal ? If no, please continue at Section If yes, please describe the changed end land use. Note: if the underlying/pre-existing land use is expected to change after completion of Mining then consultation is expected to be conducted with the relevant Has engagement been undertaken with those stakeholders impacted by a change in land use?6 DRAFT ONLY FOR COMMENT4. LAND CLEARING YesNo Will your activities require the clearing of native vegetation?Note: Clearing refers to any act or activity that causes: The killing or destruction of; or The severing of trunks or stems of; or Any other substantial damage to;some or all of the native vegetation in an area. Please indicate which of the following environmental management practices and methods of minimising disturbance will be undertaken:Significant vegetation ( large trees and dense vegetation) will be of vegetation or corridors will be left within areas of boundaries will be marked out prior to clearing to prevent inadvertent and topsoil will be stripped from all disturbance areas and stockpiled for use in rehabilitation.

10 Stockpiles will be no greater than 2m stockpiles will be located away from drainage lines or where inundation/contamination may clearing activities will not be conducted during periods of high wind, to reduce dust disturbances of bed and banks of watercourses to be restored to pre-disturbance hygiene maintained to prevent the spread of plant pathogens ( Phytophthora sp.) and/or invasive species where required. List any other management practices/methods:Please provide an explanation for any no responses above:7 DRAFT ONLY FOR COMMENT5. SITE plan A site plan is attached which includes all proposed and existing site infrastructure and activities to help explain the layout and function of the site. The site plan shows tenement boundaries and access to the project area from public roads etc. Key Mine ActivitiesAny Key Mine Activities listed below must be shown individually on the site plan and a maximum area included in the disturbance table (Section 6). Key Mine Activities are: Mining void (depth greater than 5m below groundwater) Mining void (depth greater than 5m above groundwater) Heap or Vat leach facility Evaporation pond Dam saline water or process liquor Plant site Run of mine pad Tailings or residue storage facility (Class 2): highest embankment is less than 5 metres high does not contain any of the following fibrous minerals radioactive material material capable of generating acid and metalliferous drainage, including neutral drainage and saline drainage.