Mining Proposal and Mine Closure Plan for Small Mining ...

1 1 Office use only: Registration ID: _____Government of Western AustraliaDepartment of Mines, Industry Regulation and SafetyMining Proposal and Mine Closure Plan for Small Mining OperationsProponents are required to contact the relevant Department of Mines, Industry Regulation and Safety (DMIRS) Environmental Officer for the region in which the Small Mining operation is proposed to confirm the use of this form. Contacts can be found here: Environment Inspectorate objective of this form is to assist Small operators in the preparation of a Mining Proposal and Mine Closure Plan. 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. To assist with completing this form, explanations have been included, with further information available in the Guidelines for Mining Proposals in Western Australia (2006) and Guidelines for Preparing Mine Closure Plans (2015).

2 For additional assistance, please contact a DMIRS Environmental Officer. A Mining Proposal and Mine Closure Plan for Small Mining operations is required to meet the following criteria:1. 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 . The assessment of risk is based on the type, scale, location or scope of activities to be 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 operations which do not include permanent excavations below the water table.

3 4. operations with less than 4,000 litres of fuel on operations 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 operations which do not require referral to the Environmental Protection Authority under Part IV of the Environmental Protection Act 1986. This refers to significant proposals likely, if implemented, to have a significant effect on the environment. Further detail can be found in the Memorandum of Understanding between the Office of the Environmental Protection Authority and Department of Mines, Industry Regulation and Safety (2016).Contact Information:Northern RegionSouthwest RegionGoldfields RegionPh: (08) 9222 3484 Email: (08) 9222 3737 Email: Ph (08) 9021 9494 Email: Before the commencement of Mining operations, please be advised that an approved project management plan (PMP) is required under the Mines Safety and Inspection Act 1994 and Mines Safety and Inspection Regulations 1995.

4 For more information please contact Mines Safety (1800 SAFEMINE) or 2Q NoMining Proposal and Mine Closure Plan for Small Mining Operations ChecklistY/N/NAComments1 Are you the tenement holder of all tenements associated with the Mining Proposal ? Mining Proposals which have not been submitted by the tenement holder must include an authorisation from the tenement holder or an explanation of the company linkage to the tenement holder ( for subsidiary companies).2 For tenements with multiple tenement holders, have all of the other holders consented to this Proposal being submitted? Mining Proposals which have not been submitted by the tenement holder must include an authorisation from the tenement holder or an explanation of the company linkage to the tenement holder ( for subsidiary companies).

5 3 Are all Mining operations within granted tenement boundaries or does this Mining Proposal support a lease application?4 Please acknowledge that you understand and commit to complying with all tenement you aware that this Mining Proposal and Mine Closure Plan are publicly available? 6Is there any information in this Mining Proposal and Mine Closure Plan that should not be publicly available?If Yes please provide confidential information in a separate document. A non-confidential version will be made available to the of Tenement Holders/Authorised Person/sI 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 correct. (Note: The corporate endorsement must be given by tenement holder(s) or a senior representative authorised by the tenement holder(s), such as a Registered Manager or Company Director) Name:Signature: Date:Name:Signature: Date:3 Mining Proposal FOR Small Mining OPERATIONSP roject Title:Tenement(s):Project Code (J code) (if known):Environmental Group Site (EGS) Code (if known)*:*Code is derived from the EARS2 system.

6 Leave blank if new (s):Contact Name:Address:Phone:Email:Are you the registered tenement holder?*If No, attach written authorisation from the tenement holder. YesNo1. SCOPE OF Please describe the activities including size and scale of the Mining operation proposed and provide information to demonstrate how the operation meets the Small Mining operations criteria. Estimated length of operations (months/years including commencement and completion dates) Mineral(s) of Maximum depth and dimensions of excavations (m) Tonnages of material Will ore be processed on or off-site? If off-site, where will processing occur?Detail the ore transportation route or attach a map showing the : the use of public or private roads may require a permit from the commissioner of Main Roads and / or approval from the local If on-site, please describe: the type of processing ( dry/wet plant); and estimated total throughput (t) for the life of the Estimated workforce (persons) Description of other support facilities ( camp).

7 2. SITE LAYOUT PLAN A site plan is attached which includes: All proposed and existing site infrastructure and activities ( outline of excavations/workings, camp site, tracks, etc.). Tenement boundaries and labels. Access tracks and roads, including haulage routes and road/rail transport routes. Aboriginal Heritage sites. Other land tenure including freehold (private) land lots, reserves, proposed reserve boundaries, and pastoral lease boundaries. A north indication. A scale bar. A key or labelling of all infrastructure and activities. 53. 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.)

8 A flora and fauna desktop enquiry/search is required to determine if there are any known species of conservation significance ( threatened, priority, declared rare flora and fauna species) within the area. At a minimum, a search of the project tenements is to be conducted on the Department of Biodiversity, Conservation and Attractions (DBCA) NatureMap website (link: ). The search must be undertaken within 3 months of submission of the Mining Proposal . Please contact a DBCA or 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.

9 A search of the project tenements has been conducted in NatureMap and results are No 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 (refer to Section of the Guidelines for Mining Proposals in Western Australia (2006) for further information). Please include any relevant documents as LAND CLEARING 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 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 Stands of vegetation or corridors will be left within areas of Clearing boundaries will be marked out prior to clearing to prevent inadvertent Vegetation and topsoil will be stripped from all disturbance areas and stockpiled for use in rehabilitation.

10 Stockpiles will be no greater than 2m Topsoil/vegetation stockpiles will be located away from drainage lines or where inundation/degradation may Ground clearing activities will not be conducted during periods of high wind, to reduce dust Any disturbances of bed and banks of watercourses to be restored to pre-disturbance Vehicle 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:75. 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) Aboriginal Heritage Inquiry System (link: ) has been undertaken to identify any places or objects of heritage significance that are currently Please mark the box provided to confirm that the Aboriginal Heritage Due Diligence Guidelines (link: ) 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 .