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Schedule 19: Annual Activity and Expenditure Return

Mineral Resources (Sustainable Development) (Mineral Industries) Regulations 2013 - Regulation 35

1: Mining licence number and operation name: (One licence only per form)

Mining Licence Number
Operation Name
Licensee
Operator (if not licensee)

2. Reporting Period

3. Name and role of person completing the return

Name of person
Role of person
Declaration: To the best of my knowledge and belief the particulars entered on this return and in the attachments are correct and no figures, information or diagrams required under Regulation 35 of the Mineral Resources (Sustainable Development) (Mineral Industries) Regulations 2013 have been omitted.
Signature:
Date:
Telephone

4. Expenditure on wages and salaries

5. Expenditure on equipment, plant or machinery

6. Expenditure on administration and consumables

7. Expenditure on rehabilitation

8. Expenditure on exploration

(as distinct from mining) if any; under the following headings:

Expenditure on office- based activities (see Schedule 18(4))
Expenditure on Airborne Exploration Surveys (see Schedule 18(6))
Expenditure on Remote Sensing (see Schedule 18(7))
Expenditure on Ground Exploration (see Schedule 18(8))
Expenditure on drilling and related activities (see Schedule 18(10))
Expenditure on costeaning, bulk sampling, underground development, geochemistry (see Schedule 18(11))
Total of Expenditure on exploration

9. Expenditure on mining work undertaken during the reporting period

Total Expenditure for licence

Important note: if your operation includes more than one title you may choose to complete the following pages of this report using combined data for all titles at your site. If doing so please indicate the title numbers below.

Title Numbers:

10. Details of the mining work during the reporting period including -

ARE YOUR MINING WORKS IN ACCORDANCE WITH YOUR LICENCE AND APPROVED WORK PLAN? Yes No

10.1 A description and quantities of ore and waste mined and treated

Specific ore or mineral produced for Period Total quantity of ore or mineral produced (tonnes, m3, ounces, grams) Total value of ore or minerals produced ($000) Metallic content of production (%)

10.2 Underground Mining

ARE THERE ANY UNDERGROUND MINE WORKINGS AT THE SITE?
YES Complete this section NO Go to 10.3

1. Attach a detailed current plan of any underground mine to this report. Plans should clearly indicate dimensions, structural features, access points, ventilation, services and security measures.

2. Provide a description of any shaft or underground development during the reporting period, including the depth or distance developed.

(Attach additional pages if necessary)

10.3 Surface mine facilities and works

1. Describe any development or extensions to surface mine facilities and works such as treatment plant, tailings dams, etc.

(Attach additional pages if necessary)

2. If there have been significant changes a scale plan of the site should be attached to clearly indicate developments or extensions to the site over the reporting period. (eg Infrastructure, dams, plant, etc)

11. Land disturbance and rehabilitation including -

11.1 Details of land disturbance and rehabilitation

A The total current area of land disturbed ha
  The proportion of this area that has been disturbed in relation to each of the following:  
  i pits ha
  ii overburden and waste rock dumps ha
  iii tailings storage facilities ha
  iv infrastructure ha
B Area of land disturbed during the last reporting period %
C Area rehabilitated over the last reporting period %
  The proportion of this area that has been disturbed in relation to each of the following:  
  i pits ha
  ii overburden and waste rock dumps ha
  iii tailings storage facilities ha
  iv infrastructure ha
D Percentage of the area rehabilitated over the reporting period (C above) that was revegetated with local native vegetation: %

11.2 Estimate of current rehabilitation liability for the licence area

What is the current bond for the site $
What is the current estimated rehabilitation liability for the site $

Describe any methods and assumptions used in calculation

12. Details of the environmental management activities undertaken during the reporting period, including -

12.1 Tailings Dams

ARE THERE ANY TAILINGS DAMS WITHIN THE LICENSED AREA?
YES Complete this section NO Go to 12.2

Status and area of tailings dams

  Operational Care and maintenance Partially rehabilitated Rehabilitated Totals
Number in each
status category
Total area in each
category (ha)

Please provide the volume and composition of tailings produced by completing and attaching a Tailings Storage Data Sheet (separate) for each tailings storage facility at the site.

12.2 Other Waste Streams

ARE THERE OTHER WASTE STREAMS WITHIN THE LICENSED AREA?
YES Complete this section NO Go to 12.3

Where possible, quantify other significant waste streams generated on-site during the reporting period including volume and composition:

(Attach additional pages if necessary)

Waste Stream Composition Quantity Management measures

12.3 Environmental Monitoring

DOES YOUR APPROVED WORK PLAN AND/OR THE ASSOCIATED WORK PLAN CONDITIONS REQUIRE YOU TO CARRY OUT ENVIRONMENTAL MONITORING?
YES Complete this section NO

Provide a statement outlining whether the licensee has complied with environmental monitoring requirements during the reporting period as outlined under the work plan and conditions, including details of any non-compliances that have not otherwise been reported in accordance with Regulation 33 (reportable events).