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Schedule 20: Annual Activity and Expenditure Return

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

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

Prospecting 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 office-based activities undertaken in relation to the licence

6. Expenditure on mining work and exploration 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:

7. A summary of exploration activities during the reporting period:

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

8. 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

8.1 Underground Mining

ARE THERE ANY UNDERGROUND MINE WORKINGS AT THE SITE?
YES Complete this section NO Go to 8.2

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)

8.2 Provide a current plan of any surface mine facilities and works

1. Describe any development or extensions to surface mine facilities and works;

(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)

8.3 A description 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 (%)

9. Land Disturbance and Rehabilitation

9.1 Details of land disturbance and rehabilitation

A The total current area of land disturbed ha
B Area of land disturbed during the last reporting period ha
C Area rehabilitated over the last reporting period ha
D Percentage of the area rehabilitated over the reporting period (C above) that was revegetated with local native vegetation: %

9.2 Estimate of rehabilitation liability

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

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

10.1 Tailings Dams

ARE THERE ANY TAILINGS DAMS WITHIN THE LICENSED AREA?
YES Complete this section NO Go to 10.2

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.

10.2 Other Waste Streams

ARE THERE ANY OTHER WASTE STREAMS WITHIN THE LICENSED AREA?
YES Complete this section NO Go to 10.3

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

10.3 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).