DEPARTMENT OF MINES AND ENERGY www.nt.gov.au ADVISORY NOTE NORTHERN TERRITORY DEPARTMENT OF MINES AND ENERGY REHABILITATION REPORT TEMPLATE FOR EXPLORATION OPERATIONS ADVISORY NOTE This advisory note outlines the minimum requirements for information to be included in the submission of a Rehabilitation Report associated with the Application for Certificate of Closure. Instructions for use: An Application for Certificate of Closure is required to be submitted when all exploration activities associated with an Authorisation have been completed and rehabilitation has been completed successfully (Section 46 Mining Management Act). A Rehabilitation Report should accompany an Application for Certificate of Closure. A Rehabilitation Report Template is also available, if required, on the Department’s website: www.minerals.nt.gov.au/mining. This Advisory Note is not to be taken as an exhaustive list of the Department’s requirements, but should be utilised by operators as a guide to the minimum information required for assessment of closure. Security will be released by the Department on approval of an Application for Certificate of Closure and Rehabilitation Report. The Rehabilitation Report should be signed off by senior staff (e.g. exploration manager) who are authorised by the company to endorse close out of the site. Minerals and Energy Advisory #: CA7-014 13 June 2013 Page 1 of 11 Minerals and Energy Advisory #: CA7-014 13 June 2013 {OPERATOR/COMPANY NAME} {YEAR} REHABILITATION REPORT FOR {PROJECT/SITE} Authorisation Number **(The Exploration Rehabilitation Report Structure Guide is available as a guide to this template). Page 2 of 11 Minerals and Energy Advisory #: CA7-014 13 June 2013 1.0 OPERATOR DETAILS Operator Name: Key Contact Person/s: Postal Address: Street Address: Phone: Fax: Email: Page 3 of 11 Minerals and Energy Advisory #: CA7-014 13 June 2013 2.0 PROJECT DETAILS Project Name: Location: Site Access: Authorisation No: Mining Interest/s: Title holder/s: Title Status 2.1 MAP OF SITE LOCATION AND LAYOUT Page 4 of 11 Minerals and Energy Advisory #: CA7-014 13 June 2013 2.2 HISTORY OF DEVELOPMENT Summary of historical disturbances: Summary of exploration activities conducted: Table 1. Drill hole summary. Year 2010 Tenement EL12345 Number/Type Number/Type Depth Status 15 RC 1500 m Plugged/Capped 1 x Costean (50 x 1.5) 1m Backfilled Proposed Drilled/Disturbed 20 RC 1 x Costean (50 x 1.5) EL EL EL 2011 2012 *(Example only – clear fields and insert company data). Page 5 of 11 Minerals and Energy Advisory #: CA7-014 13 June 2013 3.0 REHABILITATION DETAILS Refer to the Department’s Advisory note entitled ‘Construction and Rehabilitation of Exploration Drill Sites’ located on the website: www.minerals.nt.gov.au/mining. A Rehabilitation checklist has been included in Appendix 1 for sign off of rehabilitation works. 3.1 Rehabilitation Methods Summary of methods for rehabilitation of exploration disturbances: 3.2 Objectives and Targets Details of status of closure objectives/targets: 3.3 Post Closure Monitoring Details of post closure monitoring: Page 6 of 11 Minerals and Energy Advisory #: CA7-014 13 June 2013 3.4 Remaining Liability Summary of infrastructure to be retained by landowner: *Attach supporting documentation in appendix. Page 7 of 11 Minerals and Energy Advisory #: CA7-014 13 June 2013 4.0 RADIATION MONITORING Hole ID Before date Dose rate After date Dose rate Page 8 of 11 Minerals and Energy Advisory #: CA7-014 13 June 2013 Is radiation within background levels? Is there subsidence? Are there weeds? Are there signs of erosion? Is the site revegetated? Rehabilitation Is site nominated for ongoing monitoring? Is radiation within background levels? Rubbish removed Access track ripped Drill pad ripped Topsoil/vegetation replaced Sample bags/core removed Hole ID Sumps backfilled Date Drill spoils buried/backfilled Drill holes plugged/capped DEPARTMENT OF MINES AND ENERGY www.nt.gov.au APPENDIX 1 – REHABILITATION CHECKLIST Post-closure Monitoring Sign Off / Comments Page 9 of 11 DEPARTMENT OF MINES AND ENERGY www.nt.gov.au APPENDIX 2 – GPS COORDINATES Hole ID Type Minerals and Energy Advisory #: CA7-014 13 June 2013 Depth Datum Easting Northing Title Status Page 10 of 11 Minerals and Energy Advisory #: CA7-014 13 June 2013 APPENDIX 3 – REHABILITATION PHOTOGRAPHS Figure 1. Before rehabilitation (drill hole ID and date). Figure 2. After rehabilitation (drill hole ID and date). Page 11 of 11