use this form to · 2015. 5. 15. · attachment applicant details mining act 1971 ("the act") ~...

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FORM 17 Mining Act 1971 ("the Act")- Part 8 MISCELLANEOUS PURPOSES LICENCE: APPLICATION USE THIS FORM TO: Section A: Section, Hundred Pastoral block Other Local Council area Section 8: Pegging date Pegged by Section C: Provide details of the land owner/s within the licence area, and how Notice of Entry (Form 21) was served, in accordance with section 58A of the Act. Provide details of any agreements with owner/s of land to authorise entry, in place of a notice of entry. Section D: Provide details of any land within the licence area that Is 'exempt land' under section 9 of the Act. Provide qetails of any exempt land for which a waiver of exemption has been negotiated. I FORM 17 Location of land Hundred of Cunningham See attached listing District Council of Yorke Peninsula Pegging of land Pegged in an alternate manner- see attachment 0 Consult the 1-------------------------------; Act for pegging Surveyed by Civil Surveys and Design (licenced surveyors) requirements. Owner of land Title Reference Owner of land Date of Service 0Acopyof each title (less See attached I st than 3 months old), proving land ownership, must be attached. Proof of service must be attached. 0Acopyof each agreement. signed by both parties, must be attached. Exempt land See attached list 0 Also Identify exempt land in the area plans you provide. Do not include land subject to a waiver of exemption or Court determination. 0 A copy of each waiver must be submitted before mining operations can commence. MINING ACT 1971 Version 1.0 - 01 July 2011 Page 1 of 2

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  • FORM 17 Mining Act 1971 ("the Act")- Part 8

    MISCELLANEOUS PURPOSES LICENCE: APPLICATION

    USE THIS FORM TO:

    Section A:

    Section, Hundred

    Pastoral block

    Other

    Local Council area

    Section 8:

    Pegging date

    Pegged by

    Section C:

    Provide details of the land owner/s within the licence area, and how Notice of Entry (Form 21) was served, in accordance with section 58A of the Act.

    Provide details of any agreements with owner/s of land to authorise entry, in place of a notice of entry.

    Section D: Provide details of any land within the licence area that Is 'exempt land' under section 9 of the Act.

    Provide qetails of any exempt land for which a waiver of exemption has been negotiated.

    I FORM 17

    Location of land

    Hundred of Cunningham

    See attached listing

    District Council of Yorke Peninsula

    Pegging of land

    Pegged in an alternate manner- see attachment 0 Consult the 1-------------------------------; Act for pegging

    Surveyed by Civil Surveys and Design (licenced surveyors) requirements.

    Owner of land

    Title Reference Owner of land Date of Service 0Acopyof each title (less

    See attached I st than 3 months old), proving land ownership, must be attached.

    Proof of service must be attached.

    0Acopyof each agreement. signed by both parties, must be attached.

    Exempt land

    See attached list 0 Also Identify exempt land in the area plans you provide. Do not include land subject to a waiver of exemption or Court determination.

    0 A copy of each waiver must be submitted before mining operations can commence.

    MINING ACT 1971 Version 1.0 - 01 July 2011 Page 1 of 2

  • Section E: The following attachments are required for the application to be valid.

    Section F:

    Ensure that the following items are Included with your application (where relevant).

    Section G:

    Fee

    Payment Method

    Card Number

    Expiry MMIYYYY

    Cardholder Name

    Cardholder Signature

    Attachments

    0 A detailed plan (labelled Plan 1) of the location of the land The plan must show the land sought to be included in the licence, and also-

    dimensions and coordinates/bearings of licence boundaries; and bearings and distances from land boundaries or other known points; and the proposed means of access from a public road.

    0 A detailed plan (labelled Plan 2) of the physical features of the land This plan must show, with reasonable accuracy -

    the physical features of the area Including high and low ground, the location of creeks, drainage channels, dams, roads, houses, fences, power lines, existing workings, dumps and tailing dams, standing trees and shrubs and any other relevant features within or adjacent to the licence area; and · the location of proposed buildings, treatment plant, tailings or other disposal areas, roads and tracks and other features of the proposal.

    All measurements taken for the purposes of the plans must be taken with a GPS unit or other survey equipment.

    0 A management plan for the licence area The management plan must do the following -

    specify the nature and extent of the proposed operations or activities; and set out an assessment of the environmental impacts of the proposed operations or activities; and set out an outline of the measures proposed to manage, limit or remedy those environmental impacts; and . set out a statement of the environmental outcomes that are expected to occur; and include a draft statement of the criteria to be used to measure the expected environmental outcomes; and include the results of any consultation undertaken in connection with the proposed operations or activities.

    Application checklist

    Section Item

    0 A copy of each title evidencing ownership of the land, less than 3 months old

    C. Owner of Land & 0 A copy of each notice of entry to land and proof of service Notice of Entry

    I A copy of any agreement waiving notice of entry, signed by both parties

    I A copy of any Waiver of Exemption agreement that has been D. Exempt Land finalised

    1 Plan 1 - location of the land

    E. Attachments I Plan 2 - physical features of the land 0 Management plan for the licence area IJ A separate 'applicant details' page for each applicant

    0 Payment details below are complete, G. Payment Details Including fee amount

    Payment details

    Miscellaneous Purposes Licence - application

    0 Cash - in person only. Do not post. 0 Cheque 0 Money Order 0 Credit Card- PIRSA to contact applicant for card details 0 Credit Card - details below- Visa I MasterCard

    RECEIPT

    0Attachtwo clearly labelled plans containing the required components.

    Attach a management plan that addresses each of the criteria listed.

    0 Applications must contain these Items (as applicable) in order to be valid.

    Invalid applications may be refused, or further Information may be requested before application is accepted for processing.

    EFT payment made 15/4/201 3 cw code is the f----....:._....:... ___ -.------------- ---,------------i last 3 digits

    CW Security Code printed In the f-- ----------'------------- ----'------------i signature block

    on the back of f-----------------------------------i the credit card.

    NOTE: Each party must complete a separate copy of the 'applicant details ' page and attach to this application .

    I FORM 17 I MINING ACT 1971 I Version 1.0 - 01 July 2011 I Page 2 of 2

    I

    I

  • ATTACHMENT

    APPLICANT DETAILS

    Mining Act 1971 ("the Act") ~ Government of South Australia ~ Primary Industries and Resources SA

    USE THIS FORM TO:

    This applicant's percentage share

    Provide the details of an applicant - one applicant per page only

    I.__ _1_o_o ____ _.l % I Applloaot oombe• 1

    Applicant type: 0coMPANY

    Company name Rex Minerals (SA) Pty Ltd

    ABN 95 125 407 669

    I ACN 1125 407 669

    Registered address line 1 209 Dana Street

    Registered address line 2

    BALLARAT

    of 1

    3350 Suburb/Locality I VIC State I Postcotlc

    0 INDIVIDUAL

    Surname

    Given names

    Applicant contact detai Is 0 Postal address is the same as company registered address above

    Postal address line 1 PO Box 626W

    Postal address line 2

    Suburb/Locality BALLARAT WEST I VIC I

    3350 State Postcodo

    Email [email protected]

    Website www.rexminerals.com.au

    Telephone +61 3 5337 4000

    I Fax I + 613 53311776

    Contact person for queries 0 I am the primary contaclfor this application

    .;ontact Name Marc Twining

    Position Exploration M anager

    Email [email protected]

    Telephone +61 8 8299 7100 I Fax I +61 3 53311776

    Certification that application is complete and correct COMPANY REPRESENTATIVE COMPANY REPRESENTATIVE

    OR INDIVIDUAL OR INDIVIDUAL'S WITNESS

    Print Name 1. Mark Parry 2. Marc Twining

    Role 1. Managing Director and Chief Executive 2. Exploration Manager

    Date Signed 1. 2.

    Signature 1. 2. ...

    ATTACHMENT MINING ACT 1971

    0 Provide the total number of applicants.

    0 If 'Company', provide registered business address, and ABN/ACN.

    New company applicants need to attach copy of certificate of business registration.

    0 All applicants must complete this section.

    0 A contact person must be nominated for each applicant.

    Q) COMPANY: must be signed by appropriate representative/s.

    INDIVIDUAL: witness certifies that the individual named above is the person whose signature appears here .

    Page 1 of 1

  • Section A attachment- Location of Land

    Title Reference CT5880/589 CT5880/590

    CT5880/832 CT5850/730

    CT5830/252 QS&Q6

    CT5801/508

  • Section B: Attachment ____ _.~~ 1\I JI I \ I ll ! i ll I I I

    • Ab Ki1~ \'/illi,)ttt RrMd I fOFU R)C,t,\111 0 ~OJ

  • ,-.t·J.·, ·~.

    ; l

    "' " 't.:., .. , ...

    • I ,.

    Pou lllle,or1 Ptoc.entng Planlloc-aiiOn

    767.000mE

    0 Proposed M PL Corridor D Proposed M PL Port Area

    / Proposed HV Powerllne D Land Parcel Boundary I I Port Processing Plant (2 options)

    / Pipeline Route (Dash ed Options)

    Electricity Grid

    Contour Lines

    Port Ardrossan

    locality

    so 100 rrt!l u

    S c.s'e 1:12.500

    Hillside Project

    Plan 2

    V•;t P~~:~k" V-0AZv. U tGO.lt 4) .. ~O"'"uOa~ fUOA~ t i C«'21tl) ce-,,.--lll,-.=.r~:" PI'$ A 0[ ''~f1 •t

    768.000 mE

    • • • • Wit ......--....

  • PROPOSED MISCELLANEOUS PURPOSES LEASE REX MINERALS

    SEC 55

    F215377 /A96 (f\.!!'.1: 1

    a.·u

    PARARA ROAD

    c vu.s-:..s r(P. r;;.:fl:.:.ro ~·,~wv .. ·.w~> r ,c;~.:.Es tEA:£ 9- ) I.' I v.:ri.F1J,£0

    ARDROSSAN 1•uc1dl

    "-"~ ... a;~ ,'~"''

    ~··· · .. ~~~~·1)1 ~ r-+- ::;:;~ ~:~ I :.:::;! ~~~

    l tlitl l 'l 1'-tl l l"lh'.i 'tUIJU~ t!IU-1 \U ott.t i J I H l 't)tll Hl ' HlJHU 1111~1 •:\ ·unut t'H~J JU IUU .,

    ' uhUU t"

  • Section C attachment

    Title Reference Owner of land relationship to land Date Form 21 served

    CT5850/730 OneSteel Manufacturing Pty Ltd (Arrium Mining Ltd) Leased from Viterra Operations Ltd 15th March 2013 CT5880/832 OneSteel Manufacturing Pty Ltd (Arrium Mining Ltd) Leased from Viterra Operations Ltd 15th March 2013 CT5830/252 Q5&Q6 OneSteel Manufacturing Pty Ltd (Arrium Mining Ltd) Leased from Viterra Operations Ltd CT5801/508 Rogues Gully Pty Ltd Leased from Viterra Operations Ltd 13th March 2013

    CT5880/589 Minister for Transport & Infrastructure Landowner 15th March 2013

    CT5880/590 Minister for Transport & Infrastructure Landowner 15th March 2013

    CT5880/832 Vittera Operations Ltd Landowner 15th March 2013

    CT5850/730 Vittera Operations Ltd Landowner 15th March 2013

    CT5830/252 QS&Q6 Vittera Operations Ltd Landowner 15th March 2013

    CT5801/508 Vittera Operations Ltd Landowner 15th March 2013

  • SECTION D SUMMARY TABLE Tille References Benefit of Excemptlon Relationship to Land Waiver In Place Waiver Expiry Activities Covered by Waiver Waiver Attached

    CTSSS0/589 Minister For Transport & Infrastructure Landowner No No

    CT5880/590 Minister For Transport & Infrastructure Landowner No No

    CT5801/508 Viterra Operations Ltd Landowner Yes 30/04/2013 Surveying & Drilling Yes Rogues Gully Ply Ltd Lessee Yes Open Surveying & Drilling Yes

    CTS880/832 Viterra Operations Ltd landowner Yes 30/04/2013 Surveying & Drilling Yes OneSteel Manufacturing Pty Ltd (Arrium) Lessee Yes 30/04/2013 Surveying & Drilling Yes

    CTSSS0/730 Viterra Operations Ltd landowner No No OneSteei Manufacturing Pty Ltd (Arrium) Lessee No No

    CT5830/252 QS & QG Viterra Operat ions Ltd Landowner No No OneSteel Manufacturing Ptv Ltd jArrium) Lessee No No