630
THE NEW ZEALAND GAZETTE.

SCHEDULE K.
Application for Protection of Claim or Licensed Holding.
(Sec. 61, "G. M. Dist. Act, 1873.")

No.
187

To the Warden at
hereby give notice that
desire to obtain a
Protection Certificate for
days or months, for
claim, situate at
, and the following particulars are true
in all respects:—

1. Registered No. of Claim, or No. of Licensed Holding
2. Date at which occupation commenced
3. Time during which the same has been worked, from
   day of
   187
   , to
   day of
   187
4. The claim has or has not been protected before
5. Reason of previous protection
6. Cause for which protection is now required
   (Signature of Applicant or Applicants.)
   (No. of Miner's Right or Rights.)

water-race for mining purposes, commencing at a point
and terminating as shown on plan. The length of such
race is
, or thereabouts, and its intended course is
. The mean breadth and depth of such race is
; it is
capable of carrying
sluice heads of water, and the
number of sluice heads, of forty inches each, which it is pro-
posed to appropriate is
.

Notice is therefore given, that on the
day of
187 , a license will be granted to the above-named
for
the said water race, unless valid objection thereto be in the
meantime made in writing and lodged at this office not less
than seven clear days before that date.

Warden's Office,
187
Warden.

SCHEDULE L.
Certificate of Protection of Claim.

No.
I HEREBY certify that the claim known as the
Claim,
[or Licensed Holding No.
], is
Registered No.
protected for a period of
, terminating on the
day of
187
Warden.

SCHEDULE М.
Hauraki Gold Mining District.
Mining Inspector's Office,
Notice.
187

In pursuance of Section 92 of "The Gold Mining Districts
Act, 1873."

To
Licensee of Licensed Holding No.*

TAKE notice, that the conditions of your license hereunder
specified have not been complied with, and I hereby warn you
that at the expiration of ten days from the service hereof I will
proceed for a forfeiture of your license, in accordance with the
provisions of the above-mentioned Act.
(Conditions referred to.)
Inspector.

• Insert water-race, dam, or reservoir, as the case may be.

SCHEDULE N.
Hauraki Gold Mining District.
Mining Inspector's Office,
Notice.
187

In pursuance of Section 126 of "The Gold Mining Districts
To
Act, 1873."
, Licensee of*

TAKE notice, that the conditions of your license hereunder
specified not having been complied with, all rights under the
same are forfeited, and I hereby warn you that, at the expira-
tion of ten days from the service hereof, I will proceed for
possession of your*
, in accordance with the provisions
of the above-mentioned Act.
(Conditions referred to.)
Inspector.

• Machine, business, or residence site, as the case may be.

SCHEDULE 0.
Hauraki Gold Mining District.
Mining Inspector's Office,
Notice of Forfeiture.
187

In accordance with section 96 of "The Gold Mining Districts
Act, 1873," I hereby give notice that I have decided that* the
whole [or the under-mentioned part] of the land comprised in
the license set forth in the Schedule hereunder, be forfeited
upon the following grounds :—

SCHEDULE.
Description, number, and date of license.
Situation of land, water-race, dam, or reservoir.
In whose name held or registered.
Area of Mining License.

• Here insert any other decision, according to circumstances of the case.

Mining Inspector.

SCHEDULE P.
Application to form a Water Race.
(Copy to be posted and maintained for fourteen days at the
proposed source and termination of the Race.)
187

To the Warden at
hereby give notice that
desire to construct a

SCHEDULE Q.
Application to construct a Dam or Reservoir.
(Copy to be posted and maintained for fourteen days on the
site of the proposed dam or reservoir.)
187

To the Warden at
hereby give notice that
desire to construct a
dam or reservoir situated at
, as shown on plan lodged
herewith. The height of such dam is
feet. The area
of such reservoir is
square yards, and the depth thereof
is
feet.

(Signature of Applicant.)

Notice is therefore given, that on the
day of
187 , a license will be granted to the above-named
for the said dam or reservoir, unless valid objections thereto be
in the meantime made, in writing, and lodged at this office not
less than seven clear days before that date.

Warden's Office,
187
Warden.

SCHEDULE R.
Certificate of Assent to, or Dissent from, Application
for permission to construct a dam or reservoir

The undersigned, being the owner or owners of *
do hereby express
assent to [or dissent from] the
application of
for permission to construct a dam or
reservoir at
Dated this
day of
, 187
(Signature.)

• Here insert name of claim or description of other property supposed to
  be affected.

SCHEDULE S.
Application for Machine, Residence, or Business Site.

To the Warden at
hereby give notice that
desire to occupy for
machine* [residence or business site]
feet by
feet of land, situate at

• and that I have this day
  marked such land
  , in conformity with the regulations
  herein made and provided.
  (Signature of Applicant.)
  (No. of Miner's Right.)

Any person having any objection to this application must
lodge the same in writing at the Warden's office, at
within fourteen days from the date hereof.
(Date.)
Warden.

• If a machine site, add the words, "as shown in plan lodged herewith."

SCHEDULE T.
Application for permission to cut Timber.

To the Warden at
187
hereby make application for permission to cut timber
within the
Block.
(No. of Miner's Right.)
(Signature.)

Any person having any objection to this application must
lodge the same in writing at the Warden's office, at
within seven days from the date hereof.
(Date.)
Warden.

SCHEDULE V.
Timber Certificate.

No.
I hereby certify that
has received permission to cut
timber, except kauri or reserved trees, within the
block,
for the period of twelve months from the date hereof, subject to
all Native rights during the currency of this certificate.
Dated at
, this
day of
, 187
Warden.