648
THE NEW ZEALAND GAZETTE.
[No. 31

SCHEDULES.

SCHEDULE 1 (REG. NO. 4).

APPLICATION FOR LICENSED HOLDING OR SPECIAL CLAIM.

To the Warden at

hereby apply for a [licensed holding or special claim] for gold-mining purposes under the provisions of "The Mining Act, 1886," of the lands hereinafter described.

[Signature of applicant.]

Dated at , the day of , 18 .

The above application and any objections will be heard at the Warden's Office at , on , 18 .

Any person desiring to object to [the issue of a license for the land or to the grant of the special claim applied for] must, within clear days from the date of such application, enter his objections at the Warden's Office at .

[Signature of Warden or Clerk.]

SCHEDULE 2 (REG. 11.)

SURVEYOR'S NOTICE OF MARKING-OUT OF LICENSED HOLDING OR SPECIAL CLAIM.

To all persons whom it may concern.

I hereby give notice that , residing at , did, on the day of , apply to the Warden at for [a licensed holding or special claim] for gold-mining purposes of acres [or yards] of land, which I have this day marked out, and that any person desiring to object [to the issue of such license or to the granting of such special claim] must, on or before the day of , 18 , enter his objection at the office of the said Warden. And I further give notice that the said land is exempted from occupation for any purpose whatsoever until the application of the aforesaid has been finally dealt with.

Dated at , the day of , 18 .

[Signature of Surveyor.]

SCHEDULE 3 (REG. 24, SUB-SEC. E).

DECLARATION AS TO LABOUR AND CAPITAL EMPLOYED.

To the Warden at .

In the matter of [the license or special claim grant] for the occupation of lands situated at , being [license or special claim grant No. ,] and of the employment of labour and capital thereon, I [Name in full, occupation, and address], being one of the [licensees or special claim grantees] in the above-mentioned [license or special claim grant], do hereby solemnly and sincerely declare,--

1. That the average number of men employed on the ground held under [license or special claim grant] and in connection therewith, from the day of to the day of , has been .

2. That the amount of capital expended to date in and upon and in connection with the said ground is £ .

Signature:

Declared before me at
the day of , 18 .

Warden [or J.P.].

SCHEDULE 4 (REG. 22).

APPLICATION FOR CANCELLATION OF LICENSE OF GRANT FOR SPECIAL CLAIM.

To the Warden at

I [or We] hereby make application for the cancellation of [the license or special claim grant] for gold-mining purposes No. , originally granted to , and now occupied by , upon the following grounds:--

[Here state grounds specifically.]

Dated at , the day of , 18 .

[Signature.]

No. and date of Miner's Right.

SCHEDULE 5 (REG. 22).

NOTICE TO LICENSEE OR SPECIAL CLAIM GRANTEE.

The above application will be heard at on the day of , 18 , at the hour of , and you are hereby required then and there to appear in answer thereto, and to produce the [license or grant for the special claim] above referred to.

Dated at , the day of , 18 .

Warden.

SCHEDULE 6 (REG. 27).

NOTICE OF APPLICATION FOR A MINERAL LICENSE.

I [or We], the undersigned, hereby give notice that, after the lapse of days from the date hereof, I [or we] will leave with the Warden at an application for a mineral license, the particulars whereof are hereunder set forth:--

Name in full of applicant or applicants, and style under which it is intended that the business shall be carried on:

Full address of each applicant:

Extent of ground applied for:

Minimum number of men to be employed when commencing operations, also subsequently, when in full work:
For the first months, men.
Subsequently when in full work, men.

Amount of money proposed to be invested, £ s. d., and in what manner the land is to be worked:

Precise locality:

Term for which license is required:

Time of commencing operations:

Whether the boundaries of the land applied for will include any river, creek, or permanent water-spring, or artificial reservoir:

General remarks:

Signature of applicants:

Nos. of miners' rights:

Date and place of application:

SCHEDULE 7 (REG. 30).

APPLICATION FOR A MINERAL LICENSE.

To the Warden at .

I, , hereby apply for a license of that part of the Crown lands hereunder mentioned, for the purpose of mining for the mineral [or metal] hereunder specified, and I declare that I have duly deposited the sum of pounds, as required by the Regulations relating to mineral licenses under "The Mining Act, 1886," as appears by the receipt left with you herewith; and I agree, if my application be investigated,