Mining Forms




240
THE NEW ZEALAND GAZETTE.
[No. 8

Form 15 (Reg. 23).
Under “The Mining Act, 1898.”
APPLICATION FOR A MINING PRIVILEGE IN RESPECT OF WATER.

To the Warden of the Mining District, at
TAKE notice that, pursuant to “The Mining Act, 1898,” and regulations thereunder, I, A.B. [Full name, occupation, and address], have this day duly marked out the piece of land described in the Schedule hereto (rough sketch-plan whereof is lodged herewith), and intend to make application for the issue to me of a license in respect thereof for a [Here state nature of privilege applied for—e.g., water-race, dam, tail-race, or otherwise, as the case may be], particulars whereof are set forth in the said Schedule. And I hereby declare as follows:—
[Here insert paragraphs (a), (b), (c), and (d), as in Form 14.]
Dated this day of , 1 .
[Signature of applicant, &c., as in Form 14.]

THE SCHEDULE ABOVE REFERRED TO.

Land: [Describe land by situation and locality, with sufficient particularity to admit of easy identification, giving, in the case of private or occupied lands, the name of each owner or occupier so far as known].

Particulars of mining privilege [In the case of a race set out the following particulars]:—
(a.) Its approximate point of intake, terminal point, and intended course;
(b.) Its approximate length, and average depth and breadth;
(c.) The estimated time and cost of its construction;
(d.) If water is applied for, the number of heads it is proposed to divert, and the watercourse the water is proposed to be diverted from;
(e.) The purpose or purposes for which the race is intended to be used.

[In the case of a dam set out the following particulars:—]
(a.) Length and greatest height, and breadth of base of dam-wall;
(b.) Length and width of water area of dam;
(c.) Estimated time and cost of construction;
(d.) The purpose or purposes for which the dam will be used.

The address for service is, .

The foregoing application, &c. [as in Form 14].

Form 16 (Reg. 23).
Under “The Mining Act, 1898.”
APPLICATION TO SURRENDER MINING PRIVILEGE ABSOLUTELY.

To the Warden of the Mining District, at
I, A.B. [Full name of applicant], of [Residence and occupation], being the holder of the mining privileges specified in the Schedule hereto, do hereby apply to surrender the same absolutely, and not for the purpose of exchange. And I hereby declare as follows:—
[As in paragraphs (a), (b), and (c) in Form 14.]
Dated this day of , 1 .

THE SCHEDULE ABOVE REFERRED TO.

Name of Privilege. Its Situation or Locality. Existing Instruments of Title, with Dates and Numbers. Whether Instruments are produced or not.

The address for service is,
Signature of applicant:
A.B.
[Or, as the case may be,
A.B.
(by his Solicitor or Registered Agent,
C.D.).]

The foregoing application, &c. [as in Form 14].

Form 17 (Reg. 23).
APPLICATION TO SURRENDER MINING PRIVILEGES FOR PURPOSES OF EXCHANGE FOR TITLE UNDER “THE MINING ACT, 1898.”

To the Warden of the Mining District, at
I, A.B. [Full name of applicant], of [Residence and occupation], being the holder of the mining privileges specified in the Schedule hereto, do hereby apply to surrender the same,

and to obtain in substitution therefor licenses for corresponding mining privileges under “The Mining Act, 1898”; and I declare as follows:—
[Here set out paragraphs (a), (b), (c), and (d) in Form 14.]
The address for service is, .
Dated this day of , 1 .

THE SCHEDULE ABOVE REFERRED TO.

Name of Mining Privilege proposed to be surrendered. Situation of Same. Existing Instruments of Title, with Dates and Numbers. Whether Instruments are produced or not. Time from which Priority is claimed.

Signature of applicant:
A.B.
[Or, as the case may be,
A.B.
(by his Solicitor or Registered Agent,
C.D.).]

The foregoing application, &c. [as in Form 14].

Form 18 (Reg. 23).
Under “The Mining Act, 1898.”
APPLICATION FOR AMALGAMATION OF CLAIMS.

To the Warden of the Mining District, at
TAKE notice that I, A.B. [Name of applicant], of [Residence and occupation], being the holder of the claims described in the Schedule hereto, and being desirous facilitating the working thereof, and simplifying the titles thereto, do hereby make application for the amalgamation thereof into one claim. And I hereby declare as follows:—
[Here set out paragraphs (a), (b), (c), and (d) in Form 14.]
The address for service is, .
Dated this day of , 1 .
Signature of applicant:
A.B.
[Or, as the case may be,
A.B.
(by his Solicitor or Registered Agent,
C.D.).]

Claims proposed to be amalgamated. Number and Dates of Licenses or Certificates therefor. Area of each Claim. Amount expended on each Claim. Remarks.

The foregoing application, &c. [as in Form 14].

Form 19 (Reg. 23).
Under “The Mining Act, 1898.”
APPLICATION FOR CERTIFICATE OF PROTECTION OF A MINING PRIVILEGE.

To the Warden of the Mining District, at
TAKE notice that, pursuant to “The Mining Act, 1898,” I, [Name in full], of [Residence and occupation], desire to obtain a protection certificate for the period of in respect of the mining privileges particulars whereof are set out in the Schedule hereto. And I hereby declare as follows:—
[Here set out paragraphs (a), (b), and (c), as in Form 14.]
The address for service is, .
Dated at , this day of , 1 .
Signature of applicant:
A.B.
[Or, as the case may be,
A.B.
(by his Solicitor or Registered Agent,
C.D.).]



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VUW Te Waharoa PDF NZ Gazette 1899, No 8





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🌾 Standard Forms for Mining Applications and Licenses under The Mining Act, 1898 (continued from previous page)

🌾 Primary Industries & Resources
30 January 1899
Mining Forms, Prospectors, Warrants, Licenses, Native Land, Tunnel License, Mining District, Warden, Minister of Mines, Application Forms, Schedule, Mining Privilege