Forms and Schedules under the Mining Act 1905




FEB. 18. THE NEW ZEALAND GAZETTE. 655

FIRST SCHEDULE.

[Describe the name, situation, and registered number of each mining privilege, and the name of the holder, and also the equitable owner (if any)].

SECOND SCHEDULE.

[Set out briefly but clearly the particulars of the debt, giving, in the case of wages, the name of the employer, the period, place, and nature of the employment, and the rate and amount of the wages, and in any other case the corresponding particulars as to names, dates, amounts, &c.]
[Signature of applicant, &c.]


Form 52 (Reg. 78).

Under “The Mining Act, 1905.”

NOTICE TO OWNER OF MINING PRIVILEGE AGAINST WHICH A LIEN HAS BEEN REGISTERED.

To A. B. [Full name, residence, and occupation], the holder or equitable owner of the mining privilege[s] set out in the Schedule hereto.

TAKE notice that C. D. [Full name, residence, and occupation], has this day registered as No. a lien against the undermentioned mining privilege[s] for the sum of £ due to him as wages-man [subcontractor, contractor, or partner, as the case may be.]

SCHEDULE.

Reg. No. of Privilege (if any). Name and Locality of Mining Privilege.

Dated at , this day of , 19 .
, Clerk of Warden’s Court.


Form 53 (Reg. 78).

Under “The Mining Act, 1905.”

DISCHARGE OF LIEN.

Registered number of lien :
Office of registration :
Date of registration
Amount of lien : £ .
Name and locality of mining privilege affected, its registered number (if any), and the name of its holder :
THE above-mentioned lien is hereby declared to be discharged by [Set out mode of discharge, e.g., satisfaction, withdrawal, order of the Warden, or as the case may be].
Dated at , this day of 19 .
A. B. (Lienee)
[if discharge is by him; or, if discharge is by order of the Warden, then—
C. D., Warden.]
[If discharge is by Lienee, his signature should be attested thus—
Signed by the said A. B., as Lienee, in the presence of E. F. (adding occupation and residence).]
[If discharge is by payment into Court, or by receipt of the workman duly filed, then—
G. H., Registrar.]


Form 54 (Reg. 87).

NUMERICAL INDEX OF REGISTRATIONS AT , IN THE MINING DISTRICT.

Registration No. in Register. Volume and Folio of Register. Instrument. Mining Privilege. Grantor or Transferor. Grantee or Transferee.
1 .. License .. Special dredging claim .. W. Green.
2 .. Certificate of registration Ordinary alluvial claim .. J. Watson.
, &c.
321 .. Mortgage Water-race .. A. White T. Black.

Form 55 (Reg. 88).

NOMINAL INDEX OF REGISTRATIONS AT , IN THE MINING DISTRICT.

Grantor or Transferor Grantee or Transferee. Instrument. Mining Privilege. Registration No. in Register. Volume and Folio of Register
A. Adams, J., and others &c. &c. &c. Watson, G. Mortgage Special claim 240 Vol. i, folio 49.

Form 56 (Reg. 89).

WATER-RIGHTS INDEX-BOOK OF WATER GRANTS REGISTERED AT THE MINING DISTRICT.

Name of Stream :

Grant. Registered Number in Register. Instrument. Number of Heads. Precise Time from which Priority begins Grantee. How expired. Expiration. [To be filled up when the event occurs.] Date of Expiry.
431 License 15 2.30 p.m., 21 Jan., 1899 W. Smith Forfeited .. .. 20 Dec., 1899.
2142 Certificate of registration 4 2 p.m., 22 Jan., 1900 C. White .. .. ..
2143 License 9 2 p.m., 22 Jan., 1900 C. White Abandoned .. 2 Sept., 1901.

Form 57 (Reg. 97).

Under “The Mining Act, 1905.”

APPLICATION FOR REGISTRATION AND LICENSE IN RESPECT OF MACHINE.

To the Mining Registrar of the Mining District, at .

PURSUANT to “The Mining Act, 1905,” the undersigned [Full name, residence, and occupation], being the owner of the process or appliance specified in the Schedule hereto, hereby applies for the registration of the same, and for the issue of a license to him in respect thereof.

Dated at , this day of , 19 .

SCHEDULE.

[Specify the process of appliance, and also the locality where it is to be used.]

[Signature of applicant, &c.]



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VUW Te Waharoa PDF NZ Gazette 1907, No 16





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🌾 Forms and Schedules under the Mining Act 1905 (continued from previous page)

🌾 Primary Industries & Resources
Mining, Forms, Schedules, Certificates, Registration, Easement, Privileges