JAN. 17. THE NEW ZEALAND GAZETTE. 237

39

And I make this solemn declaration conscientiously believing the same to be true, under and by virtue of the provisions of an Act of the General Assembly of New Zealand intituled “The Justices of the Peace Act, 1882.”

Declared at , this day of , 19 , before me— , a Justice of the Peace for the Colony of New Zealand [or as the case may be].

A. B.

Form 29 (Reg. 33).

Under “The Mining Act, 1905.”

LICENSE FOR A CLAIM OTHER THAN AN ORDINARY CLAIM.

Pursuant to “The Mining Act, 1905,” I, the undersigned, , a Warden of the Mining District, do hereby grant to [Full name, residence, and occupation], this license for [Set out class and subdivision of claim—e.g., a Special Dredging Claim, an Extended Quartz Claim, or otherwise, as the case may be, not being an ordinary claim], in respect of the land described in the First Schedule hereto.

This license is granted for a term of years, commencing on the date hereof, subject to the payment of the rent as specified in the Second Schedule hereto, and also to the terms, conditions, reservations, and provisions set out in the aforesaid Act and the regulations thereunder, and to such additional terms, conditions, reservations, and provisions as are specified in the Third Schedule hereto.

In witness whereof I have hereunto subscribed my name, and affixed the seal of the Warden’s Court at , this day of , 19 .

FIRST SCHEDULE.

All that area of land in the Mining District, containing by admeasurement acres roods and perches, more or less, situate [Here set out section, block, survey district, boundaries, and measurements; and, if land is surveyed, affix plan].

SECOND SCHEDULE.

1. A rental in respect of each acre or portion thereof at the rate of 2s. 6d. a year for the period elapsing between the date hereof and the last day of June [or December] ensuing after the expiration of one year from the date hereof, 5s. for the next succeeding year, and 7s. 6d. for each subsequent year during the term of the license: the amount of the rental being—for the first year, £ ; for the next succeeding year, £ ; and for each subsequent year, £ . In case of Native land, a rental in respect of each acre or portion thereof at the rate of 1s. per annum, the amount of the rental for each year being £ .

2. All payments in respect of the aforesaid rent have been duly made up to the last day of June [or December] next following the date of this license, and the subsequent payments are to be made by half-yearly instalments in advance, the first half-yearly instalment being due and payable in advance on the last day of June [or December] aforesaid.

THIRD SCHEDULE.

(1.) The right of the public to use all tracks over and across the land held under this license for so long and until proper roads are provided and open for public traffic is reserved.

(2.) The right to take all roads for public purposes which shall, in the opinion of the Warden, be necessary is reserved without any claim for compensation, except where such roads may interfere with workings actually in use; and the licensee shall also take out and hold in his own name a miner’s right relating to Native ceded land in respect of every person employed in mining on such area, whether on wages or as a tributer or as a contractor.

(3.) That the owner hereof will bona fide and continuously work the claim by carrying on mining operations for gold hereon with reasonable diligence and skill, and will commence such operations within from the date of this license.

[Set out additional terms, &c., if any.]

, Warden.

Form 30 (Reg. 33).

Under “The Mining Act, 1905.”

LICENSE FOR AN ORDINARY CLAIM.

[As in Form 29, omitting all references to rent, and making all other necessary modifications.]

Form 31 (Reg. 33).

Under “The Mining Act, 1905.”

LICENSE FOR A WATER-RACE.

Pursuant to “The Mining Act, 1905,” I, the undersigned, , a Warden of the Mining District, do hereby grant to [Full name, residence, and occupation], this license for a water-race, as specified in the First Schedule hereto.

This license is granted for a term of years, commencing on the date hereof, subject to the terms, conditions, reservations, and provisions set out in the aforesaid Act, and the regulations thereunder, and also to such additional terms, conditions, reservations, and provisions as are specified in the Second Schedule hereto.

In witness whereof I have hereunto subscribed my name, and affixed the seal of the Warden’s Court at , this day of , 19 .

FIRST SCHEDULE.

[Set out locality of race and nature of the proposed work as set forth in application, modified, however, so as to accord with the grant, adding such other particulars as are necessary, including plan of land if surveyed, number of heads authorised to be diverted, and purpose for which water is to be used.]

SECOND SCHEDULE.

[Set out additional terms, &c., if any.]

, Warden.

Form 32 (Reg. 33).

Under “The Mining Act, 1905.”

LICENSE FOR A TAIL-RACE [or MAIN TAIL-RACE].

[As in Form 31, with all necessary modifications.]

Form 33 (Reg. 33).

Under “The Mining Act, 1905.”

LICENSE FOR A DAM.

[As in Form 31, with all necessary modifications.]

Form 34 (Reg. 33).

Under “The Mining Act, 1905.”

LICENSE FOR A BUSINESS-SITE.

Pursuant to “The Mining Act, 1905,” I, the undersigned, , a Warden of the Mining District, being of the opinion that the land specified in the First Schedule hereto is not required for mining purposes, and that the grant of this license will not interfere prejudicially with mining operations, do hereby grant to [Full name, residence, and occupation], this business-site license in respect of the said land.

This license is granted for a term of years, commencing on the date hereof, subject to the payment of an annual license fee of £3, in manner specified in the Second Schedule hereto, and subject also to the terms, conditions, reservations, and provisions set out in the aforesaid Act, and the regulations thereunder, and to such additional terms, conditions, reservations, and provisions as are specified in the Third Schedule hereto.

In witness whereof I have hereunto subscribed my name, and affixed the seal of the Warden’s Court at , this day of , 19 .