New Zealand Gazette – 1915 – No. 79

Page 2192

✨ Coal Mining Forms

2192
THE NEW ZEALAND GAZETTE.
[No. 79

FORM 9.
[Reg. 31.
Under the Coal-mines Act, 1908, and Amendments.
APPLICATION FOR A COAL LEASE.
[If the land is situate wholly outside a mining district the application must be made to the Commissioner of Crown Lands of the land district, and this form must be altered accordingly.]
To the Warden of the Mining District, at .
Pursuant to the Coal-mines Act, 1908, and amendments, the undersigned [Full name, residence, and occupation] hereby applies for a coal lease in respect of the following land :—
[Here specify and identify the land with reasonable particularity by reference to its area, situation, and ownership.]
Mark on pegs :
Address for service :
Dated at this day of , 19 .
Signature of applicant :
A. B.
[Or, as the case may be,
A. B.
(by his Solicitor or Registered Agent, C. D.).]
Precise time of marking out privilege applied for: [e.g., 6th March, 1908, at 2.30 p.m.]
Time and place appointed for the hearing of the application and all objections thereto: [e.g., Monday, 23rd March, 1908, at 10 a.m., at Warden’s Court at .]
Objections must be filed in the Registrar’s office and notified to applicant at least three days before the time so appointed.
, Mining Registrar.

FORM 10.
[Reg. 31.
Under the Coal-mines Act, 1908, and Amendments

FORM 12.
[Reg. 38.
Under the Coal-mines Act, 1908, and Amendments.
DECLARATION WHERE APPLICANT DOES NOT DESIRE TO APPEAR.
In the matter of an application numbered in the Application Record-book, at , for [State subject-matter of application].
I, A. B. [Full name, residence, and occupation], do hereby solemnly and sincerely declare as follows :—

That I am the applicant [or one of the applicants] named in the above-described application.
That all the statements contained in the said application are true.
That all prescribed provisions as to marking out the ground referred to in the application, posting notices thereon, serving notices on all persons affected, and otherwise, have been duly observed, in so far as is required by law.
That the ground applied for is Crown land open for mining.
That I believe myself [or the applicants] to be entitled to the grant of the application, and know of no valid objection thereto.
That, so far as I am aware, no public or private rights will be prejudicially affected by the grant of the application.
[Here set out such other facts as may be necessary.]
And I make this solemn declaration conscientiously believing the same to be true, and by virtue of the Justices of the Peace Act, 1908.
A. B.
Declared at this day of , 19 , before me— , a Justice of the Peace for the Dominion of New Zealand [or as the case may be].

FORM 13.
SUMS AND FEES TO BE LODGED WITH THE RECEIVER IN CONNECTION WITH THE FILING OF APPLICATIONS, TO ABIDE THE DISPOSAL OF THE APPLICATION.
( One year’s rent computed

Next Page →