2740
THE NEW ZEALAND GAZETTE.
[No. 293

Form 15 (Reg. 33).

Under “The Mining Act, 1908.”

APPLICATION FOR LICENSE FOR A CLAIM.

To the Warden of the Mining District, at

PURSUANT to “The Mining Act, 1908,” the undersigned [Full name, residence, and occupation] hereby applies for a license for a claim, as specified in the Schedule hereto, in respect of the land therein referred to, which has been duly marked out for the purpose.

Date and number of miner’s right :
Address for service :
Dated at , this day of , 19 .

SCHEDULE.

Class and subdivision of claim :*
Style under which claim is to be worked :
Proposed mode of working :
Proposed term of license :
Locality where land is situated, with its boundaries, measurements, and area :

• E.g., ordinary alluvial claim, extended quartz claim, special dredging claim, or otherwise, as the case may be.
  [Signature of applicant, &c., as in Form 7.]
  Precise time, &c. [as in Form 7.]

Form 16 (Reg. 33).

Under “The Mining Act, 1908.”

APPLICATION FOR LICENSE FOR A WATER-RACE.

To the Warden of the Mining District, at

PURSUANT to “The Mining Act, 1908,” the undersigned [Full name, residence, and occupation] hereby applies for a license for a water-race, as specified in the Schedule hereto, the course whereof has been duly marked out for the purpose.

Date and number of miner’s right :
Address for service :
Dated at , this day of , 19 .

SCHEDULE.

Locality of the race, and of its starting and terminal points :
Length and intended course of race :
Points of intake :
Estimated time and cost of construction :
Mean depth and breadth :
Number of heads to be diverted :
Purpose for which water is to be used :*
Proposed term of license :

• E.g., mining purposes, irrigation, or otherwise, as the case may be.
  [Signature of applicant, &c.]
  Precise time, &c.

Form 17 (Reg. 33).

Under “The Mining Act, 1908.”

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

[As in Form 16, with all necessary modifications, including Schedule, as follows.]

Locality of the race, and of its starting and terminal points :
Length and intended course of race :
Its greatest depth and breadth :
Estimated time and cost of construction :
Proposed term of license :
[If a main tail-race.] The persons by whom and the terms upon which the race is to be used :

Form 18 (Reg. 33).

Under “The Mining Act, 1908.”

APPLICATION FOR LICENSE FOR A DAM.

[As in Form 15, with all necessary modifications, including Schedule, as follows.]

SCHEDULE.

Locality of dam :
Particulars of dam, viz. :—
Length of dam-wall :
Greatest height of same :
Breadth of same at base :
Length and width of water-area :
Estimated time and cost of construction :
Proposed term of license :
Purpose for which water is to be stored :

Form 19 (Reg. 33).

Under “The Mining Act, 1908.”

APPLICATION FOR LICENSE FOR RESIDENCE-SITE [or BUSINESS-SITE].

[As in Form 15, with all necessary modifications, including Schedule, as follows.]

SCHEDULE.

Locality where land is situate, with its boundaries, measurements, and area :
Proposed term of license :

Form 20 (Reg. 33).

Under “The Mining Act, 1908.”

APPLICATION FOR LICENSE FOR A SPECIAL SITE.

[As in Form 15, with all necessary modifications, including Schedule, as follows.]

SCHEDULE.

Locality where special site is situate, with its boundaries measurements, and area :
Purpose for which special site is to be used :
Claim in connection with which the special site is to be used :
Proposed term of license :

Form 20A (Reg. 33).

Under “The Mining Act, 1908.”

APPLICATION FOR A MINERAL LICENSE.

[As in Form 15, with all necessary modifications, including Schedule, as follows.]

SCHEDULE.

Locality where license is situate, with its boundaries, measurements, and area :

Form 21 (Reg. 33).

Under “The Mining Act, 1908.”

APPLICATION TO SURRENDER MINING PRIVILEGE[S] ABSOLUTELY.

To the Warden of the Mining District, at

PURSUANT to “The Mining Act, 1908,” the undersigned [Full name, residence, and occupation], being the holder of the mining privilege[s] specified in the Schedule hereto, hereby applies to surrender the same absolutely, and not for the purpose of exchange.

Address for service :
Dated at , this day of , 19 .

SCHEDULE.

[Signature of applicant, &c.]
Precise time, &c.