3206
THE NEW ZEALAND GAZETTE.
[No. 76

Form 44 (Regs. 11 and 59).
Under the Mining Act, 1926.

APPLICATION FOR RENEWAL OF LICENSE FOR MINING PRIVILEGE.

To the Warden of the Mining District, at

PURSUANT to the Mining Act, 1926, the undersigned [Full name, residence, and occupation], being the holder of the license specified in the Schedule hereto, hereby applies for a renewal thereof for a term of years, commencing on the expiry of the current term.

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

SCHEDULE.
Particulars of Current License.

Date and registered number :
Name and locality of mining privilege :
Date of expiry of term :
[Signature of applicant, &c.].

Form 45 (Reg. 63).
Under the Mining Act, 1926.

CERTIFICATE OF REDUCTION.

THIS is to certify that, pursuant to the Mining Act, 1926, and on the application of [Full name and residence of holder of claim], being the holder of the claim specified in the Schedule hereto, the prescribed minimum number of workmen to be employed therein is hereby reduced to for the period of , commencing on the date hereof.

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

SCHEDULE.

Title under which claim is held, with date and registered number :
Name of claim :
Its locality and area :
Date when originally taken up :
, Warden.

Form 46 (Reg. 65).
Under the Mining Act, 1926.

CERTIFICATE OF PROTECTION.

THIS is to certify that, pursuant to the Mining Act, 1926, I have this day granted protection to [Here set out in full names of holder of mining privilege(s) protected] in respect of the mining privilege[s] specified in the Schedule hereto, for a period of , commencing on the day of , 19 .

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

SCHEDULE.

, Warden.

Form 47 (Reg. 67).
Under the Mining Act, 1926.

CERTIFICATE OF EASEMENT.

PURSUANT to the Mining Act, 1926, I, the undersigned, , a Warden of the Mining District, do hereby grant to [Full name, residence, and occupation], as holder of the mining privilege specified in the First Schedule hereto, this certificate of easement, authorizing him as such holder, and for the purpose of facilitating his mining operations in connection with such mining privilege, to enter upon, occupy, and use the land specified in the Second Schedule hereto (being portion of the land comprised in the mining privilege specified in that Schedule) for all or any of the purposes specified in the Third Schedule hereto.

This certificate is granted subject to the terms, conditional 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 herein or in the Fourth Schedule hereto.

The rights exercisable under this certificate shall be deemed to be appurtenant to the mining privilege specified in the First Schedule hereto, and accordingly this certificate shall not be transferable apart from such privilege, and upon the expiry, forfeiture, or abandonment of such privilege this certificate shall be void.

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.

[Specify name, registered number (if any), and locality of the applicant’s mining privilege.]

SECOND SCHEDULE.

[Specify, with sufficient particulars for identification, the situation, measurement, and area of the portion of land to which the certificate applies, and the name, registered number (if any), and locality of the mining privilege in which it is comprised, as also the full name of the holder of such privilege.]

THIRD SCHEDULE.

[Specify the purposes.]

FOURTH SCHEDULE.

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

, Warden.

Form 48 (Reg. 68).
Under the Mining Act, 1926.

REGISTER OF MINING PRIVILEGES.

At , in the Mining District.

NATURE, locality, and description of mining privilege :
[E.g., Water-race: Source of supply, the Fraser River, about two miles north of the Old Man Rock; course, north-west and south-east; length, about twelve miles; water authorized to be diverted, fifteen heads. Precise time of filing application for the race: 1 p.m., 12th July, 1926.]

Rent Account, &c.

Form 49 (Reg. 77).
Under the Mining Act, 1926.

APPLICATION TO REGISTER A MINING PRIVILEGE HELD OTHERWISE THAN UNDER LICENSE.

To the Mining Registrar of the Mining District, at

PURSUANT to the Mining Act, 1926, I, A.B. [Full name, residence, and occupation], being the lawful holder of the unregistered mining privilege described in the Schedule hereto,