3210
THE NEW ZEALAND GAZETTE.
[No. 76

Form 63 (Regulation 102).

YEARLY RETURN TO BE MADE BY HOLDER OF WATER-RACE LICENSE.

To the Mining Registrar of the Mining District
at

NAME of water-race :
Locality of water-race :
Number and date of water-race license :
Number of sluice-heads granted :
Length and carrying-capacity of water-race :
Name and address of licensee :
Whether race in use or not :
Purpose for which water is used :
[If used for mining] Number of miners using water :
[If used for mining] Amount of gold won by use of water :
[If used for irrigation] Area of land irrigated :
[If used for power generation] Horse-power generated :
If race not in use, state length of time it has been idle and
reasons why not in use :
If water sold for mining or irrigation, state price charged per
sluice-head per hour :

A true return for the year ending 31st December, 19

Dated at this day of , 19 .

Owner, Agent, or Manager.

—

Form 64 (Reg. 103.)

Under the Mining Act, 1926.

BANK’S OR OTHER GOLD-BUYER’S YEARLY RETURN OF GOLD
PURCHASED, HANDLED ON COMMISSION, AND RECEIVED FOR
SAFE CUSTODY.

YEARLY return of gold purchased, handled on commission,
and received for safe custody by [Naming the bank or other
gold-buyer] at for the year ending 31st day of
December, 19 :

Dated at this day of January, 19 .

[Signature of bank officer or gold-buyer.]

—

Form 65 (Reg. 104).

Under the Mining Act, 1926.

APPLICATION FOR DUPLICATE OF LOST OR DESTROYED
DOCUMENT.

To the Warden of the Mining District, at

I, THE undersigned [Full name, residence, and occupation],
being the lawful holder of the license [or other document]
specified in the Schedule hereto, hereby apply for the issue
of a duplicate thereof on the ground that the original has
been lost or destroyed; and in support of this application
I do hereby solemnly and sincerely declare as follows :—

1. I am the lawful holder of the document above referred
   to, and it was lost [or destroyed], under the following circum-
   stances : [Set out as far as is known the date on which, and the
   manner in which, the loss or destruction occurred].

2. I have made diligent search for the said document, but
   have been unable to find it.

3. I have not, nor with my knowledge or consent has any
   other person, deposited the said document with any person
   for the purposes of security or otherwise, and I verily be-
   lieve it to be lost [or destroyed].

And I make this solemn declaration conscientiously be-
lieving the same to be true, under and by virtue of the Justices
of the Peace Act, 1908.

SCHEDULE.

[Set out the name of the document, the Act under which it
was issued, the registration or other number, and such other
particulars as will suffice to identify it.]

Declared by the said , at , this
day of , 19 , before me— , J.P. [Solicitor
or other person authorized to take statutory declarations].

—

SECOND SCHEDULE.
(Reg. 50.)

PERMISSIVE METHOD OF GAUGING WATER.

Gauge-boxes.

WHEN other and more accurate means of measuring water
are not conveniently available, it may be done by using
gauge-boxes of the dimensions and forms following, that is
to say : The gauge-box shall be 12 ft. long, 20 in. or 40 in.
wide inside measurement, as the case may be, in accordance
with the undermentioned table. The box shall be open on
the top, and set truly horizontal. Its outlet end shall be
closed with a board 1 in. in thickness, or with a metal plate,
with the exception of the aperture, which shall be the whole
width of the gauge-box and of such depths as are specified in
the said table for the number of sluice-heads to be discharged,
but in all cases the lower side of orifice shall be 2 in. above the
bottom of the gauge-box, and the depth of the sides of the
gauge-box shall be regulated so that they shall not have a less
depth than the depth of the orifice, the height of the board
above the orifice, with two additional inches added. The
dimensions of aperture and height of board above aperture
for the number of sluice-heads to be discharged shall be in
accordance with the said table.

The following is a table of the dimensions of apertures in
gauge-boxes for measuring water, with head or depth of water
above the top of aperture :—

Every 5 Heads.