2100

THE NEW ZEALAND GAZETTE.

No. 41

FORM 11.
[Reg. 52 (1).
Under the Coal-mines Act, 1925.

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, 1925, the undersigned [Full name, residence, and occupation] hereby applies for a coal lease in respect of the following land:

[Insert section and block numbers and name of survey district, and describe boundaries of land, and identify area with reasonable particularity by reference to its situation and ownership.]

[Where the area applied for does not exceed 20 acres a locality plan, in duplicate, of the area applied for, with the boundaries thereof defined by a compass traverse connected with a fixed and clearly indicated survey-mark or with the corner of a section or the angle of a road, must be filed with the application.]

Area applied for: acres roods perch.

The said land is [State if unalienated Crown lands, or reserve or endowment, giving nature thereof].

Mark on pegs:

Date of marking out:

Has the applicant any interest in any other coal lease or coal-prospecting license? If so, give full particulars of such interest, together with the registered number and date of the lease or license:

If the area applied for adjoins an area held under a coal lease or coal-prospecting license, give the name of the lessee or licensee, together with the registered number and date of such lease or license:

State the approximate quantity of coal which may be reasonably extracted from the area in respect of which a lease is applied for:

State the estimated cost of developing the area, including the necessary plant, equipment, and buildings required for such purpose.

State whether or not sufficient finance has been arranged to develop the area as a coal-mine, together with the required plant, equipment, and buildings:

State the estimated annual output:

State the term for which a lease is required:

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 filing this application: [e.g., 6th March, 1926, at 2.30 p.m.]

Time and place appointed for the hearing of the application and all objections thereto: [e.g., Monday, 24th March, 1926, 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 12.
[Reg. 52 (1).
Under the Coal-mines Act, 1925.

APPLICATION FOR A COAL-PROSPECTING LICENSE.

[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, 1925, the undersigned [Full name, residence, and occupation] hereby applies for a coal-prospecting license in respect of the following land:

[Insert section and block numbers and name of survey district, and describe boundaries of land and identify area with reasonable particularity by reference to its situation and ownership.]

[A locality plan, in duplicate, of the area applied for, with the boundaries thereof defined by a compass traverse connected with a fixed and clearly indicated survey mark or with the corner of a section or the angle of a road, must be filed with the application.]

Area applied for: acres roods perch.

The said land is [State if unalienated Crown lands, or reserve or endowment, giving nature thereof].

Mark on pegs:

Date of marking out:

Has the applicant any interest in any other coal-prospecting license or coal-lease? If so, give full particulars of such interest, together with the registered number and date of the license or lease:

If the area applied for adjoins an area held under a coal-prospecting license or a coal lease, give the name of the licensee or lessee, together with the registered number and date of such license or lease:

State the estimated cost of prospecting the area:

State whether or not sufficient finance has been arranged to prospect the area:

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 filing this application: [e.g., 6th March, 1926, at 2.30 p.m.]

Time and place appointed for the hearing of the application and all objections thereto: [e.g., Monday, 24th March, 1926, at 10 a.m., at the Warden’s Court at ]

Objections must be filed in the Registrar’s office and notified to the applicant at least three days before the time so appointed.

, Mining Registrar.

FORM 13.
[Reg. 52 (12).
Under the Coal-mines Act, 1925.

OBJECTION TO AN APPLICATION.

In the matter of an application numbered in the Application Record-book, at , for [Here state nature of application to which objection is made].

The undersigned [Full name, residence and occupation] hereby gives notice that he objects to the granting of the above-described application, and the following are the grounds of his objection, namely,

[Here set out grounds of objection clearly, concisely, and in consecutive paragraphs.]

Address for service:

Dated at this day of , 19 .

[Signature of objector, &c.]

FORM 14.
[Reg. 52 (11).
Under the Coal-mines Act, 1925.

DECLARATION re APPLICATION FOR A COAL-MINING RIGHT.

In the matter of application numbered , in the Application Record-book at , for [State subject-matter of application].

I, [Full name, residence, and occupation] do solemnly and sincerely declare as follows:

1. That I am the applicant [or one of the applicants] named in the above-described application.

2. That on the day of , 19 , notice[s] was [were] posted to [served upon] all persons in occupation of or having any estate or interest in the land described in the application.

3. That the names and addresses of such persons are as follows:

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

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 15.
[Reg. 52 (16).
Under the Coal-mines Act, 1925.

DECLARATION WHERE APPLICANT DOES NOT DESIRE TO APPEAR.

In the matter of application numbered , in the Application Record-book at , for [State subject-matter of application].

I, [Full name, residence, and occupation] do hereby solemnly and sincerely declare as follows:

1. That I am the applicant [or one of the applicants] named in the above-described application.

2. That all statements contained in the said application are true.

3. That the application has been duly advertised, as evidenced by the copies of the advertisements attached hereto.

4. That a copy of the application has been sent to the Inspector of Coal-mines for the district, and that the application has been notified in the prescribed manner to all persons whose interests obviously are affected.

5. That all prescribed provisions as to marking out the ground referred to in the application and posting notices thereon have been duly observed insofar as required by law.