APPLICANT SIGNITURE:                                                                          DATE

REGIONAL COUNCIL/HARBOURMASTER SIGNATURE: 1                     DATE

Director's approval

Whereas
Pursuant to section 200(7) of the Maritime Transport Act 1994 no person shall erect or place or alter or remove any light, signal, buoy or beacon without the sanction of the Director of Maritime New Zealand.
And
Pursuant to section 443 of the Maritime Transport Act 1994 the power to sanction such erection, placement, alteration or removal has been delegated to me.

MNZ approval no: __________________________________________

MNZ file number: __________________________________________

I __________________________________________ (Name)

Date at Wellington this ________ day of ____________ 20___

of Maritime New Zealand HEREBY approve the work specified in this application subject to the following conditions (or as attached):

Expiry date of approval (before which applicant must return completed form MNZ16006C):

________ day of ____________ 20___

DIRECTOR: 

Notification of approved application sent to Land Information New Zealand:

________ day of ____________ 20___

1 Regional council authorised harbourmaster signatures may not be required if the AtoN is outside regional council's navigational safety jurisdiction.
Anyone installing, altering or removing an AtoN must advise MNZ when the work is completed by means of the Completion Form MNZ16006C.