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NADOA Model Form Division Order (Adopted 9/95)
To: SUNDANCE ENERGY
Division Order Department
633 17TH ST STE 1950
DENVER CO 80202
Property Number:
Property Name:
Operator:
Spacing Acres:
County and State:
Property Description:
Production: Oil
DIVISION ORDER
CO1054, CO1052
HFE 14-22, MLD 13-22
SUNDANCE ENERGY
80
WELD COUNTY
4N 68W SEC 22 W2SW
Owner Name WELD COUNTY COLORADO
and Address: PO BOX 758
GREELEY, CO 80632
Gas
X Both
CCW
Date: May 9, 2013
Effective Date: 8/1/2012
Other
OWNER NUMBER: 2453
Type of Interest: M
Decimal Interest:
Paycode: RI
0.00093
The undersigned certifies the ownership of the decimal interest in production or proceeds as described above payable by Sundance
Energy (Payor).
Payor shall be notified, in writing, of any change in ownership, decimal interest, or payment address. All such changes shall be effective
the first day of the month following receipt of such notice.
Payor is authorized to withhold payment pending resolution of a title dispute or adverse claim asserted regarding the interest in production
claimed herein by the undersigned. The undersigned agrees to indemnify and reimburse Payor any amount attributable to an interest to
which the undersigned is not entitled.
Payor may accrue proceeds until the total amount equals One Hundred dollars ($100.00), or pay annually, whichever occurs first, or as
required by applicable state statute.
This Division Order does not amend any lease or operating agreement between the undersigned and the lessee or operator or any other
contracts for the purchase of oil or gas.
in addition to the terms and conditions of this Division Order, the undersigned and Payor may have certain statutory rights under the laws
of the state in which the property is located.
Special Clauses:
Owner(s) Signature(s):
Owner Tax I.D./SS Number:
Address:
Owner Daytime Telephone #:
Owner FAX Telephone #:
Owner Email Address :
x William F._ Garcia, Chair
84-6000-813
Please check here if the above address is a new address.
Lis
to -u7-13
Federal Law requires you to furnish yourr Taxpayer Identification Number.
Failure to comply will result in 28% tax withholding and will not be refundable by Payor.
z.+�ll�Y1d2JlG'
COGIS - WELL Information
Page 1 of 3
COGIS - WELL Information
Scout Card
Related Q Insp. Q MIT 0 GIS a Doc if Wellbore - Order
Surface Location Data for API # 05-123-35711 Status: I
Well Name/No: HFE #14-22
Operator:
Status Date:
County:
Field:
Planned Location
As Drilled Location
ac Focus
(click well name for production)
SUNDANCE ENERGY INC -10340
8/30/2012 Federal or State Lease #:
WELD #123 Location:
WATTENBERG - #90750 Elevation:
1120 FSL 800 FWL Lat/Long: 40.294692/-104.995892
Footages Not Available Lat/Long: 40.294692/-104.995893
SWS
4,92C
Lat/L
Lat/L
Job Date: 7/20/2012 Reported: 9/25/2012 Days
Chemical Disclosure Registry
Wellbore Data for Sidetrack #00
Spud Date: 6/9/2012
Wellbore Permit
Permit #:
Prop Depth/Form:
Mineral Owner:
Unit:
Formation and Spacing:
Formation and Spacing:
Formation and Spacing:
Casing:
Cement:
Casing:
Cement:
Wellbore Completed
Completion Date:
Measured TO:
True Vertical TO:
Top PZ Location: Sec:
Bottom Hole Location: Sec:
Casing:
Cement:
Casing:
Cement:
Formation
SUSSEX
SHANNON
NIOBRARA
CODELL
J SAND
Status: PR 8/::
Spud Date is: ACTt
DIRECTIONAL
Expiration Date: 5/31/
7200 Surface Mineral Owner Same: Y
FEE Surface Owner: FEE
Unit Number:
Code: CODL , Formation: CODELL , Order: 407-87 , Unit Acreage: 80, C
Code: JSND , Formation: J SAND , Order: 232-23 , Unit Acreage: 320, C
Code: NBRR , Formation: NIOBRARA , Order. 407-87 , Unit Acreage: 8C
String Type: SURF , Hole Size: 12.25, Size: 8.625, Top: 0, Depth: 550, V
Sacks: 450, Top: 0, Bottom: 550, Method Grade:
String Type: 1ST , Hole Size: 7.875, Size: 4.5, Top: 0, Depth: 7200, Weil
Sacks: 200, Top: 6360, Bottom: 7200, Method Grade:
6/15/2012
7824
7784
Measured PB depth: 7734
True Vertical PB depth: 7684
22 Twp: 4N 68W Footage: 677 FSL 655 FWL Deptl
22 Twp: 4N 68W Footages: 680 FSL 655 FWL Deptl
String Type: SURF , Hole Size: 12.25, Size: 8.625, Top: 0, Depth: 594, V
Sacks: 420, Top: 0, Bottom: 594, Method Grade: VISU
String Type: 1ST, Hole Size: 7.875, Size: 4.5, Top: 0, Depth: 7808, Weil
Sacks: 150, Top: 6475, Bottom: 7808, Method Grade: CBL
Log Top
3978
4400
6900
7224
7712
Completed information for formation CODL
Log Bottom
4050
4525
7156
7246
7726
http://coeccstote.co.us/eoeis/FacilitvDetaiLasn?facid=1233571 1 Rdvne=WFt.r. 5/9l/7n13
COGIS - WELL Information
Page 2 of 3
1st Production Date:
Status Date:
Commingled:
Formation Name:
Formation Treatment
Treatment Date:
8/29/2012
8/30/2012
N
CODELL
Choke Size:
Open Hole Completion:
Production Method:
Status:
Treatment Type:
8/14/2012 Treatment End Date:
Treatment summary: Frac with 190, 302 gal of water and 150,200#
Total fluid used in treatment (bbls): 4531
Total gas used in treatment (mcf): 0
Type of gas:
Total acid used in treatment (bbls): 0
Recycled water used in treatment (bbls): 0
Produced water used in treatment (bbls): 4531
Total proppant used (lbs): 150200
Reason green techniques not utilized:
Tubing Size: 2.375
Tubing Packer Depth:
Open Hole Top:
Initial Test Data:
Test Date: 8/30/2012
Hours Tested: 24
Gas Disposal: SOLD
Test Type Measure
BBLS_H20 13
BBLS_OIL 50
BTU_GAS 1200
CALC_BBLS_H2O 13
CALC_BBLS_OIL 50
CALC_GOR 800
CALC_MCF_GAS 40
CASING_PRESS 1000
GRAVITY_OIL 46
MCF_GAS 40
Perforation Data:
Interval Bottom: 7246
# of Holes: 88
Completed information for formation JGRRS
1st Production Date: N/A
Status Date: 8/13/2012
Commingled: N
Formation Name: JSND-GRANEROS
Formation Treatment
Treatment Date: 7/20/2012
Treatment summary: 150,500 gal of water and 119,300# of sand
Total fluid used in treatment (bbls): 3584
Total gas used in treatment (mcf): 0
Type of gas:
Total acid used in treatment (bbls): 0
Recycled water used in treatment (bbls): 0
Produced water used in treatment (bbls): 3584
N
PR
FRAC
8/141
of sand
Max pressure during treatment (psi): 4585
Fluid density (lbs/gal): 8
Number of staged intervals: 1
Max frac gradient (psi/ft):
Total flowback volume recovered (bbls): 1936
Disposition method for flowback: DISP
Green completions techniques utilized:
Tubing Setting Depth:
Tubing Multiple Packer:
Open Hole Bottom:
Test Method:
Gas Type:
Interval Top:
Hole Size:
Choke Size:
Open Hole Completion:
Production Method:
Status:
Treatment Type:
Treatment End Date:
7194
Flow
WET
7224
0.38
N
PA
FRAC
7/20/.
Max pressure during treatment (psi): 6018
Fluid density (lbs/gal): 8
Number of staged intervals: 1
Max frac gradient (psi/ft):
Total flowback volume recovered (bbls): 1717
Disposition method for flowback: DISP
http://cogcc.state.co.us/cogis/FacilityDetail.asp?facid=12335711 &tvne=WELL
5/23/7011
COGIS - WELL Information Page 3 of 3
Total proppant used (Ibs): 115300
Reason green techniques not utilized:
Tubing Size:
Tubing Packer Depth:
Open Hole Top:
No Initial Test Data was found for formation JGRRS .
Perforation Data:
Interval Bottom: 7726
# of Holes: 56
Green completions techniques utilized:
Tubing Setting Depth:
Tubing Multiple Packer:
Open Hole Bottom:
Interval Top:
Hole Size:
7712
0.38
http://cogcc.state.co.us/cogis/FacilityDetail.asp?facid=12335711 &type=WELL
5/23/2013
C:OGIS - WELL Information
Page 1 of 2
Well Name/No:
Operator:
Status Date:
County:
Field:
Planned Location
As Drilled Location
COGIS - WELL information
Scout Card El.. -O Related Q Insp. Q MIT O GIS la Doc 'Jr Wellbore Order
Surface Location Data for API # 05-123-35709 Status: F
MLD #13-22 (click well name for production)
SUNDANCE ENERGY INC - 10340
8/24/2012 Federal or State Lease #:
WELD #123 Location: SWS
WATTENBERG- #90750 Elevation: 4,92E
1120 FSL 815 FWL Lat/Long: 40.294693/-104.995839 Lat/L
Footages Not Available Lat/Long: 40.294694/-104.99584 Lat/L
Chemical Disclosure Registry
Wellbore Data for Sidetrack
Spud Date:
Wellbore Permit
Permit #:
Prop Depth/Form:
Mineral Owner:
Unit:
Formation and Spacing:
Formation and Spacing:
Formation and Spacing:
Casing:
Cement:
Casing:
Cement:
Wellbore Completed
Completion Date: 6/22/2012
Measured TD: 7465
True Vertical TD: 7325
Top PZ Location: Sec: 22 Twp: 4N 68W
Bottom Hole Location: Sec: 22 Twp: 4N 68W
Casing:
Cement:
Casing:
Cement:
Formation
SUSSEX
SHANNON
NIOBRARA
CODELL
Job Date: 8/7/2012 Reported: 9/25/2012 Days
#00
6/16/2012
Status: PR 8/2
Spud Date is: ACTT
DIRECTIONAL
Expiration Date: 5/311
7200 Surface Mineral Owner Same: Y
FEE Surface Owner: FEE
Unit Number:
Code: CODL , Formation: CODELL , Order: 407-87 , Unit Acreage: 8D, E
Code: JSND , Formation: J SAND , Order: 232-23 , Unit Acreage: 320, E
Code: NBRR , Formation: NIOBRARA , Order: 407-87 , Unit Acreage: 8(
String Type: SURF , Hole Size: 12.25, Size: 7.875, Top: 0, Depth: 550, V
Sacks: 450, Top: 0, Bottom: 550, Method Grade:
String Type: 1ST , Hole Size: 7.875, Size: 4.5, Top: 0, Depth: 7200, Wei!
Sacks: 200, Top: 6400, Bottom: 7200, Method Grade:
Measured PB depth:
True Vertical PB depth:
Footage: 2051 FSL 632 FWL
Footages: 2098 FSL 615 FWL
7278
7186
Deptl
Deptl
String Type: SURF , Hole Size: 12.25, Size: 8.625, Top: 0, Depth: 596, V
Sacks: 420, Top: 0, Bottom: 596, Method Grade: VISU
String Type: 1ST , Hole Size: 7.875, Size: 4.5, Top: 0, Depth: 7374, Weil
Sacks: 160, Top: 6210, Bottom: 7374, Method Grade: CBL
Log Top
3850
4305
6800
7142
Completed information for formation CODL
1st Production Date: N/A
Choke Size:
Log Bottom
3970
4430
7068
7165
http://cogce.state. co.us/cogis/FacilityDetail.asp?facid =12335709&type =WELL 5/23/2013
COGIS - WELL Information
Status Date:
Commingled:
Formation Name:
Formation Treatment
Treatment Date:
6/24/2012
N
CODELL
8/7/2012
Treatment summary: Frac with 202,100 gals and 150,260# of sand
Total fluid used in treatment (bbls): 4812
Total gas used in treatment (mcf): 0
Type of gas:
Total acid used in treatment (bbls): 0
Recycled water used in treatment (bbls): 0
Produced water used in treatment (bbls): 4812
Total proppant used (Ibs):
Reason green techniques not utilized:
Tubing Size:
Tubing Packer Depth:
Open Hole Top:
Initial Test Data:
Test Date:
Hours Tested:
Gas Disposal:
Test Type
BBLS H2O
BBLS_OIL
BTU_GAS
CALC_BBLS_H2O
CALC_BBLS_OIL
CALC_GOR
CALC_MCF_GAS
CASING_PRESS
GRAVITY_OIL
MCF_GAS
Perforation Data:
Interval Bottom:
# of Holes:
150260
2.375
8/24/2012
24
SOLD
7165
92
Measure
12
30
1220
12
30
600
18
1200
46
18
Open Hole Completion:
Production Method:
Status:
Treatment Type:
Treatment End Date:
Page 2 of 2
N
PR
FRA(
8/7/2
Max pressure during treatment (psi): 4008
Fluid density (lbs/gal): 8
Number of staged intervals: 1
Max frac gradient (psi/ft):
Total flowback volume recovered (bbls): 2582
Disposition method for flowback: DISP
Green completions techniques utilized:
Tubing Setting Depth:
Tubing Multiple Packer:
Open Hole Bottom:
Test Method:
Gas Type:
Interval Top:
Hole Size:
7090
Flow
WET
7142
0.38
http://cogce.state.co.us/cogis/FacilityDetail.asp?facid=123357098ctype=WELL
5/23/2013
0
PAD DRAWING: HFE 5 PAD
SECTION 22, TOWNSHIP 4 NORTH, RANGE 68 WEST, 6TH P.M.
NW SEC. 22 sh _
2)4' ALUM. CAP
PLS 23500
ID
N
ID
N
N
01
z
WY. SEC. 22
3' BRASS CAP 41}
PLS 20142
ID
a
0
in
ID
N
iD
0
1,
0
0
z
SW SEC. 22 4
2)S' ALUM. CAP
PLS 24307
LEGEND
N 88'55'23" E 2662.48'
At013.22
BH- 1980' FS
660' FW
HFE 1422
BH- 660'FSL
680' FWL
2
MID 2122
BH- 1980' FSL
1980' FWL I
HFE 22C
BH- 1320' FSL
1320' FWL
N 88'59'58" E 2662.56'
N X SEC. 22
2AS" ALUM. CAP
PLS 12374
HFE 2422
BH-660'FSL SY, SEC. 22
1980' FWLI 3Yi' ALUM. CAP
PLS 4846
S 88'21'50 W 2654.50'
e
• = EXISTING MONUMENT + • BOTTOM HOLE BIk BOTTOM HOLE
O • PROPOSED WELL O = EXISTING WELL
NOTES:
1. THIS FIELD SURVEY CONFORMS TO THE MINIMUM
STANDARDS SET BY THE C.O.G.C.O. RULE NO. 215
2 HORIZONTAL POSITONS AND ORTHOMETRIC ELEVATIONS
SHOWN AT THE WELL HEAD. ARE BASED ON GPS•RTK
POSITIONS DERNED FROM MIMMUM 2 -HOUR STATIC
OBSERVATIONS CORRECTED BY THE NATIONAL GEODETIC
SURVEY ONLINE POSITIOMNG USER SERVICE, O.P.U.S
DATUM: HORIZONTAL • NAND/200T, VERTICAL = NAVDBS
3. THE BASIS OF BEARINGS ARE STATE PLANE COORDINATE
SYSTEM GRID BEARINGS SHOWN HEREON BETWEEN THE
DESCRIBED THE MONUMENTS SHOWN HEREON
4. GRID DISTANCES ARE SHOWN, AS MEASURED IN THE FIELD.
WITH TIES TO WELLS MEASURED PERPENDICULAR TO
SECTION LINES.
PREPARED IT:
PFS
k
Petroleum Field Services, LLC
1801 W. 13thAve.
Denver, CO 80204
SUNDANCE ENERGY
S 88'22'04" W 2654.76'
NOTES
HFE14.22 TO BE AT 1120' FSL. 800' FWL
BOTTOM HOLE AT SOP FSL f 800' FWL
MLD 13-22 TO BEAT 1120' FSL 815' FWL.
BOTTOM HOLE AT 1980' FSL 8 060' FWL.
MLD 29.22 TO BE AT 1120' FSL, 890 FWL
BOTTOM HOLE AT 1960' FSL 81980 FWL
HFE 2422 TO BE AT 1120' FSL 845' FWL
BOTTOM HOLE AT 060' FSL 81880' FWL.
HFE 22C 'ID BE AT 1120' FSL. 680' FWL.
BOTTOM HOLE AT 1320' FSL 0 1320 FWL.
FIELD DATE:
03-28-12
DRAWING DATE:
03-29-12
BY:
TRW
PAO NAME:
HFE 5 PAD
SURFACE LOCATION:
WELD COUNTY, COLORADO
SW 1/4 SW 1/4, SEC. 22, T4N, R68W, 6TH P.M.
® NE SEC. 22
2Y2" ALUM. CAP
PLS 12374
0
N
N
W
n
ID
E Y, SEC. 22
® ac'' ALUM. CAP
PLS 24305
m
N
00
0
0,_n
2
SE SEC 22
® 2J ALUM. CAP
PLS 24305
0
5 0 1000
SCALE 1'=1990'
'My Map
T4N R68W Sec 22 W2SW
Zopyrlphl 2011 Weld Cowry Goverment Al rlptb da*I9v9d Tlu May 27 2077 09 19 37 AM
Weld County Ownership = Roadways
COUNTY ATTORNEY STAFF APPROVAL
This is to affirm the attached Division Order and authorization to receive payment for an
oil and gas well has been reviewed by the County Attorney's staff as to form and legal
description.
Well Name:
MLD 11-22, 12-22
HFE 14-22, MLD 13-22
File Location(s): LE0303
BY:DATE: J //
Stephanie Arries
Assistant County Attorney
OWNER # 2453 WELD COUNTY INTEREST CALCULATION 5-23-2013
Y
Wutt
N O
C re
CO.LL
C 0.
� F
Royalty Interest
Total unit acres
Net acres in tract
0.00098000
0.20000000
0.00490000
0.00093000
0.20000000
0.00465000
o O
o 0
co
o O
N N
0 N
M M
3 3
Z NI
N N
3 3
LU
N
N
v
ri
LL
x
MLD 11 & 12-22
Sundance Energy, Inc.
Page 6
Tract 2 - Oil and Gas Ownership:
Colorado Department of Transportation
Total
Tract 2 - Leasehold Ownership:
(As to all formations)
May 7, 2012
100.000000%
100.000000%
Name WI NRI LEASE
Kerr-McGee Oil & Gas Onshore LP 100.000000% 87.500000% B
Colorado Department of Transportation ----- 12.500000% (LOR) B
Total 100.000000% 100.000000%
Tract 3: Section 22: A tract of land in the W/2 of Section 22 being more particularly
described as: beginning at a point on the east right-of-way line of the county road
(1989) from which the NW corner of Section 22, T4N, R68W, 6'h P.M. bears
N00°25'09"W a distance of 2250.20 feet; thence N89°39' 19"W a distance of 30.00
feet to the center of the county road (1989); thence S00°20'41"W a distance of
800.00 feet along the center of the county road (1989); thence S89°39'19"E a
distance of 30.00 feet to the east right-of-way line of the county road (1989); thence
N30°20'41"E a distance of 30.00 feet; thence N00°20'41"E a distance of 499.02
feet; thence NI0°57'55"W a distance of 50.99 feet; thence N00°20'41"E a distance
of 216.34 feet; thence N29°39'19"W a distance of 10.00 feet, more or less, to the
point of beginning.
(Containing 0.764 acres, ±)
Tract 3 - Surface Ownership:
Weld County, Colorado
Total
Tract 3 - Oil and Gas Ownership:
Weld County, Colorado
Total
100.000000%
100.000000%
100.000000%
100.000000%
Document
Weld County Oil and Gas Lease
Weld County Oil and Gas Lease
Weld County Oil and Gas Lease
Recording Number Date
3852940 June 15, 2012
3830090 March 6, 2013
2398125 July 18, 1994
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