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NADOA Model Form Division Order (Adopted 9/95)
-1\'P t OS- D3- 3‘40
Owner: WELD COUNTY
Description: HEMBERGER1-26-34-8-60 BPO
Complete Property Description Listed Below
Production: X Oil X Gas Other:
Date: 08/01/2012 12:00:00 AM
Effective Date:
08/01/2012
Owner Name and Address
WELD COUNTY
PUBLIC WORKS DEPT.
PO BOX 758
GREELEY,CO 80632
Phone Number: 9703564000X4200
Owner Number: 047962
Type Interest: Royalty Interest
Decimal Interest: 0.00075625
FAX Number: 9703520242
Property Description
Property: 2289.01
Operator: CARRIZO OIL & GAS, INC.
Hemberger 1-26-34-8-60
Location: Weld,CO
Map Reference Information
Weld, CO US
245 FNL 245 FEL
Township: 008-N Range: 060-W
Section: 26
Lot:
QtrlQtr. NENE
The undersigned certifies the ownership of the decimal interest in production proceeds as described payable by (Payor):
Carrizo (Niobrara) LLC
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 $100.00, 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 I
Owner(s) Signature(s): x / xWilliam F. Garcia. Chair
OCT 14 2013
Owner(s) Tax I.D. Number(s): 84-6000-813
Owner(s) Daytime Phone#: 970-336-7204 By:
Owner(s) FAX Number: 970-336-7233
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Attest:
Clerk
Deput
ederal Law requires you to furnish your Social Security or Taxpayer Identification Number.
Failure to comply will result in 28% tax withholding and will not be refundable by Payor.
2013-2907
UZ-Oa3(A-)
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(s): HEMBERGER1-26-34-8-60 File Location(s): LE0234-1
BY:
Stephanie Arries
Assistant County Attorney
DATE:
Tammy Waters
From: Sonia Callahan [Sonia.Callahan@crzo.net]
Sent: Wednesday, October 09, 2013 9:08 AM
To: Tammy Waters
Subject: Division Orders for Hemberger 1-26-34-8-60 and 2-26-34-8-60
Attachments: Weld County CO Lease - Reception 3931167.pdf; Weld County CO Lease - Reception #
3931166.pdf; HEMBERGER 1-26-34-8-60H - WELL INFORMATION.pdf; HEMBERGER
2-26-34-8-60H - WELL INFORMATION.pdf; WELD COUNTY - DIVISION ORDER FOR
HEMBERGER 2-26-34-8-60.pdf; WELD COUNTY - DIVISION ORDER FOR HEMBERGER
1-26-34-8-60.pdf; Hemberger 26 Unit.pdf
Tammy,
Per your request attached to this email please find:
• Division Orders for Hemberger 1-26-34-8-60 and 2-26-34-8-60
• Copy of Weld County, Colorado leases Reception #3931166 & #3931167
• Letter sized copy of the plat reflecting the complete spacing unit with Weld County's mineral interest outlined
and highlighted related to the division order.
• Well Information
• Spud dates:
o Hemberger 1-26-34-8-60 - 7/25/2012
o Hemberger 2-26-34-8-60 -10/22/2012
• Your interest was calculated as follows:
Tract 5: An approximately 2.42 acre portion of the N/2 of Section 26, Township 8 North, Range 60
West, 6th P.M., Weld County, Colorado, containing the two below specifically described tracts:
A strip of land 20 feet wide adjacent and South of the present highway right -of- way, extending Westward
approximately 2640 feet from the East boundary line of Section 26, to the North and South center line of said
Section, Township 8
North, Range 60 West of the 6th P.M., containing approximately 1.21 acres.
A strip of land 20 feet wide adjacent and South of the present highway right -of- way, extending Westward
approximately 2640 feet from the North and South center line of Section 26, to the West Boundary line of said
Section, Township 8
North, Range 60 West of the 6th P.M., containing approximately 1.21 acres.
Tract Factor (TF) : 2.42/640= 0.00378124
Weld County's, CO Mineral Interest: 100%
Royalty: 20%
NRI: 1* .20 = 0.20000000
Royalty Interest: 0.20000000 NRI * 0.00378124 TF = 0.00075625
1
All this information applies to both the Hemberger 1-26-34-8-60 8E the Hemberger 2-26-34-8-60. Please let us know if
you need more information or have any more questions.
Regards,
Sonia Callahan
Land Administration — Division Order Tech
500 Dallas Sreet. Ste 2300
Houston,Texas 77002
Phone: (713) 328-1022
Fax: (713) 328-1035
Email: Sonia.callahan@crzo.net
2
Section 26, T8N-R60W
22
TRACT 2
- 158.79
HembergerProduction
UnitBoundary
E/2 Section 26
W9 PE
Legend
O Carrizo_Niobrara_Wells
— Well_Path
CRZO_LEASE HOLD_08-28-13
Int_Text
FULL
PARTIAL
8N 60W
35
23
Weld County Oil
& Gas Lease
Tract 5
2.42 Acres
MI = 100%
TF: 2.42/640= 0.00378124
24
36
COGIS - WELL Information
Page 1 of 2
Well Name/No:
Operator:
Status Date:
County:
Field:
Planned Location
As Drilled Location
Frac Focusl
Chemical Disclosure Registry
Wellbore Data for Sidetrack #
Spud Date:
Wellbore Permit
Permit #:
Prop Depth/Form:
Mineral Owner:
Unit:
Formation and Spacing:
Casing:
Cement:
Casing:
Cement:
Wellbore Completed
Completion Date:
Measured TD:
True Vertical TD:
Top PZ Location: Sec: 26 Twp: 8
Bottom Hole Location: Sec: 26 Twp: 8
Casing:
Cement:
Casing:
Cement:
Casing:
Cement:
Casing:
Cement:
COGIS - WELL Information
Scout Card Q5 Related q Insp. Q. Insp. 4 MIT 0 GIS EX Doc tWellbore ,
Surface Location Data for API # 05-123-34430 Status: F
HEMBERGER #1-26-34-8-60 (click well name for production)
CARRIZO OIL & GAS INC - 10338
8/20/2012
WELD #123
WILDCAT - #99999
268 FSL 1580 FEL
Footages Not Available
Formation
SHARON SPRINGS
NIOBRARA
Federal or State Lease #:
Location:
Elevation:
Lat/Long: 40.62687/-104.05513
Lat/Long: 40.62681/-104.05498
Job Date: 8/14/2012 Reported: 11/13/2012
00
7/25/2012
Spud Date is:
S'
4,
Status: PR 8/2
Ai
Expiration Date: 9/
10531 Surface Mineral Owner Same: N
FEE Surface Owner: Fl
Unit Number:
Code: NBRR , Formation: NIOBRARA , Order: 535-91 , Unit Acreage: 61
String Type: SURF , Hole Size: 12.25, Size: 9.625, Top: 0, Depth: 1400,
Sacks: 534, Top: 0, Bottom: 1400, Method Grade:
String Type: OPEN HOLE , Hole Size: 8.75, Size: , Top: 1400, Depth: 68
Sacks: 819, Top: 5447, Bottom: 6886, Method Grade:
8/10/2012
10240
6233
N 60W
N 60W
Measured PB depth: 1(
True Vertical PB depth: 6;
Footage: 727 FSL 1822 FEL Di
Footages: 973 FNL 1793 FEL Di
String Type: CONDUCTOR , Hole Size: 16, Size: 15.25, Top: 0, Depth: £
Sacks: , Top: , Bottom: 80, Method Grade: CALL
String Type: SURF , Hole Size: 12.25, Size: 9.625, Top: 80, Depth: 1410
Sacks: 555, Top: 0, Bottom: 1410, Method Grade: CALC
String Type: 1ST , Hole Size: 8.75, Size: 7, Top: 1410, Depth: 6246, Wei
Sacks: 529, Top: 3170, Bottom: 6246, Method Grade: CBL
String Type: 1ST LINER , Hole Size: 6.125, Size: 4.5, Top: 6209, Depth:
Sacks: , Top: , Bottom: , Method Grade: CALC
Log Top
6026
6163
Completed information for formation NBRR
1st Production Date:
Status Date:
Commingled:
Formation Name:
Formation Treatment
Treatment Date: 8/14/2012 Treatment End Date: 8/
Treatment summary: Fracture stimulated through a port and packer system with 2,444,152 sacks of 20/40 sand ar
http://cogcc.state.co.us/cogis/FacilityDetail.asp?facid=12334430&type=WELL 10/8/2013
8/20/2012
12/1/2012
N
NIOBRARA
Log Bottom
6163
Choke Size:
Open Hole Completion:
Production Method:
Status:
Treatment Type:
Y
PI
Fl
COGIS - WELL Information Page 2 of 2
sand with 41,107 total proppant used and 230 bbls fresh
Total fluid used in treatment (bbls): 41107
Total gas used in treatment (mcf):
Type of gas:
Total acid used in treatment (bbls):
Recycled water used in treatment (bbls):
Produced water used in treatment (bbls): 230
Total proppant used (Ibs): 2589275
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
TUBING_PRESS
Perforation Data:
Interval Bottom:
# of Holes:
2.375
5702
8/20/2012
24
SOLD
Wellbore Data for Sidetrack #01
Wellbore Permit
Permit #:
Prop Depth/Form:
Mineral Owner:
Unit:
Formation and Spacing:
Casing:
Cement:
Casing:
Cement:
Casing:
Cement:
Wellbore Completed
Completion Date:
Measured TD:
True Vertical TD:
Top PZ Location: Sec: 26 Twp: 8N 60W
Bottom Hole Location: Sec: 26 Twp: 8N 60W
Formation
water pumped.
Measure
404
687
1329
1332
687
870
598
180
36
598
1900
Max pressure during treatment (psi): 4',
Fluid density (lbs/gal): 8.
Number of staged intervals: 1;
Max frac gradient (psi/ft): 2£
Total flowback volume recovered (bbls):
Disposition method for flowback:
Green completions techniques utilized: Ti
Tubing Setting Depth:
Tubing Multiple Packer:
Open Hole Bottom:
Test Method:
Gas Type:
55
SI
10240 Interval Top: 6E
12 Hole Size: 3.
Status: AL 8/2
HORIZONTAL
Expiration Date: 9/
10766 Surface Mineral Owner Same: N
FEE Surface Owner: Fl
Unit Number:
Code: NBRR , Formation: NIOBRARA , Order: , Unit Acreage: 320, Drill
String Type: SURF , Hole Size: 12.25, Size: 9.625, Top: 0, Depth: 1400,
Sacks: 534, Top: 0, Bottom: 1400, Method Grade:
String Type: 1ST , Hole Size: 8.75, Size: 7, Top: 1400, Depth: 6547, Wei
Sacks: 621, Top: 1400, Bottom: 6547, Method Grade:
String Type: 1ST LINER , Hole Size: 6.25, Size: 4.5, Top: 5547, Depth: 1
Sacks: 366, Top: 6547, Bottom: 10766, Method Grade:
N/A
Log Top
Measured PB depth:
True Vertical PB depth:
Footage: 1014 FFNLL 660 FFELL
Footages: 650 FFSLL 1987 FFELL
Log Bottom
Di
http://cogcc.state.co.us/cogis/FacilityDetail.asp?facid=12334430&type=WELL
10/8/2013
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