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NADOA Model Form Division Order (Adopted 9/95)
Owner: WELD COUNTY
Description: HEMBERGER 2-26-34-8-60
Complete Property Description Listed Below
Production: X Oil X Gas Other:
t. 09- la -35g\? --
Date: 0810612013 12:00:00 AM
Effective Date: 1110112012
Owner Name and Address
WELD COUNTY Owner Number: 047962
PUBLIC WORKS DEPT. Type Interest: Royalty Interest
PO BOX 758
GREELEY,CO 80632 Decimal Interest: 0.00075625
Phone Number: 9703564000X4200 FAX Number: 9703520242
Property Description
Property: 2609.01 Hemberger 2-26-34-8-60
Operator: CARRIZO OIL & GAS, INC. Location: Weld,CO
Map Reference Information / �(� ° c y�
Weld, CO us -Y SW a (@b Aj p at
r,
N
q' 1 , 1
Isi RI
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 ceflain statutory rights
under the laws of the state in which the property is located.
Owner(s) Signature(s):
Owner(s) Tax I.D. Number(s):
Owner(s) Daytime Phone #:
Owner(s) FAX Number:
/0(04
OCT 14 2013
84-6000-813
970-336-7204
970-336-7233
Garcia, Chair
Attest•Owoo�°^`%�S.
Clerk to th�Board
Deputy C1e o the Board
Federal Law requires you to furnish your Social Security or Taxpayer Identification ' urn. -
Failure to comply will result in 28% tax withholding and will not be refundable by Payor.
2013-2906
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): HEMBERGER 2-26-34-8-60
File Location(s): LE0234-2
BY: DATE: lO`�C� C3
Stephanie Arries
Assistant County Attorney
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
n 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 & 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
Well Name/No:
Operator:
Status Date:
County:
Field:
Planned Location
As Drilled Location
COGIS - WELL Information
COGIS - WELL Information
Page 1 of 2
Scout Card t Related C Insp. Q. Insp. Ck MIT :O GIS at Doc if Wellbore
Surface Location Data for API # 05-123-35812 Status: F
Hemberger #2-26-34-8-60 (click well name for production)
CARRIZO OIL & GAS INC - 10338
12/7/2012
WELD #123
WILDCAT -#99999
241 FSL 1546 FEL
Footages Not Available
Chemical Disclosure Registry
Wellbore Data for Sidetrack #00
Spud Date:
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:
Bottom Hole Location:
Casing:
Cement:
Casing:
Cement:
Casing:
Cement:
Casing:
Cement:
Federal or State Lease #:
Location:
Elevation:
Lat/Long: 40.62679/-104.05501
Lat/Long: 40.62672/-104.05489
Job Date: 11/13/2012 Reported: 12/19/2012
Sec
Sec
10/22/2012 Spud Date is:
HORIZONTAL
SWS
4,87:
Lat/L
Lat/L
Days
Status: PR 12
ACT(
Expiration Date: 6/29/
10542 Surface Mineral Owner Same: N
FEE Surface Owner: FEE
Unit Number:
Code: NBRR , Formation: NIOBRARA , Order 535-91 , Unit Acreage: 64
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: 0, Depth: 6158, Weight:
Sacks: 562, Top: 1400, Bottom: 6158, Method Grade:
String Type: 1ST LINER , Hole Size: 6.25, Size: 4.5, Top: 0, Depth: 1054
Sacks: 353, Top: 5480, Bottom: 10542, Method Grade:
11/6/2012
10584
6244
26 Twp: 8N 60W
26 Twp: 8N 60W
Formation
SHARON SPRINGS
NIOBRARA
Measured PB depth:
True Vertical PB depth:
Footage: 632 FSL 1040 FEL
Footages: 651 FNL 981 FEL
1054
6244
Deptl
Deptl
String Type: CONDUCTOR , Hole Size: 16, Size: 15.25, Top: 0, Depth:
Sacks: 7, Top: 0, Bottom: 70, Method Grade: CALC
String Type: SURF , Hole Size: 12.25, Size: 9.625, Top: 0, Depth: 1415,
Sacks: 555, Top: 0, Bottom: 1415, Method Grade: CALC
String Type: 1ST , Hole Size: 8.75, Size: 7, Top: 0, Depth: 6240, Weight:
Sacks: 530, Top: 1790, Bottom: 6240, Method Grade: CBL
String Type: 1ST LINER , Hole Size: 6.125, Size: 4.5, Top: 5597, Depth:
Sacks: , Top: , Bottom: , Method Grade:
Log Top Log Bottom
6023 6147
6147
Completed information for formation NBRR
1st Production Date:
Status Date:
Commingled:
Formation Name:
Formation Treatment
11/21/2012
12/7/2012
N
NIOBRARA
Choke Size:
Open Hole Completion:
Production Method:
Status:
Treatment Type:
PR
FRA(
http://cogcc.state.co.us/cogis/FacilityDetail.asp?facid=123 35 812&type=WELL
10/8/2013
COGIS - WELL Information
Treatment Date: 11/12/2012
Treatment summary: Fracture stimulated through a port and
20/40 sand with 3,168,551 Total Proppant pumped.
51830
Total fluid used in treatment (bbls):
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):
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
TUBING_PRESS
Perforation Data:
Interval Bottom:
# of Holes:
3168551
2.375
6002
12/7/2012
24
SOLD
10407
15
Measure
264
765
1261
264
765
669
512
300
36
512
2200
Page 2 of 2
Treatment End Date: 11/14
packer system with 3,012,919 lbs Ottawa 20/40 sand
Max pressure during treatment (psi): 7178
Fluid density (lbs/gal): 8.4
Number of staged intervals: 15
Max frac gradient (psi/ft): 2849
Total flowback volume recovered (bbls):
Disposition method for flowback:
Green completions techniques utilized: True
Tubing Setting Depth:
Tubing Multiple Packer:
Open Hole Bottom:
Test Method:
Gas Type:
Interval Top:
Hole Size:
6010
SHAI
6561
2.75
http://cogcc.state.co.us/cogis/FacilityDetail.asp?facid=123 3 5812&Type=WELL
10/8/2013
Section 26, T8N-R60W
22
HembergerProduction
UnitBoundary
E/2 Section 26
Legend
O Carrizo_Niabrara_Wells
— Well_Path
CRZO_LEAS E H OLD_08-28-13
Int_Text
FULL
I'%i] PARTIAL
35
Tract 5
2.42 Acres
MI = 100%
TF: 2.42/640= 0.00378124
24
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