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Home My WebLink About20191007.tifftve) ENERGY NAJOA MODEL FORM DIVISION ORDER(Adopted 9/95) DIVISION ORDER To: PDC Energy, Inc. Attn: NCunningham 1775 Sherman Street, Suite 3000 Denver, CO, 80203 Owner Number: 43444 Interest Type: RI FO Date: Effective Date: Operator: County/State: January 4, 2019 See Exhibit A PDC Energy, Inc. Weld County, CO WELLS AND DIVISION OF INTEREST SEE "EXHIBIT A99 ATTACHED HERETO AND MADE A PART HEREF. The undersigned certifies the ownership of their decimal interest in production or proceeds as described above payable by PLC Energy, Inc.(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 850.00, 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. SIGNATUR BOARD OF ATTEST° CLERI O BC BY: DEPUTY CLERK I Weld County Government 1150 "O" Street Greeley, CO 80634 Phone: 970-336-7204 Fax: 970-336-7233 Tax ID: 84-6000-813 y' I pc, Weld County Board of Comm PO Box 758 Greeley, CO 80632-0758 Federal Law requires you to furnish your Social Security or Taxpayer Identification Number. Failure to comply will result in 24%® withholding and will not be refundable by Payor. Sign and Retain for your copy r v ,t10:2,43 tri,/ 2019-1007 C(> i tt:PDC GY EXHIBIT A 0 1 eff-1 1 �. P,,--.:..4 7� Property Number tok gg )5.104572 _re d_a 105.104573 Litt° 105.104574 105.104575 -105.104576 105.104577 Property J Clark 1_C J Clark 2N J Clark 3N J Clark 4N J Clark 5N J Clark 6N Decimal 0.00018913 0.00038222 0.00038222 0.00018923 0.00018923 0.00018923 Spacing Unit 5N -65W-11: W2W2, 14: WNW 5N -65W-11: W2W2, 14: NWNW 5N -65W-11: W2W2, 14: NWNW 5N -65W-11: W2, 14: N2NW 5N -65W-11: W2, 14: N2NW 5N -65W-11: W2, 14: N2NW Effective Date 12/16/18 12/16/18 12/15/18 11/26/18 12/10/18 12/07/18 i-x)S 4P-- 2. Detailed calculations illustrating how the County's royalty interest was derived. CLARK I.C Owner # 43444 0 .Y 1 SY//. .... r A b r J .. rf r ..... ... ........... 3 .. y/ .. . n r. ♦.�.. %.. }.. �1L: r:: :R.. J(r .:.: •/� ♦ 9 . 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K5•:: n•: ..................Li i }}}i is ./• '/! • "l' T 1 f. /.vYY %' ':::1♦. ff6:v fr$`:i.:..! r w. •r/. �z i ' "" • : ri f'•'k]!cS � ..:]� y . d:rs is %:!R•. ,.L .. # Y£FYY%. 'F}'!:...�" ; nFT 'i n::;::::::. i Y .... i. .:..•} n. ..,?�.:.. ry :. /..... l 2 Weld County, %Colorado, acting by land through the Board of County ( Commissioners 1 g 2 2 20C 74 : 100.00% 12.50% 0.605 ; 399.635 0.000189235 0.00018923 , 0.00018923 , LOR th ENERGY January 4, 2019 Weld County Board of Comm PO Box 758 Greeley, CO 80632-075 8 RE: Property No. See Fxhibit A Weld County, CO Dear Interest Owner: Property Name Barr Wells J Clark Wells r {�j�_r.a V$ F3 putim COM 'AEU) COuNITY Wa ' e t'L•.•a Y• M r :.-a n o• Our records indicate you have an interest in the above listed well(s) which began producing. Enclosed are two copies of the Division Order covering the above listed property/ies. Please verify your interest. If you agree, sign one copy and insert your mailing address and social security or tax identification number. The second copy is for your records. It is important that the signed original Division Order be signed and promptly returned to this office: PDC Energy, Inc. Attn: NCunningham 1775 Sherman Street, Suite 3000 Denver, CO, 80203 If you have any questions, please do not hesitate to contact me by e-mail: Natalie.cunningham@pdce.com. Sincerely, Li) Natalie Cunningham Division Order Analyst II NLC Enclosures Revised Drilling & Division Order Title Opinion E/2E/2 Sec. 10, ALL Sec. H, N/N/2 Sec. 14 & NE/4NE/4 Sec 15, T5N-R65W 6th P.M. Weld County, Colorado September 28, 2018 Page 151 OWNERSHIP INTERESTS IN TRACT 20C (Section 11: A strip of land 20 feet wide off the east side of the NW/4SW/4) SURFACE: See the discussion set forth in Requirement No. 8 MINERAL INTERESTS & Rkf YALTY* (OIL, GAS & ASSOCIATED HYDROCARBONS ONLY) Owner Lease Req. Weld County, Colorado, acting by and 74 through the Board of County Commissioners OVERRIDING ROYALTY INTERESTS: Owner Lease None. LEASEHOLD WORKING INT ERESTS Owner PDC Energy, Inc. Lease 74 Req. Req. Mineral Royalty Interest Interest 100.000000% 12.500000% Working Lease Mineral Interest Lease ORR Interest Burdened Lease Lease Mineral Lease WI Interest NRI 100.000000% 100.000000% 87.500000% COMBINED OIL AND GAS LEASEHOLD OWNERSHIP INTERESTS FOR TRACT 20C Party Weld County, Colorado, acting by and through the Board of County Commissioners .Req Type of Interest WI NRI Lease LOR 0.000000% 0.12500000 74 Revised Drilling & Division Order Title Opinion E/2E/2 Sec. 10, ALL Sec. 11, N/N/2 Sec. 14 & NE/4NE/4 Sec 15, T5N-R65W 6"' P.M. Weld County, Colorado September 28, 2018 Page 152 PDC Energy, Inc. Total TRACT WI/NRI WI 100.000000% 0.87500000 74 100.000000% 1.00000000 COOIS - WILL Information Page 1 of 1 Scout Card LL hnf•rmatn•fl late Insp. MIT GIS Surface Location Data for API # 05-123-46688 Well Name/No: Operator: Status Date: FacilitylD: County: Field: Planned Location DQC COA IfVlkflbor Status: PR J Clark `rI (click well name for production) PDC ENERGY INC - 69175 12/1/2018 454696 WELD #123 WATTENBERG - #90750 550 FNL 2249 FEL Job Date: ' Job End Date: Chemical Disclosure Registry VVollboro Data for Sidetrack #00 Spud Date: 8/21/2018 WeUbore Permit Permit #: Prop Depth/Form: Mineral Owner: Unit: Formation and Spacing: Casing: Cement: Casing: Cement: 4'efibore C.r pMeted Completion Date: Measured TD: True Vertical TD: Top PZ Location: Bottom Hole Location: Formation Federal or State Lease #: LocationID: Location: Elevation: Lat/Long: 40.4051741-104.629159 12/1/2018 323242 NWNE 14 5N65W 6 PM 4,617 ft. Lat/Long Source: Field Measured 11/1/2018 Reported: 11/21/2018 Days to report: 15 11/6/2018 Spud Date is: HORIZONTAL Expiration Date: 12859 Surface Mineral Owner Same: FEE Surface Owner: FEE Unit Number: Code: CODL , Formation: CODELL , Order: , Unit Acreage: 400, Drill Unit: GWA String Type: SURF , Hole Size: 12.25, Size: 9.625, Top: 0, Depth: 1600, Weight: 36 Sacks: 920, Top: 0, Bottom: 1600, Method Grade: String Type: 1ST , Hole Size: 8.5, Size: 5.5, Top: 0, Depth: 12859, Weight: 20 Sacks: 2035, Top: 0, Bottom: 12859, Method Grade: N/A Sec: 11 Twp: 5N 65W Sec: 11 Twp: 5N 65W Log Top Status: PR. 12/1/2018 NOTICE Measured PB depth: True Vertical PB depth: Footage: 50 FFSLL 300 FFWLL Footages: 560 FFNLL 300 FFWLL Completed information for formation N-COM 1st Production Date: 8/1/2018 Status Date: 12/1/2018 Commingled: Formation Name: NOT COMPLETED Tubing Size: Tubing Packer Depth: Open Hole Top: No Initial Test Data was found for formation N -Cold No Perforation Data was found for formation N-COM a Log Bottom Choke Size: Open Hole Completion: Production Method: Status: Tubing Setting Depth: Tubing Multiple Packer: Open Hole Bottom: 4/4/2020 1:58:18 PM Depth Depth Cored DSTs Status: PR 12/1/2018 PR https://cogcc.stateeco.us/cogis/FacilityDetaiLasp?facid=12346688&type=WELL 2/28/2019 COGIS - WI-QL Information Page 1 of Scout Card Inorrinati Related re. MIT DO !GIS : Doc Surface Location Data for API # 05-123-46691 Well Name/No: Operator: Status Date: FacilitylD: County: Field: Planned Location ;GA litrWellbore via Orders Status: PR 12/1/2018 J Clark #2N (click well name for production) PDC ENERGY INC - 69175 12/1/2018 454699 WELD #123 Federal or State Lease #: LocationiD: Location: WATTENBERG - #90750 Elevation: 550 FNL 2234 FEL Lat/Long: 40.405174/-104.629105 Job Date: 10/31/2018 Reported: 11/21/2018 Job End Date: 11/6/2018 Chemical Disclosure Reglstr m n.unnnmw.nr wnnmuumnnm.nmmmm�ummnunnnnn....nnnm.mm.n.��.......T. ...,..mm.o.m... Wollboro Data for Sidetrack #00 Spud Date: Wellbore Permlt Permit #: Prop Depth/Form: Mineral Owner: Unit: Formation and Spacing: Casing: Cement: Casing: Cement: &lore Completed Completion Date: Measured TD: True Vertical TD: Top PZ Location: Sec: Bottom Hole Location: Sec: Formation 8/17/2018 12606 FEE Spud Date is: HORIZONTAL Expiration Date: Surface Mineral Owner Same: Surface Owner: Unit Number: Code: NBRR , Formation: NIOBRARA , Order: , Unit Acreage: 200, Drill Unit: GWA String Type: SURF , Hole Size: 12.25, Size: 9.625, Top: 0, Depth: 1600, Weight: 36 Sacks: 920, Top: 0, Bottom: 1600, Method Grade: String Type: 1ST , Hole Size: 8.5, Size: 5.5, Top: 0, Depth: 12606, Weight: 20 Sacks: 2035, Top: 0, Bottom: 12606, Method Grade: 323242 NWNE 14 5N65W 6 PM 4,617 ft. Lat/Long Source: Field Measured Days to report: 15 12/1/2018 N/A 11 Twp: 5N 65W 11 Twp: 5N 65W Log Top Completed information for formation N -CO 1st Production Date: 8/1/2018 Status Date: 12/1/2018 Commingled: Formation Name: NOT COMPLETED Tubing Size: Tubing Packer Depth: Open Hole Top: No Initial Test Data was found for formation N-COM No Perforation Data was found for formation N-COM a Status: PR NOTICE Measured PB depth: True Vertical PB depth: Footage: 50 FFSLL 550 FFWLL Footages: 556 FFNLL 550 FFWLL Log Bottom M Choke Size: Open Hole Completion: Production Method: Status: Tubing Setting Depth: Tubing Multiple Packer: Open Hole Bottom: 4/4/2020 1:58:18 PM FEE Depth Depth Cored DSTs Status: PR 12/1/2018 PR https://cogcc.state.co.u.s/cogis/FacilityDetail.asp?facid=12346691 &type=WF,LL 2/28/2019 COGIS o WELL Information Page 1 of 1 r Scout Card Surface Location Data for API # 05-123A6686 Well Name/No: Operator: Status Date: FacilitylD: County: Field: Planned Location Chemical Disclosure ca GIS L oc �Ar Wellore Status: PR J Clark #SN (click well name for production) PDC ENERGY INC - 69175 12/1/2018 454694 WELD #123 Federal or State Lease #: LocationID: Location: WATTENBERG - #90750 Elevation: 550 FNL 2219 FEL Lat/Long: 40.405174/-104.629051 Job Date: 10/31/2018 Reported: 11/21/2018 Job End Date: 11/6/2018 egistry Wellbore Data for Sidetrack #00 Spud Date: efibore Permit it 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: Bottom Hole Location: Formation 8/13/2018 12636 FEE Spud Date is: HORIZONTAL Expiration Date: Surface Mineral Owner Same: Surface Owner: Unit Number: Code: NBRR , Formation: NIOBRARA , Order: , Unit Acreage: 200, Drill Unit: GWA String Type: SURF , Hole Size: 12.25, Size: 9.625, Top: 0, Depth: 1600, Weight: 36 Sacks: 920, Top: 0, Bottom: 1600, Method Grade: String Type: 1ST , Hole Size: 8.5, Size: 5.5, Top: 0, Depth: 12636, Weight: 20 Sacks: 2035, Top: 0, Bottom: 12636, Method Grade: dges Ord 12/1/2018 323242 NWNE 14 5N65W 6 PM 4,617 ft. Lat/Long Source: Field Measured Days to report: 15 12/1/2018 N/A Sec: 11 Twp: 5N 65W Sec: 11 Twp: 5N 65W Log Top Completed information for formation N 1st Production Date: 8/1/2018 Status Date: 12/1/2018 Commingled: Formation Name: Tubing Size: Tubing Packer Depth: Open Hole Top: No Initial Test Data was found for formation N-COM No Perforation Data was found for formation N-COM NOT COMPLETED Measured PB depth: True Vertical PB depth: Footage: 50 FFSLL 800 FFWLL Footages: 500 FFNLL 800 FFWLL Log Bottom -COM Choke Size: Open Hole Completion: Production Method: Status: Tubing Setting Depth: Tubing Multiple Packer: Open Hole Bottom: Status: PR NOTICE 4/4/2020 1:58:18 PM FEE Depth Depth Cored DSTs Status: PR 12/1/2018 PR https://cogccestateocoous/cogis/FacilityDetailaasp?facid=12346686&type=WELL 2/28/2019 COOIS - WELL Information Page 1 of 1 Scout Card Surface Location Data for API # 05-123-46687 Well Name/No: Operator: Status Date: FacilitylD: County: Field: Planned Location Chemical Disclosure IS ELL infor ation elated Inc. MtT Gio Doc „7,OA lryVellbore Status: PR 12/1/2018 Clad #4N (click well name for production) PDC ENERGY INC - 69175 12/1/2018 Federal or State Lease #: 454695 LocationID: D: WELD #123 Location: WATTENBERG - #90750 Elevation: 550 FNL 2204 FEL Lat/Long: 40.405173/-104.628997 eg,a,stry. 323242 NWNE 14 5N65W 6 PM 4,617 ft. Lat/Long Source: Field Measured Job Date: 10/31/2018 Reported: 11/21/2018 Days to report: Job End Date: 11/6/2018 Wellbore Data for Sidetrack #00 Spud Date: Weilbore 'Permit Permit #: Prop Depth/Form: Mineral Owner: Unit: Formation and Spacing: Casing: Cement: Casing: Cement: Wefibore Completed Completion Date: Measured TD: True Vertical TD: Top PZ Location: Sec: Bottom Hole Location: Sec: Formation 8/9/2018 12419 FEE Spud Date is: HORIZONTAL Expiration Date: Surface Mineral Owner Same: Surface Owner: Unit Number: Code: NBRR , Formation: NIOBRARA , Order: , Unit Acreage: 400, Drill Unit: GWA String Type: SURF , Hole Size: 12.25, Size: 9.625, Top: 0, Depth: 1600, Weight: 36 Sacks: 920, Top: 0, Bottom: 1600, Method Grade: String Type: 1ST , Hole Size: 8.5, Size: 5.5, Top: 0, Depth: 12419, Weight: 20 Sacks: 2035, Top: 0, Bottom: 12419, Method Grade: 15 12/1/2018 N/A 11 Twp: 5N 65W 11 Twp: 5N 65W Log To Status: PR NOTICE 4/4/2020 1:58:18 PM FEE Measured PB depth: True Vertical PB depth: Footage: 50 FFSLL 1120 FFWLL Depth Footages: 500 FFNLL 1050 FFWLL Depth Completed information for formation NCCOM 1st Production Date: 8/1/2018 Status Date: 12/1/2018 Commingled: Formation Name: NOT COMPLETED Tubing Size: Tubing Packer Depth: Open Hole Top: No Initial Test Data was found for formation N COM No Perforation Data was found for formation N-COM G Log Bottom Choke Size: Open Hole Completion: Production Method: Status: Tubing Setting Depth: Tubing Multiple Packer: Open Hole Bottom: Cored DSTs Status: PR 12/1/2018 PR https://cogccastateocoous/cogis/FacilityDetail.asp?facid=12346687&type=Wl--t;LL 2/28/2019 COGIS - WI--N�LL Information Page 1 of 1 Scout Card ELL int ation Related Ins MIT GIS . Doc D. COA if Welibore Surface Location Data for API # 05-123-46694 Well Name/No: Operator: Status Date: FacilitylD: County: Field: Planned Location ers Status: PR 12/1/2018 J Clark #5N (click well name for production) PDC ENERGY INC - 69175 12/1/2018 Federal or State Lease 4: 454702 LocationID: D: WELD #123 Location: WATTENBERG - #90750 Elevation: 550 FNL 2114 FEL Lat/Long: 40.405171/-104.628674 Job Date: 10/25/2018 Reported: 11/21/2018 Job End Date: 10/31/2018 Chemical Disclosure Registry Weliboro Data for Sidetrack 400 Spud Date: eUUore Permit Permit 4: Prop Depth/Form: Mineral Owner: Unit: Formation and Spacing: Casing: Cement: Casing: Cement: W "lUbore Completed Completion Date: Measured TD: True Vertical TO: Top PZ Location: Sec: Bottom Hole Location: Sec: Formation 8/5/2018 12416 FEE Spud Date is: HORIZONTAL Expiration Date: Surface Mineral Owner Same: Surface Owner: Unit Number: Code: NBRR , Formation: NIOBRARA , Order: , Unit Acreage: 400, Drill Unit: GWA String Type: SURF , Hole Size: 12.25, Size: 9.625, Top: 0, Depth: 1600, Weight: 36 Sacks: 920, Top: 0, Bottom: 1600, Method Grade: String Type: 1ST , Hole Size: 8.5, Size: 5.5, Top: 0, Depth: 12416, Weight: 20 Sacks: 2035, Top: 0, Bottom: 12416, Method Grade: 323242 NWNE 14 5N65W 6 PM 4,617 ft. Lat/Long Source: Field Measured Days to report: 21 12/1/2018 N/A Twp: 5N 65W Twp: 5N 65W Log Top Status: PR NOTICE 4/4/2020 1:58:18 PM FEE Measured PB depth: True Vertical PB depth: Footage: 50 FFSLL 1334 FFWLL Depth Footages: 500 FFNLL 1300 FFWLL Depth Completed information for formation N-COM 1st Production Date: Status Date: Commingled: Formation Name: Tubing Size: Tubing Packer Depth: Open Hole Top: No Initial Test Data was found for formation N-COM No Perforation Data was found for formation N-COM 8/1/2018 12/1/2018 NOT COMPLETED a Log Bottom Choke Size: Open Hole Completion: Production Method: Status: Tubing Setting Depth: Tubing Multiple Packer: Open Hole Bottom: Cored DSTs Status: PR 12/1/2018 PR https://cogcc.state.co.us/cogis/FacilityDetail.asp?facid=12346694&type=WELL 2/28/2019 COGIS - WILL Information Page 1 of 1 IS uta EL Scout Card 1 O cited l nso. Oth MIT :,PS D Q Surface Location Data for API # 05-123-46690 Well Name/No: Operator: Status Date: FacilitylD: County: Field: Planned Location 550 FNL 2099 FEL Job Date: Job End Date: 10/31/2018 Chemical Disclosure Registry. Wellbore Data for Sidetrack #00 Spud Date: Wellb re Permit Permit #: 8/1/2018 Prop Depth/Form: 12265 Mineral Owner: FEE Unit: Formation and Spacing: Casing: Cement: Casing: Cement: Wefibore Completed Completion Date: Measured TD: True Vertical TD: Top PZ Location: COA Y eflr Status: PR lark 6N (click well name for production) PDC ENERGY INC - 69175 12/1/2018 454698 WELD #123 Federal or State Lease #: LocationID: Location: WATTENBERG - #90750 Elevation: Lat/Long: 40.40517/-104.62862 10/25/2018 Reported: 11/21/2018 Spud Date is: HORIZONTAL Expiration Date: Surface Mineral Owner Same: Surface Owner: Unit Number: Code: NBRR , Formation: NIOBRARA , Order: , Unit Acreage: 400, Drill Unit: GWA String Type: SURF , Hole Size: 12.25, Size: 9.625, Top: 0, Depth: 1600, Weight: 36 Sacks: 920, Top: 0, Bottom: 1600, Method Grade: String Type: 1ST , Hole Size: 8.5, Size: 5.5, Top: 0, Depth: 12265, Weight: 20 Sacks: 2035, Top: 0, Bottom: 12265, Method Grade: , �Jrders 12/1/2018 323242 NWNE 14 5N65W 6 PM 4,617 ft. Lat/Long Source: Field Measured Days to report: 21 N/A Sec: 11 Twp: 5N 65W Bottom Hole Location: Sec: 11 Twp: 5N 65W F - rnnatUon Log Top Status: PR 12/1/2018 NOTICE 4/4/2020 1:58:18 PM FEE Measured PB depth: True Vertical PB depth: Footage: 50 FFSLL 1607 FFWLL Depth Footages: 500 FFNLL 1550 FFWLL Depth Completed information for formation -COM 1st Production Date: 8/1/2018 Status Date: 12/1/2018 Commingled: Formation Name: NOT COMPLETED Tubing Size: Tubing Packer Depth: Open Hole Top: No Initial Test Data was found for formation N-COM No Perforation Data was found for formation N-COM Log bottom Choke Size: Open Hole Completion: Production Method: Status: Tubing Setting Depth: Tubing Multiple Packer: Open Hole Bottom: Cored DSTs Status: PR 12/1/2018 PR https://cogcc.state.co.us/cogis/FacilityDetail.asp?facid=12346690&type=WELL 2/28/2019 u NTY TTO NE This is to affirm the attached Division Order and authorization to receive parent for an ll and gas well has been reviewed by the County Attorney's staff as to form and legal d' :scriptiono ell ame(s): J Clark 1C, J Clark 2N, J Clark3 , J Clark 4 N, J Clark 5N, J Clark 6N File Location(s): LE,Q149 F -p V�� BY: DATE: Bruce Barker - County Attorney NOTES: J Clark 1C .605 mineral acres / 399.855 acres spacing unit * 12.5% = .000189131 MATCH J Clark 2N and 3N .605 mineral acres / 197.855 acres spacing unit * 12.5% - .00038222 MATCH J Clark 4N, 5N, 6N .605 mineral acres / 399.635 acres spacing unit * 12.5% = .0018923 MATCH Hello