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Home My WebLink About20191701.tiffRETAIN NADOA Model Form Division Order (Adonted 91951 — DIVISION ORDER To: Extraction Oil and Gas, Inc. 370 17th Street, Suite 5300 Denver, CO 80202 Well/Property Name: Well API Number: Well/Property Number: Well/Property Spacing: County and State: Spacing Unit Gross Acres: See Exhibit on Reverse Side 0512346051 & 0512346046 See Exhibit on Reverse Side 5N 65W, SEC 4: W/2W/2, SEC 5: E/2E/2 Weld, Colorado 332.3436 Production Type: X Oil X Gas X Other Date: November, 2018 Analyst: J. Guyer Owner Owner Name Tax Identification Interest Type Interest Decimal Number WELD COUNTY COLORADO 4317 PO BOX 758 XXX-XX-0813 See Reverse See Reverse Side GREELEY, CO 80632 Side The undersigned certifies the ownership of their decimal interest in production or proceeds as described above payable by Extraction Oil and Gas, Inc. ("Payor"). Payor shall be notified, in writing, of any change in ownership, decimal interest, or payment address. All such changes shall be effective within 60 days of notification from Payee. 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 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. A facsimile or scanned copy of a signed copy of this Division Order shall be deemed an original. Federal Law requires you to furnish your Social Security or Taxpayer Identification Number. SIGNATURE: (� ,'^-�u.3�-¢ _ BOARD OF VLDC UNT)gfO�f�Ipa6SI+0fy,ERS, CHAIR ATTEST �j ll��,,11t�DD DEPUTY CLERK tl0 TH BOARD Cory' AccendaJ MAY 01 2019 Weld County Government 1150 "O" Street Greeley, CO 80634 Phone: 970-336-7204 ax: 970-336-7233 ax ID: 84-6000-813 2019-1701 el) File ID: 2635 Owner ID: 4317 Lto401-\- Oil & Gas 9/9; Well # sSani Well Nameel PI Dioari rd�Q 2635 2636 WS SANITATION 01-05-05 WS SANITATION C02-05-05 2635 2636 WS SANITATION 01-05-05 WS SANITATION C02-05-05 Interest Type RI1 RI Paycode Decimal Interest ST1 0.00002310 SDO 0.00007042 Paycode Legend 06 80- to° °Jr (yin M = Account is current for this well and in PAY status SDO = We require this executed Division Order in order to release funds for this well. SID = We require this signed Division Order and a W-9 faun to release funds for this well. ST/ST1 = Your account is in title suspense and needs resolution before payment can be made. File ID: 2635 Owner ID: 4317 Karla, The streets and roads discrepancy has been resolved and Weld County's full decimal interest in the WS Sanitation wells will be released upon receipt of the executed Division Order. Please see the calculations below, in addition to the reception number for the lease: TRACT OGL OWNER TYP E INTEREST MINERAL TRACT LOR GROSS NRI ACRES TRACT UNIT ACRES TRACT NRI OWNER'S UNIT NRI SE 14a -132- 419405 3 Weld County, Colorado LOR 1.0000000 0 0.1850000 0 0.1850000 0 0.1265 332.343 6 0.0000704 2 0.0000935 2 SE 14b -132- 419405 3 Weld County, Colorado LOR 1.0000000 0 0.1850000 0 0.1850000 0 0.0415 332.343 6 0.0000231 0 Thanks, Caitlin Cues 611 0 0 �. z Division Order Technician Extraction OH 84 Gas 370 17th Street, Suite 5300 Denver, CO 80202 D:720-354-4583 a EN 4o'3 COGIS - WELL Information Page 1 of 2 COGIS ELL Inf ation Scout Card Pt Related insp. CA MIT A15 GIB, a Doc a COA Wellbore Surface Location Data for API # 05-123-46051 Status: PR Well Name/No: WS -Sanitation #1-5-5 (click well name for production) Operator: EXTRACTION OIL & GAS INC - 10459 Status Date: FacilitylD: County: Field: Planned Location As Drilled Location 254 FSL 1632 FEL Footages Not Available Chemical Disclosure Regist€-y Wellbore Data for Sidetrack #00 Job Date: 5/26/2018 453373 WELD #123 Federal or State Lease #: LocationlD: Location: WATTENBERG - #90750 Elevation: Lat/Long: 40.43718/-104.68355 Lat/Long: 40.437183/-104.683548 4/6/2018 Reported: 4/13/2018 Job End Date: 4/11/2018 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: Sec: Bottom Hole Location: Sec: Log Types: Casing: Cement: Casing: Cement: Casing: Cement: 2/6/2018 11999 FEE Status: PR Spud Date is: HORIZONTAL Expiration Date: Surface Mineral Owner Same: Surface Owner: Unit Number: Code: NBRR , Formation: NIOBRARA , Order: , Unit Acreage: 320, Drill Unit: GWA String Type: CONDUCTOR , Hole Size: 24, Size: 16, Top: 0, Depth: 80, Weight: 42 Sacks: 100, Top: 0, Bottom: 80, Method Grade: String Type: SURF , Hole Size: 12.25, Size: 9.625, Top: 0, Depth: 1500, Weight: 36 Sacks: 400, Top: 0, Bottom: 1500, Method Grade: String Type: 1ST , Hole Size: 8.5, Size: 5.5, Top: 0, Depth: 11999, Weight: 20 Sacks: 1530, Top: 1500, Bottom: 11999, Method Grade: vitya Orders 5/26/2018 432599 SWSE 32 6N65W 6 PM 4,642 ft. Lat/Long Source: Field Measured Lat/Long Source: Field Measured Days to report: 2 2/25/2018 11938 6867 5 Twp: 5N 65W 5 Twp: 5N 65W Formation PARKMAN SUSSEX SHANNON SHARON SPRINGS NIOBRARA Measured PB depth: True Vertical PB depth: Footage: 504 FNL 329 FEL Footages: 480 FSL 327 FEL 5/26/2018 ACTUAL 12/14/2019 3:49:47 PM FEE 11922 6867 Depth Depth CBL, Mud, MWD/LWD, (Triple Combo on 123-46045). String Type: CONDUCTOR , Hole Size: 24, Size: 16, Top: 0, Depth: 80, Weight: 42 Sacks: 100, Top: 0, Bottom: 80, Method Grade: VISU String Type: SURF , Hole Size: 13.5, Size: 9.625, Top: 0, Depth: 1550, Weight: 36 Sacks: 600, Top: 0, Bottom: 1550, Method Grade: VISU String Type: 1ST , Hole Size: 8.5, Size: 5.5, Top: 0, Depth: 11927, Weight: 20 Sacks: 1970, Top: 53, Bottom: 11927, Method Grade: CBL Log Top 3685 4218 4431 6967 7015 Log Bottom Completed information for formation N-COM Status: PR 1st Production Date: 2/1/2018 Status Date: 7/1/2018 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 Completed information for formation NBRR 1st Production Date: Status Date: Commingled: Formation Name: NOT COMPLETED 5/12/2018 5/26/2018 N NIOBRARA Choke Size: Open Hole Completion: Production Method: Status: Tubing Setting Depth: Tubing Multiple Packer: Open Hole Bottom: Status: PR Choke Size: Open Hole Completion: Production Method: Status: PR N PR Cored N N N N N 7/1/2018 5/26/2018 DSTs N N N N N https://cogcc.state.co.us/cogis/FacilityDetail.asp?facid=12346051 &type=WELL 4/18/2019 COGIS - WELL Information Page 2 of 2 Formation Treatment Treatment Date: Treatment summary: Frac'd Niobrara with 24 -stage plug-and-perf; 6371 total bbls fluid pumped: 6219 bbls fresh water and 152 bbls 15% HCL acid; 6720240 total lbs proppant pumped: 36/50 mesh sand. Total fluid used in treatment (bbls): 6371 Total gas used in treatment (mcf): Type of gas: Total acid used in treatment (bbls): 152 Recycled water used in treatment (bbls): Produced water used in treatment (bbls): 6219 Total proppant used (Ibs): 6720240 Reason green techniques not utilized: Tubing Size: 2.375 Tubing Packer Depth: Open Hole Top: Initial Test Data: Test Date: 5/26/2018 Hours Tested: 24 Gas Disposal: SOLD Treatment Type: FRACTURE STIMULATION 4/6/2018 Treatment End Date: 4/11/2018 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: 11875 737 Measure 207 566 1300 207 566 2896 1639 2595 40 1639 1930 Max pressure during treatment (psi): Fluid density (lbs/gal): Number of staged intervals: Min frac gradient (psi/ft): Total flowback volume recovered (bbls): 1249 Disposition method for flowback: DISPOSAL Green completions techniques utilized: True 8661 8.33 24 0.95 Tubing Setting Depth: Tubing Multiple Packer: Open Hole Bottom: Test Method: Gas Type: Interval Top: Hole Size: 7336 flowing WET 7382 0.42 https://cogcc.state.co.us/cogis/FacilityDetail.asp?facid=12346051 &type=WELL 4/18/2019 COGIS - WELL Information Page 1 of 3 Scout Card Well Name/No: Operator: Status Date: FacilitylD: County: Field: Planned Location As Drilled Location LL Information Related a insp. c MIT G.,[5. a Doc n. COA Wellbore Surface Location Data for API # 05-123-46046 Status: PR WS -Sanitation #C2-5-5 (click well name for production) EXTRACTION OIL & GAS INC - 10459 (us Chemical Disclosure Registry Wellbore Data for Sidetrack #00 7/1/2018 453368 WELD #123 255 FSL 1614 FEL Footages Not Available Federal or State Lease #: LocationlD: Location: WATTENBERG - #90750 Elevation: Lat/Long: 40.43718/-104.68348 Lat/Long: 40.437182/-104.683483 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: Log Types: Casing: Cement: Casing: Cement: Casing: Cement: Job Date: 4/6/2018 Reported: 4/13/2018 Job End Date: 4/11/2018 Status: PR 2/4/2018 Spud Date is: HORIZONTAL Expiration Date: 12195 Surface Mineral Owner Same: FEE Surface Owner: FEE Unit Number: Code: CODL , Formation: CODELL , Order: , Unit Acreage: 320, Drill Unit: GWA String Type: CONDUCTOR , Hole Size: 24, Size: 16, Top: 0, Depth: 80, Weight: 42 Sacks: 100, Top: 0, Bottom: 80, Method Grade: String Type: SURF , Hole Size: 12.25, Size: 9.625, Top: 0, Depth: 1500, Weight: 36 Sacks: 400, Top: 0, Bottom: 1500, Method Grade: String Type: 1ST , Hole Size: 8.5, Size: 5.5, Top: 0, Depth: 12195, Weight: 20 Sacks: 1558, Top: 1500, Bottom: 12195, Method Grade: Orders 7/1/2018 432599 SWSE 32 6N65W 6 PM 4,641 ft. Lat/Long Source: Field Measured Lat/Long Source: Field Measured Days to report: 2 3/1/2018 12134 7067 Measured PB depth: True Vertical PB depth: Sec: 4 Twp: 5N 65W Footage: 504 FNL 28 FWL Sec: 4 Twp: 5N 65W Footages: 517 FSL 28 FWL CBL, Mud, MWD/LWD, (Triple Combo on 123-46045). String Type: CONDUCTOR , Hole Size: 24, Size: 16, Top: 0, Sacks: 100, Top: 0, Bottom: 80, Method Grade: VISU String Type: SURF , Hole Size: 13.5, Size: 9.625, Top: 0, Depth: 1577, Weight: 36 Sacks: 600, Top: 0, Bottom: 1577, Method Grade: VISU String Type: 1ST , Hole Size: 8.5, Size: 5.5, Top: 0, Depth: 12114, Weight: 20 Sacks: 1975, Top: 340, Bottom: 12114, Method Grade: CBL Formation PARKMAN SUSSEX SHANNON SHARON SPRINGS NIOBRARA FORT HAYS CODELL 11/1/2018 ACTUAL 12/14/2019 3:49:47 PM Log Top 3718 4269 4496 6978 7013 7519 7729 Completed information for formation CD -FIB 1st Production Date: Status Date: Commingled: Formation Name: Formation Treatment Treatment Date: 5/11/2018 11/1/2018 N CODELL-FORT HAYS 4/6/2018 Log Bottom Choke Size: Open Hole Completion: Production Method: Status: Treatment Type: Treatment End Date: 12114 7067 Depth Depth Depth: 80, Weight: 42 Status: PR Cored N N N N N N N 11/1/2018 N PR FRACTURE STIMULATION 4/11/2018 Treatment summary: Frac'd Codell-Fort Hays with 24 -stage plug-and-perf; 5241 total bbls fluid pumped: 5230 bbls fresh water and 11 bbls 15% HCL acid; 4822910 total lbs proppant pumped: 30/50 mesh sand. Total fluid used in treatment (bbls): 5241 Total gas used in treatment (mcf): Type of gas: Total acid used in treatment (bbls): 11 Max pressure during treatment (psi): Fluid density (lbs/gal): Number of staged intervals: Min frac gradient (psi/ft): 8528 8.33 24 0.91 DSTs N N N N N N N https://cogcc.state.co.us/cogis/FacilityDetail.asp?facid=12346046& p e=WELL 4/18/2019 COOTS - WELL Information Page 2 of 3 Recycled water used in treatment (bbls): Produced water used in treatment (bbls): 5230 Total proppant used (Ibs): 4822910 Reason green techniques not utilized: Tubing Size: 2.375 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_OI L MCF_GAS F_GAS TUBING_PRESS Perforation Data: Interval Bottom: # of Holes: 5/25/2018 24 SOLD 12063 737 Measure 119 514 1310 119 514 3710 1907 2602 40 1907 2024 Completed information for formation CODL 1st Production Date: 5/11/2018 Status Date: Commingled: Formation Name: Formation Treatment Treatment Date: 12/5/2018 Y CODELL 4/6/2018 Treatment summary: Producing Interval: 7712'-12063' 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: No Initial Test Data was found for formation CODL . Perforation Data: Interval Bottom: 12063 # of Holes: 721 Completed information for formation FTHYS 1st Production Date: Status Date: Commingled: Formation Name: Formation Treatment Treatment Date: 4/6/2018 Treatment summary: Producing Interval: 7621-7690'. 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: 5/11/2018 12/5/2018 Y FORT HAYS • Total flowback volume recovered (bbls): 329 Disposition method for flowback: DISPOSAL Green completions techniques utilized: True Tubing Setting Depth: Tubing Multiple Packer: Open Hole Bottom: Test Method: Gas Type: Interval Top: Hole Size: 7567 flowing WET 7621 0.42 Status: CM 12/5/2018 Choke Size: Open Hole Completion: Production Method: Status: Treatment Type: Treatment End Date: Max pressure during treatment (psi): Fluid density (lbs/gal): Number of staged intervals: Min frac gradient (psi/ft): Total flowback volume recovered (bbls): Disposition method for flowback: Green completions techniques utilized: Tubing Setting Depth: Tubing Multiple Packer: Open Hole Bottom: Interval Top: Hole Size: Choke Size: Open Hole Completion: Production Method: Status: Treatment Type: Treatment End Date: N CM FRACTURE STIMULATION 4/11/2018 7712 0.42 Status: CM 12/5/2018 Max pressure during treatment (psi): Fluid density (lbs/gal): Number of staged intervals: Min frac gradient (psi/ft): Total flowback volume recovered (bbls): Disposition method for flowback: Green completions techniques utilized: N CM FRACTURE STIMULATION 4/11/2018 https://cogcc.state.co.us/cogis/FacilityDetail.asp?facid=12346046&type=WELL 4/18/2019 COGIS - WELL Information Page 3 of 3 Tubing Size: Tubing Packer Depth: Open Hole Top: No Initial Test Data was found for formation FTHYS . Perforation Data: Interval Bottom: 7690 # of Holes: 16 Tubing Setting Depth: Tubing Multiple Packer: Open Hole Bottom: Interval Top: Hole Size: Completed information for formation N-COM 1st Production Date: 2/1/2018 Choke Size: Status Date: 9/1/2018 Open Hole Completion: Commingled: Production Method: Formation Name: NOT COMPLETED Status: Tubing Size: Tubing Setting Depth: Tubing Packer Depth: Tubing Multiple Packer: Open Hole Top: Open Hole Bottom: No Initial Test Data was found for formation N-COM . No Perforation Data was found for formation N-COM . 7621 0.42 Status: SI 9/1/2018 SI https://cogcc.state.co.us/cogis/FacilityDetail.asp?facid=12346046&type=WELL 4/18/2019 COUNTY tATTORN EY 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): WS Sanitation 01-05-05 API 05-123-46051 WS Sanitation CO2-05-05 API 05-123-46046 File Location(s): LEd404 BY: Brame Barker - County Attorney DATE: NOTES: Sanitation 01-05-05 .1265 mineral acres/ 332243 acres spacing unit * 18.5% _ .00007042 MATCH Sanitation C02-05-05 .0415 mineral acres/ 332.343 acres spacing unit * 18.5% _ ..0000231 MATCH Hello