HomeMy WebLinkAbout20191006.tiffNADOA Model Form Division Order (Adopted 9/951
r ble
energy
Return To:
Property Name :
Operator :
County / Parish and State :
Property Description :
Product :
NOBLE ENERGY INC
1001 NOBLE ENERGY WAY
HOUSTON TX 77070 US
Desk Code : RSN
Date : FEB 08 2019
Effective Date: AUG 2018
ROADRUNNER AB11-677 NI j�.Q
LE ENE
WOELD, CO RGY INC A19 05— 2]�3— I Z'i1
Refer to next page for property description attachment
ALL
DIVISION ORDER
180491
RECEIVED
FEB 15 201
WELD COUN-'
COMMISSIONF
OWNER NAME
PROPERTY #
OWNER #
INTEREST
WELD COUNTY CO
BOARD OF COUNTY COMMISSIONERS
1150OST
ST
GREELEY CO 80631-9596 US
435911627
124102 - 8
0.03997398 RI
The undersigned certifies the ownership of their decimal interest in production or proceeds as described above payable by Noble Energy, Inc. (Noble).
Noble 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.
Noble 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 Noble any amount attributable to an interest to which the undersigned is not entitled.
Noble may accrue proceeds until the total amount equals $25.00, or clear ALL payable proceeds annually if said accrued total amount is less than $25.00, 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 Noble may have certain statutory rights under the laws of the state in which the
property is located.
Weld County Government
1150 "O" Street
, Greeley, CO 80634
Phone: 970-336-7204
Fax: 970-336-7233
Tax ID: 84-6000-813
SIGNATURE
BOARD OF
ATTE.
CL
BY
DEPUTY CLE
er Identification Number
K T• THE B
federal Law re wires you to furnish dour Social Security or Ta
fed`e'ral law which will not be refundable by Payor
ly will resultm tax withholding �n accordance
Comprt Agerdcb hurt)
/
9
3- -1c1
KEEP THIS COPY F(lR wit ID ru
2019-10066)
LEO! 11
NOBLE ENERGY, INC. Property Description Attachment
Property Name
Operator
County / Parish and State
Property Description
: ROADRUNNER AB11-677 NI
: NOBLE ENERGY INC
: WELD, CO
CONSOL.:IDATED..OWN.ERSHIP
T ated.. epte b r 25, 20179 coverin the / N/2 of ec l n 11 and N /4N I4 f Section 1;own ip 7 North, . ange _
Sp ar L nita T7N, R 4W, /2 /2 of - ection 1 °I -.N / -N / f ctio .12.
Spacing Unit A res: °I99, �
tc the Lase cif the Cotten formation-.
SPUD- DATE 811.11291..8
DATE OF FIRST PRODUCTION 9/1 1/201
iwzirttpittnorzoanraiwcrreattin
Certification Date
09/23/2016
09/23/2016
09/23/2016
09/23/2016
09/23/2016
LANDOWNER,
ROYALTY
("LOR")
Mineral Interest
("MI") x Lease
Royalty x Tract
Acreage Allocation
NE/4NE/4 of Section 11
NW/4NE/4 of Section 11
NW/4NW/4 of Section 11
NW/4NW/4 of Section 12
Weld County,
Colorado _
Total LandowneFToyafty Interests
5
A
100.000000 %
Lease
Royalty
20.000000%
Tract
Acreage
Allocation
19.986992%
Tract Acres
Non -Rounded
Tract NRI
3.99739840%
Unit Acres.
199.88
199.88
199.88
199.88
199.88
Non -Rounded
Total Unit NRI
for Owner
3.99739840%
est9 6th R
Tract Acreage
Allocation
20.012008%
20.007004%
20.002001%
19.991995%
19.986992%
0997398%
Type of
Interest
ARM=Ra,. .S�.aS.-y.
7N 64 W
' .o$101 LSIST %SS =ffi4Sa."' erWenic-a$4frea
tiReangt. fa:1.^•'hMAx; .1 iat'9YCa^ntillia'LD2SJ43 Ate -.1741-1 "a S ,•ve.�9r�:'tL'x4 'Y46^ -"•"`p•
eTZ
4 Yp�GEitE9�"J'.aSC.^P.TrLAVXC3°+,"-�'R+'=P1"b"�FYtiY.'J r_��Y.tEb;."Q�.K#.�
` gi.s\nob1e\Land Admit GIST.ROiE I
Legend
Roadrunner AB11-677 40 ACRES
SPACING UNIT 200 ACRES
0 0.125 0.25 0.5
Miles
s
.: �� ,MaCttS.. «ems
aleaVir
Disclaimer: This map has been carefully compiled through different data sources available to Noble Energy Inc. While the information is held to the highest degree
of accuracy possible, its uses are for informative purposes only and therefore is not suitable for legal, engineering, and surveying purposes, Noble Energy Inc. does not
guarentee nor assumes responsibility for misuse or misinterpretation of any information present. Recipient agrees not to reproduce, distribute, nor digitize without
expressed consent from Noble Energy inc. and it's affiliates.
Revised by:
.'ccr-nvsrrrtaxn=-01j:.sagcccx shosonsaimrtesrjsr-
SEC 12 & 13
T7N-R64W
Weld County, Colorado
NAD 1983 UTM Zone 13N
Date:
LisaKozo
',DJ\LAN _ :i ltN'\ . ISREQ 7I6_(: )L.1 RO l--i1-GN-R64\IVL) CTISREQ 740RoadRunnerAB11_677.n1xc
1/31/2019
COGIS - WELL Information
Page 1 of 1
t
r
tion
Scout elated Qin C°3
wwwv �aa.
Card
Surface Location Data for API # 05-123-44897
PR 9/1/2018
Well Name/No: Road runner AB1�J.: 77m (click well name for production)
Operator:
Status Date:
Facilityl D:
County:
Field: WATTENBERG - #90750 Elevation:
Planned Location
NOBLE ENERGY INC - 100322
9/1/2018
450729
WELD #123
JOC
Federal or State Lease #:
LocationID:
D:
Location:
386 FNL 262 FWL Lat/Long: 40.59382/-104.52483
Weilbore Data for Sidetrack #00
Spud Date: 3/25/2018
Wen kre Permit
Permit #:
Prop Depth/Form: 16950
Mineral Owner: FEE
Unit:
Spud Date is:
HORIZONTAL
Expiration Date:
Surface Mineral Owner Same:
Surface Owner:
Unit Number:
lre:La
m..,....�...............nn...O rd e r s
Status:
450728
NWNW 11 7N64W 6 PM
4,851 ft.
Lat/Long Source: Field Measured
Status: PR 9/1/2018
NOTICE
5/22/2019 2:08:42 PM
FEE
Formation and Spacing: Code: NBRR , Formation: NIOBRARA , Order: , Unit Acreage: 200, Drill Unit: GWA
Casing:
Cement:
Casing:
Cement:
Casing:
Cement:
String Type: CONDUCTOR , Hole Size: 26, Size: 16, Top: 0, Depth: 80, Weight: 40
Sacks: 6, Top: 0, Bottom: 80, Method Grade:
String Type: SURF , Hole Size: 13.75, Size: 9.625, Top: 0, Depth: 1850, Weight: 36
Sacks: 658, Top: 0, Bottom: 1850, Method Grade:
String Type: 1ST , Hole Size: 8.5, Size: 5.5, Top: 0, Depth: 12133, Weight: 20
Sacks: 1517, Top: , Bottom: , Method Grade:
Completion data is (confidential until 3/20/20619
https://cogcc.state.co.us/cogis/FacilityDetail.asp?facid=12344897&type=Wl-IL 2/28/2019
1625 Broadway
Suite 2200
Denver, CO 80202
Tel: 800.220.5824, Option 2
Fax: 303.228.4280
www.nobleenergyi nc.com
Dear Interest Owner:
noble
energy
Enclosed are copies of Noble Energy, Inc.'s Division Orders for your approval and execution. For your
convenience, Noble has adopted the NADOA Model Form of Division Order.
The purpose of this Division Order is to provide you information about your ownership and obtain
certification from you that you are the correct person to whom payments for this interest should be made.
Please review your decimal interest in the property described. Also review the terms of the Division Order.
Supply and/or verify the address to which checks should be mailed.
The well number will be listed on your check detail identifying your payment for this interest. Your party
number is your identifying number with our company. Please refer to this number when making inquiries
about payments or your interest.
After your review of the enclosed Division Orders, please execute one copy and return to this office for
further handling. The extra copy is for your files.
Please be advised, Noble Energy, Inc. does not accept altered Division Orders. Therefore, if our Division
Order has been altered, Noble Energy, inc. will still make disbursements based on the ownership and
interest stated on our Division Order, unless otherwise advised in writing.
Individuals -Sign your name as it appears on the Division Order.
Joint wner ia-Should be signed by all owners shown on the Division Order.
Corporations -The name of the Corporation as.Well as the name. and title of the person signing the
document must be included.
jgnature by other than named owner -If the Division Order is signed by an agent, attorney -in -fact,
guardian, trustee or any party other than the named owner, please provide a copy of the document which
authorizes him/her to sign on behalf of the owner.
If you should have any questions, please contact the Division Order Department at the above address.
Note to New Interest Owners:
Effective January 1, 2017, a W-9 is required for every new account. Please supply your Social Security or
Tax Pdentification Number by co -npleting the enclosed W-9. Failure to return a completed W-9 will result in
tax withholding in accordance with federal law, which will not be refundable by Payor.
Also, copies of a Noble Energy, Inc. Revenue Check Explanation as well as a Revenue Detail Example are
enclosed for your reference.
Sincerely,
Division Order Department
NO
BLE ENERGY, INC.
Note: If you would like to have your proceeds electronically deposited to your bank account, please
complete and return the enclosed direct deposit ACH Enrollment Form.
F Y O'',
ate. C MPL ETED.A DIRECT DEPOSIT ENRO
RESENDt
thin
LMEiT FRM, PLEASE DO NOT
G F.: TY _TT EY ST , FF
This as to affirm the attached Division Order and authorization t-. receive payment for
an oil and gas well has been reviewed by the County Attorney's staff as to form and
es- zr�al description.
ell Name(s): Roadrunner AB 11-677
File Location(s): LE0117
r
Bruce Barker - County Attorney
DATE: '4(
NOTES: 39.95 mineral acres / 199.88 acres spacing unit * 20% = .03997398 MATCH
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