HomeMy WebLinkAbout20180198.tiff(J
NADOA Model Form Division Order (Adopted 9/95)
DIVISION ORDER
To: PDC Energy, Inc
1775 Sherman Street, Suite 3000
Denver, CO 80203
Attn: Anthony Tamayo (303) 831 -3996 or Anthony. l'amayo pdce.com
Property Number:
Property Name:
Operator:
County and State:
Property
Description:
105.902102
Blehn44-30
PDC Energy, Inc
Weld, Colorado
Township 6 North, Range 64 West
Section 30: SESE
Production: X Oil
X
Gas
X
Date: January 2, 2018
Effective Date: January 2, 2018
Other: all products
Owner Name
and Address:
See `Exhibit A' attached hereto and made a part hereof
OWNER NUMBER: 43444
Type of Interest: See Exhibit A
Decimal Interest: See Exhibit A
The undersigned certifies the ownership of their decimal interest in production or proceeds as described above payable by PDC
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 $50.00, or pay yearly 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.
Special Clauses:
Owner(s) Signature(s):
Owner(s) SSN/Tax I.D. Number(s):
Owner Daytime Telephone:
Owner Email Address:
(None or See Attached Exhibit)
SIGNATURE
BOARD OF
ATTEST:
CLER
BY:
DEPUTY CLERK TO THE BOARD
TO THE BOARD
Federal Law requires you to furnish your Social Security or Taxpa
Failure to comply will result in 28 % tax withholding and will not be
AT
cc t2-27Ap u% '115
Retain this copy for your records
co POG
01rIS/ t2C
JAN 1 5 2D
eld County Government
1150 "0" Street
Greeley, CO 80634
hone: 970-336-7204
x: 970-336-7233
ID: 84-6000-813
er.
a.,nr
2018-0198 C ( )
Exhibit A
105.902102 - Blehm 44-30
Owner No.
Credit To Type Interest
43444 Weld County Board of Comm RI 0.00375000 << Your Interest
COGSWELL AND WEHRLE
EXHIBIT D
TABULATION OF LEASE D
Form:
Dated:
Recorded:
Lessor:
Lessee:
Land Description:
Term:
Royalty:
Rentals:
Depository:
Pooling Clause:
Shut -In Gas Clause:
Weld County form.
November 16, 1987.
December 7, 1987 in book 1179 at
reception No. 2123791.
Weld County, Colorado, acting by and
through the Board of County
Commissioners.
Transcontinent Oil Company.
T. 6 N., R. 64 W., 6th P.M.
Section 30: South 40 feet of the SiSE4
Containing 2.4 acres, more or less.
Until the hour of twelve o'clock noon on
November 16, 1990 and so long therafter
as oil and gas, or either of them, is
produced in paying quantities from said
land or lessee is diligently engaged in
bona fide drilling or reworking operations
on said lands.
12i% on the basis set forth in the lease.
$2.40 per annum.
Board of County Commissioners of Weld
County.
Yes.
Yes, in an amount equal to $2.00 per acre
of the lease per annum in addition to the
annual rental. The minimum amount of
shut-in royalty payment shall be $240.00.
The lease contains limitations on the
maximum extension of the lease by
payment of the shut-in royalty payment.
c.)
COGSWELL AND WEHRLE
Entireties Clause: No.
Special Provisions:
The lease contains numerous provisions
not to be found in ordinary commercial
lease forms in use in this area. You
should thoroughly familiarize yourselves
with the terms of this lease.
ASSIGNMENTS OF WORKING INTEREST
Assignment No. 1:
Dated:
Recorded:
Assignor:
Assignee:
Interest Assigned:
Lands Covered:
Interest Reserved:
Renewal Clause:
Reassignment Clause:
Restrictions:
December 11, 1987.
Unrecorded.
Transcontinent Oil Company.
Southmark Acquisitions, Inc.
All of assignor's interest in Lease D.
Tract 1 described herein.
None.
No.
No.
None.
ASSIGNMENTS OF OVERRIDING ROYALTY INTEREST
None.
Amanda Petzold
From:
Sent:
To:
Subject:
Attachments:
Follow Up Flag:
Flag Status:
1. Attached Lease D File
2.
Anthony Tamayo <Anthony.Tamayo@pdce.com>
Wednesday, January 03, 2018 9:06 AM
Amanda Petzold
RE: [EXTERNAL] :RE: Blehm 44-30 DO
Lease D.PDF; Blehm Title.pdf
Follow up
Flagged
Interest ITract Acres Net Acres Royalty I nterest
12.50%, 2.4 80 0.00375,
a. 12.5%*2.4/80=.00375
3. Attached Title File
Thanks!
Anthony Tamayo
Division Order Analyst II
1775 Sherman St. #3000
Denver, CO 80203
Anthony.Tamayo@pdce.com
Phone ( 303-831-3996 Ext 3996
Fax 303-860-5838
www.pdce.com
This e-mail message and included attachments may contain information that is proprietary,
privileged, and/or confidential and is intended exclusively for the person(s) to whom it is
addressed. Any use, copying, retention, and/or disclosures by any person other than the
intended recipient or their designee is strictly prohibited. If you are not the intended
recipient or their designee, please notify the sender immediately by telephone at 304-842-
3597 and then permanently delete all copies.
COGSWELL AND WEHRLE
ATTORNEYS AND COUNSELORS AT LAW
A PARTNERSHIP INCLUDING PROFESSIONAL CORPORATIONS
ONE UNITED BANK CENTER
1700 LINCOLN STREET, SUITE 3500
DENVER, COLORADO 80203
Parker- & Parsley Petroleum Company
P.O. Box 3178
Midland, Texas 79702
Attn: Ms. Jayne A. Kean
The Permian Corporation
P.O. Box 1183
Houston, Texas 77251
Gentlemen:
TELEPHONE: 303 861.2150
TELECOPIER: 303 632-5150
DIVISION ORDER TITLE OPINION
Blehm No. 30-1 Well
Weld County,' Colorado
LANDS COVERED BY OPINION
Township 6 North, Range 64 West, 6th P.M.
Weld County, Colorado
Section 30: SiSE-
Containing 80.O0 acres, more or less
FROM THE SURFACE OF THE EARTH TO THE STRATIGRAPHIC
EQUIVALENT OF 7135 FEET AS DRILLED IN THE BLEHM 30-1 WELL
TITLE DATA EXAMINED
1. Our drilling title opinion dated November 2, 1987, certifying title to
the subject lands to October 14, 1987 at 7:00 a.m.
2. Tract index for the captioned lands maintained by Transamerica
Title Insurance Company, Greeley, Colorado, from October 14, 1987 at
7:00 a.m. to January 12, 1988 at 7:00 a.m.
3. Records of the Weld County, Colorado Clerk and Recorder, Greeley,
Colorado, insofar as the same pertain to the captioned lands, from
October 14, 1987 at 7:00 a.m. to January 12, 1988 at 7:00 a.m.
O
COGSWELL AND WEHRLE
Parker & Parsley Petroleum Company
February 5, 1988
Page 4
TRACT 1 OIL AND GAS LEASEHOLD
Owner
% of WI Net % Lease
Weld County 12.50000% R
TOTAL
100.00000% 100.00000%
COGSWELL AND WEHRLE
Parker & Parsley Petroleum Company
February 5, 1988
Page 2
4. Unrecorded farmout agreement dated October 12, 1987 between
Energy Minerals Corporation and Parker & Parsley Petroleum Company.
5. Unrecorded assignment of Lease D from Transcontinent Oil Company
to Southmark Acquisitions, Inc. dated December 11, 1987.
OWNERSHIP
For convenient reference, we have segregated the subject lands into the
following tracts:
TRACT 1: A 40 -foot wide strip of land off the entire south side of the
SiSE* of Section 30, containing 2.4 acres, more or less.
TRACT 2: All of the SSE except Tract 1 described above, containing
77.6 acres, more or less.
Each interest tabulated below is an undivided interest and has been
proportionately reduced where appropriate.
Based upon the title data examined, and subject to the exceptions,
comments, and requirements set forth herein, we find title to the captioned
lands and the leases tabulated herein as of January 12, 1988 at 7:00 a.m. to
be owned and encumbered as follows:
TRACT 1 SURFACE
Owner
Weld County
Interest
All
Q
COGSWELL AND WEHRLE
Parker & Parsley Petroleum Company
February 5, 1988
Page 5
DISTRIBUTION OF PROCEEDS AND OIL AND GAS LEASEHOLD FOR THE
S+SE4 OF SECTION 30, T. 6 N„ , R. 64 W., 6TH P.M.
Weld County .37500% R
TOTAL
100.00000% 100.00000%
ENCUMBRANCES
Taxes: Colorado real property taxes assessed against the subject lands
for 1986 and all prior years have been paid.
Easements:
Easement No. 1:
Dated:
Recorded:
From:
November 26, 1887.
February 8, 1888 in book 69 at page 625.
Rachel H. Foote.
COGIS - WELL Information
Page 1 of 2
ELL Inform
n
Scout Card ` Relate 4, Insp. ICI:
Surface Location Data for API # 05-123-22167
Well Name/No:
Operator:
Status Date:
Facilityl D:
County:
Field:
Planned Location
As Drilled Location
GIS 1 . Doc a COA Wellbore
rders
Status: SI 9/1/2017
BLEHM #44-30 (click well name for production)
PDC ENERGY INC - 69175
9/1/2017 Federal or State Lease #:
272021 LocationiD:
WELD #123 Location:
WATTENBERG - #90750 Elevation:
660 FSL 660 FEL
Footages Not Available
Wellbore Data for Sidetrack #00
Spud Date:
Wellbore Permit
Permit #:
Prop Depth/Form:
Mineral Owner:
Unit:
10/26/2004
20040774
7100
FEE
Lat/Long: 40.451395/-104.586096
Lat/Long: 40.451183/-104.585993
Spud Date is:
Expiration Date:
Surface Mineral Owner Same:
Surface Owner:
Unit Number:
332336
SESE 30 6N641/1/ 6 PM
4,655 ft.
Lat/Long Calculated From Footages
Lat/Long Source: Field Measured
Status: SI 9/1/2017
ACTUAL
4/21/2005
Y
FEE
Formation and Spacing: Code: NB -CD , Formation: NIOBRARA-CODELL , Order: 407-87 , Unit Acreage: 80, Drill Unit: S/2SE
Wellbore Completed
Completion Date:
Measured TD:
True Vertical TD:
Log Types:
Casing:
Cement:
Casing:
Cement:
Formation
PARKMAN
SUSSEX
N IOBRARA
CODELL
10/31/2004
7109
Measured PB depth: 7105
True Vertical PB depth:
GR/CBL/CNL/DIL
String Type: SURF , Hole Size: 12.25, Size: 8.625, Top: 0, Depth: 408, Weight: 24
Sacks: 325, Top: 0, Bottom: 408, Method Grade: CALC
String Type: 1ST , Hole Size: 7.875, Size: 4.5, Top: 0, Depth: 7105, Weight: 11.6
Sacks: 575, Top: 0, Bottom: 7105, Method Grade: CBL
Log Top
3537
4332
6563
6887
Completed information for formation NB -CD
1st Production Date:
Status Date:
Commingled:
Formation Name: SI
Formation Treatment
Treatment Date: 10/31/2004
Treatment summary: FRAC CODL W/117,052 GALS FRAC FLUID + 263,500# 20/40 SAND & 12,000# ACFRAC 12/20#
SAND. FRAC NB W/179,544 GALS FRAC FLUID + 238,440# 20/40 SAND 8( 12,000# ACFRAC 12/20 # SAND.
Log Botto
Cored
N
N
N
N
9/1/2017
Tubing Size:
Tubing Packer Depth:
Open Hole Top:
Initial Test Data:
Test Date:
Hours Tested:
Gas Disposal:
Test Type
BBLS_H2O
BBLS_OIL
CASING_PRESS
MC F_GAS
Perforation Data:
Interval Bottom:
N/A
9/1/2017
N
NIOBRARA-CODELL
12/3/2004
24
SOLD
Measure
111
40
300
272
Choke Size:
Open Hole Completion:
Production Method:
Status:
Tubing Setting Depth:
Tubing Multiple Packer:
Open Hole Bottom:
Test Method:
Gas Type:
Status: SI
0.313
N
SHALE
6902 Interval Top: 6580
DSTs
N
N
N
N
http://cogccostateeco.us/cogis/FacilityDetaiLasp?facid=12322167&type=W1--{;LL 1/8/2018
COGIS - WELL Information Page 2 of 2
# of Holes:
256 Hole Size:
http://cogcc.state.co.us/cogis/FacilityDetail.asp?facid=12322167&type=WELL 1/8/2018
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): Blehm #44-30
File Location(s): LE0140
B � DATE: )
Bruce Barker - County Attorney
NOTES: 2.4 mineral acres/ 80 acres spacing unit * 12.5% = 0.00375 MATCH
INSTRUCTIONS TO ALL INTEREST OWNERS
Dear Interest Owner,
PDC Energy, Inc. has enclosed a Division Order for your execution.
The attached document should not be altered in any way except to correct spelling errors, unless accompanied by
documentary evidence to support the change.
If your name and interest are correctly shown:
1. Sign your name as shown on the Division Order.
2. If your name has changed due to marriage or divorce, execute the Division Order using your present name and furnish a copy
of the marriage certificate or divorce decree.
3. If signing for a corporation, signature must be attested, corporate seal fixed and title of signatory party reflected.
4. If signed by agent, attorney -in -fact, guardian or any party other than the named interest owner, a certified copy of the power
of attorney or other evidence of such party's right to sign must be furnished.
5. Your correct mailing address should be noted in the space provided to insure prompt receipt of production proceeds.
6. The top copy or the "Original" of the Division Order should be returned to:
PDC Energy, Inc.
1775 Sherman Street, Suite 3000
Denver, Colorado 80203
Attn: Division Orders
7. Should you have any further questions regarding the enclosed Division Order, please contact PDC Energy, Inc. at (303) 860-
5836 or (888) 860-5836.
8. Please DO NOT DETACH the exhibit from the Division Order or Transfer Order if one is included.
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