HomeMy WebLinkAbout20172978NADOA Model Form Division Order (Adopted 9/95)
DIVISION ORDER
To: PDC Energy, Inc Date:
1775 Sherman Street, Suite 3000
Denver, CO 80203
Attn: Anthony Tamayo (303) 831 -3996 or Anthony.Tamayo@pdce.com
June 9, 2017
An
I. *05-11-'5-yZ828
2.1*D5 - %Z.-5-4121321
3A#05 -12:b-"4252.
14. '05 -1?3 4I2SbZ
Property Number: 105.102803,105.102805,105.102804, 105.102802 Effective Date: June 2017
Property Name: '. Dunn 7L-201,215unn 7L-22115unn 7L-301, Lunn ZL-341
Operator: PDC Energy, Inc
County and State: Weld, Colorado
Property Township 5 North, Range 64 West
Description: Section 7: SWSW (spaced Section 7: W2, Section 6: W2, Section 31: S2SW 720 acres)
Production:
X
Oil
X
Gas
X
Other: all products
Owner Name
and Address:
Weld County Board of Comm
PO Box 758
Greeley, CO 80632-0758
OWNER NUMBER: 43444
Type of Interest: RI
Decimal Interest: 0.00114062
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: (None or See Attached Exhibit)
SIGNATURE:(
BOARD OF
ATTEST'
CLER
BY:
DEPUTY CLERK
Owner Email Address:
Weld County Government
1150 "O" Street
Greeley, CO 80634
one: 970-336-7204
:970-336-7233
ID: 84-6000-813
Federal Law requires you to furnish your ' oc . ecurity or Taxpayer Identification Number.
Failure to comply will result in 28 % tax wjthholding and jujll not b fundable by Payor
AT
C oteeclt' ApitclAQ gM2%
2017-2978 (I)
LS `.'7-V
Exhibit A
105.102803,105.102805,105.102804, 105.102802 - Dunn 7L-201, Dunn 7L-221, Dunn 7L-301, Dunn 7L-341
Owner No.
Credit To Type Interest
43444 Weld County Board of Comm
100°/0*18°/0*2.95/651.75 +100%*18%*1.18/651.75 = RI 0.00114062 «Your Interest
Mr. Josh Wagner, CPL, and Mr. Jake Bakker, RPL
PDC Energy, Inc.
Re: Supplemental DDOTO — Dunn Klein Wells - Weld County, Colorado
TRS 5N 64W 5:W2W2, 6: All, 7: All, 8:W2W2; TRS 5N 65W,1:E2E2, 12:E2E2;
TRS 6N 64W 31:5252, 32:SWSW; TRS 6N 65W 36:SESE
BFW File 5802.22
November 29, 2016; revised February 1, 2017
Page 172
Subject Lease 87
Date:
Recorded:
Lessor:
Lessee:
Royalty:
January 11, 1984
Reception No. 1954160 on January 26, 1984
Weld County, Colorado
Wichita Industries, Inc.
18% for oil and gas
io This interest is subject to a Term Royalty Conveyance (Mineral Servitude). See Comment and Requirement No.
SC10.
LE.O0Zb
BURNS FIGA & WILL
ORIGl(,i/l I..))(.UvlENi OF BURN',
Mr. Josh Wagner, CPL, and Mr. Jake Bakker, RPL
PDC Energy, Inc.
Re: Supplemental DDOTO — Dunn Klein Wells - Weld County, Colorado
TRS 5N 64W 5:W2W2, 6: All, 7: All, 8:W2W2; TRS 5N 65W,1:E2E2, 12:E2E2;
TRS 6N 64W 31:5252, 32:SWSW; TRS 6N 65W 36:SESE
BFW File 5802.22
November 29, 2O16; revised February 1, 2017
Page 45
Tract B4 Oil & Gas Leasehold Ownership
All Depths
PDC Energy, Inc.
Weld County, Colorado
WI NRI Lease
100.000000% 82.000000% WI 87
18.000000% LOR 87
100.000000% 100.000000%
BURNS FIGA & WILL
Mr. Josh Wagner, CPL, and Mr. Jake Bakker, RPL
PDC Energy, Inc.
Re: Supplemental DDOTO — Dunn Klein Wells - Weld County, Colorado
TRS 5N 64W 5:W2W2, 6: All, 7: All, 8:W2W2; TRS 5N 65W,1:E2E2, 12:E2E2;
TRS 6N 64W 31:S252, 32:SWSW; TRS 6N 65W 36:SESE
BFW File 5802.22
November 29, 2016; revised February 1, 2017
Page 47
Tract B10 Oil & Gas Leasehold Ownership
All Depths
PDC Energy, Inc.
Weld County, Colorado
WI NRI Lease
100.000000% 82.000000% WI 87
18.000000% LOR 87
100.000000% 100.000000%
BURNS FIGA £4 WILL
COGIS - WELL Information
Page 1 of 1
COGIS - WELL Information
Scout Card [ â–ºCO Related Ck Insp. CI. MIT GIS EQ Doc at GOA 1t Wellbore )14'swg9Orders
Surface Location Data for API # 05-123-42828
Well Name/No:
Operator:
Status Date:
FacilitylD:
County:
Field:
Planned Location
Frac Focus
Status: DG 11/7/2016
Dunn #71-201 (click well name for production)
PDC ENERGY INC - 69175
11/7/2016
444958
WELD #123
Federal or State Lease #:
LocationlD:
Location:
WATTENBERG - #90750 Elevation:
810 FSL 981 FWL Lat/Long: 40.408589/-104.598271
Job Date: 4/17/2017 Reported: 7/3/2017
Job End Date: 5/4/2017
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:
Wellbore Completed
Completion Date: N/A
Measured TD:
True Vertical TD:
Top PZ Location: Sec: 7 Twp: 5N 64W
Bottom Hole Location: Sec: 6 Twp: 5N 64W
Formation Log Top
Completed information for formation N-COM Status: CM 11/1/2016
1st Production Date: 11/1/2016
Status Date: 11/1/2016
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 .
11/7/2016
444964
SWSW 7 5N64W 6 PM
4,625 ft.
Lat/Long Source: Field Measured
Days to report: 60
Status: DG 11/7/2016
Spud Date is: NOTICE
HORIZONTAL
Expiration Date:
16822 Surface Mineral Owner Same:
FEE Surface Owner: FEE
Unit Number:
Code: NBRR , Formation: NIOBRARA , Order: , Unit Acreage: 720, 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: 16822, Weight: 20
Sacks: 2035, Top: 0, Bottom: 16822, Method Grade:
2/26/2018 5:00:29 PM
Measured PB depth:
True Vertical PB depth:
Footage: 816 FFSLL 204 FFwLL Depth
Footages: 200 FFNLL 175 FFWLL Depth
Log Bottom
Cored DSTs
NOT COMPLETED
Choke Size:
Open Hole Completion:
Production Method:
Status:
Tubing Setting Depth:
Tubing Multiple Packer:
Open Hole Bottom:
CM
http://cogcc.state.co.us/cogis/FacilityDetail.asp?facid=12342828&type=WELL 8/8/2017
COGIS - WELL Information Page 1 of 1
COGIS - WELL Information
Scout Card 4 Related Insp. MIT * GIS L Doc
Surface Location Data for API # 05-123-42827
DG 12/31/2016
Well Name/No:
Operator: PDC ENERGY INC - 69175
Status Date: 12/31/2016 Federal or State Lease #:
FacilitylD: 444957 LocationiD:
County: WELD #123 Location:
Field: WATTENBERG - #90750 Elevation:
Planned Location 735 FSL 980 FWL Lat/Long: 40.408383/-104.598274
Frac FOCUS
COA Wellbore
Status:
Dunn #7L-221 (click well name for production)
Job Date: 5/4/2017
Job End Date: 5/25/2017
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:
Wellbore Completed
Completion Date: N/A
Measured TD:
True Vertical TD:
Top PZ Location: Sec: 7 Twp: 5N 64W
Bottom Hole Location: Sec: 6 Twp: 5N 64W
Formation Log Top
Completed information for formation
1st Production Date: 1/1/2017
Status Date: 1/1/2017
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
Orders
444964
SWSW 7 5N64W 6 PM
4,625 ft.
Lat/Long Source: Field Measured
Reported: 7/6/2017 Days to report: 42
Status: DG 12/31/2016
12/31/2016 Spud Date is: NOTICE
HORIZONTAL
Expiration Date:
16759 Surface Mineral Owner Same:
FEE Surface Owner: FEE
Unit Number:
Code: NBRR , Formation: NIOBRARA , Order: , Unit Acreage: 720, 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: 16759, Weight: 20
Sacks: 2035, Top: 0, Bottom: 16759, Method Grade:
2/26/2018 5:00:29 PM
Measured PB depth:
True Vertical PB depth:
Footage: 820 FFSLL 1709 FFWLL Depth
Footages: 200 FFNLL 1680 FFWLL Depth
Log Bottom
N-COM
Choke Size:
Open Hole Completion:
Production Method:
Status:
Tubing Setting Depth:
Tubing Multiple Packer:
Open Hole Bottom:
Cored DSTs
Status: CM 1/1/2017
CM
http://cogcc.state.co.us/cogis/FacilityDetail.asp?facid=12342827&type=WELL 8/8/2017
COGIS - WELL Information
Page 1 of 1
COGIS - WELL Information
Scout Card n-4, Related CIL Insp. Q MIT 0 GIS at Doc D. COA Y Wellbore )4 Orders
Surface Location Data for API # 05-123-42825 Status:
DG 12/23/2016
Well Name/No:
Operator:
Status Date:
FacilitylD:
County:
Field:
Planned Location
Frac Focus
Dunn #7L-301 (click well name for production)
PDC ENERGY INC - 69175
12/23/2016 6:00:00 PM Federal or State Lease #:
444955 LocationlD:
WELD #123 Location:
WATTENBERG - #90750 Elevation:
750 FSL 980 FWL Lat/Long: 40.408424/-104.598274
Job Date: 5/4/2017 Reported: 7/6/2017
Job End Date: 5/25/2017
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:
Wellbore Completed
Completion Date:
Measured TD:
True Vertical TD:
Top PZ Location:
Bottom Hole Location:
Formation
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 .
444964
SWSW 7 5N64W 6 PM
4,625 ft.
Lat/Long Source: Field Measured
Days to report: 42
Status: DG 12/23/2016
12/23/2016 Spud Date is: NOTICE
HORIZONTAL
Expiration Date:
16806 Surface Mineral Owner Same:
FEE Surface Owner: FEE
Unit Number:
Code: NBRR , Formation: NIOBRARA , Order: , Unit Acreage: 720, 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: 16806, Weight: 20
Sacks: 2035, Top: 0, Bottom: 16806, Method Grade:
N/A
Sec: 7 Twp: 5N 64W
Sec: 6 Twp: 5N 64W
Log Top
Measured PB depth:
True Vertical PB depth:
Footage: 819 FFSLL 1456 FFWLL Depth
Footages: 200 FFNLL 1428 FFWLL Depth
Completed information for formation N-COM
10/1/2016
10/1/2016
NOT COMPLETED
Log Bottom
Choke Size:
Open Hole Completion:
Production Method:
Status:
Tubing Setting Depth:
Tubing Multiple Packer:
Open Hole Bottom:
2/26/2018 5:00:29 PM
Cored DSTs
Status: CM 10/1/2016
CM
http://cogcc.state.co.us/cogis/FacilityDetail.asp?facid=12342825&type=WELL 8/8/2017
COGIS - WELL Information
Page 1 of 1
COGIS - WELL Information
Scout Card 11}-4, Related 4 Insp. q. MIT ® GIS D. Doc D. COA it Wellbore Orders
Surface Location Data for API # 05-123-42832 Status:
DG 10/27/2016
Well Name/No: Dunn #7L-341 (click well name for production)
Operator: PDC ENERGY INC - 69175
Status Date: 10/27/2016 Federal or State Lease #:
FacilitylD: D: 444962 LocationID: D: 444964
County: WELD #123 Location: SWSW 7 5N64W 6 PM
Field: WATTENBERG - #90750 Elevation: 4,625 ft.
Planned Location 825 FSL 981 FWL Lat/Long: 40.40863/-104.598271 Lat/Long Source: Field Measured
Frac Focus
Job Date: 4/17/2017 Reported:
Job End Date: 5/4/2017
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:
Wellbore Completed
Completion Date:
Measured TD:
True Vertical TD:
Top PZ Location:
Bottom Hole Location:
Formation
7/3/2017 Days to report: 60
Status: DG 10/27/2016
10/27/2016 Spud Date is: NOTICE
HORIZONTAL
Expiration Date:
16834 Surface Mineral Owner Same:
FEE Surface Owner: FEE
Unit Number:
Code: NBRR , Formation: NIOBRARA , Order: , Unit Acreage: 720, 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: 16834, Weight: 20
Sacks: 2035, Top: 0, Bottom: 16834, Method Grade:
N/A
Sec: 7 Twp: 5N 64W
Sec: 6 Twp: 5N 64W
Log Top
Completed information for formation
1st Production Date: 12/1/2016
Status Date: 12/1/2016
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
2/26/2018 5:00:29 PM
Measured PB depth:
True Vertical PB depth:
Footage: 816 FFSLL 959 FFWLL Depth
Footages: 200 FFNLL 930 FFWLL Depth
Log Bottom
N-COM
Choke Size:
Open Hole Completion:
Production Method:
Status:
Tubing Setting Depth:
Tubing Multiple Packer:
Open Hole Bottom:
Cored DSTs
Status: CM 12/1/2016
CM
http://cogcc.state.co.us/cogis/FacilityDetail.asp?facid=12342832&type=WELL 8/8/2017
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): Dunn 7L-201, Dunn 7L-221, Dunn 7L-301, Dunn 7L-341
File Location(s): LE0020
BY:
Bruce rker - County Attorney
NOTES: 2.95 / 651.75 * 18% = .0008147
1.18 / 651.75 * 18% = .0003258
.0008147 + .0003258 = .0011405 MATCH
DATE:
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