Loading...
HomeMy WebLinkAbout20173663.tiff4) NADOA Model Form Division Order (Adopted 9/95) DIVISION ORDER To: PDC Energy, Inc 1775 Sherman Street, Suite 3000 Denver, CO 80203 Attn: Linh Hoang (303) 318-6144 or Linh.11oang@pdce.com Property Number: 105.101339, 105.101338, 105.101337 Property Name: 1;J<lein 19n-402 NBCD�klein 12O-302 NB; Klein 19O-212, NB Operator: PDC Energy, Inc County and State: Weld, Colorado Property Township 5 North, Range 64 West Description: Section 19: SWNE (Spacing - Sec 19: S2NE, N2SE; Sec 20: S2N2, N2S2; Sec 21: S2NW, N2SW, SWNE, NWSE - 721.2627 Acres) Date: September 22, 2017 Production: X Oil X Gas X Effective Date: 02/24/2017, 02/27/2017, 03/01/2017 1. APs- 0\44lp 2 •AcS.-o5 - ►23 116161 3 •APS. o5-122,-2-►oR6 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: 0.00122886 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 0 ATTES CLER BY: DEPUTY CLERK unty Government ' Street , CO 80634 970-336-7204 70-336-7233 ID: 84-6000-813 LMH Federal Law requires you to furnish your Social Security or Taxpayer Identification Nun Failure to comply will result in 28 % tax withholding and will not be refundable by Pa) !D/ Retain this -copy for yorep�d6 ! 02•S 7 2017-3663 (I LEtY\, Exhibit A 105.101339, 105.101338, 105.101337 - Klein 19O-402 NBCD, Klein 19O-302 NB, Klein 19O-212 NB Owner No. Credit To Type Interest 43444 Weld County Board of Comm (0.3705* 100%/721.2627* 18.5%)+(0.285* 100%/721.2627* 18.5%)+(0.09 18*100%/721.2627* 18.5%)+(3.6089*100%/721.2627*18.5%)+(0.4348*1 00%/721.2627*18.5%) = RI 0.00122886 « Your Interest Division of Interest Spreadsheet S/2NW/4, SW/4NE/4, NW/4SE/4, N/2SW/4 all in Township 5 North, Range 64 West, 6th P.1,1. c O C C. C - L Cd Sc L C C C . l ' C OIl C • L Sc Co i ♦.r Vs C r :e C. scat O C 'C C C W r• t.- 6 .J C. cdn L C C C C .• — i- 1. • N • C W O F. C C cif)Z. N Z N Vt C N C C r CIO V1 N z ca) z c.-15 O.; Cs Co CA :4 cs L yr �C bL C Well Name: Klein 19O-212 NB, Klein 190-302 NB, Klein 190-402 NBCD Formations: Niobrara B (212), Niobrara C (302), Codell (402) Tract I Acres [,. cr. 00 Cl O C`. O C: 0 ,0 r. (r. 7 O 7212627 u CQ L �. ,.;_j .—. r I 25E-4 CC in LJJ In Cl rr1 I E.L. n r! O th VI rd Total Tract Acres: Tract Description 20: That part of the SE/4NE/4 more particularly described as follows: Beginning at a point 231 feet North of the centerline of the Union Pacific Railroad Company right-of-way and 30 feet West of the East line of the Northeast Quarter (NE/4); thence North 125 feet: thence West 125 feet; thence South 125 feet; thence East 125 feet to the point of beginning, EXCLUDING therefrom the South 26 feet 121: Lots 12, 13, 14. and the North eight (8) inches of Lot 15. Block 5, Town of Kersey Subdivision 121: The South 24.4 feet of Lot 17, Block 5, Town of Kersey Subdivision 121: Lots 7 through 25, 30 through 35 and 38 through 48, Block 6, Town of Kersey Subdivision 21: Lots 24 and 25, Block 8, Town of Kersey. Subdivision Type of Interest LOR I LOR z c4 C TOTAL UNIT LOR FOR OWNER X X r r1 Rounded Tract 1 O re] Ir. - -- 0 fir, N o 0 0 0 o 'fl (r N 0 0 0 0 O 0 00092566 f J In -- 0 0 0 o O .. ` it (r, O 0 0 0 M O 0 0 O O N 'Cr M O 0 0 O b 0.0009256634 C' r N O 0 0 6 co) V cat .. t rI r r I - N N N N N 721.2627 721.2627 r` rJ r4 N N Tract Acres .r, I l rr. 0 0O0 Cl 0 00 U O O CP 0 'C r; 00 curl v O Lease Royalty O (.0 0 O 00 . O 0 O 0 In 00 O O 00 0 In 00 O O 00 0 01 00 O O 0 0 V) 00 RI I. d .. C a • '' a° oN 0 0 6 eo0 0 00 0 0 0 0 6 o- 0 0 6 oho 0 0 0 Lease Reception Number V r-- In 00 v 4185741 N r In 00 v t7 r` to 00 v <1- r - In 00 y •r, VS v I- v v v 'Cr r re N v CA Ca In N I N O in LANDOWNER ROYALTY ("LOR") Mineral Interest 4 Lease Royalty x..(Tract Acres ' Unit Acres) lh'eld County. Colorado \\ eld County. Colorado Weld County, Colorado 'Weld County. Colorado �� eld County. Colorado LAW FIR NI Pc Joshua S. Davis josh.davis@hoveylawfirm.com PDC Energy, Inc. 1775 Sherman St., Suite 3000 Denver, CO 80203 Attn: J. Tyler Sims June 8, 2017 Third Supplemental Drilling and Division Order Title Opinion Klein 19M-402, 19M-232, 19N-312, 19N-202, 19N-302, and 19N-432 Wells Attorney File # 2156B LANDS COVERED BY OPINION: Township 5 North, Range 64 West, 6th P.M. Section 16: SW/4SE/4, S/2SW/4 Section 17: S/2S/2 Section 18: S/2SE/4 Section 19: NE/4 Section 20: N/2 Section 21: W/2NE/4, NW/4 Weld County, Colorado Containing 1,089.6096 acres, more or less "Captioned Lands" Third Supplemental Drilling & Division Order Title Opinion Klein 19M-402, 19M-232, 19N-312, 19N-202, 19N-302 and 19N-432 Wells Wel..,unty,CO June 8, 2 Page 49 Tract 24J Description Townshi. 5 North Rane 64 West 6th Section 21: That portion of Block 2, Tow •f Kersey Subdivisi (formerly known as Orr), dated effective • ember 15, 94, recorded at Reception No. 53859, located in the NW \ W/4 Weld County, Colorado Tr. Factor .9362/1,089.6096 Included within the above Tract are the ollowinParcel Factor 1. Lots 1 and 2 1.3171/0.9362 Lease Unleased Lease Unleased Third Supplemental Drilling & Division Order Title Opinion Klein 19M-402, I9M-232, 19N-312, 19N-202, 19N-302 and 19N-432 Wells Weld County, CO June 8, 2017 Page 53 Tract 25E Description Township 5 North, Range 64 West, 6th P.M. Section 21: Block 5, Town of Kersey Subdivision (formerly known as Orr), as shown on plat recorded at Reception No. 53859 on November 22, 1894 Weld County, Colorado Tract Factor Lease 4.8528/1,089.6096 Unleased, 17, 56,58, 60 through 62, 114 Included within the above Tract are the following individual parcels: Parcel Factor Lease Third Supplemental Drilling & Division Order Title Opinion Klein 19M-402, 19M-232, 19N-312, I9N-202, 19N-302 and 19N-432 Wells Weld County, CO June 8. 2017 Page 54 4. Lots 12, 13, 14, and the North eight (8) inches 0.2850/4.8528 114 of Lot 15 5B. The South 24.4 feet of Lot 17 Tract 25F Description Township 5 North, Range 64 West, 6th P.M. Section 21: Block 6, Town of Kersey Subdivision (formerly known as Orr), as shown on plat recorded at Reception No. 53859 on November 22, 1894 Weld County, Colorado 0.0918/4.8528 114 Tract Factor Lease 4.8517/1,089.6096 Unleased, 63, 64, 68, 114 Included within the above Tract are the following individual parcels: Parcel Factor Lease 3. Lots 7 through 25, 30 through 35 and 38 through 48 3.6089/4.8517 114 Third Supplemental Drilling & Division Order Title Opinion Klein 19M-402. 19M-232, 19N-312, 19N-202, 19N-302 and 19N-432 Wells Weld County, CO June 8, 2017 Page 55 Tract 25H Description Township 5 North, Range 64 West, 6th P.M. Section 21: Block 8, Town of Kersey Subdivision (formerly known as On), as shown on plat recorded at Reception No. 53859 on November 22, 1894 Weld County, Colorado Tract Factor Lease 5.2799/1,089.6096 Unleased, 17, 78 through 87, 1 14 Included within the above Tract are the following individual parcels: Parcel Factor Lease Third Supplemental Drilling & Division Order Title Opinion Klein 19M-402, I9M-232, 19N-312, 19N-202, 19N-302 and 19N-432 Wells Weld County, CO June 8.2017 Page 56 10. Lots 24 and 25 0.4348/5.2799 114 Third Supplemental Drilling & Division Order Title Opinion Klein I9M-402, 19M-232. 19N-312, 19N-202, 19N-302 and 19N-432 Wells Weld County, CO June S, 2017 Page 61 OWNERSHIP Based on an examination of the above described Title Materials and subject to the Exceptions, Comments and Requirements set forth herein below, as of the Certification Dates summarized below in Requirement No. 56, title to the Captioned Lands was owned and encumbered as follows: Third Supplemental Drilling & Division Order Title Opinion Klein 19M-402, I 9M-232, I9N-312, I 9N-202, I 9N-302 and I 9N-432 Wells Weld County, CO June 8, 2017 Page 121 OWNERSHIP INTERESTS IN TRACT 21E (Metes and Bounds Parcel Located in the SE/4NE/4 of Section 20) SURFACE: Owner Weld County, Colorado Interest 100.000000% Third Supplemental Drilling & Division Order Title Opinion Klein 19M-402. 19M-232, 19N-312, 19N-202, 19N-302 and 19N-432 Wells Weld County, CO June 8. 2017 Page 122 MINERAL INTERESTS & ROYALTY: Owner Weld County, Colorado OVERRIDING ROYALTY INTERESTS: None LEASEHOLD WORKING INTERESTS: Owner Incline Niobrara Partners, LP (OIL, GAS & ASSOCIATED HYDROCARBONS ONLY) Lease WI Mineral Interest 100.000000% Lease Mineral Interest 100.000000% 100.000000% Royalty Interest Lease 18.500000% 114 Lease NRI Lease 82.000000% 114 COMBINED OIL AND GAS LEASEHOLD OWNERSHIP INTERESTS FOR TRACT 21E Par Weld County, Colorado Incline Niobrara Partners, LP Total TRACT WI/NRI Type of Interest WI LOR 0.000000% WI/NRI 100.000000% 100.000000% NRI 0.18500000 0.81500000 1.00000000% Lease 114 114 Third Supplemental Drilling & Division Order Title Opinion Klein 19M-402, 19M-232, 19N-312. 19N-202. 19N-302 and 19N-432 Wells Weld County, CO June 8.2017 Page 159 OWNERSHIP INTERESTS IN TRACT 24A (Block I of Clark and Hill's Addition to the Town of Kersey) SURFACE: See Requirement No. 9 MINERAL INTERESTS & ROYALTY: (OIL, GAS & ASSOCIATED HYDROCARBONS ONLY) Tract Parcel Owner 24A-4 Lots 9, 10, 11, 12, Weld County, 13 and 14, Block 1 Colorado 24A-9 Lots 26, 27, 28, 29, Weld County, 30, 31 and 32, Block Colorado 1 Mineral Royalty Interest Interest Lease 100.000000% N/A Unleased 100.000000% N/A Unleased Third Supplemental Drilling & Division Order Title Opinion Klein 19M-402, I9M-232, 19N-312, 19N-202. I9N-302 and 19N-432 Wells Weld County, CO June 8, 2017 Page 160 OWNERSHIP INTERESTS IN TRACT 24B (Block 2 of Clark and Hill's Addition to the Town of Kersey) SURFACE: See Requirement No. 9 MINERAL INTERESTS & ROYALTY: (OIL, GAS & ASSOCIATED HYDROCARBONS ONLY) Tract Parcel Owner 24B-1 Lots 1, 2, 3 and 4, Weld County, Block 2 Colorado 24B-3 Lots 7, 8, 9 and 10, Weld County, Block 2 Colorado rUinerai Royalty Interest Interest Lease 100.000000% NiA Unleased 100.000000% N/A Unleased Third Supplemental Drilling & Division Order Title Opinion Klein I 9M-402, 19M-232, I9N-312, I 9N-202, I 9N-302 and I 9N-432 Wells Weld County, CO June 8, 2017 Page 162 OWNERSHIP INTERESTS IN TRACT 24D (Block 4 of Clark and Hill's Addition to the Town of Kersey) SURFACE: See Requirement No. 9 Third Supplemental Drilling & Division Order Title Opinion Klein I9M-402, I9M-232, 19N-312, 19N-202, 19N-302 and 19N-432 Wells Weld County, CO June 8, 2017 Page 163 MINERAL INTERESTS & ROYALTY: (OIL, GAS & ASSOCIATED HYDROCARBONS ONLY) Tract Parcel Owner 24D-9 Lots 28, 29, 30, Weld County, 3 land 32, Block 4 Colorado Mineral Royalty Interest Interest Lease 100.000000% N/A Unleased Affidavits of Lease Extension: None Assignments of Working Interests: I. Document: Assignment of Oil and Gas Lease Dated: March 4, 2016 Recorded: March 4, 2016 at Reception No. 4185794 Assignor: Aztec Exploration, LLC Assignee: Incline Niobrara Partners, LP Lands Covered: All of the Lease premises Interest Conveyed: All of the Assignor's interest in the above Lease Interest Reserved: None Depth Limit: None Special Provisions: None Assignments of Overriding Royalty Interests: None EXHIBIT "A" Third Supplemental Drilling and Division Order Title Opinion June 8, 2017 Klein 19M-402, 19M-232, 19N-312, 19N-202, I9N-302 and I9N-432 Wells Weld County, Colorado Page 347 rental. The minimum amount of such shut-in royalty payment shall be $240. The maximum extension of the lease due to the existence of a shut-in well, shall be 5 years beyond the extension term. The granting of any further extensions shall be at the sole option of Lessor. Lesser Interest Clause: Yes Pooling Clause: Yes, broad form pooling clause with no acreage limitation Entireties Clause: None Warranty Clause: None Pugh Clause: None Special Provisions: This Lease contains numerous additional special provisions, including, but not limited to: ASSIGNMENTS — Lessee, upon payment of a $100.00 fee and with the written consent of Lessor, shall have the right to assign this lease as to the entire leasehold interest of laid Lessee in all or part of the lands covered hereby. If any assignment of a portion of the land covered hereby shall be approved, a new lease shall be issued to the Assignee covering the assigned land, containing the same terms and conditions as this lease, and limited as to term as this lease is limited, and the Assignor shall be released and discharged from further obligations and liabilities as to that portion so assigned. OVERRIDING ROYALTY - Any and all reservations or assignments of overriding royalties shall be subject to approval of Lessor. The total of said overriding royalties shall not exceed 5 percent, including any overriding royalties previously provided for. In the event that production drops to an amount that would cause the well to be shut-in or to be plugged, then overriding royalties based on last in first out, or prorated, may be suspended to allow the well, if possible, to be economic. A reservation or assignment of an overriding royalty interest shall not relieve Lessee of any of its obligations for payment of royalties to Lessor as provided by ROYALTY paragraph herein. EXTENSION — If Lessee shall have failed to make discovery of oil and gas or either of them in paying quantities during the primary term hereof, or during drilling operations commenced during the primary term hereof, Lessee may make written application to Lessor to extend this lease... See the subject Lease for additional special provisions. EXHIBIT "A" Third Supplemental Drilling and Division Order Title Opinion June 8, 2017 Klein I9M-402, 19M-232, 19N-312, 19N-202, I9N-302 and I9N-432 Wells Weld County, Colorado Page 346 COGIS - WELL Information Page 1 of 2 COGIS - WELL Information Scout Card D-4 Related Q Insp. q MIT 6 GIS a Doc at GOA 1r Wellbore Orders Surface Location Data for API # 05-123-40146 Status: DG 8/1/2016 Well Name/No: Operator: Status Date: FacilitylD: County: Field: Planned Location As Drilled Location Fri Foci KLEIN #19O-402 (click well name for production) PDC ENERGY INC - 69175 8/1/2016 438833 WELD #123 WATTENBERG 2418 FNL 2100 FEL Footages Not Available Federal or State Lease #: LocationiD: Location: - #90750 Elevation: Lat/Long: 40.38524/-104.59084 Lat/Long: 40.38524/-104.59085 Job Date: 1/23/2017 Job End Date: 2/9/2017 Chemical Disclosure Registry Wellbore Data for Sidetrack #00 Spud Date: Wellbore Permit Permit #: Prop Depth/Form: Mineral Owner: Unit: Formation and Spacing: Formation and Spacing: 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: Formation PARKMAN SUSSEX SHARON SPRINGS NIOBRARA FORT HAYS CODELL 438834 SWNE 19 5N64W 6 PM 4,626 ft. Lat/Long Source: Field Measured Lat/Long Source: Field Measured Reported: 3/9/2017 Days to report: 28 8/2/2016 Spud Date is: HORIZONTAL Expiration Date: 14291 Surface Mineral Owner Same: FEE Surface Owner: FEE Unit Number: Code: CODL , Formation: CODELL , Order: , Unit Acreage: 720, Drill Unit: GWA Code: NBRR , Formation: NIOBRARA , Order: , Unit Acreage: 560, Drill Unit: GWA String Type: SURF , Hole Size: 12.5, Size: 9.625, Top: 0, Depth: 1425, Weight: 36 Sacks: 920, Top: 0, Bottom: 1425, Method Grade: String Type: 1ST , Hole Size: 8.5, Size: 5.5, Top: 0, Depth: 17810, Weight: 20 Sacks: 2035, Top: 0, Bottom: 17810, Method Grade: 8/14/2016 17776 6851 Sec: 19 Twp: 5N 64W Sec: 21 Twp: 5N 64W Measured PB depth: True Vertical PB depth: Footage: 2493 FSL 2174 FEL Footages: 2365 FSL 2354 FEL Status: DG 8/1/2016 ACTUAL 9/11/2016 5:11:25 PM 17727 6851 Depth Depth CBL, MWD, Cased hole neutron (DIL in 123-20132 and 123-23345) String Type: SURF , Hole Size: 12.25, Size: 9.625, Top: 0, Depth: 2040, Weight: 36 Sacks: 1240, Top: 0, Bottom: 2040, Method Grade: VISU String Type: 1ST , Hole Size: 8.5, Size: 5.5, Top: 0, Depth: 17742, Weight: 20 Sacks: 2662, Top: 1170, Bottom: 17742, Method Grade: CBL Log Bottom Cored Log Top 3599 4302 6610 6779 7358 7396 Completed information for formation 8/1 /2016 8/1 /2016 N-COM 1st Production Date: Choke Size: Status Date: 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 . Status: CM 8/1/2016 CM DSTs httn•//rnar.r ctate rn nc/cnuis/Facilitvlletail_asn?facid=12340146&tvoe=WELL 9/28/2017 COGIS - WELL Information Page 1 of 1 COGIS - WELL Information Scout Card I -KO Related Ck Insp. O MIT GIS D. Doc la COA 'Ir Wellbore Orders Surface Location Data for API # 05-123-40151 Status: DG 8/1/2016 Well Name/No: Operator: Status Date: FacilitylD: County: Field: Planned Location As Drilled Location Frac Focus KLEIN #19O-302 (click well name for production) PDC ENERGY INC - 69175 8/1/2016 Federal or State Lease #: 438839 LocationlD: WELD #123 Location: WATTENBERG - #90750 Elevation: 2388 FNL 2101 FEL Lat/Long: 40.38533/-104.59084 Footages Not Available Lat/Long: 40.38533/-104.59084 Job Date: 1/23/2017 438834 SWNE 19 5N64W 6 PM 4,626 ft. Lat/Long Source: Field Measured Lat/Long Source: Field Measured Chemical Disclosure Registry Job End Date: 2/9/2017 Reported: 3/27/2017 Days to report: 46 Wellbore Data for Sidetrack #00 Spud Date: Wellbore Permit Permit #: Prop Depth/Form: Mineral Owner: Unit: Formation and Spacing: Formation and Spacing: 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: Formation PARKMAN SUSSEX SHARON SPRINGS NIOBRARA 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 . 8/1/2016 Spud Date is: HORIZONTAL Expiration Date: 13949 Surface Mineral Owner Same: FEE Surface Owner: FEE Unit Number: Code: CODL , Formation: CODELL , Order: , Unit Acreage: 480, Drill Unit: GWA Code: NBRR , Formation: NIOBRARA , Order: , Unit Acreage: 720, Drill Unit: GWA String Type: SURF , Hole Size: 12.5, Size: 9.625, Top: 0, Depth: 1425, Weight: 36 Sacks: 920, Top: 0, Bottom: 1425, Method Grade: String Type: 1ST , Hole Size: 8.5, Size: 5.5, Top: 0, Depth: 17292, Weight: 20 Sacks: 2035, Top: 0, Bottom: 17292, Method Grade: 9/9/2016 17497 6738 Sec: 19 Twp: 5N 64W Sec: 21 Twp: 5N 64W Measured PB depth: True Vertical PB depth: Footage: 2576 FNL 2043 FEL Footages: 2608 FNL 2352 FEL 17464 6742 Depth Depth CBL, MWD (DIL in 123-20132 and 123-23345) String Type: SURF , Hole Size: 12.25, Size: 9.625, Top: 0, Depth: 1435, Weight: 36 Sacks: 660, Top: 0, Bottom: 1435, Method Grade: VISU String Type: 1ST , Hole Size: 8.5, Size: 5.5, Top: 0, Depth: 17479, Weight: 20 Sacks: 2530, Top: 1170, Bottom: 17479, Method Grade: CBL Log Bottom Cored Log Top 3603 4378 6679 6733 Completed information for formation N-COM 10/1/2016 10/1/2016 NOT COMPLETED Status: DG 8/1/2016 ACTUAL 9/11/2016 5:11:25 PM Choke Size: Open Hole Completion: Production Method: Status: Tubing Setting Depth: Tubing Multiple Packer: Open Hole Bottom: Status: CM 10/1/2016 CM DSTs L,+t,-.•llnnr.nn otatn nn nc/nt-sr-vic/RanilitvTlatail acct9farir1=17Zdf151Rftcma=WFT T 9/7R/?n17 COGIS - WELL Information Page 1 of 1 COGIS - WELL Information Scout Card Well Name/No: Operator: Status Date: FacilitylD: County: Field: Planned Location As Drilled Location I-► Related Insp. O. MIT GIS a Doc a COA it Wellbore Orders Surface Location Data for API # 05-123-40148 Status: DG 7/25/2016 KLEIN #19O-212 (click well name for production) PDC ENERGY INC - 69175 7/25/2016 438836 WELD #123 Federal or State Lease #: LocationlD: Location: WATTENBERG - #90750 Elevation: 2358 FNL 2101 FEL Lat/Long: 40.38541/-104.59085 Footages Not Available Lat/Long: 40.38541/-104.59085 Frac Focus Job n r Job End Date: 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: Log Types: Casing: Cement: Casing: Cement: Formation PARKMAN SUSSEX SHARON SPRINGS NIOBRARA 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 . 1/23/2017 2/9/2017 Reported: 3/27/2017 7/30/2016 Spud Date is: HORIZONTAL Expiration Date: 13907 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: 12.5, Size: 9.625, Top: 0, Depth: 1425, Weight: 36 Sacks: 920, Top: 0, Bottom: 1425, Method Grade: String Type: 1ST , Hole Size: 8.5, Size: 5.5, Top: 0, Depth: 17239, Weight: 20 Sacks: 2035, Top: 0, Bottom: 17239, Method Grade: 9/20/2016 17355 6684 Sec: 19 Twp: 5N 64W Sec: 21 Twp: 5N 64W Measured PB depth: True Vertical PB depth: Footage: 2260 FNL 2200 FEL Footages: 2369 FNL 2353 FEL 17316 6687 Depth Depth CBL, MWD (DIL in 123-20132 and 123-23345) String Type: SURF , Hole Size: 12.25, Size: 9.625, Top: 0, Depth: 2040, Weight: 36 Sacks: 940, Top: 0, Bottom: 2040, Method Grade: VISU String Type: 1ST , Hole Size: 8.5, Size: 5.5, Top: 0, Depth: 17330, Weight: 20 Sacks: 2422, Top: 1270, Bottom: 17330, Method Grade: CBL Log Top 3580 4281 6524 6698 Completed information for formation N-COM 7/1/2016 7/1/2016 NOT COMPLETED 438834 SWNE 19 5N64W 6 PM 4,626 ft. Lat/Long Source: Field Measured Lat/Long Source: Field Measured Days to report: 46 Status: DG 7/25/2016 ACTUAL 9/11/2016 5:11:25 PM Log Bottom Cored Choke Size: Open Hole Completion: Production Method: Status: Tubing Setting Depth: Tubing Multiple Packer: Open Hole Bottom: Status: CM 7/1/2016 CM DSTs 1Ittr,•//nrrrrnn atatcr rn nc/nnrric/FarilitrrT' tail acn9farirl=lTun laRRrtvne=WFT.T 9/7R/9f117 Bruce Barker - County Attorney 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): Klein 19O-402, Klein 19O-302, Klein 19O-212 File Location(s): LE0391 DATE: 7/q t 7 NOTES: 4.791 / 721.2627 * 18.5% = .00122886 MATCH Klein 19O-212 Klein 19O-302 Klein 19N-202 Klein 19O-402 Klein 19N-432 Klein 19N-312 Klein 19N-302 721.2627 Acres 527.8447 Acres 364.1949 Acres 728.7896 Acres Lease Reception Number Tract Acreage 00 O C y C C c '00 0! u Ol O t 0 Z 0. N 0 ,0 x x x x x x x x x x x x x x x x x x x x x x x x x x x x x x x x X X X X X X X X X X X X X LO N 10 0 Wi N x a m O N O N O .c -4 t C 7 t 7 n N 0 Z (71C Y a N N O 0 m 15 N C M c H ,0 M O O C c .2 00 N Q N =_ N N -0 T c o m N J • t0 N a N 10 N Tr CO CO O 10 N a a m O 0 La a m O 0 Lin 10 N m N , y O 0) ut t+ a S o OC ✓ vi r0 N a c m O C ,0 y T y OJ CO !� C O y - N V Y a= 7 'L -7, U _O Q m 2 `O `o U T Y m C J "O >. L D N vOi w- `,-"'A 3 Q 0 ,„, N Q y L' U O M O - y y 4 'O C H 0 t m O C O N ,0 0 C Nn at a F.- N U 0 ,0 =_ v C .� y m 0 at ai 3 N I CO F- g 0 m.2 OD 10 o 13 Le)) H 00 CO OJ �' 7 OJ J y M 2 Ol c N 'p `O m Y 2 •O « .' m N O W .12.. 00 Q a 0 U N in c N N N- V1 C N— Y 0" U h = Lop O O' _ O Y N Q N S N f0 N ... Q N m N v N M 07 N Ol 0 a N e-1 LL a N ri th a N `-I Li 0 10 a La N ✓ N N 01 e-1 M - N V1 N M 10 CO 00 00 Cs 10 a r4). 0 0 0 0-4 0 0 C 0 O v N S C y U c ° c N U N U • 1a N m TI• Tr Tr S S S S N N N N � O 2 = • ,y • N N a N 0 110 N a N 0 x x x x x x x x x 00 O co co v 00 T 0 T T Vl h L •0 0.1 U N 00 y O Y O/ Y m c • 0 • c -4 O Z • O N V -C'U c u v O O [O • N - Fa V "O M N L N 10 C nj 2g O ri O 'i ,ti G N rA.O to L !_^ O '≥ 0 ≥ .2 O Q 00 ≥ J V J L- H c J JO 'O .-1 7 ri V J .'i 0 N L 7 N V1 N C V1 N V— N 4-, V1 N 00 a 00 00 m N N oo C C m ul M L m y Y O c Y O O '5 en, 00 ≥H N N 00 y O• JO it m CU + 00 N V1 W N LL N 0 X X X N n Co 00 co m O ai v Y O C O O 0O V O m N O C O N C N ,0 • N VI O N N 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. This does not need to be notarized. 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. If your address has changed or is incorrect, please cross out the old address and write your current address next to it. 6. The first copy or the "Original" of the Division Order should be returned to: PDC Energy, Inc. 1775 Sherman Street, Suite 3000 Denver, Colorado 80203 Attn: Linh Hoang 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. 9. Your decimal interest is calculated as follows: Royalty Interest (Tract Acres * Mineral Interest / Spacing Acres * Royalty Interest) Overriding Royalty Interest (Tract Acres * Mineral Interest * Working Interest Burdened / Spacing Acres * ORRI) Hello