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HomeMy WebLinkAbout20172979RETAIN NADOA Mudd Farm Dividm Order (Adontrd 9/9S1 - DIVISION ORDER To: Extraction Oil and Gas, LLC 370 17th Street, Suite 5300 Denver, CO 80202 Well/Property Name: Well API Number: Well/Property Number: Well Spacing Location: County and State: Spacing Unit Gross Acres: See Exhibit on Reverse Side See Exhibit on Reverse Side See Exhibit on Reverse Side See Exhibit on Reverse Side Weld, Colorado See Exhibit on Reverse Side Production Type: X Oil X Gas X Other Date: June 2017 Analyst: J. Guyer Owner Owner Name Tax Identification Interest Type Interest Decimal Number 4317 WELD COUNTY COLORADO XXX-XX-0813 See Reverse See Reverse Side PO BOX 758 Side GREELEY, CO 80632 The undersigned certifies the ownership of their decimal interest in production or proceeds as described above payable by Extraction Oil and Gas, LLC ("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. SIGNATURE.`_ BOARD 0 ATTEST:` CLER BY: DEPUTY CLERK T Federal Law requires you to furnish your Social Security or Taxpayer Identification Number. Weld County Government 1150 "O" Street Greeley, CO 80634 Phone: 970-336-7204 Fax: 970-336-7233 Tax ID: 84-6000-813 Owner ID: 4317 2017-2979 (j ) RETAIN EXTR4CTION NADOA Model Form Division Order (Adooted 9/9M — Well Well Name Well API Unit Unit Interest Paycode Decimal # Spacing Acres Type Interest 2205 RESTER FARMS 05-123-41993 7N 67W SEC 25: 320.872 RI SDO 0.00051734 A-36HN S/2S/2, SEC 36: N/2N/2 2206 HESTER FARMS 05-123-41998 7N 67W SEC 25: 320.872 RI SDO 0.00051734 B-3� S/2S/2, SEC 36. N/2N/2 Owner ID: 4317 TOTAL UNIT LOR FOR OWNER 0.000517 Tract NRI N- N — in 0 0 0 O f,IN c 0 U a 320.872 46I tz gi V Q co co O d N C6 d J — 75 O O Q. N O N (3 J Al N rr (/) L = C O O o d N c6 N -J o N Uco N V LANDO WNER ROYALT Y ("LOR") Mineral Interest x Lease Royalty x (Tract Acres II Unit Acres) Weld County Amanda Petzold From: Sent: To: Subject: Follow Up Flag: Flag Status: Amanda, Jocelyn Guyer <JGuyer@extractionog.com> Monday, July 31, 2017 10:09 AM Amanda Petzold RE: DO-HesterFarms-Weld County Follow up Flagged 1) 3832593 c O� Nb EXHIBIT E: CONSOLIDATED OWNERSHIP: Hester Farms A-36HN and B-36HC Well Township 7 North, Range 67 West Section 25: S/2S/2 Section 36: N/2N/2 Limited to the Wellbores of the wells named above and limited to production from the Codell and Niobrara formations Containing 320.872 acres, more or less LANDOWNER ROYALTY ("LOR") Tract Lease _ Lease Mine Interest Mineral Interest x Lease Royalty x (Tract Acres / Unit Acres) Weld County 14 20 100.00000C 3) 1 TRACT 14 Township 7 North, Ranee 67 West Section 25: Two strips of land in the SW/4 as described above 3.36 acres, more or less, of which 2.53 acres are in the N/2S/2 and 0.83 acres are in the St2S/2 Oil and Gas Lease No. Royalty Rate Weld County 100.000000% 20 0.2000 Oil and Gas Leasehold Lease No. Synergy Resources Corporation 100.000000% 20 Overridine Royalty None TRACT 14: Township 7 North, Range 67 West Section 25: A strip of land 10 feet in width adjoining and lying imme east of the right of way for a road described in that Quit Deed recorded in Book 76 at Page 222 of the Weld I Records, being in the WI2SW/4 of Section 25 and runni entire length of the strip of the land described in said deed and A strip of land 10 feet in width adjoining and lying inane east of the right of way contained and described in that Quit Deed recorded in Book 479 at Page 495 of the Weld Records, the said strip of and being in the SW/4 and runn: entire length of the strip of the land described in said deed 4) Not Available CcAC1\- Best Regards, Jocelyn Guyer From: Amanda Petzold [mailto:apetzold@weldgov.com] Sent: Wednesday, July 19, 2017 8:57 AM To: Jocelyn Guyer <JGuyer@extractionog.com> Cc: Amanda Petzold <apetzold@weldgov.com>; Karla Ford <kford@weldgov.com> Subject: DO-HesterFarms-Weld County 2 Please be advised that the following information must accompany all division orders, which are submitted to Weld County Board of County Commissioners for approval: 1. The reception numbers, or copy of the lease that shows Weld County's mineral interest. 2. Detailed calculations illustrating how the County's royalty interest was derived. 3. Title opinion pages that refer to Weld County's royalty interest. 4. If available, a letter sized copy of the plat reflecting the complete spacing unit with Weld County's mineral interest outlined and highlighted related to the division order. Also, please provide all acreage labels necessary to support the calculations used to arrive at the County's royalty interest. Please email me the information requested. Thank you, Please Note: My normal working hours are Monday -Wednesday. Amanda Petzold Deputy Clerk to the Board 1150 O Street / P.O. Box 758 Greeley, CO 80631 tel: (970) 400-4224 Confidentiality Notice: This electronic transmission and any attached documents or other writings are intended only for the person or entity to which it is addressed and may contain information that is privileged, confidential or otherwise protected from disclosure. If you have received this communication in error, please immediately notify sender by return e-mail and destroy the communication. Any disclosure, copying, distribution or the taking of any action concerning the contents of this communication or any attachments by anyone other than the named recipient is strictly prohibited. 3 COGIS - WELL Information Page 1 of 1 COGIS - WELL Information Scout Card [-►4 Related CI, Insp. Q MIT a GIS F Doc 1. COA 1r Wellbore Surface Location Data for API # 05-123-41993 Status: PR Well Name/No: Hester Farms #A-36HN (click well name for production) Operator: EXTRACTION OIL & GAS INC - 10459 Status Date: 4/1/2017 FacilitylD: County: Field: Planned Location Frac Focus 442750 WELD #123 Federal or State Lease #: LocationlD: Location: WATTENBERG - #90750 Elevation: 1589 FNL 202 FwL LatLong: 40.533621/-104.831378 Job Date: 3/2/2017 Job End Date: 3/2/2017 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: Casing: Cement: Casing: Cement: Wellbore Completed Completion Date: N/A Measured TD: True Vertical TD: Top PZ Location: Sec: 36 Twp: 7N 67W Bottom Hole Location: Sec: 36 Twp: 7N 67W Formation Log Top Completed information for formation N-COM Status: PR 4/1/2017 1st Production Date: 11/1/2016 Status Date: 4/1/2017 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 . Orders 4/1/2017 8501.5 442759 LOT2 31 7N66W 6 PM 4,915 ft. Lat/Long Source: Field Measured Reported: 3/28/2017 Days to report: 26 11/6/2016 Spud Date is: HORIZONTAL Status: PR 4/1/2017 NOTICE Expiration Date: 8/4/2017 4:15:31 PM 12260 Surface Mineral Owner Same: STATE Surface Owner: FEE 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: 7.875, Size: 5.5, Top: 0, Depth: 12260, Weight: 20 Sacks: 1080, Top: 1500, Bottom: 12260, Method Grade: String Type: 1ST LINER , Hole Size: 6.125, Size: 4.5, Top: 7646, Depth: 12260, Weight: 11.6 Sacks: , Top: , Bottom: , Method Grade: Measured PB depth: True Vertical PB depth: Footage: 160 FFNLL 470 FFELL Depth Footages: 160 FFNLL 470 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: PR http://cogcc.state.co.us/cogis/FacilityDetail.asp?facid=12341993&type=WELL 8/8/2017 COGIS - WELL Information Page 1 of 1 COGIS - WELL Information Scout Card I Related Q Insp. q MIT 0 GIS Dlt Doc la COA it Wellbore Surface Location Data for API # 05-123-41998 Status: PR Well Name/No: Hester Farms #B-36HC (click well name for production) Operator: EXTRACTION OIL & GAS INC - 10459 Status Date: 4/1/2017 Federal or State Lease #: 8501.5 FacilitylD: 442755 LocationiD: 442759 County: WELD #123 Location: LOT2 31 7N66W 6 PM Field: WATTENBERG - #90750 Elevation: 4,915 ft. Planned Location 1604 FNL 202 FWL Lat/Long: 40.533579/-104.831379 Lat/Long Source: Field Measured Frac Focus Job Date: 2/4/2017 Job End Date: 2/4/2017 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: Casing: Cement: Casing: Cement: Wellbore Completed Completion Date: Measured TD: True Vertical TD: Top PZ Location: Bottom Hole Location: Formation Orders 4/1/2017 Reported: 3/28/2017 Days to report: 52 Status: PR 4/1/2017 11/6/2016 Spud Date is: NOTICE HORIZONTAL Expiration Date: 8/4/2017 4:15:31 PM 12244 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: 7.875, Size: 5.5, Top: 0, Depth: 12244, Weight: 20 Sacks: 1080, Top: 1500, Bottom: 12244, Method Grade: String Type: 1ST LINER , Hole Size: 6.125, Size: 4.5, Top: 7630, Depth: 12244, Weight: 11.6 Sacks: , Top: , Bottom: , Method Grade: N/A Sec: 36 Twp: 7N 67W Sec: 36 Twp: 7N 67W Log Top Measured PB depth: True Vertical PB depth: Footage: 325 FFNLL 470 FFELL Depth Footages: 325 FFNLL 470 FFWLL Depth Log Bottom Completed information for formation N-COM 1st Production Date: 11/1/2016 Status Date: 4/1/2017 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 Choke Size: Open Hole Completion: Production Method: Status: Tubing Setting Depth: Tubing Multiple Packer: Open Hole Bottom: Cored DSTs Status: PR 4/1/2017 PR http://cogcc.state.co.us/cogis/FacilityDetail.asp?facid=12341998&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): Hester Farms A-36HN, Hester Farms B-36HC File Location(s): LE0302 BY; Bruce Barker - County Attorney DATE: NOTES: .83 / 320.872 * 20% = ..00051734 MATCH Hello