HomeMy WebLinkAbout20172977NADOA 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
Property Number: 105.102806, 105.102807, 105.102808, 105.102809
Property Name: i Dunn 7O-3411 unn 7q-241,'unn 7Q-301,tunn 7O-221
Operator: PDC Energy, Inc
County and State: Weld, Colorado
Property Township 5 North, Range 64 West
Description: Section 7: SWSW
Production:
X
Oil
X
Gas
X
July 31, 2017
1.1W3- OS - 1 -Z r 1 SZy
2.f S.iter9-12.brLI28Z(P
5AP1,4Vos-1Z3,L1282c%
14.AP= Oro- 12,-/-122,45\
Effective Date: July 2017
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: 0.00104856
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:
SIGNATUR
BOARD OF
ATTEST. --I
CLER T9 T
BY:
DEPUTY CLERK
L> u a
..„Ajtit.„,m)rs3p
Owner Email Address:
0ARD
(None or See Attached Exhibit)
AUG 2 8 2017
Weld County Government
RS, CH �fi�o >�- x1150 "o" Street
eeley, CO 80634
ne: 970-336-7204
970-336-7233
D: 84-6000-813
Federal Law requires you to furnish your Social Security or Taxpayer Identification Number.
Failure to comply will result in 28 % tax withholding and will not refundable by Payor
AT
Cd vanir A050,6a $12425
Retain thicopv for your records
t- a-8-17
2017-2977 (1 )
LE,pp10
Exhibit A
105.102806, 105.102807, 105.102808, 105.102809 - Dunn 7Q-341, Dunn 7Q-241, Dunn 7Q-301, Dunn 7Q-221
Owner No.
Credit To Type Interest
43444 Weld County Board of Comm
100°/O*18cYO*2.95/708.9701 +100.3/0*18`)/0*1.18/708.9701 = RI 0.00104856 «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 SN 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
to This interest is subject to a Term Royalty Conveyance (Mineral Servitude). See Comment and Requirement No.
SC10.
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 S: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 84 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 SN 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 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 FS WILL
COGIS - WELL Information Page 1 of 1
COGIS - WELL Information
Scout Card D-4 Related Q Insp. 4 MIT it GIS D. Doc la COA Wellbore
Surface Location Data for API # 05-123-42824 Status: DG
Well Name/No:
Operator:
Status Date:
FacilitylD:
County:
Field:
Planned Location
Frac Focus
Dunn_#7O-341 (click well name for production)
PDC ENERGY INC - 69175
1/14/2017 Federal or State Lease #:
444954 LocationlD:
WELD #123 Location:
WATTENBERG - #90750 Elevation:
720 FSL 980 FWL Lat/Long: 40.408342/-104.598275
Job Date: 5/4/2017 Reported:
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:
. 1/14/2017
Orders
1/14/2017
444964
SWSW 7 5N64W 6 PM
4,625 ft.
Lat/Long Source: Field Measured
7/6/2017 Days to report: 42
Status: DG 1/14/2017
Spud Date is: NOTICE
HORIZONTAL
Expiration Date:
16888 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: 16888, Weight: 20
Sacks: 2035, Top: 0, Bottom: 16888, Method Grade:
N/A
Top PZ Location: Sec: 7 Twp: 5N
Bottom Hole Location: Sec: 6 Twp: 5N
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 .
64W
64W
Log Top
Measured PB depth:
True Vertical PB depth:
Footage: 822 FFSLL 2023 FFWLL Depth
Footages: 200 FFNLL 1994 FFWLL Depth
Log Bottom
Completed information for formation N-COM
1/1/2017
1/1/2017
NOT COMPLETED
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 1/1/2017
CM
http://cogcc.state.co.us/cogis/FacilityDetail.asp?facid=12342824&type=WELL 8/16/2017
COGIS - WELL Information Page 1 of 1
Well Name/No:
Operator:
Status Date:
FacilitylD:
County:
Field:
Planned Location
Frac
COGIS - WELL Information
Scout Card -►O Related Insp. MIT GIS la Doc a COA Wellbore Orders
Surface Location Data for API # 05-123-42826 Status:
Dunn #7Q-241 (click well name for production)
PDC ENERGY INC - 69175
1/25/2017
444956
WELD #123
Federal or State Lease #:
LocationlD:
Location:
WATTENBERG -#90750 Elevation:
705 FSL 980 FWL Lat/Long: 40.408301/-104.598275
Job Date: 5/4/2017 Reported:
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
DG 1/25/2017
444964
SWSW 7 5N64W 6 PM
4,625 ft.
Lat/Long Source: Field Measured
7/6/2017 Days to report: 42
Status: DG 1/25/2017
1/25/2017 Spud Date is: NOTICE
HORIZONTAL
Expiration Date:
16872 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: 16872, Weight: 20
Sacks: 2035, Top: 0, Bottom: 16872, Method Grade:
2/26/2018 5:00:29 PM
Measured PB depth:
True Vertical PB depth:
Footage: 823 FFSLL 2264 FFWLL Depth
Footages: 200 FFNLL 2235 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=12342826&type=WELL 8/16/2017
COGIS - WELL Information
Page 1 of 1
COGIS - WELL Information
Scout Card h Related Q Insp. Q, MIT 0 GIS a Doc a COA 1r Wellbore
Surface Location Data for API # 05-123-42829 Status: DG
Well Name/No: Dunn #7Q-301 (click well name for production)
Operator: PDC ENERGY INC - 69175
Status Date:
FacilitylD:
County:
Field:
Planned Location
Frac Focus
2/3/2017
444959
WELD #123
Federal or State Lease #:
Location ID:
Location:
WATTENBERG - #90750 Elevation:
690 FSL 980 FWL Lat/Long: 40.408259/-104.598276
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: 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
2/1/2017
2/1/2017
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 .
NOT COMPLETED
2/3/2017 Spud Date is:
HORIZONTAL
Expiration Date:
17002 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: 17002, Weight: 20
Sacks: 2035, Top: 0, Bottom: 17002, Method Grade:
Orders
2/3/2017
444964
SWSW 7 5N64W 6 PM
4,625 ft.
Lat/Long Source: Field Measured
Days to report: 42
Status: DG 2/3/2017
NOTICE
2/26/2018 5:00:29 PM
Measured PB depth:
True Vertical PB depth:
Footage: 825 FFSLL 2589 FFELL Depth
Footages: 200 FFNLL 2605 FFELL Depth
Log Bottom
Choke Size:
Open Hole Completion:
Production Method:
Status:
Tubing Setting Depth:
Tubing Multiple Packer:
Open Hole Bottom:
Cored DSTs
Status: PR 2/1/2017
PR
http://cogcc.state.co.us/cogis/FacilityDetail.asp?facid=12342829&type=WELL 8/16/2017
COGIS - WELL Information
Page 1 of 1
Well Name/No:
Operator:
Status Date:
FacilitylD:
County:
Field:
Planned Location
Frac Focus
COGIS - WELL Information
Scout Card 4 Related Q Insp. Cl MIT 49 GIS a Doc a COA Y Wellbore
Surface Location Data for API # 05-123-42831 Status: DG
Dunn #7Q-221 (click well name for production)
PDC ENERGY INC - 69175
2/13/2017
444961
WELD #123
Federal or State Lease #:
LocationlD:
Location:
WATTENBERG - #90750 Elevation:
675 FSL 980 FWL Lat/Long: 40.408218/-104.598276
Job Date: 5/4/2017 Reported: 7/6/2017
Job End Date: 5/27/2017
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: 2/1/2017
Status Date: 2/1/2017
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
2/13/2017
444964
SWSW 7 5N64W 6 PM
4,625 ft.
Lat/Long Source: Field Measured
Days to report: 40
Status: DG 2/13/2017
2/13/2017 Spud Date is: NOTICE
HORIZONTAL
Expiration Date:
17011 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: 17011, Weight: 20
Sacks: 2035, Top: 0, Bottom: 17011, Method Grade:
2/26/2018 5:00:29 PM
Measured PB depth:
True Vertical PB depth:
Footage: 826 FFSLL 2311 FFELL Depth
Footages: 200 FFNLL 2326 FFELL 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: PR 2/1/2017
PR
http://cogcc.state.co.us/cogis/FacilityDetail.asp?facid=12342831&type=WELL 8/16/2017
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 7Q-341, Dunn 7Q-241, Dunn 7Q-301, Dunn 7Q-221
File Location(s): LE00 0
BY
Bru Barker - County Attorney
DATE: 7
NOTES: 2.95 / 708.9701 18 % = .0007489
1.18 / 708.9701 18 % = .0002995
.0007489 + .0002995 = .00104856 MATCH
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