HomeMy WebLinkAbout20173662.tiffNADOA 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.11oam @pdce.com
Property Number: 105.101336
Property Name: Klein 19N-432 CD
Operator: PDC Energy, Inc
County and State: Weld, Colorado
Property Township 5 North, Range 64 West
Description: Section 19: SWNE (Spacing: Sec 19: NE; Sec 20: NW, S2NE; Sec 21: S2NW, SWNE)
Date: September 22, 2017
Production: X Oil X
Gas
X
Effective Date: April 4, 2017
APIA 05-123-LIb15b
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: 0.00167915
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
SIGNATU'
BOARD OF 9:=17)
ATTES
CLE
BY:
DEPUTY CLER
LMH
O THE BO
County Government
0" Street
�, CO 80634
970-336-7204
0-336-7233
:84-6000-813
ty or Taxpayer Identification Number.
Failure to comply will result in 28 % tax withholding and will not be refundable by Payor
Retain this copy for your records
-02.3-17
2017-3662 6 )
LE MCI 1
Exhibit A
105.101336 - Klein 19N-432 CD
Owner No.
Credit To Type Interest
43444 Weld County Board of Comm
(0.3705* 100%/527.8447* 18.5%)+(0.285* 100%/527.8447* 18.5%)+
(0.0918* 100%/527.8447* 18.5%)+(3.6089* 100%/527.8447* 18.5%)+
(0.4348*100%/527.8447*18.5%) = RI 0.00167915 « Your Interest
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THIRD SUPPLEMENTAL DIVISION OF INTEREST
9/28/17 2:13 PM
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Well Name: Klein 19N-432
Formations: Codell
NOTE: This Division of Interest spreadsheet is provided for your convenience and is not a part of the Dril
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LANDOWNER ROYALTY ("LOR")
IMineral; Interests I .ease Rev alt.\ y ( Fract Acres Unit Acres)
Weld County, Colorado
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Weld County, Colorado
Weld County. Colorado
!Weld County. Colorado
LAW F I R N4 �c
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 # 2I56B
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
Weld County, CO
June 8, 2017
Page 16
TRACTS
The lands covered by this Opinion (the "Unit Area") have been divided into the separate Tracts described below.
The "Tract Factor" set forth for each of the described Tracts identifies the proportion that the total number of
acres within such Tract bears to the total number of acres within the Unit Area.
Third Supplemental Drilling & Division Order Title Opinion
Klein 19M-402, 19M-232, I9N-312, 19N-202, I9N-302 and 19N-432 Wells
Weld County, CO
June 8, 2017
Page 183
25E-4 Lots 12 through 14 Weld County,
and the North 8 Colorado
inches of Lot 15,
Block 5
25E -5B The South 24.4 feet Weld County,
of Lot 17 Colorado
Req.
58
Req.
58
100.000000% 18.500000% 114
100.000000% 18.500000% 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 184
LEASEHOLD WORKING INTERESTS:
Owner
Tract
Lease Lease Mineral Lease
WI Interest NRI
Lease
Incline Niobrara Partners, Req. 58 25E-4 100.000000% 100.000000% 81.500000% 114
LP 25E -5B 100.000000% 100.000000% 81.500000% 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 185
OWNERSHIP INTERESTS IN TRACT 25F
(Block 6, Town of Kersey Subdivision)
SURFACE:
Not set forth in prior Opinion dated June 24, 2015 prepared by Carleton Gotlin Law (See Comment 8)
MINERAL & ROYALTY INTERESTS: (OIL, GAS & ASSOCIATED HYDROCARBONS ONLY)
Tract Parcel
Owner
25F-3 Lots 7 through 25, 30 Weld County,
through 35 and 38 Colorado
through 48
Req.
58
Mineral Royalty
Interest Interest
Lease
100.000000% 18.500000% 114
Third Supplemental Drilling & Division Order Title Opinion
Klein 19M-402, 19M-232, I9N-312, 19N-202, 19N-302 and 19N-432 Wells
Weld County, CO
June 8, 2017
Page 186
LEASEHOLD WORKING INTERESTS:
Owner
Incline Niobrara Partners,
LP
Rey. 58
Tract
Lease Lease Mineral Lease
WI Interest NRI
Lease
25F-3 100.000000% 100.000000% 81.500000% 114
Third Supplemental Drilling & Division Order Title Opinion
Klein 19M-402, 19M-232, 19N-312, 19N-202, I9N-302 and 19N-432 Wells
Weld County, CO
June 8, 2017
Page 188
OWNERSHIP INTERESTS IN TRACT 25H
(Block 8, Town of Kersey Subdivision)
SURFACE:
Not set forth in prior Opinion dated June 24, 2015 prepared by Carleton Gotlin Law (See Comment 8)
MINERAL & ROYALTY INTERESTS: (OIL, GAS & ASSOCIATED HYDROCARBONS ONLY)
Tract
Parcel Owner
Mineral Royalty
Interest Interest Lease
Third Supplemental Drilling & Division Order Title Opinion
Klein 19M-402, I9M-232, 19N-312, I9N-202, I9N-302 and 19N-432 Wells
Weld County, CO
June 8, 2017
Page 189
25H-10
Lots 24 and 25, Weld County,
Block 8 Colorado
Req.
58
100.000000% 18.500000% 114
Third Supplemental Drilling & Division Order Title Opinion
Klein 19M-402, 19M-232, 19N-312, 19N-202, 19N-302 and I9N-432 Wells
Weld County, CO
June 8, 2017
Page 190
LEASEHOLD WORKING INTERESTS:
Owner
Incline Niobrara Partners,
LP
Req. 58
Tract
Lease Lease Mineral Lease
WI Interest NRI
Lease
25H-10 100.000000% 100.000000% 81.500000% 114
Summary of Lease 114 (Covering a 100% mineral interest in Tracts 21E, 25E-4, 25E -5B, 25F-3 and
25H-10)
Dated:
Recorded:
Lessor:
February 26, 2016
March 4, 2016 at Reception No. 4185741
Weld County, Colorado, a political subdivision of the State of Colorado, acting
by and through the Board of County Commissioner of the County of Weld
Lessee: Aztec Exploration, LLC
Lands Covered:
Primary Term:
Royalty:
Delay Rentals:
Shut-in Royalty Clause:
Township 5 North, Range 64 West, 6th P.M.
Section 20: A tract of land in the E/2E/2NE/4, Town of Kersey, as described in
Book 553, Reception No. 148527, dated March 16, 1966 and more particularly
described as follows: Beginning at a point 231 feet North of the center of the
Main Line Tract of the Union Pacific Railroad, as it now exists; running thence
North 125 feet on a line Thirty (30) feet West of the East line of the Northeast
Quarter (NE/4) of Section Twenty (20), Township Five (5) North, Range
Sixty-four (64) West of the 6th P.M., said line being the West boundary of the
present County Road; thence due West 125 feet; thence due South 125 feet;
thence due East 125 feet to the point of beginning. Excepting therefrom a tract
of land as described in Treasure's Deed recorded in the office of the County
Clerk and Recorder in Book 1 166 at Page 105.
Section 21: Lots 12, 13 and 14, Block 5, Town of Kersey
Section 21: North 8 feet of Lot 15, Block 5, Town of Kersey
Section 21: South 24.4 feet of Lot 17, Block 5, Town of Kersey
Section 21: Lots 7 through 25, 30 through 35 and 38 through 48, Block 6, Town
of Kersey
Containing 3.2983 acres, more or less
Weld County, Colorado
Until the hour of twelve o'clock noon on February 26, 2019
18.5%
None, Paid -up
Yes. If Lessee is unable to produce oil and/or gas due to a lack of a suitable
market, Lessor may grant Lessee a suspension of obligations to produce until a
suitable market can be found, provided that Lessee shall pay to Lessor a shut-in
royalty equal to $2.50 per acre of the lease per annum in addition to the annual
EXHIBIT "A"
Third Supplemental Drilling and Division Order Title Opinion
June 8, 2017
Klein I9M-402, 19M-232, 19N-312, 19N-202, 19N-302 and 19N-432 Wells
Weld County, Colorado
Page 345
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, 19N-302 and I9N-432 Wells
Weld County, Colorado
Page 346
Affidavits of Lease Extension:
None
Assignments of Working Interests:
1.
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 I9M-402, 19M-232, 19N-312, 19N-202, 19N-302 and 19N-432 Wells
Weld County, Colorado
Page 347
COGIS - WELL Information
Page 1 of 2
COGIS - WELL Information
Scout Card l. Related Ck InsP. Ck MIT 0 GIS D. Doc a COA if Wellbore
Surface Location Data for API # 05-123-40150 Status: DG
Well Name/No: Klein #19N-432 (click well name for production)
Operator: PDC ENERGY INC - 69175
Status Date:
FacilitylD:
County:
Field:
Planned Location
As Drilled Location
Frac Focus
Chemical Disclosure Registry Job Date: 3/5/2017
Job End Date: 3/21/2017
Wellbore Data for Sidetrack #00
7/5/2016
438838
WELD #123
WATTENBERG -#90750
2389 FNL 2251 FEL
Footages Not Available
Job Date: 2/10/2017
Job End Date: 2/13/2017
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
FORT HAYS
CODELL
CARLILE
Federal or State Lease #:
LocationiD:
Location:
Elevation:
Lat/Long: 40.38532/-104.59138
Lat/Long: 40.385331/-104.591376
Reported: 3/29/2017
Reported: 3/29/2017
Orders
7/5/2016
438834
SWNE 19 5N64W 6 PM
4,626 ft.
Lat/Long Source: Field Measured
Lat/Long Source: Field Measured
Days to report: 44
Days to report: 8
Status: DG 7/5/2016
7/5/2016 Spud Date is: ACTUAL
HORIZONTAL
Expiration Date:
13976 Surface Mineral Owner Same:
FEE Surface Owner: FEE
Unit Number:
Code: CODL , Formation: CODELL , Order: , Unit Acreage: 520, 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: 17407, Weight: 20
Sacks: 2035, Top: 0, Bottom: 17407, Method Grade:
7/16/2016
17487
6809
Sec: 19 Twp: 5N 64W
Sec: 21 Twp: 5N 64W
Measured PB depth:
True Vertical PB depth:
Footage: 1737 FNL 2253 FEL
Footages: 1841 FNL 2353 FEL
9/11/2016 5:11:25 PM
17448
6810
Depth
Depth
CBL, MWD (DIL in 123-20132 and 123-23345)
String Type: SURF , Hole Size: 12.25, Size: 9.625, Top: 0, Depth: 2499, Weight: 36
Sacks: 1150, Top: 0, Bottom: 2499, Method Grade: VISU
String Type: 1ST , Hole Size: 8.5, Size: 5.5, Top: 0, Depth: 17463, Weight: 20
Sacks: 2560, Top: 440, Bottom: 17463, Method Grade: CBL
Log Top Log Bottom
3610
4293
6561
6727
7197
7292
11044
Completed information for formation N-COM
1st Production Date: 7/1/2016
Status Date: 7/1/2016
Commingled:
Formation Name: NOT COMPLETED
Tubing Size:
Tubing Packer Depth:
Open Hole Top:
No Initial Test Data was found for formation
N-COM .
Choke Size:
Open Hole Completion:
Production Method:
Status:
Tubing Setting Depth:
Tubing Multiple Packer:
Open Hole Bottom:
Cored
Status: CM 7/1/2016
CM
DSTs
httn•//rnar.rr ctate rn iic/rnaic/Farilitvfetail acn7farirl=1714(11 5f &tvne=WF.T.T.
9/7R/7017
COGIS - WELL Information Page 2 of 2
No Perforation Data was found for formation
N-COM .
httn://cos?cc.state.co.us/cogis/FacilitvDetail.asn?facid=12340150&tvne=WELL 9/28/2017
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): Klein 19N-432
File Location(s): LE0391
BY:
Bruce Barker - County Attorney
DATE: /14 / l ( / .�
NOTES: 4.791 / 527.8447 * 18.5% = .00167915 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
Tract Acreage
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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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