HomeMy WebLinkAbout20173345.tiffRETAIN
NADOA Model Berm Division Order lAdented 9/9S) —
DIVISION 'ORDER
To: Extraction Oil and Gas, LLC
37017d' 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: August, 2017
Analyst: J. Guyer
Owner
Owner Name
Tax Identification
Interest Type
Interest Decimal
Number
4317
WELD COUNTY COLORADO
XXX-XX-0813
RI
See Reverse Side
PO BOX 758
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.
Federal Law requires you to furnish your Social Security or Taxpayer Identification Number.
dde`/ecaner SignatureA TEST:4
WELD ! UNTY CLET;K 'i O THE. BOAR printedName:Julie A.
C
Weld County Government
1150 "0" Street
Greeley, CO 80634
Phone: 970-336-7204
Fax: 970-336-7233
Tax ID: 84-6000-813
2017-3345(1)
Owner ID: 4317
LE.0211
RETAIN
NADOA Model Form Division Order (Adopted 9/951 —
Well Well Name Well API
2164 CARLSON A-15-16tHN 05-123-41720
C94f'ON kit'W4
2165 CARLSON B -15 -16 -HC 05-123-41710
chediapto 645-41A4c-•
2166
2167
2168
2169
2170
2171
CARLSON G15-16-HN
CAQLSON C-\5-1
CARLSON D-15-16-HN
05-123-41711
W14
05-123-41714
CA41..SoN ttS-\toIkP4
CARLSON E -15 -16 -HC
CfrRI.,SbtJ Er1�?Ce
CARLSON F-15-16-HN
ethyl -5O4 F'15-IIthik�1
CARLSON G-15-16-HN
Cabb4 Geese -UMW
CARLSON H -15 -16 -HC
cli¢.5oN H-eaWC.
05-123-41713
05-123-41716
05-121718
05-123-41717
Unit
Spacing
5N 65WM SEC 9:
S/2SE/4, SE/4SW/4, SEC
10: S/2S/2, SEC 15:
N/2N/2, SEC 16:
N/2NE/4, NE/4NW/4
5N 65WM SEC 9:
S/2SE/4, SE/4SW/4, SEC
10: S/2S/2, SEC 15:
N/2N/2, SEC 16:
N/2NE/4, NE/4NW/4
5N 65W, SEC 15:
N/2N/2, SEC 16:
N/2NE/4, NE/4NW/4
5N 65W, SEC 15:
N/2N/2, SEC 16:
N/2NE/4, NE/4NW/4
5N 65W, SEC 15:N/2,
SEC 16: NE/4, E/2NW/4
5N 65W, SEC 15:N/2,
SEC 16: NE/4, E/2NW/4
5N 65W, SEC 15: N/2,
SEC 16: NE/4, E/2NW/4
5N 65W, SEC 15:N/2,
SEC 16: NE/4, E/2NW/4
Unit
Acres
576.573
576.573
294.281
294.281
576.523
576.523
576.523
576.523
Paycode Decimal
Interest
SDO 0.0000693 8
SDO
SDO
SDO
SDO
SDO
SDO
SDO
0.00006938
0.00013592
0.00013592
0.00006938
0.00006938
0.00006938
0.00006938
Owner ID: 4317
Oaten.
INSTRUCTIONS TO ALL INTEREST OWNERS
THIS IS NOT AN OFFER TO PURCHASE OR LEASE YOUR MINERAL RIGHTS.
You are receiving this paperwork because Extraction Oil & Gas is currently producing, or will be in the near future, oil
and/or gas from a well(s), in which you have been identified as an interest owner. In order to receive your royalty
payments, the enclosed paperwork must be signed and returned.
PLEASE REVIEW, EXECUTE ONE COPY AND RETURN TO OUR OFFICE, AND KEEP ONE COPY FOR YOUR
RECORDS. PLEASE DO NOT DETACH THE EXHIBIT FROM THE DIVISION ORDER IF ONE IS INCLUDED.
NOTE: Royalty payments are made at the end of each month when the amount due to you has reached $100 or more.
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. Have your signature witnessed by two competent witnesses. A notary is not required.
3. 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.
4. If signing for a corporation, signature must be attested, corporate seal fixed and title of signatory party reflected.
5. If signed by an 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.
6. Division Orders for partnerships must be executed by all partners or by an authorized partner. A certified copy of the
instrument giving said partners authority to sign must be furnished.
7. Federal law requires that you furnish a correct social security or taxpayer identification number. Failure to comply
will result in 28% tax withholding required by the Internal Revenue Service and will not be refunded by Extraction.
You may also be subject to a further penalty levied by the Internal Revenue Service. The enclosed W-9 form must be
completed and returned with your Division Order. If your tax identification number is pre-printed on the Division Order, a
W-9 form is not required.
8. If the Division Order contains an incorrect mailing address, your correct mailing address should be noted on the Division
Order to insure prompt receipt of production proceeds. Please print the correct mailing address using no abbreviations.
The "Return" portion should be returned to:
EXTRACTION OIL AND GAS LLC.
370 17th Street, Suite 5300
Denver, Colorado 80202
Attn: Division Orders
10. Should you have any further questions regarding the enclosed Division Order, please contact
Owner Relations at 1-855-412-6501 or via email at DivisionOrders@ExtractionOG.com.
11. Please visit our website at ExtractionOG.com to learn more about Extraction Oil and Gas.
EXTRACTION OIL AND GAS, LLC • 370 17th STREET, SUITE 5300 • DENVER, CO 80202
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): Carlson A-15-16HN, Carlson B-15-16HC, Carlson C-15-16HN,
Carlson D-15-16HN, Carlson E-15-16HC, Carlson F-15-16HN, Carlson G-15-16HN,
Carlson H-15-16HC
File Location(s): LE0277
BY:
BruceBarker - County Attorney
DATE: C17/17
NOTES: Wells: Carlson A-15-16HN and Carlson B-15-16HC (.20 / 576.5731) * 20% _ .00006938 MATCH
Wells: Carlson C-15-16HN and Carlson D-15-16HN (.20 / 294.2811) * 20% = .00013592 MATCH
Wells: Carlson E-15-16HC, Carlson F-15-16HN, Carlson G-15-16HN, and Carlson H-15-16HC
(.20 / 576.5233) * 20% _ .00006938 MATCH
Amanda Petzold
From:
Sent:
To:
Cc:
Subject:
Attachments:
Follow Up Flag:
Flag Status:
Amanda,
Caitlin Coupens <ccoupens@extractionog.com> on behalfofDivisionOrders
<divisionorders@extractionog.com>
Thursday, September 14, 2017 10:18 AM
Amanda Petzold
Jocelyn Guyer; DivisionOrders
RE: DO -Carlson Extraction/Weld County
WELD COUNTY COLORADO - CARLSON .pdf
Follow up
Flagged
Weld County is credited with a 100% mineral interest in Tract 23 of Section 15, TSN-R65W, containing 0.200 acres, with
a 20% lease royalty rate.
The Carlson A-15-16-HN and Carlson B -15 -16 -HC contain a total of 576.5731 unit acres:
1.0 x 20% x (0.200/576.5731) = 0.00006938
The Carlson C-15-16-HN and Carlson D-15-16-HN contain a total of 294.2811 unit acres:
1.0 x 20% x (0.200/294.2811) = 0.00013592
The Carlson E -15 -16 -HC, Carlson F-15-16-HN, Carlson G-15-16-HN, and Carlson H -15 -16 -HC contain a total of 576.5233
unit acres:
1.0 x 20% x (0.200/576.5233) = 0.00006938
Please reference attached documents as requested. If you need anything further, please let me know!
Thanks,
Caitlin Coupens
Division Order Technician
Extraction Oil & Gas
370 17th Street, Suite 5300
Denver, CO 80202
D:720-354-4583
C4 4 1«ta
From: Amanda Petzold [mailto:apetzold@weldgov.com]
Sent: Tuesday, September 5, 2017 1:12 PM
To: DivisionOrders <divisionorders@extractionog.com>; Jocelyn Guyer <JGuyer@extractionog.com>
Cc: Amanda Petzold <apetzold@weldgov.com>
Subject: DO -Carlson Extraction/Weld County
1
TRACT 23
Section 15: A portion of the NWI4NEI4
as described above
0.20 acres, more or less
Surface
Weld County, Colorado 100.000000%
Oil and Gas Lease No. Royalty Rate
Weld County, Colorado 100.000000% 27 0.2000
OH and Gas Leasehold Lease No.
Extraction Oil & Gas, LLC 100.000000% 27
Overriding_Royalty Lease No.
Jane W. H. Blandford Revocable Trust 1.250000% 27
Gina M. Schwartz 1.250000% 27
TRACT 20:
TRACT 21:
TRACT 22:
TRACT 23:
TRACT 24:
"TACT 25:
ti qi 26:
Town hiNort
p 5 h, Ran,5Weg, 64111 P.M.
Section 15: All of Lots I and 2 in the SE/4NE/4 of Section 15, according to the
subdivision of lands by the Union Colony of Colorado, lying north
of the right-of-way of U.S. Highway 34
and
Alt of Lots 1 and 2 in the SE/4NE/4 of Section 15, according to the
subdivision of lands by the Union Colony of Colorado, LESS
AND EXCEPT all that part thereof lying north of the right -of -sway
of U.S. Highway 34
Township 5 jorthRang�J5 West,_th P.M.
Section 15: Lot 1 of the NW/4NE/4; Lot 2 of the NW/4NE/4 north of State
Highway 34 and east of the Greeley Irrigation Canal
Township 5 North,, Range 65 West Ch P.M,
Section 15: Lot 2 of the NW/4NE/4; south of State Highway 34 and east of the
Greeley Irrigation Canal
TownshipNorth, 5 Range 65 West, 6'h P.M.
g
Section 15: A strip of land 10 feet in width lying immediately north and
parallel to the right-of»way of the State Highway over and across
that part of Lot 2 in the NW/4NE/4 and east of the Canal of the
Greeley Irrigation Company
Township 5 North., Range 65 West, 6th P.M.
Section 15: Part of the NW/4NE/4 beginning at the north quarter corner, east
609.42 feet south 29°55' west 229.28 feet, south 33°58' west
101.91 feet, west 438.18 feet, north 28125 feet to point of
beginning
Township 5 North, Range 65 west, 6th P.M.
Section 15: Part of the NW/4NE/4 beginning at a point 283.25 feet south of the
north quarter corner, east 438.18 feet, south 33°58' west 22.96
feet, south 40°35' west 197.05 feet, south 41°09' west 307,89 feet,
north 45°18'20" west 133.10 feet, north 0°00'40" east 306.92 feet
to point of beginning
Township 5 North, Range 65 West, 6th P.M.
Section 15: That portion of land described as Lot A of Recorded Exemption
No. 0961 -15 -1 -RE 2049, dated August 13, 1997, recorded at
Reception No. 2563297, which lies in the NE/4NE/4 of Section 15
b
.a,.
Primary Term: Two (2) years
Royalty: 1/8
Shut-in Gas Royalty: Yes
Delay Rentals: Paid -up lease
Pooling Provision: Yes
Unusual Provisions: None
26.
Dated: September 12, 2000
,.
Lessors: Robert K. Schnepf and Judith K. Schnepf, husband and wife
Lessee: Matrix Energy, LLC
Recorded: November 1, 2000; Reception No. 2803881
Description: Tract 22 above
Primary Term: Two (2) years
Royalty: 1/8
Shut-in Gas Royalty: Yes
Delay Rentals: Paid -up lease
Pooling Provision: Yes
Unusual. Provisions: None
27.
Dated: September 20, 2010
Lessor:
Weld County, Colorado, a political subdivision of the State of
Colorado acting by and through the Board ofounty
Commissioners of the County of Weld
Lessee: Matrix Energy, LLC
58
Recorded: October 5, 2010; Reception No. 3723160
Description:
Township 5 North, Range 65 west, 6th P.M.
Section 15: A strip of land crossing Lot 2 of the NW/4NE/4,
recorded at Book 970, Page 396
Containing 0,2 acres, more or less
Primary Term: Three (3) years
Royalty: 20%
Shut-in Gas Royalty: Yes
Delay Rentals: Paid -up lease
Pooling Provision: Yes
Unusual Provisions: Lessee shall not conduct operations of any kind upon the surface of
the leased lands without the express written consent of lessor.
28.
Dated:
Lessors:
Lessee:
Recorded:
Description:
September 18, 2000
Clifford W. Clift, Jr. and Sally J. Clift, husband and wife
Matrix Energy, LLC
November 1, 2000; Reception No. 2803884
Township 5 North. Range 65 West. 6th P.M.
Section 15: Part of the NE/4NE/4 described as Lot A Recorded
Exemption (RE) 2049
Containing 12.27 acres, more or less
Primary Term: Two (2) years
Royalty: 20% as of April 1, 2013, by Amendment to Oil and Gas Lease at
Reception No. 3926692
Shut-in Gas Royalty: Yes
Delay Rentals: Paid -up lease
59
COGIS - WELL Information
Page 1 of 1
COGIS - WELL Information
Scout Card Related t Insp. O4 MIT e GIS [a Doc at COA Wellbore aOrders
Surface Location Data for API # 05-123-41720 Status: PR 6/1/2017
Well Name/No: Carlson #A-15-16HN (click well name for production)
Operator: EXTRACTION OIL & GAS INC - 10459
Status Date:
FacilitylD:
County:
Field: WATTENBERG - #90750 Elevation:
Planned Location 1057 FNL 234 FEL Lat/Long: 40.403694/-104.640808
Fr�c
6/1/2017
442192
WELD #123
Job Date: 4/7/2017
Job End Date: 4/21/2017
Chemical Disclosure Registry
Wellbore Data for Sidetrack #00
Spud Date:
Wellbore Permit
Permit #:
7/9/2015
Prop Depth/Form: 14862
Mineral Owner: FEE
Unit:
Formation and Spacing:
Casing:
Cement:
Casing:
Cement:
Casing:
Cement:
Wellbore Completed
Completion Date:
Measured TD:
True Vertical TD:
Top PZ Location:
Bottom Hole Location:
Formation
Federal or State Lease #:
LocationID:
D:
Location:
Reported: 5/25/2017
Spud Date is:
HORIZONTAL
Expiration Date:
Surface Mineral Owner Same:
Surface Owner:
Unit Number:
Code: NBRR , Formation: NIOBRARA , Order: , Unit Acreage: 560, Drill Unit: GWA
String Type: SURF , Hole Size: 12.25, Size: 9.625, Top: 0, Depth: 800, Weight: 36
Sacks: 355, Top: 0, Bottom: 800, Method Grade:
String Type: 1ST, Hole Size: 8.75, Size: 7, Top: 0, Depth: 7389, Weight: 29
Sacks: 578, Top: 400, Bottom: 7389, Method Grade:
String Type: 1ST LINER , Hole Size: 6.125, Size: 4.5, Top: 6689, Depth: 14862, Weight: 13.5
Sacks: 634, Top: 6689, Bottom: 14862, Method Grade:
331351
NENE 15 5N65W 6 PM
4,621 ft.
Lat/Long Source: Field Measured
Days to report: 34
6/1/2017
N/A
Sec: 15 Twp: 5N 65W
Sec: 16 Twp: 5N 65W
Log Top
Completed information for formation
1st Production Date: N/A
Status Date: 6/1/2017
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
Status: PR
ACTUAL
Measured PB depth:
True Vertical PB depth:
Footage: 160 FFNLL 470 FFELL
Footages: 160 FFNLL 2342 FFWLL
Log Bottom
N-COM
Choke Size:
Open Hole Completion:
Production Method:
Status:
Tubing Setting Depth:
Tubing Multiple Packer:
Open Hole Bottom:
6/24/2017 9:57:08 AM
FEE
Depth
Depth
Cored DSTs
Status: PR 6/1/2017
PR
http://cogcc.state.co.us/cogis/FacilityDetail.asp?facid=12341720&type=WELL 9/18/2017
COGIS - WELL Information
Page 1 of 1
COGIS - WELL Information
Scout Card Related Q Insp. MIT GIS a Doc
Surface Location Data for API # 05-123-41710
Well Name/No:
Operator:
Status Date:
FacilitylD:
County:
Field:
COA Wellbore , Orders
Status: PR 6/1/2017
Carlson #B-15-16HC (click well name for production)
EXTRACTION OIL & GAS INC - 10459
6/1/2017
442180
WELD #123
Federal or State Lease #:
LocationID:
D:
Location:
WATTENBERG - #90750 Elevation:
a
Planned Location 1057 FNL 249 FEL
-ai>< �/: Job Date:
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:
Casing:
Cement:
Wellbore Completed
Completion Date:
Measured TD:
True Vertical TD:
Top PZ Location:
Bottom Hole Location:
Formation
Frac Focus
3/27/2017
4/5/2017
Lat/Long: 40.403694/-104.640862
331351
NENE 15 5N65W 6 PM
4,621 ft.
Lat/Long Source: Field Measured
Reported: 5/2/2017 Days to report: 27
7/9/2015 Spud Date is:
HORIZONTAL
Status: PR 6/1/2017
ACTUAL
Expiration Date: 6/23/2017 6:24:56 PM
14905 Surface Mineral Owner Same:
FEE Surface Owner: FEE
Unit Number:
Code: CODL , Formation: CODELL , Order: , Unit Acreage: 560, Drill Unit: GWA
String Type: SURF , Hole Size: 12.25, Size: 9.625, Top: 0, Depth: 800, Weight: 36
Sacks: 355, Top: 0, Bottom: 800, Method Grade:
String Type: 1ST , Hole Size: 8.75, Size: 7, Top: 0, Depth: 7432, Weight: 29
Sacks: 581, Top: 400, Bottom: 7432, Method Grade:
String Type: 1ST LINER , Hole Size: 6.125, Size: 4.5, Top: 6732, Depth: 14905, Weight: 13.5
Sacks: 634, Top: 6732, Bottom: 14905, Method Grade:
N/A
Sec: 15 Twp: 5N 65W
Sec: 16 Twp: 5N 65W
Log Top
Completed information for formation
1st Production Date: N/A
Status Date: 6/1/2017
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
Measured PB depth:
True Vertical PB depth:
Footage: 325 FFNLL 470 FFELL
Footages: 325 FFNLL 2342 FFWLL
Log Bottom
N-COM
Choke Size:
Open Hole Completion:
Production Method:
Status:
Tubing Setting Depth:
Tubing Multiple Packer:
Open Hole Bottom:
Depth
Depth
Cored DSTs
Status: PR 6/1/2017
PR
http://cogcc.state.co.us/cogis/FacilityDetail.asp?facid=12341710&type=WELL 9/18/2017
COGIS - WELL Information
Page 1 of 1
COGIS - WELL Information
Scout Card
Related Q Insp. Q MIT 0 GIS a Doc a COA lr Wellbore r Orders
Surface Location Data for API # 05-123-41711 Status: PR 6/1/2017
Well Name/No:
Operator:
Status Date:
FacilitylD:
County:
Field:
Planned Location
Frac Focus
Carlson #C-15-16HN (click well name for production)
EXTRACTION OIL & GAS INC - 10459
6/1/2017
442181
WELD #123
Federal or State Lease #:
LocationID:
D:
Location:
WATTENBERG - #90750 Elevation:
1057 FNL 264 FEL Lat/Long: 40.403695/-104.640916
Job Date:
Chemical Disclosure Registry Job End Date:
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:
Wellbore Completed
Completion Date: N/A
Measured TD:
True Vertical TD:
Top PZ Location: Sec: 15 Twp: 5N 65W
Bottom Hole Location: Sec: 16 Twp: 5N 65W
Formation Log Top
Completed information for formation N-COM
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 .
N/A
6/1/2017
NOT COMPLETED
4/7/2017
4/21/2017
331351
NENE 15 5N65W 6 PM
4,621 ft.
Lat/Long Source: Field Measured
Reported: 5/25/2017 Days to report: 34
Status: PR 6/1/2017
7/10/2015 Spud Date is: ACTUAL
HORIZONTAL
Expiration Date: 6/23/2017 6:24:56 PM
14797 Surface Mineral Owner Same:
FEE Surface Owner: FEE
Unit Number:
Code: NBRR , Formation: NIOBRARA , Order: , Unit Acreage: 280, Drill Unit: GWA
String Type: SURF , Hole Size: 12.25, Size: 9.625, Top: 0, Depth: 800, Weight: 36
Sacks: 355, Top: 0, Bottom: 800, Method Grade:
String Type: 1ST, Hole Size: 8.75, Size: 7, Top: 0, Depth: 7325, Weight: 29
Sacks: 574, Top: 400, Bottom: 7325, Method Grade:
String Type: 1ST LINER , Hole Size: 6.125, Size: 4.5, Top: 6625, Depth: 14797, Weight: 13.5
Sacks: 634, Top: 6625, Bottom: 14797, Method Grade:
Measured PB depth:
True Vertical PB depth:
Footage: 490 FFNLL 470 FFELL
Footages: 490 FFNLL 2341 FFWLL
Log Bottom
Choke Size:
Open Hole Completion:
Production Method:
Status:
Tubing Setting Depth:
Tubing Multiple Packer:
Open Hole Bottom:
Depth
Depth
Cored DSTs
Status: PR 6/1/2017
PR
http://cogcc.state.co.us/cogis/FacilityDetail.asp?facid=12341711 &type=WELL 9/18/2017
COGIS - WELL Information
Page 1 of 1
COGIS - WELL Information
Scout Card Related Q. Insp. q MIT GIS a Doc a COA '��` Wellbore
Surface Location Data for API # 05-123-41714 Status: PR
Well Name/No:
Operator:
Status Date:
FacilitylD:
County:
Field:
Planned Location
Frac Focus
Carlson #D-15-16HN (click well name for production)
EXTRACTION OIL & GAS INC - 10459
6/1/2017
442184
WELD #123
Federal or State Lease #:
LocationlD:
Location:
WATTENBERG - #90750 Elevation:
1056 FNL 279 FEL Lat/Long: 40.403695/-104.64097
Job Date: 4/22/2017
Job End Date: 5/10/2017
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:
Wellbore Completed
Completion Date: N/A
Measured TD:
True Vertical TD:
Top PZ Location: Sec: 15 Twp: 5N 65W
Bottom Hole Location: Sec: 16 Twp: 5N 65W
Formation Log Top
a _ Orders
6/1/2017
331351
NENE 15 5N65W 6 PM
4,621 ft.
Lat/Long Source: Field Measured
Reported: 5/25/2017 Days to report: 15
Status: PR 6/1/2017
7/11/2015 Spud Date is: ACTUAL
HORIZONTAL
Expiration Date: 6/23/2017 6:24:56 PM
14778 Surface Mineral Owner Same:
FEE Surface Owner: FEE
Unit Number:
Code: NBRR , Formation: NIOBRARA , Order: ,Unit Acreage: 280, Drill Unit: GWA
String Type: SURF , Hole Size: 12.25, Size: 9.625, Top: 0, Depth: 800, Weight: 36
Sacks: 355, Top: 0, Bottom: 800, Method Grade:
String Type: 1ST, Hole Size: 8.75, Size: 7, Top: 0, Depth: 7307, Weight: 29
Sacks: 573, Top: 400, Bottom: 7307, Method Grade:
String Type: 1ST LINER , Hole Size: 6.125, Size: 4.5, Top: 6607, Depth: 14778, Weight: 13.5
Sacks: 634, Top: 6607, Bottom: 14778, Method Grade:
Measured PB depth:
True Vertical PB depth:
Footage: 820 FFNLL 470 FFELL Depth
Footages: 820 FFNLL 2341 FFWLL Depth
Log Bottom
Cored DSTs
Completed information for formation N-COM Status: PR 6/1/2017
1st Production Date: N/A
Status Date: 6/1/2017
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:
PR
http://cogcc.state.co.us/cogis/FacilityDetail.asp?facid=12341714&type=WELL 9/18/2017
COGIS - WELL Information
Page 1 of 1
COGIS - WELL Information
Scout Card Related Insp. 4 MIT 6 GIS a Doc a COA 'll` Wellbore
Surface Location Data for API # 05-123-41713 Status: PR
Well Name/No:
Operator:
Status Date:
FacilitylD:
County:
Field:
Planned Location 1056 FNL 294 FEL
Job Date: 3/27/2017
FFrac Focus Job End Date: 4/5/2017
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:
Wellbore Completed
Completion Date:
Measured TD:
True Vertical TD:
Top PZ Location:
Bottom Hole Location:
7/15/2015
14849
FEE
Carlson #E-15-16HC (click well name for production)
EXTRACTION OIL & GAS INC - 10459
6/1/2017 Federal or State Lease #:
442183 LocationlD:
WELD #123 Location:
WATTENBERG - #90750 Elevation:
Lat/Long: 40.403695/-104.641023
Orders
6/1/2017
331351
NENE 15 5N65W 6 PM
4,621 ft.
Lat/Long Source: Field Measured
Reported: 5/2/2017 Days to report: 27
Spud Date is:
HORIZONTAL
Expiration Date:
Surface Mineral Owner Same:
Surface Owner:
Unit Number:
Code: CODL , Formation: CODELL , Order: , Unit Acreage: 560, Drill Unit: GWA
String Type: SURF , Hole Size: 12.25, Size: 9.625, Top: 0, Depth: 800, Weight: 36
Sacks: 355, Top: 0, Bottom: 800, Method Grade:
String Type: 1ST , Hole Size: 8.75, Size: 7, Top: 0, Depth: 7379, Weight: 29
Sacks: 577, Top: 400, Bottom: 7379, Method Grade:
String Type: 1ST LINER , Hole Size: 6.125, Size: 4.5, Top: 6679, Depth: 14849, Weight: 13.5
Sacks: 634, Top: 6679, Bottom: 14849, Method Grade:
6/1/2017
N/A
Sec: 15 Twp: 5N 65W
Sec: 16 Twp: 5N 65W
Formation Log Top
Status: PR
ACTUAL
6/23/2017 6:24:56 PM
FEE
Measured PB depth:
True Vertical PB depth:
Footage: 985 FFNLL 470 FFELL Depth
Footages: 985 FFNLL 2340 FFWLL Depth
Log Bottom
Completed information for formation N-COM
1st Production Date: N/A
Status Date: 6/1/2017
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 6/1/2017
PR
http://cogcc.state.co.us/cogis/FacilityDetail.asp?facid
12341713&type=WELL
9/18/2017
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° Related Q Insp. Q MIT GIS 124. Doc a COA 1t Wellbore
VJ
Surface Location Data for API # 05-123-41716 Status: PR
Carlson #F-15-16HN (click well name for production)
EXTRACTION OIL & GAS INC - 10459
6/1/2017
442186
WELD #123
Federal or State Lease #:
LocationiD:
Location:
WATTENBERG - #90750 Elevation:
1056 FNL 309 FEL Lat/Long: 40.403696/-104.641077
Job Date: 4/23/2017
Job End Date: 5/10/2017
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:
Wellbore Completed
Completion Date:
Measured TD:
True Vertical TD:
Top PZ Location:
Bottom Hole Location:
Formation
Orders
6/1/2017
331351
NENE 15 5N65W6 PM
4,621 ft.
Lat/Long Source: Field Measured
Reported: 5/25/2017 Days to report: 15
Status: PR 6/1/2017
7/15/2015 Spud Date is: ACTUAL
HORIZONTAL
Expiration Date: 6/23/2017 6:24:56 PM
14770 Surface Mineral Owner Same:
FEE Surface Owner: FEE
Unit Number:
Code: NBRR , Formation: NIOBRARA , Order: , Unit Acreage: 560, Drill Unit: GWA
String Type: SURF , Hole Size: 12.25, Size: 9.625, Top: 0, Depth: 800, Weight: 36
Sacks: 355, Top: 0, Bottom: 800, Method Grade:
String Type: 1ST , Hole Size: 8.75, Size: 7, Top: 0, Depth: 7301, Weight: 29
Sacks: 572, Top: 400, Bottom: 7301, Method Grade:
String Type: 1ST LINER , Hole Size: 6.125, Size: 4.5, Top: 6601, Depth: 14770, Weight: 13.5
Sacks: 634, Top: 6601, Bottom: 14770, Method Grade:
N/A
Sec: 15 Twp: 5N 65W
Sec: 16 Twp: 5N 65W
Log Top
Measured PB depth:
True Vertical PB depth:
Footage: 1 100 FFNLL 470 FFELL
Footages: 1 100 FFNLL 2340 FFWLL
Log Bottom
Completed information for formation N-COM
1st Production Date: N/A Choke Size:
Status Date: 6/1/2017 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 .
Depth
Depth
Cored DSTs
Status: PR 6/1/2017
PR
http://cogcc.state.co.us/cogis/FacilityDetail.asp?facid=12341716&type=WELL 9/18/2017
COGIS - WELL Information
Page 1 of 1
Well Name/No:
Operator:
Status Date:
FacilitylD:
County:
Field:
Planned Location
COGIS - WELL Information
Scout Card
Related Insp. Q. MIT 4) GIS at Doc a COA '1f Wellbore
Surface Location Data for API # 05-123-41718 Status:
Carlson #G-15-16HN (click well name for production)
EXTRACTION OIL & GAS INC - 10459
6/1/2017
442190
WELD #123
Federal or State Lease #:
LocationID:
D:
Location:
WATTENBERG - #90750 Elevation:
1055 FNL 324 FEL Lat/Long: 40.403696/-104.641131
Job Date: 4/22/2017
Frac Job End Date: 5/10/2017
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:
Wellbore Completed
Completion Date:
Measured TD:
True Vertical TD:
Top PZ Location:
Bottom Hole Location:
Formation
7/16/2015
14789
FEE
Orders
PR 6/1/2017
331351
NENE 15 5N65W 6 PM
4,621 ft.
Lat/Long Source: Field Measured
Reported: 5/25/2017 Days to report: 15
Spud Date is:
HORIZONTAL
Expiration Date:
Surface Mineral Owner Same:
Surface Owner:
Unit Number:
Code: NBRR , Formation: NIOBRARA , Order: , Unit Acreage: 560, Drill Unit: GWA
String Type: SURF , Hole Size: 12.25, Size: 9.625, Top: 0, Depth: 800, Weight: 36
Sacks: 355, Top: 0, Bottom: 800, Method Grade:
String Type: 1ST , Hole Size: 8.75, Size: 7, Top: 0, Depth: 7321, Weight: 29
Sacks: 574, Top: 400, Bottom: 7321, Method Grade:
String Type: 1ST LINER , Hole Size: 6.125, Size: 4.5, Top: 6621, Depth: 14789, Weight: 13.5
Sacks: 634, Top: 6621, Bottom: 14789, Method Grade:
6/1/2017
N/A
Sec: 15 Twp: 5N 65W
Sec: 16 Twp: 5N 65W
Log Top
Completed information for formation
1st Production Date: N/A
Status Date: 6/1/2017
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
Status: PR
ACTUAL
Measured PB depth:
True Vertical PB depth:
Footage: 1520 FFNLL 470 FFELL
Footages: 1520 FFNLL 2339 FFWLL
Log Bottom
N-COM
Choke Size:
Open Hole Completion:
Production Method:
Status:
Tubing Setting Depth:
Tubing Multiple Packer:
Open Hole Bottom:
6/24/2017 9:57:08 AM
FEE
Depth
Depth
Cored DSTs
Status: PR 6/1/2017
PR
http://cogcc.state.co.us/cogis/FacilityDetail.asp?facid=12341718&type=WELL 9/18/2017
COGIS - WELL Information
Page 1 of 1
COGIS - WELL Information
Scout Card
Surface Location Data for API # 05-123-41717 Status: PR
Well Name/No: Carlson #H-15-16HC (click well name for production)
Operator: EXTRACTION OIL & GAS INC - 10459
Status Date:
FacilitylD:
County:
Field:
Planned Location
6/1/2017 Federal or State Lease #:
442189 LocationID:
D:
WELD #123 Location:
WATTENBERG - #90750 Elevation:
1055 FNL 339 FEL Lat/Long: 40.403697/-104.641185
Job Date: 3/27/2017
Frac Foas Job End Date: 4/5/2017
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:
Wellbore Completed
Completion Date:
Measured TD:
True Vertical TD:
Top PZ Location:
Bottom Hole Location:
Formation
Related Insp. Q MIT 0 GIS Rk Doc a COA �1� Wellbore -Jesse Orders
6/1/2017
331351
NENE 15 5N65W 6 PM
4,621 ft.
Lat/Long Source: Field Measured
Reported: 5/2/2017 Days to report: 27
7/17/2015 Spud Date is:
HORIZONTAL
Status: PR 6/1/2017
ACTUAL
Expiration Date: 6/24/2017 9:57:08 AM
14884 Surface Mineral Owner Same:
FEE Surface Owner: FEE
Unit Number:
Code: CODL , Formation: CODELL , Order: , Unit Acreage: 560, Drill Unit: GWA
String Type: SURF , Hole Size: 12.25, Size: 9.625, Top: 0, Depth: 800, Weight: 36
Sacks: 355, Top: 0, Bottom: 800, Method Grade:
String Type: 1ST , Hole Size: 8.75, Size: 7, Top: 0, Depth: 7417, Weight: 29
Sacks: 580, Top: 400, Bottom: 7417, Method Grade:
String Type: 1ST LINER , Hole Size: 6.125, Size: 4.5, Top: 6717, Depth: 14884, Weight: 13.5
Sacks: 634, Top: 6717, Bottom: 14884, Method Grade:
N/A
Sec: 15 Twp: 5N 65W
Sec: 16 Twp: 5N 65W
Log Top
Measured PB depth:
True Vertical PB depth:
Footage: 1685 FFNLL 470 FFELL
Footages: 1685 FFNLL 2339 FFWLL
Log Bottom
Completed information for formation N-COM
1st Production Date: N/A
Status Date: 6/1/2017
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:
Depth
Depth
Cored DSTs
Status: PR 6/1/2017
PR
http://cogcc.state.co.us/cogis/FacilityDetail.asp?facid=12341717&type=WELL 9/18/2017
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