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NADOA Model Form Division Order (Adopted 9/95)
DIVISION ORDER
To: PDC Energy, Inc.
1775 Sherman Street, Suite 3000
Denver, CO 80203
Attn: Jenni L Mosier (303) 831-3914 or Jenni.Mosier@pdce.com
Property Number: 105.101502
Property Name: Wiedeman 28G-312 NB
Operator: PDC Energy, Inc API 5,/ 3 _ 05,
County and State: Weld, Colorado j7Y �1
Property Township 4 North, Range 66 West
Description: Section 28: NWNW (spaced Section 28: S2N2 -- 159.2197 acres)
Date: July 25, 2016
Production: X Oil X Gas
X
Effective Date: March 17, 2016
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: 0.00112462
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.
SIGNATURE:
BOARD OF c;
ATTEST' 'r
CLER ��HE
BY:
DEPUTY CLERK
0 THE BOARD
Federal Law requires you to fu
Failure to comply will result in 2
2 2416
o withholding and will not be refundable by Payor
Weld County Government
1150 "0" Street
Greeley, CO 80634
Phone: 970-336-7204
Fax: 970-336-7233
Tax ID: 84-6000-813
ecurity or Taxpayer Identification Number.
2016-2875 (I)
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Tract Description
28: SW/4NW/4 That portion of Blocks 78 through 81, and that portion of Block 101, as
shown on the plat of the Townsite of Gilcrest, dated December 29, 1906, recorded at
Reception No. 117580 and as modified by an Amended Map, dated November 11, 1911,
recorded at Reception No. 171908. located within the SW/4NW/4. together with that portion
28: SW/4NW/4 Blocks 98 through 100, as shown on the plat of the Townsite of Gilcrest,
dated December 29, 1906, recorded at Reception No. 117580 and as modified by an
Amended Map, dated November 11, 1911, recorded at Reception No. 171908, together with
28: SE/4NW/4 That portion of Block 43 as shown on the plat of the Townsite of Gilcrest,
dated December 29, 1906, recorded at Reception No. 117580 and as modified by an
Amended Map, dated November 11, 1911, recorded at Reception No. 171908, located within
the SE/4NW/4
28: SE/4NW/4 Block 44 excluding parcel of land more particularly described
as follows: Commencing at the southwest corner of said Block 44; thence East along the
South line of said Block 44, 200 feet, thence North on a line parallel to the South line of said
Block 44, 200 feet, thence South along the West line of said Block 44, 30 feet, to the point of
beginning
28: SE/4NW/4 Parcel of land more particularly described as follows:
Commencing at the southwest corner of said Block 44; thence East along the South line of
said Block 44, 200 feet, thence North on a line parallel to the South line of said Block 44, 200
feet, thence South along the West line of said Block 44, 30 feet, to the point of beginning"
28: SE/4NW/4 Block 45 as shown on the plat of the Townsite of Gilcrest, dated December
29, 1906, recorded at Reception No. 117580 and as modified by an Amended Map, dated
November 11, 1911, recorded at Reception No. 171908, together with those vacated portions
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28: SW/4NE/4 Lot 1 excluding the Eastern 7 feet thereof, Block 21 as shown
on the plat of the Townsite of Gilcrest, dated December 29, 1906, recorded at Reception No.
117580 and as modified by an Amended Map, dated November 11, 1911, recorded at
28: SW/4NE/4 The Eastern 7 feet of Lot 1, All of Lot 2, Block 21 as shown
on the plat of the Townsite of Gilcrest, dated December 29, 1906, recorded at Reception No.
117580 and as modified by an Amended Map, dated November 11, 1911, recorded at
28: SW/4NE/4 Lots 3 through 13, Lots 15 through 24, Lots 40 through 42,
Block 21 as shown on the plat of the Townsite of Gilcrest, dated December 29, 1906,
recorded at Reception No. 117580 and as modified by an Amended Map, dated November
28: SW/4NE/4 Lot 14 and Lots 25 through 31, Block 21 as shown on the
plat of the Townsite of Gilcrest, dated December 29, 1906, recorded at Reception No.
117580 and as modified by an Amended Map, dated November 11, 1911, recorded at
28: SW/4NE/4 Lots 32 and 33, Block 21 as shown on the plat of the
Townsite of Gilcrest, dated December 29, 1906, recorded at Reception No. 117580 and as
modified by an Amended Map, dated November 11, 1911, recorded at Reception No. 171908
28: SW/4NE/4 Lots 34, 36, 38, 44, 46, and 48, Block 21 as shown on the plat
of the Townsite of Gilcrest, dated December 29, 1906, recorded at Reception No. 117580 and
as modified by an Amended Map, dated November 11, 1911, recorded at Reception No.
28: SW/4NE/4 Lot 35, Block 21 as shown on the plat of the Townsite of
Gilcrest, dated December 29, 1906, recorded at Reception No. 117580 and as modified by an
Amended Map, dated November 11, 1911, recorded at Reception No. 171908
28: SW/4NE/4 Lots 37 and 39, Block 21 as shown on the plat of the
Townsite of Gilcrest, dated December 29, 1906, recorded at Reception No. 117580 and as
modified by an Amended Map, dated November 11, 1911, recorded at Reception No. 171908
28: SW/4NE/4 Lot 45, Block 21 as shown on the plat of the Townsite of
Gilcrest, dated December 29, 1906, recorded at Reception No. 117580 and as modified by an
Amended Map, dated November 11, 1911, recorded at Reception No. 171908
28: SW/4NE/4 Lots 43 and 47, Block 21 as shown on the plat of the
Townsite of Gilcrest, dated December 29, 1906, recorded at Reception No. 117580 and as
modified by an Amended Map, dated November 11, 1911, recorded at Reception No. 171908
28: SW/4NE/4 Lots 1 through 4, Block 33 as shown on the plat of the
Townsite of Gilcrest, dated December 29, 1906, recorded at Reception No. 117580 and as
modified by an Amended Map, dated November 11, 1911, recorded at Reception No. 171908
28: SW/4NE/4 Lots 5 and 6, Block 33 as shown on the plat of the Townsite
of Gilcrest, dated December 29, 1906, recorded at Reception No. 117580 and as modified by
an Amended Map, dated November 11, 1911, recorded at Reception No. 171908
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28: SE/4NE/4 Beginning at a point which is 60.00 feet East of the Southwest Corner of the
intersection of Vine Street and 9th Street and which is 60.00 feet South of the Northeast
Corner of the intersection of 9th Street and Vine Street, thence East along a line which is
60.00 feet South of a parallel to the North line of 9th Street to the East line of Railroad
Street as platted (156.56 feet +/-), thence Southwesterly along the East line of Railroad
Street as platted to its intersection with a line 60.00 feet East of and parallel to the West line
of Vine Street extended South (237.57 feet +/-), thence North on a line parallel to the West
line of Vine Street to the Place of Beginning (178.71 feet +/-), which is the portion of Vine
Street and 9th Street heretofore vacated by Ordinance of the Town of Gilcrest
28: SE/4NE/4 That portion of Lot 12, Block 18, Townsite of Gilcrest, as modifed by an
Amended Map dated November 11, 1911, recorded at Reception No. 171908, located in the
28: SE/4NE/4 That portion of Lot 13, Block 18, Townsite of Gilcrest, as modifed by an
Amended Map dated November 11, 1911, recorded at Reception No. 171908, located in the
SE/4NE/4
28: SE/4NE/4 That portion of Lot 12, Block 19, Townsite of Gilcrest, dated
December 29, 1906, recorded at Reception No. 117580 and as modified by an Amended
Map, dated November 11, 1911, recorded at Reception No. 171908, located in the SE/4NE/4
28: SE/4NE/4 That portion of Lot 13, Block 19, Townsite of Gilcrest, dated
December 29, 1906, recorded at Reception No. 117580 and as modified by an Amended
Map, dated November 11, 1911, recorded at Reception No. 171908, located in the SE/4NE/4
28: SE/4NE/4 That portion of Amended Plat of Lots 11, 12 of Block 20
28: SE/4NE/4 That portion of Lot 13, Block 20 as shown on the plat of the
Townsite of Gilcrest, dated December 29, 1906, recorded at Reception No. 117580 and as
modified by an Amended Map, dated November 11, 1911, recorded at Reception No.
28: SE/4NE/4 That portion of Lot 24, Block 21 as shown on the plat of the
Townsite of Gilcrest, dated December 29, 1906, recorded at Reception No. 117580 and as
modified by an Amended Map, dated November 11, 1911, recorded at Reception No.
28: SE/4NE/4 That portion of Lot 25, Block 21 as shown on the plat of the
Townsite of Gilcrest, dated December 29, 1906, recorded at Reception No. 117580 and as
modified by an Amended Map, dated November 11, 1911, recorded at Reception No.
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Commissioners
Supplemental Drilling St DV. nxott Otder Title Opunkyu
7 iedeinan _'8F-412. 'SF -'0'. 23F432. 286-312 28G-212
and A-iedennan Trust Federal 1'90-332 1k ell
Weld C aunty. Colcrado
,),Inv 11 ?016
Page 154
OWNERSHIP INTERESTS IN TRACT Tp
(Block '1 )
MINERAL & ROYALTY INTERESTS: (OIL, GAS & ASSOCIATED HYDROCARBONS ONLY)
Tract Parcel
7D-4 Lot 14. Lots 2
through 31
Owner
Weld C:o. Board
of Couuiussrouers
Mineral Royalty
Interest Interest Lease
100.000000% 18 500000%
OWNERSHIP INTERESTS IN TRACT BP
(Block '1)
through
241
MINERAL & ROYALTY INTERESTS: (OIL. GAS & ASSOCIATED HYDROCARBONS ONLY)
Tract Parcel Owner
SP -2 Lot 2>
Weld Co Board
Of Commissioners
Mineral Royalty
Interest Interest Lease
100 000000% 1:3 5000000,';)
OWNERSHIP INTERESTS IN TRACT 108
rBoock --.
MINERAL & ROYALTY INTERESTS: (OIL, GAS & ASSOCIATED HYDROC ARBONS ONLY)
Tract Parcel Owner
10B-6 Lots ?8 and 31
Weld
County.
Colorado
Mineral Royalty
interest Interest Lease
10O.OOO000% 13 500000°'0 116 117
O\VNERSHIP INTERESTS IN TRACT 10.1
(Block 30, Second Repiari
MINERAL & ROYALTY INTERESTS: (OIL. GAS & ASSOCIATED HYDROCARBONS ONLY)
Tract Parcel Owner
10J- Lot 10
Weld
County
Colorado
Mineral Royalty
Interest Interest Lease
100 000000% 1:3 x00000'.: 11;3
Summary of Lease 116: (Col e1. 017 a 100./X7'? l -f Tres a Ioreresr :, Lot .3 Trac r0B-o,
Dated: October ?8. 1014 r
Recorded: November 10. 1014. at Reception No. 4063090 LEO 33 r� 1
Lessor: Weld County_ a political subdivision of the State of Colorado. acting by and
though the Board of County Couumssioners of the County of Weld_ for its
respective interests. c a Board of County Commissioners
Lessee PDC Energy Luc
Lands Covered:
Township 4 North_ Range 66 West, 6± P M_
Section 8' Town of Gilcrest. Lot 31 Block 1
Contauung 0 075 acres. more or less
Weld County. Colorado
Summary of Lease 11': t Cor er• rr� a 100.00"0.1JYoer'al I=orerest i?r Lot 23. Tracr 10B -di
Dated: October 23. 2014
Recorded: November 20. 2014. at Reception No. 4063091 L "` 333
Lessor: Weld County. a political subdivision of the State of Colorado. acting by and
through the Board of County Conuiussiouers of the County of Weld. for its
respective interests. c.'3 Board of County COnullrssioners
Lessee_ PDC Enerov_ Inc.
Lands Covered.
Township 4 North, Range 66 West. 6'1 P.M.
Section 28: Town of Gilcrest. Lot 2 3. Block 22
Contannn= 0.075 acres, more or less
\Veld County. Colorado
Summary of Lease 11S: KCover•fnQ r 100,00°n _ I t'ra b.rrer'esr Ot Tract 10J-12)
Dated. October 8. '014
Recorded November 20. '014 at Reception No. 406309' LEO 3 31
Lessor: Weld Count'a political subdivision of the State of Colorado. acting by and
through the Board of County Conumssioners of the County of Weld, for its
respective interests., cio Board of County Conunissioners
Lessee PDC Energv. Inc.
Lands Covered:
Township 4 North. Range 66 West_ 0-` P.M.
Section 23: Town of Gilcrest. Lot 20. Block 30
Containing 0.1 72 acres. more or less
Weld County. Colorado
Summary of Lease ?34:
Dated:
Recorded:
Lessor
(C'overw? a 10)0°o i11O'Pn':1! Rt7E'rE? r 7.0 it Polrioo of Trac-r 'D -4j
January 14_ 2015
February 23 2015 at Reception No_ 408``0'9
WELD COUNTY. COLORADO a political subdivision of the STATE
OF COLORADO_ actuio by and trough the BOARD OF COUNTY
COMMISSIONERS OF THE COUNTY OF WELD. for its respective
interests_ c: o BOARD OF COUNTY COMMISSIONERS
1150 O Street P O Box 753. Greeley CO 80637
Lessee PDC Energy. Inc.
Lands Covered:
Township 4 North, Range 66 West_. 6`h P.I.
Section 2S Lot 14. Block 21. Townsite of Glicrest
Containing 0 036 acres more or less
Weld County Colorado
Summary of Lease 235: ECov r'?i,:, a 100°0 fr rterai :reres a. a Pa rEon of Tracrs 7D-4
:and a( of SP -2)
Dated
Recorded:
January 14 101
February 23, 2015 at Reception No_ 4085080 LE0359
WELD COUNTY. COL{) DO_ a puinical subdivision oI the STATE
OF COLORADO. acting- by and throunh the BOARD OF COUNTY
r'rl4 {A,(TL c a. ,\.YE-i> r - — air- _ _ _ _ _
interests_ c o .BOARD OF COUNTY COMMISSIONERS
11'30 O Street. P O Bo_. 758. Greek . CO 063'
Lessee PDC Energy- Inc
Lands Covered.
Townslup 4 North. Ranee 6(i West. 6th P.M.
Section 28 Lot 25_ Block 21 Townsite of Gilcrest
Contarnlna 0.86 acres, more or less
Weld C 'ouutN, Colorado
Summary of Lease 236:
Dated:
Recorded:
Lessor
I C'ove'rliT a iOO"oINi n,a1 !areresr in a Pou'o7? of Tr'acr
January 14. 2013 J n rn
February 23. 2015 at Reception No. 4085081 LEO340°
WELD COUNTY. COLORADO, a political subdivision of the STATE
OF COLORADO, acting by and tluough the BOARD OF C'OLNTY
COMMISSIONERS OF THE COUNTY OF WELD. for its respective
interests. c/o BOARD OF COUNTY COMMISSIONERS
1150 O Street P.C) Box %53. Greeley. CO 30632
Lessee, PDC EneraN,-. Inc.
Lands Covered.
Summary of Lease 23?
Dated:
Recorded:
Lessor:
Township 4 North. Range 66 West, 6th P.M.
Section _3: Lot 26. Block 21: Towusite of Gdcrest
Containing 0.086 acres, more or less
Weld County Colorado
(Covering a 100.9 mineral into resr in a Portion! of'Tracr ?D-4
January 14. 2015
February 23. 2015 at Reception No_ 4085082 L E 3(,
WELD COUNTY. COLORADO, a political subdivision of the STA'1 E
OF COLORADO. acting by and through the BOARD OF C'OU TY
COMMISSIONERS OF THE COUNTY OF WELD, for its respective
interests_, c,"43 BOARD OF COUNTY COMMISSIONERS
1150 O Street, P.O. Box 758.. Greeley, CO 80632
Lessee: PDC Energy_ Inc_
Lands Covered,
Township 4 North. Range 66 West. 6th P yi
Section 28 Lot 27 Block 21 Townsite of Gilcrest
Containing 0 086 acres. more or less
Weld County. Colorado
Summary of Lease 238:
Dated:
Recorded:
Lessor:
rC overiiig a 190'0 irri??era; ? ?reresr in i Portion of- Tract %D-4
January 14. 2015
February ';. '015 at Reception No_ 4085083 LC v 3e
WELD COUNTY. COLORADO a political subdivision of the STATE
OF COLORADO acting by and through the BOARD OF COUNTY
COVLMISSIONERS OF THE COUNTY OF WELD. for its respective
interests_ c o BOARD OF COUNTY COMMISSIONERS
1 130 O Street. P.O. Box 753. Greeley CO 30632
Lessee: PDC Energy_ Inc_
Lands Covered:
Summary o
r L
Diit•:'ti.
Recorded:
Lessor:
Township 4 North. Range 66 West. 6`li P.M.
Section 28 Lot '8. Block 11, Townsite of Gilcrest
Containing 0.086 acres. more or less
Weld County. Colorado
r'C'overing a 100°o ,mineral interest in a Portion of Tract ?D --J
e:tumar 14. _01
February _3. 2015 at Reception No. 4085084 LEO 3 ( 3
WELD COUNTY.. COLORADO. a political subdivision of the STATE
OF COLORADO. active by and through the BOARD OF COUNTY
COMMISSIONERS OF THE COUNTY OF WELD. for its respective
interests co BOARD OF COUNTY COMMISSIONERS
1150 O Street. P.O. Box 758. Greeley. CO 30631
Lessee PDC Energy. Inc.
Lands Covered_
Township 4 North_ Range 66 West. 6th P.M_
Section ?8- Lot 29_ Block 21: Townsite of Gilcrest
Containing 0.086 acres. more or less
Weld County. Colorado
Summary of Lease ?41)'
Dated:
Recorded:
Lessor:
iCoverrn a 100'O mineral ii reresr i➢7 a Portion of Trafr 7D -4i
January 14. 2013
February 23. 2015 at Reception No_ 4035085
LEo3��
WELD COUNTY. COLORADO. a political subdivision of the STATE
OF COLORADO. acting by and through the BOARD OF COUNTY
CONLMISSIONERS OF THE COUNTY OF WELD, for its respective
interests c. o BOARD OF COUNTY COMMISSIONERS
1150 O Street P.O. Box 758. Greeley C'O 8063?
Lessee: PDC Energy Inc
Lands Covered.
Summary of Lease 241:
Dated:
Recorded:
Lessor:
Townslup 4 North. Range 66 West. 6th P tit.
Section 28: Lot 30 Block 21. Townsite of Giicrest
Containing 0.086 acres: more or less
Weld County. Colorado
(Covering a 10O"'o mineral irtreresr in a Por,two of Traci 'D -4i
January 14. 2015
February 23. 2015 at Reception No. 4085086 LEV./ti0
WELD COUNTY_ COLORADO, a political subdivision of the STATE
OF COLORADO_ acting by and through the BOARD OF COUNTY
COMMISSIONERS OF THE COUNTY OF WELD, for its respective
interests. c/o BOARD OF COUNTY COMMISSIONERS
1150 O Street P.O. Box 758. Greeley. CO 30632
Lessee: PDC Energy_ Inc_
Lands Covered:
Township 4 North. Range 66 West, 6th P.M.
Section 23. Lot 31. Block 21. Townsite of Gdcrest
Containing 0.086 acres, more or less
Weld County Colorado
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COGIS - WELL Information
Page 1 of 1
COGIS - WELL Information
Well Name/No:
Operator:
Status Date:
County:
Field:
Planned Location
Scout Card D-4 Related Q Insp. MIT 6 GIS la Doc a. COA Wellbore
Surface Location Data for API # 05-123-40552 Status: DG
Wiedeman #28G-312 (click well name for production)
PDC ENERGY INC - 69175
11/9/2015 Federal or State Lease #:
WELD #123 Location:
WATTENBERG - #90750 Elevation:
Frac Focus
1098 FNL 540 FwL
Job Date: 2/23/2016
Chemical Disclosure RegistryJob End Date: 3/1/2016
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: 28 Twp: 4N 66W
Bottom Hole Location: Sec: 28 Twp: 4N 66W
Formation
1st Production Date:
Status Date:
Lat/Long: 40.28684/-104.78997
)19 Orders
11/9/2015
NWNW 28 4N66W 6 PM
4,761 ft.
Lat/Long Source: Field Measured
Reported: 3/14/2016 Days to report: 13
Status: DG 11/9/2015
11/9/2015 Spud Date is: ACTUAL
HORIZONTAL
Expiration Date: 11/6/2016 7:14:17 AM
11684 Surface Mineral Owner Same:
FEE Surface Owner: FEE
Unit Number:
Code: NBRR , Formation: NIOBRARA , Order: , Unit Acreage: 160, Drill Unit: GWA
String Type: SURF , Hole Size: 13.75, Size: 9.625, Top: 0, Depth: 875, Weight: 36
Sacks: 830, Top: 0, Bottom: 875, Method Grade:
String Type: 1ST , Hole Size: 8.75, Size: 7, Top: 0, Depth: 7740, Weight: 26
Sacks: 650, Top: 500, Bottom: 7740, Method Grade:
String Type: 1ST LINER , Hole Size: 6.125, Size: 4.5, Top: 6528, Depth: 11684, Weight: 13.5
Sacks: , Top: , Bottom: , Method Grade:
Log Top
Completed information for formation N-COM
11/9/2015
11/9/2015
Measured PB depth:
True Vertical PB depth:
Footage: 2110 FNL 826 FFWLL
Footages: 2126 FNL 500 FFELL
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
Log Bottom
Choke Size:
Open Hole Completion:
Production Method:
Status:
Tubing Setting Depth:
Tubing Multiple Packer:
Open Hole Bottom:
Depth
Depth
Cored DSTs
Status: CM 11/9/2015
CM
http://cogcc.state.co.us/cogis/FacilityDetail.asp?facid=12340552&type=WELL 8/30/2016
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): Wiedeman 28G-312 NB
File Location(s): LE0359, LE0360
LE0361, LE0362, LE0363, LE0364
LE0365
BY: DATE: 1
Bruce Barker - County Attorney
NOTES: .9679 mineral acres/ 159.2197 acres spacing unit * 18.5% = .0011246 MATCH
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