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Home My WebLink About20160730.tiff \ i(), NADOA ARECENtdrid 9/951 DEC 2 8 2015 OIL&GAS DIVISION ORDER WELD COUNTY COMMISSIONERS Property Number: 0542.01.1 Date Prepared: 10/29/2015 Property Name: Dacono#1 Effective Date: 7/1/2015 Operator: K.P.Kauffman Company Inc. mp1 JC_1 _ D3,q County/State: Weld,CO Property Description: Township:001-N Range:068-W Section:1 Qtr/Qtr:SENE Production: Oil_X_Gas_X_Other Owner Name: Weld County Owner Number: 01716 Address: Board Of County Commissioners Type of Interest: RI P.O.Box 758 Greeley,CO 80632-0758 Phone#: Interest: 0.01264250 The undersigned certifies the ownership of their decimal in production or proceeds as described above payable by K.P. Kauffman Company,Inc. 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$100.00,or pay once a year,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 FEB292 SIGNATURE: I.L L ,_,• Rsr� BOARD OF' L UN�0 SSa0 ERS,C Weld County Government v• 2 �, s° 1150"0"Street ATTEST. Greeley,CO 80634 CLER Tr !E BO•' t Phone:970-336-7204 , 1,114. Fax:970-336-7233 BY: G/ DEPUTY CLERK►e THE BOA Tax ID:84-6000-813 Pr/ ll Federal Law requires you to furnish your Social Security or Taxpayor identification Ni 2016-0730(t Failure to comply will result in 28%tax withholding and will not be refundable by P • / COr��.Lt AW-nda) (� as -9 �� COPY FOR YOUR XAel-to INFORMATION COGIS - WELL Information Page 1 of 2 COGIS - WELL Information Scout C, Related Q. Insp. Q 0 GIS a Doc a COA Wellbore Orders Card MIT Surface Location Data for API # 05-123-09032 Status: PR 5/19/2006 Well Name/No: DACONO#1 (click well name for production) Operator: K P KAUFFMAN COMPANY INC-46290 Status Date: 5/19/2006 Federal or State Lease#: County: WELD#123 Location: SENE 1 1N 68W 6 PM Field: SPINDLE -#77900 Elevation: 5,027 ft. Planned Location 1500 FNL 100 FEL Lat/Long:40.083487/-104.942704 Lat/Long Calculated From Footages As Drilled Location Footages Not Available Lat/Long:40.08356/-104.94275 Lat/Long Source: Field Measured Wellbore Data for Sidetrack#00 Status: PR 5/19/2006 Spud Date: 2/10/1977 Spud Date is: ACTUAL Wellbore Permit DIRECTIONAL Permit#: 19761229 Expiration Date: 4/3/1977 Prop Depth/Form: 5788 Surface Mineral Owner Same: Mineral Owner: FEE Surface Owner: Unit: Unit Number: Formation and Spacing: Code: SX-SN , Formation: SUSSEX-SHANNON , Order: 0 , Unit Acreage: 80, Drill Unit:W2NE Wellbore Completed Completion Date: 8/2/1977 Measured TD: 5743 Measured PB depth: 5743 True Vertical TD: True Vertical PB depth: Log Types: IES, FDC Casing: String Type: SURF , Hole Size: 12.5, Size: 8.625, Top:0, Depth: 600,Weight: 24 Cement: Sacks:0, Top: 0, Bottom: , Method Grade: Casing: String Type: 1ST, Hole Size: 7.875, Size:4.5,Top: 0, Depth: 5742,Weight: 11.6 Cement: Sacks: 0, Top: 0, Bottom: , Method Grade: Formation Log Top Log Bottom Cored DSTs SUSSEX 5114 SHANNON 5618 Completed information for formation SX-SN Status: PR 5/19/2006 1st Production Date: 8/2/1977 Choke Size: Status Date: 5/19/2006 Open Hole Completion: Commingled: Production Method: PUMPING Formation Name: SUSSEX-SHANNON Status: PR Formation Treatment Treatment Date: 8/2/1977 Treatment summary: SNSD: 196,000#SAND,729 BO, 789 BW. SUSX: 296,000#SAND, 1,729 BO, 789 BW Tubing Size: Tubing Setting Depth: Tubing Packer Depth: Tubing Multiple Packer: Open Hole Top: Open Hole Bottom: Initial Test Data: Test Date: 8/4/1977 Test Method: PUMPING Hours Tested: 24 Gas Type: Gas Disposal: SOLD Test Type Measure BBLS_OIL 60 CALC_GOR 1670 MCF_GAS 100 Perforation Data: http://cogcc.state.co.us/cogis/FacilityDetail.asp?facid=12309032&type=WELL 2/19/2016 COGIS - WELL Information Page 2 of 2 Interval Bottom: 5642 Interval Top: 5114 #of Holes: 62 Hole Size: http://cogcc.state.co.us/cogis/FacilityDetail.asp?facid=12309032&type=WELL 2/19/2016 NADOA Model Form Division��( og dD 2 RE• DEC 282015 OIL & GAS DIVISION ORDER WELD COUNTY COMMISSIONERS Property Number: 0542.02.1 Date Prepared: 10/29/2015 Property Name: Dacono#2 Effective Date: 7/1/2015 Operator: K.P. Kauffman Company Inc. Ar l ...690A3 County/State: Weld, CO Property Description: Township: 001-N Range: 068-W Section: 1 Qtr/Qtr: SENE Production: Oil X Gas X_Other Owner Name: Weld County Owner Number: 01716 Address: Board Of County Commissioners Type of Interest: RI P.O. Box 758 Greeley, CO 80632-0758 Phone#: Interest: 0.01264250 The undersigned certifies the ownership of their decimal in production or proceeds as described above payable by K.P. Kauffman Company, Inc. 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 $ 100.00, or pay once a year, 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 � � F 9 2010 SIGNATURE: �L.. L Weld County Government - BOARD OF r C UNTYV`1JV,�f, ��,S(�tDD ON.'t• 1150"0"Street ATTEST: • Greeley,CO 80634 CLERK OTr BOARD V r .+;' �„ Phone:970-336-7204 Fax:970-336-7233 BY: Tax ID:84-6000-813 DEPUTY CLERK Tel HE BOARD �Ir rte' -o„r--, \WI:414:1W (D/lO - o73o(i ) Federal Law requires you to furnish your Social Security or Taxpayor identification Number. Failure to comply will result in 28% tax withholding and will not be refundable by Payor l COPY FOR YOUR I FORMA `` COGIS - WELL Information Page 1 of 2 COGIS - WELL Information Scout h C Related Qs Insp. C 0 GIS a Doc a COA Y Wellbore ✓ " Orders Card MIT Surface Location Data for API # 05-123-09033 Status: PR 2/19/2007 Well Name/No: DACONO#2 (click well name for production) Operator: K P KAUFFMAN COMPANY INC-46290 Status Date: 2/19/2007 Federal or State Lease#: County: WELD#123 Location: SENE 1 1N 68W 6 PM Field: SPINDLE -#77900 Elevation: 5,027 ft. Planned Location 1700 FNL 100 FEL Lat/Long: 40.082937/-104.942704 Lat/Long Calculated From Footages As Drilled Location Footages Not Available Lat/Long: 40.08302/-104.94284 Lat/Long Source: Field Measured Wellbore Data for Sidetrack #00 Status: PR 2/19/2007 Spud Date: 2/26/1977 Spud Date is: ACTUAL Wellbore Permit DIRECTIONAL Permit#: 19761230 Expiration Date: 4/3/1977 Prop Depth/Form: 5427 Surface Mineral Owner Same: Mineral Owner: FEE Surface Owner: Unit: Unit Number: Formation and Spacing: Code: SX-SN , Formation: SUSSEX-SHANNON , Order: 0 , Unit Acreage: 80, Drill Unit:W2NE Wellbore Completed Completion Date: 8/2/1977 Measured TD: 5371 Measured PB depth: 5371 True Vertical TD: True Vertical PB depth: Top PZ Location: Sec: 1 Twp: 1N 68W Footage: 2006 FNL 582 FWL Depth Log Types: IES, FDC Casing: String Type: SURF , Hole Size: 12.5, Size: 8.625, Top:0, Depth: 676,Weight: 24 Cement: Sacks: 300, Top: 0, Bottom: , Method Grade: Casing: String Type: 1ST, Hole Size: 7.875, Size:4.5, Top: 0, Depth: 5371,Weight: 11.6 Cement: Sacks:275, Top: 0, Bottom: , Method Grade: Formation Log Top Log Bottom Cored DSTs SUSSEX 4782 SHANNON 5240 Completed information for formation SX-SN Status: PR 2/19/2007 1st Production Date: 8/2/1977 Choke Size: 0.188 Status Date: 2/19/2007 Open Hole Completion: Commingled: Production Method: PUMPING Formation Name: SUSSEX-SHANNON Status: PR Formation Treatment Treatment Date: 8/2/1977 Treatment summary: SNSD: 196,000#SAND, 1,729 BO 789 BW. SUSX: 296,000#SAND, 789 BW, 1729 BO Tubing Size: Tubing Setting Depth: Tubing Packer Depth: Tubing Multiple Packer: Open Hole Top: Open Hole Bottom: Initial Test Data: Test Date: 8/4/1977 Test Method: PUMPING Hours Tested: 24 Gas Type: Gas Disposal: Test Type Measure BBLS_OIL L 48 CALC_GOR 2080 MCF_GAS 100 http://cogcc.state.co.us/cogis/FacilityDetail.asp?facid=12309033&type=WELL 2/19/2016 COGIS - WELL Information Page 2 of 2 Perforation Data: Interval Bottom: 5264 Interval Top: 4782 #of Holes: 54 Hole Size: http://cogcc.state.co.us/cogis/FacilityDetail.asp?facid=12309033&type=WELL 2/19/2016 NADOA Mod jrEicEnite ,$/951 DEC 2 8 2015 OIL & GAS DIVISION ORDER WELD COUNTY COMMISSIONERS Property Number: 0542.03.1 Date Prepared: 10/29/2015 Property Name: Dacono#3 Effective Date: 7/1/2015 Operator: K.P. Kauffman Company Inc. API - 05- 123- 6,9634 County/State: Weld, CO / Property Description: Tonship: 001-N Range: 068-W Section: 1 Qtr/Qtr: SENE Production: Oil X Gas X Other Owner Name: Weld County Owner Number: 01716 Address: Board Of County Commissioners Type of Interest: RI P.O. Box 758 Greeley, CO 80632-0758 Phone#: Interest: 0.01264250 The undersigned certifies the ownership of their decimal in production or proceeds as described above payable by K.P. Kauffman Company, Inc. 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 $ 100.00, or pay once a year, 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 SIGNATURE: $ ' F 2016 Weld County Government BOARD OF C NTY�QM IO IES ti 1150"0"Street ATTEST: ri• � �� 1 Greeley,CO 80634 CLERK O r' E BOA' Phone:970-336-7204 � , � _ ax:970-336-7233 BY: /�- -� � _/./.�i/��i ! �Q ax ID:84-6000-813 DEPUTY CLERK Tf► THE BOARDCite 67.3o(i), Federal Law requires you to furnish your Social Security or Taxpayor identification Number. Failure to comply will result in 28% tax withholding and will not be refundable by Payor COGIS - WELL Information Page 1 of 2 COGIS - WELL Information Scout h Related Q. Insp. CI. GIS Doc a COA �I`Wellbore Orders Card MIT Surface Location Data for API # 05-123-09034 Status: PR 3/24/1994 Well Name/No: DACONO#3 (click well name for production) Operator: K P KAUFFMAN COMPANY INC-46290 Status Date: 3/24/1994 Federal or State Lease#: County: WELD#123 Location: SENE 1 1N 68W 6 PM Field: SPINDLE -#77900 Elevation: 5,027 ft. Planned Location 1400 FNL 100 FEL Lat/Long:40.083757/-104.942704 Lat/Long Calculated From Footages As Drilled Location Footages Not Available Lat/Long:40.08391/-104.94275 Lat/Long Source: Field Measured Wellbore Data for Sidetrack#00 Status: PR 3/24/1994 Spud Date: 1/20/1977 Spud Date is: ACTUAL Wellbore Permit DIRECTIONAL Permit#: 19761231 Expiration Date: 4/3/1977 Prop Depth/Form: 5436 Surface Mineral Owner Same: Mineral Owner: FEE Surface Owner: Unit: Unit Number: Formation and Spacing: Code: SX-SN , Formation: SUSSEX-SHANNON , Order: 0 , Unit Acreage: 80, Drill Unit:W2NE Wellbore Completed Completion Date: 8/2/1977 Measured TD: 5318 Measured PB depth: 5318 True Vertical TD: True Vertical PB depth: Log Types: FDC, IES Casing: String Type: SURF , Hole Size: 12.5, Size: 8.625, Top: 0, Depth: 615,Weight: 24 Cement: Sacks:0, Top: 0, Bottom: , Method Grade: Casing: String Type: 1ST, Hole Size: 7.875, Size:4.5, Top: 0, Depth: 5318,Weight: 11.6 Cement: Sacks: 0, Top: 0, Bottom: , Method Grade: Formation Log Top Log Bottom Cored DSTs SUSSEX 4832 SHANNON 5284 Completed information for formation SX-SN Status: PR 3/24/1994 1st Production Date: 8/2/1977 Choke Size: 0.188 Status Date: 3/24/1994 Open Hole Completion: Commingled: Production Method: PUMPING Formation Name: SUSSEX-SHANNON Status: PR Formation Treatment Treatment Date: 8/2/1977 Treatment summary: SNSD: 196,000#SAND, 1,729 BO, 789 BW. SUSX: 196,000#SAND, 1,444 BO, 669 BW Tubing Size: Tubing Setting Depth: Tubing Packer Depth: Tubing Multiple Packer: Open Hole Top: Open Hole Bottom: Initial Test Data: Test Date: 8/4/1977 Test Method: PUMPING Hours Tested: 24 Gas Type: Gas Disposal: SOLD Test Type Measure BBLS_OIL 58 CALC_GOR 1720 MCF_GAS 100 Perforation Data: http://cogcc.state.co.us/cogis/FacilityDetail.asp?facid=12309034&type=WELL 2/19/2016 COGIS - WELL Information Page 2 of 2 Interval Bottom: 5306 Interval Top: 4832 #of Holes: 52 Hole Size: http://cogcc.state.co.us/cogis/FacilityDetail.asp?facid=12309034&type=WELL 2/19/2016 K.P. KAUFFMAN COMPANY, INC. WORLD TRADE CENTER 1 675 BROADWAY, 28TH FLOOR DENVER,COLORADO 80202-4628 TELEPHONE(303)825-4822 FACSIMILE(303)825-4825 WWW.KPK.COM RECEIVED DEC 2 8 2015 November 19, 2015 WELD COMMI$$OM. K.P. Kauffman Company, Inc. 1675 Broadway,Suite 2800 Denver, CO 80202 Dear Interest Owner: Effective July 1, 2015, K.P. Kauffman Company, Inc. (KPK) acquired certain leasehold and wellbore interests from Foundation Energy Management, LLC. in which you own an interest. KPK filed a Change of Operator Form with the Colorado Oil and Gas Conservation Commission effective September 1, 2015. Please find enclosed a Division Order from KPK governing your interest with KPK as the operator. Please return the "Original" executed copy with the identifying information requested to my attention at your earliest convenience. Sincerely, Jennifer Feik Division Order Analyst K.P. KAUFFMAN COMPANY, INC. WORLD TRADE CENTER 1 675 BROADWAY, 28TH FLOOR DENVER,COLORADO 80202-4628 TELEPHONE(303)825-4822 FACSIMILE(303)825-4825 WWW.KPK.COM December 22, 2015 Weld County Board of County Commissioners P.O. Box 758 Greeley, CO 80632-0758 Re: Dacono #1, #0542.01.1 Dacono #2, #0542.02.1 Dacono #3, #0542.03.1 Weld County, CO Pursuant to certain documentation received, please find enclosed a K.P. Kauffman Company, Inc. Oil & Gas Transfer Order regarding the subject property. 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 Oil & Gas Transfer Order. 2. If your name has changed due to marriage or divorce, execute the Oil & Gas Transfer 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. Oil & Gas Transfer Orders for partnerships must be executed by all partners or by an authorized partner. A certified copy of the instrument giving said partner's authority to sign must be furnished. 6. Should you fail to provide your correct Social Security Number or Tax Identification Number, the law provides that we withhold 28% of all production proceeds due you. You may also be subject to a further penalty levied by the Internal Revenue Service. 7. The top copy or the "Original" of the Oil & Gas Transfer Order should be returned to: K.P. Kauffman Company, Inc. Attention: Jen Feik 1675 Broadway, 28th Floor Denver, Colorado 80202-4628 8. Should you have any further questions regarding the enclosed Oil & Gas Transfer Order, please contact Jen Feik at(303) 825-4822. 9. Please DO NOT DETACH the exhibit from the Oil & Gas Transfer Order if one is included. 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): Dacono 1, 2, 3 File Location(s): LE0225 BY: DATE: 3 Bruce arker - County Attorney NOTES: These three wells have a previous division order and it has now been assigned to K.P. Kauffman Company, Inc. I received one assignment, but have requested the chain of assignments from Amoco (1971 Lease) all the way through K.P. Kauffman so we can have a more complete file. I am wanting to move these forward as the mineral interest has not changed from the original DO received in 2000. Hello