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HomeMy WebLinkAbout20162159.tiffRETAIN NADO4 MndrI Form Division Order (',Wonted 9/951 — DIVISION ORDER To: Extraction Oil and Gas. LLC 370 17th Street, Suite 5300 Denver, CO 80202 Well/Property Name: Well API Number: Well/Property Number: County and State: Property Description: Spacing Unit Acres: See Reverse Side for Exhibit (Habitat Pad) See Reverse Side for Exhibit See Reverse Side for Exhibit Weld County, Colorado Township 5 North, Range 65 West Section 6: Nig Section 5: NW/4 511.3624 gross acres Production Type: X Oil X Gas X Other Date: 04/18/2016 Analyst: T. Peters RECEIVED APR 2 2 2016 WELD COUNTY COMMISSIONERS 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 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 annually, whichever occurs first, or as required by applicable state statute. This Division Order does not amend any lease or operating ageement 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. SIGNATURE: _ BOARD OF W ATTES : CLER T!►���HI BY: r. DEPUTY CLER TO THE BO Con/Ion-6 A`k-rcla' �- In-►l� JUL (! S 201 Jeld County Government 1150 "0" Street Greeley, CO 80634 Phone: 970-336-7204 Fax: 970-336-7233 Tax ID: 84-6000-813 2016-2159 (i) Owner ID: 4317 LE035' RETAIN EXTR CTI0N NADO1 Model Farm DiNdnn Order (Adorned 9/941 - Owner ID 1 . 4317 Owner Nanie':( = ..3 `" ' WELD COUNTY COLORADO Tax _„ Identification` _1 : V' - XXX-XX-0813 Well # Well Name API Interest Type _ Decimal Interest Current Paycode 14*105 DT -HABITAT 1-5-6 05-123-38295 RI 0.00178701 M 14*106 DT-HABITAT2-5-6 05-123-38293 RI 0.00178701 M 14*107 DT-HABITAT3-5-6 05-123-38294 RI 0.00178701 M 14*108 DT-HABITAT4-5-6 05-123-38292 M 0.00178701 M 14*109 DT -HABITATS -5-6 05-123-38291 RI 0.00178701 M 14*1121 DT-HABITATC4-5-6 05-123-41027 RI 0.00178701 SDO 14*1122 DT-HABITAT13-5-6 05-123-41031 RI 0.00178701 SDO -ThAn. Do '5 019 RW4-ht -I-we w I s . -The others, were proeessad akrea.d y - DDo Wl -1 23 Paycode Legend M = Account is current for this well and in PAY status SDO = We will required this executed Division Order in order to release funds for this well. SID = We will require this signed Division Order and a W-9 form to release funds for this well. ST = Your account is in Title Suspense and needsresolution beforepayment can be made. Owner ID: 4317 Habitat 3-5-6 1st Production: 5/2014 Habitat 1-5-6 1St Production: 5/2014 Habitat 2-5-6 1St Production: 5/2014 Habitat 4-5-6 1St Production: 8/2014 Habitat 5-5-6 1St Production: 5/2014 Calculations: Mineral Interest x Royalty x Tract Acres/Unit Acres = NRI Royalty Owner Mineral Interest Royalty Tract Acres Unit Acres NRI Weld County 1.00 0.125 0.1836 • 511.3624 0.00004488 Weld County 1.00 0.125 0.18364 511.3624 0.00004488 Weld County 1.00 0.125 0.1837 ' 511.3624 0.00004490 Weld County 1.00 0.125 0.3305. 511.3624 0.00008079 Weld County 1.00 0.125 1.1462• 511.3624 0.00028018 Weld County 1.00 0.125 1.1618 ► 511.3624 0.00028400 Weld County 1.00 0.125 1.4035 r 511.3624 0.00034308 TRACT NO. 33 !' Legal Description: LOT 3, BLOCK 25 IN CLAYTON PARK SUBDIVISION; ALSO VAC 1 ' OF ALLEY ADJ TO S AND W, ALSO KNOWN AS 215 N 11 AVENUE GREELEY, COLORADO, AND CONTAINING 0.1 836 NET ACRES WITHIN THE NE/4 OF THE NE/4 OF SECTION 6, BEING 0.1836 ROSS ACRES, MORE OR LESS. TRACT NO. 34 Legal Description: LOT 2, BLOCK 25 CLAYTON PK ALSO VAC 10' OF ALLEY ADJ TO W, ALSO KNOWN AS 219 N 11 AVENUE GREELEY, COLORADO, AND CONTAINING 0.1836 ET ACRES WITHIN THE NE/4 OF THE NE/4 OF SECTION 6, BEING 0.1836 GROSS ACRES, MORE OR LESS. L F /-; 3 ✓,' TRACT NO. 35 Legal Description: LOT 24 & NORTH 5' LOT 25, BLOCK 25 IN CLAYTON PARK SUBDIVISION (STOLLS TRAILER PARK) ALSO VAC 10' OF ALLEY ADJ TO N AND W 209 N 11 AVENUE GREELEY, COLORADO, AND CONTAINING 0.1837 NET ACRES WITHIN THE NE/4 OF THE NE/4 OF SECTION 6, BEING 0.1837 GROSS ACRES, MORE OR LESS. / (' TRACT NO. 36 Legal Description: LOT 1, BLOCK 25 IN CLAYTON PARK SUBDIVISION; ALSO VAC 40' B STREET ADJ TO N AND ALSO VAC 10' OF ALLEY ADJ TO W 223 N 11 AVENUE GREELEY, COLORADO, AND CONTAINING 0.3305 NET ACRES WITHIN THE NE/4 OF THE NE/4 OF SECTION 6, BEING 0.3305 GROSS ACRES, MORE OR LESS. L E , ' 5 ` J TRACT NO. 37 Legal Description: GR 4059 LOT 1 TO 5, BLOCK 33 CLAYTON PARK ALSO VAC C STREET ADJ & VAC E -W ALLEY ADJ & N -S VAC ALLEY ADJ, ALSO KNOWN AS 315 N 11 AVENUE GREELEY, COLORADO, AND CONTAINING 1.1462 NET ACRES WITHIN THE NE/4 OF THE NE/4 OF SECTION 6, BEING 1.1462 GROSS ACRES, MORE OR LESS. TRACT NO. 38 Legal Description: LOT 22 TO 26, BLOCK 33 CLAYTON PARK ALSO VAC E -W ALLEY ADJ & VAC N -S ALLEY ADJ & VAC B STREET ADJ, ALSO KNOWN AS 301 N 11 AVENUE GREELEY, COLORADO, AND CONTAINING 1.1618 NET ACRES WITHIN THE NE/4 OF THE NE/4 OF SECTION 6, BEING 1.1618 GROSS ACRES, MORE OR LESS i TRACT NO. 108 Legal Description: PART OF LOT 2 SW4NE4 SEC. 6, T5N, R65W BEG NE COR LOT 1, BLOCK 1, EPPLES SUB SAID PT BEING ON W LN LOT 2 SW4NE4 & ON S LN 2ND STREET SOUTH 242.87' NORTH 89D45'E 221.87' NORTH 44D45'E 56.32 N04D04'W 201.96' TO S LN 2ND STREET W261.26' TO BEG, AND CONTAINING 1.4035 NET ACRES WITHIN THE SW/4 OF THE NE/4 OF SECTION 6, BEING 1.4035 GROSS ACRES, MORE OR LESS. 1 COGIS - WELL Information Page 1 of 2 COGIS - WELL Information Scout Card D-4, Related Q Insp. 4 MIT GIS a Doc a COA �I` Wellbore Surface Location Data for API # 05-123-41027 Status: PR Well Name/No: Operator: Status Date: County: Field: Planned Location Frac Focus DT -Habitat #C4-5-6 (click well name for production) EXTRACTION OIL & GAS LLC - 10459 3/1/2016 Federal or State Lease #: WELD #123 Location: WATTENBERG - #90750 Elevation: 398 FNL 1684 FEL Lat/Long: 40.4354/-104.68373 Job Date: 1/15/2016 Reported: Job End Date: 1/23/2016 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: MD Orders 3/1/2016 NWNE 5 5N65W 6 PM 4,640 ft. Lat/Long Source: Field Measured 4/4/2016 Days to report: 72 Status: DG 4/6/2015 4/6/2015 Spud Date is: ACTUAL HORIZONTAL Expiration Date: 1/17/2017 2:49:46 PM 14938 Surface Mineral Owner Same: FEE Surface Owner: FEE Unit Number: Code: CODL , Formation: CODELL , Order: , Unit Acreage: 480, Drill Unit: GWA String Type: SURF , Hole Size: 13.5, Size: 9.625, Top: 0, Depth: 1000, Weight: 36 Sacks: 550, Top: 0, Bottom: 1000, Method Grade: String Type: 1ST , Hole Size: 8.75, Size: 7, Top: 0, Depth: 7856, Weight: 26 Sacks: 760, Top: 3000, Bottom: 7856, Method Grade: String Type: 1ST LINER , Hole Size: 6.125, Size: 4.5, Top: 7656, Depth: 14938, Weight: 11.6 Sacks: , Top: , Bottom: , Method Grade: N/A Sec: 5 Twp: 5N 65W Sec: 6 Twp: 5N 65W Formation Log Top No additional interval records were found for sidetrack 00. Wellbore Data for Sidetrack #01 Wellbore Permit Permit #: Prop Depth/Form: Mineral Owner: Unit: Formation and Spacing: Casing: Cement: Casing: Cement: Casing: Cement: Casing: Cement: Wellbore Completed Completion Date: Measured TD: True Vertical TD: Top PZ Location: Bottom Hole Location: Formation Measured PB depth: True Vertical PB depth: Footage: 2291 FNL 2188 FFWLL Depth Footages: 2179 FNL 460 FFWLL Depth Log Bottom Cored Status: PR 3/1/2016 HORIZONTAL Expiration Date: 5/21/2017 10:32:59 AM 14938 Surface Mineral Owner Same: FEE Surface Owner: FEE Unit Number: Code: CODL , Formation: CODELL , Order: , Unit Acreage: 480, Drill Unit: GWA String Type: CONDUCTOR , Hole Size: 26, Size: 16.25, Top: 0, Depth: 80, Weight: 42 Sacks: 100, Top: 0, Bottom: 80, Method Grade: String Type: SURF , Hole Size: 13.5, Size: 9.625, Top: 0, Depth: 1042, Weight: 36 Sacks: 636, Top: 0, Bottom: 1042, Method Grade: String Type: 1ST , Hole Size: 8.75, Size: 7, Top: 0, Depth: 7755, Weight: 26 Sacks: 1178, Top: 0, Bottom: 7755, Method Grade: String Type: 1ST LINER , Hole Size: 6.125, Size: 4.5, Top: 7656, Depth: 14938, Weight: 13.5 Sacks: , Top: , Bottom: , Method Grade: N/A Sec: 5 Twp: 5N 68W Sec: 6 Twp: 5N 65W Log Top Measured PB depth: True Vertical PB depth: Footage: 2291 FFNLL 2188 FFWLL Depth Footages: 2179 FFNLL 460 FFWLL Depth Log Bottom Cored DSTs DSTs http://cogcc.state.co.us/cogis/FacilityDetail.asp?facid=12341027&type=WELL 6/24/2016 COGIS - WELL Information Page 2 of 2 Completed information for formation N-COM 1st Production Date: N/A Choke Size: Status Date: 3/1/2016 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 . Status: PR 3/1/2016 PR http://cogcc.state.co.us/cogis/FacilityDetail.asp?facid=12341027&type=WELL 6/24/2016 COGIS - WELL Information Page 1 of 2 COGIS - WELL Information Scout Card o -'O Related Q. Insp. Q MIT ! GIS . Doc a COA 1L Wellbore Surface Location Data for API # 05-123-41031 Status: PR Well Name/No: Operator: Status Date: County: Field: Planned Location As Drilled Location Frac Focus Chemical Disclosure Registry Wellbore Data for Sidetrack #00 382 FNL 1684 FEL Footages Not Available DT -Habitat #J3-5-6 (click well name for production) EXTRACTION OIL & GAS LLC - 10459 7/7/2015 Federal or State Lease #: WELD #123 Location: WATTENBERG -#90750 Elevation: Lat/Long: 40.43544/-104.68373 Lat/Long: 40.435443/-104.683727 Job Date: 6/18/2015 Reported: 7/27/2015 Job End Date: 7/1/2015 Spud Date: Wellbore Permit Permit #: Prop Depth/Form: Mineral Owner: Unit: Formation and Spacing: Formation and Spacing: Casing: Cement: Casing: Cement: Casing: Cement: Wellbore Completed Completion Date: 5/27/2015 Measured TD: 15135 True Vertical TD: 7580 Top PZ Location: Sec: 5 Twp: 5N 65W Bottom Hole Location: Sec: 6 Twp: 5N 65W Log Types: Casing: Cement: Casing: Cement: Casing: Cement: Casing: Cement: Formation PARKMAN SUSSEX SHANNON SHARON SPRINGS NIOBRARA FORT HAYS CODELL CARLILE J SAND Status: PR 5/6/2015 Spud Date is: HORIZONTAL Expiration Date: 14705 Surface Mineral Owner Same: FEE Surface Owner: FEE Unit Number: Code: CODL , Formation: CODELL , Order: , Unit Acreage: 480, Drill Unit: GWA Code: JSND , Formation: J SAND , Order: , Unit Acreage: 480, Drill Unit: GWA String Type: SURF , Hole Size: 13.5, Size: 9.625, Top: 0, Depth: 1000, Weight: 36 Sacks: 550, Top: 0, Bottom: 1000, Method Grade: String Type: 1ST , Hole Size: 8.75, Size: 7, Top: 0, Depth: 8078, Weight: 26 Sacks: 795, Top: 3000, Bottom: 8078, Method Grade: String Type: 1ST LINER , Hole Size: 6.125, Size: 4.5, Top: 7878, Depth: 15167, Weight: 11.6 Sacks: , Top: , Bottom: , Method Grade: Orders 7/7/2015 NWNE 5 5N65W 6 PM 4,640 ft. Lat/Long Source: Field Measured Lat/Long Source: Field Measured Days to report: 26 7/7/2015 ACTUAL 1/17/2017 2:49:46 PM Measured PB depth: 14951 True Vertical PB depth: 7580 Footage: 1608 FNL 2173 FWL Depth Footages: 1552 FNL 508 FWL Depth Triple Combo, Mud, GR, CBL String Type: CONDUCTOR , Hole Size: 26, Size: 16.25, Top: 0, Depth: 80, Weight: 42 Sacks: 100, Top: 80, Bottom: 80, Method Grade: VISU String Type: SURF , Hole Size: 13.5, Size: 9.625, Top: 0, Depth: 1043, Weight: 36 Sacks: 667, Top: 0, Bottom: 1043, Method Grade: VISU String Type: 1ST , Hole Size: 8.75, Size: 7, Top: 0, Depth: 8116, Weight: 26 Sacks: 1102, Top: 1170, Bottom: 8116, Method Grade: CBL String Type: 1ST LINER , Hole Size: 6.25, Size: 4.5, Top: 7951, Depth: 15135, Weight: 13.5 Sacks: , Top: , Bottom: , Method Grade: CALC Log Bottom Cored Log Top 3605 4389 4938 6855 6911 7209 7234 7262 7829 Completed information for formation JSND 2/10/2016 1st Production Date: Status Date: Commingled: Formation Name: Formation Treatment Treatment Date: 8/17/2015 2/10/2016 N J SAND Status: PR Choke Size: Open Hole Completion: Production Method: Status: Treatment Type: Y PR FRACTURE STIMULATION 6/30/2015 Treatment End Date: 7/1/2015 Treatment summary: 18 stage sliding sleeve; 29145 bbls of fluid pumped, all fresh water; 4873320 lbs of 20/40 proppant pumped Total fluid used in treatment (bbls): 29145 Max pressure during treatment (psi): 8401 DSTs http://cogcc.state.co.us/cogis/FacilityDetail.asp?facid=12341031 &type=WELL 6/24/2016 COGIS - WELL Information Page 2 of 2 Total gas used in treatment (mcf): Type of gas: Total acid used in treatment (bbls): Recycled water used in treatment (bbls): Produced water used in treatment (bbls): 29145 4873320 Total proppant used (Ibs): Reason green techniques not utilized: Tubing Size: Tubing Packer Depth: Open Hole Top: Initial Test Data: Test Date: Hours Tested: Gas Disposal: Test Type BBLS_H2O BBLS_OIL BTU_GAS CALC_BBLS_H2O CALC_BBLS_OIL CASING_PRESS GRAVITY_OIL TUBING_PRESS Perforation Data: Interval Bottom: # of Holes: 2.375 7/7/2015 24 14951 18 Measure 120 6 1250 120 6 1250 45 550 Fluid density (lbs/gal): Number of staged intervals: Min frac gradient (psi/ft): Total flowback volume recovered (bbls): 1803 Disposition method for flowback: RECYCLE Green completions techniques utilized: True 8.32 18 0.75 Tubing Setting Depth: Tubing Multiple Packer: Open Hole Bottom: Test Method: Gas Type: Interval Top: Hole Size: 7655 8116 http://cogcc.state.co.us/cogis/FacilityDetail.asp?facid=12341031 &type=WELL 6/24/2016 Karla Ford From: Sent: To: Subject: Attachments: Hi Karla, Tara Peters <TPeters@extractionog.com> Tuesday, May 24, 2016 1:25 PM Karla Ford RE: Extraction DT Habitat Wells (2) 20160524131459905.pdf These 2 wells are just additional wells under the already existing DT -Habitat Pad. I have attached a copy of the signed division order that Weld County executed for the first 5 wells. You will see that the interest is the same, therefore the documents you have for the first 5 wells, will transfer over to these. Regards, Tara Peters Lead Division Order Analyst Extraction Oil & Gas Direct: 720-557-8316 370 17th Street, Suite 5300 Denver, CO 80202 EXTR1CTION �a. From: Karla Ford [mailto:kford@co.weld.co.us] Sent: Friday, May 20, 2016 2:17 PM To: Tara Peters <TPeters@extractionog.com> Subject: Extraction DT Habitat Wells (2) 1 EXTRACTION O'I&Gw 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 oil and/or gas from a new well, 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. 9. 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 720-481-2380 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 EXTR CTION oiac.. Royalty Interest Calculation Example Your current interest type can be found on the division order in the box labeled, Interest Type. Royalty Interest (RI) Your interest is calculated by taking the net acres you own, dividing it by the total number of acres that are contained within the spacing of the well (this can be found on the front of the division order), and then multiplying it by your lease royalty. Example: Property ABC South 1st Street owned by Joe D. Smith contains 0.95 net acres. Joe D. Smith signed a lease with Company XYX for a 10% royalty interest. The said well producing from property ABC contains a total of 500 gross acres. 0.95 net acres ± 500 gross acres x .10 (or 10% lease royalty) = 0.019% or 0.00019 decimal interest owned by Joe D. Smith Force Pooled Royalty Interest (FPRI) Your interest is currently unleased and has been force pooled per the Colorado Commissions Statutes. The statue requires that an operator pays a 12.5% royalty interest until payout. The calculations are the same as above, however the statutory 12.5% royalty is used. Example: Property ABC South 1st Street owned by Joe D. Smith contains 0.95 net acres. The said well producing from property ABC contains a total of 500 gross acres. Joe D. Smith is unleased, so 12.5% royalty is used. 0.95 net acres ± 500 gross acres x .125 (or 12.5% statute royalty) = 0.02375% or 0.0002375 decimal interest owned by Joe D. Smith If your mineral rights are unleased and you are interested in leasing them, please contact our Land Department at Land@ExtractionOG.com. 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): DT -HABITAT C4-5-6 File Location(s): LE0354 DT -HABITAT J3-5-6 Bruceearker - County Attorney DATE: NOTES: 4.9395 mineral acres/ 511.3624 acres spacing unit * 18.5 % = .00178701 MATCH Hello