HomeMy WebLinkAbout20150670.tiff NADOA Model Form Division Order(Adopted 9/95)
DIVISION ORDER
To: Bonanza Creek Energy,Inc. Date: February 12,2015
410 17`s Street, Suite 1400
Denver, CO 80202
Attn: John McLoughlin
Property Number: CO001152 Effective Date: January 4,2015
Property Name: PRONGHORN 11-41-24HNC
Operator: BONANZA CREEK ENERGY NC
County and State: Weld, Colorado RECEIVED
Property Township 5 North,Range 61 West
Description: S.ec ion 24:N2
P� 05-I 3 -.2/�138M WELD COUNTY
COMMISSIONERS
Production: X Oil X Gas X Other: all products —
Owner Name OWNER NUMBER: 1041
and Address:
WELD COUNTY BOARD OF COMMISSIONERS Type of Interest: RI
P O BOX 758 Decimal Interest: 0.25000000
GREELEY,CO 80632-0758 Interest Calculation:
The undersigned certifies the ownership of their decimal interest in production or proceeds as described above payable by
Bonanza Creek Energy,Inc. (Payor).
(Company Name)
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 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.
Payor is authorized to withhold payment pending resolution of a title dispute or adverse claim asserted regarding the interjstUh,
production claimed herein by the undersigned. The undersigned agrees to indemnify and reimburse Payor any a
an interest to which the undersigned is not entitled. Unless otherwise required by law, Payor shall not be requir0 t,p '`i e�
payments withheld due to a title dispute or adverse claim. '4"
Special Clauses: (None or See lathed Exhibit) 1861,
$y'' 4 Jl
•
Owner(s) Signature(s):
WELD COUNTY BOARD OF
(�
Owner Daytime Telephone 970-336-7204 MAR 11 23 5 •r
OAttest: V ^� y ✓
Cl & the Boar
Owner FAX Telephone#: 970-336-7233 B :
Deputy C rk to D ---
Federal Law requires you to furnish your Social Security or Taxpayer Identification A 2015-0670
Failure to comply will result in 31 %tax withholding and will not be refundable by
Retain this copy for your rec rds
JM C� 1ti t.I" 7 (IC �1&t� _ L�OI�f(Q
RECEIVED
INSTRUCTIONS TO ALL INTEREST OWNERS
7 a
Dear Interest Owner, WELD COUNTY
Bonanza Creek Energy, Inc. has enclosed a Division Order for your execution. COMMISSIONERS
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.
4. If signing for a corporation, signature must be attested,corporate seal fixed and title of signatory party reflected.
5. 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.
6. Your correct mailing address should be noted in the space provided to insure prompt receipt of production proceeds.
7. The top copy or the"Original"of the Division Order should be returned to:
Bonanza Creek Energy,Inc
410 17i° Street, Suite 1400
Denver, CO 80202
Attn: John McLoughlin
8. Should you have any further questions regarding the enclosed Division Order, please contact John McLoughlin at 720-475-
8926.
9. Please DO NOT DETACH the exhibit from the Division Order or Transfer Order if one is included.
PRONGHORN 11-41-24HNC
API: 05-123-39389
SPUD: 11/15/2014
DOFP: 1/4/2015
LATH ROP & GAGE I.P
I en RPtR rat V.r-.�-�r'�ac-:_�..r• rv, U!I).' 1l Vpn
Slav 22.2014
Bonanza Creel Fncre.). Inc.
410 I?+n Street. Suite 1400
I)cmer.CO X020'
\ttn Caroline ieurrnit
I.andman
St PPLE\IENTAL DRILLING AND DIVISION ORDER TITLE:OPINION
DESCRIPTION OF LANDS
Township ` North_liangc('I Not,Irth I' M.
Scciion N: :11.1
Weld County Cularatio,
containing 640.00 acre . Inure or less.
WELL NAME
Pronghorn 1 1-41-:141INt and I'rnnghunt(I-W-?4HND
Tract A:
Township 5 North Range 61 West. 6th P.M.
Section 24: N,2
MINERAL OWNERSHIP
Tract A:
AS TO ALL DEPTHS AND FOR\LAIIONS Interest Subject Lease
Weld County 100.000000°° Lease No. I
LESSOR'S ROYALTY INTEREST
Weld County
co Board of Comity Conumssions
1150 O Street
Greeley. CO 3063'
(1.0 x 0.25 x 160.00:160.00) (:Tract A) 0.250000
OIL D GAS LEASES
Lease No. 1
Form: Weld County Large-Tract Oil and Gas Lease
Date: June 24. 2013
Lessor: Weld County. Colorado. acting by and through the Board of
County Commissioners of Weld County
Lessee: Bonanza Creek Energy Operating Company. LI-C
Description: Township 5 North. Range 61 West. 6th P.M.
Section 24: N/2
(containing 320.00 acres. more or less)
Term: 3 years
Royalty: 250.0
The above calculation represents:
100% mineral ownership of all 320 acres at a 25% royalty
1lINeIC CI IwCvnoc 350 r ran h_nI nn WINDSOR, CO „ r I
" •' - ° -+ = ARDEN DR )J JINDSOR, O 3005(3
WELL LOCATION CERTIFICATE
PRONGHORN 11-41.•24HNB SECTION: 24 TOWNSHIP:: SN
-HIS MAP DOES NO- REPRESENT A fl:)11N0ARY SURVEY RANGE: NI
FOUND 46 REP.A9 EC.tIND A6 DEBAR
W/2.5. ALUM CAP
W/2.5' ALUM CAI' STAMPED 'L517492, 20:1'
STAMPED 1537897, 20'1'-i LAT=40.39414N
LAr-4O39400N LI -- - - -- N 88'344 E �_ 5352.08' �LOHO-101.1{69209
LONG=101.1861]09
660 6610'
531' TARGET 1I N 813'34'45' 1:I 4349' .A qC'
60TTOM 555555
HOLE
I f `8 1x'11']4' ( I
131"
-- - ---2vir5---- ----I ---.v�'$---- - --
320' PRON440RN
11-41-24hhn
1 00'S 20'i5- E
--- 2673.47' Et
• m
O
r
A
N 58'48'44' 2673.00' S 8048'4• W 267]00'
L.
SEC 24, T.3N., E.6/IL
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ai
In
et
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It - I
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I ti FCUND !6 REBAR F/2ND 48 REBAR
z 09/2.5" ALUM CAP I
STAMP W/2.5- AWN CAP 1
EO 15]7897, 2011' ' I STAMPED 1.517492. 941N
LAn.10.J67R'W :AT-40.37941N ��
LOLA404.3793n L0VGa104.14712W
-- -- — — - _ - — .- —_ — - 1I - — - —__
5 89'0245' Al 5310.01'
t in acca,dcace with a rawest from RAND'EDELEN Mtn ERWANZA MEW ENERGY RILE King Surveyors has determi•ed the
surface location of P_RCtloIE0R9 It-41-24$N0 to be 1439' from the NORTH the and 320' from the NEST line and the
bottom hole to be 660' horn the NORTH line and n0' from the EASE line, as ured at right a,glee, teem the section
tree of Sc.Sian 24 Jowmhlo 5 North. Ranee 61 Wenj of the sixth Principal Meridian, County at'Ned. Slate of Cc'omdo.
I hereby elate that this Well Location Certificate wax 'spored by me. or under my direct euperelelon, that the fieldwork
j completed on 01 24-2911, for and an befall of E11YA14ZA.CREFK ENERGY. INCa C that thie not a Iced Survey Plat or
an b
0 IOW e-.provement Sor'rey Plat. and that It le not to be relied upon for eatabllehment of fence. halid'ra, or otter future
improvement Pries.
1'=loon' 9JREAE.r 1CCATION TARGET
lAT1TU0E: 4O39005N LATITUDE: 40.39220N
4OTE5: LONGITUDE: '041650209 LONDOUDE 104,16414W
1) Be✓Inge shown ore Old Dearinon of the Colorado State Pinny Coordinate System, POOP: i.e 1/4,1/4. NWI/4 NW1/4
north lone, North American Datum 1963. The Ilnenl det enefons as contained heram LLEV: 4607'
are hosed up,, the 'M.S. Survey Foot' I/4,'/A: SWI/4 NWI/4
2) Ground elewaone are bused on are vaserved GPS elevation (744 t^, 1988 DA-UM) @BTTCM H014
3) IMPROVEMENTS See OCA'!CS CRA'WNG for al /sibte er pfouemente withi^ 500' of TAITUDE: 403923174•e disturbed area. r
4) SURFACE USE. FRANCE/PAS-119r HAIN'E/PAS�PE Dt 5) L ' LCN,ITUDE. 104118634
5) INSTRUMENT OPERATOR- AARON LJNO it(Z,..• I/1,t/d: NEI/4 NE1/a
8) NEAREST CLI TURAL ITEMS ' C - es
BUILDING: 52800 LA' END 0...,:c ~F*• e •i
4-
BUILDING UNIT: 52911'+ U •: w w I e //r
74'.4'1 OOCUva 011 BUILDING UNIT. 5280'+ [� 50150 ALIQUOT MONUMEN 't'- ,1 ` it F,ESIGNATEO OUTDOOR ACTMTY AREA- 5280'1' `I AS DESCRIBED ;-0 r •• O
PUBLIC ROAD: 5028' EAST Lowrance.2T0 Pe ek — On pe Or King Surveyors
Anewc40UND UTILITY5288+ (I)- CALCULATED POSITION Colorado 113;dd.Professl "and Surveyor #33647
RAa ROAM 5280'+ \_
PR01'tN 1Y TINE: 320' WEST —v /�A'AL LAHV3f et PROJECTN: 20140'5
COGIS - WELL Information Page 1 of 1
COGIS - WELL Information
Scout Card E)-(4) Related Q Insp. Q MIT 0 GIS a Doc a COA Wellbore
Surface Location Data for API # 05-123-39389 Status: DG 1
Well Name/No: Pronghorn #11-41-24HNC (click well name for production)
Operator: BONANZA CREEK ENERGY OPERATING COMPANY LLC -8960
Status Date: 11/1/2014 10:00:00 AM Federal or State Lease#:
County: WELD #123 Location: SWNW 24 5N 61'
Field: MASTERS -#52750 Elevation: 4,607 ft.
Planned Location 1439 FNS 320 FWL Lat/Long: 40.39006/-104.16502 Lat/Long Source: F
Job
ac Focus Date: 12/11/2014 Job End Reported: 1/13/2015 Days to report: 29
Chemical Disclosure Registry Date: 12/15/2014
Wellbore Data for Sidetrack #00 Status: DG 11
Spud Date: 11/1/2014 Spud Date is: NOTICE
Wellbore Permit HORIZONTAL
Permit#: Expiration Date: 5/2/2016 12:53:24
Prop Depth/Form: 10774 Surface Mineral Owner Same:
Mineral Owner: FEE Surface Owner: FEE
Unit: Unit Number:
Formation and Spacing: Code: NBRR , Formation: NIOBRARA , Order: , Unit Acreage: 320, Drill Unit: GWA
Casing: String Type: SURF , Hole Size: 13.5, Size: 9.625, Top: 0, Depth: 1000, Weight: 36.C
Cement: Sacks: 660, Top: 0, Bottom: 1000, Method Grade:
Casing: String Type: 1ST , Hole Size: 8.75, Size: 5.5, Top: 0, Depth: 10773, Weight: 17.00
Cement: Sacks: 2072, Top: 0, Bottom: 10773, Method Grade:
Casing: String Type: 1ST LINER , Hole Size: 6.125, Size: 4.5, Top: 6324, Depth: 10773, We
Cement: Sacks: , Top: , Bottom: , Method Grade:
Completion data is confidential until 7/5/2015
http://cogcc.state.co,us/cogis/FacilityDetail.asp?facid=12339389&typeWELL 2/18/2015
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): Pronghorn 11-41-24HNC File Location(s): LE0046
BY: ..00WS1 DATE: ?j ' �J ' / r)
Brad Ya ale - Assistant County Attorney
NOTES: 160 mineral acres/160 acres spacing unit * 25% = .2500 MATCH
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