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Home My WebLink About20153304.tiff NADOA Model Form Division Order(Adopted 9/95) noble DIVISION ORDER energy Return To: NOBLE ENERGY,INC Desk Code: GWT 161014 1625 BROADWAY STE DENVER CO 8 20 US 2200 RECEIVED Date:Effective Date: APR 2015 SEP 09 15 SEP 1 4 201.5 Property Name: COLT A13-655 NI WELD COUNTY Operator: NOBLE ENERGY,INC County/Parish and State: WELD, CO COMMISSIONERS API 05-/23- 110908 Property Description: Refer to next page for property description attachment Product: ALL OWNER NAME PROPERTY# OWNER# INTEREST WELD COUNTY CO 435856086 124102-8 0.00029341 RI %BOARD OF COUNTY COMMISSIONER 1150O ST P O BOX 758 GREELEY CO 80632 US The undersigned certifies the ownership of their decimal interest in production or proceeds as described above payable by Noble Energy,Inc.(Noble). Noble 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. Noble 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 Noble any amount attributable to an interest to which the undersigned is not entitled. Noble may accrue proceeds until the total amount equals$25.00,or clear ALL payable proceeds annually if said accrued total amount is less than$25.00,or as required by applicable state statute. This Division Order does not amend any lease or operating agreement between the undersigned and the lessee or operator or any other contracts for the purchase of oil or gas. In addition to the terms and conditions of this Division Order,the undersigned and Noble may have certain statutory rights under the laws of the state in which the property is located. Special Clauses: OS SIGNATURE: Weld County Government BOARD OF(WILD COUNTYrMM S O IO ERS, PRO-TEM 1150"O"Street ATTEST: 7�L7, A) OCT 14 2015 Greeley,CO 80634 Phone:970-336-7204 CLER �J HE BO Fax:970-336-7233 BY: , PAL s La Tax ID:84-6000-813 DEPUTY CLER TO THE BO ' • 1 11�t Federal Law requires you to furnish your Social Security ber.Failure to comply will result in tax withholding in accordance with federal law,which will not be refundable by Payor. 74.44_16. 2015-3304 (I) / � V o �� 5 / i54�i LEO J O / / /i ' LEA 3210 NOBLE ENERGY,INC. Property Description Attachment Property Name : COLT A13-655 NI Operator : NOBLE ENERGY,INC County/Parish and State : WELD, CO Property Description T6N R63\/\__/.$EC 18:N2S2,S2N2;T6N R64W SEC 13:N2S2,S2N2,CONTAINING 633.721 ACRES MORE OR LESS,WELD COUNTY,CO 1625 Broadway 113, noble Suite 2200 energy Denver,CO 80202 Tel:303.228.4000 Fax:303.228.4287 w,w.nobleenergyinc.com Dear Interest Owner: Enclosed are copies of Noble Energy, Inc.'s Division Orders for your approval and execution. For your convenience, Noble has adopted the NADOA Model Form of Division Order. The purpose of this division order is to provide you information about your ownership and obtain Certification from you that you are the correct person to whom payments for this interest should be made. Please review your decimal interest in the property described. Also review the terms of the division order. Supply and/or verify your Social Security or Tax Identification Number. Failure to comply will result in a tax withholding for the Internal Revenue Service. Supply and/or verify the address to which checks should be mailed. . -- . ..----_. . _ The well RC number will be listed on your check detail identifying your payment for this interest.Your party number is your identifying number with our company. Please refer to this number when making inquiries about payments or your interest. After your review of the enclosed division orders, please execute one copy and return to this office for further handling. The extra copy is for your files. Please be advised, Noble Energy, Inc. does not accept altered Division Orders. Therefore, if our division order has been altered, Noble Energy, Inc. will still make disbursements based on the ownership and interest stated on our division order, unless otherwise advised in writing. Individuals-Sign your name as it appears on the Division Order. Joint Ownership-Should be signed by all owners shown on the Division Order. Corporations-The name of the Corporation as well as the name and title of the person signing the document must be included. Signature by other than named owner-If the Division Order is signed by an agent, attorney-in- fact, guardian, trustee or any party other than the named owner, please provide a copy of the document which authorizes him/her to sign on behalf of the owner. Please note that the interest stated on the Division Order reflects your total owned ownership. However, Noble Energy, Inc. may or may not disburse 100%of the proceeds. If you should have any questions, please contact the Division Order Department at the above address. Sincerely, NOBLE ENERGY, INC. Division Order Department Note: If you would like to have your proceeds electronically deposited to your bank account, please complete and return the enclosed direct deposit ACH Enrollment Form. IF YOU HAVE PREVIOUSLY COMPLETED AND RETURNED THE DIRECT DEPOSIT ENROLLMENT FORM, PLEASE DO NOT RESEND. 1625 Broadway 11 noble Suite 2200 ■ energy Denver,Colorado 80202 9 1 Tel:303.228.4126 Fax:303.228.4287 www.nobleenergyinc.com August 21, 2015 TO: Karla Ford kford@co.weld.co.us FROM: Noble Energy, Inc. RE: Weld County Division Order Information Well Name COLT A13-645, A13-648, A13-652, A13-655 LEON-too L-=D3W Reception Number of Lease 3603737, 4026413 Spud Date 3/9/15, 3/17/15, 3/26/15, 4/1/15 Date of First Production No production yet Please find the rest of the information attached; ® Lease Description • ® First Page of DOTO © Tract Description ® Interest Calculations © Plat ZZ Division Order O Tract 2k: That portion of Lots 34-39, inclusive, Block 48, and vacated alleys as set forth in that Resolution of the Board of County Commissioners of Weld County, Colorado approving Minor Resubdivision S #374, recorded at Reception No. 2448423, all lying and being in the Town of Barnesville, County of Weld, State of Colorado, lying within the SW/NE/4 of Section 18, T6N, R63W,6"'P.M. Tract 2k contains 0.24 acres,+. Tract 15e: Lot 11, Block 36 and that portion of vacated Russell Avenue, as described in a Resolution recorded at Reception No. 2456885, located in the NW/4SE14 of Section 18,T6N,R63W,6th P.M. Tract 15e contains 0.324 acres, +. Tract 15f: Those portions of Lots 34 through 39, Block 48 and that portion of vacated Russell Avenue, as described in a Resolution recorded at Reception No. 2448423, lying in the NW/4SE/4 of Section 18,T6N, R63W,6''P.m. Tract 15f contains 0.39 acres,+. .'-)e KAJSA GOTLIN CARLETON GOTLIN LAW oc kgotlin@carletongotlinlaw.com May 12, 2015 Mr. Eric Koble Noble Energy, Inc. 1625 Broadway, Suite 2200 Denver, Colorado 80202 Re: Second Supplemental Drilling and Division Order Title Opinion Colt A13-645 Well Colt A13-648 Well Colt Al 3-650 Well Colt A13-652 Well Colt A13-655 Well (collectively the"Subject Wells") DP#20-014 T6N, R63W, 6th P.M., Section 18: S/2N/2, N/2S/2 T6N, R64W, 6th P.M., Section 13: S/2N/2, N/2S/2 Weld County, Colorado SECOND SUPPLEMENTAL DRILLING AND DIVISION ORDER TITLE OPINION Covering Township 6 North, Range 63 West, 6th P.M. Section 18: S/2N/2, N/2S/2 Township 6 North, Range 64 West, 6th P.M. Section 13: S/2N/2, N/2S/2 Weld County, Colorado Containing 633.721 acres, + Referred to herein as the "captioned lands" Excluding the Wellbore of the Apollo 15-18 well located in the SE/4 of Section 18, T6N, R63W, 6th P.M.1 1 See Comment/Requirement No.21. \i 1" 1580 Lincoln St.Suite 1200,Denver,CO 80203 I T:303.825.1125 F:303.302.3088 I www.carletongotlfnlaw.com ENERGIZING LAW a� &« H t 2 NCO e c O o O Q: w C 9 a l Vi C 1 g 2 • o O 0 cn` o u�_77 tipp u w 4 O O a o 0 0 0 A ¢ _ _ H N R R � v O pp oo c ,12 R iii N O J � t x o'; • d 6 o m O ^ I ! ! z C C C 2 v $ Noble Energy, Inc. Weld County Mineral Interest Plat Colt A13-655, Colt A13-652, Colt A13-648, Colt A13-645 Colt A13-655 • Colt A13-652 • Colt A13-648 • Colt A13-645 • 6f16{h 13 19 6N6 3V4 O d 1 I 1 Legend ❑ Well Spacing Unit T6N-R63W-Sec. 18: S/2N/2,N/2S/2 and T6N-R64W-Sec. 13: S/2N/2,N/2S/2 ❑ Weld Co.Leasehold Interest Block 48,Lots 34-39,inclusive,and vacated alleys as described in said lease(0.50 acres) (Within Spacing Unit) COGIS - WELL Information Page 1 of 1 COGIS - WELL Information Scout Card Related Q Insp.Q MIT •GIS a Doc a COA '1F Wellbore Orders Surface Location Data for API #05-123-40908 Status: DG 4/8/2015 Well Name/No: Colt#A13-655 (click well name for production) Operator: NOBLE ENERGY INC-100322 Status Date: 4/8/2015 8:00:00 AM Federal or State Lease#: County: WELD#123 Location: SWNW 17 6N 63W 6 PM Field: WATTENBERG -#90750 Elevation: 4,661 ft. Planned Location 2157 FNL 424 FWL Lat/Long:40.48782/-104.46881 Lat/Long Source: Field Measured Job Date: 8/8/2015 Reported: 9/4/2015 Days to report: 19 F•ac Focus Job End Date: 8/16/2015 Chemical Disclosure Registry Job Date: 8/8/2015 Reported: 8/18/2015 Days to report: 2 Job End Date: 8/16/2015 Wellbore Data for Sidetrack#00 Status: DG 4/8/2015 Spud Date: 4/8/2015 Spud Date is: ACTUAL Wellbore Permit HORIZONTAL Permit#: Expiration Date: 12/22/2016 4:17:37 PM Prop Depth/Form: 16133 Surface Mineral Owner Same: Mineral Owner: FEE Surface Owner: FEE Unit: Unit Number: Formation and Spacing: Code: NBRR, Formation: NIOBRARA,Order: , Unit Acreage:640, Drill Unit:GWA Casing: String Type:CONDUCTOR, Hole Size:26,Size: 16,Top:0, Depth: 100,Weight:0 Cement: Sacks:6,Top:0, Bottom: 100, Method Grade: Casing: String Type:SURF, Hole Size: 13.75,Size:9.625,Top:0, Depth:850,Weight:36 Cement: Sacks:400,Top:0, Bottom:850, Method Grade: Casing: String Type: 1ST, Hole Size:8.75,Size: 7,Top:0, Depth:6870,Weight:26 Cement: Sacks:470,Top: , Bottom:6870, Method Grade: Casing: String Type: 1ST LINER, Hole Size:6.125,Size:4.5,Top:6720, Depth: 16133,Weight: 11.6 Cement: Sacks: ,Top: , Bottom: , Method Grade: Wellbore Completed Completion Date: N/A Measured TD: Measured PB depth: True Vertical TD: True Vertical PB depth: Top PZ Location: Sec: 18 Twp:6N 63W Footage:2307 FNL 626 FFELL Depth Bottom Hole Location: Sec: 13 Twp:6N 64W Footages:2310 FNL 535 FFWLL Depth Formation Log Top Log Bottom Cored DSTs Completed information for formation N-COM Status: DG 6/15/2015 1st Production Date: 4/8/2015 Choke Size: Status Date: 6/15/2015 Open Hole Completion: Commingled: Production Method: Formation Name: NOT COMPLETED Status: DG 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 http://cogcc.state.co.us/cogis/FacilityDetail.asp?facid=12340908&type=WELL 9/30/2015 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): COLT A13-645 File Location(s): LE0260 COLT A13-648 LE0326 COLT A13-652 COLT A13-655 B : DATE: / ?( - Barker - County Attorney NOTES: Two different leases: .24 mineral acres/ 633.721 acres spacing unit * 20% = .0000757 .39 mineral acres/ 633.721 acres spacing unit * 20% _ .000123 .324 mineral acres/ 633.721 acres spacing unit * 18.5% = .0000945 .0000757 + .00123 + .0000945 = .000293 = Match Hello