HomeMy WebLinkAbout20143119.tiff NADOA Model Form Division Order(Adopted 9/95)
DIVISION ORDER
To: Bonanza Creek Energy, Inc. Date: January 20,2014
410 17th Street, Suite 1400
Denver,CO 80202
Attn: Lauren Cartaya
Property Number: CO001098 Effective Date: August 1,2013
Property Name: PRONGHORN P-T-22HNB
Operator: BONANZA CREEK ENERGY INC
County and State: Weld, Colorado YOUR Co Pl#E C E I V E D
Property Tamshin 5 North,Range 61 West
Description: Section 22: E2
N �/� API 05-i13 -37/ gLo JAN 28 2014
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 0 BOX 758 Decimal Interest: 0.09937500
GREELEY,CO 80632-0758
The undersigned certifies the ownership of their decimal interest in production or proceeds as described above payable by Bonanza
Creek 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$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.
Special Clauses: ('Ndne or See Attac#eci Exhibit)
Owner(s)Signature(s): ' .�k l.,�C// Barbara Kirkmeyer, Pro—Tem �ez114
`-liTELD COUNTY OARD OF/ COMMISSIONERS WttAtAl Sc .'
Owner(s)Tax I.D. Number(s): 84-6000-813 Attest: � La Owner Daytime Telephone 970-336-7204 Clerk to th Bold ..otty,1/42 .
Owner FAX Telephone#: 970-336-7233 By• A v >,�r "' ;O
oN
Deputy C erk to the
Federal Law requires you to furnish your Social Security or Taxpayer Identification Number.
Failure to comply will result in 31 %tax withholding and will not be refundable by Payor ®U TM%
t.c
Retain this copy for your records
/���,y,�,,,, ,���/� ee Bonanza. creek. 2014-3119
COiv/ol /13116`4" i0-/3- 'Fi/� LEoa�ii,
io-i3-i')
INSTRUCTIONS TO ALL INTEREST OWNERS
Dear Interest Owner,
Bonanza Creek Energy,Inc. has enclosed a Division Order for your execution.
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.
41017`"Street,Suite 1400
Denver, Colorado 80202
Attn: Lauren Cartaya
8. Should you have any further questions regarding the enclosed Division Order, please contact Lauren Cartaya at(720) 225-
6647.
9. Please DO NOT DETACH the exhibit from the Division Order or Transfer Order if one is included.
PRONGHORN#P-T-22HNB
320.00 acre spacing unit covering the E2 of the Subject Land, comprised of Tracts 1, 2 and 5
Weld County's lease (Reception#3939070)pertains to:
TRACT 1
159.00 acres of land, more or less,being the Southeast Quarter(SE4)of Section 22,
Township 5 North,Range 61 West, 6th Prime Meridian, in Weld County, Colorado,
SAVE AND EXCEPT 1.00 square acre of land, more or less, situated in the southwest corner of
the SE4 of Section 22,Township 5 North, Range 61 West, 6th Prime Meridian, in Weld County,
Colorado, known as Tract 5.
Working Net Revenue Type of
Owners Interest Interest Interest Source
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
[(159:'320)x 20%.] 0.09937500 RI L11
LEASE ELEVEN (L11)
Lessor: 'Veld 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
Lessees: Bonanza Creek Energy Operating Company. LLC. a Delaware Limited
Liability Company
Date: June 3. 2013
Recorded: June 10. 2013. and recorded as Reception No. 3939070. of the Official
Public Records of\Veld County.Colorado.
Description: 159.00 acres oil land. more or less.being Tract 1 of the Subject Land.
Primary Term: One (1) year. expiring on June 3. 2014 at 12:00 p.m.. and said Lea
se
may be extended for an additional term upon Lessor's approval.
Royalty: Twenty percent (20%)on oil and gas
Delay Rental: Annual rental of S159.00. computed at the rate of$1.00 per mineral acre
or fraction thereof per year.
LAT Lat40°, Inc. 1635 Foxtrail Drive, Suite 325 Loveland, CO 970-776-3321
• WELL LOCATION CERTIFICATE SECTION: 22
TOWNSHIP: 5N
THIS MAP DOES NOT REPRESENT A BOUNDARY SURVEY RANGE: 61W
FOUND /6 REBAR MTN FOUND 0 REBAR WITH2.5' ALUM. CAP LS 13695 2.5' ALUM. CAP LS 37897
N 87'46'55" E 5332.if_
59'
_ — — — LAT: 40.3939314
590'
1531' LONG: 104.18530W
LAT: /0.3935614 l LANDING POINT
LONG: 104.20443W
1328' to
Z PRONGHORN 1406' o
8 P-T-22HNB wo
I a 0
w
—MI!//— —�-----
N452/1--- rn
N
N N
ON O O
O 0 hi
Z I O
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N 0. I 6.a tMC, Raft m
1'= S 87'25'05" W 2669.68_
CIS 87'25'23" W 2668.98' _ —
f FOUND /6 REBAR MTH — FOUND /6 REBAR MTH
2.3' ALUM. CAP LS 13895 2.5' ALUM. CAP LS 37697
1r I Ul
La
D II Z 0 O
0
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01 P
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I FOUND /6 REBAR MIN ° ° 1336'
—2.5' ALUM. CAP LS 13895 470' --- LAT: 10.3793914
LONG: 104.18541VLAT: 40.3788514
LONG: 104.20456w __ S 8703'52' W 2672.49
if c_
5 8703'11 W 2672.92 FOUND /6 REBAR ValFOUND /6 REBAR WITH 2.5' ALUM. CAP LS 37697
2.5' ALUM. CAP LS 13695
In accordance with a request from MICHAEL MFAGHER with RPNAN7A FRETS FNFRGY INC
Lat40, Inc. has determined the surface location of the PRONGHORN P—T 22HNB to be 590' from the
NORTH line and 1406' from the EAST line and the bottom hole to be 470' from the SOUTH line and 1336'
from the FAST Iine as measured at 'iohl angles from the section Inn of Section 22 Township 5 North
N
) BOflRflZR
Wellbore Spacing Unit Outline
CREEK
Wellbore Spacing Unit Map E/2 Proghorn P-T-22HNB
Sec n22 T5N R61W 6th PM
01 April 2013 ksc Weld County, Colorado
COGIS - WELL Information Page 1 of 1
COGIS - WELL Information
Scout Card I Related Insp. MIT •GIS a 'II Wellbore Jr Orders
Surface Location Data for API #05-123-37186 Status: PR
Well Name/No: Pronghorn#P-T-22HNB (click well name for production)
Operator: BONANZA CREEK ENERGY OPERATING COMPANY LLC-8960
Status Date: 10/14/2013 Federal or State Lease#:
County: WELD#123 Location: NWNE 22 5N 61W 6 PM
Field: NE RIVERSIDE II -#57250 Elevation: 4,668 ft.
Planned Location 590 FNL 1406 FEL Lat/Long:40.39222/-104.19036 Lat/Long Source:Field Measured
•r, s.M Job Date: 7/27/2013 Reported: 9/10/2013 Days to report: 45
Chemical Disclosure Registry
Wellbore Data for Sidetrack#00 Status: PR 10/14/2013
Spud Date: 7/4/2013 Spud Date is: NOTICE
Wellbore Permit HORIZONTAL
Pennit#: Expiration Date: 4/24/2015 1:29:39 PM
Prop Depth/Form: 10788 Surface Mineral Owner Same: N
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:410,Weight:36.00
Cement: Sacks:200,Top:0,Bottom:410, Method Grade:
Casing: String Type: 1ST,Hole Size:8.75,Size:7,Top:0,Depth:6569,Weight:26.00
Cement: Sacks:500,Top:2500,Bottom:6569,Method Grade:
Casing: String Type: 1ST LINER,Hole Size:6.125,Size:4.5,Top:6469, Depth:10788,Weight: 11.60
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:22 Twp:5N 61W Footage:631 FFNLL 1328 FFELL Depth
Bottom Hole Location: Sec:22 Twp:5N 61W Footages:470 FFNLL 1336 FFELL Depth
Formation Log Top Log Bottom Cored DSTs
Completed information for formation N-COM
1st Production Date: N/A Choke Size:
Status Date: 9/1/2013 Open Hole Completion:
Commingled: Production Method:
Formation Name: NOT COMPLETED Status: PR
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=12337186&type=WELL 4/18/2014
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 P-T-22HNB File Location(s): LE0216
BY: 4.aati-teige.-i-e-4. DATE: te'/1
Stephanie Arries
Assistant County Attorney
NOTES: 159 mineral acres/ 320 acres spacing unit * 20% = .099375 MATCH
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