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Home My WebLink About20141779.tiff NADOA Model Form Division Order(Adopted 9/95) DIVISION ORDER To: Bonanza Creek Energy,Inc. Date: April 22,2014 410 17ih Street,Suite 1400 Denver,CO 80202 Attn: Andrew Naught Property Number: CO007043 Effective Date: July 30,2012 Property Name: NORTH PLATTE 42-34 / Operator: Bonanza Creek Energy Operating /4 r l 05_ a 3 -3 5 ll� County and State: Weld, Colorado Property Township 5 North,Range 63 West Description: Section 34: SENE Production: Oil X Gas Other: Owner Name OWNER NUMBER: 1041 and Address: WELD COUNTY BOARD OF COMMISSIONERS Type of Interest: RI P O BOX 758 Decimal Interest: 0.00381490 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). (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. Special Clauses: ( ne or Se Atta d Exhibit) Owner(s)Signature(s): kaiS ct• Douglas Rademacher, Chair WELD C UNTY B ARE)OF �+ • Owner(s)Tax I.D. Number(s): 84-6000-813 Attesd sec —- Owner Daytime Telephone 970-336-7204 Clerk to the Board Owner FAX Telephone#: 970-336-7233 B : Deputy Cle to the Bo 1rd 442 ld Federal Law requires you to furnish your Social Security or Taxpayer Identification Numbe . Failure to comply will result in 31 %tax withholding and will not be refundable by Payor tic AH Retain this copy for your records 2014-1779 LEO310-3 yd-3C/ 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: I. 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 17f° Street,Suite 1400 Denver,CO 80202 Attn: Andrew Haught 8. Should you have any further questions regarding the enclosed Division Order, please contact Andrew Haught at 720-225- 6658. 9. Please DO NOT DETACH the exhibit from the Division Order or Transfer Order if one is included. RECEIVED APR 2 3 2014 WOMMISSIIONERS >• c c c _ ? 'a T a CU O c DT CO a (2c c in ?TD ,_ 'T c u 7 Q) ro 4-4' p fi N .0_ t u C d1 u-, SJ -C Ya C CO u ot,j C Y C.--11 ``w p c E O L a ro CO C O V a [ .1= '.1 _ ro a! Ou o ro t_ N C o , I. y a u ro E o �, ro u .J1 0 - o a c C c o o .C r"75 t C 013 � E °r tt C ai r ro T _. c a O Co . �_ O c3 •to • O o v) M J L p C L - O E c w ' o vi O c Lam) �V O co .� ad �c a v no C : >. ,.. —__ G > v u 0) E n .� f° p tip O 2 J = v CQ V o ono �+ T " u `- 2 O +1 k N V U c y w0 v C co Z a. U h O 4) Lel W MI c ,... >-• C 0 O --• cn C dD .. W "p CS O o a' m '2° a c £ t v Z �`J k--.E N V y O a) v c u a L ro n 3 > s C O -, L..) o Q O u u :r ti) 4. V O O ro MO v o pp G N + O 41CA >' ?. 0.-0 cn x U �D '' G O▪ OOO c 61 c o c ,n o — + O cd _~ Z W o. CO — .-• C) O y URS bc: �— O O W s.. A 6.. "O Cn z t` , T `" cl 73 Q s ° 2 Q.ra o .� DM O < O u •.'. U cn .'.. N 0 W X fl. y 'a, L It 0 Z Cn >; W W c >, o c0 I O c� N t— .Q Z UJ U --. v _ t/J J C M O < QN u O y -Ju . QU s c .o ". ti .b .� o a) >; -o a 1.. c) a, o C = 0 0 .. r' -v • o cd a) o o ▪ [ 3 Z o a) 03 • c.., O r o to ci Q 4) rTh— a) O Q. o C3 -.- O = .c r.,, Q t; cta s1 C F' z a. c O ,O v -a •y m -7. N Vl O� ,4 V713 v) u CO O .O 4J to c;. a > 'Cl � N 0cn C O Q a) cd O O R 0 r, x W > `•`-. o O 0 U > O 'O ."1":" ...0 L. O C� X ""• 'O o O' LO t"' o�A CJ 0 rsictSJ OO .G CZ-, V . as W u N G 1... yCl. N N oD o w c C c) t..) u u U 3 O L O O cC C <1-) c� O o V ti CO v1 m '0 0...C L., > Cl) I i k a ( 6. I 4' O I a to i 'fl •D 7 g 1 w ( o I O I C i a , O O 1 Li is . T MI L 1 X .C 'O � �yy � I O 0. 0 ei ii .S U ' a $ s o b 0 0 0 o u v U a U PC a T O a c a o o V ° U 0 a 0 0 1 0 C \ Z / \ E . / / \ e o \...\>a� ® . CI) d r c. ? 2 \ (\ Z 7 / c. 0 O ( K Cl, C > / ± / g . ® �, xT 0 J Q Z \ \ } , \ , / / / E 2 / - / \ N \ « . l_4_`` _ 1,--_____- . - \ \ }l f \ » \ \ a / O • a . / - § a \ \ ® � � j / G ` . » a \ \ U ,-_____--- / e \ .S ad X N M O\ M Q N jO y CVI y � 1QUy� .r W f-. eti N o h 0 0 U APPENDIX 1: Legal Descriptions That part of Tract 037 in the SE/4 NE/4 A parcel of land being part of the SE/4 of Section 27 and part of the NE/4 of Section 34,all in Township 5 North,Range 63 West,6th P.M., more particularly described as follows: BEGINNING at the Northeast Corner of said Section 34 and assuming the East line of the NE i/ of said Section 34 as bearing South 00°41'19"East,being a Grid Bearing of the Colorado State Plane Coordinate System,North Zone, North American Datum 1983/92,a distance of 2616.43 feet, with all other bearings contained herein relative thereto; THENCE South 89°47'13"West along the North line of said NE'A a distance of 1000.03 feet to the true point of beginning: THENCE South 00°41'19"East a distance of 1526.33 feet; THENCE South 84°02'21"West a distance of 665.85 feet; THENCE North 36°08'06"West a distance of 1032.60 feet; THENCE North 00°41'19"West a distance of 2529.34 feet; THENCE South 58°47'25"East a distance of 1486.34 feet; THENCE South 00°41'19"East a distance of 997.64 feet to the true point of beginning. The County Road Parcel A strip of land fifty feet in width lying between the SE/4 NE/4 of Section 34 and the SW/4 NW/4 of Section 35,Township 5 North,Range 63 West,the same being 25 feet on each side of the section line. APPENDIX 1 Page 1 of 2 k © t u / % ty 2 a a e 401 N \ ) 2 bo 28 \ J \ \ � e C4 \ g 2 - o c en � � / \ \ a ° V ® ± § ± § f k g § 0 5 § � �' ° » a \ , _ i h h k \ o ° — © § o » $ / te § \ 1. ° 2 8 # ) \ gy / .0 to n.s / "o �› / \ vfl \ N § o o m § - z - w I3 * t2 « ± 5ena / >, O _ c 2 _ § o •o C'4 I Q 2 � c \ E § ° < 2J � t00 a \ % .OD / \ \ c c c � 7 e2 = 2 § & & 32 74 a / o § & % -. t CV.0 Q � A9pV) E § 0O � u \ \ � I \ / 0 \\ c / k \ ■ - 2k / 2 5 3 \ q — � aa '2 � § fl1bi. / ®j Q C c u i i > a D 3 c c a, u C m o T O N m c c vi On CO v O M Li CD C -----.4-. 0 C O a) w L co C f° U u -c s J E D 2 a1 C c L- W T O O f° E m c o E ,� o. O c m E O w Ou OC t to C O R: N iin s c v O O o c F W m m -J C zU C f° N T H -. O a, - Q Q N E 0 w m O C vv, 0 C U I F o ` v o o '° o nl'o o I CR 69,_ \ a, • U c� a v o v ru m C c ..W N c N T c j y 00 m v m - c c c - - 0-' rim .'rj, U - O a E a, u — u `e f `' N m o 'Oo D N zl a k..t. C rc La Ts- L KS ® . ed mr0 z ow° < How O on, zNJ u.,,, 'I03 Noo 1'4 z,..; 2 L N Z yJ g S i 0 Z 0 ¢N SO <o S S <LL it o ti La :II i wta hjIIIIIIIItIItItp a —I—U- 2 d— O F v < Ct �"+`�a Lat40°, Inc. 1635 Foxtrail Drive, Suite 325 Loveland, CO 970-776-3321 ` SECTION: 34 WELL LOCATION CERTIFICATE TOWNSHIP: 5N THIS MAP DOES NOT REPRESENT A BOUNDARY SURVEY RANGE: 63W 150' WITNESS CORNER FOUND /6 REBAR vim 3.25' ALUM. CAP LS 16406 FOUND 2.5' ALUM. PIPE WITH 3.25' ALUM. CAP LS 7242_ jr N 89'47'21" E 2614.87' N 89'47'21" E 2614.87' — FI ND /6 REBAR WITH — — — J 3.25' ALUM. CAP LS 22098 685' Z I I 1 N EX. NORTH PLATTE 41-34 I N 0 NORTH PLATTE 42-34 668'- 0 0i I 35'— iNI 9 N N NE/ o NIo Ini A `' N1I1/f m — /4 i C m `t Oa A 1980' U'i- N N rn I m a) 01 (4I ion IA ; tO ED 66o'—It •i I FOUND x R' SANDSTONE AC—_— N11H 1/4 MARKED ON NORTH FACE S 89'20'15" W 2620.18' S 89'20'15" W 2600.89' S.91,, 7:5N, R.6.919: FOALD REBAR 7242 3.25 ALUM. LS 7 WWITH 1 u O I Iin O U 0 mI Ia Ia O N O A m N f —5X/se SE1/4— m N N) o 0) a I 0,I I 01 N I b I (A S 89'13'11" W 2636.55' S 88'45'42" W 2586.72' (sc) FOUND 2.5' PIPE WITH 3.25' (SC) FOUND 1.75' PIPE WITHALUM. CAP LS 22098 (SC) FOUND 2.5' PIPE WITH 3" ALUM. CAP LS 4845 3.25" ALUM. CAP LS 7242 In accordance with a request from Keith Conlon with BONANZA CREEK ENERGY INC. Lat40', Inc. has determined the surface location of the NORTH PLATTE 42-34 to be 685' from the NORTH line and 668' from the EAST line and the bottom hole to be 1980' from the NORTH line and 660' from the EAST line as measured at right angles from the section lines of Swctlnn 34 Townehlo 5 Nnrth Bangs. BT West of the Sixth Principal Meridian, County of Weld, State of Colorado. 0 1000 I hereby state that this Well Location Certificate was prepared by me. or under my direct supervision, that I=C--I the fieldwork was completed on 4/24/2012, for and on behalf of BONANZA CRFFK ENERGY INC That this la not a Land Survey Plot or an Improvement Survey Plat, and that it le not to be relied upon 1'_1000' for establishment of fence, building, or other future Improvement lines. NOTE: SURFACE LOCATION pnlfll HOI F 1) Bearings shown are Grid Bearings of the Colorado State Plane Coordinate LAT: 40.36129N LAT: 40.35774N System, North Zone, North American Datum 1983/2007. The lineal LONG: 104.41507'W LONG: 104.41504'W dimensions as contained herein are based upon the 'U.S. Survey Foot.' POOP: 1.5 1/4,1/4: SE1/4NE1/4 2) ELEV: 4534' (N Ground DATUM) are based on an observed GPS elevation 3) IMPROVEMENTS: OVE DATUM). 1/4,1/NEAREST 4: PROPERTY NE1/4NE1/4 —_ fl \11 PROPERTY LINE: 332' WEST lie 1 3) IMPROVEMENTS: See I()CATION DRAWING for at visible Improvements withinO ssCse.s.e.. 400' of disturbed area. i�y '-+I e• di () 4) SURFACE USE: RANGELAND/EXISTING WELL PAD V �s.yQ 5) INSTRUMENT OPERATOR: WYATT HALL St It r/y According to Colorado low, you must commence o% any legal action based upon any defect in this If . A? d+ W.LC. within three ofteryears LEGEND you discover such J defect. In no event, may any action based upon ill ALIQUOT MONUMENT AS DESCRIBED any defect in this survey be commenced more Kyle E. Rutz—On behalf , .•�� than ten years after the dote of the certificate Colorado Licensed Prof:,sione \ . 4/25/2012 P ITI CALCULATED OS ON shown hereon. (13-80-105 C.R.S.) Land Surveyor No. 38307 PROJECT/: 2011092 I COGIS-WELL Information Page 1 of 1 COGIS - WELL Information Scout Card Related Q Insp. MIT •GI5 L$ Doc 11f Welibore , Orders Surface Location Data for API # 05-123-35676 Status: PR Well Name/No: North Platte#42-34 (click well name for production) Operator: BONANZA CREEK ENERGY OPERATING COMPANY LLC-8960 Status Date: 1/28/2014 Federal or State Lease#: County: WELD#123 Location: NENE 34 5N 63W 6 PM Field: WATTENBERG -#90750 Elevation: 4,534 ft. Planned Location 685 FNL 668 FEL Lat/Long:40.36129/-104.41507 Lat/Long Source: Field Measured As Drilled Location Footages Not Available Lat/Long:40.36129/-104.41507 Lat/Long Source: Field Measured WatFOCLIS Job Date: 7/16/2012 Reported: 10/9/2012 Days to report: 85 Chemical Disclosure Registry Welibore Data for Sidetrack #00 Status: PR 1/28/2014 Spud Date: 6/21/2012 Spud Date is: ACTUAL Wellbore Permit DIRECTIONAL Permit#: Expiration Date: 5/30/2014 8:31:12 AM Prop Depth/Form: 6812 Surface Mineral Owner Same: N Mineral Owner FEE Surface Owner: FEE Unit Unit Number Formation and Spacing: Code: DKTA, Formation: DAKOTA, Order: , Unit Acreage: 40, Drill Unit:SENE Formation and Spacing: Code:JSND , Formation:J SAND, Order: , Unit Acreage: 320, Drill Unit: E/2 Formation and Spacing: Code: NB-CD, Formation: NIOBRARA-CODELL, Order: , Unit Acreage:40, Drill Unit SENE Casing: String Type: SURF , Hole Size: 12.25, Size:8.625,Top:0, Depth:410,1Aeight:24 Cement: Sacks: 170,Top:0, Bottom:410, Method Grade: Casing: String Type: 1ST, Hole Size:7.875,Size:4.5,Top:0, Depth:6812, Weight 11.6 Cement: Sacks: 154,Top:6768, Bottom:6812, Method Grade: Welibore Completed Completion Date: 6/25/2012 Measured TD: 6844 Measured PB depth: 6833 True Vertical TD: 6659 True Vertical PB depth: 6648 Top PZ Location: Sec:34 Twp:5n 63w Footage: 1984 FNL 662 FEL Depth Bottom Hole Location: Sec:34 Twp:5n 63w Footages: 1986 FNL 658 FEL Depth Casing: String Type: SURF , Hole Size: 12.25, Size:8.625,Top:0, Depth: 475,Weight 24 Cement: Sacks:380,Top:0, Bottom:475, Method Grade:CALC Casing: String Type: 1ST, Hole Size:7.875, Size: 4.5,Top: 0, Depth:6833,Weight: 11.6 Cement: Sacks:475,Top:2375, Bottom:6844, Method Grade: CBL Formation Log Top Log Bottom Cored DSTs SHARON SPRINGS 6284 NIOBRARA 6402 CODELL 6658 Completed information for formation N-00M 1st Production Date: 6/1/2012 Choke Size: Status Date: 1/28/2014 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=12335676&type=WELL 4/27/2014 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): North Platte 42-34 File Location(s): LE0310-3 BY: DATE: to —/V Stephanie Arries Assistant County Attorney NOTES: .75 mineral acres/ 39.32 acres spacing unit * 20% = .0038148 MATCH Hello