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Address Info: 1150 O Street, P.O. Box 758, Greeley, CO 80632 | Phone:
(970) 400-4225
| Fax: (970) 336-7233 | Email:
egesick@weld.gov
| Official: Esther Gesick -
Clerk to the Board
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20142987.tiff
NADOA Model Form Division Order(Adopted 9/951 oble DIVISION ORDER n energy Return To: NOBLE ENERGY,INC Desk Code: ALC 153856 1625 BROADWAY STE 2200 Date: AUG 15 2014 DENVER CO 80202 US Effective Date: JUN 2014 FWi 05-123.3gs(ova RECEIVED Property Name: TAHOMA E22-69HC CD Operator: NOBLE ENERGY,INC '+ ). County/Parish and State: WELD,CO AUG 2 1 2014 Property Description: Refer to next page for property description attachment WELD COUNTY Product: ALL COMMISSIONERS OWNER NAME PROPERTY# OWNER# INTEREST WELD COUNTY CO 435843687 124102-8 0.00047533 RI BOARD OF COUNTY COMMISSIONER 11500 ST P 0 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 rolled,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 U 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 stale 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: • Owner(s)Signature(s): "x� �YY1 Douglas Rademacher. Chair SEP 2 8 2014 Owner(s)Tax I.D.Number(s): �,` �,,,�,// /, TIN(s)or SSN(s) 84-6000-813 Attest: 4t-1�n) .JC,LtO;GC Cler•c.to the B and Owner Daytime Telephone/Fax#: 970-116-7204 y Clerk to the Board Address Correction: �1J .461 ftgikl Federal Law requiresyou to furnish our Social Security or Ta •-ti allure to comply will result in tax withholding in accordance with Q Y a . •,0 federal law,which will not be refundable by Payor. `/gr 1,_v•\'�' CanileXa 2014-2987 L60p0L° A, , NOBLE ENERGY,INC. Property Description Attachment Property Name : TAHOMA E22-69HC CD Operator : NOBLE ENERGY,INC County/Parish and State : WELD, CO property Description T6N R65W,SEC 15:52S2;SEC 16:SESE;SEC 21:NENE;SEC 22:N2N2,CONTAINING 404.98 ACRES MORE OR LESS,WELD COUNTY,CO 1 1625 Broadway y� noble d 2200 2 , ?, noble Denver,Colorado 80202 energy Tel:303.2284126 Fax:303.228.4287 www.nobleenergylnc.com August 20, 2014 TO: Tammy Waters FROM: Noble Energy, Inc. RE: Weld County Division Order Information Well Name TAHOMA E22-69HN Reception Number of Lease 615881631 Spud Date 5-24-2014 Date of First Production N/A Please find the rest of the information attached; ❑X Lease Description ❑X First Page of DOTO © Tract Description E Interest Calculations Z Plat © Division Order NOBLE ENERGY INC. 1625 Broadway, Suite 2200 Denver,Colorado 80202 August 18,2014 Interest Owner Re: Property Name : TAHOMA E22-691-IC Operator : Noble Energy, Inc. County/State : Weld,CO Noble Energy Inc. has successfully completed the above referenced property. First sales occurred June 1,2014. According to our records, the interest shown on the attached division order represents your total share of production. Noble will tender payment to you based upon the stated interest UNLESS you notify Noble,in writing that said interest is incorrect or that you are not the owner of said interest. As the owner of the above interest, you shall have the sole liability to notify Noble, in writing, of any address changes and/or changes in ownership. Until such written notification is received by Noble, payments will continue as previously described. Please be advised that Noble does not require a signed Division Order as a prerequisite for payment. This Payment Letter is intended to replace the traditional division order form and should be retained for your records. If there are any questions concerning this matter,please contact the undersigned. Amber Chapin Land Department 303-228-4013 Desk Code: AJG 1� Y 0 a! 0 N LL Q a) ›,- C o W 2 cc M p z d' W ID Oz0 O Ce O o co ,_ co c c co Z 3 � 0 ce •gO o D O O Z a, t• r. 'D E2 O (D r 0 z CO CI N CC U 0 0qllilb I 03" p p O I— -6 z 0 112 I "O F— .) 0 M M 0 N t"- 03 c C) 0 o o 0 a) a a c`o 0' rn a) °i uIli o o C O N F co 8 as �c C') cII op CI. co cn a) >s 0 O 0 o0 CY) u-- 2 EIS 0� o 00 -c ce co co ° Cl.: cNi (Ni `m o CO o a o 0 0 C fl In _ 0 0 0 O 0 E c CC as Z C) O O rn 0 E 0 0 co c0 d O O O co CO ~ +I CoZ -J N o L' O) 0 Oki ,-. + 0 O O O I— ,- .- Cf) t"" .� Q C N T. cV cc O C X co F-- C U N 1.12 N rn Z D W .O O co 0 cv Y O 4- 4 Cr) ^ v N- 47, O -C `-- o .,- o N O Q U o O to ; U) 'L3 O = to 03 CO o o O i U O 1 .O ,4_ Fi it c O Z O O ....�/1 U O) O W J 0 0 j W w O xQ N m CD .o '- I Z • U Z J a' 0 O a, F- a) F- ' .C Q 2 ai O O N N F- ,- F- O >- NQ U U co ? CI) +' ca To x U U W O N �• N O1 IS c a -0 -0 .a OD V c) co A L m �+ cD) N go N C1 cr V) 0 CC _J it I- It F- R&R ENGINEERS-SURVEYORS, INC. 7352 GREENRIDGE RD. STE. B5, WINDSOR, CO 80550 970-460-7184 TITLE PLAT EXHIBIT SECTION 22, TOWNSHIP 6 NORTH, RANGE 65 WEST, 6th P.M., WELD COUNTY, COLORADO THIS MAP DOES NOT REPRESENT A BOUNDARY SURVEY FOUND #4 REBAR WITH CALCULATED t_ S 89'32'39" E, 2650.37' YELLOW PLASTIC CAP N 89'51'26" E, 2633.10' FOUND 2 )¢"~ POSITION ALUMINUM CAP 1325.18' 1325.18' 1— 1316.55' 1316.55 ILLEGIBLE 1 I I Ii. I I ▪ `6 NW Y4 NW Y4 m io NE)4 NW Y4 'n NW Y4 NEY 'co,_, ,1, NE Y4 NE Y. rn • M 40.36 ACRES ' m 40.43 ACRES n 40.48 ACRES a 40.76 ACRES a I�, I in1 N M M 0 to o - NI IO, N1 Z �1 Z to IN N 89'26'39" W + N 89'26'39" W N N 89'44'28" W + N 89'44'28" W L2 N1324.21' 1324.21' 3 1323.73' 1323.73' N' 3I � I In in I 0 • �.to 01 � I N dui AWY NW Y4 aI� SE Y4 NW Y4 o ._ SW Y4 NE Y4 0l' SE Y4 NE Y4 a! o N 40.33 ACRES ;n I N 40.40 ACRES 0 ,`2 40.69 ACRES 61 ao 40.97 ACRES (.-41' N O z M In I OI I p -I I Z I ZI FOUND 3 Y4" S 89'20'38"I E, 2646.46' S 89'20'38" E,I 2661.96' _ FOUND 2 Y2" ALUMINUM CAP - - - - - - - ALUMINUM CAP LS 22098 1323.23' 1323.23' 1330.98' - �� - 1330.98' ILLEGIBLE 1 CALCULATED 3 I POSITION 3I 1 1 ;I°' NW Y4 SW Y. ini 0 NE Y4 SW Y4 NW Y4 SE °4IN NE Y4 SE Y4 ,ao. • '' 40.24 ACRES 'n N 40.18 ACRES csiI N 40.35 ACRES 'o N 40.30 ACRES I in n 7 NI— . PI 00 M in co 1 z . I ZI IN I N 89'25'29" W + N 89'25'29" W N l N 89'25'09" W + N 89'25'09" W _I w i7 It :n 1323.23' 1323.23' 3 1330.44' 1330.44' o iii i on o1 3 °I la N co I° 1 O Z °i SW Y4 SW Y4 to 0 SE Y4 SW Y4 o N SW).'t SE Y. ID o SE Y4 SE Y4 I o N 40.24 ACRES N N 40.18 ACRES 0 M 40.34 ACRES o M 40.28 ACRES cI 1- 0 N I'- 11 I z t �1 I z I FOUND 3 Y4" j _ 1323.22'_ - «�` - _1323.22_ _ ` 1329.90'_ ^ ,1` _ _ 1329.90'_ FOUND {6 ALUMINUM CAP QQ}}---- .232_3.22'_ _ LS 22098 N 89'30'20" W, 2646.44' FOUND 3 Y" N 89'29'40" W. 2659.80' REBAR NO CAP ALUMINUM CAP LS 10855 I HEREBY CERTIFY THAT THIS TITLE PLAT EXHIBIT WAS PREPARED BY ME, OR UNDER MY DIRECT SUPERVISION, THAT THE FIELD WORK WAS COMPLETED ON 12, FOR MID ON BEHALF OF NOBLE ENERGY INC., THAT IT IS NOT12/05/ A, LAND SURVEY PLAT OR AN IMPROVEMENT SURVEY PLAT, AND THAT IT IS NOT TO BE 0 1000' RELIED UPON FOR ESTABLISHMENT OF FENCES, BUILDINGS. OR BASIS OF' 8EARING5' OTHER FUTURE IMPROVEMENT LINES. mm iBEARINGS SHOWN HEREON ARE GRID BEARINGS \\\\\""331I II 1" = 1000' OF THE COLORADO STATE PLANE COORDINATE --:-...ADO RE Gin ,,/ SYSTEM, NORTH ZONE, NAD 83. THE LINEAL �0�FG flit LEGEND UPON DIMENSTHES"U S.SHOWN SURVEY FOOT".HEREON ARE BASED =�O�O�� y14J13y°�F��: • FOUND MONUMENT t 0: i • CALCULATED POSITION '" 82 % PREPARED FOR: NOBLE ENERGY INC. • FIELD DATE: 12/05/12 _- =' PLOT DATE: 02/12/13NOTICEACCORDING TO COLORADO LAW,YOU MUST COMMENCE ANY LEGAL ACTION //1"In�NAL L.10°' � DRAWN BY: MOW BASED UPON ANY DEFECT !N THIS T.P.E. NITHIN THREE YEARS AFTER YOU 1111\��\\..\\\\\�� R` FIRST DISCOVER SUCH DEFECT. IN NO EVENT MAY ANY ACTION BASED UPON ENGRess 2 JOB NO.: NE 12379 ANY DEFECT IN THIS T.P.E. B E COMMENCED MORE THAN TEN YEARS FROM MVO C. HOLMES, PLS 32828 SURVEYORS 0 SHEET NO.: 1 of 1 THE DATE OF THE CERTIFICATION SHOWN HEREON (13-80-105 C.R.5.). FOR NC ON BEHALF OF R&R ENGINEERS-SURVEYORS,INC. Colorado Oil and Gas Conservation Commission Home Page Page 1 of 1 O E Colorado Oil and Gas Conservation Commission E A division ofihc Colorado Department of Natural Resources Fmusperencv Online Protect OOP) PRINT PAGE HELP COGIS - WELL Information CONTACTS DATABASE FORMS Scout s Related 4 Insp. Q MIT 0 GIS a Doc Rtt Cat GENERAL Card HEARINGS IMAGES Surface Location Data for API # 05-123-38866 St KIDS' PAGE DG 5/25/2014 LIBRARY Well Name/No: TAHOMA E#22-69HC (click well name for production) LOCAL GOV MAPS Operator: NOBLE ENERGY INC - 100322 MISSION Status Date: 5/25/2014 6:00:00 AM Federal or State Lease#: NEWS/MEDIA County: WELD#123 Location: ORDERS Field: WATTENBERG -#90750 Elevation: 4 PERMITS Planned Location 293 FSL 530 FWL Lat/Long: 40.4796/-104.63816 POLICIES RULES Wellbore Data for Sidetrack #00 Sta STAFF RPT Spud Date: 5/25/2014 Spud Date is: Wellbore Permit HORIZONTAL Permit#: Expiration Date: 1 Prop Depth/Form: 11989 Surface Mineral Owner Same: Mineral Owner: FEE Surface Owner: F Unit: Unit Number: Formation and Spacing: Code: CODL , Formation: CODELL , Order: , Unit Acreage: 400, I Casing: String Type: CONDUCTOR , Hole Size: 18.5, Size: 16, Top: 0, DE Cement: Sacks: 6, Top: 0, Bottom: 100, Method Grade: Casing: String Type: SURF , Hole Size: 13.75, Size: 9.625, Top: 0, Depth: Cement: Sacks: 290, Top: 0, Bottom: 590, Method Grade: Casing: String Type: 1ST , Hole Size: 8.75, Size: 7, Top: 0, Depth: 7509, \ Cement: Sacks: 500, Top: , Bottom: 7509, Method Grade: Casing: String Type: 1ST LINER , Hole Size: 6.125, Size: 4.5, Top: 7359, 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: 6N 65W Footage: 75 FFNLL 726 FFELL Bottom Hole Location: Sec: 22 Twp: 6N 65W Footages: 75 FFNLL 75 FFNLL Formation Log Top Log Bottom No additional interval records were found for sidetrack 00. http://cogcc.state.co.us/ 8/27/2014 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):Tahoma E22-69HC File Location(s): LE0006 BY: DATE: 4, ruce Barker County Attorney NOTES:2 tract of.77 each(1.54)mineral acres/ 404.98 acres spacing unit*12.5%=.0004753(MATCH)
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