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Home My WebLink About20143118.tiff NADOA Model Form Division Order(Adopted 9/95) DIVISION ORDER To: Bonanza Creek Energy,Inc. Date: January 30,2014 410 17th Street, Suite 1400 Denver,CO 80202 Attn: Lauren Cartaya Property Number: CO001105 Effective Date:May 10,2013 Property Name: PRONGHORN T-P-41-INB Operator: BONANZA CREEK ENERGY INC County and State: Weld, Colorado YOUR Wey i v E p Property Township 5 North,Range 61 West Description: Section 4: ALL API 1 sei r-A P 105-r2.3 31010 2(43 FEB 03 2014 WELD COUNTY Production: X Oil X Gas X Other: all products COMMISSIONERS Owner Name OWNER NUMBER: 1041 and Address: WELD COUNTY BOARD OF COMMISSIONERS Type of Interest: RI P 0 BOX 758 Decimal Interest: 0.04998746 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: (None or See Attached Exhibit) Owner(s)Signature(s): f Barbara Kirkmeyer, Pro-Tem OCT 1 3 2014 'WELD COUNTY BOARD OF COMMISSIONERS cA Owner(s)Tax I.D.Number(s): 84-6000-813 AttestJditO""`^"""' c ' Clerk to the Bo rd Owner Daytime Telephone 970-336-7204 Owner FAX Telephone#: 970-336-7233 B Deputy erk to t Bdouse_.� _� Federal Law requires you to furnish your Social Security or Taxpayer Identification Numb: 1161 i �I Failure to comply will result in 31 %tax withholding and will not be refundable by Pay l'14 t i Retain this copy for your records 2014-3118 �{ c c : Sohkn t reek. 1�4 /O-iS-army LE(MIA • 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. 410 17th 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. RECEIVED FEB 03 2014 COMMISSIONERS i I ' TRACT 3 (/59.51 acres of land, more or less, being Lot 3, the SE/4 NW/4 and the E2 SW/4 of Section 4, T5N,R61W,64.1 P.M) OIL,GAS AND MINERALS EXECUTIVE(LEASING)RIGHT, BONUS and DELAY RENTAL Weld County,Colorado LS [All or 100%] ROYALTY Weld County,Colorado 20% or L12 VISION OF INTFRESTS-WELL BASIS The division of interests covering the Subject Land have been apportioned according to each tract's participation factor,as follows: Tract I: 160.00/638.20 acres = 0.25070510 Tract 2: 80.00/638.20 acres a 0.12535255 159.51/638.20 acres a 014993733 Tract 4: 238.69/638.20 acres a LE_Mata LIMAN FRONGHORN T P-4HNB and PRONGHORN 14-11-4HNB: Working Net Revenue Type of Own In nterest Interact pin ers Weld County.Colorado 0,04995747 RI LI2 [20%x 159.51/638.2) Lat40°, Inc. 1635 Foxtrail Drive, Suite 325 Loveland, CO 970-776-3321 WELL LOCATION CERTIFICATE SECTION: 4 TOWNSHIP: 5N THIS MAP DOES NOT REPRESENT A BOUNDARY SURVEY RANGE: 61W FOUND De REBAR WI' FOUND /8 REBAR W11H 3.25" ALUM. CAP LS 7242 3.25' AWM. CAP LS 7242 (AT:40.43744N N 88'36'27" E 5311.10' LAT: 40.43758N LONG: 104.2238814 — — — I LONG: 104.2048114 470' 1328' I I I con LOT COW LOT.1 18 GOVT COT GOV'T tort 1 cm N MII/f— /1— z rn O 0 1 fa N Iw I I-t 0.. O5O I n) at No SI, T,5N RelE f ni 4s N 88'41'36" E 2650.76' of N 88'41'36" E 2650.77_ O m * Ls u La La CA A Ip' o � I I= A --I IO N A A u f57/2/!-- —SB' !— — rn N 62'21'39" W I I 1? 165.18' I I Is- TARGET 1323' T 1178'---I 470' PRONGHORN T-P-4HNB LAT: 40.42287N LONG: 104.2238714 _ _ — — — 390' — LAT: 40.4229914 S 88'40'16" W 5292.00' LONG: 104.2048714 it' I UN FOUND ors REBAR W TH FOUND 6 REBAR WWITH3.23" ALUM. CAP LS 7242 3 ALLUM. CAP 7242 In accordance with a request from Wheal Meagher with 9Lv1PN7A (RFF( FNFRGY INC Lat40', Inc. has determined the surface location of the PRONGHORN T—P-4HNB to be 390' from the SOUTH line and 1178' from the EAST line and the bottom hale to be 470' from the NORTH line and 1328' from the EAST line as measured at right angles from the section lines of tertian 4, TasmMla 5 North. Baoaa 81 West of the Sixth Principal Meridian, County of Weld, State of Colorado. 0 1000 I hereby state that this Weil Location Certificate woe prepared by me, at under my direct supervision, that the fieldwork was completed on 8/29/2012, for and on behalf of BONANZA CREPN ENERGY. INC eel?=' - That this is not a Land Survey Plat or an improvement Survey Plat, and that it is not to be relied upon 1"-1000' for establishment of fence, building, or other future improvement lines. NOTE: SIIRFA('F I OCATION TARIFT um F PnTTnM H(11 F 1) Bearings shown are Grid Bearings of the Colorado State Plane Coordinate LAT: 40.4240314 LAT: 40.4242514 LAT: 40.4382814 System, North Zone, North American Datum 1983/2007. The lineal LONG: 104.20890W LONG: 104.20942W LONG: 104.20938W dimensions as contained herein ore based upon the "U.S. Survey Foot." PDOP: 1,2 1/4.1/4: SEt/45E1/4 1/4,1/4: NW1/4NE1/4 2) Ground Newtons are based on an observed GPS elevation EL.EV: 4883' (NAND 1888 DATUM), 1/4,1/4: SE1/45E1/4 ...�NANTAN 3) IMPROVDAENTS: See lOCATMN DRAWING for all visible Improvements within NEAREST PROPERTY LINE: 390' SOUTH 4 e VC‘‘1. t 400' of disturbed area. ! yFti If 4) SURFACE USE: RANGELAND/CROPLAND • fG 5) INSTRUMENT OPERATOR: WATT HALL V 4./� • , .. a 4i r MI i . •: 1 N: . According to Colorado low, you must commence • i"1 any legal action based upon any defect in this LEGEND �� W.LC. within three years after you discover such / defect in no event, may any action based upon 0.. AUQl1OT MONUMENT AS DESCRIBED Kyle E. Rutz—On ben'.t i f any defect in this survey be commenced more than ten years otter the date of the certificate OALCULATED POSDON Colorado Licensed Pro =''i' i ", 1/20/2012 shown hereon. (13-80-105 C.R.S.) 0 Land Surveyor No. 383e ‘‘\‘‘‘„.0-•- t 2012073 I EXHIBIT A Tract 4 J +1t L 1 1� N ; Tract 3 •iii:.• • .. • • 1 Tract 2 Tract I I . -.*. 1. ' C` , Township 5 North Range 61 West 6th Prime Meridian Section 4: ALL WELD COUNTY, COLORADO 1Udf.dare1DataVIO\Iiananza Creek flncrgy15R53,00022; Weld County, 05N-el W.a4t,5R63,00n22 S5nOTO Scc 4 TSi._R6I W Weld Cnunty_63A 2flac.docx 3863741011 COGIS - WELL Information Page 1 of 2 COGIS - WELL Information Scout Card CHID Related A.Insp.t MIT •GIS lit Doc ir Wellbore .Orders Surface Location Data for API #05-123-36626 Status: PR Well Name/No: Pronghorn#T-P4HNB(click well name for production) Operator: BONANZA CREEK ENERGY OPERATING COMPANY LLC-8960 Status Date: 6/12/2013 Federal or State Lease It: County: WELD#123 Location: SESE 4 5N 61W 6 PM Field: WILDCAT -#99999 Elevation: 4,683 ft. Planned Location 390 FSL 1178 FEL Lat/Long:40.42403/-104.2089 tat/Long Source:Field Measured As Drilled Location Footages Not Available Lat/Long:40.42397/-104.2089 Lat/Long Source:Field Measured r, Job Date: 4/26/2013 Reported: 5/31/2013 Days to report: 35 Chemical Disclosure Reaistry Wellbore Data for Sidetrack#00 Status: PR 6/12/2013 Spud Date: 4/5/2013 Spud Date is: ACTUAL Wellbore Permit HORIZONTAL Permit It Expiration Date: 1129/2015 12:57:42 PM Prop Depth/Form: 10820 Surface Mineral Owner Same: N Mineral Owner: FEE Surface Owner. FEE Unit: Unit Number: Formation and Spacing: Code:NBRR,Formation:NIOBRARA,Order:407-633,Unit Acreage:640,Drill Unit:All Casing: String Type:SURF,Hole Size:13.5,Size:9.625,Top:0,Depth:410,Weight:36 Cement: Sacks:200,Top:0,Bottom:410,Method Grade: Casing: String Type:1ST,Hole Size:8.75,Size:7,Top:0,Depth:6544,Weight:23/26 Cement: Sacks:500,Top:2500,Bottom:6544,Method Grade: Casing: String Type:1ST LINER,Hole Size:6.125,Size:4.5,Top:6444,Depth:10820,Weight:11.6 Cement: Sacks:,Top:,Bottom:,Method Grade: Wellbore Completed Completion Date: 4/15/2013 Measured TD: 10733 Measured PB depth: 10733 True Vertical TD: 6164 True Vertical PB depth: 6164 Top PZ Location: Sec:4 Twp:5N 61W Footage:793 FSL 1321 FEL Depth Bottom Hole Location: Sec:4 Twp:5N 61W Footages:471 FNL 1329 FEL Depth Casing: String Type:SURF,Hole Size: 13.5,Size:9.625,Top:0,Depth:486,Weight:36 Cement: Sacks:380,Top:0,Bottom:486,Method Grade:CALC Casing: String Type:1ST,Hole Size:8.75,Size:7,Top:0,Depth:8596,Weight:26 Cement: Sacks:687,Top:422,Bottom:6596,Method Grade:CBL Casing: String Type:1ST LINER,Hole Size:6.125,Size:4.5,Top:6329,Depth:10733,Weight:11.6 Cement: Sacks:,Top:,Bottom:,Method Grade: Formation Log Top Log Bottom Cored DSTs SHARON SPRINGS 5996 NIOBRARA 6212 Completed information for formation NBRR 1st Production Date: 5/18/2013 Choke Size: Status Date: 6/12/2013 Open Hole Completion: N Commingled: N Production Method: Formation Name: NIOBRARA Status: PR Formation Treatment Treatment Type: FRACTURE STIMULATION Treatment Date: 4/26/2013 Treatment End Date: 4/28/2013 Treatment summary:Niobrara pumped a total of 55624 bbls of fluid and 4201860#of sand,ATP 3600,ATR 50.1 bpm,completed with sliding sleeves and casing packers. Total fluid used in treatment(bbls): 55624 Max pressure during treatment(psi): 4950 Total gas used in treatment(mcf): 0 Fluid density(lbs/gal): 8.34 Type of gas: Number of staged intervals: 18 Total acid used in treatment(bbls): 0 Max frac gradient(psi/ft): Recycled water used in treatment(bbls): 0 Total flowback volume recovered(bbls): 17828 Produced water used In treatment(bbls): 55624 Disposition method for flowback: DISPOSAL Total proppant used(Ibs): 4201860 Green completions techniques utilized: True Reason green techniques not utilized: Tubing Size: 2.875 Tubing Setting Depth: 6151 Tubing Packer Depth: 6151 Tubing Multiple Packer. http://cogcc.state.co.us/cogis/FacilityDetail.asp?facid=12336626&type=WELL 4/18/2014 COGIS - WELL Information Page 2 of 2 Open Hole Top: Open Hole Bottom: Initial Test Data: Test Date: 6/12/2013 Test Method: Flowing Hours Tested: 72 Gas Type: SHALE Gas Disposal: SOLD Test Type Measure BBLS H2O 1212 BBLS_OIL 1224 BTU GAS 1311 CALC_BBLS_H2O 404 CALC_BBLS_OIL 408 CALC_GOR 1189 CALCMCF_GAS 485 GRAVITY_OIL 43 MCF_GAS 1455 TUBING_PRESS 551 Perforation Data: Interval Bottom: 10636 Interval Top: 6650 #of Holes: 0 Hole Size: 0 http://cogcc.state.co.us/cogis/FacilityDetail.asp?facid=12336626&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 T-P-4HNB File Location(s): LE0212 BY: DATE: 4/: I Stephanie Arries Assistant County Attorney NOTES: 159.51 mineral acres/ 638.2 acres spacing unit * 20% = .0499874 Match Hello