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Home My WebLink About20140603.tiff • R I SYNERGY Synergy Resources Corporation 20203 Highway 60 RESOURCES CORPORATION Platteville,CO 80651 RECEIVED Division Order JUL 2 3 2093 WELD COUNTY COMMISSIONERS Property Name: See Attached Exhibit A Date: July 22, 2013 Property No.: See Attached Exhibit A Effective Date: See Attached Exhibit A Operator: Synergy Resources Corporation County and State: Weld County, Colorado Description: See Attached Exhibit A Production: Oil: Y Gas: Y OWNER NAME AND ADDRESS OWNER NO. INTEREST INTEREST TYPE BOARD OF COUNTY COMMISSIONERS 3883 See Attached Exhibit A See Attached Exhibit OF THE COUNTY OF WELD A 1150 O STREET P. O.BOX 758 GREELEY, CO 80632 The undersigned certifies the ownership of their decimal interest in the production or proceeds as described above. Synergy Resources Corporation 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. Synergy Resources Corporation may accrue proceeds until the total amount equals$100.00,or pay annually whichever occurs first, or as required by applicable state statutes. The undersigned,or their authorized representative,shall notify Synergy Resources Corporation in writing of any change in ownership,percent interest,or payment address. All such changes shall be effective the first day of the month following receipt of such notice. 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 and 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 local d C r� Owner(s)Signatures(s): 116-S Ip_ � Dou las Rademacher Ch u 4 IAR 0 3 ZU94 1� Owner(s)Tax ID Number(s): 84-6000-813 Attes kia Owner Daytime Telephone: 970-336-7204 Clerk to the Board @ t s '_ Owner Mailing Address: Bv• �,( O� �t{° /'r\ 11 gat it114 �. '� Deputy Clerk to the Boar 2014-0603 a7Yv3- �!�-r 1 u � �5 � L�D312,-1 3 -'4 Federal Law requires you to furnish Social Security or T a Identification Number. Failure to comply will result in tax28% withholding and will not be refundable by Payor. 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O .r e e o VM o 0 0 O O O O O O C 0 00 y iJ OO000 0o 6 N e ` e ep ` o O 0 O yr 0 m 00 00 0 0 O 00 00 0 0 LD 00 00 0 O O O I O O O Y J -t C'S M R ca N fi) M N U3 M N In K K 4. X M 0 b9 0i O Oa O 0) O O t.-4 o :I pi t e m '4 Pa C N O O M N O O M O O M at d d N ✓ v N d y 2 P" O 'i 0 y o P. O fG O L y a O �. .g a00 q a C �+ c a l ao MM W414 .4' oo p 'J m oo mss', m m 00, 00 al j d 0 c g 4. 13 o UU N e a w OU J ° :41-1 q � OV o f .-. 0 E X O fz p N b t,O d N 7 fl . o n 7 t o d N U .� 8 O F ROI .°6. a" z oo o o co ,°n° �2 m o o o '�`�' °' o ht Fdo o 'ten ,°n° °' m " o ui'o '.`�' v O o n paUU .. N6 a0.1UU .. t-- U) a0.1UU — r (J a � LJQ � — < P. 4gAogIV TRACT 2 Description Tract Factor BOGLs Township 4 North, Range 68 West, 6th P.M. 1.00/160.98 D Section 2: All of the North 16 1/2 feet of the South 46% feet of the Southwest Quarter of Section 2. Township 4 North, Range 68 West of the 6`h P.M. TRACT 2 A. Surface: Owner Interest Board of County Commissioners of the County 100% of Weld B. Mineral Interests and Royalty(oil, gas and associated hydrocarbons only): Owner Minerals Royalty BOGLs Board of County Commissioners of 100.000000% 20% D the County of Weld 2 C. Leasehold Working Interests: A441'l. gn1�dla LE03Ia— J Owner Working Mineral Lease BOGLs Interest Interest Burdens Synergy Resources Corporation 100% 100% 20% D 60 a yN -& TRACT 3 Description Tract Factor BOGLs Township 4 North,Range 68 West, 6th P.M. 1.32/160.98 Section 2: Beginning at the Southwest corner of said Section 2; thence North 00° 12W West, a distance of 2639.7 feet; thence North 89° 32W East, a distance of 43.1 feet; thence Southerly, on a curve to the right, whose radius is 5780.00 feet (the chord of which bears South 01° 36W East a distance of 283.00 feet), for a distance of 283.00 feet; thence 50 feet easterly of, nonnally distant from and /� �„: , parallel with the centerline of project, / �� L .F South 00° 12'/' East, a distance of 2357.4 feet; thence North 89° 42W West, a distance of 50.0 feet, more or less,to the point of beginning. TRACT 3 A. Surface: Owner Interest Board of County Commissioners of the County 100% of Weld B. Mineral Interests and Royalty(oil, gas and associated hydrocarbons only): Owner Minerals Royalty BOGLs j� Board of County Commissioners of -21 i �/�3�v' the County of Weld 100.000000% 20% L C Lew C. Leasehold Working Interests: iek'�iX" "- .d' ,5S91 YO /r Owner Working Mineral Lease BOGLs Interest Interest Burdens Synergy Resources Corporation 100% 100% 20% C x U • rt ' s ,:i.; _ ::�. rr. _ y • :•4:•••••1.;. ...:...^r' _'.p5 • l� t; N t' i. . I MI Z =r to w U I `.,, ::1\4:4 O 12 F so g �J:•::..1-'7 szl O°xc es u ti z a E EE a . t'. W 4 5 i yo 8 NZ W s G 0 ° W= e£ x H O W g `` � g S; ns g w< °E S UV W zW oz °F Q 3 Q Q p 61 o_ o 74 : "s X y c= n o i o o ,-p g a 8 �a a" _$ q Q a I- W W Q Z (�i,V N NN p b +t O Q ^„:„..„,,,, R M Td CO Col N,Y „, !��]7 ti �i�i�i�"i�'i ^,a co . 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A MIT O GIS a Doc ill`Weilbore Orders Surface Location Data for API # 05-123-33222 Status: F Well Name/No: SRC Pratt#13-2D (click well name for production) Operator: SYNERGY RESOURCES CORPORATION - 10311 Status Date: 4/5/2013 Federal or State Lease#: County: WELD#123 Location: NE: Field: WATTENBERG -#90750 Elevation: 5,0( Planned Location 1573 FSL 1275 FWL Lat/Long: 40.339849/-104.975234 Lat/ As Drilled Location Footages Not Available Lat/Long: 40.33985/-104.975233 Lat/ mow' rac Focus Job Date: 1/14/2013 Reported: 1/25/2013 Day Chemical Disclosure Registry Wellbore Data for Sidetrack #00 Status: PR 4/5 Spud Date: 11/29/2012 Spud Date is: AC Weilbore Permit DIRECTIONAL Permit#: Expiration Date: 3/2' Prop Depth/Form: 8140 Surface Mineral Owner Same: Y Mineral Owner: FEE Surface Owner: FEE Unit: Unit Number: Formation and Spacing: Code: JSND , Formation: J SAND , Order 232-23 , Unit Acreage: 320, C Formation and Spacing: Code: NB-CD , Formation: NIOBRARA-CODELL , Order: 407-87 , Unit P Casing: String Type: SURF , Hole Size: 12.25, Size: 8.625, Top: 0, Depth: 550, V Cement: Sacks: 350, Top: 0, Bottom: 550, Method Grade: Casing: String Type: 1ST, Hole Size: 7.875, Size: 4.5, Top: 0, Depth: 8140, Weil Cement: Sacks: 410, Top: 200, Bottom: 8140, Method Grade: Wellbore Completed Completion Date: 12/3/2012 Measured TD: 7800 Measured PB depth: 776 True Vertical TD: 7744 True Vertical PB depth: 771 Top PZ Location: Sec: 2 Twp: 4N 68W Footage: 2055 FSL 557 FWL Der Bottom Hole Location: Sec: 2 Twp: 4N 68W Footages: 2081 FSL 532 FWL Der Casing: String Type: SURF , Hole Size: 12.25, Size: 8.625, Top: 0, Depth: 606, V Cement: Sacks: 175, Top: 0, Bottom: 606, Method Grade: CALC Casing: String Type: 1ST , Hole Size: 7.875, Size: 4.5, Top: 0, Depth: 7789, Wei( Cement: Sacks: 720, Top: 1430, Bottom: 7789, Method Grade: CBL Formation Log Top Log Bottom PARKMAN 3449 SUSSEX 3942 SHANNON 4494 NIOBRARA OB RARA 6866 FORT HAYS 7186 CODELL 7204 J SAND 7665 Completed information for formation CODL 1st Production Date: 2/21/2013 Choke Size: http://cogec.state.co.us/cogis/FacilityDetail.asp?facid=12333222&type=WELL 2/24/2014 Colorado Oil and Gas Conservation Commission Home Page Page 1 of 1 Coli 'ado Oil and Gas rrona� Conservation C onnnission. SE A division of the Colorado Department of Natural Resources Transparency Online Project(TOP) PRINT PAGE li HELP — COGIS - WELL Information i CONTACTS DATABASE i1 FORMS Scout Card El C: Related Q. Insp. q MIT 0 GIS a Doc T W GENERAL HEARINGS Surface Location Data for API # 05-123-33221 IMAGES Well Name/No: SRC Pratt#14-2D (click well name ft KIDS' PAGE Operator SYNERGY RESOURCES CORPORATION - 10: ' LIBRARY • LOCAL GOV Status Date: 4/5/2013 Federal or State Lea: MAPS County: WELD#123 Location: r MISSION Field: WATTENBERG -#90750 Elevation: NEWS/MEDIA Planned Location 1573 FSL 1255 FWL Lat/Long: 40.339849/ ORDERS As Drilled Location Footages Not Available Lat/Long: 40.33985/-' PERMITS POLICIES RULES rac Focus Job Date: 1/17/2013 Reported: 1/23/201: STAFF RPT Chemical Disclosure Registry a Wellbore Data for Sidetrack #00 S Spud Date: 12/4/2012 Spud Date is: Wellbore Permit DIRECTIONAL Permit#: Expiration Date: Prop Depth/Form: 8171 Surface Mineral Own Mineral Owner: FEE Surface Owner. Unit: Unit Number: • Formation and Spacing: Code: GRNHN , Formation: GREENHORN , Ord Formation and Spacing: Code: JSND , Formation: J SAND , Order: 232-2 Formation and Spacing: Code: NB-CD , Formation: NIOBRARA-CODELL Casing: String Type: SURF , Hole Size: 12.25, Size: 8.62 Cement: Sacks: 350, Top: 0, Bottom: 550, Method Grade: Casing: String Type: 1ST , Hole Size: 7.875, Size: 4.5, T( Cement: Sacks: 410, Top: 200, Bottom: 8171, Method Gr€ Wellbore Completed II Completion Date: 12/10/2012 Measured TD: 7840 Measured PB depth: True Vertical TD: 7757 True Vertical PB dept Top PZ Location: Sec: 2 Twp: 4N 68W Footage: 745 FSL 72£ Bottom Hole Location: Sec: 2 Twp: 4N 68W Footages: 703 FSL 7(, Casing: String Type: SURF , Hole Size: 12.25, Size: 8.62 Cement: Sacks: 175, Top: 0, Bottom: 615, Method Grade:11 Casing: String Type: 1ST , Hole Size: 7.875, Size: 4.5, Ti' Cement Sacks: 720, Top: 2080, Bottom: 7789, Method G Formation Log Top Log Bc http://cogcc.state.co.us/ 2/24/2014 COGIS - WELL Information Page 1 of 2 COGIS - WELL Information Scout Card ffsi iiis Related Qt. Insp. A MIT 0 GIS r Doc V Wellbore .S Orders Surface Location Data for API # 05-123-33220 Status: F Well Name/No: SRC Pratt#23-2D (click well name for production) Operator: SYNERGY RESOURCES CORPORATION - 10311 Status Date: 4/5/2013 Federal or State Lease#: County: WELD#123 Location: NEB Field: WATTENBERG -#90750 Elevation: 5,00 Planned Location 1572 FSL 1315 FWL Lat/Long: 40.339848/-104.97509 Lat/I As Drilled Location Footages Not Available Lat/Long: 40.33985/-104.97509 Lat/I r cF Job Date: 1/14/2013 Reported: 1/23/2013 Day Chemical Disclosure Registry Wellbore Data for Sidetrack #00 Status: PR 4/E Spud Date: 11/17/2012 Spud Date is: ACT Wellbore Permit DIRECTIONAL Permit#: Expiration Date: 3/24 Prop Depth/Form: 8134 Surface Mineral Owner Same: Y Mineral Owner: FEE Surface Owner: FEE Unit Unit Number: Formation and Spacing: Code: JSND , Formation: J SAND , Order: 232-23 , Unit Acreage: 320, C Formation and Spacing: Code: NB-CD , Formation: NIOBRARA-CODELL , Order 407-87 , Unit P Casing: String Type: SURF , Hole Size: 12.25, Size: 8.625, Top: 0, Depth: 550, V Cement: Sacks: 350, Top: 0, Bottom: 550, Method Grade: Casing: String Type: 1ST , Hole Size: 7.875, Size: 4.5, Top: 0, Depth: 8134, Wei II Cement: Sacks: 410, Top: 200, Bottom: 8134, Method Grade: Wellbore Completed Completion Date: 11/23/2012 Measured TD: 7820 Measured PB depth: 778, True Vertical TD: 7764 True Vertical PB depth: 7721 Top PZ Location: Sec: 2 Twp: 4N 68W Footage: 2090 FSL 1995 FWL Dep Bottom Hole Location: Sec: 2 Twp: 4N 68W Footages: 2105 FSL 2007 FWVL Dep Casing: String Type: SURF , Hole Size: 12.25, Size: 8.625, Top: 0, Depth: 605, V Cement: Sacks: 175, Top: 0, Bottom: 605, Method Grade: CALC Casing: String Type: 1ST , Hole Size: 7.875, Size: 4.5, Top: 0, Depth: 7814, Weil Cement: Sacks: 720, Top: 1680, Bottom: 7814, Method Grade: CBL Formation Log Top Log Bottom PARKMAN 3498 SUSSEX 3945 SHANNON 4500 NIOBRARA 6886 FORT HAYS 7187 CODELL 7207 GREENHORN 7282 J SAND 7664 Completed information for formation CODL http://cogec.state.co.us/cogis/FacilityDetail.asp?facid=123332208aype=WELL 2/24/2014 COGIS - WELL Information Page 1 of 2 COGIS - WELL Information Scout Card al is Related Q. Insp. Q. MIT 0 GIS a Doc Cllr Wellbore igfr Orders Surface Location Data for API # 05-123-33218 Status: F Well Name/No: SRC Pratt#24-2D (click well name for production) Operator: SYNERGY RESOURCES CORPORATION - 10311 Status Date: 4/5/2013 Federal or State Lease#: County: WELD#123 Location: NE Field: WATTENBERG -#90750 Elevation: 5,0 Planned Location 1572 FSL 1335 FWL Lat/Long: 40.339848/-104.975018 Lai As Drilled Location Footages Not Available Lat/Long: 40.33985/-104.975018 Lai IFZFOCUSIJob Date: 1/14/2013 Reported: 1/23/2013 Da Chemical Disclosure Registry Wellbore Data for Sidetrack #00 Status: PR 4/E Spud Date: 11/14/2012 Spud Date is: AC Wellbore Permit DIRECTIONAL Permit#: Expiration Date: 3/2 Prop Depth/Form: 8174 Surface Mineral Owner Same: Y Mineral Owner FEE Surface Owner: FE Unit: Unit Number: Formation and Spacing: Code: JSND , Formation: J SAND , Order 232-23 , Unit Acreage: 320, C Formation and Spacing: Code: NB-CD , Formation: NIOBRARA-CODELL , Order 407-87 , Unit P Casing: String Type: SURF , Hole Size: 12.25, Size: 8.625, Top: 0, Depth: 550, V Cement: Sacks: 350, Top: 0, Bottom: 550, Method Grade: Casing: String Type: 1ST , Hole Size: 7.875, Size: 4.5, Top: 0, Depth: 8174, Weil Cement: Sacks: 410, Top: 200, Bottom: 8174, Method Grade: Wellbore Completed Completion Date: 11/19/2012 Measured TD: 7840 Measured PB depth: 78: True Vertical TD: 7756 True Vertical PB depth: 77 Top PZ Location: Sec: 2 Twp: 4N 68W Footage: 754 FSL 1904 FWL De Bottom Hole Location: Sec: 2 Twp: 4N 68W Footages: 703 FSL 1925 FWL De Casing: String Type: SURF , Hole Size: 12.25, Size: 8.625, Top: 0, Depth: 605, V Cement: Sacks: 175, Top: 0, Bottom: 605, Method Grade: CALC Casing: String Type: 1ST , Hole Size: 7.875, Size: 4.5, Top: 0, Depth: 7795, Weil Cement: Sacks: 720, Top: 2085, Bottom: 7795, Method Grade: CBL Formation Log Top Log Bottom PARKMAN 3490 SUSSEX 4094 SHANNON 4504 NIOBRARA 6904 FORT HAYS 7205 CODELL 7226 GREENHORN 7296 J SAND 7683 Completed information for formation CODL http://cogcc.state.co.us/cogis/FacilityDetail.asp?facid=12333218&type=WELL 2/24/2014 INSTRUCTIONS TO ALL INTEREST OWNERS SYNERGY RESOURCES CORPORATION HAS ENCLOSED A DIVISION ORDER OR TRANSFER ORDER FOR YOUR EXECUTION.IF YOU ARE RECEIVING A DIVISION ORDER FROM SYNERGY RESOURCES CORPORATION FOR THE FIRST TIME, PLEASE BE ADVISED THAT WE ARE THE NEW OPERATOR. IF A TRANSFER ORDER IS ENCLOSED WE ARE EVIDENCING CHANGES OF OWNERSHIP IN AN EXISTING WELL. THE ATTACHED DOCUMENT SHOULD NOT BE ALTERED IN ANY WAY EXCEPT TO CORRECT SPELLING ERRORS, UNLESS ACCOMPANIED BY DOCUMENTARY EVIDINCE 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. 3. If signing for a corporation,signature must be attested, corporate seal affixed and of signatory party reflected. 4. If signed by agent, attorney-in-fact, guardian or any party other than named interest owner, certified copy of the power of attorney or other evidence of such party's right to sign must be furnished. 5. Should you fail to provide your correct Social Security Number or Tax Identification Number, the law provides that we withhold 28% of all production proceeds due you. You may also be subject to a further penalty levied by the Internal Revenue Services. 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: SYNERGY RESOURCES CORPORATION 20203 HIGHWAY 60 PLATTEVILLE, CO 80651 8. Should you have any further questions regarding the enclosed Division Order, please contact Synergy Resources Corporation at(970) 737-1073. ,a Ape _1b - Lag- L.{1q Hello