2015-11-06_PERMIT FILE - C1981022 ‎(2)‎

• Permit No: C1981022
• IBM Index Class Name: Permit File
• Doc Date: 11/6/2015
• Doc Name: Colorado Oil And Gas Conservation Commission
• Media Type: D
• Archive: No

FORM State of Colorado srwieo.
DE ET OE ES
COtORA00
2a Oil and Gas Conservation Commission
Document Number:
Rev 1120 Lincoln Street, Suite 801, Denver, Colorado 80205 Phone: [phone] Fax: [phone]
04/01 GAS
400240957
Oil and Gas Location Assessment
New Location Amend Existing Location Location#:
Location ID:
Submit original plus one copy. This form is to be submitted to the COGCC prior to any ground disturbance activity
associated with oil and gas development operations. This Assessment may be approved as a standalone application
427660
or submitted as an informational report accompanying an Application for Permit -To -Drill, Form 2. Approval of this
Assessment will allow for the construction of the below specified location; however, it does not supersede any land
Expiration Date:
use rules applied by the local land use authority. This form may serve as notice to land owners and other interested
parties, please see the COGCC web site at http://colorado.gov/cogcc/ for all accompanying information pertinent to
02/09/2015
this Oil and Gas Location Assessment.
[x— This location assessment is included as part of a permit application.
1. CONSULTATION
This location is included in a Comprehensive Drilling Plan. CDP #
This location is in a sensitive wildlife habitat area.
This location is in a wildlife restricted surface occupancy area.
This location includes a Rule 306.d.(1)A.ii. variance request.
2. Operator
3. Contact Information
Operator Number: 10124
Name: PAUL JORDAN
Name: VESSELS COAL GAS INC
Phone: [phone]
Fax: [phone]
email: [e-mail]
Address: 730 17TH ST - SUITE 340
City: DENVER State: CO Zip: 80202
4. Location Identification:
Name: ELK CREEK FAN BOREHOLE Number: #1
County: GUNNISON
QuarterQuarter: NWNE Section: 8 Township: 13S Range: 90W Meridian: 6 Ground Elevation: 6407
Define a single point as a location reference for the facility location. This point should be used as the point of measurement in the
drawings to be submitted with this application. When the location is to be used as a well site then the point shall be a well location.
Footage at surface: 643 feet FNL , from North or South section line, and 2101 feet FEL , from East or West section line.
Latitude: 38.939230 Longitude: -107.466970 PDOP Reading: 4.6 Date of Measurement: 01/11/2012
Instrument Operator's Name: KRIS CRAWFORD
5. Facilities (Indicate the number of each type of oil and gas facility planned on location):
Special Purpose Pits: Drilling Pits: Wells: Production Pits: Dehydrator Units:
Condensate Tanks: Water Tanks: Separators: Electric Motors: Multi -Well Pits:
Gas or Diesel Motors: Cavity Pumps: LACT Unit: Pump Jacks: Pigging Station:
Electric Generators: Gas Pipeline: Oil Pipeline Water Pipeline: Flare:
Gas Compressors: VOC Combustor: Oil Tanks: Fuel Tanks:
Other: SMALL SKID -MOUNTED POWER GENERATING FACILITY
6. Construction:
Date Run: 211012012 Doc [#400240957] Loc Name: ELK CREEK FAN BOREHOLE #1 Page 1 of 5