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FORM State of Colorado <br />2 Oil and Gas Conservation Commission <br />Document Number: <br />Rev 1120 Lincoln Street, Suite 801, Denver, Colorado 80203 <br />08/13_ Phone: (303) 894-2100 Fax: (303) 894-2109 <br />rM <br />400538488 <br />APPLICATION FOR PERMIT TO: <br />(X Drill Deepen w Re-enter Recomplete and Operate <br />Date Received. <br />TYPE OF WELL OIL GAS COALBED 5Z OTHER <br />Refiling i <br />01/23/2015 <br />ZONE TYPE SINGLE ZONE FX_ MULTIPLE ZONES COMMINGLE ZONES <br />Sidetrack <br />Well Name: Bear Creek Fan Borehole Well Number: 1 <br />Name of Operator: VESSELS COAL GAS INC COGCC Operator Number: 10124 <br />Address. 73017TH ST- SUITE 340 <br />City: DENVER State: CO Zip: 80202 <br />Contact Name Andrea Gross Phone: (303)942-0506 Fax: ( ) <br />Email: agross@upstreampm.com <br />RECLAMATION FINANCIAL ASSURANCE <br />Plugging and Abandonment Bond Surety ID: 20050098 <br />WELL LOCATION INFORMATION <br />QtrQtr: SEN E Sec: 1 Twp: 13S Rng: 91W Meridian: 6 <br />Latitude: 38.951460 Longitude: -107.497430 <br />FNUFSL FEUFVL <br />Footage at Surface: 1753 , feet FNL 694 feet FEL <br />Field Name: WILDCAT Field Number: 99999 <br />Ground Elevation: 6784 County: GUNNISON <br />GPS Data: <br />Date of Measurement: 12/18/2013 PDOP Reading: 3.8 Instrument Operator's Name: Kris Crawford <br />If well is Directional : - Horizontal (highly deviated) submit deviated drilling plan. <br />Footage at Top of Prod Zone: FNUFSL FEUFWL Bottom Hole: FNUFSL FEUFWL <br />Sec: Twp: Rng- Sec: Twp: Rng: <br />LOCATION SURFACE & MINERALS & RIGHT TO CONSTRUCT <br />Surface Ownership: Tx Fee 7' State i Federal _ Indian <br />The Surface Owner is: FX is the mineral owner beneath the location <br />(check all that apply) Ix is committed to an Oil and Gas Lease. <br />TX has signed the Oil and Gas Lease. <br />is the applicant. <br />The Mineral Owner beneath this Oil and Gas Location is: )x Fee State Federal Indian <br />The Minerals beneath this Oil and Gas Location will be developed by this Well: Yes <br />The right to construct the Oil and Gas Location is granted by: oil and gas lease <br />Surface damage assurance if no agreement is in place: Surface Surety ID: <br />Date Run: 311312015 Doc [#400538488] Well Name: Bear Creek Fan Borehole 1 Page 1 of 5 <br />