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

LEASE INFORMATION
Using standard QtrQtr, Sec, Twp, Rng format, describe one entire mineral lease that will
be produced by this well (Describe lease
beneath surface location if produced. Attach separate description page or map if necessary.)
Please see attached Lease Description
Total Acres in Described Lease: 2858 Described Mineral Lease is: TX` Fee State ­1 Federal I Indian
Federal or State Lease #
Distance from Completed Portion of Wellbore to Nearest Lease Line of described lease:
9729 Feet
CULTURAL DISTANCE INFORMATION
INSTRUCTIONS:
-All measurements shall be provided from center of
Distance to nearest:
the Proposed Well to nearest of each cultural
feature as described in Rule 303.a.(5).
Building' 5280 Feet
Enter 5280 for distance greater than 1 mile.
Building Unit. 5280 Feet
Building - nearest building of any type. If nearest
Building is a Building Unit, enter same distance for
High Occupancy Building Unit. 5280 Feet
both.
Designated Outside Activity Area: 5280 Feet
- Building Unit, High Occupancy Building Unit, and
Designated Outside Activity Area - as defined in
Public Road. 5280 Feet
100-Series Rules.
Above Ground Utility: 5280 Feet
Railroad: 5280 Feet
Property Line: 432 Feet
DESIGNATED SETBACK LOCATION INFORMATION
- Buffer Zone — as described in Rule 604.a.(2), within
1,000' of a Building Unit
Check all that apply. This location is within a: Buffer Zone
- Exception Zone - as described in Rule 604.a.(1),
Exception Zone
within 500' of a Building Unit.
-Urban Mitigation Area - as defined in 100-Series
. Urban Mitigation Area
Rules.
Pre-application Notifications (required if location is within 1,000 feet of a building unit):
Date of Rule 305.a.(1) Urban Mitigation Area Notification to Local Government:
Date of Rule 305.a.(2) Buffer Zone Notification to Building Unit Owners-
SPACING and UNIT INFORMATION
Distance from Completed Portion of Wellbore to Nearest Wellbore Permitted or Completed in the same formation: 5280 Feet
Distance from Completed Portion of Wellbore to Nearest Unit Boundary 1753 Feet
(Enter 5280 for distance greater than 1 mile.)
Federal or State Unit Name (if appl)- Elk Creek
Unit Number. COC75003X
SPACING & FORMATIONS COMMENTS
OBJECTIVE FORMATIONS
Obiective Formation(s) Formation Code Spacing Order Number(s) Unit Acreage Assigned to Well Unit Configuration (N/2. SE/4, etc.)
CAMEO COAL CMEOC
DRILLING PROGRAM
Proposed Total Measured Depth- 604 Feet
Distance to nearest permitted or existing wellbore penetrating objective formation:
9729 Feet (Including plugged wells)
Will a closed-loop drilling system be used? No
Is H2S gas reasonably expected to be encountered during drilling operations at concentrations greater than
or equal to 100 ppm? No (If Yes, attach an H2S Drilling Operations Plan)
Will salt sections be encountered during drilling? No
Date Run: 311312015 Doc [#400538488] Well Name: Bear Creek Fan Borehole 1 Page 2 of 5