2016-08-05_HYDROLOGY - M1999051

• Permit No: M1999051
• IBM Index Class Name: Hydrology
• Doc Date: 8/5/2016
• Doc Name: Well Completion Form
• From: Daub & Associates Inc
• To: DRMS
• Email Name: THM
• Media Type: D
• Archive: No

Natural Soda LLC
2016 Drilling Program
Well Completion Information
Well Name: 15H-SSMW
Hole Type: Rotary Hole-Vertical
Well Type: Subsurface Subsidence Monitoring Well
Well Status: Active
Note:All depths referenced below are measured depth(MD)values referenced from ground level(GL)elevation
As Built Location Data NAD 27, CO 0501;NADCON, GEOID99(CONUS)
GL Elevation,ft: 6686.3 Latitude, °N: 39.927297800
K13 Elevation,ft: nd Longitude, °W: 108.367304200
Section: 26 State Plane Northing,ft:229359.59
Township: is State Plane Easting,ft: 1195977.12
Range: 98W NAD 83, CO 0501;NADCON, GEOID99(CONUS)
Qtr/Qtr: SWSW Latitude, °N: 39.927270000
Footage, N/S: 14, FSL Longitude, °W: 108.367950000
Footage, E/W: 423, FWL State Plane Northing,ft: 1229359.03
State Plane Easting,ft: 2195816.83
Conductor Hole Drilling Operation Conductor Casing Data
Hole Diameter, in: 9.875 Casing Depth,ft. GL: 88.0
Start Depth,ft. GL: 0.0 Diameter, in: 7.625 OD; 6.969 ID
End Depth,ft. GL: 88.0 Type: J55(steel)
Total Footage: 88.0 Weight: 26.4 Wit
Start Date&Time: 6/15/16 12:30 Install Date&Time: 6/15/16 19:00
End Date&Time: 6/15/16 18:30 Cement Interval,ft. GL: 0-88
Total Drilling Hours: 6.0 Cement Type: Portland Type I/II
Drilling Contractor: Himes Drilling Company, In( Cement Amount, sks: 15
Rig Number: 7 Cementing Date: 6/15/2016
Drilling Media: Air Mist Top-off Cement Date: 6/16/2016
Comments: Comments:
Surface Hole Drilling Operation Surface Casing Data
Hole Diameter, in: na Casing Depth,ft. GL: na
Start Depth,ft.GL: na Diameter, in: na OD; na ID
End Depth,ft. GL: na Type: na
Total Footage: na Weight: nd
Start Date&Time: na Install Date&Time: na
End Date&Time: na Cement Interval,ft.GL: 0-na
Total Drilling Hours: na Cement Type: na
Drilling Contractor: na Cement Amount, sks: na
Rig Number: na Cementing Date&Time na
Drilling Media: na Top-off Cement Date: na
Comments: Comments:
Daub&Associates,Inc.
Printed:8/2/2016 Page 1 of 3 Daub MASTER NS Database 7-29-16