2008-04-14_PERMIT FILE - C1981028 ‎(2)‎

• Permit No: C1981028
• IBM Index Class Name: Permit File
• Doc Date: 4/14/2008
• Section_Exhibit Name: Appendix R-10 Drill Well Information
• Media Type: M
• Archive: No

FORM State of Colorado
wrAIR 4•
~.OIOVAPB oe er oe es
Rev 12105 Oil and Gas Conservation Commission "`~
1120 Lincoln Street, Suile 801, Denier, Colorado 80203 Phone: [phone] Fax:[phone]
APPLICATION FOR PERMIT TO: °~ s
1. m Drill, a Deepen, ~ Re-enter, ~ Recomplete and Operate
2. TYPE OF WELL Refiling Plugging Bond Surety ID#
8
OIL GAS COALBED^ OTHER: Sidetrack
SINGLE ZONE MULTIPLE ZONES ~ COMMINGLE ZONES Complete the

3. Name of operator: Petroleum Development Corp. 4. COGCC Operator Number: 69175 Attachment Checklist
OP Co~cc
5. Address: 1775 Sherman St, Suite 3000 APD Ori & 1 Co
City: Denver State: CO Zip: 80203 Form 2A
6. Contact Name: James Annable Phone: [phone] Fax: Well location lot
7. Well Name: Coors Energy Well Number: 24-25 To o m
8. Unit Name (if apply: Unit Number: Mineral lease ma
9. Proposed Total Measured Depth: 7670' Surface agrmUSurery
WELL LOCATION INFORMATION 30 Da notice letter
10. OtrOtr: SESW gam; 25 Twp: 3N Rng: 64W Meridian: 6th PM Deviated Drillin Plan
latitude: 40.19043 N Longitude: 104.50151 W Exception Location
FNUFSL FEUFVJL Re 11eSt
Footage At Surface: 470 S^ 2165 0 Exce bon Loc Waivers
11. Field Name: Wattenberg Field Number: 90750 H2S Conlin en Plan
12. Ground Elevation: 4815' 13. County: W21d Federal Drillin Permit

1a. GPS Data:
Date of Measurement: 12/6/07 PDOP Reading: 6 Instrument Operators Name: Thomas G. Carlson PIS 24657
-------------------------------------------------------------
15. If well is: ~ Directional ~ Horizontal (highly deviated), submit deviated drilling plan. Bottomhole Sec Twp Rng: -----
FNLffSL FELIFWL
Footage At Top of Prod Zone: ~ 0 0 QAt Bottom Hole: ~
----------------------------------------------- FNUFSL
~ Q
------------- FEUFwL
'~
------
16. Is loratlon in a high density area (Rule 603b)? ~ Yes ©No
17. Distance to the nearest building, public road, above ground utility or railroad: 800'+ (rTtlne)
18. Distance to Nearest Property Line: 470' 19. Distance to nearest well pennittedlcompleted in the same formation: 939'
~n LEASE. SPACING AND POOLING INFORMATION
Ob'ective Formations Formation Code S acin Order Numbers Unit Acrea a Assi ned to Well Unit Confi uraGon N/2, SEl4, etc.
Sussex Shannon SX-SN N/A 80 S2SW4
Niobrara Codell NB-CD 407-87 80 S2SW4
DSND 80 S2SW4
W2
21. Mineral Ownership: Fee State Federal
22. Surface Ownership: ®Fee BState Federal
23. Is the Surface Owner also the Mineral Owner? Yes
23a. If 23 is Yes: Is the Surface Owner(s) signature on the lease?
23b. If 23 is No: Surface Owners Agreement Attached or
24. Using standard OtrOtr, Sec, Twp, Rng format enter entire mineral lease de
S2 Sec. 25 T3N R64W Indian Lease #
Indian
No Surface Surety ID# 19990086
Yes ~No
$25,000 Blanket Surface Bond $2,000 Surface Bond $5,000 Surface Bond
scription upon which this proposed wellsite is lorated (attach separate sheeUmap if you prefer):
25. Distance to Nearest Mineral Lease Line: 470' 26. Total Acres in Lease: 320
nRll 1 INr: PI ANS ANn PRl]CFI~IIRFS
27. Is H2S anticipated? ~ Yes ~ No If Yes, attach contingency plan.
28. Will salt sections be encountered duing drilling? ~ Yes No
29. Will salt (>15,000 ppm TDS CI) or oil based muds be used during drilling? Yes No
29 or 30 are "Yes" a pit permit may be required
? Yes No If 28
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30. .
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If questions 27 or 28 are yes, is this location
31. Mud disposal: Offsite ~ Onsite
Method: 8 Land Fanning ~ Land Spreading ~ Disposal Facility ~ Other:
NOTE: The use of an earthen it for Recom letion fluids re wires a it ermit Rule 905b. If airl as drillin , nofi local fire officials.
Sirin Size of Hole Size of Casin Wei ht Per Foot Setbn De th Sacks Cement Cement Bottom Cement To
" 8 5/8" 24# 800' S75sx 800' Surface
" 4 1 /2" 10.5# 7670' 7670' 5870'
2nd Sta a 350 lite 5870' 2000'

r
.. .. ... Sta a Tool
32. BOP Equipment Type: ~ Annular Preventor ~ Double Ram ~ Rotating Head ~ None
33. Comments Conductor Casin will not be used
3a. Initial Rule 306 Consultation took place on (date) 12/4/07 ,was waived, or is not required. Provide supporting documentation if consultation
has been waived or if good faith effort did not result in consultation.
PERMIT SUBMITTE O COGCC PRIOR TO COMPLIANCE WITH RULE 306 CONSULTATION SHALL BE RETURNED UNAPPROVED.
I hereby certify that to permit package has been sent to the applicable Local Government Designee(s), and all statements made in this form are,
to the best of my k o edge ~mect, and complete.
James Annable

Print Name:
Signed:
Title: Sr Re ato Consultant Date: 12/13/07 Email: jim.annable comcast.net
Based on the information provided herein, this Application for Permit-to-Dell complies with ~~ccc rcuies one appucaoie oraers ana is nereoy apNiwcu.
COGCC Approved:
Director of COGCC Date:
Permit Number: Expiration Date:
API NUMBER CONDITIONS OF APPROVAL, IF ANY:
OS-