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

F02RM State of Colorado ~orp,wpo
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Re~,zAS Oil and Gas Conservation Commission "~
1120 Lincoln Street. Suite 801, Denver, Cobrado 80203 Phone: [phone] Faa:[phone]
APPLICATION FOR PERMIT TO: °;a ~`
1. m Drill, ~ Deepen, a Re-enter, ~ Recanplete and Operate
2. TYPE OF WELL Retfling
Oil L^ GAS COALBED^ OTHER: Sidetrack
SINGLE ZONE _ MULTIPLE ZONES- COMMINGLE ZONES
3. Name of operator: Petroleum Development Corp. 4. COGCC Operator Number: 69175
City: Denver State: CO Zip: 80203
Contact Name: James Annable Phone: [phone] Fax:
Well Name: Coors Energy Well Number: 34
Unit Name (H apply: Unit Number:_
Proposed Total Measured Depth: 7670'
Plugging Bond Surely IDtt ,
complete the
Attachment Checklist
OP
APD Ori 81 Co ~
Form 2A
Well location tat
To o ma
Mineral lease ma
Surface agrmtlSurety
WELL LOCATION INFORMATION 30 Da notice letter
10, gtrOtr; SWSE gam: 25 Twp: 3N Rng: 64W Meridian: 6th PM Deviated Drilli Pian
latitude: 40.19046 N Longitude: 104.49812 W Exception Location
FEUFWL Re uest
Footage At Surface: 470 ~ 2165 Q Exce tion Loc Waivers
11. Field Name: Watterlberg Field Number. 90750 H2S Conlin en Plan
12. Ground Elevation: 4800' 13. County: Weld Federal Driltin Permit
ta. GPS Data:
Date of Measurement: 12/6/07 PDOP Reding: 6 Insbument Operators Name: Thomas G. Carlson PIS 24657
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15. H well Is: ~ Dirt~:tional ~ Horizontal (highly deviated), submit deviated drilling plan. Bottomhole Sec Twp Rng:
FtLLIFSL FELIFlNL ftY1FSL Fe.IFWI
footage At Top of Prod Zone: ~ Q ~ OAt Bottom Hole: ~ ~ C
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16. Is location in a high density area (Rule 603b)? ~ Yes ~ No
17. Distance to the nearest building, public road, above ground utility or railroad: 1000'+ (mine)
18. Distance to Nearest Property Line: 470' 19. Distance to nearest well pertnittedlcompleted in the same formation: 939'
~n I FACF CPACIN(: ANn PAAI INt; INFARMOTIAN
Ob'ective Formations Formation Code S as Order Numbers Unit Aaea a Assi ned to Well Unit Confi uration N12, SEl4, etc.
Sussex Shannon SX-SN N/A 80 S2SE4
Niobrara Codell NB-CD 407-87 80 S2SE4
S 80 S2SE4

21. Mineral Ownership: ®Fee estate Federal
22. Surface Ownership: Fee State Federal
23. Is the Surface Owner also the Mineral OwneR Yes
23x. K 23 is Yes: Is the Surface Owner(s) signature on the lease?
23b. If 23 is No: Surface Owners Agreement Attached a
24. Using standard OtrOV, Sec, Twp, Rng tortnat enter entire mineral lease
S2 Sec. 25 T3N R64W Indian Lease #
Indian
No Surface Surety ID# 19990086
Yes ~No
$25,000 Blanket Surface Bond x$2,000 Surface Bond $5,000 Surface Bond
description upon which this proposed wellsite is /orated (attach separate sheet/map H you prefer):
25. Distance to Nearest Mineral Lease Line: 470' 26. Total Aaes in Lease: 3~Q
27. Is H2S anticipated? ~ Yes ~ No H Yes, attach contingency plan.
28. Will salt setttions be encountered duing drilling? 0 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 N 28
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30. If quesfions 27 or 28 are yes, is this location in a sensitive area (
31. Mud disposal: OHsite ~ Onsite
Method: ®Land Fanning 0 Land Spreading ~ Disposal Faality ~ Other:
NOTE: The use of an earthen ft for Recom letion fluids r wires a it emlit Rule 905b. Hair/ as drtlli , noti local fire offidals.
Strin Size of Hole Size of Casin Wei ht Per Foot Selbn De th Sacks Cement Cement Bottom Cement To
8 5/8" 24# 800' 800' Surface
2" 10.5 7670' 7670' 5870'
2nd Sta a 350 't 5870' 2000'

.; ` Ste eTool
32. BOP Equipment Type: ~ Annular Preventor ~ Double Ram ~ Rotating Head ~ None
33. Comments Cod o Casi t ed. DC certi le t t t e se d o c a d. e l o do
formations permitted. and casino information has chanced.
34. Initial Rule 306 Consultation took place on (date) 12/4107 ,was waived, or is not required. Provide supporting documentation if consultation
has been waived or it good faith effort did not result in consultation.
PERMIT SUBMITTED TO COGCC PRIOR TO COMPLIANCE WITH RULE 306 CONSULTATION SHALL BE RETURNED UNAPPROVED.
1 hereby certify that a plate permit package has been sent to the applicable Local Government Designee(s), and all statements made in this forth are,
to the best of my kn a fired, and complete.
dames Annable
C

7 Print Name:
Signed:
Title: Sr. R ul Consultant Date: 12/13/07 Email: jim.annable comcast.net
Based on the information provided nereln, tnls E-ppucamon ror rertmk-ko-unn w~npnoa wiu~ ~..~.... ~.~~~~ a„~ orr~~w~•~ ~•--•- -• •- •- • •-•--, -~~~ - - ;
COGCC Approved: Director of COGCC Dale:
Permit Number: Expiration Date:
API NUMBER CONDITIONS OF APPROVAL, IF ANY:
05- ~