2012-06-25_PERMIT FILE - C1981022A

• Permit No: C1981022A
• IBM Index Class Name: Permit File
• Doc Date: 6/25/2012
• Doc Name: Table of Contents
• Section_Exhibit Name: Exhibit 2.03-E4 Other Permits
• Media Type: D
• Archive: Yes

FORM State of Colorado dU1tOR DE
COlORA00
2 Oil and Gas Conservation Commission
Rev 1120 Lincoln Street, Suite 801, Denver, Colorado 80205 Phone. [phone] Fax: [phone]
12/05 OIL&
GAS
APPLICATION FOR PERMIT TO:
1. jx Drill, Deepen, Re- enter, Recomplete and Operate
2. TYPE OF WELL
OIL GAS COALBED (X OTHER
SINGLE ZONE FX_ MULTIPLE COMMINGLE
ET OE ES
Document Number:
400240723
Refiling I PluggingBond SuretylD
Sidetrack 1 20050098
3. Name of Operator: VESSELS COAL GAS INC 4. COGCC Operator Number: 10124
5. Address: 730 17TH ST - SUITE 340
City: DENVER State: CO Zip: 80202
6. Contact Name: PAUL JORDAN Phone: [phone] Fax: [phone]
Email: PAUL(aD-NP3LLC.COM
7. Well Name: ELK CREEK FAN BOREHOLE Well Number: #1
8. Unit Name (if appl): Unit Number:
9. Proposed Total Measured Depth: 202
10. QtrQtr: NWNE Sec: 8
Latitude: 38.939230
Footage at Surface:
11. Field Name: WILDCAT
12. Ground Elevation:
643
6407
WELL LOCATION INFORMATION
Twp: 13S Rng: 90W Meridian: 6
Longitude: - 107.466970
FNUFSL FEUFWL
feet FNL 2010 feet FEL
Neia rvumuer: yyyyy
13. County: GUNNISON
14. GPS Data:
Date of Measurement: 01/11/2012 PDOP Reading: 4.6 Instrument Operator's Name: KRIS CRAWFORD
[Footage 5. If well is Directional Horizontal (highly deviated) submit deviated drilling plan.
at Top of Prod Zone: FNUFSL FEUFWL Bottom Hole: FNUFSL FEUFWL
L - - - - -- Sec: - - -- Twp. - -- -------------------------------- n. Sec:r
16. Is location in a high density area? (Rule 603b)? Yes (x( No
17. Distance to the nearest building, public road, above ground utility or railroad: 90 ft
18. Distance to nearest property line: 1960 19. Distance to nearest well permitted /completed in the same formation(BHL): 7 mi
ft
20. LEASE, SPACING AND POOLING INFORMATION
Objective Formation(s) Formation Code Spacing Order Number(s) Unit Acreage Assigned to Well Unit Configuration (N /2, SEA, etc.)
CAMEO COAL CMEOC
21. Mineral Ownership: FX Fee State Federal Indian Lease #:
22. Surface Ownership: r Fee State Federal Indian
23. Is the Surface Owner also the Mineral Owner? [x— Yes No Surface Surety ID #:
23a. If 23 is Yes: Is the Surface Owner(s) signature on the lease? (X Yes No
23b. If 23 is No: Surface Owners Agreement Attached or $25,000 Blanket Surface Bond $2,000 Surface Bond $5,000 Surface Bond
Date Run: 211012012 Doc (#400240723) Well Name: ELK CREEK FAN BOREHOLE #1 Page 1 of 3