APPLICATION FOR PERMIT TO DRILL, DEEPEN, OR PLUG BACK … · 2018-12-15 · APPLICATION FOR PERMIT...

90
Form 3160-3 SUBMIT IN T ATE' Form approved. (November 1983) (Other instructions on Budget Bureau No. 1004·-0136 (formerly 9-331C) UNITED STATES r•'•==••id•) Expires August 31, 1985 DEPARTMENT OF THE INTERIOR G. LEABB DESIGNATION AND BERIAL NO. BUREAU OF LAND MANAGEMENT UTU-50376 APPLICATIONFOR PERMITTO DRILL,DEEPEN,OR PLUG BACK Û-WINDIAN.A OTTEROBTEIBENAME la. TTPE OF WORK DRILL E DEEPEN O PLUG BACK O 7. UNIT AGREEMENT NAME b. TTPs or war.I. wrcor.t. var.z. O o2... " °." O fo"NLTH' 2. naus or ormastoa Boundarv Federal LOMAX EXPLORATION o. war.x. no. 3. ADDRESS OF OPERATOR #12-21 P.O. Box 1446 Roosevelt, Utah 84066 lo. FIELD AND O DCAT 4. LOCATION OF WELL (Report location clearly and in accordance with any State requirements.•) L μýg / V At surface 1790FSL 654 FWL NW/SW 11. .r..a... oma". At proposed prod. zone Sec. 21, TSS, R17E 14. DISTANCE IN MILES AND DIRECTION FROM NEAREST TOWN OE POST OrrICE* 12. COUNTT OR PARISH 13. BTATE 11 miles South of Myton, Utah Duchesne Utah 10. DISTANCE TROM PROPOSED* 16. NO. OF ACRES IN LEASE 17. NO. OF ACRES ASSIGNED LOCATION TO NEAREST TO THIS WELL PROPERTY OR I.EASE I,INE, FT- 654 ' l563 . 72 40 (Also to nearest drig. unit line, if anyt 18. DISTANCE FROM PROPOSED LOCATION* 1Û. PROPOSED DEPTH 2Û. ROTART OE CABLE TOOLS TO NEAREST WELL, DRILLING. COMPLETED. OR APPLIED FOR, ON THIS LBABR, FT- 13 0 4 ' 6500 ' Ro t a ry 21. ELEVATIONs (Show whether DF, RT, GR, etc.) 22. APPROz. DATE WORK WILL BiART 5246.7 GR April 1994 23. PROPOSED CASING AND CEMENTING PROGRAM SIZE OF HOLE SIZE OF CASING WEIGHT PER FOOT SETTING DEPTH QUANTITT OF CRMENT 12-1/4" 8-5/8" 24# 300' 216 sx Class "G" + 2% CaCl2 |-//8" 5-1/2" 17# TD 616 sc Riliff follower) hv 52 sx Class "G" w/2% CaC12 FEB 2 5 W IN ABOVE SPACE DESCRIBE PROPOSED PaooaAM : If proposal is to deepen or plug back. give data on present productive zone and proposed new productive zone. If proposal is to drill or deepen directionally, give pertinent data on subsurface locations and measured and true vertical depths. Give blowout preventer program, if any. SIGNED TiffT Regional Pr inction Mgro 2/23/94 (This space for Fed ral or State odice use) L, G INh APPROVED BT TITLE CONDITIONS OF APPROVAL. IF ANY: *See Instructions On Revers.Side Title 18 U.S.C. Section 1001, makes it a crime for any person knowingly and willfully to make to any department or agency of the United States any false. fictitious or fraudulent statements or representations as to any matter within its Form 3160-3 SUBMIT IN T ATE' Form approved. (November 1983) (Other instructions on Budget Bureau No. 1004·-0136 (formerly 9-331C) UNITED STATES r•'•==••id•) Expires August 31, 1985 DEPARTMENT OF THE INTERIOR G. LEABB DESIGNATION AND BERIAL NO. BUREAU OF LAND MANAGEMENT UTU-50376 APPLICATIONFOR PERMITTO DRILL,DEEPEN,OR PLUG BACK Û-WINDIAN.A OTTEROBTEIBENAME la. TTPE OF WORK DRILL E DEEPEN O PLUG BACK O 7. UNIT AGREEMENT NAME b. TTPs or war.I. wrcor.t. var.z. O o2... " °." O fo"NLTH' 2. naus or ormastoa Boundarv Federal LOMAX EXPLORATION o. war.x. no. 3. ADDRESS OF OPERATOR #12-21 P.O. Box 1446 Roosevelt, Utah 84066 lo. FIELD AND O DCAT 4. LOCATION OF WELL (Report location clearly and in accordance with any State requirements.•) L μýg / V At surface 1790FSL 654 FWL NW/SW 11. .r..a... oma". At proposed prod. zone Sec. 21, TSS, R17E 14. DISTANCE IN MILES AND DIRECTION FROM NEAREST TOWN OE POST OrrICE* 12. COUNTT OR PARISH 13. BTATE 11 miles South of Myton, Utah Duchesne Utah 10. DISTANCE TROM PROPOSED* 16. NO. OF ACRES IN LEASE 17. NO. OF ACRES ASSIGNED LOCATION TO NEAREST TO THIS WELL PROPERTY OR I.EASE I,INE, FT- 654 ' l563 . 72 40 (Also to nearest drig. unit line, if anyt 18. DISTANCE FROM PROPOSED LOCATION* 1Û. PROPOSED DEPTH 2Û. ROTART OE CABLE TOOLS TO NEAREST WELL, DRILLING. COMPLETED. OR APPLIED FOR, ON THIS LBABR, FT- 13 0 4 ' 6500 ' Ro t a ry 21. ELEVATIONs (Show whether DF, RT, GR, etc.) 22. APPROz. DATE WORK WILL BiART 5246.7 GR April 1994 23. PROPOSED CASING AND CEMENTING PROGRAM SIZE OF HOLE SIZE OF CASING WEIGHT PER FOOT SETTING DEPTH QUANTITT OF CRMENT 12-1/4" 8-5/8" 24# 300' 216 sx Class "G" + 2% CaCl2 |-//8" 5-1/2" 17# TD 616 sc Riliff follower) hv 52 sx Class "G" w/2% CaC12 FEB 2 5 W IN ABOVE SPACE DESCRIBE PROPOSED PaooaAM : If proposal is to deepen or plug back. give data on present productive zone and proposed new productive zone. If proposal is to drill or deepen directionally, give pertinent data on subsurface locations and measured and true vertical depths. Give blowout preventer program, if any. SIGNED TiffT Regional Pr inction Mgro 2/23/94 (This space for Fed ral or State odice use) L, G INh APPROVED BT TITLE CONDITIONS OF APPROVAL. IF ANY: *See Instructions On Revers.Side Title 18 U.S.C. Section 1001, makes it a crime for any person knowingly and willfully to make to any department or agency of the United States any false. fictitious or fraudulent statements or representations as to any matter within its

Transcript of APPLICATION FOR PERMIT TO DRILL, DEEPEN, OR PLUG BACK … · 2018-12-15 · APPLICATION FOR PERMIT...

Page 1: APPLICATION FOR PERMIT TO DRILL, DEEPEN, OR PLUG BACK … · 2018-12-15 · APPLICATION FOR PERMIT TO DRILL, DEEPEN, OR PLUG BACK Û-WINDIAN.A OTTEROBTEIBENAME la. TTPE OF WORK ...

Form 3160-3 SUBMIT IN T ATE' Form approved.

(November 1983) (Other instructions on Budget Bureau No. 1004·-0136

(formerly 9-331C) UNITED STATES r•'•==••id•) Expires August 31, 1985

DEPARTMENT OF THE INTERIOR G. LEABB DESIGNATION AND BERIAL NO.

BUREAU OF LAND MANAGEMENT UTU-50376

APPLICATIONFOR PERMITTO DRILL,DEEPEN,OR PLUG BACK Û-WINDIAN.A OTTEROBTEIBENAME

la. TTPE OF WORK

DRILLE DEEPENO PLUGBACK O 7. UNIT AGREEMENT NAME

b. TTPs or war.I.

wrcor.t. var.z. O o2..." °." O fo"NLTH'

2. naus or ormastoa Boundarv Federal

LOMAX EXPLORATION o. war.x. no.

3. ADDRESS OF OPERATOR#12-21

P.O. Box 1446 Roosevelt, Utah 84066 lo. FIELD AND O DCAT

4. LOCATION OF WELL (Report location clearly and in accordance with any State requirements.•) L µýg / V

At surface1790FSL 654 FWL NW/SW 11. .r..a... oma".

At proposed prod. zone Sec. 21, TSS, R17E

14. DISTANCE IN MILES AND DIRECTION FROM NEAREST TOWN OE POST OrrICE* 12. COUNTT OR PARISH 13. BTATE

11 miles South of Myton, Utah Duchesne Utah10. DISTANCE TROM PROPOSED* 16. NO. OF ACRES IN LEASE 17. NO. OF ACRES ASSIGNED

LOCATION TO NEAREST TO THIS WELL

PROPERTY OR I.EASE I,INE, FT- 6 5 4 ' l 5 6 3 . 7 2 4 0(Also to nearest drig. unit line, if anyt

18. DISTANCE FROM PROPOSED LOCATION* 1Û. PROPOSED DEPTH 2Û. ROTART OE CABLE TOOLS

TO NEAREST WELL, DRILLING. COMPLETED.OR APPLIED FOR, ON THIS LBABR, FT- 1 3 0 4 ' 6 5 0 0 ' Ro t a ry

21. ELEVATIONs (Show whether DF, RT, GR, etc.) 22. APPROz. DATE WORK WILL BiART

5246.7 GRApril 1994

23. PROPOSED CASING AND CEMENTING PROGRAM

SIZE OF HOLE SIZE OF CASING WEIGHT PER FOOT SETTING DEPTH QUANTITT OF CRMENT

12-1/4" 8-5/8" 24# 300' 216 sx Class "G" + 2% CaCl2|-//8" 5-1/2" 17# TD 616 sc Riliff follower) hv 52

sx Class "G" w/2% CaC12

FEB2 5W

IN ABOVE SPACE DESCRIBE PROPOSED PaooaAM : If proposal is to deepen or plug back. give data on present productive zone and proposed new productive

zone. If proposal is to drill or deepen directionally, give pertinent data on subsurface locations and measured and true vertical depths. Give blowout

preventer program, if any.

SIGNEDTiffT Regional Pr inction Mgro 2/23/94

(This space for Fed ral or State odice use)

L, G INhAPPROVED BT

TITLE

CONDITIONS OF APPROVAL. IF ANY:

*SeeInstructionsOn Revers.SideTitle 18 U.S.C. Section 1001, makes it a crime for any person knowingly and willfully to make to any department or agency of the

United States any false. fictitious or fraudulent statements or representations as to any matter within its

Form 3160-3 SUBMIT IN T ATE' Form approved.

(November 1983) (Other instructions on Budget Bureau No. 1004·-0136

(formerly 9-331C) UNITED STATES r•'•==••id•) Expires August 31, 1985

DEPARTMENT OF THE INTERIOR G. LEABB DESIGNATION AND BERIAL NO.

BUREAU OF LAND MANAGEMENT UTU-50376

APPLICATIONFOR PERMITTO DRILL,DEEPEN,OR PLUG BACK Û-WINDIAN.A OTTEROBTEIBENAME

la. TTPE OF WORK

DRILLE DEEPENO PLUGBACK O 7. UNIT AGREEMENT NAME

b. TTPs or war.I.

wrcor.t. var.z. O o2..." °." O fo"NLTH'

2. naus or ormastoa Boundarv Federal

LOMAX EXPLORATION o. war.x. no.

3. ADDRESS OF OPERATOR#12-21

P.O. Box 1446 Roosevelt, Utah 84066 lo. FIELD AND O DCAT

4. LOCATION OF WELL (Report location clearly and in accordance with any State requirements.•) L µýg / V

At surface1790FSL 654 FWL NW/SW 11. .r..a... oma".

At proposed prod. zone Sec. 21, TSS, R17E

14. DISTANCE IN MILES AND DIRECTION FROM NEAREST TOWN OE POST OrrICE* 12. COUNTT OR PARISH 13. BTATE

11 miles South of Myton, Utah Duchesne Utah10. DISTANCE TROM PROPOSED* 16. NO. OF ACRES IN LEASE 17. NO. OF ACRES ASSIGNED

LOCATION TO NEAREST TO THIS WELL

PROPERTY OR I.EASE I,INE, FT- 6 5 4 ' l 5 6 3 . 7 2 4 0(Also to nearest drig. unit line, if anyt

18. DISTANCE FROM PROPOSED LOCATION* 1Û. PROPOSED DEPTH 2Û. ROTART OE CABLE TOOLS

TO NEAREST WELL, DRILLING. COMPLETED.OR APPLIED FOR, ON THIS LBABR, FT- 1 3 0 4 ' 6 5 0 0 ' Ro t a ry

21. ELEVATIONs (Show whether DF, RT, GR, etc.) 22. APPROz. DATE WORK WILL BiART

5246.7 GRApril 1994

23. PROPOSED CASING AND CEMENTING PROGRAM

SIZE OF HOLE SIZE OF CASING WEIGHT PER FOOT SETTING DEPTH QUANTITT OF CRMENT

12-1/4" 8-5/8" 24# 300' 216 sx Class "G" + 2% CaCl2|-//8" 5-1/2" 17# TD 616 sc Riliff follower) hv 52

sx Class "G" w/2% CaC12

FEB2 5W

IN ABOVE SPACE DESCRIBE PROPOSED PaooaAM : If proposal is to deepen or plug back. give data on present productive zone and proposed new productive

zone. If proposal is to drill or deepen directionally, give pertinent data on subsurface locations and measured and true vertical depths. Give blowout

preventer program, if any.

SIGNEDTiffT Regional Pr inction Mgro 2/23/94

(This space for Fed ral or State odice use)

L, G INhAPPROVED BT

TITLE

CONDITIONS OF APPROVAL. IF ANY:

*SeeInstructionsOn Revers.SideTitle 18 U.S.C. Section 1001, makes it a crime for any person knowingly and willfully to make to any department or agency of the

United States any false. fictitious or fraudulent statements or representations as to any matter within its

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LOMAXEXPLORATIONCO.

Well location, BOUNDARYFEDERAL#12-21,TBS Rf7E SL B.&M. Iocated as shown in the NW 1/4 SW 1/4 of

• •.

Section 21, T8S, R17E, S.L.B.&M.DuchesneCounty, Utah.

S89 48'W - 79.94 (G.L.O.)BASIS OF ELEVATION

SPOT ELEVATIONLOCATED AT THE SOUTHWESTCORNERI OF SECTION 21, TSS, R17E, S.L.B.&M. TAKEN FROM

THE MYTONSE QUADRANGLE,DUCHESNE COUNTY, 7.5MINUTE QUAD. (TOPOGRAPHIC MAP) PUBLISHED BY THEUNITED STATES DEPARTMENTOF THE INTERIOR,GEOLOGICALSURVEY. SAID ELEVATIONIS MARKEDASBEING 5261 FEET.

NOTEBAS/S OF BEARINGS /S 7HESOU 7H LINE OF 7HE SE 1/4OF SEC 710N 20, TBS, R17E, N

2 S.L.B.&M.WH/CH/S ASSUMEDJ FROM G.L.O. INFORMA710N TO

BEAR SB9°56'W | .)

2 o oI o o o

o O - o

(Comp.)z 654' SCALE

BOUNDARYFEDERAL/12-21¡ E'ev. Ungraded Ground =

5248, cERTIFICATHIS IS TO CERTIFYTHAT THEABOVEPLAT AS OMFIELD NOTES OF ACTUALSURVE1$ ADE BY ME OR USUPERVISIONAND THAT THE SÀÑjtASE TRUE ANDCORREC THEBEST OF MY KNOWLEDGEAND

Soue V4 Gor.EGISTEREDLAND URVEYOI

Soc. 20STRATIONNO. 5709 / Ë

REVISED: D.R.B. 2-21-94 UTAH Š

1 .UINNH ENGINEERING & LAND Ètik G

S89°50'W- 79.96 (G.L.O.) 85 SOUTH 200 BAST - VERNAI, UTAH 84078

SB956'W - (G.L.O.) (801) 789-1017

2650.90' (Meas.) LEGEND: SCALE DATE SURVEYED: DATE DRAWN:1" = 1000' 1-28-94 2-8-94

=90° SYMBOL PARTY REFERENCES

= PROPOSED WELL HEAD. G.S. N.H. D.J.S. G.L.O. PLATWEA1NER FILE

A = SECTION CORNERS LOCATED. (ÐrassCaps) COLD LOMAXEXPLORATION

LOMAXEXPLORATIONCO.

Well location, BOUNDARYFEDERAL#12-21,TBS Rf7E SL B.&M. Iocated as shown in the NW 1/4 SW 1/4 of

• •.

Section 21, T8S, R17E, S.L.B.&M.DuchesneCounty, Utah.

S89 48'W - 79.94 (G.L.O.)BASIS OF ELEVATION

SPOT ELEVATIONLOCATED AT THE SOUTHWESTCORNERI OF SECTION 21, TSS, R17E, S.L.B.&M. TAKEN FROM

THE MYTONSE QUADRANGLE,DUCHESNE COUNTY, 7.5MINUTE QUAD. (TOPOGRAPHIC MAP) PUBLISHED BY THEUNITED STATES DEPARTMENTOF THE INTERIOR,GEOLOGICALSURVEY. SAID ELEVATIONIS MARKEDASBEING 5261 FEET.

NOTEBAS/S OF BEARINGS /S 7HESOU 7H LINE OF 7HE SE 1/4OF SEC 710N 20, TBS, R17E, N

2 S.L.B.&M.WH/CH/S ASSUMEDJ FROM G.L.O. INFORMA710N TO

BEAR SB9°56'W | .)

2 o oI o o o

o O - o

(Comp.)z 654' SCALE

BOUNDARYFEDERAL/12-21¡ E'ev. Ungraded Ground =

5248, cERTIFICATHIS IS TO CERTIFYTHAT THEABOVEPLAT AS OMFIELD NOTES OF ACTUALSURVE1$ ADE BY ME OR USUPERVISIONAND THAT THE SÀÑjtASE TRUE ANDCORREC THEBEST OF MY KNOWLEDGEAND

Soue V4 Gor.EGISTEREDLAND URVEYOI

Soc. 20STRATIONNO. 5709 / Ë

REVISED: D.R.B. 2-21-94 UTAH Š

1 .UINNH ENGINEERING & LAND Ètik G

S89°50'W- 79.96 (G.L.O.) 85 SOUTH 200 BAST - VERNAI, UTAH 84078

SB956'W - (G.L.O.) (801) 789-1017

2650.90' (Meas.) LEGEND: SCALE DATE SURVEYED: DATE DRAWN:1" = 1000' 1-28-94 2-8-94

=90° SYMBOL PARTY REFERENCES

= PROPOSED WELL HEAD. G.S. N.H. D.J.S. G.L.O. PLATWEA1NER FILE

A = SECTION CORNERS LOCATED. (ÐrassCaps) COLD LOMAXEXPLORATION

Page 3: APPLICATION FOR PERMIT TO DRILL, DEEPEN, OR PLUG BACK … · 2018-12-15 · APPLICATION FOR PERMIT TO DRILL, DEEPEN, OR PLUG BACK Û-WINDIAN.A OTTEROBTEIBENAME la. TTPE OF WORK ...

OLOMAX EXPLORATION COMPANY

BOUNDARY FEDERAL #12-21NWISW SECTION 21, T8S, R17E

DUCHESNE COUNTY, UTAH

TEN POINT WELL PROGRAM

1. GEOLOGIC SURFACE FORMATION:

Uinta formation of Upper Eocene Age

2. ESTIMATED TOPS OFIMPORTA.VT GEOLOGIC MARKERS:

Uinta 0' - 3030'Green River 3030'Wasatch 6070'

3. ESTIMATED DEPTHS OF ANTICIPATED WATER, OIL, GAS OR MINERALS:

Green River Formation 5000' - Oil

4. PROPOSED CASING PROGRAM

8 5/8", J-55, 24# w/ ST&C collars; set at 300' (New)5 1/2", J-55, 17# w/ LT&C collars; set at TD (New)

5. MINIMUM SPECIFICATIONS FOR PRESSURE CONTROL:

The operators minimum specifications for pressure control equipment are as follows:

A 8" Series 900 Hydril Bag type BOP and a 8" Double Ram Hydraulic unit with a closing unitwill be utilized. Pressure test of BOPS's will be checked daily.

(See Exhibit F)

6. TYPEAND CHARACTERISTICS OF THE PROPOSED CIRCULATION MUDS:

It is proposed that the hole be drilled with fresh water to the "J" zone and with mud thereafter.The mud system will be a water based gel-chemical, weighted to 10.0 ppg as necessary for gascontrol.

7. AUXILIARY SAFETY EQUIPMENT TOBE USED:

Auxiliary safety equipment will be a Kelly Cock, bit float, and a TIW valve with drill pipe

OLOMAX EXPLORATION COMPANY

BOUNDARY FEDERAL #12-21NWISW SECTION 21, T8S, R17E

DUCHESNE COUNTY, UTAH

TEN POINT WELL PROGRAM

1. GEOLOGIC SURFACE FORMATION:

Uinta formation of Upper Eocene Age

2. ESTIMATED TOPS OFIMPORTA.VT GEOLOGIC MARKERS:

Uinta 0' - 3030'Green River 3030'Wasatch 6070'

3. ESTIMATED DEPTHS OF ANTICIPATED WATER, OIL, GAS OR MINERALS:

Green River Formation 5000' - Oil

4. PROPOSED CASING PROGRAM

8 5/8", J-55, 24# w/ ST&C collars; set at 300' (New)5 1/2", J-55, 17# w/ LT&C collars; set at TD (New)

5. MINIMUM SPECIFICATIONS FOR PRESSURE CONTROL:

The operators minimum specifications for pressure control equipment are as follows:

A 8" Series 900 Hydril Bag type BOP and a 8" Double Ram Hydraulic unit with a closing unitwill be utilized. Pressure test of BOPS's will be checked daily.

(See Exhibit F)

6. TYPEAND CHARACTERISTICS OF THE PROPOSED CIRCULATION MUDS:

It is proposed that the hole be drilled with fresh water to the "J" zone and with mud thereafter.The mud system will be a water based gel-chemical, weighted to 10.0 ppg as necessary for gascontrol.

7. AUXILIARY SAFETY EQUIPMENT TOBE USED:

Auxiliary safety equipment will be a Kelly Cock, bit float, and a TIW valve with drill pipe

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OBOUNDARY FEDERAL #12-21

8. TESTING, LOGGING AND CORING PROGRAMS:

No drill stem testing has been scheduled for this well. It is anticipated at this time that thelogging will consist of a Dual Induction Laterolog, Compensated Neutron-Formation DensityLog, Formation Microscan and NMR Logs. Rotary diamond sidewall cores may be taken inprospective reservoirs. Logs will run from TD to 3500'. The cement log will be run from PBTD

to cement top.

9. ANTICIPATED ABNORMAL PRESSURE OR TEMPERATURE:

The anticipated bottom hole pressure is 1800psi. It is not anticipated that abnormaltemperatures will be encountered; nor that any other abnormal hazards such as H2S will beencountered in this area.

10. ANTICIPATED STARTING DATE AND DURATION OF THE OPERATIONS:

It is anticipated that the drilling operations will commence in April, 1994 and takeapproximately ten days to drill.

OBOUNDARY FEDERAL #12-21

8. TESTING, LOGGING AND CORING PROGRAMS:

No drill stem testing has been scheduled for this well. It is anticipated at this time that thelogging will consist of a Dual Induction Laterolog, Compensated Neutron-Formation DensityLog, Formation Microscan and NMR Logs. Rotary diamond sidewall cores may be taken inprospective reservoirs. Logs will run from TD to 3500'. The cement log will be run from PBTD

to cement top.

9. ANTICIPATED ABNORMAL PRESSURE OR TEMPERATURE:

The anticipated bottom hole pressure is 1800psi. It is not anticipated that abnormaltemperatures will be encountered; nor that any other abnormal hazards such as H2S will beencountered in this area.

10. ANTICIPATED STARTING DATE AND DURATION OF THE OPERATIONS:

It is anticipated that the drilling operations will commence in April, 1994 and takeapproximately ten days to drill.

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O OLOMAX EXPLORATION COMPANY

BOUNDARY FEDERAL #12-21NW/SW SECTION 21, TSS, R17E

DUCHESNE COUNTY, UTAH

THIRTEEN POINT WELLPROGRAM

1. EXISTING ROADS

See attached Topographic Map "A"

To reach Lomax Exploration Company well location site Boundary Federal #12-21 located in

the NW 1/4 SW 1/4 Section 21, T8S. R17E, S.L.B. & M. Duchesne County, Utah:

Proceed westerly out of Myton, Utah along Highway 40 - 1.5 miles = to the junctionof this

highway and Utah State Highway 53 :.proceed southerly along Utah State Highway 53 - 7.0 miles

to its junction with an existing dirt road to the east : proceed easterly along this road 2.5 miles to

its intersection with the beginning of the proposed access road to be discussed in Item # 2.

The highways mentioned in the foregoing paragraph are bituminous surfaced roads to the point

where Highway 53 meets the existing dirt road, thereafter the roads are constructed with existing

materials and gravel. The highways are maintained by Utah Stateroad crews. All other roads

are maintained by CountyCrews.

The aforementioned dirt oilfield service roads and other roads in the vicinity are constructed out

of existing native materials that are prevalent to the existing area they are located in and range f

from clays to a sandy-clay shale material.

The roads required for access during the drilling, completion and production phase will be

maintained at the standards required by the BLM or other controlling agencies. This

maintenance will consist of some minor grader work for smoothing road surfaces and for snow

removal.

2. PLANNED ACCESS ROAD

See Topographic Map "B".

The planned access road leaves the existing location described in Item #1 in the NE 1/4 SW 1/4

Section 21, T8S, Rl7E, S.L.B. & M. and proceeds in a westerly direction approximately .3 miles

to the proposed location.

The planned access road will be an 18' crown road (9' either side of the centerline) with drainage

ditches along either side of the proposed road whether it is determined necessary in order to

handle any run-off from normal meteorologicalconditions that are prevalent to this area. The

maximum grade will be less than

O OLOMAX EXPLORATION COMPANY

BOUNDARY FEDERAL #12-21NW/SW SECTION 21, TSS, R17E

DUCHESNE COUNTY, UTAH

THIRTEEN POINT WELLPROGRAM

1. EXISTING ROADS

See attached Topographic Map "A"

To reach Lomax Exploration Company well location site Boundary Federal #12-21 located in

the NW 1/4 SW 1/4 Section 21, T8S. R17E, S.L.B. & M. Duchesne County, Utah:

Proceed westerly out of Myton, Utah along Highway 40 - 1.5 miles = to the junctionof this

highway and Utah State Highway 53 :.proceed southerly along Utah State Highway 53 - 7.0 miles

to its junction with an existing dirt road to the east : proceed easterly along this road 2.5 miles to

its intersection with the beginning of the proposed access road to be discussed in Item # 2.

The highways mentioned in the foregoing paragraph are bituminous surfaced roads to the point

where Highway 53 meets the existing dirt road, thereafter the roads are constructed with existing

materials and gravel. The highways are maintained by Utah Stateroad crews. All other roads

are maintained by CountyCrews.

The aforementioned dirt oilfield service roads and other roads in the vicinity are constructed out

of existing native materials that are prevalent to the existing area they are located in and range f

from clays to a sandy-clay shale material.

The roads required for access during the drilling, completion and production phase will be

maintained at the standards required by the BLM or other controlling agencies. This

maintenance will consist of some minor grader work for smoothing road surfaces and for snow

removal.

2. PLANNED ACCESS ROAD

See Topographic Map "B".

The planned access road leaves the existing location described in Item #1 in the NE 1/4 SW 1/4

Section 21, T8S, Rl7E, S.L.B. & M. and proceeds in a westerly direction approximately .3 miles

to the proposed location.

The planned access road will be an 18' crown road (9' either side of the centerline) with drainage

ditches along either side of the proposed road whether it is determined necessary in order to

handle any run-off from normal meteorologicalconditions that are prevalent to this area. The

maximum grade will be less than

Page 6: APPLICATION FOR PERMIT TO DRILL, DEEPEN, OR PLUG BACK … · 2018-12-15 · APPLICATION FOR PERMIT TO DRILL, DEEPEN, OR PLUG BACK Û-WINDIAN.A OTTEROBTEIBENAME la. TTPE OF WORK ...

BOUNDARY FEDERAL #12-21

There will no culverts required along this access road. There will no water turnouts constructedalong this road.

There is one (1) fence encountered along this proposed road. There will be one (1) new gate andno new cattle guards required.

All construction material for this access road will be borrowed material accumulated duringconstruction of the access road.

3. LOCATION OF EXISTING WELLS

There are three (3) producing , three (3) shut in and one (1) P&A Lomax Exploration wells, one(1) P&A, PG&E wells within a one-mile radius of this location site. (See Topographic Map"D").

4. LOCATION OF EXISTING AND/OR PROPOSED FACILITIES

There are no existing facilities that will be used by this well.

It is anticipated that this well will be a producing oil well.

Upon construction of a tank battery the well pad will be surrounded by a dike of sufficientcapacity to contain at minimum the entire contests of the largest tank within the facility battery.The integrity of the dike will be maintained.

Tank batteries will be placed on a per SundryNotice if the well is completed as a producer.

All permanent (on site for six (6) months or longer) structures constructed or installed (includingpumping units) will be painted Desert Tan. All facilities will be painted within six months ofinstallation.

5. LOCATION AND TYPE OF WATER SUPPLY

At the present time, it is anticipated that the water for this well will be transported by truckfrom our pre-approved Lomax Exploration Companyfresh water supply line located at theGilsoniteState #7-32 (SWINE Sec. 32, T8S, R17E) location as indicated on Topographic Map-Exhibit "C".

In the event this water source is not used an alternate source will be used and all the necessaryarrangements will be made with the proper authorities.

There will be no water well drilled at this site.

6. SOURCE OF CONSTRUCTION MATERIALS

See Location Layout Sheet - Exhibit "E".

All construction material for this location shall be borrowed material accumulated duringconstruction of the location site and access road. (Pit lining material is referred to in Item #7.)

BOUNDARY FEDERAL #12-21

There will no culverts required along this access road. There will no water turnouts constructedalong this road.

There is one (1) fence encountered along this proposed road. There will be one (1) new gate andno new cattle guards required.

All construction material for this access road will be borrowed material accumulated duringconstruction of the access road.

3. LOCATION OF EXISTING WELLS

There are three (3) producing , three (3) shut in and one (1) P&A Lomax Exploration wells, one(1) P&A, PG&E wells within a one-mile radius of this location site. (See Topographic Map"D").

4. LOCATION OF EXISTING AND/OR PROPOSED FACILITIES

There are no existing facilities that will be used by this well.

It is anticipated that this well will be a producing oil well.

Upon construction of a tank battery the well pad will be surrounded by a dike of sufficientcapacity to contain at minimum the entire contests of the largest tank within the facility battery.The integrity of the dike will be maintained.

Tank batteries will be placed on a per SundryNotice if the well is completed as a producer.

All permanent (on site for six (6) months or longer) structures constructed or installed (includingpumping units) will be painted Desert Tan. All facilities will be painted within six months ofinstallation.

5. LOCATION AND TYPE OF WATER SUPPLY

At the present time, it is anticipated that the water for this well will be transported by truckfrom our pre-approved Lomax Exploration Companyfresh water supply line located at theGilsoniteState #7-32 (SWINE Sec. 32, T8S, R17E) location as indicated on Topographic Map-Exhibit "C".

In the event this water source is not used an alternate source will be used and all the necessaryarrangements will be made with the proper authorities.

There will be no water well drilled at this site.

6. SOURCE OF CONSTRUCTION MATERIALS

See Location Layout Sheet - Exhibit "E".

All construction material for this location shall be borrowed material accumulated duringconstruction of the location site and access road. (Pit lining material is referred to in Item #7.)

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O OBOUNDARY FEDERAL #12-21

A mineral material application is not required for this location.

7. METHODS FOR HANDLING WASTE DISPOSAL

See Location Layout Sheet - Exhibit "E".

A reserve pit will be constructed and lined with a plastic nylon reinforced liner so as not to leak,break, or allow discharge. It will be a minimum of 12 mil thickness with sufficient bedding(either straw or dirt) to cover any rocks. The liner will overlap the pit walls and be coveredwith dirt and/or rocks to hold it in place. No trash, scrap pipe, etc., that could puncture the linerwill be disposed on in the pit.

After first production, produced water will be confined to a pit or storage tank for a period not toexceed one hundred twenty (120) days. During the one hundred twenty (120) day period, inaccordance with the NTL-2B, an application for approval of permanent disposal method andlocation, along with required water analysis, shall be submitted for the Authorized Officersapproval.

A portable toilet will be provided for human waste.

A trash basket will be provided for garbage (trash) and hauled away to an approved disposal siteat the completion of the drilling activities.

8. ANCILLARY FACILITIES

There are no ancillary facilities planned for at the present time and none foreseen in the nearfuture.

9. WELL SIT LAYOUT

See attached Location Layout Sheet - Exhibit "E".

The reserve pit will be located on the south between stakes 4 & 5.

The flare pit will be located on the southeast side near stake 6. Aminimum of 100 feet from the wellhead and 30 feet from the reserve pit fence.The topsoil pile will buffer the flare pit.

The stockpiled topsoil (first six (6) inches) will be stored on the south side betweenstakes 5 & 6.

Access to the well pad will be from the east side near stake 3.

O OBOUNDARY FEDERAL #12-21

A mineral material application is not required for this location.

7. METHODS FOR HANDLING WASTE DISPOSAL

See Location Layout Sheet - Exhibit "E".

A reserve pit will be constructed and lined with a plastic nylon reinforced liner so as not to leak,break, or allow discharge. It will be a minimum of 12 mil thickness with sufficient bedding(either straw or dirt) to cover any rocks. The liner will overlap the pit walls and be coveredwith dirt and/or rocks to hold it in place. No trash, scrap pipe, etc., that could puncture the linerwill be disposed on in the pit.

After first production, produced water will be confined to a pit or storage tank for a period not toexceed one hundred twenty (120) days. During the one hundred twenty (120) day period, inaccordance with the NTL-2B, an application for approval of permanent disposal method andlocation, along with required water analysis, shall be submitted for the Authorized Officersapproval.

A portable toilet will be provided for human waste.

A trash basket will be provided for garbage (trash) and hauled away to an approved disposal siteat the completion of the drilling activities.

8. ANCILLARY FACILITIES

There are no ancillary facilities planned for at the present time and none foreseen in the nearfuture.

9. WELL SIT LAYOUT

See attached Location Layout Sheet - Exhibit "E".

The reserve pit will be located on the south between stakes 4 & 5.

The flare pit will be located on the southeast side near stake 6. Aminimum of 100 feet from the wellhead and 30 feet from the reserve pit fence.The topsoil pile will buffer the flare pit.

The stockpiled topsoil (first six (6) inches) will be stored on the south side betweenstakes 5 & 6.

Access to the well pad will be from the east side near stake 3.

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O OBOUNDARY FEDERAL #12-21

Fencing Requirements

All pits will be fenced according to the following minimum standards:

a) 39 inch net wire shall be used with at least one strand of barbed wire on top of the net.

b) The net wire shall be nor more than two (2) inches above the ground. The barbed wireshall be three (3) inches above the net wire. Total height of the fence shall be at leastforty-two (42) inches.

c) Corner posts shall be cemented and/or braced in such a manner to keep tight at alltimes.

d) Standard steel, wood or pipe posts shall be used between the corner braces. Maximumdistance between any two posts shall be no greater than sixteen (16) feet.

e) All wire shall be stretched, by using a stretching device, before it is attached to thecorner posts.

The reserve pit fencing will be on three (3) sides during drilling operations and on thefourth side when the rig moves off location. Pits will be fenced and maintained untilcleanup.

10. PLANS FOR RESTORATION OF SURFACE

a) Producing Location

Immediately upon well completion, the location and surrounding area will be cleared ofall unused tubing, equipment. debris, material, trash and junk not required forproduction.

The plastic nylon reinforced liner will be torn and perforated beforeback filling of the reserve pit.

The reserve pit and that portion of the location not needed for productionfacilities/operations will be re contoured to the approximated natural contours. Thereserve pit will be reclaimed within one hundred twenty (120) days from the date of wellcompletion. Before any dirt work takes place, the reserve pit must have all fluids andhydrocarbons, all cans, barrels, pipe, etc., removed.

When the drilling and completion phase ends, reclamation of unused disturbed areas onthe well padlaccess road no longer needed for operations, such as cut slopes, and fillareas will be accomplished by grading, leveling and seeding as recommended by theAuthorized Officer. The seed mixture will be per B.L.M. and stated in the conditions ofapproval.

O OBOUNDARY FEDERAL #12-21

Fencing Requirements

All pits will be fenced according to the following minimum standards:

a) 39 inch net wire shall be used with at least one strand of barbed wire on top of the net.

b) The net wire shall be nor more than two (2) inches above the ground. The barbed wireshall be three (3) inches above the net wire. Total height of the fence shall be at leastforty-two (42) inches.

c) Corner posts shall be cemented and/or braced in such a manner to keep tight at alltimes.

d) Standard steel, wood or pipe posts shall be used between the corner braces. Maximumdistance between any two posts shall be no greater than sixteen (16) feet.

e) All wire shall be stretched, by using a stretching device, before it is attached to thecorner posts.

The reserve pit fencing will be on three (3) sides during drilling operations and on thefourth side when the rig moves off location. Pits will be fenced and maintained untilcleanup.

10. PLANS FOR RESTORATION OF SURFACE

a) Producing Location

Immediately upon well completion, the location and surrounding area will be cleared ofall unused tubing, equipment. debris, material, trash and junk not required forproduction.

The plastic nylon reinforced liner will be torn and perforated beforeback filling of the reserve pit.

The reserve pit and that portion of the location not needed for productionfacilities/operations will be re contoured to the approximated natural contours. Thereserve pit will be reclaimed within one hundred twenty (120) days from the date of wellcompletion. Before any dirt work takes place, the reserve pit must have all fluids andhydrocarbons, all cans, barrels, pipe, etc., removed.

When the drilling and completion phase ends, reclamation of unused disturbed areas onthe well padlaccess road no longer needed for operations, such as cut slopes, and fillareas will be accomplished by grading, leveling and seeding as recommended by theAuthorized Officer. The seed mixture will be per B.L.M. and stated in the conditions ofapproval.

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O OBOUNDARY FEDERAL #12-21

b) Dry Hole Abandoned Location

At such time as the well is plugged and abandoned, the operator shall submit asubsequent report of abandonment and the B.L.M. will attach the appropriate surfacerehabilitation conditions of approval.

11. SURFACE OWNERSHIP - Private

12. OTHER ADDITIONAL INFORMATION

a) Lomax Exploration Company is responsible for informing all persons in the area whoare associated with this project that they will be subject to prosecution for knowingly

disturbing historic or archaeological sites, or for collecting artifacts. If historic orarchaeological materials are uncoveredduring construction, Lomax is to immediatelystop work that might further disturb such materials, and contact the Authorized Officer.

b) Lomax Exploration will control noxious weeds along rights-of-way for roads, pipelines,well sites, or other applicable facilities. On B.L.M. administered land it is requiredthat a Pesticide Use Proposal shall be submitted, and given approval, prior to theapplication of herbicides or other possible hazardous chemicals.

There are no dwellings or facilities in the general area. There are no visible archaeological,historical or cultural sites within any reasonable proximity of the proposed location site.

Additional Surface Stipulations

A silt catchment dam will not be constructed.

All lease and/or unit operations will be conducted in such a manner that full compliance is made

with all applicable laws and regulations. Onshore Oil and Gas Orders, the approved plan ofoperations,and any applicable Notice to Lessees. Lomax Exploration is fully responsible for theactions of its subcontractors. A copy of these conditions will be furnished to the fieldrepresentative to insure compliance.

A complete copy of the approved APD. if applicable, shall be on location during the constructionof the location and drilling activities.

Lomax Exploration Company or a contractor employed by Lomax Exploration shall contact theB.L.M. office at (801) 789-1362, 48 hours prior to construction activities.

The B.L.M. office shall be notified upon site completion prior to moving on the drilling rig.

O OBOUNDARY FEDERAL #12-21

b) Dry Hole Abandoned Location

At such time as the well is plugged and abandoned, the operator shall submit asubsequent report of abandonment and the B.L.M. will attach the appropriate surfacerehabilitation conditions of approval.

11. SURFACE OWNERSHIP - Private

12. OTHER ADDITIONAL INFORMATION

a) Lomax Exploration Company is responsible for informing all persons in the area whoare associated with this project that they will be subject to prosecution for knowingly

disturbing historic or archaeological sites, or for collecting artifacts. If historic orarchaeological materials are uncoveredduring construction, Lomax is to immediatelystop work that might further disturb such materials, and contact the Authorized Officer.

b) Lomax Exploration will control noxious weeds along rights-of-way for roads, pipelines,well sites, or other applicable facilities. On B.L.M. administered land it is requiredthat a Pesticide Use Proposal shall be submitted, and given approval, prior to theapplication of herbicides or other possible hazardous chemicals.

There are no dwellings or facilities in the general area. There are no visible archaeological,historical or cultural sites within any reasonable proximity of the proposed location site.

Additional Surface Stipulations

A silt catchment dam will not be constructed.

All lease and/or unit operations will be conducted in such a manner that full compliance is made

with all applicable laws and regulations. Onshore Oil and Gas Orders, the approved plan ofoperations,and any applicable Notice to Lessees. Lomax Exploration is fully responsible for theactions of its subcontractors. A copy of these conditions will be furnished to the fieldrepresentative to insure compliance.

A complete copy of the approved APD. if applicable, shall be on location during the constructionof the location and drilling activities.

Lomax Exploration Company or a contractor employed by Lomax Exploration shall contact theB.L.M. office at (801) 789-1362, 48 hours prior to construction activities.

The B.L.M. office shall be notified upon site completion prior to moving on the drilling rig.

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O OBOUNDARY FEDERAL #12-21

13. LESSEE'S OR OPERATORS REPRESENTATIVE AND CERTIFICATION

Representative

Name: Brad Mecham

Address: P.O. Box 1446 Rcosevelt. Utah 84066

Telephone: (80 1) 722-5 103

Certification

Please be advised that LOMAX EXPLORATION COMPANY is considered to be theoperator of Well #12-21 NW/SW Secdon 21. Township 8S, Range 17E: Lease #UTU-50376;Duchesne Counts. Utah: and is responsible under the terms and conditions of the lease for theoperations conducted upon the leased lands. Bond coverage is provided by HartfordAccident #4488944.

I hereby certify that I, or persons under my direct supervision have inspected theproposed drillsite and access route; that I am familiar with the conditions which currently exist;that the statements made in this plan are true and correct to the best of my knowledge; and thatthe work associated with the operations proposed here will be performed by Lomax ExplorationCompany and its contractors and subcontractorsin conformity with this plan and the terms andconditions under which it is approvei This statement is subject to the provisions of 18 U.S.C.1001 for the filing of a false statement.

Date Brad MechamRegional Production Manager

O OBOUNDARY FEDERAL #12-21

13. LESSEE'S OR OPERATORS REPRESENTATIVE AND CERTIFICATION

Representative

Name: Brad Mecham

Address: P.O. Box 1446 Rcosevelt. Utah 84066

Telephone: (80 1) 722-5 103

Certification

Please be advised that LOMAX EXPLORATION COMPANY is considered to be theoperator of Well #12-21 NW/SW Secdon 21. Township 8S, Range 17E: Lease #UTU-50376;Duchesne Counts. Utah: and is responsible under the terms and conditions of the lease for theoperations conducted upon the leased lands. Bond coverage is provided by HartfordAccident #4488944.

I hereby certify that I, or persons under my direct supervision have inspected theproposed drillsite and access route; that I am familiar with the conditions which currently exist;that the statements made in this plan are true and correct to the best of my knowledge; and thatthe work associated with the operations proposed here will be performed by Lomax ExplorationCompany and its contractors and subcontractorsin conformity with this plan and the terms andconditions under which it is approvei This statement is subject to the provisions of 18 U.S.C.1001 for the filing of a false statement.

Date Brad MechamRegional Production Manager

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ce

Proposed LocaNo --

BOUNDARY FEDERAL 12-21

LOMAX EXPLORATION CO.

T 0 P 0 GR A PH I C BOUNDARY FEDERAL #12-21N

M A P "A., SECTION 21, TSS, R17E, S.L.B.&M.

1790' FSL 654' FWLDA7F: 2-4-94

ce

Proposed LocaNo --

BOUNDARY FEDERAL 12-21

LOMAX EXPLORATION CO.

T 0 P 0 GR A PH I C BOUNDARY FEDERAL #12-21N

M A P "A., SECTION 21, TSS, R17E, S.L.B.&M.

1790' FSL 654' FWLDA7F: 2-4-94

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' 'A TasáTV naar // M 9

MYTON 1.0 Mi

JOO

PROPOSED ACCESSProposed Location RoAD o.] MiBOUNDARY FEDERAL 12-21

.

LOMAX EXPLORATION CO.TOPOGRAPHIC

BOUNDARY FEDERAL #12-21M A P "B- N

SECTION 21, TSS, R17E, S.L.B.&M.SCALE: 1" = 2000' 1790' FSL 654' FWL

REV/SED: 2-21-94 D.R.B.DATE· 2-4-94

' 'A TasáTV naar // M 9

MYTON 1.0 Mi

JOO

PROPOSED ACCESSProposed Location RoAD o.] MiBOUNDARY FEDERAL 12-21

.

LOMAX EXPLORATION CO.TOPOGRAPHIC

BOUNDARY FEDERAL #12-21M A P "B- N

SECTION 21, TSS, R17E, S.L.B.&M.SCALE: 1" = 2000' 1790' FSL 654' FWL

REV/SED: 2-21-94 D.R.B.DATE· 2-4-94

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Status=0Status=0

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OEOLOGICAL SURVEY85 1 10 OO' 586"""'" E II

8

L

OEOLOGICAL SURVEY85 1 10 OO' 586"""'" E II

8

L

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e OLOMAX EXPLORATION CO.

LOCATION LAYOUT FOR

BOUNDARY FEDERAL #12-21Û-J· C-2.g' SECTION 21, T8S, R17E, S.L.B.&M.Ð. 50. 4 El- 49-5 1790' FSL 654' FWL

F- J. 0'D. 417' EXHIBIT E

FLARE PIT 20. J

Apppro /

Cut Slope STA. J+00Topsoil SCALE: 1" = 50'

Stockpile - DATE: 2-22-94Drawn By T.D.H.

---- PIPE RACKS

C-2.2 i ! I o' 120".E/. 48. 9' Û- Û.Ñ'o s. 47.5' F-4.8'

---. / LOCA RON STAKEE/. 52.1' '

,

'-'

'. 5 DOG HOUSE 1 B. 41.9' X-Section ·¯

-------C-1J.4' ys· --- 's 2o scale

Atm.Pit) \ - Sta. 1+50 Finished Grade ---

1 = 50STA. 1+50

a . - RESERVE P/TS -

U SHED75 35 120

Reserm Pit Backfi// - -.. Tois O Approx. ·---

--.

& Spoils Stockpile4

-- -- HOPPER ·-·--

--..-

Fill Slope ------

- PIt capacity Mth POWER\ -

·¯¯¯ 2' of freshoord ~ 2 .---..

-- is .±7050 Bba -

- - 0 = -

TOOLS STORAGE S TA. 0+ J7. ., Sta. 0+37 TANK

E/. 52. O, FUEL

C-1J.J' eSH

Atm.pit) E/. 48.1'-- Preconstruction 35 120'Sta. 0+00

0

Gro

Proposed Access

APPROXIMATEYARDAGES Road Y 0 NOTE:0 N Topsoil should not be

(6") Topsoil Stripping = 1,0J0 Cu. Yds.E5%CECSOSMAACTEAL AFTER

= 2,090 Cu. Yds. S So*,",'dpeodnbst

ctubreedArea.

Rernoining Location = 4,070 Cu. Yds· Topsoil & Pit Backfill = 2,090 Cu. Yds.(1/2 Pit Vol.)

Elev. Ungraded Ground at Location Stoke = 5247.5TOTAL CUT = 5,100 CU.YDS. EXCESS UNBALANCE = 0 Cu. Yds.

FILL = 2,860 CU.YDS.(After Rehabilitation) Elev. Graded Ground at Location Stoke = 5246.7' UINTAH ENGINEERING & LAND SURVEYING

86 So, 200 East Vernal,

e OLOMAX EXPLORATION CO.

LOCATION LAYOUT FOR

BOUNDARY FEDERAL #12-21Û-J· C-2.g' SECTION 21, T8S, R17E, S.L.B.&M.Ð. 50. 4 El- 49-5 1790' FSL 654' FWL

F- J. 0'D. 417' EXHIBIT E

FLARE PIT 20. J

Apppro /

Cut Slope STA. J+00Topsoil SCALE: 1" = 50'

Stockpile - DATE: 2-22-94Drawn By T.D.H.

---- PIPE RACKS

C-2.2 i ! I o' 120".E/. 48. 9' Û- Û.Ñ'o s. 47.5' F-4.8'

---. / LOCA RON STAKEE/. 52.1' '

,

'-'

'. 5 DOG HOUSE 1 B. 41.9' X-Section ·¯

-------C-1J.4' ys· --- 's 2o scale

Atm.Pit) \ - Sta. 1+50 Finished Grade ---

1 = 50STA. 1+50

a . - RESERVE P/TS -

U SHED75 35 120

Reserm Pit Backfi// - -.. Tois O Approx. ·---

--.

& Spoils Stockpile4

-- -- HOPPER ·-·--

--..-

Fill Slope ------

- PIt capacity Mth POWER\ -

·¯¯¯ 2' of freshoord ~ 2 .---..

-- is .±7050 Bba -

- - 0 = -

TOOLS STORAGE S TA. 0+ J7. ., Sta. 0+37 TANK

E/. 52. O, FUEL

C-1J.J' eSH

Atm.pit) E/. 48.1'-- Preconstruction 35 120'Sta. 0+00

0

Gro

Proposed Access

APPROXIMATEYARDAGES Road Y 0 NOTE:0 N Topsoil should not be

(6") Topsoil Stripping = 1,0J0 Cu. Yds.E5%CECSOSMAACTEAL AFTER

= 2,090 Cu. Yds. S So*,",'dpeodnbst

ctubreedArea.

Rernoining Location = 4,070 Cu. Yds· Topsoil & Pit Backfill = 2,090 Cu. Yds.(1/2 Pit Vol.)

Elev. Ungraded Ground at Location Stoke = 5247.5TOTAL CUT = 5,100 CU.YDS. EXCESS UNBALANCE = 0 Cu. Yds.

FILL = 2,860 CU.YDS.(After Rehabilitation) Elev. Graded Ground at Location Stoke = 5246.7' UINTAH ENGINEERING & LAND SURVEYING

86 So, 200 East Vernal,

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keTYPE B.0.P 2-M SYSTEM Page4

Size:Model: EXHIBIT F

G . O g 2" Minimum

o o g

2" Mini um2" Minimum 2" Minimumg\L TO CLOSE .

Annular BOP = \Ramtype BOP

2" MinimumRams x =

= Gal.

x 2 = Total Gal.

Roundingoffto the next higherincrement of 10 gal. would require

Gal. (totalfluid& nitro

keTYPE B.0.P 2-M SYSTEM Page4

Size:Model: EXHIBIT F

G . O g 2" Minimum

o o g

2" Mini um2" Minimum 2" Minimumg\L TO CLOSE .

Annular BOP = \Ramtype BOP

2" MinimumRams x =

= Gal.

x 2 = Total Gal.

Roundingoffto the next higherincrement of 10 gal. would require

Gal. (totalfluid& nitro

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O eLomax Exploration Company

P.O.Box1446Roosevelt,Utah 84066(801)722-5103FAX(801)722-9149

LOMSX February 23, 1994

State of UtahDivision of Oil, Gas &Mining355 West North TempleThree Triad Center - Ste. 350Salt Lake City, Utah 84180-1203

BOUNDARYFEDERAL #12-21NW/SWSECTION21, T8S,R17EDuchesne Co., UtahLEASE #UTU50376

Gentlemen:

Please findenclosed the original and two copies of the "Application and Permit to Drill"for the above referenced location.

If you should have any questions, please don't hesitate to call me in the Roosevelt officeat 801-722-5103.

Sincerely,

Brad MechamRegional Production Manager

Enclosures

O eLomax Exploration Company

P.O.Box1446Roosevelt,Utah 84066(801)722-5103FAX(801)722-9149

LOMSX February 23, 1994

State of UtahDivision of Oil, Gas &Mining355 West North TempleThree Triad Center - Ste. 350Salt Lake City, Utah 84180-1203

BOUNDARYFEDERAL #12-21NW/SWSECTION21, T8S,R17EDuchesne Co., UtahLEASE #UTU50376

Gentlemen:

Please findenclosed the original and two copies of the "Application and Permit to Drill"for the above referenced location.

If you should have any questions, please don't hesitate to call me in the Roosevelt officeat 801-722-5103.

Sincerely,

Brad MechamRegional Production Manager

Enclosures

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O

NCTICE OF STAKING6. Lease Number

het to be used in place of Application for Permit to Oriff (Form

31604)UTUSO376

. Cil Well X Gas Well Other (Specify) 7. If Indian, Allottee or Tribe Name

2. Name of Operator:8. Unit Agreement Name

LOMAX EXPLORATION

3. Name of Specific Contact Person: a 9. Farm or Lease Name

Brad Mecham

BOUNDARY FEDERAL

-. Address & Phone No. of Operator or Agent 722-5103 10. We!I No.

P.O. Box 1446 Roosevelt, Utah 84066 #12-21

5. Surface Location of Well11. Field or Wildcat Name

1980 ' FSL 661' FWLBoundary

Attach:12. Sec., T., R., M., or Bik

a) Sketch showing road entry onto pad, and Survey or Area

pad dimensions, and reserve pit.

b) Topographical or other acceptable mapNW/SW Sec. 21, TSS, R17E

showing location, access road, anc lease

boundaries,

15. Formation Objective(s) 16. Estimated Well Depth 13. County, Parish, or 14. State

Green River 6400 '

Duchesne Utah

17. Additional Information (as appropriate; shall include surface owner's name, address and, if known,

telephone number) carman Family Investment companyAttn: Cal Carmen

P.O Box 224Duchesne, Utah 84021

18. Signed' Title Reg. Prod. Mqr Date 2/14/94

Note: Upon receipt of this Notice, the Bureau of Land Management (BLM) wiil schedule the date af the

onsite predrill inspection and notify you accordingly. The location must be staked and access road

must be flagged prior to the onsite.

Operators must consider the following priorto the onsite:

a) H2S Potentialb) Cultural Resources (Archeology)

c) Federal Right of Way or Special Use

O

NCTICE OF STAKING6. Lease Number

het to be used in place of Application for Permit to Oriff (Form

31604)UTUSO376

. Cil Well X Gas Well Other (Specify) 7. If Indian, Allottee or Tribe Name

2. Name of Operator:8. Unit Agreement Name

LOMAX EXPLORATION

3. Name of Specific Contact Person: a 9. Farm or Lease Name

Brad Mecham

BOUNDARY FEDERAL

-. Address & Phone No. of Operator or Agent 722-5103 10. We!I No.

P.O. Box 1446 Roosevelt, Utah 84066 #12-21

5. Surface Location of Well11. Field or Wildcat Name

1980 ' FSL 661' FWLBoundary

Attach:12. Sec., T., R., M., or Bik

a) Sketch showing road entry onto pad, and Survey or Area

pad dimensions, and reserve pit.

b) Topographical or other acceptable mapNW/SW Sec. 21, TSS, R17E

showing location, access road, anc lease

boundaries,

15. Formation Objective(s) 16. Estimated Well Depth 13. County, Parish, or 14. State

Green River 6400 '

Duchesne Utah

17. Additional Information (as appropriate; shall include surface owner's name, address and, if known,

telephone number) carman Family Investment companyAttn: Cal Carmen

P.O Box 224Duchesne, Utah 84021

18. Signed' Title Reg. Prod. Mqr Date 2/14/94

Note: Upon receipt of this Notice, the Bureau of Land Management (BLM) wiil schedule the date af the

onsite predrill inspection and notify you accordingly. The location must be staked and access road

must be flagged prior to the onsite.

Operators must consider the following priorto the onsite:

a) H2S Potentialb) Cultural Resources (Archeology)

c) Federal Right of Way or Special Use

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LOMAX EXPLORATION CO.

Well location, BOUNDARY FEDERAL #12--21,

T8S Ri?'E SL B.&M. located as shown in the NW 1/4 SW 1/4 of* * • • Section 21, T8S, R17E, S.L.B.&M. Duchesne

County, Utah.

see•48'W- 79.94 (G.L.O.)

BASIS OF ELEVATION

SPOT ELEVATIONLOCATED AT THE SOUTHWEST CORNERI OF SECTION 21, TBS, R17E, S.L.B.&M. TAKEN FROM

THE MYTONSE QUADRANGLE,DUCHESNE COUNTY, 7.5MINUTEQUAD. (TOPOGRAPHIC MAP) PUBLISHED BY THEUNITED STATES DEPARTMENTOF THE INTERIOR,GEOLOGICALSURVEY. SAID ELEVATIONIS MARKEDASBEING 5261 FEET.

NOTEBAS/S OF BEARINGS IS 7HESOU7H L/NE OF THE SE 1/4OE SEC710N 20, TBS, R17E, NS L.B.Mf. HH/CH /S ASSUMEDFROM G.L.0. /NEORMA T/0N TO jBEAR SB9°56'W |

o o - o

6 BOUNDARYEEDERAL/12-21 SC A LE

Sev. Ungraded Ground = 5250' CERTIFICATETHIS IS TO CERTIFYTHAT THE ABOVE PLAT WAS PREPARED FROMFIELD NOTES OF ACTUALSURVEYS MADEBY ME OR UNDER MYSUPERVISIONAND THAT THE SAME ARE TRUE AND CORRECT TO THEBEST OF MY KNOWLEDGEAND BELIEF

REGISTEREDLAND SURVEYORREGISTRAT10N NO. 5709

/ STATE OF UTAH

i UnrrAH ENGINEERING & La SURVEYINGS89°50'W

- 79.96 (G.L.O.) 85 SOUTH 200 FAST - VERNAL. UTAH 84078

SB956'W - (G.L.0.) (801) 789-1017

2650.90' (Meas.) LEGEND: SCALE DATE SURVEYED: DA1E DRAWN:1" =

1000° 1-28-94 2-8-94=

90° SYMBOL PARTY REFERENCES

= PROPOSED WELL HEAD. G.S. N.H. D.J.S. G.L.O. PLATWEATHER FILE

A = SECTION CORNERS LOCATED. (Brass Caps) COLD LOMAXEXPLORATION

LOMAX EXPLORATION CO.

Well location, BOUNDARY FEDERAL #12--21,

T8S Ri?'E SL B.&M. located as shown in the NW 1/4 SW 1/4 of* * • • Section 21, T8S, R17E, S.L.B.&M. Duchesne

County, Utah.

see•48'W- 79.94 (G.L.O.)

BASIS OF ELEVATION

SPOT ELEVATIONLOCATED AT THE SOUTHWEST CORNERI OF SECTION 21, TBS, R17E, S.L.B.&M. TAKEN FROM

THE MYTONSE QUADRANGLE,DUCHESNE COUNTY, 7.5MINUTEQUAD. (TOPOGRAPHIC MAP) PUBLISHED BY THEUNITED STATES DEPARTMENTOF THE INTERIOR,GEOLOGICALSURVEY. SAID ELEVATIONIS MARKEDASBEING 5261 FEET.

NOTEBAS/S OF BEARINGS IS 7HESOU7H L/NE OF THE SE 1/4OE SEC710N 20, TBS, R17E, NS L.B.Mf. HH/CH /S ASSUMEDFROM G.L.0. /NEORMA T/0N TO jBEAR SB9°56'W |

o o - o

6 BOUNDARYEEDERAL/12-21 SC A LE

Sev. Ungraded Ground = 5250' CERTIFICATETHIS IS TO CERTIFYTHAT THE ABOVE PLAT WAS PREPARED FROMFIELD NOTES OF ACTUALSURVEYS MADEBY ME OR UNDER MYSUPERVISIONAND THAT THE SAME ARE TRUE AND CORRECT TO THEBEST OF MY KNOWLEDGEAND BELIEF

REGISTEREDLAND SURVEYORREGISTRAT10N NO. 5709

/ STATE OF UTAH

i UnrrAH ENGINEERING & La SURVEYINGS89°50'W

- 79.96 (G.L.O.) 85 SOUTH 200 FAST - VERNAL. UTAH 84078

SB956'W - (G.L.0.) (801) 789-1017

2650.90' (Meas.) LEGEND: SCALE DATE SURVEYED: DA1E DRAWN:1" =

1000° 1-28-94 2-8-94=

90° SYMBOL PARTY REFERENCES

= PROPOSED WELL HEAD. G.S. N.H. D.J.S. G.L.O. PLATWEATHER FILE

A = SECTION CORNERS LOCATED. (Brass Caps) COLD LOMAXEXPLORATION

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LOMAXEXPLORATION CO.LOCATION LAYOUT FOR

BOUNDARY FEDERAL #12-21C-J.J' C-2.1' SECTION 21, T8S, R17E, S.LB.&M.s. 52J,' E/. 51.1' 1980' FSL 661' FWL

F-2.5'

Approx.

E/. 46.5'

35' 120'Top of FLARE PITCut Slope

RI.L

SM. J+00TopsoRStockpRe SCALE: 1" =

50°DATE: 2-8-94

Drawn By: T.D.H.---- PIPE RACKS

C-2. 4 i I ' 2°'E/. 51.4' L s --- LOCA710N STAKE

....I 75

55

49.8'

Sta1

+ 0

E 4 2 X-SScection

R Gr ----

1" = 50SM. 1+50

- RESERVE P/TS ---

Preconstruction 35' 120'Reserve P/t Backfi// - TORET ApproxÛradede Spass Stockpile HOPPER

-.Fill Slope ----

----

--...'¯

Pit capacity•• om L C ¯¯¯¯¯~ ¯¯¯

- Is HŒ0 Bh/. - O R °"TOOLS STORAGE

--....

. . Sta. 0+37 TANK

E/. 5J.7'FUB· S S TA. 0+ J7

Sta. 0+00" "

E-4.6'N as 20

C-1.6' GRADEE/. 50.6' E/. 49.0'

Proposed Access curRoad Slope= 1 1/2. 1 -

---APPROXIMATEYARDAGES U (ry.)O N S T^·EXCESS MATERIALAFTER o NOTE:(6") Topsoil Stripping = 1,0JO Cu. Yds. 57. COMPACT10N = 2,090 Cu. Yds. a.)

Topsoil should not beRemaining Location = 4,190 Cu. Yds. Topsoil & Pit Backfill = 2,090 Cu. Yds. Stripped Below Finished(1/2 Pit Vol.) s Grade on Substructure Area.

Elev. Ungraded Ground at l.ocat/on Stake = $ 4Ñ.0TOTAL CUT = 5,220 CU.YDS. EXCESS UNBALANCE = 0 Cu. Yds.

FILL = 970 CU.Y(After Rehabilitation) Elev. Graded Ground at Location Stake = 5249.0' ÜINTAH ENGINEERING a LAND SURVEYING2, DS·

es s.. zoo z.., v.ma

LOMAXEXPLORATION CO.LOCATION LAYOUT FOR

BOUNDARY FEDERAL #12-21C-J.J' C-2.1' SECTION 21, T8S, R17E, S.LB.&M.s. 52J,' E/. 51.1' 1980' FSL 661' FWL

F-2.5'

Approx.

E/. 46.5'

35' 120'Top of FLARE PITCut Slope

RI.L

SM. J+00TopsoRStockpRe SCALE: 1" =

50°DATE: 2-8-94

Drawn By: T.D.H.---- PIPE RACKS

C-2. 4 i I ' 2°'E/. 51.4' L s --- LOCA710N STAKE

....I 75

55

49.8'

Sta1

+ 0

E 4 2 X-SScection

R Gr ----

1" = 50SM. 1+50

- RESERVE P/TS ---

Preconstruction 35' 120'Reserve P/t Backfi// - TORET ApproxÛradede Spass Stockpile HOPPER

-.Fill Slope ----

----

--...'¯

Pit capacity•• om L C ¯¯¯¯¯~ ¯¯¯

- Is HŒ0 Bh/. - O R °"TOOLS STORAGE

--....

. . Sta. 0+37 TANK

E/. 5J.7'FUB· S S TA. 0+ J7

Sta. 0+00" "

E-4.6'N as 20

C-1.6' GRADEE/. 50.6' E/. 49.0'

Proposed Access curRoad Slope= 1 1/2. 1 -

---APPROXIMATEYARDAGES U (ry.)O N S T^·EXCESS MATERIALAFTER o NOTE:(6") Topsoil Stripping = 1,0JO Cu. Yds. 57. COMPACT10N = 2,090 Cu. Yds. a.)

Topsoil should not beRemaining Location = 4,190 Cu. Yds. Topsoil & Pit Backfill = 2,090 Cu. Yds. Stripped Below Finished(1/2 Pit Vol.) s Grade on Substructure Area.

Elev. Ungraded Ground at l.ocat/on Stake = $ 4Ñ.0TOTAL CUT = 5,220 CU.YDS. EXCESS UNBALANCE = 0 Cu. Yds.

FILL = 970 CU.Y(After Rehabilitation) Elev. Graded Ground at Location Stake = 5249.0' ÜINTAH ENGINEERING a LAND SURVEYING2, DS·

es s.. zoo z.., v.ma

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2.

LOMAX EXPLORATION CO.

T 0 P 0 GR A PH I C BOUNDARY FEDERAL #12-21N

M A P "A" SECTION 21, T8S, R17E, S.L.B.&M.

1980' FSL 661' FWLDATE: 2-4-94 D.

2.

LOMAX EXPLORATION CO.

T 0 P 0 GR A PH I C BOUNDARY FEDERAL #12-21N

M A P "A" SECTION 21, T8S, R17E, S.L.B.&M.

1980' FSL 661' FWLDATE: 2-4-94 D.

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2 ...

Propased Locat¿on: PROPOSED ACCESS

BOUNDARY FEDERAL #12-21 ROAD 0.J P,I *.

LOMAX EXPLORATION CO.T 0 P 0 GR A PH I C

NBOUNDARY FEDERAL #12-21

M A P "B- SECTION 21, T8S, R17E, S.L.S.&M.

.. , 1980' FSL 661' FWL

SCALE. 1 = 2000

DATE: 2-4-94

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WORKSHEETAPPLICATION FOR PERMIT TO DRILL

APD RECEIVED: 02/25/94 API NO. ASSIGNED: 43-013-31440

WELL NAME: BOUNDARY FEDERAL 12-21OPERATOR: LOMAX EXPLORATION (NO580)

PROPOSED LOCATION: INSPECT LOCATION BY: | |NWSW 21 - TOSS - R17ESURFACE: 1790-FSL-0654-FWL TECH REVIEW Initials DateBOTTOM: 1790-FSL-0654-FWLDUCHESNE COUNTY EngineeringTREATY BOUNDARY FIELD (130)

GeologyLEASE TYPE: FEDLEASE NUMBER: UTU-50376 Surface

RECEIVED AND/OR REVIEWED: LOCATION AND SITING:

Plat R649-2-3. Unit:Bond: Federal[ State[] Fee[]

(Number gggg76/y ) p/'R649-3-2. General.Potash (Y|N)Oil shale (Y/N) R649-3-3. Exception.Water permit

(Number Wucµtrg 4 MTE 7-JJ Drilling Unit.RDCC Review (Y/N) Board Cause no:

(Date: ) Date:

COMMENTS:

WORKSHEETAPPLICATION FOR PERMIT TO DRILL

APD RECEIVED: 02/25/94 API NO. ASSIGNED: 43-013-31440

WELL NAME: BOUNDARY FEDERAL 12-21OPERATOR: LOMAX EXPLORATION (NO580)

PROPOSED LOCATION: INSPECT LOCATION BY: | |NWSW 21 - TOSS - R17ESURFACE: 1790-FSL-0654-FWL TECH REVIEW Initials DateBOTTOM: 1790-FSL-0654-FWLDUCHESNE COUNTY EngineeringTREATY BOUNDARY FIELD (130)

GeologyLEASE TYPE: FEDLEASE NUMBER: UTU-50376 Surface

RECEIVED AND/OR REVIEWED: LOCATION AND SITING:

Plat R649-2-3. Unit:Bond: Federal[ State[] Fee[]

(Number gggg76/y ) p/'R649-3-2. General.Potash (Y|N)Oil shale (Y/N) R649-3-3. Exception.Water permit

(Number Wucµtrg 4 MTE 7-JJ Drilling Unit.RDCC Review (Y/N) Board Cause no:

(Date: ) Date:

COMMENTS:

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OSTATE OF UTAH

Operator: LOMAX EXPLORATION Well Name: BOUNDARY FED. 12-21

Project ID: 43-013-31440 Location: BEC. 21 - TO88 - R17E

Design Parameters: Design Factors:Mud weight (10.00 ppg) : 0.519 psi/ft Collapse : 1.125shut in surface pressure : 2928 psi Burst : 1.00Internal gradient (burst) : 0.069 psi/ft 8 Round : 1.80 (J)Annular gradient (burst) : 0.000 psi/ft Buttress : 1.60 (J)

Tensite load is determined using buoyed weight Other : 1.50 (J)

Service rating is "SweetM Body Yield : 1.50 (B)

Length Size Weight Grade Joint Depth Drift Cost(feet) (in.) (lb/ft) (feet) (in.)

1 6,500 5.500 17.00 J-55 LT&C 6,500 4.767

Collapse Burst Min Int Yield TensionLoad Strgth S.F. Load Strgth S.F. Load Strgth S.F.

(psi) (psi) (psi) (psi) (kips) (kips)

1 3377 4910 1.454 3377 5320 1.58 93.60 247 2.64 J

Prepared by : FRM, Salt Lake City, UTDate : 10-28-1994Remarks :

Miniaun segment length for the 6,500 foot well is 1,000 feet.SICP is based on the ideal gas law, a gas gravity of 0.69, and a mean gas

temperature of 107°F (Surface 74°F, BHT 139°F & temp. gradient 1.000°/100 ft.)

The mud gradient and bottom hole pressures (for burst) are 0.519 psi/ft and

3,3TT psi, respectively.

NOTE: The design factors used in this casing string design are as shown above. As a general guide-

line, Lone Star Steel recommends using minimum design factors of 1.125 - Collapse (with

evacuated casing), 1.0 - Burst, 1.8 - 8 Round Tension, 1.6 - Buttress Tension, and 1.5 - Body

Yield. Coltapse strength under axial tension was calculated based on the Westcott, Dunlop and

Kemier curve. Engineering responsibility for use of this design will be that of the purchaser.

Costs for this design are based on a 1987 pricing model. (Version

OSTATE OF UTAH

Operator: LOMAX EXPLORATION Well Name: BOUNDARY FED. 12-21

Project ID: 43-013-31440 Location: BEC. 21 - TO88 - R17E

Design Parameters: Design Factors:Mud weight (10.00 ppg) : 0.519 psi/ft Collapse : 1.125shut in surface pressure : 2928 psi Burst : 1.00

Internal gradient (burst) : 0.069 psi/ft 8 Round : 1.80 (J)

Annular gradient (burst) : 0.000 psi/ft Buttress : 1.60 (J)

Tensite load is determined using buoyed weight Other : 1.50 (J)

Service rating is "SweetM Body Yield : 1.50 (B)

Length Size Weight Grade Joint Depth Drift Cost(feet) (in.) (lb/ft) (feet) (in.)

1 6,500 5.500 17.00 J-55 LT&C 6,500 4.767

Collapse Burst Min Int Yield TensionLoad Strgth S.F. Load Strgth S.F. Load Strgth S.F.

(psi) (psi) (psi) (psi) (kips) (kips)

1 3377 4910 1.454 3377 5320 1.58 93.60 247 2.64 J

Prepared by : FRM, Salt Lake City, UTDate : 10-28-1994Remarks :

Miniaun segment length for the 6,500 foot well is 1,000 feet.SICP is based on the ideal gas law, a gas gravity of 0.69, and a mean gas

temperature of 107°F (Surface 74°F, BHT 139°F & temp. gradient 1.000°/100 ft.)

The mud gradient and bottom hole pressures (for burst) are 0.519 psi/ft and

3,3TT psi, respectively.

NOTE: The design factors used in this casing string design are as shown above. As a general guide-

line, Lone Star Steel recommends using minimum design factors of 1.125 - Collapse (with

evacuated casing), 1.0 - Burst, 1.8 - 8 Round Tension, 1.6 - Buttress Tension, and 1.5 - Body

Yield. Coltapse strength under axial tension was calculated based on the Westcott, Dunlop and

Kemier curve. Engineering responsibility for use of this design will be that of the purchaser.

Costs for this design are based on a 1987 pricing model. (Version

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O OTREATY BOUNDARY

R2W R1W15 4 8 17 15 R

4S

22---..23... ...24--------19--- 20- --21--------22--- ---23-----

24

27 ilyDI TRINT: QUllDAR___

7 2 2,4 13 in 17 8 15 14 13

RRV

---2 --- ---24... ...19... ... 1-- ----22-------23------24---

R8S

...26... ...25... ---30... ....2 ... ...-28_. ....27.......26------45---

II I---

---35--- ---38.. - --31........32... ...38........34.._ _ _ __35---- --36---

e e a

e i e

i

...2... ...1 ... ...G........5... ...4....... 3 .......2...... ----

R....1,1.......12... ...i... ....8 .......9... ...1.0.......1,1... ..1.2... g

: S

---(4--- ...13... ...ig........17... ...1.......15.......14------1.3---

I

R16E R17EDUCHESNECOUNTYFIELD 130

O OTREATY BOUNDARY

R2W R1W15 4 8 17 15 R

4S

22---..23... ...24--------19--- 20- --21--------22--- ---23-----

24

27 ilyDI TRINT: QUllDAR___

7 2 2,4 13 in 17 8 15 14 13

RRV

---2 --- ---24... ...19... ... 1-- ----22-------23------24---

R8S

...26... ...25... ---30... ....2 ... ...-28_. ....27.......26------45---

II I---

---35--- ---38.. - --31........32... ...38........34.._ _ _ __35---- --36---

e e a

e i e

i

...2... ...1 ... ...G........5... ...4....... 3 .......2...... ----

R....1,1.......12... ...i... ....8 .......9... ...1.0.......1,1... ..1.2... g

: S

---(4--- ...13... ...ig........17... ...1.......15.......14------1.3---

I

R16E R17EDUCHESNECOUNTYFIELD 130

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O OO State of UtahDEPARTMENT OF NATURAL RESOURCESDIVISION OF OIL, GAS AND MINING355 West North Temple

Michael O. LeavittGovernor 3 Triad Center, Suite 350

Ted Stewart Salt Lake City, Utah 84180-1203

Executive Director 801-538-5340

James W. Carter 801-359-3940 (Fax)

Division Director 801-538-5319 (TDD)

October 28, 1994

Lomax ExplorationP.O. Box 1446Roosevelt, Utah 84066

Re: Boundary Federal #12-21 Well, 1790' FSL, 654' FWL, NW SW, Sec. 21, T. 8 S., R.17 E., Duchesne County, Utah

Gentlemen:

Pursuant to Utah Admin. R. 649-3-2, Location and Siting of Wells and UtahAdmin. R. 649-3-4, Permitting of Wells to be Drilled, Deepened or Plugged-Back,approval to drill the referenced well is hereby granted.

In addition, the following specific actions are necessary to fully comply with thisapproval:

1. Compliance with the requirements of Utah Admin. R. 649-1 et seq., the Oiland Gas Conservation General Rules.

2. Notification to the Division within 24 hours after drilling operationscommence.

3. Submittal of Entity Action Form, Form 6, within five working days followingcommencement of drilling operations and whenever a change in operationsor interests necessitates an entity status change.

4. Submittal of the Report of Water Encountered During Drilling, Form 7.

5. Compliance with the requirements of Utah Admin. R. 649-3-20, Gas Flaringor Venting, if the well is completed for

O OO State of UtahDEPARTMENT OF NATURAL RESOURCESDIVISION OF OIL, GAS AND MINING355 West North Temple

Michael O. LeavittGovernor 3 Triad Center, Suite 350

Ted Stewart Salt Lake City, Utah 84180-1203

Executive Director 801-538-5340

James W. Carter 801-359-3940 (Fax)

Division Director 801-538-5319 (TDD)

October 28, 1994

Lomax ExplorationP.O. Box 1446Roosevelt, Utah 84066

Re: Boundary Federal #12-21 Well, 1790' FSL, 654' FWL, NW SW, Sec. 21, T. 8 S., R.17 E., Duchesne County, Utah

Gentlemen:

Pursuant to Utah Admin. R. 649-3-2, Location and Siting of Wells and UtahAdmin. R. 649-3-4, Permitting of Wells to be Drilled, Deepened or Plugged-Back,approval to drill the referenced well is hereby granted.

In addition, the following specific actions are necessary to fully comply with thisapproval:

1. Compliance with the requirements of Utah Admin. R. 649-1 et seq., the Oiland Gas Conservation General Rules.

2. Notification to the Division within 24 hours after drilling operationscommence.

3. Submittal of Entity Action Form, Form 6, within five working days followingcommencement of drilling operations and whenever a change in operationsor interests necessitates an entity status change.

4. Submittal of the Report of Water Encountered During Drilling, Form 7.

5. Compliance with the requirements of Utah Admin. R. 649-3-20, Gas Flaringor Venting, if the well is completed for

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O O

Page 2Lomax ExplorationBoundary Federal #12-21 WellOctober 28, 1994

6. Prompt notification prior to commencing operations, if necessary, to plugand abandon the well. Notify Frank R. Matthews, Petroleum Engineer,(Office) (801)538-5340, (Home) (801)476-8613, or K. Michael Hebertson,Reclamation Specialist, (Home) (801)269-9212.

This approval shall expire one year after date of issuance unless substantial andcontinuous operation is underway or a request for an extension is made prior to theapproval expiration date. The API number assigned to this well is 43-013-31440.

Sincerely,

R.J. irtAssociate Director

IdcEnclosurescc: Duchesne County Assessor

Bureau of Land Management, Vernal District Office

O O

Page 2Lomax ExplorationBoundary Federal #12-21 WellOctober 28, 1994

6. Prompt notification prior to commencing operations, if necessary, to plugand abandon the well. Notify Frank R. Matthews, Petroleum Engineer,(Office) (801)538-5340, (Home) (801)476-8613, or K. Michael Hebertson,Reclamation Specialist, (Home) (801)269-9212.

This approval shall expire one year after date of issuance unless substantial andcontinuous operation is underway or a request for an extension is made prior to theapproval expiration date. The API number assigned to this well is 43-013-31440.

Sincerely,

R.J. irtAssociate Director

IdcEnclosurescc: Duchesne County Assessor

Bureau of Land Management, Vernal District Office

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Form 3160-3SUBMIT IN ATE* Form approved.

• (November 1983) (Other instructio a on Budget Bureau No. 1004-4136

(formerly 9-aalc) UNITED STATES reverse side) Expires August 31, 1985

DEPARTMENT OF THE INTERIOR a. x........IGNATION AND BERIAL NO.

BUREAUOF LAND MANAGEMENT UTU-50376

APPLICATIONFOR PERMITTO DRILL,DEEPEN,OR PLUG BACK 6.IrzNDIAN,ALLoTTsaostaxassaga

la. TTPS OF WORK

DRILLE DEEPENO PLUG BACKO 7. UNE AGHEMENT NAME

b. TTPS OF WELL

r.t. ar.r. ornam z -NLTH'LE O 8. - OR LM N MS

2. NAME OF OPERAton BOundarv FederalLOMAX EXPLORATION 9. WELL NO.

3. ADDRESS OF OPERATOR (1) -

P.O. Box 1446 Roosevelt, Utah 84066 10. FIELD AND POOL, 08 WILDCAT

4. LOCATION OF WELL (Report location clearly and in accordance with any State requirements.•) WildcatAt surface

1790FSL 654 FWL NW/SW 11.. ..ria'ir"ÖBORBL .

At proposed prod. sone Sec. 21, T88, R17E

14. DISTANCE IN MILER AND DIRECTION FROM NEAREST TOWN OR PORT OFFICE* 12. COUNTT OR PARIBM 18. BTATE

11 miles South of Myton, Utah Duchesne Utah10. DISTANCE PROM PROPOSED* 16. NO. OF ACRES IN LEASE 17. NO. OF ACRES ABBIONED

LOCATION TO NEAREST TO THIS WELL

PROPERTY OB LEASE LINB• "· 6 5 4 ' l 5 6 3 . 7 2 4 0(Also to nearest drig. unit line, if any)18. DISTANCE FROM PROPOSED LOCATION· 19. PROPOSED DEPTH 20. RoTAar on CABLE TooLB

TO NEAREST WELL, DRILLING, COMPLETED,om APPUED 705, ON TEIS LEASE, FT· 1304 ' 6500 ' Rotary

2Ì. ELEVATIONa (Show whether DF. RT, GR, etc.) 22. APPROz. DATE WORE WILL START*

5246.7 GR April 199423. PROPOSED CASING AND CEMENTING PROGRAM

SIZE OF HOLE BIZE OF CABING WEIGHT PER FOOT BETTING DEPTH QUANTITT OF CEMENT

12-1/4" 8-5/8" 24# 300' 216 sx Class "G" + 2% CaCl27-7/8" 5-1/2" 17# TD 616 se liilift followe<i hv 52

sx Class "G" w/2% CaCl2

DIVOFOIL,GAS& MINING

IN ABOVE SPACE DESCRIBE PROPOSED PaooaAx : If proposal is to deepen or plug back, give data on present productive sone and proposed new prodnetive

zone. If proposal is to drill or deepen directionally, give pertinent data on subaurface locations and measured and true vertical depths. Give blowont

preventer program, it any.

arca.n En «A ,,,,, Regional Production Mgroxy. 2/23/94

(This space for Federal or State omee use)

CONDITIO F APPROVAL. 17 ANT .

NOTICEOF APPRD' L ox*SeeInstructionrOn ReverseSde

Title 18 U.S.C. Section 1001, makes it a crime for any person knowingly and willfully to make to any department or agency of the

United States any false. fictitious or fraudulent statements or representations as to any matter within its

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Page 1 of 8Well No. 12-21

CONDITIONS OF APPROVALAPPLICATION FOR PERMIT TO DRILL

Company/Operator: Lomax Exploration Company

Well Name & Number: Boundary Federal 12-21

API Number: 43-013-31440

Lease Number: U-50376 i n

Location: NWSW Sec. _2L T._8..S_R. 17E

DIVOFOIL,GAS & MININGNOTIFICATION REQUIREMENTS

Location Construction - at least forty-eight (48) hours prior to construction of location andaccess roads.

Location Completion - prior to moving on the drilling rig.

Spud Notice - at least twenty-four (24) hours prior to spudding the well.

Casing String and - at least twenty-four(24) hours prior to running casing andCementing cementing all casing strings.

BOP and Related - at least twenty-four (24) hours prior to initiating pressure tests.Equipment Tests

First Production - within five (5) business days after new well begins, or productionNotice resumes after well has been off production for more than ninety (90)

days.

For more specific details on notification requirements, please check the Conditions of Approval forNotice to Drill and Surface Use

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Page 1 of 8Well No. 12-21

CONDITIONS OF APPROVALAPPLICATION FOR PERMIT TO DRILL

Company/Operator: Lomax Exploration Company

Well Name & Number: Boundary Federal 12-21

API Number: 43-013-31440

Lease Number: U-50376 i n

Location: NWSW Sec. _2L T._8..S_R. 17E

DIVOFOIL,GAS & MININGNOTIFICATION REQUIREMENTS

Location Construction - at least forty-eight (48) hours prior to construction of location andaccess roads.

Location Completion - prior to moving on the drilling rig.

Spud Notice - at least twenty-four (24) hours prior to spudding the well.

Casing String and - at least twenty-four(24) hours prior to running casing andCementing cementing all casing strings.

BOP and Related - at least twenty-four (24) hours prior to initiating pressure tests.Equipment Tests

First Production - within five (5) business days after new well begins, or productionNotice resumes after well has been off production for more than ninety (90)

days.

For more specific details on notification requirements, please check the Conditions of Approval forNotice to Drill and Surface Use

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Page 2 of 8Well No. 12-21

CONDITIONS OF APPROVAL FOR NOTICE TO DRILL

Approval of this application does not warrant or certify that the applicant holds legal or equitable titleto those rights in the subject lease which would entitle the applicant to conduct operations thereon.

Be aware fire restrictions may be in effect when location is being constructed and/or when well isbeing drilled. Contact the appropriate Surface Management Agency for information.

A. DRILLING PROGRAM

1. Estimated Depth at Which Oil, Gas, Water, or Other Mineral Bearing Zones are Expected tobe Encountered

Report ALL water shows and water-bearing sands to Tim Ingwell of this office. Copies ofState of Utah form OGC-8-X are acceptable. If noticeable water flows are detected, submitsamples to this office along with any water analyses conducted.

All usable water and prospectively valuable minerals (as described by BLM at onsite)encountered during drilling, will be recorded by depth and adequately protected. All oil andgas shows will be tested to determine commercial potential.

2. Pressure Control Equipment

The 2000# pressure rated BOP that was identified and the related equipment shall meet theminimum requirements of Onshore Oil and Gas Order No. 2 for equipment and testingrequirements, procedures, etc., and individual components shall be operable as designed. If atest plug is not used, all required BOP tests that would submit the surface casing to pressure,will be ran for a minimum of thirty (30) minutes. Chart recorders shall be used for allpressure tests.

Test charts, with individual test results identified, shall be maintained on location whiledrilling and shall be made available to a BLM representative upon request.

The Vernal District Office shall be notified, at least 24 hours prior to initiating the pressuretests, in order to have a BLM representative on location during pressure testing.

3. Casing Program and Auxiliary Equipment

Surface casing shall have centralizers on the bottom three joints,with a minimum of onecentralizer per joint.

As a minimum, the usable water and oil shale resources shall be isolated and/or protected byeither having a cement top for the production casing at least 200 ft. above the top of theMahogany oil shale, identified at ± 3292

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Page 2 of 8Well No. 12-21

CONDITIONS OF APPROVAL FOR NOTICE TO DRILL

Approval of this application does not warrant or certify that the applicant holds legal or equitable titleto those rights in the subject lease which would entitle the applicant to conduct operations thereon.

Be aware fire restrictions may be in effect when location is being constructed and/or when well isbeing drilled. Contact the appropriate Surface Management Agency for information.

A. DRILLING PROGRAM

1. Estimated Depth at Which Oil, Gas, Water, or Other Mineral Bearing Zones are Expected tobe Encountered

Report ALL water shows and water-bearing sands to Tim Ingwell of this office. Copies ofState of Utah form OGC-8-X are acceptable. If noticeable water flows are detected, submitsamples to this office along with any water analyses conducted.

All usable water and prospectively valuable minerals (as described by BLM at onsite)encountered during drilling, will be recorded by depth and adequately protected. All oil andgas shows will be tested to determine commercial potential.

2. Pressure Control Equipment

The 2000# pressure rated BOP that was identified and the related equipment shall meet theminimum requirements of Onshore Oil and Gas Order No. 2 for equipment and testingrequirements, procedures, etc., and individual components shall be operable as designed. If atest plug is not used, all required BOP tests that would submit the surface casing to pressure,will be ran for a minimum of thirty (30) minutes. Chart recorders shall be used for allpressure tests.

Test charts, with individual test results identified, shall be maintained on location whiledrilling and shall be made available to a BLM representative upon request.

The Vernal District Office shall be notified, at least 24 hours prior to initiating the pressuretests, in order to have a BLM representative on location during pressure testing.

3. Casing Program and Auxiliary Equipment

Surface casing shall have centralizers on the bottom three joints,with a minimum of onecentralizer per joint.

As a minimum, the usable water and oil shale resources shall be isolated and/or protected byeither having a cement top for the production casing at least 200 ft. above the top of theMahogany oil shale, identified at ± 3292

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Page 3 of 8Well No. 12-21

The Vernal District Office shall be notified at least 24 hours prior to the running andcementing of all casing strings, in order to have a BLM representative on location whilerunning and cementing all casing strings.

4. Mud Program and Circulating Medium

Hazardous substances specifically listed by the EPA as a hazardous waste or demonstrating acharacteristic of a hazardous waste will not be used in drilling, testing, or completionoperations.

No chromate additives will be used in the mud system on Federal and Indian lands withoutprior BLM approval to ensure adequate protection of fresh water aquifers.

5. Coring, Logging and Testing Program

Daily drilling and completion progress reports shall be submitted to this office on a weeklybasis.

All Drill Stem tests (DST) shall be accomplished during daylight hours, unless specificapproval to start during other hours is obtained from the AO. However, DSTs may beallowed to continue at night if the test was initiated during daylight hours and the rate of flowis stabilized and if adequate lighting is available (i.e., lighting which is adequate for visibilityand vaporproof for safe operations). Packers can be released, but tripping should not beginbefore daylight unless prior approval is obtained from the AO.

At a minimum, a cement bond log (CBL) will be run from the productioncasing shoe to ±3092 ft. shall be utilized to determine the bond quality for the production casing. Submit afield copy of the CBL to this office.

At a minimum, the Dual Induction Lateral Log will be run from total depth to the base of thesurface casing.

Whether the well is completed as a dry hole or as a producer, "Well Completion andRecompletion Report and Log" (Form 3160-4) will be submitted not later than 30 days aftercompletion of the well or after completion of operations being performed, in accordance with43 CFR 3164. Two copies of all logs, core descriptions, core analyses, well-test data,geologic summaries, sample description, and all other surveys or data obtained and compiledduring the drilling, workover, and/or completion operations, will be filed with Form 3160-4.Samples (cuttings, fluids, and/or gases) will be submitted when requested by the AO.

6. Notifications of Operations

No location will be constructed or moved, no well will be plugged, and no drilling orworkover equipment will be removed from a well to be placed in a suspended status withoutprior approval of the AO. If operations are to be suspended, prior approval of the AO willbe obtained and notification given before resumption of

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Page 3 of 8Well No. 12-21

The Vernal District Office shall be notified at least 24 hours prior to the running andcementing of all casing strings, in order to have a BLM representative on location whilerunning and cementing all casing strings.

4. Mud Program and Circulating Medium

Hazardous substances specifically listed by the EPA as a hazardous waste or demonstrating acharacteristic of a hazardous waste will not be used in drilling, testing, or completionoperations.

No chromate additives will be used in the mud system on Federal and Indian lands withoutprior BLM approval to ensure adequate protection of fresh water aquifers.

5. Coring, Logging and Testing Program

Daily drilling and completion progress reports shall be submitted to this office on a weeklybasis.

All Drill Stem tests (DST) shall be accomplished during daylight hours, unless specificapproval to start during other hours is obtained from the AO. However, DSTs may beallowed to continue at night if the test was initiated during daylight hours and the rate of flowis stabilized and if adequate lighting is available (i.e., lighting which is adequate for visibilityand vaporproof for safe operations). Packers can be released, but tripping should not beginbefore daylight unless prior approval is obtained from the AO.

At a minimum, a cement bond log (CBL) will be run from the productioncasing shoe to ±3092 ft. shall be utilized to determine the bond quality for the production casing. Submit afield copy of the CBL to this office.

At a minimum, the Dual Induction Lateral Log will be run from total depth to the base of thesurface casing.

Whether the well is completed as a dry hole or as a producer, "Well Completion andRecompletion Report and Log" (Form 3160-4) will be submitted not later than 30 days aftercompletion of the well or after completion of operations being performed, in accordance with43 CFR 3164. Two copies of all logs, core descriptions, core analyses, well-test data,geologic summaries, sample description, and all other surveys or data obtained and compiledduring the drilling, workover, and/or completion operations, will be filed with Form 3160-4.Samples (cuttings, fluids, and/or gases) will be submitted when requested by the AO.

6. Notifications of Operations

No location will be constructed or moved, no well will be plugged, and no drilling orworkover equipment will be removed from a well to be placed in a suspended status withoutprior approval of the AO. If operations are to be suspended, prior approval of the AO willbe obtained and notification given before resumption of

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Page 4 of 8Well No. 12-21

The Vernal District Office shall be notified, during regular work hours (7:45 a.m.-4:30 p.m.,Monday through Friday except holidays), at least 24 hours prior to spudding the well.

Operator shall report production data to MMS pursuant to 30 CFR 216.5 using formMMS/3160.

Immediate Report: Spills, blowouts, fires, leaks, accidents, or any other unusual occurrencesshall be promptly reported in accordance with the requirements of NTL-3A or its revision.

If a replacement rig is contemplated for completion operations, a "Sundry Notice" (Form3160-5) to that effect will be filed, for prior approval of the AO, and all conditions of thisapproved plan are applicable during all operations conducted with the replacement rig.

The date on which production is commenced or resumed will be construed for oil wells as thedate on which liquid hydrocarbons are first sold or shipped from a temporary storage facility,such as a test tank, and for which a run ticket is required to be generated or, the date onwhich liquid hydrocarbons are first produced into a permanent storage facility, whichever firstoccurs; and, for gas wells as the date on which associated liquid hydrocarbons are first soldor shipped from a temporary storage facility, such as a test tank, and for which a run ticket isrequired to be generated or, the date on which gas is first measured through permanentmetering facilities, whichever first occurs.

Should the well be successfully completed for production, the AO will be notified when thewell is placed in a producing status. Such notification will be sent by telegram or otherwritten communication, not later than five (5) days following the date on which the well isplaced on production.

Gas produced from this well may not be vented or flared beyond an initial authorized testperiod of 30 days or 50 MMCF following its completion, whicheveroccurs first, withouttheprior written approval of the Authorized Officer. Should gas be vented or flared withoutapproval beyond the authorized test period, the operator may be directed to shut-in the welluntil the gas can be captured or approval to continue venting or flaring as uneconomic isgranted and the operator shall be required to compensate the lessor for that portion of the gasvented or flared without approval which is determined to have been avoidably lost.

A schematic facilities diagram as required by 43 CFR 3162.7-2, 3162.7-3, and 3162.7-4 shallbe submitted to the appropriate District Office within thirty (30) days of installation or firstproduction, whichever occurs first. All site security regulations as specified in Onshore Oil &Gas Order No. 3 shall be adhered to. All product lines entering and leaving hydrocarbonstorage tanks will be effectively sealed in accordance with 43 CFR

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Page 4 of 8Well No. 12-21

The Vernal District Office shall be notified, during regular work hours (7:45 a.m.-4:30 p.m.,Monday through Friday except holidays), at least 24 hours prior to spudding the well.

Operator shall report production data to MMS pursuant to 30 CFR 216.5 using formMMS/3160.

Immediate Report: Spills, blowouts, fires, leaks, accidents, or any other unusual occurrencesshall be promptly reported in accordance with the requirements of NTL-3A or its revision.

If a replacement rig is contemplated for completion operations, a "Sundry Notice" (Form3160-5) to that effect will be filed, for prior approval of the AO, and all conditions of thisapproved plan are applicable during all operations conducted with the replacement rig.

The date on which production is commenced or resumed will be construed for oil wells as thedate on which liquid hydrocarbons are first sold or shipped from a temporary storage facility,such as a test tank, and for which a run ticket is required to be generated or, the date onwhich liquid hydrocarbons are first produced into a permanent storage facility, whichever firstoccurs; and, for gas wells as the date on which associated liquid hydrocarbons are first soldor shipped from a temporary storage facility, such as a test tank, and for which a run ticket isrequired to be generated or, the date on which gas is first measured through permanentmetering facilities, whichever first occurs.

Should the well be successfully completed for production, the AO will be notified when thewell is placed in a producing status. Such notification will be sent by telegram or otherwritten communication, not later than five (5) days following the date on which the well isplaced on production.

Gas produced from this well may not be vented or flared beyond an initial authorized testperiod of 30 days or 50 MMCF following its completion, whicheveroccurs first, withouttheprior written approval of the Authorized Officer. Should gas be vented or flared withoutapproval beyond the authorized test period, the operator may be directed to shut-in the welluntil the gas can be captured or approval to continue venting or flaring as uneconomic isgranted and the operator shall be required to compensate the lessor for that portion of the gasvented or flared without approval which is determined to have been avoidably lost.

A schematic facilities diagram as required by 43 CFR 3162.7-2, 3162.7-3, and 3162.7-4 shallbe submitted to the appropriate District Office within thirty (30) days of installation or firstproduction, whichever occurs first. All site security regulations as specified in Onshore Oil &Gas Order No. 3 shall be adhered to. All product lines entering and leaving hydrocarbonstorage tanks will be effectively sealed in accordance with 43 CFR

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Page 5 of 8Well No. 12-21

No well abandonment operations will be commenced without the prior approval of the AO.In the case of newly drilled dry holes or failures, and in emergency situations, oral approvalwill be obtained from the AO. A "Subsequent Report of Abandonment" Form 3160-5, willbe filed with the AO within thirty (30) days following completion of the well forabandonment. This report will indicate where plugs were placed and the current status ofsurface restoration. Final abandonment will not be approved until the surface reclamationwork required by the approved APD or approved abandonment notice has been completed tothe satisfaction of the AO or his representative, or the appropriate Surface Managing Agency.

7. Other Information

All loading lines will be placed inside the berm surrounding the tank battery.

All off-lease storage, off-lease measurement, or commingling onlease or off-lease will haveprior written approval from the AO.

Gas meter runs for each well will be located within 500 feet of the wellhead. The gasflowline will be buried or anchored down from the wellhead to the meter and within 500 feetdownstream of the meter run or any production facilities. Meter runs will be housed and/orfenced.

The oil and gas measurement facilities will be installed on the well location. The oil and gasmeters will be calibrated in place prior to any deliveries. Tests for meter accuracy will beconducted monthly for the first three months on new meter installations and at least quarterlythereafter. The AO will be provided with a date and time for the initial meter calibration andall future meter proving schedules. A copy of the meter calibration reports will be submittedto the Vernal District Office. All meter measurement facilities will conform with Onshore Oil& Gas Order No. 4 for liquid hydrocarbons and Onshore Oil & Gas Order No. 5 for naturalgas measurement.

The use of materials under BLM jurisdictionwill conform to 43 CFR 3610.2-3.

There will be no deviation from the proposed drilling and/or workover program without priorapproval from the AO. Safe drilling and operating practices must be observed. All wells,whether drilling, producing, suspended, or abandoned will be identified in accordance with 43CFR 3162.

"Sundry Notice and Report on Wells" (Form 3160-5) will be filed for approval for allchanges of plans and other operations in accordance with 43 CFR 3162.3-2.

Section 102(b)(3) of the Federal Oil and Gas Royalty Management Act of 1982, asimplemented by the applicable provisions of the operating regulations at Title 43 CFR 3162.4-1(c), requires that "not later than the 5th business day after any well begins production

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Page 5 of 8Well No. 12-21

No well abandonment operations will be commenced without the prior approval of the AO.In the case of newly drilled dry holes or failures, and in emergency situations, oral approvalwill be obtained from the AO. A "Subsequent Report of Abandonment" Form 3160-5, willbe filed with the AO within thirty (30) days following completion of the well forabandonment. This report will indicate where plugs were placed and the current status ofsurface restoration. Final abandonment will not be approved until the surface reclamationwork required by the approved APD or approved abandonment notice has been completed tothe satisfaction of the AO or his representative, or the appropriate Surface Managing Agency.

7. Other Information

All loading lines will be placed inside the berm surrounding the tank battery.

All off-lease storage, off-lease measurement, or commingling onlease or off-lease will haveprior written approval from the AO.

Gas meter runs for each well will be located within 500 feet of the wellhead. The gasflowline will be buried or anchored down from the wellhead to the meter and within 500 feetdownstream of the meter run or any production facilities. Meter runs will be housed and/orfenced.

The oil and gas measurement facilities will be installed on the well location. The oil and gasmeters will be calibrated in place prior to any deliveries. Tests for meter accuracy will beconducted monthly for the first three months on new meter installations and at least quarterlythereafter. The AO will be provided with a date and time for the initial meter calibration andall future meter proving schedules. A copy of the meter calibration reports will be submittedto the Vernal District Office. All meter measurement facilities will conform with Onshore Oil& Gas Order No. 4 for liquid hydrocarbons and Onshore Oil & Gas Order No. 5 for naturalgas measurement.

The use of materials under BLM jurisdictionwill conform to 43 CFR 3610.2-3.

There will be no deviation from the proposed drilling and/or workover program without priorapproval from the AO. Safe drilling and operating practices must be observed. All wells,whether drilling, producing, suspended, or abandoned will be identified in accordance with 43CFR 3162.

"Sundry Notice and Report on Wells" (Form 3160-5) will be filed for approval for allchanges of plans and other operations in accordance with 43 CFR 3162.3-2.

Section 102(b)(3) of the Federal Oil and Gas Royalty Management Act of 1982, asimplemented by the applicable provisions of the operating regulations at Title 43 CFR 3162.4-1(c), requires that "not later than the 5th business day after any well begins production

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Page 6 of 8Well No. 12-21

which royalty is due anywhere on a lease site or allocated to a lease site, or resumesproduction in the case of a well which has been off production for more than 90 days, theoperator shall notify the authorized officer by letter or sundry notice, Form 3160-5, or orallyto be followed by a letter or sundry notice, of the date on which such production has begun orresumed."

If you fail to comply with this requirement in the manner and time allowed, you shall beliable for a civil penalty of up to $10,000per violation for each day such violation continues,not to exceed a maximum of 20 days. See Section 109(c)(3) of the Federal Oil and GasRoyalty Management Act of 1982 and the implementing regulations at Title 43 CFR 3162.4-1(b)(5)(ii).

APD approval is valid for a period of one (1) year from the signature date. An extensionperiod may be granted, if requested, prior to the expiration of the original approval period.

In the event after-hours approvals are necessary, please contact one of the followingindividuals:

Wayne Bankert (801) 789-4170Petroleum Engineer

Ed Forsman (801) 789-7077Petroleum Engineer

BLM FAX Machine (801)

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Page 6 of 8Well No. 12-21

which royalty is due anywhere on a lease site or allocated to a lease site, or resumesproduction in the case of a well which has been off production for more than 90 days, theoperator shall notify the authorized officer by letter or sundry notice, Form 3160-5, or orallyto be followed by a letter or sundry notice, of the date on which such production has begun orresumed."

If you fail to comply with this requirement in the manner and time allowed, you shall beliable for a civil penalty of up to $10,000per violation for each day such violation continues,not to exceed a maximum of 20 days. See Section 109(c)(3) of the Federal Oil and GasRoyalty Management Act of 1982 and the implementing regulations at Title 43 CFR 3162.4-1(b)(5)(ii).

APD approval is valid for a period of one (1) year from the signature date. An extensionperiod may be granted, if requested, prior to the expiration of the original approval period.

In the event after-hours approvals are necessary, please contact one of the followingindividuals:

Wayne Bankert (801) 789-4170Petroleum Engineer

Ed Forsman (801) 789-7077Petroleum Engineer

BLM FAX Machine (801)

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Page 7 of 8Well No. 12-21

EPA'S LIST OF NONEXEMPT EXPLORATION AND PRODUCTION WASTES

While the following wastes are nonexempt, they are not necessarily hazardous.

Unused fracturing fluids or acids

Gas plant cooling tower cleaning wastes

Painting wastes

Oil and gas service company wastes, such as empty drums, drum rinsate, vacuum truck rinsate,sandblast media, painting wastes, spend solvents, spilled chemicals, and waste acids

Vacuum truck and drum rinsate from trucks and drums, transportingor containing nonexempt waste

Refinery wastes

Liquid and solid wastes generated by crude oil and tank bottom reclaimers

Used equipment lubrication oils

Waste compressor oil, filters, and blowdown

Used hydraulic fluids

Waste solvents

Waste in transportationpipeline-related pits

Caustic or acid cleaners

Boiler cleaning wastes

Boiler refractory bricks

Incinerator ash

Laboratory wastes

Sanitary wastes

Pesticide wastes

Radioactive tracer wastes

Drums, insulation and miscellaneous

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Page 7 of 8Well No. 12-21

EPA'S LIST OF NONEXEMPT EXPLORATION AND PRODUCTION WASTES

While the following wastes are nonexempt, they are not necessarily hazardous.

Unused fracturing fluids or acids

Gas plant cooling tower cleaning wastes

Painting wastes

Oil and gas service company wastes, such as empty drums, drum rinsate, vacuum truck rinsate,sandblast media, painting wastes, spend solvents, spilled chemicals, and waste acids

Vacuum truck and drum rinsate from trucks and drums, transportingor containing nonexempt waste

Refinery wastes

Liquid and solid wastes generated by crude oil and tank bottom reclaimers

Used equipment lubrication oils

Waste compressor oil, filters, and blowdown

Used hydraulic fluids

Waste solvents

Waste in transportationpipeline-related pits

Caustic or acid cleaners

Boiler cleaning wastes

Boiler refractory bricks

Incinerator ash

Laboratory wastes

Sanitary wastes

Pesticide wastes

Radioactive tracer wastes

Drums, insulation and miscellaneous

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Page 8 of 8Well No. 12-21

SURFACE USE PLAN OF OPERATIONConditions of Approval (COAs)

Additional Surface Conditions of Approval

A complete copy of the approved APD and ROW grant, if applicable, shall be on location duringconstruction of the location and drilling activities.

The operator or his/her contractor shall contact the BLM Office at (801) 789-1362 forty-eight (48)hours prior to construction activities.

The BLM Office shall be notified upon site completion prior to moving on the drilling rig.

Lomax shall build and maintain a dike or berm at the edge of the location to protect the irrigationcanal north and adjacent to the well pad.

Lomax shall adhere to the surface agreement as entered into with the Carman Family Investment

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Page 8 of 8Well No. 12-21

SURFACE USE PLAN OF OPERATIONConditions of Approval (COAs)

Additional Surface Conditions of Approval

A complete copy of the approved APD and ROW grant, if applicable, shall be on location duringconstruction of the location and drilling activities.

The operator or his/her contractor shall contact the BLM Office at (801) 789-1362 forty-eight (48)hours prior to construction activities.

The BLM Office shall be notified upon site completion prior to moving on the drilling rig.

Lomax shall build and maintain a dike or berm at the edge of the location to protect the irrigationcanal north and adjacent to the well pad.

Lomax shall adhere to the surface agreement as entered into with the Carman Family Investment

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DIVISION OF OIL, GAS AND MINING

SPUDDING INFORMATION

NAME OF COMPANY: LOMAX

WELL NAME: BOUNDARY FEDERAL 12-21

API NO. 43-013-31440

Section 21 Township 8S Range 17E County DUCHESNE

Drilling Contractor EXETER

Rig # 46

SPUDDED: Date 11/16/94

Time

How ROTARY

Drilling will commence

Reported by BRAD MECHAM

Telephone #

Date 11/21/94 SIGNED

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DIVISION OF OIL, GAS AND MINING

SPUDDING INFORMATION

NAME OF COMPANY: LOMAX

WELL NAME: BOUNDARY FEDERAL 12-21

API NO. 43-013-31440

Section 21 Township 8S Range 17E County DUCHESNE

Drilling Contractor EXETER

Rig # 46

SPUDDED: Date 11/16/94

Time

How ROTARY

Drilling will commence

Reported by BRAD MECHAM

Telephone #

Date 11/21/94 SIGNED

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O OForm 3160-5 UNITED STATES FORM APPROVED

(June 1990) DEPARTMENT OF THE INTERIORBudget Burean No. 1004-0135

Expires: March 31, 1993

BUREAU OF LAND MANAGEMENT 5. L:ase Designanon and Semi No.UTU-50376

SUNDRY NOTICES AND REPORTS ON WELLS 6. If Indian, Allouce or Tribe Name

Do not use this form for proposals to drift or to deepen or reentry to a different reservoir.

Use "APPLICATION FOR PERMIT-" for such proposals

SUBMIT IN TRIPLICA TE7. If una or cA. Agreemem Designanon

LORATION COMPANYBoundary Federal#12-21

9. API Well No.

3 Address and Telephone No43-013-31440

P.O. Boz 1446 Roosevelt Utah 84066

4 Locatum of wFell(Footage, see TLR M o Survey Description)

10 CFieldand Pool or Explora ory Area

Sec. 21, TSS, R17ESec. 21, TSS, R17E

12 CHECK APPROPRIATE BOX(s) TO INDICATE NATURE OF NOTICE, REPORT, OR OTHEA DATA

TYPE OF SUBMISSION TYPE OF ACTION

O Nonce of in ent Abandonment Change of Plans

O a.compreso. O New Consnaion

Subsequent Repon Plugging BackNon-Routine Fracturing

O c.in, a...ar O Water Shut-Off

O Final Abandonment Notice Ahe mg Cumg Conversion to Inytion

Oo.., weekiy status oss,.s.w.(Note: Reportresultsof multiplecompletiononWell

CompJenonor Recompletion Report and Log form.)

13. Describe Proposed or Completed Operations (Clearly state all pertment details, and give pertinent dates, including estimated date of starting any proposed work. If well is directionally drilled,

give subsurface locations and measured and true vertical depths for all markers and zones pertinent to this work.)*

WEEKLYSTATUS REPORT FOR THE WEEK OF11/17/94 - 12/03/94:

Drilled 80' w/Leon Ross Rathole Rig; set 80' of l3 3/8" csg. Hole washed out Drilled 225'

of 12 1/4" hole; set 300' of 8 5/8" csg.

12/4/94 - 12 /12/94

Drilled 7 7/8" hole from301' to TD 7800' w/ExeterRig #46. Presently logging w/

Schlumberger Jc Numar.

14. I hereby certify that the foregoing is true and correct

Signed Rrm<1 Mecham Title Operations Manager Date12/5/96

(This space for Federal or State office use)

Approved byTide

Date

Conditions of approval, if any:

Tide 18 U.S.C. Section 1001, makes it a crime for any person knowingly and willfully to make to any department or agency of the United Statesany false, fictitious or fraudulent statemenu

or representations as to any matter within its jurisdiction.*See Instruction on Reverse

O OForm 3160-5 UNITED STATES FORM APPROVED

(June 1990) DEPARTMENT OF THE INTERIORBudget Burean No. 1004-0135

Expires: March 31, 1993

BUREAU OF LAND MANAGEMENT 5. L:ase Designanon and Semi No.UTU-50376

SUNDRY NOTICES AND REPORTS ON WELLS 6. If Indian, Allouce or Tribe Name

Do not use this form for proposals to drift or to deepen or reentry to a different reservoir.

Use "APPLICATION FOR PERMIT-" for such proposals

SUBMIT IN TRIPLICA TE7. If una or cA. Agreemem Designanon

LORATION COMPANYBoundary Federal#12-21

9. API Well No.

3 Address and Telephone No43-013-31440

P.O. Boz 1446 Roosevelt Utah 84066

4 Locatum of wFell(Footage, see TLR M o Survey Description)

10 CFieldand Pool or Explora ory Area

Sec. 21, TSS, R17ESec. 21, TSS, R17E

12 CHECK APPROPRIATE BOX(s) TO INDICATE NATURE OF NOTICE, REPORT, OR OTHEA DATA

TYPE OF SUBMISSIONTYPE OF ACTION

O Nonce of in ent Abandonment Change of Plans

O a.compreso. O New Consnaion

Subsequent Repon Plugging BackNon-Routine Fracturing

O c.in, a...ar O Water Shut-Off

O Final Abandonment Notice Ahe mg Cumg Conversion to Inytion

Oo.., weekiy status oss,.s.w.(Note: Reportresultsof multiplecompletiononWell

CompJenonor Recompletion Report and Log form.)

13. Describe Proposed or Completed Operations (Clearly state all pertment details, and give pertinent dates, including estimated date of starting any proposed work. If well is directionally drilled,

give subsurface locations and measured and true vertical depths for all markers and zones pertinent to this work.)*

WEEKLYSTATUS REPORT FOR THE WEEK OF11/17/94 - 12/03/94:

Drilled 80' w/Leon Ross Rathole Rig; set 80' of l3 3/8" csg. Hole washed out Drilled 225'

of 12 1/4" hole; set 300' of 8 5/8" csg.

12/4/94 - 12 /12/94

Drilled 7 7/8" hole from301' to TD 7800' w/ExeterRig #46. Presently logging w/

Schlumberger Jc Numar.

14. I hereby certify that the foregoing is true and correct

Signed Rrm<1 Mecham Title Operations Manager Date12/5/96

(This space for Federal or State office use)

Approved byTide

Date

Conditions of approval, if any:

Tide 18 U.S.C. Section 1001, makes it a crime for any person knowingly and willfully to make to any department or agency of the United Statesany false, fictitious or fraudulent statemenu

or representations as to any matter within its jurisdiction.*See Instruction on Reverse

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STATEOF UfAHOlvlSION Of 01L, GAS AND NINING OPERATOR LOMAX EXPLORATION CONPANY oPERAroR ACCT. NO. " 0580

ENTITY ACTION FORH - FORM 6 ADDRESS P.O. Box 1446

Roosevelt, Utah 84066

ACil0N CURRENT HEW API tÍ L NAME • WELL 10CATTOH SPU0 EFFECTIVECODE ENTITY NO. EHTITY NO. QQ SC TP RG COUHTY DATE DATE

B 99999 43-013-31440 Boundary Federal #12-21 NWSW 21 08S (17E Duchesne 11/17/94 11/17/9&

WELL 1 COMMENTS: o 3

g WELL 2 COMMENTS:

WELL3 COMMENTS:

WELL 4 COMHENTS:

OL CONNENTS:

ACTION CODES(See instructions on back of form)A - Establish new entity for new well (single well only) Brad Mecham COD - Add new well to existing entity (group or unit well) Signature /C - Re-assign well from one existing entity to another existing entity0 - Re-assign well from one existing entity to a new entity Operations Mgr. 12/15/94E - Other (explain in comments section) .

Title Date

NOTE: Use COMMENTsection to explain why each Action Code was selected. Phone No. ( 801, 722-5103

STATEOF UfAHOlvlSION Of 01L, GAS AND NINING OPERATOR LOMAX EXPLORATION CONPANY oPERAroR ACCT. NO. " 0580

ENTITY ACTION FORH - FORM 6 ADDRESS P.O. Box 1446

Roosevelt, Utah 84066

ACil0N CURRENT HEW API tÍ L NAME • WELL 10CATTOH SPU0 EFFECTIVECODE ENTITY NO. EHTITY NO. QQ SC TP RG COUHTY DATE DATE

B 99999 43-013-31440 Boundary Federal #12-21 NWSW 21 08S (17E Duchesne 11/17/94 11/17/9&

WELL 1 COMMENTS: o 3

g WELL 2 COMMENTS:

WELL3 COMMENTS:

WELL 4 COMHENTS:

OL CONNENTS:

ACTION CODES(See instructions on back of form)A - Establish new entity for new well (single well only) Brad Mecham COD - Add new well to existing entity (group or unit well) Signature /C - Re-assign well from one existing entity to another existing entity0 - Re-assign well from one existing entity to a new entity Operations Mgr. 12/15/94E - Other (explain in comments section) .

Title Date

NOTE: Use COMMENTsection to explain why each Action Code was selected. Phone No. ( 801, 722-5103

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. O 4Form 3160-5 UNITED STATES FoRM APPRoveo

(June 1990) DEPARTMENT OF THE INTERIOR res h 313m

BUREAU OF LAND MANAGEMENT 5. Mase Designanon and Serial No.

UTU-50376SUNDRY NOTICES AND REPORTS ON WELLS 6. If Indian. Allottee or Tribe Name

Do not use this form for proposals to drill or to deepen or reentry to a different reservoir.

Use "APPLICATION FOR PERMIT-" for such proposals

SUBMIT IN TRIPLICA TE7 it umaor cA. Agreement Designation

i Type of Well

& O Rii O om.,8. Wen Name and No

2 Name of Operator Boundary Federal9. API Weil No.

Tonsv FYplorefinn rnmpany3 Address and Telephone No. #12-21

P.O. Box 1446 Roosevelt, UT 84066 10. Field and Pool, or Exploratory Area

4 Location of Well (Footage, Sec.. T.. R.. M., or Survey Description)11. County or Parish, State

1790' FSL 654' FWL NW/SWSec. 21, TSS, R17E

Duchesne, Utah

CHECK APPROPRIATE BOX(s) TO INDICATE NATUREOF NOTICE, REPORT, OR OTHER DATA

TYPE OF SUBMISSION TYPE OF ACTION

O Notice of Intent Mandonment Q ange of Plans

O a...,i.so. O New Cons ruchon

Subsequent Repon O Plugging Back Non-Routine Fracturing

O cai., a...i, O Wamr Shut-OM

O Final Abandonment Notice Maing Cumg Conversion to Ingtion

O Other We€¾ly Stâtg,S Dispose Water(Note: Reportresultsof multipiccompletiononWell

Compleuon or Recompletion Report and Logform.)

13. Describe Proposed or Completed Operations (Clearly state all pertinent details, and givepertinent dates. includingestimated date of starting any proposed work. If well is directionally drdled,

give subsurface locations and measured and true vertical depths for all markers and zones pertinent to this work.)*

WEEKLYSTATUS REPORT 1/11/95 - 1/18/95:

1/11/95: Frac D Sand asfollows:Pad 71.4 bbls 30# gel

26.0 bbls 30# gel w/2000# 100 mesk sd

35.7 bb/s 30# gelRamp 2# - 8# 20/40 sd 218.4 bbls slurry

8# 20/40 sd12.2 bbis slurryTotal sd pumped 2000# 100 mesh 40,000# 20/40

1/18/95: Frac D Sand as follows: A1995Pad 5,000 gal TW-30Pumped 2,000 gal TW-30 w/2#/gal 100 mesh

Pumped 2,000 gal TW-30 DIVOF GAS&Ramp 2.0# - 8#/gal 20/40 sd w/11,500 gal TW-30

Stage 8#/gal 20/40 sd w/500 gal TW-30

Flush w/5252 gal KCLTotal sd pumped 4,000# 100 mesh, 60,000# 20/40 sd

14. I hereby certify that the foregomg is tm

T¡,i, Operations Manager Date 1/20/95

(This space for Federal or State office use)

Approved by Title Date

Conditions of approval, if any:

Title 18 U.S.C. Section 1001, makes it a crime for any person knowingly and willfully to make to any department or agency of the United States any false, fictitious or fraudulent statements

or representations as to any matter within its jurisdiction.*See Instruction on Reverse

. O 4Form 3160-5 UNITED STATES FoRM APPRoveo

(June 1990) DEPARTMENT OF THE INTERIOR res h 313m

BUREAU OF LAND MANAGEMENT 5. Mase Designanon and Serial No.

UTU-50376SUNDRY NOTICES AND REPORTS ON WELLS 6. If Indian. Allottee or Tribe Name

Do not use this form for proposals to drill or to deepen or reentry to a different reservoir.

Use "APPLICATION FOR PERMIT-" for such proposals

SUBMIT IN TRIPLICA TE7 it umaor cA. Agreement Designation

i Type of Well

& O Rii O om.,8. Wen Name and No

2 Name of Operator Boundary Federal9. API Weil No.

Tonsv FYplorefinn rnmpany3 Address and Telephone No. #12-21

P.O. Box 1446 Roosevelt, UT 84066 10. Field and Pool, or Exploratory Area

4 Location of Well (Footage, Sec.. T.. R.. M., or Survey Description)11. County or Parish, State

1790' FSL 654' FWL NW/SWSec. 21, TSS, R17E

Duchesne, Utah

CHECK APPROPRIATE BOX(s) TO INDICATE NATUREOF NOTICE, REPORT, OR OTHER DATA

TYPE OF SUBMISSION TYPE OF ACTION

O Notice of Intent Mandonment Q ange of Plans

O a...,i.so. O New Cons ruchon

Subsequent Repon O Plugging Back Non-Routine Fracturing

O cai., a...i, O Wamr Shut-OM

O Final Abandonment Notice Maing Cumg Conversion to Ingtion

O Other We€¾ly Stâtg,S Dispose Water(Note: Reportresultsof multipiccompletiononWell

Compleuon or Recompletion Report and Logform.)

13. Describe Proposed or Completed Operations (Clearly state all pertinent details, and givepertinent dates. includingestimated date of starting any proposed work. If well is directionally drdled,

give subsurface locations and measured and true vertical depths for all markers and zones pertinent to this work.)*

WEEKLYSTATUS REPORT 1/11/95 - 1/18/95:

1/11/95: Frac D Sand asfollows:Pad 71.4 bbls 30# gel

26.0 bbls 30# gel w/2000# 100 mesk sd

35.7 bb/s 30# gelRamp 2# - 8# 20/40 sd 218.4 bbls slurry

8# 20/40 sd12.2 bbis slurryTotal sd pumped 2000# 100 mesh 40,000# 20/40

1/18/95: Frac D Sand as follows: A1995Pad 5,000 gal TW-30Pumped 2,000 gal TW-30 w/2#/gal 100 mesh

Pumped 2,000 gal TW-30 DIVOF GAS&Ramp 2.0# - 8#/gal 20/40 sd w/11,500 gal TW-30

Stage 8#/gal 20/40 sd w/500 gal TW-30

Flush w/5252 gal KCLTotal sd pumped 4,000# 100 mesh, 60,000# 20/40 sd

14. I hereby certify that the foregomg is tm

T¡,i, Operations Manager Date 1/20/95

(This space for Federal or State office use)

Approved by Title Date

Conditions of approval, if any:

Title 18 U.S.C. Section 1001, makes it a crime for any person knowingly and willfully to make to any department or agency of the United States any false, fictitious or fraudulent statements

or representations as to any matter within its jurisdiction.*See Instruction on Reverse

Page 41: APPLICATION FOR PERMIT TO DRILL, DEEPEN, OR PLUG BACK … · 2018-12-15 · APPLICATION FOR PERMIT TO DRILL, DEEPEN, OR PLUG BACK Û-WINDIAN.A OTTEROBTEIBENAME la. TTPE OF WORK ...

Form 3160-5 UNITED STATES FORM APPROVED

(June 1990) DEPARTMENT OF THE INTERIORBudget Burean No. 1004-0135

Expires: March 31, 1993

BUREAU OF LAND MANAGEMENT 5. * Designation and Serial No.

UTU-50376SUNDRY NOTICES AND REPORTS ON WELLS 6. If Indian, Allottee or Tribe Name

Do not use this form for proposals to drill or to deepen or reentry to a different reservoir.Use "APPLICATION FOR PERMIT--" for such proposals

SUBMIT IN TRIPLICA TE7. If Unit or CA, Agreement Designation

1. Type of Well

O °wien O GWasuOder

8. Well Name and No.

2. Name of Operator Boundary Federal

Lomax Exploration Company 9. API Well No.

3 Address and Telephone No#12-21

P.O. Box 1446 Roosevelt , UT 84066 10. Field and Pool, or Exploratory Area

4 Location of Well (Footage. Sec., T., R., M., or Survey Description)

1790' FSL 654' FWL NW/SW .

. 11. County or Parish, State

Sec. 21, T8S, il7E , Û|f-7/ Duchesne°, Utah

12 CHECK APPROPRIATE BOX(s) TO INDICATENATURE OF MOTICE, REPORT, OR OTHER DATA

TYPE OF SUBMISSION TYPE OF ACTION

O Notice onntent Abandonment Change of Plans

Recompletion New Construction

Subsequem Repon Plugging Back Non-Routine Fracturing

Casing Repair . Water Shut-Off

O Final Abandonment Notice Ahering Cuing Conversion o Ingon

O OtherWeekly Status . Dispose Water(Note: Reportresultsof multipiccompletiononWell

Completion or Recompletion Report and Log form.)

13. Describe Proposed or Completed Operations (Clearly state a 1pertinent details, and give pertinent dates, including estimated date of starting any proposed work. If well is directionally drilled,

give subsurface locations and measured and true vertical depths for all markers and zones pertinent to this work.)*

LOMAX EXPLORATION COMPANY REPORTS THAT ON 1/21/95, THE BOUNDARY FEDERAL #12-21

WASPLACED ON PRODUCTION@10:30AM:

1/22/95 24 HRS 44 BOPD 132 BWPD1/23/95 21 HRS 30 BOPD 133 BWPD

FEB2 7 1995

G G

14. I hereby certidfy that the fomgoing is co

Title Operations Manager Date 2/21/95

(This space for Federal or Stfe office use)

Approved by Title Date

Conditions of approval, if any:

Title 18 U.S.C. Section 1001. makes it a crime for any person knowingly and willfully to make to any department or agency of the United States any false, fictitious or fraudulent statements

or representations as to any mauer within its jurisdiction.*See Instruction on Reverse

Form 3160-5 UNITED STATES FORM APPROVED

(June 1990) DEPARTMENT OF THE INTERIORBudget Burean No. 1004-0135

Expires: March 31, 1993

BUREAU OF LAND MANAGEMENT 5. * Designation and Serial No.

UTU-50376SUNDRY NOTICES AND REPORTS ON WELLS 6. If Indian, Allottee or Tribe Name

Do not use this form for proposals to drill or to deepen or reentry to a different reservoir.Use "APPLICATION FOR PERMIT--" for such proposals

SUBMIT IN TRIPLICA TE7. If Unit or CA, Agreement Designation

1. Type of Well

O °wien O GWasuOder

8. Well Name and No.

2. Name of Operator Boundary Federal

Lomax Exploration Company 9. API Well No.

3 Address and Telephone No#12-21

P.O. Box 1446 Roosevelt , UT 84066 10. Field and Pool, or Exploratory Area

4 Location of Well (Footage. Sec., T., R., M., or Survey Description)

1790' FSL 654' FWL NW/SW .

. 11. County or Parish, State

Sec. 21, T8S, il7E , Û|f-7/ Duchesne°, Utah

12 CHECK APPROPRIATE BOX(s) TO INDICATENATURE OF MOTICE, REPORT, OR OTHER DATA

TYPE OF SUBMISSION TYPE OF ACTION

O Notice onntent Abandonment Change of Plans

Recompletion New Construction

Subsequem Repon Plugging Back Non-Routine Fracturing

Casing Repair . Water Shut-Off

O Final Abandonment Notice Ahering Cuing Conversion o Ingon

O OtherWeekly Status . Dispose Water(Note: Reportresultsof multipiccompletiononWell

Completion or Recompletion Report and Log form.)

13. Describe Proposed or Completed Operations (Clearly state a 1pertinent details, and give pertinent dates, including estimated date of starting any proposed work. If well is directionally drilled,

give subsurface locations and measured and true vertical depths for all markers and zones pertinent to this work.)*

LOMAX EXPLORATION COMPANY REPORTS THAT ON 1/21/95, THE BOUNDARY FEDERAL #12-21

WASPLACED ON PRODUCTION@10:30AM:

1/22/95 24 HRS 44 BOPD 132 BWPD1/23/95 21 HRS 30 BOPD 133 BWPD

FEB2 7 1995

G G

14. I hereby certidfy that the fomgoing is co

Title Operations Manager Date 2/21/95

(This space for Federal or Stfe office use)

Approved by Title Date

Conditions of approval, if any:

Title 18 U.S.C. Section 1001. makes it a crime for any person knowingly and willfully to make to any department or agency of the United States any false, fictitious or fraudulent statements

or representations as to any mauer within its jurisdiction.*See Instruction on Reverse

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Lomax Exploration Company

P.O.Box 1446Roosevelt,Utah 84066(801)722-5103FAX(801)722-9149 March 13, l995

LOIMSXDN OF OIL,GAS & MINING

State of UtahDivision of Oil, Gas &Mining355 WestNorth TempleThree Triad Center - Suite 350Salt Lake City, Utah 84180-1203

ATTENTION: VickyCarneyRE: Boundary Federal #12-21

Sec. 21, T8S,Rl 7EDuchesne County, Utah

Dear Vicky,

Please findenclosed the WellCompletionReport and thefollowinglogs on theabove referenced well: Litho Density, Dual Laterolog, FMI, Mech Sidewall Coring, andMelton Mud logs. Sidewall cores were taken, but not analyzed.

Please do not hesitate to call me at the Roosevelt office, if you have any questions,(80l) 722-5103.

Sincerely,

Brad MechamOperations Manager

Enclosures

Lomax Exploration Company

P.O.Box 1446Roosevelt,Utah 84066(801)722-5103FAX(801)722-9149 March 13, l995

LOIMSXDN OF OIL,GAS & MINING

State of UtahDivision of Oil, Gas &Mining355 WestNorth TempleThree Triad Center - Suite 350Salt Lake City, Utah 84180-1203

ATTENTION: VickyCarneyRE: Boundary Federal #12-21

Sec. 21, T8S,Rl 7EDuchesne County, Utah

Dear Vicky,

Please findenclosed the WellCompletionReport and thefollowinglogs on theabove referenced well: Litho Density, Dual Laterolog, FMI, Mech Sidewall Coring, andMelton Mud logs. Sidewall cores were taken, but not analyzed.

Please do not hesitate to call me at the Roosevelt office, if you have any questions,(80l) 722-5103.

Sincerely,

Brad MechamOperations Manager

Enclosures

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Form 3160y4 m approved.(November 1983) UN. D ST ATES get Bureau No. 1004-0137

(formerly 9-330)or r in- ires August 31, 1985

DEPARTMENT OF THE INTE DE8tuNATION AND SERIAI. NO.

BUREAU OF LAND MANAGEMENT 50376

WELLCOMPLETIONOR RECOMPLETION REP L Mla. TYPE OF WELL: 011. Gas f,

WEI.L WEI.! DRY Other AGREEME%T NAME

b. TYPE OF COMPLETION:NEW WORK DMEI' Pi i G DIFF.wMI.i. OtEit E% nars LJ REnvit. Other UK I-E^35 NAME

2. NAME OF OPERATon SOundary FederalLomax Exploration Company 9. WEI.L NO.

3. AlsDREsa or uPERATo.#12-21

P.O. Box 1446 Roosevelt, UT 84066 io. rm.o man roor.. on wn.acar

4. LocATroN or wei.t. (Report location clearly and (N SCCQrddNC€ leith any ßtate requirements)*

At surface1790' 654' FWL * »R..M.,ORBLUCKANDSURVEY

At top prod. Interval reported belowSec. 21, T8S, R17E

At total depth

14. PER311T NO. DATE ISSL ED 12. COUNTT OR 13. STATEPARISH43-013-31440 10/28/94 Duchesne Utah

15. DATE SPCDDED 16. DATE T.D. REACHED 17. DATE COMPL. (R€ady to prod.) 18. ELEVATIONS (DF. RKB. RT, GR, ETC.). 1Û. ELEV. CASINGREAD

11/10/94 12/4/94 1/21/95 5246.7 GR 5261' KB20. TOTAL DEPTH, MD A TVD 21. PLUG, BACK T.D., MD & TVD 22. Er tirl.TIPLE COMPL., 2.", 1NTERVALS ROTARY TOOLS CABLE TOOLS

HOW NIANT* DRILLED BY

7800' I 7712' I N/A ---+ X24. PRODUCING INTERVAL(S). OF THIS COMPLETIO.N-TOP, BOTTOM, NAME (MD AND TVD)* 25. WAS DIRECTIONAL

SilRVET MADE

5300'-5310', 5360'-5372', 6120'-6134', 6550'-6574', 6864'-6874' ii No5~ '

26. TTPE ELECTRIC AND OTHER LOGS RL'N .)Ê> 27. WAS WELL (OBED

Sidewall CoresLitho Density, Dual Laterolog, FMI Mech Sidewall Coring, Melton Mud28. CASING RECORD (Report all strings set in toell)

CASING SIZE WEIGHT. LB./FT, DEPTH SET (MD) HOI.E SIZE CEMENTING RECORD AMOUNT PULLED

A 5/8 74# 300' 17 1/4 735 ov rises O + 97 Carl 1- ki eb-€eM-oSeal

5 1/2 15.5# 7762' 7 7/8 *See Back

29. LINER RECORD 30. T¶BING RECORD

81EE TOP (MD) BOTTOM (MD) SACKS CEMENT* SCREEN (MD) SIZE DEPTH SET (MD) PACKER SET (MD}

2 7/8 5586'

31. PERFORATION RECORD (Ìntert;GI, aire and number) 32. ACID, SHOT. FRACTURE. CEMENT SQUEEZE. ETC.Green River: DEPTH INTERVAL (MD) AMOUNT AND álND OF MÅTERIAL USED

D-2 @ 5300'-5310', D-3 @5360'-5372', ** See backCP @ 6120'-6134', BGR @ 6550'-6574'Wasatch @6864'-6874'4" Gun, .45 Dia 4 SPF

33.* PRODUCTION

DATE FIRST PRODUCTION PRODUCTION METHOD (Flotoing, gas lift, pumping-size and type of pump) wsLI. sTATUs (Pradecing orshut-in)

1/21/95 Pumping THD Trico Pump ProducingDATE OF TEST HOURS TESTED CHOKE BIZE PROD'N. FOR OIL-BBL. GAS-McF. WATER--BBL. GAS•OIL EATIO

1/29/95 24 N/A"

25 43 97 | 1.72FLOW. TURING PRESS, CASING PRESSCRE CALCULATED OIL-BBL. GAS---MCP. WATER--HBL. OIL GRATITT-API (CORE.)

24-Hova RAT. ' ' 32.034. DISPOSITION Or GAs (Bold, used for fact, vented, etc.) TEST WITNESSED BT

Sold & Used for fuel I35. List or ATTACHMENTS

Downhole Diagram - Logs above in item #2636. I hereby certify that the foregoing and attached information is complete and correct as determined from all available recorda

SIGNED Brad Mecham /FATITLE Operations Manager oxTE 7 IN IV

*(SeeInstructionsand Spacesfer Additional Data on ReverseSide)I'itle 18 U.S.C. Section 1001, makes it a crime for any person knowingly and willfully to make to any department or agency of theUnited States any false, fictitious or fraudulent statements or representations as to any matter within its

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Page 45: APPLICATION FOR PERMIT TO DRILL, DEEPEN, OR PLUG BACK … · 2018-12-15 · APPLICATION FOR PERMIT TO DRILL, DEEPEN, OR PLUG BACK Û-WINDIAN.A OTTEROBTEIBENAME la. TTPE OF WORK ...

O OFOf:M lo STATE OF UTAH

DIVISION OF OIL, GAS AND MININGPage of 4355 West North Temple, 3 Triad, suite 350, Salt Lake City, UT 84180-1203

-----

MONTHLY OIL AND GAS PRODUCTION REPORT

OPERATOR NAME AND ADDRESS:UTAH ACCOUNT NUMBER:

KEBBIE JONES 6 / 95REPORT PERIOD (MONTH/YEAR):LOMAX EXPLORATION COMPANYPO BOX 1446ROOSEVELT UT 84066

AMENDED REPORT (Highlight Changes)

Well Name Producing Well Days Production Volumeslådidón Zone Status Oper OIL(BEL) GAS(MCF) WATER(BBL)

TATE 9-32

\ÁTATE 5-324 01330714 11486 08S 17E 32 GRRV

sŠTATE 6-32-

4 01330748 11486 OSS 17E 32 GRRVTATE 4-32

4 01330800 11486 OSS 17E 32 GRRVÁlLSONITE STATE 14-32

4301331480 i1486 08S 17E 32 GRRVZh0UNDARY FEDERAL 12-21

901331440 11709 OSS 17E 21 GRRVv/ NUMENT BUTTE FEDERAL 6-34

4301331504 11743 OSS 16E 34 GRRV

TOTALS

3MMENT3

hereby certify that this report is true and complete to the best of my knowledge. Date

ime and Signature Telephone Number

O OFOf:M lo STATE OF UTAH

DIVISION OF OIL, GAS AND MININGPage of 4355 West North Temple, 3 Triad, suite 350, Salt Lake City, UT 84180-1203

-----

MONTHLY OIL AND GAS PRODUCTION REPORT

OPERATOR NAME AND ADDRESS:UTAH ACCOUNT NUMBER:

KEBBIE JONES 6 / 95REPORT PERIOD (MONTH/YEAR):LOMAX EXPLORATION COMPANYPO BOX 1446ROOSEVELT UT 84066

AMENDED REPORT (Highlight Changes)

Well Name Producing Well Days Production Volumeslådidón Zone Status Oper OIL(BEL) GAS(MCF) WATER(BBL)

TATE 9-32

\ÁTATE 5-324 01330714 11486 08S 17E 32 GRRV

sŠTATE 6-32-

4 01330748 11486 OSS 17E 32 GRRVTATE 4-32

4 01330800 11486 OSS 17E 32 GRRVÁlLSONITE STATE 14-32

4301331480 i1486 08S 17E 32 GRRVZh0UNDARY FEDERAL 12-21

901331440 11709 OSS 17E 21 GRRVv/ NUMENT BUTTE FEDERAL 6-34

4301331504 11743 OSS 16E 34 GRRV

TOTALS

3MMENT3

hereby certify that this report is true and complete to the best of my knowledge. Date

ime and Signature Telephone Number

Page 46: APPLICATION FOR PERMIT TO DRILL, DEEPEN, OR PLUG BACK … · 2018-12-15 · APPLICATION FOR PERMIT TO DRILL, DEEPEN, OR PLUG BACK Û-WINDIAN.A OTTEROBTEIBENAME la. TTPE OF WORK ...

LomaxExp on CompanyA subsidiary of Inland Resources Inc.

LOIHBX--- JUL 14 1995

Lomax Exploration Company7.

Inland ProductionCompany

Corporate Office: Field Office:Inland Resources Inc. W. Pole Line Road475 Seventeenth Street, Suite 1500 P.O. Box 1446Denver, CO 80202 Roosevelt, Utah 84066

475 Seventeenth Street • Suite 1500 • Denver, CO 80202 • 303-292-0900 • Fax

LomaxExp on CompanyA subsidiary of Inland Resources Inc.

LOIHBX--- JUL 14 1995

Lomax Exploration Company7.

Inland ProductionCompany

Corporate Office: Field Office:Inland Resources Inc. W. Pole Line Road475 Seventeenth Street, Suite 1500 P.O. Box 1446Denver, CO 80202 Roosevelt, Utah 84066

475 Seventeenth Street • Suite 1500 • Denver, CO 80202 • 303-292-0900 • Fax

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e eUnited States Department of the i

BUREAU OF IAND MANAGEMENT -·

Wah State OfficeP.o. sor asiss JUL 2 8 1995

Salt Lake City, Œah 84145-0155

IN Rmtr REFER TO:DIV.OF OIL,GAS&MINING3100

"JUL2 5 1995SI.r-065914 et al(UT-923)

NOTICE

Inland Production Company : Oil and Gas Leases475 Seventeenth St., Ste. 1500 : SL-065914 et alDenver, Colorado 80202 :

Name _Change Recognized

Acceptable evidence has been received in this office concerning the change ofname of Lomax Exploration Company to Inland Production Company on Federal oiland gas leases.

The oil and gas lease files identified on the enclosed exhibit have been notedas to the name change. We are notifying the Minerals Management Service andall applicable Bureau of Land Management offices of the name change by a copyof this notice. If additional documentation for changes of operator arerequired by our Field Offices, you will be contacted by them.

For our purposes, the name change is recognized effective June 29, 1995(Secretary of State's approval date) .

Due to the name change, the name of the principal/obligor on the bond isrequired to be changed from Lomax Exploration Company to Inland ProductionCompany on Bond No. 4488944 (BIM Bond No. UTOO56) . You may accomplish thisname change either by consent of the surety on the original bond or by a riderto the original bond. Otherwise, a replacement bond with the new name shouldbe furnished to this office. BIM Bond Nos. MTO771 and WYO821 should also bechanged for the bonds held by Montana and Wyoming respectively.

/s/ ROBERTLOPEZChief, Branch of Mineral

Leasing Adjudication

Enclosure1-Exhibit (1 p)

cc: Hartford Accident & Indemnity Co.Hartford PlazaHartford, CT 06115

bc: Moab District OfficeVernal District OfficeMontana State OfficeWyoming state OfficeEastern States OfficeMMS--Data Management Division, MS 3113, P.O. Box 5860, Denver, CO 80217State of Utah, Attn: Lisha Cordova, Division of oil, Gas & Mining,

355 West North Temple, 3 Triad center, suite 350, sLC, UT 84180Teresa Thampson (UT-922)Dianne Wright

e eUnited States Department of the i

BUREAU OF IAND MANAGEMENT -·

Wah State OfficeP.o. sor asiss JUL 2 8 1995

Salt Lake City, Œah 84145-0155

IN Rmtr REFER TO:DIV.OF OIL,GAS&MINING3100

"JUL2 5 1995SI.r-065914 et al(UT-923)

NOTICE

Inland Production Company : Oil and Gas Leases475 Seventeenth St., Ste. 1500 : SL-065914 et alDenver, Colorado 80202 :

Name _Change Recognized

Acceptable evidence has been received in this office concerning the change ofname of Lomax Exploration Company to Inland Production Company on Federal oiland gas leases.

The oil and gas lease files identified on the enclosed exhibit have been notedas to the name change. We are notifying the Minerals Management Service andall applicable Bureau of Land Management offices of the name change by a copyof this notice. If additional documentation for changes of operator arerequired by our Field Offices, you will be contacted by them.

For our purposes, the name change is recognized effective June 29, 1995(Secretary of State's approval date) .

Due to the name change, the name of the principal/obligor on the bond isrequired to be changed from Lomax Exploration Company to Inland ProductionCompany on Bond No. 4488944 (BIM Bond No. UTOO56) . You may accomplish thisname change either by consent of the surety on the original bond or by a riderto the original bond. Otherwise, a replacement bond with the new name shouldbe furnished to this office. BIM Bond Nos. MTO771 and WYO821 should also bechanged for the bonds held by Montana and Wyoming respectively.

/s/ ROBERTLOPEZChief, Branch of Mineral

Leasing Adjudication

Enclosure1-Exhibit (1 p)

cc: Hartford Accident & Indemnity Co.Hartford PlazaHartford, CT 06115

bc: Moab District OfficeVernal District OfficeMontana State OfficeWyoming state OfficeEastern States OfficeMMS--Data Management Division, MS 3113, P.O. Box 5860, Denver, CO 80217State of Utah, Attn: Lisha Cordova, Division of oil, Gas & Mining,

355 West North Temple, 3 Triad center, suite 350, sLC, UT 84180Teresa Thampson (UT-922)Dianne Wright

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(Iþ (Iþ

EXHIBIT

SL-065914 U-36846 UTU-66185

SL-071572A U-38428 UTU-67170

U-02458 U-45431 UTU-68548

U-15855 U-47171 UTU-69060

U-16535 U-50376 UTU-69061

U-26026 U-62848 UTU-72103

U-34173 UTU-65965 UTU-72104

U-36442 UTU-66184

(Iþ (Iþ

EXHIBIT

SL-065914 U-36846 UTU-66185

SL-071572A U-38428 UTU-67170

U-02458 U-45431 UTU-68548

U-15855 U-47171 UTU-69060

U-16535 U-50376 UTU-69061

U-26026 U-62848 UTU-72103

U-34173 UTU-65965 UTU-72104

U-36442 UTU-66184

Page 49: APPLICATION FOR PERMIT TO DRILL, DEEPEN, OR PLUG BACK … · 2018-12-15 · APPLICATION FOR PERMIT TO DRILL, DEEPEN, OR PLUG BACK Û-WINDIAN.A OTTEROBTEIBENAME la. TTPE OF WORK ...

DOD ZSO ROTO

UG 01 '95 10: 54ÑM IPL ND RESOURCES P. 5

ExplorationCompanyA subsidiary of1nland ResourcesIric.

LOMSXJuly 13, 1995

Stateof UtahDepartmentof Natural ResourcesAttention: Ms Becky Pritchet355W. North Temple3 Triad Center, Suite 400Salt Lake City,Utah 84180-1204

RE: Corporate Name Change

DearSiror Madame:

EEectiveJuly 1, 1995, LomaxExplorationCompanywill havetakenthe steps necessaryto changeits name to Inland Production Company. A Certificateissued by the TexasSecretaryof Stateevidencing the namechange isattached foryour files. Wehavealsoattached to this letter those Utah Stateleases (Exhibit "B")and wells (Exhibit"A")affected by this name change. We have attempted to provide a complete list from therecords we have. Theintentis to includeall leasesand wells thatLomax ExplorationCompanyoperates or has an interestin.

Riderschangingthe PrincipalfromLomaxExplorationCompanyto Inland ProductionCompany under Nationwide Oil and Gas Bond # 4488944 for Lomax ExplorationCompany will be furnished to the Stateof Utahin the very nearfuture.

Please amendyourrecordsbysubstitutingInlandProductionCompanyinplace ofLomax ExplorationCompanyon the leasesand wells listedon the attachedexhibits. Inthe futurewe will beginsubmitting notices and permits for new operations after July 1,1995 in thenameof Teland Production Company.

Shoulda fee be required or shouldyou needfurtherinformationor documentsrelatingtoournamechange please contact the undersignedat your convenienceat the followingnumber: (303) 292-0900 or CherylCameronat our Roosevelt,Utah ofHoe(801) 722-5103.

Sinc 1 yours,

A Potter, CPLManagerofLand

Ble:

DOD ZSO ROTO

UG 01 '95 10: 54ÑM IPL ND RESOURCES P. 5

ExplorationCompanyA subsidiary of1nland ResourcesIric.

LOMSXJuly 13, 1995

Stateof UtahDepartmentof Natural ResourcesAttention: Ms Becky Pritchet355W. North Temple3 Triad Center, Suite 400Salt Lake City,Utah 84180-1204

RE: Corporate Name Change

DearSiror Madame:

EEectiveJuly 1, 1995, LomaxExplorationCompanywill havetakenthe steps necessaryto changeits name to Inland Production Company. A Certificateissued by the TexasSecretaryof Stateevidencing the namechange isattached foryour files. Wehavealsoattached to this letter those Utah Stateleases (Exhibit "B")and wells (Exhibit"A")affected by this name change. We have attempted to provide a complete list from therecords we have. Theintentis to includeall leasesand wells thatLomax ExplorationCompanyoperates or has an interestin.

Riderschangingthe PrincipalfromLomaxExplorationCompanyto Inland ProductionCompany under Nationwide Oil and Gas Bond # 4488944 for Lomax ExplorationCompany will be furnished to the Stateof Utahin the very nearfuture.

Please amendyourrecordsbysubstitutingInlandProductionCompanyinplace ofLomax ExplorationCompanyon the leasesand wells listedon the attachedexhibits. Inthe futurewe will beginsubmitting notices and permits for new operations after July 1,1995 in thenameof Teland Production Company.

Shoulda fee be required or shouldyou needfurtherinformationor documentsrelatingtoournamechange please contact the undersignedat your convenienceat the followingnumber: (303) 292-0900 or CherylCameronat our Roosevelt,Utah ofHoe(801) 722-5103.

Sinc 1 yours,

A Potter, CPLManagerofLand

Ble:

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303 296 4070AUG 01 '95 10: 56AM INLAND ESOURCES P. 10

64r ftateof fexasterrfary of ftatt

JUNE 30, 1995

MIKE PARSONS...GLAST,PHILLIPS E MURRAY2200 ON6 GALLËRIA TWRel3355 NOEL RO.LB48DALLAS ,TX 75240-6657

INLAND PAGOUCTION COMPANYCHARTFR NUMBER 0041530A-00

IT HAS SEEN QUR PLEASURE TO APPROVE AND PLACG ON RECORD YOUR ARTICLESOF AMEN066NT. A COPY OF THE INSTRUMENT FILED TN THIS OFFICE ISATToCHED FOR YOUR RECORDS.

THIS LETTER WILL ACKNOWLEOGE PAYMËNT OF THE FILÎNG FEE.

IF WE CAN BE OF FURTHER 56RVICE AT ANY TIAË, PLEASE LET US KNOW.

VERY TRULY YOURS,

Antonio0. Garza, Jr., Secretaryof

303 296 4070AUG 01 '95 10: 56AM INLAND ESOURCES P. 10

64r ftateof fexasterrfary of ftatt

JUNE 30, 1995

MIKE PARSONS...GLAST,PHILLIPS E MURRAY2200 ON6 GALLËRIA TWRel3355 NOEL RO.LB48DALLAS ,TX 75240-6657

INLAND PAGOUCTION COMPANYCHARTFR NUMBER 0041530A-00

IT HAS SEEN QUR PLEASURE TO APPROVE AND PLACG ON RECORD YOUR ARTICLESOF AMEN066NT. A COPY OF THE INSTRUMENT FILED TN THIS OFFICE ISATToCHED FOR YOUR RECORDS.

THIS LETTER WILL ACKNOWLEOGE PAYMËNT OF THE FILÎNG FEE.

IF WE CAN BE OF FURTHER 56RVICE AT ANY TIAË, PLEASE LET US KNOW.

VERY TRULY YOURS,

Antonio0. Garza, Jr., Secretaryof

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303 zoo coroAUG 01 '95 18: 57 M INLÑP RESOURCES P. 11

i e Štaitof iexasietrdar¶of)$tate

CESTIFICATE OF ARENDMENT

FOR

INLANO PRCOUCTION COMPANY

FORMERLY

LOMAX 6XPLORATION COMPANYCHAATEP NUMBER 00415304

THf UWDEni!GNED, AS SECRETARY OF STATä OF THE STATE OF TEXAS,

HEKEBY CERTIFI-5 THAT THE ATTACHED ARTICLES O AMENDMENT FOR THE ABOVE

NAMED ENTITY N'Vi SEEN RECEIVED 1N THIS OFFICE AND ARE FOUND TO

CONFORM TO LAN.

ACCD DINGLY THE UNDERSIGNED, AS SECRETARY OF STATE, AND BY VIRTUS

OF THE AUTHORITY VESTË0 IN THE SECRETARY SY LAW, HEREBY ISSUES THIS

CERTIFICATE OF AMENOMENT.

DATED JUNE 29, 1995

EFFECTIVE JUNE 24, 1995

Antonio o, Garza, Jr., secre of

303 zoo coroAUG 01 '95 18: 57 M INLÑP RESOURCES P. 11

i e Štaitof iexasietrdar¶of)$tate

CESTIFICATE OF ARENDMENT

FOR

INLANO PRCOUCTION COMPANY

FORMERLY

LOMAX 6XPLORATION COMPANYCHAATEP NUMBER 00415304

THf UWDEni!GNED, AS SECRETARY OF STATä OF THE STATE OF TEXAS,

HEKEBY CERTIFI-5 THAT THE ATTACHED ARTICLES O AMENDMENT FOR THE ABOVE

NAMED ENTITY N'Vi SEEN RECEIVED 1N THIS OFFICE AND ARE FOUND TO

CONFORM TO LAN.

ACCD DINGLY THE UNDERSIGNED, AS SECRETARY OF STATE, AND BY VIRTUS

OF THE AUTHORITY VESTË0 IN THE SECRETARY SY LAW, HEREBY ISSUES THIS

CERTIFICATE OF AMENOMENT.

DATED JUNE 29, 1995

EFFECTIVE JUNE 24, 1995

Antonio o, Garza, Jr., secre of

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AUG 01 '95 10: AM INLAPÊRESOURCES P. 12

ARTICLESOF MM In the eDofthTO THE SecretaryofState ofTex,ARTICLESOF INCORPORATION

op JUN29 1995LOMAXEXPLORATION COMPANY

Corporations Secuon

Pursuant to the provisions of Part Four of the Texas Business Corporadon Act, the ·

undersigned corporation adopts the following articles of amendment to its Articles of

Incorporation:

1. Name. The nameof the corporationis LOMAXEXPLORATIONCOMPANY.

2. Statement of Amendment. The amendment altersor changesArticle One of theoriginal Articles of Incorporationto read in full as follows:

"ArticleOne. The nameof the corporation is INLANDPRODUCTION. COMPANY."

3. Shareholders. The numberof sharesof the corporationoutstandingat the dme·ofsuch adoption was 205,315, there being 107,546 Common Shares and 97,769 Non-votingPreferredShares; and the tamber of sharesentitledto vote thereonwas 107,546.

4. Adoption by Shareholders. Only the holders of Common Shares of thecorporationare entitled to vote on the amendment. The shareholdersadopted the foregoingamendmentby n=nimous writtenconsentdated June 23, 1995,pursuant to the provisionsofArticle9.10of the TexasBusinessCorporationAct and,therefore,no noticewasrequiredto bedeliveredunder saidArticle9.10.

5. Adopdon by Board ofDirectors. TheBoard ofDirectorsadoptedsaidamendmentby a consentin writing signed by all Directors.

6. Future Effective Date. This amendmmtwill becomeeffectiveonJuly 1, 1995,at 12:01a.m.

EXECUTEDJuneK, 1995.

Kyle R. , Presk

AUG 01 '95 10: AM INLAPÊRESOURCES P. 12

ARTICLESOF MM In the eDofthTO THE SecretaryofState ofTex,ARTICLESOF INCORPORATION

op JUN29 1995LOMAXEXPLORATION COMPANY

Corporations Secuon

Pursuant to the provisions of Part Four of the Texas Business Corporadon Act, the ·

undersigned corporation adopts the following articles of amendment to its Articles of

Incorporation:

1. Name. The nameof the corporationis LOMAXEXPLORATIONCOMPANY.

2. Statement of Amendment. The amendment altersor changesArticle One of theoriginal Articles of Incorporationto read in full as follows:

"ArticleOne. The nameof the corporation is INLANDPRODUCTION. COMPANY."

3. Shareholders. The numberof sharesof the corporationoutstandingat the dme·ofsuch adoption was 205,315, there being 107,546 Common Shares and 97,769 Non-votingPreferredShares; and the tamber of sharesentitledto vote thereonwas 107,546.

4. Adoption by Shareholders. Only the holders of Common Shares of thecorporationare entitled to vote on the amendment. The shareholdersadopted the foregoingamendmentby n=nimous writtenconsentdated June 23, 1995,pursuant to the provisionsofArticle9.10of the TexasBusinessCorporationAct and,therefore,no noticewasrequiredto bedeliveredunder saidArticle9.10.

5. Adopdon by Board ofDirectors. TheBoard ofDirectorsadoptedsaidamendmentby a consentin writing signed by all Directors.

6. Future Effective Date. This amendmmtwill becomeeffectiveonJuly 1, 1995,at 12:01a.m.

EXECUTEDJuneK, 1995.

Kyle R. , Presk

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AUG 8 '95 1: 46PM INLAf ESOURCES P. 1

FAX COVER SHEET

RESOURCESINC.475 17th Street, Suite 1500

Denver, CO 80202303-292-0900, Fax #303-296-4070

DATE: August 8, 1995

TO: Lisha Cordova

COMPANY: State of Utah - Division of Oil, Gas and Mining

FAX NUMBER: 801 359 3940

FROM: Chris A Potter

NUMBER OF PAGES: 1 (INCLUDING COVER SHEET):

RE: Transfer of Authority to InjectLomax Exploration Company to Inland Production Company

I hope the info I sentto you August 1st was acceptable regarding our name change andyour phone call to me lastweek.......

If thereis anything missing or you need additional info, please let me know. I am locatedin our Denver

AUG 8 '95 1: 46PM INLAf ESOURCES P. 1

FAX COVER SHEET

RESOURCESINC.475 17th Street, Suite 1500

Denver, CO 80202303-292-0900, Fax #303-296-4070

DATE: August 8, 1995

TO: Lisha Cordova

COMPANY: State of Utah - Division of Oil, Gas and Mining

FAX NUMBER: 801 359 3940

FROM: Chris A Potter

NUMBER OF PAGES: 1 (INCLUDING COVER SHEET):

RE: Transfer of Authority to InjectLomax Exploration Company to Inland Production Company

I hope the info I sentto you August 1st was acceptable regarding our name change andyour phone call to me lastweek.......

If thereis anything missing or you need additional info, please let me know. I am locatedin our Denver

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HMR/ Im/im/ma//Juuld////hud///galliimadu//ul/H///2/hy//Hma///W/ H/H/mH/2/H//HH//////HHR////H/ßWH/H/H/RH/NNH/222222ß

Speed Letter.To Ed Bonner Foun Don Staley

SCHOOL & INSTITUTIONALBW¾R4¾ TRUST I ANDS ADMIN. Oil, Gas and Mining

Ed,

For your information, attached are copies of documents regarding an operator change on

a state lease(s). These companies have complied with our requirements. Our records have

been updated. Bonding should be reviewed by State Lands ASAP.

Former Operator: A ËXÊNA NU^t p .O

New Operator : /M LS/ /D 0/UC cd

Well: API: Entity: S-T-R:

'° CC: Operator File Signed

REPLY oate 19

-49&WFOLD

Signed

on s Company RECIPIENT-RETAIN WHITE COPY, RETURN PINK

HMR/ Im/im/ma//Juuld////hud///galliimadu//ul/H///2/hy//Hma///W/ H/H/mH/2/H//HH//////HHR////H/ßWH/H/H/RH/NNH/222222ß

Speed Letter.To Ed Bonner Foun Don Staley

SCHOOL & INSTITUTIONALBW¾R4¾ TRUST I ANDS ADMIN. Oil, Gas and Mining

Ed,

For your information, attached are copies of documents regarding an operator change on

a state lease(s). These companies have complied with our requirements. Our records have

been updated. Bonding should be reviewed by State Lands ASAP.

Former Operator: A ËXÊNA NU^t p .O

New Operator : /M LS/ /D 0/UC cd

Well: API: Entity: S-T-R:

'° CC: Operator File Signed

REPLY oate 19

-49&WFOLD

Signed

on s Company RECIPIENT-RETAIN WHITE COPY, RETURN PINK

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O O

WELL NAME API ENTITY LOCATION LEASE

GILSONITE STATE 10-32 43-013-31485 99999 32-8S-17E ML22061GILSONITE STATE 8-32 43-013-31498 99999 32-8S-17E ML22061MONUMENT BUTTE STATE 16-2 43-013-31510 99999 2-9S-16E ML21839MONUMENT BUTTE STATE 8-2 43-013-31509 99999 2-9S-16E ML21839SUNDANCE STATE 5-32 43-047-32685 11781 32-8S-18E ML22058MONUMENT BUTTE STATE 14-36 43-013-31508 11774 36-8S-16E ML22061GILSONITE STATE 14I-32 43-013-31523 11788 32-8S-17E ML21839MONUMENT BUTTE STATE 16-36R 43-013-10159 99999 36-8S-16E ML22061STATE 5-36 43-013-30624 10835 36-8S-16E ML22061STATE 1-36 43-013-30592 10835 36-8S-16E ML2206112-32 43-013-30787 11486 32-8S-17E ML22060GILSONITE STATE 13-32 43-013-31403 99990 32-88-17E ML22060GILSONITE STATE 7-32 43-013-30658 11486 32-8S-17E ML22060WELLS DRAW STATE 7-36 43-013-30934 09730 36-8S-15E ML21835STATE 1-2 43-013-30596 10835 2-9S-16E ML21839STATE 13-36 43-013-30623 10835 36-8S-16E ML22061STATE 3-2 43-013-30627 10835 2-9S-16E ML21839STATE 12-36 43-013-30746 10835 36-8S-16E ML22061STATE 1-32 43-013-30599 11486 32-8S-17E ML22060GILSONITE STATE 2-32 43-013-30604 11486 32-8S-17E ML22060STATE 11-32 43-013-30685 11486 32-8S-17E ML22060STATE 1A-32 43-013-30691 11486 32-8S-17E ML22060STATE 9-32 43-013-30713 11486 32-8S-17E ML22060STATE 5-32 43-013-30714 11486 32-8S-17E ML22060STATE 6-32 43-013-30748 11486 32-8S-17E ML22060STATE 4-32 43-013-30800 11486 32-8S-17E ML22060GILSONITE STATE 14-32 43-013-31480 11486 32-88-17E

O O

WELL NAME API ENTITY LOCATION LEASE

GILSONITE STATE 10-32 43-013-31485 99999 32-8S-17E ML22061GILSONITE STATE 8-32 43-013-31498 99999 32-8S-17E ML22061MONUMENT BUTTE STATE 16-2 43-013-31510 99999 2-9S-16E ML21839MONUMENT BUTTE STATE 8-2 43-013-31509 99999 2-9S-16E ML21839SUNDANCE STATE 5-32 43-047-32685 11781 32-8S-18E ML22058MONUMENT BUTTE STATE 14-36 43-013-31508 11774 36-8S-16E ML22061GILSONITE STATE 14I-32 43-013-31523 11788 32-8S-17E ML21839MONUMENT BUTTE STATE 16-36R 43-013-10159 99999 36-8S-16E ML22061STATE 5-36 43-013-30624 10835 36-8S-16E ML22061STATE 1-36 43-013-30592 10835 36-8S-16E ML2206112-32 43-013-30787 11486 32-8S-17E ML22060GILSONITE STATE 13-32 43-013-31403 99990 32-88-17E ML22060GILSONITE STATE 7-32 43-013-30658 11486 32-8S-17E ML22060WELLS DRAW STATE 7-36 43-013-30934 09730 36-8S-15E ML21835STATE 1-2 43-013-30596 10835 2-9S-16E ML21839STATE 13-36 43-013-30623 10835 36-8S-16E ML22061STATE 3-2 43-013-30627 10835 2-9S-16E ML21839STATE 12-36 43-013-30746 10835 36-8S-16E ML22061STATE 1-32 43-013-30599 11486 32-8S-17E ML22060GILSONITE STATE 2-32 43-013-30604 11486 32-8S-17E ML22060STATE 11-32 43-013-30685 11486 32-8S-17E ML22060STATE 1A-32 43-013-30691 11486 32-8S-17E ML22060STATE 9-32 43-013-30713 11486 32-8S-17E ML22060STATE 5-32 43-013-30714 11486 32-8S-17E ML22060STATE 6-32 43-013-30748 11486 32-8S-17E ML22060STATE 4-32 43-013-30800 11486 32-8S-17E ML22060GILSONITE STATE 14-32 43-013-31480 11486 32-88-17E

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IIb tilDivision of Gil, Gas and Mining

OPERATOR CHANGEHORKSHEETN°"i "f: (G

.tach all documentation received by the division regarding this change. 2-L 8-SJ.

Initial each listed item when completed. Write N/A if item is not applicable. 1 -FI4-

&® Change of Operator (well sold) O Designation of Agent 5-

] Designation of Operator O Operator Name Change Only 6-LWP

(MERGER)

The operator of the well(s) listed below has changed (EFFECTIVE DATE: 6-29-95 )

TO (new operator) INLAND PRODUCTION COMPANY FROM (former operator) LOMAX EXPLORATION COMPANY

(address) PO BOX 1446 (address) Po Box 1446ROOSEVELT UT 84066 ROOSEVELT UT 84065KEBBIE JONES KEBBIE JONES

phone ( 801 ) 722-5103 phone ( 801) 722-5103

account no. N5160 account no. N 0580

Hell(s) (attach additional page if needed)

Name: **SEE ATTACHED** API:OIS-'3144O Entity: Sec_Twp Rng Lease Type:Name: API: Entity: Sec_ _Twp __Rng __

Lease Type:Name: API: Entity: Sec___Twp _Rng___ Lease Type:Name: API: Entity: Sec___Twp _Rng Lease Type:Name: API: Entity: Sec_ Twp___Rng_ Lease Type:Name: API: Entity: Sec___Twp __Rng_ _ Lease Type:Name: API: Entity: Sec___Twp___Rng Lease Type:

OP RATORCHANGEDOCUMENTATION

1. (Rule R615-8-10) Sundry or other legal documentation has been received from formeroperator (Attach to this form) . (g// ÿÿÿÿ

PÁ 2. (Rule R615-8-10) Sundry or other legal documentation has been received from nay operator

3. The

Departmethis forCmommerce

has been contacted if the new operator above is currentlyoperating any wells in Utah. Is company registered with the state? (yes Ifyes, show company file n.umber: .(g;gt¶ )

4. (For Indian and Federal Hells ONLY) The BLM has been contacted regarding this change(attach Telephone Documentation Form to this report). Make note of BLM status incomments section of this form. Management review of Federal and Indian well operatorchanges should take place prior to completion of steps 5 through 9 below.

5. Changes have been entered in the Øil and Gas Information System (Hang/IBM) for each welllisted above. (ÿgf5)

6. Cardex file has been updated for each well listed above.J¾-/G- gy7. Nell file labels have.been updated for each well listed above.gl

8. Changes have been included on the monthly "Operator, Address, and Account Changes" memofor distribution to State Lands and the Tax Commission. (¶-3;LfË)

¾9. A folder has been set up for the Operator Change file, and a copy of this page has beenplaced there for reference during routing and processing of the original documents.

- OVER

IIb tilDivision of Gil, Gas and Mining

OPERATOR CHANGEHORKSHEETN°"i "f: (G

.tach all documentation received by the division regarding this change. 2-L 8-SJ.

Initial each listed item when completed. Write N/A if item is not applicable. 1 -FI4-

&® Change of Operator (well sold) O Designation of Agent 5-

] Designation of Operator O Operator Name Change Only 6-LWP

(MERGER)

The operator of the well(s) listed below has changed (EFFECTIVE DATE: 6-29-95 )

TO (new operator) INLAND PRODUCTION COMPANY FROM (former operator) LOMAX EXPLORATION COMPANY

(address) PO BOX 1446 (address) Po Box 1446ROOSEVELT UT 84066 ROOSEVELT UT 84065KEBBIE JONES KEBBIE JONES

phone ( 801 ) 722-5103 phone ( 801) 722-5103

account no. N5160 account no. N 0580

Hell(s) (attach additional page if needed)

Name: **SEE ATTACHED** API:OIS-'3144O Entity: Sec_Twp Rng Lease Type:Name: API: Entity: Sec_ _Twp __Rng __

Lease Type:Name: API: Entity: Sec___Twp _Rng___ Lease Type:Name: API: Entity: Sec___Twp _Rng Lease Type:Name: API: Entity: Sec_ Twp___Rng_ Lease Type:Name: API: Entity: Sec___Twp __Rng_ _ Lease Type:Name: API: Entity: Sec___Twp___Rng Lease Type:

OP RATORCHANGEDOCUMENTATION

1. (Rule R615-8-10) Sundry or other legal documentation has been received from formeroperator (Attach to this form) . (g// ÿÿÿÿ

PÁ 2. (Rule R615-8-10) Sundry or other legal documentation has been received from nay operator

3. The

Departmethis forCmommerce

has been contacted if the new operator above is currentlyoperating any wells in Utah. Is company registered with the state? (yes Ifyes, show company file n.umber: .(g;gt¶ )

4. (For Indian and Federal Hells ONLY) The BLM has been contacted regarding this change(attach Telephone Documentation Form to this report). Make note of BLM status incomments section of this form. Management review of Federal and Indian well operatorchanges should take place prior to completion of steps 5 through 9 below.

5. Changes have been entered in the Øil and Gas Information System (Hang/IBM) for each welllisted above. (ÿgf5)

6. Cardex file has been updated for each well listed above.J¾-/G- gy7. Nell file labels have.been updated for each well listed above.gl

8. Changes have been included on the monthly "Operator, Address, and Account Changes" memofor distribution to State Lands and the Tax Commission. (¶-3;LfË)

¾9. A folder has been set up for the Operator Change file, and a copy of this page has beenplaced there for reference during routing and processing of the original documents.

- OVER

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OPERATOR CHANGE HORKSHEET (CONTINUED) Initial each item when completed. Write N/A if item is not applicable.

RE eEHR6l5-8-7)

Entity assi ments have been reviewed for all wells listed above- Hereentity changes made? (yes no (If entity assignments were changed, attach copies ofForm 6, Entity Action Form).

14 2. State Lands and the Tax Commission have been notified through normal proced6res ofentity changes.

BOND VERIFICATION (Fee-we+½-on+y)

l. (Rule R615-3-1) The new operator of any fee lease well listed above has furnished aproper bond.

2. A copy of this form has been placed in the new and former operators' bond files.

3. The former operator has requested a release of liability from their bond (yes/no)_

.

Today's date 19____. If yes, division response was made by letterdated 19___.

LEASE INTEREST OHNERNOTIFICATION RESPONSIBILITY

/M. (Rule R615-2-10) The former operator/lessee of any fee lease well listed above has beennotified by letter dated 19_ , of their responsibility to notify anyperson with an interest in such lease of the change of operator. Documentation of suchnotification has been requested.

2. C pf d mn h b en sent to State Lands for changes involving State leases.

FILMING

71 All attachments to this form have been microfilmed. Date: (14gußÌOV3 19 94 .

FILING

1. Copies of all attachments to this form have been filed in each well file.

2. The oEiginal of this form and the original attachments have been filed in the OperatorChange file.

COMMENTS

OPERATOR CHANGE HORKSHEET (CONTINUED) Initial each item when completed. Write N/A if item is not applicable.

RE eEHR6l5-8-7)

Entity assi ments have been reviewed for all wells listed above- Hereentity changes made? (yes no (If entity assignments were changed, attach copies ofForm 6, Entity Action Form).

14 2. State Lands and the Tax Commission have been notified through normal proced6res ofentity changes.

BOND VERIFICATION (Fee-we+½-on+y)

l. (Rule R615-3-1) The new operator of any fee lease well listed above has furnished aproper bond.

2. A copy of this form has been placed in the new and former operators' bond files.

3. The former operator has requested a release of liability from their bond (yes/no)_

.

Today's date 19____. If yes, division response was made by letterdated 19___.

LEASE INTEREST OHNERNOTIFICATION RESPONSIBILITY

/M. (Rule R615-2-10) The former operator/lessee of any fee lease well listed above has beennotified by letter dated 19_ , of their responsibility to notify anyperson with an interest in such lease of the change of operator. Documentation of suchnotification has been requested.

2. C pf d mn h b en sent to State Lands for changes involving State leases.

FILMING

71 All attachments to this form have been microfilmed. Date: (14gußÌOV3 19 94 .

FILING

1. Copies of all attachments to this form have been filed in each well file.

2. The oEiginal of this form and the original attachments have been filed in the OperatorChange file.

COMMENTS

Page 58: APPLICATION FOR PERMIT TO DRILL, DEEPEN, OR PLUG BACK … · 2018-12-15 · APPLICATION FOR PERMIT TO DRILL, DEEPEN, OR PLUG BACK Û-WINDIAN.A OTTEROBTEIBENAME la. TTPE OF WORK ...

Form 3160-5 UNITED STATES FORM APPROVED

(June 1990) DEPARTMENT OF THE INTERIOR""

,"e

aNLI 03135

BUREAU OF LAND MANAGEMENT 5. Lease Designation and Senal No.

UTU-50376SUNDRY NOTICES AND REPORTS ON WELLS 6. If Indian, Allottee or Tribe Name

Do not use this form for proposals to drill or to deepen or reentry to a different reservoir.Use "APPLICATION FOR PERMIT--" for such proposals

SUBMIT IN TRIPLICA TE7. It unitor cA, Agreement oes2gnation

1. Type of WellOil Gas 8. Well Name and No.Well Well Other _ _

2. Name of Operator BOundary Federal #12-21Inland Production Cpmpany .. __

9. API Well No.

3. Address and Telephone No. 43-013-31440

P.O. Box 1446 Roosevelt, UT 84066 10. Field and Pool, or Exploratorv Area

4. I.acation of Well (Footage. Sec.. T., R.. M., or Survey Description)

NW/SH 1790' FSL & 654' FWL . 11. County or Parish, State

Sec 21, T8S, R17E Duchesne Cty, UT

11 CHECK APPROPRIATE BOX(s) TO INDICATENATUREOF NOTICE,ÃEPORT, OR OTHER DATA

TYPE OF SUBMISSION TYPE OF ACTION

O Notice of Intent Abandonment Change of Plans

O Recompidon New Constmction

Subsequent Report Plugging Back Non-Routine Fracturing

c.i., a.,,,, O Water Shut-Off

O Final Abandonment Notice Altenn; Cutng Conversion to Injedon

ou.er Squeeze - Perf Dispose Water(Note: Reportresultsof muitsplecompienenon Aeu

Complenon or Recompletion Reoort ana Log iorm :

13. Desenbe Proposea or Completed Operations (Clearly state all pertinent details, and give pertment dates, including estimated dateif starting any proposed work. If well is directionally ardieu.

give subsurface locations and measured and tnic vertical depths for all markers and zones pertinent to this work.)*

Squeeze Perfs off 5300' - 5310'Set RBP @5348' Dump 100# sd on plug.Set Pkr @5278' Displace cat across perfs.

11/16/95:Perf GB-4 zone 4700' - 4726'Frac w/ 79,800# 16/30 sd & 26,005 ga1 gel

11/18/95:RIH w/ 1 1/2" THD Trico pump, 4 wt rods, 76 3/4" plain, 104 scrapered, 1 - 8',2 - 6', 1 - 2 ' pony & 1 1/2" polished rod.Place "Back on Productionn 11/18/95 BW§

T1995

DIVOFOILGAS & MINING

14. I hereby certi dthathe foregoi true and t

im Àk 7¡,,, Operations Manager Date12/04/95

(This space for Federal or State office use)

Approved by Title DateConditions of approval, if any:

Title 18 U.S.C. Section 1001. makes it a cnme for any person knowingly and willfully to make to any department or agency of the United States any false, fictitious or fraudulent statements

or representations as to any matter within its 3urisdiction.

*See Instruction on Reverse

Form 3160-5 UNITED STATES FORM APPROVED

(June 1990) DEPARTMENT OF THE INTERIOR""

,"e

aNLI 03135

BUREAU OF LAND MANAGEMENT 5. Lease Designation and Senal No.

UTU-50376SUNDRY NOTICES AND REPORTS ON WELLS 6. If Indian, Allottee or Tribe Name

Do not use this form for proposals to drill or to deepen or reentry to a different reservoir.Use "APPLICATION FOR PERMIT--" for such proposals

SUBMIT IN TRIPLICA TE7. It unitor cA, Agreement oes2gnation

1. Type of WellOil Gas 8. Well Name and No.Well Well Other _ _

2. Name of Operator BOundary Federal #12-21Inland Production Cpmpany .. __

9. API Well No.

3. Address and Telephone No. 43-013-31440

P.O. Box 1446 Roosevelt, UT 84066 10. Field and Pool, or Exploratorv Area

4. I.acation of Well (Footage. Sec.. T., R.. M., or Survey Description)

NW/SH 1790' FSL & 654' FWL . 11. County or Parish, State

Sec 21, T8S, R17E Duchesne Cty, UT

11 CHECK APPROPRIATE BOX(s) TO INDICATENATUREOF NOTICE,ÃEPORT, OR OTHER DATA

TYPE OF SUBMISSION TYPE OF ACTION

O Notice of Intent Abandonment Change of Plans

O Recompidon New Constmction

Subsequent Report Plugging Back Non-Routine Fracturing

c.i., a.,,,, O Water Shut-Off

O Final Abandonment Notice Altenn; Cutng Conversion to Injedon

ou.er Squeeze - Perf Dispose Water(Note: Reportresultsof muitsplecompienenon Aeu

Complenon or Recompletion Reoort ana Log iorm :

13. Desenbe Proposea or Completed Operations (Clearly state all pertinent details, and give pertment dates, including estimated dateif starting any proposed work. If well is directionally ardieu.

give subsurface locations and measured and tnic vertical depths for all markers and zones pertinent to this work.)*

Squeeze Perfs off 5300' - 5310'Set RBP @5348' Dump 100# sd on plug.Set Pkr @5278' Displace cat across perfs.

11/16/95:Perf GB-4 zone 4700' - 4726'Frac w/ 79,800# 16/30 sd & 26,005 ga1 gel

11/18/95:RIH w/ 1 1/2" THD Trico pump, 4 wt rods, 76 3/4" plain, 104 scrapered, 1 - 8',2 - 6', 1 - 2 ' pony & 1 1/2" polished rod.Place "Back on Productionn 11/18/95 BW§

T1995

DIVOFOILGAS & MINING

14. I hereby certi dthathe foregoi true and t

im Àk 7¡,,, Operations Manager Date12/04/95

(This space for Federal or State office use)

Approved by Title Date

Conditions of approval, if any:

Title 18 U.S.C. Section 1001. makes it a cnme for any person knowingly and willfully to make to any department or agency of the United States any false, fictitious or fraudulent statements

or representations as to any matter within its 3urisdiction.

*See Instruction on Reverse

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Form 3160-4 Form approved.

,""'i",',TaŸo UN ITED STATES SUBMIT IN DUher '

1109045-0137

DEPARTMENT OF THE INTERIOR I.EASE 1)ESIGNATiuN AND SERIAL NO.

BUREAU OF LAND MANAGEMENT TU-50376IF INDIAN. ALI.OTTEE OR TRIBE NAME

WELL COMPLETIONOR RECOMPLETION Rla. TYPE OF WELL: on. GAs

WEl.L WELI. DRY NIT AGREEMENT NAME

b. TYPE OF COMPLETION:

,i"".. O .','a"" O :"' O EL':O "LO Other nu un LEAnium

2. NAME OF OPERATOn BOundary Fëderal9. WELL NO.Inland Production Company #12-213. ADDREsa OF UPERATOR

P.O. Box 1446 Roosevelt, UT 84066 to. FIELD AND POOL, 08 WILDCAT

4. I.ocAT!oN or «ELL (Report location clearly and iN accordance icith any ßtate requirements)*

At Stirface H/SV 11. SEC., T., R., M., OR BLOCK AND BURVEYOR AREA

At top prod. Interval reported below 1790 ' FSL & 654 ' FWL

At total depth Sec. 21, TSS, R17E14. PERMIT NO. DATE 1881ED 12. COUNTT OR 13. STATE

\ 43-013-31440 10/28/94 ÅËi"esne i UT15. DATE SPCDDED 16. DATE T.D. REACHED 17. DATE COMPL. (Ñtady t0 pr0d.) 18. ELEVATIONS (DF. RKB, RT, GB, ETC.)• 19. ELEV. CASINGHEAD

11/10/94 | 12/04/94 | 5246.7 GR 5261' KB20. TorAL DEPTH, MD A TTD 21. PLUO, BACK T.D., MD A TVD 22. IF Att I.TIPLE COMPL., 23. INTERiALS ROTARY TOOLS CABLE TOOLB

7800' I 7712' I X \24. PRODUCING INTERVAL(S). OF THIS COstPLETION-TOP, BOTTON, NAME (MD AND TVD)* | 25. WAS DIRECTIONAL

5300'-10': 5360'-72'; 6120'-34'; 6550'-74'; 6864'-74• (previous perf4) BURVET MADE

4700'-26' (New) 3-/4 pf Greenriver NO26. TTP LECTMC AND OTHER LOGB RUN 27. WAS WELL CORED

DLL, CNL, FMIMech SWC, Mud1Ñ No28. CASING RECORD tReport aH strings set in seril)

CASING SIZE WEIGRT, LB./FT. DEPTH SET (MD) HOLE SIZE CEMENTING RECORD AMOUNT PULLED

8 5/8 24# 300• 12 1/4 235 sx class G + 25 Caci + 1/4#/sk ollosea15 1/2 15.5# 7762' 7 7/8 190 sx Sup G 47#/sk G + 20#/sk Poza +17#/sk

E & add. 2#/sk H1Seal #2 + ½#/sk CelloSea:907 sx 50/50 poz +2¾ gel + 2#/sk giseal #2 + ½#/sk

29. LINER RECORD 30. TUBING RECORD CellOSea:83ZE TOP (MD) BOTTOM (MD) SACKS CEMENT* SCREEN (MD) SIZE DEPTH BET (MD) PACKER sgT (MD

31. PERFORATION RECORD (Ìntertigi,sir¢ and number) 82. ACID. SHOT. FRACTURE. CEMENT SQUEEZE, ETC.D-2 5300'-5310' GB4 4700'-4726' DEPTH INTERVAL (MD) AnfOUNT AND KIND OF MATERIAL USED

D-3 5360'-5372' 5300'-5310' set RBP @5348' Dump 100# sd onCP 6120'-6134' plug. Set pkr @5278'. DisplaceBGR 6550'-6574' cet across perfs.wasatch 6864'-6874' *see back Squeeze perfs off.

33.• PRODUCTIONDATE FIRST PRODUCTION PRODUCTION METHOD (Floscing, gas lift, pumping-size and type of pump) WELL sTAtus (Producing or

shut-in)11/19/95 Pumping - THD Trico pump ProducingDATE OF TEST HOURS TESTED CHOKE SIZE PROD'N. FOR OIL-BBL. CAS-McF. WATER-BBL. GAS-OIL BATIO

12/2/95 24 N/A H D 30 24 | 3 .8

FEßW. TURING PREUS. CASING PRESSURE CALCULATED DIL-BBL. GAS-MCF. WATER--HBL. OIL GRAVITT-API (CORB.)24-notia mars- I \ \

34. DISPOSITION OF OAa (Sold, used for fuel, vented, etc.) TEST WITNEBBED BT

Sold & used for fuel I35. LIST OF ATTACHMENTS

NoneSIhereby certfy that the forego t ation is comple e and correct as deteremined from all available recor2

04/95

*(SeeInstructionsand Spacesfer Additional Data on ReverseSide)Title 18 U.S.C. Section 1001, makes it a crime for any oerson knowingly anci willfully :O maKe to an Ó€Dartmen: or avenov of 'heUn2ted Sta:c y anv false. fie:::ious or frauduler: statements or reeresenta::ons as to anv matter within ::s

Form 3160-4 Form approved.

,""'i",',TaŸo UN ITED STATES SUBMIT IN DUher '

1109045-0137

DEPARTMENT OF THE INTERIOR I.EASE 1)ESIGNATiuN AND SERIAL NO.

BUREAU OF LAND MANAGEMENT TU-50376IF INDIAN. ALI.OTTEE OR TRIBE NAME

WELL COMPLETIONOR RECOMPLETION Rla. TYPE OF WELL: on. GAs

WEl.L WELI. DRY NIT AGREEMENT NAME

b. TYPE OF COMPLETION:

,i"".. O .','a"" O :"' O EL':O "LO Other nu un LEAnium

2. NAME OF OPERATOn BOundary Fëderal9. WELL NO.Inland Production Company #12-213. ADDREsa OF UPERATOR

P.O. Box 1446 Roosevelt, UT 84066 to. FIELD AND POOL, 08 WILDCAT

4. I.ocAT!oN or «ELL (Report location clearly and iN accordance icith any ßtate requirements)*

At Stirface H/SV 11. SEC., T., R., M., OR BLOCK AND BURVEYOR AREA

At top prod. Interval reported below 1790 ' FSL & 654 ' FWL

At total depth Sec. 21, TSS, R17E14. PERMIT NO. DATE 1881ED 12. COUNTT OR 13. STATE

\ 43-013-31440 10/28/94 ÅËi"esne i UT15. DATE SPCDDED 16. DATE T.D. REACHED 17. DATE COMPL. (Ñtady t0 pr0d.) 18. ELEVATIONS (DF. RKB, RT, GB, ETC.)• 19. ELEV. CASINGHEAD

11/10/94 | 12/04/94 | 5246.7 GR 5261' KB20. TorAL DEPTH, MD A TTD 21. PLUO, BACK T.D., MD A TVD 22. IF Att I.TIPLE COMPL., 23. INTERiALS ROTARY TOOLS CABLE TOOLB

7800' I 7712' I X \24. PRODUCING INTERVAL(S). OF THIS COstPLETION-TOP, BOTTON, NAME (MD AND TVD)* | 25. WAS DIRECTIONAL

5300'-10': 5360'-72'; 6120'-34'; 6550'-74'; 6864'-74• (previous perf4) BURVET MADE

4700'-26' (New) 3-/4 pf Greenriver NO26. TTP LECTMC AND OTHER LOGB RUN 27. WAS WELL CORED

DLL, CNL, FMIMech SWC, Mud1Ñ No28. CASING RECORD tReport aH strings set in seril)

CASING SIZE WEIGRT, LB./FT. DEPTH SET (MD) HOLE SIZE CEMENTING RECORD AMOUNT PULLED

8 5/8 24# 300• 12 1/4 235 sx class G + 25 Caci + 1/4#/sk ollosea15 1/2 15.5# 7762' 7 7/8 190 sx Sup G 47#/sk G + 20#/sk Poza +17#/sk

E & add. 2#/sk H1Seal #2 + ½#/sk CelloSea:907 sx 50/50 poz +2¾ gel + 2#/sk giseal #2 + ½#/sk

29. LINER RECORD 30. TUBING RECORD CellOSea:83ZE TOP (MD) BOTTOM (MD) SACKS CEMENT* SCREEN (MD) SIZE DEPTH BET (MD) PACKER sgT (MD

31. PERFORATION RECORD (Ìntertigi,sir¢ and number) 82. ACID. SHOT. FRACTURE. CEMENT SQUEEZE, ETC.D-2 5300'-5310' GB4 4700'-4726' DEPTH INTERVAL (MD) AnfOUNT AND KIND OF MATERIAL USED

D-3 5360'-5372' 5300'-5310' set RBP @5348' Dump 100# sd onCP 6120'-6134' plug. Set pkr @5278'. DisplaceBGR 6550'-6574' cet across perfs.wasatch 6864'-6874' *see back Squeeze perfs off.

33.• PRODUCTIONDATE FIRST PRODUCTION PRODUCTION METHOD (Floscing, gas lift, pumping-size and type of pump) WELL sTAtus (Producing or

shut-in)11/19/95 Pumping - THD Trico pump ProducingDATE OF TEST HOURS TESTED CHOKE SIZE PROD'N. FOR OIL-BBL. CAS-McF. WATER-BBL. GAS-OIL BATIO

12/2/95 24 N/A H D 30 24 | 3 .8

FEßW. TURING PREUS. CASING PRESSURE CALCULATED DIL-BBL. GAS-MCF. WATER--HBL. OIL GRAVITT-API (CORB.)24-notia mars- I \ \

34. DISPOSITION OF OAa (Sold, used for fuel, vented, etc.) TEST WITNEBBED BT

Sold & used for fuel I35. LIST OF ATTACHMENTS

NoneSIhereby certfy that the forego t ation is comple e and correct as deteremined from all available recor2

04/95

*(SeeInstructionsand Spacesfer Additional Data on ReverseSide)Title 18 U.S.C. Section 1001, makes it a crime for any oerson knowingly anci willfully :O maKe to an Ó€Dartmen: or avenov of 'heUn2ted Sta:c y anv false. fie:::ious or frauduler: statements or reeresenta::ons as to anv matter within ::s

Page 60: APPLICATION FOR PERMIT TO DRILL, DEEPEN, OR PLUG BACK … · 2018-12-15 · APPLICATION FOR PERMIT TO DRILL, DEEPEN, OR PLUG BACK Û-WINDIAN.A OTTEROBTEIBENAME la. TTPE OF WORK ...

Inland Resources Inc.

us as o

MdaarhU2n7it

1998

Lease Name Status Operator Twp Rge Sec Spot Accounting No. A 1 0.cie.BOUNDARYFEDERAL7-20301500051lNJ INLAND OSS 17E 20 7.0 UMBOl001 f303 SO g)BOUNDARYFED 11-21 INJ INLAND OSS 17E 21 11.0 UMBOIOO23O3.51 jo//jûBOUNDARYFEDERAL15-21 INJ INLAND08S 17E 21 15.0 UMBOf003 3\ lo2.2. // jp.-BOUNDAR¥JEDERAb410-20 P ER N/A OSS 17E 20 10 #N/ATARJANOGFEDERAb-1220 r «A INLAND Oss 17E 28 12.0 #NIATARJSANDS-FEDERA6-#32-29 N/A OSS 17E 29 7 #N/ABOUNDARYFEDERAL6-20 PDP INLAND 08S 17E 20 6.0 UMBOPOO1 to2 \c Í l i ¾BOUNDARYFEDERAL8-20 -O NLAND OSS 17E 20 8.0 #N/A J j 29-1souNDARY FEDERAL9-20 PDP INLAND 088 17E 20 9.0 UMBOPOO2&3ob O g iBOUNDARYFEDERAL15-20 PDP INLAND OSS 17E 20 15.0 UMBOPoo3 3tto lo¯l21BOUNDARY 6-21 PDP INLAND OSS 17E 21 6.0 UMBOPOO5 Emá lubBOUNDARY7-21 PDP INLAND OSS 17E 21 7.0 UMZZPOS3 Ef tõ¾O IggBOUNDARY8-21 PDP INLANDOSS 17E 21 8.0 UMZZPO52 61553 /g ggBOUNDARYFEDERAL9-21 PDP INLAND OSS 17E 21 9.0 UMBOPOO¢3½42, /i RobBOUNDARYFEDERAL10-21 PDP INLAND OBS 17E 21 10.0 UMBOPOOTS\532 ii703BOUNDARYFEDERAL 12-21 PDP INLAND OSS 17E 21 12.0 UMBOPOOGWSO4 // ¾9BOUNDARYFEDERAL13-21 PDP INLAND 088 17E 21 13.0 UMBOWO0160 fo65 %BOUNDARYFEDERAL14-21 PDP INLAND OSS 17E 21 14.0 UMBOPOO93\t.\L\\ ¡BOUNDARYFEDERAL16-21 PDP INLAND oss 17E 21 16,0 UMBOPO10Oblo 2.¯f

¡TARSANDSFEDERAL2-28 PDP INLAND OSS 17E 28 2.0 UMZZPO79 9 g\¾ tTAR SANDS FEDERAL3-28 PDP INLAND 088 17E 28 3.0 UMZZPO78 3 37(o 23TARSANDS FEDERAL4-28 PDP INLAND OSS 17E 28 4.0 UMZZPO80 (o \TARSANDS FEDERAL5-28 (I) PDP INLAND OSS 17E 28 5.0 UMZZP114 ) 3tle 3TAR SANDS FED 6-28 PDP INLAND OSS 17E 28 6.0 UMZZP116 j i $19 Z.\TARSANDS FED 13-28 PDP INLANDOSS 17E 28 13.0 UM2ZP105 19jg/, S\1 3 \TARSANDS FEDERAL 1-29 PDP INLAND OSS 17E 29 1.0 UMZZP115 |2]&g3 3TARSANDSFED 8-29 PDP INLANDOSS 17E 29 8.0 UMZZP117 j ggi/S 3 2 2TAR SANDS FEDERAL 9-29 PDP INLANDOSS 17E 29 9,0 #N/A j922| & 42TARSANDS FEDERAL12-29 PDP INLAND 088 17E 29 12.0 UMZZP113 /¾/s| 24TARSANDS FEDERAL16-29 PDP INLAND OSS 17E 29 16.0 UMZZP106 /¾/9- 9 \TAR SANDS FEDERAL1-33 PDP INLAND OSS 17E 33 1.0 UMZZP108 | 2//_6 L3TARSANDS FEDERAL2-33 PDP INLAND OSS 17E 33 2.0 UMZZP107 | Îl 3 $3BOUNDARYFED 6-21 SI INLAND OSS 17E 21 5.0 UMBOPOO43Ô$2.2..// //,2FEDERAL 1-26 Si INLAND -088 17E 26 3.0 431162 gÔ¶3\SSS

Inland Resources Inc.

us as o

MdaarhU2n7it

1998

Lease Name Status Operator Twp Rge Sec Spot Accounting No. A 1 0.cie.BOUNDARYFEDERAL7-20301500051lNJ INLAND OSS 17E 20 7.0 UMBOl001 f303 SO g)BOUNDARYFED 11-21 INJ INLAND OSS 17E 21 11.0 UMBOIOO23O3.51 jo//jûBOUNDARYFEDERAL15-21 INJ INLAND08S 17E 21 15.0 UMBOf003 3\ lo2.2. // jp.-BOUNDAR¥JEDERAb410-20 P ER N/A OSS 17E 20 10 #N/ATARJANOGFEDERAb-1220 r «A INLAND Oss 17E 28 12.0 #NIATARJSANDS-FEDERA6-#32-29 N/A OSS 17E 29 7 #N/ABOUNDARYFEDERAL6-20 PDP INLAND 08S 17E 20 6.0 UMBOPOO1 to2 \c Í l i ¾BOUNDARYFEDERAL8-20 -O NLAND OSS 17E 20 8.0 #N/A J j 29-1souNDARY FEDERAL9-20 PDP INLAND 088 17E 20 9.0 UMBOPOO2&3ob O g iBOUNDARYFEDERAL15-20 PDP INLAND OSS 17E 20 15.0 UMBOPoo3 3tto lo¯l21BOUNDARY 6-21 PDP INLAND OSS 17E 21 6.0 UMBOPOO5 Emá lubBOUNDARY7-21 PDP INLAND OSS 17E 21 7.0 UMZZPOS3 Ef tõ¾O IggBOUNDARY8-21 PDP INLANDOSS 17E 21 8.0 UMZZPO52 61553 /g ggBOUNDARYFEDERAL9-21 PDP INLAND OSS 17E 21 9.0 UMBOPOO¢3½42, /i RobBOUNDARYFEDERAL10-21 PDP INLAND OBS 17E 21 10.0 UMBOPOOTS\532 ii703BOUNDARYFEDERAL 12-21 PDP INLAND OSS 17E 21 12.0 UMBOPOOGWSO4 // ¾9BOUNDARYFEDERAL13-21 PDP INLAND 088 17E 21 13.0 UMBOWO0160 fo65 %BOUNDARYFEDERAL14-21 PDP INLAND OSS 17E 21 14.0 UMBOPOO93\t.\L\\ ¡BOUNDARYFEDERAL16-21 PDP INLAND oss 17E 21 16,0 UMBOPO10Oblo 2.¯f

¡TARSANDSFEDERAL2-28 PDP INLAND OSS 17E 28 2.0 UMZZPO79 9 g\¾ tTAR SANDS FEDERAL3-28 PDP INLAND 088 17E 28 3.0 UMZZPO78 3 37(o 23TARSANDS FEDERAL4-28 PDP INLAND OSS 17E 28 4.0 UMZZPO80 (o \TARSANDS FEDERAL5-28 (I) PDP INLAND OSS 17E 28 5.0 UMZZP114 ) 3tle 3TAR SANDS FED 6-28 PDP INLAND OSS 17E 28 6.0 UMZZP116 j i $19 Z.\TARSANDS FED 13-28 PDP INLANDOSS 17E 28 13.0 UM2ZP105 19jg/, S\1 3 \TARSANDS FEDERAL 1-29 PDP INLAND OSS 17E 29 1.0 UMZZP115 |2]&g3 3TARSANDSFED 8-29 PDP INLANDOSS 17E 29 8.0 UMZZP117 j ggi/S 3 2 2TAR SANDS FEDERAL 9-29 PDP INLANDOSS 17E 29 9,0 #N/A j922| & 42TARSANDS FEDERAL12-29 PDP INLAND 088 17E 29 12.0 UMZZP113 /¾/s| 24TARSANDS FEDERAL16-29 PDP INLAND OSS 17E 29 16.0 UMZZP106 /¾/9- 9 \TAR SANDS FEDERAL1-33 PDP INLAND OSS 17E 33 1.0 UMZZP108 | 2//_6 L3TARSANDS FEDERAL2-33 PDP INLAND OSS 17E 33 2.0 UMZZP107 | Îl 3 $3BOUNDARYFED 6-21 SI INLAND OSS 17E 21 5.0 UMBOPOO43Ô$2.2..// //,2FEDERAL 1-26 Si INLAND -088 17E 26 3.0 431162 gÔ¶3\SSS

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ovslotri

\L, GA$ AND HINING OPERAfDR INLAND PRODUCTION COMPANY OPERATOR ACCT. NO. N5160

ENTITY ACTIOH FORH - FORH 6 ADDRESS

ACTION CUIIRENT HEW APl NUMBER WELLNAME WFil \0CATION SPUD EFFECTIVECODE ENTlIY NO. ENTlTY NO. QQ SC TP RG COUNTY DATE DATE

D 12391 **SEE ATTACHED** 5-1-98

WELL 1 COMHENTS: GREATER BOUNDARY (GRRV) UNIT EFF 5-1-98

WELL 2 COHHEllTS:

WELL 3 CDHNENTS:

WELL 4 COMMEllIS:

eWELL 5 COHNENT$:

ACTION CODES (Seo instructions on back of form)A - Establish new entity for new well (single well only) L. CORDOV (DOGM)D - Add.new well to existing entity (group or unit well) SignatureC - Re-assign well from one existing entity to another existing entity ENG. TECH 6-26-980 - Re-assign well from one existing entity to a new entityE - Other (explain in conunents section) Title

.Date

NOTE: Use COMMEllT section to explain why each Action Code was selected. Phone No. ( )

ovslotri

\L, GA$ AND HINING OPERAfDR INLAND PRODUCTION COMPANY OPERATOR ACCT. NO. N5160

ENTITY ACTIOH FORH - FORH 6 ADDRESS

ACTION CUIIRENT HEW APl NUMBER WELLNAME WFil \0CATION SPUD EFFECTIVECODE ENTlIY NO. ENTlTY NO. QQ SC TP RG COUNTY DATE DATE

D 12391 **SEE ATTACHED** 5-1-98

WELL 1 COMHENTS: GREATER BOUNDARY (GRRV) UNIT EFF 5-1-98

WELL 2 COHHEllTS:

WELL 3 CDHNENTS:

WELL 4 COMMEllIS:

eWELL 5 COHNENT$:

ACTION CODES (Seo instructions on back of form)A - Establish new entity for new well (single well only) L. CORDOV (DOGM)D - Add.new well to existing entity (group or unit well) SignatureC - Re-assign well from one existing entity to another existing entity ENG. TECH 6-26-980 - Re-assign well from one existing entity to a new entityE - Other (explain in conunents section) Title

.Date

NOTE: Use COMMEllT section to explain why each Action Code was selected. Phone No. ( )

Page 62: APPLICATION FOR PERMIT TO DRILL, DEEPEN, OR PLUG BACK … · 2018-12-15 · APPLICATION FOR PERMIT TO DRILL, DEEPEN, OR PLUG BACK Û-WINDIAN.A OTTEROBTEIBENAME la. TTPE OF WORK ...

FOlg 3160-5 TED STATES FORM APPROVED(June 1990) DEP NT OF THE INTERIOR Budget Bureau No. 1004-0135

BUREAU OF LAND MANAGEMENT Expires: March 31, 19935. Lease Designationand Serial No.

SUNDRY NOTICES AND REPORTS ON WELLS UTU-50376Do not use this form for proposals to drill or to deepen or reentry a different reservoir. 6. If Indian, Allotteeor Tribe Name

Use "APPLICATIONFOR PERMIT -" for such proposals NA

7. If Unit or CA, Agreement DesignationSUBMIT IN TRIPLICATE GREATER BOUNDARY

1. Type of WellOil Gas 8. Well Name and No.XWell Well Other BOUNDARY FEDERAL 12-21

9. API Well No.2. Name of Operator 43-013-31440

INLAND PRODUCTION COMPANY 10.Field and Pool, or Exploratory Area3. Address and Telephone No. TREATY BOUNDARY

475 17TH STREET, SUITE 1500, DENVER, COLORADO 80202 (303) 292-0900 11. County or Parish, State4. location of Well (Footage,Sec., T., R., m., or SurveyDescription)

1790 FSL 0654 FWL NW/SW Section 21, TOSS R17E DUCHESNE COUNTY, UTAH

12. CHECK APPROPRIATE BOX(s TO INDICATE NATURE OF NOTICE, REPORT, OR OTHER DATATYPE OF SUBMISSION TYPE OF ACTION

Notice of Intent Abandonment Changeof PlansRecompletion New Construction

Subsequent Report Plugging Back Non-Routine FracturingCasing Repair Water Shut-Off

Final Abandonment Notice Altering Casing Conversion to InjectionX Other Site Security DisposeWater

(Note: Report results of multiple completion on WellCompletion or Recompletion Report and Log form.)

13. Describe Proposed or Completed Operations (Clearly state all pertinent details, and give pertinent dates, including estimated date of starting any proposed work. If well is direction-ally drilled, give subsurface locations and measured and true vertical depths for all markers and zones pertinent to this work.)*

Attached please find the site security diagram for the above referenced well.

OEcanysNOV 02 1998

DIV.OFOIL,GAS&MINING

14. I her by certify d

Title Manager, Regulatory Compliance Date 10/30/98

(This space for Federal or State officeuse)

Approved by Title DateConditionsof approval, if any:

CC: UTAH DOGMTitle 18 U.S.C.Section 1001, makes it a crime for any person knowingly and willfully to make to any departmentor agency of the United Statesany false, fictitious

or fradulent statementsor representationsas to any matter within its

FOlg 3160-5 TED STATES FORM APPROVED(June 1990) DEP NT OF THE INTERIOR Budget Bureau No. 1004-0135

BUREAU OF LAND MANAGEMENT Expires: March 31, 19935. Lease Designationand Serial No.

SUNDRY NOTICES AND REPORTS ON WELLS UTU-50376Do not use this form for proposals to drill or to deepen or reentry a different reservoir. 6. If Indian, Allotteeor Tribe Name

Use "APPLICATIONFOR PERMIT -" for such proposals NA

7. If Unit or CA, Agreement DesignationSUBMIT IN TRIPLICATE GREATER BOUNDARY

1. Type of WellOil Gas 8. Well Name and No.XWell Well Other BOUNDARY FEDERAL 12-21

9. API Well No.2. Name of Operator 43-013-31440

INLAND PRODUCTION COMPANY 10.Field and Pool, or Exploratory Area3. Address and Telephone No. TREATY BOUNDARY

475 17TH STREET, SUITE 1500, DENVER, COLORADO 80202 (303) 292-0900 11. County or Parish, State4. location of Well (Footage,Sec., T., R., m., or SurveyDescription)

1790 FSL 0654 FWL NW/SW Section 21, TOSS R17E DUCHESNE COUNTY, UTAH

12. CHECK APPROPRIATE BOX(s TO INDICATE NATURE OF NOTICE, REPORT, OR OTHER DATATYPE OF SUBMISSION TYPE OF ACTION

Notice of Intent Abandonment Changeof PlansRecompletion New Construction

Subsequent Report Plugging Back Non-Routine FracturingCasing Repair Water Shut-Off

Final Abandonment Notice Altering Casing Conversion to InjectionX Other Site Security DisposeWater

(Note: Report results of multiple completion on WellCompletion or Recompletion Report and Log form.)

13. Describe Proposed or Completed Operations (Clearly state all pertinent details, and give pertinent dates, including estimated date of starting any proposed work. If well is direction-ally drilled, give subsurface locations and measured and true vertical depths for all markers and zones pertinent to this work.)*

Attached please find the site security diagram for the above referenced well.

OEcanysNOV 02 1998

DIV.OFOIL,GAS&MINING

14. I her by certify d

Title Manager, Regulatory Compliance Date 10/30/98

(This space for Federal or State officeuse)

Approved by Title DateConditionsof approval, if any:

CC: UTAH DOGMTitle 18 U.S.C.Section 1001, makes it a crime for any person knowingly and willfully to make to any departmentor agency of the United Statesany false, fictitious

or fradulent statementsor representationsas to any matter within its

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O OInland Production Company

Site Facility DiagramBoundary 12-21

NWISW Sec. 21, TSS, 17E

Duchesne County ,...........................$ Well HeadMay 12, 1998

Site Security Plan is held at the Roosevelt Office, Roosevelt Utah

Production Phase: Pumping Unit

1) Valves 1, 3, 4 sealed closed

2) Valves 2 and 5 sealed open

Sales Phase:

1) Valves 1, 2, 4, 5 sealed closed

2) Valves 3 open

Draining Phase:

1) Valve 1 open Heater Treater

I

I Gas Sales MeterIDiked SectionlI

I3 3 21 1

Legend L . Water TankProduction T 5 Production TankEmulsion Line "" """"

LoadLine ·¯¯¯¯¯¯¯¯¯

Water Line ¯ ¯ ¯ ¯¯ ~ ¯

4 4Oil Line

Gas Sales --· -··-.. _ ... Contained Section

Equalizer

O OInland Production Company

Site Facility DiagramBoundary 12-21

NWISW Sec. 21, TSS, 17E

Duchesne County ,...........................$ Well HeadMay 12, 1998

Site Security Plan is held at the Roosevelt Office, Roosevelt Utah

Production Phase: Pumping Unit

1) Valves 1, 3, 4 sealed closed

2) Valves 2 and 5 sealed open

Sales Phase:

1) Valves 1, 2, 4, 5 sealed closed

2) Valves 3 open

Draining Phase:

1) Valve 1 open Heater Treater

I

I Gas Sales MeterIDiked SectionlI

I3 3 21 1

Legend L . Water TankProduction T 5 Production TankEmulsion Line "" """"

LoadLine ·¯¯¯¯¯¯¯¯¯

Water Line ¯ ¯ ¯ ¯¯ ~ ¯

4 4Oil Line

Gas Sales --· -··-.. _ ... Contained Section

Equalizer

Page 64: APPLICATION FOR PERMIT TO DRILL, DEEPEN, OR PLUG BACK … · 2018-12-15 · APPLICATION FOR PERMIT TO DRILL, DEEPEN, OR PLUG BACK Û-WINDIAN.A OTTEROBTEIBENAME la. TTPE OF WORK ...

FORM 3160-5 U D STATES FORM APPROVEDQun ay DEPARTMENT OF THE INTERIOR Budget Bureau No. 1004-0135

BUREAU OF LAND MANAGEMENT Expires: March 31, 19935. Lease Designationand Serial No.

SUNDRY NOTICES AND REPORTS ON WELLS UTU-76954Do not use this form for proposals to drill or to deepen or reentry a different reservoir. 6. If Indian, Allottee or Tribe Name

Use "APPLICATIONFOR PERMIT -" for such proposals NA

7. IfUnit or CA, Agreement Designation

SUBMIT IN TRIPLICATE GREATER BOUNDARY1. Type of Well

Oil Gas 8. Well Name and No.XWell | Well Other BOUNDARY FED 12-21

9. API Well No.2. Name of Operator 43-013-31440

INLAND PRODUCTION COMPANY 10. Field and Pool, or ExploratoryArea3. Address and Telephone No. MONUMENT BUTTE

Rt. 3 Box 3630, Myton Utah, 84052 435-646-3721 11. County or Parish, State4. Location of Well (Footage, Sec., T., R., m., or Survey Description)

1790 FSL 654 FWL NW/SW Section 21, T8S R17E DUCHESNE COUNTY, UT

12. CHECK APPROPRIATE BOX(s) TO INDICATE NATURE OF NOTICE, REPORT, OR OTHER DATATYPE OF SUBMISSION TYPE OF ACTION

Notice of Intent Abandonment Change of PlansX Recompletion New ConstrLIClÍOD

X Subsequent Report Plugging Back Non-Routine FracturingCasing Repair Water Shut-Off

Final Abandonment Notice Altering Casing Conversion to Injection

Dispose Water(Note: Report results of multiple completion on Well

Completion or Recompletion Report and Log form.)

13. Describe Proposed or Completed Operations (Clearly state all pertinent details, and give pertinent dates, including estimated date of starting any proposed work. If well is direction-.

ally drilled, give subsurface locations and measuredand true vertical depths forall markers and zones pertinent to this work.)*

Subject well had recompletion procedures initiated in the Green River formation on 6/16/03. Existing productionequipment was pulled from well. A bit and scraper were run in well. Two new Green River intervals wereperforated and hydraulically fracture treated as follows: Stage #1: CP sands @ 6310-6324', 6286-6290', 6250-6256', and 6222-6228' (all 4JSPF) fraced down 2 7/8" N-80 tbg w/89,503# 20/40 sand in 708 bbls Viking I-25fluid. Stage #2: A3 sands @5784-5787', 5750-5754', (all 4JSPF) fraced down 2 7/8" N-80 tbg w/40,112# 20/40sand in 343 bbls Viking I-25 fluid. Frac was flowed back through chokes. Sand was cleaned from wellbore. Newintervals were swab tested for sand cleanup. BHA & production tbg were run and anchored in well w/tubing anchor@6212', pump seating nipple @6245', and end of tubing string @6312'. A repaired 1 ½" bore rod pump was runin well on sucker rods. Well returned to production via rod pump on 6/23/03.

RECEIVED

JUN26 2M3DIV.OFOIL,GAS&MINING

14. I hereby certify tha e foregoing is true and correct

Signed Î L Title Office Manager Date 6/25/2003Ma a Hgr

CC: UTAH DOGM y'(This space for Federal or State office use)

Approved by Title DateConditionsof approvaL if any:

Title 18 U.S.C.Section 1001, makes it a crime for any person knowingly and willfully to make to any department or agency of the United States any false, Octitiousor fradalent statements or reprešentations as to any matter within its

FORM 3160-5 U D STATES FORM APPROVEDQun ay DEPARTMENT OF THE INTERIOR Budget Bureau No. 1004-0135

BUREAU OF LAND MANAGEMENT Expires: March 31, 19935. Lease Designationand Serial No.

SUNDRY NOTICES AND REPORTS ON WELLS UTU-76954Do not use this form for proposals to drill or to deepen or reentry a different reservoir. 6. If Indian, Allottee or Tribe Name

Use "APPLICATIONFOR PERMIT -" for such proposals NA

7. IfUnit or CA, Agreement Designation

SUBMIT IN TRIPLICATE GREATER BOUNDARY1. Type of Well

Oil Gas 8. Well Name and No.XWell | Well Other BOUNDARY FED 12-21

9. API Well No.2. Name of Operator 43-013-31440

INLAND PRODUCTION COMPANY 10. Field and Pool, or ExploratoryArea3. Address and Telephone No. MONUMENT BUTTE

Rt. 3 Box 3630, Myton Utah, 84052 435-646-3721 11. County or Parish, State4. Location of Well (Footage, Sec., T., R., m., or Survey Description)

1790 FSL 654 FWL NW/SW Section 21, T8S R17E DUCHESNE COUNTY, UT

12. CHECK APPROPRIATE BOX(s) TO INDICATE NATURE OF NOTICE, REPORT, OR OTHER DATATYPE OF SUBMISSION TYPE OF ACTION

Notice of Intent Abandonment Change of PlansX Recompletion New ConstrLIClÍOD

X Subsequent Report Plugging Back Non-Routine FracturingCasing Repair Water Shut-Off

Final Abandonment Notice Altering Casing Conversion to Injection

Dispose Water(Note: Report results of multiple completion on Well

Completion or Recompletion Report and Log form.)

13. Describe Proposed or Completed Operations (Clearly state all pertinent details, and give pertinent dates, including estimated date of starting any proposed work. If well is direction-.

ally drilled, give subsurface locations and measuredand true vertical depths forall markers and zones pertinent to this work.)*

Subject well had recompletion procedures initiated in the Green River formation on 6/16/03. Existing productionequipment was pulled from well. A bit and scraper were run in well. Two new Green River intervals wereperforated and hydraulically fracture treated as follows: Stage #1: CP sands @ 6310-6324', 6286-6290', 6250-6256', and 6222-6228' (all 4JSPF) fraced down 2 7/8" N-80 tbg w/89,503# 20/40 sand in 708 bbls Viking I-25fluid. Stage #2: A3 sands @5784-5787', 5750-5754', (all 4JSPF) fraced down 2 7/8" N-80 tbg w/40,112# 20/40sand in 343 bbls Viking I-25 fluid. Frac was flowed back through chokes. Sand was cleaned from wellbore. Newintervals were swab tested for sand cleanup. BHA & production tbg were run and anchored in well w/tubing anchor@6212', pump seating nipple @6245', and end of tubing string @6312'. A repaired 1 ½" bore rod pump was runin well on sucker rods. Well returned to production via rod pump on 6/23/03.

RECEIVED

JUN26 2M3DIV.OFOIL,GAS&MINING

14. I hereby certify tha e foregoing is true and correct

Signed Î L Title Office Manager Date 6/25/2003Ma a Hgr

CC: UTAH DOGM y'(This space for Federal or State office use)

Approved by Title DateConditionsof approvaL if any:

Title 18 U.S.C.Section 1001, makes it a crime for any person knowingly and willfully to make to any department or agency of the United States any false, Octitiousor fradalent statements or reprešentations as to any matter within its

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Un d States Department of thnterior

BUREAU OF LAND MANAGEMENT Tage patog•Utah State Office INgERICAP.O. Box 45155

Salt Lake City, UT 84145-0155http://www.blm.gov

IN REPLY REFER TO:3106(UT-924)

September 16, 2004

Memorandum

To: Vernal Field Office

From: Acting Chief, Branch of Fluid Minerals

Subject: Merger Approval

Attached is an approved copy of the name change recognized by the Utah State Office. We haveupdated our records to reflect the merger from Inland Production Company into NewfieldProduction Company on September 2, 2004.

Michael CoulthardActing Chief, Branch ofFluid Minerals

Enclosure1. State of Texas Certificate of Registration

cc: MMS, Reference Data Branch, James Sykes, PO Box 25165, Denver CO 80225State of Utah, DOGM, Attn: Earlene Russell, PO Box 145801, SLC UT 84114Teresa ThompsonJoe IncardineConnie

Un d States Department of thnterior

BUREAU OF LAND MANAGEMENT Tage patog•Utah State Office INgERICAP.O. Box 45155

Salt Lake City, UT 84145-0155http://www.blm.gov

IN REPLY REFER TO:3106(UT-924)

September 16, 2004

Memorandum

To: Vernal Field Office

From: Acting Chief, Branch of Fluid Minerals

Subject: Merger Approval

Attached is an approved copy of the name change recognized by the Utah State Office. We haveupdated our records to reflect the merger from Inland Production Company into NewfieldProduction Company on September 2, 2004.

Michael CoulthardActing Chief, Branch ofFluid Minerals

Enclosure1. State of Texas Certificate of Registration

cc: MMS, Reference Data Branch, James Sykes, PO Box 25165, Denver CO 80225State of Utah, DOGM, Attn: Earlene Russell, PO Box 145801, SLC UT 84114Teresa ThompsonJoe IncardineConnie

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UTSL- 15855 61052 73088 76561071572A 16535 62848 73089 76787065914 16539 63073B 73520A 76808

16544 63073D 74108 7681317036 63073E 74805 76954 63073X17424 630730 74806 76956 63098A18048 64917 74807 77233 68528A

LVfU- 18399 64379 74808 77234 72086A19267 64380 74389 77235 72613A

02458 26026A 64381 74390 77337 73520X03563 30096 64805 74391 77338 74477X03563A 30103 64806 74392 77339 75023X04493 31260 64917 74393 77357 76189X05843 33992 65207 74398 77359 76331X07978 34173 65210 74399 77365 76788X09803 34346 65635 74400 77369 77098X017439B 36442 65967 74404 77370 77107X017985 36846 65969 74405 77546 77236X017991 38411 65970 74406 77553 77376X017992 38428 66184 74411 77554 78560X018073 38429 66185 74805 78022 79485X019222 38431 66191 74806 79013 79641X020252 39713 67168 74826 79014 80207X020252A 39714 67170 74827 79015 81307)£020254 40026 67208 74835 79016020255 40652 67549 74868 79017020309D 40894 67586 74869 79831022684A 41377 67845 74870 79832027345 44210 68105 74872 79833'034217A 44426 68548 74970 79831035521 44430 68618 75036 79834035521A 45431 69060 75037 80450038797 47171 69061 75038 80915058149 49092 69744 75039 81000063597A 49430 70821 75075075174 49950 72103 75078096547 50376 72104 75089096550 50385 72105 75090

50376 72106 7523450750 72107 75238

10760 51081 72108 7623911385 52013 73086 7624013905 52018 73087 7624115392 58546 73807

UTSL- 15855 61052 73088 76561071572A 16535 62848 73089 76787065914 16539 63073B 73520A 76808

16544 63073D 74108 7681317036 63073E 74805 76954 63073X17424 630730 74806 76956 63098A18048 64917 74807 77233 68528A

LVfU- 18399 64379 74808 77234 72086A19267 64380 74389 77235 72613A

02458 26026A 64381 74390 77337 73520X03563 30096 64805 74391 77338 74477X03563A 30103 64806 74392 77339 75023X04493 31260 64917 74393 77357 76189X05843 33992 65207 74398 77359 76331X07978 34173 65210 74399 77365 76788X09803 34346 65635 74400 77369 77098X017439B 36442 65967 74404 77370 77107X017985 36846 65969 74405 77546 77236X017991 38411 65970 74406 77553 77376X017992 38428 66184 74411 77554 78560X018073 38429 66185 74805 78022 79485X019222 38431 66191 74806 79013 79641X020252 39713 67168 74826 79014 80207X020252A 39714 67170 74827 79015 81307)£020254 40026 67208 74835 79016020255 40652 67549 74868 79017020309D 40894 67586 74869 79831022684A 41377 67845 74870 79832027345 44210 68105 74872 79833'034217A 44426 68548 74970 79831035521 44430 68618 75036 79834035521A 45431 69060 75037 80450038797 47171 69061 75038 80915058149 49092 69744 75039 81000063597A 49430 70821 75075075174 49950 72103 75078096547 50376 72104 75089096550 50385 72105 75090

50376 72106 7523450750 72107 75238

10760 51081 72108 7623911385 52013 73086 7624013905 52018 73087 7624115392 58546 73807

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O OCorporationsSection gsE o, Geoffrey S. Connor 'P.O.Box 13697 Secretaryof StateAustin, Texas 78711-3697

Office of the Secretary of State

The undersigned, as Secretary of State of Texas, does hereby certify that the attached is a true andcorrect copy of each document on file in this office as described below:

Newfield Production CompanyFiling Number: 41530400

Articles of Amendment September 02, 2004

In testimony whereof, I have hereunto signed my nameofficially and caused to be impressed hereon the Seal ofState at my office in Austin, Texas on September 10,2004.

Secretary of State

Comevisit us on the internet at http://www.sos.state.tx.us/PHONE(512) 463-5555 FAX(512) 463-5709 TTY7-1-1Prepared by:

O OCorporationsSection gsE o, Geoffrey S. Connor 'P.O.Box 13697 Secretaryof StateAustin, Texas 78711-3697

Office of the Secretary of State

The undersigned, as Secretary of State of Texas, does hereby certify that the attached is a true andcorrect copy of each document on file in this office as described below:

Newfield Production CompanyFiling Number: 41530400

Articles of Amendment September 02, 2004

In testimony whereof, I have hereunto signed my nameofficially and caused to be impressed hereon the Seal ofState at my office in Austin, Texas on September 10,2004.

Secretary of State

Comevisit us on the internet at http://www.sos.state.tx.us/PHONE(512) 463-5555 FAX(512) 463-5709 TTY7-1-1Prepared by:

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ARTICLESOF AMENDMENT in the ifc ONSTO TU Secretary ofstateofTeXat

ARTICLES OP INCORPORATIONOF 02 ËÊ

INLAND PRODUCTION COMPAN YCorporationsSection

- Pursuantje the provisions of Article 4.04 of the TexasBusinessCorporation Act (the"TB0A"), the undersigned corporation adoptsthe following articles of amendment to the articlesof incorporation:

ARTICLE 1- Name

The name of the corporation is Inland Production Company.

ARTICLE 2 - Amended Name

The following amendment to the Articles of Incorporation was approved by the Board ofDirectors and adopted by the shareholders of the corporation on August 27, 2004.

The amendment alters or changes Article Oné of the Articles of Incorporation to changethe name of the corporation so that, as amended, Article One shall read in its entirety as follows:

"ARTICLE ONE - The name of the corporation is Newfield Production Company."

ARTICLE 3 - Effective Date of Filing

This document will become effective,

upon filing.

The holder of all of the shares outstanding and entitled to vote on said amendment hassigned a consent in writing pursuantto Article 9.10 of the TBCA, adoptingsaid amendment,andany written notice required has been given.

IN WITNESSWHEREOF,the undersigned corporation has executed these ArticlesofAmendment as of the 1" day of September, 2004.

INLAND RESOURCES INC.

By:Susan G. Riggs,

ARTICLESOF AMENDMENT in the ifc ONSTO TU Secretary ofstateofTeXat

ARTICLES OP INCORPORATIONOF 02 ËÊ

INLAND PRODUCTION COMPAN YCorporationsSection

- Pursuantje the provisions of Article 4.04 of the TexasBusinessCorporation Act (the"TB0A"), the undersigned corporation adoptsthe following articles of amendment to the articlesof incorporation:

ARTICLE 1- Name

The name of the corporation is Inland Production Company.

ARTICLE 2 - Amended Name

The following amendment to the Articles of Incorporation was approved by the Board ofDirectors and adopted by the shareholders of the corporation on August 27, 2004.

The amendment alters or changes Article Oné of the Articles of Incorporation to changethe name of the corporation so that, as amended, Article One shall read in its entirety as follows:

"ARTICLE ONE - The name of the corporation is Newfield Production Company."

ARTICLE 3 - Effective Date of Filing

This document will become effective,

upon filing.

The holder of all of the shares outstanding and entitled to vote on said amendment hassigned a consent in writing pursuantto Article 9.10 of the TBCA, adoptingsaid amendment,andany written notice required has been given.

IN WITNESSWHEREOF,the undersigned corporation has executed these ArticlesofAmendment as of the 1" day of September, 2004.

INLAND RESOURCES INC.

By:Susan G. Riggs,

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Division of Oil, Gas and MiningROUTING

OPERATOR CHANGE WORKSHEET2. CDW3. FILE

Change of Operator (Well Sold) Designation of Agent/Operator

X Operator Name Change Merger

The operator of the well(s) listed below has changed, effective: 9/1/2004FROM: (Old Operator): TO: ( New Operator):N5160-Inland Production Company N2695-Newfield Production Company

Route 3 Box 3630 Route 3 Box 3630Myton, UT 84052 Myton, UT 84052

Phone: 1-(435) 646-3721 Phone: 1-(435) 646-3721

CA No. Unit: GREATER BOUNDARY (GR)

WELL(S)NAME SEC TWN RNG API NO ENTITY LEASE WELL WELL

NO TYPE TYPE STATUSBOUNDARY FED 15-20 20 080S 170E 4301330667 12391 Federal WI ABOUNDARY FED 9-20 20 080S 170E 4301330690 12391 Federal WI ABOUNDARY FED 7-20 20 080S 170E 4301330750 12391 Federal WI ABOUNDARY FED 6-20 20 080S 170E 4301331626 12391 Federal OW SBOUNDARY FED 13-21 21 080S 170E 4301330665 12391 Federal WI ABOUNDARY FED 11-21 21 080S 170E 4301330752 12391 Federal WI ABOUNDARY FED 5-21 21 080S 170E 4301330822 12391 Federal WI ABOUNDARY FED 12-21 21 080S 170E 4301331440 12391 Federal OW SBOUNDARY FED 14-21 21 080S 170E 4301331441 12391 Federal OW PBOUNDARY FED 10-21 21 080S 170E 4301331532 12391 Federal OW PBOUNDARY FED 9-21 21 080S 170E 4301331542 12391 Federal WI ABOUNDARY 8-21 21 080S 170E 4301331557 12391 Fee OW PBOUNDARY FED 15-21 21 080S 170E 4301331622 12391 Federal WI ABOUNDARY FED 16-21 21 080S 170E 4301331627 12391 Federal OW PBOUNDARY 7-21 21 080S 170E 4301331640 12391 Fee WI ATAR SANDS FED 3-28 28 080S 170E 4301331623 12391 Federal WI ATAR SANDS FED 4-28 28 080S 170E 4301331641 12391 Federal OW PTAR SANDS FED 2-28 28 080S 170E 4301331642 12391 Federal OW STAR SANDS FED 5-28 (I) 28 080S 170E 4301331697 12391 Federal WI AGB FED 7-29R-8-17 29 080S 170E 4301330435 Federal D PA K

OPERATOR CHANGES DOCUMENTATIONEnter date after each listed item is completed1. (R649-8-10) Sundry or legal documentation was received from the FORMER operator on: 9/15/20042. (R649-8-10) Sundry or legal documentation was received from the NEW operator on: 9/15/2004

3. The new company was checked on the Department of Commerce, Division of Corporations Database on: 2/23/20054. Is the new operator registered in the State of Utah: YES Business Number: 755627-01435. If NO, the operator was contacted contacted on:

Newfield_Greater Boundary 1_FORM_4B.xis 3/9/2005

Division of Oil, Gas and MiningROUTING

OPERATOR CHANGE WORKSHEET2. CDW3. FILE

Change of Operator (Well Sold) Designation of Agent/Operator

X Operator Name Change Merger

The operator of the well(s) listed below has changed, effective: 9/1/2004FROM: (Old Operator): TO: ( New Operator):N5160-Inland Production Company N2695-Newfield Production Company

Route 3 Box 3630 Route 3 Box 3630Myton, UT 84052 Myton, UT 84052

Phone: 1-(435) 646-3721 Phone: 1-(435) 646-3721

CA No. Unit: GREATER BOUNDARY (GR)

WELL(S)NAME SEC TWN RNG API NO ENTITY LEASE WELL WELL

NO TYPE TYPE STATUSBOUNDARY FED 15-20 20 080S 170E 4301330667 12391 Federal WI ABOUNDARY FED 9-20 20 080S 170E 4301330690 12391 Federal WI ABOUNDARY FED 7-20 20 080S 170E 4301330750 12391 Federal WI ABOUNDARY FED 6-20 20 080S 170E 4301331626 12391 Federal OW SBOUNDARY FED 13-21 21 080S 170E 4301330665 12391 Federal WI ABOUNDARY FED 11-21 21 080S 170E 4301330752 12391 Federal WI ABOUNDARY FED 5-21 21 080S 170E 4301330822 12391 Federal WI ABOUNDARY FED 12-21 21 080S 170E 4301331440 12391 Federal OW SBOUNDARY FED 14-21 21 080S 170E 4301331441 12391 Federal OW PBOUNDARY FED 10-21 21 080S 170E 4301331532 12391 Federal OW PBOUNDARY FED 9-21 21 080S 170E 4301331542 12391 Federal WI ABOUNDARY 8-21 21 080S 170E 4301331557 12391 Fee OW PBOUNDARY FED 15-21 21 080S 170E 4301331622 12391 Federal WI ABOUNDARY FED 16-21 21 080S 170E 4301331627 12391 Federal OW PBOUNDARY 7-21 21 080S 170E 4301331640 12391 Fee WI ATAR SANDS FED 3-28 28 080S 170E 4301331623 12391 Federal WI ATAR SANDS FED 4-28 28 080S 170E 4301331641 12391 Federal OW PTAR SANDS FED 2-28 28 080S 170E 4301331642 12391 Federal OW STAR SANDS FED 5-28 (I) 28 080S 170E 4301331697 12391 Federal WI AGB FED 7-29R-8-17 29 080S 170E 4301330435 Federal D PA K

OPERATOR CHANGES DOCUMENTATIONEnter date after each listed item is completed1. (R649-8-10) Sundry or legal documentation was received from the FORMER operator on: 9/15/20042. (R649-8-10) Sundry or legal documentation was received from the NEW operator on: 9/15/2004

3. The new company was checked on the Department of Commerce, Division of Corporations Database on: 2/23/20054. Is the new operator registered in the State of Utah: YES Business Number: 755627-01435. If NO, the operator was contacted contacted on:

Newfield_Greater Boundary 1_FORM_4B.xis 3/9/2005

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O O6a. (R649-9-2)Waste Management Plan has been received on: IN PLACE6b. Inspections of LA PA state/fee well sites complete on: waived

7. Federal and Indian Lease Wells: The BLM and or the BIA has approved the merger, name change,or operator change for all wells listed on Federal or Indian leases on: BLM BIA

8. Federal and Indian Units:The BLM or BIA has approved the successor of unit operator for wells listed on: n/a

9. Federal and Indian Communization Agreements ("CA"):The BLM or BIA has approved the operator for all wells listed within a CA on: na/

10. Underground Injection Control ("UIC") The Division has approved UIC Form 5, Transfer of Authority toInject, for the enhanced/secondary recovery unit/project for the water disposal well(s) listed on: 2/23/2005

DATA ENTRY:1. Changes entered in the Oil and Gas Database on: 2/28/2005

2. Changes have been entered on the Monthly Operator Change Spread Sheet on: 2/28/2005

3. Bond information entered in RBDMS on: 2/28/2005

4. Fee/State wells attached to bond in RBDMS on: 2/28/2005

5. Injection Projects to new operator in RBDMS on: 2/28/2005

6. Receipt of Acceptance of Drilling Procedures for APD/New on: waived

FEDERAL WELL(S) BOND VERIFICATION:1. Federal well(s) covered by Bond Number: UT 0056

INDIAN WELL(S) BOND VERIFICATION:1. Indian well(s) covered by Bond Number: 61BSBDH2912

FEE & STATE WELL(S) BOND VERIFICATION:1. (R649-3-1) The NEW operator of any fee well(s) listed covered by Bond Number 61BSBDH2919

2. The FORMER operator has requested a release of liability from their bond on: n/a*The Division sent response by letter on: n/a

LEASE INTEREST OWNER NOTIFICATION:3. (R649-2-10) The FORMER operator of the fee wells has been contacted and informed by a letter from the Division

of their responsibility to notify all interest owners of this change on: n/a

COMMENTS:*Bond rider changed operator name from Inland Production Company to Newfield Production Company - received 2/23/05

Newfield_GreaterBoundary 1_FORM_4B.xis 3/9/2005

O O6a. (R649-9-2)Waste Management Plan has been received on: IN PLACE6b. Inspections of LA PA state/fee well sites complete on: waived

7. Federal and Indian Lease Wells: The BLM and or the BIA has approved the merger, name change,or operator change for all wells listed on Federal or Indian leases on: BLM BIA

8. Federal and Indian Units:The BLM or BIA has approved the successor of unit operator for wells listed on: n/a

9. Federal and Indian Communization Agreements ("CA"):The BLM or BIA has approved the operator for all wells listed within a CA on: na/

10. Underground Injection Control ("UIC") The Division has approved UIC Form 5, Transfer of Authority toInject, for the enhanced/secondary recovery unit/project for the water disposal well(s) listed on: 2/23/2005

DATA ENTRY:1. Changes entered in the Oil and Gas Database on: 2/28/2005

2. Changes have been entered on the Monthly Operator Change Spread Sheet on: 2/28/2005

3. Bond information entered in RBDMS on: 2/28/2005

4. Fee/State wells attached to bond in RBDMS on: 2/28/2005

5. Injection Projects to new operator in RBDMS on: 2/28/2005

6. Receipt of Acceptance of Drilling Procedures for APD/New on: waived

FEDERAL WELL(S) BOND VERIFICATION:1. Federal well(s) covered by Bond Number: UT 0056

INDIAN WELL(S) BOND VERIFICATION:1. Indian well(s) covered by Bond Number: 61BSBDH2912

FEE & STATE WELL(S) BOND VERIFICATION:1. (R649-3-1) The NEW operator of any fee well(s) listed covered by Bond Number 61BSBDH2919

2. The FORMER operator has requested a release of liability from their bond on: n/a*The Division sent response by letter on: n/a

LEASE INTEREST OWNER NOTIFICATION:3. (R649-2-10) The FORMER operator of the fee wells has been contacted and informed by a letter from the Division

of their responsibility to notify all interest owners of this change on: n/a

COMMENTS:*Bond rider changed operator name from Inland Production Company to Newfield Production Company - received 2/23/05

Newfield_GreaterBoundary 1_FORM_4B.xis 3/9/2005

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FORM3160-5 UNITED STATES FORMAPPROVED

(September 2001) DEPARTMENT OF THE INTERIOR Eprs u431

4BUREAU OF LAND MANAGEMENT 5. Lease Serial No.

SUNDRY NOTICES AND REPORTS ON WELLS USAUTU-76954Do not use this form for proposals to drill or to re-enter an .

abandoned well. Use Form 3160-3 (APD) for such proposals. 6. If Indian, Allottee or Tribe Name.

7. If Unit or CA/Agreement, Name and/or

GREATER BOUNDARY II1. T pe of Well

Oil Well Gas Well Other 8. Well Name and No.2. Name of Operator BOUNDARY FED 12-21

NEWFIELD PRODUCTION COMPANY a p¡ yp p3a. Address Route 3 Box 3630 3b. Phone (include are code) 4301331440

Myton, UT 84052 | 435646 3721 10 Field and Pool or Exploratory Area4. Location ofWell (Footage, Sec , T., R., M., or Survey Description) MONUMENT BUTTE

1790 FSL 654 FWL 11. County or Parish, State

NWSW Section 21 TSS Rl7EDUCHESNE, UT

12. CHECK APPROPRIATE BOX(ES) TO INIDICATE NATURE OF NOTICE, OR OTHER DATA

TYPE OF SUBMISSION TYPE OF ACTION

Acidize Deepen Production(Start/Resume) Water Shut-OffNotice of Intent

Alter Casing Fracture Treat Reclamation Well Integrity

Subsequent Report Casing Repair New Construction Recomplete OtherChange Plans Plug & Abandon Temporarily Abandon

Final Abandonment Convertto Plug Back Water Disposal

13. Describe Proposed or Completed Operation (clearly state all pertinent details, including estimated starting date of any proposed work and approximate duration thereo£ Iftheproposal is to deepen directionally or recomplete horizontally, give subsurface locations and measured and true vertical depths of all pertinent markers and zones. Attach theBond under which the work will be performed or provide the Bond No. on file with BLM/BIA. Required subsequent reports shall be filed within 30 days following completionof the involved operations. If the operation results in a multiple completion or recompletion in a new interval, a Form 3160-4 shall be filed once testing has been completed.Final Abandonment Notices shall be filed only after all requirements, including reclamation, have been completed, and the operator has determined that the site is ready for finalinspection.)

Newfield requests a change of status to TA this well. Newfield plans to Re-Complete thiswell in the near future in the followingintervals.D2 sands

Accepted by theUtah Division of

Oil, Gas and MiningFor Record Only

I hereby certify that the foregoing is true and Titlecorrect (Printed/ Tvped)

lOthvChimman Omce ManagerSignature D

/30/2008

Approvedby . . . . . . . . . Title DateConditions of approval, if any, are attached. Approval ofthis notice does not warrant orcertifythat the applicant holds legal or equitable title to those rights in the subject lease Omcewhich would entitle the avglicant to conduct operations thereon.

Title 18 U.S.C. Section 1001 and Title 43 U.S.C. Section 1212, make it a crime for any person knowingly and willfully to make to any department or agency ofthe UnitedStates anv false fictitiousæand fraudulent statements or representations as to anv matter within its jurisdiction

RECEIVEDFEBO8 2008

DIVOFOIL,GAS&

FORM3160-5 UNITED STATES FORMAPPROVED

(September 2001) DEPARTMENT OF THE INTERIOR Eprs u431

4BUREAU OF LAND MANAGEMENT 5. Lease Serial No.

SUNDRY NOTICES AND REPORTS ON WELLS USAUTU-76954Do not use this form for proposals to drill or to re-enter an .

abandoned well. Use Form 3160-3 (APD) for such proposals. 6. If Indian, Allottee or Tribe Name.

7. If Unit or CA/Agreement, Name and/or

GREATER BOUNDARY II1. T pe of Well

Oil Well Gas Well Other 8. Well Name and No.2. Name of Operator BOUNDARY FED 12-21

NEWFIELD PRODUCTION COMPANY a p¡ yp p3a. Address Route 3 Box 3630 3b. Phone (include are code) 4301331440

Myton, UT 84052 | 435646 3721 10 Field and Pool or Exploratory Area4. Location ofWell (Footage, Sec , T., R., M., or Survey Description) MONUMENT BUTTE

1790 FSL 654 FWL 11. County or Parish, State

NWSW Section 21 TSS Rl7EDUCHESNE, UT

12. CHECK APPROPRIATE BOX(ES) TO INIDICATE NATURE OF NOTICE, OR OTHER DATA

TYPE OF SUBMISSION TYPE OF ACTION

Acidize Deepen Production(Start/Resume) Water Shut-OffNotice of Intent

Alter Casing Fracture Treat Reclamation Well Integrity

Subsequent Report Casing Repair New Construction Recomplete OtherChange Plans Plug & Abandon Temporarily Abandon

Final Abandonment Convertto Plug Back Water Disposal

13. Describe Proposed or Completed Operation (clearly state all pertinent details, including estimated starting date of any proposed work and approximate duration thereo£ Iftheproposal is to deepen directionally or recomplete horizontally, give subsurface locations and measured and true vertical depths of all pertinent markers and zones. Attach theBond under which the work will be performed or provide the Bond No. on file with BLM/BIA. Required subsequent reports shall be filed within 30 days following completionof the involved operations. If the operation results in a multiple completion or recompletion in a new interval, a Form 3160-4 shall be filed once testing has been completed.Final Abandonment Notices shall be filed only after all requirements, including reclamation, have been completed, and the operator has determined that the site is ready for finalinspection.)

Newfield requests a change of status to TA this well. Newfield plans to Re-Complete thiswell in the near future in the followingintervals.D2 sands

Accepted by theUtah Division of

Oil, Gas and MiningFor Record Only

I hereby certify that the foregoing is true and Titlecorrect (Printed/ Tvped)

lOthvChimman Omce ManagerSignature D

/30/2008

Approvedby . . . . . . . . . Title DateConditions of approval, if any, are attached. Approval ofthis notice does not warrant orcertifythat the applicant holds legal or equitable title to those rights in the subject lease Omcewhich would entitle the avglicant to conduct operations thereon.

Title 18 U.S.C. Section 1001 and Title 43 U.S.C. Section 1212, make it a crime for any person knowingly and willfully to make to any department or agency ofthe UnitedStates anv false fictitiousæand fraudulent statements or representations as to anv matter within its jurisdiction

RECEIVEDFEBO8 2008

DIVOFOIL,GAS&

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API Well No: 43013314400000

STATE OF UTAHDEPARTMENT OF NATURAL RESOURCES

DIVISION OF OIL, GAS, AND MINING

FORM 9

5.LEASE DESIGNATION AND SERIAL NUMBER: UTU-50376

SUNDRY NOTICES AND REPORTS ON WELLSDo not use this form for proposals to drill new wells, significantly deepen existing wells below currentbottom-hole depth, reenter plugged wells, or to drill horizontal laterals. Use APPLICATION FOR PERMIT TODRILL form for such proposals.

6. IF INDIAN, ALLOTTEE OR TRIBE NAME:

7.UNIT or CA AGREEMENT NAME: GMBU (GRRV)

1. TYPE OF WELL Oil Well

8. WELL NAME and NUMBER: BOUNDARY FED 12-21

2. NAME OF OPERATOR: NEWFIELD PRODUCTION COMPANY

9. API NUMBER: 43013314400000

3. ADDRESS OF OPERATOR: 1001 17th Street, Suite 2000 , Denver, CO, 80202

9. FIELD and POOL or WILDCAT: MONUMENT BUTTE

4. LOCATION OF WELL FOOTAGES AT SURFACE: 1790 FSL 0654 FWL QTR/QTR, SECTION, TOWNSHIP, RANGE, MERIDIAN: Qtr/Qtr: NWSW Section: 21 Township: 08.0S Range: 17.0E Meridian: S

COUNTY: DUCHESNE

STATE: UTAH

11.

CHECK APPROPRIATE BOXES TO INDICATE NATURE OF NOTICE, REPORT, OR OTHER DATA

TYPE OF SUBMISSION TYPE OF ACTION

NOTICE OF INTENTApproximate date work will start:

4/20/2010

SUBSEQUENT REPORTDate of Work Completion:

SPUD REPORTDate of Spud:

DRILLING REPORTReport Date:

ACIDIZE ALTER CASING CASING REPAIR

CHANGE TO PREVIOUS PLANS CHANGE TUBING CHANGE WELL NAME

CHANGE WELL STATUS COMMINGLE PRODUCING FORMATIONS CONVERT WELL TYPE

DEEPEN FRACTURE TREAT NEW CONSTRUCTION

OPERATOR CHANGE PLUG AND ABANDON PLUG BACK

PRODUCTION START OR RESUME RECLAMATION OF WELL SITE RECOMPLETE DIFFERENT FORMATION

REPERFORATE CURRENT FORMATION SIDETRACK TO REPAIR WELL TEMPORARY ABANDON

TUBING REPAIR VENT OR FLARE WATER DISPOSAL

WATER SHUTOFF SI TA STATUS EXTENSION APD EXTENSION

WILDCAT WELL DETERMINATION OTHER OTHER:

12. DESCRIBE PROPOSED OR COMPLETED OPERATIONS. Clearly show all pertinent details including dates, depths, volumes, etc.

Newfield Production Company requests the approval to open additional pay inthe D2 sands of the subject well. Attached is the detailed procedure and

please contact Paul Weddle at 303-383-4117 with any questions.

NAME (PLEASE PRINT) Sam Styles

TITLE Engineering Tech

SIGNATURE N/A

DATE 4/7/2010

PHONE NUMBER:303 382-4443 Ext

PHONE NUMBER303 893-0102

April 07, 2010

April 08, 2010

iPI Well No: 43013314400000

FORM 9STATE OF UTAH

DEPARTMENT OF NATURAL RESOURCESDIVISION OF OIL, GAS, AND MINING gyEUAs5EO3D7E6SIGNATIONAND SERIAL NUMBER:

SUNDRY NOTICES AND REPORTS ON WELLS 6.IFINDIAN,ALLOTTEEORTRIBENAME:

Do not use this form for proposals to drill new wells, significantly deepen existing wells below currentbottom-hole depth, reenter plugged wells, or to drill horizontal laterals. Use APPLICATION FOR PERMIT TO 7.UNIT or CA AGREEMENT NAME:

DRILL form for such proposals. GMBU (GRRV)

1. TYPE OF WELL 8. WELL NAME and NUMBER:Oil Well BOUNDARY FED 12-21

2.NAMEOFOPERATOR: 9.APINUMBER:NEWFIELD PRODUCTION COMPANY 43013314400000

3. ADDRESS OF OPERATOR: PHONE NUMBER: 9. FIELD and POOL or WILDCAT:1001 17th Street, Suite 2000 , Denver, CO, 80202 303 382-4443 Ext MONUMENT BUTTE

4.LOCATIONOFWELL COUNTY:FOOTAGES AT SURFACE: DUCHESNE

1790 FSL 0654 FWLQTR/QTR, SECTION, TOWNSHIP, RANGE, MERIDIAN: STATE:

Qtr/Qtr: NWSW Section: 21 Township: 08.05 Range: 17.0E Meridian: S UTAH

11.CHECK APPROPRIATE BOXES TO INDICATE NATURE OF NOTICE, REPORT, OR OTHER DATA

TYPE OF SUBMISSION TYPE OF ACTION

ACIDIZE ALTER CASING CASING REPAIR

/ NOTICE OF INTENTApproximate date work will start: CHANGE TO PREVIOUS PLANS CHANGE TUBING CHANGE WELL NAME

4/20/2010CHANGE WELL STATUS COMMINGLE PRODUCING FORMATIONS CONVERT WELL TYPE

SUBSEQUENT REPORT DEEPEN FRACTURE TREAT NEW CONSTRUCTIONDate of Work Completion:

OPERATOR CHANGE PLUG AND ABANDON PLUG BACK

PRODUCTION START OR RESUME RECLAMATION OF WELL SITE RECOMPLETE DIFFERENT FORMATION

O SPUD REPORTDate of Spud: REPERFORATE CURRENT FORMATION SIDETRACK TO REPAIR WELL TEMPORARY ABANDON

TUBING REPAIR VENT OR FLARE WATER DISPOSAL

DRILLING REPORT WATER SHUTOFF SI TA STATUS EXTENSION APD EXTENSIONReport Date:

WILDCAT WELL DETERMINATION OTHER OTHER:

12. DESCRIBE PROPOSED OR CC MPLETED OPERATIONS. Clearly show all pertinent details including dates, depths, volumes, etc.

Newfield Production Company requests the approval to open additional pay inthe D2 sands of the subject well. Attached is the detailed procedure and Accepted by the

please contact Paul Weddle at 303-383-4117 with any questions. Utah Division ofOil, Gas and Mining

Date: Ap 0 01

NAME (PLEASE PRINT) PHONE NUMBER TITLESam Styles 303 893-0102 Engineering Tech

SIGNATURE DATEN/A 4/7/2010

RECEIVED

iPI Well No: 43013314400000

FORM 9STATE OF UTAH

DEPARTMENT OF NATURAL RESOURCESDIVISION OF OIL, GAS, AND MINING gyEUAs5EO3D7E6SIGNATIONAND SERIAL NUMBER:

SUNDRY NOTICES AND REPORTS ON WELLS 6.IFINDIAN,ALLOTTEEORTRIBENAME:

Do not use this form for proposals to drill new wells, significantly deepen existing wells below currentbottom-hole depth, reenter plugged wells, or to drill horizontal laterals. Use APPLICATION FOR PERMIT TO 7.UNIT or CA AGREEMENT NAME:

DRILL form for such proposals. GMBU (GRRV)

1. TYPE OF WELL 8. WELL NAME and NUMBER:Oil Well BOUNDARY FED 12-21

2.NAMEOFOPERATOR: 9.APINUMBER:NEWFIELD PRODUCTION COMPANY 43013314400000

3. ADDRESS OF OPERATOR: PHONE NUMBER: 9. FIELD and POOL or WILDCAT:1001 17th Street, Suite 2000 , Denver, CO, 80202 303 382-4443 Ext MONUMENT BUTTE

4.LOCATIONOFWELL COUNTY:FOOTAGES AT SURFACE: DUCHESNE

1790 FSL 0654 FWLQTR/QTR, SECTION, TOWNSHIP, RANGE, MERIDIAN: STATE:

Qtr/Qtr: NWSW Section: 21 Township: 08.05 Range: 17.0E Meridian: S UTAH

11.CHECK APPROPRIATE BOXES TO INDICATE NATURE OF NOTICE, REPORT, OR OTHER DATA

TYPE OF SUBMISSION TYPE OF ACTION

ACIDIZE ALTER CASING CASING REPAIR

/ NOTICE OF INTENTApproximate date work will start: CHANGE TO PREVIOUS PLANS CHANGE TUBING CHANGE WELL NAME

4/20/2010CHANGE WELL STATUS COMMINGLE PRODUCING FORMATIONS CONVERT WELL TYPE

SUBSEQUENT REPORT DEEPEN FRACTURE TREAT NEW CONSTRUCTIONDate of Work Completion:

OPERATOR CHANGE PLUG AND ABANDON PLUG BACK

PRODUCTION START OR RESUME RECLAMATION OF WELL SITE RECOMPLETE DIFFERENT FORMATION

O SPUD REPORTDate of Spud: REPERFORATE CURRENT FORMATION SIDETRACK TO REPAIR WELL TEMPORARY ABANDON

TUBING REPAIR VENT OR FLARE WATER DISPOSAL

DRILLING REPORT WATER SHUTOFF SI TA STATUS EXTENSION APD EXTENSIONReport Date:

WILDCAT WELL DETERMINATION OTHER OTHER:

12. DESCRIBE PROPOSED OR CC MPLETED OPERATIONS. Clearly show all pertinent details including dates, depths, volumes, etc.

Newfield Production Company requests the approval to open additional pay inthe D2 sands of the subject well. Attached is the detailed procedure and Accepted by the

please contact Paul Weddle at 303-383-4117 with any questions. Utah Division ofOil, Gas and Mining

Date: Ap 0 01

NAME (PLEASE PRINT) PHONE NUMBER TITLESam Styles 303 893-0102 Engineering Tech

SIGNATURE DATEN/A 4/7/2010

RECEIVED

Page 73: APPLICATION FOR PERMIT TO DRILL, DEEPEN, OR PLUG BACK … · 2018-12-15 · APPLICATION FOR PERMIT TO DRILL, DEEPEN, OR PLUG BACK Û-WINDIAN.A OTTEROBTEIBENAME la. TTPE OF WORK ...

AFE #

[email protected]

PROCEDURE1

2 6,400 (CIBP)

D2 5300-5310 3spf3

Set RBP @ +/- 5,350 5,200

4

59

9

10

11

12 PWOP and track results for one month.

Run tubing as pulled. RU swab equipment and swab well until returns are clean of sand. GIH tag fill and clean out as necessary.Place SN @ ± 6342 and set TAC at ±6311’ with 15,000 lbs overpull. ND BOP’s. NU wellhead.

Flowback well immediately @ 3-4 BPM until dead.

303-383-4117

120deg phasing

PU and RIH with a 2-1/2” x 1-3/4” x 20’ RHAC pump, 2 x 1-3/4” weight rods, 4 x 1-1/2” weight rods, 10 x 3/4” guided rods, 130 x 3/4” slick rods, 104 x 3/4" guided rods, Space out with pony rods as necessary.

Release Packer and RBP.POOH laying down workstring, packer, and RBP.

PU tandem RBP/PKR and TIH on 2-7/8” N80 8RD EUE workstring. Breakdown all new perforations with 5-10 bbls fresh water while TIH (skip to next step if only 1 treatment zone)

Federal 12-21-8-17

Procedure for: OAP D2, Tubing frac

Newfield Production Company

Well Status: See attached Wellbore Diagram

and test to 4,000psi. PUH with packer to +/-

RU frac equip. Frac the D2 down tubing w/45,000# 20/40sand at 15 BPM with max sand concentration of 6ppg per BJ recommendation.

Blow down tbg. MIRU SU. Seat pump and pressure test tubing to 3,000 psi. POH, LD, and visually inspect rods and pump. ND wellhead. Strip-on and NU BOP. GIH and tag fill. Clean out to PBTD as necessary. TOOH visually inspecting 2-7/8” production tbg. Report any scale on production string (interval, depth, type) on morning report and verbally to Engineer

RU wireline unit. Make 4-3/4” gauge ring run to +/- Only Run B&S if required. RIH and perforate the following interval w/ 3SPF 120deg phasing:

Engineer: Paul Weddle720-233-1280

April 07, 2010

Newfield Production Company Federal 12-21-8-17

Procedure for: OAP D2, Tubing frac

Well Status: See attached Wellbore Diagram

AFE #

Engineer: Paul Weddle [email protected] 720-233-1280office 303-383-4117

PROCEDURE1 Blow down tbg. MIRU SU. Seat pump and pressure test tubing to 3,000 psi. POH, LD, and

visually inspect rods and pump. ND wellhead. Strip-on and NU BOP. GIH and tag fill. Cleanout to PBTD as necessary. TOOH visually inspecting 2-7/8" production tbg. Report any scale onproduction string (interval, depth, type) on morning report and verbally to Engineer

2 RU wireline unit. Make 4-3/4" gauge ring run to +/- 6,400 (CIBP)Only Run B&S if required. RIH and perforatethe following interval w/ 3SPF 120deg phasing:

|D2 5300-5310 |3spf 120deg phasing3 PU tandem RBP/PKR and TlH on 2-7/8" N80 8RD EUE workstring. Breakdown all new perforations with 5-

10 bbls fresh water while TlH (skip to next step ifonly 1 treatment zone)

Set RBP @+/- 5,350 and test to 4,000psi. PUH with packer to +/- 5,200

4 RU frac equip. Frac the D2 down tubing w/45,000# 20/40sand at 15 BPM with max sand concentration of6ppg per BJ recommendation.

5 Flowback well immediately @3-4 BPM until dead.9 Release Packer and RBP.POOH laying down workstring, packer, and RBP.

9 Run tubing as pulled. RU swab equipment and swab well until returns are clean of sand. GlH tag fillandclean out as necessary.

10 Place SN @± 6342 and set TAC at ±6311' with 15,000 lbs overpull. ND BOP's. NU wellhead.

11 PU and RIH with a 2-1/2" x 1-3/4" x 20' RHAC pump, 2 x 1-3/4" weight rods, 4 x 1-1/2" weight rods, 10 x3/4" guided rods, 130 x 3/4" slick rods, 104 x 3/4" guided rods, Space out with pony rods as necessary.

12 PWOP and track results for one month.

RECEIVED April 07,

Newfield Production Company Federal 12-21-8-17

Procedure for: OAP D2, Tubing frac

Well Status: See attached Wellbore Diagram

AFE #

Engineer: Paul Weddle [email protected] 720-233-1280office 303-383-4117

PROCEDURE1 Blow down tbg. MIRU SU. Seat pump and pressure test tubing to 3,000 psi. POH, LD, and

visually inspect rods and pump. ND wellhead. Strip-on and NU BOP. GIH and tag fill. Cleanout to PBTD as necessary. TOOH visually inspecting 2-7/8" production tbg. Report any scale onproduction string (interval, depth, type) on morning report and verbally to Engineer

2 RU wireline unit. Make 4-3/4" gauge ring run to +/- 6,400 (CIBP)Only Run B&S if required. RIH and perforatethe following interval w/ 3SPF 120deg phasing:

|D2 5300-5310 |3spf 120deg phasing3 PU tandem RBP/PKR and TlH on 2-7/8" N80 8RD EUE workstring. Breakdown all new perforations with 5-

10 bbls fresh water while TlH (skip to next step ifonly 1 treatment zone)

Set RBP @+/- 5,350 and test to 4,000psi. PUH with packer to +/- 5,200

4 RU frac equip. Frac the D2 down tubing w/45,000# 20/40sand at 15 BPM with max sand concentration of6ppg per BJ recommendation.

5 Flowback well immediately @3-4 BPM until dead.9 Release Packer and RBP.POOH laying down workstring, packer, and RBP.

9 Run tubing as pulled. RU swab equipment and swab well until returns are clean of sand. GlH tag fillandclean out as necessary.

10 Place SN @± 6342 and set TAC at ±6311' with 15,000 lbs overpull. ND BOP's. NU wellhead.

11 PU and RIH with a 2-1/2" x 1-3/4" x 20' RHAC pump, 2 x 1-3/4" weight rods, 4 x 1-1/2" weight rods, 10 x3/4" guided rods, 130 x 3/4" slick rods, 104 x 3/4" guided rods, Space out with pony rods as necessary.

12 PWOP and track results for one month.

RECEIVED April 07,

Page 74: APPLICATION FOR PERMIT TO DRILL, DEEPEN, OR PLUG BACK … · 2018-12-15 · APPLICATION FOR PERMIT TO DRILL, DEEPEN, OR PLUG BACK Û-WINDIAN.A OTTEROBTEIBENAME la. TTPE OF WORK ...

Boundary Federal #12-21-8-17

Wellbore Diagram

EOT @ 6312’

SURFACE CASING

PRODUCTION CASING

TUBING

CSG SIZE: 8-5/8”

GRADE: J-55

WEIGHT: 24#

DEPTH LANDED: 300’

HOLE SIZE:12-1/4”

CEMENT DATA: 235 sxs Class “G” cement

CSG SIZE: 5-1/2”

GRADE: K-55

WEIGHT: 15.5#

LENGTH: 181 jts. (7778’)

HOLE SIZE: 7-7/8”

CEMENT DATA: 190 sxs Super “G” & 907 sxs 50/50 POZ.

CEMENT TOP AT: 1950’ per CBL

SIZE/GRADE/WT.: 2-7/8” / J-55 / 6.5#

NO. OF JOINTS: 190 jts (6209.33’)

TUBING ANCHOR: (6211.68’) KB

NO. OF JOINTS: 1 jt (32.92’)

SEATING NIPPLE: 2-7/8” (1.10’)

SN LANDED AT: (6244.60’) KB

NO. OF JOINTS: 2 jts (65.80’)

TOTAL STRING LENGTH: EOT @ 6311.90’ w/15’ KB

PERFORATION RECORD

12/21/94 6864’-6874’ 4 JSPF 40 holes

12/23/94 6550’-6574’ 4 JSPF 96 holes

12/28/94 6120’-6134’ 4 JSPF 56 holes

1/06/95 5360’-5372’ 4 JSPF 48 holes

1/13/95 5300’-5310’ 4 JSPF 40 holes

11/14/95 4700’-4726’ 4 JSPF 104 holes

6/18/03 6310’-6324’ 4 JSPF 56 holes

6/18/03 6286’-6290’ 4 JSPF 16 holes

6/18/03 6250’-6256’ 4 JSPF 24 holes

6/18/03 6222’-6228’ 4 JSPF 24 holes

6/18/03 5784’-5787’ 4 JSPF 12 holes

6/18/03 5750’-5754’ 4 JSPF 16 holes

Spud Date: 11/10/1994 Put on Production: 1/21/95

GL: 5246.7’ KB: 5247.5’

Anchor @ 6212’

FRAC JOB

12/29/94 6120’-6134’ Frac CP-3 sand as follows:51,000# 20/40 sand in 404 bbls frac fluid. Treated @ avg press of 2000 psi w/avgrate of 31 BPM. ISIP 2050. Calc. flush: 6120 gal, Actual flush: 6100 gal.

1/11/95 5360’-5372’ Frac D-3 sand as follows:40,000# 20/40 sand + 2000# 100 mesh sand in 363 bbls frac fluid. Treated @ avg press of 2100 psi w/avg rate of 27 BPM. ISIP 1850.

1/18/95 5300’-5310’ Frac D-2 sand as follows:60,000# 20/40 sand + 4,000# 100 mesh sand in 380 bbls frac fluid. Treated @ avg press of 2400 psi w/avg rate of 33.5 BPM. ISIP 2350. Calc. flush: 5300 gal, Actual flush: 5252 gal.

11/16/95 4700’-4726’ Frac GB-4 sand as follows:79,800# 16/30 sand in 619 bbls frac fluid. Treated @ avg press of 1725 psi w/avgrate of 25 BPM. ISIP 1918.

3/31/95 5300’-5310’ Squeeze perfs w/ 50 sxs class “G”.

1/28/99 Rod job. Update rod and tubing details.

6/19/03 6222’-6324’ Frac CP sands as follows:89,503# 20/40 sand in 708 bbls Viking fluid.Treated w/ avg press of 4010 psi w/ avg rate of 17.4 BPM. ISIP- 2100 psi. Calc. flush: 1606 gal, Actual flush: 1512gal.

6/19/03 5750’-5787’ Frac A3 sands as follows:40,112# 20/40 sand in 343 bbls Viking I-25fluid.Treated w/ avg press of 4060 psi w/

avg rate of 17.6 BPM. ISIP- 1900 psi. Calc. flush: 1499 gal, Actual flush: 1344 gal.

Initial Production: 25 BOPD, 43 MCFD, 97 BWPD

CE 7/01//03

POLISHED ROD: 1-1/2” x 22’ SM

SUCKER RODS: 2- 1 ¾” weighted rods; 4-1 1/2” weighted rods; 10- ¾”scrapered rods, 130- 3/4” plain rods, 104-3/4” scrapered rods, 1-2’, 1-4’, 1-6’, 1-8’ x 3/4” pony rods.

PUMP SIZE: 2-1/2” x 1-1/2” x 15’ RHAC pump w/sm plunger

STROKE LENGTH: 84”

PUMP SPEED, SPM: 6 SPM

LOGS: DIGL/SP/GR/CAL

SUCKER RODS

4700’-4726’

5300’-5310’ (Squeezed w/ 50 sx 3/31/95)

6120’-6134’

6550’-6574’

5360’-5372’

6864’-6874’

CIBP @ 6400’

CIBP @ 6750’

Cement Top @ 1950’

TD @ 7800’

PBTD @ 7712’

SN @ 4638’

Shoe @ 7762’

5750’-5754’5784’-5787’

6222’-6228’

6250’-6256’

6286’-6290’

6310’-6324’

Boundary Federal #12-21-8-171790’ FSL & 654’ FWLNWSW Section 21-T8S-R17EDuchesne Co, UtahAPI #43-013-31440; Lease #UTU-76954

April 07, 2010

Boundary Federal #12-21-8-17Spud Date: 11/10/1994 Initial Production: 25 BOPD,Put on Production: 1/21/95 Wellbore Diagram 43 MCFD, 97 BWPDGL: 5246.7' KB: 5247.5'

SURFACE CASING FRAC JOB

CSG SIZE: 8-5/8" 12/29/94 6120'-6134' Frac CP-3 sand as follows:

GRADE: J-55 51,000#20/40 sand in 404 bbls frac fluid.Treated @avg press of 2000 psi w/avg

WEIGHT: 24# rate of31 BPM. ISIP 2050. Calc. flush:

DEPTH LANDED: 300' 6120 gal, Actual flush: 6100 gal.

HOLE SIZE:12-l/4,, 1/11/95 5360'-5372' Frac D-3 sand as follows:40,000# 20/40 sand + 2000# 100 mesh

CEMENT DATA: 235 sxs Class "G" cement sand in 363 bbls frae fluid. Treated @avg press of 2100 psi w/avg rate of 27BPM. ISIP 1850.

1/18/95 5300'-5310' Frac D-2 sand as follows:

PRODUCTION CASING- - 60,000#20/40sand+4,000#100mesh

sand in 380 bbls frac fluid. Treated @CSG SIZE: 5-1/2" avg press of 2400 psi w/avg rate of 33.5

BPM. ISIP 2350. Calc. flush: 5300 gal,GRADE: K-55 Cement Top @ 1950' " - Actual flush: 5252 gal.

WEIGHT: 15.5# 11/16/95 4700'-4726' Frac GB-4 sand as follows:

LENGTH: 181 jts. (7778')79,800# 16/30 sand in 619 bbls frac fluid.Treated @avg press of 1725 psi w/avg

HOLE SIZE: 7-7/8" rate of25 BPM. ISIP 1918.

CEMENT DATA: 190 sxs Super"G" & 907 sxs 50/50 POZ. 3/31/95 5300'-5310' Squeeze perfs w/ 50 sxs class "G".

CEMENT TOP AT: 1950' per CBL 1/28/99 Rod job. Update rod and tubing details.

6/19/03 6222'-6324' Frac CP sands as follows:89,503#20/40 sand in 708 bbls Viking fluid.

TUBINGTreatedw/avgpressof4010psiw/avgrateof 17.4 BPM. ISIP- 2100 psi.Calc. flush: 1606 gal, Actual flush: 1512gal.

SIZE/GRADE/WT.: 2-7/8" / J-55 / 6.5#6/19/03 5750'-5787' Frac A3 sands as follows:

NO. OF JOINTS: 190 jts (6209.33') 40,112#20/40 sand in 343 bbls Viking I-25

TUBING ANCHOR: (6211.68') KB 4700'-4726' fluid.Treated w/ avg press of4060 psi w/avg rate of 17.6 BPM. ISIP- 1900 psi.

NO. OF JOINTS: I jt (32.92') Cale. flush: 1499 gal, Actual flush: 1344 gal.

SEATING NIPPLE: 2-7/8" (1.10')

SN LANDED AT: (6244.60') KB

NO. OF JOINTS: 2 jts (65.80')

TUTAL STRING LENGTH: EOT @ 6311.90' w/15' KB

5300'-5310' (Squeezed w/ 50 sx 3/31/95)

SUCKER RODS5360'-5372'

POLISHED ROD: 1-1/2" x 22' SM 5750'-5754'

SUCKER RODS: 2- 1 ¾" weighted rods; 4-1 1/2" weighted rods; 10- ¾" 5784'-5787'

scrapered rods, 130- 3/4" plain rods, 104-3/4" scrapered rods, 1-2', 1-4', 1-6',1-8' x 3/4" pony rods.

6120'-6134'PUMP SIZE: 2-1/2" x 1-1/2" x 15' RHAC pump w/sm plunger

STROKE LENGTH: 84"

PUMP SPEED, SPM: 6 SPM Anchor @6212'

LOGS: DIGL/SP/GR/CAL 6222'-6228'PERFORATION RECORD

6250'-6256'

6286'-6290'12/21/94 6864'-6874' 4]SPF 40holes

SN @4638 6310'-6324'

2

EOT @ 6312, 1/06/95 5360'-5372' 4 JSPF 48 holes

1/13/95 5300'-5310' 4JSPF 40holes

CIBP @ 6400' 11/14/95 4700'-4726' 4 JSPF 104 holes

6550'-6574, 6/18/03 6310'-6324' 4 JSPF 56 holes

6/18/03 6286'-6290' 4 JSPF 16 holesCIBP @ 6750' 6/18/03 6250'-6256' 4 JSPF 24 holes

6/18/03 6222'-6228' 4 JSPF 24 holes6864'-6874'

6/18/03 5784'-5787' 4 JSPF 12 holes

6/18/03 5750'-5754' 4]SPF 16holes

NEWFIELD PBTD@7712'

Shoe @ 7762'

Boundary Federal #12-21-8-17 TD @7800'

1790' FSL & 654' FWLNWSW Section21-T8S-Rl7EDuchesne Co, UtahAPI #43-013-31440; Lease #UTU-76954 CE 7/01//03

RECEIVED April 07,

Boundary Federal #12-21-8-17Spud Date: 11/10/1994 Initial Production: 25 BOPD,Put on Production: 1/21/95 Wellbore Diagram 43 MCFD, 97 BWPDGL: 5246.7' KB: 5247.5'

SURFACE CASING FRAC JOB

CSG SIZE: 8-5/8" 12/29/94 6120'-6134' Frac CP-3 sand as follows:

GRADE: J-55 51,000#20/40 sand in 404 bbls frac fluid.Treated @avg press of 2000 psi w/avg

WEIGHT: 24# rate of31 BPM. ISIP 2050. Calc. flush:

DEPTH LANDED: 300' 6120 gal, Actual flush: 6100 gal.

HOLE SIZE:12-l/4,, 1/11/95 5360'-5372' Frac D-3 sand as follows:40,000# 20/40 sand + 2000# 100 mesh

CEMENT DATA: 235 sxs Class "G" cement sand in 363 bbls frae fluid. Treated @avg press of 2100 psi w/avg rate of 27BPM. ISIP 1850.

1/18/95 5300'-5310' Frac D-2 sand as follows:

PRODUCTION CASING- - 60,000#20/40sand+4,000#100mesh

sand in 380 bbls frac fluid. Treated @CSG SIZE: 5-1/2" avg press of 2400 psi w/avg rate of 33.5

BPM. ISIP 2350. Calc. flush: 5300 gal,GRADE: K-55 Cement Top @ 1950' " - Actual flush: 5252 gal.

WEIGHT: 15.5# 11/16/95 4700'-4726' Frac GB-4 sand as follows:

LENGTH: 181 jts. (7778')79,800# 16/30 sand in 619 bbls frac fluid.Treated @avg press of 1725 psi w/avg

HOLE SIZE: 7-7/8" rate of25 BPM. ISIP 1918.

CEMENT DATA: 190 sxs Super"G" & 907 sxs 50/50 POZ. 3/31/95 5300'-5310' Squeeze perfs w/ 50 sxs class "G".

CEMENT TOP AT: 1950' per CBL 1/28/99 Rod job. Update rod and tubing details.

6/19/03 6222'-6324' Frac CP sands as follows:89,503#20/40 sand in 708 bbls Viking fluid.

TUBINGTreatedw/avgpressof4010psiw/avgrateof 17.4 BPM. ISIP- 2100 psi.Calc. flush: 1606 gal, Actual flush: 1512gal.

SIZE/GRADE/WT.: 2-7/8" / J-55 / 6.5#6/19/03 5750'-5787' Frac A3 sands as follows:

NO. OF JOINTS: 190 jts (6209.33') 40,112#20/40 sand in 343 bbls Viking I-25

TUBING ANCHOR: (6211.68') KB 4700'-4726' fluid.Treated w/ avg press of4060 psi w/avg rate of 17.6 BPM. ISIP- 1900 psi.

NO. OF JOINTS: I jt (32.92') Cale. flush: 1499 gal, Actual flush: 1344 gal.

SEATING NIPPLE: 2-7/8" (1.10')

SN LANDED AT: (6244.60') KB

NO. OF JOINTS: 2 jts (65.80')

TUTAL STRING LENGTH: EOT @ 6311.90' w/15' KB

5300'-5310' (Squeezed w/ 50 sx 3/31/95)

SUCKER RODS5360'-5372'

POLISHED ROD: 1-1/2" x 22' SM 5750'-5754'

SUCKER RODS: 2- 1 ¾" weighted rods; 4-1 1/2" weighted rods; 10- ¾" 5784'-5787'

scrapered rods, 130- 3/4" plain rods, 104-3/4" scrapered rods, 1-2', 1-4', 1-6',1-8' x 3/4" pony rods.

6120'-6134'PUMP SIZE: 2-1/2" x 1-1/2" x 15' RHAC pump w/sm plunger

STROKE LENGTH: 84"

PUMP SPEED, SPM: 6 SPM Anchor @6212'

LOGS: DIGL/SP/GR/CAL 6222'-6228'PERFORATION RECORD

6250'-6256'

6286'-6290'12/21/94 6864'-6874' 4]SPF 40holes

SN @4638 6310'-6324'

2

EOT @ 6312, 1/06/95 5360'-5372' 4 JSPF 48 holes

1/13/95 5300'-5310' 4JSPF 40holes

CIBP @ 6400' 11/14/95 4700'-4726' 4 JSPF 104 holes

6550'-6574, 6/18/03 6310'-6324' 4 JSPF 56 holes

6/18/03 6286'-6290' 4 JSPF 16 holesCIBP @ 6750' 6/18/03 6250'-6256' 4 JSPF 24 holes

6/18/03 6222'-6228' 4 JSPF 24 holes6864'-6874'

6/18/03 5784'-5787' 4 JSPF 12 holes

6/18/03 5750'-5754' 4]SPF 16holes

NEWFIELD PBTD@7712'

Shoe @ 7762'

Boundary Federal #12-21-8-17 TD @7800'

1790' FSL & 654' FWLNWSW Section21-T8S-Rl7EDuchesne Co, UtahAPI #43-013-31440; Lease #UTU-76954 CE 7/01//03

RECEIVED April 07,

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O

NEWFIELD

September 21, 2010

Mr. Brad HillState of Utah, DOGM1594 West North Temple-Suite 1310P.O. Box 145801Salt Lake City, Utah 84114-5801

RE: Re-CompletionBoundary Federal 12-21-8-17Sec. 21, T8S, Rl7EAPI # 43-013-31440

Dear Mr. Hill:The subject well had new perforations added. The well was then put back on

production. Please find enclosed the sundry. If you have any questions please call me at435-646-4874.

Administrative Assistant

RECEIVEDSEP27 2010

DIV.0FOIL,GAS&MINING

Rt 3 Box 3630 10530 South Country Road #33 Myton, UT 84052 (435) 646-3721 Fax (435)

O

NEWFIELD

September 21, 2010

Mr. Brad HillState of Utah, DOGM1594 West North Temple-Suite 1310P.O. Box 145801Salt Lake City, Utah 84114-5801

RE: Re-CompletionBoundary Federal 12-21-8-17Sec. 21, T8S, Rl7EAPI # 43-013-31440

Dear Mr. Hill:The subject well had new perforations added. The well was then put back on

production. Please find enclosed the sundry. If you have any questions please call me at435-646-4874.

Administrative Assistant

RECEIVEDSEP27 2010

DIV.0FOIL,GAS&MINING

Rt 3 Box 3630 10530 South Country Road #33 Myton, UT 84052 (435) 646-3721 Fax (435)

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STATE OF UTAHDEPARTMENT OF NATURAL RESOURCES

5. LEASE DESIGNATION AND SERIAL NUMBER:DIVISION OF OIL, GASAND MINING USA UTU-76954

SUNDRY NOTICES AND REPORTS ON WELLS6. IFINDIAN,ALLOTTEEORTRIBENAME:

Do not use this form for proposals to drill new wells, significantly deepen existing wells belowcurrent bottom-hole depth, reenter plugged 7. UNIT or CA AGREEMENT NAME:

wells, or to drillhorizontallaterals. Use APPLICATIONFOR PERMIT TO DRILL formfor such proposals. GMBUl. TYPE OF WELL: 8. WELL NAME and NUMBER:

OIL WELL GASWELL OTHER BOUNDARY FED 12-21

2. NAME OF OPERATOR: . 9. API NUMBER:

NEWFIELD PRODUCTION COMPANY 43013314403. ADDRESS OF OPERATOR: PHONE NUMBER 10. FIELD AND POOL, OR WILDCAT:

Route 3 Box 3630 CITY Myton STATE UT ZIP 84052 435.646.3721 GREATER MB UNIT4. LOCATION OF WELL:

FOOTAGESAT SURFACE: 1790 FSL 654 FWL COUNTY; DUCHESNE

OTRIOTILSECTION.TOWNSHIP. RANGE.MERIDIAN: NWSW, 21, TSS, Rl7E STATE: UT

n. CHECK APPROPRIATE BOXES TO INDICATE NATURE OF NOTICE, REPORT, OR OTHER DATATYPE OF SUBMISSION TYPE OF ACTION

O ACIDIZE O DEEPEN REPERFORATE CURRENT FORMATIONO NOTICE OF INTENT(Submit in Duplicate) ALTER CASING FRACTURE TREAT SIDETRACK TO REPAIR WELL

Approximatedate workwill CASINGREPAIR NEWCONSTRUCTION TEMPORARITLYABANDON

O CHANGE TO PREVIOUSPLANS O OPERATOR CHANGE TUBINGREPAIR

O CHANGE TUBING PLUG AND ABANDON VENT OR FLAIR

SUBSEOUENT REPORT O CHANGEWELL NAME PLUGBACK WATER DISPOSAL(Submit OriginalForm Only)

CHANGE WELL STATUS PRODUCTION(START/STOP) WATERSHUT-OFFDate of Work Completion: O COMMINGLE PRODUCINGFORMATIONS O RECLAMATION OF WELL SITE OTHER: -

09/17/2010 Q CONVERTWELLTYPE RECOMPLETE - DIFFERENTFORMATION

12. DESCRIBE PROPOSED OR COMPLETED OPERATIONS. Clearly show all pertinent details including dates, depths, volumes, etc.

The above subject well was recompleted and then placed back on production. The following perforation was added in the Green RiverFormation:

D2 5300-5310' 3 JSPF 30 holes

SI

AT(PLEEASLEP hav TIT E Administra0tive Assistant

(This space for State use only)

RECEIVEDSEP27 2010

DIV.0FOIL,GAS&

STATE OF UTAHDEPARTMENT OF NATURAL RESOURCES

5. LEASE DESIGNATION AND SERIAL NUMBER:DIVISION OF OIL, GASAND MINING USA UTU-76954

SUNDRY NOTICES AND REPORTS ON WELLS6. IFINDIAN,ALLOTTEEORTRIBENAME:

Do not use this form for proposals to drill new wells, significantly deepen existing wells belowcurrent bottom-hole depth, reenter plugged 7. UNIT or CA AGREEMENT NAME:

wells, or to drillhorizontallaterals. Use APPLICATIONFOR PERMIT TO DRILL formfor such proposals. GMBUl. TYPE OF WELL: 8. WELL NAME and NUMBER:

OIL WELL GASWELL OTHER BOUNDARY FED 12-21

2. NAME OF OPERATOR: . 9. API NUMBER:

NEWFIELD PRODUCTION COMPANY 43013314403. ADDRESS OF OPERATOR: PHONE NUMBER 10. FIELD AND POOL, OR WILDCAT:

Route 3 Box 3630 CITY Myton STATE UT ZIP 84052 435.646.3721 GREATER MB UNIT4. LOCATION OF WELL:

FOOTAGESAT SURFACE: 1790 FSL 654 FWL COUNTY; DUCHESNE

OTRIOTILSECTION.TOWNSHIP. RANGE.MERIDIAN: NWSW, 21, TSS, Rl7E STATE: UT

n. CHECK APPROPRIATE BOXES TO INDICATE NATURE OF NOTICE, REPORT, OR OTHER DATATYPE OF SUBMISSION TYPE OF ACTION

O ACIDIZE O DEEPEN REPERFORATE CURRENT FORMATIONO NOTICE OF INTENT(Submit in Duplicate) ALTER CASING FRACTURE TREAT SIDETRACK TO REPAIR WELL

Approximatedate workwill CASINGREPAIR NEWCONSTRUCTION TEMPORARITLYABANDON

O CHANGE TO PREVIOUSPLANS O OPERATOR CHANGE TUBINGREPAIR

O CHANGE TUBING PLUG AND ABANDON VENT OR FLAIR

SUBSEOUENT REPORT O CHANGEWELL NAME PLUGBACK WATER DISPOSAL(Submit OriginalForm Only)

CHANGE WELL STATUS PRODUCTION(START/STOP) WATERSHUT-OFFDate of Work Completion: O COMMINGLE PRODUCINGFORMATIONS O RECLAMATION OF WELL SITE OTHER: -

09/17/2010 Q CONVERTWELLTYPE RECOMPLETE - DIFFERENTFORMATION

12. DESCRIBE PROPOSED OR COMPLETED OPERATIONS. Clearly show all pertinent details including dates, depths, volumes, etc.

The above subject well was recompleted and then placed back on production. The following perforation was added in the Green RiverFormation:

D2 5300-5310' 3 JSPF 30 holes

SI

AT(PLEEASLEP hav TIT E Administra0tive Assistant

(This space for State use only)

RECEIVEDSEP27 2010

DIV.0FOIL,GAS&

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SummaryRig Activity Page 1 of 2

Daily Activity Report

Format For Sundry

BOUNDARY 12-21-8-177/1/2010 To 11/30/2010

9/13/2010 Day: 1 Recompletion

Nabors #814 on 9/13/2010 - MIRUSU. TOH W/ rod string & pump. Start TOH W/ productiontbg. - MIRU Nabors rig #814. RU HO trk & pump 60 BW dn annulus @ 250°F. RD pumpingunit & unseat rod pump. Flush tbg & rods W/ 40 BW @ 250°F. Re-seat pump, soft joint rodstring & strip off flow-T. Pump 40 BW dn tbg W/ no pressure. Retrieve rod string & unseatpump. TOH W/ rod string. LD 102-3/4" plain rods and pump. Re-flushed rods W/ add'I 30 BWhalfway out. ND wellhead. Work tbg W/ tongs to release TA @ 6195'. NU BOP. TOH & talleyproduction tbg. Trickled 30 BW dn annulus while TOH. Out W/ 150 jts. SIFN W/ est 160BWTR.Daily Cost: $0Cumulative Cost: $14,199

9/14/2010 Day: 3 Recompletion

Nabors #814 on 9/14/2010 - Perforate, TIH w/ tbg & frac D2 sands - RU HO trk & flush tbgW/ 40 BW @ 250°F. Con't TOH & talley production tbg. LD split jt & BHA. MU 4 3/4" tooth bit,5 1/2" casing scraper & RIH on 2 7/8 8rd 6.5# N-80 work string (talleying & drifting). Tag @6382' by talley. RU circulating equipment. Circulate & rotate W/ tongs, chip W/ bit---can'tmake any hole (CIBP @ 6400' WL). Circ hole clean. Lost est 30 BW. LD excess tbg. TOH W/tbg to leave bit @ 1975'. SIFN W/ est 190 BWTR. - Circulate well w/ 50 BW @ 250°. ContinueTOOH w/ tbg & LD bit & scraper. RU WLT. RIH & perforate D2 sands @ 5300-10' as detailed.POOH w/ WL & RD. MU RBP & pkr, TIH w/ N-80 frac string. Set RBP @ 5350' & pkr w/ CE @5325'. Pressure test tools to 1000 psi. Release pkr, PUH & set pkr w/ CE @ 5263' & EOT @5275'. RU BJ services. Frac D2 sands as detailed. Screen out. RD BJ services. Pressure csg &release pkr. Reverse circulate well clean. TIH, latch onto & release RBP. TOOH w/ 101 jts N-80tbg. SWIFN. 485 BWTR. - RU HO trk & flush tbg W/ 40 BW @ 250°F. Con't TOH & talleyproduction tbg. LD split jt & BHA. MU 4 3/4" tooth bit, 5 1/2" casing scraper & RIH on 2 7/88rd 6.5# N-80 work string (talleying & drifting). Tag @ 6382' by talley. RU circulatingequipment. Circulate & rotate W/ tongs, chip W/ bit---can't make any hole (CIBP @ 6400'WL). Circ hole clean. Lost est 30 BW. LD excess tbg. TOH W/ tbg to leave bit @ 1975'. SIFNW/ est 190 BWTR. - Circulate well w/ 50 BW @ 250°. Continue TOOH w/ tbg & LD bit &scraper. RU WLT. RIH & perforate D2 sands @ 5300-10' as detailed. POOH w/ WL & RD. MURBP & pkr, TIH w/ N-80 frac string. Set RBP @ 5350' & pkr w/ CE @ 5325'. Pressure test toolsto 1000 psi. Release pkr, PUH & set pkr w/ CE @ 5263' & EOT @ 5275'. RU BJ services. FracD2 sands as detailed. Screen out. RD BJ services. Pressure csg & release pkr. Reversecirculate well clean. TIH, latch onto & release RBP. TOOH w/ 101 jts N-80 tbg. SWIFN. 485BWTR.Daily Cost: $0Cumulative Cost: $54,525

9/16/2010 Day: 4 Recompletion

Nabors #814 on 9/16/2010 - LD N-80 frac tbg. TIH w/ production tbg & swab - LD 20- jts N-80 tbg. Flush tbg w/ 30 BW @ 250°. LD remaining tbg & BHA. TIH w/ production tbg. Replacejts #148-168. RU swab equipment. Made 14 swab runs w/ SFL @ surface @ EFL @ 1000'.Recovered 100 bbis. Still making sand. SWIFN.Daily Cost: $0

http://www.inewfield.com/denver/SumActRpt.asp?RC=153193&API=4301331440&Min...

SummaryRig Activity Page 1 of 2

Daily Activity Report

Format For Sundry

BOUNDARY 12-21-8-177/1/2010 To 11/30/2010

9/13/2010 Day: 1 Recompletion

Nabors #814 on 9/13/2010 - MIRUSU. TOH W/ rod string & pump. Start TOH W/ productiontbg. - MIRU Nabors rig #814. RU HO trk & pump 60 BW dn annulus @ 250°F. RD pumpingunit & unseat rod pump. Flush tbg & rods W/ 40 BW @ 250°F. Re-seat pump, soft joint rodstring & strip off flow-T. Pump 40 BW dn tbg W/ no pressure. Retrieve rod string & unseatpump. TOH W/ rod string. LD 102-3/4" plain rods and pump. Re-flushed rods W/ add'I 30 BWhalfway out. ND wellhead. Work tbg W/ tongs to release TA @ 6195'. NU BOP. TOH & talleyproduction tbg. Trickled 30 BW dn annulus while TOH. Out W/ 150 jts. SIFN W/ est 160BWTR.Daily Cost: $0Cumulative Cost: $14,199

9/14/2010 Day: 3 Recompletion

Nabors #814 on 9/14/2010 - Perforate, TIH w/ tbg & frac D2 sands - RU HO trk & flush tbgW/ 40 BW @ 250°F. Con't TOH & talley production tbg. LD split jt & BHA. MU 4 3/4" tooth bit,5 1/2" casing scraper & RIH on 2 7/8 8rd 6.5# N-80 work string (talleying & drifting). Tag @6382' by talley. RU circulating equipment. Circulate & rotate W/ tongs, chip W/ bit---can'tmake any hole (CIBP @ 6400' WL). Circ hole clean. Lost est 30 BW. LD excess tbg. TOH W/tbg to leave bit @ 1975'. SIFN W/ est 190 BWTR. - Circulate well w/ 50 BW @ 250°. ContinueTOOH w/ tbg & LD bit & scraper. RU WLT. RIH & perforate D2 sands @ 5300-10' as detailed.POOH w/ WL & RD. MU RBP & pkr, TIH w/ N-80 frac string. Set RBP @ 5350' & pkr w/ CE @5325'. Pressure test tools to 1000 psi. Release pkr, PUH & set pkr w/ CE @ 5263' & EOT @5275'. RU BJ services. Frac D2 sands as detailed. Screen out. RD BJ services. Pressure csg &release pkr. Reverse circulate well clean. TIH, latch onto & release RBP. TOOH w/ 101 jts N-80tbg. SWIFN. 485 BWTR. - RU HO trk & flush tbg W/ 40 BW @ 250°F. Con't TOH & talleyproduction tbg. LD split jt & BHA. MU 4 3/4" tooth bit, 5 1/2" casing scraper & RIH on 2 7/88rd 6.5# N-80 work string (talleying & drifting). Tag @ 6382' by talley. RU circulatingequipment. Circulate & rotate W/ tongs, chip W/ bit---can't make any hole (CIBP @ 6400'WL). Circ hole clean. Lost est 30 BW. LD excess tbg. TOH W/ tbg to leave bit @ 1975'. SIFNW/ est 190 BWTR. - Circulate well w/ 50 BW @ 250°. Continue TOOH w/ tbg & LD bit &scraper. RU WLT. RIH & perforate D2 sands @ 5300-10' as detailed. POOH w/ WL & RD. MURBP & pkr, TIH w/ N-80 frac string. Set RBP @ 5350' & pkr w/ CE @ 5325'. Pressure test toolsto 1000 psi. Release pkr, PUH & set pkr w/ CE @ 5263' & EOT @ 5275'. RU BJ services. FracD2 sands as detailed. Screen out. RD BJ services. Pressure csg & release pkr. Reversecirculate well clean. TIH, latch onto & release RBP. TOOH w/ 101 jts N-80 tbg. SWIFN. 485BWTR.Daily Cost: $0Cumulative Cost: $54,525

9/16/2010 Day: 4 Recompletion

Nabors #814 on 9/16/2010 - LD N-80 frac tbg. TIH w/ production tbg & swab - LD 20- jts N-80 tbg. Flush tbg w/ 30 BW @ 250°. LD remaining tbg & BHA. TIH w/ production tbg. Replacejts #148-168. RU swab equipment. Made 14 swab runs w/ SFL @ surface @ EFL @ 1000'.Recovered 100 bbis. Still making sand. SWIFN.Daily Cost: $0

http://www.inewfield.com/denver/SumActRpt.asp?RC=153193&API=4301331440&Min...

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Summary Rig Activity Page 2 of 2

Cumulative Cost: $60,247

9/17/2010 Day: 5 Recompletion

Nabors #814 on 9/17/2010 - Finish swabbing. - Made 14 swab runs w/ SFL @ surface & EFL@ 1600'. Recovered 130 bbis. TIH & tag fill @ 6346'. Clean out to PBTD @ 6385'. Circulatewell clean. LD 2- jts tbg. Drop standing valve & attempt testing tbg w/o success. TOOH w/ tbglooking for hole. Found hole in jt #57. TIH w/ 60- jts tbg & attempt testing tbg w/o success.TOOH w/tbg & found hole in jt # 60. RIH w/ fishing tool on sandline & retrieve standing valve.Daily Cost: $0Cumulative Cost: $67,889

9/20/2010 Day: 6 Recompletion

Nabors #814 on 9/20/2010 - TIH pressure testing tbg, run rods. - TIH pressure testing tbg.Final test of 3000 psi. RU sandline. RIH w/ fishing tool on sandline. Retrieve standing valve.RD rig floor. ND BOPs. Set TA @ 6270' w/ 18,000#s tension. NU wellhead. X-over for rods. PU& prime CDI 2 1/2" X 1 3/4" X 20' RHAC rod pump. TIH w/ rods as detailed. RU pumping unit.Stroke test pump w/ unit to 800 psi. PWOP @ 4:30 PM w/ 83" SL & 5 SPM. RDMOSU. 255BWTR. FinalizedDaily Cost: $0Cumulative Cost: $92,092

Pertinent Files: Go to File List

http://www.inewfield.com/denver/SumActRpt.asp?RC=153193&API=4301331440&Min...

Summary Rig Activity Page 2 of 2

Cumulative Cost: $60,247

9/17/2010 Day: 5 Recompletion

Nabors #814 on 9/17/2010 - Finish swabbing. - Made 14 swab runs w/ SFL @ surface & EFL@ 1600'. Recovered 130 bbis. TIH & tag fill @ 6346'. Clean out to PBTD @ 6385'. Circulatewell clean. LD 2- jts tbg. Drop standing valve & attempt testing tbg w/o success. TOOH w/ tbglooking for hole. Found hole in jt #57. TIH w/ 60- jts tbg & attempt testing tbg w/o success.TOOH w/tbg & found hole in jt # 60. RIH w/ fishing tool on sandline & retrieve standing valve.Daily Cost: $0Cumulative Cost: $67,889

9/20/2010 Day: 6 Recompletion

Nabors #814 on 9/20/2010 - TIH pressure testing tbg, run rods. - TIH pressure testing tbg.Final test of 3000 psi. RU sandline. RIH w/ fishing tool on sandline. Retrieve standing valve.RD rig floor. ND BOPs. Set TA @ 6270' w/ 18,000#s tension. NU wellhead. X-over for rods. PU& prime CDI 2 1/2" X 1 3/4" X 20' RHAC rod pump. TIH w/ rods as detailed. RU pumping unit.Stroke test pump w/ unit to 800 psi. PWOP @ 4:30 PM w/ 83" SL & 5 SPM. RDMOSU. 255BWTR. FinalizedDaily Cost: $0Cumulative Cost: $92,092

Pertinent Files: Go to File List

http://www.inewfield.com/denver/SumActRpt.asp?RC=153193&API=4301331440&Min...

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RECEIVED: May. 20, 2013

 

STATE OF UTAHDEPARTMENT OF NATURAL RESOURCES

DIVISION OF OIL, GAS, AND MINING

FORM 9 

5.LEASE DESIGNATION AND SERIAL NUMBER: UTU-50376

SUNDRY NOTICES AND REPORTS ON WELLS

Do not use this form for proposals to drill new wells, significantly deepen existing wells belowcurrent bottom-hole depth, reenter plugged wells, or to drill horizontal laterals. Use APPLICATIONFOR PERMIT TO DRILL form for such proposals.

6. IF INDIAN, ALLOTTEE OR TRIBE NAME: 

7.UNIT or CA AGREEMENT NAME: GMBU (GRRV)

1. TYPE OF WELL  Oil Well

8. WELL NAME and NUMBER: BOUNDARY FED 12-21

2. NAME OF OPERATOR: NEWFIELD PRODUCTION COMPANY

9. API NUMBER: 43013314400000

3. ADDRESS OF OPERATOR: PHONE NUMBER:  Rt 3 Box 3630 , Myton, UT, 84052 435 646-4825  Ext

9. FIELD and POOL or WILDCAT: MONUMENT BUTTE

4. LOCATION OF WELL  FOOTAGES AT SURFACE:     1790 FSL 0654 FWL   QTR/QTR, SECTION, TOWNSHIP, RANGE, MERIDIAN:     Qtr/Qtr: NWSW Section: 21 Township: 08.0S Range: 17.0E Meridian: S

COUNTY: DUCHESNE

STATE: UTAH

11.

CHECK APPROPRIATE BOXES TO INDICATE NATURE OF NOTICE, REPORT, OR OTHER DATA

TYPE OF SUBMISSION TYPE OF ACTION

 

    NOTICE OF INTENTApproximate date work will start:

    SUBSEQUENT REPORTDate of Work Completion:

5 /16 /2013

    SPUD REPORTDate of Spud:

 

    DRILLING REPORTReport Date:

 

    ACIDIZE      ALTER CASING      CASING REPAIR 

    CHANGE TO PREVIOUS PLANS      CHANGE TUBING      CHANGE WELL NAME 

    CHANGE WELL STATUS      COMMINGLE PRODUCING FORMATIONS      CONVERT WELL TYPE  

    DEEPEN      FRACTURE TREAT      NEW CONSTRUCTION 

    OPERATOR CHANGE      PLUG AND ABANDON      PLUG BACK 

    PRODUCTION START OR RESUME      RECLAMATION OF WELL SITE      RECOMPLETE DIFFERENT FORMATION 

    REPERFORATE CURRENT FORMATION      SIDETRACK TO REPAIR WELL      TEMPORARY ABANDON 

    TUBING REPAIR      VENT OR FLARE       WATER DISPOSAL 

    WATER SHUTOFF      SI TA STATUS EXTENSION      APD EXTENSION 

    WILDCAT WELL DETERMINATION      OTHER  OTHER: 

12. DESCRIBE PROPOSED OR COMPLETED OPERATIONS. Clearly show all pertinent details including dates, depths, volumes, etc.

The subject well has been converted from a producing oil well to aninjection well on 05/16/2013. Initial MIT on the above listed well. On

05/16/2013 the casing was pressured up to 1310 psig and charted for30 minutes with no pressure loss. The well was not injecting during thetest. The tubing pressure was 0 psig during the test. There was not anEPA representative available to witness the test. EPA# UT22197-09979

NAME (PLEASE PRINT) PHONE NUMBER  Lucy Chavez-Naupoto 435 646-4874

TITLE Water Services Technician

SIGNATURE N/A

DATE 5 /20 /2013

June 04, 2013

Sundry Number: 38085 API Well Number: 43013314400000Sundry Number: 38085 API Well Number: 43013314400000

FORM 9STATE OF UTAH

DEPARTMENTOF NATURALRESOURCES5.LEASE DESIGNATION AND SERIAL NUMBER:DIVISION OF OIL, GAS, AND MINING UTU-50376

SUNDRY NOTICES AND REPORTS ON WELLS 6. IF INDIAN, ALLOTTEE OR TRIBE NAME:

Do not use this form for proposals to drill new wells, significantly deepen existing wells belowcurrent bottom-hole depth, reenter plugged wells, or to drill horizontal laterals. Use APPLICATION 7.UNITor CA AGREEMENT NAME:

FOR PERMIT TO DRILL form for such proposals. GMBU (GRRV)

1. TYPE OF WELL 8. WELL NAME and NUMBER:Oil Well BOUNDARY FED 12-21

2. NAME OF OPERATOR: 9. API NUMBER:NEWFIELD PRODUCTION COMPANY 43013314400000

3. ADDRESS OF OPERATOR: PHONE NUMBER: 9. FIELD and POOL or WILDCAT:Rt 3 Box 3630 , Myton, UT, 84052 435 646-4825 Ext MONUMENT BUTTE

4. LOCATION OF WELL COUNTY:FOOTAGES AT SURFACE: DUCHESNE

1790 FSL 0654 FWLQTRIQTR, SECTION, TOWNSHIP, RANGE, MERIDIAN: STATE:

QtrlQtr: NWSW Section: 21 Township: 08.0S Range: 17.0E Meridian: S UTAH

CHECK APPROPRIATE BOXES TO INDICATENATURE OF NOTICE, REPORT, OR OTHER DATA

TYPE OF SUBMISSION TYPE OF ACTION

ACI DIZE ALTER CASING CASING REPAIR

NOTICE OF INTENT CHANGE TO PREVIOUS PLANS CHANGE TUBING CHANGE WELL NAMEApproximate date work will start:

CHANGE WELL STATUS COMMINGLE PRODUCING FORMATIONS CONVERT WELL TYPE

SUBSEQUENT REPORTDate of Work Completion: DEEPEN FRACTURE TREAT NEW CONSTRUCTION

5/16/2013OPERATOR CHANGE PLUG AND ABANDON PLUG BACK

SPUD REPORT PRODUCTION START OR RESUME RECLAMATION OF WELL SITE RECOMPLETE DIFFERENT FORMATIONDate of Spud:

REPERFORATE CURRENT FORMATION SIDETRACK TO REPAIR WELL TEMPORARY ABANDON

TUBING REPAIR VENT OR FLARE WATER DISPOSAL

DRILLING REPORTReport Date: WATER SHUTOFF SI TA STATUS EXTENSION APD EXTENSION

WILDCATWELLDETERMINATION OTHER OTHER:

12. DESCRIBE PROPOSED OR COMPLETED OPERATIONS. Clearly show all pertinent details including dates, depths, volumes, etc.

The subject well has been converted from a producing oil well to an Accepted by theinjection well on 05/16/2013. Initial MIT on the above listed well. On Utah Division of

05/16/2013 the casing was pressured up to 1310 psig and charted for Oil, Gas and Mining

30 minutes with no pressure loss. The well was not injecting during the FOR RECORD ONLYtest. The tubing pressure was 0 psig during the test. There was not an June 04, 2013EPA representative available to witness the test. EPA# UT22197-09979

NAME (PLEASE PRINT) PHONE NUMBER TITLELucy Chavez-Naupoto 435 646-4874 Water Services Technician

SIGNATURE DATEN/A 5/20/2013

RECEIVED: May. 20,

Sundry Number: 38085 API Well Number: 43013314400000

FORM 9STATE OF UTAH

DEPARTMENTOF NATURALRESOURCES5.LEASE DESIGNATION AND SERIAL NUMBER:DIVISION OF OIL, GAS, AND MINING UTU-50376

SUNDRY NOTICES AND REPORTS ON WELLS 6. IF INDIAN, ALLOTTEE OR TRIBE NAME:

Do not use this form for proposals to drill new wells, significantly deepen existing wells belowcurrent bottom-hole depth, reenter plugged wells, or to drill horizontal laterals. Use APPLICATION 7.UNITor CA AGREEMENT NAME:

FOR PERMIT TO DRILL form for such proposals. GMBU (GRRV)

1. TYPE OF WELL 8. WELL NAME and NUMBER:Oil Well BOUNDARY FED 12-21

2. NAME OF OPERATOR: 9. API NUMBER:NEWFIELD PRODUCTION COMPANY 43013314400000

3. ADDRESS OF OPERATOR: PHONE NUMBER: 9. FIELD and POOL or WILDCAT:Rt 3 Box 3630 , Myton, UT, 84052 435 646-4825 Ext MONUMENT BUTTE

4. LOCATION OF WELL COUNTY:FOOTAGES AT SURFACE: DUCHESNE

1790 FSL 0654 FWLQTRIQTR, SECTION, TOWNSHIP, RANGE, MERIDIAN: STATE:

QtrlQtr: NWSW Section: 21 Township: 08.0S Range: 17.0E Meridian: S UTAH

CHECK APPROPRIATE BOXES TO INDICATENATURE OF NOTICE, REPORT, OR OTHER DATA

TYPE OF SUBMISSION TYPE OF ACTION

ACI DIZE ALTER CASING CASING REPAIR

NOTICE OF INTENT CHANGE TO PREVIOUS PLANS CHANGE TUBING CHANGE WELL NAMEApproximate date work will start:

CHANGE WELL STATUS COMMINGLE PRODUCING FORMATIONS CONVERT WELL TYPE

SUBSEQUENT REPORTDate of Work Completion: DEEPEN FRACTURE TREAT NEW CONSTRUCTION

5/16/2013OPERATOR CHANGE PLUG AND ABANDON PLUG BACK

SPUD REPORT PRODUCTION START OR RESUME RECLAMATION OF WELL SITE RECOMPLETE DIFFERENT FORMATIONDate of Spud:

REPERFORATE CURRENT FORMATION SIDETRACK TO REPAIR WELL TEMPORARY ABANDON

TUBING REPAIR VENT OR FLARE WATER DISPOSAL

DRILLING REPORTReport Date: WATER SHUTOFF SI TA STATUS EXTENSION APD EXTENSION

WILDCATWELLDETERMINATION OTHER OTHER:

12. DESCRIBE PROPOSED OR COMPLETED OPERATIONS. Clearly show all pertinent details including dates, depths, volumes, etc.

The subject well has been converted from a producing oil well to an Accepted by theinjection well on 05/16/2013. Initial MIT on the above listed well. On Utah Division of

05/16/2013 the casing was pressured up to 1310 psig and charted for Oil, Gas and Mining

30 minutes with no pressure loss. The well was not injecting during the FOR RECORD ONLYtest. The tubing pressure was 0 psig during the test. There was not an June 04, 2013EPA representative available to witness the test. EPA# UT22197-09979

NAME (PLEASE PRINT) PHONE NUMBER TITLELucy Chavez-Naupoto 435 646-4874 Water Services Technician

SIGNATURE DATEN/A 5/20/2013

RECEIVED: May. 20,

Page 80: APPLICATION FOR PERMIT TO DRILL, DEEPEN, OR PLUG BACK … · 2018-12-15 · APPLICATION FOR PERMIT TO DRILL, DEEPEN, OR PLUG BACK Û-WINDIAN.A OTTEROBTEIBENAME la. TTPE OF WORK ...

RECEIVED: May. 20, 2013

Sundry Number: 38085 API Well Number: 43013314400000Sundry Number: 38085 API Well Number: 43013314400000

MechanicalIntegrityTestCasingor Annulus Pressure MechanicalIntegrity Test

U.S. EnvironmentalProtection AgencyUnderground injection ControlProgram

999 18* Street, Suite 500 Denver, CO 80202-2466

EPAWitness: Date: . i / //p / 6Test conducted by: s o ft Ñvi§Otherspresent:

Well Name:ßbuA Ñ ,Ll- 2/-Ñ-/7 Type: ER SWD Status: AC TA UC

Field: ,4-fogo a¢> . .54 eLocation: AÍt.UË"See:J/ T Ñ N/OR/7 Ñ/W County: ÑWÁf5/4?State:Ê-Operator: ASy f,/d &gda e CO .

Last MIT: / / Maximum Allowable Pressure: PSIG

Is this a regularly scheduled test? [ ] Yes [M NoInitial test for permit? M Yes [ ] NoTest after well rework? [ ] Yes [¾ NoWell injecting during test? [ ] Yes No If Yes, rate: bpd

Pre-test casing/tubing annulus pressure: psig

MIT DATA TABLE Test #1 Test #2 Test #3

TUBING PRESSUREInitial Pressure psig psig psig

End of test pressure psig psig psig

CASING / TUBING ANNULUS PRESSURE0 minutes psig psig psig

5 minutes psig psig psig

10 minutes psig psig Psig

15 minutes psig psig psig

20 minutes psig psig Psig

25 minutes psig psig Psig

30 minutes psig psig Psig

minutes psig psig Psig

minutes psig psig psig

RESULT [R Pass i lFail i l Pass [ ]Fail [ ] Pass [ ]Faíl

Does the annulus pressure build back up after the test ? [ ] Yes o

MECHANICAL INTEGRITY PRESSURE TEST

Additional comments for mechanical integrity pressure test, such as volume of fluid added to annulusand bled back at end of test, reason for failing test (casing head leak, tubingleak, other), etc.:

Signature of

Sundry Number: 38085 API Well Number: 43013314400000

MechanicalIntegrityTestCasingor Annulus Pressure MechanicalIntegrity Test

U.S. EnvironmentalProtection AgencyUnderground injection ControlProgram

999 18* Street, Suite 500 Denver, CO 80202-2466

EPAWitness: Date: . i / //p / 6Test conducted by: s o ft Ñvi§

Otherspresent:

Well Name:ßbuA Ñ ,Ll- 2/-Ñ-/7 Type: ER SWD Status: AC TA UC

Field: ,4-fogo a¢> . .54 eLocation: AÍt.UË"See:J/ T Ñ N/OR/7 Ñ/W County: ÑWÁf5/4?State:Ê-Operator: ASy f,/d &gda e CO .

Last MIT: / / Maximum Allowable Pressure: PSIG

Is this a regularly scheduled test? [ ] Yes [M NoInitial test for permit? M Yes [ ] NoTest after well rework? [ ] Yes [¾ NoWell injecting during test? [ ] Yes No If Yes, rate: bpd

Pre-test casing/tubing annulus pressure: psig

MIT DATA TABLE Test #1 Test #2 Test #3

TUBING PRESSUREInitial Pressure psig psig psig

End of test pressure psig psig psig

CASING / TUBING ANNULUS PRESSURE0 minutes psig psig psig

5 minutes psig psig psig

10 minutes psig psig Psig

15 minutes psig psig psig

20 minutes psig psig Psig

25 minutes psig psig Psig

30 minutes psig psig Psig

minutes psig psig Psig

minutes psig psig psig

RESULT [R Pass i lFail i l Pass [ ]Fail [ ] Pass [ ]Faíl

Does the annulus pressure build back up after the test ? [ ] Yes o

MECHANICAL INTEGRITY PRESSURE TEST

Additional comments for mechanical integrity pressure test, such as volume of fluid added to annulusand bled back at end of test, reason for failing test (casing head leak, tubingleak, other), etc.:

Signature of

Page 81: APPLICATION FOR PERMIT TO DRILL, DEEPEN, OR PLUG BACK … · 2018-12-15 · APPLICATION FOR PERMIT TO DRILL, DEEPEN, OR PLUG BACK Û-WINDIAN.A OTTEROBTEIBENAME la. TTPE OF WORK ...

RECEIVED: May. 20, 2013

Sundry Number: 38085 API Well Number: 43013314400000Sundry Number: 38085 API Well Number: 43013314400000

MDN 1

250

Cy T NO. MCM-2500-24HR ,

DISC NO.

TAKEN OFF

CHARYPUT

T\MEM

TIMEM

09LL

Sundry Number: 38085 API Well Number: 43013314400000

MDN 1

250

Cy T NO. MCM-2500-24HR ,

DISC NO.

TAKEN OFF

CHARYPUT

T\MEM

TIMEM

09LL

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RECEIVED: May. 20, 2013

Sundry Number: 38085 API Well Number: 43013314400000suSËái¥naN e 085 API Well Number: 43013314400000 Page 1 of2

Daily Activity Report

Format For Sundry

BOUNDARY 12-21-8-173/1/2013 To 7/30/2013

5/16/2013 Day: 1 Conversion

WWS #7 on 5/16/2013 - MIRU pump 60 bw down csg unseat pump flush rods w/30 bw seatpump psi polish rod w/30 bw LD 1-1/2X22 polish rod - MIRU pump 60 bw down csg unseatpump flush rods w/30 bw seat pump psi polish rod w/30 bw LD 1-1/2X22 polish rod, 2x-7/8pony 105 4 per 7/8 flush rods w/30 bw Id 142 4 per 3/4 4-1-1/2 wt bat=rs and pump 110 totbg eq NDWH TAC not set NU BOP BU TBG tooh tolling tbg breaking inspecting and greendoping every connection w/ 142 jts 2-3/8 WL entry guide 2-3/8 XN TAC 1 jts nc thei w/ 2-3/.AS-1 pkr on -off tool. 20 bbw drop sv psi test tbg to 300 psi. - MIRU pump 60 bw down csgunseat pump flush rods w/30 bw seat pump psi polish rod w/30 bw LD 1-1/2X22 polish rod,2x-7/8 pony 105 4 per 7/8 flush rods w/30 bw Id 142 4 per 3/4 4-1-1/2 wt bat= rs and pump110 to tbg eq NDWH TAC not set NU BOP BU TBG tooh tolling tbg breaking inspecting andgreen doping every connection w/ 142 jts 2-3/8 WL entry guide 2-3/8 XN TAC 1 jts nc thei w/2-3/. AS-1 pkr on -off tool. 20 bbw drop sv psi test tbg to 300 psi. FinalizedDaily Cost: $0Cumulative Cost: $18,830

5/17/2013 Day: 3 Conversion

Rigless on 5/17/2013 - Conduct initial MIT - SITP 2,800 PSI good Test Bleed off psi RU secondline RIH and RET SV POOH and RD Sand line ND BOP Set PKR at 4616 for 15,00 tensionSN@4609 XN nipple @4624 EOT@ 4625 75' above top perf land tbg w/ injection tree NUWHmix 20 gall pkr fluid w/ 70 bbl of fresh water psi test CSG to 1500 psi w/ 55 bbl 1-1/2 MR toget good test. - SITP 2,800 PSI good Test Bleed off psi RU second line RIH and RET SV POOHand RD Sand line ND BOP Set PKR at 4616 for 15,00 tension SN@4609 XN nipple @4624EOT@ 4625 75' above top perf land tbg w/ injection tree NUWH mix 20 gall pkr fluid w/ 70 bblof fresh water psi test CSG to 1500 psi w/ 55 bbl 1-1/2 MR to get good test. - SITP 2,800 PSIgood Test Bleed off psi RU second line RIH and RET SV POOH and RD Sand line ND BOP SetPKR at 4616 for 15,00 tension SN@4609 XN nipple @4624 EOT@ 4625 75' above top perfland tbg w/ injection tree NUWH mix 20 gall pkr fluid w/ 70 bbl of fresh water psi test CSG to1500 psi w/ 55 bbl 1-1/2 MR to get good test. - Initial MIT on the above listed well. On05/16/2013 the casing was pressured up to 1310 psig and charted for 30 minutes with nopressure loss. The well was not injecting during the test. The tubing pressure was 0 psigduring the test. There was not an EPA representative available to witness the test. EPA#UT22197-09979 - Initial MIT on the above listed well. On 05/16/2013 the casing waspressured up to 1310 psig and charted for 30 minutes with no pressure loss. The well was notinjecting during the test. The tubing pressure was 0 psig during the test. There was not anEPA representative available to witness the test. EPA# UT22197-09979 - SITP 2,800 PSI goodTest Bleed off psi RU second line RIH and RET SV POOH and RD Sand line ND BOP Set PKR at4616 for 15,00 tension SN@4609 XN nipple @4624 EOT@ 4625 75' above top perf land tbg w/injection tree NUWH mix 20 gall pkr fluid w/ 70 bbl of fresh water psi test CSG to 1500 psi w/55 bbl 1-1/2 MR to get good test. - Initial MIT on the above listed well. On 05/16/2013 thecasing was pressured up to 1310 psig and charted for 30 minutes with no pressure loss. Thewell was not injecting during the test. The tubing pressure was 0 psig during the test. Therewas not an EPA representative available to witness the test. EPA# UT22197-09979 - InitialMIT on the above listed well. On 05/16/2013 the casing was pressured up to 1310 psig andcharted for 30 minutes with no pressure loss. The well was not injecting during the test. Thetubing pressure was O psig during the test. There was not an EPA representative available towitness the test. EPA# UT22197-09979 Finalized

http://www.inewfld.com/denver/SumActRpt.asp?RC=153193&API=4301331440&MinDa...

suSËái¥naN e 085 API Well Number: 43013314400000 Page 1 of2

Daily Activity Report

Format For Sundry

BOUNDARY 12-21-8-173/1/2013 To 7/30/2013

5/16/2013 Day: 1 Conversion

WWS #7 on 5/16/2013 - MIRU pump 60 bw down csg unseat pump flush rods w/30 bw seatpump psi polish rod w/30 bw LD 1-1/2X22 polish rod - MIRU pump 60 bw down csg unseatpump flush rods w/30 bw seat pump psi polish rod w/30 bw LD 1-1/2X22 polish rod, 2x-7/8pony 105 4 per 7/8 flush rods w/30 bw Id 142 4 per 3/4 4-1-1/2 wt bat=rs and pump 110 totbg eq NDWH TAC not set NU BOP BU TBG tooh tolling tbg breaking inspecting and greendoping every connection w/ 142 jts 2-3/8 WL entry guide 2-3/8 XN TAC 1 jts nc thei w/ 2-3/.AS-1 pkr on -off tool. 20 bbw drop sv psi test tbg to 300 psi. - MIRU pump 60 bw down csgunseat pump flush rods w/30 bw seat pump psi polish rod w/30 bw LD 1-1/2X22 polish rod,2x-7/8 pony 105 4 per 7/8 flush rods w/30 bw Id 142 4 per 3/4 4-1-1/2 wt bat= rs and pump110 to tbg eq NDWH TAC not set NU BOP BU TBG tooh tolling tbg breaking inspecting andgreen doping every connection w/ 142 jts 2-3/8 WL entry guide 2-3/8 XN TAC 1 jts nc thei w/2-3/. AS-1 pkr on -off tool. 20 bbw drop sv psi test tbg to 300 psi. FinalizedDaily Cost: $0Cumulative Cost: $18,830

5/17/2013 Day: 3 Conversion

Rigless on 5/17/2013 - Conduct initial MIT - SITP 2,800 PSI good Test Bleed off psi RU secondline RIH and RET SV POOH and RD Sand line ND BOP Set PKR at 4616 for 15,00 tensionSN@4609 XN nipple @4624 EOT@ 4625 75' above top perf land tbg w/ injection tree NUWHmix 20 gall pkr fluid w/ 70 bbl of fresh water psi test CSG to 1500 psi w/ 55 bbl 1-1/2 MR toget good test. - SITP 2,800 PSI good Test Bleed off psi RU second line RIH and RET SV POOHand RD Sand line ND BOP Set PKR at 4616 for 15,00 tension SN@4609 XN nipple @4624EOT@ 4625 75' above top perf land tbg w/ injection tree NUWH mix 20 gall pkr fluid w/ 70 bblof fresh water psi test CSG to 1500 psi w/ 55 bbl 1-1/2 MR to get good test. - SITP 2,800 PSIgood Test Bleed off psi RU second line RIH and RET SV POOH and RD Sand line ND BOP SetPKR at 4616 for 15,00 tension SN@4609 XN nipple @4624 EOT@ 4625 75' above top perfland tbg w/ injection tree NUWH mix 20 gall pkr fluid w/ 70 bbl of fresh water psi test CSG to1500 psi w/ 55 bbl 1-1/2 MR to get good test. - Initial MIT on the above listed well. On05/16/2013 the casing was pressured up to 1310 psig and charted for 30 minutes with nopressure loss. The well was not injecting during the test. The tubing pressure was 0 psigduring the test. There was not an EPA representative available to witness the test. EPA#UT22197-09979 - Initial MIT on the above listed well. On 05/16/2013 the casing waspressured up to 1310 psig and charted for 30 minutes with no pressure loss. The well was notinjecting during the test. The tubing pressure was 0 psig during the test. There was not anEPA representative available to witness the test. EPA# UT22197-09979 - SITP 2,800 PSI goodTest Bleed off psi RU second line RIH and RET SV POOH and RD Sand line ND BOP Set PKR at4616 for 15,00 tension SN@4609 XN nipple @4624 EOT@ 4625 75' above top perf land tbg w/injection tree NUWH mix 20 gall pkr fluid w/ 70 bbl of fresh water psi test CSG to 1500 psi w/55 bbl 1-1/2 MR to get good test. - Initial MIT on the above listed well. On 05/16/2013 thecasing was pressured up to 1310 psig and charted for 30 minutes with no pressure loss. Thewell was not injecting during the test. The tubing pressure was 0 psig during the test. Therewas not an EPA representative available to witness the test. EPA# UT22197-09979 - InitialMIT on the above listed well. On 05/16/2013 the casing was pressured up to 1310 psig andcharted for 30 minutes with no pressure loss. The well was not injecting during the test. Thetubing pressure was O psig during the test. There was not an EPA representative available towitness the test. EPA# UT22197-09979 Finalized

http://www.inewfld.com/denver/SumActRpt.asp?RC=153193&API=4301331440&MinDa...

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RECEIVED: May. 20, 2013

Sundry Number: 38085 API Well Number: 43013314400000suŠËÏn¥nÈÿÄõti9i85 API Well Number: 43013314400000 Page2of2

Daily Cost: $0Cumulative Cost: $53,187

Pertinent Files: Go to File List

http://www.inewfld.com/denver/SumActRpt.asp?RC=153193&API=4301331440&MinDa...

suŠËÏn¥nÈÿÄõti9i85 API Well Number: 43013314400000 Page2of2

Daily Cost: $0Cumulative Cost: $53,187

Pertinent Files: Go to File List

http://www.inewfld.com/denver/SumActRpt.asp?RC=153193&API=4301331440&MinDa...

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RECEIVED: May. 29, 2013

 

STATE OF UTAHDEPARTMENT OF NATURAL RESOURCES

DIVISION OF OIL, GAS, AND MINING

FORM 9 

5.LEASE DESIGNATION AND SERIAL NUMBER: UTU-50376

SUNDRY NOTICES AND REPORTS ON WELLS

Do not use this form for proposals to drill new wells, significantly deepen existing wells belowcurrent bottom-hole depth, reenter plugged wells, or to drill horizontal laterals. Use APPLICATIONFOR PERMIT TO DRILL form for such proposals.

6. IF INDIAN, ALLOTTEE OR TRIBE NAME: 

7.UNIT or CA AGREEMENT NAME: GMBU (GRRV)

1. TYPE OF WELL  Water Injection Well

8. WELL NAME and NUMBER: BOUNDARY FED 12-21

2. NAME OF OPERATOR: NEWFIELD PRODUCTION COMPANY

9. API NUMBER: 43013314400000

3. ADDRESS OF OPERATOR: PHONE NUMBER:  Rt 3 Box 3630 , Myton, UT, 84052 435 646-4825  Ext

9. FIELD and POOL or WILDCAT: MONUMENT BUTTE

4. LOCATION OF WELL  FOOTAGES AT SURFACE:     1790 FSL 0654 FWL   QTR/QTR, SECTION, TOWNSHIP, RANGE, MERIDIAN:     Qtr/Qtr: NWSW Section: 21 Township: 08.0S Range: 17.0E Meridian: S

COUNTY: DUCHESNE

STATE: UTAH

11.

CHECK APPROPRIATE BOXES TO INDICATE NATURE OF NOTICE, REPORT, OR OTHER DATA

TYPE OF SUBMISSION TYPE OF ACTION

 

    NOTICE OF INTENTApproximate date work will start:

    SUBSEQUENT REPORTDate of Work Completion:

5 /24 /2013

    SPUD REPORTDate of Spud:

 

    DRILLING REPORTReport Date:

 

    ACIDIZE      ALTER CASING      CASING REPAIR 

    CHANGE TO PREVIOUS PLANS      CHANGE TUBING      CHANGE WELL NAME 

    CHANGE WELL STATUS      COMMINGLE PRODUCING FORMATIONS      CONVERT WELL TYPE  

    DEEPEN      FRACTURE TREAT      NEW CONSTRUCTION 

    OPERATOR CHANGE      PLUG AND ABANDON      PLUG BACK 

    PRODUCTION START OR RESUME      RECLAMATION OF WELL SITE      RECOMPLETE DIFFERENT FORMATION 

    REPERFORATE CURRENT FORMATION      SIDETRACK TO REPAIR WELL      TEMPORARY ABANDON 

    TUBING REPAIR      VENT OR FLARE       WATER DISPOSAL 

    WATER SHUTOFF      SI TA STATUS EXTENSION      APD EXTENSION 

    WILDCAT WELL DETERMINATION      OTHER  OTHER: 

12. DESCRIBE PROPOSED OR COMPLETED OPERATIONS. Clearly show all pertinent details including dates, depths, volumes, etc.

The above reference well was put on injection at 10:30 AM on05/24/2013. EPA # UT22197-09979

NAME (PLEASE PRINT) PHONE NUMBER  Lucy Chavez-Naupoto 435 646-4874

TITLE Water Services Technician

SIGNATURE N/A

DATE 5 /29 /2013

June 06, 2013

Sundry Number: 38259 API Well Number: 43013314400000Sundry Number: 38259 API Well Number: 43013314400000

FORM 9STATE OF UTAH

DEPARTMENTOF NATURALRESOURCES5.LEASE DESIGNATION AND SERIAL NUMBER:DIVISION OF OIL, GAS, AND MINING UTU-50376

SUNDRY NOTICES AND REPORTS ON WELLS 6. IF INDIAN, ALLOTTEE OR TRIBE NAME:

Do not use this form for proposals to drill new wells, significantly deepen existing wells belowcurrent bottom-hole depth, reenter plugged wells, or to drill horizontal laterals. Use APPLICATION 7.UNITor CA AGREEMENT NAME:

FOR PERMIT TO DRILL form for such proposals. GMBU (GRRV)

1. TYPE OF WELL 8. WELL NAME and NUMBER:Water Injection Well BOUNDARY FED 12-21

2. NAME OF OPERATOR: 9. API NUMBER:NEWFIELD PRODUCTION COMPANY 43013314400000

3. ADDRESS OF OPERATOR: PHONE NUMBER: 9. FIELD and POOL or WILDCAT:Rt 3 Box 3630 , Myton, UT, 84052 435 646-4825 Ext MONUMENT BUTTE

4. LOCATION OF WELL COUNTY:FOOTAGES AT SURFACE: DUCHESNE

1790 FSL 0654 FWLQTRIQTR, SECTION, TOWNSHIP, RANGE, MERIDIAN: STATE:

QtrlQtr: NWSW Section: 21 Township: 08.0S Range: 17.0E Meridian: S UTAH

CHECK APPROPRIATE BOXES TO INDICATENATURE OF NOTICE, REPORT, OR OTHER DATA

TYPE OF SUBMISSION TYPE OF ACTION

ACI DIZE ALTER CASING CASING REPAIR

NOTICE OF INTENT CHANGE TO PREVIOUS PLANS CHANGE TUBING CHANGE WELL NAMEApproximate date work will start:

CHANGE WELL STATUS COMMINGLE PRODUCING FORMATIONS CONVERT WELL TYPE

SUBSEQUENT REPORTDate of Work Completion: DEEPEN FRACTURE TREAT NEW CONSTRUCTION

5/24/2013OPERATOR CHANGE PLUG AND ABANDON PLUG BACK

SPUD REPORT PRODUCTION START OR RESUME RECLAMATION OF WELL SITE RECOMPLETE DIFFERENT FORMATIONDate of Spud:

REPERFORATE CURRENT FORMATION SIDETRACK TO REPAIR WELL TEMPORARY ABANDON

TUBING REPAIR VENT OR FLARE WATER DISPOSAL

DRILLING REPORTReport Date: WATER SHUTOFF SI TA STATUS EXTENSION APD EXTENSION

WILDCATWELLDETERMINATION OTHER OTHER:

12. DESCRIBE PROPOSED OR COMPLETED OPERATIONS. Clearly show all pertinent details including dates, depths, volumes, etc.

The above reference well was put on injection at 10:30 AM on Accepted by the05/24/2013. EPA # UT22197-09979 Utah Division of

Oil, Gas and Mining

FOR RECORD ONLYJune 06, 2013

NAME (PLEASE PRINT) PHONE NUMBER TITLELucy Chavez-Naupoto 435 646-4874 Water Services Technician

SIGNATURE DATEN/A 5/29/2013

RECEIVED: May. 29,

Sundry Number: 38259 API Well Number: 43013314400000

FORM 9STATE OF UTAH

DEPARTMENTOF NATURALRESOURCES5.LEASE DESIGNATION AND SERIAL NUMBER:DIVISION OF OIL, GAS, AND MINING UTU-50376

SUNDRY NOTICES AND REPORTS ON WELLS 6. IF INDIAN, ALLOTTEE OR TRIBE NAME:

Do not use this form for proposals to drill new wells, significantly deepen existing wells belowcurrent bottom-hole depth, reenter plugged wells, or to drill horizontal laterals. Use APPLICATION 7.UNITor CA AGREEMENT NAME:

FOR PERMIT TO DRILL form for such proposals. GMBU (GRRV)

1. TYPE OF WELL 8. WELL NAME and NUMBER:Water Injection Well BOUNDARY FED 12-21

2. NAME OF OPERATOR: 9. API NUMBER:NEWFIELD PRODUCTION COMPANY 43013314400000

3. ADDRESS OF OPERATOR: PHONE NUMBER: 9. FIELD and POOL or WILDCAT:Rt 3 Box 3630 , Myton, UT, 84052 435 646-4825 Ext MONUMENT BUTTE

4. LOCATION OF WELL COUNTY:FOOTAGES AT SURFACE: DUCHESNE

1790 FSL 0654 FWLQTRIQTR, SECTION, TOWNSHIP, RANGE, MERIDIAN: STATE:

QtrlQtr: NWSW Section: 21 Township: 08.0S Range: 17.0E Meridian: S UTAH

CHECK APPROPRIATE BOXES TO INDICATENATURE OF NOTICE, REPORT, OR OTHER DATA

TYPE OF SUBMISSION TYPE OF ACTION

ACI DIZE ALTER CASING CASING REPAIR

NOTICE OF INTENT CHANGE TO PREVIOUS PLANS CHANGE TUBING CHANGE WELL NAMEApproximate date work will start:

CHANGE WELL STATUS COMMINGLE PRODUCING FORMATIONS CONVERT WELL TYPE

SUBSEQUENT REPORTDate of Work Completion: DEEPEN FRACTURE TREAT NEW CONSTRUCTION

5/24/2013OPERATOR CHANGE PLUG AND ABANDON PLUG BACK

SPUD REPORT PRODUCTION START OR RESUME RECLAMATION OF WELL SITE RECOMPLETE DIFFERENT FORMATIONDate of Spud:

REPERFORATE CURRENT FORMATION SIDETRACK TO REPAIR WELL TEMPORARY ABANDON

TUBING REPAIR VENT OR FLARE WATER DISPOSAL

DRILLING REPORTReport Date: WATER SHUTOFF SI TA STATUS EXTENSION APD EXTENSION

WILDCATWELLDETERMINATION OTHER OTHER:

12. DESCRIBE PROPOSED OR COMPLETED OPERATIONS. Clearly show all pertinent details including dates, depths, volumes, etc.

The above reference well was put on injection at 10:30 AM on Accepted by the05/24/2013. EPA # UT22197-09979 Utah Division of

Oil, Gas and Mining

FOR RECORD ONLYJune 06, 2013

NAME (PLEASE PRINT) PHONE NUMBER TITLELucy Chavez-Naupoto 435 646-4874 Water Services Technician

SIGNATURE DATEN/A 5/29/2013

RECEIVED: May. 29,

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NEWFIELD

11''-' Well Name: Boundary 12-21-8-17

Surface Legal Location

21-SS-17E

284.1

285.1 285.1 0.7

299.9

1,950.1 1.949.5 2.2 4.6057

4,610.2 4.6070 2.7

4.608.6

4,618.8 4.615.5 2.7

4.616 t

4,623.4 4.6201 2.6

4.621.4

4,625.0 4.621 7 2.6

4.6968

4,726.0 4,7227 2.4

5,2l4 0

5,299.9 5,296 0 1.7

5.306.2

5,348.1 5,3442 1.5 5,3560

5,372.0 5,3682 1.4

5,746.1

5,753.9 5.7500 0.5 5,780.2

5,787.1 5,783.1 0.8

6.115.4

6,133.9 6,129.1 4.4

6,217.1

6,228.0 6,223.0 4,6

6,244.9

6,255.9 6,250.8 4.6

6,280.9

6,290.0 6,2848 4.7

6.304.8

6,324.1 6,3188 4.7

6.3407

6,399.9 6,3944 4,7

6,399.3

6,549.9 6.5438 4.7

6,568.0

6,750.0 6,743.3 4.7

6.748.2

6,863.8 6,856.7 4.7

6.6669

7,711.6 7.7017 4.7

7,702.6

7,760.5 7.750A 4.7

7,752.0

7,799.9 7.789.6 4.7

www.newfield.com

Schematic

Page 1/3

Lease Field Name County StalelProvince

Utah GMBU CTB7 DUCHESNE Total Depth AIIITVD) (ftKB) PBTD (All) (ftKB)

Original Hole· 7,711,5

Job End Date

5/21/2013

9-1; Tubing; 2 7/S; 2.441; 15-4,609; 4,594.00

9-2; Pump Seating Nipple; 2 7/S; 2.441; 4,609-4,610; 1.10

9-3; On-Off Tool; 2 7/8; 2.441; 4,610-4,612; 1.80

9-4; Packer; 5 1/2; 4,612-4,619; 7.00

9-5; Cross Over; 2 7/8; 2.441; 4,619-4,619; 0.50

9-6; Tubing Pup Joint; 2 3/8; 1.995; 4,619-4,624; 4.10

9-7; No Go Nipple; 2 3/8; 1.995; 4,624-4,625; 1.20

9-8; Wireline Guide; 23/8; 1.995; 4,625-4,625; 0.30

Perforated; 4,700-4,726; 11/14/1995

Perforated; 5,300-5,310; 9/14/2010 Perforated; 5,300-5,310; 1/13/1995

Perforated; 5,360-5,372; 1/6/1995

Perforated; 5,750-5,754; 6/18/2003

Perforated; 5,784-5,787; 6/18/2003

Perforated; 6,120-6,134; 12/28/1994

Perforated; 6,222-6,228; 6/18/2003

Perforated; 6,250-6,256; 6/18/2003

Perforated; 6,286·6,290; 6/18/2003

Perforated; 6,310-6,324; 6/18/2003

Perforated; 6,550·6,574; 12/23/1994

Perforated; 6,S64-6,874; 12/21/1994

Report Printed: 3/2/2016

NEWFIELD Schematic

Well Name: Boundary 12-21-8-17Surface Legal Location AP WI Well RC Lease State/Province Field Name County21-88-17E 43013314400000 500150925 Utah GMBU CTB7 DUCHESNESpud Date Rig Release Date On Production Date OriginalKBElevation(ft) Ground Elevation (ft) Total Depth AII (TVD) (ftKB) PBTD(All)(itKB)

11/10/1994 12/5/1994 1/21/1995 5,261 5,246 OriginalHole - 7,711.5

Most Recent JobJob Category Primary Job Type Secondary Job Type Job Start Date Job End Date

Production / Workover GYRO Survey Survey 5/21/2013 5/21/2013

TD: 7,80( .0 Vertical - Original Hole, 3/2/2016 1:44:09 PMTVD

MD (ftKB) (ftKB) Incl (°) DLS Vertical schematic (actual)DLS (°...

15.1 151 0.7 0-32841

285.1 285 1 0.7 .1; Surface; 8 5/8 in; 8.097 in; 15-285 ftKB; 270.00 ft

2999

1,950.1 1,949.5 2,2 9-1; TUbing; 2 7/8; 2.441; 15-4,609; 4,594.004,605 7

9-2; Pump Seating Nipple; 2 7/8; 2.441; 4,609-4,610; 1.104,610 2 4,607 0 2.7 9-3; On-Off Tool; 2 7/8; 2.441; 4,610-4,612; 1.80

4,608 69-4; Packer; 5 1/2; 4,612-4,619; 7.00

4,618.8 4,615 5 2.79-5; Cross Over; 2 7/8; 2.441; 4,619-4,619; 0.50

4,616 19-6; Tubing Pup Joint; 2 3/8; 1.995; 4,619-4,624; 4.10

4,623.4 4,620 1 2.6.

9-7; No Go Nipple; 2 3/8; 1.995; 4,624-4,625; 1.204 621 4

9-8; Wireline Guide; 2 3/8; 1.995; 4,625-4,625; 0.304,625.0 4 621 7 2.64.696 8

Perforated; 4,700-4,726; 11/14/19954,726.0 4,722 7 2.4

5,274 O ^^^

Perforated; 5,300-5,310; 9/14/20105,299.9 5.2960 1.7Perforated; 5,300-5,310; 1/13/1995

5,356 0Perforated; 5,360-5,372; 1/6/1995

5,372.0 5,368 2 1.45,746 1

y/( Perforated; 5,750-5,754; 6/18/20035,753.9 5.750 0 0.5

5,780 2Perforated; 5,784-5,787; 6/18/2003

5,787.1 5,7831 0.86,115 4

Perforated; 6,120-6,134; 12/28/19946,133.9 6,129 1 4.4

6,217 1Perforated; 6,222-6,228; 6/18/2003

6,228.0 6,2230 4.66.244 9

Perforated; 6,250-6,256; 6/18/20036,255.9 6,2508 4.6

6,280 9Perforated; 6,286-6,290; 6/18/2003

6,290.0 6,284 8 4.7

6,304 8Perforated; 6,310-6,324; 6/18/2003

6,324.1 6,3188 4.76,340 7

6, 399.9 6,394 4 4.76,399 3

6,549.9 6,5438 4.7Perforated; 6,550-6,574; 12/23/1994

6,750.0 4.7

6,863.8 68567 4.7Perforated, 6,864-6,874; 12/21/1994

6 866 9

7,711.6 77017 4.77 702 6

7,760.5 77504 4.777S2o 2; Production; 5 1/2 in; 4.950 in; 15-7,762 ftKB;7,747.00 ft

7,799.9 7,769 6 4.7

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NEWFIELD Newfield Well bore Diagram Data Boundary 12-21-8-17

Surface Lagal Location APtlUWI Lease

21-8S-17E 43013314400000 Coonty State/Province Basin Field Name

DUCHESNE Utah GMBUCTB7 Wen Start Date Spud Date Final Rig Release Date Ion production Dale

11116/1994 11/10/1994 121511994 112111995 OrIginal KB Elevation (ft) II Ground Elevation (ft) Total Depth (ftKB) oIal Depth AI (TVD) (ftKB) PBTO (All) (ftKB)

5,261 5,246 7,800.0 Original Hole - 7,711.5

Casing Strings CsgDes Run Date 00 (In) 10 (in) WULen(lbIft) Grade Set Depth . ftKB).

Surface 1112711994 8518 8.097 24.00 J-55 285

Production 1214/1994 5112 4.950 15.50 K-55 7,762

Cement String: Surface, 28SftKB 11/1011994 Cementing Company Top Depth (ftKB) Bottom Depth (ftKB) Full Return? Vol Cement Ret (bbl)

15.0 300.0 Fluid Description Fluid Type Amoont (sacks) Class Estimated Top (ftKtI)

2% CaCI+ 114#1SK CELLO SEAL Lead 235 G 15.0

String: Production, 7,762ftKB 121411994 Cementing Company Top Depth (ftKB) Bottom Depth (ftKB) Fuil Return? Vol Cement Ret (bbl)

1,950.0 7,800.0 Fluid Description Fluid Type Amount (sacks) Class Estimated Top (ftKB)

47#/sk G+ 20#1sk POZ+ 17#1sk CSE+ 3% Salt+ 2% Gel+ 2#/sk hi-seal+ 114#lsk Lead 190 SuperG 1,950.0 Cell Seal FluIdDescriptlon Fluid Type Amount (sacks) Class Estimated Top (nKB)

2% Gel+ 2#sk HISeal+ 1/3#/sk Cello Seal Tail 907 50150 POZ 4,875.0

String: Production, 7,762ftKB 3131/1995 Cementing Company Top Depth (ftKB) Bonom Depth (nKB) Full Return? Vol Cement Ret (bbl)

5,278.0 5,348.0 Fluid DeSCl1ption FluId Type Amount (sacks) Class Estimated Top (ftKB)

Lead 50 G 5,278.0 Tubing Strings Tubing Description RunDete 158t Depth (ftKB)

Tubing 511712013 4,625.0 Item Des Jts 00 (in) to (in) Wt(lblft) Grade Len (ft) Top (ftKB) 81m (ftKB)

Tubing 142 27/8 2.441 6.50 J-55 4,594.00 15.0 4,609.0

Pump Seating Nipple 2718 2.441 1.10 4,609.0 4,610.1

On-Off Tool 2718 2.441 1.80 4,610.1 4,611.9

Packer 5112 7.00 4,611.9 4,618.9

CrossOver 2718 2.441 0.50 4,618.9 4,619.4

Tubing Pup Joint 2318 1.995 4.10 4,619.4 4,623.5

No Go Nipple 23/8 1.995 1.20 4,623.5 4,624.7

Wire line Guide 23/8 1.995 0.30 4,624.7 4,625.0

Rod Strings Rod Desaiption Run Dale Set Depth (ftKB)

Item Des I Jts I 00 in) I Wt(lblft) Grede I Len(ft) Top (ftKB) I BIm (IIKB)

I Other In Hole

Des ToplftKB 81m ftKB Run Date Pul Date

CIBP 6,750 6,755 12/23/1994

CIBP 6,400 6,405 1212811994

Fill 6,346 6,400 911612010

Perforation Intervals Stegall . Zone Top (ftKB) BIm (ftKB) Shot Dens (shotslft) Phaslng(·) Nom Hole Ola Qn) Date

6 GB4, Original Hole 4,700 4,726 4 1111411995

5 02, Original Hole 5,300 5,310 3 1113/1995

8 02, Original Hole 5,300 5,310 3 120 0.360 911412010

4 03, Original Hole 5,360 5,372 4 11611995

7 A3, Original Hole 5,750 5,754 4 611812003

7 A3, Original Hole 5,784 5,787 4 611812003

3 CP, Original Hole 6,120 6,134 4 1212811994

7 CP3, Original Hole 6,222 6,228 4 6/1812003

7 CP3, Original Hole 6,250 6,256 4 611812003

7 CP4, Original Hole 6,286 6,290 4 611812003

7 CP4, Original Hole 6,310 6,324 4 611812003

www.newfield.com Page 1/2 Report Printed: 3/212016

NEWFIELD Newfield Wellbore Diagram DataBoundary 12-21-8-17

Surface Legal Location APIIUWI Lease21-88-17E 43013314400000County State/Province Basin Field NameDUCHESNE Utah GMBUCTB7Well Start Date Spud Date Final Rig Release Date On Production Date

11/16/1994 11/10/1994 12/5/1994 1/21/1995OriginalIS Elevation(ft) Ground Elevation (ft) Total Depth (ftKB) Total Depth AII(TVD)(ftKB) PBTD(All)(ftKB)

5,261 5,246 7,800.0 OriginalHole - 7,711.5

Casing StringsCsg Des Run Date OD (in) ID(in) WIILen(Ib/It) Grade Set Dog (itKB)

Surface 11/27/1994 8 5/8 8.097 24.00 J-55 285Production 12/4/1994 5 1/2 4.950 15.50 K-55 7,762

CementString: Surface, 285ftKB 11/10/1994Cementing Company Top Depth (itKB) BottomDepth (ftKB) FuliRetum? VoiCement Ret (bbi)

15.0 300.0Fluid Descripilon FluidType Amount (sacks) Class Estimated Top (flKB)2% CaCI+ 1/4#lSK CELLOSEAL Lead 235 G 15.0String: Production, 7,762ftKB 12/4/1994Cementing Company Top Deplh (itKB) Bottom Depth (itKB) FullRetum? VoiCement Ret {bbl)

1,950.0 7,800.0Fluid Description FluidType Amount (sacks) Class Estimated Top (ftKB)47#Isk G+ 20#lsk POZ+ 17#lsk CSE+ 3% Salt+ 2% Gel+ 2#lsk hi-seal+ 1/4#lsk Lead 190 Super G 1,950.0Cell SealFluid Description Fluidfype Amount (sacks) Class Estimated Top (flKB)2% Gel+ 2#sk HISeal+ 1/3#lsk Cello Seal Tail 907 50/50 POZ 4,875.0String: Production, 7,762ftKB 3/31/1995Cementing Company Top Depth (ftKB) Bottom Depin (itKB) FullRetum? VoiCement Ret (bbl)

5,278.0 5,348.0Fluid Description FluidType Amount (sacks) Class Estimated Top (flKB)

Lead 50 G 5,278.0Tubing StringsTubing Description Run Dale Set Depth (ftKB)Tubing 5/17/2013 4,625.0

Item Des Jts OD (in) ID(in) Wt (Ibilt) Grade Len (ft) Top (ftKB) Bim(itKB)Tubing 142 2 7/8 2.441 6.50 J-55 4,594.00 15.0 4,609.0Purnp Seating Nipple 2 7/8 2.441 1.10 4,609.0 4,610.1On-OffTool 2 7/8 2.441 1.80 4,610.1 4,611.9Packer 5 1/2 7.00 4,611.9 4,618.9

Cross Over 2 7/8 2.441 0.50 4,618.9 4,619.4Tubing Pup Joint 2 3/8 1.995 4.10 4,619.4 4,623.5No Go Nipple 2 3/8 1.995 1.20 4,623.5 4,624.7

Wirellne Guide 2 3/8 1.995 0.30 4,624.7 4,625.0

Rod StringsRod Description Run Date Set Depth (ftKB)

Item Des Jts OD (in) Wt (Ib/ft) Grade Len (ft) Top {flKB) Btm(ftKB)

Other in HoleDes Top (ftKB) Stm (ftKB) Run Date PullDate

CIBP 6,750 6,755 12/23/1994

CIBP 6,400 6,405 12/28/1994Fill 6,346 6,400 9/16/2010

Perforati =n IntervalsStage# ' Zone Top (ftKB) Bim (flKB) Shot Dens (shots/ft) Phasing (') Nom Hole Dia (in) Date

6 GB4, OriginalHole 4,700 4,726 4 11/14/19955 D2, Original Hole 5,300 5,310 3 1/13/19958 D2, Original Hole 5,300 5,310 3 120 0.360 9/14/20104 D3, Original Hole 5,360 5,372 4 1/6/19957 A3, OriginalHole 5,750 5,754 4 6/18/20037 A3, OriginalHole 5,784 5,787 4 6/18/20033 CP, OriginalHole 6,120 6,134 4 12/28/19947 CP3, OriginalHole 6,222 6,228 4 6/18/20037 CP3, OriginalHole 6,250 6,256 4 6/18/20037 CP4, OriginalHole 6,286 6,290 4 6/18/20037 CP4, OriginalHole 6,310 6,324 4 6/18/2003

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NEWFIELD Newfield Well bore Diagram Data Boundary 12·21·8·17

Perforation Intervals Slage# Zone Top (ftKB) Btm(IIKB) Shot Dens (shotsJlt) Phasing(') Nom Hole Dia (in) Date

2 BGR, Original Hole 6,550 6,574 4 12/23/1994

1 WSCH, Original Hole 6,864 6,874 4 12/21/1994

Stimulations & Treatments Stage# ISIP (psi) Frac Gradient (psilft Max Rate (bbVmin) MaxPSI psi) Total Clean Vol bbl) Total Slurry Vol bbl Vol Recov (bbl)

1 2,050 31.0 2,650 2 1,850 34.0 2,500 3 2,350 33.5 2,870 4 1,918 5 2,100 0.76 17.5 4,280

6 1,900 0.76 17.5 4,242 7 1,809 0.77 16.0 7,258

Proppant

stage# Total Prop Vol Pumped

. (Ib) Tolal Add Amount

1 Proppant White Sand 51000 Ib

2 Proppant 40000 42000 Ib; Proppant White Sand 2000 Ib

3 Proppant White Sand 64000 Ib

4 Proppant White Sand 26005 Ib

5 Proppant White Sand 89503 Ib

6 Proppant White Sand 40112 Ib

7 Proppant 26763 40112 Ib

www.newfield.com Page 212 Report Printed: 312/2016

NEWFIELD Newfield Wellbore Diagram DataBoundary 12-21-8-17

Perforation IntervalsStage# Zone Top (ftKB) Btm(ftKB) Shot Dens (shotsMI) Phasing (') Nom Hole Dia (in) Date

2 BGR, OriginalHole 6,550 6,574 4 12/23/1994i WSCH, OriginalHole 6,864 6,874 4 12/21/1994

Stimulations &TreatmentsStag ISIP (psi) Frac Gradient (psi/II) Max Rate (bbl/min) MaxPSI (psi) Total Clean Vol(bbl) Total SlurryVoi(bbl) Vol Recov (bbl)

1 2.050 31.0 2.6502 1,850 34.0 2.5003 2,350 33.5 2.8704 1,9185 2,100 0.76 17.5 4,2806 1,900 0.76 17.5 4,2427 1,809 0.77 16.0 7,258

ProppantTotal Prop VoiPumped

Stage# (Ib) TotalAdd Amount1 Proppant White Sand 51000 lb2 Proppant 40000 42000 lb; Proppant White Sand 2000 lb3 Proppant White Sand 64000 lb4 Proppant White Sand 26005 lbS Proppant White Sand 89503 Ib6 Proppant White Sand 40112 lb7 Proppant 26763 40112 lb

www.newfield.com Page 2/2 Report Printed:

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RECEIVED: Apr. 19, 2018

 

STATE OF UTAHDEPARTMENT OF NATURAL RESOURCES

DIVISION OF OIL, GAS, AND MINING 

FORM 9

5.LEASE DESIGNATION AND SERIAL NUMBER: UTU-50376

SUNDRY NOTICES AND REPORTS ON WELLSDo not use this form for proposals to drill new wells, significantly deepen existing wellsbelow current bottom-hole depth, reenter plugged wells, or to drill horizontal laterals.Use APPLICATION FOR PERMIT TO DRILL form for such proposals.

6. IF INDIAN, ALLOTTEE OR TRIBE NAME: 

7.UNIT or CA AGREEMENT NAME: GMBU (GRRV)

1. TYPE OF WELL  Water Injection Well 

8. WELL NAME and NUMBER: BOUNDARY FED 12-21

2. NAME OF OPERATOR: NEWFIELD PRODUCTION COMPANY

9. API NUMBER: 43013314400000

3. ADDRESS OF OPERATOR: PHONE NUMBER:  4 WATERWAY SQUARE PL STE 100 , THE WOODLANDS, TX, 77380  435-646-4802  

9. FIELD and POOL or WILDCAT: MONUMENT BUTTE

4. LOCATION OF WELL  FOOTAGES AT SURFACE:     1790 FSL 654 FWL  QTR/QTR, SECTION, TOWNSHIP, RANGE, MERIDIAN:     Qtr/Qtr: NWSW Section: 21 Township: 8S Range: 17E Meridian: S

COUNTY: DUCHESNE

STATE: UTAH

11.CHECK APPROPRIATE BOXES TO INDICATE NATURE OF NOTICE, REPORT, OR OTHER DATA

TYPE OFSUBMISSION TYPE OF ACTION

 

NOTICE OF INTENTApproximate date work will start:

SUBSEQUENT REPORTDate of Work Completion:

4/16/2018

SPUD REPORTDate of Spud:

DRILLING REPORTReport Date:

      ACIDIZE         ALTER CASING          CASING REPAIR  

      CHANGE TO PREVIOUS PLANS         CHANGE TUBING          CHANGE WELL NAME  

      CHANGE WELL STATUS         COMMINGLE PRODUCING FORMATIONS         CONVERT WELL TYPE  

      DEEPEN         FRACTURE TREAT          NEW CONSTRUCTION  

      OPERATOR CHANGE         PLUG AND ABANDON         PLUG BACK   

      PRODUCTION START OR RESUME         RECLAMATION OF WELL SITE         RECOMPLETE DIFFERENT FORMATION  

      REPERFORATE CURRENT FORMATION         SIDETRACK TO REPAIR WELL         TEMPORARY ABANDON  

      TUBING REPAIR         VENT OR FLARE         WATER DISPOSAL  

      WATER SHUTOFF          SI TA STATUS EXTENSION         APD EXTENSION  

      WILDCAT WELL DETERMINATION         OTHER   OTHER:  5 YR MIT

12. DESCRIBE PROPOSED OR COMPLETED OPERATIONS. Clearly show all pertinent details including dates, depths, volumes, etc.  A 5 YR MIT was performed on the above listed well. On 04/16/2018 the casingwas pressured up to 1095 psig and charted for 30 minutes with no pressure loss.The well was injecting during the test. The tbg pressure was 1494 psig during the

test. There was not an EPA representative available to witness the test. EPA#UT22197-09979

NAME (PLEASE PRINT)  PHONE NUMBER  Lucy Chavez-Naupoto 435 646-4874

TITLE Field Production Assistant

SIGNATURE N/A

DATE 4/19/2018

December 14, 2018

Sundry Number: 87566 API Well Number: 43013314400000

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RECEIVED: Apr. 19, 2018

Sundry Number: 87566 API Well Number: 43013314400000

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RECEIVED: Apr. 19, 2018

Sundry Number: 87566 API Well Number: 43013314400000