DEPARTMENT OF THE INTERIOR 5. Lease SerialNo.BUREAU OF LAND MANAGEMENT
14-20-H62-5063
APPLICATION FOR PERMIT TO DRILL OR REENTER6 IfIndian,AlloteeorTribeName
Ute Indian Tribe
la. Type of work: DRILL REENTER 7 If Unitor CAAgreement,Nameand No.
8. LeaseNameand WellNo.Ib. Type of Well: Oil Well GasWell Other SingleZone Multiple Zone Ute Tribal 5-13-56
2. Nameof Operator 9. API We No.FIML Natural Resources, LLC &Qj $
3a. Address 3b. PhoneNo.(include area code) 10. Field and Pool,or Exploratory410 17th Street, 9th Floor, Denver, CO 80202 303-893-5073 Wildcat
4. Locationof Well (Report location clearly and in acconlance with any Statemquirements *) 11.Sec.,T.RM or Blk.andSurveyor AreaAtsurface SWNW 1,980' FNL & 620' FWL
At proposed prod.zone Same as above l i / 7 ( Sec 13, T5S-R6W, U.S.B.&M.
14. Distance in miles and directionfromnearest townorpost office* 12. Countyor Parish 13. State40.6 miles southwest of Myton, Utah Duchesne Utah
21. Elevations (Showwhether DF,KDB, RT, GL,etc.) 21 Approximatedatework will start* 23. Estimatedduration7,160' GL (Ungraded) 01/08/2007 Seven days
24. AttachmentsThefollowing,completed inaccordancewith therequirements of OnshoreOiland GasOrderNo.1, shallbeattachedtothisform:
1. Wellplatcertified bya registered surveyor. 4. Bondto cover the operations unless covered by an existing bondon file (see2. A Drilling Plan. Item20 above)3. A SurfaceUse Plan (if the locationis on NationalForestSystemLands,the 5. Operatorcertification
SUPO shall be filedwith theappropriate ForestServiceOffice). 6. Suchother site specificinformationand/or plansas may be required by theauthorized officer.
25. Signature Name (Printed/Typed) DateMark Bingham 7/21/2006
TitleeniorV' President
ed by ) ^ Name(Printed/Typed) DateBRADLEYG. HILI.. O SI
Applicationapproval doesnot arrant or certify thattheapplicant holds legalorequitable titletothoserights inthesubject leasewhich would entitletheapplicanttoconductoperationsthereon.Conditionsof approval, if any, are attached.
Title 18U.S.C.Section1001andTitle 43 U.S.C.Section1212,make it a crime forany personknowinglyand willfully to make to any departmentor agency of the UnitedStatesany false,fictitiousor fraudulentstatements or representations as to any matter within itsjunsdiction.
*(Instructionson page 2)
FederalApproval of tidsAction is Necessary
RECEIVEDJUL28 2006
DIV.0FOIL,GAS&
UTE/FNR, LLC.TSS, R6 W, U.S. B. &M. Well location, UTE TRIBAL //5-13-56, located asshown in the SW 1/4 NW 1/4 of Section 13, T5S,oos alum. NB9'5J'18"W - 5257.68' (Meas.)R6W, U.S.B.&M., Duchesne County, Utah.Set Marked
stone BASIS OF ELEVATIONBENCH MARK (M67) LOCATED IN THE SW 1/4 OF SECTION 9,TSS, R4W, U.S.B.&M., TAKEN FROM THE DUCHESNE SEQUADRANGLE,UTAH, DUCHESNE COUNTY, 7.5 MINUTE QUAD.o (TOPOGRAPHIC MAP) PUBLISHED BY THE UNITED STATESDEPARTMENTOF THE INTERIOR, GEOLOGICALSURVEY. SAIDELEVATIONIS MARKED ON CAP AS BEING 6097 FEET.
BASIS OF BEARINGSBASIS OF BEARINGS IS A G.P.S. OBSERVATION.
620' Elev. Ungraded Ground = 7160
NSet Marked Stone
13
o o o
SCALE
CERTIFICATEtif pTHIS IS TO CERTIFYTHAT THE ABO RED FROM
FIELD NOTES OF ACTUALSURVEY MYRR SUPERVISIONAND THAT THE S UE AN T THE6 5 BEST OF MY KNOWLEDGEAND #,
EGI TERE SUR ORPle
foSones Set Marked Stonel
i UTAH16 9
SB9 35'09"W - 5289.87' (Meas.)
UINTAH ENGINEERING & URVEYING85 SOUTH 200 EAST - VERNAL, UTAH 84078
A. Start in Myton, Utah. Proceed west on US Highway 40, 8.8 miles to theAntelope Creek/Sowers Canyon Road at the Bridgeland turnoff. Turn southand then west and proceed 13.4 miles on the Sowers Canyon Road. Turn rightand go northeast and then northwest for approximately 5.5 miles toCottonwood Ridge Road. Turn left and go southwest for approximately 8.1miles to the new Ute Tribal 4-13-56 access road. Turn north (right) andproceed approximately 2.6 miles to the proposed Ute Tribal 5-13-56 welllocation.
B. The proposed well site is located approximately 40.6 miles southwest ofMyton, Utah - See attached Topographic Map "A".
C. Refer to attached Topographic Map "A".D. Existing roads will be maintained and repaired as necessary. No off lease
Right-of-Way will be required.
2. Planned Access Roads
See Topographic Map "B" for the location of the proposed access road.
3. Location of existing wells within a one mile radius of proposed well location
See Topographic Map "C" for the location of existing wells within a one-mile radius.
4. Location of Existing and lor Proposed Facilities
Please refer to FIML Natural Resources, LLC Standard Operating Procedure (SOPVersion: October 6, 2005).
5. Location and Type of Water Supply
A. Water supply will be from East Duchesne Water District, Arcadia, Utah.Section 28, T-3S, R-3W, Duchesne County, Utah. The water right number is43-10152.
B. Water will be hauled by Ute Tribal Water Service.C. No water well will be drilled on the lease.
- 1
6. Source of Construction Materials
Please refer to FIML Natural Resources, LLC Standard Operating Procedure (SOPVersion: October 6, 2005).
7. Method of Handling Waste Materials
Please refer to FIML Natural Resources, LLC Standard Operating Procedure (SOPVersion: October 6, 2005).
8. Ancillary Facilities
Please refer to FIML Natural Resources, LLC Standard Operating Procedure (SOPVersion: October 6, 2005).
9. Well Site Lavout
The attached Location Layout diagram describes drill pad cross-sections, cuts andfills, and locations of the mud tanks, reserve pit, pipe racks, trailer parking, spoil dirtstockpile(s) and top soil stockpile(s).
10. Plans for Restoration of the Surface
Please refer to FIML Natural Resources, LLC Standard Operating Procedure (SOPVersion: October 6, 2005).
11. Surface Ownership
Access Road: Ute Indian TribeLocation: Ute Indian Tribe
12. Other Information
Please refer to FIML Natural Resources, LLC Standard Operating Procedure (SOPVersion: October 6, 2005).
All lease and/or unit operations will be conducted in such a manner that fullcompliance is made with all applicable laws, regulations and Onshore Oil and GasOrders. FIML Natural Resources, LLC is fully responsible for the actions ofitssubcontractors. A copy of these conditions will be furnished to the fieldrepresentative to ensure compliance.
Certification:
I hereby certify that I, or persons under my direct supervision, have inspected theproposed drill site and access route; that I am familiar with the conditions thatpresently exist; that the statements made in this plan are, to the best of my knowledgeand belief, true and correct; and that the work associated with operations proposedherein will be performed by FIML Natural Resources, LLC and its contractors andsubcontractors in conformity with this plan and the terms and conditions under whichit was approved. This statement is subject to the provisions of 18 U.S. C. 1001 forthe filing of a false statement.
Date Rick L. ParksOperations ManagerFIML Natural Resources, LLC
- 3
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 truckrinsate, sandblast media, painting wastes, spend solvents, spilled chemicals, and wasteacids
• Vacuum truck and drum rinsate from trucks and drums, transporting or containingnonexempt 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 transportation pipeline-related pits
• Caustic or acid cleaners
• Boiler cleaning wastes
• Boiler refractory bricks
• Incinerator ash
• Laboratory wastes
• Sanitary wastes
• Pesticide waste
• Radioactive tracer wastes
• Drums, insulation, and miscellaneous
UTE/FNR, LLC.UTE TRIBAL #5-13-56
LOCATED IN DUCHESNE COUNTY, UTAHSECTION 13, T5S, R6W, U.S.B.&M.
PHOTO: VIEW FROM CORNER #5 TO LOCATION STAKE CAMERA ANGLE: NORTHEASTERLY
PHOTO: VIEW ALONG PROPOSED ACCESS FOR THE #4-13-56 CAMERA ANGLE: NORTHWESTERLY
, Uintah Engineering & Land Surveying TOPOGR A¯P
II I C 06 I 2 06 PHOTO
85 South 200 East Vernal, Utah 84078 Al A P soon uns man
TOTAL CUT = 25,380 CU.YDS.IJINTAH ENCINEERING & LAND SURVEYINGFILL = 10,120 CU.YDS' 85 So. 200 East * Vernal, Utah 84078 * (435)
DUCHESNE6
5.2 M +/-6
PROPOSED LOCATION: WWUTE TRIBAL #5-13-56
LEGEND: UTE/FNR, LLC.PROPOSED LOCATION N UTE TRIBAL #5-13-56
SECTION 13, TSS, R6W, U.S.B.&M.1980' FNL 620' FWL
Uintah Engineering & Land Surveying TOPOGR A PH I c 06 12 0685 South 2OO East Ver-nal, Utah 84078 M A P MONT DAY YEAR(435) 789-1017 * FAX (435) 789-1813
SCALE:1:100,000 DRAWNBY:C.P. REVISED:
PROPOSED LOCATION: ¯'
LEGEND: UTE/FNR, LLC.EXISTINGROAI) N UTE TRIBAL #5-13-56
MN TED PP GEØFHERML & WATER INJECTIONPP OIL g WATER SUPPLY FREPARED BY:DIANA WHITNEYSECONDARY WATER DISPOSAL DATE: 31-)ULY.2005TERMINATED e
JON M. HUNTSMAN, JR.Governor
GARY R. HERBERT'--..gg,,- Lieutenant Governor
State of Utah July 31, 2006
Department ofNatural Resources
MICHAEL R. STYLERExecutive Director
FIML Natural ResourcesDivision of 410 17th Street, 9th Fl.
Oil, Gas & Mining Denver, CO 80202JOHN R. BAZADivision Director
Re: Ute Tribal 5-13-56 Well, 1980' FNL, 620' FWL, SW NW, Sec. 13, T. 5 South,R. 6 West, Duchesne County, Utah
Gentlemen:
Pursuant to the provisions and requirements of Utah Code Ann.§ 40-6-1 etseq., Utah Administrative Code R649-3-1 et seq., and the attached Conditions ofApproval, approval to drill the referenced well is granted.
This approval shall expire one year from the above date unless substantial andcontinuous operation is underway, or a request for extension is made prior to theexpiration date. The API identification number assigned to this well is 43-013-33257.
S ce ,
Gil HuntAssociate Director
pabEnclosures
cc: Duchesne County AssessorBureau of Land Management, Vernal District Office
1594 West North Temple, Suite 1210, PO Box 145801, Salt Lake City, UT 84114-5801telephone (801) 538-5340 •facsimile (801) 359-3940•TTY (801) 538-7458
Operator: FIML Natural Resources
Well Name & Number Ute Tribal 5-13-56
API Number: 43-013-33257Lease: 14-20-H62-5063
Location: SW NW Sec. 13 T. 5 South R. 6 West
Conditions of Approval
1. GeneralCompliance with the requirements of Utah Admin. R. 649-1 et seq., the Oil and GasConservation General Rules, and the applicable terms and provisions of the approvedApplication for permit to drill.
2. Notification RequirementsNotify the Division within 24 hours of spudding the well.• Contact Carol Daniels at (801) 538-5284.
Notify the Division prior to commencing operations to plug and abandon the well.• Contact Dan Jarvis at (801) 538-5338
3. Reporting RequirementsAll required reports, forms and submittals will be promptly filed with the Division,including but not limited to the Entity Action Form (Form 6), Report of WaterEncountered During Drilling (Form 7), Weekly Progress Reports for drilling andcompletion operations, and Sundry Notices and Reports on Wells requesting approval ofchange of plans or other operational actions.
4. State approval of this well does not supersede the required federal approval, which must beobtained prior to drilling.
5. This proposed well is located in an area for which drilling units (well spacing patterns) havenot been established through an order of the Board of Oil, Gas and Mining (the "Board").In order to avoid the possibility of waste or injury to correlative rights, the operator isrequested, once the well has been drilled, completed, and has produced, to analyzegeological and engineering data generated therefrom, as well as any similar data fromsurrounding areas if available. As soon as is practicable after completion of its analysis,and if the analysis suggests an area larger than the quarter-quarter section upon which thewell is located is being drained, the operator is requested to seek an appropriate orderfrom the Board establishing drilling and spacing units in conformance with such analysisby filing a Request for Agency Action with the
COUllUlALFORMSSTATE OF UTAH
DEPARTMENT OF NATURALRESOURCESDIVISIONOF OIL, GAS AND MINING 5. LEASEDESIGNATIONANDSER1ALNUMBER:
14-20-H62-5063
SUNDRY NOTICES AND REPORTS ON WELLS6. 1 NDI N ALLOTTEEORTRIBENAME:
7. UNIT or CA AGREEMENT NAME:
Do not use this form for proposals to drill new wells, significantly deepen existing wells below current bottom-hole depth, reenter plugged wells, or to
drill horizontal laterals. Use APPLICATION FOR PERMIT TO DRILLform for such proposals.
1. TYPE OF WELL8. WELL NAME and NUMBER:
OIL WELL GAS WELL OTHER Ute Tribal 5-13-56
2. NAMEOF OPERATOR:9. API NUMBER:
FIML Natural Resources, LLC 4301333257
3. ADDRESS OF OPERATOR: PHONE NUMBER: 10. FIELD AND POOL, OR WILDCAT:
410 17th Street Ste. 900 CITYDenver STATE CO Z1P80202 (303) 893-5090 Wildcat
Company Permit Issued to: FIML Natural Resources, LLC
Date Original Permit Issued: 7/31/2006
The undersigned as owner with legal rights to drill on the property as permittedabove, hereby verifies that the information as submitted in the previouslyapproved application to drill, remains valid and does not require revision.
Following is a checklist of some items related to the application, which should beverified.
If located on private land, has the ownership changed, if so, has the surfaceagreement been updated? YesONom
Have any wells been drilled in the vicinityof the proposed well which would affectthe spacing or siting requirements for this location? YesO Nom
Has there been any unit or other agreements put in place that could affect thepermitting or operation of this proposed well? YesO NoO
Have there been any changes to the access route including ownership, or right-
of-way, which could affect the proposed location? YesO No O
Has the approved source of water for drillingchanged? YesO NoO
Have there been any physical changes to the surface location or access routewhich will require a change in plans from what was discussed at the onsiteevaluation? YesO NoO
Is bonding still in place, which covers this proposed well? YesŒNoO
7/27/2007
Signature Date
Title: Operations Assistant
Representing: FIML Natural Resources,
STATE OF UTAH FORM 9DEPARTMENT OF NATURALRESO
DIVISIONOF OIL, GAS AND M i 5. LEASE DESIGNATIONAND SERIAL NUMBER14-20-H62-5063
' SUNDRY NOTICES AND REPORTS ON WELLS 6 N N ALLOTTEEORTRIBENAME:
7. UNITor CA AGREEMENT NAME:Do not use thisform for proposals to drill new wells, significantly deepen existing wells below current bottom-hole depth, reenter plugged wells, or to
drill horizontal laterals. Use APPLICATION FOR PERMIT TO DRILLform for such proposals.1. TYPE OF WELL 8. WELL NAMEand NUMBER:
OIL WELL / GAS WELL OTHER Ute Tribal 5-13-562. NAMEOF OPERATOR: 9. API NUMBER:
FIMLNatural Resources, LLC 43013332573. ADDRESS OF OPERATOR PHONE NUMBER 10. FIELD AND POOL, OR WILDCAT:410 17th Street Ste. 900 ce Denver
sTATE CO ZIP 80202 (303) 893-5090 Wildcat4 LOCATION OF WELL
QTR/QTR, SECTION, TOWNSHIP, RANGE, MERIDIAN: SWNW 13 5S 6W STATE:UTAH
CHECK APPROPRIATE BOXES TO INDICATENATURE OF NOTICE, REPORT, OR OTHER DATATYPE OF SUBMISSION TYPE OF ACTION
O ACIDIZE DEEPEN REPERFORATE CURRENT FORMATIONNOTICE OF INTENT
(Submit in Duplicate) ALTER CASING FRACTURE TREAT SIDETRACK TO REPAIR WELL
Approximate date work willstart: CASING REPAIR NEW CONSTRUCTION TEMPORARILYABANDON
O CHANGE TO PREVIOUS PLANS OPERATOR CHANGE TUBING REPAIR
O CHANGE TUBING PLUG ANDABANDON VENT OR FLARE
SUBSEQUENT REPORT CHANGE WELL NAME PLUG BACK WATER DISPOSAL(Submit Original Form Only)
CHANGE WELL STATUS PRODUCTION (START/RESUME) WATER SHUT-OFFDate of work completion:
O COMMINGLEPRODUCING FORMATIONS RECLAMATIONOF WELL SITE OTHER: Request for permitO CONVERT WELLTYPE RECOMPLETE - DIFFERENT FORMATION OXÍGOSiOn
12. DESCRIBE PROPOSED OR COMPLETED OPERATIONS. Clearly show all pertinent details including dates, depths, volumes, etc.
FIML Natural Resources, LLC requests a permit extension for the Ute Tribal 5-13-56. Further evaluation of the area is neededprior to drillingthis well. The Request for Permit Extension Validation is attached.
Approvedby theUtah Divisionof
Oil,Gas and Mining
NAME(PLEASEPRINT) Casydra Parks- TITLE Regulatory Specialist
SIGNATUR DATE 7/24/2008
(This space for State use only)
COPYSENTTOOPERaon RECEIVEDDate: 'A' JUL29 2005(5/2000) (See Instructioris on Reverse Side)
DIV.0FOIL,GAS&
Application for Permit to DrillRequest for Permit Extension
Validation(this form should accompany the Sundry Notice requesting permit extension)
Company Permit Issued to: FIML Natural Resources, LLCDate Original Permit Issued: 7/31/2006
The undersigned as owner with legal rights to drill on the property as permittedabove, hereby verifies that the information as submitted in the previouslyapproved applicationto drill, remains valid and does not require revision.
Following is a checklist of some items related to the application, which should beverified.
If located on private land, has the ownership changed, if so, has the surfaceagreement been updated? Yes O No IZI
Have any wells been drilled in the vicinityof the proposed well which would affectthe spacing or siting requirements for this location? YesO NolZI
Has there been any unit or other agreements put in place that could affect thepermitting or operation of this proposed well? YesO Nol2I
Have there been any changes to the access route including ownership, or right-of-way, which could affect the proposed location? YesO No IZI
Has the approved source of water for drillingchanged? Yesl21NoO
Have there been any physical changes to the surface location or access routewhich will require a change in plans from what was discussed at the onsiteevaluation? YesO NoO
Is bonding still in place, which covers this proposed well? YesŒNoO
7/24/2008
Title: Regulatory Specialist
Representing: FIML Natural Resources, LLC
RECEIVEDJUL29 2008
DIV.0FOlL,GAS&
FIML NATURAL RESOURCES, LLC
July 28, 2008
Utah Division of Oil, Gas and Mining1594 West North Temple, Suite 1210P. O. Box 145801Salt Lake City, UT 84114-5801
Attn.: Ms. Diana Mason
RE: Source of Drilling Water
Dear Ms. Mason:
FIML Natural Resources, LLC water for drilling operations will now be hauled by BettsTrucking. It will come from Duchesne City, Utah. The water right number is 43-3651.
If any questions arise or need additional information is required, please contact the undersigned at303-893-5090.
Sincerely,
Regulatory Specialist
/cp ,
RECEIVEDJUL29 2008
4Ï0 17 Street, Suite 900 * Denver, CO 80202 * (303)893-5073 * Facsimile (30 -g
AS&
STATE OF UTAH FORM 9
O DEPARTMENT OF NATURALRESOURCDIVISIONOF OIL, GAS AND MINI 5. LEASE DESIGNATIONAND SERIAL NUMBER:
14-20-H62-50636. IF INDIAN,ALLOTTEEOR TRIBE NAME:
SUNDRY NOTICES AND REPORTS ON WELLS Ute Tribe7. UNIT or CA AGREEMENT NAME:
Do not use this form for proposals to drill new wells, significantly deepen existing wells below current bottom-hole depth, reenterplugged wells, or todrill horizontal laterals. Use APPLICATION FOR PERMIT TO DRILLform forsuch proposals.
1. TYPE OF WELL 8. WELL NAMEand NUMBER:OIL WELL GAS WELL OTHER Ute Tribal 5-13-56
2.NAMEOFOPERATOR: 9.APINUMBER:
FIMLNatural Resources, LLC 43013332573. ADDRESS OF OPERATOR: PHONE NUMBER: 10. FIELD AND POOL, OR WILDCAT:
410 17th Street Ste. 900 CITY DenverSTATE CO ZIP 80202 (303) 899-5603 Wildcat
QTRIQTR, SECTION, TOWNSHIP, RANGE, MERIDIAN: SWNW 13 5S 6W STATE:UTAH
CHECK APPROPRIATE BOXES TO INDICATENATURE OF NOTICE, REPORT, OR OTHER DATATYPE OF SUBMISSION TYPE OF ACTION
O ACIDIZE DEEPEN REPERFORATE CURRENT FORMATIONNOTICE OF INTENT
(Submit in Duplicate) ALTER CASING FRACTURE TREAT SIDETRACKTO REPAIR WELL
Approximate date work willstart: CASING REPAIR NEW CONSTRUCTION TEMPORARILYABANDON
O CHANGE TO PREVIOUS PLANS OPERATOR CHANGE TUBING REPAIR
O CHANGE TUBING PLUG ANDABANDON VENT OR FLARE
SUBSEQUENT REPORT CHANGE WELL NAME PLUG BACK WATER DISPOSAL(Submit Original Form Only}
CHANGE WELL STATUS PRODUCTION (START/RESUME) WATER SHUT-OFFDate of work completion:
COMMINGLEPRODUCING FORMATIONS RECLAMATIONOF WELLSITE OTHER: Request for permit
O CONVERT WELL TYPE RECOMPLETE - DIFFERENT FORMATION OXÍGOSiOn
12. DESCRIBE PROPOSED OR COMPLETED OPERATIONS. Clearly show all pertinent details including dates, depths, volumes, etc.
FlMLNatural Resources, LLC requests a permit extension for the Ute Tribal 5-13-56. Further evaluation of the area is neededprior to drillingthis well. The Request for Permit Extension Validation is attached.
Approvedby theUtahDivisionof
Oil,Gas and Mining
0810'. O COPYSENTTOOPERATOR
NAME (PLEASE PRINT) Elaine Winick TITLE Regulatory Specialist
SIGNATURE DATE 7/27/2009
(This space for State use only)
RECEIVED(5/2000) (See Instructions on Reverse Side)
DiVOFOILGAS&
Application for Permit to DrillRequest for Permit Extension
Validation(thisform should accompany the Sundry Notice requesting permit extension)
Company Permit Issued to: FIML Natural Resources, LLCDate Original Permit Issued: 7i31/2006
The undersigned as owner with legal rights to drill on the property as permittedabove, hereby verifies that the information as submitted in the previouslyapproved applicationto drill, remains valid and does not require revision.
Following is a checklist of some items related to the application, which should beverified.
If located on private land, has the ownership changed, if so, has the surfaceagreement been updated? Yes O NoIZI
Have any wells been drilled in the vicinityof the proposed well which would affectthe spacing or siting requirements for this location? YesO NolZI
Has there been any unit or other agreements put in place thatcould affect thepermitting or operation of this proposed well? YesO NolZI
Have there been any changes to the access route including ownership, or right-of-way, which could affect the proposed location? YesO No \Zl
Has the approved source of water for drillingchanged? YesO No2
Have there been any physical changes to the surface location or access routewhich willrequire a change in plans from what was discussed at the onsiteevaluation? Yes O NolZI
Is bonding still in place, which covers thisproposed well? YeslZINoO
7/27/2009
Signature Date
Title: Regulatory Specialist
Representing: FIML Natural Resources, LLC
RECEIVEDJUL2 9 2009
DIVOF01L.GAS&
API Well No: 43013332570000
STATE OF UTAHDEPARTMENT OF NATURAL RESOURCES
DIVISION OF OIL, GAS, AND MINING
FORM 9
5.LEASE DESIGNATION AND SERIAL NUMBER: 14-20-H62-5063
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: UTE
7.UNIT or CA AGREEMENT NAME:
1. TYPE OF WELL Oil Well
8. WELL NAME and NUMBER: UTE TRIBAL 5-13-56
2. NAME OF OPERATOR: FIML NATURAL RESOURCES, LLC (FNR)
9. API NUMBER: 43013332570000
3. ADDRESS OF OPERATOR: PHONE NUMBER: 410 17th Street Ste 900 , Denver, CO, 80202 303 893-5077 Ext
9. FIELD and POOL or WILDCAT: INDIAN CANYON
4. LOCATION OF WELL FOOTAGES AT SURFACE: 1980 FNL 0620 FWL QTR/QTR, SECTION, TOWNSHIP, RANGE, MERIDIAN: Qtr/Qtr: SWNW Section: 13 Township: 05.0S Range: 06.0W Meridian: U
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:
12/31/2010
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.
FIML Natural Resources, LLC requests a permit extension for the Ute Tribal5-13-56. Further evaluation of the area is needed prior to drilling this well.
The Request for Permit Extension Validation is attached.
NAME (PLEASE PRINT) PHONE NUMBER Karin Kuhn 303 899-5603
TITLE Sr. Drilling Technician
SIGNATURE N/A
DATE 7/30/2010
August 02, 2010
iPI Well No: 43013332570000
FORM 9
STATE OF UTAHDEPARTMENT OF NATURAL RESOURCES
DIVISION OF OIL, GAS, AND MINING 4E DE2sI50N6ATION AND SERIAL NUMBER:
SUNDRY NOTICES AND REPORTS ON WELLS FEINDIAN,ALLOTTEEORTRIBENAME:
Do not use this form for proposals to drill new wells, significantly deepen e×isting 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.
1. TYPE OF WELL 8. WELL NAME and NUMBER:Oil Well UTE TRIBAL 5-13-56
2. NAME OF OPERATOR: 9. API NUMBER:FIML NATURAL RESOURCES, LLC (FNR) 43013332570000
3. ADDRESS OF OPERATOR: PHONE NUMBER: 9. FIELD and POOL or WILDCAT:410 17th Street Ste 900 , Denver, CO, 80202 303 893-5077 Ext INDIAN CANYON
4.LOCATIONOFWELL COUNTY:FOOTAGES AT SURFACE: DUCHESNE
1980 FNL 0620 FWLQTR/QTR, SECTION, TOWNSHIP, RANGE, MERIDIAN: STATE:
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
12/31/2010CHANGE 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.
FIML Natural Resources, LLC requests a permit extension for the Ute Tribal5-13-56. Further evaluation of the area is needed prior to drilling this well. Approved by the
The Request for Permit Extension Validation is attached. Utah Division ofOil, Gas and Mining
Date: Au st 02, 2010
By:
NAME (PLEASE PRINT) PHONE NUMBER TITLEKarin Kuhn 303 899-5603 Sr. Drilling Technician
SIGNATURE DATEN/A
The Utah Division of Oil, Gas, and Mining
- State of Utah- Department of Natural Resources
Electronic Permitting System - Sundry Notices
Request for Permit Extension Validation Well Number 43013332570000
The undersigned as owner with legal rights to drill on the property as permitted above, hereby verifies thatthe information as submitted in the previously approved application to drill, remains valid and does notrequire revision. Following is a checklist of some items related to the application, which should be verified.
If located on private land, has the ownership changed, if so, has the surface agreement beenupdated? Yes No
Have any wells been drilled in the vicinity of the proposed well which would affect the spacing orsiting requirements for this location? Yes No
Has there been any unit or other agreements put in place that could affect the permitting or operationof this proposed well? Yes No
Have there been any changes to the access route including ownership, or rightof- way, which couldaffect the proposed location? Yes No
Has the approved source of water for drilling changed? Yes No
Have there been any physical changes to the surface location or access route which will require achange in plans from what was discussed at the onsite evaluation? Yes No
Is bonding still in place, which covers this proposed well? Yes No
The undersigned as owner with legal rights to drill on the property as permitted above, hereby verifies thatthe information as submitted in the previously approved application to drill, remains valid and does notrequire revision. Following is a checklist of some items related to the application, which should be verified.
•If located on private_land, has the ownership changed, if so, has the surface agreement beenupdated? I___|I Yes I_Ð_I No
• Have any wells been drilled in the vicinity of the_proposed well which would affect the spacing orsiting requirements for this location? I:___) Yes _®_) No
• Has there been any unit or other agreements put in place that could affect the permitting or operationof this proposed well? I i Yes i i No
• Have there been any changes to the access route including ownership, or rightof- way, which couldaffect the proposed location? I___) Yes I _I No
• Has the approved source of water for drilling changed? I __I Yes i i No
• Have there been any physical changes to the surface location or access route which will require achange in plans from what was discussed at the onsite evaluation? I___I Yes I®I No
Approved by the•Is bonding still in place, which covers this proposed well? I§|I Yes i i No Utah Division of
Oil, Gas and MiningSignature: Karin Kuhn Date: 7/30/2010
5.LEASE DESIGNATION AND SERIAL NUMBER: 14-20-H62-5063
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: UTE
7.UNIT or CA AGREEMENT NAME:
1. TYPE OF WELL Oil Well
8. WELL NAME and NUMBER: UTE TRIBAL 5-13-56
2. NAME OF OPERATOR: FIML NATURAL RESOURCES, LLC (FNR)
9. API NUMBER: 43013332570000
3. ADDRESS OF OPERATOR: PHONE NUMBER: 410 17th Street Ste 900 , Denver, CO, 80202 303 893-5077 Ext
9. FIELD and POOL or WILDCAT: INDIAN CANYON
4. LOCATION OF WELL FOOTAGES AT SURFACE: 1980 FNL 0620 FWL QTR/QTR, SECTION, TOWNSHIP, RANGE, MERIDIAN: Qtr/Qtr: SWNW Section: 13 Township: 05.0S Range: 06.0W Meridian: U
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:
12/31/2011
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.
FIML Natural Resources, LLC requests a permit extension for the Ute Tribal5-13-56. Further evaluation of the area is needed prior to drilling this well.
The Request for Permit Extension Validation is attached.
NAME (PLEASE PRINT) PHONE NUMBER Karin Kuhn 303 899-5603
TITLE Sr. Drilling Technician
SIGNATURE N/A
DATE 8/1/2011
08/01/2011
Aug. 01, 2011
Sundry Number: 17137 API Well Number: 43013332570000
FORM 9STATE OF UTAH
DEPARTMENT OF NATURAL RESOURCESDIVISION OF OIL, GAS, AND MINING 4
HD6E2-50N6ATIONAND SERIAL NUMBER:
SUNDRY NOTICES AND REPORTS ON WELLS FEINDIAN,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.
1. TYPE OF WELL 8. WELL NAME and NUMBER:Oil Well UTE TRIBAL 5-13-56
2. NAME OF OPERATOR: 9. API NUMBER:FIML NATURAL RESOURCES, LLC (FNR) 43013332570000
3. ADDRESS OF OPERATOR: PHONE NUMBER: 9. FIELD and POOL or WILDCAT:410 17th Street Ste 900 , Denver, CO, 80202 303 893-5077 E×t INDIAN CANYON
4.LOCATIONOFVVELL COUNTY:FOOTAGES AT SURFACE: DUCHESNE
1980 FNL 0620 FWLQTR/QTR, SECTION, TOWNSHIP, RANGE, MERIDIAN: STATE:
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
12/31/2011CHANGE 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
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 C( MPLETED OPERATIONS. Clearly show all pertinent details including dates, depths, volumes, etc.
FIML Natural Resources, LLC requests a permit extension for the Ute Tribal5-13-56. Further evaluation of the area is needed prior to drilling this well.
The Request for Permit Extension Validation is attached. Approved by theUtah Division of
Oil, Gas and Mining
Date: 08/01/2011
By:
NAME (PLEASE PRINT) PHONE NUMBER TITLEKarin Kuhn 303 899-5603 Sr. Drilling Technician
SIGNATURE DATEN/A
The Utah Division of Oil, Gas, and Mining
- State of Utah- Department of Natural Resources
Electronic Permitting System - Sundry Notices
Request for Permit Extension Validation Well Number 43013332570000
The undersigned as owner with legal rights to drill on the property as permitted above, hereby verifies thatthe information as submitted in the previously approved application to drill, remains valid and does notrequire revision. Following is a checklist of some items related to the application, which should be verified.
If located on private land, has the ownership changed, if so, has the surface agreement beenupdated? Yes No
Have any wells been drilled in the vicinity of the proposed well which would affect the spacing orsiting requirements for this location? Yes No
Has there been any unit or other agreements put in place that could affect the permitting or operationof this proposed well? Yes No
Have there been any changes to the access route including ownership, or rightof- way, which couldaffect the proposed location? Yes No
Has the approved source of water for drilling changed? Yes No
Have there been any physical changes to the surface location or access route which will require achange in plans from what was discussed at the onsite evaluation? Yes No
Is bonding still in place, which covers this proposed well? Yes No
The undersigned as owner with legal rights to drill on the property as permitted above, hereby verifies thatthe information as submitted in the previously approved application to drill, remains valid and does notrequire revision. Following is a checklist of some items related to the application, which should be verified.
•If located on private_land, has the ownership changed, if so, has the surface agreement beenupdated? O Yes No
• Have any wells been drilled in the vicinity of the roposed well which would affect the spacing orsiting requirements for this location? O Yes No
• Has there been any unit or other agreements put in place that could affect the permitting or operationof this proposed well? O Yes @ No
• Have there been any changes to the access route including ownership, or rightof- way, which couldaffect the proposed location? O Yes @ No
• Has the approved source of water for drilling changed? O Yes @ No
• Have there been any physical changes to the surface location or access route which will require achange in plans from what was discussed at the onsite evaluation? O Yes @ No
• Is bonding still in place, which covers this proposed well? @ Yes O No
BUREAU OF LAND MANAGEMENTGreen River District-Vernal Field Office
170 South 500 East TAKE PRIDE*
Vernal, UT 84078 INAMERICA(435) 781-4400 Fax: (435) 781-4410
http://www.blm.gov/ut/st/en/fo/vernal.html
JAN10 2012IN REPLY REFER TO:3160 (UTGO11)
Carol MellingerFIML Natural Resources, LLC410 17thStreet, Suite 900Denver, CO 80202
Re: Request to Return APDWell No. Ute Tribal 5-13-56SWNW, Sec. 13, T5S, R6WDuchesne County, UtahLease No. 14-20-H62-5063
Dear Ms. Mellinger:
The Application for Permit to Drill (APD) for the above referenced well received in this office onJuly 28, 2006 is being returned unapproved per a request to this office in a letter from SeniorVice President Mark D. Bingham received on December 8, 2011. Ifyou intend to drill at thislocation at a future date, a new APD must be submitted.
Ifyou have any questions regarding APD processing, please contactCindy Severson at (435)781-4455.
Sincerely,
Jerry KenczkaAssistant Field ManagerLands & Mineral Resources
cc: UDOGMBIAUte Tribe
RECEiVED
JAN1 8 2012
fšYOFOILGAS&
RECEIVED: Jul. 11, 2012
STATE OF UTAHDEPARTMENT OF NATURAL RESOURCES
DIVISION OF OIL, GAS, AND MINING
FORM 9
5.LEASE DESIGNATION AND SERIAL NUMBER: 14-20-H62-5063
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: UTE
7.UNIT or CA AGREEMENT NAME:
1. TYPE OF WELL Oil Well
8. WELL NAME and NUMBER: UTE TRIBAL 5-13-56
2. NAME OF OPERATOR: FIML NATURAL RESOURCES, LLC (FNR)
9. API NUMBER: 43013332570000
3. ADDRESS OF OPERATOR: PHONE NUMBER: 410 17th Street Ste 900 , Denver, CO, 80202 303 893-5077 Ext
9. FIELD and POOL or WILDCAT: INDIAN CANYON
4. LOCATION OF WELL FOOTAGES AT SURFACE: 1980 FNL 0620 FWL QTR/QTR, SECTION, TOWNSHIP, RANGE, MERIDIAN: Qtr/Qtr: SWNW Section: 13 Township: 05.0S Range: 06.0W Meridian: U
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:
12/31 /2012
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.
FIML Natural Resources, LLC requests a permit extension for the UteTribal 5-13-56. Further evaluation of the area is needed prior to drilling
this well. The Request for Permit Extension Validation is attached.
NAME (PLEASE PRINT) PHONE NUMBER Kristi Stover 303 893-5084
TITLE Sr Drilling Technicain
SIGNATURE N/A
DATE 7 /11 /2012
July 11, 2012
Sundry Number: 27684 API Well Number: 43013332570000Sundry Number: 27684 API Well Number: 43013332570000
FORM 9STATE OF UTAH
DEPARTMENTOF NATURALRESOURCES5.LEASE DESIGNATION AND SERIAL NUMBER:DIVISION OF OIL, GAS, AND MINING 14-20-H62-5063
SUNDRY NOTICES AND REPORTS ON WELLS 6 F 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.
1. TYPE OF WELL 8. WELL NAME and NUMBER:Oil Well UTE TRIBAL 5-13-56
2. NAME OF OPERATOR: 9. API NUMBER:FIMLNATURALRESOURCES, LLC(FNR) 43013332570000
3. ADDRESS OF OPERATOR: PHONE NUMBER: 9. FIELD and POOL or WILDCAT:410 17th Street Ste 900 , Denver, CO, 80202 303 893-5077 Ext INDIAN CANYON
4. LOCATION OF WELL COUNTY:FOOTAGES AT SURFACE: DUCHESNE
1980 FNL 0620 FWLQTRIQTR, SECTION, TOWNSHIP, RANGE, MERIDIAN: STATE:
CHECK APPROPRIATE BOXES TO INDICATENATURE OF NOTICE, REPORT, OR OTHER DATA
TYPE OF SUBMISSION TYPE OF ACTION
ACI DIZE ALTER CASING CASING REPAIRNOTICE OF INTENT
Approximate date work will start: CHANGE TO PREVIOUS PLANS CHANGE TUBING CHANGE WELL NAME
12/31/2012CHANGE 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 FORMATIONSPUD REPORT
Date 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:
WILDCATWELLDETERMINATION OTHER OTHER:
12. DESCRIBE PROPOSED OR COMPLETED OPERATIONS. Clearly show all pertinent details including dates, depths, volumes, etc.
FIML Natural Resources, LLC requests a permit extension for the Ute Approved by theTribal 5-13-56. Further evaluation of the area is needed prior to drilling utah Division of
this well. The Request for Permit Extension Validation is attached. Oil, Gas and Mining
Date: July 11, 2012
By:
NAME (PLEASE PRINT) PHONE NUMBER TITLEKristi Stover 303 893-5084 Sr Drilling Technicain
SIGNATURE DATEN/A 7/11/2012
RECEIVED: Jul. 11,
RECEIVED: Jul. 11, 2012
The Utah Division of Oil, Gas, and Mining
- State of Utah- Department of Natural Resources
Electronic Permitting System - Sundry Notices
Request for Permit Extension Validation Well Number 43013332570000
The undersigned as owner with legal rights to drill on the property as permitted above, hereby verifies that theinformation as submitted in the previously approved application to drill, remains valid and does not require revision.Following is a checklist of some items related to the application, which should be verified.
If located on private land, has the ownership changed, if so, has the surface agreement been updated? Yes No
Have any wells been drilled in the vicinity of the proposed well which would affect the spacing or sitingrequirements for this location? Yes No
Has there been any unit or other agreements put in place that could affect the permitting or operation of thisproposed well? Yes No
Have there been any changes to the access route including ownership, or rightof- way, which could affect theproposed location? Yes No
Has the approved source of water for drilling changed? Yes No
Have there been any physical changes to the surface location or access route which will require a change inplans from what was discussed at the onsite evaluation? Yes No
Is bonding still in place, which covers this proposed well? Yes No
Signature: Kristi Stover Date: 7 /11 /2012
Title: Sr Drilling Technicain Representing: FIML NATURAL RESOURCES, LLC (FNR)
Sundry Number: 27684 API Well Number: 43013332570000Sundry Number: 27684 API Well Number: 43013332570000
UTAH
DNR The Utah Division of Oil, Gas, and Mining'
- State of Utah- Department of Natural ResourcesElectronic Permitting System - Sundry Notices
OTI. EMI Pr N1NTrie
Request for Permit Extension Validation Well Number 43013332570000
API: 43013332570000Well Name: UTE TRIBAL 5-13-56
Location: 1980 FNL 0620 FWL QTR SWNW SEC 13 TWNP 050S RNG 060W MER UCompany Permit Issued to: FIMLNATURALRESOURCES, LLC(FNR)
Date Original Permit Issued: 7/31/2006
The undersigned as owner with legal rights to drill on the property as permitted above, hereby verifies that theinformation as submitted in the previously approved application to drill, remains valid and does not require revision.Following is a checklist of some items related to the application, which should be verified.
* If located on private land, has the ownership changed, if so, has the surface agreement been updated? OYes No
• Have any wells been drilled in the vicinity of the proposed well which would affect the spacing or sitingrequirements for this location? O Yes No
• Has there been any unit or other agreements put in place that could affect the permitting or operation of thisproposed well? (_) Yes No
• Have there been any changes to the access route including ownership, or rightof- way, which could affect theproposed location? O Yes i No
· Has the approved source of water for drilling changed? O Yes No
• Have there been any physical changes to the surface location or access route which will require a change inplans from what was discussed at the onsite evaluation? Yes No
' Is bonding still in place, which covers this proposed well? Yes No
Governor Division of Oil, Gas and MiningGREG BELL JOHN R. BAZA
Lieutenant Governor Division Director
November 9, 2012
Kristi StoverFIML Natural Resources, LLC410 17thStreet, Suite 900Denver, CO 80202
Re: APDs Rescinded for FIML Natural Resources, LLCDuchesne County
Dear Ms. Stover:
Enclosed find the list of APDs that you requested to be rescinded. No drillingactivity at these locations has been reported to the division. Therefore,approval to drill these wells is hereby rescinded, effective November 9, 2012.
A new APD must be filed with this office for approval prior to thecommencement of any future work on the subject location.
If any previously unreported operations have been performed on this welllocation, it is imperative that you notify the Division immediately.
Sincerely,
Environmental Scientist
cc: Well FileBureau of Land Management, Vernal
UTAH
DNR
1594 West North Temple, Suite 1210, PO Box 145801, Salt Lake City, UT 84114-5801telephone(801) 538-5340 • facsimile (801) 359-3940 • TTY (801) 538-7458 . www.ogm.utah.gov ca, GAS &
