View
2
Download
0
Category
Preview:
Citation preview
v.;BOOK: 73 PAGE: 245-247
DOC NUMBER: 2013-0538
ASSIGNMENT OF OIL AND GAS LEASE
KNOW ALL MEN BY THESE PRESENTS:
That H & H Development, LLC, hereinafter called Assignor, for and inconsideration of the sum of One Dollar ($1.00) the receipt of which is herebyacknowledged, does hereby assign, transfer, sell and convey unto IGWT, Inc.,hereinafter called Assignee, all right, title and interest in and to the Oil and GasLeases described in Exhibit "A", attached hereto, together with all the rights incidentthereto, the personal property thereon, appurtenant thereto, or used or obtained inconnection therewith.
This Assignment is made WITHOUT WARRANTY of any kind, express or implied,except that the Assignor assigns all warranties of title it may have with respect to theproperty herein conveyed.
EXECUTED this, 10 . day of 2013.H 86 H Development, LLC
By:_Kentoh L. Hupp, Managei lember
STATE OF KANSAS
COUNTY OF^DGuAC^)
)) SS:
er, M Iger/Member
BE IT REMEMBERED that on this . day of ., 2013, before me,
a Notary Public, in and for the County and State aforesaid, came Kenton L. Hupp,Manager/Member of H 8b H Development, LLC, a limited liability company organizedand existing under and by virtue of the laws of the State of Kansas, and who ispersonally known to me to be such officer and who is personally known to me to bethe same person who executed, as such officer, the within instrument of writing onbehalf of said company, and such person duly acknowledged the execution of thesame to be the act and deed of said company.
IN TESTIMONY WHEREOF, I have hereunto set my hand and affixed my officialseal the day and year last above written. J Hujpp
NOTARY PUBLld:My Appointment Expires:
MANDY HUPPNotoy Public - State ofiKansas
Mv Appt. Expires M fT^f 70(1
assign. book73jpage^5
i
1*
'■V "'T'" ■ "
;V; ' _ -
" fr./-, •'
/;!■: • i '■ Uifih
'.•'j : ' ,• ••) ■ i /• i
.iivji' i' i I
;
r.
- ■ i .
; ' ; . ■ ■ 'a' ' ■ \■
: : • . ; KS.'; :
I ■ '•
7:. .■ vi' ■
17. ■ '7 , .. .
f ASSIGN B00k22.P^GF^^
STATE OF KANSAS ). . ) SS:
COUNTY OF )
BE IT REMEMBERED that on this day of 2013, before me,a Notary Public, in and for the County and State aforesaid, came Jay Harper,Manager/Member of H 8b H Development, LLC, a limited liability company organizedand existing under and by virtue of the laws of the State of Kansas, and who ispersonally known to me to be such officer and who is personally known to me to bethe same person who executed, as such officer, the within instmment of writing onbehalf of said company, and such person duly acknowledged the execution of thesame to be the act and deed of said company.
IN TESTIMONY WHEREOF, 1 have hereunto set my hand and affixed my officialseal the day and year last above written.
NOTARY PUBLIC
My Appointment Expires:
3r_b —"SuiMn;: potter 'Nfliary Public • SUW
My Appt
EXHIBIT "A"
LESSOR
LESSEE
DATE
RECORDED
PRIMARY TERM
PROPERTY
Verdigris Valley Ranch, LLCH & H Development, LLCJuly 1, 2011Book 51, Oil & Gas, P^e 303Three yearsSW/4, Section 25, T22S, R12E, Greenwood County,Kansas
LESSOR
LESSEE
DATE
RECORDED
PRIMARY TERM
PROPERTY
Shell Rock Enterprises, Inc.H 86 H Development, LLCJuly 1, 2011Book 51, Oil 86 Gas, Page 311Three yearsE/2, Section 9, T23S, RlOE,Kansas
Greenwood County,
LESSOR
LESSEE
DATE
RECORDED
PRIMARY TERM
PROPERTY
Shell Rock Enterprises, Inc.H 86 H Development, LLCJuly 1,2011Book 51, Oil 85 Gas, Page 307Three yearsSE/4 of Sec 26-22S-12E and SW/4 of Sec 26-22S-12E (Except a 14 acre tract beginning at a point onthe West line of said SW 1 /4, lying 573.60 feet Northof the Southwest comer of said SW 1/4; Thencecontinuing North on said West line for a distance of1067.38 feet to an,iron pin; Thence at an angle of90° to the right for a distance of 558.60 feet to aniron pin; Thence at an angle of 90° to the right, adistance of 1067.38 feet to an iron pin; Thence at anan^e of 90° to the right, a distance of 558.60 feet tothe point of beginning.) (306 acres)AND
N/2 of the NE/4 of Sec 35-22S-12E and NE/4 of theNW/4 of Sec 35-22S-12E (120 acres)All in Greenwood County, Kansas
SEAL
GREENWOOD CO, KANSAS FEE: S 16.00This instrument was Filed on this day ofMay 14, 2013 at 8:54 AM and duly enteredin book 73 of ASSIGNMENT OF lEASE page 245
Register<1 Deputy
ASSIGN. BOOkILpAGE2*41
Geological Date:
Formation Name FormationTopFormationBase CompletionInformation
1. At: to FeetPerforationInterval to FeetorOpenHoleInterval to Feet
2. At: to FeetPerforationInterval to FeetorOpenHoleInterval to Feet
KANSASCORPORATIONCOMMISSIONOIL&GASCONSERVATIONDIVISION
TEMPORARY ABANDONMENT WELL APPLICATION
Form CP-111 July 2017
Form must be Typed Form must be signed
All blanks must be complete
OPERATOR:License#
Name:
Address1:
Address2:
City: State: Zip: +
ContactPerson:
Phone:
ContactPersonEmail:
FieldContactPerson:
FieldContactPersonPhone:
Conductor Surface Intermediate Tubing
APINo.15-
SpotDescription:
- - - Sec. Twp. S.R. EW
feetfromN/SLineofSection
feetfromE/WLineofSection
GPSLocation:Lat: ,Long:
Datum:NAD27NAD83WGS84
County: Elevation: GLKB
LeaseName: Well#:
WellType:(check one) OilGasOGWSWOther:
SWDPermit#: ENHRPermit#:
GasStoragePermit#:
SpudDate: DateShut-In:
Liner
Size
SettingDepth
AmountofCement
TopofCement
BottomofCement
DoyouhaveavalidOil&GasLease?YesNo
DepthandType:JunkinHoleat ToolsinHoleat CasingLeaks:YesNoDepthofcasingleak(s):
TypeCompletion:ALT.IALT.IIDepthof:DVTool: w/ sacksofcementPortCollar: w/ sackofcement
PackerType: Size: InchSetat: Feet
TotalDepth: PlugBackDepth: PlugBackMethod:
ReviewCompletedby: Comments:
TAApproved:Yes Denied Date:
UNDER PENALTY OF PERJURY I HEREBY ATTEST THAT THE INFORMATION CONTAINED HEREIN IS TRUE AND CORRECT TO THE BEST OF MY KNOWLEDGE.
Date: Signature: Title:
()
( )
KCCDistrictOffice#1-210E.Frontview,SuiteA,DodgeCity,KS67801 Phone620.682.7933
KCCDistrictOffice#2-3450N.RockRoad,Building600,Suite601,Wichita,KS67226 Phone316.337.7400
KCCDistrictOffice#3-137 E. 21st St., Chanute, KS 66720 Phone620.902.6450
KCCDistrictOffice#4-2301E.13thStreet,Hays,KS67601-2651 Phone785.261.6250
Do NOT Write in This DateTested: Results: DatePlugged: DateRepaired: DatePutBackinService:
Space - KCC USE ONLY
Mail to the Appropriate KCC Conservation Office:
(e.g. xx.xxxxx) (e.g. -xxx.xxxxx)
CasingFluidLevelfromSurface: HowDetermined? Date:
CasingSqueeze(s): to w/ sacksofcement, to w/ sacksofcement.Date:(top) (bottom) (top) (bottom)
Production
(depth) (depth)
(depth) (depth)
KOLAR Document ID: 1359738
Submitted Electronically
August 28, 2017
Kenton HuppIGWT, Inc.P.O. BOX 550ROSE HILL, KS 67133
Re:Temporary AbandonmentAPI 15-073-21211-00-02WERNLI 1SW/4 Sec.25-22S-12EGreenwood County, Kansas
Dear Kenton Hupp:
"Your temporary abandonment (TA) application for the well listed above has been approved.In accordance with K.A.R. 82-3-111 the TA status of this well will expire 08/28/2018.
* If you return this well to service or plug it, please notify the District Office.
* If you sell this well you are required to file a Transfer of Operator form, T-1.
* If the well will remain temporarily abandoned, you must submit a new TA application, CP-111,before 08/28/2018.
You may contact me at the number above if you have questions.
Very truly yours,
Mike Heffern"
Geological Date:
Formation Name FormationTopFormationBase CompletionInformation
1. At: to FeetPerforationInterval to FeetorOpenHoleInterval to Feet
2. At: to FeetPerforationInterval to FeetorOpenHoleInterval to Feet
KANSASCORPORATIONCOMMISSIONOIL&GASCONSERVATIONDIVISION
TEMPORARY ABANDONMENT WELL APPLICATION
Form CP-111 July 2017
Form must be Typed Form must be signed
All blanks must be complete
OPERATOR:License#
Name:
Address1:
Address2:
City: State: Zip: +
ContactPerson:
Phone:
ContactPersonEmail:
FieldContactPerson:
FieldContactPersonPhone:
Conductor Surface Intermediate Tubing
APINo.15-
SpotDescription:
- - - Sec. Twp. S.R. EW
feetfromN/SLineofSection
feetfromE/WLineofSection
GPSLocation:Lat: ,Long:
Datum:NAD27NAD83WGS84
County: Elevation: GLKB
LeaseName: Well#:
WellType:(check one) OilGasOGWSWOther:
SWDPermit#: ENHRPermit#:
GasStoragePermit#:
SpudDate: DateShut-In:
Liner
Size
SettingDepth
AmountofCement
TopofCement
BottomofCement
DoyouhaveavalidOil&GasLease?YesNo
DepthandType:JunkinHoleat ToolsinHoleat CasingLeaks:YesNoDepthofcasingleak(s):
TypeCompletion:ALT.IALT.IIDepthof:DVTool: w/ sacksofcementPortCollar: w/ sackofcement
PackerType: Size: InchSetat: Feet
TotalDepth: PlugBackDepth: PlugBackMethod:
ReviewCompletedby: Comments:
TAApproved:Yes Denied Date:
UNDER PENALTY OF PERJURY I HEREBY ATTEST THAT THE INFORMATION CONTAINED HEREIN IS TRUE AND CORRECT TO THE BEST OF MY KNOWLEDGE.
Date: Signature: Title:
()
( )
KCCDistrictOffice#1-210E.Frontview,SuiteA,DodgeCity,KS67801 Phone620.682.7933
KCCDistrictOffice#2-3450N.RockRoad,Building600,Suite601,Wichita,KS67226 Phone316.337.7400
KCCDistrictOffice#3-137 E. 21st St., Chanute, KS 66720 Phone620.902.6450
KCCDistrictOffice#4-2301E.13thStreet,Hays,KS67601-2651 Phone785.261.6250
Do NOT Write in This DateTested: Results: DatePlugged: DateRepaired: DatePutBackinService:
Space - KCC USE ONLY
Mail to the Appropriate KCC Conservation Office:
(e.g. xx.xxxxx) (e.g. -xxx.xxxxx)
CasingFluidLevelfromSurface: HowDetermined? Date:
CasingSqueeze(s): to w/ sacksofcement, to w/ sacksofcement.Date:(top) (bottom) (top) (bottom)
Production
(depth) (depth)
(depth) (depth)
KOLAR Document ID: 1359743
Submitted Electronically
August 28, 2017
Kenton HuppIGWT, Inc.P.O. BOX 550ROSE HILL, KS 67133
Re:Temporary AbandonmentAPI 15-073-21911-00-02WERNLI 3SW/4 Sec.25-22S-12EGreenwood County, Kansas
Dear Kenton Hupp:
"Your temporary abandonment (TA) application for the well listed above has been approved.In accordance with K.A.R. 82-3-111 the TA status of this well will expire 08/28/2018.
* If you return this well to service or plug it, please notify the District Office.
* If you sell this well you are required to file a Transfer of Operator form, T-1.
* If the well will remain temporarily abandoned, you must submit a new TA application, CP-111,before 08/28/2018.
You may contact me at the number above if you have questions.
Very truly yours,
Mike Heffern"
Geological Date:
Formation Name FormationTopFormationBase CompletionInformation
1. At: to FeetPerforationInterval to FeetorOpenHoleInterval to Feet
2. At: to FeetPerforationInterval to FeetorOpenHoleInterval to Feet
KANSASCORPORATIONCOMMISSIONOIL&GASCONSERVATIONDIVISION
TEMPORARY ABANDONMENT WELL APPLICATION
Form CP-111 July 2017
Form must be Typed Form must be signed
All blanks must be complete
OPERATOR:License#
Name:
Address1:
Address2:
City: State: Zip: +
ContactPerson:
Phone:
ContactPersonEmail:
FieldContactPerson:
FieldContactPersonPhone:
Conductor Surface Intermediate Tubing
APINo.15-
SpotDescription:
- - - Sec. Twp. S.R. EW
feetfromN/SLineofSection
feetfromE/WLineofSection
GPSLocation:Lat: ,Long:
Datum:NAD27NAD83WGS84
County: Elevation: GLKB
LeaseName: Well#:
WellType:(check one) OilGasOGWSWOther:
SWDPermit#: ENHRPermit#:
GasStoragePermit#:
SpudDate: DateShut-In:
Liner
Size
SettingDepth
AmountofCement
TopofCement
BottomofCement
DoyouhaveavalidOil&GasLease?YesNo
DepthandType:JunkinHoleat ToolsinHoleat CasingLeaks:YesNoDepthofcasingleak(s):
TypeCompletion:ALT.IALT.IIDepthof:DVTool: w/ sacksofcementPortCollar: w/ sackofcement
PackerType: Size: InchSetat: Feet
TotalDepth: PlugBackDepth: PlugBackMethod:
ReviewCompletedby: Comments:
TAApproved:Yes Denied Date:
UNDER PENALTY OF PERJURY I HEREBY ATTEST THAT THE INFORMATION CONTAINED HEREIN IS TRUE AND CORRECT TO THE BEST OF MY KNOWLEDGE.
Date: Signature: Title:
()
( )
KCCDistrictOffice#1-210E.Frontview,SuiteA,DodgeCity,KS67801 Phone620.682.7933
KCCDistrictOffice#2-3450N.RockRoad,Building600,Suite601,Wichita,KS67226 Phone316.337.7400
KCCDistrictOffice#3-137 E. 21st St., Chanute, KS 66720 Phone620.902.6450
KCCDistrictOffice#4-2301E.13thStreet,Hays,KS67601-2651 Phone785.261.6250
Do NOT Write in This DateTested: Results: DatePlugged: DateRepaired: DatePutBackinService:
Space - KCC USE ONLY
Mail to the Appropriate KCC Conservation Office:
(e.g. xx.xxxxx) (e.g. -xxx.xxxxx)
CasingFluidLevelfromSurface: HowDetermined? Date:
CasingSqueeze(s): to w/ sacksofcement, to w/ sacksofcement.Date:(top) (bottom) (top) (bottom)
Production
(depth) (depth)
(depth) (depth)
KOLAR Document ID: 1364511
Submitted Electronically
August 28, 2017
Kenton HuppIGWT, Inc.P.O. BOX 550ROSE HILL, KS 67133
Re:Temporary AbandonmentAPI 15-073-01772-00-00WERNLI 8SW/4 Sec.25-22S-12EGreenwood County, Kansas
Dear Kenton Hupp:
"Your temporary abandonment (TA) application for the well listed above has been approved.In accordance with K.A.R. 82-3-111 the TA status of this well will expire 08/28/2018.
* If you return this well to service or plug it, please notify the District Office.
* If you sell this well you are required to file a Transfer of Operator form, T-1.
* If the well will remain temporarily abandoned, you must submit a new TA application, CP-111,before 08/28/2018.
You may contact me at the number above if you have questions.
Very truly yours,
Mike Heffern"
Geological Date:
Formation Name FormationTopFormationBase CompletionInformation
1. At: to FeetPerforationInterval to FeetorOpenHoleInterval to Feet
2. At: to FeetPerforationInterval to FeetorOpenHoleInterval to Feet
KANSASCORPORATIONCOMMISSIONOIL&GASCONSERVATIONDIVISION
TEMPORARY ABANDONMENT WELL APPLICATION
Form CP-111 July 2017
Form must be Typed Form must be signed
All blanks must be complete
OPERATOR:License#
Name:
Address1:
Address2:
City: State: Zip: +
ContactPerson:
Phone:
ContactPersonEmail:
FieldContactPerson:
FieldContactPersonPhone:
Conductor Surface Intermediate Tubing
APINo.15-
SpotDescription:
- - - Sec. Twp. S.R. EW
feetfromN/SLineofSection
feetfromE/WLineofSection
GPSLocation:Lat: ,Long:
Datum:NAD27NAD83WGS84
County: Elevation: GLKB
LeaseName: Well#:
WellType:(check one) OilGasOGWSWOther:
SWDPermit#: ENHRPermit#:
GasStoragePermit#:
SpudDate: DateShut-In:
Liner
Size
SettingDepth
AmountofCement
TopofCement
BottomofCement
DoyouhaveavalidOil&GasLease?YesNo
DepthandType:JunkinHoleat ToolsinHoleat CasingLeaks:YesNoDepthofcasingleak(s):
TypeCompletion:ALT.IALT.IIDepthof:DVTool: w/ sacksofcementPortCollar: w/ sackofcement
PackerType: Size: InchSetat: Feet
TotalDepth: PlugBackDepth: PlugBackMethod:
ReviewCompletedby: Comments:
TAApproved:Yes Denied Date:
UNDER PENALTY OF PERJURY I HEREBY ATTEST THAT THE INFORMATION CONTAINED HEREIN IS TRUE AND CORRECT TO THE BEST OF MY KNOWLEDGE.
Date: Signature: Title:
()
( )
KCCDistrictOffice#1-210E.Frontview,SuiteA,DodgeCity,KS67801 Phone620.682.7933
KCCDistrictOffice#2-3450N.RockRoad,Building600,Suite601,Wichita,KS67226 Phone316.337.7400
KCCDistrictOffice#3-137 E. 21st St., Chanute, KS 66720 Phone620.902.6450
KCCDistrictOffice#4-2301E.13thStreet,Hays,KS67601-2651 Phone785.261.6250
Do NOT Write in This DateTested: Results: DatePlugged: DateRepaired: DatePutBackinService:
Space - KCC USE ONLY
Mail to the Appropriate KCC Conservation Office:
(e.g. xx.xxxxx) (e.g. -xxx.xxxxx)
CasingFluidLevelfromSurface: HowDetermined? Date:
CasingSqueeze(s): to w/ sacksofcement, to w/ sacksofcement.Date:(top) (bottom) (top) (bottom)
Production
(depth) (depth)
(depth) (depth)
KOLAR Document ID: 1364526
Submitted Electronically
August 28, 2017
Kenton HuppIGWT, Inc.P.O. BOX 550ROSE HILL, KS 67133
Re:Temporary AbandonmentAPI 15-073-23404-00-00WERNLI 9SW/4 Sec.25-22S-12EGreenwood County, Kansas
Dear Kenton Hupp:
"Your temporary abandonment (TA) application for the well listed above has been approved.In accordance with K.A.R. 82-3-111 the TA status of this well will expire 08/28/2018.
* If you return this well to service or plug it, please notify the District Office.
* If you sell this well you are required to file a Transfer of Operator form, T-1.
* If the well will remain temporarily abandoned, you must submit a new TA application, CP-111,before 08/28/2018.
You may contact me at the number above if you have questions.
Very truly yours,
Mike Heffern"
Geological Date:
Formation Name FormationTopFormationBase CompletionInformation
1. At: to FeetPerforationInterval to FeetorOpenHoleInterval to Feet
2. At: to FeetPerforationInterval to FeetorOpenHoleInterval to Feet
KANSASCORPORATIONCOMMISSIONOIL&GASCONSERVATIONDIVISION
TEMPORARY ABANDONMENT WELL APPLICATION
Form CP-111 July 2017
Form must be Typed Form must be signed
All blanks must be complete
OPERATOR:License#
Name:
Address1:
Address2:
City: State: Zip: +
ContactPerson:
Phone:
ContactPersonEmail:
FieldContactPerson:
FieldContactPersonPhone:
Conductor Surface Intermediate Tubing
APINo.15-
SpotDescription:
- - - Sec. Twp. S.R. EW
feetfromN/SLineofSection
feetfromE/WLineofSection
GPSLocation:Lat: ,Long:
Datum:NAD27NAD83WGS84
County: Elevation: GLKB
LeaseName: Well#:
WellType:(check one) OilGasOGWSWOther:
SWDPermit#: ENHRPermit#:
GasStoragePermit#:
SpudDate: DateShut-In:
Liner
Size
SettingDepth
AmountofCement
TopofCement
BottomofCement
DoyouhaveavalidOil&GasLease?YesNo
DepthandType:JunkinHoleat ToolsinHoleat CasingLeaks:YesNoDepthofcasingleak(s):
TypeCompletion:ALT.IALT.IIDepthof:DVTool: w/ sacksofcementPortCollar: w/ sackofcement
PackerType: Size: InchSetat: Feet
TotalDepth: PlugBackDepth: PlugBackMethod:
ReviewCompletedby: Comments:
TAApproved:Yes Denied Date:
UNDER PENALTY OF PERJURY I HEREBY ATTEST THAT THE INFORMATION CONTAINED HEREIN IS TRUE AND CORRECT TO THE BEST OF MY KNOWLEDGE.
Date: Signature: Title:
()
( )
KCCDistrictOffice#1-210E.Frontview,SuiteA,DodgeCity,KS67801 Phone620.682.7933
KCCDistrictOffice#2-3450N.RockRoad,Building600,Suite601,Wichita,KS67226 Phone316.337.7400
KCCDistrictOffice#3-137 E. 21st St., Chanute, KS 66720 Phone620.902.6450
KCCDistrictOffice#4-2301E.13thStreet,Hays,KS67601-2651 Phone785.261.6250
Do NOT Write in This DateTested: Results: DatePlugged: DateRepaired: DatePutBackinService:
Space - KCC USE ONLY
Mail to the Appropriate KCC Conservation Office:
(e.g. xx.xxxxx) (e.g. -xxx.xxxxx)
CasingFluidLevelfromSurface: HowDetermined? Date:
CasingSqueeze(s): to w/ sacksofcement, to w/ sacksofcement.Date:(top) (bottom) (top) (bottom)
Production
(depth) (depth)
(depth) (depth)
KOLAR Document ID: 1359737
Submitted Electronically
August 28, 2017
Kenton L. HuppIGWT, Inc.P.O. BOX 550ROSE HILL, KS 67133
Re:Temporary AbandonmentAPI 15-073-23376-00-00WERNLI 11SW/4 Sec.25-22S-12EGreenwood County, Kansas
Dear Kenton L. Hupp:
"Your temporary abandonment (TA) application for the well listed above has been approved.In accordance with K.A.R. 82-3-111 the TA status of this well will expire 08/28/2018.
* If you return this well to service or plug it, please notify the District Office.
* If you sell this well you are required to file a Transfer of Operator form, T-1.
* If the well will remain temporarily abandoned, you must submit a new TA application, CP-111,before 08/28/2018.
You may contact me at the number above if you have questions.
Very truly yours,
Mike Heffern"
Geological Date:
Formation Name FormationTopFormationBase CompletionInformation
1. At: to FeetPerforationInterval to FeetorOpenHoleInterval to Feet
2. At: to FeetPerforationInterval to FeetorOpenHoleInterval to Feet
KANSASCORPORATIONCOMMISSIONOIL&GASCONSERVATIONDIVISION
TEMPORARY ABANDONMENT WELL APPLICATION
Form CP-111 July 2017
Form must be Typed Form must be signed
All blanks must be complete
OPERATOR:License#
Name:
Address1:
Address2:
City: State: Zip: +
ContactPerson:
Phone:
ContactPersonEmail:
FieldContactPerson:
FieldContactPersonPhone:
Conductor Surface Intermediate Tubing
APINo.15-
SpotDescription:
- - - Sec. Twp. S.R. EW
feetfromN/SLineofSection
feetfromE/WLineofSection
GPSLocation:Lat: ,Long:
Datum:NAD27NAD83WGS84
County: Elevation: GLKB
LeaseName: Well#:
WellType:(check one) OilGasOGWSWOther:
SWDPermit#: ENHRPermit#:
GasStoragePermit#:
SpudDate: DateShut-In:
Liner
Size
SettingDepth
AmountofCement
TopofCement
BottomofCement
DoyouhaveavalidOil&GasLease?YesNo
DepthandType:JunkinHoleat ToolsinHoleat CasingLeaks:YesNoDepthofcasingleak(s):
TypeCompletion:ALT.IALT.IIDepthof:DVTool: w/ sacksofcementPortCollar: w/ sackofcement
PackerType: Size: InchSetat: Feet
TotalDepth: PlugBackDepth: PlugBackMethod:
ReviewCompletedby: Comments:
TAApproved:Yes Denied Date:
UNDER PENALTY OF PERJURY I HEREBY ATTEST THAT THE INFORMATION CONTAINED HEREIN IS TRUE AND CORRECT TO THE BEST OF MY KNOWLEDGE.
Date: Signature: Title:
()
( )
KCCDistrictOffice#1-210E.Frontview,SuiteA,DodgeCity,KS67801 Phone620.682.7933
KCCDistrictOffice#2-3450N.RockRoad,Building600,Suite601,Wichita,KS67226 Phone316.337.7400
KCCDistrictOffice#3-137 E. 21st St., Chanute, KS 66720 Phone620.902.6450
KCCDistrictOffice#4-2301E.13thStreet,Hays,KS67601-2651 Phone785.261.6250
Do NOT Write in This DateTested: Results: DatePlugged: DateRepaired: DatePutBackinService:
Space - KCC USE ONLY
Mail to the Appropriate KCC Conservation Office:
(e.g. xx.xxxxx) (e.g. -xxx.xxxxx)
CasingFluidLevelfromSurface: HowDetermined? Date:
CasingSqueeze(s): to w/ sacksofcement, to w/ sacksofcement.Date:(top) (bottom) (top) (bottom)
Production
(depth) (depth)
(depth) (depth)
KOLAR Document ID: 1359736
Submitted Electronically
August 28, 2017
Kenton L. HuppIGWT, Inc.P.O. BOX 550ROSE HILL, KS 67133
Re:Temporary AbandonmentAPI 15-073-23052-00-02WERNLI 12SW/4 Sec.25-22S-12EGreenwood County, Kansas
Dear Kenton L. Hupp:
"Your temporary abandonment (TA) application for the well listed above has been approved.In accordance with K.A.R. 82-3-111 the TA status of this well will expire 08/28/2018.
* If you return this well to service or plug it, please notify the District Office.
* If you sell this well you are required to file a Transfer of Operator form, T-1.
* If the well will remain temporarily abandoned, you must submit a new TA application, CP-111,before 08/28/2018.
You may contact me at the number above if you have questions.
Very truly yours,
Mike Heffern"
Geological Date:
Formation Name FormationTopFormationBase CompletionInformation
1. At: to FeetPerforationInterval to FeetorOpenHoleInterval to Feet
2. At: to FeetPerforationInterval to FeetorOpenHoleInterval to Feet
KANSASCORPORATIONCOMMISSIONOIL&GASCONSERVATIONDIVISION
TEMPORARY ABANDONMENT WELL APPLICATION
Form CP-111 July 2017
Form must be Typed Form must be signed
All blanks must be complete
OPERATOR:License#
Name:
Address1:
Address2:
City: State: Zip: +
ContactPerson:
Phone:
ContactPersonEmail:
FieldContactPerson:
FieldContactPersonPhone:
Conductor Surface Intermediate Tubing
APINo.15-
SpotDescription:
- - - Sec. Twp. S.R. EW
feetfromN/SLineofSection
feetfromE/WLineofSection
GPSLocation:Lat: ,Long:
Datum:NAD27NAD83WGS84
County: Elevation: GLKB
LeaseName: Well#:
WellType:(check one) OilGasOGWSWOther:
SWDPermit#: ENHRPermit#:
GasStoragePermit#:
SpudDate: DateShut-In:
Liner
Size
SettingDepth
AmountofCement
TopofCement
BottomofCement
DoyouhaveavalidOil&GasLease?YesNo
DepthandType:JunkinHoleat ToolsinHoleat CasingLeaks:YesNoDepthofcasingleak(s):
TypeCompletion:ALT.IALT.IIDepthof:DVTool: w/ sacksofcementPortCollar: w/ sackofcement
PackerType: Size: InchSetat: Feet
TotalDepth: PlugBackDepth: PlugBackMethod:
ReviewCompletedby: Comments:
TAApproved:Yes Denied Date:
UNDER PENALTY OF PERJURY I HEREBY ATTEST THAT THE INFORMATION CONTAINED HEREIN IS TRUE AND CORRECT TO THE BEST OF MY KNOWLEDGE.
Date: Signature: Title:
()
( )
KCCDistrictOffice#1-210E.Frontview,SuiteA,DodgeCity,KS67801 Phone620.682.7933
KCCDistrictOffice#2-3450N.RockRoad,Building600,Suite601,Wichita,KS67226 Phone316.337.7400
KCCDistrictOffice#3-137 E. 21st St., Chanute, KS 66720 Phone620.902.6450
KCCDistrictOffice#4-2301E.13thStreet,Hays,KS67601-2651 Phone785.261.6250
Do NOT Write in This DateTested: Results: DatePlugged: DateRepaired: DatePutBackinService:
Space - KCC USE ONLY
Mail to the Appropriate KCC Conservation Office:
(e.g. xx.xxxxx) (e.g. -xxx.xxxxx)
CasingFluidLevelfromSurface: HowDetermined? Date:
CasingSqueeze(s): to w/ sacksofcement, to w/ sacksofcement.Date:(top) (bottom) (top) (bottom)
Production
(depth) (depth)
(depth) (depth)
KOLAR Document ID: 1368559
Submitted Electronically
October 09, 2017
Kenton HuppIGWT, Inc.P.O. BOX 550ROSE HILL, KS 67133-0550
Re:Temporary AbandonmentAPI 15-073-21601-00-00WERNLI 13SW/4 Sec.25-22S-12EGreenwood County, Kansas
Dear Kenton Hupp:
"Your temporary abandonment (TA) application for the well listed above has been approved.In accordance with K.A.R. 82-3-111 the TA status of this well will expire 10/09/2018.
* If you return this well to service or plug it, please notify the District Office.
* If you sell this well you are required to file a Transfer of Operator form, T-1.
* If the well will remain temporarily abandoned, you must submit a new TA application, CP-111,before 10/09/2018.
You may contact me at the number above if you have questions.
Very truly yours,
Mike Heffern"
04/19/201809:05:33
Page: 2Report: dmrownpl
IGWT O & GOwner Lease Operating Statement
For Production Year 2017
3.4.9
Owner: HOP, LLC Well: WERNLI NRI: 43.7500000 Work Int: 50.0000000Int Type: W
Revenue/Expense JAN FEB MAR APR MAY JUN JUL AUG SEP OCT NOV DEC
Cash Basis - Owner Net AmountsTotal
0.00 298.36Oil Sales Volume 80.600.00 0.00 72.45 0.00 0.00 0.00 0.00 72.07 0.00 73.242,784.970.00Oil Sales 0.00 3,179.82 0.00 0.00 0.00 0.00 3,152.70 0.00 3,738.16 0.00 12,855.65
0.00 0.00Gas Sales Volume 0.000.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.000.000.00Gas Sales 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.000.000.00Compression/Gathering 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.000.000.00Miscellaneous Income 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 80.60 0.00 80.600.000.00Other Income 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.000.000.00Transportation Income 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00
Total Revenue 2,784.970.00 0.00 3,179.82 0.00 0.00 0.00 0.00 3,152.70 0.00 3,818.76 0.00 12,936.25
175.00189.58Administration 240.00 175.00 175.00 175.00 175.00 189.00 175.00 175.00 175.00 175.00 2,193.58175.00175.00Chemical Treatment 175.00 175.00 0.00 350.00 175.00 175.00 0.00 350.00 175.00 175.00 2,100.00291.290.00Electric 387.94 160.43 78.75 0.00 138.62 156.23 152.07 107.37 175.47 187.20 1,835.3755.37458.60Fittings 0.00 0.00 377.16 56.07 318.70 4.70 90.09 52.09 27.03 0.00 1,439.81
100.00100.00Insurance 100.00 100.00 100.00 100.00 100.00 100.00 100.00 100.00 100.00 100.00 1,200.000.000.00Landscaping 90.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 90.000.0090.00Misc LOE 0.00 0.00 90.00 737.95 785.25 90.00 145.00 135.00 225.00 2.27 2,300.470.000.00Property Taxes 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 90.26 0.00 90.26
300.00300.00Pumping 300.00 300.00 300.00 300.00 300.00 300.00 300.00 600.00 0.00 300.00 3,600.000.00826.16Roustabout 0.00 930.48 0.00 0.00 0.00 0.00 201.57 0.00 0.00 0.00 1,958.210.0035.25Land Acq.-Legal 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 35.250.000.00Legal and Title 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 1,065.80 0.00 1,065.807.800.00Oil Taxes 0.00 8.18 0.00 0.00 0.00 0.00 0.00 0.00 8.53 0.00 24.510.000.00Gas Taxes 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.000.000.00Other Taxes 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00
Total Expenses 1,104.462,174.59 1,292.94 1,849.09 1,120.91 1,719.02 1,992.57 1,014.93 1,163.73 1,519.46 2,042.09 939.47 17,933.26
$-2,174.59 $-1,292.94 $1,330.73 $-1,120.91 $-1,719.02 $1,680.51 $-1,992.57 $-1,014.93 $1,988.97 $-1,519.46 $1,776.67 $-939.47Net Revenue $-4,997.01
Recommended