STATE OF IDAHO STATE BOARD OF STATEHOUSE LAND COMMISSIONERS RECEIPT BOISE, IDAHO 83720
I ." .' l.· 19'".
.. / ./ I , ( FROM :7 I OF C ..... 1/'/' ZIP / /" ~i • .J .'" (". llf J \ .J L'.-/; .'i JC/O T SOUACEOF INSTRUMENT INTEREST PAYMENT NUMBER ROYALTIES PRINCIPAL TOTAl. fUND AND EXPLANATION
AG.l.EASE
GRAZlEASE
MIN. LEASE
O. & G.lEASE
G. THERM. lEASE
CABIN SITE lEASE
MISC.lEASE
TEMP. P£RMIT
EASEMENT
LAND SAlE
11MBERSAIE
TRESPASS
SCAlING ,""AI''''' '"USf RIND =~ND FEES&APPL PUllCIfASE 0 0
SUSf'£NSE SUSI'£NSE ~ 'o;j ')$ / t:J(? ""'1 TOTAL i . CHECK 13"M.O. 0 CASHO' GORDON C. TROMBLEY D1~) NO.
BY i 12237 SEABOARD SURETY COMPANY HOME OFFICE: NEW YORK. N.Y. FINANCIAL STATEMENT-DECEMBER 31. 1976 ASSETS LIABILITIES
'Stocks and Bonds. $65,669,937.22 Reserve for Unearned Premiums $14,526,546.00 Cash in Office & Banks 3,308,731.09 Claim Reserves 8,793,658.00 Accrued Interest & Dividends 521,600.28 Other Reserves 10,675,922.63 Outstanding Premiums 1,884,279.01 Capital Stock 2,500,000.00 Accounts Receivable . 122,384.73 Surplus 35,010,805.70
Total Admitted Assets $71,506,932.33 Total Liabilities $71,506,932.33
• Bonds and stocks 3re valued on basis approved by National Association of Insurance Commissioners. S",curities ct:>rried at $3,451,411.00 in the above statement are deposited for the purpO;ie required by law.
STATE OF NEW YORK { COUNTY OF NEW YORK S 55.:
I. R. P. SCAGLIO"E, President of SEABOARD SURETY COMPANY, do hereby certify that the foregoing is a full, true and correct copy of the Financial Statement of said Company, as of December 31, 1976. IN WITNESS WHEREOF, I have signed this statement at New York, New York, this...... ~.?~~....day of June 78 ...... , 19 . Certified Copy ~ ,ABOARD SVRETY CO:-I]'
HOME OF'1'.CE ') ~ '78 JlILI3 AN 9 L.J No. 8063 NEWYORK,NEWYORK
POWER OF ATTORNEY U'-' I ..: t:.' i. G' v , ::'--'f-\'l"0 KNOW ALL MEN BY THESE PRESENTS: That SEAllOARD SURETY COMPA:-.'Y. a cor poration of the State of New York, has made, constituted and appointed and by these presents does ma~:~, constitute and appoint A. P. Anderson or Lionel Hidalgo or D. J. Redlinger------
of Houston, Texas its true and lawful Attorney-in-Fact. to make, execute and deliver on its behalf insurance policies, surety bonds, undertakings and other instruments of similar nature as follows: Without Limitations
Such insurance policies, surety bonds, undertakings and instruments for said purposes, ''''hen duly executed by the aforesaid Attorney-in-Fact. shall be binding upon the said Company as fully and to the same extent as if signed by the duly authorized officers of the Company and sealed with its corporate scal; and all the acts of said Attorney-in-Fact. pursuant to the authority hereby given, are hereby ratined and confirmed. This appointment is made pursuant to the following By-Laws which were duly adopted by the Board of Directors of the said Company on December 8th. 1927. and are still in full force and effect: ARTICLE VIII, SECTION 1: "Policies, bonds, recognizances, stipulations. consents of surety, underwriting undertakings and instruments relating thereto. Insurance policies, bonds, recognizances, stipulations, consents of surety and underwriting undertakings of the Company, a:-:d releases, agreements and other writings relating in any way thereto or to any claim or loss thereunder, shall be signed in the name and on behalf of the Company (a) by the Chairman of the Board, the President, a Vice President or a Resident Vice President and by the Secretary. an Assistant Secretary, a Resident Secretary or a Resident Assistant Secretary; or Cb) by an Attorney·in-Fact for the Company appointed and authorized by the Chairman of the Board, the President or a Vice President to make such signature; or (c) by such other officers or representatives as the Board may from time to time determine. The seal of the Company shall if appropriate be affixed thereto by any such officer, Attorney-in-Fact or representative:' IN WITNESS WHEREOF, SEABOARD SGRETY CO"fPANY has caused these presents to be signerl by one of its Vice-Presidents, and its corporate seal to be hereunto affixed and duly attested by one of its Assistant Secretaries. this ;i,.~.~ day of ,r.!!.!;!!rM!\1;Y. , 19 7.7.. Attest: SEABOARD SURETY COMPANY. By (Seal) ~.;.~~.•.~.~ ..•~.~~.~~~ . . ~~ !~ ~~~!.;:!!.~.~ . Assistant Secretary Vice-President STATE OF NEW YORK } COUNTY OF NEW YORK ss.: On this )·.~~!:' day of.. ~~!?;:~,~!=J:' 19 7.7.•• before me personally appeared ...... a 'l: GlM\Il11Xlilm a Vice-President of SEABOARD SGRETY COMPANY. with whom I am personally acquainted. who. being by me duly sworn. said that he resides in the State of.... New...X.ark. ; that he is a Vice-President of SEABOARD SURETY CO~!PA:\Y, the corporation described in and which executed the foregoing instrument; that he knows the corporate seal of the said Company; that the seal affixed to said instrument is such corporate seal; that it was so affixed by order of the Board of Directors of said Company; and that he signed his name thereto as Vice-President of said Company by like authority.
Stabe of New York No. 43-8468870 Qualified in Richmond County Certificate filed in New York County Margaret M. Quinlan (Seal) Commission Expires March 30, 1978 ...... Notary Public CERTIFICATE I, the undersigned Assistant Secretary of SEABO.-\RD SURETY COMPANY do hereby certify that the or:ginal Power of Attorney of which the foregoing is a full, true and correct copy, is in full force and effect on the date oi this Certificate and I do further certify that the Vice President who executed the said Power of Attorney was one of the Officers authorized by the Board of Directors to appoint an attorney-in-fact as provided in Article VIII, Section 1, of the By-Laws of SEABOARD SURETY CO~fPAXY. This Certificate may be signed and sealed by facsimile under and by authority of the following resolution of the Board of Directors of SEABuARD SURETY CO~lPAl'':Y at a meeting duly called and held on th", 23th r!ay of March 1970. "RESOLVED: (2) That the use of a printed facsimile of the corporate seal of the company and of the signature of an Assistant Secretary on any certification of the corr(ctness of a copy of an instrument executed by the President or 3 Vice-President pursuant to Article VII I, Section 1, of the By-Laws appointing and authorizing an attorney-in-fact to sign in the name and on behalf of the company surety -bonds, underwriting undertakings or other instruments described in said Article VIII, Section I, with like effect as if such seal and such signature had been manually affixed and made, hereby is authorized and approved." IN WITNESS WHEREOF, I have hereunto set my hand and affixed the corporate seal of the Company to these presents this ~~.~.~.. , day of !.~~." " 1 \ _ .. _,,~~.-t:•.-:::- Assi...,tant s,(·Crt·t:l.ry 1'""" ".-, I]',., f ·'4\ • JI"'~""~, t/t. . C/",~,-:t. f.-p ,I' r /' (' d :t I/J,c.f, ,)t1 Ir...... 5 Porm. ...8810 SUBIIIT IN TRIPLIC Form appro't'ed.j'':;''1 #~ .... -tk • r ~ :,,;;r (Ma1·") nUd&et Bureau No. 42-R1f25. UNITED STATES ()tb~~jen,~~~~~~)D8 OlA ~·,Snj' DEPARTMEN TOF THE INTERIOR G. LC.i81l D•••ONATIOH "'.D ••aUL .0. GEOLOGICAL SURVEY 1-7530 APPUCATlON FOR PERMIT TO DRILL, DEEPEN, OR PLUG BACK 6. rr INDIAN, "'.LOTTES oa TaIBI: H ..... 1a. TIPS or woaK DRILL Qg DEEPEN 0 PLUG BACK 0 7. UNIT AGall&lUNT H....U' II. TTP. or "IILL O'L 0 .. 81NGLC KULTIPLII 8 ...... , 0& La••• NUlll WELL 0 WICLL !XI OTUII. W,. OCJ W,. 0 I. IfU,. or onaATOB Bi~ Canyon Federa1 union Texas Petroleum. A Div. of Allied Chemical Corp. 8. "IILL O. 3 ....DO.... or 'OnUTOII 1-13 1860 Lincoln Street, Suite 1010, Denver, Colorado 8029~ 10. rlllLD .t.lIfD POOL, oa W1LDt'Ar 4. LOC.lrIOIf 01' ,nLL (Report location clearl1 and 10 accordance with aD7 State requl~meot•.·) • At lJurtaC'e Wildcat • 11. ••C., T., ••, M., oa IILI[. 568'FSL & l597'FEL .NO suavat oa .... At propo.ed prod. -one Same .. 1 3-Tl OS-R43E 14. DIST.Mca 11f- IIILa••NO DraaCTION .&0111 N•••••T TOWN OB POST o"lca 12. COONTT oa p ••••a 113.•T.T._ 6 miles Nm:th of Georgetown. Idaho Bear Take Idaho 10. Dl8T.4.C• ..a1l P&QPO••O 16. NO. O....cazs IN L.....1i 17. NO. o. "calis ,....10M.0 LOC.4TION '1'0 1'I' ...... T TO THJ. WIiLL PaGn.TT oa LIU•• LINa, ". (....80 to DMrnt drls. unit line, If an)') 568 2480 640 , 18. DISTANca rllOIll Paoro.aD LOCATIO" 19. PROP081:D DaMIl 20. ROT".T OR C"RLI: 'I'OOL. TO Na".a.T waLL, DRILLINO, COWPLn.o, 011 APP...... OM TIII8 L&AU. n. 13000 Rotary :n.•urYATION• (Bbowwhetber, DF, RT, Gil. etc) 22. APpaOJ:. DATI: "OU "ILL 8TUT• 6792 Ground Level 8n /78 23. PROPOSED CASING AND CEMENTING PROGRAM sin 0. ROLli 81Z8 0. c"snlO ..aIGHT ..aR rOOT .IiTTINO DarTH QUANTITY 0 .. CIi....T 26 20" 94 60' ReadYmix to surface 17- 1 /? 13- 3/ 8 68 2000 1950 sx. 12-1/4 9-5/8 40-47 11500 1450 sx + 475 sx (2 stage) 8-1/2 7 26 13000 400 sx It ia proposed to drill a 13000' well to test the Madison line. All other zones suggesting possible commercial production will be tested. Blowout preventer will be double ram, 12 inch series 1500 with full sour gas trim, hydraulically operated and hydril. Choke and kill lines will be connected, tested and maintained in good working orde~ for durat10n of drilling operations. " IN "ao....PA". OIl8f'1l."i! 1'1I.0rOIIl:1) PIUH'.A": If propoMI 1M 1.0 dl"f'pen or phII;' bllCk, Rive dllta on preKent productive Kone alllt pro(N)fled Df!W prMuethe aotu!. It propoflal lit /drlll or dC'Jepell dlrecllonall)', glYe r"'rtllH!nl datil 011 Kublmrface loclltltHllt tl.lld mt'lllturt'd Bud true verticilI deillb•. Give blowout ... pruflnter program, if ",. /1 I ._------ SIGNED 4 .....,· TIT"': Ass I t Pi fit prod Mgr. DATIC Tune 14, 1978 (This space tor Federal or State ottlce ulle) .0111'1' NO. __ APP&OVALDATJ: _ District Engineer DATI: August 2. 1978_ uno.,.o 1ST -:;"""==~===_ TITLI: -'- _ COIfDITIOHS 01' ... ppaOVAL. U' ANt': ; " cc: Oil & Gas Supervisor, Pacific Area Sl"':' r.~"', ",._ Conservation Manager's Office, Menlo Park ,~ .. , "''''•._", ~"'''''--''''''''-''' 1....\.I ... bJ~ ~ 1o ..... ~ .. J U.S.F.S. State Office, BO~IIrlahO 0 R S'd nlfi'Umon. n .verse I• U.S.F.S. District, Pocatel 0 pistrict Geologist, LA -~State of Idaho, Boise, Idaho '------~~------APPLlC~:'N API No. FOR PERMIT TO DRILL, DEEPEN OR(\JG BACK 11,007-20,007 AP:P'1..ICATION TO DRILL !}t DEEPEN 0 PLUG BACK 0 NAMJ: OF COMPANV O"R OPER1\TOR DATE June 23, 1978 ~.-l!NIPN_TEXAS P~TROLEUM Addr~.;;:; City St<1t~ 1010 Lincoln Tower Building Denver Colorado 80295 DESCRIPTION OF WELL AND LEA"SE 6 miles No~th of Georgeto~Idaho__~ _ :"Je:~:'cst distancC' from proposed location \1 Distance from proposed location to nearest drilling, to property or l'2 ---~--_. . ... 568 fee' i First We..l"'l'-:-c__--;_-,;:--:-c- '.:..ee:..c'_ Propo~;,d dep~1: ! ~~otary or ca~eot~o:ry I APpr_ox87~/w;; will start 13000 Number of wells on Ie<1se, including this well, compkto:!d in or drilling to this reservoir: 2480 1 Ii !ea<:'2, purchased wi.fh o,~c or more Address wells dl:ilIeu, from y:hGm purch1iseo-d: _ ....N'-'.. ~A'-'.. . _ Status of bor;d Bond.. will .be sent under separate cover. alo~with Organization Report. H('m See attached prognosis for proposed plan of operation. Lease ,covers all of Sections 11, 12, and 13, plus the E7"E7,W7"N7,NW~NW~,S7,NW~SW~, and SW~SW~ of Section 14. All operations to be conducted in accord with the Rules and Regulations of the Commission in force during the period this permit is valid. ., Production Union Iexas CERTIFICATE: 1, t~1e undersigned, state that ~ am the Manager r;:; the Petro eum (company), and that I am authoriZed by said comp;my to make this application [lnd that this application was prepared under my 1ervision and direction and that the facts stated therein are trU'~. correct and complete to the best of my knowledge. / /; Signature :.~ Po'mit Numbe" IDAHO OIL & GAS CONSERVATION COMMISSION Approval Date: .(=~T /9 Ed> Application to Drill, Deepen or Plug Back ::~e:~':~<:D:·:~'~:::.a~::·:::e··::ven:)W F-orm No. P-l all information requested. IIrTuch unnecessa.ry correspond ence will be thus avoided. Authorized by Order No.2 See Instruction on Reverse Side of Form Effective July 15, 1963 (over) BOND BOND NO. 84 04 72 KNOW ALL MEN BY THESE PRESENTS, That we: Allied Chemical Corporation, Union Texas Petroleum Division of the In the New York County of: ______---l;State of: New York as Principal, b d Sea oar Surety Company and New York, New York:..:..::.c"---- _ of as surety, authorized to do business in this State, are held and firmly bound unto the State in the penal sum as indil::ated, lawful money (If the United States, for which payment, well and truly to be made, we bind ourselves, and each of us, and each of our heirs, executors. administrators or successors, and assigns jointly and severally, firmly by these presents. The condition of this obligation is that whereas the above bounden principal proposes to drill a well or wells for oil, g,s, or stratigraphic pur· poses"in and upon the following described land situated within the State, to wit; Drill 13,000' well to test for oil and gas at the following location: SW-SE Section (May be used as blanket bond or for single well) 13-T10S-R34E, Bear Lake County, Idaho. NOW, 'I'HE¥FORE, if the above bounden principal shall comply with all of the provisions of the laws of this State and the rules, regula tions and orders of the Conservation Commission of the State, especially with reference to the proper plugging of said well or wells, and filing with the Oil and Gas Conservation Commission of this State all noUces and reco~s required by said Commission. in the event said well or wells do not produce oil or gas in commercial quantities. or cease to produce oil or gas in commercial quantiUes, then this obligation is void: other. wise, the same shall be and remain in full force and effect. Penal sum of' Five Thousand and no/IOO Dollars ($5,000.00) ~_ Witness our hands and seals, this __=2-=.6-=.th"---__daY of J un=e-,-,--=-l"-9'--7"-8 All~',","l Corporation, Union Texas Petrolew By: ~-p VOIUco-__ r'.:xp 10ratflHicipal 26th Witness our hands and seals, this day of June, 1978 Seaboard Surety Company By: L • Surety -P;::- =LJ:U=L~""", .------J- i-Fact (If the principal is :pora:tion, the bond should be executed by its duly authorized officers, with the seal of the corp-orathn affixed. When principal or surety executes this bond by agent, power of attorney or other evidence of authority must accompany ~c bond.) Approved Hvtft/.rr iDAHO OlL AND GAS CONSERVATION COMmSSION . Date OH~":-' ~'-'~=z.7 Secretary" ..... rr lOr 8i, • IDAHO OIL & GAS CONSERVATION COMMISSION· Bond Form No. P-2 Authorized by Order No. 2 Effective July 15, 1963 UNITED STATES sec... 13..... DEPARTMENT OF THE INTERIOR ~ GEOLOGICAL SURVEY T.. } () . CONSERVATION DIVISION R. __ ~;l:IL .. INDIVIDUAL WELL RECORD PUBLIC LAND: Ref. No " . ;::; Land office .._~~~.':' "'.' ' State .__ ..I. Serial No I ..7530 __ _. . __ _._.. County Bear Lake Operator _.l1I1!.'?rJ. ~~~." ..I"",.t _.. District ._..B.ilk.e.":,,!!.e1-_'!.. _ . Well No ~~~__~~~?:~~ ..~e~ .•. 1-13 Subdivision ~~.EYI.. ~~.~e.:: ~L _.. Location 69.~.~ ~.~.r:- ~ 1~?4· ..F.E.~ __ __ . Drilling approved ~.u.~.__}_ , 19.. 7:13. Well elevation 6.~!6 J Drilling conuuenced .. __ .~_epE., ~~ , 19...2fj Total depth _. .t..t)..~3.4.' __ _ feet Drilling ceased ..._l!a.r.c::l!_':' _ , 19...22 Initial production ..__ .dry ..hE.~~..__._.__ Completed for production . __ ._... .__ , 19 __ Gravity A. P. I. _ ..__.. _. Abandonment approved ..,]1J!1."...'l. 19_..80 Initial R. P _ _ _. __ Geologic Formations Productive HorizO!l8 Surface Lowut teltetJ Name .Depths ....._Wells...... Dinwlllld)l...... _ WELL STATUS AUG. SEl'T. OCT. Nov. DEC. ..Y~EA..R~.I_J..A_N_. FEB. MAR. _I ---·I---I--~I-~-_.... 1.U~ ..·· 1..· ..· · "MND . . ])!tJ:,~ . 1979 11,73/ ...... i· ..· • . . .. - - 1980 P&A ...... '1'...... " - --- -~ ~ -- ~------ . .1...... ·1 · . - .- -.- ------. ----- I I...... I - l'o;-J.Ugg; '];cpll'" . Wells surface REMARKS .ZQ"[email protected]!It.' l;!!!.h..tQ..1'!llrfag§...... 19.~~.JLIQQ1· wL6.4Lsx i'mt~.;...l.3...3L8" [email protected]!t6.' wL ~~iSfu.l"LS ~~B:-_ ...HQQ.sx i'!!It~_.. 9_.5.LIl~~.JL5Qn.' wL16QQ..sx...... N~L.~.':'.: 3,s ~ . ".r.lugJi;...1l.ZQQ~"-: ..1l.5.QQ.' Z1QQ'."Z5.QO'.~..52QQ'.,, 9QQ.· 1Inkareh. 4.7 30.~ .._ •..l3QQ.'.=9.Q3-'-~..51l=:oW'LllSGS..Maxker~..Tot:aLcmt_..4A5..sx. Tha.)'IleS_ _ 5.~ . .. .Inalle.ct.ed..&..found..sa.tisfaiOJ:orll.. by USES.. June·1 19BlL..h'oo.dsi.de. J..Q.4.5.l~_._ -h 1I S, GOVW'iMENT PRINTING OFFICE, 19i;4---o-74il--JlIll Dinwoody 10,850 I GPO i93·a66 WELL COhETION OR RECOMPLETION REPORT ANnELL LOG DESIGNATE TYPE OF COMPLETION: New PIul{ Same Different Well o Deepen o Back o Reservoir o Reservoir o on o o Dry DESCRIPTION OF WELL AND LEASE Operator Chemical CorporatiOI!IAddre" Suite 1010, 1860 Lincoln Street Union Texas Petroleum, A Division of Allie~ Denver, Colorado 80295 Lease Name I Well Number 'I Field & Reservoir Big Canyon Federal I 1-13 Wildcat Location Sec. TWP-Range or Block & Survey SW SE Section 13-T10S-R43E, Bear Lake County, Idaho County Permit number --===---'IC:::;o<'a::;t'ce-Cjgc=,u"e::dC-=:L'--===7I,p'Cr,",eccv"io,",u,",,-cp=-e=-==IUt=-n=-uCCm=b"er:---,-'O"a=-t"e-c=-;''"'''"'u''ed''---- Bear Lake I 78-011 8-8-78 Date spudded Date total depth reached IDate completed, ready to IElevation .~,- ----c-I=-"'"'l"e'"'va=-ti"'o"n:-o"'-C:Cca",";""g:-- produce (DF, RKB, RT or Gr.) hd. £lande 9-12-78 I 3-4-79 N.A. 6976 KB feet feet Total depth P,RT.D. Single, dual or triple completion? this is a dual or triple completion, I IIifurnish separate report for each 11 , 734 completion. Dp"ro"'d"U"C~":!,g""in:;;"te"r:;;v::;a"'(::;")'f::;o::;c't"b:Cis;'-;;c:::om;:;;Cp"'e;;;tCCio:;;n::------~------,--,R>;oO CASING RECORD Casing (report all strings set in well-conductor, surface, intermediate, producing, etc.) Pm'pose I Size hole drilled i Size casing set Weight (lb./ft.) Depth set I Sacks cement Amt. pulled -~co;:::n::>d:::uc"'tC;::-or;;-I---;Ot709,;o\-1-2,-j:-_-_-;+1;-;::'6'8":L:-=--=--=--=-~~-=--=-~7~5-=--=--=--=-~:-=---=-~1-0r:-3l!i,-=--=--=--=I_;;,~=--C~~2~im~1ii"·'-X===~:~===-~8~-===- 5X ~::::~:. I 17 1/2" 13 3/8" 68 2146 i 1100 0 Intermediate TU,MIGlilb~RD 9 5/8" 40 & 43. 5 5092 LINER1f!ll8oRo a Size Top I Depth set I Packer set at I Size I Bottom I sacks cement I Screen (ft.) in. ft. ft. in. ft. ft. PERFORATION RECORD ACID, SHOT, FRACTURE, CEMENT SQUEEZE RECORD Number per :fJ:. Size & type Depth Interval Am't & kind of material used Depth Interval - INITIAL PRODUCTION Date of first production IProducing method (indicate if flowing, gas lift or pumping if pumping, show size & type of pump:) Plugged and abando~ed 3-15-79 Date of test \ Hrs. tcst:;:d IChoke size IOil prod. during test Gas prod. during test Water prod. during test., \ Oil gravity bbls. I MCF I bbls. 0 API (Carr) Tubing pressure Casing pres.sure Cal'ted rate of Pro- Oil Ga, Water I Gas-oil ratio I I duction per 24 hrs. I bbls. MCF bbls. I I Disposition of gas (state whether vented, used for fuel or sold): District Production CERTIFICATE: I, the undersigned. state that I am the Manager of the Union Texas Petr. (company), and that I am authorized by said company to make this report and that this report waf:: prepared under my supervision 3J:].d ~ction Ind thrJ, the facts stated therein are true, correct and complete to the best of my knowledge. ... vonald B. Wells - IDAHO OIL & GAS CONSERVATION COMMISSION Well Completion or Recompletion Report and Well Log Form No. P-7 Authorized by Order No.2 Effective July 15, 1963 (over) J ! '\ DETAIL OF FORMATIONS PENETRATEd ~ Formation Top Bottom Description- Wells 108 2093 Silty to argil. sandstone and aren. limestone Madison 2093 2765 Limestone and dolomite Twin Creek 2765 3860 Silty limestone .Nugget 3860 4730 Quartzitic sandstone Ankarah 4730 5122 Red-brown silty to sandy shale Thaynes 5122 10453 Sandstone, red shale, dolomite, limestone and siltsone Woodside 10453 10850 Limestone and red siltstone and shale Dinwoody 10850 TD Gray shale, limestone and dolomite CI) 0 00 ;Z 0 ~. 0> :z: .~ C) 1",_... IIIl • Show all important zones of por-osity, detail of aU cores, and all drill-stem tests, including depth interval tested, cushion used, tirr.e tool open, flowing and shut-in pressures, and recoveries. INSTRUCTIONS: Attach drillers log or other acceptable log of well. This Well Completion or Recompletion report and well log shall be filed with the Director, Idaho Bureau of Mines and Geology, Moscow, Idaho. not later than thirty (30) days after project corr leti I,'.,--.. . I 1, Form 9-33l UNIT~.... STATES St'BMIT IN TRIPLICA...... Form appr01'@'d. ()Iay 1083) (Other lostructionB un rt:"-" Budget Dureau No. 42-R1424. DEPARTMENT OF THE INTERIOR Vl'rse side) -:;-:- LEASiDisl(-;~ATJ(j-S .-\N-o 8£RlAl-:-:-'O. GEOLOGICAL SURVEY 1-7530 ______.=c=-:c::=-:::.:.=:..:.::-=c:::.:..:.::.:... --6. U' IHDIAN. ALLOTTEI: OR TRIBE NA)IE SUNDRY NOTICES AND REPORTS ON WELLS (Do not llllf' this form tor propOllall to drUl or to deepeD or plue back to a dltr~reDt reaerTolr. Use "APPLICATION FOR PERMIT-" for IUcla propoeala.) I. 1. t..:NIT AG&EE~IENT NA;\U:: O'L liAS Dry hole WELL oWEr,L o OTHER 2. NAMIll 01' OPEaATOR 8. ".AIUI OR LEASE NAMI: Union Texas Petroleum, A Division of Allied Chemical Corporation Big Canyon Federal 3. AODRE88 OF OPERA.TQ8 9. WELL NO. Suite 1010, 1860 Lincoln Street, Denver, Colorado 80295 1-13 4. LO('ATIOS OF "-ELL (Report location clearly and tn Jll"cordancf' with a.llIy 8tate requirement•. 10. 'U:LD ASD POOL, OR WII,DCAT Sl'e nhw BPUCP 17 below.) At sllrfll~ Wildcat 11. SICC., T., a...... 0& ItLK. AND SW SE Section l3-T10S-R43E (604' FSL, 1504' FEL) suaVity OR ..lRCA Section 13-T10S-R43E 13. 81''''1'1: Idaho 16. Check Appr""',ate Box To Indicate Nature 01 Notice, Report, or Other Data NoTrc. 0 .. If'l'TICNTION '1'0: SURSICQUICNT R~PoaT or: Pl'LL OR ALTER C.~SISG WELL_~ "....- ,.n." H1 .,"....0 FRACTTJR!: TREAT II JoIIJI,TII'LZ COMP/.I':TE J'RACTURIC TRCAT"ENT 1 ALT.tRISG CASINO , _1 snOOT oa AClPIZJl SHOOTING OR AC1DIZING U ABANDONMi:NT REPAIR \\ !:I,L CHANGZ PLAN! (Other) (NOTII: Report results of multiple completion on Well lOthl'r) Completlon or Rf'completlon Rf'Port_~.':d~Lc:o~g-or~o~rm=.'=-=-= __ 11. t>!;~H'RID.; I'ROI·OSf.V OR COMI'LETED 01'EIIATIO.'l8 (Clearly IItatl!' all (wrtiol!'lIt detnlh<. and givt' IH'rtlnl!'nt datl!'s, Including e1ltlmatl'd date of starting an.\" proposed work. If well I, directionally drilled, give aubaurt'lIoCt' locations Ilnd measured and true Hrtlc(ll depths for aU markers and J;Obell perti nent to thia work.) - ' Well was plugged on March 15, 1979, as follows: 80 sx Class "Gil w/HR-12 11700-11500 80 sx Class "Gil w/HR-12 7700-7500 .75 sx Class "Gil w/HR-5 5200-5100 75 sx Class "Gil w/HR-5 5100-4900 120 sx Class "G" 1300-903 15 sx Class "Gtl 50-surface Plugging was witnessed by Mr. Joe Delozier of the U. S. Geological Survey. I; ! '-I ( / 1S. I hereby eel ",' TITLE DATE April 3, 1979 SIGNED ,''''-rv-r'~-'-I~-~------ District Production Manager (Thl. space APPROVED TITLE _",~,,-,-I-,l-,r--,-.-,~~.,,=ihIt,-,=,, _ CONDITIONS OF APPROVAL. yINY, J. P. Wagne r ~c: State of Idaho Boise, Idaho 83720 ·See Instructions on Reverse Side > .r---., PLUGGING RECORD n "o"pe:::,:::a..to:::,------,A"l"l:""Oied:..."C""h-e-m-i"c-a""""'"l:..."C,..o-J;-p-.--'--IA=dd"":::e:::",..------'------ • Union Texas Petroleum, A Division of Suite 1010, 1860 Lincoln St. Denver, CO 80295 Name Dr Lease 1 Well No. Field & Reservoir Big Canyon Federal I 1-13 Wildcat Location of Well Sec-Twp-Rge or Block & Survey County SW SE Section 13-Tl0S-R43E IBear Lake Application to drill this well was filed Has this well ever Charactcl' of well at completion (initial production); in name ofUnion Texas Petroleum, produced oil or gas Oil (bbls/day) I Gas (MCF/day) I D"" Division of Allied Chem.Corp., No -- -- Yes Date plugged: I T~tal depth Amount well PToducinl when plugl'l'edl Oil (bbls/day) Gas (MCF/day) Water (bbls./day) 3-15-79 I 11,734 -0- -0- -0 -----;--'c---=--~-----;:---"_::~__:_:_____=___=_.c_'_-;:__--,-;:,.----;~':---:-_::__,__:_-__,__ Name of each formation con I Fluid content of each fonnation I Depth interval of each formation ISize, kind & depth of plugs used. taining oil or gas. Indicate Indicate zones squeeze cemented, which formation open to well giving amount cement. ~ bore at time of plugging , 1 None I See attached Form 9-3 31 ~ submitted to U,S, ·Geo lo~ , ~. l -J CASING RECORD Size pipe ~ Put In well (ft.) I Pulled out (ft.) ILeft in well (ft.) I Give depth and ' Packers and shoes II method of parting I , casing (shot, ______;_.__. _.o""·p"p",e,,d.o'--'e-"tc,,_.o)_+ ~__~ _ 20 94 I -0 1 94--1·----1------ 16 1001 I -0- I l""QO.L!l~_I. I------.----- __-,11~O__~o,/--,II'Q:>j __-L2..L14"'60---+1--=10)= ----r-; 1 46 9~5/8 5092 1 -0-1 5092 I 1-=--=---1----l1-----.------ ---.~-_:cc_c_-'cc_-_c_:__:_--_=_~.c----cc_-c--'--:-:c_-c---!-=-----::-c__:_--c':---,----,-c-c_,-,c_c---,------ Was well filled with mud-laden fluid, according to regulations? Indicate deepest forr:.l.ation containing fresh water Yes N.A. N AMES AND ADDRESSES OF ADJACENT LEASE OPERATORS OR OWNERS OF THE SURFACE Name _1 Address I Direction from this well: ---1---', --- In addition to other information required on this form, if this well was plugged hack for use as a fresh water well, give all pertinent details of plugging operations to base of fresh water sand, perforated interval to fresh \vater sand, name and address of surface owner, and attach letter from surface owner authorizing completion of this well as a water well and agreeing to assume full liabilIty for any SUbsequent plugging which might be required. Use reverse side for additional detail. File this form in duplicate with Director, Idaho Bureau of Mines and Geology, Moscow, Idaho. Div. PrOa. U· T P CERTIFICATE: I, the undersigned, state that I am the Manager of the n~on exas etr. (company), and that I am authorized by said company to make this report and that this report was prepared under my f""'"rvfsioll and dir~ction jnd ttyt the facts stated therein are true, correct and complete to the best of my knowledge. Signature Donald B. Wells • IDAHO OIL & GAS CONSERVATION COMMISSION Pluging Record Form No. P-15 Authorized by Order No.2 Effective July 15. 1963 aqd Louisiana Land/Exploration Co. (518 Seventeenth Street, Suite 1500, Denver, Colorado 80202) is lessee of record. Union Texas Petroleum (as operator) drilled this well on a farmout from Louisiand Land and Exploration Co. All the surrounding leases are Federal leases leased by Louisiana Land and Exploration Company. L2 a Form appro,p(l. Form 9-J:l1 ~1'R:\t1T IS TRIPLn ~:·I I \I"y 1:11\:1, UNf\.D STATES HII'h:d Hur"au :",,, (Ith"r illSlrlll'ti.IlIS ':'~" DEPARTMEI\. OF THE INTERIOR v,'now sid,') \ I GEOLOGICAL SURVEY 1-7530__ fi. IF IS\)I~S> ALLIITT.:t Olt TRill!': _'1;..1.\1.: SUNDRY NOTICES AND REPORTS ON WELLS 11)0 n"t 11~" thl~ f"rm rur pr"pw<:r1s tn (I rill or to 11""lwll or If!U," bll('k to It dlfl\'rent rNII'r\-"lr. U~,· "Af'('LIC,I\T!ON FOR PERMIT .. for such propu$lll.,) o flTIIY-1't Uni~n Texas--Eet=leum, -A~yision _of Allie~emical __B:iZ- ~1!I]jTon Fede:r:!!.L 3. AnoRESS OF OPf,RATua • Corporation 9. Wi:I,L·) SOTICE OF' lNTESTJO:"i TO; 8fBSf.:Qt:£;:iT RIt'PORT or: T"sT WATER !'I1I1'T'OFlr 1---=1 \TI.I. OR ALTf.lt CISI"IJ ~-II WATtR SHl"T-OP'J' ~ Rf;}'AIIlIN(. w&:u ~i ':1'.~ FlL\("l'l"Rf. TItt;AT I I )11'\.1'11'1.11: ('(1\11'1 FRACTl'Rr. TRICAT-MEST "I 1'1 II.[SI, "'Asl\;(, J Sfl'H,T (01\. Al"ll'l7.fj 1- "'1>,,;;1>0:-<· I snoOTl:-iG "II A['IPIZl~" I AU\"l.I 10/30/78 to 11/07/78 1. Ran 54 jts. 13-3/8", 68If/ft .. K-55 5T&C casing to 2146' and cemented with 1100 sx. 50/50 paz .. and 300 sx. Class G. Cement circulated. 3. Present operations; drilling 12-1/4" hole at 2422'. ",,-OLOG/CAt SlJ!?/-'. RtCtlVtD ~ NOV !C 1978 lR.-T herebyrntlij _.,------ , Assistant District SIGNED -----.;. TITLE._ j>l:'Qclu~_tj,().!1}1a_nager DATE NDvemb er 7. 19 n \ This 81faCf> f"r " 12-1-78 APPRO\'EIl flY _-=---=_~_.__-~__ DATE CONIHTIO:-OS 010' APPROVAL, IF .A.KY:' cc: State of Idaho Boise, Idaho 83720 ·See Instructions on Reverse Side f- nrlTl :-J~ I UNI~ S"n~lT TRIPLI~·I Form Ii ppr\,'<"\,d. l.'ofny ! ~t.i~l • STATES IS Rurlgo(,t HUfl'llll ~o. 42-RH2'\. iOthl't 11l8tru{'tl(ln~ , ."1' DEPARTMEN, OF THE INTERIOR \·,'r!-~ Bide) .•. GEOLOGICAL SURVEY I-7'530 SUNDRY NOTICES AND REPORTS ON WELLS (Ill) lint ll~" tbls ("nil rHr pr"llpsal" tu Ilrlll or til rt...·!WIl or jllUI; huck to a difT\>rent relwf\·olr. Use "APPUr.ATION }-'OR PERMIT .. fQr ~l.Ich propuMla.) J. OTIIT-R lJI}ioJ:L'Iexas_P~Jrol~umL_i!cJJiyliion of Allied Cbemi caL ~i~ _CanYQnJgde~al J. ,-f/DRf.:.8S OF ()J'J:JlATOR . Corporat io 8. WELl. '!'(o Suite 1010, 1860_l.in~91n_St~._Denvel". ColoradQ_80295 1::13 4. l.I"-ATl":" ,.t· \\,1;1.1. (H"port l,,{'utlon d"nrl,. I1llfl in a{'curdanc,' with aoy State feQulrl:'mentll.· 10. FH:LO A:-O \'OOL, OR WII.n,,-·J.T Sf'(' abo ~Jlac" 17 bf'luw.) At li1lrfuct' Wi Idea t -fi---:-sii:c~,-T~;--R.;-ii:;oi BLi--:-ANO----- sUlLn:y OR J.tJ:A SW SE Section 13-T10S-R43E (568' FSL, 1597' FEL) 16. Check Approproot. Box To Indicot. Notur. of Notic., R.port, or Oth.r Dolo SOTJeE OF INTENTION TO: ~V~SEQlE~T REPeaT or: TEST WATER SIIt:T-OFIr PT"LL OR ALTER ('\81';(, WATER sauT-O.... l-~: REPAIRING WEll. I : .\II·l.TIt'l.~ rO\lt'l.t:n: ,,1tACTrRJ: TIlEATKENT 1------1 AI;n;RISG CASI:'>'·; 1__1 ABA~lJOS· SHOOTING OR AI'II)IZISn, I AlIA."'-lltl:" ,II E:iT· (,!lASI,E PLASliI {OthN) .. _=J ':SOT~: Rf'lJort rf"IHlltft=. of multiple---- complf'tlon------.on Wl2'll-- IOtlU':)_ __. ~______•. _, . 1·1'_fl~p~.!..I.o~_~IE.~!:~~_'__'_It'_{I,~,_H('I'''r~__~I~d.~~~ _(~~.J...... _ 17 I,UWlIlllt: j'I\"t'''l'f:P 01\ n,'Ii'U:TU) OI'.:IUTI,,:-;S lClpal'l.1' H.ltl' all IlPrtlnf'llt d,'tulls, ull,l ::::In> IwrtlUf'nt datt'ft, IndudlllJi: ('!'llmat!'11 'Jatl' nt Mtattiu~ /III,}" Vrflpm«',j work. If we!l ill di~ctionaJ]y drilled. wive ~ubllurface loeati"ns 0111(1 1ll1'1J8ur,'() lind trut' H'rt!eal df'pths rnr all wnrk,>r" lind Z'lOI'lI pl'Ttl nl'nt to this work.) • 10/16 tbru 10/18 Ran 25 jts. 16" O.D. 75#/ft. K-55 STC new casing to 1001' (K.B. measurement). Cemented with 342 sacks Howco Lite with 1/4# flocele/ sack. 6% gel, 2% cc, and 12-1/2# gilsonite/sack; tailed in with 300 sacks Class "Goo with 2'70 cc and 1/4# flocele/sack. Had 5001t pressure while cementing. Cement did not circulate. Ran temperature survey and found top filler cement at 556 ft., and top of good cement at 750 ft. Pump down back s ide of 16"; 400 sx. 50/50 calseal with 101t gilsonite per sack and 2% cc and 100 sx. Class G with 2% cc and 1/4# flocele/sack. Will drill out 16" shoe with 14-3/4 in. bit. Assistant District I .SI''''EJ'I17· - --" . .-.==- Tn!.'" _. P.l"Q_du.c.ti.Qil... Man a geL- nATE October 20. 197 (Thill spaCj, fOf Fe District Engineer 12-1-78 APPROVED ny ---..::-:I i ....- ...... ~ _ITLE DATE co.smrWNS OF AI'PROVAL, IF p-Y: vee: State of Idaho Boise, Idaho 83720 *See Instructions on Reve:ne Side Form ~-3::1 ST- n:-'IIT IN' TI:H'If""'fE" }'orm llPpro,-rU. U~D STATES .,!~_:.~H·2-J.. (\by 1Btl:, , (Othl'r )rlslrl1('ti.lllS re Hudg.'t BI!r".Hll X?: DEPARTMEI, _ OF THE INTERIOR I 'TS" ~'rI,') ,'J, ],1:.\,;,; ])]-:;;[(,:-:,1'110'; \~:J ,;;;HIAL S'J. GEOLOGICAL SURVEY 1-7530 ------f;- 1;' -1:-:U-l:\:;·~--.\I~j:f7,Ti;-iol\ TItlBF. --:,,--:-\~ SUNDRY NOTICES AND REPORTS ON WELLS \ IIIl rwt IHoW this f"rlll fOI" [Jropo.s:ds to drill O!" t() (]P\'l'''ll or plu:; kIck trJ a <1iff,!rent rCl;f'n"oir. Use "1\1'f'LICATION FOR PEl{\\lT-" for such propc).mls.) ... _._----_. ---~-- L •. I-"IT "';r.El;~If;~T ~,\,'1t: orr, Il.\S Wt:LT, o Wf;lf. 2. I'A"lE 01.' Ol',;UATOR Union Texas Petroleum, A Division of Allied Chemical Big C;~n),()..Il_Jederal_ 3:-A'UlJ£t.,;s:,; O-~;-OPEi:\A'[OR--'------.-- -,------...- --- -Co~p-or-aEi(nf.--WBLl:so. Suite_LQ1-.0,186J2.. __:ki.J1_coln_Stc, _D_,my~r ,CQJQL SW SE Section 13-T10S-R43E (568 ' FSL, 1597' FEL) 16_ Check Appropriate Box To Indicate Nature of Notice, Report, or Other Data 1'OTICE 0'" lNTf:~TIO:-; TO: SUBSEQt'E:<;T 1~r;I'ORT OF: ItF,I'~lRI:;':G [~ I'lr.r, all AL:I',:r{ C.\SI:"G i-l W/tT};U SH[JT.on' [-1 Wr.LL [J "".. , WAn. ",,"TOFF ~ICLTII'r.E; CO~I}'It~TF: f"lt \OCTr; It!': TRI::AT 1_ 1--1 }'P..ACT1'HE TltE.\'nlt:"'T 1--: AIIERI:\G C.\SI:\(; 1-' SIII)O"f on ACH'IZE ;<;HOOTING on ACIDI7,I!"(; AnA:\nO~\r';~~· 1~-=' s I-" 1-=.=1 1"--1 r:F;f'AIlt Wi::U, X I (Othf'r) ------=J -- i (X'JTf:: Heport results IA multIple eonlpletloll on Well ~__ ~~~~ ~ .______~. . I .. "_i:~~i2!.'::..ti_~~_lt{,COJEII~!:.t~21.1"_~_I~!~_[\~d_~.ff?rm.) _ 17. l'f:~"I,J!~,; \'[:Ol"O::H;D on C()~l!'J.I":Tf;1l Ol'l:RATlO.'·~ (Clp;lll,r ~t Due to continued lost circulation and hole caving problems, it has become necessary to change our plans and run an additional string of protection casing. Present total depth on the well is 2093'. We plan to run and cement a string of 16" G.D. 65# ~nd 75#/ft. casing to T.D. Down hole problems will possibly prevent us from setting the pipe at T.D. The cement volumes to be used will be calculated on location when the pipe is run, " 1- __ , ,;;;:,;,t----~Assisi:ant District ______TITl,r; __ JT_Q.dlLt:;_tJsm t::!an.ag.IT- (Thi.s SP;H~C for I • DATE .....Qc:t. 17, 1978 REQUIREMENTS c:c:vlState of Idaho Roise, Idaho 83720 l ,- Form approved. F'HTn ~-:\11 UNr"':D STATES ~l·B!',lIT Ii\' TRIPrJ ( ;\LI" I ~ If;:~ I ((ltbf'r illstrllcti0uS Budget Bureuu No. 42-R1424, ,•. 1,t;.\Sf: -in;;;J6,,-.\Tio:.---.\-xn- SF.'\i\L-~O:- DEPARTMENT OF THE INTERIOR n'r.,;e side) /, ______G--=E-=O=-L=..:O=-G=..:I-=C-=A--=L--=S=-U'---R_V_E'-y'------6-:-~!";=1~~1?? AI."LO-TTF.E OltTnIt~E ~A~IEq SUNDRY NOTICES AND REPORTS ON WELLS 11)0 n"t n~" this form for proposals to (Irill or to df'eprn or tllug back to a different resl2'n·oir. U.,:e "AI'PLJCATION FOR PEIUdlT-" for such pl"oposals.) -1.------,------1-7-:-~:;;J"i<~(;~i:t;~Il:t\T~·A~IE'c.---- Union Texas Petroleum, A Division of Allied Chemical Corporation Big Canyon Federal 3:-· ArJPJl.E-s;;-ii"FOI'EHATOI\ 9,-WELL ~---- Suite 1010, 1860 Lincoln Street, Denver, Colorado 80295 1-13 -I -·I~()'·.\-;I-·I'-);;-\-;t·;-\\.-j::r.-I. (i~(;port lucation clrarl.}";"-B:[J(f1naccordill-,;witli any Stiie requirements.•--- ::;1',. also ~!,;ll~" 17 l",tnw.) At : lG. Check Appropriate Box To Indicate Nature 01 Notice, Report, or Other Data ~OTICE OF INTENTION TO: SUBSEQUENT REFORT OF: ~ .." "m ."",,,. ~1l:'LTII'LiJ ¥'ATER SHUot OFF CAst~G FIt,ICTenl; TREAT I_I ,,'" "" ., CO)IP1.F.TF. ... ",," FRACTURE TItEAT;\IENT §-- ...... ALTERING """II - ~II{)OT on ACIDIZU ABANDO=-'" SHOOTING OR ACIDI"IKG -- AIU:O;OON:-'fE!\"T--- ta:r',\Ht WELl, CHA='GE l'LA~S -x:- (Other) - (NOTE; Report results of multiple com]}letlon on Well __~~t~~~_~~_ . '___ Completion or R(,cOl~plet!Q!~eJ?..o!~~~g to~,~m~.~) ~__ 17. IJf;S,'ltlDE j'ltOI'QSBD OR CO~(PU:Tl:lJ Ol'ERATIO:"'S (Cil':n·ly Io'tat(' all prrtin(,lI! df'tail-.;, nlll1 g"nr pNtment date«, including f'<:Umated date of starting any propos~ol work. If well is directionally drilled, give subsurface locatiolls [lnd Oleaf;ured and true ,ertleal depths for all markl:'rs and l.ones perti· nent to this work.) * Due to loss circulation below our conductor pipe, it may be necessary to mist drill. He will employ loss circulation material and lighten the mud as much as possible, but if c~vernous voids continue to be encountered, we propose to use air compressors and mist drill until adequate competent rock is reached. . .J~ ti . orrect TITL>l SIGNED Asst. District Prod, Hanager DATE September 15, 1978 I ~----, (This f;pact.> f District Engineer APPROVED TITLE DATE September 19, 1978 CONDITION~PROV¥.. , IF ANi: cc: State of Idaho '" -~.. Boise, Idaho 83720 ~ .... ,>< -~.• '••._, -'r•• - ... ~~ r7"~ ., .. ,~ .. ~,,~~.- ~.j *See Instructions on Reverse Side L ~----- Form 9-331 UNITEr'TATES RT'BMIT IN TRlrLICATf~"'''\ Form ll.ppro,ed. iMay 1963) (Otb('c lustructlonR un I Budget Bureau No. 42--R1424. DEPARTMENT (j, THE INTERIOR ,peSf: sldl') ~.-I.-E~\SEDEsJ(:.v-.~TroN";UW SERIAL NO. GEOLOGICAL SURVEY 1-7530 • n. -IF INDIAN, ALLOTTEE OR TRIBE NA~E SUNDRY NOTICES AND REPORTS ON WELLS (Du not lise thl~ form for IlroJlQ!'ilals to drill or to (]l'p'lPn nr pluJ> back to a dlff~'rent c('seryolr. Use "APPLICATION FOR PEHMIT--" for huch proposals.) '1.------1-7. ("NIT AGR-iE;IIi:·N~T--NA:;iE---- O'L 01;,\8 0 WELL WEr,L OTHER Change of location 2~ NAlilll Oli' OPERATOR ..------..------.----~ -S-:--rARMOk-r,IIlASE Z'AMIt Union Texas Petroleum, A Division of Allied Chemical Corporation Big Canyon Federal 3. ADDRESS 01' OPERATOR .. 9. WELL NO. 1860 Lincoln Street, Suite 1010, Denver, Colorado 80295 1-13 4:~ATIONOF\\:-i:l.L (fi~[lort location clearly and in accordanCI> with any State reqU~iremets,.------ See also spacf' 17 below,) • At surface ~ WiJldcat SW SE Section 13-T10S-R43E (604' FSL, 1504' FEL) ~ 1L••C.. T.:.;,R;-.,."...-;;o:D• .,.I'.-.X~.~.N;;;.,----- SURVIlY OR "ftll" ~~ , ~ Section 13-T10S-R43E ~~V~~ON~~::~:~~::~~T,-",..~'-tt~tw I-':-::;T~~~:AR'·'T~:- '4. un",. NO I " 16. Check Approp"ote Box To Indicate Nature 01 Notice, Report, or Other Data NOTICIl OF INTENTION TO: SUBSEQUENT REPORT 0': ::,::::::'- ~ ::;';,::::,:::" ~.•. ~.- :R::~r:::~::::","T li ::::::~:. C::,:L. ~ SHOOT OR ACIDI211 f __ ABANDON'" SHOOTiNG OR AClDlZING ABA:-;DOSM£NT'" _ Ut;PAIR WIILL ('HANQt PLAN'S (Oth<>r) _ Ch 1 t i X (NOTE: Report reault8 of multipie completlon on Well rother) ange oca on .('''n:i!.I!!i_~l:'!.._Recom!'l.':.t~_~I~TJ.~~t':lnd Log form.) _:-__ 17. lJt:SCBlfJF: PROPOSED OR COMPl.ETEP OI'F.RATIO~8 (Clellrly ~tatf' all lwrtinrllt al'tnlll'l, HIlII ~lv" pcrttnf'llt datet>, lnelull[n~ "loltlwatfld datt' of starting an,}' proposed work. If well is directionally drilled, give eubsur1'ace locatl ·Amended location. Moved location to reduce cut and fill and allow additional pit room to the west at the request of U. S. Forest Service. Location and road construction commenced August 3, 1978. 11 --~ i"8.-I~h~r~bycer ct------···-· ..------_. ------.-- ..----..---.-- SIGNEOJ (This space to nr:in p ,,,,,, APPROVED F. _ TITLE "Jl:::;trH.:t --=-- DATE! CONDIT10NS OF APPROVA.I0"FANY : ~,tate of Iriallo ;if~pdrtm(;nt of Lrtn