api well number: 43013515540000 api well number

RECEIVED: September 24, 2012

STATE OF UTAHDEPARTMENT OF NATURAL RESOURCES

DIVISION OF OIL, GAS AND MINING

APPLICATION FOR PERMIT TO DRILL 1. WELL NAME and NUMBER

Ute Tribal 34-04-D3

2. TYPE OF WORK

DRILL NEW WELL REENTER P&A WELL DEEPEN WELL 3. FIELD OR WILDCAT

ANTELOPE CREEK

4. TYPE OF WELLOil Well Coalbed Methane Well: NO

5. UNIT or COMMUNITIZATION AGREEMENT NAMEANTELOPE CREEK

6. NAME OF OPERATORPETROGLYPH OPERATING CO

7. OPERATOR PHONE208 685-7685

8. ADDRESS OF OPERATOR960 Broadway Avenue, Ste 500, Bosie, ID, 83703

9. OPERATOR [email protected]

10. MINERAL LEASE NUMBER(FEDERAL, INDIAN, OR STATE)

14-20-H62-4737

11. MINERAL OWNERSHIP

FEDERAL INDIAN STATE FEE 12. SURFACE OWNERSHIP

FEDERAL INDIAN STATE FEE

13. NAME OF SURFACE OWNER (if box 12 = 'fee')Kenneth A. Moon

14. SURFACE OWNER PHONE (if box 12 = 'fee')

15. ADDRESS OF SURFACE OWNER (if box 12 = 'fee')HC 64 Box 102, Duchesne, UT 84021

16. SURFACE OWNER E-MAIL (if box 12 = 'fee')

17. INDIAN ALLOTTEE OR TRIBE NAME(if box 12 = 'INDIAN')

Ute Indian Tribe

18. INTEND TO COMMINGLE PRODUCTION FROMMULTIPLE FORMATIONS

YES (Submit Commingling Application) NO

19. SLANT

VERTICAL DIRECTIONAL HORIZONTAL

20. LOCATION OF WELL FOOTAGES QTR-QTR SECTION TOWNSHIP RANGE MERIDIAN

LOCATION AT SURFACE 817 FNL 817 FWL NWNW 34 4.0 S 3.0 W U

Top of Uppermost Producing Zone 817 FNL 817 FWL NWNW 34 4.0 S 3.0 W U

At Total Depth 817 FNL 817 FWL NWNW 34 4.0 S 3.0 W U

21. COUNTYDUCHESNE

22. DISTANCE TO NEAREST LEASE LINE (Feet)817

23. NUMBER OF ACRES IN DRILLING UNIT616

25. DISTANCE TO NEAREST WELL IN SAME POOL(Applied For Drilling or Completed)

437

26. PROPOSED DEPTHMD: 6039 TVD: 6039

27. ELEVATION - GROUND LEVEL

5751

28. BOND NUMBER

LPM4138336

29. SOURCE OF DRILLING WATER /WATER RIGHTS APPROVAL NUMBER IF APPLICABLE

43-8342

Hole, Casing, and Cement Information

String Hole Size Casing Size Length Weight Grade & Thread Max Mud Wt. Cement Sacks Yield Weight

COND 20 14 0 - 55 5.0 Unknown 10.0 Class G 25 1.17 15.8

SURF 12.25 8.63 0 - 495 24.0 J-55 ST&C 10.0 Class G 227 1.17 15.8

PROD 7.88 5.5 0 - 6039 15.5 J-55 LT&C 10.0 Class G 430 1.92 12.5

Class G 366 1.46 13.4

ATTACHMENTS

VERIFY THE FOLLOWING ARE ATTACHED IN ACCORDANCE WITH THE UTAH OIL AND GAS CONSERVATION GENERAL RULES

WELL PLAT OR MAP PREPARED BY LICENSED SURVEYOR OR ENGINEER COMPLETE DRILLING PLAN

AFFIDAVIT OF STATUS OF SURFACE OWNER AGREEMENT (IF FEE SURFACE) FORM 5. IF OPERATOR IS OTHER THAN THE LEASE OWNER

DIRECTIONAL SURVEY PLAN (IF DIRECTIONALLY OR HORIZONTALLY DRILLED) TOPOGRAPHICAL MAP

NAME Ed Trotter TITLE Agent PHONE 435 789-4120

SIGNATURE DATE 07/03/2012 EMAIL [email protected]

API NUMBER ASSIGNED

43013515540000

Permit Manager

APPROVAL

FORM 3

AMENDED REPORT

API Well Number: 43013515540000

CONFIDE

NTIAL

CONFIDE

NTIAL

CONFIDE

NTIAL

CONFIDE

NTIAL


FORM 3STATE OF UTAH

DEPARTMENTOF NATURALRESOURCES AMENDEDREPORTDIVISION OF OIL, GAS AND MINING

APPLICATION FOR PERMIT TO DRILL 1. WELL NAME and NUeM Ral34-04-D3

2. TYPE OF WORK 3. FIELD OR WILDCATDRILLNEWWELL REENTER P&AWELL DEEPEN WELLI ANTELOPE CREEK

4. TYPE OF WELL 5. UNIT or COMMUNITIZATION AGREEMENT NAMEOil Well Coalbed Methane Well: NO ANTELOPE CREEK

6. NAME OF OPERATOR 7. OPERATOR PHONEPETROGLYPH OPERATING CO 208 685-7685

8. ADDRESS OF OPERATOR 9. OPERATOR E-MAIL960 Broadway Avenue, Ste 500, Bosie, ID, 83703 [email protected]

10. MINERAL LEASE NUMBER 11. MINERAL OWNERSHIP 12. SURFACE OWNERSHIP(FEDERAL, INDIAN, OR1S4

0 62-4737 FEDERAL INDIAN I STATE FEE FEDERAL INDIAN STATE FEE I

13. NAME OF SURFACE OWNER (if box 12 = 'fee') 14. SURFACE OWNER PHONE (if box 12 = 'fee')Kenneth A. Moon

15. ADDRESS OF SURFACE OWNER (if box 12 = 'fee') 16. SURFACE OWNER E-MAIL (if box 12 = 'fee')HC 64 Box 102, Duchesne, UT 84021

18. INTEND TO COMMINGLE PRODUCTION FROM 19. SLANT17. INDIAN ALLOTTEE OR TRIBE NAME

MULTIPLE FORMATIONS(if box 12 = 'INDIAN')Ute Indian Tribe YES (Submit Commingling Application) NO VERTICAL DIRECTIONAL HORIZONTAL





21. COUNTY 22. DISTANCE TO NEAREST LEASE LINE (Feet) 23. NUMBER OF ACRES IN DRILLING UNITDUCHESNE 817 616

25. DISTANCE TO NEAREST WELL IN SAME POOL 26. PROPOSED DEPTH(Applied For Drilling or Completed) MD: 6039 TVD: 6039

437

27. ELEVATION - GROUND LEVEL 28. BOND NUMBER 29. SOURCE OF DRILLING WATERIWATER RIGHTS APPROVAL NUMBER IF APPLICABLE

5751 LPM4138336 43-8342




SURF 12.25 8.63 0 - 495 24.0 J-55 ST&C 10.0 Class G 227 1.17 15.8

PROD 7.88 5.5 0 - 6039 15.5 J-55 LT&C 10.0 Class G 430 1.92 12.5

Class G 366 1.46 13.4

ATTACHMENTS


WELL PLATOR MAP PREPARED BY LICENSED SURVEYOR OR ENGINEER COMPLETE DRILLING PLAN

AFFIDAVIT OF STATUS OF SURFACE OWNER AGREEMENT(IF FEE SURFACE) FORM 5. IF OPERATOR IS OTHER THAN THE LEASE OWNER

DIRECTIONAL SURVEY PLAN (IF DIRECTIONALLYOR HORIZONTALLY DRILLED) TOPOGRAPHICAL MAP



API NUMBER ASSIGNED APPROVAL43013515540000

Permit Manager

RECEIVED: September 24,


FORM 3STATE OF UTAH



















437


5751 LPM4138336 43-8342




SURF 12.25 8.63 0 - 495 24.0 J-55 ST&C 10.0 Class G 227 1.17 15.8

PROD 7.88 5.5 0 - 6039 15.5 J-55 LT&C 10.0 Class G 430 1.92 12.5

Class G 366 1.46 13.4

ATTACHMENTS








Permit Manager



FORM 3STATE OF UTAH



















437


5751 LPM4138336 43-8342




SURF 12.25 8.63 0 - 495 24.0 J-55 ST&C 10.0 Class G 227 1.17 15.8

PROD 7.88 5.5 0 - 6039 15.5 J-55 LT&C 10.0 Class G 430 1.92 12.5

Class G 366 1.46 13.4

ATTACHMENTS








Permit Manager


RECEIVED: July 03, 2012

CONFIDENTIAL EIGHT POINT DRILLING PLAN

PETROGLYPH OPERATING COMPANY, INC

UTE TRIBAL 34-04-D3

NW NW, SEC 34, T4S, R3W

DUCHESNE COUNTY, UTAH

8 point drilling plan--POCI 1 of 7

1. ESTIMATED TOPS OF IMPORTANT GEOLOGICAL MARKERS:

Formation Subsea MD

Rig KB=15’ above GGL 5766 0

Surface Formation = Uinta

Uinta 5751 15

Green River 4785 980

Trona 3425 2340

Mahogany Shale 3255 2510

“B” Marker Waterflood

Unit In

terval 2097 3668

“X” Marker 1598 4167

Douglas Creek Marker 1462 4303

“B” Limestone 1059 4706

Base Castle Peak Limestone 489 5276

BSCARB 109 5656

Wasatch -173 5938

Rig TD -273 6039

2. ESTIMATED DEPTHS OF ANTICIPATED WATER, OIL, GAS OR MINERAL

FORMATIONS:

Substance Formation SUBSEA MD

Base of moderately saline

ground water* Uinta 5650 116

Oil/Gas Douglas Creek 1462 4303

Oil/Gas Castle Peak 489 5276

Any water encountered during drilling shall be sampled, analyzed and reported to the BLM Vernal

office using State of Utah DOGM Form 7 Report of Water Encountered during Drilling. The following

analyses shall be performed on any water encountered:

Flow rate (or blowtest) Temperature pH TDS

Dissolved Iron Dissolved Magnesium Dissolved Bicarb. Dissolved Sulfate

Dissolved Calcium Dissolved Sodium Dissolved Carbonate Dissolved Chloride

All depths through the “Base of moderately saline ground water”*, along with any water encountered

below that depth which is less than 10,000 TDS, shall be protected by the surface casing or by lifting the

cement of the production casing into the surface casing.

*Base of Moderately Saline Groundwater from Howells, Longson and Hunt, 1981, Utah State Technical

Publication 92: The Base of the Moderately Saline Water in the Uinta Basin, Utah


CONFIDE

NTIAL

CONFIDE

NTIAL

CONFIDE

NTIAL

CONFIDE

NTIAL


CONFIDENTIALEIGHT POINT DRILLING PLAN

PETROGLYPH OPERATING COMPANY, INCUTE TRIBAL 34-04-D3

NW NW, SEC 34, T4S, R3WDUCHESNE COUNTY, UTAH


Formation Subsea MDRigKB=15'aboveGGL 5766 0SurfaceFormation = UintaUinta 5751 15Green River 4785 980Trona 3425 2340MahoganyShale 3255 2510

"B"Marker - 2097 3668"X"Marker gt 1598 4167Douglas CreekMarker

i¯= 1462 4303

"B"Limestone o = 1059 4706Base CastlePeak Limestone = 489 5276BSCARB 109 5656Wasatch -173 5938RigTD -273 6039

2. ESTIMATED DEPTHS OF ANTICIPATED WATER, OIL, GAS OR MINERALFORMATIONS:

Substance Formation SUBSEA _MDBase of moderately salineground water* Uinta 5650 116Oil/Gas Douglas Creek 1462 4303Oil/Gas Castle Peak 489 5276

Any water encountered during drilling shall be sampled, analyzed and reported to the BLM Vernaloffice using State of Utah DOGM Form 7 Report of Water Encountered during Drilling. The followinganalyses shall be performed on any water encountered:

Flow rate (or blowtest) Temperature pH TDSDissolved Iron Dissolved Magnesium Dissolved Bicarb. Dissolved SulfateDissolved Calcium Dissolved Sodium Dissolved Carbonate Dissolved Chloride

All depths through the "Base of moderately saline ground water"*, along with any water encounteredbelow that depth which is less than 10,000 TDS, shall be protected by the surface casing or by lifting thecement of the production casing into the surface casing.

*Base of Moderately Saline Groundwater from Howells, Longson and Hunt, 1981, Utah State TechnicalPublication 92: The Base of the Moderately Saline Water in the Uinta Basin, Utah


RECEIVED: July 03,








i¯= 1462 4303









RECEIVED: July 03,








i¯= 1462 4303









RECEIVED: July 03,




UTE TRIBAL 34-04-D3




3. PROPOSED CASING PROGRAM:

String Hole Casing Top - MD Bottom - MD Weight lb/ft Grade Thread

Conductor 20" 14" surface 54.5' steel Cond’r none

Surface 12-1/4" 8-5/8" surface 494.5’ 24 J-55 STC

Production 7-7/8" 5-1/2" surface 6039’ 15.5 J-55 LTC

String Hole Casing Collapse Burst Tensile

Surface 12-1/4" 8-5/8" 1,370 psi 2,950 psi 244,000 lb

Production 7-7/8" 5-1/2" 4,040 psi 4,810 psi 248,000 lb

• All casing will be new or inspected.

• The surface and production strings shall have a minimum of one (1) centralizer on each of the

bottom three (3) joints.

• The production string shall have a minimum of one (1) centralizer for every three (3) joints from TD

to the top of the “B” marker at 3668’MD.

4. PROPOSED CEMENTING PROGRAM:

String Top

Cement Description Sacks

Excess Weight Yield

Bottom Vol (ft3) (ppg) (ft3/sk)

Conductor 0

Construction Grade Cement Sufficient volumes to grout Conductor 54.5

Surface 0 Class G +2% CaCl2

+0.25 lb/sk Cello Flake 227

30% 15.8 1.17 494.5 265

Production Lead

0 EXPANDACEM (Class G +additives) + 1 lb/sk Granulite TR¼ (LCM)

430 30% 12.5 1.92

3668 826

Production Tail

3668 EXPANDACEM (Class G +additives) + 1 lb/sk Granulite TR¼ (LCM)

366 30% 13.4 1.46

6039 534

• The 8-5/8” surface casing shall be cemented back to surface. In the event that during the primary

surface cementing operation the cement does not circulate to surface, or if the cement level should

fall back more than 8 feet from surface, then a remedial surface cementing operation shall be

performed to insure adequate isolation and stabilization of the surface casing.

• The 5-1/2” production casing shall be cemented back to surface. In the event that during the primary

surface cementing operation the cement does not circulate to surface, a remedial surface cementing

operation shall be performed only if necessary to lift cement above the Trona at 2340’MD.


CONFIDE

NTIAL

CONFIDE

NTIAL

CONFIDE

NTIAL

CONFIDE

NTIAL






String Hole Casing Top - MD Bottom - MD Weight Ib/ft Grade ThreadConductor 20" 14" surface 54.5' steel Cond'r noneSurface 12-1/4" 8-5/8" surface 494.5' 24 J-55 STC

Production 7-7/8" 5-1/2" surface 6039' 15.5 J-55 LTC

String Hole Casing Collapse Burst TensileSurface 12-1/4" 8-5/8" 1,370 psi 2,950 psi 244,000 lb

Production 7-7/8" 5-1/2" 4,040psi 4,810psi 248,000lb


• The surface and production strings shall have a minimum of one (1) centralizer on each of thebottom three (3) joints.

• The production string shall have a minimum of one (1) centralizer for every three (3) joints from TDto the top of the "B" marker at 3668'MD.


Top . Sacks Weight YieldString CementDescription ExcessBottom Vol(ft3) (ppg) (ft3/sk)OConductor --- ---- ConstructionGradeCement SufficientvolumestogroutConductor54.50 Class G +2% CaCl2 227Surface -- -- 30% 15.8 1.17494.5 +0.25 lb/sk CelloFlake 265

Production 0 EXPANDACEM(ClassG +additives) 430 -- 30% 12.5 1.92Lead 3668 + 1 lb/skGranuliteTR¼ (LCM) 826Production 3668 EXPANDACEM(ClassG +additives) 366 -- 30% 13.4 1.46Tail 6039 + 1 lb/skGranuliteTR¼ (LCM) 534

• The 8-5/8" surface casing shall be cemented back to surface. In the event that during the primarysurface cementing operation the cement does not circulate to surface, or if the cement level shouldfall back more than 8 feet from surface, then a remedial surface cementing operation shall beperformed to insure adequate isolation and stabilization of the surface casing.

• The 5-1/2" production casing shall be cemented back to surface. In the event that during the primarysurface cementing operation the cement does not circulate to surface, a remedial surface cementingoperation shall be performed only if necessary to lift cement above the Trona at 2340'MD.

8 point drilling plan--POci 2 of 7

RECEIVED: July 03,



















RECEIVED: July 03,



















RECEIVED: July 03,




UTE TRIBAL 34-04-D3




5. MINIMUM PRESSURE CONTROL AND SAFETY EQUIPMENT:

• An 8”, 2000 PSI, Double Ram BOPE with Hydraulic Closing Unit shall be used.

• A 2000 PSI Working Pressure Annular shall be used.

• The flowline shall have a minimum diameter of 10”.

• Auxiliary equipment shall be a Kelly Cock, Bit Float, and a TIW valve with drill pipe threads.

• Spark arrestors shall be equipped on all engine exhausts within 100 feet of the wellbore.

• See attached 2,000 psi BOP schematic diagram.

BOPE TESTING PROCEDURE:

• The BOPE shall be tested by a professional tester to conform to Onshore Order #2.

6. MUD PROGRAM:

A. SURFACE HOLE

• The surface hole will be drilled with an air/mist system from 0’ to 494.5’. All cutting shall be

directed to pit.

• A trailer-mounted compressor with a capacity of 2000 CFM will be used. Compressor will have

a safety shut-off valve located less than 15 feet from the driller’s controls of the rig.

• The rat and mouse holes will be drilled with the air rig after surface casing is cemented.

• The 140 barrel water truck used with the deduster will be the source of kill fluid in the highly

unlikely event of pressure being encountered during drilling of the surface hole.

• Operator requests the following variances from Onshore Order 2 part E during drilling of the

surface hole. Operator will use air drilling techniques only on surface hole:

o Operator requests a variance to regulations requiring the blooie line discharge to be 100’

from the wellbore. Due to reduced location size, the blooie line discharge will be

approximately 75’ from the wellbore and securely anchored.

o Operator requests a variance to regulations requiring an automatic igniter or continuous pilot

light on the blooie line. A mister shall be on the end of the blooie line.

o Operator requests a variance to regulations requiring compressors be located in the opposite

direction from the blooie line; a minimum of 100’ from the wellbore. Due to the reduced

location size, the compressors shall be located as close as is reasonable to the opposite

direction from the blooie line and 75’ from the wellbore.

o Operator requests a variance to regulations requiring a BOPE on the hole when drilling the

surface hole. An air bowl shall be utilized on the diverter system in place of a BOPE.


CONFIDE

NTIAL

CONFIDE

NTIAL

CONFIDE

NTIAL

CONFIDE

NTIAL






• An 8", 2000 PSI, Double Ram BOPE with Hydraulic Closing Unit shall be used.• A 2000 PSI Working Pressure Annular shall be used.• The flowline shall have a minimum diameter of 10".• Auxiliary equipment shall be a Kelly Cock, Bit Float, and a TIW valve with drill pipe threads.• Spark arrestors shall be equipped on all engine exhausts within 100 feet of the wellbore.• See attached 2,000 psi BOP schematic diagram.

BOPE TESTING PROCEDURE:• The BOPE shall be tested by a professional tester to conform to Onshore Order #2.

6. MUD PROGRAM:

A. SURFACE HOLE

• The surface hole will be drilled with an air/mist system from O' to 494.5'. All cutting shall bedirected to pit.

• A trailer-mounted compressor with a capacity of 2000 CFM will be used. Compressor will havea safety shut-off valve located less than 15 feet from the driller's controls of the rig.


• The 140 barrel water truck used with the deduster will be the source of kill fluid in the highlyunlikely event of pressure being encountered during drilling of the surface hole.

• Operator requests the following variances from Onshore Order 2 part E during drilling of thesurface hole. Operator will use air drilling techniques only on surface hole:o Operator requests a variance to regulations requiring the blooie line discharge to be 100'

from the wellbore. Due to reduced location size, the blooie line discharge will beapproximately 75' from the wellbore and securely anchored.

o Operator requests a variance to regulations requiring an automatic igniter or continuous pilotlight on the blooie line. A mister shall be on the end of the blooie line.

o Operator requests a variance to regulations requiring compressors be located in the oppositedirection from the blooie line; a minimum of 100' from the wellbore. Due to the reducedlocation size, the compressors shall be located as close as is reasonable to the oppositedirection from the blooie line and 75' from the wellbore.

o Operator requests a variance to regulations requiring a BOPE on the hole when drilling thesurface hole. An air bowl shall be utilized on the diverter system in place of a BOPE.


RECEIVED: July 03,








6. MUD PROGRAM:

A. SURFACE HOLE











RECEIVED: July 03,








6. MUD PROGRAM:

A. SURFACE HOLE











RECEIVED: July 03,




UTE TRIBAL 34-04-D3




B. PRODUCTION HOLE

• The production hole shall be drilled with a freshwater polymer system from 494.5’ to 6039’.

LSND mud if conditions warrant.

• Clay inhibition and hole stability shall be achieved with a Diammonium Phosphate (DAP)

additive or similar source of clay-stabilizing ions. Anticipated mud weight is 8.3-8.4 lbs/gal.

• All cuttings and circulating medium shall be directed into the reserve pit. Total Dissolved Solids

(TDS) are anticipated to be less than 3000 PPM.

• Sufficient mud inventory will be maintained on location in either tanks or the reserve pit during

the drilling of the production hole to handle any adverse conditions that may arise.

• If necessary to control formation fluids or pressure, the system will be weighted with the addition

of bentonite gel, and if pressure conditions warrant, with barite. Enough material shall be

maintained on location to allow for the mudweight to be raised to 10.5 lbs/gal should need arise.

• During drilling operations, pit levels and flow from the well shall be monitored by instrumenta-

tion to include at least: a pit volume totalizer (PVT), a stroke counter, and a mud-flow indicator.

• A mud-gas separator shall be available on location. Operator does not plan on using a gas

detector on the mud return due to the fact that any abnormal pressure is the result of offset water

injection.

C. HAZARDOUS MATERIALS AND POLLUTANTS

• Chromate additives shall NOT be used in the mud system on Indian lands without prior BLM

approval to ensure adequate protection of freshwater aquifers.

• Chemicals subject to reporting under SARA Title III in an amounts equal to or greater than

10,000 pounds annually shall NOT be used, produced, stored, transported, or disposed of in

association with the drilling, testing, or completion of this well.

• Extremely hazardous substances, as defined in 40 CFR 355, in threshold planning quantities

shall NOT be used, produced, stored, transported, or disposed of in association with the drilling,

testing, or completion of this well.

• Hazardous substances specifically listed by the EPA as a hazardous waste, as defined in 40 CFR

261 (D), or any substances that through their use would lead to the generation of a hazardous

waste, shall NOT be used in association with the drilling, testing, or completion of this well.


CONFIDE

NTIAL

CONFIDE

NTIAL

CONFIDE

NTIAL

CONFIDE

NTIAL





B. PRODUCTION HOLE

• The production hole shall be drilled with a freshwater polymer system from 494.5' to 6039'.LSND mud if conditions warrant.

• Clay inhibition and hole stability shall be achieved with a Diammonium Phosphate (DAP)additive or similar source of clay-stabilizing ions. Anticipated mud weight is 8.3-8.4 lbs/gal.

• All cuttings and circulating medium shall be directed into the reserve pit. Total Dissolved Solids(TDS) are anticipated to be less than 3000 PPM.

• Sufficient mud inventory will be maintained on location in either tanks or the reserve pit duringthe drilling of the production hole to handle any adverse conditions that may arise.

• If necessary to control formation fluids or pressure, the system will be weighted with the additionof bentonite gel, and if pressure conditions warrant, with barite. Enough material shall bemaintained on location to allow for the mudweight to be raised to 10.5 lbs/gal should need arise.

• During drilling operations, pit levels and flow from the well shall be monitored by instrumenta-tion to include at least: a pit volume totalizer (PVT), a stroke counter, and a mud-flow indicator.

• A mud-gas separator shall be available on location. Operator does not plan on using a gasdetector on the mud return due to the fact that any abnormal pressure is the result of offset watermjection.


• Chromate additives shall NOT be used in the mud system on Indian lands without prior BLMapproval to ensure adequate protection of freshwater aquifers.

• Chemicals subject to reporting under SARA Title III in an amounts equal to or greater than10,000 pounds annually shall NOT be used, produced, stored, transported, or disposed of inassociation with the drilling, testing, or completion of this well.

• Extremely hazardous substances, as defined in 40 CFR 355, in threshold planning quantitiesshall NOT be used, produced, stored, transported, or disposed of in association with the drilling,testing, or completion of this well.

• Hazardous substances specifically listed by the EPA as a hazardous waste, as defined in 40 CFR261 (D), or any substances that through their use would lead to the generation of a hazardouswaste, shall NOT be used in association with the drilling, testing, or completion of this well.


RECEIVED: July 03,





B. PRODUCTION HOLE














RECEIVED: July 03,





B. PRODUCTION HOLE














RECEIVED: July 03,




UTE TRIBAL 34-04-D3




7. EVALUATION PROGRAM:

Logs: Triple Combo TD to base of surface casing (AIT, DSN, CDL)

Base of surface casing to surface (GR)

Cores: None planned

DST: None planned

Testing: Operator plans no testing until the completion phase of the well.

8. ANTICIPATED ABNORMAL PRESSURE OR TEMPERATURE:

• Operator anticipates Bottom Hole Temperatures below 150°F, the maximum temperature for

DAP drilling fluids.

• No H2S has been encountered or is known to exist from previous drilling in the area at this depth.

• Maximum pressure for hydrocarbon bearing zones at native conditions in this area is

approximately 1509.75 PSI (0.25 PSI/ft gradient).

• This well is in the vicinity of active injection wells. Nearby active injection can cause pressures

up to a 0.433 PSI/ft gradient (2615 PSI).


CONFIDE

NTIAL

CONFIDE

NTIAL

CONFIDE

NTIAL

CONFIDE

NTIAL






Logs: Triple Combo TD to base of surface casing (AIT, DSN, CDL)Base of surface casing to surface (GR)

Cores: None planned

DST: None planned



• Operator anticipates Bottom Hole Temperatures below 150°F, the maximum temperature forDAP drilling fluids.


• Maximum pressure for hydrocarbon bearing zones at native conditions in this area isapproximately 1509.75 PSI (0.25PSI/ft gradient).

• This well is in the vicinity of active injection wells. Nearby active injection can cause pressuresup to a 0.433 PSI/ft gradient (2615 PSI).


RECEIVED: July 03,







Cores: None planned

DST: None planned








RECEIVED: July 03,







Cores: None planned

DST: None planned








RECEIVED: July 03,




UTE TRIBAL 34-04-D3




TYPICAL 2,000 p.s.i. BLOWOUT PREVENTER

KILL LINE - Minimum 2" To Choke Manifold - Minimum 2"

PIPE RAMS

BLIND RAMS

FILL UP LINE

DRILLING NIPPLE

FLOW LINE

ANNULAR PREVENTER

CASING HEAD

DRILLING SPOOL


CONFIDE

NTIAL

CONFIDE

NTIAL

CONFIDE

NTIAL

CONFIDE

NTIAL





TYPICAL2,000 p.s.i. BLOWOUT PREVENTERRILLING NIPPLE

FILLEUPFLOW LINE

ANNULARPREVENTER

BLIND RAMS

O DRILLING SPOOL

CASING HEAD

To Choke Manifold -KILLLINE - Minimum 2" Minimum 2"


RECEIVED: July 03,






FILLEUPFLOW LINE

ANNULARPREVENTER

BLIND RAMS

O DRILLING SPOOL

CASING HEAD

To Choke Manifold -KILLLINE - Minimum 2"

Minimum 2"


RECEIVED: July 03,






FILLEUPFLOW LINE

ANNULARPREVENTER

BLIND RAMS

O DRILLING SPOOL

CASING HEAD

To Choke Manifold -KILLLINE - Minimum 2" Minimum 2"


RECEIVED: July 03,




UTE TRIBAL 34-04-D3




TYPICAL 2,000 p.s.i. CHOKE MANIFOLD

BOP STACK OUTLET (3" Nominal)

TO PIT (2 IN. MIN.) TO MUD/GAS SEPARATOR AND/OR PIT (2 IN. MIN.)

2" 2"

2"

ADJUSTABLE CHOKE ADJUSTABLE CHOKE


CONFIDE

NTIAL

CONFIDE

NTIAL

CONFIDE

NTIAL

CONFIDE

NTIAL





TYPICAL2,000 p.s.i. CHOKE MANIFOLD

ADJUSTABLE CHOKEADJUSTABLE CHOKE

TO PIT (2 IN. MIN.) TO MUD/GAS SEPARATORBOP STACK OUTLET AND/OR PIT (2 IN. MIN.)(3" Nominal)


RECEIVED: July 03,









RECEIVED: July 03,









RECEIVED: July 03,



CONFIDE

NTIAL

CONFIDE

NTIAL

CONFIDE

NTIAL

CONFIDE

NTIAL

T4S,

R3W

,U

.S.B

.&M

PETR

OG

LYPH

OPE

RA

TIN

GC

O.,

INC

.W

ell

loca

tion,

UTE

TRIB

AL

#34-

04-0

3,lo

cate

das

show

nin

the

NW

1/4

NW

1/4

ofSe

ctio

n34

,T4

SR

3W,

U.S

.B.&

M,

Duc

hesn

eC

ount

y,U

tah.

NB

928

58"E

2/5/

21'

.M

eos

)N

B9'

5200

E-

2649

47A

4er.t

sB

ASI

SO

FEL

EVA

TIO

N

tone

se

tone

sSF

CT

ELEV

ATI

ON

LOC

ATE

DA

TT1

1ESO

JTH

WES

TC

OR

NER

OF

SEC

TIO

N33

,T4

S,R

3W,

J.S.B

.&M

.TA

KEN

FRC

MTH

EM

YTO

ASW

,Q

UA

DR

AN

GLE

,IJTA

H,

DU

CH

ESN

EC

OU

NTY

,7.5

Ml%

TEU

TE7R

/BA

Lf3

4-04

-DJ

SER

IES

(TC

POG

RA

PHIC

AL

WA

P)PU

BLI

SHED

3YTH

EU

hlTE

]E7

evU

ngra

ded

Gro

und

=57

543

STA

TES

DE'

AR

TMEN

TO

FTH

EIN

TER

IOR

,G

EOLO

GIC

ALS

UR

VEY

.O

SAID

ELEV

ATI

CN

ISM

AR

KED

AS

BEI

NG

5938

FEET

.O o

--

--

--

BA

SIS

OF

BEA

RIN

GS

BA

SIS

OF

BEA

RIN

GS

ISA

G,P

.S.

OB

SER

VA

T10N

.

---

34--

SCA

LE

CER

T1FI

CA

TETH

IS15

TOC

ERllF

YTH

AT

THE

AB

OV

EFI

ELL

NO

TES

OF

AC

TsA

LSU

HV

EYS

MG

RU

\E

ict

4|ct

.]Lo

t2

SULE

WV

Islc

M^N

DTH

AT

THE

SAM

EA

BES

TO

FM

YK

iCW

LED

GE

AN

DB

ELJE

..o

c

deat

stT4

SR

EGIS

TR-/

/ST

ATE

DTy

--

--

--N

.89'

4224

"¿-

5377

23V

ens.)

--

--

-_

SSN

BS'

42?€

"if

ÜIN

TAH

ENG

INEE

arw

o&

LAN

DSU

RV

EYIN

G42

0.72

Ole

os.,y

85SO

UTH

200

EAST

-V

ERN

AL,

UTA

H84

078

LEG

END

:pg

ygg_

1017

=90

'SY

MO

OL

SCA

LED

ATE

SUR

VEY

ED:

DA

TED

RA

WN

:=

1000

'1-

-21-

1112

-16-

11=

PRO

PCSE

lW

ELL

HEA

:3.

NA

D83

(SuR

FAC

ELO

CA

ll0N

ip,

.=nT

YR

EFER

EiC

ESLA

llT.JD

E=

4005

48.9

9(4

0.09

388)

=SE

CTI

ON

CO

RA

ERS

LOC

ATE

).LO

NG

ITU

DE

=10

1256

.08

(110

.215

5781

e.O

.J.C

.N

.5-

G.L

.O.

PLA

TN

AD

27(S

UR

FAC

ELO

CA

T10N

)W

EATH

ERFI

LE=

AA

CLE

PCIN

TLO

CA

TEll

rTiD

iŠF¯

.C

OO

LPE

TTiC

GLP

HO

PER

AllN

GC

O.,

T4S,

R3W

,U

.S.B

.&M

PETR

OG

LYPH

OPE

RA

TIN

GC

O.,

INC

.W

ell

loca

tion,

UTE

TRIB

AL

#34-

04-0

3,lo

cate

das

show

nin

the

NW

1/4

NW

1/4

ofSe

ctio

n34

,T4

SR

3W,

U.S

.B.&

M,

Duc

hesn

eC

ount

y,U

tah.

NS9

2858

E2/

5/21

'.M

eos

)N

B9'

52'O

O"E

-26

4947

A4e

r.ts

BA

SIS

OF

ELEV

ATI

ON

tone

se

tone

sSF

CT

ELEV

ATI

ON

LOC

ATE

DA

TT1

1ESO

JTH

WES

TC

OR

NER

OF

SEC

TIO

N33

,T4

S,R

3W,

J.S.B

.&M

.TA

KEN

FRC

MTH

EM

YTO

ASW

,Q

UA

DR

AN

GLE

,IJT

AH

,D

UC

HES

NE

CO

UN

TY,7

.5M

l%TE

UTE

TR/B

AL

f34-

04-D

JSE

RIE

S(T

CPO

GR

APH

ICA

LW

AP)

PUB

LISH

ED3Y

THE

Uhl

TE]

Elev

Ung

rade

dG

roun

d=

5754

3ST

ATE

SD

E'A

RTM

ENT

OF

THE

INTE

RIO

R,

GEO

LOG

ICA

LSU

RV

EY.

OSA

IDEL

EVA

TIC

NIS

MA

RK

EDA

SB

EIN

G59

38FE

ET.

O o-

--

--

-B

ASI

SO

FB

EAR

ING

S

BA

SIS

OF

BEA

RIN

GS

ISA

G,P

.S.

OB

SER

VA

T101

---

34--

PÑe

ofst

ones

.

SCA

LE

CER

T1FI

CA

TETH

IS15

TOC

ERllF

YTH

AT

THE

AB

OV

EFI

ELL

NO

TES

OF

AC

TsA

LSU

HV

EYS

MG

RU

\E

ict

¢Ic

i.]

Lot

2SU

LEW

VIs

lcM

^ND

THA

TTH

ESA

ME

A

BES

TO

FM

YK

iCW

LED

GE

AN

DB

ELJE

oat

ston

eT4

SR

EGIS

TR-/

/ST

ATE

DTy

--

--

--//

89'4

224

"¿-

5377

23O

Ven

s.)_

__

__

_S

NB

S'42

€"if

ÜIN

TAH

ENG

INEE

arw

o&

LAN

DSU

RV

EYIN

G42

0.72

Ole

os.,y

85SO

UTH

200

EAST

-V

ERN

AL,

UTA

H84

078

LEG

END

:ps

)yg

g_10

17

=G

C'S

YM

BO

LSC

ALE

DA

TESU

RV

EYED

:D

ATE

DR

AW

N:

=10

00'

1--2

1-11

12-1

6-11

=PR

OPC

SEl

WEL

LH

EAT

NA

D83

(SuR

FAC

ELO

CA

ll0N

ip,

.=nT

YR

EFER

EiC

ESLA

llT.JD

E=

4005

48.9

9(4

0.09

388)

=SE

CTI

ON

CO

RA

ERS

LOC

ATE

).LO

NG

ITU

DE

=10

1256

.08

(110

.215

5781

e.O

.J.C

.15

-G

.L.O

.PL

AT

NA

D27

(SU

RFA

CE

LOC

AT1

0N)

WEA

THER

FILE

=A

NC

LEPC

INT

LOC

ATE

llrT

iDiŠ

F¯.

CO

OL

PETT

iCG

LPH

OPE

RA

llNG

CO

.,

T4S,

R3W

,U

.S.B

.&M

PETR

OG

LYPH

OPE

RA

TIN

GC

O.,

INC

.W

ell

loca

tion,

UTE

TRIB

AL

#34-

04-0

3,lo

cate

das

show

nin

the

NW

1/4

NW

1/4

ofSe

ctio

n34

,T4

SR

3W,

U.S

.B.&

M,

Duc

hesn

eC

ount

y,U

tah.

NS9

2858

E2/

5/21

'.M

eos

)N

B9'

52'O

O"E

-26

4947

A4e

r.ts

BA

SIS

OF

ELEV

ATI

ON

tone

se

tone

sSF

CT

ELEV

ATI

ON

LOC

ATE

DA

TT1

1ESO

JTH

WES

TC

OR

NER

OF

SEC

TIO

N33

,T4

S,R

3W,

J.S.B

.&M

.TA

KEN

FRC

MTH

EM

YTO

ASW

,Q

UA

DR

AN

GLE

,IJTA

H,

DU

CH

ESN

EC

OU

NTY

,7.5

Ml%

TEU

TETR

/BA

Lf3

4-04

-DJ

SER

IES

(TC

POG

RA

PHIC

AL

WA

P)PU

BLI

SHED

3YTH

EU

hlTE

]El

evU

ngra

ded

Gro

und

=57

543

STA

TES

DE'

AR

TMEN

TO

FTH

EIN

TER

IOR

,G

EOLO

GIC

ALS

UR

VEY

.O

SAID

ELEV

ATI

CN

ISM

AR

KED

AS

BEI

NG

5938

FEET

.O o

--

--

--

BA

SIS

OF

BEA

RIN

GS

BA

SIS

OF

BEA

RIN

GS

ISA

G,P

.S.

OB

SER

VA

T101

---

34--

PÑe

ofst

ones

.

SCA

LE

CER

T1FI

CA

TETH

IS15

TOC

ERllF

YTH

AT

THE

AB

OV

EFI

ELL

NO

TES

OF

AC

TsA

LSU

HV

EYS

MG

RU

\E

ict

¢Ic

i.]

Lot

2SU

LEW

VIs

lcM

^ND

THA

TTH

ESA

ME

A

BES

TO

FM

YK

iCW

LED

GE

AN

DB

ELJE

oat

ston

eT4

SR

EGIS

TR-/

/ST

ATE

DTy

--

--

--//

89'4

224

"¿-

5377

23O

Ven

s.)_

__

__

_S

NB

S'42

€"if

ÜIN

TAH

ENG

INEE

arw

o&

LAN

DSU

RV

EYIN

G42

0.72

Ole

os.,y

85SO

UTH

200

EAST

-V

ERN

AL,

UTA

H84

078

LEG

END

:ps

)yg

g_10

17

=G

C'S

YM

BO

LSC

ALE

DA

TESU

RV

EYED

:D

ATE

DR

AW

N:

=10

00'

1--2

1-11

12-1

6-11

=PR

OPC

SEl

WEL

LH

EAT

NA

D83

(SuR

FAC

ELO

CA

ll0N

ip,

.=nT

YR

EFER

EiC

ESLA

llT.JD

E=

4005

48.9

9(4

0.09

388)

=SE

CTI

ON

CO

RA

ERS

LOC

ATE

).LO

NG

ITU

DE

=10

1256

.08

(110

.215

5781

e.O

.J.C

.15

-G

.L.O

.PL

AT

NA

D27

(SU

RFA

CE

LOC

AT1

0N)

WEA

THER

FILE

=A

NC

LEPC

INT

LOC

ATE

llrT

iDiŠ

F¯.

CO

OL

PETT

iCG

LPH

OPE

RA

llNG

CO

.,



CONFIDE

NTIAL

CONFIDE

NTIAL

CONFIDE

NTIAL

CONFIDE

NTIAL


OSED L CATITE TRIBAL #34-0 D3 -

LEGEND: PETROGLYPH OPERATING CO., INC.O PROPOSED LOCATION N UTE TRIBAL#34-04-D3

SECTION 34, T48, R3W, U.S.B.&M.817 ENL SIT IM L

F1ntah Engineering & Land surveying At TESSR(lAD ] 2 Og | }85 Soistia 200 En t Tel-maal, ETtnKa 8-8078

DAY VEAU<-i35) 789-1017 * FAX (435) 789-1811SCALE:1:100¾ DRAWif AT. EVlsED:tediiMW

RECEIVED: July 03,







RECEIVED: July 03,







RECEIVED: July 03,



CONFIDE

NTIAL

CONFIDE

NTIAL

CONFIDE

NTIAL

CONFIDE

NTIAL


MEMORANDUM OF SURFACE USE ANDRIGHT-OF-WAY AGREEMENT

THIS MEMORANDUMWITNESSES:

THAT on the 16th day of June, 1997, between ORVEN J MOON AND DELPHIA N MOON,TRUSTEES, whose address is East Highway, Neola, Utah 84053 84021 (GRANTOR), in consideration ofthe covenargs_.and agreements contained in that certain Surface Use and Right-Of-Way Agreementdated Clu A 1997 (the "Agreement"), has granted and conveyed, and by thesepresents does hereby grant and convey to PETROGLYPH OPERATING COMPANY, INC., whoseaddress is 6209 North Highway 61, P.O. Box 1839, Hutchinson, Kansas 67502 (GRANTEE), certainrights of surface use, rights-of-way, and easements for the exploration, development, production, andtransportation of oil and gas in, on, over, through and across certain real property owned byGRANTOR and situated in the County of Duchesne, State of Utah, and more particularly described asfollows:

Township 4 South - Range 3 West USMSection 16: SWI4 SWl4Section 27: All

E 320862 8 AO280 P 2"59Section 28: SE/4 SEI4 DATE 1-JUL-1997 16:2òrm FEE ÍÌ.ÛÛCAROLYNE B. MADSENr RECORDERSection 33: E/2 NE/4, SEl4 SEl4 rlLED BY ORÏ

Section 34: All FOR ED TROTTERDUCHESNE COUNTY CORPORATIONContaining 1,450.00 acres, more or less.

Said rights and uses are granted upon and subject to all of the terms and conditions set forth inthe Agreement, executed by GRANTOR and GRANTEE, which Agreement is held by and can beinspected by parties having a vested interest in the Agreement and/or subject property duringreasonable business hours at the offices of GRANTOR or GRANTEE. Such uses, rights-of-way andeasements are granted for the full period of development of and the production life of any of the wells,appurtenances and facilities associated therewith.

IN WITNESS WHEREOF, this Memorandum has been duly executed this b day ofa - , 1997.

GRANTOR ORVEN J MOON AND DELPHIA N MOON,TRUSTEES

By:

By:

GRANTEE PETROGLYP PERATING COMPANY, INC.

By:Its: AgÀt

Page 1











By:

By:


By:Its: AgÀt

Page 1











By:

By:


By:Its: AgÀt

Page 1



CONFIDE

NTIAL

CONFIDE

NTIAL

CONFIDE

NTIAL

CONFIDE

NTIAL


ACKNOWLEDGMENTS

STATE OF UTAH ): ss.

COUNTY OF DUCHESNE )

The foregoing instrument was acknowledged before me this 4845 day ofp. , 1997 by ORVEN J MOON AND DELPHIA N MOON, TRUSTEES.

Notary PublicResiding in:

Commission Expires:CHARLOTTE JENSEN

NOTARYPUBUG•STATEofUTAH

t 3% EAST 100 SOUTHP.O. BOX140

/ DUCHESNE.UT64021' COMM.EXP.6-2-96

ACKNOWLEDGMENT

STATE OF ):ss.

COUNTYOF o..hoam )

The foregoing instrument was acknowledged before me this .35 day ofUma , 1997 by Ñg i ) , the Agent of

PETROGLYPH OPERATING COMPANY, INC.


MyCommission Expires:

CHARLOTTE JENSEN** NOTARYPUBUC• STATEofUTAH

365 EAST100 SOUTH

r P.0, OOX140

,fouoneens.ore«o:n

COMM.EXP.5-2-98

Page 2

ojmoonS4.mem E 3 2 ggg g A 2 g ?


ACKNOWLEDGMENTS









ACKNOWLEDGMENT

STATE OF ):ss.

COUNTYOF o..hoam )






365 EAST100 SOUTH

r P.0, OOX140

,fouoneens.ore«o:n

COMM.EXP.5-2-98

Page 2



ACKNOWLEDGMENTS









ACKNOWLEDGMENT

STATE OF ):ss.

COUNTYOF o..hoam )






365 EAST100 SOUTH

r P.0, OOX140

,fouoneens.ore«o:n

COMM.EXP.5-2-98

Page 2



APD-fee-POCI 1

Certification I hereby certify that I, or persons under my direct supervision, have inspected the proposed drillsite and access route; that I am familiar with the conditions that presently exist; that the statements made in the Plan are, to the best of my knowledge, true and correct; and that the work associated with the operations proposed herein will be performed by Petroglyph Operating Co., Inc. and its contractors and subcontractors in conformity with this Plan and the terms and conditions under which it is approved. Please be advised that Petroglyph Operating Co., Inc. is considered to be the operator of the UTE TRIBAL 34-04-D3 Well, located in NW/NW of Section 34, T4S, R3W, Duchesne County, Utah, lease #14-20-H62-4737; and is responsible under the terms and conditions of the lease for the operations conducted upon the leased lands. Bond Coverage is provided under Bond #LP4138153. _________________________ _______________________ Date Agent


CONFIDE

NTIAL

CONFIDE

NTIAL

CONFIDE

NTIAL

CONFIDE

NTIAL


Certification

I hereby certify that I, or persons under my direct supervision, have inspected theproposed drillsite and access route; that I am familiar with the conditions thatpresently exist; that the statements made in the Plan are, to the best of myknowledge, true and correct; and that the work associated with the operationsproposed herein will be performed by Petroglyph Operating Co., Inc. and itscontractors and subcontractors in conformity with this Plan and the terms andconditions under which it is approved.

Please be advised that Petroglyph Operating Co., Inc. is considered to be theoperator of the UTE TRIBAL 34-04-D3 Well, located in NW/NW ofSection 34, T4S, R3W, Duchesne County, Utah, lease #14-20-H62-

4737; and is responsible under the terms and conditions of the lease for theoperations conducted upon the leased lands. Bond Coverage is provided underBond #LP4138153·

Date Agent

APD-fee-POCI 1

RECEIVED: July 03,


Certification




Date Agent

APD-fee-POCI 1

RECEIVED: July 03,


Certification




Date Agent

APD-fee-POCI 1

RECEIVED: July 03,



CONFIDE

NTIAL

CONFIDE

NTIAL

CONFIDE

NTIAL

CONFIDE

NTIAL


1 \ PETROGLYPH OPERATING CD., INC FIGURE #1|LOCATION LAYOUT FOR

SCALE: "= 50'

UTE TRIBAL #34-04-D3 DATE 12-16- 1

SECTION 34. T45, R3W, U.S.B.&M, DRAWN BY: N.S.

817' FNL 817 FWL

Sto J+40-26

48 2 Round Comers

Top of g_ Approx.Cut Slopo ggggi Toe of

. Fill Slope

C-5.0Ð 589 --

___EL 558

C-16.1' C-11Sfm. Pid a si r E-6.4'

50 c o Stc, 7 65 1El 44.4'

curTINGS

I

C 1 2'Stm. P/t) I

Toto/ P/t CapacityW/2' of Freeboard-

,5, 900 Mb/s.± -

Toto/?/t Volume O 5 7 ' Sto. O-t-DO in495'= 1,250 ( Yo3

o St e ad

±/cv ungraded Ground At Loc Stoke = 5753 9' UINTAH ENCINEERING &c LAND SURVEYING//N/5HED CRADE HE 14 AT Loc sr><a - 5750.8' es so. zoo inse + versa. uses a447s a russ>ree-tery

RECEIVED: July 03,


1 \, PETROGLYPH OPERATING CD., INC' ,iFICURE #iLOCATION LAYOUT FOR

SCALE: "= õO'


SECTION 34 T45, R3W, U.5 B &M. DRAWN BY: N.S.

817' FNL 817' FWL

Sto J+40E-26I El 48 2 Round Comers

locoted a min. of Im L[ CM-- from the We Heca RO

Appr o×.,Top of g_ Approx.Cut Slopo ggggi Toe of

. Fill Slope

C-5.0Ð 589 --

__ E 558

C-16.1LSfm. P/ 519 E-6.4'

50 c o Stc, 7 65 1El 44.4'

curTINGS

I

C 1 2'Stm. Pit) I


,5, 900 Mb/s.± -

Toto/?/t Volume O 5 7 ' Sto. O-t-DO in495'= 1,250 ( Yo¾

o St e ad

±/cv ungraded Ground At Loc Stoke = 5753 9' UINTAH ENCINEERING &c LAND SURVEYING//N/5HED CRADE f LL l/ AT Loc sr><a - 5750.8' es so. zoo a se + versa. uses a447s a russ>ree-tery

RECEIVED: July 03,


1 \, PETROGLYPH OPERATING CD., INC' ,iFICURE #iLOCATION LAYOUT FOR

SCALE: "= õO'


SECTION 34 T45, R3W, U.5 B &M. DRAWN BY: N.S.

817' FNL 817' FWL

Sto J+40E-26I El 48 2 Round Comers

locoted a min. of Im L[ CM-- from the We Heca RO

Appr o×.,Top of g_ Approx.Cut Slopo ggggi Toe of

. Fill Slope

C-5.0Ð 589 --

__ E 558

C-16.1LSfm. P/ 519 E-6.4'

50 c o Stc, 7 65 1El 44.4'

curTINGS

I

C 1 2'Stm. Pit) I


,5, 900 Mb/s.± -

Toto/?/t Volume O 5 7 ' Sto. O-t-DO in495'= 1,250 ( Yo¾

o St e ad

±/cv ungraded Ground At Loc Stoke = 5753 9' UINTAH ENCINEERING &c LAND SURVEYING//N/5HED CRADE f LL l/ AT Loc sr><a - 5750.8' es so. zoo a se + versa. uses a447s a russ>ree-tery

RECEIVED: July 03,


â

â

ªªª

¸

ªª

·

' '¸'

'

·

'¸

¸ · ¸

'

'

¸

6

6

ª

ª

'

'

'·

'

·

·

'

'

'

''

''

' '

'

'

'

'

'

''

'

'

'

'

H

H

! !!

3433

2728 26

0304

35

26

32

29

35

05

02

Ute Tribal 34-04-D3 4301351554

Ute Tribal 34-02-D3 4301351552

UTE TRIBAL 33-13N-D3 4301350820

UTE TRIBAL 34-13J-D3 4301350819

UTE TRIBAL 1-28-4-3W 4301350406

UTE TRIBAL 11-27-4-3 4301350387

UTE TRIBAL 5-27-4-3 4301350386

UTE TRIBAL 3-27-4-3 4301350385

UTE TRIBAL 14-26-4-3 4301350367

UTE TRIBAL 11-26-4-3 4301350365

UTE TRIBAL 5-26-4-3 4301350364

UTE TRIBAL 3-26-4-3 4301350363

UTE TRIBAL 16-27-4-3 4301350336

UTE TRIBAL 9-27-4-3 4301350335

UTE TRIBAL 8-27-4-3 4301350334

UTE TRIBAL 7-27-4-3 4301350333

UTE TRIBAL 1-27-4-3 4301350331

UTE TRIBAL 10-27-4-3 4301350317

UTE TRIBAL 6-26-4-3 4301350315

UTE TRIBAL 15-27-4-3 4301350292

FEDERAL 8-26-8-15 4301334218

FEDERAL 15-26-8-15 4301334217

FEDERAL 10-26-8-15 4301334216

FEDERAL 16-26-8-15 4301334214

UTE TRIBAL 4-35-4-3 4301334206

UTE TRIBAL KMV 1-28 4301332368

UT 33-09-SO7 4301332367

UTE TRIBAL 33-13-D3 4301331958

UTE TRIBAL 33-11-D3 4301331957

UTE TRIBAL 33-08-D3 4301331956

UTE TRIBAL 34-12-D3 4301331940

UTE TRIBAL 34-05-D3 4301331939

UTE TRIBAL 33-16-D3 4301331938

UTE TRIBAL 33-15-D3 4301331937

UTE TRIBAL 33-10-D3 4301331935

UTE TRIBAL 03-04 4301331736

UTE TRIBAL 04-02A 4301331687

UTE TRIBAL 04-02 4301331656

UTE TRIBAL 04-01A 4301331655

UTE TRIBAL 04-03 4301331617

UTE TRIBAL 04-04 4301331574

UTE TRIBAL 2-28BL 4301331209

UTE TRIBAL 2-27BL 4301331208

UTE TRIBAL 1-28D3 4301330593

A N T E L O P E C R E E K F I E L DA N T E L O P E C R E E K F I E L D

B R I D G E L A N D F I E L DB R I D G E L A N D F I E L D

A N T E L O P E C R E E K U N I TA N T E L O P E C R E E K U N I T

Map Produced by Diana MasonMap Prepared:

F1,500 0 1,500750 Feet

1:14,255

UnitsSTATUS

ACTIVE

EXPLORATORY

GAS STORAGE

NF PP OIL

NF SECONDARY

PI OIL

PP GAS

PP GEOTHERML

PP OIL

SECONDARY

TERMINATED

FieldsSTATUS

Unknown

ABANDONED

ACTIVE

COMBINED

INACTIVE

STORAGE

TERMINATED

Wells QueryStatus

APD - Aproved Permit

H DRL - Spuded (Drilling Commenced)

4 GIW - Gas Injection

!* GS - Gas Storage

! LOC - New Location

7 OPS - Operation Suspended

ª PA - Plugged Abandoned

* PGW - Producing Gas Well

' POW - Producing Oil Well

¸ SGW - Shut-in Gas Well

· SOW - Shut-in Oil Well

6 TA - Temp. Abandoned

" TW - Test Well

¸ WDW - Water Disposal

¸ WIW - Water Injection Well

=* WSW - Water Supply Well

â Bottom Hole Location - OilGasDb

TOOELE

SAN JUAN

MILLARD

KANE

JUAB

IRON

EMERY

UINTAH

BOX ELDER

GARFIELD

GRAND

UTAH

WAYNEBEAVER

DUCHESNE

SEVIER

SUMMIT

RICH

WASHINGTON

CARBON

SANPETE

CACHE

PIUTE

DAVIS

WASATCH

WEBER

SALT LAKE

DAGGETT

MORGAN

Location Map

Operator: PETROGLYPH OPERATING CO

Well Name: Ute Tribal 34-04-D3API Number: 4301351554

Township T04.0S Section 34Range R03.0WMeridian: UBM


CONFIDE

NTIAL

CONFIDE

NTIAL

CONFIDE

NTIAL

CONFIDE

NTIAL


430E135RI 6L1-28-4-3W 430E135RIB8A5L3-27-4-3UTETRIBAL1-27-4-3 UTETRIBAL3-26-4-3 API Number: 43013515544301350331 4301350363 Well Name: Ute Tribal 34-04-D3

Township TO4.0S Range RO3.0W Section 34Meridian: UBM

UTETRIBAL8-27-4-3 UTETRIBAL5-26-4-3 Operator: PETROGLYPH OPERATING COUTE TRIBAL KMV 1-28 UTE TRIBAL 5-27-4-3 4301350334 43013503644301332368 4301350386 430E135RIBAL7-27-4-3

UTE TRIBAL 6-26-4-3 Map Prepared:4301350315 Map Produced by Diana Mason

BRll0GELAND FIELD29 28 27 26

UTE TRIBAL 2-28BLUTE TRIBAL 2-27BL UTE TRIBAL 11-27-4-3 UTE TRIBAL 11-26-4-3 units weilscuery

4301331209 4301331208 4301350387 4301350365 svAyus status

UTETRI 1-28D3 4 UTETRIB 9-27-4-3 ^"" ^"°vessermit

43013305 UTE TRIBAL 10-27-4-3430135033 """'°*^*°"Y spadeato

4301350317 oAssvaamos assinission

PiaiL e Lac NewLocaion

UTE TRIBAL 15-27-4-3 es oAs•-

4301350292 UTE TRIBAL 16-27-4-3 UTE TRIBAL 14-26-4-3 4 en se maand4301350336 4301350367 y saw stoccingossweii

TERrliNATED-D- saw shutincasweii

Fields saw shutinaliweii

STAlus TA Temp Abandoned

UTE TRIBAL 4-35-4-3i 4301334206

Ute Tribal 34-02-D3Ute Tribal 34-04-D3 43013515524301351554

sTaRAGE sonomHoieLocation alicasob

UTETRIBA.33-08-D34301331956 35

UTE TRIBAL 34-05-D34301331939 ' ""

icHLocation Map

34 FEDERAL 8- -8-15 suosix eo

32 33 4301334218UTETRIBAL33-11-D3 UT33-09-SO74301331957 4301332367 uv H g uiNTAH

UTE TRIBAL 33-10-D3 + UTE TRIBAL 34-12-D34301331935 4301331940 JU^"

cAasoNANT¯LOPE CREEK FIELDA NTELOPE CRE EKW-NJJ 430E135RO8BA9L34-13J-D3

4F3E0D1E4A2L1160-26-8-15 MiLLARD sueny eaAND

UTE TRIBAL 33-13-D3 UTE TRIBA .33-16-D3BEAvER

4301331958 4301331932 26 PiuT wAYNE

UTE TRIBAL 33- -D3

UTETRIBAL33-13N-D3 4301331937 'O

mNauAN

4301331736FEDERAL15-26-8-15

UTE TRIBAL 04-03 430E133R165A6L04-02 024F3E0D1E4A2L1176-26-8-15

4301331617 UTE TRIEAL 04-01A 034301334214

05 UTETRIBALO4-0404 4301331635

4301331574 1.500 FeetUTE TRIBAL 04-02A4301331687 -

351:14,255

RECEIVED: July 13,



Township TO4.0S Range RO3.0W Section 34

Meridian: UBMUTETRIBAL8-27-4-3 UTETRIBAL5-26-4-3 Operator: PETROGLYPH OPERATING COUTE TRIBAL KMV 1-28 UTE TRIBAL 5-27-4-3 4301350334 4301350364

4301332368 4301350386 430E135RIBAL7-27-4-3UTE TRIBAL 6-26-4-3 Map Prepared:4301350315 Map Produced by Diana Mason



4301331209 4301331208 4301350387 4301350365 svAyus status










UTE TRIBAL 4-35-4-3i 4301334206



UTETRIBA.33-08-D34301331956 35

UTE TRIBAL 34-05-D34301331939 ' ""

icHLocation Map





4F3E0D1E4A2L1160-26-8-15 MiLLARDsueny eaAND


4301331958 4301331932 26 PiuT wAYNE

UTE TRIBAL 33- -D3

UTETRIBAL33-13N-D3 4301331937 'O

mNauAN

4301331736FEDERAL15-26-8-15


4301331617 UTE TRIEAL 04-01A 034301334214

N05 UTETRIBALO4-0404 4301331635

4301331574 1.500 FeetUTE TRIBAL 04-02A4301331687 -

351:14,255

RECEIVED: July 13,



Township TO4.0S Range RO3.0W Section 34Meridian: UBM

UTETRIBAL8-27-4-3 UTETRIBAL5-26-4-3 Operator: PETROGLYPH OPERATING COUTE TRIBAL KMV 1-28 UTE TRIBAL 5-27-4-3 4301350334 43013503644301332368 4301350386 430E135RIBAL7-27-4-3

UTE TRIBAL 6-26-4-3 Map Prepared:4301350315 Map Produced by Diana Mason



4301331209 4301331208 4301350387 4301350365 svAyus status










UTE TRIBAL 4-35-4-3i 4301334206



UTETRIBA.33-08-D34301331956 35

UTE TRIBAL 34-05-D34301331939 ' ""

icHLocation Map





4F3E0D1E4A2L1160-26-8-15 MiLLARD sueny eaAND


4301331958 4301331932 26 PiuT wAYNE

UTE TRIBAL 33- -D3

UTETRIBAL33-13N-D3 4301331937 'O

mNauAN

4301331736FEDERAL15-26-8-15


4301331617 UTE TRIEAL 04-01A 034301334214

N05 UTETRIBALO4-0404 4301331635

4301331574 1.500 FeetUTE TRIBAL 04-02A4301331687 -

351:14,255

RECEIVED: July 13,


ON-SITE PREDRILL EVALUATIONUtah Division of Oil, Gas and Mining

Operator PETROGLYPH OPERATING CO Well Name Ute Tribal 34-04-D3API Number 43013515540000 APD No 6 2 9 2 Field/Unit ANTELOPE CREEKLocation: 1/4,1/4 NWNW Sec 34 T w 4.0S Rng 3.0W 817 FNL 817 FWLGPS Coord (UTM) 566861 4438745 Surface Owner Kenneth A. Moon

ParticipantsLes Farnsworth & Ed Trotter (Petrolglyph Operating); Bill Civish (BLM)

Regional/Local Setting & TopographyThe Ute Tribal 34-04-D3 well is proposed in northeastern Utah on the southern port ion of theUintah Basin, approximately 4.0 miles south of the Bridgeland, U.S. Highway 40 junction andimmediately east of the Antelope Creek Field Access road on Gilsonite Ridge. This broad ridgeis nearly flat , open and void of trees, bench like habitat that slopes generally northerly and hasbeen uti l ized as sheep or catt le pasture since this area was sett led. Antelope Canyon is thenearest major drainage system and found approximately 2.0 miles to the west of this si te.Oilf ield development is found to the north, east and south of this proposed si te.

Surface Use PlanCurrent Surface UseGrazingWildlfe Habitat

New RoadMiles

Well Pad Src Const Material Surface Formation

0 .12 Width 250 Length 3 4 0 Onsi te UNTA

Ancillary Facilities N

Waste Management Plan Adequate?

Environmental ParametersAffected Floodplains and/or Wetlands N

Flora / FaunaSagebrush, shad scale, rabbit brush, bunch grass, prickly pear cactus.

Potential antelope, coyote, mule deer and elk during winter months, fox, rabbit , prairiedog and other smaller mammals and birds nat ive to region, not any perching opportunityfor eagle or hawk other than artificial tanks, etc.

Soil Type and CharacteristicsTan to l ight brown, fine grained sandy loam with some clays present.

Erosion Issues N

Sedimentation Issues N


CONFIDE

NTIAL

CONFIDE

NTIAL

CONFIDE

NTIAL

CONFIDE

NTIAL



Operator PETROGLYPH OPERATING COWell Name Ute Tribal 34-04-D3

API Number 43013515540000 APD No 6292 Field/Unit ANTELOPE CREEKLocation: 1/4,1/4 NWNW Sec 34 Tw 4.0S Rng 3.0W 817 FNL 817 FWLGPS Coord (UTM) 566861 4438745 Surface Owner Kenneth A. Moon


Regional/Local Setting & TopographyThe Ute Tribal 34-04-D3 well is proposed in northeastern Utah on the southern portion of theUintah Basin, approximately 4.0 miles south of the Bridgeland, U.S. Highway 40 junction andimmediately east of the Antelope Creek Field Access road on Gilsonite Ridge. This broad ridgeis nearly flat, open and void of trees, bench like habitat that slopes generally northerly and hasbeen utilized as sheep or cattle pasture since this area was settled. Antelope Canyon is thenearest major drainage system and found approximately 2.0 miles to the west of this site.Oilfield development is found to the north, east and south of this proposed site.


New Road Well Pad Src Const Material Surface FormationMiles0.12 Width 250 Length 340 Onsite UNTA





Potential antelope, coyote, mule deer and elk during winter months, fox, rabbit, prairiedog and other smaller mammals and birds native to region, not any perching opportunityfor eagle or hawk other than artificial tanks, etc.

Soil Type and CharacteristicsTan to light brown, fine grained sandy loam with some clays present.

Erosion Issues N

















Erosion Issues N

















Erosion Issues N




Site Stability Issues N

Drainage Diverson Required? YRe-route shal low drainage around pad.

Berm Required? Y

Erosion Sedimentation Control Required? N

Paleo Survey Run? Y Paleo Potental Observed? N Cultural Survey Run? Y CulturalResources? N

Reserve Pit

Site-Specific Factors Site Ranking

Distance to Groundwater (feet) > 2 0 0 0Distance to Surface Water (feet) > 1 0 0 0 0Dist. Nearest Municipal Well (ft) > 5 2 8 0 0

Distance to Other Wells (feet) > 1 3 2 0 0Native Soil Type High permeability 2 0

Fluid Type Fresh Water 5Drill Cuttings Normal Rock 0

Annual Precipitation (inches) 0Affected Populations

Presence Nearby Utility Conduits Not Present 0

Final Score 2 5 1 Sensitivity Level

Characteristics / RequirementsReserve pit proposed in cut , just off the southern border of location and adjacent toprevailing winds, measuring 60' wide by 110' long by 8' deep.

Closed Loop Mud Required? Liner Required? Y Liner Thickness 16 Pit UnderlaymentRequired?

Other Observations / CommentsSlopes to the north, shallow drainage needs routed around northern side of location,landowner agreement in place.

Dennis Ingram 9 / 1 2 / 2 0 1 2Evaluator Date / Time


CONFIDE

NTIAL

CONFIDE

NTIAL

CONFIDE

NTIAL

CONFIDE

NTIAL



Drainage Diverson Required? YRe-route shallow drainage around pad.

Berm Required? Y



Reserve Pit


Distance to Groundwater (feet) >200 0Distance to Surface Water (feet) >1000 0Dist. Nearest Municipal Well (ft) >5280 0

Distance to Other Wells (feet) >1320 0Native Soil Type High permeability 20



Presence Nearby Utility Conduits Not Present 0Final Score 2 5 1 Sensitivity Level

Characteristics / RequirementsReserve pit proposed in cut, just off the southern border of location and adjacent toprevailing winds, measuring 60' wide by 110' long by 8' deep.



Dennis Ingram 9/12/20 12Evaluator Date / Time





Berm Required? Y



Reserve Pit















Berm Required? Y



Reserve Pit













Application for Permit to DrillStatement of Basis

Utah Division of Oil, Gas and Mining

APD No API WellNo Status Well Type Surf Owner CBM6 2 9 2 43013515540000 LOCKED OW P N oOperator PETROGLYPH OPERATING CO Surface Owner-APD Kenneth A. MoonWell Name Ute Tribal 34-04-D3 Unit ANTELOPE CREEKField ANTELOPE CREEK Type of Work DRILL

Location NWNW 34 4S 3W U 817 FNL 817 FWL GPS Coord(UTM) 566861E 4438745N

Geologic Statement of BasisThe mineral rights for the proposed well are owned by the Ute Tribe. The BLM will be theagency responsible for evaluating and approving the dril l ing, casing and cement programs.

Brad HillAPD Evaluator

9 / 2 0 / 2 0 1 2Date / Time

Surface Statement of BasisA presite visi t was scheduled for September 12, 2012 to take input and address issuesregarding the constructing and drill ing of this well site. Ken Moon was shown as thelandowner of record and therefore was contacted by telephone and invited to the presi temeeting. A landowner agreement is in place and Mr. Moon did not attend nor have anyinput regarding the surface issues.

The surface at this wellsite is relatively flat and slopes northerly, showing a 4.8 foot cutalong the southeastern corner number 4 and 7.9 feet of f i l l a t the northern corner number8. A shallow drainage cuts across the location and needs diverted around corner number 2.The proposed reserve pit is staked along the south side of the location and in cut. Theoperator shall install a 16 mil or thicker synthetic l iner in the reserve pit after construction.Topsoil shall be stored just off the eastern side of location between corners number 4 andthe access road. The operator shall util ize a paint color that has been stipulated by the BLMand one that is consistent with adjacent wells. No other issues were noted.

Dennis IngramOnsite Evaluator

9 / 1 2 / 2 0 1 2Date / Time

Conditions of Approval / Application for Permit to DrillCategory Condition

A synthetic l iner with a minimum thickness of 16 mils with a felt subliner shall be properly installedand maintained in the reserve pit .

Pits The reserve pit should be located on the south side of the location.Surface The well site shall be bermed to prevent fluids from leaving the pad.Surface Drainages adjacent to the proposed pad shall be diverted around the location.


CONFIDE

NTIAL

CONFIDE

NTIAL

CONFIDE

NTIAL

CONFIDE

NTIAL


I


Utah Division of Oil, Gas and MiningI

APD No API WellNo Status Well Type Surf Owner CBM6292 43013515540000 LOCKED OW P NoOperator PETROGLYPH OPERATING CO Surface Owner-APD Kenneth A. MoonWell Name Ute Tribal 34-04-D3 Unit ANTELOPE CREEKField ANTELOPE CREEK Type of Work DRILL

. NWNW 34 4S 3W U 817 FNL 817 FWL GPS CoordLocation(UTM) 566861E 4438745N

Geologic Statement of BasisThe mineral rights for the proposed well are owned by the Ute Tribe. The BLM will be theagency responsible for evaluating and approving the drilling, casing and cement programs.

Brad Hill 9/20/2012APD Evaluator Date / Time

Surface Statement of BasisA presite visit was scheduled for September 12, 2012 to take input and address issuesregarding the constructing and drilling of this well site. Ken Moon was shown as thelandowner of record and therefore was contacted by telephone and invited to the presitemeeting. A landowner agreement is in place and Mr. Moon did not attend nor have anyinput regarding the surface issues.

The surface at this wellsite is relatively flat and slopes northerly, showing a 4.8 foot cutalong the southeastern corner number 4 and 7.9 feet of fill at the northern corner number8. A shallow drainage cuts across the location and needs diverted around corner number 2.The proposed reserve pit is staked along the south side of the location and in cut. Theoperator shall install a 16 mil or thicker synthetic liner in the reserve pit after construction.Topsoil shall be stored just off the eastern side of location between corners number 4 andthe access road. The operator shall utilize a paint color that has been stipulated by the BLMand one that is consistent with adjacent wells. No other issues were noted.

Dennis Ingram 9/12/2012Onsite Evaluator Date / Time


A synthetic liner with a minimum thickness of 16 mils with a felt subliner shall be properly installedand maintained in the reserve pit.




I















I















WORKSHEETAPPLICATION FOR PERMIT TO DRILL

APD RECEIVED: 7 /3 /2012 API NO. ASSIGNED: 43013515540000

WELL NAME: Ute Tribal 34-04-D3

OPERATOR: PETROGLYPH OPERATING CO (N3800) PHONE NUMBER: 435 789-4120

CONTACT: Ed Trotter

PROPOSED LOCATION: NWNW 34 040S 030W Permit Tech Review:

SURFACE: 0817 FNL 0817 FWL Engineering Review:

BOTTOM: 0817 FNL 0817 FWL Geology Review:

COUNTY: DUCHESNE

LATITUDE: 40.09634 LONGITUDE: -110.21562

UTM SURF EASTINGS: 566861.00 NORTHINGS: 4438745.00

FIELD NAME: ANTELOPE CREEK

LEASE TYPE: 2 - Indian

LEASE NUMBER: 14-20-H62-4737 PROPOSED PRODUCING FORMATION(S): GREEN RIVER - LOWER

SURFACE OWNER: 4 - Fee COALBED METHANE: NO

RECEIVED AND/OR REVIEWED: LOCATION AND SITING:

PLAT R649-2 -3 .

Bond: INDIAN - LPM4138336 Unit: ANTELOPE CREEK

Potash R649-3-2. General

Oil Shale 190-5

Oil Shale 190-3 R649-3-3. Exception

Oil Shale 190-13 Drilling Unit

Water Permit: 43-8342 Board Cause No: Cause 214-2

RDCC Review: Effective Date: 6 /9 /2000

Fee Surface Agreement Siting: Suspends General Siting

Intent to Commingle R649-3-11. Directional Drill

Commingling Approved

Comments: Presite Completed

Stipulations: 4 - Federal Approval - dmason 5 - Statement of Basis - bhill


CONFIDE

NTIAL

CONFIDE

NTIAL

CONFIDE

NTIAL

CONFIDE

NTIAL



I

I

APD RECEIVED: 7/3/2012 API NO. ASSIGNED: 43013515540000



CONTACT: Ed Trotter




COUNTY: DUCHESNE



FIELD NAME: ANTELOPECREEK


LEASE NUMBER: 14-20-H62-4737 PROPOSED PRODUCING FORMATION(S): GREEN RIVER- LOWER


I

RECEIVED ANDIOR REVIEWED: LOCATION AND SITING:

PLAT R649-2-3.



Oil Shale 190-5




RDCC Review: Effective Date: 6/9/2000




I


Stipulations: 4 - Federal Approval - dmason5 - Statement of Basis - bhill




I

I




CONTACT: Ed Trotter




COUNTY: DUCHESNE







I


PLAT R649-2-3.



Oil Shale 190-5








I






I

I




CONTACT: Ed Trotter




COUNTY: DUCHESNE







I


PLAT R649-2-3.



Oil Shale 190-5








I




Permit To Drill******************

Well Name: Ute Tribal 34-04-D3API Well Number: 43013515540000

Lease Number: 1 4 - 2 0 - H 6 2 - 4 7 3 7Surface Owner: FEE (PRIVATE) Approval Date: 9 / 2 4 / 2 0 1 2

Issued to:PETROGLYPH OPERATING CO, 960 Broadway Avenue, Ste 500, Bosie, ID 83703

Authority:Pursuant to Utah Code Ann. 40-6-1 et seq. , and Utah Administrat ive CodeR649-3-1 et seq., the Utah Division of Oil, Gas and Mining issues conditions ofapproval, and permit to drill the listed well. This permit is issued in accordancewith the requirements of Cause 214-2. The expected producing formation or poolis the GREEN RIVER - LOWER Formation(s), completion into any other zones willrequire filing a Sundry Notice (Form 9). Completion and commingling of more thanone pool will require approval in accordance with R649-3-22.

Duration:This approval shall expire one year from the above date unless substantial andcontinuous operat ion is underway, or a request for extension is made prior to theexpirat ion date

General:Compliance with the requirements of Utah Admin. R. 649-1 et seq., the Oil and GasConservation General Rules, and the applicable terms and provisions of theapproved Application for permit to dril l .

Conditions of Approval:State approval of this well does not supercede the required federal approval, whichmust be obtained prior to dri l l ing.

Compliance with the Conditions of Approval/Application for Permit to Drilloutlined in the Statement of Basis (copy attached).

Notification Requirements:The operator is required to notify the Division of Oil, Gas and Mining of thefollowing actions during drilling of this well: • Within 24 hours following the spudding of the well - contact Carol Daniels at8 0 1 - 5 3 8 - 5 2 8 4 (please leave a voicemail message if not available) OR submit an electronic sundry notice (pre-registration required) via the Utah Oil &Gas website

State of UtahDEPARTMENT OF NATURAL RESOURCES

- -/ MICHAELR.STYLER

GAR'R H BERTExoutimDrotor

comrmr Division of Oil, Gas and MiningGREGORY S. BELL JOHN R. BAZALieuterant Gowrær Busion Director

Permit To Drillkkkkkkkkkkkkkkkkkk


Lease Number: 14-20-H62-4737Surface Owner: FEE (PRIVATE)Approval Date: 9/24/20 12


Authority:Pursuant to Utah Code Ann. 40-6-1 et seq., and Utah Administrative CodeR649-3-1 et seq., the Utah Division of Oil, Gas and Mining issues conditions ofapproval, and permit to drill the listed well. This permit is issued in accordancewith the requirements of Cause 214-2. The expected producing formation or poolis the GREEN RIVER - LOWER Formation(s), completion into any other zones willrequire filing a Sundry Notice (Form 9). Completion and commingling of more thanone pool will require approval in accordance with R649-3-22.

Duration: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

General:Compliance with the requirements of Utah Admin. R. 649-1 et seq., the Oil and GasConservation General Rules, and the applicable terms and provisions of theapproved Application for permit to drill.

Conditions of Approval:State approval of this well does not supercede the required federal approval, whichmust be obtained prior to drilling.


Notification Requirements:The operator is required to notify the Division of Oil, Gas and Mining of thefollowing actions during drilling of this well:

• Within 24 hours following the spudding of the well - contact Carol Daniels at801-538-5284

(please leave a voicemail message if not available)ORsubmit an electronic sundry notice (pre-registration required) via the Utah Oil &

Gas

















Gas

















Gas

at ht tp:/ /oi lgas.ogm.utah.gov

Reporting Requirements:All reports, forms and submittals as required by the Utah Oil and Gas ConservationGeneral Rules will be promptly filed with the Division of Oil, Gas and Mining,including but not l imited to: • Entity Action Form (Form 6) - due within 5 days of spudding the well • Monthly Status Report (Form 9) - due by 5th day of the following calendarm o n t h • Requests to Change Plans (Form 9) - due prior to implementation • Written Notice of Emergency Changes (Form 9) - due within 5 days • Notice of Operations Suspension or Resumption (Form 9) - due prior toimplementa t ion • Report of Water Encountered (Form 7) - due within 30 days after completion • Well Completion Report (Form 8) - due within 30 days after completion orplugging

Approved By:

For John RogersAssociate Director, Oil & Gas

at http://oilgas.ogm.utah.gov

Reporting Requirements:All reports, forms and submittals as required by the Utah Oil and Gas ConservationGeneral Rules will be promptly filed with the Division of Oil, Gas and Mining,including but not limited to:

• Entity Action Form (Form 6) - due within 5 days of spudding the well• Monthly Status Report (Form 9) - due by 5th day of the following calendar

month• Requests to Change Plans (Form 9) - due prior to implementation• Written Notice of Emergency Changes (Form 9) - due within 5 days• Notice of Operations Suspension or Resumption (Form 9) - due prior to

implementation• Report of Water Encountered (Form 7) - due within 30 days after completion• Well Completion Report (Form 8) - due within 30 days after completion or

plugging

Approved By:

For John RogersAssociate Director, Oil &






plugging

Approved By:







plugging

Approved By:


RECEIVEDForm 3160-3FORM APPROVED(Adgust 2007)OMB No. 1004-0136UNITED STATES Expires July 31, 2010

DEPARTMENT OF THE INTERIORBÜREAU OF LAND MANAGEMENT 5. Lease Serial No.

APPLICATION FOR PERMIT TO DRILL OR REEN 6. In'di

A141tt3ee

or Tribe Name

la. Type of Work: g DRILL Q llEEÑÍER CONFIDENTIAL ",'a2no C4A6 eement, Name and No.

8. LeaseName and WellNo.1b. Type of Well: g Oil Well O Gas wel: 0 Other g Single Zone O Multiple Zone UTE TRIBAL 34-04-D32. Name of Operator Contact:il.) H IROTI1-Ñ 9. API WellNo.PETROGLYPHOPERATING CO., INGail:[email protected]. Address 3b. Phone No. (include area code) 10. Field and Pool,or ExploratoryP.O. BOX 607 > Ph: 435-789-4120 ANTELOPE CREEKROOSEVELT, UT 84066 Fx: 435-789-1420

4. Location of Well (Report location clearly and in accordance with any State requirements.*) 11. Sec., T., R., M., or Blk. and Survey or AreaAt surface NWNW 817FNL 817FWL Sec 34 T4S R3W Mer UBMAt proposed prod. zone NWNW817FNL 817FWL

14. Distance in miles and directiontiomnearest town or post ottice* 12. County or Parish 13. State14.92 MIL,ESSOUTHWESTOF MYTON, UT DUCHESNE UT15.Distance kom proposed locationto nearest property or 16. No. of Acres in Lease 17. Spacmg Unit dedicateòto this welllease line, ft. (Also to nearest drig. unit line, if any)

817' 616.0018. Distance tiomproposed locationto nearest well, drilling, 19.ProposedDepth 20. BLM/BIA 13ondNo. on tilecompleted, applied for, on this lease, ft.

43T 6039 MD LPM413833521. Elevations (showwhether DF, KB, RT, GL, etc. 22. Approximate datework will start 23. Estimated duration5751 GL 10/15/2012 45 DAYS

24. AttachmentsThe following, completed in accordance with the requirements of Onshore Oil and Gas Order No. I, shall be attached to this form:1. Well plat certified by a registered surveyor. 4. Bond to cover the operations unless covered by an existing bond on file (see2. A Drilling Plan. Item 20 above).3. A Surface Use Plan (ifthe location is on National Forest System Lands, the 5. Operator certificationSUPO shall be filed with the appropriate Forest Service Office). 6. Such other site specific information and/or plans as Inay be required by theauthorized officer.

25. Signature Naine(Printed/Typed) Date(Electronic Submission) LESTER FARNSWORTH Ph: 435-722-2531 08/21/2012Title

DISTRICT MANAGFRApproved by (Signature) Name (Printed/Typed)

Title OtticeJerry Kenczka t 8 20t3

Äpplicationapproval doesnot warrant or certity the applicant holdslegalor equitable title to those rights in the subject leasewhich would entitle the applicant to conductoperations thereon.Conditions of approval, if any, are attached.

TiiÌ€18 U.S.C. Section 1001 and Title 43 U.S.C. Section 1212, make it a crime for any person knowinglyand willfully to make to any department or agency of the UnitedStates any false, fictitious or fraudulent statements or representations as to any matter within its jurisdictionRECEivgg

Additional Operator Remarks (see next page) AÑ2 2 ggElectronic Submission #146848 verified by the BLM Well Information SystgFor PETROGLYPH OPERATING CO., INC., sentto the Vernal OFOIL,GASagigggCommitted to AFMSS for processing by LESLIE ROBINSON on 08/29/201 (

** OPERATOR-SUBMITTED ** OPERATOR-SUBMITTED ** OPERATOR-SUBMITTED




A141tt3ee

or Tribe Name










Title Ottice

Jerry Kenczka t 8 20t3








A141tt3ee

or Tribe Name










Title OtticeJerry Kenczka t 8 20t3





UNITED STATES DEPARTMENT OF THE INTERIORBUREAU OF LAND MANAGEMENT

VERNAL FIELD OFFICE170 South 500 East VERNAL, UT 84078 (435) 781-4400

CONDITIONSOF APPROVALFOR APPLICATION FOR PERMIT TODRILL

Company: PETROGLPH OPERATINGCO. Location: NWNW Sec. 34, T4S, R3WWell No: UTE TRIBAL 34-04-D3 Lease No: 14-20-H62-4737API No: 43-013-51554 Agreement: NIA

OFFICE NUMBER: (435) 781-4400

OFFICE FAX NUMBER: (435) 781-3420

A COPY OF THESE CONDITIONS SHALL BE FURNISHEDTO YOURFIELD REPRESENTATIVE TO INSURE COMPLIANCE

All lease and/or unit operations are to be conducted in such a manner that full complianceis made with theapplicable laws, regulations (43 CFR Part 3160), and this approved Application for Permit to Drill includingSurface and Downhole Conditions of Approval. The operator is considered fully responsible for the actions of hissubcontractors. A copy of the approved APD must be on location during construction, drillirig, and completionoperations. This permit is approved for a two (2) year period, or until lease expiration, whichever occursfirst. An additional extension, up to two (2) years, may be applied for by sundry notice prior to expiration.

NOTIFICATION REQUIREIMIENTS

Construction Activity - The Ute Tribe Energy & Minerals Dept. and BLM Environmental(Notify Ute Tribe Energy & Minerals Scientist shall be notifiedat least 48 hours in advance of anyDept. and BLM Environmental construction activity. The Ute Tribal office is open MondayScientist) throughThursday.

Construction Completion - Upon completion of the pertinent APDIROW construction, notify(Notify Ute Tribe Energy & Minerals the Ute Tribe Energy & Minerals Dept. for a Tribal Technician toDept. and BLM Environmental verify the Affidavit of Completion. Notify the BLM EnvironmentalScientist) Scientist prior to moving on the drilling rig.

Spud Notice - Twenty-Four (24) hours priorto spudding the well.(Notify BLM Petroleum Engineer)

Casing String & Cementing - Twenty-Four (24) hours prior to running casing and cementing(Notify BLMSupv. Petroleum Tech.) all casing strings to:blm ut vn [email protected].

BOP & Related Equipment Tests - Twenty-Four (24) hours prior to initiating pressure tests.(Notify BLM Supv. Petroleum Tech.)

First Production Notice - Within Five (5) business days after new well begins or(Notify BLM Petroleum Engineer) production resumes after well has been off production for more

than ninety (90)
















than ninety (90)
















than ninety (90)

of 6Well: UTE TRIBAL 34-04-D3

3/7/2013

SURFACE USE PROGRAMCONDITIONS OF APPROVAL (COAs)

Any deviation of submitted APD's, which includes Petroglyph's surface use plan, and the operator willnotifythe BLM in writingand will receive written authorization of any such change with appropriateauthorization.

•AIIoperator employees and/or authorized personnel (sub-contractors) in the field will have approvedapplicable APD's, and COA authorizations on their person(s) during all phases of construction.

•AIIvehicular traffic,personnel movement, construction/restoration operations should be confined tothe area examined and approved, and to the existing roadways and/or evaluated access routes.

•All personnel will refrain from collecting artifacts, any paleontological fossils, and from disturbing anysignificant cultural resources in the area.

•The personnel from the BLMwill be notifiedshould cultural remains from subsurface deposits beexposed or identified during construction. All construction will cease until resources can be identifiedand protected properly.

•Production facilities would be painted Covert Green for the 34-02-D3, 34-03-D3, 34-04-D3to blend inwith the surrounding habitat, unless otherwise stated from the private land owner agreement.

•Site reclamation would be accomplished for portions of the well pad not needed for production, within6 months of completion, weather permitting. This also includes any roads, and pipeline areas that havebeen disturbed as well. Roads and pipeline disturbances can undergo reclamation immediately afterthe pipeline is installed and after the roads are built.Please contact surface owner or the BLMAO forpossible seed mixes to use in the project area. Non-natives can be used; however Ibslac must be keptlow to minimizethe chance of a monoculture.

The pad locations will be recontoured and planted in native vegetation as per the land owner's

Page 2 of 6Well: UTE TRIBAL 34-04-D3

3/7/2013











3/7/2013











3/7/2013

DOWNHOLE PROGRAMCONDITIONS OF APPROVAL (COAs)

SITE SPECIFIC DOWNHOLE COAs:

• Gamma Ray Log shall be run from Total Depth to Surface

• CBL will be run from TD to TOC

• Cement for the surface casing will be circulated to the surface.

• Cement for long-string shall be circulated 200' above surface casing shoe.

Variances Granted

• Variance for Air-drilling is granted per APD

AII provisions outlined in Onshore Oil & Gas Order #2 Drilling Operations shall be strictlyadhered to. The following items are emphasized:

DRILLINGICOMPLETIONIPRODUCING OPERATING STANDARDS

• The spud date and timeshall be reported orallyto Vernal Field Office within 24 hours ofspudding.

• Notify Vernal Field Office Supervisory Petroleum Enqineering Technician at least 24 hours inadvance of casing cementing operations and BOPE & casing pressure tests.

• All requirements listed in Onshore Order #2 III.E. Special Drilling Operations are applicable forair drilling of surface hole.

• Blowout prevention equipment (BOPE) shall remain in use untilthe well is completed orabandoned. Closing unit controls shall remain unobstructed and readily accessible at all times.Choke manifolds shall be located outside of the rig substructure.

• All BOPE components shall be inspected daily and those inspections shall be recorded in thedaily drilling report. Components shall be operated and tested as required by Onshore Oil &Gas Order No. 2 to insure good mechanical workingorder. AIIBOPE pressure tests shall beperformed by a test pump with a chart recorder and g by the rig pumps. Test shall bereported in the driller's log.

• BOP drills shall be initially conducted by each drilling crew within 24 hours of drilling out fromunder the surface casing and weekly thereafteras specified in Onshore Oil & Gas Order No. 2.

• Casing pressure tests are required before drilling out from under all casing strings set andcemented in place.

• No aggressivelfresh hard-banded drill pipe shall be used within casing.

• Cement baskets shall not be run on surface


3/7/2013







Variances Granted














3/7/2013







Variances Granted














3/7/2013

• The operator must report all shows of water or water-bearing sands to the BLM. Ifflowingwateris encountered it must be sampled, analyzed, and a copy ofthe analyses submitted to the BLMVernal Field Office.

• The operator must report encounters of all non oil& gas mineral resäurces (such as Gilsonite,tar sands, oilshale, trona,etc.) to the Vernal Field Office, in writing, within 5 working days ofeach encounter. Each report shall include the well namelnumber, well location, date and depth(from KB or GL) of encounter, vertical footage of the encounter and, the name of the personmaking the report (along with a telephone number) should the BLM need to obtain additionalinformation.

• A complete set of angular deviation and directional surveys of a directional well will besubmitted to the Vernal BLM office engineer within30 days of the completion of the well.

• While activelydrilling, chronologicdrilling progress reports shall be filed directly with the BLM,Verrlal Field Office on a weekly basis in sundry, letter format or e-mail to the PetroleumEngineers untilthe well is completed.

• A cement bond log (CBL) will be run from the production casing shoe to the top of cement andshall be utilized to determine the bond quality for the production casing. Submit a field copy ofthe CBL to this office.

• Please submit an electronic copy of all other logs run on this well by CD (compact disc).This submission will supersede the requirement for submittal of paper logs to the BLM.

• There shall be no deviation from the proposed drilling, completion, and/or workover program asapproved. Safe drilling and operating practices must be observed. Any changes in operationmust have prior approval from the BLMVernal Field


3/7/2013









3/7/2013









3/7/2013

OPERATING REQUIREMENT REMINDERS:

• Allwells, whether drilling, producing, suspended, or abandoned, shall be identified inaccordance with 43 CFR 3162.6. There shall be a sign or marker with the name of the operator,lease serial number, well number, and surveyed description of the well.

• For information regarding production reporting, contact the Office of Natural ResourcesRevenue (ONRR) at www.ONRR.qov.

• Should the well be successfully completed for production, the BLMVernal Field office must benotified when it is placed in a producing status. Such notification will be by writtencommunication and must be received in this officeby not later than the fifth business dayfollowing the date on which the well is placed on production. The notification shall provide, as aminimum, the following informational items:

o Operator name, address, and telephonenumber.

o Well name and number.

o Well location (¼¼,Sec., Twn, Rng, and P.M.).

o Date well was placed in a producing status (date of first production for which royalty willbe paid).

o The nature of the well's production, (i.e., crude oil,or crude oil and casing head gas, ornatural gas and entrained liquid hydrocarbons).

o The Federal or Indian lease prefix and number on which the well is located; otherwisethe non-Federal or non-Indian land category, i.e., State or private.

o Unit agreement and/or participating area name and number, if applicable.

o Communitization agreement number, if applicable.

• Any venting or flaring of gas shall be done in accordance with Notice to Lessees (NTL) 4A andneeds prior approval from the BLMVernal Field Office.

• All undesirable events (fires, accidents, blowouts, spills, discharges) as specified in NTL 3A willbe reported to the BLM,Vernal Field Office. Major events, as defined in NTL3A, shall bereported verbally within 24 hours, followed by a written report within 15 days. "Other than MajorEvents" will be reported in writingwithin 15 days. "Minor Events" will be reported on theMonthly Report of Operations and Production.

• Whether the well is completed as a dry hole or as a producer, "Well Completion andRecompletion Report and Log" (BLM Form 3160-4) shall be submitted not later than 30 daysafter completion of the well or after completion of operations being performed, in accordancewith 43 CFR 3162.4-1. Two copies of all logs run, core descriptions, and all other surveys ordata obtained and compiled during the drilling, workover, and/or completion operations, shall befiled on BLM Form 3160-4. Submit with the well completion report a geologic report including,at a minimum, formation tops, and a summary and conclusions. Also include deviation surveys,sample descriptions, strip logs, core data, drill stem test data, and results of production tests


3/7/2013

















3/7/2013

















3/7/2013

performed. Samples (cuttings, fluid, and/or gas) shall be submitted onlywhen requested by theBLM,Vernal Field Office.

• All off-lease storage, off-lease measurement, or commingling on-lease or off-lease, shall haveprior written approval from the BLMVernal Field Office.

• Oil and gas meters shall be calibrated in place prior to any deliveries. The BLMVernal FieldOffice Petroleum Engineers will be provided with a date and timefor the initial meter calibrationand all future meter proving schedules. A copy of the meter calibration reports shall besubmitted to the BLMVernal Field Office. All measurement facilities will conform to the APIstandards for liquid hydrocarbons and the AGA standards for natural gas measurement. Allmeasurement points shall be identified as the point of sale or allocation for royalty purposes.

• A schematic facilities diagram as required by Onshore Oil & Gas Order No. 3 shall be submittedto the BLMVernal Field Office within 30 days of installation or first production, whichever occursfirst. All site security regulations as specified in Onshore Oil & Gas Order No. 3 shall beadhered to. All product lines entering and leaving hydrocarbon storage tanks will be effectivelysealed in accordance with Onshore Oil & Gas Order No. 3.

• Any additional construction, reconstruction, or alterations of facilities, including roads, gatheringlines, batteries, etc., which will result in the disturbance of new ground, shall require the filing ofa suitable plan and need prior approval of the BLMVernal Field Office. Emergency approvalmay be obtained orally, but such approval does not waive the written report requirement.

• No location shall be constructed or moved, no well shall be plugged, and no drilling or workoverequipment shall be removed from a well to be placed in a suspended status without priorapproval of the BLMVernal Field Office. If operations are to be suspended for more than 30days, prior approval of the BLMVernal Field Officeshall be obtained and notification givenbefore resumption of operations.

• Pursuant to Onshore Oil& Gas Order No. 7, this is authorization for pit disposal of waterproduced from thiswell for a period of 90 days from the date of initial production. A permanentdisposal method must be approved by this officeand in operation prior to the end of this 90-dayperiod. In order to meet this deadline, an application for the proposed permanent disposalmethod shall be submitted along with any necessary water analyses, as soon as possible, butno later than 45 days after the date of first production. Any method of disposal which has notbeen approved prior to the end of the authorized 90-day period will be considered as an Incidentof Noncompliance and will be grounds for issuing a shut-in order until an acceptable manner fordisposing of said water is provided and approved by this office.

• Unless the plugging is to take place immediately upon receipt of oral approval, the Field OfficePetroleum Engineers must be notifiedat least 24 hours in advance of the plugging of the well, inorder that a representative may witness plugging operations. If a well is suspended orabandoned, all pits must be fenced immediately until they are backfilled. The "SubsequentReport of Abandonment" (Form BLM3160-5) must be submitted within 30 days after the actualplugging of the well bore, showing location of plugs, amount of cement in each, and amount ofcasing left in hole, and the current status of the surface


3/7/2013










3/7/2013









RECEIVED: Aug. 21, 2013


DIVISION OF OIL, GAS, AND MINING

FORM 9

5.LEASE DESIGNATION AND SERIAL NUMBER: 14-20-H62-4737

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 In

7.UNIT or CA AGREEMENT NAME: ANTELOPE CREEK

1. TYPE OF WELL Oil Well

8. WELL NAME and NUMBER: UTE TRIBAL 34-04-D3

2. NAME OF OPERATOR: PETROGLYPH OPERATING CO

9. API NUMBER: 43013515540000

3. ADDRESS OF OPERATOR: PHONE NUMBER: 960 Broadway Avenue, Ste 500 , Boise, ID, 83703 208 685-7685 Ext

9. FIELD and POOL or WILDCAT: ANTELOPE CREEK

4. LOCATION OF WELL FOOTAGES AT SURFACE: 0817 FNL 0817 FWL QTR/QTR, SECTION, TOWNSHIP, RANGE, MERIDIAN: Qtr/Qtr: NWNW Section: 34 Township: 04.0S Range: 03.0W 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:

SUBSEQUENT REPORTDate of Work Completion:

SPUD REPORTDate of Spud:

8 /24 /2013

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.

This well was spud on 08/21/2013 at approximately 9:00 A.M. Using aBucket Rig (BR 2) provided by Craig's Roustabout Service-Vernal UT, weset 60' of 16" Conductor. For additional information please contact our

staff at 435-722-2531

NAME (PLEASE PRINT) PHONE NUMBER Rodrigo Jurado 435 722-5302

TITLE Regulatory & Compliance Spc

SIGNATURE N/A

DATE 8 /21 /2013

August 22, 2013

Sundry Number: 41607 API Well Number: 43013515540000Sundry Number: 41607 API Well Number: 43013515540000

FORM 9STATE OF UTAH

DEPARTMENTOF NATURALRESOURCES5.LEASE DESIGNATION AND SERIAL NUMBER:DIVISION OF OIL, GAS, AND MINING 14-20-H62-4737

SUNDRY NOTICES AND REPORTS ON WELLS 6. IF INDIAN, ALLOTTEE OR TRIBE NAME:Ute In

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. ANTELOPE CREEK

1. TYPE OF WELL 8. WELL NAME and NUMBER:Oil Well UTE TRIBAL 34-04-D3

2. NAME OF OPERATOR: 9. API NUMBER:PETROGLYPH OPERATING CO 4301 3515540000

3. ADDRESS OF OPERATOR: PHONE NUMBER: 9. FIELD and POOL or WILDCAT:960 Broadway Avenue, Ste 500 , Boise, ID, 83703 208 685-7685 Ext ANTELOPE CREEK

4. LOCATION OF WELL COUNTY:FOOTAGES AT SURFACE: DUCHESNE

0817 FNL 0817 FWLQTRIQTR, SECTION, TOWNSHIP, RANGE, MERIDIAN: STATE:

QtrlQtr: NWNW Section: 34 Township: 04.0S Range: 03.0W Meridian: U UTAH

CHECK APPROPRIATE BOXES TO INDICATENATURE OF NOTICE, REPORT, OR OTHER DATA


ACI DIZE ALTER CASING CASING REPAIR

NOTICE OF INTENT CHANGE TO PREVIOUS PLANS CHANGE TUBING CHANGE WELL NAMEApproximate date work will start:


SUBSEQUENT REPORTDate of Work Completion: DEEPEN FRACTURE TREAT NEW CONSTRUCTION


SPUD REPORT PRODUCTION START OR RESUME RECLAMATION OF WELL SITE RECOMPLETE DIFFERENT FORMATIONDate of Spud:

8/2 4 /2 0 13 REPERFORATE CURRENT FORMATION SIDETRACK TO REPAIR WELL TEMPORARY ABANDON


DRILLING REPORTReport Date: WATER SHUTOFF SI TA STATUS EXTENSION APD EXTENSION

WILDCATWELLDETERMINATION OTHER OTHER:


This well was spud on 08/21/2013 at approximately 9:00 A.M. Using a Accepted by theBucket Rig (BR 2) provided by Craig's Roustabout Service-Vernal UT, we Utah Division ofset 60' of 16" Conductor. For additional information please contact our Oil, Gas and Mining

staff at 435-722-2531 FOR RECORD ONLYAugust 22, 2013

NAME (PLEASE PRINT) PHONE NUMBER TITLERodrigo Jurado 435 722-5302 Regulatory & Compliance Spc

SIGNATURE DATEN/A 8/21/2013

RECEIVED: Aug. 21,

Sundry Number: 41607 API Well Number: 43013515540000

FORM 9STATE OF UTAH




























RECEIVED: Aug. 21,


FORM 9STATE OF UTAH




























RECEIVED: Aug. 21,

RECEIVED: Aug. 30, 2013

FEDERAL APPROVAL OF THIS ACTION IS NECESSARY



FORM 9









9. API NUMBER: 43013515540000




COUNTY: DUCHESNE

STATE: UTAH

11.




9 /4 /2013















This well is currently permitted as a vertical wellbore to be drilled to aTD of 6039'MD. Petroglyph Operating proposes to deepen the

referenced well to a TD of 6802'MD. The well will remain a verticalwellbore and the BHL will remain the same. Cement volumes will beadjusted to ensure cement is circulated to surface with appropriate

excess. This change is being proposed to facilitate StratigraphicTesting.



SIGNATURE N/A

DATE 8 /30 /2013

September 04, 2013

Sundry Number: 41906 API Well Number: 43013515540000Sundry Number: 41906 API Well Number: 43013515540000FEDERAL APPROVAL OF THIS ACTION IS NECESSARY

FORM 9STATE OF UTAH













ACI DIZE ALTER CASING CASING REPAIRNOTICE OF INTENT

Approximate date work will start: CHANGE TO PREVIOUS PLANS CHANGE TUBING CHANGE WELL NAME

9/4/2013CHANGE WELL STATUS COMMINGLE PRODUCING FORMATIONS CONVERT WELL TYPE

SUBSEQUENT REPORT DEEPEN FRACTURE TREAT NEW CONSTRUCTIONDate of Work Completion:


PRODUCTION START OR RESUME RECLAMATION OF WELL SITE RECOMPLETE DIFFERENT FORMATIONSPUD REPORT

Date of Spud: REPERFORATE CURRENT FORMATION SIDETRACK TO REPAIR WELL TEMPORARY ABANDON


DRILLING REPORT WATER SHUTOFF SI TA STATUS EXTENSION APD EXTENSIONReport Date:



This well is currently permitted as a vertical wellbore to be drilled to a Accepted by theTD of 6039'MD. Petroglyph Operating proposes to deepen the utah Division of

referenced well to a TD of 6802'MD. The well will remain a vertical oil, Gas and Mining

wellbore and the BHL will remain the same. Cement volumes will be Date: September 04, 2013adjusted to ensure cement is circulated to surface with appropriate

excess. This change is being proposed to facilitate Stratigraphic sy: \ J \ ÈTesting.



RECEIVED: Aug. 30,

Sundry Number: 41906 API Well Number: 43013515540000FEDERAL APPROVAL OF THIS ACTION IS NECESSARY

FORM 9STATE OF UTAH






























RECEIVED: Aug. 30,


FORM 9STATE OF UTAH






























RECEIVED: Aug. 30,

RECEIVED: Sep. 04, 2013

The Utah Division of Oil, Gas, and Mining

- State of Utah- Department of Natural Resources

Electronic Permitting System - Sundry Notices

Sundry Conditions of Approval Well Number 43013515540000

As requested, the increased depth is for stratigraphic evaluation only. The well cannot becompleted outside the waterflood interval (defined interval in the Green River formation)

without further appproval. The well cannot be completed in both the Green River and Wasatchformation and cannot have commingled production from these two formations.


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




RECEIVED: Sep. 04,


UTAH



Electronic Permitting System - Sundry NoticesOTI. EMI Pr N1NTrie




RECEIVED: Sep. 04,


UTAH


- State of Utah- Department of Natural ResourcesElectronic Permitting System - Sundry Notices

OTI. EMI Pr N1NTrie




RECEIVED: Sep. 04,

CONFIDENRWW

BLM - Vernal Field Office - Notification Form

Operator Petroglvph Operatina Rig Name/# Craiq's /Air riqSubmitted By Rodrigo Jurado Phone Number 435-722-5302Well Name/Number Ute Tribal 34-04-D3Qtr/QtrNWNWSection 3_4Township § Range _3WLease Serial Number 14-20-H62-4737API Number _43-013-51554

Spud Notice - Spud is the initial spudding of the well, not drillingout below a casing string.

Date/Time AMO PMOCasina - Please report time casing run starts, not cementingtimes.& Surface CasingO Intermediate CasingO Production CasingO LinerO Other

Date/Time 8/26/2013 07:00 AM O PM OBOPE EIVEDO Initial BOPE test at surface casing pointO BOPE test at intermediate casing point i a 203O 30 day BOPEtest DIVOFolkeAstuNosO Other

Date/Time AMO PM ORemarks We intend to run +/- 500' of 8-5/5" J-55 Sfc Casing atthe time indicated. (Sent 8/25/2013 (8 8:00

CONFIDENRWW





Date/Time 8/26/2013 07:00 AM O PM OBOPE EIVEDO Initial BOPE test at surface casing pointO BOPE test at intermediate casing point i a 203

O 30 day BOPEtest DIVOFolkeAstuNosO Other


CONFIDENRWW





Date/Time 8/26/2013 07:00 AM O PM OBOPE EIVEDO Initial BOPE test at surface casing pointO BOPE test at intermediate casing point i a 203O 30 day BOPEtest DIVOFolkeAstuNosO Other


STATE OF UTAH FORM 6DEPARTMENTOF NATURAL RESOURCES RECEIVED

DIVISION OF OIL, GAS AND MININGAI,lS? 1 2013

ENTITY ACTION FORM .06; of Pa Go A Minino

Operator: Petroglyph Operating Company Operator Account Number: N 3800

Address: P.O. Box 607

city Roosevelt

state UT zip 84066 Phone Number: (435) 722-2531

Well 1API Number Well Name QQ Sec Twp Rng County

4301351554 Ute Tribal 34-04-D3 NWNW 34 4S 3W Duchesne

Action Code Current Entity New Entity Spud Date Entity AssignmentNumber Number Effective Date

B 99999 12270 8/21/2013

Comments:Please add well to existing Ute Tribal 34-12-D3 Tank Battery.

weilAPINumber Well Name QQ See Twp Rng County


Comments:

Well 3

APl Number Well Name QQ Sec Twp Rng County


Comments:

ACTION CODES:A - Establish new entity for new well (single well only) Rodrigo Jurado

B - Add new well to existing entity (groupor unit well) Name pse print}C - Re-assign well from one existing entity to another existing entity

D - Re-assign well from one existing entity to a new entity Sióna

E - Other (Explain in 'comments' section) Regulatory Compliacne Spc 8/21/2013Title Date






city Roosevelt


Well 1

API Number Well Name QQ Sec Twp Rng County



B 99999 12270 8/21/2013




Comments:

Well 3



Comments:










city Roosevelt


Well 1API Number Well Name QQ Sec Twp Rng County



B 99999 12270 8/21/2013




Comments:

Well 3



Comments:





CONFilENTIALPrintForm

BLM- Vernal Field Office - Notification Form

Operator Petroglyph Operating Co. Rig Name/# Capstar 334Submitted By Jon willis Phone Number 970-361-3271Well Name/Number Ute Tribal 34-04-D3Qtr/QtrNWINW Section 24 Township 48 Range 3WLease Serial Number 14-20-H62-4737API Number 43-013-51554


Date/Time AM PM

Casinq - Please report timecasing run starts, not cementingtimes.O surfacecasing

Intermediate CasingProduction Casing

O LinerO Other

Date/Time 09/06/2013 20:00 AM PM

BOPEInitial BOPEtest at surface casing point RECEIVEDBOPEtest at intermediate casing point SEP 201330 day BOPEtest DIV.0FolkGAS&MNNGOther

Date/Time AM PM

Remarks Should be running casing tomorrow



Operator Petroglyph Operating Co. Rig Name/# Capstar 334Submitted By Jon willis Phone Number 970-361-3271

Well Name/Number Ute Tribal 34-04-D3Qtr/QtrNWINW Section 24 Township 48 Range 3WLease Serial Number 14-20-H62-4737API Number 43-013-51554


Date/Time AM PM



O LinerO Other

Date/Time 09/06/2013 20:00 AM PM


Date/Time AM PM




Operator Petroglyph Operating Co. Rig Name/# Capstar 334Submitted By Jon willis Phone Number 970-361-3271Well Name/Number Ute Tribal 34-04-D3Qtr/QtrNWINW Section 24 Township 48 Range 3WLease Serial Number 14-20-H62-4737API Number 43-013-51554


Date/Time AM PM



O LinerO Other

Date/Time 09/06/2013 20:00 AM PM


Date/Time AM PM


CONFilENTlALPrintForm


Operator Petroglyph Operating Co- Rig Name/# Capstar 334

Submitted By Jon Willis Phone Number 970-361-3271Well Name/Numbertite Tribal 34-04-D3Qtr/QtrNWINW Section24 Township 48 Range 3WLease Serial Number 14-20-H62-4737API Number 43-013-51654


Date/Time AM PM

Casinq - Please report time casing run starts, not cementingtimes.

Surface Casing RECEIVEDIntermediate Casing SS C1 2013Production Casing

Ë Liner DIROF0lkGAS&MINWG

Ë Other

Date/Time AM PM

BOPEInitial BOPEtest at surface casing pointBOPEtest at intermediate casing point30 day BOPEtestOther

Date/Time 09/02/2013 16:00 AM PM2




Submitted By Jon Willis Phone Number 970-361-3271

Well Name/Numbertite Tribal 34-04-D3Qtr/QtrNWINW Section24 Township 48 Range 3WLease Serial Number 14-20-H62-4737API Number 43-013-51654


Date/Time AM PM




Ë Other

Date/Time AM PM


Date/Time 09/02/2013 16:00 AM PM2




Submitted By Jon Willis Phone Number 970-361-3271Well Name/Numbertite Tribal 34-04-D3Qtr/QtrNWINW Section24 Township 48 Range 3WLease Serial Number 14-20-H62-4737API Number 43-013-51654


Date/Time AM PM




Ë Other

Date/Time AM PM


Date/Time 09/02/2013 16:00 AM PM2

RECEIVED: Oct. 15, 2013




FORM 9









9. API NUMBER: 43013515540000




COUNTY: DUCHESNE

STATE: UTAH

11.




10/16 /2013















Please see attached.



SIGNATURE N/A

DATE 10/15/2013

October 16, 2013


FORM 9STATE OF UTAH






2. NAME OF OPERATOR: 9. API NUMBER:PETROGLYPH OPERATING CO 43013515540000










SUBSEQUENTREPORT DEEPEN FRACTURETREAT NEWCONSTRUCTIONDate of Work Completion:








Please see attached. Accepted by theUtah Division of

Oil, Gas and Mining

Date: October 16, 2013



RECEIVED: Oct. 15,


FORM 9STATE OF UTAH

























Oil, Gas and Mining




RECEIVED: Oct. 15,


FORM 9STATE OF UTAH

























Oil, Gas and Mining




RECEIVED: Oct. 15,


STATE OF UTAHDEPARTMENT OF NATUML RESOURCES


FORM 9


Do not use thts form for proposals lo dnll new wells, stgntfr€ntly deepen exrstrng wells below curenl bottom-hole depth, reentsr plugged wells, or to

dnll horzontal laterals Use APPLICATION FOR PERMIT TO DRILL form for such proposals

1 TYPE OF \A/ELLOIL WELL E GAS WELL E OTHER

2 NAME OF OPERATOR

Petroglyph Operating Company lnc.3 ADORESS OF OPERATOR

P.O. Box 607 Roosevelt

4 LOCATION OF V\ELL

FooTAGES Ar suRFAcE 817' FNL, 817' FWL

orRyorR, sEcroN, rovvr\sHrp, RANGE, MERToTAN NWNW 34 T4S R3W U

L .TION AND SERIAL NUMBER

14-20-H62-47376 IF INDIAN, ALLOTTEE OR TRIBE NAME

Ute lndian Tribe

14-20-H62-4650I VWLL NAME and NUMBER

Ute Tribal 34-04-D3R

43013515241O FIELD AND POOL, OR WLDCAT

Antelope Creek

couNrY: Duchesne

STATE

UTAH

(435)722-2531


TYPE OF SUBMISSION

NOTICE OF INTENT(Submit in Ouplicate)

Approximat6 date work will start:

1011612013

tr SUBSEQUENT REPORT(Submil Ongrnal Form Only)

Dale of work completton

TYPE OF ACTION

ACIDIZE

ALTER CASING

CASING REPAIR

CHANGE TO PREVIOUS PLANS

CHANGE TUBING

CHANGE V\IELL NAME

CHANGE VVELL STATUS

COMMINGLE PROOUCING FORMATIONS

CONVERT V\IELL TYPE

I rRacrune rneer

n NewcolrsrRucroN

! oeenaron cneNce

l-l pr-uc elo eseNoon

l-l pr-uc encx

! nnooucrroN(srART/RESUME)

I-l necrarr,tertoN oF vvELL srrE

! necorrrer-eTE - DTFFERENT FORMATION

n nEpenroaarE cuRRENT FoRMATToN

n sroErnncr ro REPATR \ /ELL

! rerr,teonnnrLY ABANDoN

I-l ruarNc Repetn

l-l veur on runE

l-l waren orsPosAr

! waren sHUr-oFF

E o.r.*

OEEPENa trtrtrtrtrtrtrn

12 DESCRTBE pROPOSED OR COMpLETED OPERATIONS Clearly show all pertinent details including dates, depths, volumes, etc

This well lies within Petroglyph Operating's Antelope Creek Waterflood Area and was drilled into the Wasatch for stratigraphic

testing. petroglyph Operating currently waterfloods the Green River Formation from the top of the B Marker to the bottom ofthe Cisle peak. Petroglyph Operating would like to complete the well below the waterflood interval and test the production

potential of Basal Carbonate (Uteland Butte)and Wasatch. The tops of the Basal Carbonate & Wasatch were found a|6214' &6500', respectively. We plan to perforate the following: 6263-64, 6268-70,6280-82,6286-90, 6297-99, 6305-08, 6312-13,6328-30, 6347 -49, 6436-40, 6774-77, 680',l -14 & 6830-37.We plan to treat the following:6263-6349: 35,000 gal of 1 5% Hcl followed by a fresh water overflush,6436-6440: 8,400 gal of gelled fluid containing 15,000#'s of 20140 mesh sand,6774-6837 33,600 gal of gelled fluid containing 60,000#'s of 20140 mesh sand.The well will be swabbed as necessary before being put to pump. Subsurface commingling will not occur. The proposedproduction interval will be plugged before completing into upper zones. Upper zones will not be completed without prior

approval.

NAME (PLEASE PRINT) ,rLE Regulatory Compliance Specialist.

(This space for

Rodrigo Jurado

(See lnstructrons on Reverse Slde)

oArE 1011512013S GNATURE

UT 84066

(s/2000)


STATEOFUTAH FORM9

DEPARTMENT OF NATURAL RESOURCESDIVISION OF OIL, GAS AND MINING 5 LEASE DESIGNATION AND SERIAL NUMBER

14-20-H62-47376 IF INDIAN,ALLOTTEE OR TRIBE NAME

SUNDRY NOTICES AND REPORTS ON WELLS Ute Indian Tribe7 UNIT or CA AGREEMENT NAME

Do not use this form for proposals to dnll new wells, significantly deepen existing wells below current bottom-hole depth, reenter plugged wells, or t° 14-20-H62-4650drill horizontal laterals Use APPLICATION FOR PERMIT TO DRILLform for such proposals

1 TYPE OF WELL 8 WELL NAME and NUMBEROIL WELL GAS WELL OTHER Ute Tribal 34-04-D3

2 NAMEOFOPERATOR e APINUMBER

Petroglyph Operating Company Inc. 43013515243 ADDRESS OF OPERATOR PHONE NUMBER 10 FIELD AND POOL, OR WILDCAT

P.O. Box 607 . Roosevelt . UT 84066 (435) 722-2531 Antelope Creek4 LOCATION OF WELL

FOOTAGESATSURFACE 817' FNL, 817' FWL COUNTY: Duchesne

QTR/QTR, SECTION, TOWNSHIP, RANGE, MERIDIAN: NWNW 34 T4S R3W U STATEUTAH



O ACIDIZE DEEPEN REPERFORATE CURRENT FORMATIONNOTICE OF INTENT

(Submit in Duplicate) ALTER CASING FRACTURE TREAT SIDETRACK TO REPAIR WELL

Approximate date work will start: CASINGREPAIR NEW CONSTRUCTION TEMPORARILY ABANDON

10/16/2013 CHANGE TO PREVIOUS PLANS OPERATOR CHANGE TUBING REPAIR

CHANGE TUBING PLUG AND ABANDON VENT OR FLARE

SUBSEQUENT REPORT CHANGE WELL NAME PLUG BACK WATER DISPOSAL(Submit Onginal Form Only)

CHANGE WELL STATUS PRODUCTION (START/RESUME) WATER SHUT-OFF

Date of work completionCOMMINGLE PRODUCINGFORMATIONS RECLAMATION OF WELL SITE OTHER

CONVERT WELL TYPE RECOMPLETE -DIFFERENT FORMATION

12 DESCRIBE PROPOSED OR COMPLETED OPERATIONS Clearly show all pertinent details including dates, depths, volumes, etc

This well lies within Petroglyph Operating's Antelope Creek Waterflood Area and was drilled into the Wasatch for stratigraphictesting. Petroglyph Operating currently waterfloods the Green River Formation from the top of the B Marker to the bottom ofthe Castle Peak. Petroglyph Operating would like to complete the well below the waterflood interval and test the productionpotential of Basal Carbonate (Uteland Butte) and Wasatch. The tops of the Basal Carbonate & Wasatch were found at 6214' &6500', respectively. We plan to perforate the following: 6263-64, 6268-70, 6280-82, 6286-90, 6297-99, 6305-08, 6312-13,6328-30, 6347-49, 6436-40, 6774-77, 6801-14 & 6830-37.We plan to treat the following:6263-6349: 35,000 gal of 15% Hcl followed by a fresh water overflush,6436-6440: 8,400 gal of gelled fluid containing 15,000#'s of 20/40 mesh sand,6774-6837: 33,600 gal of gelled fluid containing 60,000#'s of 20/40 mesh sand.The well will be swabbed as necessary before being put to pump. Subsurface commingling will not occur. The proposedproduction interval will be plugged before completing into upper zones. Upper zones will not be completed without priorapproval.

NAME (PULREEASEPRIN o Jurado TE Regu5/a2toryCompliance Specialist.

(This space for S use only)

(5/2000) (See Instructions on Reverse


STATEOFUTAH FORM9




























STATEOFUTAH FORM9



























RECEIVED: Nov. 05, 2013



FORM 9









9. API NUMBER: 43013515540000




COUNTY: DUCHESNE

STATE: UTAH

11.





10/30 /2013














The date of first production for this well was 10/30/2013.



SIGNATURE N/A

DATE 11 /5 /2013

November 05, 2013


FORM 9STATE OF UTAH

















10/30/2013OPERATOR CHANGE PLUG AND ABANDON PLUG BACK







The date of first production for this well was 10/30/2013. Accepted by theUtah Division of

Oil, Gas and Mining

FOR RECORD ONLYNovember 05, 2013



RECEIVED: Nov. 05,


FORM 9STATE OF UTAH

























Oil, Gas and Mining




RECEIVED: Nov. 05,


FORM 9STATE OF UTAH

























Oil, Gas and Mining




RECEIVED: Nov. 05,

RECEIVED: Jan. 17, 2014



FORM 9









9. API NUMBER: 43013515540000




COUNTY: DUCHESNE

STATE: UTAH

11.





10/30 /2013

















SIGNATURE N/A

DATE 1 /17 /2014

January 17, 2014


FORM 9STATE OF UTAH
























Please see attached. Accepted by theutah Division of

Oil, Gas and Mining

FOR RECORD ONLYJanuary 17, 2014



RECEIVED: Jan. 17,


FORM 9STATE OF UTAH

























Oil, Gas and Mining




RECEIVED: Jan. 17,


FORM 9STATE OF UTAH

























Oil, Gas and Mining




RECEIVED: Jan. 17,



STATEOFUTAH FORM9

DEPARTMENT OF NATURAL RESOURCESDIVISION OF OIL, GAS AND MINING 5 LÈASÈDÉSIGNATIONANDSÈRIALNÙMŠÈR:

14-20-H62-4737

SUNDRY NOTICES AND REPORTS ON WELLSe'gFIN AdNALLO EbEeORTRIBENAME

i UNITorCAAGRfEMENTNAMEDo not use this form for proposals to drill new wells, significantly deepen existing wells below current bottom-hole depth, reenter plugged wells, or to 14-20-H62-4650

drill horizontal laterais. Use APPLICATION FOR PERMIT TO DRILLform for such proposals.

1 TYPF OF Vftl2 WELL NAMI- -ind NUMbER

OIL WELL 2 GAS WELL OTHER Ute Tnbal 34-04-D3

NiMEOF Oî EPATOR 4 APINUMBER

Petroglyph Operating Company Inc. 4301351554- ADDRE55 i I- OPERATOR PHONE NUMBER: 10. FIELD AND POOL OR WILDCAT

PO Box 607 Roosevelt UT 84066 (435) 722-2531 Antelope Creeki LOtAll NOi WEll

i O 1Abl 5 AT SURF Aer 817 FNL, 817' FWL COUNTY: Duchesne

OIR OTR St C IION TOWNSHIP, RANGE. MERIDIAN: NWNW 34 4S 3W U STATE:UTAH

n CHECK APPROPRIATE BOXES TO INDICATE NATURE OF NOTICE, REPORT OR OTHER DATA


O ACIDIZE DEEPEN REPERFORATE CURRENT FORMATION

O NOTICE OF INTENT(Submit in Duplicate) ALTER CASING FRACTURE TREAT SIDETRACK TO REPAIR WELL

Approximate date work will start: CASING REPAIR NEW CONSTRUCTION TEMPORARILY ABANDON

O CHANGE TO PREVIOUS PLANS OPERATOR CHANGE TUBING REPAIR

O CHANGE TUBING PLUG AND ABANDON VENT OR FLARE

SUBSEQUENT REPORT CHANGE WELL NAME PLUG BACK WATER DISPOSAL(Submit Original Form Only)


Date of work completion:

O COMMINGLE PRODUCING FORMATIONS RECLAMATION OF WELL SITE OTHER:

10/30/2013 O CONVERT WELL TYPE RECOMPLETE - DIFFERENT FORMATION

DLSCRIBE PROPOSED OR COMPL E I ED OPERATIONS Clearly show all certinent deta:is including dates, depths, volumes, etc

On 10/9/2013 Petroglyph Operating ran GR/CBL and found ETOC @ 110', then on 10/16/2013 perforated the following:6830-37. 6801-14, 6774-77, 6436-40, 6347-49, 632830, 6312-13. 6305-08, 6297-99, 6286-90, 6280-82, 6268-70, 6263-64.

We isolated and fracture treated the following intervals:6.774'-6.837': 786 Bbis of fluid containing 55,930#'s of sand.6,436'-6.440': 377 Bbls of fluid containing 14,970#'s of sand,6.263'-6,349': 1.007 Bb|s of 15% Hcl followed by 159 Bbls fresh water overflush.Isolation plugs used were Halliburton 8K Composite Plugs, fluid used was Delta 140 18#gelled fluid, sand used was 20/40Mesh Premium White Sand and guns used were Titan 3-1/8", containing 22.7 gram charges, 0.42" EHD, 23.54" TTP @4 SPF

120' Phased AII plugs were drilled out and cleaned out to PBTO. 6,889' & the well was swabbed until a good oil cut wasseen. We then ran a pump on 10/30/2013 and put to pump.

, Radngo Jurado Regulatory Comphance Specialist

1/16/2014

Th spae for Swo un


STATEOFUTAH FORM9


14-20-H62-4737




























1/16/2014

Th spae for Swo un


STATEOFUTAH FORM9


14-20-H62-4737




























1/16/2014

Th spae for Swo un

RECEIVED: Mar. 06, 2014

API Well Number: 43013515540000 BEIL 034 ' Fl1L I09 ' F1¯L

STATE OF UTAH AMENDED REPORT O FORM 8DEPARTMENT OF NATURAL RESOURCES (highlight changes)

DIVISION OF OIL, GAS AND MINING 5 LEASEDESIGNATIONANDSERIALNUMBER:14-20-H62-4737

6 IF INDIAN,ALLOTTEE OR TRIBE NAME

WELL COMPLETION OR RECOMPLETION REPORT AND LOG Ute Indian Tribeia. TYPE OF WELL

LLGW

LL DRY OTHER 7 UNIT or CA AGREEMENT NAME14-20-H62-4650

b. TYPE OF WORK: 8 WELL NAME and NUMBER:°r"j2 EP- R

RYDI

OTHER Ute Tribal 34-04-D32.NAMEOFOPERATOR: 9 APINUMBER:

Petroglyph Operating Cornpany, Inc. 43013515543. ADDRESS OF OPERATOR PHONE NUMBER: 10 FIELD AND POOL. OR WILDCAT

P.O. Box 607 erry Roosevelt UT ne 84066 (435) 722-2531 Antelope Creek4. LOCATION OF WELL (FOOTAGES) 11. QTR/QTR, SECTION, TOWNSHIP, RANGE,

MERIDIAN:AT SURFACE: 817' FNL, 817' FWL NWNW 34 4S 3W UAT TOP PRODUCING INTERVAL REPORTED BELow 835' FNL, 789' FWL

12. COUNTY 13. STATEATTOTALDEPTH: 834' FNL, 789' FWL Duchesne UTAH

14 DATE SPUDDED: 15. DATE T D. REACHED: 16. DATE COMPLETED: 11 ELEVATIONS (DF, RKB, RT, GL):

8/21/2013 9/6/2013 10/30/2013 ABANDONED READY TO PRODUCE 2 5,765'18 TOTAL DEPTH: MD 6,951 19. PLUG BACK T.D.: MD 20. IF MULTIPLE COMPLETIONS. HOW MANY? * 21 DEPTH BRIDGE MD

PLUG SET:Tvo 6.951 Tvo 6,889 Tvo

22 TYPE ELECTRIC AND OTHER MECHANICAL LOGS RUN (Submit copy of each) 23.

WAS WELL CORED? NO YES (Submit analysis)ACTR, SDDSN, Borehole Volume Plot, Cement Bond Log

WAS DST RUN? NO YES (Submit report)

DIRECTIONAL SURVEY? NO YES (Submit copy)

24. CASING AND LINER RECORD (Report all strings set in well)

HOLE SIZE SIZEIGRADE WEIGHT (#lft) TOP (MD) BOTTOM (MD) STAGEDCEMENTER CNEMEONFS

KES VOLSLBL) CEMENT TOP ** AMOUNT PULLED

26 16 J-55 75 0 73 Conductor12.25 8.625 J-55 24 0 521 G 521 68 07.875 5.5 J-55 15.5 0 6,951 G 965 293 110 CBL

25 TUBING RECORD

St/E DEPTH SET MD PACAER SFT MD SIZE DEPTH SET MD) PACKER SET MD) SIZE DEPTH SET(MD) PACKER SET (MD)

2 875 6 79926 PRODUCING INTERVALS 27 PERFORATION RECORD

FW*AATIL%NAME Tr'P MD OF,V flD TTP TVD BOTTOM TVD INTERVAL TopBat MD SIZE NO HOLES PFRFORAF NS FUS

Wasatch 6 436 6 837 6 436 6 837 6 263 6 837 0 42 184 on

Basal Carbonate 6 263 6 440 6 263 6 349 ope"

28 ACID FRACTURE TREATMENT CEMENT SQUEEZE ETC

DEP EH NTERVAL AMCUNT AND TYPE E MATEPIAL

6 263 -6 349' 1 007 Bbis of 15% Hci followed by 159 Bbls fresh water overflush6 436'-6 83T 1 163 Bbis of Delta 140 18# Gelled Fluid contammg 70 900#'s of 20/40 Mesh Sand.

29. ENCLOSED ATTACHMENTS: i 30. WELL STATUS:

ELECTRICAL/MECHANICALLOGS GEOLOGIC REPORT DST REPORT DIRECTIONAL SURVEY POWO SUNDRY NOTICE FOR PLUGGING AN CORE ANALYSIS OTHER: DOGM Form 7

(CONTINUED ON

BEIL 034 ' Fl1L I09 ' F1¯L

STATE OF UTAH AMENDED REPORT O FORM 8DEPARTMENT OF NATURAL RESOURCES (highlight changes)

DIVISION OF OIL, GAS AND MINING 5 LEASEDESIGNATIONANDSERIALNUMBER:14-20-H62-4737

6 IF INDIAN,ALLOTTEE OR TRIBE NAME

WELL COMPLETION OR RECOMPLETION REPORT AND LOG Ute Indian Tribeia. TYPE OF WELL

LLGW

LL DRY OTHER 7 UNIT or CA AGREEMENT NAME14-20-H62-4650

b. TYPE OF WORK: 8 WELL NAME and NUMBER:°r"j2 EP- R

RYDI

OTHER Ute Tribal 34-04-D32.NAMEOFOPERATOR: 9 APINUMBER:

Petroglyph Operating Cornpany, Inc. 43013515543. ADDRESS OF OPERATOR PHONE NUMBER: 10 FIELD AND POOL. OR WILDCAT

P.O. Box 607 erry Roosevelt UT ne 84066 (435) 722-2531 Antelope Creek4. LOCATION OF WELL (FOOTAGES) 11. QTR/QTR, SECTION, TOWNSHIP, RANGE,

MERIDIAN:AT SURFACE: 817' FNL, 817' FWL NWNW 34 4S 3W UAT TOP PRODUCING INTERVAL REPORTED BELow 835' FNL, 789' FWL

12. COUNTY 13. STATEATTOTALDEPTH: 834' FNL, 789' FWL Duchesne UTAH

14 DATE SPUDDED: 15. DATE T D. REACHED: 16. DATE COMPLETED: 11 ELEVATIONS (DF, RKB, RT, GL):

8/21/2013 9/6/2013 10/30/2013 ABANDONED READY TO PRODUCE 2 5,765'18 TOTAL DEPTH: MD 6,951 19. PLUG BACK T.D.: MD 20. IF MULTIPLE COMPLETIONS. HOW MANY? * 21 DEPTH BRIDGE MD

PLUG SET:Tvo 6.951 Tvo 6,889 Tvo

22 TYPE ELECTRIC AND OTHER MECHANICAL LOGS RUN (Submit copy of each) 23.

WAS WELL CORED? NO YES (Submit analysis)ACTR, SDDSN, Borehole Volume Plot, Cement Bond Log

WAS DST RUN? NO YES (Submit report)

DIRECTIONAL SURVEY? NO YES (Submit copy)

24. CASING AND LINER RECORD (Report all strings set in well)

HOLE SIZE SIZEIGRADE WEIGHT (#lft) TOP (MD) BOTTOM (MD) STAGEDCEMENTER CNEMEONFS

KES VOLSLBL) CEMENT TOP ** AMOUNT PULLED

26 16 J-55 75 0 73 Conductor12.25 8.625 J-55 24 0 521 G 521 68 07.875 5.5 J-55 15.5 0 6,951 G 965 293 110 CBL

25 TUBING RECORD

St/E DEPTH SET MD PACAER SFT MD SIZE DEPTH SET MD) PACKER SET MD) SIZE DEPTH SET(MD) PACKER SET (MD)

2 875 6 79926 PRODUCING INTERVALS 27 PERFORATION RECORD

FW*AATIL%NAME Tr'P MD OF,V flD TTP TVD BOTTOM TVD INTERVAL TopBat MD SIZE NO HOLES PFRFORAF NS FUS

Wasatch 6 436 6 837 6 436 6 837 6 263 6 837 0 42 184 on

Basal Carbonate 6 263 6 440 6 263 6 349 ope"

28 ACID FRACTURE TREATMENT CEMENT SQUEEZE ETC

DEP EH NTERVAL AMCUNT AND TYPE E MATEPIAL

6 263 -6 349' 1 007 Bbis of 15% Hci followed by 159 Bbls fresh water overflush6 436'-6 83T 1 163 Bbis of Delta 140 18# Gelled Fluid contammg 70 900#'s of 20/40 Mesh Sand.

29. ENCLOSED ATTACHMENTS: i 30. WELL STATUS:

ELECTRICAL/MECHANICALLOGS GEOLOGIC REPORT DST REPORT DIRECTIONAL SURVEY POWO SUNDRY NOTICE FOR PLUGGING AN CORE ANALYSIS OTHER: DOGM Form 7

(CONTINUED ON



31 INITIAL PRODUCTION INTERVAL A (As shown in item #26)

DATE FIRST PRODUCED: TEST DATE: HOURS TESTED: TEST PRODUCTION OIL - BBL: GAS - MCF: WATER - BBL: PROD METHOD:

10/30/2013 11/24/2013 24 RATES: 15 12 16 Rod PumpCHOKE SIZE: TBG. PRESS. CSG. PRESS API GRAVITY BTU - GAS GASIOIL RATIO 24 HR PRODUCTION OIL - BBL: GAS - MCF: WATER - BBL: INTERVAL STATUS:

34/64 50 45 40.08 1 800 RATES: -+ 15 12 16 Openi IINTERVAL B (As shown in item #26)

DATE FIRST PRODUCED: TEST DATE: HOURS TESTED: TEST PRODUCTION OIL - BBL: GAS - MCF: WATER - BBL: PROD, METHOD:RATES: -+

CHOKE SîZE: TBG. PRESS. CSG. PRESS AÑGRAVITY BTU - GAS GAS/OIL RATIO 24 HR PRODUCTION OIL - BBL: GAS - MCF: WATER - BBL: INTERVAL STATUS:RATES: -+

INTERVAL C (As shown in item #26)

DATE FIRST PRODUCED: TEST DATE: HOURS TESTED: TEST PRODUCTION OIL - BBL: GAS - MCF: WATER - BBL: PROD. METHOD:RATES: -+

CHOKE SIZE: TBG. PRESS. CSG. PRESS Pl GRAVITY BTU - GAS GAS/OIL RATIO 24 HR PRODUCTION OIL - BBL: GAS - MCF: WATER - BBL: INTERVAL STATUS:RATES: -+

INTERVAL D (As shown in item #26)


CHOKE SIZE: TBG. PRESS. CSG. PRESS API GRAVITY BTU - GAS GAS/OIL RATIO 24 HR PRODUCTION OIL - BBL: GAS - MCF: WATER - BBL: INTERVAL STATUS:RATES: -+

32. DISPOSITION OF GAS (Sold, Used for Fuel, Vented, Etc.)

Used for Fuel33. SUMMARY OF POROUS ZONES (include Aquifers): 34. FORMATION (Log) MARKERS:

Show all important zones of porosity and contents thereof: Cored intervals and all drill-stem tests, including depth intervaltested, cushion used, time tool open, flowing and shut-in pressures and recoveries.

Formation Descriptions, Contents, etc. Name (Measuedp

Depth)

Mahogany 3,026Garden Gulch 3,785B Marker 4,196X Marker 4,710Y Marker 4,742Douglas Creek 4,860B Lime 5,270Castle Peak 5,827Basal Carbonate 6,214Wasatch 6,500

35. ADDITIONAL REMARKE (include plugging procedure)

AII Frac and Perf info is condensed. Please see NOI and Subsequent Frac Sundry for detailed record.

36 i hereby certify that the foregoing and attached mformation is complete and correct as determmed from all avadable records

Rodrigo Jurado Regulatory Compliance Specialist

This report must be submitted within 30 days of• complet ng or plugging a new wel e reentenng a previously plugged and abandoned welle dnHng horizontal laterals from an existing wel bore e significantly deepening an exist ng well bore below the previous bottom-ho1e depthe recompleting to a di'ferent producing formation e dniling hydrocarbon exploratory holes such as core samples and stratigraphic tests

* ITEM 20: Show the number of completions if production is measured separately from two or more formations.

**iTEM24:CementTop-Showhowreportedtop(s)ofcementweredetermmed(circulated(CIR) calculated(CAL) cementbond ogtCBLLtemperaturesurvey(TSn

Send to: Utah Division of Oil Gas and Mimng Phone 801-538-53401594 West North Temple Suite 1210Box 145801 Fax 801-359-3940Salt Lake City Utah

31 INITIAL PRODUCTION INTERVAL A (As shown in item #26)

DATE FIRST PRODUCED: TEST DATE: HOURS TESTED: TEST PRODUCTION OIL - BBL: GAS - MCF: WATER - BBL: PROD METHOD:

10/30/2013 11/24/2013 24 RATES: 15 12 16 Rod PumpCHOKE SIZE: TBG. PRESS. CSG. PRESS API GRAVITY BTU - GAS GASIOIL RATIO 24 HR PRODUCTION OIL - BBL: GAS - MCF: WATER - BBL: INTERVAL STATUS:

34/64 50 45 40.08 1 800 RATES: -+ 15 12 16 Openi IINTERVAL B (As shown in item #26)

DATE FIRST PRODUCED: TEST DATE: HOURS TESTED: TEST PRODUCTION OIL - BBL: GAS - MCF: WATER - BBL: PROD, METHOD:RATES: -+

CHOKE SîZE: TBG. PRESS. CSG. PRESS AÑGRAVITY BTU - GAS GAS/OIL RATIO 24 HR PRODUCTION OIL - BBL: GAS - MCF: WATER - BBL: INTERVAL STATUS:RATES: -+

INTERVAL C (As shown in item #26)


CHOKE SIZE: TBG. PRESS. CSG. PRESS Pl GRAVITY BTU - GAS GAS/OIL RATIO 24 HR PRODUCTION OIL - BBL: GAS - MCF: WATER - BBL: INTERVAL STATUS:RATES: -+

INTERVAL D (As shown in item #26)


CHOKE SIZE: TBG. PRESS. CSG. PRESS API GRAVITY BTU - GAS GAS/OIL RATIO 24 HR PRODUCTION OIL - BBL: GAS - MCF: WATER - BBL: INTERVAL STATUS:RATES: -+

32. DISPOSITION OF GAS (Sold, Used for Fuel, Vented, Etc.)

Used for Fuel33. SUMMARY OF POROUS ZONES (include Aquifers): 34. FORMATION (Log) MARKERS:

Show all important zones of porosity and contents thereof: Cored intervals and all drill-stem tests, including depth intervaltested, cushion used, time tool open, flowing and shut-in pressures and recoveries.

Formation Descriptions, Contents, etc. Name (Measuedp

Depth)

Mahogany 3,026Garden Gulch 3,785B Marker 4,196X Marker 4,710Y Marker 4,742Douglas Creek 4,860B Lime 5,270Castle Peak 5,827Basal Carbonate 6,214Wasatch 6,500

35. ADDITIONAL REMARKE (include plugging procedure)

AII Frac and Perf info is condensed. Please see NOI and Subsequent Frac Sundry for detailed record.

36 i hereby certify that the foregoing and attached mformation is complete and correct as determmed from all avadable records

Rodrigo Jurado Regulatory Compliance Specialist

This report must be submitted within 30 days of• complet ng or plugging a new wel e reentenng a previously plugged and abandoned welle dnHng horizontal laterals from an existing wel bore e significantly deepening an exist ng well bore below the previous bottom-ho1e depthe recompleting to a di'ferent producing formation e dniling hydrocarbon exploratory holes such as core samples and stratigraphic tests

* ITEM 20: Show the number of completions if production is measured separately from two or more formations.

**iTEM24:CementTop-Showhowreportedtop(s)ofcementweredetermmed(circulated(CIR) calculated(CAL) cementbond ogtCBLLtemperaturesurvey(TSn

Send to: Utah Division of Oil Gas and Mimng Phone 801-538-53401594 West North Temple Suite 1210Box 145801 Fax 801-359-3940Salt Lake City Utah



Job

Num

ber:

UT1

3141

0St

atel

Cou

ntry

:U

TlU

SA

Com

pany

:Pe

trogl

yph

Dec

linat

ion:

11.1

3

Leas

e/W

ell:

Ute

Trib

al34

-04-

D3

Grid

:Tr

ue

Loca

tion:

Sec

34,T

4S,R

3WFi

lena

me:

C:\W

INSE

RV

E\U

T131

410.

SVY

Rig

Nam

e:C

apst

ar33

4D

atel

Tim

e:06

-Sep

-13

/10:

55

RK

B:

Cur

veN

ame:

Act

ual

G.L

.or

M.S

.L.:

Payz

one

Dire

ctio

nal

Serv

ices

LLC

WIN

SER

VE

SUR

VEY

CA

LCU

LATI

ON

SM

inim

urn

Cur

vatu

reM

etho

dV

ertic

alSe

ctio

nPl

ane

.00

Ver

tical

Sect

ion

Ref

eren

ced

toW

ellh

ead

Rec

tang

ular

Coo

rdin

ates

Ref

eren

ced

toW

ellh

ead

Mea

sure

dIn

cID

rift

True

Ver

tical

CLO

SUR

ED

ogle

gD

epth

Ang

leD

irect

ion

Ver

tícal

N-S

E-W

Sect

ion

Dis

tanc

eD

irect

ion

Seve

rity

FTD

egD

egD

epth

FTFT

FTFT

Deg

Deg

/100

.00

.00

.00

.00

.00

.00

.00

.00

.00

.00

535.

00.3

524

4.63

535.

00-.7

0-1

.48

-.70

1.63

244.

63,0

7

855.

00.2

925

2.01

854.

99-1

.37

-3.1

3-1

.37

3.42

246.

38.0

2

1312

.00

.40

256.

6013

11.9

8-2

.10

-5.7

8-2

.10

6.15

250.

07.0

2

1768

.00

.20

62.5

017

67.9

8-2

.10

-6.6

2-2

.10

6.95

252.

43.1

3

2225

.00

.60

237.

3022

24.9

7-3

.02

-7.9

3-3

.02

8.49

249.

14.1

7

2681

.00

.26

243.

3726

80.9

6-4

.78

-10.

86-4

.78

11.8

724

6.27

.08

3138

.00

.48

241.

8131

37.9

5-6

.14

-13.

48-6

.14

14.8

124

5.49

.05

3594

.00

.50

343.

1035

93.9

4-5

.14

-15.

74-5

.14

16.5

625

1.91

.17

4051

.00

.83

249.

1540

50.9

2-4

.41

-19.

41-4

.41

19.9

125

7.19

.22

Page

Job

Num

ber:

UT1

3141

0St

atel

Cou

ntry

:U

TlU

SA

Com

pany

:Pe

trogl

yph

Dec

linat

ion:

11.1

3

Leas

e/W

ell:

Ute

Trib

al34

-04-

D3

Grid

:Tr

ue

Loca

tion:

Sec

34,T

4S,R

3WFi

lena

me:

C:\W

INSE

RV

E\U

T131

410.

SVY

Rig

Nam

e:C

apst

ar33

4D

atel

Tim

e:06

-Sep

-13

/10:

55R

KB

:C

urve

Nam

e:A

ctua

l

G.L

.or

M.S

.L.:

Payz

one

Dire

ctio

nal

Serv

ices

LLC

WIN

SER

VE

SUR

VEY

CA

LCU

LATI

ON

SM

inim

urn

Cur

vatu

reM

etho

dV

ertic

alSe

ctio

nPl

ane

.00

Ver

tical

Sect

ion

Ref

eren

ced

toW

ellh

ead

Rec

tang

ular

Coo

rdin

ates

Ref

eren

ced

toW

ellh

ead

Mea

sure

dIn

cID

rift

True

Ver

tical

CLO

SUR

ED

ogle

gD

epth

Ang

leD

irect

ion

Ver

tícal

N-S

E-W

Sect

ion

Dis

tanc

eD

irect

ion

Seve

rity

FTD

egD

egD

epth

FTFT

FTFT

Deg

Deg

/100

.00

.00

.00

.00

.00

.00

.00

.00

.00

.00

535.

00.3

524

4.63

535.

00-.7

0-1

.48

-.70

1.63

244.

63,0

7

855.

00.2

925

2.01

854.

99-1

.37

-3.1

3-1

.37

3.42

246.

38.0

2

1312

.00

.40

256.

6013

11.9

8-2

.10

-5.7

8-2

.10

6.15

250.

07.0

2

1768

.00

.20

62.5

017

67.9

8-2

.10

-6.6

2-2

.10

6.95

252.

43.1

3

2225

.00

.60

237.

3022

24.9

7-3

.02

-7.9

3-3

.02

8.49

249.

14.1

7

2681

.00

.26

243.

3726

80.9

6-4

.78

-10.

86-4

.78

11.8

724

6.27

.08

3138

.00

.48

241.

8131

37.9

5-6

.14

-13.

48-6

.14

14.8

124

5.49

.05

3594

.00

.50

343.

1035

93.9

4-5

.14

-15.

74-5

.14

16.5

625

1.91

.17

4051

.00

.83

249.

1540

50.9

2-4

.41

-19.

41-4

.41

19.9

125

7.19

.22

Page



Mea

sure

dIn

clD

nft

True

Ver

tical

CLO

SUR

ED

ogle

gD

epth

Ang

leD

irect

ion

Ver

tical

N-S

E-W

Sect

ion

Dis

tanc

eD

irect

ion

Seve

rity

FTD

egD

egD

epth

FTFT

FTFT

Deg

Deg

/100

4508

.00

9320

8.02

4507

.87

-8.8

7-2

4.25

-8.8

7

25.8

224

9.92

.14

4965

.00

2615

9.90

4964

.84

-13.

11-2

5.63

-13,

11

28.7

924

2.91

.17

5422

.00

.04

254

4754

21.8

4-1

4.13

-25.

43-1

4.13

29.0

924

0.94

.06

5878

.00

.48

213

9158

77.8

4-1

5.76

-26.

65-1

5.76

30.9

623

9.41

,10

6335

.00

.13

245

5063

34.8

3-1

7.56

-28.

19-1

7.56

33.2

123

8,08

.08

6790

.00

.13

46.8

767

89.8

3-1

7.42

-28.

28-1

7.42

33.2

223

8.37

.06

6888

.00

0474

.21

6887

.83

-17.

34-2

8.17

-17.

34

33.0

823

8.39

.10

Proj

ectio

nto

Bit

@TD

6951

.00

0474

.21

6950

.83

-17.

32-2

8.13

-17.

32

33.0

323

8.37

.00

Page

2A

ctua

lFi

le

Mea

sure

dIn

clD

nft

True

Ver

tical

CLO

SUR

ED

ogle

gD

epth

Ang

leD

irect

ion

Ver

tical

N-S

E-W

Sect

ion

Dis

tanc

eD

irect

ion

Seve

rity

FTD

egD

egD

epth

FTFT

FTFT

Deg

Deg

/100

4508

.00

9320

8.02

4507

.87

-8.8

7-2

4.25

-8.8

7

25.8

224

9.92

.14

4965

.00

2615

9.90

4964

.84

-13.

11-2

5.63

-13,

11

28.7

924

2.91

.17

5422

.00

.04

254

4754

21.8

4-1

4.13

-25.

43-1

4.13

29.0

924

0.94

.06

5878

.00

.48

213

9158

77.8

4-1

5.76

-26.

65-1

5.76

30.9

623

9.41

,10

6335

.00

.13

245

5063

34.8

3-1

7.56

-28.

19-1

7.56

33.2

123

8,08

.08

6790

.00

.13

46.8

767

89.8

3-1

7.42

-28.

28-1

7.42

33.2

223

8.37

.06

6888

.00

0474

.21

6887

.83

-17.

34-2

8.17

-17.

34

33.0

823

8.39

.10

Proj

ectio

nto

Bit

@TD

6951

.00

0474

.21

6950

.83

-17.

32-2

8.13

-17.

32

33.0

323

8.37

.00

Page

2A

ctua

lFi

le



63 42 21t

160

520

a

1240

i-2

1

1600

1960

-42

2320

2680

-63

3040

3400

-84

3760

4120

-84

-63

-42

-21

a21

4263

8444

8048

40-

¯

5200

5560

5920

6280

6640

7360

110

830

1550

2270

2990

3710

4430

5150

5870

6590

7310

8030

8750

9470

1019

010

910

1163

012

350

1307

013

790

-250

470

1190

1910

2630

3350

4070

4790

5510

6230

6950

7670

8390

9110

9830

1055

011

270

1199

012

710

1343

0

63 42 21t

160

520

a

1240

i-2

1

1600

1960

-42

2320

2680

-63

3040

3400

-84

3760

4120

-84

-63

-42

-21

a21

4263

8444

8048

40-

¯

5200

5560

5920

6280

6640

7360

110

830

1550

2270

2990

3710

4430

5150

5870

6590

7310

8030

8750

9470

1019

010

910

1163

012

350

1307

013

790

-250

470

1190

1910

2630

3350

4070

4790

5510

6230

6950

7670

8390

9110

9830

1055

011

270

1199

012

710

1343

0



STATE OF UTAH FORM 7DEPARTMENT OF NATURAL RESOURCES


REPORT OF WATER ENCOUNTERED DURING DRILLING

Well name and number: Ute Tribal 34-04-D3

API number: 4301351554

Well Location: QQ NWNWSection 34 Township 4S Range 3W County Duchesne

Well operator: Petroglyph Operating Company, Inc.


city Roosevelt state UT zip 84066 Phone: (435) 722-2531

Drilling contractor: ProPetro Services

Address: 1422 East 1500 South

city Vernal state UT ¿¡p 84078 Phone: (435) 789-1735

Water encountered (attach additional pages as needed):

DEPTH VOLUME QUALITYFROM TO (FLOW RATE OR HEAD) (FRESH OR SALTY)

O 510 0 No Water Encountered

Formation tops: 1 2 3(Top to Bottom)

4 5 6

8 9

10 11 12

Ifan analysis has been made of the water encountered, please attach a copy of the report to this form.

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

NAME(PLEASERNT Rodngo JuradoTITLE Regulatory Compliance Specialist

SIGNATURE 'DATE



REPORT OF WATER ENCOUNTERED DURING DRILLING

Well name and number: Ute Tribal 34-04-D3

API number: 4301351554

Well Location: QQ NWNWSection 34 Township 4S Range 3W County Duchesne

Well operator: Petroglyph Operating Company, Inc.


city Roosevelt state UT zip 84066 Phone: (435) 722-2531

Drilling contractor: ProPetro Services

Address: 1422 East 1500 South

city Vernal state UT ¿¡p 84078 Phone: (435) 789-1735

Water encountered (attach additional pages as needed):

DEPTH VOLUME QUALITYFROM TO (FLOW RATE OR HEAD) (FRESH OR SALTY)

O 510 0 No Water Encountered

Formation tops: 1 2 3(Top to Bottom)

4 5 6

8 9

10 11 12

Ifan analysis has been made of the water encountered, please attach a copy of the report to this form.

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

NAME(PLEASERNT Rodngo JuradoTITLE Regulatory Compliance Specialist

SIGNATURE 'DATE





FORM 9




6. IF INDIAN, ALLOTTEE OR TRIBE NAME: UTE





9. API NUMBER: 43013515540000




COUNTY: DUCHESNE

STATE: UTAH

11.




10 /3 /2014















Please see attached. We plan to run in hole and set an 8KComposite Plug, Spot Cement above and recomplete the

Green River Formation.



SIGNATURE N/A

DATE 9 /26 /2014

October 01, 2014


FORM 9STATE OF UTAH


SUNDRY NOTICES AND REPORTS ON WELLS 6 F INDIAN, ALLOTTEE OR TRIBE NAME:






















Please see attached. We plan to run in hole and set an 8K Approved by theComposite Plug, Spot Cement above and recomplete the utah Division of

Green River Formation. oil, Gas anci Mining

October 01, 2014

PleaseReviewAtladiedCuditiusofAppron\



RECEIVED: Sep. 26,


FORM 9STATE OF UTAH
























Please see attached. We plan to run in hole and set an 8K Approved by theComposite Plug, Spot Cement above and recomplete the utah Division of

Green River Formation. oil, Gas anci Mining

October 01, 2014

PleaseReviewAtladiedCuditiusofAppron\



RECEIVED: Sep. 26,






Cannot be commingled with Wasatch formation perfs.


UTAH

DNR The Utah Division of Oil, Gas, and Mining- State of Utah- Department of Natural Resources

Electronic Permitting System - Sundry NoticesOTI. GAS N1NTNG



RECEIVED: Oct. 01,


UTAH

DNR The Utah Division of Oil, Gas, and Mining- State of Utah- Department of Natural ResourcesElectronic Permitting System - Sundry Notices

OTI. GAS N1NTNG



RECEIVED: Oct. 01,




FORM 9

5. LEASE DESIGNATION AND SERIAL NUMBER:

SUNDRY NOTICES AND REPORTS ON WELLS6. IF INDIAN, ALLOTTEE OR TRIBE 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 todrill horizontal laterals. Use APPLICATION FOR PERMIT TO DRILL form for such proposals.

7. UNIT or CA AGREEMENT NAME:

1. TYPE OF WELLOIL WELL GAS WELL OTHER

8. WELL NAME and NUMBER:

2. NAME OF OPERATOR: 9. API NUMBER:

3. ADDRESS OF OPERATOR:

CITY STATE ZIP

PHONE NUMBER: 10. FIELD AND POOL, OR WILDCAT:

4. LOCATION OF WELL

FOOTAGES AT SURFACE: COUNTY:

QTR/QTR, SECTION, TOWNSHIP, RANGE, MERIDIAN: STATE:

UTAH

11. CHECK APPROPRIATE BOXES TO INDICATE NATURE OF NOTICE, REPORT, OR OTHER DATA


NOTICE OF INTENT (Submit in Duplicate)

Approximate date work will start:

ACIDIZE DEEPEN REPERFORATE CURRENT FORMATION

ALTER CASING FRACTURE TREAT SIDETRACK TO REPAIR WELL

CASING REPAIR NEW CONSTRUCTION TEMPORARILY ABANDON

CHANGE TO PREVIOUS PLANS OPERATOR CHANGE TUBING REPAIR


SUBSEQUENT REPORT (Submit Original Form Only)


CHANGE WELL NAME PLUG BACK WATER DISPOSAL


COMMINGLE PRODUCING FORMATIONS RECLAMATION OF WELL SITE OTHER:

CONVERT WELL TYPE RECOMPLETE - DIFFERENT FORMATION


NAME (PLEASE PRINT) TITLE

SIGNATURE DATE

(This space for State use only)

(5/2000) (See Instructions on Reverse Side)



DIVISION OF OIL, GAS AND MINING 5. LEASE DESIGNATION AND SERIAL NUMBER:14-20-H62-4737

SUNDRY NOTICES AND REPORTS ON WELLS6. I N AdNALLOTTEbEeORTRIBENAME:

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 t° 14-20-H62-4650

drill horizontal laterals. Use APPLICATION FOR PERMIT TO DRILL form for such proposals.1. TYPE OF WELL 8. WELL NAME and NUMBER:

OIL WELL GAS WELL O OTHER Ute Tribal 34-04-D32. NAME OF OPERATOR: 9. API NUMBER:

Petroglyph Operating Company Inc. 43013515543. ADDRESSOF OPERATOR: PHONE NUMBER: 10. FIELD AND POOL, OR V\nLDCAT:

P.O. Box 607 Roosevelt STATE UT ZIP 84066 (435) 722-2531 Antelope Creek4. LOCATION OF WELL

FOOTAGESATSURFACE: 817' FNL, 817' FWL COUNTY: Duchesne

QTR/QTR, SECTION, TOWNSHIP, RANGE, MERIDIAN: NWNW 34 4S 3W U STATE:UTAH

11. CHECK APPROPRIATE BOXES TO INDICATE NATURE OF NOTICE, REPORT, OR OTHER DATATYPE OF SUBMISSION TYPE OF ACTION

ACIDIZE DEEPEN REPERFORATE CURRENT FORMATIONNOTICE OF INTENT






CHANGE WELL STATUS PRODUCTION (START/RESUME) WATER SHUT-OFFDate of work completion:




On or around 10/3/2014, depending on equipment availability, Petroglyph Operating intends to perforate and fracture treat theGreen River Formation. Before completing the Green River we plan to run in and set an 8K Composite Plug at 6240' and spot15' (3 sx) of cement on top. We then plan to perforate the following: 4224-28, 4598-4603, 4647-55, 4658-61, 4664-68,4673-74, 4896-98, 5070-80, 5107-14, 5193-5200, 5212-15, 5490-94, 5504-12 5516-23, 5586-90, 5844-46, 5849-55, 5883-86,6113-14, 6134-36 & 6142-53. We will perforate at 4 shot per foot and isolate zones using Halliburton 8K Composite Plugs. Weplan complete the following stages:5,844'-6,153': 13,400 Gals of fluid containing 24,000#'s of sand,5,490'-5,590': 22,400 Gals of fluid containing 40,000#'s of sand,5,193'-5,215': 14,000 Gals of fluid containing 25,000#'s of sand,4,896'-5,114': 14,000 Gals of fluid containing 25,000#'s of sand,4,598'-4,674': 30,800 Gals of fluid containing 55,000#'s of sand,4,224'-4,228': 22,400 Gals of fluid containing 40,000#'s of sand.This plan is tentative and will be adjusted as needed during completion operations. Volumes and amounts of sand are onlyestimates, actual figures will be reported at a later date. Plug above the the Wasatch Formation will NOT be drilled out untilapproval to commingle is received.

NAME (PLEASE PRINT) Rodrigo Jurado TITLE Regulatory Compliance Specialist

SIGNATURE DATE 9/26/2014



RECEIVED: Sep. 26,



DIVISION OF OIL, GAS AND MINING 5. LEASE DESIGNATION AND SERIAL NUMBER:14-20-H62-4737

SUNDRY NOTICES AND REPORTS ON WELLS6. I N AdNALLOTTEbEeORTRIBENAME:

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 t° 14-20-H62-4650

drill horizontal laterals. Use APPLICATION FOR PERMIT TO DRILL form for such proposals.1. TYPE OF WELL 8. WELL NAME and NUMBER:

OIL WELL GAS WELL O OTHER Ute Tribal 34-04-D32. NAME OF OPERATOR: 9. API NUMBER:

Petroglyph Operating Company Inc. 43013515543. ADDRESSOF OPERATOR: PHONE NUMBER: 10. FIELD AND POOL, OR V\nLDCAT:

P.O. Box 607 Roosevelt STATE UT ZIP 84066 (435) 722-2531 Antelope Creek4. LOCATION OF WELL

FOOTAGESATSURFACE: 817' FNL, 817' FWL COUNTY: Duchesne

QTR/QTR, SECTION, TOWNSHIP, RANGE, MERIDIAN: NWNW 34 4S 3W U STATE:UTAH

11. CHECK APPROPRIATE BOXES TO INDICATE NATURE OF NOTICE, REPORT, OR OTHER DATATYPE OF SUBMISSION TYPE OF ACTION

ACIDIZE DEEPEN REPERFORATE CURRENT FORMATIONNOTICE OF INTENT










On or around 10/3/2014, depending on equipment availability, Petroglyph Operating intends to perforate and fracture treat theGreen River Formation. Before completing the Green River we plan to run in and set an 8K Composite Plug at 6240' and spot15' (3 sx) of cement on top. We then plan to perforate the following: 4224-28, 4598-4603, 4647-55, 4658-61, 4664-68,4673-74, 4896-98, 5070-80, 5107-14, 5193-5200, 5212-15, 5490-94, 5504-12 5516-23, 5586-90, 5844-46, 5849-55, 5883-86,6113-14, 6134-36 & 6142-53. We will perforate at 4 shot per foot and isolate zones using Halliburton 8K Composite Plugs. Weplan complete the following stages:5,844'-6,153': 13,400 Gals of fluid containing 24,000#'s of sand,5,490'-5,590': 22,400 Gals of fluid containing 40,000#'s of sand,5,193'-5,215': 14,000 Gals of fluid containing 25,000#'s of sand,4,896'-5,114': 14,000 Gals of fluid containing 25,000#'s of sand,4,598'-4,674': 30,800 Gals of fluid containing 55,000#'s of sand,4,224'-4,228': 22,400 Gals of fluid containing 40,000#'s of sand.This plan is tentative and will be adjusted as needed during completion operations. Volumes and amounts of sand are onlyestimates, actual figures will be reported at a later date. Plug above the the Wasatch Formation will NOT be drilled out untilapproval to commingle is received.

NAME (PLEASE PRINT) Rodrigo Jurado TITLE Regulatory Compliance Specialist

SIGNATURE DATE 9/26/2014



RECEIVED: Sep. 26,





FORM 9









9. API NUMBER: 43013515540000




COUNTY: DUCHESNE

STATE: UTAH

11.




10/13 /2014















Petroglyph Operating Company, Inc. requests permission tocommingle oil and gas production from the Wasatch and

Green River Formations on the well referenced above. MineralOwnership is the same throughout the well bore. PetroglyphOperating has made all necessary notifications in accordance

with Utah's Oil, Gas, and Mining regulation R649-3-22.Please see the attached Affidavit of Notice and Map.



SIGNATURE N/A

DATE 9 /29 /2014

November 20, 2014


FORM 9STATE OF UTAH
























Petroglyph Operating Company, Inc. requests permission to REQUEST DENIEDcommingle oil and gas production from the Wasatch and Utah Division of

Green River Formations on the well referenced above. Mineral Oil, Gas and Mining

Ownership is the same throughout the well bore. Petroglyph Date:November 20, 2014

Operating has made all necessary notifications in accordancewith Utah's Oil, Gas, and Mining regulation R649-3-22. sy: ,

iPlease see the attached Affidavit of Notice and Map.

PleaseRoiewAtladiedCutlitiusofAppron\



RECEIVED: Sep. 29,

RECEIVED: Nov. 20, 2014





Commingling waterflood area with non-waterflood area. Requires Board approval.


UTAH

DNR The Utah Division of Oil, Gas, and Mining- State of Utah- Department of Natural ResourcesElectronic Permitting System - Sundry Notices

OTI. GAS N1NTNG


Commingling waterflood area with non-waterflood area. Requires Board approval.

RECEIVED: Nov. 20,



AFFIDAVIT OF NOTICE

State of Idaho )) ss

County of Ada )

I, Nicole Colby, the alTiant herein, being of lawful age and duly sworn upon her oath deposes and states asfollows:

Nicole Colby is the Land Manager for Petroglyph Energy, Inc., an Idaho corporation, with headquarterslocated at 960 Broadway Avenue, Suite 500, Boise, ID 83706, and is duly authorized to make this Affidavit on behalfof said corporation.

Petroglyph Energy, Inc. has submitted notice to commingle production from the Wasatch and Green Riverformations in the following well lying within the boundaries of the Antelope Creek Plan of Cooperative Development

- BIA Lease UTE 14-20-H62-4737:

UTE TRIBAL 34-04-D3

This Affidavit is made in accordance with Utah's Oil, Gas and Mining regulation R649-3-22. As operator, PetroglyphEnergy, Inc., has provided notice to the owner of contiguous oil and gas leases or drilling units overlying the pool forthe aforementioned well to the party below:

Newfleid Production : mpany

1001 1 Street, Suite 2000Denver, CO 80202.

Petroglyph Energy, Inc.

Nicole Colby, ManagerLand and Regulatory Compliance

State of Idaho )

County of Ada



PETROG LYPH EXECUTIVEOFFICES

VIA U.S.MAIL DEUVERY

September 25, 2014

Newfield Production Company/ Newfield Exploration CompanyAtten: Travis Undsey1001 17* Street, Suite 2000Denver, CO80202

UTE TRIBAL34-04-D3

Mr. Undsey:

Petroglyph Operating Company, Inc., is submitting an Application to Comminglefrom the WasatchandGreen Riverformations in the referenced well.

In accordancewith State of Utah Divisionof Oil, Gas and Mining R649-3-22 regarding completion intotwo or more pools, Petroglyph hereby provides written notice to Newfield ExplorationCompany/Newfield Production Company of the submission.

Please see enclosed copies of the Application to Commingle.

Please contact me at (208) 685-9711if any questions.

Best Regards,

Nicole ColbyManager, Land and Regulatory Compliance

PETROGLYPHENERGY,



T4S

R3

New

field

Prod

uctio

n

Com

pany

WI

New

field

100%

Prod

uctio

nU

teTr

ibal

15-2

7-4-

3U

teTr

ial

16-2

7-4-

3C

ompa

nyW

I10

0%

Ute

Trib

al34

-04-

D3

III E

xplo

ratio

nII

LPW

I10

0%

3435

I

III

Expl

orat

ion

IILI

WI

100%

NET

RO

GLY

PHA

NTE

LOPE

CR

EEK

1in

ch=

1500

feet

App

licab

onfo

rC

omm

ingh

ngU

teTr

ibal

34-0

4-D

3



STATE OF UTAH AME NDE1) REPOR I i RM 8131:PAW I ME N I OE NA i UHAl Rl SOURCl S highlight changes)

DIVISION OF OIL. GAS AND MINING14-20-H62-4737

6 IF INDIAN. ALLOTTEEOR TRIBE NAMEWELL COMPLETION OR RECOMPLETION REPORT AND LOG Ute Indian Tribe

i l ÙÑiT or CÁAGREEMEÑÍÑAME14-20-H62-4650

8 ŸvELLNAMEand NUMBER

"i [ ] tir' [ .. 7 OTHER Ute Tribal 34-04-D3

4ML lH I&

Petroglyph Operatmg Company, Inc- 4301351554f I , PHONE NUMBER

PO Box 607 Roosevelt UT 84066 (435) 722-2531 Antelope Creek4. Lrt N y r LL F I r i 11. ;

i le : 817' FNL 81? FWL NWNW 34 4S 3W Ui I i , a a a i Berne - 835' FNL, 789' FWL

' r i e 834' FNL 789' FWL Duchesne UTAH

la'alftHF 1E1* MPIH to 4 FNsh

8/21/2013 8/6/2013 10/11/2014 ' " * * ' " " ' 5 765' RKBMD 6951 * "' " 6889 61 "' t * * F- l' L i 6287TVD 6.951 6 889 6 287

22. TYPE ELECTRIC AND OTHER MECHANICAL LOGS RUN (Submit copy of each

NO

NO

24, CASING AND LINER RECORD (Report all strmgs set m well)

HOLE SIZE I T ^H> d A * TOP (MD) BOTTOM (MD) vmT ** AMOUNT PULLED

26 16 J-55 75 0 7312 2b b b25 J-55 24 0 521 0 521 68 0/ 875 lb J-55 15.5 0 6,951 e 965 293 110' CBL

26. TUBING RECORD

2 8 75 6 05426 PRODULINGINTERVALS 27 PERFORATIONRECORD

IGreen River ‡ 224 6 163 4 224 b 16 4 224 6 153 a 42 56 i

wID IRA TUb!E 'hEATYENI rEMENTSQUEEZE Of

I 224 o 164 3 but Shis of Detta 1 ‡u 18i Gelled F a e Containinq 231 710 of zu 40 Mesh Sand

9 ENClOSEDuffACHMElvf5 30 Wf tt bfATUb

O ELECTRICALIMECHANICAL LOGS GEOLOGIC REPORT DST REPORT DIRECTIONAL SURVËY POWSUNDRY NOTICE FOR PLUGGING AND CEMENT VERIFICATION CORE ANALYSIS OTHER

(CONTINUEDON



31. INIflAL PRODUCTION INTERVALA (As shown in item #26)

DATE FIRST PRODUCED: I SI Dr IE HOi P' fl bft D 1E I PR 30 I Iluti uit lH PPC D Mi IHor,

10/12/2014 10/27/2014 24 'E ¯* 31 36 99 Rpd PumpCHOKESIZE: TBG PRESS * PRE 4 GI-Vil BlU ub < w Eli :HPrR3E i i is Ottes LNT-TU

32/64 50 50 38 60 1 1,161 ' I * 31 36 99 OpenINTERVAL B (As shown m item #26}

HF i i - I y C it t HR E I i i Mt f WATER - BBL

INTERVALC (As shown in item #26)

DATE FIRST PRODUCED

INTERVALD (As shown in item #26)

HOURS TESTED TEST PRODUCTION OIL - BBL-+

TBG PRESS CSG PRESS. APi GRAVITY N tr i ( F F l i I N te GAS - MCF

32 DISPOSITION OF GAS (Sold Ust d for Fuel Vented Ett )Used for Fuel

33 bUMMARY Of POROUS ZONES (Int lade Aquifers) 34 EORMA TION (l og) MARKLRS

Show all important zones of porosity and contents thereof: Cored intervals and all driikstem tests noluding depth intervattested, cushion used, time tool open,flowing and shut4n pressures and recoveries.

Descriptions. Contents. etc (Waava La ?

Mahogany 3,026Garden Gulch 3,785B Marker 4.196X Marker 4, /10Y Marker 4.742Douglas Creek 4.860B Lime 5,270Castle Peak 5,827Basal Carbonaté 6.214Wasatch 6.500

35 ADDif!ONAL REMARKS (Include plaqqmg procedure)

This well was plugged back above Basal Carbonate and re-completed in the Green River Formation. Logs Prev Submitted.

36. I hereby certify that the foregoing and attached information is complete and correct as determined from all available records.

e 'i e .

Phone 801 538-5340

Fax: 801-359-3940




FORM 9









9. API NUMBER: 43013515540000




COUNTY: DUCHESNE

STATE: UTAH

11.





10/11 /2014

















SIGNATURE N/A

DATE 1 /8 /2015

January 23, 2015


FORM 9STATE OF UTAH

























Oil, Gas and Mining




RECEIVED: Jan. 08,



STATEOFUTAH FORM9DEPARTMENT OF NATURAL RESOURCES

DIVISION OF OIL, GAS AND MINING 5 LEASE DESíGNATION AND SERIAL NUMBER:14-20-H62-4737

6 IF INDIAN. ALLOTTEE OR TRIBE NAME:SUNDRY NOTICES AND REPORTS ON WELLS Ute Indian Tribe

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 t° 14-20-H62-4650

drill horizontal laterals. Use APPLICATION FOR PERMtT TO DRILL form for such proposals.


8 LL NAME a

4 4 32.NAMEOFOPERATOR: 9 APlNUMBER:

Petroglyph Operating Company Inc. 43013515543. ADDRESS OF OPERATOR: PHONE NUMBER: 10, FlELD AND POOL OR WILDCAT

P.O. Box 607 Roosevelt UT 84066 (435) 722-2531 Antelope Creek4. LOCATION OF WELL

FOOTAGESATSURFACE 817' FNL, 817' FWL COUNTY Duchesne

QTR/QTR. SECTION, TOWNSHIP, RANGE, MERIDIAN NWNW 34 4S 3W UUTAH

« CHECK APPROPRIATE BOXES TO INDICATE NATURE OF NOTICE, REPORT, OR OTHER DATATYPE OF SUBMISSION TYPE OF ACTION

O ACIDiZE DEEPEN REPERFORATE CURRENT FORMATiONO NOTICE OF INTENT


Approximate date work will start CASING REPAIR NEW CONSTRUCTION TEMPORARILY ABANDON

CHANGE TO PREVIOUS PLANS OPERATOR CHANGE TUBING REPAiR




O COMMINGLE PRODUCING FORMATIONS RECLAMATION OF WELL SITE OTHER:10/11/2014 O CONVERT WELL TYPE RECOMPLETE -DiFFERENT FORMATION

12 DESCRIBE PROPOSED OR COMPLETED OPERATIONS. Cîearly show all pertinent details including dates, depths, volumes, etc

On 9/24/2014 Petroglyph Operating rigged up on the well referenced above and pulled the pump and tubing, made a bit andscraper run and set an 8K Composite Plug at 6287' and spotted 10' of cement on top. The plug was pressure tested but failed.; ou un rao .r and set a UBP at e idu Pressure tested well to 3800 Psi and plug held. We then perf the following:4224-28 4598-4603 4647-5 46587-61 4664-68, 4673-74, 4893-98, 5070-80, 5107-14, 5193-5200, 5212-15, 5490-94,5504-12, 5516-23, 5586-90, 5600-04, 5607-10, 5619-21, 5624-26, 5630-36, 5647-49, 5674-76, 5682-84, 5741-47, 5762-64,5768-70, 5778-80, 5789-93, 5844-46, 5849-55, 5883-86, 6123-24, 6136-38 & 6142-53.We completed the following intervals:5,741'-6,153': 779 Bbis of fluid containing 50 760#'s of sand5,49065,684': 808 Bbis of fluid containing 76 730#'s of sand5,19365,215': 483 Bbis of fluid containing 25 920#'s of sand4,89665,114': 464 Bbis of fluid containing 26 130es of sand

4 59864,674': 561 Bbis of fluid containing 37.140# s of sand4 224 4 228 472 Bbis of f1uid Canta nirg 15 060# s of sand

Rodnyo Ju ado Regulatory Complarte bpeaanst

SIGNATURE

TMs space for State use

RECEIVED: Dec. 31, 2014



FORM 9









9. API NUMBER: 43013515540000




COUNTY: DUCHESNE

STATE: UTAH

11.





10/11 /2014

















SIGNATURE N/A

DATE 12/31/2014

February 11, 2015


FORM 9STATE OF UTAH

























Oil, Gas and Mining

FOR RECORD ONLYFebruary 11, 2015



RECEIVED: Dec. 31,

RECEIVED: Dec. 31, 2014


STATEOFUTAH FORM9DEPARTMENT OF NATURAL RESOURCES

DIVISION OF OIL, GAS AND MINING 5 LEASE DESíGNATION AND SERIAL NUMBER:14-20-H62-4737

6 IF INDIAN. ALLOTTEE OR TRIBE NAME:SUNDRY NOTICES AND REPORTS ON WELLS Ute Indian Tribe

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 t° 14-20-H62-4650

drill horizontal laterals. Use APPLICATION FOR PERMtT TO DRILL form for such proposals.


8 LL NAME a

4 4 32.NAMEOFOPERATOR: 9 APlNUMBER:

Petroglyph Operating Company Inc. 43013515543. ADDRESS OF OPERATOR: PHONE NUMBER: 10, FlELD AND POOL OR WILDCAT

P.O. Box 607 Roosevelt UT 84066 (435) 722-2531 Antelope Creek4. LOCATION OF WELL

FOOTAGESATSURFACE 817' FNL, 817' FWL COUNTY Duchesne

QTR/QTR. SECTION, TOWNSHIP, RANGE, MERIDIAN NWNW 34 4S 3W UUTAH

« CHECK APPROPRIATE BOXES TO INDICATE NATURE OF NOTICE, REPORT, OR OTHER DATATYPE OF SUBMISSION TYPE OF ACTION

O ACIDiZE DEEPEN REPERFORATE CURRENT FORMATiONO NOTICE OF INTENT


Approximate date work will start CASING REPAIR NEW CONSTRUCTION TEMPORARILY ABANDON

CHANGE TO PREVIOUS PLANS OPERATOR CHANGE TUBING REPAiR




O COMMINGLE PRODUCING FORMATIONS RECLAMATION OF WELL SITE OTHER:10/11/2014 O CONVERT WELL TYPE RECOMPLETE -DiFFERENT FORMATION

12 DESCRIBE PROPOSED OR COMPLETED OPERATIONS. Cîearly show all pertinent details including dates, depths, volumes, etc

On 9/24/2014 Petroglyph Operating rigged up on the well referenced above and pulled the pump and tubing, made a bit andscraper run and set an 8K Composite Plug at 6287' and spotted 10' of cement on top. The plug was pressure tested but failed.; ou un rao .r and set a UBP at e idu Pressure tested well to 3800 Psi and plug held. We then perf the following:4224-28 4598-4603 4647-5 46587-61 4664-68, 4673-74, 4893-98, 5070-80, 5107-14, 5193-5200, 5212-15, 5490-94,5504-12, 5516-23, 5586-90, 5600-04, 5607-10, 5619-21, 5624-26, 5630-36, 5647-49, 5674-76, 5682-84, 5741-47, 5762-64,5768-70, 5778-80, 5789-93, 5844-46, 5849-55, 5883-86, 6123-24, 6136-38 & 6142-53.We completed the following intervals:5,741'-6,153': 779 Bbis of fluid containing 50 760#'s of sand5,49065,684': 808 Bbis of fluid containing 76 730#'s of sand5,19365,215': 483 Bbis of fluid containing 25 920#'s of sand4,89665,114': 464 Bbis of fluid containing 26 130es of sand

4 59864,674': 561 Bbis of fluid containing 37.140# s of sand4 224 4 228 472 Bbis of f1uid Canta nirg 15 060# s of sand

Rodnyo Ju ado Regulatory Complarte bpeaanst

SIGNATURE

TMs space for State use

Division of Oil, Gas and Mining Operator Change/Name Change Worksheet-for State use only

Effective Date ' 9/ 1120 19

FORMER OPERA TOR: NEW OPERATOR: Crescent Point Energy U.S. Corporation CH4-Finley Operating, LLC

Groups: Ouray Valley-Unit

Horseshoe Bend (GR)-EOR Randlett-EOR Antelope Creek-EOR

Antelope-Unit -

Range Dir

Total Well Count: 1405

OPERATOR C HANGES DOC UMENTATION:

1. Sundry or legal documentation was received fTom the FORME R operator on: 2. Sundry or legal documentation was received fTom the NEW operator on: 3. New operator Division of Corporations Business Number: I 1468999-0161

REVIEW: Receipt of Acceptance of Drilling Procedures for APD on: Reports current for ProductionlDisposition & undries: OPS/SlrrA well(s) reviewed for full cost bonding: Approved by Dustin

12/3112019 12/ 18120 19

12/ 1812019 UIC5 on all disposal/injection/storage well(s) Approved on : Approved by Dayne Surface Facil ity(s) included in operator change:

NEW OPERATOR BOND VERIFICATION: State/fee well(s) covered by Bond Number(s):

DATA ENTRY: Well(s) update in the RBDMS on: Group(s) update in ROBMS on: Surface Facilities update in RBDMS on :

Entities Updated in RBDMS on :

COMMENTS:

None

LPM9282986-Blanket

LPM9282991-lndividual

LPM 9336805-Shut-In Bond

12/31 /20 19 12/3112019

NA 12/3 1/2019

10125/20 19

10125120 19 10/25/20 19

Shut-Ln well have until 6/1 /2020 to get into comliance or they will need to be plugged, if the well bore is need for furture use full cost bonding will be required.

Status

1/7/2020

FORM 9 STATE OF UTAH DEPARTMENT OF NATURAL RESOURCES

DIVISION OF OIL, GAS AND MINING 5. LEASE DESIGNATION AND SERIAL NUMBER: see attached well list


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 DRILL form for such proposals.

1. TYPE OF WELL OIL WELL IZI GAS WELL 0 OTHER injection wells

2. NAME OF OPERATOR: Crescent Point Energy U,S, Corp,

STATE CO ZIp 80228 I PHONE NUMBER: (720) 880-3610

3. ADDRESS OF OPERATOR: 555 17th Street, Suite 1800 CITY Denver

4. LOCATION OF WELL

FOOTAGES AT SURFACE:

OTRIOTR, SECTION, TOWNSHIP, RANGE, MERIDIAN:

6. IF INDIAN, ALlOTIEE OR TRIBE NAME: see attached

7. UNIT or CA AGREEMENT NAME:

8. WELL NAME and NUMBER: see attached

9. API NUMBER: attached

10. FIELD AND POOL, OR WILDCAT: attached

COUNTY:

STATE: UTAH

11 . CHECK APPROPRIATE BOXES TO INDICATE NATURE OF NOTICE, REPORT, OR OTHER DATA


[l] 0 ACIDIZE 0 DEEPEN 0 REPERFORATE CURRENT FORMATION NOTICE OF INTENT

(Submit in Duplicate) 0 ALTER CASING 0 FRACTURE TREAT 0 SIDETRACK TO REPAIR WELL Approximate date wort< will start 0 CASING REPAIR 0 NEW CONSTRUCTION 0 TEMPORAflIL Y ABANDON

9/1/2019 0 CHANGE TO PREVIOUS PLANS III OPERATOR CHANGE 0 TUBING REPAIR

0 CHANGE TUBING 0 PLUG AND ABANDON 0 VENT OR FLARE

0 SUBSEQUENT REPORT 0 CHANGE WEll NAME 0 PLUG BACK 0 WATER DISPOSAL (Submit Original Form Only)

0 0 0 CHANGE WELL STATUS PRODUCTION (STARTIRESUME) WATER SHUT -OFF Date of work completion:

0 COMMINGLE PRODUCING FORMATIONS 0 RECLAMATION OF WELL SITE 0 OTHER:

0 CONVERT WELL TYPE 0 RECOMPLETE -DIFFERENT FORMATION


Please consider this sundry as notification of the transfer of operatorship of the wells listed on the attached exhibit from Crescent Point Energy U,S, Corp, to CH4-Finley Operating , LLC effective September 1, 2019.

PREVIOUS OPERATOR: Crescent Point Energy US Corp 555 17th Street, Suite 1800 Denver, CO 80202

Signature - 0 aldwin, President State/Fee ond #LPM9080271 BLM Bond #LPM9080275 BIA Bond #LPM9247918

r

NAME (PLEASE PRINT) ____________________ _

SIGNATURE ______________________ _

. .. (This space for State use 0

t ' . -DEC 3 t 2019

(

\

NEW OPERATOR: CH4-Finley Operating, LLC 5128 Apache Plume Road, Suite 300 Fort Worth, TX 76109

Signature - a hew E, Cooper, VP-Land State/Fee Bond #LPM9282986 BLM Bond #LPM9282988 BIA Bond #LPM9282987

TITLE

DATE 10/17/2019

RECEIVED

OCT 2 5 2019 (512000) (See Instructions on Reverse Side)

DIV OF Oil , GAS & MINING

api well number: 43013515540000 api well number

Documents