county: custer legal location: api no: permit nosddenr.net/ogfiles/custer/4003320010.pdf · donald...

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COUNTY: CUSTER LEGAL LOCATION: NWSE 3-4S-10E API NO: 40 033 20010 PERMIT NO: 1103 WELL NAME: HIGH SUMMIT #4 BATTLE CREEK OPERATOR: HIGH SUMMIT OIL & GAS, INC. PERMIT ISSUED: 07/13/1981 PERMIT CLOSED: 08/24/1982 FILE LOCATION: 4S-10E-3 NWSE TARGET CODES: WELL HISTORY / CHECKLIST PERMIT TO DRILL / INTENT TO DRILL WELL INSPECTION / SCOUT REPORTS OPERATOR’S TECHNICAL REPORTS / MAPS ADMINISTRATIVE / SUNDRY REPORTS CORRESPONDENCE MISCELLANEOUS

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Page 1: COUNTY: CUSTER LEGAL LOCATION: API NO: PERMIT NOsddenr.net/ogfiles/CUSTER/4003320010.pdf · Donald a. Kaiser arr2 Edna m. Kaiser, husband and .108 m ... Mullin, fur a perod of 4rai

COUNTY: CUSTER

LEGAL LOCATION: NWSE 3-4S-10E

API NO: 40 033 20010

PERMIT NO: 1103

WELL NAME: HIGH SUMMIT #4 BATTLE

CREEK

OPERATOR: HIGH SUMMIT OIL & GAS,

INC.

PERMIT ISSUED: 07/13/1981

PERMIT CLOSED: 08/24/1982

FILE LOCATION: 4S-10E-3 NWSE

TARGET CODES:

WELL HISTORY / CHECKLIST

PERMIT TO DRILL / INTENT TO DRILL

WELL INSPECTION / SCOUT REPORTS

OPERATOR’S TECHNICAL REPORTS / MAPS

ADMINISTRATIVE / SUNDRY REPORTS

CORRESPONDENCE

MISCELLANEOUS

Page 2: COUNTY: CUSTER LEGAL LOCATION: API NO: PERMIT NOsddenr.net/ogfiles/CUSTER/4003320010.pdf · Donald a. Kaiser arr2 Edna m. Kaiser, husband and .108 m ... Mullin, fur a perod of 4rai

WELL HISTORY / CHECKLIST

Page 3: COUNTY: CUSTER LEGAL LOCATION: API NO: PERMIT NOsddenr.net/ogfiles/CUSTER/4003320010.pdf · Donald a. Kaiser arr2 Edna m. Kaiser, husband and .108 m ... Mullin, fur a perod of 4rai

!Well Name and tocation Permit # 1103 4S-10E-3 NENE Custer High Summit #4 Battle Creek 2035 FSL & 1835 FEL

API# 40 033 20010

Surface Bond # 19S37847

Plugging Bond # 19S37848

PERMIT CHECKLIST

Paperwork filed with WFO

x Organization Report

x Application

Bond

x Plugging & Performance Bond

x Additional Surface Restoration Bond when required

X Permit Fee

x Certificate of Negotiation, when required

The following papers sent to operator:

X Permit (Form 2a)

X Receipt for $100 permit fee

- Cover letter explaining material sent

Permit Fee Filed:

x Permit fee w/Cash Receipts Transmittal Form sent to State Treasurer

Notification of New Permit sent to:

x State Geologist

x Secretary, Department of Water & Natural Resources

x Commissioner of School & Public Lands

x County Auditor

Date 7/14/81 Checked by M. J. Rohrs

Page 4: COUNTY: CUSTER LEGAL LOCATION: API NO: PERMIT NOsddenr.net/ogfiles/CUSTER/4003320010.pdf · Donald a. Kaiser arr2 Edna m. Kaiser, husband and .108 m ... Mullin, fur a perod of 4rai

Well Name and Location 4S- 10E- 3 NENE Custer High Summit #4 Battle Creek 2035 PSC& 1835 FEL

P. Bond # 19S37848 Date Issued S. Bond # 19S3784/

Permit # 1103

API # 40 033 20010

Date ReleasedmAR 0 6 RS

BOND RELEASE CHECKLIST

Surface Restoration

t'/''Pits filled

---J7rSite level

V Site policed o K

V/Dry-hole marker

..C114.146-r-

V/Letter of approval from surface owner

Paperwork filed

Form 4 (Completion or Recompletion Report)

Form 6 (Sundry Notice and Report on Wells)

/Form 7 (Plugging Report)

Geological Information Filed

V/Well Logs: ( ) IES ( ( ) CEM BD ( ) MICRO ( ) SNP (V) GR/N (0,rEMP. ( LL ( ) MD LOG ( ) DRL TM MICPPre44-1-

Charts and Reports0V,tir,„..4._

VI/Geologist's Report

Results of coring and core analysei1/23-2.-c

c.- get of 10-foot sample cuttin s (Check with Bob Schoon)

Te(9 e 7217/er

Date Checked By 1

Page 5: COUNTY: CUSTER LEGAL LOCATION: API NO: PERMIT NOsddenr.net/ogfiles/CUSTER/4003320010.pdf · Donald a. Kaiser arr2 Edna m. Kaiser, husband and .108 m ... Mullin, fur a perod of 4rai

PERMIT TO DRILL / INTENT TO DRILL

Page 6: COUNTY: CUSTER LEGAL LOCATION: API NO: PERMIT NOsddenr.net/ogfiles/CUSTER/4003320010.pdf · Donald a. Kaiser arr2 Edna m. Kaiser, husband and .108 m ... Mullin, fur a perod of 4rai

gi DRILL 0 DEEPEN

(g] OIL WELL 0 GAS WELL OPERATOR

High Summit Oil & Gas, Inc.

O PLUG BACK

(X) SINGLE ZONE

D MULTIPLE ZONE

7: - 4. oL

FARM OR LEASE NAME

Fee- Kaiser WELL NO.

Battle Creek #4 FIELD AND POOL, OR WILDCAT

Wildcat ADDRESS 1777 So. Harrison, Suite 406

Denver, Colorado 80210

LOCATION (In feet from nearest lines of section or legal subdivision, where possible)•

2035' FSL & 1835' FEL

NO. ACRES IN LEASE

3082.03 1,4 % SEC. TWP. RGE

NW SE Sec.3 T4S R1OE COUNTY

Custer NAME AND ADDRESS OF SURFACE OWNER

Alice C. Kaiser

Hermosa, s.n. 57744 NAME AND ADDRESS OF CONTRACTOR

Materi Exploration, Inc. P.O. Box 500 Upton, WY 82730

PROPOSED DEPTH

ELEVATION

2896' NO. OF WELLS ETC.

ROTARY OR CABLE TOOLS

Rotary APPROXIMATE DATE WORK WILL START As soon as approved.

TITLE Vice President

0 NOT want BELOW T IIS LINE

CHE ED BY

3t ZoO 6 :\

State Pub. Co., Pierre APPLICATION FOR PERMIT TO: S. Dak. 011 & Gas Board FORM 2

IF LEASE PURCHASED WITH ANY WELLS DRILLED, FROM WHOM PURCHASED (Name and address)

PROPOSED CASING AND CEMENTING PROGRAM

SIZE OF HOLE SIZE OF CASING WoE.I5G0HTKPE5R5FIOTOxT

20# K-55STE_ 1 -

NEW OR SECOND HAND

New DEPTH

0-100' SACKS OF CEMENT

60 w/2%CaC1 9 7/8" 7" 6 1/4" 4 1/2" New 0-1100' 100 w/2%CaC1

DESCRIBE PROPOSED OPERATIONS. IF PROPOSAL IS TO DEEPEN OF PLUG BACK, GIVE DATA ON PRESENT PRODUCTIVE ZONE AND PROPOSED NEW PRODUCTIVE ZONE. GIVE BLOW OUT PREVENTER PROGRAM IF ANY

Objective: 1100' - Pierre Drilling will be performed with air.

SIGN .D • . •

WITT cL? _ _ _ _ Dau,svAuLEIT,, UU1 1 3 19 8i

CONDITIONS:

O COMPI,ETE SET OF SAMPLES. AND CORES TF TAKE MUST BE SUBMITTED.

• SAMPLESsoltjteiMerAAKEN, BELOW DEPTH, MUST BE SUBMITTED.

STATE GEOLOCICAL S IRVEY WESTERN FIELD OFFICE

Page 7: COUNTY: CUSTER LEGAL LOCATION: API NO: PERMIT NOsddenr.net/ogfiles/CUSTER/4003320010.pdf · Donald a. Kaiser arr2 Edna m. Kaiser, husband and .108 m ... Mullin, fur a perod of 4rai

Scalia I I 1:

(

5-2)-81 - Dote: .

S

1 2 03

R. to

Elevntinn - - 2896 cr.

3

I pionA (•c es it.—

I 16.0 $4.14- JI• e "

- 1835

_L

Pounrc Elovcdion of Denvor, ColOYado has in accordance with a roc-loci fimm my. Yotinv.fly for riich Summit Oil 4 Gno, Inc. determined the location of 414 aarne Creek tO be 20i7PA ', 1835re See iion 7, Tomship 4 s. flange 1 t '. )c tho 1510c1c.ili 1.1c MC6diOn

Custer C °Lint y. South 031<0 La

I horoby ce;-1;7y Mot thin wra in on accurate fen; esentoon of o correct narvity nhot7wg Ufa 1.)ra-1/ion Of

gi. 'Battle Creek

.. 77_ -7.2.-Ce-:-t . ......_ _ Licconed i ond !:otveyor No

State of mu,. -A:t4,:n

7

Page 8: COUNTY: CUSTER LEGAL LOCATION: API NO: PERMIT NOsddenr.net/ogfiles/CUSTER/4003320010.pdf · Donald a. Kaiser arr2 Edna m. Kaiser, husband and .108 m ... Mullin, fur a perod of 4rai

1. • 1...• • • • • • •-■ • •-■

'67 668 1 320000 FEET '69 '70 102' 52'30" 43°.

\

"46

• 5 '-^\>

'e

'

"45

T. 3 5

T 4 S

520 C

FEET

=-1

4°43

"42

0, 423(

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0 2953- _

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Page 9: COUNTY: CUSTER LEGAL LOCATION: API NO: PERMIT NOsddenr.net/ogfiles/CUSTER/4003320010.pdf · Donald a. Kaiser arr2 Edna m. Kaiser, husband and .108 m ... Mullin, fur a perod of 4rai

1-t—n Alice C. Kaiser, a widow, and Hermosa, South Dakota

une _ TIIIS AGREEMENT. Entered into this the 2nd day _ .

Kaiser arr2 Edna Donald a. m. Kaiser, husband and .108 ■

m

PHINISD 8V WILKINS PRINTING. INC bit ruin SI SUITE 222 DENVER. CO 8020213031a93 1681

, Form AK--(Producerk) Kan.. Okla.& Colo. 1957 C an 19 76 OIL AND GAS LEASE

hereinafter c•Iled lessor,

f alo Oil Corporation, 700 Republic 131(11„_ Denver, CO 30202 he„irmIter called leave does %linen

fur and cOnsIderMion of the oi Ten & more Dollars In hand paid •nd of Om covenants •rid agreements hereinafter contsined

Imsee has this day granted. leased. and let and by these presents does berth, grim( lease aiid It• miclusrvely 111110 the 11•441, the I abe Nile 41111 the richt lo minicar this lease or any 111441 thereof with other oil mid gas 111.1,4, 14:: 111 all II oiv part of the lairds CoVer•d r iiit ror the on-pose of C11401111/ 011 Or100140.41. geophysical and ratter explurators work includiiiti Lai a iliiirs and the drill1111:. minme. .1114 aIle 4.:10111 ail of the od, has, casinghead g•s, casintheed gasoline mid all other gases arra 10.1sotatVe constituent tenons. Luring pipe Ines binding tanks storrirg oil, building power st•tons. telephone Ones 0101 01101 tenon necessary or

..i operation uf said land alone or COnjotolly with netghboting lands. to produce. sase take tare ul and manufacture all of Stith

ilid boarding emprontes. said Raft of land with any reversionkry fights therein being situ•ted an Hie guu ty ot

Stair: of $0:11:th .Dakota , •nd de•cabcd In follows

Township. 3 South, Range 10 Bast Section 34t All Sectton 25: W!iNE*, WW1, SE*NW*

Township 4 South, Range 10 East Section 1: Lot 4, S4Nlii, slit* Section 2: Lots 1,2,4, Vita*, SEA, SLOW*, silsimA Section Lots 2,3, SW*NE*, SE*, SfikfiWA, likSWA Section 10: MEANWi% NE*, NI:SE* Section 11: N;, WIfSW*, N1SEA Section 12: NW*, WI-NEA

Ten (10) It Is agreed that this lease shall remain in full force for a term of years from this mit rind as long eeeee ter as 011 or gm. or either of them. is produced front said land tor from hinds with which geld land is consotidated. Or the premises •re being developed or operated

3 In consideration ol the premises the said lessee covenants and agrees. To deliver to the cretin{ oi ingot free of cost. In the pipe Ilne to which may connect Ms wells. the equal one-erghth *to part of all MI

produced and saved from the leased premises

4 The lessee shall monthly pay lessor an royalty on gas marketed from each well where gas only Is found. one-eighth Os. of the proceeds If sold •t the well or if rn eeeee ed by lessee off the !eased premises then One-eighth 'to Of its nmrket MOM at the ssell The lessee shrill pay the lessor rim one-eighth Om, of the proceeds recewed by the lessee horn the sale of eavnghead gas. produced from •ny oil tell. ibi one-elghth Ott of the salmi at the mouth of the well. computed at the prevailing market price of the casinghead g•s produced from •ny oil well •nd used by lessee Off the lea..ed rdeurises foe any purpose or umd on she leased premper. to the Itio.re for nuronses other than the deve'opment and operation therht

Where gab from a •ell or sells. capaole 01 producing gas only. ry not sold or used lor • perwd of one year lessee at...Jr tray Cr tender aa royalty, an amount 'quid to the delsy rents! as provided in p•r•graph .5. hermit paiable annually on the annwer•ary date of this lease forwent, the end of ea.chnes7u9ch. year during which such gas Is not sold or used •nd while said roy•Ity Is so paid or tendered Um lease sh•Il be held our s producing property under para. graph numbered two hereof.

6 If operations tor the drilling of a well for oil or gas •re no( commenced on said land on or before the 211.(1 to. of June thi• te•se stmll terminate as to M1Oth parties. unless the .essie shall un or before •aid date pay or tender tu the lessor 01 101 Int lessor h credit In !the

National dank of South Dakotan, , Rapid ijity, South Dakota or it, su,cess•rrs which Ranh raid Its so -

Ceszors are the rtssor s .tient and shall /union 44 the deposstur y any add all sums payable ander thm leaNe regardless of . lourqes trt ownership trt

Ihnd or in the MI and gas or 2n the tem.:. to aicrue herr dorm Ore sum oil Fifteen pee rty Lue shall nig ente .as. • rental and to the pro.deae of deferring the roupoeurement of uptrution6 Mullin, fur a perod of 4rai lir 'rise roman, and upon lure psymonts tenders the ..immencement 004 411011S 101 0(1111:14 IslaY further Le deferred lOr like patrols sneer'sdr...1y All gat IMO, b( tenders pray ye made try client or /halt ot !erste any hssrarree rhertor nailed or rlehrergr 011 Of /retort the rentot p•mog date ellber direir host, ro assigns to 10 basal deirositurv bank •nd /11014:10111.01 and agreed trot. the eonsulnatron bra re Ord herein th«lown Payment rovers not wits the pelglege warded 10 the date the.. aid first rental Is psial re as aforesaid als0 the lessee s /orlon of extending that period •s. aforesaid mid 1411) and hlt label tights conferred Lessee m•y at •ny tone mecum am! titlIser to te,sur Or place of record w rehurse or tele/net coverirtg arrb.

OW411.0 or Po:lions of the atIthe deanibed premises and thereby surrender Oda leave fts to such portion or portions and be fel/Peed Of all OblIgnions as tu the 41.14:144 41.1144111.14fte 411e there•fter the rent•is P•Yable hereunder shad reoueed In tne proportion that the acreage moused hetteOn ra reauced sitld release or releases

6 Should the firra well drilled on the above des/tared 14101 be as dry hole then mid m th.t event. al a second well i• not cammenced on mid land within twelve months from expiration of the bee rental perrud Orr %Oren rental Inn been this lease shah terminate us to both partles. unless the mum on or beton. the esoinstiOn Of Sale twelve months Wall resume the payment of rentals in the 44111e 1111110Urit and In the :01104 manner •• herelinbefore pros ded And is agreed that upon the resumption of the moment of rentals •• above provided that the last preceding paragraph hefeof governing the payment of rentals and the ellen thereof shall continue In lorce it1S1 114 though there had btell 110 111110:41/11100 lo the rental payments

7 If said lessor owns a less Interest in the above described land than the entire and undivided fer simple estate therein 'hen the roy•Illes •nd rent•Is herern provided shall be 1/141U the lessor only or the proportron which his interest be•ra to the whole and undalded fee Howemr such rent•I admit be In- creased at the nest sacceeding rental •nnisersism after city riser:nun occurs to cover the interest so ocouireo

I The lessee sh•Il have the right to use free ul trust ims and water fOund On said land for as operattons thereon except miter Dorn the wells of the lessor when rep/Irmo try lessor. the le.see bury rt. pure line. below plow depth /Ord shall pay for damage caured by its operations to growing woos on said lane No we'. shall be drilled ustisrer than 400 feet iu the hoom or Imp n now on sold preinisr• without written COIrsent of the lessOr Leflee •h•Il h•ve the right •t uny tam: dialog. or slim the 19101E111100 this Itase to rernme all machinery fixtures homes and Other structure, plated on aid Premise, Including the :mkt to dr as and lomat. all rasing Lewe mektis, upon the completion of any test hs dry hide or upon the ab•ndmunent of mar producing well to fr.10/4 the pr•nirst• to their Of Minn/ contont as new, practic•ble mrd 10 remove an inaallations within a reasiabale time

9 It the estate of either p•rty hereto is assignedmind the top 'Nice of a•signing in ante or in Part is ee allossedi.the Cosenmas nereof shall extend to the heirs. devisees. executors. administrators ,t1CCeNCUTS. 61111 assrgns but no ch•nge of ownership rii the 1:00-1 or in the rentals or royalties ur •ny sum due under this lease shall he landing on the lessee until it has been furnished with <Aber the Original remodel .nstrument of monotone. m a duly certified copy thereof or • certiford COpy 141e an of any deCtased owner :0:11 Int 010bRI4 thereof. or EPIIffilte CPO) of the prorerst.nws showing appointment of an 4e17.111151V•104 for tete estate of any M./eased owner whirr appropciale together with all origin,. recupled 01011:arient, al (01:411,1101• Of duly 44111 lied moors thereof necessarr in show me • t00011:414 L114111 li/le 1::41: to 00,01: 1114 thrr 101•14M rIhrtnrd hod all .1“1.9.:4 100,11:10.1:: 1:10111.11, mate here- under befare receipt of said C1041.14114111, Niabl Ire 1•111thriO 101 an% ol :be :•44 assignee Warner dmaii xihich ',Imam ea, ir hi heir of less.,

io ris *Li,. I 0,11 ill It, 1.4 lit 1114, t,I oho as re it ',stilt or a . 1..111 .4 4.; I he 40.44•• mud 'dud on./ sot lim bulder 0110:4:

NO, nab 10111 Of 0a111:. .110C1 Maki: 0: /a011 11.1 1hr poi ilo psrt ul priir 'too. so, 4,1144111H 410:1i 1101. 0041111. to dein. al 44/t In • le,. p1,0,11.11 SS :1 .01c1, a pa11 t! le 114 1: 411:014 thr tenet or ri.nr 10:4( 1: f shad rims, or.. rd....du or .rt .,,,/ repro.

1.:41401 berths worrant• mid mime. to defend rim 10 11:4 10101 herein descrobed rad agrees thr airee III it, 0111.01: 10.16 /my 4101 drschara• .11 whore or or part •ny ramts. mortgages or other hens earsting ur .•sscy.ed on or al. nat the 411.1.4.4 ion o lanes Wild r engross,. h a SI 011 tlis Su! ithhitird to the right, Of any Ionic. so tinder, Mr ;chi hot may reimburse fiat', by appif ma rirscharg• at4 murtaago lax ur miser heir •ny r•nthls scatting! tit ',and,

Notorrithst•ittliiig any: thltit ilt this Id als• COttlitinet1 10 the cosar•it rs expressly muted Mai if le -re shall tummerier operations for drilling at nny time /shrle this lease Is for‘e tnis Irene shall remain Or lUICh Mid Lti terms shall cantinas so rung sr solo, oper•aons are prosecuted mid, if production results theretrom, then as long •s irradiation C011111111.140.

hithtn tht wintry term of this le•st production on the Mara 1.111tMISha shall Cafe from any C11111St this kik% Shall 1101 terminate provided ope. talons for the drilling 01 a well shall be commenced begore or on the next ensuing ee ee I ofling date or, provided lessee begins or resumes the PaYment of reniats in the manner •nd amount here:nbefore PeOvided If eter the emamtlOn of the ',Timmy term of this leme. produCtion on the leased premises shmt gene from any cause this lease sh•tl rag terminate 134041410d Inset resumes operations for re-work:nit Or Mailing • well within sixty .60i days from such cessation and this leame th•l: remain In force during the OrosecUtion of such operations and If PrOdUCt1011 tesklitS thertitOITI then as tong •• Produeilim Mint Inure

11 Lessee Is Men the right at Re Millen. at imy time and from Gem to time, to pool or unitise all or any part or parts of the above de- berthed land rolth Other land. lease. or leases tn the immediate vicinity thereof, such pooling to be Into units not exceeding the mtnirnunk she 'ran on Which • wed may be drilled under laws, rules. or regulations In torte at the time Of filch pooling or unititation provided. however, that Such Units may exceed oath minimum by not more than ten acres if such excess Is necessery In order to conform to ownership subdivisions or Jesse lines Lessee shall exercise mad option, as to each desired unit. by executing and recording an instrument Identlfi Mg the unitized •re• Any well drilled or oper•tions conducted on any part Of each such unit shall be conardered • •ell drilled or operatiOns conduCted under Ors reuse. and there shall be allocated to the portion of the • tscam- described tand included In Mly such unit such proportion of the mittiml production (WM ilth wells on such unit •• lessor- Ifittft51., If •ny. 14 such POrtiOn. COmpUted on an acre•ge basks, bears tO the entire •creage of such unit. Ann IL is understood and agreed OM tne productiun so &located Khali be considerts1 far rill otauoies. Including the pennant or delivery of royalty. to be the entire production from the portiOn f •bove described Mod Lit- eluded M sa‘la unit m the wale os•nner se though produced from the above described laud under the terms sf lem•

14 This masa and •Il Os terms COI/4111101, and stipulations shrta 4141-111 10 .0111 10: bulging on e•t of tharlies •lor .igrir :ease regardless of • herher such lessor is named abom and ressrdless or whetMr o 4110:411 an. of tr • nper ph.tiet main, , ltd. puts, miss

erMnampart. e•ch him, the ',in.+ flier: •• the oriv red

Custer

chid COntaining 3082•01acres. more or len

I t

IN VslINtab ihr m 11101 11:1 I', Abu, 411:111. il:0

—. Lt. k_s—ra, LILA _ _ Alice C. Kaiser

‘/ f .

Donald E. a iser ic• r

cf .

Edna M. 'f.aiser /-7Ye

( les,

Page 10: COUNTY: CUSTER LEGAL LOCATION: API NO: PERMIT NOsddenr.net/ogfiles/CUSTER/4003320010.pdf · Donald a. Kaiser arr2 Edna m. Kaiser, husband and .108 m ... Mullin, fur a perod of 4rai

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P11111110 VVILIONS PRINTING, INC 511 160, SI SNIT :77 IR-PP.114 0 R010:1307i R1111 01111

Oklahoma, Kansas, New Mexico, Wyoming, Montana. Colorado. Utah, Nebraska. North Dakota, South Dakota

ACKNOWLEDGMENT — INDIVID&L

day of .. June 19 78 personally appeared

Alice C. Kaiser, a widow, and Donald B. Kaiser

Edna M. Kaiser, husband and wife and

to me known to be the Identical person.:s..?... described in and who executed

the within and foregoing instrument of writing and acknowledged to me that...1)..1-\ duly executed' the same RT . ,,, free and voluntary act and deed for the uses and purposes therein set forth,

/—

IN WITNESS WHEREOF, I have hereunto set my hand and affixedpInotarial seal the day and year above written MY Commission Expires January 27, 1901 \ (-XS-KS-A.5Th-- N, . .

My Commission Expires

Nob,' y

S FATE OF Oklahoma, Kansas, New Mexico, Wyoming, Montana, Colorado, Utah, Is,. Nebraska. North Dakota, Ihnrth Dakota

COUNTY OF ACKNOWLEDGMENT—INDIVIDUAL

BEFORE NIE. the undersigned, a Notary Public. in and for said County and State. on this

day of 19 , personally appeared

and

_ . to me known to he the identical person described in and who executed

the within and foregoing instrument of writing and acknowledged to me that duly executed the same as ....... . free .km1 volunt ar y at t and deed for the uses and purposes therein set forth.

IN WITNESS WHEREOF, I have hereunto set my hand and affixecl my notarial seal the clay and year last above writtre

fsly Commoiston Expires.

Notory

Stare of

Clowns! of

ACKNOWLEDGMF.NT (For OW by Corporation)

to me personally known. who. being by

me duly sworn, did say that he Is th of

and that the seal affixed to said instrument is the corporate seal of said corpora

non and that said instrument was signed and sealed in behalf of said corporation by authority of its Board of Directors. and said

cknowledged said instrument to be the free act and deed of said corporation.

Witness my hand and seal this day of A. D. 19

SEAL) Notary POW.

My Commission expires

STATE OF SOUTH Dla..OTA

COUNTY OF

BEFORE ME, the undersigned, a Notary Public, in and for said County and State. on this Ckw -

On this day of A. D. 19 before me pervinally

appeared

1/4,

r.)

0

0

3 -C

1 C

0 ! -C

b.°P

1.! R

Page 11: COUNTY: CUSTER LEGAL LOCATION: API NO: PERMIT NOsddenr.net/ogfiles/CUSTER/4003320010.pdf · Donald a. Kaiser arr2 Edna m. Kaiser, husband and .108 m ... Mullin, fur a perod of 4rai

, 19 yt day of j—iLL(/' >7 7Z7 Signed before me this

My Commission Expires: 2y?3-

id NOTARY PUBLIC

01fllr, VA JLJVAls konnvAn

DIVISION OF

DEPARTMENT OF WATER AND

GEOLOGICAL SURVEY

NATURAL RESOURCES

OIL GAS FORM 9

CERTIFICATION OF NEGOTIATION WITH SURFACE OWNER OR LESSEE

William Hollaway Vice. President (name of individual) (position)

with High Summit Oil & Gas, Inc. , hereby certify that, to the best of my (company)

knowledge and belief, an agreement regarding compensation for damages to livestock

and surface land .resulting from drilling operations on the following property:

NW SE SPC T4S PPE

, has been or is being negotiated

(property for which permit is requested)

with the surface landowners or lessees, as listed below:

Alice C. Kaiser. Hermosa. n 57744 (surface owners/lessees)

Custer County, South Dakota (land area)

Dated and signed this 765(

for High Summit Oil & Gas, Inc. (name of company)

Page 12: COUNTY: CUSTER LEGAL LOCATION: API NO: PERMIT NOsddenr.net/ogfiles/CUSTER/4003320010.pdf · Donald a. Kaiser arr2 Edna m. Kaiser, husband and .108 m ... Mullin, fur a perod of 4rai

WELL INSPECTION / SCOUT REPORTS

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SOUTH DAKOTA GEOLOGICAL SURVEY Western Field Office

SCOUT REPORT Permit Number 1103

API Number 40 033 20010

Well Name High Summit #4 Battle Creek

NWSE Sec. 3 T. 4S R. 10E County Custer

Elev. 2896 Est. T.D. Actual T.D. 200 Spudded

Contractor Geologist

FORMATION TOPS: Perf: 874 - 884

Niobrara 655 1065 1143

PLUGGING RECORD: DATE PLUGGED/COMPLETED 1/22/82

28 sacks 774 - 1143

WES not present 3 sacks 30 - 0

.

CASING RECORD

41/2FROM 0 To TD

g 7"FROM 0 TO 60' A-41 0- 0 A,

0 co co

8/7/81 0000NA X X 0 0

I KEF,BB

6/1/82 XXXXNAXXXOOX X WES,JRC

5/25/83 XXXXNAXXXXX X WES,MNS

DWE

74/ '8?

-

X - Satisfactory 0 - Not satisfactory NA - Not applicable REMARKS: 8/7/81: Production casing in hole; no well head though. 6/1/82: Need to seed and pick up some discarded cement on location.

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14i Li n St ivyltryi -41-1 H r

- 7 -

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OPERATOR'S TECHNICAL

REPORTS / MAPS

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well Report .

High Summit Oil Gas, Inc.

14 Battle Creek

Sec. 4, SEk, 4 S., 10 E.

Custer County South Dakota

Elevation: 2825 feet (Est.)

Well moved 550 South, Slightly East

Spud: July 20, 1981

Drilled 80 feet, set 60 feet of 7" casing

with 15 sacks to surface

Drilled out with air - Hit wet shale at

110 feet - stuck twice.

Drilled with mud to 1210 feet.

July 24, 1981

Ran Gamma-Ray, Density Log - Ran Spectra Log

to total depth.

Logs indicated 20 to 30% porosity very highly

fractured.

July 25, 1981

41/2" pipe was run to total depth cemented with

75 sacks plus 2% C.C.

August 1, 1981

Moved in perforating truck, Ran Gamma Collar Log. •C••

Perforated 874-A4 feet w. 1-shot perfoot.

Perforated 1065 - 1143 feet with 1-shot per foot.

Swabbed to total depth - swabbed dry.

August 2, 1981

Swabbed - no fluid in hole - shut in.

J.B. Fuller

August 25, 1981

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Well Report

High Summit Oil Gas, Inc.

14 Battle Creek

Custer County South Dakota

Drill Cutting Samples

350'655'

Black Shale - firm to soft - Bentonite,

gray to Lt. Tan.

655'- 67'

Chiefly Black shale, scattered hard fine

grain sand stone, Rust to grey color. No

show, scattered grey to dark grey shale

with buff specks, trace pyrite. Niobrara. N.S.

667'- 715'

fine grain silt stone, hard, black to grey

shale, grey to dark grey shale, light grey

streaks, N.S.

715' - 730'

Chiefly grey to tan Bentonite, scattered dark

shale, scattered silty sandstone.

730' - 745'

Same with grey silty shale with calcite veins

attached, clear calcite particles grey shale.

745' - 760'

Grey shale - Bentonite, grey shale, buff spots,

hard silt stone, trace calcite.

760' - 790'

Grey shale, Bentonite etc.

815' - 830'

Same as above

830' - 885'

Niobrara Shale, trace silt stone N.S. cO•

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880' 895'

Chiefly Lt. Tan to white Bentonite - Trace

Silt Stone N.S.

895' 1010'

lcavings, Bentonite, Grey Spec., Shale N.S.

990' - 1010'

Broken Fractures, N.S.

1010' - 1060'

Same as above - trace pyrite, N.S., Constant

observation of Mudpits. No signs of Oil & Gas

1060' - 1120'

Shale spec. Tan to Brown Pyrite a. Calcite

1120' - 1145'

Same

1145' - 1180'

Same

1180' - 1195'

Cavings

1195'- 1210'

Brown shale, tan spec., trace cilcite,

crystals, Black shale, N.S. No visible

shows of oil or gas noticed in mud while

drilling

J. B. Fuller

August 25, 1981

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10/8/81

Frac: Mitttle Creek NO. 4 @ 8:18

Perfs: 1050'-1150'

Cas: 41/2" - 1050 #

25 Perf Balls to be dropped @ second stage

T/S 500 Sax

T/W 20,000 gal. for job and flush (DoUble flush)

Inhole 3,770 gal. of fluid 770 lb. sand (7.7 sax) @ W/P 650-700 lb. 8 P.M. @ 18.3 / Release to no pressure.

First Stage

3,000 gal. gel pad with 1,000 SCFPB of CO2

1# Sand of 20/40 T/F 4,000 gal. 600 SCFPB 3# Sand " " " 5,000 " " " 4# Sand " " " 6,000 " " " 5# Sand " " 7,000 " 0

3# Sand " 10/20 " 8,000 " "

4# Sand " " 9,000 "

5# Sand " " 10,000 "

18.2 BPM

17.3 BPM

16.8 BPM

18.5 BPM

18.1 BPM

18.7 BPM

770 PSI

740 PSI

750 PSI

810 PSI

510 PSI

540 PSI

Drop Balls (#25) 3,000 Gal. gel pad

1# Sand of 20/40 T/F 14,000 gal. 500 SCFPB 19.1 BPM 750 PSI 3# Sand " " 15,000 " 18.1 BAN 680 PSI 4# Sand " ." 16,000 " 18.2 BPM 710 PSI 5# Sand " 17,000 18.3 BPM 750 PSI 3# Sand " 10/20 18,000 18.3 BPM 690 PSI 4# Sand " 19,000 17.6 BPII 700 PSI 5# Sand " 20,000 17.5 BPM 720 PSI

Flush - 2,000 gallons

CO2 in hole 111/2 Tbn

LEGEND:

T/S = Total Sand BPM = Barrels Per Minute T/N = Total Water PSI = Pounds Per Square Inch

SCFPB = Stanc3ard Cubic Feet of Gas Per Barrel CO2 Carbon Dioxide w/P = Working Pressure

T/F = Total Fluid

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ADMINISTRATIVE / SUNDRY REPORTS

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Pet CC, rito.1

S. Dak. Oil& Gas Board FORM 7

PLUGGING RECORD

Operator

High Summit Oil & Gas, Name of Lease

Battle Creek

Address

: 11 • • - I- - - 80203 I Well No. Field & Reservoir

4 Wildcat

Location of Well

Sec. 3 Twp. 4S Rge. 10E (Nw sF) Application to drill this well was filed Has this well ever in name of produced oil or gas

Summit Oil & Gas, Inc Date plugged:

1/22/82

1

Sec-Twp-Rge or Block & Survey County

Custer Character of well at completion (initial production):

None 011 (bbls/day) I Gas (MCF/day) 1

None Dry?

YPS

Amount well producing when plugged: 011 (bbls/daY) 1 Gas (MCF/daY)

No Total depth

1210' Nnnp Non

Water (bbls./day)

Nnno Name of each formation contain- Ing oil or gas. Indicate which formation open to well-bore at time of plugging

Fluid content of each formation Depth interval of each formation _ __-

Size, kind & depth of p—lugs used indicate zones squeeze cemented, giving amount cement.

SPe Drilling Report (Attprherl)

CASING RECORD Size pipe Put in well (ft.) Pulled out (ft) Left in well (ft.)

I

Give depth and method of part-

ing casing (shot, ripped etc)

Packers and shoes

7 i, 60'

1910'

60'

1910'

__Cemented IV 4" 2

Was well filled with mud-laden fluid, according to regulations?

Yes Indicate deepest formation containing fresh water.

40' In addition to other information required on this form, if this well was plugged back for use as a fresh water well, gh-e all pertinent details of plugging operations to base of fresh water sand, perforated Interval to fresh water sand, name and address of surface owner, and attach letter from surface owner authorizing completion of this well as a water well and agreeing to assume full liability for any subsequent plug-ging which might be required.

Cement 600'-1200'. 5 sacks plug at top with drilling mud between plugs.

USE REVERSE SIDE FOR ADDITIONAL DETAIL \41 5 161

______ , 191A Executed this the day of

State of

County of _

Before me, the undersigned authority, on Ulla day personally appeared __DALCUaLl__ the person whose name is subscribed to the above instrument, who being by me duly swo make the above report and that he has knowledge of the facts stated therein, and that said

Subscribed and sworn to before me this day of fr SEAL

My commission expires Sing- 221,_

;c7

1 --).-,.... l." ..-•

. bisztoutm-of Dr eN)

CO :,..? t_rn .,..1 r7i .:.4- r..;

,(-4_bh-1 "- --" ttrinifil to me to be

Cita oath siViesii; V( authorized to is trae a% c

CO/

Notary Peiplincv. and for •

County,

AUG 2 4 1982 DO NOT WRITE BELOW L.DrE

Approved Date IL D GA BOARD 0 THE STATE OF SOUTH DAKOTA

fraememPly

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CORRESPONDENCE

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Mr. Fred V. Steece, Supervisor

Western Field Office

36 East Chicago

Rapid City, SD 57701

Dear Mr. Steece:

This letter informs you that the surface restoration

at the site of the following oil or gas test well

has been completed to my satisfaction.

Permit Well Name and Location

1103 High Summit #4 Battle Creek, NWSE 3-4S-10E, Custer County.

I am the surface owner of record.

SIGNED ma ei-ytall 6044' DATE al-6(./6, / • yys

A2:-Ce<nt 2(4C(21.e).2ci AVIA-dal 0.-a,

ea---ell" -042' .-,4;.-ae.d.-0

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MISCELLANEOUS

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NO MISCELLANEOUS INFORMATION FOR THIS WELL

AS OF 5/16/2011