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GEOPHYSICAL EXPLORATION COMPLETION REPORT - FORM GE SA ~CO +. " -~:;., INDUSTRIAL COMMISSION OF NORTH DAKOTA "'1- D::-,., {.:~ OIL AND GAS DIVISION I'>) '- :.., i) I 4 .

Permit No.

970259 Shot Hole Operations

SECTION 1

600 EAST BOULEVARD DEPT 405 BISMARCK, ND 58505-0840 SFN 51456 (03-201 1)

Geophysical Contractor

Dawson Geophysical

Project Name and Number

GNMU 30 Township{s)

T159

Drilling and Plugging Contractors

N/A

Date Commenced

December 4, 2014

SECTION 2

First S_P "

. ----Loaded Holes {Undetonated Shot Points)

S.P.#'s

Charge Size

Depth

Reasons Holes Were Not Shot

SECTION 3 Flowing Holes and/or Blowouts

S.P.#'s

Procedure for Plugging Flowing Holes and/or Blowouts

*Non-Explosive Operations

Vibroseis

County{s)

Bottineau Range{s)

R81, R82

Date Completed

December 8, 2014

Last S.P. #

. . ~

lndude a 7.5 minute USGS topographic quadrangle map or a computer generated post-plot facsimile of the approximate scale displaying each individual shot hole, SP#, line#, and legal location.

*Non-Explosive Operations - Complete Section 1 and Affidavit (Form GE 68).

GEOPHYSICAL EXPLORATION AFFIDAVIT OF COMPLETION REPORT· FORM GE 68 INDUSTRIAL COMMISSION OF NORTH DAKOTA OIL AND GAS DIVISION 600 EAST BOULEVARD DEPT 405 BISMARCK, ND 58505-0840 SFN 51456 (03-2011)

Dawson Geophysical - GNMU 30

970259

AFFIDAVIT OF COMPLETION (GEOPHYSICAL CONTRACTOR)

STATE OF

COUNlYOF

Before me, C::~\t=t \ \u l\ j S County and State, thisay~ersonally appeared

, a Notary Public in and for the said

who being first duly sworn, deposes and says that (s)he is employed by

--+Dl~-.\1..._.\ ........ '8"'-"''G;;,....;.O_,__ ..... G ..... c=n __ r......,..n-lj-S ..... 1C_a......._( _______ , that (s)he has read North Dakota

Century Code Section 38-08.1, that the foregoing seismic project has been completed in

accordance with North Dakota Administrative Code Rule 43-02-12 and that the statements on

the reverse side of this document are true.

Subscribed in my presence and sworn before me this

CRYSTAL WILLIS Notary Public

State of North Dakota My Commission Expires September 2, 2020

My Commission Expires

Notary Public

November 26, 2014

North Dakota Oil & Gas Division 600 East Boulevard Dept 405 Bismarck, ND 58505-0840

This letter is to confirm that the landowners and 1h mile landowners in and around the GNMU 3D Project were notified and provided a written copy of the NDCC Section 38-08.1-04.1 (Exploration Permit) and NDCC Chapter 38-11 .1 (Oil and Gas Production Damage Compensation) at the time of permitting and was also included with the notification letter prior to commencement of the program. There were 23 landowners involved with the project area and 1h mile outside the project area.

Should you have any questions or concerns, I can be reached at the telephone number listed below.

Regards,

~J)plfb Lesle Wright St. Croix Seismic Permit Agent PO Box 190 Gordon, WI 54838 209-617-7640

P.O. BOX 190 v Gordon, WI 54838 • Phone: 715.318.0079 . info@stcroixseismic.com . www.stcroixseismic.com

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20042017

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20102004

20102007

20102010

20102013

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20102019

20102022

20102025

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20102031

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20162008

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INDUSTRIAL COMMISSION OF NORTH DAKOTA

OIL AND GAS DIVISION

600 EAST BOULEVARD DEPT 405

BISMARCK, ND 58505-0840

SFN 51458 (03-2011)

Project Name

GNMU30

County

Bottineau County, North Dakota

Supplemental Information

Extended the south line of the program. Map attached

T159 R81 Section 31 to include all NW4, W2NE and E2E2NE

T159 R82 Section 36 to include all N2 T159 R82 Section 35 to include all NE, E2NW and E2W2NW

Company Dawson Geophysical

Address 508 W Wall, Ste 800 City

Midland

Title '-"/ Permit Agent

/

Email Address jesse.melby@stcroixseismic.com

Printed Name

Jesse Melby Date December 2, 2014

Telephone Number (720) 272-6126

Zip Code

79701

PERMIT # ____ 9_7_0_2_58 ___ _

0 Received

60016001

60016011

60016021

60016031

60046001

60046011

60046021

60046031

60076001

60076011

60076021

60076031

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60106011

60106021

60106031

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60136021

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60466041

60496001

60496011

60496021

60496031

60496041

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60526011

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60526031

60526041

60556001

60556011

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60556031

60556041

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60586011

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60586041

60616001

60616011

60616021

60616031

60616041

60646001

60646011

60646021

60646031

60646041

19382061

19442054 1

9442057

19442060

19442063

19502050

19502053

19502056

19502059

19502062

19562043

19562046

19562049

19562052

19562055

19562058

19562061

19622036

19622039

19622042

19622045

19622048

19622051

19622054

19622057

19622060

19622063

19682032

19682035

19682038

19682041

19682044

19682047

19682050

19682053

19682056

19682059

19682062

19742025

19742028

19742031

19742034

19742037

19742040

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19742046

19742049

19742052

19742055

19742058

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19802018

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19802027

19802030

19802033

19802036

19802039

19802042

19802045

19802048

19802051

19802054

19802057

19802060

19862012 1

9862015

19862018

19862021

19862024

19862027

19862030

19862033

19862036

19862039

19862042

19862045

19862048

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19922009

19922012

19922015

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19922024

19922027

19922030

19922033

19922036

19922039

19922042

19922045

19922048

19982001

19982004

19982007

19982010

19982013

19982016

19982019

19982022

19982025

19982028

19982031

19982034

19982037

19982040

19982043

20042002

20042005

20042008

20042011

20042014

20042017

20042020

20042023

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20042029

20042032

20042035

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20102006

20102009

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20162004

20162007

20162010

20162013

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20222005

20222008

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20222017

20222020

20282003

Oil and Gas -Division Lynn D. Helms- Director Bruce E. Hicks- Assistant Director

November 28, 2014

MR. BRET SCHAFER DAWSON GEOPHYSICAL COMPANY 508 WEST WALL STREET STE 800 MIDLAND, TX 79701

RE: GNMU3-D

Department of Mineral Resources Lynn D. Helms- Director

North Dakota Industrial Commission www.dmr.nd.gov/oilgas/

GEOPHYSICAL EXPLORATION PERMIT# 97-0259 BOTTINEAU COUNTY NON-EXPLOSIVE METHOD

Dear MR. SCHAFER:

Please be advised that we are in receipt of your Geophysical Exploration permit application and it is conditionally approved; effective for one year from November 28, 2014. PURSUANT TO NDAC 43-02-12-05 (DISTANCE RESTRICTION) non­explosive method may not be conducted not less than 300 feet from a water well, building, underground cistern, pipelines, and flowing spring. In addition, pursuant to NDAC 43-02-12-06 (NOTIFICATION OF WORK PERFORMED), "The director is authorized to suspend operations of the entire geophysical project, or any portion thereof, if further activity will cause excessive damage to the surface of the land".

Review the following conditions for your permit:

1. A pre-program meeting with state seismic inspector Tom Torstenson is required. You must contact him at 701-290-1546 (cell) or 701-227-7436 at least 24 hours prior to any exploration operations. Also, a copy of the entire permit is required for all contractors at the pre-program meeting.

2. All variances for distance restrictions are to be furnished, and a pre-plot map displaying any source points that do not comply with the distance restriction rule must be supplied to the inspector.

3. The following information must be submitted within 30 days of the completion of the project by the Geophysical Company:

a. Completion Report, b. Completion Affidavit,

600 E Boulevard Ave - Dept 405, Bismarck, North Dakota 58505-0840 Phone (701)328-8020 Fax (701)328-8022

c. Post Plot Map. It must show all water wells, buildings, underground cisterns, pipelines, and flowing springs that fall within the program area and within one half mile of the perimeter of the program.

d. SD card or email: ttorstenson@nd.gov with all source and receiver points,

e. Letter stating that the Geophysical Company has given all surface owner's a copy of the Section and Chapter of the NDCC as stated in paragraph 5.

4. The following information must be submitted within 30 days of the completion of the project by the SUBCONTRACTOR(s) (when applicable):

a. Plugging Report b. Plugging Affidavit

5. It is required that within seven days of initial contact between the permitting agent and the operator of the land, the permitting agent shall provide the operator of the land and each landowner owning land within one-half mile of the land on which geophysical exploration activities are to be conducted a written copy of NDCC Section 38-08.1-04.1 (Exploration Permit) and NDCC Chapter 38-11.1 (Oil and Gas Production Damage Compensation). The permitting agent shall file an affidavit with this office confirming compliance with such notification. For your convenience, a copy of both Sections are enclosed.

6. The permit agent shall notify the operator of the land at least seven days before commencement of any geophysical exploration activity, unless waived by mutual agreement of both parties. The notice must include the approximate time schedule and the location of the planned activity.

7. Information regarding the location of water wells, springs, etc.; refer to the following ND State Water Commission Mapservice website, at: http ://mapservice.swc. state.nd. us/

8. The entire permit can be viewed, as well as the status of various seismic projects in the state, at: https: //www.dmr.nd.gov/oilgas/seismic/seismicstats.asp

Should you have any questions regarding this matter, feel free to contact me at 701-328-8020, or Tom Torstenson at the number listed in paragraph 1.

Sincerely,

olweger DMR Permit Manager

GEOPHYSICAL EXPLORATION PERMIT - FORM GE 1

1) a. Company

INDUSTRIAL COMMISSION OF NORTH DAKOTA OIL AND GAS DIVISION 600 EAST BOULEVARD DEPT 405 BISMARCK, NO 58505-0840 SFN 51459 (03-2011)

Address

Dawson Geophysical Co 508 West Wall Suite 800 Midland, TX 79701 Contact Telephone Fax Bret Schafer (720) 272-6126

Surety Company Bond Amount U.S. Specialty Insurance Company $50,000

Address

Bond Number B005272

Telephone 2) a. Subcontractor(s) C.T. Corporation P.O. Box 400, Bismark, NO 58502

b. Subcontractor(s)

3) Party Manager

Bret Schafer 4) Project Name or Line Numbers

GNMU 3-D

Address

Address (local)

5) Exploration Method (Shot Hole, Non-Explosive, 20, 30, Other)

Non-Explosive 3-D 6) Distance Restrictions (Must check all that apply)

Telephone

Telephone (local)

(720) 272-6126

12] 300 feet - NonExplosive - Distance setbacks apply to water wells, buildings, underground cisterns, pipelines, and flowing springs.

D 660 feet - Shot Hole - Distance setbacks apply to water wells, buildings, underground cisterns, pipelines, and flowing springs.

7) Size of Hole

3-0

Size of Hole

2-D

Ami of Charge

Amt of Charge

8) Approximate Start Date

J/-3o - /¥

Depth

Depth

Source points per sq. mi.

Rcv.(204.65) Src.(94.88) Source points per ln. mi.

No. of sq . mi.

4.3 No. of ln . mi.

!Approximate Completion Date

I ld-7 -IV THE COMMISSION MUST BE NOTIFIED AT LEAST 24 HOURS IN ADVANCE OF COMMENCEMENT OF GEOPHYSICAL OPERATIONS

9) Location of Proposed Project - County Bottineau

Section T. 159 R. 81 19,30,31 Section T.

159 R.

82 23,24,25,26,35,36 Section T. R.

Section(s), Township(s)

Section T. R. & Range(s)

Section T. R.

Section T. R.

I hereby swear or affirm that the information provided is true, complete and correct as determined from all available records. I Date 11-JI-/4

s~/J~· ~""'"" ~ ·

'Printed Name

Jesse M. Melby 'Title Permit Agent

!Email Address(es) / jesse.melby@stcroixseismic.com

Permit Conditions

(This space for State office use) * Permit in hand required at pre-program meeting Permit No.

9/02~q tppro~t/U1J \ { with field inspector and be aware of all NDIC Rules and Regulations (i.e. distance restrictions).

Approved by

~~tJ-1-- - * See attached letter. Title l .l. •• -· llcso~ PcrmitMaaapr

*See Instructions On Reverse Side

The Honorable LISA HERBEL Bottineau County Auditor 314West5th Bottineau, ND 58318-1204

Dear Ms. HERBEL:

Oil and Gas Division Lynn D. Helms- Director Bruce E. Hicks - Assistant Director

Department of Mineral Resources Lynn D. Helms - Director

North Dakota Industrial Commission www.dmr.nd.gov/oi1gas/

November 28, 2014

RE: Geophysical Exploration Permit# 97-0259

Pursuant to Section 38-08.1-04.2 of the North Dakota Century Code, please be advised that DAWSON GEOPHYSICAL Co. was issued the above captioned permit on November 28, 2014 and will remain in effect for a period of one year. The entire permit can be viewed on our website at: https: //www.dmr.nd.gov/oilgas/seismic/seismicstats.asp

Should you have any questions, please contact our office.

~erely,

Too ::::Jweger Mineral Resources Permit Manager

600 E Boulevard Ave - Dept 405, Bismarck, North Dakota 58505-0840 Phone (701)328-8020 Fax (701)328-8022

North Dakota Industrial Commission Department of Mineral Resources Oil & Gas Division

FORM GEl

FILING AUTHORIZATION

COMPANY NAME: Dawson Geophysical Company

ADDRESS: 508 West Wall, Suite 800

CITY: Midland STATE: TX ZIP: 79701 - - ---

This form authorizes the person(s) listed below to submit a NDIC Geophysical Exploration Permit - Form GE 1 for approval on behalf of the designated company as listed above.

A new authorization will be required if any changes are to be made to the authorized individuals on the form.

The data submitted from the authorized individuals listed below have been checked and conform to the standards and procedures set forth by the NDIC Department of Mineral Resources.

The authorized individual(s) will ensure that the company, as listed above, and party manager receive a copy of the approved Form GE 1

Authorized Individuals

Jesse Melby

St. Croix Seismic

E-Mail Address

jesse.melby

@stcroixseismic.com

Phone Number

(71 5}-977 -1002

Company Authorized Signature:...J:.. ~-"~U-.f----.J,d.2:q~====--Date: 1,71~ _;j O/ </ Printed Name: Bret Schafer Title: J?cff<~ ;j;~L Phone: 720-272-6126 Email Address: schafer@dawson3d.com

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Date: B { 1 <1- /t± Witness Printe

 

1

Holweger, Todd L.

From: jesse.melby <jesse.melby@stcroixseismic.com>Sent: Friday, November 28, 2014 10:29 AMTo: Holweger, Todd L.Subject: Re: GNMU 3D Electronic Topo Map

Todd,  The blue lines represent what Berenergy has minerals under.   Sent from my iPhone  On Nov 28, 2014, at 10:16, "Holweger, Todd L." <tholweger@nd.gov> wrote: 

Jesse, What do the blue lines within the project parameters represent? Thanks, Todd 

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