HomeMy WebLinkAbout1.0 ApplicationAPPLI CATI 0
SPECIAL/CONDITIONAL USE PERMIT MINERAL OPERATIONS — OIL AND GAS GARFIELD
COUNTY, COLORADO
1. Operator (lessee)
2. Contractor
3. Property Ownership
Surface
Mineral
Firm Name Fina Oil and Chemical Company
Address 1601 N. W. Exaressway , Suite 900
Oklahoma City, OK 73118
Telephone 5405) 840-0671
Contact Person Jim Periman
Firm Name
Address
Not selected
Telephone
Contact Person
Name W. F. Clough
Address P. 0. Box 686
Rifle, CO 81650
Name Same
Address
4. Location of Well Site
Legal Description (to nearest 1/4 Section, including
distances from Section lines sufficient to locate the fill
site within the Section)
NWL4 Sec. 28-T6S-R94W, 6th P.M.
1104' FWL & 601'FNL
Practical Description
(relationship to towns, highways,
roads, and geographic features)
6.8 miles Southwest of Rifle, Colorado
Number of acres required for the drillsite 1.25 acres
'5. State well permit # NA 6. Zoning A/R/RD
7. Date proposed to begin operations January 31, 1990
8. Hearing date January 22, 1990
Applicant Jim Perlman
Fee
Conditional Use Granted
Date Submitted 12-29-89
Conditional Use Denied Date:
Reason for Denial
BOARD OF COUNTY COMMISSIONERS, GARFIELD COUNTY, COLORADO
BY:
Chairman
OCGCc FORM 2
Roy. 10/86
rcCAtilVEL)
STATE OF COLORADO JAN 2
OIL AND GAS CONSERVATION COMMISSION 2 1990
DEPARTMENTAstaistommOF NATi1RAL RESOURCES
LEASE 1)F',SIGNA710N ANI) SF.RIAI. NO
APPLICATION
FOR PERMIT TO DRILL, DEEPEN, OR RE-ENTER AND OPERATE
Ir TYPE OF WORK
1, TYPE OF WF.LI.
OIL
WELL ❑
DRILL ®. DEEPEN 0 RE-ENTER 0
GAS ri
WELL
OTHER
SINGLE. ❑
ZONE
MULTIPLE 0
ZONE
1.. 1F INDIAN. ALLOTTEE OR TRIBE NAME:
7. UNIT AGREEMENT NAME
8. FARM OR LEASE NAME
t
OPERATOR: Fina O i l and Chemical Company(
ADDRESS: 1601 N.W. Expressway, Suite 900
cm: Okla. Cit'/ STATE: OK ZIP: 73118
3. PHONE NO.
405 )
840-0671
Clough '
9. WELL NO.
#3-28 ✓
ID. FIELD AND POOL OR WILDCAT
Rul i son
4 LOCATION OF WELL (Re hx-atiun ckarly tnd in accordance With ally State requirements.)
Atswim e 1104'FWL & 601 rFNL
At ,.r,.p.ssrd Prod. -tune
1104'FWL & 601'FNL
11.
QTR. QTR. SEC. T_R.AND MERIDIAN
LW/4 NW/ Sec. 28
T6S-R94 , 6th P.M.
18 DISTANCE. IF LESS THAN 200 Fr. FROM ANY OCCUPIED BLDG. PUA1.TC ROAD, ABOVE GROUND UTILITY LINE OR
RAILROAD (SHOW FOOTAGES ON SURVEY PLAT)
165' to public road
12. COUNTY
ti%
Garfie d
14. DISTANCE FROM PROPOSED LOCATION TO NEAREST
PROPERTY OR LEASE LINE, FT.
,Also to nrarrsr drlg. lint. if any, 601 '
15. NO. OF ACRES IN LEASE'
10,031'
16. NO. OF ACRES AND/OR DRILLING UNIT
ASSIGNED TO THIS WELL.
160
17 DISTANCE FROM PROPOSED LOCATION TO NEAREST WELL
DRILLING, COMPLETED,
OR APPLIED FOR. ON THIS LEASE, FT. 1500'
18. PROPOSED DEPTH
2000'
19. OBJECTIVE FORMATION_.
Wasatch
20. ELEVATIONS (Show whrrher GR ur KB)
5258'GR
21. DRILLING CONTRACTOR PHONE NO
N/A
22. APPROX. DATE WORK WILL STAR1
2-15-90
21
PROPOSED CASING AND CEMENTING PROGRAM
SIZE OF HOLE
SIZE OF CASINO
WEIGHT PER FOOT
SETTING DEPTH
QUANTITY OF CEMENT
12-1/4"
8-5/8"
24#
300'
190 sx Class G to surface
- 7-7/8"
4-1/2"
10.5#
2000'
375 sx Class G to surface
21 l5 SURFACE OWNER ALSO THE MINERAL OWNER.' YES �7r NO ❑ <-
11 NOT surlace bond must be un Glc or copy of surface agreement Foust be furnished.
If irrigated land surface bond 01185000 is required
'DESCRIBE LEASE BY QTR. QTR., SEC., TWNSHP., RNG.
Various sections T6S-R94W--
Cart
e
PLEASE FHA. IN APPROPRIATE.
CODES:
OPER. NO 01828
I)RLR. NO
FIELD NO 75400
LEASE NO
FORM CD WSTC
DATE 1-18-90
I his ,Ya.r 1111- Frderal ,sr Suer Ilsri
PERMIT' NO.
APPROVED BY N
JJz
JAN 2 3 1990 MAY 2. 3 1990
APPROVAL DATE EXPIRATION DATE.
CONDITIONS OF APPROVAL IF ANY:
aff
TITLE Director
Oil k Gas. Conserv. Cumin.
See Instructions On Reverse Side
DATEJAN 2_3 1qg
A.P., NUMBER
oS c9,4•
FINA OIL AND CHEMICAL COMPANY
1601 N W EXPWY • SUITE 900 • OKLAHOMA CITY, OK 73118 • (405) 840-0671
January 18, 1990
Garfield County Planning Department
Garfield County Courthouse
109 8th Street, Suite 303
Glenwood Springs, Colorado 81601
Attention: Glenn Hartmann
Re: Special Use Permit
Clough #3-28
NW Sec 28 T6S R94W
Garfield County, Colorado
Dear Glenn,
Please find enclosed a copy of a Rehabilitation Plan, signed
by the surface owner, marked as Exhibit 9. Also enclosed, marked
as Exhibit 10, is a copy of the Surface Damage Agreement executed
by the surface owner. Please include these in Fina's application
for Special Use Permit to drill the referenced well.
If I can be of further assistance, please advise.
JDP:dld
Sincere
Jim Periman,
Engineer
Exhibit "
FINA OIL AND CHEMICAL COMPANY
160I N W EXPWY • SUITE 900 • OKLAHOMA CITY, OK 73118 • (405) 840-0671
William F. Clough
P.O. Box 686
Rifle, Colorado 81650
January 3, 1990
Re:
Rehabilitation Plan
Clough #3-28
NW/4 Sec. 28 -6S -94W
Garfield County, Colorado
Fina Oil and Chemical Company intends to drill the referenced
well. As lessee/operator, Fina agrees to complete the following
rehabilitation work if the well produces hydrocarbons:
1. Maintain access road and provide adequate drainage.
2. Reshape and reseed any area not needed for production
operations of the well.
(other)
If the well is abandoned, the following work will be
performed:
1. Pit will be fenced until dry, then filled to conform to
the surrounding topography.
2. Water bars will be constructed as deemed necessary.
3. Site will be reshaped to surrounding topography as needed.
4. Entire disturbed area will be reseeded with certified
weed -free grass seed per BLM recommendation.
(other)
Please sign in the space below certifying surface owner
agreement to the rehabilitation plan.
Agreed this day of j /2 , 1990.
(Surface Owner''s Signature)
Exhibit 10
OUNT (IN NUMBERSI AMOUNT i ALPHABETICALL
GENERAL RELEASE FINA-1656 44$1 ,500.00xxxxxxxx One Thousand Five Hundred and no/centsxxxxxxxxx
RECEIVED THE ABOVE AMOUNT IN FULL SETTLEMENT, SATISFACTION, RELEASE AND DISCHARGE OF ALL CLAIMS FOR DAMAGES OF ANY
KIND OR NATURE AGAINST -
Fina Oil and Chemical Company
ITS SUCCESSORS ASSIGNS AND CONTRACTORS RESULTING FROM OR ARISING OUT OF
the building of or use of an
access road and a drilling location for the Clough #3-28. Also, upon successful
completion, the construction and placement of production and sales lines, and any
equipment necessary for the production of a sas or oil well.
ON THE FOLLOWING DESCRIBED LAND IN NW/4 Sec. 28 -6S -94W
COUNTY OF STATE OF
Garfield I Colorado
LEASE NAME AND WELL NO. TLEASE AND/OR AVE NO.
Cl ouyh .#3_28
TO WIT:
William F. Clough
P. 0. Box 686
Rifle, CO 81650
SS # 524-34-8550
ADDRESS
DAY
MONTH
YEAR
SIGNATURE
SIGNED THIS
J d h-
! d
ADDRESS
FINA OIL AND CHEMICAL COMPANY
1601 N W EXPWY • SUITE 900 • OKLAHOMA CITY, OK 73118 • (405) 840-0671
January 16, 1990
Garfield County Planning Department
Garfield County Courthouse
109 8th Street, Suite 303
Glenwood Springs, Colorado 81601
Attention: Glenn Hartmann
Mark Bean
Re: Application for Drilling Permit
Clough #3-28
NW Sec 28 T6S R94W
Garfield County, Colorado
Gentlemen:
Please find enclosed an Application for Special/Conditional
Use Permit Mineral Operations -- Oil and Gas. Also, the following
items are enclosed per the instructions for permit application:
1. Check in the amount of $250.00, for application fee.
2. Exhibit 1 - Copy of U.S.G.S. 7.5 minute series Topographic
map.
3. Exhibit 2 - Certified plat of well location.
4. Exhibit 3 - Drawing of pit and pad layout
5. Exhibit 4 - Drawing of proposed cuts and fills
6. Exhibit 5 - Drawing of rig layout
7. Exhibit 6 - Operation plan
8. Exhibit 7 - Copy of County Bond
9. Exhibit 8 - Copy of adjacent surface owners
Per our conversation January 16, 1990, this application is
scheduled to be heard at the February 5, 1990 hearing. 1
appreciate your cooperation in allowing this application to be
heard with our rescheduled Clough #14-22 application. Mr. Clough
has executed the Rehabilitation Agreement and the Surface Damage
Agreement and I should have them in the mail to you by January 19,
1990. Thanks again for all your help.
Jim Perlman,
Engineer
JDP:dld
4
r !
‘.41‘
A
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\\\
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Lacy
-42 LUKE
�.2.8
k: 27
Fina Oil and Chemical Company
Clough #3-28
NW/4 Section 28 T6S R94W
1104' FWL and 601' FNL
Garfield County, Colorado
LEGEND: Exhibit "1"
A = Wellsite
B = Nearest Live Water
= Existing roads to welisite
(Roads cross land owned by
Jnr r
EXHIBIT 2
SEC. 2 8 , T. 6 S. , R. 9 4 W OF THE 6TH PM. LOCATION PLA T
Sad° 55TH/
24, 7 !6'
• //0¢ _
b -
m
IVO2
, /N4 4/4` Ch/L-W/CAL
- w /4 NA/ '/4
GD. E4E1/ 5258
/V59° 4/'/S1
0
+
6
2(S 7 i/6
cCT
513.4' �.�.o.
PI 1
Q
REFERENCE DOCUMENTS
SCALE
500 0. 1000.
-LEGEND-
STANDARD LOCATION OF
fLO SECTION CORNERS,
GLO CORNERS FOUND.
WELL LOCATION STAKED.
/'JBGLO PLAT
ANYiC, Porti/7-9r GP,
QUADRANGLE, U.S.G.S.
THIS WELL LOCATION PLAT WAS PREPARED FOR: FINA OIL $ CHEMICAL
TO LOCATE THE
1104'F.W. L.
OF THE 6TH P. M.
SURVEYED
r'/1lll-
CLOUGH 4 3-28
IN THE NW 1/4 NW 1/4, OF
GARFI E L D _ COUNTY,
7734
rDF �Rlttl
ORAWN
/2-/5.13,
CNECN[D
/2-/5 B
601' F N. L. a
SECTION 28 ,T. 6 S ,R. 94w.
COLORADO
SURVEYORS CERTIFICATE
I, Larry D. Becker : a Reg
The State Of CQGORADn
Survey Was Made Under My,
That Thls Plat Repr
Istered Land Surveyor In
Do Hereby Certify That Thls
Direct Supervision, and
s bald Survey,
ENERGY
SURVEYS
CORPORATION
!411 PIKES PEAK DRIVE
GRANO JUNCTION, CO. 01503
(303) N - T22!
L.S. # 7734
S CALE:
` - 1 aa0
J OB NO.
SHEET Or
1
EXHIBIT 3
REF, Pr. 0 200'
c$.1'
PLAT No. P
PIT 8 PAD LAYOUT
C7.3. •3�.6' Topp sc, •
•
r. !q
I,)
ticf Lk-
cs
4.51
C2.9'
Jai
-0
Lr Gr 6'
F2.01
REF, PT. 0 200'
Esr/AvArED °rr. r QtANF,rFES
ITEM
CUT
PILL
TOPSOIL
EXCESS
AAD
SZ 'c
2/0s
/00
mr
RE=
600
ENERGY SURVEY S et ENQIN E ER INCA
GRANO JuNC r, ON, COLORADO Jos, Dr4a - sril
130'
F0.9'
AA
DizF3.01
BB •
F4.8- C
U /
FINA OIL a CHEMICAL
CLOUGH 3-28
PLAT NO 4
I --
I-1
CO
H
X
Ir.4
I
EXHIBIT 6
OPERATION PLAN
Fina Oil and Chemical Company
Clough #3-28
NW/4 Sec. 28 -6S -94W
Garfield County, Colorado
1. METHOD OF HANDLING WASTE DISPOSAL
a. Drill cuttings will be buried in the reserve pit.
b. Chemical toilet facilities will be provided for human
wastes.
c. Garbage and trash will be hauled to disposal facilities.
2. LOCATION AND SOURCE OF WATER SUPPLY
a. Water will be transported by truck over existing roadways.
b. No water well is to be drilled on this lease.
3. RESTORATION PLAN
a. Backfilling leveling and contouring are planned as soon
as all pits have dried.
b. The soil banked material will be spread over the area.
Revegatation will be accomplished by planting certified
weed -free grasses.
c. Rehabilitation operations will begin immediately after the
drilling rig is removed. If production is obtained, the
unused area will be restored as soon as possible.
Planting is considered best in Spring, 1990, unless
requested otherwise.
Exhibit 7
BOND
pond No. 136580
KNOW ALL MEN BY THESE PRESENTS, that we, Fina Oil and Chemical
Company, a corporation, whose address is 8350 N. Central, Suite 526, Dallas, Texas
75206, as Principal, and Seaboard Surety Company, licensed to do business in the
State of Colorado, as Surety, are held and firmly bound unto Garfield County, State
of Colorado, in the sum of One Hundred Thousand and No/100 Dollars ($100,000),
for which payment, well and truly to be made, we bind ourselves, our heirs,
executors, administrators, successors and assigns, jointly and severally, firmly by these
presents.
TIE CONDITION OF THIS OBLIGATION 1S SUCH THAT WIIEREAS
the Principal will be engaged in performing work authorized by permit issued by
Garfield County, State of Colorado, to perform certain grading, leveling, filling,
drainage, paving, pipeline installation, and/or other types of construction work on
highway right-of-ways or property under the jurisdiction of Garfield County, State of
Colorado, and in connection therewith must furnish a bond to Garfield County, State
of Colorado.
NOW, THEREFORE, if the Principal herein shall restore the highway right-
of-way or property under the jurisdiction of Garfield County, State of Colorado, to
a condition required by Garfield County, State of Colorado, as specified in the
permit under which work is being performed, then this obligation is to be void;
otherwise, it shall remain in full force and effect. The term of the bond is from
December 31, 1988 to December 31, 1993.
IN WITNESS WHEREOF, the said Principal has hereunto set his hand and
seal, and the Surety has caused these presents to be signed by its duly authorized
officers and its corporate seal to be hereto affixed this 21st day of November, 1988.
FINA OIL AND CHEMICAL COMPANY
B
Linda MiddletSecretary
SEABOARD SURETY COMPANY
BY: 'aorze 4‘,,
0565.11
Atto(r; :.y -i act
Pamelia ngley
= Such insurance policies, surety bonds , undertakiriga and lnstrumeritssforsoid purposes wFieri. dul9jeiiecute i_tiy_Ih - fo saitt l
Attorney -in -Fact; shall -t58 binding uporl the Said-CoffiDs y as fully Witv_ihi same extent as if.slgri d Sy file dtilfiiiii5o."riii
officers of ii -ie Cornpany and §eased with i[s cclrporate seaiiiii'd MI the cts`of iia.At►aw-i yin=Fact, puisii'2ini_t6 the:al ttidirity
hereby given are hereby ratified and confirmed -==�_�__ —_=— —lam=f
This appointment is made pursuant to the.foliowfng By Laws wh cli=were:difjadapte7 tiy.the Board of Direetors_bf ibi saIId l
Company ort IJecember 8th, 1927 with Amendment's to ana'includi_rr Janu_ ty I j962, lid e:§till In f ull-ti]`ii. nl.etiJ • r
a SEC O = �- _ `-: �_ J=~� _ = - ��
- "Pollciet, bonds rrcognitanceii, stlpui$llons Conftente dt surely; undervrr'Itingitnde-ttfiklhigi_iiid Instrumento r*Iatliiiitiiieta := v
insurance poticieS, bonds, recogniianeeeZttipuIMIons. consents of suety and underwtINiig unSertsktrtigs of thse, ani fief , ina tOiiiii.i agr teriia and b --in � 5
wiitin s gelating in iirli, wa -_therett3 41 town _Ela1m or toss` thereunder; shall be sigried,insthe nine end 6n.6enalf of.the Cativiii—r��1
(a) by Lhe Chairman 06.8 Boer tithe Piesident; a Vice-Pte3ideht ora Reildeni.Vl etisresidSnt iid by tiiii SBcretiiq; ariASsistaiit SA"cretary: 3 rtritld nt
Secretary ore Resident Msistarit Secretary or (bj.by an Altorney in'Fact for the Company ifppolnied End i,uthoriied by Ili Chaiimein 61ttib eoard4the
president br a Vice -President to make such signature; or (c) by_3iucti othet.otflcers 5f_'r8j3Fieentalirios as the=floard ritay.tibiri lime LO time deteritfiQe 1
;The seal of the Company shall if.appr iiiiiate be afttied therela by Any siJCfi ofti ar_ALt00r=ii'1JSct dfAriiiaiiritliti.
iN WI (IVES$ WHEREOF,SE .. _ . . ;aU TY=...COMPA_NY lies caused tfieso'presefits .b. .j----'''-:-.-;----7-V-------:''''.--'-------
...ei 0ainf ls Vice
Presidents, and its corporate aeat_to be fiereuiito.aftixed�ar"td-duly""._attest ja-by_orie of itsAasistai t -see eta r esr his- —.—
daof - - i = - — __rte= .i 88i---1.---'11--"—•'• _ - -�_ ��
yea~.. - s�--� _:-�-f
___i___.._:::
test - = _ _ lBABOAR[� sli E7• Yt 5NiP�sNYy - =---� 1��
Rss_ t`. .Secretary �_ — Vr _P d ri y_„--
_ ~.�_ ,, �.�-----:-._--------.,-:i--- recta--
STATE OF. NEW JERSEY=` - _ _ = J_`�=^._=�=
COUNTY Of` SC[UIt=-- __._= >_ _ - _ = „Y� �_=—`�1L.;:`r�—
Ort this 21st- dayy vt Apri, =fly ; 1J =$.8_ berm -e me3ersoriall 5rptate-
M.ich e; l' ,B Keegan _ tea -Nice -President of_ SEABOARD. SURtTY=tCMPAtvY_�
1
withwhom i, am personally acgw
tiairited ' Ftoi being by fife duly Swom4taid-thit_he residtrie§ tfie_statef of New a rse
that he is a ViCP-President of SEABOARD SI.JFtETY_COfu1PANY, the ct5rpbt•,3tlot�escrlbet� in -arid WtitChi executed ilia #v�'egoirigl
. t
instrur:.. ci-rat he i:nows the corporate seaI bt the said Company; thatches seal affixed tis `said instrument ls.siit h corrorate s`eaI
that it was so affixed by order of the Board of Directors of said Company• and that he sig his name thereto as Vice-Pres.den't+ --=
said Company by like authority. - - - _-l _ _
(Seal)
FELICE M. CATALANO
NOTARY PUBLIC OF NEW _JERSEY
My Commission Exp. Irina 4. 1931 -
1, the undersigned Assistant Secretary of SEABOARD SURETY COMPANY do hereby certify that the original Power of Attorney of Which the foregoing rs
a lull. true and correct copy, is in full force and effect on the date of this Certificate and I do further Certify that the Vice -President who executed the Said Power of .
Attorney was one of the Officers authorised by the Board of Directors to appoint ori attorney -iii -!act as provided In Article 1/IL-Section 1. of the By:Laws of
SEABOARD SURETY COMPANY.
This Certificate may be signed and sealed by facsimile under and by authority 01 the 1o11o0ng resolutrort of 1Fe Extecutrve Committee of the Beard 01.--•.,t,,7-7:
Directors of SEABOARD SURETY COMPANY al a meeting duly called and held on the 25th day.ai March 1970 •-
"RESOLVED: (2) That the use of a printed facsimile of the corporate seal of ttie Company and of the signature of an Assistant Secretary on any
certification of the correctness of a copy of an instrument executed by the President or a. Vice -President OUrsuant to Midi! VII. Section By
f, of the -Laws
appointing and authorizing ar. attorney-in-fact 16 sign in the name and on behalf bf the Company surety bonds, underwriting undertaking8_or other
instruments described in Said Artiole.Vll, Section 1, with like effect as if such seal. and such_signature had beeli manualiy allured and made; hereby is
authorized and approved ”_ _ = _--
IN WITNESS WHEREOF, i have hereunto set my hand and affixed tht Corporate seal of (Ti¢ Company to these presents this
m'„p5 *rrro - .. .7 21st day of - November _ : 19..._88 _ -
W 1927 i /� . /1... = tel
s s —mfr
.,,,. Mf4tei 4} _ - - slants Ary
rhi 957 It34)
For verification of the aulhpntir.ity of this Power of Attorney you may gall. collect. 201-550-3500 and ask lot the Power of Altornev clerk. Please refer to the Power
,,,,,,er r..:.1.. 4,0",,.r.e,,,-.;t 1.. Ni,.... v .s rl: , 01O C•17 r .1.1A
EXHIBIT 8
ADJACENT SURFACE OWNERS NW/4 SECTION 28
N.W. Pipeline Corporation
P. 0. Box 8900
Salt Lake City, UT 84108
Joan Savage
5953 - 320 Road
Rifle, CO 81650
Denver & Rio Grande
Western Railroad Company
P. 0. Box 5482
Denver, CO 80217
State Department of Highways
Division of Highways
State of Colorado
4201 E. Arkansas Ave.
Denver, CO 80222
Jack Vassar & Marilyn Heath
c/o Richard Heath
P. 0. Box 16
Stillwater, OK 74076
Anvil Points Properties, Ltd.
1745 Stoat Street
Park Place, Suite 300
Denver, CO 80202
SURFACE OWNERS SW/4 SECTION 22
Rio Grande Land Company
P.O. Box 5482
Denver, Colorado 80271
N. W. Pipeline Corporation
P.O. Box 8900
Salt Lake City, Utah 84108
David Youberg
900 Elwood Court
Sae City, Iowa 50583
Joan Savage
5953 - 320 Road
Rifle, Colorado
JJ
Denver & Rio Grande
Western Railroad Company
P.O. Box 5482
Denver, Colorado 80217
State Department of Highways
Division of Highways
State of Colorado
4201 E. Arkansas Ave.
Denver, Colorado 80222
Jack Vassar & Marilyn Heath
c/o Richard Heath
P.O. Box 16
81650 Stillwater,
Hailey A. & Carol Moore
P.O. Box 13
Basalt, Colorado 81621
Oklahoma 74076
Ideal Basic Industries, Inc.
P.O. Box 8789
Denver, Colorado 80201
FINA OIL AND CHEMICAL COMPANY
1601 N W EXPWY • SUITE 900 • OKLAHOMA CITY, OK 73118 • (405) 840-0Y17 - -- -„�
j .
January 8, 1990 ''
Garfield County Planning Department
Garfield County Courthouse
109 8th Street, Suite 303
Glenwood Springs, Colorado 81601
Attention: Mark Bean
Glen Hartman
Re: Notice to adjacent owners
Clough #14-22
SW Sec 22 T6S R94W
Garfield County, Colorado
Gentlemen:
Please find enclosed a list of the surface owners to be
contacted prior to the public hearing on the referenced well. I
will include the list with all future permit applications.
If I can be of further assistance, please advise.
Jim Periman,
Engineer
JDP:dld
STATE OF COLORADO
atikior,it
Db.; 5 1989
uIL AND GAS CONSERVATION COMMISSION
DEPARTMENT OF NATURAL RESOURCES
064 COMM.
bi-kAr g cu.) L;UUNTY ,,k,u-NotsyursTu-A-gloN
APPLICATION
FOR PERMIT TO DRILL, DEEPEN, OR RE-ENTER AND OPERATE
ANI) st..XIAL NO
6.1F INDIAN. ALLOTTEE OR TRIBE. NAME
i.d rypE OF WORK DRILL al. • DEEPEN 0 RE-ENTER 0
1, TYPE OF WEI.L
WILLCIID WEU..SEl OTHER SINGLE In
ZONE l --J ).ZtiNill PIS. I,K1
7. UNIT AGREEMENT NAME
1. FARM OR LEASE NAME
Clough -----
23.
Fina Oil and Chemical Company
OPERATOR:
ADDRESS: 1601 N.W. Expressway, Suite 900
CITY: Okla. City STATE: OK ZIP: 73118
PHONE NO.
( 405 )
840-0671
9. WELL NO.
,.....
#14-22
10. FIELD AND Pool_ oR wn_ock-r
Rul i son .7
4. LOCATION OF WELL ( pon location cfrarly.‘d in attOrdallIT With any State rrquinentrtus.)
Ai surlat c 1475' WL & 1189'FSL
NJuk2 6E--7 tip L}.--)
At 111,1powd HMI. 2011C —---------------------
1475' FWL & 1189'FSL
".117.Ln SEC. TAMyd. T AN
S ec.
6th P.M.
13. DISTANCE. IF 1.15.5 THAN 200 FT. FROM ANY OCCUPIED BLDG PUBLIC ROAD, ABOVE GROUND UTILITY UNE OR
RAI ukom-.. tsHOw FOOTAGES ON SURVEY PEAT)
1 2 -COUNTY
Garfield
14. DISTANCE FROM PROPOSED LOCATION TO NEAREST
PROPERTY OR LEASE LINE, FT.
IA 1.su itt oicarest drig, line, if anyi 1189'
15. NO. OF ACRES IN LEASE 116.
10,031
NO. OF ACRES AND/OR DRILLING UNIT
ASSIGNED TO THIS WELL
160
17 DISTANCE FROM PROPOSED LOCATION TO NEAREST WELL
DRILLING. COMPLETED,
OR APPLIED FOR. ON THIS LEASE. FT. 2800'
18. PROPOSED DEPTH
2000'
19. OBJECTIVE FORMATION..
Wasatch
20. ELEVATIONS (Show whither GR or KB)
5248' GR
21. DRILLING CONTRACTOR PHONE NO.
Not selected
22. APPROX. DATE WORK WILL STAR1
1-15-90
21
PROPOSED CASING AND CEMENTING PROGRAM
SIZE OF HOLE
21
SIZE OF CASING
WEIGHT PER FOOT
SETTING DEPTH
QUANTITY 01 CEMENT
1.2-1/4"
8-5/8"
241
300'
190 sx Class "G" to surface
- 7-77P"
4-1 /9"
10.5#
2000'
400 sx Class "G" to surface
15 SURFACE OWNER ALSO THE MINERAL OWNER' YESSKNOD
11 NOT surface bond MUM trf 4111 file or copy Of surface arPtitnt must IM fur:11.41rd.
If irrigased land surface bond of $5000 is required
Cht- 6.7)11 / re% Peri rra.n
•42/4)-fr
• DESCRIBE LEASE BY QTR. QTR.. SEC.. TWNSHP... RNG.
Various sections 6S -94W
PLEASE FILL IN APPROPRIATE
CODES:
OPER. NO
DRLR. NO
FIELD NO
LIASE N
FORM
01828
75400
25.
PRINT
SIGN
Peri
Engineer
DATE 12-13-89
c 1.1 Federal or Slate irrej
PERMIT NO.
8 1 .4.
.....
APPROVED BY
CONDITIONS OF APPROVAL, IF ANY:
APPROVAL DATE nu -IlQq
•
APR 16 MO.
EXPIRATION DATE
TITLE Director
oil sr. Gas. Conserv. Comm.
See Instructions On Reverse Side
DATas I 8 1989
A.P.I. NUMBER
05 04-S
FINA OIL AND CHEMICAL COMPANY
1601 N W EXPWY • SUITE 900 • OKLAHOMA CITY, OK 73118 • (405) 840-0671
December 29, 1989
Garfield County Planning Department
Garfield County Courthouse
109 8th Street, Suite 303
Glenwood Springs, Colorado 81601
Attention: Mark Bean
Glen Hartman
Gentlemen:
Re: Application for Drilling Permit
Clough #14-22
SW Sec 22 T6S R94W
Garfield County, Colorado
Please find enclosed an Application for Special/Conditional
Use Permit Mineral Operations -- Oil and Gas. Also, the following
items are enclosed per the instructions for permit application:
1. Check in the amount of $250.00, for application fee.
2. Exhibit 1 - Copy of U.S.G.S. 7.5 minute series Topographic
map.
3. Exhibit 2 - Certified plat of well location.
4. Exhibit 3 - Drawing of pit and pad layout
5. Exhibit 4 - Drawing of proposed cuts and fills
6. Exhibit 5 - Drawing of rig layout
7. Exhibit 6 - Operation plan
8. Exhibit 7 - Copy of Rehabilitation Agreement with owner
9. Exhibit 8 - Copy of Surface Damage Agreement with owner
10. Exhibit 9 - Copy of County Bond
Per our conversation December 27, 1989, this application is
scheduled to be heard at the January 22, 1990 hearing. If there
is any problem with the application, please contact me as soon as
possible. I realize the short time allowed in getting the public
notice published in the newspaper and I really appreciate your
enabling me to get the application heard in January.
Sin
\ J
Jim Periman,
Engineer
JDP:dld
A P P L I C A T I 0 ..
SPECIAL/CONDITIONAL USE PERMIT MINERAL OPERATIONS — OIL AND GAS GARFIELD
COUNTY, COLORADO
1. Operator (lessee)
2. Contractor
3. Property Ownership
Surface
Mineral
Firm Name Fina Oil and Chemical Company
Address 1601 Northwest Expressway, Suite 900
Ukla raTTt, Uklahoma 7.311b
Telephone (405) 840-0671
Contact Person Jim Periman
Firm Name
Address
Not selected
Telephone
Contact Person
Name
W.F. Clough
Address
P.O. Box 686 Rifle, CO 81650
Name Same
Address
4. Location of Well Site
Legal Description (to nearest 1/4 Section, including
distances from Section lines sufficient to locate the fill
site within the Section)
SW/4 Section 22 T6S 89414 6th P.M.
1475' FWL & 1189' FSL
Practical Description (relationship to towns, highways,
roads, and geographic features)
5.1 Miles Southwest of Rifle Colorado
Number of acres required for the drillsite 1.25 acres
'5. State well permit f N/A 6. Zoning
7. Date proposed to begin operations January 31, 1990
8. Hearing
Applicant
Fee
J• • • • • 22, 1990
A/R/RD
Conditional Use Granted
Conditional Use Denied
Reason for Denial
Date Submitted
Date:
BOARD OF COUNTY COMMISSIONERS, GARFIELO\\COUNTY, COLORADO
B Y :
Chairman
BOND
EXHIBIT 9
Pond No. 136580
KNOW ALL MEN BY THESE PRESENTS, that we, Fina Oil and Chemical
Company, a corporation, whose address is 8350 N. Central, Suite 526, Dallas, Texas
75206, as Principal, and Seaboard Surety Company, licensed to do business in the
State of Colorado, as Surety, are held and firmly bound unto Garfield County, State
of Colorado, in the sum of One Hundred Thousand and No/100 Dollars ($100,000),
for which payment, well and truly to be made, we bind ourselves, our heirs,
executors, administrators, successors and assigns, jointly and severally, firmly by these
presents.
THE CONDITION OF THIS OBLIGATION IS SUCH THAT WHEREAS
the Principal will be engaged in performing work authorized by permit issued by
Garfield County, State of Colorado, to perform certain grading, leveling, filling,
drainage, paving, pipeline installation, and/or other types of construction work on
highway right-of-ways or property under the jurisdiction of Garfield County, State of
Colorado, and in connection therewith must furnish a bond to Garfield County, State
of Colorado.
NOW, THEREFORE, if the Principal herein shall restore the highway right-
of-way or property under the jurisdiction of Garfield County, State of Colorado, to
a condition required by Garfield County, State of Colorado, as specified in the
permit under which work is being performed, then this obligation is to be void;
otherwise, it shall remain in full force and effect. The term of the bond is from
December 31, 1988 to December 31, 1993.
IN WITNESS WHEREOF, the said Principal has hereunto set his hand and
seal, and the Surety has caused these presents to be signed by its duly authorized
officers and its corporate seal to be hereto affixed this 21st day of November, 1988.
FINA OIL AND CHEMICAL COMPANY
Linda Midciletc4i, Secretary
SEABOARD SURETY COMPANY
BY:721ne 4ec.- -916v* iff
Atto i44y-i act
ni
Paelia Ingley
-
0565.11
_ Certified Copy = SHABjARD=
ErEli 8k Q
rr,�-���r wa�r��
ii No.10213,-----,-_-:-...L----___--_,__,-_-__________,______,______,_,.. =AD-MINI6AA71ilEbF_t�CE-> EtiN11NS"CEI NEW= E SEXY --�
-`— .. �y-�-Jl����
==' Yw=_-_J =__ Pt WEq_OP: TTB tNEY =--��- L—
• KNOW ALL ii4�iEN B.Y-THESE PAtSEIVTS i'fief.SEABOAFt[�.tiii: i T oNIPANT{ge_ orp�rat b ltd i'atetif
made;:canstitiiteditE a'poi-FiFit+sd'Aiid:b==the$e;"reserits:dees:iWfi OC f#tltute:iilda'--iiit= itit ftir fr-qfitde �-
= G . Cofrey I3f"1b5ratH: Va1ei0_or xat ie --Dar W--x-11€s_. 1.> — Zak J
- • Lan. gley:-__'==_ _ =1=T _- = -1^ =_=, ti`r -
- ▪ - - - .= 1� �t Jam-- ,:-:--
._ _-_.,=__,_-_......;,-,_____....,/,______________----...----•
- _sr L ��1y„
▪ of Dallas;=-:Te=xas`:=`_`-� _��=__�-1 �—•
1 its true and lawful Attorni ••=in?1"aCt, to
matte; eiecite and deliverahit9 Wit ea=cpo_c= s zry-- n t�d and
other Instruments i -it natureasfoi�wWithoiit-tiiil_at
_
- -- ==X11-� �� ��_ � �r���J--�
lam ▪ ��
-�_...' _ � ice._ l ``l ���.� '�
„....„__,.......___-_,..,_ _:„._,..--,_.=.;,,--..:„.._,..:-....1:L=.17,-;___:.-_..w.:, .--..__,_m_„..,----._.:_,,..T.-.,__,=7,__..=..,.t..;:,,__,,,::;._______--,-J______---
• Such insurance oficies, surety b_ondsiliiiideriakin.§§ al o_lnstrurrietits ton;saiduroses=- vheiidul -axe ute!lb tiie:$foresaict
Attorney -ire -Fact; thAll.i5e binder upon_tifo laid:CoilifiMas..fiitl nOtli_e: atie ekteht°$s;ifsinad_oy_tFiedlilrai.itE-iiiiiia.l
officers of theCoriipany = and.§eaied•v+itth lt5 co=rporate seal,•"and all tlie: ate of saia.Attorney=in=Pact �Suistianttti the;atitFfdfiry
hereby even; are hereby ratified and contirrried '.- _ --_ ^l� r l _�� l
rs
This appointtrient is made pursuant io.tFie falioiriiing By�Law's wf icti=�ii}i�,dul d6pfea _6y -:ilia Board i.direato_r"s f.,F a said r
• Company on December.8lh, 1927, Vvltrt Amendments:to'3nd Including�J iu F9�l_15 : 9 g_and are still In_f Ull lorce:�ind eifect� r
CLE 1 SECT O i _1 =� _ - V.rr--``��� %'�-_ ^ "="-1`1
"Policies bonds, reee iti2ancEs sit ufetlans Corisentil di sure underriii .110ndeii*klfi-e end Oil b_ehaif. to refiftliii` fiieP't =`—
irisurancepolicies, bonds; re -co gr. izances,3lipulstlons, eiy-iieiits of Syrety and uniirwrltifia im$ertaftiiigs o[ kine mp ny, aria irftedse3 8grl�lttent`s and o fisc _—ter
. =r. ��
'-,writings relating in any way ih8retts z5► to_ any�Zlalm or 1os91fieretihde[; Shalt be 3igried:in;lfie flgrr�`e end t5n_beiia(f of the GampSny - __` .i
(a) by the Chairman bi the Boeid the President; a Vice-Pre3id9nt or_a teilde-nt dice Presi'ditnt and
by t.10 Screii3-r�, erf i*5�slsteitt ii 61.t ray . Eie6lohe
Secretary era Resident Assisierii SecFetai Cd° (bi,by an Attoiney-fri=Fact for the Coiripany.iippoInteii i3nd dutnorlied by; the
President
iif_tfia BoaiB ftie-tel
President bra Vice-president io make A25 ,. iivtif�: Or•lci by_3uCh other.oil1 . 1.61_ii ii FAO ritatiO aas the_ der t iriayiratiillFrie.ti3 r det4iitoms
:The 'seal of tie Com any sfialt if.8 ro rials tie of t*ed thereto by anq stied officer- ltbr_�_in: aal3 .iejffeaentativA= == _� l
- p PP. P _ _ �L ._ [_ _ �� ter_ a�
IN WITNESS ;WHEFIEt7F;_SEAi CiARD__ U ETY OMPANY;has sansei tfi s `iSsePiis"fo:6 a net3 6 ie=.�F its bice �
Presidents, and its.cor`"t5r8t- deaf to be hiei"_eti to.atfixed artd_dui--attiyFtda_6`.oF`ie_o .its aslstanttild et nefihi 2�
da of .. ':A t.J.z' v.�-:r.:, 17 0$'° -� �=�� 'rte _-_';'-'-''"..-•--:::".:-.,..:.
�al�N
Y F _�1. r �t i, : lea • _ � _ �1�
- Y � = _ - _ - - = `f --�� -_ cam
Vii - - __ — - --_ ��_�� - „_� -..----,,,,..--_.---,--"4---..._,-----.....--,....,-......_
03
� -- _ w .:� ��—tel
Attts:� : _ ��� �~` - _ -�� �� -�_� _ �� �—��1=A6�AFd.SU^ _.._:7_,....,--
-Y��€�N1Pa Y=_` =~ ��
„WI. .. Sell� f _ . ,:
Asst Secretary- _ �'--- _= Vibe :P1�side i- J▪ l
ST E OF:NEV11•:lERSY ,—_ _ - _ _ - _ ' _==:�1l -_ -= ----
COUNi 1r' QF SQNtERSE1' ^` -71'7.-.-1.:;r7:1---
... _• = -` = ~ � � ---- �:1
Qn this..i..2.1. .-E. davof ' - :A ± i.1. = "— �=1$_ li 8 be`ftfr`e. me aersatiail a-Jiartd 1
......- :_M.j.hae1 B: ee an p• :> y-P�__
"• • � � � ��� � 9 a,Vice-Pr:eaidenv 'of _§FABtSAPlC3.Sl?FiETY=faPAiviti 1
with; whom,1 am personally acgtuaititea, who,:belna_by rine duly Swbf said ihat}ie;rrxsides iii tliktiite 0$f ,0_p , 9
that he is a Vice -President of SEABOARD SURETY, COMPANY, the cc5tporatioi►desoribed tri and wtiitli executed tFie tor00iing
instrur:-. i1.10 he .stows the corporate Seal of the said Company; that th6 seal atfisied tin said instriiliiant is `sift h cot §rata seal
that it was so affixed by order of the Board of Directors of said Company Olid tiii( `e -signs. his floe t_li_ereta as Vice-Pres+dent_',
said Company by like authority- - �_- - .';r'
(Seal)
FELICE M. CATALANO
NOTARY PUBLIC OF NEW JERSEY .-
My Commission Exp. lithe 4. 1931
•
•
Niifai}i F'll�iliG
1, the undersigned Assistant Secretory of SEABOARD SURETY COMPANY"do hereby cattily that the original Power of Attorney of which the foregoing is _
a full• true and correct copy, is in lull force end effect on the date of ihis Certificate and 1 do furthercertify that the Vlce-President who executed the Said Power of
Attorney was one of the Officers authorized by the Board of Directors to appoint an attorney -iii -tact as provided_ tri Article VI1, Section.i, of the By=Lewd Of
SEABOARD SURETY COMPANY. - _ _- - -
This Certificate may be signed and sealed by tacsimile under and by authority$t tthi loliowIrt resolution Of the Eitet}tive Committee aI the Beard
•
_ t7
Directors of SEABOARD SURETY COMPANY at a meeting duly called and held on tke 25th dey.ol Mirth 1970. = ? _ - - _
"RESOLVED: (2) That the use of a printed facsimile of the corporate seal of the Company end of the signature of an Assistant Secretary on any _
certification of the correctness of a copy of an instrument executed by the President or a Vice -President pilrsuant to Arllcfi VII, Section 1, of the By -Laws - -
appointing and authorizing an attorney -in -tact to Sign in the name and on behaii.61 the Company surety bonds, underwriting undertakingi. iir other's
instruments described in said Articlr!_VII. Section 1• with like effect as if such seal. and inch signature had been manually affixed and, made; harebyJts
authorized and approved."
IN WiTNESS WHEREOF, 1 have hereunto set my hand and affixed tFie eat-notp yate seal of th Ctsf i en- to these. 'fesents this
.,,.... -21stday -.• _ November. 19. 8
Lib — L r
•
istant S
in g57
ary
For verification of the atrthentirity of this Powni of Attorney you rn:1v c ll, coII°' 1. 2ft1-558-3500 and ask ler the Power of Attorney clerk. Please refer to the Power
of At.nrnrnr n,rrnl.nr 11,r .,hr,.•n es, ..... !I,,. 1....1,111e..••11.4-11111," n . nr ;r• 11 rl,n.1 1,. nt.") I:q7 ZAAA
SEC, 2_ , T 5. , R. 9411/ OF THE Ty P/1/i
EXHIBIT 2
B9° r M( , R' 5,59(' Iid Z‘G/,/Z•G.(.(7.
LOC4T/ON FAL 4r
SZ 36.44 G.Z.o.
sod
SCALE
o'
loofa'
-LEGEND-
Q
O
REFERENCE DOCUMENTS
Q /9�lP
STANDARD LOCArrOx OF
BLO SECTION CORNERS.
GLO CORNERS FOUND.
WELL LOCATION SYAAED.
589° 58')4 ' 4; . 7(' G.L.O. `r
Z64,3 76,'
GLO PLAT
R/E4E/ COLORAOD
OUADRANGLE, U.S.G.S,
THIS WELL LOCATION PLAT WAS PREPARED FOR: G/NA O/L 61/E/1I/C4L
TO LOCATE THE CLouc /// # /4 - 22 , //59 F. 5. L. &
/4 75 F LF! L. IN THE 5E 1/4 SW I/4 , OF SECTION 22 ,T G .5. ,R.
OF THE 67/I PM. Q4RF/4Lj7 COUNTY, COL O.QADO
suRverED
DROWN
CHECK{O
ZO /B7
/1 Z/ e9
SURVEYORS CERTIFICATE
I, Larry D. Becker : a Reg
The State Of COLORADO
Survey Was Made Under My
That This Plat Represe
Istered Land Surveyor In
Do Hereby Certify That Thls
Direct Supervision, and
Id Survey,
f�
0LZ4D0 L.S. # 7734
ENERGY
SURVE rS
CORPORATION
Sit PIKES PEAK DRIVE
GRAND JUNCTION, CO. 81507
(5031 24 5 - 7221
SCALE: / _ /OOD
JOB NO.
SHEET OF
Ij
Ai
•r2.
2 LUK•S.
' a
• n'` • :. 27
Fina Oil and Chemical Compan
Clough #14-22
SW/4 Section 22 T6S R94W
1475' FWL and 1189' FSL
Garfield County, Colorado
LEGEND:
A = Wellsite
B = Nearest Live Water
---- = Existing roads to wellsite
(Roads cross land owned by
W.F. Clough)
EXHIBIT 1
Lb 11�•Ltill \-K���
EXHIBIT 3 PLAT NO. 2
F 3.0'
\O REF, PT Q0.20(2/
\F0. 6 \� ; F2.2'
\ \+
'q _ 50'
20' I /0 '
k
4
C-
\
C1.4`
BLOOJE PIT
50'
C6.9'
C3:9'
C.7.6'
REF, PT 0 20O /
ESTIMATED DIRT OUANT/T/ES
ITEM,CUT
FILL
TOPSOIL
EXCESS
PAD
/900
/900
PIT
70(2
700
ENERGY SURVEYS a ENGINEERING
GRAND ✓UNCTION, COLORADO 3o3•S44 • ra.ei
WO VEE 7-,4 7701V
PIT 8 PAD LAYOUT
F3.6'
I-50
AA
\ C
F2.0'
--BB
\a
/30
\\Q 3CC'
CLOUGH # 14-22
D
a sr arr
ambit' .eo'
EXHIBIT 4 PLATNC 3
Ch -✓SS SECTIONS OF PIT 8 PAD
:- FO.6' F3.6'
A -J-
F2.2 s AA
C1.4'
C O.O
B— - - - - --- -
C6.9'
100 FEE T
BB
C3.9'
CC
CLOUGH # 14 - 22
IYRYfIrtI
a/z/
►rr
/02
I2 22
ENEMY
WRTe rS
ALIMltilfir MNII CORP
EXHIBIT PLAT Na 4
EARTHEN BERM
RIG LAYOUT
RESERVE &
PUMP IHSE
GENE ATOR
HOSE
e LER
Hp USE
sd
WATER TANK
BRINE WATER
TRAILER
C7
z_
TRASH CASE Y
0 (LOCATION CC
OPTIONAL) d
/3p '
D 2� SO1 iad
d
CLOUGH # 14-22
EXHIBIT 6
OPERATION PLAN
Fina Oil and Chemical Company
Clough #14-22
SW/4 Sec. 22 -6S -94W
Garfield County, Colorado
1. METHOD OF HANDLING WASTE DISPOSAL
a. Drill cuttings will be buried in the reserve pit.
b. Chemical toilet facilities will be provided for human
wastes.
c. Garbage and trash will be hauled to disposal facilities.
2. LOCATION AND SOURCE OF WATER SUPPLY
a. Water will be transported by truck over existing roadways.
b. No water well is to be drilled on this lease.
3. RESTORATION PLAN
a. Backfilling leveling and contouring are planned as soon
as all pits have dried.
b. The soil banked material will be spread over the area.
Revegatation will be accomplished by planting certified
weed -free grasses.
c. Rehabilitation operations will begin immediately after the
drilling rig is removed. If production is obtained, the
unused area will be restored as soon as possible.
Planting is considered best in Spring, 1990, unless
requested otherwise.
EXHIBIT 7
FINA OIL AND CHEMICAL COMPANY
1601 N W EXPWY • SUITE 900 • OKL'U OMA CITY, OK 73118 • (405) 840-0671
William F. Clough
P.O. Box 686
Rifle, Colorado 81650
December 19, 1989
Re:
Rehabilitation Plan
Clough #14-22
SE/4 Sec. 22 -6S -94W
Garfield County, Colorado
Fina Oil and Chemical Company intends to drill the referenced
well. As lessee/operator, Fina agrees to complete the following
rehabilitation work if the well produces hydrocarbons:
1. Maintain access road and provide adequate drainage.
2. Reshape and reseed any area not needed for production
operations of the well.
(other)
If the well is abandoned, the following work will be
performed:
1. Pit will be fenced until dry, then filled to conform to
the surrounding topography.
2. Water bars will be constructed as deemed necessary.
3. Site will be reshaped to surrounding topography as needed.
4. Entire •disturbed area will be reseeded with certified
weed -free grass seed per BLM recommendation.
(other)
Please sign in the space below certifying surface owner
agreement to the rehabilitation plan.
Agreed this ?:-/..D day of ..- _ (� P I"', 1989.
(Surface Owne7 s Signature)
GENERAL RELEASE FINA-1556
•UNT (IN NUMBERS)
j, ,Y . ,500.00xxxxxxxx
AMOUNT (ALPHABETICALL`
EXHIBIT 8
One Thousand Ft._, Hundred and no/100xxxxxxxxxxx
RECEIVED THE ABOVE AMOUNT IN FULL SETTLEMENT, SATISFACTION, RELEASE AND DISCHARGE OF ALL CLAIMS FOR DAMAGES OF ANY
KIND OR NATURE AGAINST -
Fina Oil and Chemical Company
ITS SUCCESSORS ASSIGNS AND CONTRACTORS RESULTING FROM OR ARISING OUT OF the building of or use of an
access road and a drilling location for the Clough #14-22. Also, upon successful
completion, the construction and placement of production and sales lines, and any
equipment necessary for the production of a gas or oil well.
ON THE FOLLOWING DESCRIBED LAND IN SW/4 Section 22 -6S -94W
COUNTY OF
Garfield
STATE OF
Colorado
LEASE NAME AND WELL NO.
Clough #14-22
LEASE AND/OR AFE NO.
035643
TO WIT:
William F. Clough
P.O. Box 686
Rifle, Colorado 81650
SIGNED THIS
DAY
v
20 -
MONTH
ee��rr e C,
YEAR
Q q
v r
SIGNATURE
/ /
ADDRESS
SIGNATURE
ADDRESS