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Facility Type	Facility ID/ API	Facility Name/ Number	Operator Name/ Number	Status	Field Name/ Number	Location	Location ID	Related Facilities
WELL	05-001-09752	WEP 2-28-11-3-64	CARRIZO NIOBRARA LLC 10439	AL 1/28/2016	WILDCAT 99999	AURORA/ADAMS 001 NWNW 28 3S64W 6	429584

COGIS - Conditions of Approval Results

Type	Source Document	Conditions of Approval
Engineer	Form: (02 ) 400288896 6/15/2012	1) Note surface casing setting depth change from 1400’ to 1910’. Increase cement coverage accordingly. 2) Submit Form 42 electronically to COGCC 48 hours prior to MIRU. 3) Comply with Rule 317.i and provide cement coverage from TVD to a minimum of 200' above Niobrara. Verify coverage with cement bond log. 4) Run and submit Directional Survey from TD to base of surface casing. The operator shall comply with Rule 321, and it shall be the operator’s responsibility to ensure that the wellbore complies with setback requirements in commission orders or rules prior to producing the well. 5) As part of the Form 5 Drilling Completion Report, include the produceable interval as defined by swell packer configuration. (supply the swell packer placement as part of a wellbore diagram)
Engineer	Form: (02 ) 400288897 6/15/2012	1) Note surface casing setting depth change from 1400’ to 1910’. Increase cement coverage accordingly. 2) Submit Form 42 electronically to COGCC 48 hours prior to MIRU.
Agency	Form: (02 ) 400288897 7/12/2012	This is the pilot of a pilot/lateral drilling plan and this permit should have a sidetrack designation in the API number. Pilot must be permitted first.

COGIS - Best Management Practice Results

BMP Type	Source Document	Best Management Practices
Material Handling and Spill Prevention	Form: (02 ) 400288897 7/12/2012	Operator will ensure 110 percent secondary containment for any volume of fluids contained at the well site during drilling and completion. Operator will implement best management practices to contain any unintentional release of fluids.
Storm Water/Erosion Control	Form: (02 ) 400288897 7/12/2012	Operator has designed the well pad with insloping and a storm water control ditch to prevent storm water run-on/runoff and the release of fluids from the location. See attached Construction Layout Drawing.
Site Specific	Form: (02 ) 400288897 7/12/2012	Fresh water for the Fresh Water Storage Pit comes from water provider; water sources permitted for consumable industrial use.
Material Handling and Spill Prevention	Form: (02 ) 400288897 7/12/2012	Operator shall not allow any fluids to flow back to the Fresh Water Storage Pit/Pond.
Site Specific	Form: (02 ) 400288897 7/12/2012	Fresh Water Storage Pit shall contain fresh water only and signage prohibiting the use of the pit for any fluid that does not come from municipal, irrigation or surface water source.
Construction	Form: (02 ) 400288897 7/12/2012	The location will be fenced and the fenced area will include the Fresh Water Storage Pit.
Pre-Construction	Form: (02 ) 400288897 7/12/2012	The COGCC to be notified 48 hours prior to construction of the Fresh Water Storage Pit.
Planning	Form: (02 ) 400288897 7/12/2012	A Form 15 Pit Report will be submitted within 30 days of construction of the fresh water storage pit.
Material Handling and Spill Prevention	Form: (02 ) 400288896 7/12/2012	Operator will ensure 110 percent secondary containment for any volume of fluids contained at the well site during drilling and completion. Operator will implement best management practices to contain any unintentional release of fluids.
Storm Water/Erosion Control	Form: (02 ) 400288896 7/12/2012	Operator has designed the well pad with insloping and a storm water control ditch to prevent storm water run-on/runoff and the release of fluids from the location. See attached Construction Layout Drawing.
Site Specific	Form: (02 ) 400288896 7/12/2012	Fresh water for the Fresh Water Storage Pit comes from water provider; water sources permitted for consumable industrial use.
Material Handling and Spill Prevention	Form: (02 ) 400288896 7/12/2012	Operator shall not allow any fluids to flow back to the Fresh Water Storage Pit/Pond.
Site Specific	Form: (02 ) 400288896 7/12/2012	Fresh Water Storage Pit shall contain fresh water only and signage prohibiting the use of the pit for any fluid that does not come from municipal, irrigation or surface water source.
Construction	Form: (02 ) 400288896 7/12/2012	The location will be fenced and the fenced area will include the Fresh Water Storage Pit.
Pre-Construction	Form: (02 ) 400288896 7/12/2012	The COGCC to be notified 48 hours prior to construction of the Fresh Water Storage Pit.
Planning	Form: (02 ) 400288896 7/12/2012	A Form 15 Pit Report will be submitted within 30 days of construction of the fresh water storage pit.