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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	05-123-48339	EWS 1B	EWS 1 DJ BASIN LLC 10640	EP 10/27/2020	CLAY BASKET 11340	WELD 123 NENW 26 8N60W 6	438160

COGIS - Conditions of Approval Results

Type	Source Document	Conditions of Approval
UIC	Form: (02 ) 401654878 10/4/2018	1. Injection is not authorized until approval of Subsequent Forms 31 and 33. 2. Retrieve water sample(s) from injection zone(s) before stimulating formation. Samples must be analyzed for Total Dissolved Solids at a minimum. 3. PRIOR TO PERFORMING OPERATIONS: Operator is required to contact COGCC to discuss acid and fracturing jobs. Approval of Form 4 may be required for acid and fracturing jobs. (As of 4/13/2016) 4. PRIOR TO PERFORMING OPERATIONS: Operator is required to contact COGCC to discuss Step Rate Test or Injectivity Test criteria for Maximum Surface Injection Pressure determination. Prior approval of Form 4 may be required for step rate and injectivity tests. 5. For ALL NEW DRILL UNDERGROUND INJECTION WELLS a suite of open-hole Resistivity/Gamma Ray and Density/Neutron logs IS REQUIRED from Surface Casing shoe to TD. A PDF, TIFF, or PDS visual image and a LAS or DLIS file version of each log is required. 6. For all new and converted Underground Injection Control wells a Cement Bond Log (CBL) is required on the cased portions of the hole from the bottom of the casing to the top of the next shallower casing string for all casing strings other than the Surface Casing. Only a PDF, TIFF, or PDS visual image is required. 7. Operator must provide all tops of formations encountered from surface to TD on the Form 5 when submitted. 8. Well must pass MIT witnessed by COGCC before Subsequent Forms 31 and 33 will be approved. Well in must be in injection configuration.
Engineer	Form: (02 ) 401654878 10/15/2018	1) Submit Form 42 electronically to COGCC 48 hours prior to MIRU (spud notice) for the first well activity with a rig on the pad and provide 48 hour spud notice via Form 42 for all subsequent wells drilled on the pad. 2) Provide cement coverage to a minimum of 200' above Niobrara. Verify coverage with cement bond log. 3) Oil-based drilling fluid is to be used only after setting surface casing.
Engineer	Form: (02 ) 401654878 10/15/2018	Bradenhead tests shall be performed and reported according to the following schedule and Form 17 submitted within 10 days of each test.: 1) All: Within 60 days of rig release, prior to stimulation. 2) Delayed completion: 6 months after rig release, prior to stimulation. 3) All: Within 90 days after first sales, as reported on the Form 5A, Completed Interval Report.

COGIS - Best Management Practice Results

BMP Type	Source Document	Best Management Practices
Material Handling and Spill Prevention	Form: (02 ) 401654878 10/28/2018	Load-lines. All load-lines shall be bull-plugged or capped.
Drilling/Completion Operations	Form: (02 ) 401654878 10/28/2018	Green Completions – No hydrocarbons are anticipated in this well.
Drilling/Completion Operations	Form: (02 ) 401654878 10/28/2018	Blowout preventer equipment (“BOPE”). A double ram and annular preventer will be used during drilling. At least the drilling company shall have a valid well blowout prevention certifications.
Drilling/Completion Operations	Form: (02 ) 401654878 10/28/2018	BOPE for well servicing operations. Adequate BOP equipment shall be used. Stabbing valves shall be installed in the event of reverse circulation and shall be prior tested with low and high pressure fluid.
Drilling/Completion Operations	Form: (02 ) 401654878 10/28/2018	Drill stem tests. Not applicable; no Drill Stem tests are planned.
Drilling/Completion Operations	Form: (02 ) 401654878 10/28/2018	Control of fire hazards. All materials which are considered fire hazards shall be a minimum of 25’ from the wellhead tanks or separators. Electrical equipment shall comply with API RP 500 and will comply with the current national electrical code. An emergency response plan will be generated for this site.
Drilling/Completion Operations	Form: (02 ) 401654878 10/28/2018	Guy line anchors. All guy line anchors shall be brightly marked pursuant to Rule 604.c(2)Q.
Drilling/Completion Operations	Form: (02 ) 401654878 10/28/2018	A bradenhead test will be performed within 60 days of rig release and prior to any stimulation activities. A Form 17 will be submitted on eForms within 10 days following the test. Bradenhead pressure will be monitored during stimulation activities. In the event of a rise in bradenhead pressure of more than 200 psi during stimulation activities, the COGCC will be notified per Rule 341.
Final Reclamation	Form: (02 ) 401654878 10/28/2018	Well site cleared. Within 90-day subsequent to the time of plugging and abandonment of the entire site, superfluous debris and equipment shall be removed from the site.
Final Reclamation	Form: (02 ) 401654878 10/28/2018	Identification of plugged and abandoned wells. P&A’d wells shall be identified pursuant to 319.a.(5).