<_x0034_00076241>

400076241 02A 2010-07-14T00:00:00-06:00 10203 BLACK RAVEN ENERGY INC

1125 17TH ST STE 2300

DENVER CO 80202 Janice Aldstadt 303 308-1330 303 308-1590 Janice Aldstadt Landman 2010-07-14T00:00:00-06:00 2010-08-03T10:06:28.967-06:00 314063 UPLOADED jaldstadt 2010-07-13T14:10:54.517-06:00 jaldstadt jaldstadt@blackravenenergy.com 0.00000 jaldstadt@blackravenenergy.com In Process belangep belangep 2010-08-04T13:25:26.803-06:00 400076241 false true 943-22-21 Dirks 314063 PHILLIPS NENW 22 9N 43W 6 3645 1250 FNL 2000 FWL 40.745940 -102.125070 2.1 2007-07-26T00:00:00-06:00 Neal McCormick 1 1 1 1 1 1 1 Meter Run House 2010-11-01T00:00:00-06:00 2010-12-01T00:00:00-07:00 3645 true false false ONSITE Evap & Burial 2009-10-10T00:00:00-06:00 FEE FEE true oil and gas lease true 20060159 false 2146 1250 1250 10560 637 true true Haxtun sandy loam, 0 to 3 percent slopes (HxB) true false 283 655 170 false false No false 3.00 1.00 400076241 Railroad is 2 +/- miles away from site. There are no visible improvements within 400 feet of site. Nearest water well 654.78 +/- feet from site (RECEIPT: 9053654; PERMIT: 15333-FP; USE: IRRIGATION). There is an ephemeral stream located 283 +/- feet south of location. The location is in a sensitive area due to being within the Northern High Plains Designated Basin. No COAs are needed for this location. A Pump Jack may be necessary to place on facility in the future to help with gas production. It will require either one gas or one electric motor to run the pumping jack unit which will be determined at the time of installation. 400076241 push back lacking required attachements 7/15 kk. 400076241 400076241 FORM 2A SUBMITTED 400076241.pdf 400076241 400081569 HYDROLOGY MAP Hydrology Map__Dirks 943-22-21.pdf 1152834 400076241 400081570 LOCATION DRAWING Location Drawing__Dirks 943-22-21.pdf 1064370 400076241 400081572 LOCATION PICTURES Location Pictures__Dirks 943-22-21.pdf 1327135 400076241 400081574 WELL LOCATION PLAT Location Plat__Dirks 943-22-21.pdf 65607 400076241 400081596 NRCS MAP UNIT DESC NRCS Soils Map__Dirks 943-22-21.pdf 920511 400076241 400081600 ACCESS ROAD MAP Topo Map__Dirks 943-22-21.pdf 823472 400076241 400076238 02 Dirks 943-22-21 400076241 David & Julie Dirks

32287 CR 51

Amherst CO 80721 400076241 1 1 1 1 1 1 1 Meter Run House 400076241 C true 400076241 F true 400076241

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