COUNTY: FALL RIVER

LEGAL LOCATION: SWSE 3-11S-1E

API NO: 40 047 20131

PERMIT NO: 1150

WELL NAME: 3-15 ALUM CREEK

OPERATOR: CITATION OIL & GAS CORP.

PERMIT ISSUED: 08/17/1981

UIC PERMIT ISSUED:

PERMIT CLOSED:

FILE LOCATION: 11S-1E-3 SWSE

TARGET CODES:

WELL HISTORY / CHECKLIST

PERMIT TO DRILL / INTENT TO DRILL / UIC

APPLICATION

WELL INSPECTION / SCOUT REPORTS / FILE

REVIEWS

OPERATOR’S TECHNICAL REPORTS / MAPS

ADMINISTRATIVE / SUNDRY REPORTS

CORRESPONDENCE

MISCELLANEOUS

WELL HISTORY / CHECKLIST

Well Name and Location

11S-1E-3 SWSE Fall River • Placid #3-15 Federal

660 FSL & 2130 FEL

Permit # 1150

API 0 40 047 20131

S. Bond 0 03-56-23 IP. Bond # 03-56-22

Date Issued Date Released

BOND RELEASE CHECKLIST

Surface Restoration

Pits filled

Site level

Site policed

Dry-hole marker desired, letter in WFO files from surface owner

Letter of approval from surface owner

Paperwork filed

/1-YT Form 4 (Completion or Recompletion Report)

Form 6 (Sundry Notice and Report on Wells)

Form 7 (Plugging Report)

Geological Information Filed

VWell Logs: ( ) IES ( ) DIL ( ) CEM BD .( ) MICRO ( ) SNP ( ) GRIN ( ) TEMP. ( ) LL ( ) MD LOG ( ) DRL TM ( ) C od1P A: ( )1:{A)P-Pt

DST Charts and Reports o") e al " IA P.

Geologist's Report

--- Results of coring and core analyses 4;0 4)6' "P Set of 10-foot sample cuttings (Check with Bob Schoon)

(Wl= )2- /7

Date Checked By

PERMIT CHECKLIST

Well Name and Iocation Permit # 1150

11S-1E-3 SWSE Fall Fiver Placid #3-15 Federal 660 FSL & 2130 FEL

API# 40 047 20131

Surface Bond # 03-56-23

Plugging Bond # 03-56-22

Paperwork filed with WFO

Organization Report

X Application

Bond

X Plugging & Performance Bond

X Additional Surface Restoration Bond when required

X Permit Fee

X Certificate of Negotiation, when required

The following papers sent to operator:

X Permit (Form 2a)

X Receipt for $100 permit fee

- Cover letter explaining material sent

Permit Fee Filed:

X Permit fee w/Cash Receipts Transmittal Form sent to State Treasurer

Notification of New Permit sent to:

x State Geologist

X Secretary, Department of Water & Natural Resources

x Commissioner of School & Public Lands

X County Auditor

Date 8/17/81 Checked by M. J. Rohrs

PERMIT TO DRILL / INTENT TO DRILL /

UIC APPLICATION

0 NOT WRITE BELOW THIS LINE

pEFfiNfTNE.

D4fVOtanATEAUG _ 1-7 1 981

CONDITIONS:

..411111111=_

State rub.. Co., Pierre APPLICATION FOR PERMIT TO: S. Dak. 011 & Gas Board

FORM 2

ZONE

FARM OR LEASE NAME

Federal . M DRILL . ■ DEEPEN ■ PLUG BACK

IN SINGLE ZONE WELL NO.

3-15 EN OIL WELL ■ GAS WELL ■ MULTIPLE OPERATOR

Placid Oil Company

FIELD AND POOL, OR WILDCAT

Alum Creek Fielc 2nd Leo Sand

ADDRESS

410 17th St. Suite 2000, Denver, CO 80202 NO. ACRES IN LEASE

2239.90 LOCATION (In feet from nearest lines of section or legal subdivision, where possible)•

660' FSL & 2130' FEL Sec 3-T11S-R1E

%. % SEC. TWP. RGE

SWSE 3-T11S-R1E COUNTY

Fall River NAME AND ADDRESS OF SURFACE OWNER

Robert E. Pfister P.O. Box 1077 Lusk, Wyo. 82225

ELEVATION

3990 GR NO. OF WELLS ETC.

1 PROPOSED DEPTH 3391

ROTARY OR CABLE TOOLS

Rotary APPROXIMATE DATE WORK WILL START

August 15, 1981

NAME AND ADDRESS OF CONTRACTOR

Northern Wyoming Drilling Gillette, Wyoming IF LEASE PURCHASED WITH ANY WELLS DRILLED, FROM WHOM PURCHASED (Name and address)

PROPOSED CASING AND CEMENTING PROGRAM

SIZE OF HOLE SIZE OF CASING WEIGHT PER FOOT NEW OR SECOND HAND DEPTH SACKS OF CEMENT

121/2" 8 5/8" 24# New 600' 400SX

DESCRIBE PROPOSED OPERATIONS. IF PROPOSAL IS TO DEEPEN OF PLUG BACK, GIVE DATA ON PRESENT PRODUCTIVE ZONE AND PROPOSED NEW PRODUCTIVE ZONE. GIVE BLOW OUT PREVENTER PROGRAM IF ANY

See attachment

o COMPLETE SET OF SAMPLES, AND CORES IF T , MUST BE SUBMITTED.

CI SAMPLES, AND CORES IF TAKEN, BELOW DEPTH, MUST BE SUBMITTED.

TA STATE GEOLOGI S 'RVEY

WESTERN FIELD OFFICE

R .

Elevation r - 3991 gr. cut 1.0 lest. - 3990

2001 N - 3989.2 2001 W -1 3998.6

FORM F•106

T. 11

S

14-

sz8S-

ScoIe l"= 1000'

Powers Elevation of Denver, Colorado has in accordance with a request from Jim Hein for Placid Oil Company determined the location of #3-15 Federal to be 660 FS ge 2130 FE Section 3 Township 11S Range 1 E of the Black Hills Meridian

Fall aver County, South Dakota

I hereby certify that this plat is an accurate representation of a correct survey showing the location of

#3-15 Federal

Date: Licensed Land Surveyor No 1200 State of South bakota

16. NO. OF ACRES IN LEASE 1. DISTANCE FROM PROPOSED• LOCATION TO NEAREST PROPERTY OR LEASE LINE, FT. (Also to nearest drIg. unit line, if any) 660' 2239.90

21. ELEVATIONS (Show whether DI', RT, GR, etc.)

3990 GR I22. APPROX. DATE WORK WILL START•

August 15, 1981

SUBMIT ikr TRIPLICATE• approveu. (orliP; actions on p.uoz..r ilurean No. 42-1t1425.

. side)

I 5. i.EAsE ot•9laNAYrusTaxi, SEEIAL No.

Form S-331. C (Ni...y 1963)

UNITED STATES

DEPARTMENT OF THE INTERIOR

GEOLOGICAL SURVEY M 29041

•APPLICATION FOR PERMIT TO DRILL, DEEPEN, OR PLUG BACK 6. IF INDIAN, ALLOTTE7. on TRIBE NAME

N/A

DRILL RI

DEEPEN

PLUG BACK ❑ 10. TYPE or WORK

7. UNIT AGREEMENT NAILS

b. TYPE OF WELL

OIL • WELL -

2. NANr+: ('F OPERATOR

N/A S. FARM OE LEASE NAME

Federal

GAS I-1 WELL OTHER

SINGLE FA ZONE

MULTIPLE [DI ::ONE

Placid Oil Company 3. ADDRESS OF OPERATOR

0. WELL NO.

3-15

4. LOCATION or WELL (Report location clearly and in accordance with any State requirements.•) At surface

660' FSL & 2130' FEL Sec 3—T11S—R1E At proposed prod. zone

same as above 14. DISTANCE IN MILES AND DIRECTION FROM NEAREST TOWN OR POST orrIcE•

24 miles SW of Edgemont, South Dakota

10. FIELD AND POOL, OE WILDSAT

Alum Creek Field

Zp..A , TAP, oiMEd AND SURVEY OR AREA

SWSE 3—T11S—R1E

12. COUNTY OR PARISH I 13. STATE

Fall River S.D.

17. NO. OF ACRES ASSIGNED TO T 115 WELL

40

410 17th sr_ Suite 2000, Denver, CO 80202

18. DISTANCE FROM PROPOSED LOCATION* TO NEAREST WELL, DRILLING, COMPLETES, OR APPLIED FOR, ON THIS LEASE, Fr. 1320'

19. PROPOSED DEPTH

3391

20. ROTARY OR CABLE TOOLS"

Rotary

23. PROPOSED CASING AND CEMENTING PROGRAM

SIZE OF HOLE SIZE OF CASING WEIGHT PER FOOT SETTING DEPTH QUANTITY OF CEMENT

1 8 5/8" 24# 600' 300 SX HCL & 100 SX Cies!

. ,

•

See attachment

C

' -- a•roposed new productive

In. Give blowout IN ABOVE SPACE DESCRIBE PROPOSED PROGRAM : If proposal is to deepen or plug back, give data on present productive zone zone. If proposal is to drill or deepen directionally, give pertinent data on subsurface locations and measured and preventer program, it any. 24.

Geologist Vt•I 644t at •L4C SIGNED

Nim_Pilkington (This space for Federal or State office use)

• PERMIT NO. APPROVAL DATE

APPROVED BY

CONDITIONS OF APPROVAL, IF ANY :

*Se'e Ilstructions On Reverse Side

TITLE

TITLE

2 1?

-PLACID OIL COMPANY - .aderal 3-15 (SWSE) Sec. 3 T11S R1E Fall River County, South Dakota

Attachment to Form 9-331C "Application for Permit to Drill"

1, Surface Formation Cretaceous Pierre Shale

2. Geological Markers Fall River 1379 Red Marker 3199 Morrison 1769 2nd Leo 3219 Spearfish 2265 Minnekahta 2647 Minnalusa 2859

3. Water, Oil & Gas Zones Water Zones - Surface to 500' Oil - 2nd Leo

If these'or any other zones produce water they will be adequately protected and reported.

4. Proposed Casing

Surface Production (If Necessal Depth 600' T.D. Size 8-5/8" 51,5“

Grade K-55 K-55 Wt. 24# 15.5# Thread ST&C LT&C Collapse Resistance 1370 psi 4040 psi Internal Yield 2950 psi 4810 psi -. Joint Strength 263,000# . 239,000# Cement 300 sx - HCL 320 sx-50-50

100 sx - Cla-ss G POZ. mix

5. Pressure Control Equipment Operator's minimum specifications for pressure control equipment call for Baker 2000 psi annular hydraulic blowout preventer. See diagram attached. EqUIpment will be pressure tested prior to drilling out from under surface casing to its full working pressure rating. Operational tests will•b conducted daily.

6. Mud Program 0' - Surface Casing seat - Fresh water spud mud Surface Casing - TD - Low solids, lightly dispersed, gel chemical

mud system will be used. Mud weights from 8.8 to 9.2 with fluid loss 10 cc or less below 3000'..

PLACID OIL COMPANY - Federal 3-15 (SWSE) Sec. 3 T11S RlE Fall River County, South Dakota

7. Auxiliary Equipment 1) A kelly cock will be kept in the string. 2) A stabbing valve will be kept on the derrick floor to be

stabbed into the drill pipe whenever the kelly is not in the string.

8. Evaluation Program 1) CoLmercial shows of oil and gas will be drill-stem tested. 2) Electric logs will consist of:

a) Dual Laterolog-Micro SFL (GR&SP) b) FDC-CNL - Over zones of interest c) Dipmeter - Over zones of interest d) MC Sonic

3) A conventional core of the 2nd Leo pay zone is planned if sand is present-with indicated hydrocarbons

4) No stimulation procedures other than possible acidizing are planned at this time.

9. Abnormal Conditions Nq abnormal pressures, temperatures, or potential hazards, such as hydrogen sulfide gas, are anticipated.

10. Drilling Activity Drilling activity will commence on or about August 15, 1981, with drilling and completion taking approximately 30 days.

2"VALVE

Kill Line k"VALVE

LINE

-'TO EDGE 07:3F MUD PIT Larkin

2000psi Wellhead

2" LINE

TO RIG FL

Choke Manifold

2"VALVE

Baker 2000psi

Annular

Preventer

PLACID OIL COMPANY - !deral 3-15 SWSE Sec.3 - T11S-R1E Fall River County, South Dakota

• Page 1

NTL-6 Multipoint Requirements

1. Existing Roads See Map I (route dashed in green) A. Proposed well site as staked. See survey plat. B. Route and distance from nearest town to well access road. Refer

to Map I. Travel west from Edgemont on Highway 18, 81/2 miles to an intersection. Take gravel road south 5 miles, west 2 miles, and south 5 miles to end of maintained road. Continue south 3 miles to proposed well site access road.

C. Access road to location. Refer to Map I. Approximately .3 miles of new access road will be required.

D. This is not an exploratory well. E. Existing roads within'a one mile radius. Refer to Map I. F. No improvements of existing roads will be necessary.

2. Planned Access Roads. See Map I (route dashed in red) A. Width - 16.0' B. Maximum grade - 1-2% C. Turnouts - None required. D. Drainage design. - Will be consistant with local drainage slopes and

directions. E. Culverts, major cuts and fills - None required. F. Surfaceing material - Will be native soil. G. Gates, cattleguards or fence cuts - None required. H. New access road to be constructed was center line flagged at

time of location staking.

3. Location of Existing Wells (within a one mile radius) A. Water wells - None B. Abandoned wells - NWSW Sec.10 - T11S-RIE - TD 4080' C. Temporarily abandoned wells - None D. Disposal wells - None E. Drilling wells - None F. Producing wells - Placid NESE Sec.3 T11S-R1E - TD 3487' (oil) G. Shut-in wells - Apache NESW Sec.3 - T11S-R1E - TD 3532' (Shu-in gas) H. Injection wells - None I. Monitoring or observation wells for other resources - None

4. Location of Existing and/or Proposed Facilities A. Facilities owned or controlled by operator

1. Tank batteries - Two 400 barrel tanks - NESE - Sec.3-T11S-R1E 2. Production facilities - One 4x20 heater treater- NESE Sec.3-T11S-R1E 3. Oil gathering lines - None

PLACID OIL COMPANY - Federal 3-15 SWSE Sec.3 - T11S-R1 Fall River County, South Dakota

Page 2

4. Location of Existing and/or Proposed Facilities A. Facilities owned or controlled by operator (cont)

4. Gas gathering lines - None 5. Injection lines - None 6. Disposal lines - None

B. Contemplated facilities in the event of production (See Diagram IV) 1. Tank batteries would be constructed on location. 2. Production facilities will require an area approximately 240'x250'. 3. Tank batteries will be constructed on the location pad so that

no outside material will be needed. Pole trucks will be used to maneuver and set equipment. A backhoe will be used to dig trenches and bury lines.

4. In order to protect wildlife and livestock, pits will be fenced. If installed, the pumping unit will also be fenced.

C. Rehabilitation Plan Disturbed areas no longer needed for operations will be bladed to approximate original contour and reseeded with a seed mixture agreed to by the BLM.

5. Location and Type of Water Supply A. Water will be obtained from the Pfister Ranch at a location 7 miles NW

of location in Sec.5-T10S-R1E. See Map I. B. Water will be trucked. No additional roads or pipelines are needed. C. A water well will not be drilled.

6. Source of Construction Materials A. No construction materials other than the surface soil material will

be necessary for the drilling site or the access road. If any outside gravel or materials are needed, they will be obtained from the dirt contractor.

B. Surface is owned by Robert E., Ronson,& Rodney A. Pfister. No materials will be taken from Federal or Indian land.

C. No sand, gravel, stone or soil materials will be used unless purchased through a local supplier. Surface soil materials should be sufficient.

D. No access roads for construction materials are needed.

7. Methods for Handling Waste Disposal A. Cuttings will be retained in the reserve pit. B. Drilling fluids will be retained in the reserve pit. C. Any produced oil will be collected in a tank. If volume is

sufficient it will be trucked from the location. Any produced water will be retained in the reserve pit.

D. Chemical facilities will be provided for human waste. E. Garbage and other waste material will be collected in a trash

pit enclosed by small mesh wire. Combustable material will be burned in the pit and all residue buried at the conclusion of operations.

PLACED OIL COMPANY. ederal 3-15 SWSE Sec.3 - T11S-RIE I'M River County, South Dakota

Page 3

7. Methods for Handling Waste Disposal (cont) F. Upon completion of operations the area will be cleared of all

trash and materials. Such materials will he deposited on the appropriate pit, burned and buried.

8. Ancillary Facilities No camps or airstrips will be constructed.

9. Well Site La/put A. Plats of drill pad showing cuts and fills. See Diagrams I&II. B. Rig layout plan'showinftpuud tanks, pits, pipe racks,

trailers, soil stockpiles, etc. See Diagrams I&II. C. Rig orientation, parking areas and access road. See Diagrams I&II D. The reserve pits will not be lined.

10. Plans for Restoration of Surface A. In the event of a dry hole, pits will be allowed to dry and

then backfilled. Waste pits will also be backfilled. The location will be restored to as near original contour as possible and reseeded. Stockpiled topsoil will be used in the recontouring. All soils will be segregated with respect to combustability and be burned, buried or hauled away. In the event of a producing well, the pits will be fenced and any unused area will be restored.

B. Revegitation will be achieved by seeding according to BLM require-ments as to seed mixtures and procedures and as agreed to by the surface owner.

C. Pits will be fenced on three sides during drilling and on fourth side prior to rig release and maintained until leveling and cleanup are accomplished.

D. Rehabilitation operations will begin as soon as possible after the rig is off location. The pits will be allowed to dry and then backfilled. Reseeding will also take place at this time or as directed by the BLM. Rehabilitation should be completed within 12 months of the conclusion of drilling operations.

E. If oil is in or on pits, pits will be flagged overhead.

11. Other Information A. The topography of the area is gently rolling hills. Generally,

shale slopes prevail with sandy-clay loam. soil. The area is covered with sagebrush and native grasses. Fauna is principally livestock, rabbits, antelope and deer. No distinguishing geological features are present.

B. The primary surface use is grazing. The surface is owned by Robert E., Ronson, & Rodney A. Pfister.

C. Closest year-round water source is the Cheyenne River approximately 15 miles to the north. The nearest occupied dwelling is three miles northwest of location at the Pfister Ranch. No archeological, historical or cultural sites are known in the area.

PLACID OIL COMPANY - -ederal 3-15 SWSE Sec.3 - T11S-Ri- Fall River County, South Dakota

Page 4

12. Operator's Representative(s)

Jim Fish 2380 Beneficial Life Tower 36 South State Street Salt Lake City, Utah 84111

James Hein 410 Seventeenth Street Suite 2000 Denver, Colorado 80202

13. Certification I hereby certify that I, or persons under my direct supervision, have inspected the proposed drill site and access route; that I am familiar with the conditions that presently exist; that the statements made in this plan are, to the.best of my knowledge, true and correct; that the work associated with the operations proposed herein willjaislotesl by Placid Oil Company and its contractors and subcontractorsLin con-formity with this plan and the terms and conditions under which it is approved.

August 3, 1981 14.ick LF GL

Kim Pilkington, AreA'Geologist

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Form 104—(Four on Township)

Scale:

c5-0

ti

N

6 Cs

TOPOGRAPHIC HAP

Fs

Pt CN

Grade - 3999 0

We Site = C 1.°

3 CO -

tcy LO -

Placirl Oil Corlony -P1-15 Federal 660 ifl 213o Sec. 5 T11S 7Cd_

c:?iver. Couray, Daftota by:' D. Lhoode:-, Powers Elevation

D T

1.1: .s 2X/4/ 6 Prr /o vr.op

Z1!

17eSexve fir /301 X7.5 1 9' 1,6zR

NORTHERN WYOMING DRILLING COMPANY

LOCATION LAYOUT

/ 3o°

receSerAnt 'ea/

rtL

-4

atiolieGA69 PAM if& NV) r.

inc,,Rorn

o 0 0 c3 ino 0 O

0

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fa

• 1

Scaic: 'Iorizontal - 1" 50' Vertical 1" - 10'

?lacid Oil Company #3-15 Federal 660 FS tx 2130 FE Sec. 3 T11S RlE Fall 2iver County, South Dakota

4

D1PGROM DI

'Jr

260'

250'

Tank Battery

WELLSITE

Treater

O Production

Pit

80'

RESERVE PIT

240'

150'

20' V

Scale: 1'1 = 50' 100'

Arib oiL COMPANY DENVER 2 I.=

DIAGRAM IV

PRODUCTION FACILITIES

SANIIAIII AIM / SI110da2l IflODS

/ NIMIDadSNI IrlaM

NO WELL INSPECTION, SCOUT

REPORTS, OR FILE REVIEWS FOR THIS WELL AS OF 11/4/2011

SdVW / ST110(1111 1VDINHDIT SG2IOLIVI1ad0

RUN 1 TLI: 818'

2 FROM:3338'

1 TLI: 818' 1 2850' 1 2850' 1 2850' 1 2850' 1 818' 1 FROM:3375'

BLI: 3394'

TO: 3346'

3376' 3370' 3400' 3400' 3400' 3402'

TO: 3300.0'

PLACID OIL COMPANY Federal, Well #3-15 Alum Creek Field Sec. 3, T11S-R1E Fall River Co., S.D. (Working Interest)

SUMMARY

Location:

Date Spudded:

TD:

Elevation:

Casing Record:

Completed As:

Date Completed:

Date TD Reached:

LOGS RUN:

BOREHOLE COMPENSATED SONIC LOG: CASING COLLAR LOG & PERFORATING RECORD: COMPENSATED NEUTRON FORMATION DENSITY: COMPUTER PROCESSED LOG: CONTINUOS DIPMETER: CONTINOUS DIPMETER:(1X.33X20X2) CONTINOUS DIPMETER:(4x2x40x2) DUAL INDUCTION-SFL GEODIP

660' FSL & 2130' FEL; Sec. 3, T11S-R1E

11-22-81

3437' MD & TVD

3990' GL

8-5/8" 24# @ 834' 5-1/2" 15.5# @ 3457'

Oil Well

12-16-81

12-03-81

ADMINISTRATIVE / SUNDRY REPORTS

SD EForm - 0442 V1

i;94**411DEPARTMENT of ENVIRONMENT and NATURAL RESOURCES

Minerals & Mining Program - Oil & Gas Section fe.) \ 2050 West Main, Suite #1, Rapid City, SD 57702-2493 Z. 11. Telephone: 605-394-2229, FAX: 605-394-5317

T FACES. GREATPlACES.

WAIVED DEC 0 3 2012

DEPT OF ENVIRONMENT & NATURAL RESOURCES - RAPID CITY

SUNDRY NOTICE AND REP Operator Name Telephone

Citation Oil & Gas Corp. 281-891-1564

Address

P.O. Box 690688, Houston, TX 77269-0688

Permit # API No. Well Name and Number Location (Qtr-Qtr, Sec, Twp, Rge, County)

1150 40-047-20131 Alum Creek Unit 3-15 SW SE Section 3, TlIS-R1E, Fall River County

Notice

❑

❑ ❑

❑

❑

Pull,

❑

Perforate

of Intention To: Subsequent

Temporarily Abandon Plug and Abandon

Alter, or Test Casing

Acidize Fracture Treatment Squeeze Cement Other

Report of : Request for change of:

❑ Drilling Progress F Location ❑ BOP Pressure Test/Program Elevation ❑ Gas/Oil Ratio ❑ Producing Method ❑ Work-Over (Perf, Frac, Acidize) ❑ Producing Formation ❑ Shut-In Pressure ❑ Injection Pressure ❑ Spill ❑ Injection Volume

Mechanical Integrity Test ❑ Injection Fluid Other Update Well Record Other ❑ 177

Describe Proposed or Completed Operations (clearly state all pertinent details, and give pertinent dates, including estimated date of starting any proposed work). Use additional page(s) if appropriate.

Citation Oil & Gas Corp. request the State to update well records to show the well name and number correction from Alum Creek Federal 3-15 to the current well name and number Alum Creek Unit 3-15.

I hereby certify that the foregoing as to any work or operation performed is a true and correct report of such work or operation.

C--.Tami Troxel Permitting Analyst 11/29/2012

Signature Name (Print) Title Date

FOR OFFICE USE ONLY

Approved by: Title: Date:

Conditions, if any:

SD EForm - 0439 V1 DEPARTMENT of ENVIRONMENT and NATURAL RESOURCES FORM 4

Minerals & Mining Program - Oil & Gas Section RECEIVED 2050 West Main, Suite 61, Rapid City, SD 57702-2493 Telephone: 605-394-2229, FAX: 605-394-5317

JUL 1 6 71110

DEPT OF ENVIRONMENT & NATURAL RESOURCES - RAPID CITY

WELL COMPLETION OR RECOMPLETION REPORT Type of Completion:

Oil Well Gas Well "'Injection Workover Deepen Plug Back

of Operator:

& Gas Corp. P.O. Box 690688, Houston, TX 77269

of Drilling Contractor and Rig No:

of well: Qtr-Qtr, Sec, Twp, Rge, County, feet from nearest lines of section,

2130" FEL; SW SE; Section 3, T 11S RIE

top of pay and bottom hole location from nearest lines of section:

N/A

Other CONVERSION

Name and Address

Citation Oil

Name and Address

Surface Location

660' FSL &

I i Directional,

Telephone

(281) 891-1000

and latitude and longitude (if available):

(-er-se..e //— 2-e) C5 9

Well Name and No.

ALUM CREEK 3-15

Field and Pool, or Wildcat

Alum Creek -2nd Leo

Permit No

112009

API No.

40-047-20131

Date Issued

3/9/2010

Spud Date

11/22/1981

TD Date

12/3/1981

Compl Date

7/6/2010

Elevation

3990

Total Depth (MD & TVD)

3,457

Plug Back TD (MD & TVD)

3,414

Producing Interval(s), this Completion, Top, Bottom, Name (MD & TVD)

3332' - 3338' 3338' - 3362'

No. of DST's Run

(see page 2)

Was Well cored? FA No QYes List Intervals:

Type Electric and Other Logs Run: Date Directional Survey Submitted

CASING RECORD Re ort all strings set in well Hole Size Casing Size Weight (16/11) Depth Set Amount Pulled Sacks and Type of Cement Top of Cement

12-1/4" 8-5/8" 24# 818' 0 200 Surface 7-7/8" 5-1/2" 15.5# 3457' 0 400

1 TUBING RECORD

LINER RECORD Size

2-'/8"

Weight (Ibift) Depth Set

3385'

Packer Type & Depth Size Depth Interval Sacks and Type of Cement

PERFORATION RECORD Interval/Depth Holes Per Ft. Formation

Isolated Amount and Type of Cement used (indicate if squeeze cemented). Amount and Type of Acid and/or Sand used. Use additional page(s) if needed.

Continued on Next Page

I hereby certify that the information herein provided is true, complete, and correct as determined from all available records.

Michelle Wolz

Permitting Analyst 7/12/2010

Signature Name (Print) Title Date

FOR OFFICE USE ONLY

Title: Date: ,UL 1 2010

1-7 Drill Stem Test Results Attached

If not attached, list Depth Interval Tested, Cushion Used, Time Tool Open, Flowing and Shut-in Pressures, and Recoveries.

Use additional naue(s) if needed.

Well Completion or Recompletion Report — Form 4 Page 2

PRODUCTION Date First Production Producing Method (Flowing, gas lift, pumping - size and type of pump)

injecting

Well Status (Producing or shut-in)

Water Injecting

Date of Test Hours Tested

Choke Size

Production For Test ,—

Oil (Bbls) Gas (Mcf) Water (Bbls & %)

Oil Gravity - API (Corr.)

Flowing Tbg Pressure Casing Pressure

Calculate 24 Hour Rate —)

Oil (Bbls) Gas (Mcf) Water (Bbls & %)

Gas-Oil Ratio

Disposition of Oil (Purchaser and Transporter), and Gas (sold, used for fuel, vented, etc.) lest Witnessed Itv

List of Attachments/Comments

Pumped 35.7 bbls 15% HCL w/additives. Pumped 25 bbls PW for displacement on vac. Well injecting on 7/6/10.

GEOLOGIC MARKERS FORMATION NAME AND BRIEF DESCRIPTION MEASURED DEPTH TRUE VERTICAL DEPTH

Use additional page(s) if needed. DRILL STEM TEST DATA

Sf SEC. TWP. RGE.

SW SE, Sec 3, T11S, R1E

SUNDRY NOTICES AND REPORT ON WELLS

FARM OR LEASE NAME

Federal WELL NO.

fax0IL WELL ❑ GAS WELL ❑

OPERATOR

Placid Oil Company ADDRESS

3-15 FIELD AND POOL OR WILDCAT

Alum Creek

NO. ACRES Es1 LEASE

❑ DRY

1601 Elm Street, Suite,3800, Dallas, TX 75201 LOCATION (In feet from nearest lines of section or legal subdivision. when possible)

660' FSL & 2130' FEL, Section 3, T11S, R1E

2239.9

COUNTY

Fall River

ELEVATIONS (D.F.. LLB.. GRD.. etc.; how determined)

GRD = 3990'; RKB = 3998'

GAS Br

ED OF THE TE OF SOUTH DAKOTA

'7 „_ -6111Pm=r7--

DO NOT WRITE BELOW ENE

Oak. on ai Gas Board FORM I

INDICATE BELOW BY =ECK MARX NATURE OF REPORT. NOTICE OR OTHER DATA NOTICE OF INTENTION TO: SUBSEQUENT REPORT on

TEST X WATER SHUTOFF SHOOT OR ACIDIZZ WATER SHUTOFF SHOOTING OR ACIDIZING il-Xx _ FRACTURE TREAT_,REPAIR WELL FRACTURE TREA.TMENT REPAIRING WELL

MULTIPLE COMPLETE PULL OR ALTER CASING ALTERING CASING 1— (Note: Report results of multiple completion on Well ABANDON Completion or Ftecompletion and Log Form—Form 4)

DESCRIBE PROPOSED OR COMPLETED OPERATIONS (Clearly state all pertinent details, and give pertinant dates, Including estimated date of starting any proposed work)

Well 3-15 was acidized with 1500 gallons of 15% FE acid on August 25, 1993. The acid was pumped from the surface with the well on a vacuum. The well was returned to pump following the work.

I hereby certify j at the foregoing as to any work or operation performed la a true and correct report of such work or operation_

SIGNED au TrIME Manager, Operations DATE 9-10-93 Antoine Gau rea>L

OCT 19 1993 App ro yea

Date

CONDITIONS. IF ANY:

SUNDRY NOTICES AND REPORT ON WELLS

FARM OR LEASE NAME

Federal

WELL N6

Ea OIL WELL ❑ GAS WELL ❑

3-15 FIELD AND POOL. OR WILDCAT ❑ DRY

OPERATOR

Placid Oil Company ADDRESS

3900 Thanksgiving Tower, Dallas, Texas 75201 LOCATION (In feet from nearest lines of section or legal subdivision. where posalb/e)

660' FSL and 2130' FEL; Sec. 3, T11S, R1E ELEVATIONS (D.F.. RE.B.. R.T.. GRD., etc.; how determined)

3998 RKB; 3990 GRD

Alum Creek NO. ACRES LN LEASE

2239.9 ti % SEC. TWP. ROE.

SW SE; Sec. 3, T11S, R1E COUNTY

Fall River

I hereby certify that the foregoing u to any work or operation performed Is a true and correct report of such work or operation.

SIGNED TITLE Reservoir Engineer

Approved JUN 'I 3 1986

Data

CONDITIONS. IF ANY:

. ..11.1 FIELD .,,,r%\ j

..N ref:ICF I.) ' c ,. .4.-,I,r.

' .̀-2-z::-........)■-, -

fi. Dak. Oa • Gan Board • I • . • FORM ft

INDICATE BELOW BY CIUDCE MARX NATURE OT REPORT. NOTICE OR OTHER DATA NOTICE OF INTENTION TO: SUBSEQUENT REPORT OF:

SHOOT OR ACID= WATER SHUT-OFT --1

SHOOTING OR ACIDIZING

REPAIR WELL FRACTURE TREAT/A:12ff REPAIRING WELL

PULL OR ALTER CASING Add Perforations X ALTERING CASING

TEST WATER SHUT-OFF

FRACTURE TREAT

MULTIPLE COMPLETE

ABANDON

(Note: Report results of multiple completion on Well Completion or Recompletion and Log Form—Form 4)

DESCRIBE PROPOSED OR COMPLETED OPERATIONS (Clearly data all pertinent details, and give pertinent dates. including estimated date of starting any proposed work)

On June 4, 1986 perforations were added from 3332'-3338' (MD), at four (4) shots per foot. Original perforations were from 3338'-3362' (MD). All perforations are in the Second Leo Sand.

16 eat.C13.•Ita 111•••••• Ina

cum. ,sestet

300

Mt 00)? PSO•CCTS1111 I 7,10514-110111157000 (rkkek•,114, Wi. p••pfoo—ASS osi Ann oi poop)

12/17/81 •••-■1111.11.

me. soma Nam I

220 111•11111111•11•• sal Vented

Pump - 21/4"x2"x121 rod pumps

11 0713-101. 1 144

Sib imams-an 4151111. Oda—MN. 16 •

Producing__ 1111.7111-41,L. ••••011.14010

1 Rem. 14o )

novas (Proiesiao ou

1 34 De . 17100 W1111••••• ST

Don Jacobs

NImmomm 2/9/82

1101:10.1141210 caoss etas sass's. roe oia—isas. nay mom 24 Adj 111

•

lam s.gas ass. 11.10) MAD= DI DOPLIC►

OW stair Is• otroctiomo on room. Als)

UNITED STATES DEPARTMENT OF THE INTERIOR

GEOLOGICAL. SURVEY

DOCKET NO. EXHIBIT NO. 3

I. Lassa ausasamoo 4as mu& M.

M 28041

WELL COMPLETION OR RECOMPLETION REPORT AND LOG * S. s. 111111u.411.1.011125 •• UMW MUM

N/A la. TYPE OF WELL,

fill.‘ IIEI LILL 0 ► MS OF COMMOTION'

I= K3 :.°V D l'ir1:1 It:: O

MT 0 OUbsr T. DPW masa/tau sum N/A

:17.%. 0 Other L rasa as Lassa imam

Federal I. lams •• arassies Placid Oil Company .. Ira&A m.

3-15 a. *muss ow •111111•104 2300 University Club Bldg. S.L.C. Utah 84111 io. rata 11•1/1111•1.. SS Itasca

Alum Creek-2nd Leo LOCATION • 111.1.1.( (per car

■RI sagfaes 660 FSL 4 2130

MU, US& Isamu/ inuortal Wow

Lt Mal Sea Same as above

so in mom sue 1 ono solo no

FEL; Soc. 3, T11S, itlE ve..t"11.. U. OS butt MID SUM Oa MU

S.W.S.E., S.C. 3, T11S,

IL PA corm ea nua M.

Fall River S.D.

Fa 1111121111111. DAVI MUM

1150 1 8/17/81 m. sass mums

11/22/81 1 It MU T., ISAMU

12/3/81 IT. Dna ware. (1•11.1, k Wad-)

I 12/16/81 IL surrnons too. us, as. ea. an.),

3990 GL MOAT' Callafill"

3990 GT- It nut aria. ma • au

3437 MD 1 TVDI 11. Pb S. •••• Ira.. No • fro

3413 U.17 NCL711,14 COM..

sow mom U. 11177.1114.1A MASI lams

--.110 1 3437 uoul mow

I . iirituremon•L

Yes

id. ••••Cano urturm,(0), so ma cOrriessoo—tot, emus. Noma (Na As flooP

2nd Leo 3338 - 3362 MD & TVD ?In siactate sus mina Loss its

fir. was 111111.1. MUD

DLL-MSFL-CNL-FDC-BHC Sonic-Diplog No SS. CASING RECORD (Rep•r1 on 'Irises N115 eon)

C6•1•0 $115 • 11•111T. 1011?. *arra mu IMO IM AS WU et161.1rT1111 MUD 11111•0111. MU• 8 5/8 24 834 12 1/4 00 sx HLC -200 sx "G" Non

00 sx HLC-4657171Wr None , L/d 15.5 345/ 7 7/8

m. LINER RECORD se. TUBING ascoab mu Tee Ma) 110r14011 01M &WM mare mmus 100 am Marra au (m) masa an MO

2 7/8"- 3385 6.5-lb. `

None

li. Iwo/saws 11BCOSS (1111.771147i8. Ml essiber)

3338 - 3356 with 2 apt, .40" holes

3356 - 3362 with 4 spf, .40" holes

U. ACID. 81107. rRacnras. CEMENT SQUIRM NM •SPT• INTSIML (1n) 411101-111 •111010* NO/ aseruou. son

13.. PRODUCTION

LIST so amassers,

Schlumberger well logs have been submitted. M. 1 barley out* that tio Isms awl attash.4 latarratios Is amplet• sad- esersel as Iletenatae4 1,.si ail 'WIWI Mira

• .ION Drilling Engineer =Li DAT!' 44.4/1P ft-

'roes ladnatioas end Soma let A41e1itio0.1 Dote es Rem.. SAO

Page 15

INSTRUCTIONS

TM fens Is descigsed for esteallttina a complete als4 correct well cols14,4144 re Port and lot sel ell (flee at lauds sod leases to either • Federal 'racy or s State agncy,

\ of both, pnuRat to applicable Federal lled/or Kate laws sod regolatimo. Amy necessary special Instrectin coocerniag the sew at this In aid the ireanber elf coulee to be

sittaitted. pariiestorty with nom to loom, trot or roctotsl procedures sad practices, either are Moon below or will be Issued by, er Nay be obtained free, the local Federal

, and/or State office, See lastrectlow ea items 22 and 24. and 33, below regarding separate retorts for setsante olmPlet/o•a- --, ' If tot Bled prior to the time this onntnary record Is whaatted. copies of all currently 'callable logs (drillers, geologists, ample god eon •nfirok

art types tdoctok, otot boom-

lice and pressure texts, sad dIrectiessal sweeps avoid be attached hereto, to the eatest required by applicable Federal and/or State laws and regulatioss AS attachments

strosid be Soled on this Icon see Item SL Item 4: If then are se applicable State respirementa, keratin an Federal or Indian land should be descrIbed Ia anordarce with Federal reewiresseWS Commit Meal State

or Federal once for specific Isetractin Mn IS: unbent ohims ok.rotiou Is used as truest (where ant otherwise shown) for depth mearcareineola ghee is ether awes as this form sad is say •ttacbssente

eta, 12 as 24: II this well is completed for separate pc-Wattles from more this sue interval wee (multiple compietios), se Mate is item V. and is Item 24 oboe the prodertug

istrreal, Of Interests lop(s), bottwe(e) tad nasse(•) (It mu) for sal; the interval repotted Is Item U. Submit a separate report (pave) as this form, adequately identified.

I.- each oddiussol fattens{ to be separately predu•ed, showing the additional data pertioent to such loterrat.

tti Becks Colmar: Attached espplemestal records fee this well should show the details of any multiple stage cessenting era the kettle tbe enoesttos tool

its Submit a separate compietioo report on this form hr each Sterne to be separately prodeced. (Bee inetractlon for items 22 mid 24 above)

RT. SUMMARY OF POtOt'l SON= : now ALL tot rgatWIT sena sr POSee

11111111•••L run, Cellar too. acres

AIM SI& moans min nectesom IIIROLOO IC tarns RI Vie COMMT111 ranee ; CO IIIIMETAla ,

tits Telt errs. IPIAMIN, SA 11/1117T-1111 MSOOILIti, an 11111Cervelitte

IVANfli. We IeTTMI IarltIMIS, Cifretrrt wit In MI Ter

Eta 1Pre tin Vitt wow

Red Marker 2nd Leo

• ,

— -

3215 3324

Same •

ors wain

CORRESPONDENCE

NO CORRESPONDENCE FOR THIS WELL AS OF 11/4/2011

MISCELLANEOUS

NO MISCELLANEOUS INFORMATION FOR THIS

WELL AS OF 11/4/2011