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HomeMy WebLinkAboutR-2015-079 2015-05-11RESOLUTION NO. R2015-79
A Resolution of the City Council of the City of Pearland, Texas,
authorizing an Oil and Gas Drilling Permit for Denbury Onshore in the
vicinity of SH35 and Hastings Oil Field.
BE IT RESOLVED BY THE CITY COUNCIL OF THE CITY OF PEARLAND, TEXAS:
Section 1. That Denbury Onshore has submitted the Oil and Gas Drilling Permit
attached hereto as Exhibit "A".
Section 2. That Denbury Onshore has complied with the requirements of the City
Oil and Gas Ordinance.
Section 3. That the City Council hereby approves as Oil and Gas Permit for
Denbury Onshore.
PASSED, APPROVED and ADOPTED this the 11th day of May, A.D.. 2015.
ATTEST:
NG LI TR
SECTARY
APPROVED AS TO FORM:
DARRIN M. COKER
CITY ATTORNEY
PI -7
TOM REID
MAYOR
''',''11111 1 11 ONO''``
Denbury 0
March 11, 2015
City of Pearland
Young Lorfing, City Secretary
3519 Liberty Drive
Pearland, TX 77581
Re: Denbury Onshore, LLC
Oil & Gas Well Permit to Drill Application
Hastings Community Lease
HCL #1402R
Mr. Lorfing,
RESOLUTION NO. R2015-79
Exhibit "A"
Sent Via Federal Express
7731 0226 8930
Denbury Onshore, LLC respectfully submits two copies of the enclosed oil and gas permit to drill
application for the HCL #1402R. Please note Denbury plans to utilize an existing hole that was drilled
alongside the HCL #1402 to perform plugging operations Due to problems with the wellbore. the only
way to access and properly plug this well was to drill a new hole alongside the existing well and pump
cement into the old casing.
This was successfully accomplished in December 2014 and at the time Denbury had not evaluated the
new hole for any use other than to plug the existing well. However, we now see an opportunity to utilize
the new hole as a potential oil producer. By using the existing hole that was drilled as a means of
plugging HCL #1402 rather than drilling a completely new well, Denbury would be able to reduce surface
disturbance as well as reduce the amount of time that a rig would be active on the location. The hole
would only need to be deepened by approximately 500'.
Please contact me at 972-673-2778 if you have any questions or need additional information.
Sincerely,
Eric Linthicum
Regulatory Specialist
Enclosures
1 Denbury Resources Inc. 5320 Legacy Drive • Plano, Texas 75024 • Tel 972 673 2000 • denbury.com
1 Subsidiaries Denbury Onshore, LLC • Denbury Green Pipeline Texas LLC • Oenbury Gulf Coast Pipelines. LLC • Denbury Pipeline Company LLC
PAY EXACTLY 1
$2,500.00
EC S '_' ' ` O ` •' C7 E P • PER ITH TRUE ATERMARKS & VISIBLE FIBERS ON FRO, & BACK. VOID SECURITY' BACKGROUND AND MICROPRINT_SIGNATURE LINE
PAY TO
THE
ORDER OF
DENBURY
5320 Legacy Drive
Plano, Texas 75024-3121
Two thousand five hundred and 00/100 Dollars
CITY OF PEARLAND
3519 LIBERTY DRIVE
PEARLAND, TX 77581
JPMorgan Chase Bank, NA
San Angelo, Texas
88-88/1113
`ATE
11/06/2014
CHECK NO.
0000666468
ezi4/-44-‹
at
VENDOR NO. :
VENDOR NAME:
11'000066646811' I: L L 13008801: 931,996037e
1070059630
CITY OF PEARLAND
DENBURY ONSHORE LLC
PLANO, TX
DATE:
CHECK #:
11/06/2014
0000666468
VOUCHER TOTAL PRIOR PMTS NET
NUMBER VENDOR INV # INV DATE COMMENT AMOUNT & DISCOUNTS AMOUNT
9100215574
103114CP
10/13/2014
DRILLING PERMITS
2,500.00
2,500.00
TOTAL INVOICES PAID
52,500.00
City of Pearland
Drilling Permit Application
Attn: Young Lorfing, City Secretary
Date: March 11, 2015
Applicant: Denbury Onshore, LLC
5320 Legacy Drive
Plano, Texas 75024
A Delaware, Limited Liability Corporation
Location: Hastings Community Lease #1402R
Northing (Y)=632.451.82" Easting (X)=3,188,092.23
(Texas State Plane, NAD 27, Texas South Central)
Well Type:
Surveyor's Plat attached as Exhibit: A
This well will be drilled to a proposed total depth of 6500'.
Once this well is drilled and completed, it will be utilized as either
an oil producer or injection well. This well will be completed within
the Frio Complex of sands.
5. Well Plan and Casing Program: Attached as Exhibit: B
Start Date: Proposed April 15, 2015, but will commence ASAP after City
permit is obtained.
Access: All access to the drill site will be off of State Hwy 35 and private
company owned and maintained lease roads. No City streets will be utilized.
Pipelines: The new pipeline to serve this well wi'.1 follow existing pipeline
routes exiting the subject tract to the West and leaving the City limits to the West
within 150' from the new well location.
9. Rig Type: Workover
10. Interest Owners: Attached as Exhibit: C
13. Fencing: Nc additional fencing will be installed, as the location is on
private property behind existing fences with gated entry.
14. Restoration:
75% of the drill pad site will be stripped of its base rock to
be used in other area of the field for road and other sites.
The cleaned area will be reseeded and allowed to return
to pastureland.
1
ADDITIONAL ATTACHMENTS
Exhibit Description
E Surveyor's Plat showing 1000' Radius from Wellbore
F Texas Railroad Commission Form W-1
G Survey of Public Road Impact
H Environmental Report
Oil and Gas Lease for Tract 12
J Standard Drilling Contract
K Copy of Operating Agreement for WHU
L Texas Water Board Letter
Applicants Comments:
As part of this application, Denbury respectfully requests that special
consideration and exceptions be considered by the City Council. In Article 2,
Section 21-26 of the City's Drilling Ordinance, it states that the council may
exempt the applicant from certain requirements found within the ordinance. We
have the following requests for exemption.
Art III, Section 21-40: ...no tripping operations between lOpm and 7am
Art III, Section 21-39: Permitted Hours for delivery and removal of material
Normal time for drilling in this field requires 18-24 days of drilling operations.
Due to the fact that the ordinance specifies a closed mud system instead of the
conventional open reserve pits, the delivery of drilling mud/additives and the
removal of excess drilling fluids cannot be safely restricted to daylight hours only.
If these materials are required, they are typically ordered as needed as the
borehole conditions dictate. Storing these materials at the drill site would require
construction of a larger pad and additional disturbance to the owner's surface
acreage.
The same concern surrounds the restriction of tripping operations between the
hours of 10 pm and 7 am. The necessity for making such trips is determined by
the condition of the equipment and wellbore. The shut down of drilling operations
for 9 -hour periods each night would extend the overall drilling time as much as 35
2
percent and risk the integrity of the open hole during the time drilling is
suspended. This extension of rig time is not only an extension of the length of
potential disruption to nearby residents, but it would add a considerable amount
to the costs associated with the drilling operations. In addition, safety risks are
added by leaving the drill string and equipment downhole while suspending
drilling and tripping activities.
The location of this well is in a sparsely developed area and more than 1500'
from the nearest residence. Due to this distance. disturbances to any residents
from 24-hour drilling operations would be very low.
Your consideration of exemptions to these two ordinance requirements is
appreciated.
APPLI
TS SIGNATURE Date
Eric Linthicum
Regulatory Compliance Specialist
Denbury Onshore, LLC
972-673-2778
Eric Linthicum@Denbury.com
3
EXHIBIT
i
SURVEYOR'S PLAT
Imin
es
SURVEY Litt
J
z
w
HASTINGS COMMUNITY LASE LINEN
SURVEY UNE
Hoehn q" Conm„mty
303.93 Acre,
z
203
C 0' 1402R
b NCL 10 10 02 B1eL
(
167 to West
Survey Lino
1' to West_
199' to South
Unit Line
H.T.&B. RR
SECTION 27
A-308
G.C. SMITH
SECTION 30
A— 552
11
1s
c :vino W.
'p.nbury °natw(.. U.C.
Meeh v Comm. -Ay Loc. 1002
HASTINGS
COMMUNITY LEASE UN
WEST HASTINGS UNIT UNE
HASTINGS COMMUNITY
LEASE UNE
G.C. SMITH
SECTION 28
A-551
SURVEY UNE
H.T.&B. RR
SECTION 29
A-292
0 1000
•
Propsed Well
'Denbury Onshore, LLC,
Hastings Community Leaee
No. 1402R`
Surfoce Hole Location
Elevation 43.4'
Y: 632.451.82'
X: 3,188,092.23'
Lotitude: 29.520596 N
Longitude 095.263581 W
2000
1"=1000,
W.M. SNIDER
A — 370
ELLIS SURVEYING SERVICES
8419 Emmett F. Lowry
Texas City, Texas 77591
409.938.8700
Texas Registration No. 100340.00
1
\
A.C.H.& 8.
SECTION 1
A — 4 1 6
NOTES:
1. COORDINATES AND BEARINGS BASED ON GRID NORTH
TEXAS PLANE COORDINATE SYSTEM SOUTH CENTRAL ZONE
(NAD 27).
2. WELL LOCATED N09.44'39"E" 2.0 MILES FROM THE CITY OE
PEARLAND CITY HALL
3. LEASE AND TRACT INFORMATION SHOWN HEREON IS
DONE 50 BY DEED RECORD INFORMATION ONLY AND
LIMITED SURVEY DATA AND DOES NOT REFLECT AN ACTUAL
SURVEY.
1, SCOTT D. ELWS, REGISTERED PROFESSIONAL LANO SURVEYOR NO. 6261,
DO HEREBY CERTIFY THAT THIS PLAT CORRECTLY REPRESENTS THE
PROPOSED WELL LOCATION AS SHOWN HEREON TO THE BEST OF MY
KNOWLEDGE AND BEUEF.
WELL LOCATION PLAT PREPARED June. 09.2014.
SCOTT D. ELLIS R.P.t.S
NO. 6261
PROPOSED WELL LOCATION PLAT
DENBURY ONSHORE, LLC
HASTINGS COMMUNITY LEASE
NO. 1402R
G.C. SMITH SURVEY
Section 28 A-551
BRAZORIA COUNTY, TEXAS
EXHIBIT
«B„
WELL PLAN AND CASING PROGRAM
Danbury 6
Currently Selected Schematic
HCl #1402R (TWINNING)
ars Li
95't5'49635"W
Most Recent Jot.
.ot
PI,p &Abandon
Rrrr/Jo) trot
Abandon Wel
Stcx'w, Jx TrR
plug and Abandon Operators
x -.e1
12/11/1014
M:n
12/21/2014
70: 6,400.0
Ongnal Hole 2/1623154 CO 42 Ptd
Vertical schematic (proposed.
Tudno 2 7/8. 6 SO: ,i-56. 18 27.888 6--
140C-6 4C0
--
40 --6400 Prod osedCement toner Cement
180-6 400 Proposed CementCementkua
n
T•i
0escnption.Conductor.0016: Wt'8400 GradeJ-
55: Depth (MD) -18.5-98.5
Description :Surlace:00:95/8. Wt. 36 00. Grade)
55 Depth (MD).18.46-1.208
5.433.5.436: Pert
5.458-5,461. Pert
—5 478.5.481: Perf
5 503-5.506: Pert
5.550-5.553: Peri
5 590-5.593. Perf
www.peloton.com
Page 131
Description :Production. 00:7: Wt.:23 00. GradeJ-
55: Depth (MD) 18.5.5.900
Dasa ption.Lrner: 00.5.' W1 18 00.Grade J-56
Depth (MD) 5.400-6,400
Report Pnnted: 2;162016
EXHIBIT
WORKING INTEREST OWNERS
WI Owners List
Denbury Onshore, LLC
5320 Legacy Drive
Plano, Texas 75024
Exxon Mobil Corporation
P.O. Box 4707
Houston, Texas 77210-4707
89.817400%
09.716680%
Private Individuals 00.046592%
EXHIBIT
"D„
DRILLING MANAGEMENT
Mark Menzies, Drilling Engineer
Office:
5320 Legacy Drive, Rm: 1.3.118
Plano, TX 75024
Email: mark.menzies()denbury.com
Ph: 972.673.2955
Education: Texas A&M University, Bachelor of Science in
Petroleum Engineering - 1998, plus numerous industry schools
and other training. Well Control certification is current through
August 2015 (Supervisory level).
Experience: 16 years of drilling experience in planning,
operations and wellsite supervision. Experience on vertical and
directional wells in the following areas: West TX, East TX, New
Mexico, Pennsylvania (Marcellus horizontal wells), North
Louisiana (Haynesville HTHP horizontal wells), South Louisiana
including onshore and inland waters, North Dakota
EXHIBIT
!! E l!
SURVEYOR'S PLAT WITH 1000' RADIUS
ZYCHUNSAT
SUf>OMSOV
VOLUME 29, PAGE 9,
B.CN.R.
H.T.t9. RR
SECTION 27
A- 309
O.C. SMITH
SECTION 28
A-551
LOT 173
ALEXANDER JOIN FATLY
TASTED PARMERSHP
PROPERTY D / 109395
ALEXANDER JOHN FAMILY
LLIITED PARTNERS!".
PROPERTY D / 178192
ALEXANDER JOHN EMILY
LIMITED PARTHERSI".
PROPERTY ID 1 1683915
MDU/IDER JOIN EMILY
LOTTED PARTNERS!".
PROPERTY D / 188394
ALEXANDER J01111 FMLY
LIMITED PARTNERSHIP
PROPERTY ID / 178192
M.D(NIOER JOHN FAMILY
LAMED PARTNERSHP
PROPERTY D / 178199
PROPOSED WELL
1402R
2.08 ACRE PAD SITE
H.T.l8. RR
SECTION 27
A-308
O'DAY PAT LRS ESTATE
PROPERTY D / 198409 A:
178239
VOL 205 PG 398 8.C.D.R.
MNi10 A IMO OCHO4 PEREZ
Prearty D % 178238
G.C. SMITH
SECTION 28
A-551
AKA
H.T.88. RR
SECTION 28
EXHIBIT
"F"
TEXAS RAILROAD COMMISSION FORM W-1
API No. 42-039-33219
RAILROAD COMMISSION OF TEXAS
FORM W-1 07/2004
Drill ingPermit A
790944
OIL & GAS DIVISION
PERMIT TO DRILL,
Permit Status: Approved
SWR Exception Case/Docket No.
APPLICATION FOR RECOMPLETE, OR RE-ENTER
This facsimile W -I was generated electronically from data submitted o the RRC.
A data is in RRC's Austin
certification of the automated available the office.
1. RRC Operator No.
215343
2. Operator's Name (as shown on form P-5, Organization Report)
DENBURY ONSHORE, LLC
3. Operator Address (include street, city, state. zip).
5320 LEGACY DRIVE
PLANO, TX 75024-0000
4. Lease Name HASTINGS COMMUNITY LEASE
5 Well No. 14028
GENERAL INFORMATION
6. l'urposc of filing (mark AI.I. appropriate boxes): i?7 New Drill • Recompletion • Reclass • Field Transfer 0 Re -Enter
0 Amended • Amended as Drilled (BHL) (Also File Form W -1 D)
7. Wellbore Profile (mark ALL appropriate boxes): ®Vertical • Horizontal (Also File Form W - III) III Directional (Also File Form W - I ID) IN Sidetrack
8. Total Depth
6400
9. Do you have the right to develop the 0•
minerals under any right-of-way ? Yes No 110.
Is this well subject to Statewide Rulc 36 (hydrogen sulfide area)? 0 Yes 173 No
?.SURFACE.LOCATIONAND.ACREAGE'INFORMATION ,.. .
11. RRC District No.
03
12. County
BRAZORIA
13. Surface Location ® Land ❑ Bay/Estuary III Inland Waterway • Offshore
14. This well is to be located 2 miles in a NE direction from Pearland which is the nearest town in the county of the well site.
15. Section
28
16. Block
17. Survey
I HT&B RR CO/SMITH, G C
18. Abstract No.
A-551
19. Distance to nearest lease line:
199 ft.
20. Number of contiguous acres in
lease, pooled unit, or unitized tract: 303.93
21. Lease Perpendiculars: 1261 fl from the W Zinc and 199 11 from the S line.
22. Survey Perpendiculars: 1664 11 from the S line end 167 n from the W line.
23. Is this a pooled unit? 0 yes A No
24. Unitization Docket No:
25. Are you applying for Substandard Acreage Field? • Ycs (attach Form W- 1 A) ® No
FIELD INFORMATION :' `List all fields ofanticipated completion including Wildcat List one zone.perline.
26. RRC
District No.
27. Field No.
28. Field Name (exactly as shown in RRC records)
29. Well Type
30. Completion Depth
31. Distance to Nearest
Well in this Reservoir
32. Number of Wells on
this kasc in this
Reservoir
03
39603001
HASTINGS, WEST
Oil Well
1
2036.00
3
BOTTOMHOLE LOCATION INFORMATION
is required for DIRECTIONAL HORIZONTAL, AND AMENDED AS DRILLED PERMITAPPLICATIONS
Remarks
Certificate*
I certify that information stated in this application is true and complete, to the
best of my knowledge.
Eric Linthicum, Regulatory Specialist Jul 03, 2014
9 ry p
[RRC STAFF Jul 28, 2014 10:12 AM): There have been problems identified with this permit (see problem letter
attachment). Notification sent.; [RRC STAFF Jul 28, 2014 3:11 PM]: Problems identified with this permit are resolved.;
(RRC STAFF Aug 6, 2014 7:28 AM]: There have been problems Identified with this permit (see problem letter attachment).
Notification sent.: [RRC STAFF Aug 6, 2014 9:47 AM]: Problems identified with this permit are resolved.; [RRC STAFF
Aug 6, 2014 9:47 AM): As per Eric Linthlcum: The Pat Oday #2 was PMA on 4/16/2014.
Name of filer Date submitted
(972)673-2778 eric.linthicumta7.denbury.com
RRC Use Only Data Validation Time Stamp: Aug 6, 2014 9:52 AM( Current Version)
Phone E-mail Address (OPTIONAL)
Page 1 of 1
Railroad Commission of Texas
PERMIT TO DRILL, RE -COMPLETE, OR RE-ENTER ON REGULAR OR ADMINISTRATIVE EXCEPTION LOCATION
CONDITIONS AND INSTRUCTIONS
Permit Invalidation. It is the operator's responsibility to make sure that the permitted location complies with Commission density
and spacing rules in effect on the spud date. The permit becomes invalid automatically if, because of a field rule change or the
drilling of another well, the stated location is not in compliance with Commission Feld rules on the spud date. If this occurs,
application for an exception to Statewide Rules 37 and 38 must be made and a special permit granted prior to spudding. Failure to do
so may result in an allowable not being assigned and/or enforcement procedures being initiated.
Notice Requirements. Per H.B 630, signed May 8, 2007, the operator is required to provide notice to the surface owner no later than
the 15th business day after the Commission issues a permit to drill. Please refer to subchapter Q Sec. 91.751-91.755 of the Texas
Natural Resources Code for applicability.
Permit expiration. This permit expires two (2) years from the date of issuance shown on the original permit. The permit period will
not be extended.
Drilling Permit Number. The drilling permit number shown on the permit MUST be given as a reference with any notification to the
district (sec below), correspondence, or application concerning this permit.
Rule 37 Exception Permits. This Statewide Rule 37 exception permit is granted under either provision Rule 37 (h)(2)(A) or
37(h)(2XB). Be advised that a permit granted under Rule 37(h)(2)(A), notice of application, is subject to the General Rules of
Practice and Procedures and if a protest is received under Section 1.3, "Filing of Documents," and/or Section 1.4, "Computation of
Time," the permit may be deemed invalid.
Before Drilling
Fresh Water Sand Protection. The operator must set and cement sufficient surface casing to protect all usable -quality water, as
defined by the Railroad Commission of Texas (RRC) Groundwater Advisory Unit (GWAU). Before drilling a well, the operator
must obtain a letter from the Railroad Commission of Texas stating the depth to which water needs protection, Write: Railroad
Commission of Texas, Groundwater Advisory Unit (GWAU), P.O. Box 12967, Austin, TX 78711-3087. File a copy of the letter
with the appropriate district office.
Accessing the Well Site. If an OPERATOR, well equipment TRANSPORTER or WELL service provider must access the well site
from a roadway on the state highway system (Interstate, U.S. Highway, State Highway, Farm -to -Market Road, Ranch -to -Market
Road, etc.), an access permit is required from TxDOT. Permit applications are submitted to the respective TxDOT Area Office
serving the county where the well is located.
Water Transport to Well Site. If an operator intends to transport water to the well site through a temporary pipeline laid above
ground on the state's right-of-way, an additional TxDOT permit is required. Permit applications are submitted to the respective
TxDOT Area Office serving the county where the well is located.
*NOTIFICATION
The operator is REQUIRED to notify the district office when setting surface casing, intermediate casing, and production casing, or
when plugging a dry hole. The district office MUST also be notified Witte operator intends to re-enter a plugged well or
re -complete a well into a different regulatory field. Time requirements are given below. The drilling permit number MUST be
given with such notifications.
During Drilling
Permit at Drilling Site. A copy of the Form W-1 Drilling Permit Application, the location plat, a copy of Statewide Rule 13 altemate
surface casing setting depth approval from the district office, if applicable, and this drilling permit must be kept at the permitted well
site throughout drilling operations.
*Notification of Setting Casing. The operator MUST call in notification to the appropriate district office (phone number shown the
on permit) a minimum of eight (8) hours prior to the setting of surface casing, intermediate casing, AND production casing. The
individual giving notification MUST be able to advise the district office of the drilling permit number.
Page 1 of 4
*Notification of Re-completion/Re-entry. The operator MUST call in notification to the appropriate district office (phone number
shown on permit) a minimum of eight (8) hours prior to the initiation of drilling or re -completion operations. The individual giving
notification MUST be able to advise the district office of the drilling permit number.
Completion and Plugging Reports
Hydraulic Fracture Stimulation using Diesel Fuel: Most operators in Texas do not use diesel fuel in hydraulic fracturing fluids.
Section 322 of the Energy Policy Act of 2005 amended the Underground Injection Control (UIC) portion of the federal Safe
Drinking Water Act (42 USC 300h(d)) to define "underground Injection" to EXCLUDE " ...the underground injection of fluids or
propping agents (other than diesel fluel5) pursuant to hydraulic fracturing operations related to oil, gas, or geothermal production
activities." (italic and underlining added.) Therefore, hydraulic fracturing may be subject to regulation under the federal UIC
regulations if diesel fuel is injected or used as a propping agent. EPA defined "diesel fuel" using the following five (5) Chemical
Abstract Service nutnbers: 68334-30-5 Primary Name: Fuels, diesel; 68476-34-6 Primary Name: Fuels, diesel, No. 2; 68476-30-2
Primary Name: Fuel oil No. 2; 68476-31-3 Primary Nmae: Fuel oil, No. 4; and 8008-20-6 Primary Name: Kerosene. As a result, an
injection well permit would be required before performing hydraulic fracture stimulation using diesel fuel as defined by EPA on any
well in Texas. Hydraulic fracture stimulation using diesel fuel as defined by EPA on a well in Texas without an injection well permit
could result in enforcement action.
Producing Well. Statewide Rule 16 states that the operator of a well shall file with the Commission the appropriate completion
report within thirty (30) days after completion of the well or within ninety (90) days after the date on which the drilling operation is
completed, whichever is earlier. Completion of the well in a field authorized by this permit voids the permit for all other fields
included in the permit unless the operator indicates on the initial completion report that the well is to be a dual or multiple
completion and promptly submits an application for multiple completion. All zones are required to be completed before the
expiration date on the existing permit. Statewide Rule 40(d) requires that upon successful completion of a well in the same reservoir
as any other well previously assigned the same acreage, proration plats and P -15s (if required) must be submitted with no double
assignment of acreage.
Dry or Noncommercial Hole. Statewide Rule 14(b)(2) prohibits suspension of operations on each dry or non-commercial well
without plugging unless the hole is cased and the casing is cemented in compliance with Commission rules. If properly cased,
Statewide Rule 14(b)(2) requires that plugging operations must begin within a period of one (I) year after drilling or operations have
ceased. Plugging operations must proceed with due diligence until completed. An extension to the one-year plugging requirement
may be granted under the provisions stated in Statewide Rule 14(b)(2).
Intention to Plug. The operator must file a Form W -3A (Notice of Intention to Plug and Abandon) with the district office at least
five (5) days prior to beginning plugging operations. If, however, a drilling rig is already at work on location and ready to begin
plugging operations, the district director or the director's delegate may waive this requirement upon request, and verbally approve
the proposed plugging procedures.
*Notification of Plugging a Dry Hole. The operator MUST call in notification to the appropriate district office (phone number
shown on permit) a minimum of four (4) hours prior to beginning plugging operations. The individual giving the notification MUST
be able to advise the district office of the drilling perrnit number and all water protection depths for that location as stated in the
Texas Commission on Environmental Quality letter.
PI IONE
(512) 463-6751
DIRECT INQUIRIES TO: DRILLING PERMIT SECTION, OIL AND GAS DIVISION
Page 2 of 4
MAIL:
PO Box 12967
Austin, Texas, 78711-2967
RAILROAD COMMISSION OF TEXAS
OIL & GAS DIVISION
PERMIT TO DRILL DEEPEN, PLUG BACK, OR RE-ENTER ON A REGULAR OR ADMINISTRATIVE EXCEPTION LOCATION
PERMIT NUMBER
790944
DATE PERMIT ISSUED OR AMENDED
Aug 06, 2014
DISTRICT
* 03
API NUMBER
42-039-33219
FORM W -I RECEIVED
Jul 03, 2014
COUNTY
BRAZORIA
TYPE OF OPERATION
NEW DRILL
WELLBORE PROFILE(S)
Vertical
ACRES
303.93
OPERATOR 215343
DENBURY ONSHORE, LLC
5320 LEGACY DRIVE
PLANO, TX 75024-0000
NOTICE
This permit and any allowable assigned may be
revoked if payment for fee(s) submitted to the
Commission is not honored.
District Office Telephone No:
(713) 869-5001
LEASE NAME
HASTINGS COMMUNITY LEASE
WELL NUMBER
1402R
LOCATION
2 miles NE direction from PEARLAND
TOTAL DEPTH
6400
Section. Block and/or Survey
SECTION < 28 BLOCK { ABSTRACT < 551
SURVEY { HT&B RR CO/SMITH, G C
DISTANCE TO SURVEY LINES
1664 ft. S 167 ft. W
DISTANCE TO NEAREST LEASE LINE
199 ft.
DISTANCE TO LEASE LINES
1261 ft. W 199 ft. S
DISTANCE TO NEAREST WELL ON LEASE
See FIELD(s) Below
FIELD(s) and LIMITATIONS:
* SEE FIELD DISTRICT FOR REPORTING PURPOSES '
FIELD NAME ACRES DEPTH WELL# DIST
LEASE NAME NEAREST LEASE NEAREST WE
HASTINGS, WEST 303.93 1 1402R 03
HASTINGS COMMUNITY LEASE 199 2036
RESTRICTIONS: This well cannot be produced concurrently from the same reservoir as: Pat O'Day #2
039-00286
THE FOLLOWING RESTRICTIONS APPLY TO ALL FIELDS
This well shall be completed and produced in compliance with applicable special field or statewide spacing and density rules. If this
well is to be used for brine mining, underground storage of liquid hydrocarbons in salt formations, or underground storage of gas in
salt formations, a permit for that specific purpose must be obtained from Environmental Services prior to construction, including
drilling, of the well in accordance with Statewide Rules 81, 95, and 97.
This well cannot be produced concurrently from the same reservoir as: Pat O'Day #2 039.00286
This well must comply to the new SWR 3.13 requirements conceming the isolation of any potential flow zones and zones with
corrosive formation fluids. See approved permit for those formations that have been identified for the county in which you are
drilling the well in.
Data Validation Time Stamp: Aug 6, 2014 9:53 AM( Current Version )
Page 3 of 4
RAILROAD COMMISSION OF TEXAS
OIL & GAS DIVISION
SWR #13 Formation Data
BRAZORIA (039) County
Formation
Shallow
Top
Deep
Top
Remarks
Geological
Order
Effective
Date
CAPROCK
580
590
disposal
1
12/17/2013
MIOCENE
1,750
6,220
disposal
2
12/17/2013
FRIO
2,000
4,200
disposal
3
12/17/2013
HET LIME
4,400
4,400
disposal
4
12/17/2013
OLIGOCENE
5,760
5,760
disposal
5
12/17/2013
OTIS
7,810
7,810
disposal
6
12/17/2013
This is a dynamic table that will be updated continuously. It is the operators responsibility to make sure that at time of spudding the
well the most current table is being referenced.
EXHIBIT
«G,)
SURVEY OF PUBLIC ROAD IMPACT
rEAFVHCON
Environmental Challenges
BUSINESS SOLUTIONS
March 2, 2015
Honorable Mayor Tom Reid
City of Pearland
City Hall
3519 Liberty Drive
Pearland. Texas 77581
EarthCon Consultants, Inc.
14405 Walters Road
Suite 700
Houston Texas 77014
RE: Report of Potential Impact to City of Pearland Public Roads and Streets
City of Pearland, Texas Code of Ordinances
Hastings Community Lease Well HCL 1402R
Denbury Resources, Inc.
EarthCon Project No. 02.20150066.00
Dear Mayor Reid:
P. 281-240-5200
F• 866-263-0098
www.earthcon.com
This report provides the information and conclusions necessary to determine the impact of
Denbury Resources. Inc (Denbury) planned construction of the Hastings Community Lease
Well HCL 1402R (development) on the public roads and streets in the City of Pearland. Texas.
This report is required as part of the City of Pearland, Texas Code of Ordinances. EarthCon
Consultants, Inc. (EarthCon) has prepared this report to fulfill that requirement. A site visit was
performed on February 24, 2015 by Mr. Andy Shook, P.E., Senior Engineer to obtain specific
site and vicinity information for this report.
INTRODUCTION
The proposed development area is located approximately 1.100 feet west of the intersection of
Texas State Highway 35 (SH35) and County Road 126 (CR126), also known as Dixie Farm
Road, within the City of Pearland, Texas. SH35 is a State of Texas Department of
Transportation (TxDOT) maintained roadway. Figure 1 presents a Site Location Map and is
included in Attachment 1
The development is located west of SH35 and is accessed by a gravel road that crosses a
drainage ditch parallel to SH35. A 24 -inch diameter drainage culvert extends underneath the
access road parallel to SH35 (see Figure 2 in Attachment 1). The
proposed well will be located about 1,100 feet west of SH35 (see Figure 3 in Attachment 1).
Copyright c 2015 EarthCon Consultants. Inc All Rights Reserved
2IPage
The development area is approximately 300 foot by 300 foot in plan dimensions (see Figure 4
in Attachment 1). There have been no previous known industrial activities within this
development area
The planned activities consist of installing one oil producing well (Well HCL 1402R) within the
development. The development area is relatively level with drainage generally to the east
toward the SH35 drainage ditch
This development is part of an Enhanced Oil Recovery (EOR) project in which water and CO2
are injected (flooded) into a reservoir to increase production by reducing oil viscosity and
increasing the flow of oil to adjacent recovery wells.
The operation of this EOR system will require water or CO2 injection at high pressure from other
wells in the area into the oil-bearing formation, recovery of oil at the 1402R, and transport of the
recovered oil via pipeline to an offsite recovery facility. This development will include operation
and maintenance of the oil well and construction of appurtenances on the well head for
production.
This system has been used successfully in this and other areas of the country to improve
recovery of oil. thus limiting the United States of America dependence on foreign product.
INSTALLATION
The actual installation and construction of this development will utilize the same basic
processes typical of oil field production wells in this area. Typical equipment and supplies used
include a work over rig, drill pipe, steel mud pits, container box storage structures, steel well
casing. drilling mud, bulk cement, portable office building and other similar equipment. This
equipment and supplies are usually mobilized to the site on tractor -trailers or, in some cases,
the equipment may be truck mounted. The well drilling and completion operations typically
require several months to complete. Traffic consists of labor and supplies after the initial
mobilization and completion.
Activities associated with well installation and completion will be in accordance with the
requirements of the Railroad Commission of Texas (RRC) and the Texas Oil and Gas Code.
OPERATIONS
Once the development is operational, the traffic on surrounding roadways and streets will
generally be limited to small support trucks, pickup trucks or passenger vehicles. The pipeline
bringing the water onsite will provide the driving force to recover oil from adjacent wells. The oil
from these wells will be transported via pipeline to an offsite facility. Occasional repairs may
require the use of workover rigs and other mobile equipment. The workover rigs are usually
*EA IST HC 14405 onaconrssultantsRoad,Inc.
14405 Wlte
P. 281-240-5200
Enwa�ne+xaiCha%egos Suite 700 F. 866-263-0098
Enwc". e" a!Ch SOLUTIONS Houston, Texas 77014 www.earthcon.com
Report of Potential Impact to City of Pearland Public Roads and Streets
Hastings Community Lease Well HCL 1402R
Page 13
•EAPTHCON'
ErrnrormeritaI Cha$enges
BUSINESS SOLUTIONS
truck mounted. Other equipment will typically be brought onsite by tractor -trailers or smaller
trucks.
ASSESSMENT
The equipment and materials brought onsite will all follow a route that will be on state highways.
The equipment and materials will all enter the site from the access road located on the west
side of SH35. approximately 100 feet south of the intersection of SH35 and CR126. There is
sufficient distance between the development and SH35 to allow for temporary staging of the
required number of vehicles to support the project, without blocking public roads.
CONCLUSION
All major activity on streets and roads associated with this development will occur on SH35. No
adverse effect to City of Pearland public roads and streets is anticipated. Any damage to SH35
or the culvert below the access road will be repaired in consultation with TxDOT.
We appreciate the opportunity to submit this report. If you have any questions, please feel free
to call Gary R. Horwitch, P.E. at (281) 240-5200, extension 2716, or Andy Shook. P.E. at
(281) 240-5200, extension 2723.
Sincerely,
EARTHCON CONSULTANTS, INC.
Firm No. 7572
W. A. Shook, P.E.
Senior Engineer
Texas P.E. No. 79335
03J -
Gary R. Horwitch, P.E.
Principal EngineerNice President
Texas P.E. No. 48456
Project #: 02.20150066.00
March 2, 2015
Copyright © 2015 EarthCon Consultants. Inc All Rights Reserved
EarthCon Consultants, Inc.
14405 Walters Road
Suite 700
Houston. Texas 77014
P. 281-240-5200
F. 866-263 0098
www.earthcon.com
Environmental Challenges
BUSINESS SOLUTIONS
ATTACHMENT 1
FIGURES
Project # 02 20150066 00
March 2, 2015
Copyright © 2015 EarthCon Consultants. Inc All Rights Reserved
EarthCon Consultants. Inc.
14405 Walters Road
Suite 700
Houston. Texas 77014
P: 281-240-5200
F. 866-263-0098
vnvw.earthcon.com
Environmental Challenges
BUSINESS SOLUTIONS aF
LEGEND
in City Limits
7sw . . wow NI Jew MMrcM
DENBURY ONSHORE. LLC.
Proposed Well Location
Hastings Community Lease Unit No. 1402R
Brazona County. Texas
0
PROD NO 02 20+5026600
SCALE FEET
2500
5000
rEA�THCON'
EarthCon Consultants Inc.
14405 Watters Rd, Suite 700
Houston, Tx 77014
Firm 7572
DRAWN JAtT
Source: City of Pearland Aerial Imagery 2012.
SITE LOCATION MAP
CHECKED
AS
DATE
02Y20t5
1
Copytigtt 0 201S EarthCon Consultants. Inc Al Rynts Reserved
DEVELOPMENT
ler
AMA • M.....,e
F {�
CUL VFP I
e',A.A C*:..e.w
SCNE FEE l
0 150 300®
Source Goo0eEarth 2014
OF. NEWRY ONSHORE LLC
a,opwetl W*E Location
Haln01 Communes Lease UM No 1407N
Nuaza a County. Texas
•EAPTHCON'
EarthCon Consultants Inc.
i1Yr Nov, n1 Sur :T
if, :5':
ENTRNICE LOCATION
WEI
ZYCHLINSKI
SUBDIVISION
VOLUME 29, PAGE 9,
a DEVELOPMENT B.C.M.R.
ALEXANDER JO FAMILY
LIMITED PARTNE IP
— PROPERTY ID # 168 '4
o
D- ct
w a
3 0 O'DAY PAT MRS ESTATE
CL a PROPERTY ID # 168409
VOL 205 PG 398 B.C.D.R
ROP°
ALEXANDER JOHN FAMILY
LIMITED PARTNERSHIP
PROPERTY ID # 178192
300'
LOT 181
185
0
N
am
In PAGIE RODMAN ET AL
PROPERTY ID # 559720
z
ao
LOT 186
0\.c) LOT 180
H.T.&B. RR
SECTION 27
A— 308
G.C. SMITH
SECTION 28
A-551
AKA
N.T.&B. RR
SECTION 28
INDUSTRIAL
Cowart
1111
SITE Pmt` t,
HASTINGS FIELD ROAD
\AMITY NAP NTS.
ALEXANDER JOHN FAMILY
LIMITED PARTNERSHIP
PROPERTY ID # 178199
RAVEL ROAD
O'DAY PAT EST LINDA
PROPERTY ID # 178239
VOL 205 PG 398 B.C.D.R.
LOT 187
MARIO ALBERTO OCHOA
PEREZ
Property ID # 178235
Source
Denbury Onshore, LLC
SCALE FEE 1
150
300
DENBURY ONSHORE LLC
Proposed Well Location
Hastings Community Lease Unit No 1402R
Brazona County Texas
PROD NO 02 2015006000
.EA IV HCON
EarthCon Consultants Inc
PLAN OFFSET
:M
r•I
AS 1DATE 02/201511 3
DEVELOPMEN
yr.
1fASTINGS COMMUNITY
ASE LINE
Source:
Denbury Onshore, LLC
SCALE FEET
0 50 100
DENBURY ONSHORE, LLC
Proposed Well Location
Hastings Community Lease Unit No 1402R
Brazona County Texas
PROD NO 02:01300E600
1DEAfVHCON
EarthCon Consultants Inc.
'4405 Walters Rd, &,4e 700
Housbn, Tx 77014
Fin 7572
PLAN DIMENSIONS
AS
wrc
01!2015
EXHIBIT
«H»
ENVIRONMENTAL REPORT
v•EAI�THCON"
Environmental Challenges
BUSINESS SOLUTIONS
March 2, 2015
Honorable Mayor Tom Reid
City of Pearland
City Hall
3519 Liberty Drive
Pearland, Texas 77581
EarthCon Consultants, Inc.
14405 Walters Road
Suite 700
Houston, Texas 77014
P: 281-240-5200
F• 866-263-0098
www.earthcon.com
RE: Report of Potential Damage to Land, Air, Water and Animals Due to Operations
City of Pearland, Texas Code of Ordinances
Hastings Community Lease Well HCL 1402R
Denbury Resources, Inc.
EarthCon Project No. 02.20150066.00
Dear Mayor Reid
This report provides the information and conclusions necessary to determine possible
environmental damage to the land. air. water and animals from the Denbury Resources. Inc.
(Denbury) planned construction of Hastings Community Lease Well HCL 1402R (development)
in the City of Pearland, Texas. This report is required as part of the City of Pearland, Texas
Code of Ordinances. EarthCon Consultants, Inc. (EarthCon) has prepared this report to fulfill
that requirement. A site visit was performed on February 24. 2015 by Mr. Andy Shook, P.E.,
Senior Engineer, to obtain specific site and vicinity information for this report.
INTRODUCTION
The proposed development area is located approximately 1,100 feet west of the intersection of
Texas State Highway 35 (SH35) and County Road 126 (CR126), also known as Dixie Farm
Road, within the City of Pearland, Texas. SH35 is a State of Texas Department of
Transportation (TxDOT) maintained roadway. Figure 1 presents a Site Location Map and is
included in Attachment 1.
The development is located west of SH35 and is accessed by a gravel road that crosses a
drainage ditch parallel to SH35. A 24 -inch diameter drainage culvert extends underneath the
access road parallel to SH35 (see Figure 2 in Attachment 1). The proposed well will be
located about 1.100 feet west of SH35 (see Figure 3 in Attachment 1). The development area
is approximately 300 foot by 300 foot in plan dimensions (see Figure 4 in Attachment 1).
Copynght © 2015 EarthCon Consultants Inc All Rights Reserved
2IPage
There have been no previous known Industrial activities within this development area.
The planned activities consist of installing one oil producing well (Well HCL 1402R) within the
development. The development area is relatively level with drainage generally to the east
toward the SH35 drainage ditch
This development is part of an Enhanced Oil Recovery (EOR) project in which water and CO2
are injected (flooded) into a reservoir to increase production by reducing oil viscosity and
increasing the flow of oil to adjacent recovery wells.
The operation of this EOR system will require water or CO2 injection at high pressure from other
wells in the area into the oil-bearing formation, recovery of oil at the 1402R, and transport of the
recovered oil via pipeline to an offsite recovery facility. This development will include operation
and maintenance of the oil well and construction of appurtenances on the well head for
production.
This system has been used successfully in this and other areas of the country to improve
recovery of oil. thus limiting the United States of America dependence on foreign product
INSTALLATION
The actual installation and construction of this development will utilize the same basic
processes typical of oil field wells in this area. Typical equipment and supplies used include
drilling rigs, drill pipe, steel mud pits, container box storage structures, steel well casing, drilling
mud. bulk cement. portable office building and other similar equipment. This equipment and
supplies are usually mobilized to the site on tractor -trailers or, in some cases, the equipment
may be truck mounted. The well drilling and completion operations usually require several
months to complete. Traffic consists of labor and supplies after the initial mobilization and
completion
Activities associated with well installation and completion will be in accordance with the
requirements of the Railroad Commission of Texas (RRC) and the Texas Oil and Gas Code_
OPERATIONS
Once the development is operational. the traffic on surrounding roadways and streets will
generally be limited to small support trucks. pickup trucks or passenger vehicles The pipeline
bringing the water onsite will provide the driving force to recover oil from adjacent wells. The oil
from these wells will be transported via pipeline to an offsite facility. Occasional repairs may
require the use of workover rigs and other mobile equipment The workover rigs are usually
truck mounted. Other equipment will typically be brought onsite by tractor -trailers or smaller
trucks
.EAIRTHCON-
Enworfnerta! Cna'engcs
BUSINESS SOLUTIONS
EarthCon Consultants, Inc.
14405 Walters Roac
Suite 700
Houston, Texas 77014
P 28' -240-520C
F 866-263-0098
www.earthcon.com
Report of Potential Damage to Land. Air. Water and Animals Due to Operations
Hastings Community Lease Well HCL 1402R
Page 13
ASSESSMENT
•EAPTHCON'
Emnrorvnental Challenges
BUSINESS SOLUTIONS
Possible environmental damage to the land, air, water and animals from the EOR system could
potentially come from a leak of water from the high pressure pipeline onsite or at the wellhead.
A leak of water or oil will usually be indicated by the following:
• Dead or discolored vegetation amid healthy plants:
• An unusual hissing or roaring sound:
• Strange or unusual odor near the pipeline:
• A pool of liquid on the ground near the pipeline: and
• Fire or explosion.
As a means to limit the potential of a leak occurring. and to limit the impact if a leak should
occur, remote monitoring of valves and pressures provides the capability to operate automated
valves to shutdown and/or isolate sections of the pipeline systems, if necessary. In addition,
Denbury personnel will be making routine daily rounds to monitor the well's performance
If a leak of water occurs. the potential damage to the land. air and water will be minimal. as
water will have only a small impact area. Potential damage to animals will also be limited, as
the noise associated with the water leak will chase animals away from the area.
If an oil leak from adjacent wells occurs, the potential for damage to land and water is more
likely, but still considered minimal. The impact will be minimized by remote monitoring of the oil
recovery system and pipeline. As soon as an oil leak is discovered, the Denbury Emergency
Response Plan will be implemented which includes notifying local, state and federal emergency
response agencies. The necessary equipment and personnel will be mobilized to repair the
damage. clean up the oil spill. and remediate the area as required by the RRC and the Texas
Oil and Gas Code.
The cost for remediating a spill is dependent on the quantity of oil spilled. the duration the leak
has to soak into the soil, and if any water is impacted. The scenario in the cost estimate would
occur with an oil leak from one of the adjacent recovery wells with a quantity of oil sufficient to
flow from the leak to the south and east. The leak is assumed to cause an impact to both onsite
and offsite soil. as well as impacting standing water in the drainage ditch along SH35. The
estimated cost to remediate a routine (or larger) spill or leak would likely be on the order of
$25.000 to $100.000. The major equipment required for remediation includes a vacuum truck, a
backhoe/excavator. and dump trucks.
CONCLUSION
Safety of the public and company personnel is Denbury's highest priority. In the unlikely event of
a leak or incident, Denbury will immediately initiate their Emergency Response Plan to quickly
Project 0: 02.20150066 00
March 2. 2015
Copyright © 2015 EarthCon Consultants. Inc. Ali Rights Reserved
EarthCon Consultants. Inc.
14405 Walters Road
Suite 700
Houston, Texas 77014
P. 281-240-5200
F 866-263-0098
www.earthcon com
Environmental Challenges
BUSINESS SOLUTIONS ,f
Report of Potential Damage to Land, Air, Water and Animals Due to Operations
Hastings Community Lease Well HCL 1402R
Page 14
•EAEkTHCON'
Environmental Challenges
BUSINESS SOLUTIONS
control the situation and notify the City of Pearland and state and federal emergency response
agencies.
We appreciate the opportunity to submit this report. If you have any questions, please feel free
to call Gary R. Horwitch, P.E. at (281) 240-5200. extension 2716 or Andy Shook. P.E. at
(281) 240-5200, extension 2723.
Sincerely,
EARTHCON CONSULTANTS, INC.
Firm No. 7572
W. A. Shook, P.E.
Senior Engineer
Texas P.E. No. 79335
D3J-
Gary R. Horwitch, P.E.
Principal EngineerNice President
Texas P.E. No 48456
Project # 02.20150066.00
March 2. 2015
Copyright © 2015 EarthCon Consultants. Inc All Rights Reserved
EarthCon Consultants. Inc.
14405 Walters Road
Suite 700
Houston, Texas 77014
P: 281-240-5200
F: 866-263-0098
www.earthcon.com
Environmental Challenges
BUSINESS SOLUrioNS N'
ATTACHMENT 1
FIGURES
Project * 02.20150066 00
March 2, 2015
Copyright © 2015 EarthCon Consultants. Inc All Rights Reserved
EarthCon Consultants. Inc.
14405 Walters Road
Suite 700
Houston. Texas 77014
P: 281-240-5200
F: 866-263-0098
www.earthcon.com
Environmental Chal/onges
BUSINESS SOLUTIONS c4,
LEGEND
ei City Limits
DENBURY ONSHORE, LLC
Proposed Well Location
Hastings Community Lease Unit No. 1402R
Brazoria County. Texas
0
FRO. N0.022015030000
SCALE FEET
2500
5000
10EAE�THCON°
EarthCon Consultants Inc.
14405 Walters Rd, Suite 700
Houston, To 77014
Firm 7572
Source: City of Pearland Aerial Imagery 2012
SITE LOCATION MAP
CRANK JMT I(EMKE0
I DATE 0212015/ 1
AS
Copyrght 2015 EarnCon Consultants, Inc All Rights Re
served
Imo FEATumi
D 100 ADD
Sarco Geo0 Env, 2014
OFNRURY ONSHORE. LLC
P oposo0 WN LOC200f1
Hastings Comnwry Lrase Uot No 1402R
&axons County. Teras
IIPLAIkFHLON
EarthCon Consultants Inc.
I410$ M's4F RE. Sub 1O
Ibuihn 1. P01a
Fen 1$77
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' As 1a.' cooa,1
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0
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as
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Q20o
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wa
Q�
LOT 181
185
0
N
Q0)
u-)
z
ZYCHUNSKI
SUBDIVISION
VOLUME 29, PAGE 9,
DEVELOPMENT B.C.M.R.
ALEXANDER JOHN FAMILY
LIMITED PARTNERSHIP
PROPERTY ID # 178199
ALEXANDER JO FAMILY
LIMITED PARTNE IP
PROPERTY ID # 168
ALEXANDER JOHN FAMILY
LIMITED PARTNERSHIP
PROPERTY ID # 178192
CT
O'DAY PAT MRS ESTATE
PROPERTY ID # 168409
VOL 205 PG 398 B.C.D.R.
ROPD
LOT 186
PAGIE RODMAN ET AL
PROPERTY ID # 559720
RAVEL ROAD
0.9 LOT 180
H.T.&B. RR
SECTION 27
A-308
G.C. SMITH
SECTION 28
A-551
A KA
H.T.&B. RR
SECTION 28
O'DAY PAT EST LINDA
PROPERTY ID # 178239
VOL 205 PG 398 B.C.D.R.
LOT 187
MARIO ALBERTO OCHOA
PEREZ
Property ID # 178235
F.
Source:
Denbury Onshore, LLC.
SCALE FEET
0 150 300
DENBURY ONSHORE. LLC.
Proposed Well Location
Hastings Community Lease Unit No. 1402R
Brazoria County, Texas
PROJ NO 0220, 50030 00
IspEAFVHCON°
EarthCon Consultants Inc.
14405 Walters Rd, Suite 700
Housbn, Tx 77014
Firm 7572
PLAN OFFSET
DRAWN
ONE G ED
AS !DATE
0212015] FIE 3
;i;
riASTINGS COMMUNITY
la-lEASE LINE
1
1
Source
Danbury Onshore, LLC.
SCALE FEET
0
50
100
DENBURY ONSHORE. LLC
Proposed Well Location
Hastings Community Lease Unit No. 1402R
Brazona County. Texas
POOJ NO D220,5000000
rEAFTHCON
EarthCon Consultants Inc.
14405 Waiters Rd, Sate 700
Houston, Tx 77014
Fum 7572
PLAN DIMENSIONS
Oram+ JMT CFECxEO AS DAM 02/2015
Residency Affidavit
Sworn Statement for Parents — Residency Affidavit
Packet A
1 of 4
(To be completed by Parent/Guardian residing with resident on mortgage or lease)
CLEAR CREEK INDEPENDENT SCHOOL DISTRICT
Parent/Guardians, who are currently residing with persons having a legal residence within the boundaries
of the Clear Creek Independent School District and whose child(ren) will attend the district's schools, are
required to declare the circumstances which make this arrangement necessary. They will be further
required to declare that no false information has been provided to CCISD concerning their current
residency status.
1, , do hereby declare that my family will be
(Parent/Guardian of each Student)
residing in the home of:
Resident's Name:
Relationship:
Address:
Street address City Zip
Resident's Primary Telephone: Alternate Telephone:
Parent/Guardian Primary Telephone: Alternate Telephone:
Parent/Guardian e-mail address:
Previous address and telephone:
Reasons for moving in:
Does your child currently, or plan to participate in extra -curricular activities such as athletics and fine
arts? Yes No If Yes, please describe:
Length of time planning to be at this residence:
Name of student Age Grade School Year
*Please note: Only one student per original affidavit.
FALSIFICATION OF INFORMATION ACKNOWLEDGEMENT
I declare that I have provided no false information to the Clear Creek Independent School District
(CCISD) regarding my family residency. I understand that falsifying this sworn affidavit is a criminal
offense (Perjury) under Section 37.01 of the Texas Penal Code, which is a Class A misdemeanor
punishable up to one (1) year of confinement in jail; a fine not to exceed $2,000.00; or both such fine and
imprisonment. Another criminal offense for falsifying this residency information is a violation of Texas
Penal Code 37.10: Tampering with a Government record.
Parent
Residency Affidavit
Packet A
2 of 4
Further, such person is liable to the district for the period during which the ineligible student is
enrolled, for the greater of: 1) the maximum tuition fee allowed under Section 25.038 of the
Texas Education Code; or 2) the amount the district has budgeted for each student as
maintenance and operating expenses.
The regular tuition rate is $42.00 per school day for 2015-2016 school year.
I understand that this child will be administratively withdrawn from CCISD if it is determined that I have
enrolled the child based on false information. I also understand that CCISD reserves the right to
investigate claims of residence under the CCISD administrative guidelines as permitted by the
Texas Education Code and may conduct a home visit to verify actual occupancy.
Parcnt/Guardian's signature
Date
STATE OF
COUNTY OF
BEFORE ME, the undersigned authority, on this day personally appeared
, known to me by
(Parent signing form) (ID, Passport,etc)
to be the person whose name is subscribed to the foregoing instrument and acknowledged to me
that he/she executed that same for the purposed and consideration therein expressed.
GIVEN UNDER MY HAND, and seal of this office this day of
, 20 A.D.
Notary Public, State of
Notary Seal Here
30 DAY DEADLINE
My commission expires:
Parent / Notarized
Residency Affidavit
Sworn Statement for Resident — Residency Affidavit
(To be completed by resident on Mortgage/Lease of property)
CLEAR CREEK INDEPENDENT SCHOOL DISTRICT
Packet A
3 of 4
Residents living within the boundaries of the Clear Creek Independent School District who provide
shelter for anyone who will be attending school in the Clear Creek Independent School District, other
than immediate family members, are required to sign the following statement declaring that no false
information has been provided to the district and to provide the district with verification of residence.
Required proof of residency includes the following:
• a deed or current lease agreement
• a utility bill (Gas, Water, or Electric) reflecting resident's name and the service address
a current Texas driver's license/Texas ID with correct address.
1, , do hereby declare that the
Resident
Below listed person(s) are currently residing in my home at:
Address
City Zip
Names of the person's that have moved in with you in regards to this affidavit:
Resident's Primary Telephone Number:
Resident's Alternative Telephone Number:
FALSIFICATION OF INFORMATION ACKNOWLEDGEMENT
I declare that I have provided no false information to the Clear Creek Independent School District
(CCISD) regarding my family residency. I understand that falsifying this sworn affidavit is a criminal
offense (Perjury) under Section 37.01 of the Texas Penal Code, which is a Class A misdemeanor
punishable up to one (1) year of confinement in jail; a fine not to exceed $2000.00; or both such fine and
imprisonment. Another criminal offense for falsifying this residency information is a violation of Texas
Penal Code 37.10: Tampering with a Government record.
Further, such person is liable to the district for the period during which the ineligible student is enrolled,
for the greater of: 1) the maximum tuition fee allowed under Section 25.038 of the Texas
Education Code; or 2) the amount the district has budgeted for each student as maintenance and
operating expenses.
The regular tuition rate is $42.00 per school day for 2015-2016 school year.
Homeowner
Residency Affidavit
Packet A
4 of 4
Attach a copy of the following four items to the affidavit:
• Parent's Driver's License
• Resident's Texas Driver's License or Photo I.D.
• Current Utility Bill (Gas, Water, or Electric- Disconnect notices will not be accepted)
• Current Lease or Mortgage statement
The completed original affidavit including all attachments and a copy of the
original affidavit including all attachments must be returned to the Facility
Services Department located in the Education Support Center at 2425 East
Main Street in League City, Texas for approval.
Please Note: No copies or notary services are available at this location.
I understand that the child residing with me on condition of this affidavit will be withdrawn from
CCISD if I have provided false testimony for this child. I also understand that CCISD reserves
the right to investigate claims of residence under CCISD administrative guidelines.
Resident's signature Date
STATE OF
COUNTY OF
BEFORE ME, the undersigned authority, on this day personally appeared
, known to me by
(Resident signing form) (ID, Passport,etc)
to be the person whose name is subscribed to the foregoing instrument and acknowledged to me
that he/she executed that same for the purposed and consideration therein expressed.
GIVEN UNDER MY HAND, and seal of this office this day of
, 20 A.D.
Notary Public, State of
Notary Seal Here
My commission expires:
Homeowner/Notarized