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ORDER / CASE NO: ORDER / NOTICE OF RECOMMENDATION TYPE: COUNTY: LOCATION(S): ORDER NO. 63-2013 MISCELLANEOUS HARDING T. 23N., R. 6E., SW1/4SW1/4 SEC. 35 OPERATOR: LUFF EXPLORATION COMPANY DATE ORDER ISSUED: DATE ORDER CLOSED: AMENDS: AMENDED BY: APPROVAL STATUS: DISMISSED FIELD NAME: COREY BUTTE FIELD UNIT NAME:
46

ORDER / CASE NO: ORDER NO. 63-2013 ORDER / NOTICE OF …sddenr.net/ogbof/Case_No_63-2013.pdf · 2014-02-26 · carter b. stephens 744 hill avenue grand junction, co 81501 mary k.

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Page 1: ORDER / CASE NO: ORDER NO. 63-2013 ORDER / NOTICE OF …sddenr.net/ogbof/Case_No_63-2013.pdf · 2014-02-26 · carter b. stephens 744 hill avenue grand junction, co 81501 mary k.

ORDER / CASE NO:

ORDER / NOTICE OF

RECOMMENDATION TYPE:

COUNTY:

LOCATION(S):

ORDER NO. 63-2013

MISCELLANEOUS

HARDING

T. 23N., R. 6E., SW1/4SW1/4 SEC. 35

OPERATOR: LUFF EXPLORATION COMPANY

DATE ORDER ISSUED:

DATE ORDER CLOSED:

AMENDS:

AMENDED BY:

APPROVAL STATUS: DISMISSED

FIELD NAME: COREY BUTTE FIELD

UNIT NAME:

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FLECK,, ATTORNEYS

RECEIVED FEB 2 5 2014

DEPT OF ENVIRONMENT & NATURAL RESOURCES - RAPID CITY

John W. Morrison 100 West Broadway, Suite 250

P.O. Box 2798 Bismarck, ND 58502-2798

Office: 701.223.6585 Direct: 701.224.7534

[email protected]

CROWLEY

February 25, 2014

Via Electronic Mail — Bob.Townsend(&state.sd.us

Robert Townsend, Administrator Department of Environment and Natural Resources 523 East Capitol Avenue Pierre, SD 57501

In re: Luff Exploration Company Case No. 63-2013

Dear Mr. Townsend:

Please be advised that Luff Exploration Company respectfully requests that its petition in Case No. 63-2013 be withdrawn.

If you have any questions, please let me know. Thank you.

cc (via email): Michael Lees George Almon Lawrence Bender

BILLINGS BISMARCK BOZEMAN

HELENA KALISPELL

MISSOULA

WILLISTON

C.ROWLEYFLECK COM

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Richard D. George

DEPARTMENT OF ENVIRONMENT AND NATURAL RESOURCES BOARD OF MINERALS AND ENVIRONMENT

RECEIVED

IN THE MATTER OF THE PETITION OF LUFF JAN 1 3 :ON

EXPLORATION COMPANY, DENVER, COLORADO, FOR MINERALS & MINING PROGRAM AN ORDER OF THE BOARD DESIGNATING IT AS OPERATOR OF THE CARLA 1-35H WELL, WITH A

TOWNSHIP 23 NORTH, RANGE 6 EAST, HARDING COUNTY, SOUTH DAKOTA, OR ALTERNATIVELY REQUIRING SAID WELL TO BE PLUGGED AND

SURFACE LOCATION IN THE SW/4SW/4 OF SECTION 35, CASE NO. 63-2013 and CASE NO. 64-2013

ABANDONED; AND FOR OTHER RELIEF AS THE BOARD DEEMS APPROPRIATE.

AFFIDAVIT OF MAILING AND

IN THE MATTER OF THE PETITION OF LUFF EXPLORATION COMPANY, DENVER, COLORADO, TO AMEND THE APPLICABLE ORDERS FOR THE COREY BUTTE FIELD, INCLUDING WITHOUT LIMITATION BOARD ORDER NO. 19-07, SO AS TO VACATE AN EXISTING 640-ACRE SPACING UNIT CONSISTING OF ALL OF SECTION 35, TOWNSHIP 23 NORTH, RANGE 6 EAST, AND ESTABLISH INSTEAD A 320-ACRE SPACING UNIT CONSISTING OF THE W/2 OF SECTION 35, AND AUTHORIZE THE DRILLING OF A HORIZONTAL WELL WITH ONE OR MORE LATERALS IN THE RED RIVER "B" ZONE AT ANY LOCATION NOT CLOSER THAN 500 FEET TO THE BOUNDARY OF SAID SPACING UNIT; TO AUTHORIZE THE ISSUANCE OF A PERMIT FOR SUCH WELL; AND FOR OTHER RELIEF AS THE BOARD DEEMS APPROPRIATE.

RICHARD D. GEORGE, being duly sworn on oath, deposes and says that he is Manager of Engineering for Luff Exploration Company, the applicant in the above entitled matter, that under his direction there were mailed, by certified mail-return receipt requested and registered mail-return receipt requested, true and correct copies of Luff s Petitions and the Notice of Public Hearing in said matter to each of the persons/entities affected by Pion. From review of the records of Luff Exploration Company, the persons/entities shown on the attached Exhibit "A" are those persons/entities residing in the United States. The persons/entities shown on the attached Exhibit "B" are those persons/entities residing internationally. Copies of the "Certified Mail Receipts" are attached hereto as Exhibit "C". Copies of the "Receipts for Registered Mail" for the International Return Receipts are attached hereto as Exhibit "D".

The Domestic Return Receipts (green cards) and Return Receipts for International Mail (pink cards) will be submitted prior to the hearing date.

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STATE OF COLORADO ) COUNTY OF DENVER )

Sworn and subscribed before me on the (6 of January, 2014

Kristal Davila - Notary Public My Commission Expires 06/24/2015

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EXHIBIT "A" PAGE 1 OF 5 CASE NOS. 63-2013 & 64-2013 SPACING: W/2 OF SECTION 35 T23N, R6E - HARDING COUNTY, SD

LARRY ABRAHAMSON 4786 75TH AVENUE HEBRON, ND 58638

DOUGLAS A ABRAHAMSON 1/12/00 REVOCABLE TRUST 14207 101ST STREET SW BOWMAN, ND 58623

LEROY T. ABRAHAMSON 10004 147TH AVENUE SW BOWMAN, ND 58623

EVELYN V. ABRAHAMSON 1/12/00 REVOCABLE TRUST 14207 101ST STREET SW BOWMAN, ND 58623

RG OIL VENTURES, INC. 3822 SOUTH GOLDEN COURT DENVER, CO 80235

AVALON CONSULTING INC. JOSEPH B. BABCOCK

LESTER MERLE BABCOCK 4129 JULAURA LANE

5427 YORKSHIRE TERRACE DR., WEST C 2

8665 SOUTH 76TH STREET

BILLINGS, MT 59106

COLUMBUS, OH 43232

FRANKLIN, WI 53132

MARGARET A. BABCOCK 9007 WEST GREENFIELD AVENUE WEST ALLIS, WI 53214

THOMAS G. BABCOCK 112 ROGERS AVENUE HOOSICK FALLS, NY 12090

MARY L. BABCOCK ESTATE JERRY LEE BABCOCK 6073 EASTON STREET N.E. LOUISVILLE, OHIO 44641

WILLIAM B. BABCOCK P. O. BOX 1011 SMITHS, AL 36877

RICHARD D. BABCOCK, JR. 412 NORTH OAK STREET BALTIMORE, OH 43105

JANE A. BARAKAT 695 825 GOLD RUN ROAD SUSANVILLE, CA 96130

KLT RESOURCES, LLC

GARY K. BELCHER

JOSEPH W. BELCHER KENNETH BARNHART

76 HIXON STREET

709 PRINCE STREET 11680 HIGHWAY 10 WEST

BELLINGHAM, MA 02019

PEKIN, IL 61554

DICKINSON, ND 58601

MERIDITH L. BELCHER

JOHN W. BELLACK

JOHN W. BELLACK & JULIE A. BELLACK 1725 NEBRASKA AVENUE

1313 SOUTH 3RD STREET

1313 SOUTH 3RD STREET

YORK, NE 68467

WATERTOWN, WI 53094

WATERTOWN, WI 53094

EILEEN A. BILLMAN

PATRICIA M. BORGESEN

ANN BRANDON 203 FAIRWAY DR., APT. 2

7022 WEST KIMBERLY WAY

1210 WOODLAND HILLS DRIVE

COLUMBUS, WI 53925

GLENDALE, AZ 85308

TYLER, TX 75701

LEROY T. & JOAN L. BRUMMOND

MARGARET E. & CLARENCE H. BUEDLER

CARRELL ENTERPRISES, INC. LIVING TRUST

SOUTH HILLS 207 SMITH DRIVE

5852 BIG HORN AVENUE P. O. BOX 1886

BEAVER DAM, WI 53916

SHERIDAN, WY 82801 CHEYENNE, WY 82003

ALYSON CHANDLER

TRUDIE J. CHANDLER

JERRI JEAN DAVIS 8160 COUNTRY ROAD 42W #300 208

417 CAMINO ELEVADO

249 SERENE HOLLOW LANE

SAVAGE, MN 55378

BONITA, CA 91902

BUDA, TX 78610

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EXHIBIT "A" PAGE 2 OF 5 CASE NOS. 63-2013 & 64-2013 SPACING: W/2 OF SECTION 35 T23N, R6E - HARDING COUNTY, SD

DLD ENTERPRISES, L.L.C. ATTENTION: DAVID SCHAENEN P. O. BOX 2343 BILLINGS, MT 59103

PATRICIA L. EBERT N4849 CTY. B RIO, WI 53960

DEOSH LIMITED PARTNERSHIP 1675 LARIMER ST., SUITE 800 DENVER, CO 80202

DM RANDALL LOVING TRUST 1030 WEST HARVARD, PMB 5012 ROSEBURG, OR 97471

LEET FOWLER & MAURINE FOWLER, JT 11169 STAFFORD LOOP BELLE FOURCHE, SD 57717

ABIGAIL CRILLEY DERUYTER 3001 INVERNESS DRIVE LOS ALAMITOS, CA 90720-4208

ANGELA R. DOAK 29 TOWN STREET GLOUSTER, OH 45732 9797

FRANKLIN RESOURCES, L P 4880 SOUTH FRANKLIN STREET ENGLEWOOD, CO 80113

FREEPORT MCMORAN OIL & GAS LLC FCX OIL & GAS INC. 700 MILAM, SUITE 3100 HOUSTON, TX 77002

MARTIN R. GATHJE AND DARLENE K. GATHJE 2001 3RD AVENUE NE OWATONNA, MN 55060

HANCOCK ENTERPRISES P. O. BOX 2527 BILLINGS, MT 59103

REBEKAH FUGIT 3804 MURROW STREET NEW PORT RICHEY, FL 34655

RONALD GATHJE 10536 COUNTY ROAD #8 STEWARTVILLE, MN 55976

EILEEN HAYASE 95375 IKALOA STREET MILILANI, HI 96789

DAVID GATHJE 1360 8TH AVENUE SE ROCHESTER, MN 55904

JUDY MARIE GILLESPIE 724 STATE STREET DALTON, NE 69131

HEADINGTON OIL CO. LLC 2711 N. HASKELL AVENUE, SUITE 2800 DALLAS, TX 75204

BARBARA HEMMINGSEN

JAMES L. HEMMINGSEN

ARLEN BOYD & PATRICIA ANN 15900 VERNON DRIVE

15900 VERNON DRIVE

HENNEMAN LIVING TRUST

BROOKFIELD, WI 53005

BROOKFIELD, WI 53005

102 DESMET LANDING POLSON, MT 59860

LYNETTE S. HERRON

JOHN H. HIGHT

MARJORIE ANN HITCHCOCK 7618 BENDERSON DRIVE

2302 CALLOWAY COURT

820 LIBAL ST., UNIT 14

WESTERVILLE, OH 43082

PIERRE, SD 57501-8801

DEPERE, WI 54115

H. HUFFMAN & CO. JEROME M. JAY

JH PETROLEUM, LLC 301 NW 63RD STREET, SUITE 510

4800 WEST HAMILTON PLACE

P. 0. BOX 621128

OKLAHOMA CITY, OK 79116-7906

DENVER, CO 80236

LITTLETON, CO 80162 1128

MERLE R. & BETTYNA JOHNSON

ROGER L. JOHNSON

STEVEN D. JOHNSON 602 MAIN STREET

473 3 1/2 AVENUE E

6617 WHITE BIRCH COURT SCRANTON, ND 58653

WEST FARGO, ND 58078 2012

LINO LAKES, MN 55014

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EXHIBIT "A" PAGE 3 OF 5 CASE NOS. 63-2013 & 64-2013 SPACING: W/2 OF SECTION 35 T23N, R6E - HARDING COUNTY, SD

CONSTANCE J. KENYON 409 8TH STREET N. BENSON, MN 56215

JWC RESOURCES, LLC 7500 PRIEST PASS ROAD HELENA, MT 59601

JEFFREY KILLGORE 6402 ASHLEY COURT SAN BERNARDINO, CA 92407

L. D. KELLOGG, JR. P. 0. BOX 626 ALEXANDRIA, LA 71309

JIMMIE A. KILLGORE 22833 LAPAIX STREET GRAND TERRACE, CA 92313

JOANNA KILLGORE

LINDA SUE KIMBLE

PEGGY L. KINDSCHY 9157 ESTACIA STREET

301 GREEN STREET

4004 PLUM CREEK DRIVE CUCAMONGA, CA 91730 2504

BROOKFIELD, MO 64628

LOVELAND, CO 80538

CAROL KOPETSKY & LEO KOPETSKY

GEORGE C. KUNERT, LIFE ESTATE

MARILYNN LORANGER 806 HILLCREST GRAND AVE. 865 WEST STREET

595 LA QUINTA DRIVE

YANKTON, SD 57078

WATERTOWN, WI 53094

BANNING, CA 92220 5326

JON DAVID LUFF REVOCABLE TRUST

KEVIN D. LUFF

2005 LUFF FAMILY REVOCABLE TRUST 404 RIVERSIDE DRIVE, #2C

850 6TH STREET

138 SOUTH EDINBURGH AVENUE NEW YORK, NY 10025

BOULDER, CO 80302

LOS ANGELES, CA 90048

LINDA A. MAHER

MARCIN PRODUCTION, LLC

MARILYN KELLOGG BANKS MARTIN 11261 WEST LAKE EUNICE RD

P. O. BOX 597

4350 SHELLDRAKE LANE DETROIT LAKES, MN 56501

BISMARCK, ND 58502

BOYNTON BEACH, FL 33436

MCMAHON ENERGY PARTNERS, LP

DONALD P. MCCOURT TRUST

PURNEE A. MCCOURT TRUST 4545 S. MONACO STREET, NO. 144

2125 STONECROP WAY

2125 STONECROP WAY

DENVER, CO 80237

GOLDEN, CO 80401

GOLDEN, CO 80401

RONALD L. MCCAIG

LINDA K. MOLDSCHECK

MILL TRUST, LLC 1604 LAKESIDE TERRACE

146 WISCONSIN STREET

213 EVANS LANE

WATERTOWN, WI 53094

BEAVER DAM, WI 53916

SPEARFISH, SD 57783

GREGORY M. MILLER & HEIDI MILLER 10151 US HIGHWAY 85 BOWMAN, ND 58623

GWENDOLYN K. MILLER, ET AL TRUSTS GWENDOLYN KITZAN & GREGORY MILLER, TRUSTEES 18293 SHEEP CORNER ROAD NISLAND, SD 57762 7633

JOYCE H. MILLER TRUST JOYCE H. MILLER, SUCCESSOR TRUSTEE P. 0. BOX 555 BOWMAN, ND 58623

KAY A. MINAHAN REVOCABLE TRUST

NANCE RESOURCES, INC. ALEXANDER M.S. NASH TRUST DATED 1/18/00 KAY MINAHAN, TRUSTEE

P. O. BOX 7027

ALEXANDER M.S. NASH, TRUSTEE 103 BILLINGS DRIVE

BILLINGS, MT 59103 7027

6323 SOUTH HANOVER COURT SUPERIOR, WI 54880

ENGLEWOOD, CO 80111

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EXHIBIT "A" PAGE 4 OF 5 CASE NOS. 63-2013 & 64-2013 SPACING: W/2 OF SECTION 35 T23N, R6E - HARDING COUNTY, SD

DANIEL J. O'SHAUGHNESSY TRUST DANIEL J. O'SHAUGHNESSY, TRUSTEE 4880 SOUTH FRANKLIN STREET ENGLEWOOD, CO 80113

PENWELL PROPERTIES, LLC 3838 OAK LAWN, SUITE 1216 DALLAS, TX 75219

FRANK A. RADELLA SURVIVOR'S TRUST 1910 PATRICIA LANE BILLINGS, MT 59102

PATRICIA NELSON 6126 PORTER AVENUE NW SOUTH HAVEN, MN 55382 3838

OSWALD FAMILY TRUST DATED 4/27/98 LOUIS A. OSWALD, III, TRUSTEE P. 0. BOX 280969 LAKEWOOD, CO 80228 0969

VRANNA QUINN 1111 LINCOLN STREET DICKINSON, ND 58601

THE RESERVE PETROLEUM CO. 6801 NORTH BROADWAY, SUITE 300 OKLAHOMA CITY, OK 73116 9092

GREGORY B. OGDEN 419 PORTOFINO DR., APT. B SAN CARLOS, CA 94070

JACK W. PARIS P. O. BOX 597 BISMARCK, ND 58502

R&G RESOURCES, LLC RICKY D. FRETHEIM P. O. BOX 414 BOWMAN, ND 58623

ANN W. ROLLINS 5470 SOUTH JELLISON ST. LITTLETON, CO 80123

J. B. SAUNDERS IV 1999 REVOC TRUST BOKF, NA, AGENT P. 0. BOX 3499 TULSA, OK 74101-3499

ROBERT H. SELL 1344 WINDSOR CIRCLE WATERTOWN, WI 53098

STEPHEN SAUNDERS 1999 REVOC TRUST BOKF, NA, AGENT P. O. BOX 3499 TULSA, OK 74101-3499

RUTH SHEA 11091 FENSKE DRIVE ST. CHARLES, MN 55972

BETTY H. B. SCARBOROUGH 6101 BITTERSWEET LANE CHARLOTTE, NC 28270

BARBARA L. SIDLE & DAVID A. SIDLE 3601 PADRE DRIVE RAPID CITY, SD 57703

ROSELY A. SMITH & CHARLES V. RICE, JR. 1648 LOMITAS AVENUE LIVERMORE, CA 94550

MICHAEL R. STEPHENS 5262 HOWELL STREET ARVADA, CO 80002

STATE OF SOUTH DAKOTA COMMISSIONER OF SCHOOL & PUBLIC LANDS 500 EAST CAPITOL PIERRE, SD 57501

MARGIE R. STROM 5815 KIT LANE NORTH BILLINGS, MT 59106

CARTER B. STEPHENS 744 HILL AVENUE GRAND JUNCTION, CO 81501

MARY K. SULLIVAN 1564 ULUPII STREET KAILUA, HI 96734

ARDIS C. TESCHER

WANDA JEAN THOMPSON

TIERRA OIL COMPANY, LLC 102 ND HIGHWAY 16 S. 7526 OAKLAND AVENUE SOUTH

P. 0. BOX 700968

SIDNEY, MT 59270

RICHFIELD, MN 5542

SAN ANTONIO, TX 78270 0968

TOFTE ENERGY PARTNERS, L P P. O. BOX 4221 CASPER, WY 82604

TRAVERS EDUCATIONAL MINERAL TRUST THOMAS W. REICHERT,TRUSTEE 116 WEST VILLARD DICKINSON, ND 58601 5120

PAMELA L. TROYER 741 KEARNEY STREET DENVER, CO 80220

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EXHIBIT "A" PAGE 5 OF 5 CASE NOS. 63-2013 & 64-2013 SPACING: W/2 OF SECTION 35 T23N, R6E - HARDING COUNTY, SD

JOSEPH M. WARNER 18 LOOMIS FERRY ROAD HILTON HEAD, SC 29928

UGGS ENERGY, LLC 4925 GREENVILLE AVE., 915 1 ENERGY SQ. DALLAS, TX 75206 4089

SUSAN S. WATSON 828 TIPS00 LOOP S. RAINIER, WA 98576

U.S. DEPARTMENT OF INTERIOR BUREAU OF LAND MANAGEMENT 5001 SOUTHGATE DRIVE BILLINGS, MT 59101-4669

LARRY D. WEGMAN & SANDY WEGMAN 38 RIVER BLUFF ROAD ELGIN, IL 60120

DIANE WIGHT

SANDRA LEE WILLIAMSON

DORIA L. YOUNG 14503 WEST WHITE ROCK DR. 63043 E. FLOWER RIDGE DRIVE

109 SOUTH BIRKEY STREET

SUN CITY WEST, AZ 85375

TUCSON, AZ 85739 1076

GOODFIELD, IL 61742

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BARBARA L. SIDLE & DAVID A. SIDLE 3601 PADRE DRIVE

Stree RAPID CITY, SD 57703 or PC

City,

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U.S. Postal ServiceTM CERTIFIED MAILTM RECEIPT (Domestic Mail Only; No Insurance Coverage Provided)

For delive information visit our website at www.usps.come

Exhibit "C" Page 2 of 21 Case Nos. 63-2013 & 64-2013 Spacing: W/2 of Sec. 35, T23N, R6E, Harding County, SD

U.S. Postal Service TM

CERTIFIED MAIL.. RECEIPT (Domestic Mail Only; No Insurance Coverage Provided)

BARBARA HEMMINGSEN Sent 15900 VERNON DRIVE

scree; BROOKFIELD, WI 53005 or PC

City,

Page 12: ORDER / CASE NO: ORDER NO. 63-2013 ORDER / NOTICE OF …sddenr.net/ogbof/Case_No_63-2013.pdf · 2014-02-26 · carter b. stephens 744 hill avenue grand junction, co 81501 mary k.

OFFICIAL USE

2-SS Postmark

Hare

2.5S Return Receipt Fee (Endorsement Required)

Restricted Delivery Fee (Endorsement Required)

Total Postaae & Fees S (1) 31 T DANIEL J. O'SHAUGHNESSY TRUST

sent .° DANIEL J. O'SHAUGHNESSY, TRUSTEE Street, 4880 SOUTH FRANKLIN STREET

N " I ENGLEWOOD, CO 80113 City, St,

Exhibit "C" Page 3 of 21

Case Nos. 63-2013 & 64-2013 Spacing: W/2 of Sec. 35, T23N, R6E, Harding County, SD

For delivery information visit our website at www.usps.com

Certified Fee

Return Receipt Fee (Endorsement Required)

Restricted Delivery Fee (Endorsement Required)

I

_ CAROL KOPETSKY & LEO KakitieNP Sent 806 HILLCREST GRAND AVE. -syrw6 YANKTON, SD 57078 or PC

$ b Lio

t (0.31 CARTER B. STEPHENS sent 7

744 HILL AVENUE "giria GRAND JUNCTION, CO 81501 or PO

Gay, 6

111111 U.S. Postal Service CERTIFIED MAIL RECEIPT (Domestic Mail Only; No insurance Coverage Provided)

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OFFICIAL USE $ O. (4)

3. ko

43

22 31

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Total

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Postage

Certified Fee

Return Receipt Fee (Endorsement Required)

Restricted Delivery Fee (Endorsement Required)

$ n•b(o

2.5S R. to

Postmark Here

Total p,-•.t.ng. R Fete 5t to • 31 BETTY H. B. SCARBOROUGH 6101 BITTERSWEET LANE

street A CHARLOTTE, NC 28270 or PO S

City, Ste

$

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Caa

CARRELL ENTERPRISES, INC. 5852 BIG HORN AVENUE

-se SHERIDAN, WY 82801 or Ce

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Postage

Certified Fee

Return Receipt Fee (Endorsement Required)

Restricted Delivery Fee ;Endorsement Required)

Total PflAtaflA A Fens

CONSTANCE J. KENYON Sent / 409 8TH STREET N. sneei BENSON, MN 56215 or PO

City.

Postmark Here

U.S. Postal Service, CERTIFIED MAIL, RECEIPT (Domestic Mail Only; No Insurance Coverage Provided)

Postage

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Total Pry:Afar. R Fawn

Postage

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U.S. Postal Service,., CERTIFIED MAIL. RECEIPT (Domestic Mall Only; No Insurance Coverage Provided)

U.S. Postal Service • • CERTIFIED MAIL,. RECEIPT (Domestic Mail Only; No Insurance Coverage Provided)

For delivery information visit our website at www.usps.com5

Page 13: ORDER / CASE NO: ORDER NO. 63-2013 ORDER / NOTICE OF …sddenr.net/ogbof/Case_No_63-2013.pdf · 2014-02-26 · carter b. stephens 744 hill avenue grand junction, co 81501 mary k.

For delivery information visit our website at www.usps.coma,

Postage

Certified Fee

Return Receipt Fee (Endorsement Required)

Restricted Delivery Fee (Endorsement Required)

Total Po.staae & Fees 1(0.31

Postmark Here

DAVID GATHJE Seri

1360 8TH AVENUE SE -gt-r-e ROCHESTER, MN 55904 or F

U.S. Postal Service TM

CERTIFIED MAILTM RECEIPT (Domestic Mail Only; No Insurance Coverage Provided)

For delivery information visit our website at www.usps.com

Postage

Certified Fee

Return Receipt Fee (Endorsement Required)

Restricted Delivery Fee (Endorsement Required)

Postmark Here

alp DIANE WIGHT

sE 14503 WEST WHITE ROCK DR. -§ SUN CITY WEST, AZ 85375

or

CI

U.S. Postal Service,. CERTIFIED MAIL,,, RECEIPT (Domestic Mail Only No Insurance Coverage Provided)

For delivery information visit our website at www.usps.com

OFFICIAL USE

Postage

Certified Fee

Return Receipt Fee (Endorsement Required)

Restricted Delivery Fee (Endorsement Required)

Total Prkatane R FAAQ

2_. S S Postmark

Here

DM RANDALL LOVING TRU Sent 1030 WEST HARVARD, PMB 5012 Stree ROSEBURG, OR 97471 or PC

City,

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Total C.... t (17

DONALD P. MCCOURT TRUST sent TO 2125 STONECROP WAY

Street GOLDEN, CO 80401 or PO E. City, Sta

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U.S. Postal Service,. CERTIFIED MAILTM RECEIPT (Domestic Mail Only; No Insurance Coverage Provided)

For delivery information visit our website at www.usps.com®

Postage

Certified Fee

Return Receipt Fee (Endorsement Required)

Restricted Delivery Fee (Endorsement Required)

EMI 3.10 2.• SS

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Total Pr ° '--

DEOSH LIMITED PARTNERS I Sent To 1675 LARIMER ST., SUITE 800

r-1 DENVER, CO 80202

N City, Sta

PS Forn

Gt 6.31

Street, A or PO 0

8040-

U.S. Postal Service., CERTIFIED MAIL,. RECEIPT (Domestic Mail Only; No Insurance Coverage Provided)

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OFFICIAL USE

Postmark Here Return Receipt Fee

(Endorsement Required)

Restricted Delivery Fee (Endorsement Required)

Postage

Certified Fee

Tote' ° `-^^^ (r (4) .31 DLD ENTERPRISES, L.L.C. ATTENTION: DAVID SCHAENEN P. 0. BOX 2343 BILLINGS, MT 59103

Sent

Stree or PC

City,

U.S. Postal ServiceTM CERTIFIED MAU, RECEIPT (Domestic Mail Only; No Insurance Coverage Provided)

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OFFICIAL USE

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Exhibit "C" Page 4 of 21 Case Nos. 63-2013 & 64-2013 Spacing: W/2 of Sec. 35, T23N, R6E, Harding County, SD

U.S. Postal Service,. CERTIFIED MAIL., RECEIPT (Domestic Mail Only; No Insurance Coverage Provided)

Page 14: ORDER / CASE NO: ORDER NO. 63-2013 ORDER / NOTICE OF …sddenr.net/ogbof/Case_No_63-2013.pdf · 2014-02-26 · carter b. stephens 744 hill avenue grand junction, co 81501 mary k.

U.S. Postal Service ,r, CERTIFIED MAIL,- RECEIPT (Domestic Mail Only; No Insurance Coverage Provided)

For delivery information visit our website at www.usps.come

Exhibit "C" Page 5 of 21

Case Nos. 63-2013 & 64-2013

Spacing: W/2 of Sec. 35, T23N, R6E,

Harding County, SD

Postage $ .(0(.0

Certified Fee

3 Id (Endorsement Required)

Return Receipt Fee

2 SS i Restricted Delivery Fee

(Endorsement Required)

rt. -,........ /N ;

DORIA L. YOUNG

s 109 SOUTH BIRKEY STREET

GOODFIELD, IL 61742

0 7012 3460 0001 7882 0151

r Instructions

U.S. Postal Service r. CERTIFIED MAIL. RECEIPT (Domestic Mail Only; No Insurance Coverage Provided)

For delivery information visit our website at www.usps.com

Postage

Certified Fee

Return Receipt Fee (Endorsement Required)

Restricted Delivery Fee (Endorsement Required)

Total P EILEEN A. BILLMAN

Sent To 203 FAIRWAY DR., APT. 2

Street, A COLUMBUS, WI 53925

or PO 13

City, Ste

U.S. Postal Service,. CERTIFIED MAIL, RECEIPT (Domestic Mail Only; No Insurance Coverage Provided)

For delivery information visit our website at www.usps.com,

A Postage

Certified Fee

Return Receipt Fee (Endorsement Required)

Restricted Delivery Fee (Endorsement Required)

Total ID,K,rane R Fees $ EVELYN V. ABRAHAMSON

Sent T 1/12/00 REVOCABLE TRUST

street 14207 101ST STREET SW

or PO BOWMAN, ND 58623

City, 6.

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FF!CIAL USE Postage

Certified Fee

Return Receipt Fee (Endorsement Required)

Restricted Delivery Fee (Endorsement Required)

Total Postage & Fees

sent To DOUGLAS A ABRAHAMSON

1/12/00 REVOCABLE TRUST

street„ 14207 101 ST STREET SW

"P° BOWMAN, ND 58623

City, St

r- r O

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Postage

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Restricted Delivery Fee (Endorsement Required)

Total ----- °

EILEEN HAYASE

Sent 7 95375 IKALOA STREET

Sireei MILILANI, HI 96789

or PO

City,

U.S. Postal Service CERTIFIED MAIL. RECEIPT (Domestic Mail Only; No Insurance Coverage Provided)

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stage

Certified Fee

Return Receipt Fee (Endorsement Required)

Restricted Delivery Fee (Endorsement Required)

Total Postnn..

FRANK A. RADELLA SURVIVOR'S TRUST

1910 PATRICIA LANE

BILLINGS, MT 59102

City State

31

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Sent To

gireet, Ap or PO 130)

Page 15: ORDER / CASE NO: ORDER NO. 63-2013 ORDER / NOTICE OF …sddenr.net/ogbof/Case_No_63-2013.pdf · 2014-02-26 · carter b. stephens 744 hill avenue grand junction, co 81501 mary k.

Exhibit "C" Page 6 of 21 Case Nos. 63-2013 & 64-2013 Spacing: W/2 of Sec. 35, T23N, R6E, Harding County, SD

U.S. Postal Service , CERTIFIED MAIL, RECEIPT (Domestic Mail Only; No Insurance Coverage Provided)

For delivery information visit our website at www.usps.com

Postage

Certified Fee

Return Receipt Fee (Endorsement Required)

Restricted Delivery Fee (Endorsement Required)

Total Postage & Fees $ 6-3 FRANKLIN RESOURCES, L P

Se' 4880 SOUTH FRANKLIN STREET stn ENGLEWOOD, CO 80113 or

Crt

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nstructions

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OFFICIAL USE

Return Receipt Fee (Endorsement Required)

Restricted Delivery Fee (Endorsement Required)

Total Pembina & Fees A GARY K. BELCHER

se. 76 H1XON STREET BELLINGHAM, MA 02019

or

Gil

Postage

Certified Fee

nstructions

U.S. Postal Service,.,

CERTIFIED MAIL,. RECEIPT (Domestic Mail Only; No Insurance Coverage Provided)

For delivery information visit our website at www.usps.com

Postage

Certified Fee

Return Receipt Fee (Endorsement Required)

Restricted Delivery Fee (Endorsement Required)

Total Postaoe & Fees s (0- 31

GREGORY B. OGDEN Sent To

419 PORTOFINO DR., APT. B SAN CARLOS, CA 94070

or PO Box .

Postmark Here

U.S. Postal Service r, CERTIFIED MAIL,. RECEIPT (Domestic Mail Only; No Insurance Coverage Provided)

For delivery information visit our website at www.usps.comb,

Postage

Certified Fee

Return Receipt Fee (Endorsement Required)

Restricted Delivery Fee (Endorsement Required)

Sp

U.S. Postal Service Tr,

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Restricted Delivery Fee O (Endorsement Required)

0- ru Total Pruett:ma R. Foam it 1=3 GEORGE C. KUNERT, LIFE ESTATE o Sent

865 WEST STREET rg Sires WATERTOWN, WI 53094

or PC

City

f'U 117 _0 m

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Total Postage & Fees $ CO • 3 Sent

FREEPORT MCMORAN OIL & G 1

FCX OIL & GAS INC. Street 700 MILAM, SUITE 3100 orPO HOUSTON, TX 77002 City, S

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0 tk

U.S. Postal Service,' CERTIFIED MAIL„, RECEIPT (Domestic Mail Only; No Insurance Coverage Provided)

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Postage too

FFICIAL

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3, to 0Q.55

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Total Postene A. Fees A 1.0,3( GREGORY M. MILLER & HEIDI MILLER 10151 US HIGHWAY 85

Street, Ap. BOWMAN, ND 58623 or PO Boas

City State

Sent To

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CERTIFIED MAIL., RECEIPT (Domestic Mail Only; No Insurance Coverage Provided)

Page 16: ORDER / CASE NO: ORDER NO. 63-2013 ORDER / NOTICE OF …sddenr.net/ogbof/Case_No_63-2013.pdf · 2014-02-26 · carter b. stephens 744 hill avenue grand junction, co 81501 mary k.

U.S. Postal Service,. CERTIFIED MAILTM RECEIPT (Domestic Mail Only; No Insurance Coverage Provided)

For delivery information visit our website at www.usps.com®

Postmark Here

Instructions

Postmark Here

Exhibit "C" Page 7 of 21

Case Nos. 63-2013 & 64-2013

Spacing: W/2 of Sec. 35, T23N, R6E,

Harding County, SD

U.S. Postal Service,,,

CERTIFIED MAILTM RECEIPT (Domestic Mail Only; No Insurance Coverage Provided)

Sent To GWENDOLYN KITZAN & GREGORY

Street, A MILLER, TRUSTEES or PO a 18293 SHEEP CORNER ROAD City. Sta NISLAND, SD 57762 7633

RIM U.S. Postal Service,,., CERTIFIED MAIL,,, RECEIPT (Domestic Mail Only; No Insurance Coverage Provided)

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$ 3

(Endorsement Required) Return Receipt Fee 2.55

Restricted Delivery Fee (Endorsement Required)

Tow pr,ctArre R. Fees T (0 * 3 I

HANCOCK ENTERPRISES Se P. 0. BOX 2527 gf, BILLINGS, MT 59103 or

Ci.

U.S. Postal Service,. CERTIFIED MAIL, RECEIPT (Domestic Mail Only; No Insurance Coverage Provided)

For delivery information visit our website at www.usps.comb,

Postage

Certified Fee

(Endorsement Required) Return Receipt Fee

Restricted Delivery Fee (Endorsement Required)

Total Postage & Fees S 6.3 I JACK W. PARIS

Sent To P. 0. BOX 597 Street, Ai BISMARCK, ND 58502 or PO Bc

City. Stet

U.S. Postal Service,.

CERTIFIED MAIL,., RECEIPT (Domestic Mail Only; No Insurance Coverage Provided)

For delivery information visit our website at www.usps.com

Postage

Certified Fee

Postmark Here

Restricted Delivery Fee (Endorsement Required)

Total Pe-,..^.• sto ms.ss tL•3I H. HUFFMAN & CO. 301 NW 63RD STREET, SUITE 510 OKLAHOMA CITY, OK 79116-7906

CIL

2-5S

ct 6.31 HEADINGTON OIL CO. LLC 2711 N. HASKELL AVENUE, SUITE 2800 DALLAS, TX 75204

U.S. Postal Service TM

CERTIFIED MAIL,,., RECEIPT (Domestic Mail Only; No Insurance Coverage Provided)

For delivery information visit our website at www.usps.com,,

Postage

Certified Fee

Return Receipt Fee (Endorsement Required)

Restricted Delivery Fee (Endorsement Required)

• ToTot"3I

D ^ JAMES L. HEMMINGSEN Se, 15900 VERNON DRIVE

n BROOKFIELD, WI 53005 or I

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Total Postaaa & Fees Sk GWENDOLYN K. MILLER, ET AL TRUSTS

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Postage

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70

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Page 17: ORDER / CASE NO: ORDER NO. 63-2013 ORDER / NOTICE OF …sddenr.net/ogbof/Case_No_63-2013.pdf · 2014-02-26 · carter b. stephens 744 hill avenue grand junction, co 81501 mary k.

For delivery information visit our website at www.usps.coma

Postage

Certified Fee

Return Receipt Fee (Endorsement Required)

Restricted Delivery Fee 'Endorsement Required)

Postmark Here

U.S. Postal Service CERTIFIED MAIL,„ RECEIPT (Domestic Mail Only; No Insurance Coverage Provided)

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Postmark Here

54 JANE A. BARAKAT

se. 695 825 GOLD RUN ROAD sfi SUSANVILLE, CA 96130 Or

Cit

Postage

Certified Fee

Return Receipt Fee (Endorsement Required)

Restricted Delivery Fee (Endorsement Required)

P..c

U.S. Postal Service CERTIFIED MAIL- RECEIPT (Domestic Mail Only; No Insurance Coverage Provided)

For delive information visit our website at www.usps.com

r-1

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Exhibit "C" Page 8 of 21

Case Nos. 63-2013 & 64-2013

Spacing: W/2 of Sec. 35, T23 N, R6E, Harding County, SD

U.S. Postal Service, CERTIFIED MAIL,,, RECEIPT (Domestic Mail Only; No Insurance Coverage Provided)

For delivery information visit our website at www.usps.corm,

r% AL USE

U.S. Postal Service, CERTIFIED MAIL- RECEIPT (Domestic Mail Only; No Insurance Coverage Provided)

J. B. SAUNDERS IV 1999 REVX TRUST Sent BOKF, NA, AGENT

Street P. 0. BOX 3499 or PO TULSA, OK 74101-3499 City,

CIAL USE

rg

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Total Pr --- c, (0.3 t JEFFREY KILLGORE

sent ro 6402 ASHLEY COURT SAN BERNARDINO, CA 92407

PS Fon

$

3.10 (Endorsement Required)

Return Receipt Fee 2.s S Restricted Delivery Fee

(Endorsement Required)

Tote JEROME M. JAY

sent 4800 WEST HAMILTON PLACE

h sires DENVER, CO 80236 or PC

Postmark Here

-<12.&80

(:),55

3, IC .-L)

Street, A or PO 13(

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OFFICIAL USE Postage

Certified Fee

Return Receipt Fee !Endorsement Required)

Restricted Delivery Fee Endorsement Required)

Total

JERRI JEAN DAVIS Sent 7 249 SERENE HOLLOW LANE -sweet BUDA, TX 78610 or PO

City, S

U.S. Postal Service., CERTIFIED MAILTM RECEIPT (Domestic Mail Only; No insurance Coverage Provided)

For delivery information visit our website at www.usps.come

Postage

Certified Fee

Return Receipt Fee (Endorsement Required)

Restricted Delivery Fee Endorsement Required)

Total 2^^•

(0 .31

JH PETROLEUM, LLC Sent .11 P. 0. BOX 621128

Street, LITTLETON, CO 80162 1128 orPOt

City, SI

Postmark Here

Page 18: ORDER / CASE NO: ORDER NO. 63-2013 ORDER / NOTICE OF …sddenr.net/ogbof/Case_No_63-2013.pdf · 2014-02-26 · carter b. stephens 744 hill avenue grand junction, co 81501 mary k.

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Return Receipt Fee (Endorsement Required)

Restricted Delivery Fee (Endorsement Required)

Total Postaae & Fees esr

JIMMIE A. KILLGORE Sent To

22833 LAPAIX STREET Street, Apt GRAND TERRACE, CA 92313 or PO Box

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JOHN W. BELLACK Sent

1313 SOUTH 3RD STREET SlreE WATERTOWN, WI 53094 or PC

City,

For delivery information visit our website at www.usps.comh

Postage

Certified Fee

Return Receipt Fee (Endorsement Required)

Restricted Delivery Fee (Endorsement Required)

Tot^' °^-•••-•- 2

JOHN H. HIGHT sem 2302 CALLOWAY COURT 'Sri& PIERRE, SD 57501-8801 or P

City,

Postmark Here

Postage

Certified Fee

Return Receipt Fee (Endorsement Required)

Restricted Delivery Fee (Endorsement Required)

(r Total Postage & Fees $

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t (Cr, Ce.1

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U.S. Postal Service,,., CERTIFIED MAIL„, RECEIPT (Domestic Mail Only; No Insurance Coverage Provided)

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U.S. Postal Services., CERTIFIED MAIL, RECEIPT (Domestic Mail Only; No insurance Coverage Provided)

u(140...>

For delivery information visit our website at www.usps.com5

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Page 19: ORDER / CASE NO: ORDER NO. 63-2013 ORDER / NOTICE OF …sddenr.net/ogbof/Case_No_63-2013.pdf · 2014-02-26 · carter b. stephens 744 hill avenue grand junction, co 81501 mary k.

Postage $

JOSEPH B. BABCOCK 5427 YORKSHIRE TERRACE DR., WEST C 2 COLUMBUS, OH 43232

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ED JOYCE H. MILLER TRU

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Page 20: ORDER / CASE NO: ORDER NO. 63-2013 ORDER / NOTICE OF …sddenr.net/ogbof/Case_No_63-2013.pdf · 2014-02-26 · carter b. stephens 744 hill avenue grand junction, co 81501 mary k.

2.-SS Return Receipt Fee

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Total Po.r.o. A Fees $ to.3 • KAY A. MINAHAN R

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sent . LARRY ABRAHAMSON 4786 75TH AVENUE

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Page 21: ORDER / CASE NO: ORDER NO. 63-2013 ORDER / NOTICE OF …sddenr.net/ogbof/Case_No_63-2013.pdf · 2014-02-26 · carter b. stephens 744 hill avenue grand junction, co 81501 mary k.

U.S. Postal Service,.,

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LEET FOWLER & MAURINE FO se' 11169 STAFFORD LOOP

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LESTER MERLE BABCOCK 8665 SOUTH 76TH STREET

gi FRANKLIN, WI 53132 or

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'xhibit "C" Page 12 of 21

:ase Nos. 63-2013 & 64-2013 pacing: W/2 of Sec. 35, T23N, R6E, larding County, SD

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T ,el Dr.e.ane. O. ce LEROY T. & JOAN L. BRUMMOND

S' LIVING TRUST g P. 0. BOX 1886 or CHEYENNE, WY 82003

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Page 22: ORDER / CASE NO: ORDER NO. 63-2013 ORDER / NOTICE OF …sddenr.net/ogbof/Case_No_63-2013.pdf · 2014-02-26 · carter b. stephens 744 hill avenue grand junction, co 81501 mary k.

U.S. Postal Service rr,

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Exhibit "C" Page 13 of 21 Case Nos. 63-2013 & 64-2013 Spacing: W/2 of Sec. 35, T23N, R6E, Harding County, SD

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Total' - - LYNETTE S. HERRON F.

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MARGARET E. & CLARENCE H. BUEDLER Sent

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Page 23: ORDER / CASE NO: ORDER NO. 63-2013 ORDER / NOTICE OF …sddenr.net/ogbof/Case_No_63-2013.pdf · 2014-02-26 · carter b. stephens 744 hill avenue grand junction, co 81501 mary k.

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MARILYNN LORANGER Sent 7 595 LA QUINTA DRIVE

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MARTIN R. GATHJE AND Sent DARLENE K. GATHJE -gtwi, 2001 3RD AVENUE NE or Pi OWATONNA, MN 55060 city.

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Exhibit "C" Page 14 of 21 Case Nos. 63-2013 & 64-2013 Spacing: W/2 of Sec. 35, T23N, R6E, Harding County, SD

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rU Total .^-- a 3 MARJORIE ANN HITCHCOCk

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sr MARY K. SULLIVAN 1564 ULUPII STREET

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Page 24: ORDER / CASE NO: ORDER NO. 63-2013 ORDER / NOTICE OF …sddenr.net/ogbof/Case_No_63-2013.pdf · 2014-02-26 · carter b. stephens 744 hill avenue grand junction, co 81501 mary k.

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Sent Ti P. 0. BOX 7027

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Total P MERIDITH L. BELCHER

Sent To 1725 NEBRASKA AVENUE

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_ MICHAEL R. STEPHENS 5262 HOWELL STREET ARVADA, CO 80002

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Page 25: ORDER / CASE NO: ORDER NO. 63-2013 ORDER / NOTICE OF …sddenr.net/ogbof/Case_No_63-2013.pdf · 2014-02-26 · carter b. stephens 744 hill avenue grand junction, co 81501 mary k.

U.S. Postal Service , CERTIFIED MAIL„ RECEIPT (Domestic Mail Only; No Insurance Coverage Provided)

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Exhibit "C" Page 16 of 21

Case Nos. 63-2013 & 64-2013

Spacing: W/2 of Sec. 35, T23N, R6E, Harding County, SD

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Total Postage & Fees l ‘`3 1 OSWALD FAMILY TRUST DATED 4/27/98

[Sent LOUIS A. OSWALD, III, TRUSTEE

1 stree P. 0. BOX 280969 or PC LAKEWOOD, CO 80228 0969

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PAMELA L. TROYER Sent To 741 KEARNEY STREET Street, A DENVER, CO 80220 or PO Br

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Return Receipt Fee (Endorsement Required)

Restricted Delivery Fee (Endorsement Required)

• C Total Po,— --- " --

PATRICIA M. BORGESEN Sent To 7022 WEST KIMBERLY WAY

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Page 26: ORDER / CASE NO: ORDER NO. 63-2013 ORDER / NOTICE OF …sddenr.net/ogbof/Case_No_63-2013.pdf · 2014-02-26 · carter b. stephens 744 hill avenue grand junction, co 81501 mary k.

For delivery Information visit our website at www.usps.com .

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(0.3 1 PENWELL PROPERTIES, LLC

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Sent RICKY D. FRETHEIM stree P. 0. BOX 414 or PC BOWMAN, ND 58623 City,

R&G RESOURCES, LLC

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Total A. cma t ‘` RG OIL VENTURES, INC.

Sent 1 3822 SOUTH GOLDEN COURT street DENVER, CO 80235 or PC

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RICHARD D. BABCOCK, JR. Sent

412 NORTH OAK STREET Strom BALTIMORE, OH 43105 or PC

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Exhibit "C" Page 17 of 21 Case Nos. 63-2013 & 64-2013 Spacing: W/2 of Sec. 35, T23N, R6E, Harding County, SD

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Page 27: ORDER / CASE NO: ORDER NO. 63-2013 ORDER / NOTICE OF …sddenr.net/ogbof/Case_No_63-2013.pdf · 2014-02-26 · carter b. stephens 744 hill avenue grand junction, co 81501 mary k.

2..S S Return Receipt Fee (Endorsement Required)

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5.R (..-3 Total Postage & Fees

RUTH SHEA bet

11091 FENSKE DRIVE "stn ST. CHARLES, MN 55972

ru m Postage

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Exhibit "C" Page 18 of 21

Case Nos. 63-2013 & 64-2013

Spacing: W/2 of Sec. 35, T23N, R6E,

Harding County, SD

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ru Total ProatAng. A. Fawn lo -.3 1 t■,, D ROSELY A. SMITH & CHARLES V. RICE, JR.

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U.S. Postal Service CERTIFIED MAIL,. RECEIPT (Domestic Mail Only; No Insurance Coverage Provided)

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sent To STEPHEN SAUNDERS 1999 REVOC TRUST

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soot To TIERRA OIL COMPANY, LLC P. 0. BOX 700968

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U.S. Postal Service,'

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“6-31 Total Prmtana f4 Fawn

UGGS ENERGY, LLC Sent To 4925 GREENVILLE AVE., 915 1 ENERGY SQ. Street, ■■ DALLAS, TX 75206 4089 or PO B

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THOMAS G. BABCOCK 112 ROGERS AVENUE HOOSICK FALLS, NY 12090 0

C

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THE RESERVE PETROLEUM CO. Sent l■ 6801 NORTH BROADWAY, SUITE 300

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TOFTE ENERGY PARTNERS, L P Sent P. 0. BOX 4221 Yfrii. CASPER, WY 82604 or P

City,

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Exhibit "C" Page 20 of 21 Case Nos. 63-2013 & 64-2013

Spacing: W/2 of Sec. 35, T23N, R6E, Harding County, SD

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Sent To U S DEPARTMENT OF INTERIO

BUREAU OF LAND MANAGEMENT treet, 5001 SOUTHGATE DRIVE

cir P°B̀ BILLINGS, MT 59101-4669 City, Stet

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WANDA JEAN THOMPSON 7526 OAKLAND AVENUE SOUTH RICHFIELD, MN 5542

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Sent VRANNA QUINN

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WILLIAM B. BABCOCK Sent P. O. BOX 1011 Stree SMITHS, AL 36877 or Pt

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Exhibit "C" Page 21 of 21 Case Nos. 63-2013 & 64-2013 Spacing: W/2 of Sec. 35, T23N, R6E,

Harding County, SD

U.S. Postal Service im CERTIFIED MAIL., RECEIPT (Domestic Mail Only; No Insurance Coverage Provided)

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U.S. Postal Service ., CERTIFIED MAIL,,, RECEIPT (Domestic Mail Only; No insurance Coverage Provided)

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0 cc LL

Luff Exploration Company 1580 Lincoln Street, Suite 850 Denver, CO 80203

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Luff Exploration Company 1580 Lincoln Street, Suite 850 Denver, CO 80203

MARGO JERACE

0 #22' 61 LAFLEUR DRIVE

ST. ALBERT, AB, CANADA T8N 0X5

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Exhibit "D" Page 1 of 1

Case Nos. 63-2013 & 64-2013 Spacing: W/2 of Sec. 35, T23N, R6E, Harding County, SD

PS Form 3$06, Receipt for Registered Mail Copy 1 - Customer May 2007 (7530-02-000-9051) (See Information on Reverse)

For domestic delivery information, visit our website at www.usps.com

PS Form 3106, Receipt for Registered Mail Copy I - Customer May 2007 (7530-02-000-9051) (See Information on Reverse)

For domestic delivery information, visit our website at www.usps.com

Page 32: ORDER / CASE NO: ORDER NO. 63-2013 ORDER / NOTICE OF …sddenr.net/ogbof/Case_No_63-2013.pdf · 2014-02-26 · carter b. stephens 744 hill avenue grand junction, co 81501 mary k.

'chard D. George

DEPARTMENT OF ENVIRONMENT AND NATURAL RESOURCES BOARD OF MINERALS AND ENVIRONMENT

IN THE MATTER OF THE PETITION OF LUFF ) EXPLORATION COMPANY, DENVER, COLORADO, FOR ) AN ORDER OF THE BOARD DESIGNATING IT AS ) OPERATOR OF THE CARLA 1-35H WELL, WITH A ) SURFACE LOCATION IN THE SW/4SW/4 OF SECTION 35, ) TOWNSHIP 23 NORTH, RANGE 6 EAST, HARDING COUNTY, SOUTH DAKOTA, OR ALTERNATIVELY i REQUIRING SAID WELL TO BE PLUGGED AND ) ABANDONED; AND FOR OTHER RELIEF AS THE BOARD ) DEEMS APPROPRIATE. )

) AND )

) IN THE MATTER OF THE PETITION OF LUFF ) EXPLORATION COMPANY, DENVER, COLORADO, TO ) AMEND THE APPLICABLE ORDERS FOR THE COREY ) BUTTE FIELD, INCLUDING WITHOUT LIMITATION I BOARD ORDER NO. 19-07, SO AS TO VACATE AN I EXISTING 640-ACRE SPACING UNIT CONSISTING OF ) ALL OF SECTION 35, TOWNSHIP 23 NORTH, RANGE 6 ) EAST, AND ESTABLISH INSTEAD A 320-ACRE SPACING ) UNIT CONSISTING OF THE W/2 OF SECTION 35, AND ) AUTHORIZE THE DRILLING OF A HORIZONTAL WELL ) WITH ONE OR MORE LATERALS IN THE RED RIVER "B" ) ZONE AT ANY LOCATION NOT CLOSER THAN 500 FEET ) TO THE BOUNDARY OF SAID SPACING UNIT; TO ) AUTHORIZE THE ISSUANCE OF A PERMIT FOR SUCH ) WELL; AND FOR OTHER RELIEF AS THE BOARD DEEMS ) APPROPRIATE.

CASE NO. 63-2013 and CASE NO. 64-2014

AFFIDAVIT OF HAND DELIVERY

RICHARD D. GEORGE, being duly swOrn on oath, deposes and says that he is Manager of Operations for Luff Exploration Company, the applicant in the above entitled matter, that I personally hand delivered a copy of Luff's Petition and the Notice of Public Hearing in said matter to each of the persons/entities listed on Exhibit "1".

STATE OF COLORADO COUNTY OF DENVER

Sworn and subscribed before me on the Cer% day of January, 2014

16101-Ca _DCULAJk Kristal Davila - Notary Public My Commission Expires 06/24/2015

) )

Page 33: ORDER / CASE NO: ORDER NO. 63-2013 ORDER / NOTICE OF …sddenr.net/ogbof/Case_No_63-2013.pdf · 2014-02-26 · carter b. stephens 744 hill avenue grand junction, co 81501 mary k.

EXHIBIT "1" PAGE 1 OF 1

GEORGE DANIEL ALMON

SHARON K. BERGET SD-DENR CASES 63-2013 & 64-2013

910 OLIVE STREET

2486 SOUTH LANSING WAY HEARING DATE: FEBRUARY 20, 2014

DENVER, CO 80220

AURORA, CO 80014 W/2 OF SECTION 35 T23N, R6E - HARDING COUNTY, SD

CHESSMAN ENERGY, LLC. EDMONDS ENERGY CORP. KATS RESOURCES LLC 33722 MEADOW MOUNTAIN RD. 8027 WEST HARVARD DRIVE

2359 S. JUNIPER CIRCLE

EVERGREEN, CO 80439

LAKEWOOD, CO 80227

LAKEWOOD, CO 80228

KENNETH D. LUFF, TRUSTEE OF THE

GREGORY L. MAGRUDER

SIPPEL FREEMAN LLC KENNETH D. LUFF TRUST

10274 QUAIL ST. 975 FOREST STREET

1580 LINCOLN STREET, SUITE 850

WESTMINSTER, CO 80021

DENVER, CO 80220 DENVER, CO 80203

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CERTIFIED MAIL RECEIPTS NOT

SCANNED

HARD COPIES AVAILABLE AT DENR'S OFFICE IN RAPID CITY

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STATE OF SOUTH DAKOTA

DEPARTMENT OF ENVIRONMENT AND

NATURAL RESOURCES BOARD OF

MINERALS AND ENVIRONMENT

Affidavit of Publication STATE OF SOUTH DAKOTA: COUNTY OF HARDING: Letitia Lister of said County and State being first duly sworn, on her oath says: That the NATION'S CENTER NEWS is a legal weekl:

CASE NO. 63-2013 OIL AND GAS

newspaper of general circulation, printed and published in the City of Buffalo, in said County and State by Letitia Lister, and has been such a newspaper during the times hereinafter mentioned; and that said newspaper has a bonafide circulation of at least 200 copies weekly, and has been published within said County in the English lan-guage for at least one year prior to the first publication of the notice herein mentioned, and is printed in whole or in part in an office main-tained at the place of publication; and that I, Letitia Lister, the undersigned, am the Publisher of said newspaper and have personal knowledge of all the facts stated in this affidavit; and that the adver-tisement headed:

(1,4cxs._ Ncl 103 3

a printed copy of which is hereto attached, was printed and published in said newspaper for I successind consecutive weeks, the first publication being made on the yi-u- day of sjac , QC/ y, and the last publication on the day of , that the ful amount of fees charged for publishing same, to-wit: The sum of $ 37.53 , insures solely to the benefit of the publisher of the NATIO CENTER NEWS, that no agreement or understanding for a division thereof has been made with any person and that no part thereof has been agreed to be paid to any other person whomsoever.

Subscribed and sworn to before me this f ,E) day

Notary Public, Lawrence County, South Dakota My commission expires: 10-24-2016

cision will be based upon the evidence received at the hearing. The board's decision may be appealed to the Circuit Court and the State Supreme Court as provided by law.

If the amount in contro-versy exceeds two thou-sand five hundred dollars or if a property right may be terminated, any party to the contested case may require the agency to use the Office of Hearing Ex-aminers by giving notice of the request to the agen-cy no later than ten days after service of a notice of hearing issued pursuant to SDCL Chapter 1-26-17.

Any person who wishes to intervene in this pro-ceeding as a party must file a petition to intervene pur-suant to ARSD 74:09:01:04 on or before January 29, 2014. The above described matter will only be heard before the board if a per-son intervenes in this pro-ceeding. If no petition to intervene is filed, the Sec-retary of the Department of Environment and Natu-ral Resources will approve or conditionally approve the application in accor-dance with SDCL 45-9-74.

Notice is further given to individuals with dis-abilities that this hearing is being held in a physically accessible place. Please notify the Department of Environment and Natural Resources at least 48 hours before the public hearing if you have a disability for which special arrange-ments must be made at the hearing. The telephone number for making special arrangements is (605) 773-4201.

The application and notice of hearing are also posted on the depart-ment's website at: http:// denr.sd.gov/des/og/pub-hearing.aspx. Additional information about this ap-plication is available from Bob Townsend, Adminis-trator, Minerals and Min-ing Program, Department of Environment and Nat-ural Resources, 523 East Capitol Avenue, Pierre, SD 57501, telephone (605) 773-4201, email bob. [email protected].

Dated: January 3, 2014

-s- Steven M. Pirner Steven M. Pirner

Secretary Published once at the

total approximate cost of $37.98.

#585 Jan. 9

RECEIVED JAN 13 2014

DEPT OF ENVIRONMENT & NATURAL RESOURCES - RAPID CITY

NOTICE OF

OPPORTUNITY FOR HEARING

IN THE MATTER OF THE APPLICATION OF LUFF EXPLORA-TION COMPANY, DEN-VER, COLORADO, FOR AN ORDER OF THE BOARD DESIGNAT-ING IT AS OPERATOR OF THE CARLA 1-35H WELL, WITH A SUR-FACE LOCATION IN THE SW/4SW/4 OF SEC-TION 35, TOWNSHIP 23 NORTH, RANGE 6 EAST, HARDING COUNTY, SOUTH DAKOTA, OR ALTERNATIVELY RE-QUIRING SAID WELL TO BE PLUGGED AND ABANDONED; AND FOR OTHER RELIEF AS THE BOARD DEEMS APPROPRIATE.

Notice is hereby given to Luff Exploration Compa-ny, Denver, Colorado, and to all interested persons that the Board of Minerals and Environment, herein-after 'board,* will hold a contested case hearing on the above described matter on Thursday, February 20, 2014, at 10:15 aan. CST at the Matthew Environmen-tal Education and Training Center, Joe Foss Building, 523 East Capitol Avenue, Pierre, SD 57501, for the purpose of hearing the

\1/4 above matter if any party intervenes and requests a hearing as provided by law.

The board has jurisdic-tion and legal authority to issue orders for the de-velopment of the oil and gas resources of the state pursuant to South Dako-ta Codified Laws (SDCL) Chapters 45-9 and

1-26 and to Administra-tive Rules of South Dakota (ARSD) 74:09 and 74:12. The hearing is an adver-sary proceeding and any party has the right to be represented by a lawyer. These and other due pro-cess rights will be forfeited if they are not exercised at the hearing. The board may approve, conditional-ly approve, or deny the ap-plication. The board's de

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January 3, 2014

GREATFACES.GREAT PLACES.

DEPARTMENT of ENVIRONMENT and NATURAL RESOURCES

PMB 2020 JOE FOSS BUILDING 523 EAST CAPITOL

PIERRE, SOUTH DAKOTA 57501.3182

www.state.sd.usidenr

John Morrison Crowley Fleck PLLP P. 0. Box 2798 Bismarck, ND 58502

Dear Mr. Morrison:

Enclosed are copies of the notices of opportunity for hearing for Luff Exploration Company's applications, Oil and Gas Case Nos. 63-2013, 64-2013, 65-2013 and 66-2013. Case No. 63-2013 requests an order for Luff to become the operator of the Carla 1-35H well, Corey Butte Field; Case No. 64-2013 requests an order to vacate the 640-acre spacing unit associated with the Carla 1-35H well and establish a 320-acre spacing unit, Corey Butte Field; Case No. 65-2013 requests an order to establish an overlapping 831-acre spacing unit in the Table Mountain Field; and Case No. 66-2013 is a request to recover risk compensation from owners in the spacing unit associated with the McKitrick I-28H well, South Medicine Pole Hills Field. The notices have been sent to the Nation's Center News, Buffalo, SD, for publication on Thursday, January 9, 2014.

It is the applicant's responsibility to serve notice on those persons "....whose property may be affected..." as specified in South Dakota Codified Laws 45-9-58. Therefore, following service of the notice, please file the following with our office:

1. Affidavit of Notification (service of notification must occur early enough to allow persons notified time to intervene in the case)

2. Certified mail return receipts 3. A list of persons notified

Also be advised that, before an order authorizing risk compensation is entered, Administrative Rules of South Dakota 74:12:10:01 requires the applicant to:

1. Provide proof that an unsuccessful, good-faith attempt was made to have the nonparticipating owner execute a lease or participate in the risk and cost of drilling and operating the well; and

2. Notify the nonparticipating owner with proof of service that the applicant intends to request the board to provide for the recovery of risk compensation and that the nonparticipating owner may object to the risk compensation provision by responding in opposition to the application.

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John Morrison Page Two January 3, 2014

If you have any questions, please feel free to contact me at (605) 773-4201

Sincerely,

(::;)•4,404

Robert Townsend, Administrator Minerals and Mining Program

Enclosures

cc w/encs: Roxanne Giedd, Deputy Attorney General, Office of the Attorney General, Pierre, SD Brett Koenecke, May, Adam, Gerdes & Thompson, LLP, P. 0. Box 160, Pierre, SD

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STATE OF SOUTH DAKOTA DEPARTMENT OF ENVIRONMENT AND NATURAL RESOURCES

BOARD OF MINERALS AND ENVIRONMENT

IN THE MATTER OF THE APPLICATION OF LUFF EXPLORATION COMPANY, DENVER, COLORADO, FOR AN ORDER OF THE BOARD DESIGNATING IT AS OPERATOR OF THE CARLA 1-35H WELL, WITH A SURFACE LOCATION IN THE SW/4SW/4 OF SECTION 35, TOWNSHIP 23 NORTH, RANGE 6 EAST, HARDING COUNTY, SOUTH DAKOTA, OR ALTERNATIVELY REQUIRING SAID WELL TO BE PLUGGED AND ABANDONED; AND FOR OTHER RELIEF AS THE BOARD DEEMS APPROPRIATE.

NOTICE OF

OPPORTUNITY FOR HEARING

OIL AND GAS CASE NO. 63-2013

Notice is hereby given to Luff Exploration Company, Denver, Colorado, and to all interested persons that the Board of Minerals and Environment, hereinafter "board," will hold a contested case hearing on the above described matter on Thursday, February 20, 2014, at 10:15 a.m. CST at the Matthew Environmental Education and Training Center, Joe Foss Building, 523 East Capitol Avenue, Pierre, SD 57501, for the purpose of hearing the above matter if any party intervenes and requests a hearing as provided by law.

The board has jurisdiction and legal authority to issue orders for the development of the oil and gas resources of the state pursuant to South Dakota Codified Laws (SDCL) Chapters 45-9 and 1-26 and to Administrative Rules of South Dakota (ARSD) 74:09 and 74:12. The hearing is an adversary proceeding and any party has the right to be represented by a lawyer. These and other due process rights will be forfeited if they are not exercised at the hearing. The board may approve, conditionally approve, or deny the application. The board's decision will be based upon the evidence received at the hearing. The board's decision may be appealed to the Circuit Court and the State Supreme Court as provided by law.

If the amount in controversy exceeds two thousand five hundred dollars or if a property right may be terminated, any party to the contested case may require the agency to use the Office of Hearing Examiners by giving notice of the request to the agency no later than ten days after service of a notice of hearing issued pursuant to SDCL Chapter 1-26-17.

Any person who wishes to intervene in this proceeding as a party must file a petition to intervene pursuant to ARSD 74:09:01:04 on or before January 29, 2014. The above described matter will only be heard before the board if a person intervenes in this proceeding. If no petition to intervene is filed, the Secretary of the Department of Environment and Natural Resources will approve or conditionally approve the application in accordance with SDCL 45-9-74.

Notice is further given to individuals with disabilities that this hearing is being held in a physically accessible place. Please notify the Department of Environment and Natural Resources at least 48 hours before the public hearing if you have a disability for which special

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arrangements must be made at the hearing. The telephone number for making special arrangements is (605) 773-4201.

The application and notice of hearing are also posted on the department's website at: http://denr.sd.govides/og/pubhearing.aspx. Additional information about this application is available from Bob Townsend, Administrator, Minerals and Mining Program, Department of Environment and Natural Resources, 523 East Capitol Avenue, Pierre, SD 57501, telephone (605) 773-4201, email bob.townsendstate.sd.us.

Dated: January 3, 2014

Steven M. Pirner Secretary

Published once at the total approximate cost of

2

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ROBERT B. ANDERSON

TIMOTHY M. ENGEL

MICHAEL F. SHAW

BRETT KOENECKE

CHRISTINA L. KLINGER

J USTIN L. BELL

DOUGLAS A. ABRAHAM

KARA C. SEMMLER

Writer's E-mail: brett(a),magt.com

Department of Environment and Natural Resources Minerals & Mining Program, - Oil and Gas Section 2050 West Main, Suite #1 Rapid City, SD 57702-2493

LAW OFF ICES

MAY, ADAM, GERDES & THOMPSON LLP 503 SOUTH PIERRE STREET

P.O. BOX 160

PIERRE, SOUTH DAKOTA 57501-0160

SINCE 1881

%WIN- M agt.com

December 23, 2013

0, COUNSEL DAVID A. GERDES

CHARLES M. THOMPSON

GLENN W. MARTENS 1851-1963 KARL GOLDSMITH 1883.1966 BRENT A. WILBUR 1949.2008

TELEPHONE 605 224-6803

TELECOPIER 605 224-6289

RECEIVED DEC 2 6 2013

DEPT OF ENVIRONMENT & NATURAL RESOURCES - RAPID CITY

RE: (1) Petition regarding the Carla 1-35H Well (2) Petition regarding Corey Butte Field (3) Petition regarding Table Mountain Field (4) Petition regarding Risk Compensation. Our file: 4385.42

Dear Sirs:

Enclosed please find four Petitions as referenced above. Please file the same. If you have any questions, please feel free to contact me. Thank you for your attention to this.

Very truly yours,

2•M MAY, AD , GERDES LLP

.LLB -

BRETT

die.1-t_

BRETT KOENECKE

BK/sjs

Enclosure

Cc/encl: John W. Morrison

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RECEIVED DEC 2 6 2013

STATE OF SOUTH DAKOTA DEPT OF ENVIRONMENT & NATURAL - DEPARTMENT OF ENVIRONMENT AND NATURAL RESOURCESRESOURCES RAPID CITY

BOARD OF MINERALS AND ENVIRONMENT

IN THE MATTER OF THE PETITION OF LUFF EXPLORATION COMPANY, DENVER, COLORADO, FOR AN ORDER OF THE BOARD DESIGNATING IT AS OPERATOR OF THE CARLA 1-35H WELL, WITH A SURFACE LOCATION IN THE SW/4SW/4 OF SECTION 35, TOWNSHIP 23 NORTH, RANGE 6 EAST, HARDING COUNTY, SOUTH DAKOTA, OR ALTERNATIVELY REQUIRING SAID WELL TO BE PLUGGED AND ABANDONED; AND FOR OTHER RELIEF AS THE BOARD DEEMS APPROPRIATE.

Case No. 63-2013

PETITION

COMES NOW the petitioner, Luff Exploration Company ("Luff'), and respectfully

alleges as follows:

1. Luff represents the owners of interests in one hundred percent of the oil and gas

leasehold estate underlying all of Section 35, Township 23 North, Range 6 East, Harding

County.

2. In Order No. 19-07, the Board established a 640-acre spacing unit for the Corey

Butte Field consisting of all of Section 35. Pursuant to Order No. 19-07, Continental Resources,

Inc. ("Continental") was granted a permit for the drilling of the Carla

1-35H well (the "Well") on March 4, 2008. The records of the South Dakota Department of

Environment and Natural Resources (the "Department") reflect that the well was spud on May 5,

2008, and was completed on July 1, 2008. Between July 1, 2008, and November 30, 2008,

production of 1,334 barrels of oil was reported to the Department. No production has been

reported to the Department since November 2008.

3. The Department's records further indicate that on December 12, 2011, and

August 23, 2012, the Department has requested that Continental either request temporary

abandonment status in accordance with Section 74:12:03:03 of the Administrative Rules of

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South Dakota for the Well and a number of other wells or submit a plugging plan for approval

for such wells. The Department's records do not reflect that any response was received by the

Department.

4. Continental's oil and gas leases covering any lands in Section 35 have terminated

and the Kenneth D. Luff Trust now owns one hundred percent of the oil and gas leasehold estate

covering all of Section 35. As a result, Continental no longer has a property right to produce oil

and gas or conduct any operations in the Well.

5. Luff desires to reenter the Well, fill the portion of the lateral extending into the

E/2 of Section 35 with cement, and redrill a lateral on the W/2 of Section 35.

6. Pursuant to Sections 45-9-1, 45-9-2(15), and 45-9-13 of the South Dakota

Codified Laws, the Board is directed to enter orders as reasonably necessary to prevent waste,

including the drilling of unnecessary wells, and protect correlative rights.

7. Designating Luff as operator of the Well and authorizing it to utilize the Well in

connection with the drilling of a new lateral will prevent the drilling of unnecessary wells,

minimize surface disruption, and allow the public and the owners of interests within Section 35

to realize and enjoy the greatest possible good from the vital natural resources of oil and gas as

directed by Section 45-9-1 of the South Dakota Codified Laws.

8. Requiring Luff to provide a plugging and performance bond and a surface

restoration bond in accordance with Section 74:12 :02 :Olof the

Administrative Rules of South Dakota will protect any valid interest Continental retains in

continued operatorship of the Well.

WHEREFORE, applicant respectfully requests that the Board issue its notice of

opportunity for hearing and, if any interested party intervenes in accordance with said notice, set

this matter for hearing at the regularly scheduled meeting in February 2014, or such other date as

may be established by the Board, and that the Board enter its order granting the relief requested.

Dated this 7,3 day of December 2013.

2

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LUFF EXPLORATION COMPANY

John W. Morrison CROWLEY FLECK PLLP. 100 West Broadway, Suite 250 P.O. Box 2798 Bismarck, ND 58502

MAY, ADAM, GERDES & THOMPSON, L.L.P. 503 South Pierre Street P.O. Box 160 Pierre, SDI 57501-0160

By:

TT M. KOENECKE

3

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State of Colorado )ss.

County of Denver

Luff Exploration Company, applicant in the captioned matter, hereby grants permission

to the secretary for the performance of inspections required or authorized by SDCL Chapter 45-9

or ARSD Article 74:12.

LUFF EXPLORATION COMPANY

By:

Subscribed and sworn to this 2,0111day of December, 2013.

Ocuu-L-(6L,

Notary Public Denver County, Colorado , My Commission Expires: 2Li I2.015

4

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Department of Environment and Natural Resources Minerals and Mining Program 2050West Main, Suite #1 Rapid City, SD 57702-2493 Telephone: (605) 773-4201 Fax: (605) 394-5317

STATE OF SOUTH DAKOTA BEFORE THE SECRETARY OF

THE DEPARTMENT OF ENVIRONMENT AND NATURAL RESOURCES

IN THE MATTER OF THE APPLICATION OF Carla 1-35H - Transfer of Operations

) )

CERTIFICATION OF APPLICANT

STATE OF Colorado

) ) SS

COUNTY OF Denver

)

I, Richard D. George , the applicant in the above matter after being duly sworn upon oath hereby certify the following information in regard to this application:

South Dakota Codified Laws Section 1-40-27 provides:

"The secretary may reject an application for any permit filed pursuant to Titles 34A or 45, including any application by any concentrated swine feeding operation for authorization to operate under a general permit, upon making a specific finding that:

(1) The applicant is unsuited or unqualified to perform the obligations of a permit holder based upon a finding that the applicant, any officer, director, partner, or resident general manager of the facility for which application has been made:

(a) Has intentionally misrepresented a material fact in applying for a permit;

(b) Has been convicted of a felony or other crime of moral turpitude;

(c) Has habitually and intentionally violated environmental laws of any state or the United States which have caused significant and material environmental damage;

(d) Has had any permit revoked under the environmental laws of any state or the United States;

(e) Has otherwise demonstrated through clear and convincing evidence of previous actions that the applicant lacks the necessary good character and competency to reliably carry out the obligations imposed by law upon the permit holder; or

(2) The application substantially duplicates an application by the same applicant denied within the past five years which denial has not been reversed by a court of competent jurisdiction. Nothing in this subdivision may be construed to prohibit an applicant from submitting a new application for a permit previously denied, if the new application represents a good faith attempt by the applicant to correct the deficiencies that served as the basis for the denial in the original application.

CAF.doc Page 1

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All applications filed pursuant to Titles 34A and 45 shall include a certification, sworn to under oath and signed by the applicant, that he is not disqualified by reason of this section from obtaining a permit. In the absence of evidence to the contrary, that certification shall constitute a prima facie showing of the suitability and qualification of the applicant. If at any point in the application review recommendation, or hearing process, the secretary finds the applicant has intentionally made any material misrepresentation of fact in regard to this certification, consideration of the application may be suspended and the application may be rejected as provided for under this section.

Applications rejected pursuant to this section constitute final agency action upon that application and may be appealed to circuit court as provided for under chapter 1-26."

Pursuant to SDCL 1-40-27, I certify that I have read the forgoing provision of state law, and that I am not disqualified by reason of that provision from obtaining the permit for which application has been made.

I declare and affirm under the penalties of perjury that this claim (petition, application, information) has been examined by me, and to the best of my knowledge and belief, is in all things true and correct

Dated this 20th day of December

, 20 13

Subscribed and sworn before me this 20th day of December

, 20 13

Dol.0-4c(

Notary Public

My commission expires: 6/24/2015

(SEAL)

PLEAS HEET DISCLOSING ALL FACTS PERTAINING TO SDCL 1-40-27 (1)(a) THROUGH (e).

ALL VIOLATIONS MUST BE DISCLOSED, BUT WILL NOT AUTOMATICALLY RESULT IN THE REJECTION OF AN APPLICATION.

CAF.doc Page 2