Post on 07-Jun-2022
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GEOPHYSICAL EXPLORATION COMPLETION REPORT - FORM GE SA ~CO +. " -~:;., INDUSTRIAL COMMISSION OF NORTH DAKOTA "'1- D::-,., {.:~ OIL AND GAS DIVISION I'>) '- :.., i) I 4 .
Permit No.
970259 Shot Hole Operations
SECTION 1
600 EAST BOULEVARD DEPT 405 BISMARCK, ND 58505-0840 SFN 51456 (03-201 1)
Geophysical Contractor
Dawson Geophysical
Project Name and Number
GNMU 30 Township{s)
T159
Drilling and Plugging Contractors
N/A
Date Commenced
December 4, 2014
SECTION 2
First S_P "
. ----Loaded Holes {Undetonated Shot Points)
S.P.#'s
Charge Size
Depth
Reasons Holes Were Not Shot
SECTION 3 Flowing Holes and/or Blowouts
S.P.#'s
Procedure for Plugging Flowing Holes and/or Blowouts
*Non-Explosive Operations
Vibroseis
County{s)
Bottineau Range{s)
R81, R82
Date Completed
December 8, 2014
Last S.P. #
. . ~
lndude a 7.5 minute USGS topographic quadrangle map or a computer generated post-plot facsimile of the approximate scale displaying each individual shot hole, SP#, line#, and legal location.
*Non-Explosive Operations - Complete Section 1 and Affidavit (Form GE 68).
GEOPHYSICAL EXPLORATION AFFIDAVIT OF COMPLETION REPORT· FORM GE 68 INDUSTRIAL COMMISSION OF NORTH DAKOTA OIL AND GAS DIVISION 600 EAST BOULEVARD DEPT 405 BISMARCK, ND 58505-0840 SFN 51456 (03-2011)
Dawson Geophysical - GNMU 30
970259
AFFIDAVIT OF COMPLETION (GEOPHYSICAL CONTRACTOR)
STATE OF
COUNlYOF
Before me, C::~\t=t \ \u l\ j S County and State, thisay~ersonally appeared
, a Notary Public in and for the said
who being first duly sworn, deposes and says that (s)he is employed by
--+Dl~-.\1..._.\ ........ '8"'-"''G;;,....;.O_,__ ..... G ..... c=n __ r......,..n-lj-S ..... 1C_a......._( _______ , that (s)he has read North Dakota
Century Code Section 38-08.1, that the foregoing seismic project has been completed in
accordance with North Dakota Administrative Code Rule 43-02-12 and that the statements on
the reverse side of this document are true.
Subscribed in my presence and sworn before me this
CRYSTAL WILLIS Notary Public
State of North Dakota My Commission Expires September 2, 2020
My Commission Expires
Notary Public
November 26, 2014
North Dakota Oil & Gas Division 600 East Boulevard Dept 405 Bismarck, ND 58505-0840
This letter is to confirm that the landowners and 1h mile landowners in and around the GNMU 3D Project were notified and provided a written copy of the NDCC Section 38-08.1-04.1 (Exploration Permit) and NDCC Chapter 38-11 .1 (Oil and Gas Production Damage Compensation) at the time of permitting and was also included with the notification letter prior to commencement of the program. There were 23 landowners involved with the project area and 1h mile outside the project area.
Should you have any questions or concerns, I can be reached at the telephone number listed below.
Regards,
~J)plfb Lesle Wright St. Croix Seismic Permit Agent PO Box 190 Gordon, WI 54838 209-617-7640
P.O. BOX 190 v Gordon, WI 54838 • Phone: 715.318.0079 . info@stcroixseismic.com . www.stcroixseismic.com
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19802027
19802030
19802033
19802036
19802039
19802042
19802045
19802048
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9802054
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9802060
19862012 1
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19862018
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19982004
19982007
19982010
19982013
19982016
19982019
19982022
19982025
19982028
19982031
19982034
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9982040
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20042002
20042005
20042008
20042011
20042014
20042017
20042020
20042023
20042026
20042029
20042032
20042035
20042038
20102004
20102007
20102010
20102013
20102016
20102019
20102022
20102025
20102028
20102031
20162002
20162005
20162008
20162011
20162014
20162017
20162020
20162023
20162026
20222003
20222006
20222009
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20222018
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INDUSTRIAL COMMISSION OF NORTH DAKOTA
OIL AND GAS DIVISION
600 EAST BOULEVARD DEPT 405
BISMARCK, ND 58505-0840
SFN 51458 (03-2011)
Project Name
GNMU30
County
Bottineau County, North Dakota
Supplemental Information
Extended the south line of the program. Map attached
T159 R81 Section 31 to include all NW4, W2NE and E2E2NE
T159 R82 Section 36 to include all N2 T159 R82 Section 35 to include all NE, E2NW and E2W2NW
Company Dawson Geophysical
Address 508 W Wall, Ste 800 City
Midland
Title '-"/ Permit Agent
/
Email Address jesse.melby@stcroixseismic.com
Printed Name
Jesse Melby Date December 2, 2014
Telephone Number (720) 272-6126
Zip Code
79701
PERMIT # ____ 9_7_0_2_58 ___ _
0 Received
60016001
60016011
60016021
60016031
60046001
60046011
60046021
60046031
60076001
60076011
60076021
60076031
60106001
60106011
60106021
60106031
60136001
60136011
60136021
60136031
60136041
60166001
60166011
60166021
60166031
60166041
60196001
60196011
60196021
60196031
60196041
60226001
60226011
60226021
60226031
60226041
60256001
60256011
60256021
60256031
60256041
60286001
60286011
60286021
60286031
60286041
60316001
60316011
60316021
60316031
60316041
60346001
60346011
60346021
60346031
60346041
60376001
60376011
60376021
60376031
60376041
60406001
60406011
60406021
60406031
60406041
60436001
60436011
60436021
60436031
60436041
60466001
60466011
60466021
60466031
60466041
60496001
60496011
60496021
60496031
60496041
60526001
60526011
60526021
60526031
60526041
60556001
60556011
60556021
60556031
60556041
60586001
60586011
60586021
60586031
60586041
60616001
60616011
60616021
60616031
60616041
60646001
60646011
60646021
60646031
60646041
19382061
19442054 1
9442057
19442060
19442063
19502050
19502053
19502056
19502059
19502062
19562043
19562046
19562049
19562052
19562055
19562058
19562061
19622036
19622039
19622042
19622045
19622048
19622051
19622054
19622057
19622060
19622063
19682032
19682035
19682038
19682041
19682044
19682047
19682050
19682053
19682056
19682059
19682062
19742025
19742028
19742031
19742034
19742037
19742040
19742043
19742046
19742049
19742052
19742055
19742058
19742061
19802018
19802021
19802024
19802027
19802030
19802033
19802036
19802039
19802042
19802045
19802048
19802051
19802054
19802057
19802060
19862012 1
9862015
19862018
19862021
19862024
19862027
19862030
19862033
19862036
19862039
19862042
19862045
19862048
19862051
19862054
19922006
19922009
19922012
19922015
19922018
19922021
19922024
19922027
19922030
19922033
19922036
19922039
19922042
19922045
19922048
19982001
19982004
19982007
19982010
19982013
19982016
19982019
19982022
19982025
19982028
19982031
19982034
19982037
19982040
19982043
20042002
20042005
20042008
20042011
20042014
20042017
20042020
20042023
20042026
20042029
20042032
20042035
20042038
20102003
20102006
20102009
20102012
20102015
20102018
20102021
20102024
20102027
20102030
20162001
20162004
20162007
20162010
20162013
20162016
20162019
20162022
20162025
20222002
20222005
20222008
20222014
20222017
20222020
20282003
Oil and Gas -Division Lynn D. Helms- Director Bruce E. Hicks- Assistant Director
November 28, 2014
MR. BRET SCHAFER DAWSON GEOPHYSICAL COMPANY 508 WEST WALL STREET STE 800 MIDLAND, TX 79701
RE: GNMU3-D
Department of Mineral Resources Lynn D. Helms- Director
North Dakota Industrial Commission www.dmr.nd.gov/oilgas/
GEOPHYSICAL EXPLORATION PERMIT# 97-0259 BOTTINEAU COUNTY NON-EXPLOSIVE METHOD
Dear MR. SCHAFER:
Please be advised that we are in receipt of your Geophysical Exploration permit application and it is conditionally approved; effective for one year from November 28, 2014. PURSUANT TO NDAC 43-02-12-05 (DISTANCE RESTRICTION) nonexplosive method may not be conducted not less than 300 feet from a water well, building, underground cistern, pipelines, and flowing spring. In addition, pursuant to NDAC 43-02-12-06 (NOTIFICATION OF WORK PERFORMED), "The director is authorized to suspend operations of the entire geophysical project, or any portion thereof, if further activity will cause excessive damage to the surface of the land".
Review the following conditions for your permit:
1. A pre-program meeting with state seismic inspector Tom Torstenson is required. You must contact him at 701-290-1546 (cell) or 701-227-7436 at least 24 hours prior to any exploration operations. Also, a copy of the entire permit is required for all contractors at the pre-program meeting.
2. All variances for distance restrictions are to be furnished, and a pre-plot map displaying any source points that do not comply with the distance restriction rule must be supplied to the inspector.
3. The following information must be submitted within 30 days of the completion of the project by the Geophysical Company:
a. Completion Report, b. Completion Affidavit,
600 E Boulevard Ave - Dept 405, Bismarck, North Dakota 58505-0840 Phone (701)328-8020 Fax (701)328-8022
c. Post Plot Map. It must show all water wells, buildings, underground cisterns, pipelines, and flowing springs that fall within the program area and within one half mile of the perimeter of the program.
d. SD card or email: ttorstenson@nd.gov with all source and receiver points,
e. Letter stating that the Geophysical Company has given all surface owner's a copy of the Section and Chapter of the NDCC as stated in paragraph 5.
4. The following information must be submitted within 30 days of the completion of the project by the SUBCONTRACTOR(s) (when applicable):
a. Plugging Report b. Plugging Affidavit
5. It is required that within seven days of initial contact between the permitting agent and the operator of the land, the permitting agent shall provide the operator of the land and each landowner owning land within one-half mile of the land on which geophysical exploration activities are to be conducted a written copy of NDCC Section 38-08.1-04.1 (Exploration Permit) and NDCC Chapter 38-11.1 (Oil and Gas Production Damage Compensation). The permitting agent shall file an affidavit with this office confirming compliance with such notification. For your convenience, a copy of both Sections are enclosed.
6. The permit agent shall notify the operator of the land at least seven days before commencement of any geophysical exploration activity, unless waived by mutual agreement of both parties. The notice must include the approximate time schedule and the location of the planned activity.
7. Information regarding the location of water wells, springs, etc.; refer to the following ND State Water Commission Mapservice website, at: http ://mapservice.swc. state.nd. us/
8. The entire permit can be viewed, as well as the status of various seismic projects in the state, at: https: //www.dmr.nd.gov/oilgas/seismic/seismicstats.asp
Should you have any questions regarding this matter, feel free to contact me at 701-328-8020, or Tom Torstenson at the number listed in paragraph 1.
Sincerely,
olweger DMR Permit Manager
GEOPHYSICAL EXPLORATION PERMIT - FORM GE 1
1) a. Company
INDUSTRIAL COMMISSION OF NORTH DAKOTA OIL AND GAS DIVISION 600 EAST BOULEVARD DEPT 405 BISMARCK, NO 58505-0840 SFN 51459 (03-2011)
Address
Dawson Geophysical Co 508 West Wall Suite 800 Midland, TX 79701 Contact Telephone Fax Bret Schafer (720) 272-6126
Surety Company Bond Amount U.S. Specialty Insurance Company $50,000
Address
Bond Number B005272
Telephone 2) a. Subcontractor(s) C.T. Corporation P.O. Box 400, Bismark, NO 58502
b. Subcontractor(s)
3) Party Manager
Bret Schafer 4) Project Name or Line Numbers
GNMU 3-D
Address
Address (local)
5) Exploration Method (Shot Hole, Non-Explosive, 20, 30, Other)
Non-Explosive 3-D 6) Distance Restrictions (Must check all that apply)
Telephone
Telephone (local)
(720) 272-6126
12] 300 feet - NonExplosive - Distance setbacks apply to water wells, buildings, underground cisterns, pipelines, and flowing springs.
D 660 feet - Shot Hole - Distance setbacks apply to water wells, buildings, underground cisterns, pipelines, and flowing springs.
7) Size of Hole
3-0
Size of Hole
2-D
Ami of Charge
Amt of Charge
8) Approximate Start Date
J/-3o - /¥
Depth
Depth
Source points per sq. mi.
Rcv.(204.65) Src.(94.88) Source points per ln. mi.
No. of sq . mi.
4.3 No. of ln . mi.
!Approximate Completion Date
I ld-7 -IV THE COMMISSION MUST BE NOTIFIED AT LEAST 24 HOURS IN ADVANCE OF COMMENCEMENT OF GEOPHYSICAL OPERATIONS
9) Location of Proposed Project - County Bottineau
Section T. 159 R. 81 19,30,31 Section T.
159 R.
82 23,24,25,26,35,36 Section T. R.
Section(s), Township(s)
Section T. R. & Range(s)
Section T. R.
Section T. R.
I hereby swear or affirm that the information provided is true, complete and correct as determined from all available records. I Date 11-JI-/4
s~/J~· ~""'"" ~ ·
'Printed Name
Jesse M. Melby 'Title Permit Agent
!Email Address(es) / jesse.melby@stcroixseismic.com
Permit Conditions
(This space for State office use) * Permit in hand required at pre-program meeting Permit No.
9/02~q tppro~t/U1J \ { with field inspector and be aware of all NDIC Rules and Regulations (i.e. distance restrictions).
Approved by
~~tJ-1-- - * See attached letter. Title l .l. •• -· llcso~ PcrmitMaaapr
*See Instructions On Reverse Side
The Honorable LISA HERBEL Bottineau County Auditor 314West5th Bottineau, ND 58318-1204
Dear Ms. HERBEL:
Oil and Gas Division Lynn D. Helms- Director Bruce E. Hicks - Assistant Director
Department of Mineral Resources Lynn D. Helms - Director
North Dakota Industrial Commission www.dmr.nd.gov/oi1gas/
November 28, 2014
RE: Geophysical Exploration Permit# 97-0259
Pursuant to Section 38-08.1-04.2 of the North Dakota Century Code, please be advised that DAWSON GEOPHYSICAL Co. was issued the above captioned permit on November 28, 2014 and will remain in effect for a period of one year. The entire permit can be viewed on our website at: https: //www.dmr.nd.gov/oilgas/seismic/seismicstats.asp
Should you have any questions, please contact our office.
~erely,
Too ::::Jweger Mineral Resources Permit Manager
600 E Boulevard Ave - Dept 405, Bismarck, North Dakota 58505-0840 Phone (701)328-8020 Fax (701)328-8022
North Dakota Industrial Commission Department of Mineral Resources Oil & Gas Division
FORM GEl
FILING AUTHORIZATION
COMPANY NAME: Dawson Geophysical Company
ADDRESS: 508 West Wall, Suite 800
CITY: Midland STATE: TX ZIP: 79701 - - ---
This form authorizes the person(s) listed below to submit a NDIC Geophysical Exploration Permit - Form GE 1 for approval on behalf of the designated company as listed above.
A new authorization will be required if any changes are to be made to the authorized individuals on the form.
The data submitted from the authorized individuals listed below have been checked and conform to the standards and procedures set forth by the NDIC Department of Mineral Resources.
The authorized individual(s) will ensure that the company, as listed above, and party manager receive a copy of the approved Form GE 1
Authorized Individuals
Jesse Melby
St. Croix Seismic
E-Mail Address
jesse.melby
@stcroixseismic.com
Phone Number
(71 5}-977 -1002
Company Authorized Signature:...J:.. ~-"~U-.f----.J,d.2:q~====--Date: 1,71~ _;j O/ </ Printed Name: Bret Schafer Title: J?cff<~ ;j;~L Phone: 720-272-6126 Email Address: schafer@dawson3d.com
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Date: B { 1 <1- /t± Witness Printe
1
Holweger, Todd L.
From: jesse.melby <jesse.melby@stcroixseismic.com>Sent: Friday, November 28, 2014 10:29 AMTo: Holweger, Todd L.Subject: Re: GNMU 3D Electronic Topo Map
Todd, The blue lines represent what Berenergy has minerals under. Sent from my iPhone On Nov 28, 2014, at 10:16, "Holweger, Todd L." <tholweger@nd.gov> wrote:
Jesse, What do the blue lines within the project parameters represent? Thanks, Todd
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