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Notice of Completion Affidavit
Northern Border Project Opt 2 3-D
Lockhart Geophysical Company,
Geophysical Contractor
Received
NOV 7 2016
NDOil&Gas Division
In accordance with NDCC requirements for a Yi-mile halo of projected operations, a written notification
of seismic exploration with written copies of NDCC Chapter 38-08.1-04.1 Exploration Permit and NDCC
Chapter 38-11.1 Oil and Gas Production Damage Compensation was delivered to each landowner
located within the project area and within Yi-mile of the operations area outline. Written notification
was provided via standard US mail services and through hand delivery to individual landowners upon
contact and initial meeting with permit agent on site. Information obtained to determine land operator
and ownerships was taken from current tax roll and public on line ownership records.
ThankYo· u., , /) ,/} .
rYLi#/-rU~.k) Matt Michaeli
Project Coordinator
Michaeli Land Services, LLC
734-308-4506
•' ~~~~-~\~ \
GEOPHYSICAL EXPLORATION AFFIDAVIT OF COMPLETION REPORT • ~~iVJad I ( cl
: \ \4 i .... ... ,.>it :· &. ',,.._~~ ...
tJt '-{)fp~ ~-
INDUSTRIAL COMMISSION OF NORTH DAKOTA OIL AND GAS DIVISION 600 EAST BOULEVARD DEPT 405 BISMARCK, ND 58505-0840 SFN 51456 (03-2011)
SEP 3 0 2016
NDOil&Gas PERMIT NAME (Required): ___ N_O_RT_H_E_R_N_B_O_R_D_E_R_P_R_O_Je_c_r_o_~ __ ·i_i§_is_n __
PERMIT NUMBER: 97•0264
-----------------
AFFIDAVIT OF COMPLETION (GEOPHYSICAL CONTRACTOR}
n STATEOF \~~
COUNTY OF /d2.u'\.;\J,.l/)
Before me, (\$_ G\!..W DU j >. .. A../ld/\V\ , a Notary Public in and for the said
County and State, this day personally appeared '])C)..Jf\ \ eJ ;:j;) Q.A \\ f>=J::.<(Y\\ )
who being first duly sworn, deposes and says that (s)he is employed by ch.£[': k.J)O./\ ± 1
.)j.5k!::r\)h-'=8•WcecJ Civrr\ ~W'4:) . 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.
Q±Jfd--Geophysical Contractor Representative
Subscribed in my presence and sworn before me this
-------------------ROXANNE TURNER •
4 Notary Publi~ • State of Colorado • ' Notary ID 20124026458 • • My Commission Exaures May 18, 2020 •
-------------
My Commission Expires
GEOPHYSICAL EXPLORATION COMPLETION REPORT - FORM GE s.Received
Permit No.
97-0264 Shot Hole Operations
No
SECTION 1
INDUSTRIAL COMMISSION OF NORTH DAKOTA OIL AND GAS DIVISION 600 EAST BOULEVARD DEPT 405 BISMARCK, ND 58505-0840 SFN 51456 (03-2011)
Geophysical Contractor
Lockhart Geophysical Company
Project Name and Number
Northern Border Project Opt 2 Township(s)
163-164N
Drilling and Plugging Contractors
N/A
Date Commenced
October 1, 2015
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
Yes
County(s)
Bottineau Range(s)
82-83W
Date Completed
October 17, 2015
Last S.P. #
SEP 28 2016
NDOil&Gas L11v1;:,1v11
Include 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).
30th A
ve N
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Ella S
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108th St NW
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107th St NW
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107th St NW
4th Ave
Main S
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Hw
y 256
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107th St NW
107th St NW
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5th Ave
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y 256
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y 256
Vida S
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ve N
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Hw
y 256
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3rd Ave
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50901052
50901057
50901062
50901067
50901072
50901077
50901082
50901087
50901092
50901097
50901102
50901107
50901112
50901117
50951019
50951024
50951029
50951034
50951039
50951044
50951049
50951054
50951059
50951064
50951069
50951074
50951079
50951084
50951089
50951094
50951099
50951104
50951109
50951114
50951119
51001021
51001026
51001031
51001036
51001041
51001046
51001051
51001056
51001061
51001066
51001071
51001076
51001081
51001086
51001091
51001096
51001101
51001106
51001111
51001116
51051018
51051023
51051028
51051033
51051038
51051043
51051048
51051053
51051058
51051063
51051068
51051073
51051078
51051083
51051088
51051093
51051098
51051103
51051108
51051113
51101018
51101023
51101028
51101033
51101038
51101043
51101048
51101053
51101058
51101063
51101068
51101073
51101078
51101083
51101088
51101093
51101098
51101103
51101108
51101113
51151018
51151023
51151028
51151033
51151038
51151043
51151048
51151053
51151058
51151063
51151068
51151073
51151078
51151083
51151088
51151093
51151098
51151103
51151108
51151113
51191099
51191104
51201018
51201023
51201028
51201033
51201038
51201043
51201048
51201053
51201058
51201063
51201068
51201073
51201078
51201083
51201088
51201093
51251020
51251025
51251030
51251035
51251040
51251045
51251050
51251055
51251060
51251065
51251070
51251075
51251080
51251085
51251090
51251095
51261016
51301003
51301008
51301013
51301018
51301023
51301028
51301033
51351002
51351007
51351012
51351017
51351022
51351027
51351032
51401001
51401006
51401011
51401016
51401021
51401026
51401031
51401036
51431032
51451001
51451006
51451011
51451016
51451021
51451026
51501004
51501009
51501014
51501019
51501024
51551002
51551007
51551012
51551017
51551022
51551027
51591005
51591010
51591015
51591020
51591025
N
1
9
6
7
- 2
0
0
7
A
N
N
IVERS
A
R
Y
X
X
N
GAS
WTR
PWR
FBR
Q
94
85
23
27
108th St NW
Hw
y 2
56
X
WTR WTR WTR
WTR
W
T
R
W
T
R
W
T
R
W
T
R
WTR WTR WTR WTR
W
TR
W
TR
W
TR
W
TR
W
TR
WTR WTR
WTR
W
T
R
W
TR
W
TR
W
TR
W
TR
W
TR
W
TR
W
TR
W
TR
W
TR
W
TR
W
TR
W
TR
W
TR
W
TR
W
TR
W
TR
W
TR
W
TR
W
TR
W
TR
W
TR
W
TR
W
TR
W
TR
WTR WTR
WTR WTR
WTR WTR
WTR WTR
WTR WTR
WTR WTR
WTR
W
TR
WTR WTR WTR WTR
W
TR
W
TR
W
TR
W
TR
W
TR
W
TR
W
TR
X
XXXXX
X
PWR PWR
PWR PWR
PWR PWR
PWR PWR
PWR PWR
PWR PWR
PWR PWR
PWR PWR
PWR PWR
PWR PWR
PWR PWR
PWR PWR
PWR PWR
P
WR
P
WR
NR
O
C
K
P
I
L
E
10945091
10975091
11005091
11035091
11065091
11095091
50801097
50801102
50801107
50851098
50851103
50851108
50901095
50901100
50901105
50951097
50951102
50951107
108th St NW
109th St NW
26th A
ve N
W
26th A
ve N
W
W
TR
W
TR
WTR WTR WTR
W
T
R
W
TR
W
TR
W
TR
W
TR
W
TR
W
TR
W
TR
W
TR
W
TR
W
TR
W
TR
W
T
R
W
T
R
W
T
R
W
T
R
W
T
R
W
T
R
W
T
R
W
T
R
WTR
W
T
R
W
TR
W
T
R
W
T
R
W
T
R
W
T
R
W
T
R
WTR WTR WTR
WTR WTR WTR
WTR WTR WTR
WTR WTR
W
TR
WTR WTR WTR WTR
W
TR
W
TR
W
TR
W
TR
W
TR
W
TR
W
TR
X
X
X
X
XX
XXXX
X
XX
XX
XX
XX
XX
XX
X
XX
XX
XX
X
X
X
XX
X
X
X XX
X
X
X
XX
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
PWR PWR
PWR PWR
PWR PWR
PWR PWR
PWR PWR
PWR PWR
PWR PWR
P
WR
P
WR
P
WR
P
WR
P
W
R
P
W
R
P
W
R
WTR WTR WTR WTR WTR
N
NNNN
N
NN
N
N
NN
N
N
R
O
C
K
P
I
L
E
A
P
P
N
O
R
T
H
C
U
L
V
E
R
T
A
P
P
S
O
U
T
H
A
P
P
S
O
U
T
H
R
O
C
K
P
I
L
E
A
P
P
N
O
R
T
H
F
E
N
C
E
D
O
W
N
A
P
P
E
A
S
T
A
P
P
W
E
S
T
R
O
C
K
P
I
L
E
R
O
C
K
P
I
L
E
B
R
I
D
G
E
-
7
T
O
N
S
A
P
P
N
O
R
T
H
R
O
C
K
P
I
L
E
10945101
10945111
10975101
10975111
11005101
11005111
11035101
11035111
11065101
11065111
11095101
11095111
11125101
11125111
11155101
11155111
11185101
11185111
11215101
11215111
50951112
50951117
51001098
51001103
51001108
51001113
51001118
51051098
51051103
51051108
51051113
51101097
51101102
51101107
51101112
51101117
51151097
51151102
51151107
51151112
51191098
51191103
51191108
