This rule establishes the procedures for evaluating an interconnection request for a certified inverter-based interconnection resource no larger than 25 kW AC which may be paired with a non-exporting energy storage system no larger than 25 kW AC. The application process uses an all-in-one document (application) that includes a simplified interconnection request, simplified procedures, and a brief set of terms and conditions.
Name
Contact Person
Address
City State Zip
Telephone (Day) and (Evening)
Fax Number and E-Mail Address
Contact Person
Address
City State Zip
Telephone
Fax and E-Mail Address
Name
Address
City State Zip
Telephone (Day) and (Evening)
Fax Number and E-Mail Address
Owner of the facility (include percent ownership by any electric utility)
Location (if different from above)
Utility
Account number
DER components
Inverter manufacturer: ___________ Model
Nameplate rating: (kW AC) (kVA) (AC Volts)
Single phase _______ Three phase _______
System design capacity: _________ (kW) _______ (kVA)
Prime mover: Photovoltaic Reciprocating Engine Fuel Cell Turbine Other
Energy source: Solar Wind Hydro Diesel Natural Gas Fuel Oil Other (describe)
Is the equipment UL1741 Listed? Yes ____ No ____
If yes, attach manufacturer's cut-sheet showing UL1741 listing
Estimated installation date: _________ Estimated in-service date:
The 25 kW AC inverter process is available only for inverter-based interconnection resources no larger than 25 kW AC that meet the codes, standards, and certification requirements of specified in certain of these interconnection rules, or the utility has reviewed the design or tested the proposed interconnection resources and is satisfied that it is safe to operate.
Equipment type certifying entity:
If multiple export control systems are used, provide for each control system and use additional sheets if needed.
Is export controlled to less than the Total Aggregate Nameplate Rating? Yes: No:
Method of export limitation: Power Control System / Reverse Power Protection / Minimum Power Protection / Other (describe):
Export controls are applied to how many generators? Multiple: One:
If Power Control System is used, open loop response time(s): _______________
Power Control System export capacity: (kW AC) (kVA)
Energy Storage System Power Control System operating mode:
Unrestricted: Export Only: Import Only: No Exchange:
Describe which Generators the export control system controls:
I hereby certify that, to the best of my knowledge, the information provided in this Application is true. I agree to abide by the Terms and Conditions for Interconnecting an Inverter-Based interconnection resource No Larger than 25kW and return the Certificate of Completion when the interconnection resource has been installed.
Signed: ___________________________________________________________________
Title: Date:
Contingent approval to interconnect the small generating facility.
(For company use only)
Interconnection of the small generating facility is approved contingent upon the terms and conditions for interconnecting an inverter-based small generating facility no larger than 25 kW and return of the certificate of completion.
Company signature: ________________________________________________
Title: Date:
Application ID number: __________________
Company waives inspection/witness test? Yes ____ No ____
4 CCR 723-3-3854