FIT TIER 2 Application

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1 FIT TIER 2 Application Application Information The below information Auto-Fills from your registration information: Building Permit Application Date: Project Completion Date: Name: Address: City: State: Zip Code: Daytime Phone: Evening/Cell Phone: Fax: Address Applicant Information Is Applicant owner of Generating Facility? Yes No

2 If NO is picked on first page of application the below information will need to be completed: If YES is picked on the first page of the application the below information will be Auto-Filled. Owner of Generating Facility (required) Owner's First Name: (required) Owner's Last Name: (required) Address: (required) City: (required) State: (required) Zip Code: (required) Daytime Phone: (required) Evening/Cell Phone: Fax: (required) Address: Continue Back Once CONTINUE is chosen from the Owner of Generating Facility page: Generating Facility Information Is Generating Facility at owner location? Yes No

3 If NO is picked on the Generating Facility Information page of application the below information will need to be completed: If YES is picked on the Generating Facility Information page of the application SOME information will be Auto-Filled. Generating Facility Information (required) Tax Map Key: ( n-n-n-nnn-nnn ) (required) Electric Service Account #: Note: If this location has no service, enter for the Electric Service Account # (required) Address: (required) City: (required) State: (required) Zip Code: (required) Daytime Phone: (required) Evening/Cell Phone: (required) Fax: (required) Address: Generator Qualifications AUTO-FILL Technology: (For Solar/PV only) PV Array DC Rated Output in kw: (For Solar/PV only) PV Array AC Rated Output in kw: Maximum Site Load without Generator Capability in kw Maximum Generator Capability in kw: Minimum Site Load without Generation in kw: (required) Maximum Design Capacity [manufacturer's inverter rating, or nameplate rating if there is no inverter] in kw AC: (Between 20 and 500) Annual Energy Production of Generating Facility in kwh: Annual Energy Exported through Point of Common Coupling in kwh:

4 Generator Technical Information Seller must not modify or add to the Generating Facility without notification and the prior written consent of the Company Type of Generator: Synchronous Induction Inverter-Based Generating Facility Generator (or solar collector) Manufacturer, Model Name and Number: (A copy of Generator Nameplate and Manufacturer's Specification Sheet must also be submitted) Operating Power Factor: Nameplate rating in kw: Fault Current Contribution of Generator in Amps: Inverter Manufacturer, Model Name and Number (if used): (A copy of Inverter Nameplate and Manufacturer's Specification Sheet must also be submitted) Operating Power Factor: Rating in kw: Number of Starts Per Day: Maximum Starting kva: UF Trip Setting: UF Time Delay (Secs): Generator Grounding Method: Effectively Grounded Resonant Grounded Low-Inductance Grounded High-Resistance Grounded Low-Resistance Grounded Ungrounded Generator Characteristic Data (for rotating machines): (Not needed if Generator Nameplate and Manufacturer's Specification Sheet are provided) Direct Access Synchronous Reactance, X d : Direct Access Transient Reactance, X' d : Direct Access Subtransient Reactance, X'' d : Negative Sequence Reactance: Zero Sequence Reactance: KVA Base: Inertia Constant, H:

5 Excitation Response Ratio: Direct Access Open-Circuit Transient Time Constant, T'do: Direct Access Open-Circuit Subtransient Time Constant, T''do: Interconnecting Equipment Technical Data (to the extent owned by Seller) Will an interposing transformer be used between the generator and the point of interconnection? Yes No Transformer Data: (A copy of transformer Nameplate and Manufacturer's Test Report may be substituted) Size in KVA: Transformer Primary Voltage: Primary Transformer Delta Wye Wye Grounded Transformer Secondary Voltage: Delta Wye Wye Grounded Transformer Impedance in %: on KVA Base: Transformer Fuse Data: (Submit a copy of fuse manufacturer's Minimum Melt and Total Clearing Time-Current Curves) At: Size: Speed: Primary Voltage Secondary Voltage Transformer Protection (if not fuse): Please describe: Interconnecting Circuit Breaker (if applicable): (A copy of circuit breaker's Nameplate and Specification Sheet must also be submitted) Continuous Load Rating in Amps: Interrupting Rating in Amps: Trip Speed in Cycles: Circuit Breaker Protective Relays (if applicable): (Submit a copy of any proposed Time-Overcurrent Coordination Curves)

6 Current Transformer Data (if applicable): (Submit a copy of Manufacturer's Excitation & Ratio Correction Curves) Accuracy Class: Proposed Ratio Connection: /5 Accuracy Class: Proposed Ratio Connection: /5 Generator Disconnect Switch: A generator disconnect device (isolation device) must be installed with features as described in the FIT Interconnection Standards And Technical Requirements. Catalog No: Rated Volts: Rated Amps:

7 Single or 3 Phase: Mounting Location: General Technical Information 2 OF THE 3 FOLLOWING QUESTIONS WILL BE SHOWN: (What questions will depend on the previously entered information.) Submit a copy of site single-line diagram showing configuration and interconnection of all equipment, current and potential circuits and protection and control schemes. Do you have a single line diagram available? Submit a copy of site relay list and trip scheme, which shall include all protection, synchronizing and auxiliary relays that are required to operate the Facility in a safe and reliable manner. Do you have a Relay List and Trip Scheme available? Yes No Submit a copy of site three-line diagram (if Facility is greater than or equal to 30 kw) showing potential transformer and current transformer ratios, and details of the Facility's configuration, including relays, meters, and test switches. Do you have a three line diagram available? If a Single Line Diagram is not available at this time, one must be completed by your engineer/contractor and uploaded to the SINGLE LINE DIAGRAM folder on your "MY FIT DOCS" Page. Note: Generating and interconnection systems must be compliant with all applicable safety and performance standards. The customer is responsible for having all work performed by a licensed electrical contractor before the Company installs the necessary meter. The Company reserves the right to require additional information, as necessary, to determine the eligibility of the Applicant's project for the FIT program. Yes Yes No No Submit Cancel Back

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