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SCHEDULE 3—INTERCONNECTION PROCESS,TECHNICAL REQUIREMENTS, AND OPERATING PROCEDURES <br /> State of Minnesota <br /> Generation Interconnection Application Page 2 <br /> ESTIMATED LOAD INFORMATION <br /> The following information will be used to help properly design the interconnection. This Information is not <br /> intended as a commitment or contract for billing purposes. <br /> Minimum anticipated load(generation not operating): kW: kVA: <br /> Maximum anticipated load(generation not operating): kW: kVA: <br /> ESTIMATED START/COMPLETION DATES <br /> Construction start date: Completion(operational)date: <br /> DESCRIPTION OF PROPOSED INSTALLATION AND OPERATION <br /> Attach a single line diagram showing the switchgear. transformers, and generation facilities. <br /> Give a general description of the manner of operation of the generation (cogeneration. closed- <br /> transition peak shaving. open-transition peak shaving. emergency power. etc.). Also. does the <br /> Applicant intend to sell power and energy or ancillary services andlor wheel power over <br /> 's facilities. If there is an intent to sell power and energy, also define the target <br /> market. <br /> 1__ <br /> PROJECT INFORMATION (Required by MN Statute 216B.16611 subd. 3a) <br /> Nameplate Capacity of Facility: <br /> Pre-Incentive Install Cost and Cost Components: <br /> Facility Energy Source:(Circle One) <br /> Solar Wind Biomass Other(Please Specify) <br /> Zip Code of the Facility Location: <br /> SIGN OFF AREA: <br /> With this Application,we are requesting the Utility to review the proposed Generation System Interconnection. <br /> We request that the Utility identifies the additional equipment and costs involved with the interconnection of this <br /> system and to provide a budgetary estimate of those costs. We understand that the estimated costs supplied by <br /> the Utility will be estimated using the information provided.We also agree that we will supply,as requested, <br /> additional information,to allow the Utility to better review this proposed Generation System interconnection. We <br /> have read the°State of Minnesota Distributed Generation Interconnection Requirements'and will design the <br /> Generation System and interconnection to meet those requirements. <br /> Applicant Name(print): <br /> Applicant Signature: Date: <br /> SEND THIS COMPLETED&SIGNED APPLICATION AND ATTACHMENTS TO <br /> Interconnection Process for Distributed Generate Systems <br />