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SCHEDULE 3-DISTRIBUTED ENERGY RESOURCES INTERCONNECTION PROCESS <br /> Pre-Application Report Request <br /> Persons interested in finding out the additional information regarding the interconnection of a <br /> distributed energy resource to the Utility's distribution system are to fill out this Pre-Application Report <br /> Request. The pre-application report request is to be filled out as completely as possible by the <br /> applicant. The Utility will provide the applicant with a Pre-Application Report within 15 business days <br /> once the completed Pre-Application Report Request and a $300 fee is submitted to the Utility. <br /> a= .ram rce Information <br /> Project Address: <br /> City: State: Zip Code: <br /> GPS Coordinates: Nearby Cross Streets: <br /> Location of the Proposed Point of Common Coupling (e.g. meter number or pole number): <br /> DER Type (Check all that apply): <br /> ❑ Solar Photovoltaic ❑ Wind ❑ Battery Storage <br /> ❑ Combined Heat and Power ❑ Solar Thermal ❑ Other (please specify) <br /> Total Aggregate Nameplate Rating of Proposed DER System (kW AC): <br /> Phase Configuration of Proposed DER System ❑ Single ❑ Three <br /> Service Voltage of Proposed DER System Volts <br /> Will this be a stand-alone generator not interconnected to onsite load ❑ Yes ❑ No <br /> (not including station service)? <br /> Please attach copy of site map for proposed project and any additional information that may be helpful <br /> in fulfilling the pre-application request. Site map should include true north, proposed project location <br /> including general layout, proposed service point location and major roadways. <br /> Date Received: Application Fee Received: ❑ Yes ❑ No <br /> Date Completed Pre-Application Report Sent to Applicant: <br /> ELK RIVER MUNICIPAL UTILITIES 1 <br /> 220 <br />