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SCHEDULE 3-DISTRIBUTED ENERGY RESOURCES INTERCONNECTION PROCESS <br /> Point of Interconnection — Additional Information <br /> Is the proposed interconnection to an existing service? (If no, applicant is ❑ Yes ❑ No <br /> to skip to the next section.) <br /> Customer Name: Customer Account Number: <br /> Existing loads at site (kW AC): <br /> List future additional loads planned for at site (in kWAC): <br /> Project Contact Information <br /> Full Name: <br /> Name of Business: <br /> Street Address: <br /> City: State: Zip Code: <br /> Email: Phone: <br /> Payment and Agreement <br /> There is a non-refundable $300 fee for the construction of a pre-application report. By signing this <br /> document, I acknowledge and understand that: <br /> • Neither review of this application nor construction of any report shall begin until the full <br /> amount of the fee has been paid to Elk River Municipal Utilities. <br /> • The Utility shall provide a report with only the available information on the proposed point of <br /> interconnection. <br /> • The information provided by the Utility may become outdated and not useful at the time of <br /> submission of a complete Interconnection Application. <br /> • The confidentiality provision as listed in Section 12.1 of the Overview Process of the Municipal <br /> Minnesota Distributed Energy Resource Interconnection Process apply. <br /> • Upon receipt of the report no guarantee is made by the Utility that a future Interconnection <br /> Application will be approved for this proposed site. <br /> Applicant Signature: Date: <br /> ***Please print clearly or type and return completed along with any additional documentation*** <br /> ELK RIVER MUNICIPAL UTILITIES 2 <br /> 221 <br />