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SCHEDULE 3-DISTRIBUTED ENERGY RESOURCES INTERCONNECTION PROCESS <br /> Distributed Energy Resource Information <br /> Location (if different from mailing address of Interconnection Customer): <br /> Will the Proposed DER system be interconnected to an existing electric service? ❑ Yes ❑ No <br /> Is the Distributed Energy Resource a single generating unit or multiple? 0 Single 0 Multiple <br /> DER Type (Check all that apply): <br /> 0 Solar Photovoltaic 0 Wind ❑ Energy Storage <br /> 0 Combined Heat and Power 0 Solar Thermal 0 Other (please specify) <br /> DER systems with Energy Storage must also submit the Energy Storage Application to the Utility. <br /> Inverter Manufacturer: Model: <br /> Phase Configuration of Proposed DER System: 0 Single 0 Three <br /> Aggregate Inverter(s) Nameplate Rating: kWac kVAac <br /> Is the export capability of the DER limited? 0 Yes 0 No <br /> If the DER export capacity is limited, include information material explaining the limiting capabilities. <br /> Aggregate DER Capacity (the sum of nameplate capacity of all generation <br /> and storage devices at the PCC): kWac <br /> Installed DER System Cost (before incentives): $ <br /> Estimated Installation Date: <br /> Equipment Certification <br /> Is the DER equipment certified'? 0 Yes 0 No <br /> Please list all certified IEEE 1547 equipment below. Include all certified equipment manufacturer <br /> specification sheets with the Simplified Application submission. <br /> Equipment Type Certifying Entity <br /> 1 <br /> 2 <br /> 3 <br /> 1 Information regarding certified equipment can be found in Section 14 and Section 15 of the Overview Process document. <br /> ELK RIVER MUNICIPAL UTILITIES <br /> 226 <br />