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SCHEDULE 3-DISTRIBUTED ENERGY RESOURCES INTERCONNECTION PROCESS <br /> Application Agent * <br /> Is the Customer using an Application Agent for this application? ❑ Yes 0 No <br /> If Interconnection Customer is not using an Application Agent, please skip to the next section. <br /> Application Agent: <br /> Company Name: <br /> Email: Phone: <br /> Distributed Energy Resource Information * <br /> Estimated Installation Date: <br /> Location (if different from mailing address of Interconnection Customer): <br /> Will the Proposed DER system be interconnected to an existing electric service? 0 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 /> ❑ Solar Photovoltaic ❑ Wind 0 Energy Storage <br /> ❑ 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 /> Total Number of Distributed Energy Resources to be <br /> interconnected pursuant to this Interconnection Application: <br /> Phase configuration of Distributed Energy Resource(s): 0 Single Phase 0 Three Phase <br /> Type of Generator: 0 Inverter 0 Synchronous 0 Induction <br /> Aggregate DER Capacity(the sum of nameplate capacity of all generation and storage devices at the <br /> PCC): <br /> kWac kVAac <br /> *Indicates section must be completed. <br /> ELK RIVER MUNICIPAL UTILITIES 3 <br /> 231 <br />