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SCHEDULE 3-DISTRIBUTED ENERGY RESOURCES INTERCONNECTION PROCESS <br /> Storage Application <br /> This form is required in addition to a completed Interconnection Application form for any DER with an <br /> energy storage component. An application to interconnect energy storage is only required for storage <br /> designed to operate in parallel with the distribution system. Electric vehicles and backup generators do <br /> not need to apply. <br /> Energy Storage <br /> Application for: ❑ Stand-alone storage as DER ❑ Storage as component of DER <br /> Customer Account Number: <br /> Address of Generating Facility: <br /> City: State: Zip Code: <br /> Equipment Manufacturer: Equipment Model: <br /> Max Continuous Real Power(In kW): Max Continuous Apparent Power (In kVA): <br /> Power Factor range of adjustability: Peak AC Energy(In kWh): <br /> Is the equipment UL 1741 listed? Manufacturer specification ❑ Yes ❑ No <br /> sheet(s)are required to be attached to this application. <br /> Is the storage 100%charged by a net energy metering eligible <br /> ❑ Yes ❑ No <br /> energy source? <br /> Source charging the storage (Check all that apply): <br /> ❑ Utility ❑ Wind ❑ Solar <br /> ❑ Diesel ❑ Other (please specify) <br /> Is the storage configured to export energy to the Area EPS? ❑ Yes ❑ No <br /> Are the settings accessible to the end user? ❑ Yes ❑ No <br /> For Office Use Only <br /> Application ID: Queue Number: <br /> Date Received: <br /> ELK RIVER MUNICIPAL UTILITIES <br /> 239 <br />