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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 />-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 />Distributed Energy Resource 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 <br /> Yes No <br />(not including station service)? <br /> <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 /> <br />For Office Use Only <br />Date Received: Application Fee Received: Yes No <br />Date Completed Pre-Application Report Sent to Applicant: <br />ELK RIVER MUNICIPAL UTILITIES 1 <br /> <br />229 <br />