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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? Single Multiple <br />DER Type (Check all that apply): <br />Solar Photovoltaic Wind Energy Storage <br />Combined Heat and PowerSolar Thermal Other (please specify) <br /> <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: Single Three <br />Aggregate Inverter(s) Nameplate Rating: <br /> <br />Is the export capability of the DER limited? Yes 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): <br />Installed DER System Cost (before incentives): $ <br />Estimated Installation Date: <br />Equipment Certification <br />1 <br />Is the DER equipment certified? Yes 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 /> <br />1 <br /> Information regarding certified equipment can be found in Section 14 and Section 15 of the Overview Process document. <br />ELK RIVER MUNICIPAL UTILITIES <br />235 <br />