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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 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? 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 />Total Number of Distributed Energy Resources to be <br /> <br />interconnected pursuant to this Interconnection Application: <br /> Single Phase Three Phase <br />Phase configuration of Distributed Energy Resource(s): <br />Type of Generator: <br />Inverter Synchronous Induction <br />Aggregate DER Capacity (the sum of nameplate capacity of all generation and storage devices at the <br />PCC): <br />kW <br />kVA <br />ac <br />ac <br />* Indicates section must be completed. <br />ELK RIVER MUNICIPAL UTILITIES 3 <br /> <br />240 <br />