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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 /> <br />Power Factor range of adjustability: Peak AC Energy (In kWh): <br />Is the equipment UL 1741 listed? ağƓǒŅğĭƷǒƩĻƩ ƭƦĻĭźŅźĭğƷźƚƓ <br /> Yes No <br />ƭŷĻĻƷΛƭΜ ğƩĻ ƩĻƨǒźƩĻķ Ʒƚ ĬĻ ğƷƷğĭŷĻķ Ʒƚ Ʒŷźƭ ğƦƦƌźĭğƷźƚƓ͵ <br />Is the storage 100% charged by a net energy metering eligible <br /> Yes No <br />energy source? <br />Source charging the storage Λ/ŷĻĭƉ ğƌƌ ƷŷğƷ ğƦƦƌǤΜ: <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 />248 <br />