Midwest Energy, Inc. Distributed Generation Interconnection Expedited & Standard Process Application

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Midwest Energy, Inc. Distributed Generation Interconnection Expedited & Standard Process Application Instructions To submit an application to interconnect a generating facility using the Expedited or Standard Process, please fill out all five pages of the attached application form, sign and attach the supporting documentation requested. (Applicant may recreate the application form, being sure to include all requested information in a similar format.) Contact Information: You must provide as a minimum the contact information of the legal applicant. If another party is responsible for interfacing with the Company, you may optionally provide their contact information as well. Prime Mover: Indicate which type of device will be powering the generator from this list: reciprocating engine, microturbine, gas turbine, steam turbine, fuel cell, wind turbine, photovoltaic panel, or other (please specify). Energy Source: Indicate the energy source to be used by the prime mover from this list: solar, wind, diesel, biodiesel, natural gas, landfill gas, biogas, propane, or other (please specify). UL1741 Listing: This standard ( Inverters, Converters, and Controllers for Use in Independent Power Systems ) addresses the electrical interconnection design of various forms of generating equipment. Many manufacturers choose to submit their equipment to a Nationally Recognized Testing Laboratory (NRTL) that verifies compliance with UL1741. This listing is then marked on the equipment and supporting documentation.

Expedited and Standard Process Interconnection Application Contact Information Legal name and address of Interconnecting Customer (Applicant) Name: Mailing Address: City: State: Zip Code: Telephone (Daytime): (Evening): Facsimile Number: E-Mail Address: Alternative Contact Information (if different from Applicant) Name: Mailing Address: City: State: Zip Code: Telephone (Daytime): (Evening): Facsimile Number: E-Mail Address: Generator Facility Information Street Address or Physical Location: Midwest Energy Account Number: Type of Generating Unit (Circle One): Synchronous Induction Inverter Manufacturer: Model: Nameplate Rating: (KW) (kvar) (Volts) Single or Three Phase Prime Mover (Pick one from list on instruction sheet.) Energy Source (Pick one from list on instruction sheet.) UL1741 Listed? Yes No Certified in California or New York? Yes No (Attach documentation.) Estimated Installation Date: Estimated In-Service Date: Agreement Desired By: I hereby certify that, to the best of my knowledge, all information provided in this application, including attached technical detail, is true: Interconnecting Customer Signature Title Date The information provided in this application is complete: Company Signature: Date:

Generating Facility Technical Detail List components of the facility that are currently certified and/or listed to national standards. Equipment Type Manufacturer Model Standard 1. 2. 3. 4. 5. Total Number of Generating Units in Facility Generator Unit Power Factor Rating: Max Adjustable Leading Power Factor Max Adjustable Lagging Power Factor Generator Characteristic Data (for all inverter-based machines) Max Design Fault Contribution Current Instantaneous or RMS? Harmonics Characteristics: Start-up power requirements: Generator Characteristic Data (for all rotating machines) Rotating Frequency: (rpm) Neutral Grounding Resistor (If Applicable): Additional Information for Synchronous Generating Units Synchronous Reactance, Xd: (PU) Transient Reactance, X d: (PU) Subtransient Reactance, X d: (PU) Neg Sequence Reactance, X 2 : (PU) Zero Sequence Reactance, Xo: (PU) KVA Base: Field Voltage: (Volts) Field Current: (Amps) Additional information for Induction Generating Units Rotor Resistance, Rr: Stator Resistance, Rs: Rotor Reactance, Xr: Stator Reactance, Xs: Magnetizing Reactance, Xm: Short Circuit Reactance, Xd : Exciting Current: Temperature Rise: Frame Size: Total Rotating Inertia, H: Per Unit on KVA Base:

Reactive Power Required In Vars (No Load): Reactive Power Required In Vars (Full Load): Reactive Compensation Installed (Vars): Compensation Switched? Yes No Automatically Switched? Yes No Output Level Compensation (kvars) Power Factor @ PCC 0% Output 25% Output 50% Output 100% Output Full Output Additional information for Induction Generating Units that are started by motoring Motoring Power: (KW) Design Letter: Interconnection Equipment Technical Detail Will a transformer be used between the generator and the point of interconnection? Yes No Will the transformer be provided by Interconnecting Customer? Yes No Transformer Data (if applicable, for Interconnecting Customer-Owned Transformer): Nameplate Rating: (kva) Single or Three Phase Transformer Impedance: (%) on a KVA Base If Three Phase: Transformer Primary: (Volts) Delta Wye Wye Grounded Other Transformer Secondary: (Volts) Delta Wye Wye Grounded Other Transformer Fuse Data (if applicable, for Interconnecting Customer-Owned Fuse): (Attach copy of fuse manufacturer s Minimum Melt & Total Clearing Time-Current Curves) Manufacturer: Type: Size: Speed: Interconnecting Circuit Breaker (if applicable): Manufacturer: Type: Load Rating: Interrupting Rating: Trip Speed: (Amps) (Amps) (Cycles)

Interconnection Protective Relays (if applicable): (If microprocessor-controlled) List of Functions and Adjustable Set points for the protective equipment or software: Set Point Function Minimum Maximum 1. 2. 3. 4. 5. 6. (If discrete components) (Enclose copy of any proposed Time-Overcurrent Coordination Curves) Current Transformer Data (if applicable): (Enclose copy of Manufacturer s Excitation & Ratio Correction Curves) Potential Transformer Data (if applicable): General Technical Detail Enclose three copies of site electrical One-Line Diagram showing the configuration of all generating facility equipment, current and potential circuits, and protection and control schemes with a registered professional engineer (PE) stamp. Enclose three copies of any applicable site documentation that indicates the precise physical location of the proposed generating facility (e.g., USGS topographic map or other diagram or documentation).

Proposed Location of Protective Interface Equipment on Property: (Include Address if Different from Application Address) Enclose copy of any applicable site documentation that describes and details the operation of the protection and control schemes. Enclose copies of applicable schematic drawings for all protection and control circuits, relay current circuits, relay potential circuits, and alarm/monitoring circuits (if applicable). Please enclose any other information pertinent to this installation.