This form is applicable to individual or multiple generating units at the customer’s facility with total nameplate rating of 500 kW or less. Your generation facility must generate electricity from a renewable source that is wind, water, solar radiation, or agricultural biomass. Inverter based generating units must not inject DC greater than 0.5% of the full rated output current at the point of connection of the generating units. The generated harmonic levels must not exceed those given in the CAN/CSA-C61000-3-6 Standards. The following information is required for all net metered generators with total generation of up to 500 kW. Date Proposed Generation In-Service 1. Project Information: Location Address Unit #/P.O. Box City/Town State/Province - Select ---- Canada Provinces ---AlbertaBritish ColumbiaManitobaNew BrunswickNewfoundland and LabradorNova ScotiaNorthwest TerritoriesNunavutOntarioPrince Edward IslandQuebecSaskatchewanYukon--- US Provinces ---AlabamaAlaskaAmerican SamoaArizona ArkansasArmed Forces (AA)Armed Forces (AE)Armed Forces (AP)CaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaGuamHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarshall IslandsMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaNorthern Mariana IslandsOhioOklahomaOregonPalauPennsylvaniaPuerto RicoRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirgin IslandsVirginiaWashingtonWest VirginiaWisconsinWyoming ZIP/Postal Code Country - None -CanadaUnited States Owner's Information Owner's First Name Owner's Last Name Mailing Address Mailing Address Unit #/P.O. Box City/Town State/Province - None ---- Canada Provinces ---AlbertaBritish ColumbiaManitobaNew BrunswickNewfoundland and LabradorNova ScotiaNorthwest TerritoriesNunavutOntarioPrince Edward IslandQuebecSaskatchewanYukon--- US Provinces ---AlabamaAlaskaAmerican SamoaArizona ArkansasArmed Forces (AA)Armed Forces (AE)Armed Forces (AP)CaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaGuamHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarshall IslandsMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaNorthern Mariana IslandsOhioOklahomaOregonPalauPennsylvaniaPuerto RicoRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirgin IslandsVirginiaWashingtonWest VirginiaWisconsinWyoming ZIP/Postal Code Country - None -CanadaUnited States Telephone E-Mail Address PAP Information One file only.15 MB limit.Allowed types: jpg, png, pdf, . Engineering Consultant (Electrical) Company Name Contact Name First Name Last Name Company's Address Address Unit #/P.O. Box City/Town State/Province - None ---- Canada Provinces ---AlbertaBritish ColumbiaManitobaNew BrunswickNewfoundland and LabradorNova ScotiaNorthwest TerritoriesNunavutOntarioPrince Edward IslandQuebecSaskatchewanYukon--- US Provinces ---AlabamaAlaskaAmerican SamoaArizona ArkansasArmed Forces (AA)Armed Forces (AE)Armed Forces (AP)CaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaGuamHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarshall IslandsMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaNorthern Mariana IslandsOhioOklahomaOregonPalauPennsylvaniaPuerto RicoRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirgin IslandsVirginiaWashingtonWest VirginiaWisconsinWyoming ZIP/Postal Code Country - None -CanadaUnited States E-Mail Address Telephone 2. Customer Status Are you an existing E.L.K. Energy Customer? Yes No If yes, please provide your E.L.K. Energy Account Number: Are you a HST registrant? Yes No If yes, please provide your HST registration number: 3. Project Size Total Generation Capacity in kW Are all generation units of the same type/size? Yes No 4. Generation Type (check all that apply): Check all that apply Wind Turbine Hydraulic Turbine Solar / Photovoltaic Cells Biomass Other 5. Customer-Owned Step-Up Interface Transformer (if applicable): Transformer Rating in kVA High Voltage Winding Connection Delta Star Grounding method of star connected high voltage winding neutral Solid Ungrounded Impedance Grounded Grounding method of star connected low voltage winding neutral Solid Ungrounded Impedance Grounded Note: The term “high voltage” refers to the connection voltage to E.L.K. Energy’s distribution system and “low voltage” refers to the generator / inverter output voltage. 6. Generator / Inverter Information: For generation facilities installing more than one type of generator, complete section 6 and Appendix A. Manufacturer Model Number Number of Phases Single Phase Three Phase Nameplate Rating in kW Generator / Inverter AC output voltage in Volts Type of Inverter: Self-Commutated Line-Commutated Other Are power factors correction capacitors automatically switched off when generator breaker opens? Yes No Is the generator / inverter paralleling equipment and / or design pre-certified and meets anti-islanding test requirements? Yes No If the above answer was yes, to which standard(s), e.g. CSA C22.2 No. 107.1-01, UL 1741 etc? Method of synchronizing the generator / inverter to E.L.K. Energy's system Manual Automatic Maximum inrush current upon generator or inverter connection (Iinrush / Irated) in per units: 7. Grid Interface Controller (if applicable): Manufacturer Model Number Single Line Diagram: A Single Line Diagram (SLD) is required with this application form. The SLD should include, but not be limited to: • Customer’s electrical system showing major electrical equipment, their ratings, location of fault interrupting devices (circuit breakers, fuses); • Generating unit(s) and their connection arrangement to Customer’s electrical system; • Protection, metering and proposed tripping schemes; • Isolating / disconnecting device for the isolation of the generating unit(s) from the E.L.K. Energy system: suitably rated, accessible (to E.L.K. Energy personnel), visible, gang operated, lockable, located adjacent E.L.K.’s meter; • If applicable, information on customer owned step-up interface transformer: ratings, winding connections, grounding arrangements. SLD Drawing Number: Rev. 9. Location and Site Plan: Provide a site plan (sketch) showing electric service entrance, step-down transformer, generator(s), / inverter(s) location, existing / new switchgear, location of the isolating / disconnecting device (for E.L.K. Energy usage), adjoining street name, and street address. Note: Additional information may be required. E.L.K. Energy will inform you what additional information is required, if necessary. Drawing / Sketch Number: Rev. Applicant Signature Sign above Date
