Tri-State Generation and
Transmission Association, Inc.
Open Access Transmission Tariff
APPENDIX 1 to GIP
INTERCONNECTION REQUEST FOR A
GENERATING FACILITY
1.
The undersigned Interconnection Customer submits this request to interconnect its
Generating Facility with Transmission System pursuant to a Tariff.
2.a
This Interconnection Request is for (check one):
_____ A proposed new Generating Facility.
_____ An increase in the generating capacity or a Material Modification of an existing
Generating Facility.
2.b.
This interconnection agreement shall be studied as:
_____ A Network Resource (see GIP Sections 3.2.2.2, 7.1, and 8.1).
_____ A Non-Network Resource (see GIP section Sections 3.2.2.3, 7.1, and 8.1).
3.
Interconnection Customer provides the following information:
4.
a.
Address or location or the proposed new Generating Facility site (to the extent
known) or, in the case of an existing Generating Facility, the name and specific
location of the existing Generating Facility;
b.
Maximum summer at ____ degrees C and winter at _____ degrees C megawatt
electrical output of the proposed new Generating Facility or the amount of
megawatt increase in the generating capacity of an existing Generating Facility;
c.
General description of the equipment configuration;
d.
In-Service Date (Day, Month, and Year);
e.
Commercial Operation Date (Day, Month, and Year);
f.
Name, address, telephone number, and e-mail address of Interconnection
Customer’s contact person;
g.
Approximate location of the proposed Point of Interconnection (optional); and
h.
Interconnection Customer Data (set forth in Attachment A); and
i.
Evidence of Site Control as specified in the GIP
Applicable deposit amount as specified in the GIP. (Check Deposit Included).
______$50,000 Deposit for Project less than 20 MW
$75,000 Deposit for Project greater than 20 MW but no more than 75 MW
$250,000 Deposit for Project 76 MW or Greater
Effective January 1, 2013
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Tri-State Generation and
Transmission Association, Inc.
Open Access Transmission Tariff
5.
Signed Confidentiality Agreement in the form of Appendix 2 to the GIP (two originals
included).
6.
This Interconnection Request, and any subsequent inquiries related to the Interconnection
Request shall be submitted to the representative indicated below:
If by mail:
Transmission Interconnection Administrator
Tri-State Generation and Transmission Association, Inc.
1100 W. 116th Avenue
Westminster, CO 80234
303-452-6111
If by overnight delivery:
Tri-State Generation and Transmission Association, Inc. (System Operations)
Attn: Transmission Interconnection Administrator
3761 Eureka Way
Frederick, Colorado 80516
7.
Representative of Interconnection Customer to contact:
[To be completed by Interconnection Customer]
8.
This Interconnection Request is submitted by:
Name of Interconnection Customer:______________________
By (signature): _______________________________________
Name (type or print): __________________________________
Title: _______________________________________________
Date: _______________________________________________
Effective January 1, 2013
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