Sample Tier 2 Application

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FIT TIER 2 Application
Application Information
The below information Auto-Fills from your registration information:
Building Permit Application Date: __________________________
Project Completion Date:
__________________________
Applicant Information
Name:
____________________________________________________
Address:
____________________________________________________
City:
____________________________________________________
State:
____________________________________________________
Zip Code:
____________________________________________________
Daytime Phone:
____________________________________________________
Evening/Cell Phone:
____________________________________________________
Fax:
____________________________________________________
Email Address
____________________________________________________
Is Applicant owner of Generating Facility?
Yes
No
If NO is picked on first page of application the below information will need to be completed:
If YES is picked on the first page of the application the below information will be Auto-Filled.
Owner of Generating Facility
(required) Owner's First Name:
(required) Owner's Last Name:
(required) Address:
(required) City:
(required) State:
(required) Zip Code:
(required) Daytime Phone:
(required) Evening/Cell Phone:
Fax:
(required) Email Address:
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Once CONTINUE is chosen from the Owner of Generating Facility page:
Generating Facility Information
Is Generating Facility at owner location?
Yes
No
If NO is picked on the Generating Facility Information page of application the below information will need to be completed:
If YES is picked on the Generating Facility Information page of the application SOME information will be Auto-Filled.
Generating Facility Information
(required) Tax Map Key:
1-
-
-
-
( n-n-n-nnn-nnn )
(required) Electric Service Account #:
Note: If this location has no service, enter 0000-0000-000 for the
Electric Service Account #
(required) Address:
(required) City:
(required) State:
(required) Zip Code:
(required) Daytime Phone:
(required) Evening/Cell Phone:
(required) Fax:
(required) Email Address:
Generator Qualifications
AUTO-FILL
Technology:
(For Solar/PV only) PV Array DC Rated Output in kW:
(For Solar/PV only) PV Array AC Rated Output in kW:
Maximum Site Load without Generator Capability in kW
Maximum Generator Capability in kW:
Minimum Site Load without Generation in kW:
(required) Maximum Design Capacity [manufacturer's inverter rating,
or nameplate rating if there is no inverter] in kW AC:
Annual Energy Production of Generating Facility in kWh:
Annual Energy Exported through Point of Common Coupling in
kWh:
(Between 20 and 500)
Generator Technical Information
Seller must not modify or add to the Generating Facility without notification and the prior written consent of the Company
Type of Generator:
Synchronous
Induction
Inverter-Based Generating Facility
Generator (or solar collector) Manufacturer, Model Name and
Number:
(A copy of Generator Nameplate and Manufacturer's Specification Sheet must also be submitted)
Operating Power Factor:
Nameplate rating in kW:
Fault Current Contribution of Generator in Amps:
Inverter Manufacturer, Model Name and Number (if used):
(A copy of Inverter Nameplate and Manufacturer's Specification Sheet must also be submitted)
Operating Power Factor:
Rating in kW:
Number of Starts Per Day:
Maximum Starting kVA:
UF Trip Setting:
UF Time Delay (Secs):
Generator Grounding Method:
Effectively Grounded
Resonant Grounded
Low-Inductance Grounded
High-Resistance Grounded
Low-Resistance Grounded
Ungrounded
Generator Characteristic Data (for rotating machines):
(Not needed if Generator Nameplate and Manufacturer's Specification Sheet are provided)
Direct Access Synchronous Reactance, Xd:
P.U.
Direct Access Transient Reactance, X'd:
P.U.
Direct Access Subtransient Reactance, X''d:
P.U.
Negative Sequence Reactance:
Zero Sequence Reactance:
KVA Base:
Inertia Constant, H:
P.U.
P.U.
Excitation Response Ratio:
Direct Access Open-Circuit Transient Time Constant, T'do:
Direct Access Open-Circuit Subtransient Time Constant, T''do:
Interconnecting Equipment Technical Data (to the extent owned by Seller)
Will an interposing transformer be used between the generator
Yes
No
and the point of interconnection?
Transformer Data:
(A copy of transformer Nameplate and Manufacturer's Test Report may be substituted)
Size in KVA:
Transformer Primary Voltage:
Primary Transformer Type:
Delta
Wye
Wye Grounded
Transformer Secondary Voltage:
Delta
Wye
Wye Grounded
Transformer Impedance in %:
on KVA Base:
Transformer Fuse Data:
(Submit a copy of fuse manufacturer's Minimum Melt and Total Clearing Time-Current Curves)
At:
Primary Voltage
Secondary Voltage
Manufacturer:
Type:
Size:
Speed:
Transformer Protection (if not fuse):
Please describe:
Interconnecting Circuit Breaker (if applicable):
(A copy of circuit breaker's Nameplate and Specification Sheet must also be submitted)
Manufacturer:
Type:
Continuous Load Rating in Amps:
Interrupting Rating in Amps:
Trip Speed in Cycles:
Circuit Breaker Protective Relays (if applicable):
(Submit a copy of any proposed Time-Overcurrent Coordination Curves)
Manufacturer:
Type:
Style/Catalog No:
Proposed Setting:
Manufacturer:
Type:
Style/Catalog No:
Proposed Setting:
Manufacturer:
Type:
Style/Catalog No:
Proposed Setting:
Manufacturer:
Type:
Style/Catalog No:
Proposed Setting:
Manufacturer:
Type:
Style/Catalog No:
Proposed Setting:
Current Transformer Data (if applicable):
(Submit a copy of Manufacturer's Excitation & Ratio Correction Curves)
Manufacturer:
Type:
Accuracy Class:
Proposed Ratio Connection:
/5
Manufacturer:
Type:
Accuracy Class:
Proposed Ratio Connection:
/5
Generator Disconnect Switch:
A generator disconnect device (isolation device) must be installed with features as described in the FIT Interconnection Standards And
Technical Requirements.
Manufacturer:
Type:
Catalog No:
Rated Volts:
Rated Amps:
Single or 3 Phase:
Mounting Location:
General Technical Information
2 OF THE 3 FOLLOWING QUESTIONS WILL BE SHOWN:
(What questions will depend on the previously entered information.)
Submit a copy of site single-line diagram showing configuration and interconnection of all equipment, current and potential circuits and
protection and control schemes.
Do you have a single line diagram available?
Yes
No
Submit a copy of site relay list and trip scheme, which shall include all protection, synchronizing and auxiliary relays that are required to
operate the Facility in a safe and reliable manner.
Do you have a Relay List and Trip Scheme available?
Yes
No
Submit a copy of site three-line diagram (if Facility is greater than or equal to 30 kW) showing potential transformer and current
transformer ratios, and details of the Facility's configuration, including relays, meters, and test switches.
Do you have a three line diagram available?
Yes
No
If a Single Line Diagram is not available at this time, one must be completed by your engineer/contractor and uploaded to the SINGLE
LINE DIAGRAM folder on your "MY FIT DOCS" Page.
Note:
Generating and interconnection systems must be compliant with all applicable safety and performance standards. The customer is
responsible for having all work performed by a licensed electrical contractor before the Company installs the necessary meter. The
Company reserves the right to require additional information, as necessary, to determine the eligibility of the Applicant's project for
the FIT program.
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