APPENDIX C
NEW YORK STATE STANDARIZED APPLICATION
FOR ATTACHMENT OF NON-INVERTER BASED PARALLEL GENERATION
EQUIPMENT TO THE ELECTRIC SYSTEM OF
Utility:
Customer:
Name:
Phone: (
Fax: (
)
)
Email:
Address:
Municipality:
Utility Account Number:
Agent (if any):
Name:
Utility Meter No.:
Phone: (
Fax: (
)
)
Email:
Address:
Municipality:
Consulting Engineer or Contractor:
Name:
Phone: (
)
Address:
Estimated In-Service Date:
Existing Electric Service:
Amperes
Voltage:
Volts
Capacity:
Service Character: ( )Single Phase ( )Three Phase
Secondary 3 Phase Transformer Connection ( )Wye ( )Delta
Location of Protective Interface Equipment on Property:
(include address if different from customer address)
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Energy Producing Equipment Information:
Manufacturer:
Model No.
Version No.
( )Synchronous ( )Induction ( )Other
Rating:
kW
Rating:
kVA
Rated Output:
VA
Rated Voltage:
Volts
Rate Frequency:
Hertz Rated Speed:
RPM
Efficiency:
% Power Factor:
%
Rated Current:
Amps Locked Rotor Current:
Amps
Synchronous Speed:
RPM Winding Connection:
Min. Operating Freq./Time:
Generator Connection: ( )Delta ( )Wye ( )Wye Grounded
SystemTested to UL 1741 (most Current version) (Total System): ( )Yes ( )No; attach product
literature
Equipment Tested to UL 1741 (most Current version) (i.e. Protection System):
( )Yes ( )No; attach product literature
Three line Diagram attached: ( )Yes
Verification Test Plan attached: ( )Yes
If applicable, Certification to UL 1741 attached: ( )Yes
For Synchronous Machines:
Submit copies of the Saturation Curve and the Vee Curve
( )Salient ( )Non-Salient
Torque:
lb-ft
Rated RPM:
Field Amperes:
at rated generator voltage and current
and
% PF over-excited
Type of Exciter:
Output Power of Exciter:
Type of Voltage Regulator:
ohms
Direct-axis Synchronous Reactance (Xd)
Direct-axis Transient Reactance (X'd)
ohms
Direct-axis Sub-transient Reactance (X"d)
ohms
For Induction Machines:
Amps
Rotor Resistance
(Rr)
ohms
Exciting Current
Rotor Reactance
(Xr)
ohms
Reactive Power Required:
VARs (No Load)
Magnetizing Reactance (Xm)
ohms
Stator Resistance
(Rs)
ohms
VARs (Full Load)
Stator Reactance
(Xs)
ohms
Short Circuit Reactance (X"d)
ohms Phases:
Frame Size:
Design Letter:
( )Single
O
Temp. Rise:
C.
( )Three-Phase
If Applicable:
Step Up Transformer Winding Configuration: Wye-Wye ( ) Wye-Delta ( ) Delta – Wye ( )
Signature:
CUSTOMER/AGENT SIGNATURE
TITLE
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DATE