INTERCONNECTION OF DISTRIBUTED GENERATION
Generating Facility Pre-Application Report Form
Interconnecting Customer Name (print):
Contact Person:
Mailing Address:
City:
State:
Telephone (Daytime):
Facsimile Number:
Zip Code:
(Evening):
E-Mail Address:
System Installer Contact Information
Name (print):
Contact Person:
Mailing Address:
City:
State:
Zip Code:
Telephone (Daytime):
(Evening):
Facsimile Number:
E-Mail Address:
Facility Information:
1) Proposed Facility Location (street address with cross streets, including town, a Google Map still picture
and GPS coordinates):
2)
Generation Type:
3)
Size (AC kW):
4)
Single or Three Phase Generator Configuration:
5)
Stand-alone (no on-site load, not including station service or parasitic load)?
6)
If there is existing service at the Proposed Facility site, provide:
7)
 Yes
a)
Interconnecting Customer Account Number
b)
Site minimum and maximum (if available) current or proposed electric loads
i)
Minimum kW:
ii)
Maximum kW:
Is new service or service upgrade needed?
 Yes
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 No
 No
Pre-Application Report (to be completed by PSNH)
Note: PSNH will not provide any cost estimates of system upgrades that may be associated with a project in the preapplication phase.
Disclaimer: To the extent PSNH has identified the substation /area bus, bank or circuit likely to serve the proposed Point
of Interconnection, this selection does not necessarily indicate that, after application of the screens and/or detailed
study, this would be the circuit to which the project ultimately connects. The pre-application report is non-binding, does
not confer any rights, and the customer (or developer) must still successfully apply to interconnect to the PSNH’s system.
The information provided in pre-application reports shall be used for informational purposes only. PSNH will not be held
liable if information in the report is no longer accurate or is superseded by information prepared as part of the formal
application review process.
Point of Interconnection: PSNH has identified the following substation /area bus, bank or circuit as likely to serve the
proposed generation facility. This selection by PSNH does not necessarily indicate, after application of the screens and/or
further study, that this would be the circuit the project ultimately connects to.
________________________________________________________________________________________________
Circuit voltage at the substation
Circuit name
Circuit voltage at proposed Facility
Whether single or three phase is available near site
If single phase – distance from three phase service
Aggregate connected Facilities (kW) on circuit
Submitted complete applications of Facilities (kW) on circuit that have not yet been interconnected
Whether the Interconnecting Customer is served by an area network, a spot network, or radial system
Identification of feeders within ¼ mile of the proposed interconnection site through a snap-shot of GIS map or
other means
Other potential system constraints or critical items that may impact the proposed Facility
Prepared by:
Date:
Please submit all pre-application forms and direct any questions to:
Public Service Company of New Hampshire
PO Box 330
Manchester, NH 03105-0330
Fax: 603/634-2924
Phone: 603/634-2312
Email: psnhsesd@psnh.com
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