Level2,3and4InterconnectionApplicationforCertified,Inverter‐Based GeneratingFacilitiesNotGreaterthan2MW PleaseselectoneofthefollowingEmeraMaineserviceterritories. BangorHydroDistrict(T&DUtility) MainePublicDistrict(T&DUtility) TheCustomer‐Generatorapplicant("Applicant")herebymakesapplicationtotheT&DUtilitytoinstalland operateageneratingfacilityinterconnectedwiththetransmissionanddistributionutilitysystem.This applicationwillbeconsideredasanapplicationforinterconnectionofgeneratorsunderExpedited interconnectionreviewprovidedthegeneratorisnotgreaterthan2MWbutshallserveasanApplicationfor Standardinterconnectionreviewifgreaterthan2MWorifExpeditedreviewdoesnotqualifythegenerator forinterconnection. AnapplicationisaCompleteApplicationwhenitprovidesallapplicableinformationrequiredbelow. (Additionalinformationtoevaluatearequestforinterconnectionmayberequiredandwillbesorequested fromtheInterconnectionApplicantbyUtilityaftertheapplicationisdeemedcomplete). Oncecomplete,pleasesignandincludeyour$___________________________applicationfeeandmailtothe followingaddressapplicableforyourserviceterritory: EmeraMaine EmeraMaine MainePublicDistrict BangorHydroDistrict NetEnergyBillingCoordinator NetEnergyBillingCoordinator POBox1209 POBox932 Presque,IsleME04769‐1209 Bangor,ME04402‐0932 (Makecheckpayableto:EmeraMaine) 1. LegalNameofInterconnectingApplicant(or,ifanIndividual,Individual'sName) a. Name:______________________________________________________________________________ b. Company(IfApplicable):_________________________________________________________ c. ContactPerson:____________________________________________________________________ d. AccountNumber:_________________________________________________________(ExistingAccountNumber,if generatortobeinterconnectedontheCustomersideofautilityrevenuemeter.) e. Address:____________________________________________________________________________ f. City,State,Zip:_____________________________________________________________________ g. Telephone(Day):__________________________________________________________________ h. Telephone(Evening):_____________________________________________________________ i. Fax:_________________________________________________________ j. E‐MailAddress:_________________________________________________________ k. TypeofInterconnectServiceAppliedfor(chooseone):________NetworkResource_______EnergyOnly ______LoadResponse(noexport)________Netmetering 2. Contact(ifdifferentfromInterconnectionCustomer) a. Name:______________________________________________________________________________ b. AccountNumber:_________________________________________________________________ c. Address:___________________________________________________________________________ d. City,State,Zip:____________________________________________________________________ e. Telephone(Day):_________________________________________________________________ f. Telephone(Evening):____________________________________________________________ g. Fax:_________________________________________________________ h. E‐MailAddress:_________________________________________________________ i. Ownerofthefacility(includepercentownershipbyanyelectricutility): 3. InstallingElectricalContractorInformation a. Company:__________________________________________________________________________ b. Representative:___________________________________________________________________ c. Title:_______________________________________________________________________________ d. StreetAddress:____________________________________________________________________ e. MailingAddress(ifdifferentfromstreetaddress):___________________________________________ f. Email:_________________________________________________________ g. Phone#:______________________________________________________ h. Fax#:_________________________________________________________ 4. Timing a. EstimatedInstallationDate:________________________________________________________ b. RequestedIn‐ServiceDate:_________________________________________________________ 5. GeneratingQualifications a. Manufacturer:_______________________________________________________________________ Page 2 of 8 b. ModelNameandNo.:_____________________________________________________________ c. VersionNo.:_______________________________________________________________________ d. SerialNo.:__________________________________________________________________________ e. NameplateOutputPowerRating:(summer)_________________kWor:__________________kVA (winter)___________________kWor:__________________kVA f. IndividualGeneratorPowerFactor:RatedPowerFactor:Leading_____________Lagging____________ g. GeneratingFacility/InverterACoutputvoltage:__________________________________Volts h. GeneratingFacilityType: i. 1. SinglePhase_______ThreePhase_____ 2. Synchronous________Induction____________Inverter__________Other_______________ TotalNumberofGeneratorsinwindfarmtobeinterconnectedpursuanttothisInterconnection Request:___________Elevation:___________SinglePhase:____________ ThreePhase:__________ j. InverterManufacturer,Modelandnumber(ifused):_____________________________________________________ k. Listofadjustablesetpointsfortheprotectiveequipmentorsoftware:_________________________________ l. Ratedcurrent:________________________________(amps) m. Location(ifdifferentfromabove):__________________________________________________________________________ n. InterconnectionCustomerorCustomer‐SiteLoad:_____________________________kW(ifnone,sostate) o. TypicalReactiveLoad(ifknown):_________________________________________________ p. MaximumPhysicalExportCapabilityRequested:_____________________________kW q. PrimeMover:Photovoltaic/ReciprocatingEngine/FuelCell/Turbine/Other(describe)________________ r. EnergySource:Photovoltaic/Wind/Hydro/Diesel/NaturalGas/FuelOil/ReciprocatingEngine Other(describe)____________ s. IstheequipmentUL1741Listed?Yes/No IfYES,attachanydocumentationprovidedbythegeneratormanufacturerdescribingtheUL1741 listingforthegeneratingfacilitytothisapplication. t. Singlelinediagramforinterconnection u. ListcomponentsoftheSmallGeneratingFacilityEquipmentPackagethatarecurrentlycertified: Page 3 of 8 EquipmentType ___________________________________________ CertifyingEntity _______________________________________________ ___________________________________________ _______________________________________________ ___________________________________________ _______________________________________________ ___________________________________________ _______________________________________________ Istheprimemovercompatiblewiththecertifiedprotectiverelaypackage?_____Yes_____No Note:AcompletedPowerSystemsLoadFlowdatasheetmustbesuppliedwiththeInterconnectionApplication. 6. SmallGeneratingFacilityCharacteristicData(forinverter‐basedmachines) Maxdesignfaultcontributioncurrent: InstantaneousorRMS? HarmonicsCharacteristics: Start‐uprequirements: 7. SmallGeneratingFacilityCharacteristicData(forrotatingmachines) RPMFrequency:_____________ (*)NeutralGroundingResistor(IfApplicable):____________ 8. SynchronousGenerators: DirectAxisSynchronousReactance,Xd:_______P.U. DirectAxisTransientReactance,X'd:___________P.U. DirectAxisSubtransientReactance,X"d:______________P.U. NegativeSequenceReactance,X2:_________P.U. ZeroSequenceReactance,X0:____________P.U. KVABase:_______________________________ FieldVolts:______________________________ FieldAmperes:__________________________ 9. InductionGenerators: MotoringPower(kW):___________________________ I2torK(HeatingTimeConstant):______________ Page 4 of 8 RotorResistance,Rr:______________ StatorResistance,Rs:______________ StatorReactance,Xs:______________ RotorReactance,Xr:_______________ MagnetizingReactance,Xm:______________ ShortCircuitReactance,Xd":______________ ExcitingCurrent:______________ TemperatureRise:______________ FrameSize:______________ DesignLetter:______________ ReactivePowerRequiredInVars(NoLoad):______________ ReactivePowerRequiredInVars(FullLoad):______________ TotalRotatingInertia,H:_____________PerUnitonkVABase Note:PleasecontacttheT&DUtilitypriortosubmittingthisInterconnectionApplicationtodetermineifthe specifiedinformationinSection9aboveisrequired. 10. ExcitationandGovernorSystemDataforSynchronousGeneratorsOnly ProvideappropriateIEEEmodelblockdiagramofexcitationsystem,governorsystemandpowersystem stabilizer(PSS)inaccordancewiththeregionalreliabilitycouncilcriteria.APSSmaybedeterminedtobe requiredbyapplicablestudies.Acopyofthemanufacturer'sblockdiagrammaynotbesubstituted. 11. InterconnectionFacilitiesInformationTransformerData(IfApplicable,forInterconnectionCustomer‐ OwnedTransformer): WillatransformerbeusedbetweenthegeneratorandthePointofCommonCoupling?____Yes____No WillthetransformerbeprovidedbytheInterconnectionCustomer?____Yes____No Isthetransformer:____singlephase_____threephase?Size:___________kVA TransformerImpedance:_______percenton__________kVABase IfThreePhase: TransformerPrimary:_____Volts_____Delta_____Wye_____WyeGrounded TransformerSecondary:_____Volts_____Delta_____Wye_____WyeGrounded Page 5 of 8 TransformerTertiary:_____Volts_____Delta_____Wye_____WyeGrounded TransformerFuseData(IfApplicable,forInterconnectionCustomer‐OwnedFuse): (Attachcopyoffusemanufacturer'sMinimumMeltandTotalClearingTime‐CurrentCurves) Manufacturer:__________________Type:_______________Size:________Speed:______________ InterconnectingCircuitBreaker(ifapplicable): Manufacturer:____________________________Type:__________ LoadRating(Amps):_______InterruptingRating(Amps):________TripSpeed(Cycles):__________ InterconnectionProtectiveRelays(IfApplicable): IfMicroprocessor‐Controlled: ListofFunctionsandAdjustableSetpointsfortheprotectiveequipmentorsoftware: Set‐pointFunctionMinimumMaximum 1. ___________________ ___________________ ____________________ 2. ___________________ ___________________ _____________________ 3. ___________________ ___________________ _____________________ 4. ___________________ ___________________ _____________________ 5. ___________________ ___________________ _____________________ 6. ___________________ ___________________ _____________________ IfDiscreteComponents:(EncloseCopyofanyProposedTime‐OvercurrentCoordinationCurves) Manufacturer: Type: Style/CatalogNo.: ProposedSetting: Manufacturer: Type: Style/CatalogNo.: ProposedSetting: Manufacturer: Type: Style/CatalogNo.: ProposedSetting: Manufacturer: Type: Style/CatalogNo.: ProposedSetting: Manufacturer: Type: Style/CatalogNo.: ProposedSetting: Page 6 of 8 CurrentTransformerData(IfApplicable):EnclosecopyofManufacturerExcitationandRatioCorrectionCurves Manufacturer: Type: AccuracyClass: ProposedRatioConnection:____ Manufacturer: Type: AccuracyClass: ProposedRatioConnection:____ PotentialTransformerData(IfApplicable): Manufacturer: Type: AccuracyClass: ProposedRatioConnection:____ Manufacturer: Type: AccuracyClass: ProposedRatioConnection:____ GeneralInformationChecklist Pleasesignonthelinebesideeachitemlistedbelowverifyingthatacompletepackagehasbeensubmitted andtheCustomer(s)areawareofallrequirements: Ifa50kWorsmallerinterconnectiongenerator,enclosecopyofsiteelectrical one‐linediagramshowingtheconfigurationofallSmallGeneratingFacilityequipment, currentandpotentialcircuits,andprotectionandcontrolschemes. IftheSmallGeneratingFacilityislargerthan50kW,theone‐linediagrammustbesignedand stampedbyalicensedProfessionalEngineer. IsaOne‐LineDiagramEnclosed? ____Yes____No Enclosecopyofanysitedocumentationthatindicatestheprecisephysicallocation oftheproposedSmallGeneratingFacility(e.g.,USGStopographicmaporother diagramordocumentation). ____Yes____No Proposedlocationofprotectiveinterfaceequipmentonproperty(includeaddress ifdifferentfromtheInterconnectionCustomer'saddress) _____________________________________________________________________________________________________________________________ Enclosecopyofanysitedocumentationthatdescribesanddetailstheoperation oftheprotectionandcontrolschemes. ___Yes____No Enclosecopiesofschematicdrawingsforallprotectionandcontrolcircuits, relaycurrentcircuits,relaypotentialcircuits,andalarm/monitoringcircuits (ifapplicable). ___Yes____No Page 7 of 8 InformationRequiredPriortoPhysicalInterconnection InstallingElectrician:______________________________________________________________________________________________ Firm:________________________________________________________________________________________________________________ LicenseNo.:_________________________________________ MailingAddress:____________________________________________________________________________________________________ City:___________________________________State:______ZipCode:__________Telephone:____________________________ ApplicantSignature Iherebycertifythat,tothebestofmyknowledge,alltheinformationprovidedintheInterconnection Applicationistrueandcorrect.IalsoagreetoinstallaWarningLabelprovidedby(utility)onornearmy servicemeterlocation.GeneratingsystemsmustbecompliantwithIEEE,NEC,ANSI,andULstandards,where applicable.Bysigningbelow,theApplicantalsocertifiesthattheinstalledgeneratingequipmentmeetsthe appropriateprecedingrequirement(s)andcansupplydocumentationthatconfirmscompliance. Signed:________________________________________________________________Date:________________ FORCOMPANYUSEONLY ContingentApprovaltoInterconnecttheSmallGeneratingFacility InterconnectionoftheCertified,Inverter‐BasedGeneratingFacilityisapprovedcontingentupontheproper executionoftheLevel2,3and4InterconnectionAgreementandreturntheCertificateofCompletion(or otherevidenceoflocalcodeofficialapproval),whentheInverter‐BasedGeneratingFacilityhasbeeninstalled. CompanySignature:__________________________________________________ Title:NetEnergyBillingCoordinator Date:_______________________________________ Queuenumber:____________________________ Companywaivesinspection/witnesstest? Yes______ No______ Level234APPLICATIONrev061614 Page 8 of 8