1867 Ashburnham Drive P.O. Box 4125, Station Main Peterborough ON K9J 6Z5 (705) 748-9300 CONNECTION IMPACT ASSESSMENT (CIA) APPLICATION Form B This Application Form is for Generators applying for Connection Impact Assessment (“CIA”) and for Generators with a project size >10 kW. Please return the completed form, fees and other required documents by mail to: Peterborough Distribution Inc. 1867 Ashburnham Drive Peterborough ON K9J 6Z5 Attention: Engineering Administrative Assistant If you have any questions please e-mail jwebb@peterboroughutilities.ca or telephone 1-705-748-9301 extension 1234 (8:00 am to 4:00 pm Mon to Fri). NOTES: 1) Applicants are cautioned NOT to incur major expenses until PDI approves connection of the proposed generation facility. 2) All technical submissions (Form B, single line diagrams, etc.) must be signed and sealed by a licensed Ontario Professional Engineer (P.Eng.). 3) All fields below are mandatory, except where noted. Incomplete applications shall be returned by PDI. Date (yyyy/mm/dd): Application Type: New CIA Application 1. Original CIA Project ID # (if applicable): CIA Revision/Rework Project Name: 2. Independent Electricity System Operator (IESO) Feed-In Tariff (FIT) Contract Number: 3. Proposed In-Service Date (yyyy/mm/dd): 4. Nameplate Capacity: 5. Project Location: Address: kW City / Town / Township: 6. Project Information: Choose a Single Point of Contact: Generator (Mandatory) Owner Owner (Mandatory) Consultant Consultant (Optional) Company/Person Contact Person Mailing Address Line 1 Mailing Address Line 2 Telephone Cell Fax Email 09116 Revised 2015/10/28 Page 1 of 5 CONNECTION IMPACT ASSESSMENT (CIA) APPLICATION Form B 1867 Ashburnham Drive P.O. Box 4125, Station Main Peterborough ON K9J 6Z5 (705) 748-9300 Preferred method of communication with PDI: Customer Status: Existing PDI Customer? Email Telephone Yes No Mail Fax If yes, PDI Account Number: Customer name registered in this account: Are you a GST registrant? Yes No If yes, provide your GST registration number: 7. Fuel / Renewable Energy Type: Biomass Solar Water Gas Turbine Wind Diesel Engine Other (please specify) 8. Location & Site Plan: Provide a site plan with appropriate routings for connection to PDI distribution system. The Site Plan should include roads, lot lines and nearby OH or UG power lines/facilities. Drawing / Sketch No. Rev. 9. Connection to PDI (a) Proposed or existing connection voltage to PDI distribution Distribution System: system: kW (b) Station: (c) Feeder: (d) Distance from the Point of Connection to the PCC: km (e) Generator's Collector Lines or Tap Line Facilities If the Generator's facilities include collector lines or a tap line on the Generator's side of the PCC, provide the following: Distance and conductor size of tap line on the Generator's side of the PCC, or equivalent distance for Generator's collector lines on the high-side of interface transformer(s): km Conductor Size: (f) Fault contribution from Generator's facilities, with the fault location at the PCC: Three-phase generators: 3-phase short circuit Single-phase generators: 1-phase short circuit MVA 10. Single Line Diagram Provide a SLD of the Generator's facilities including the PCC. (SLD): SLD Drawing Number: Rev. 11. Generator Characteristics: (a) Characteristics of Existing Generators If Generator's facilities include existing generators, provide details as an attached document. (b) Characteristics of New Generators NOTE: Please provide the manufacturer's technical data (electrical) for the generator or inverter. 09116 Revised 2015/10/28 Page 2 of 5 CONNECTION IMPACT ASSESSMENT (CIA) APPLICATION Form B 1867 Ashburnham Drive P.O. Box 4125, Station Main Peterborough ON K9J 6Z5 (705) 748-9300 Number of generating unit(s): Manufacturer: Rated capacity of each unit: Type / Model No.: kVA kW If unit outputs are different, please fill in additional sheets to provide the information. Rated frequency: Rotating Machine Type: Hz Synchronous Induction Inverter Other (please specify) (If the machine type is "Other", please provide values equivalent to a Synchronous or Induction type Generator). single phase three phase Generator connecting on: Limits of range of reactive power at the machine output: i. Lagging (over-excited): kVAR power factor ii. Leading (under-excited): kVAR power factor Limits of range of reactive power at the PCC: iii. Lagging (over-excited): kVAR power factor iv. Leading (under-excited): kVAR power factor pu (multiple of full load current) Starting inrush current: delta star Generator terminal connection: Neutral grounding method of star connected generator: Solid Ungrounded For Synchronous Units: Impedance: R ohms i. Nominal machine voltage: kV ii. Minimum power limit for stable operation: kW iii. Unsaturated reactances on: kVA base Direct axis subtransient reactance, Xd" Direct axis transient reactance, Xd' pu pu Direct axis synchronous reactance, Xd pu Zero sequence reactance, X0 pu iv. Provide a plot of generator capability curve (MW output vs MVAR) Document Number: For Induction Units: kV ii. Unsaturated reactances on: kVA base Direct axis transient reactance, Xd' 09116 Revised 2015/10/28 ohms kV base Rev. i. Nominal machine voltage: Direct axis subtransient reactance, Xd" X kV base pu pu Page 3 of 5 CONNECTION IMPACT ASSESSMENT (CIA) APPLICATION Form B 1867 Ashburnham Drive P.O. Box 4125, Station Main Peterborough ON K9J 6Z5 (705) 748-9300 iii. Total power factor correction installed: kVA base - Number of regulating steps - Power factor correction switched per step kVAR - Power factor correction capacitors are automatically switched off when generator breaker opens Yes 12. Interface Step-Up Transformer Characteristics: No (a) Transformer ownership: Customer PDI (b) Transformer rating: kVA (c) Nominal voltage of high voltage winding: kV (d) Nominal voltage of low voltage winding: kV (e) Transformer type: Single phase (f) Impedances on: Three phase kV base kVA base R: pu, pu X: (g) High voltage winding connection: Delta Star Grounding method of star connected high voltage winding neutral: Solid Ungrounded Impedance: R: ohms X: ohms Nameplate rating and impedance values of High Voltage Grounding Transformer (if applicable): Voltage: V Rating: kVA R: pu X: (h) Low voltage winding connection: Delta Star Grounding method of star connected low voltage winding neutral: Solid Ungrounded Impedance: R: ohms X: 13. Intermediate Transformer Characteristics (if applicable): (a) Transformer rating: pu ohms kVA (b) Nominal voltage of high voltage winding: kV (c) Nominal voltage of low voltage winding: kV (d) Transformer type: Single phase (e) Impedances on: Three phase kVA base R: pu, X: kV base pu (f) High voltage winding connection: Delta Star Grounding method of star connected high voltage winding neutral: Solid Ungrounded Impedance: R: ohms X: ohms (g) Low voltage winding connection: Delta Star Grounding method of star connected low voltage winding neutral: Solid Ungrounded Impedance: R: ohms X: ohms NOTE: The term 'High Voltage' refers to the intermediate voltage that is input to the interface step-up transformer and the 'Low Voltage' refers to the generation voltage. 09116 Revised 2015/10/28 Page 4 of 5 1867 Ashburnham Drive P.O. Box 4125, Station Main Peterborough ON K9J 6Z5 (705) 748-9300 14. Load information: Attached Documents: Item No. CONNECTION IMPACT ASSESSMENT (CIA) APPLICATION Form B (a) Maximum load of the facility: kW kVA (b) Maximum load current (referred to the nominal voltage at the connection point to PDI system): A (c) Maximum inrush current to loads (referred to the nominal voltage at the connection point to PDI system): A Description Document No. No. of Pages Description Drawing No. No. of Pages 1 2 3 Attached Drawings: Item No. 1 2 3 CHECKLIST: Please ensure the following items are completed prior to submission. The application shall be returned if incomplete. Completed Form Payment in full including applicable taxes (by cheque or money order payable to "PDI"). Current Fees: $3,000.00 + HST for PDI CIA Single Line Diagram (SLD) of the Generator's facilities, must be stamped by a Professional Engineer NOTE: By submitting a Form B, the Proponent authorizes the collection by PDI of any agreements and any information pertaining to agreements made between the Proponent and the Independent Electricity System Operator (IESO) from the IESO, the information set out in the Form B and otherwise collected in accordance with the terms hereof, the terms of PDI. Conditions of Service, PDI Privacy Policy and the requirements of the Distribution System Code and the use of such information for the purposes of the connection of the generation facility to PDI distribution system. Email completed form to jwebb@peterboroughutilities.ca 09116 Revised 2015/10/28 Page 5 of 5