Tier I Interconnection Application

This form is only available for certified, inverter-based Distributed Energy Resources (DERs) no larger than 20kW.

The Interconnection Application is to be filled out completely by the applicant or as noted in each section of the application. Section that are noted with * are required to be filled out along with bolded items.

Checklist for Submission to Area EPS Operator

The items below shall be included with submittal of the Interconnection Application to the Area EPS Operator. Failure to include all items will deem the Interconnection Application incomplete.
(Yes)
(Yes)

  •  Please see Area EPS Operator’s Technical Requirement for more details.

(Yes)

Possible Additional Documentation (See Technical Requirements for more details)

  • Schematic drawings for all protection and control circuits, relay current circuits, relay potentialcircuits, and alarm/monitoring circuits (if applicable).
  • Documentation that describes and details the operation of protection and control schemes (if applicable).
  • Inverter Specification Sheet(s).
     

Interconnection Customer/Owner *

(match name of electric service account, if applicable):

Application Agent *

Is the Customer using an Application Agent for this application?
If internconnection Customer is not using an Applicant Agent, please continue to next section.

DER Location *

Is the proposed DER system to be located at the Interconnection Customer’s mailing address:
If yes, please continue to the next section.
If No, will the proposed DER system be interconnected to an existing electric service?
Please provide the address of GPS Coordinates:

General *

Distributed Energy Resource will be used for what reason? (Check all that apply):

Distributed Energy Resource Information *

Phase configuration of Distributed Energy Resource(s):

Inverter Interconnected System Information – non ESS (if applicable) *

Phase configuration of inverter(s):
Certification
Certification
Certification
Certification

Energy Storage System Information (if applicable)

How will the ESS be used? Select all Use Cases that apply.
What Operating Modes will be used? Select all Operating Modes that apply.
If Export Only is Checked, select all that apply.
Is the ESS recharging limited to certain times of the day and/or after a power outage?

If the ESS shares an inverter that is listed in the previous section, please skip the rest of this section.

Phase configuration of ESS inverter(s):
Certification
Certification
Certification
Certification

Additional Documentation

Please see the Area EPS Operator’s Technical Requirement for required information that need to be on the oneline and site diagram and for example application documentation.

Please see the Interconnection Process for additional requirements related to Site Control and insurance documentation.

Acknowledgements – Must be completed by Interconnection Customer *

Application Signature – Must be completed by Interconnection Customer *

Sign above

 

BY SIGNING, THE CUSTOMER ACKNOWLEDGES THAT THEY HAVE READ THIS AGREEMENT AND AGREE TO BE BOUND BY ITS TERMS