Section 466.APPENDIX C Levels 2 to 4 Application

Level 2, Level 3 & Level 4

Interconnection Request Application Form

(Greater than 10 kVA to 10 MVA or less)

Interconnection Customer Contact Information

Name:
Mailing Address:
City:	State:	Zip Code:
Telephone (Daytime):	(Evening):
Facsimile Number:	E-Mail Address:

Alternative Contact Information (if different from Customer Contact Information)
Name:
Mailing Address:
City:	State:	Zip Code:
Telephone (Daytime):	(Evening):
Facsimile Number:	E-Mail Address:

Facility Address (if different from above):
City:	State:		Zip Code:
Electric Distribution Company (EDC) Serving Facility Site:
Electric Supplier (if different from EDC):
Account Number of Facility Site (existing EDC customers):
Inverter Manufacturer:		Model:

Equipment Contractor

Name:
Mailing Address:
City:	State:	Zip Code:
Telephone (Daytime):	(Evening):
Facsimile Number:	E-Mail Address:

Electrical Contractor (if different from Equipment Contractor)

Name:
Mailing Address:
City:	State:	Zip Code:
Telephone (Daytime):	(Evening):
Facsimile Number:	E-Mail Address:
License Number:

Electric Service Information for Customer Facility Where Generator Will Be Interconnected

Capacity:			(Amps)			Voltage:	(Volts)
Type of Service:	Single Phase					Three Phase
If 3 Phase Transformer, Indicate Type:
Primary Winding		Wye		Delta
Secondary Winding		Wye		Delta
Transformer Size:					Impedance:

Intent of Generation

Offset Load (Unit will operate in parallel, but will not export power to EDC)

Net Meter (Unit will operate in parallel and will export power pursuant to Illinois Net Metering or other filed tariffs)

Wholesale Market Transaction (Unit will operate in parallel and participate in PJM or MISO markets pursuant to a PJM Wholesale Market Participation Agreement or MISO equivalent)

Back-up Generation (Units that temporarily operate in parallel with the electric distribution system for more than 100 milliseconds)

Note: Backup units that do not operate in parallel for more than 100 milliseconds do not need an interconnection agreement.

Generator & Prime Mover Information

ENERGY SOURCE (Hydro, Wind, Solar, Process Byproduct, Biomass, Oil, Natural Gas, Coal, etc.):
ENERGY CONVERTER TYPE (Wind Turbine, Photovoltaic Cell, Fuel Cell, Steam Turbine, etc.):
GENERATOR SIZE: kW or kVA	NUMBER OF UNITS:	TOTAL CAPACITY: kW or kVA
GENERATOR TYPE (Check one): Induction Inverter Synchronous Other 14504August 25, 2008__________________

Requested Procedure Under Which to Evaluate Interconnection Request¹

Please indicate below which review procedure applies to the interconnection request. The review procedure used is subject to confirmation by the EDC.

Level 2 – Lab-certified interconnection equipment with an aggregate electric nameplate capacity less than or equal to 2 MVA. Lab-certified is defined in Section 466.30. (Application fee is $100 plus $1.00 per kVA.)

Level 3 – Distributed generation facility does not export power. Nameplate capacity rating is less than or equal to 50 kVA if connecting to area network or less than or equal to 10 MVA if connecting to a radial distribution feeder. (Application fee amount is $500 plus $2.00 per kVA.)

Level 4 – Nameplate capacity rating is less than or equal to 10 MVA and the distributed generation facility does not qualify for a Level 1, Level 2 or Level 3 review, or the distributed generation facility has been reviewed but not approved under a Level 1, Level 2 or Level 3 review. (Application fee amount is $1,000 plus $2.00 per kVA, to be applied toward any subsequent studies related to this application.)

¹ Note: Descriptions for interconnection review categories do not list all criteria that must be satisfied. For a complete list of criteria, please refer to 83 Ill. Adm. Code 466, Electric Interconnection of Distributed Generation Facilities.

Distributed Generation Facility Information

Commissioning Date: _________________________________

List interconnection components/systems to be used in the distributed generation facility that are lab-certified.

Component/System		NRTL Providing Label & Listing
1.
2.
3.
4.
5.

Please provide copies of manufacturer brochures or technical specifications.

Energy Production Equipment/Inverter Information:

Synchronous

Induction

Inverter

Other

Rating:

kVA

Rated Voltage:

Volts

Rated Current:

Amps

System Type Tested (Total System):

Yes

No; attach product literature

For Synchronous Machines:

Note: Contact EDC to determine if all the information requested in this section is required for the proposed distributed generation facility.

Manufacturer:

Model No.:

Version No.:

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:

Locked Rotor

Current:

Amps

Synchronous Speed:

RPM

Winding Connection:

Min. Operating Freq./Time:

Generator Connection:

Delta

Wye

Wye Grounded

Direct-axis Synchronous Reactance:

(Xd)

ohms

Direct-axis Transient Reactance:

(X'd)

ohms

Direct-axis Sub-transient Reactance:

(X''d)

ohms

Negative Sequence Reactance:

ohms

Zero Sequence Reactance:

ohms

Neutral Impedance or Grounding Resister (if any):

ohms

For Induction Machines:

Note: Contact EDC to determine if all the information requested in this section is required for the proposed distributed generation facility.

Manufacturer:

Model No.:

Version No.:

Locked Rotor Current:

Amps

Rotor Resistance (Rr):

ohms

Exciting Current:

Amps

Rotor Reactance (Xr):

ohms

Reactive Power Required:

Magnetizing Reactance (Xm):

ohms

VARs (No Load)

Stator Resistance (Rs):

ohms

VARs (Full Load)

Stator Reactance (Xs):

ohms

Short Circuit Reactance (X"d):

ohms

Phases:

Single Three Phase

Frame Size:

Design Letter:

Temp. Rise:

°C.

Reverse Power Relay Information (Level 3 Review Only)

Additional Information For Inverter-Based Facilities

Inverter Information:

Manufacturer:

Model:

Type:

Forced Commutated

Line Commutated

Rated Output:

Watts

Volts

Efficiency:

Power Factor:

Inverter UL 1741 Listed:

Yes

DC Source / Prime Mover:

Rating:	kW	Rating:				kVA
Rated Voltage:			Volts
Open Circuit Voltage (if applicable):							Volts
Rated Current:				Amps
Short Circuit Current (if applicable):					Amps

Other Facility Information:

One Line Diagram attached: Yes

Plot Plan attached: Yes

Customer Signature

I hereby certify that all of the information provided in this Interconnection Request Application Form is true.

Applicant Signature:
Title:			Date:

An application fee is required before the application can be processed. Please verify that the appropriate fee is included with the application:

Amount: _____________________

EDC Acknowledgement

Receipt of the application fee is acknowledged and this interconnection request is complete.

EDC Signature:		Date:
Printed Name:	Title:

Manufacturer:

Relay Type:

Model Number:

Reverse Power Setting:

Reverse Power Time Delay (if any):