Large Interconnection Request Application Form

(Greater than 10 MVA)

Name:

Company:

Mailing Address:

City:

State:

Zip Code:

Telephone (Primary):

(Alternate):

Facsimile Number:

E-Mail Address:

Alternative or Designated Representative Contact Information

Name:

Company:

Mailing Address:

City:

State:

Zip Code:

Telephone (Primary):

(Alternate):

Facsimile Number:

E-Mail Address:

Distributed Energy Resources Facility Information

Project Name:

Facility Address:

City:

County:

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 (if known):

Name:

Mailing Address:

City:

State:

Zip Code:

Telephone (Primary):

(Alternate):

Facsimile Number:

E-Mail Address:

Electrical Contractor (if known):

Name:

Mailing Address:

City:

State:

Zip Code:

Telephone (Primary):

(Alternate):

Facsimile Number:

E-Mail Address:

License number:

Existing Electric Service Information for Customer Facility Where Generator Will Be Interconnected

Check here if there is no existing electric service at the site

Capacity:			(Amps)			Voltage:	(Volts)
Type of Service:	Single-Phase					Three-Phase
(If customer-provided) Three-Phase Transformer, Indicate Type:
Primary Winding		Wye		Delta
Secondary Winding		Wye		Delta
Transformer Size:					Impedance:
Point of Interconnection − Brief Description and Address of the Distributed Energy Resources
Location:

Intent of Generation (check all that apply):

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

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

Qualified Facility ("QF") under PURPA

Other, please describe:

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.):
NAMEPLATE CAPACITY: kW or kVA	NUMBER OF UNITS:	TOTAL EXPORT CAPACITY: kW or kVA
GENERATOR TYPE (Check one): Induction Inverter Synchronous Other

Distributed Energy Resources Facility Information

Estimated Commissioning Test Date: __________________________________

Note: Provide the following information to the extent known. The EDC will contact you for additional information that may be needed after reviewing the application.

List interconnection components/systems to be used in the distributed energy resources facility.

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:

Manufacturer (when available):

Model No. (when available):

Version No. (when available):

Submit copies of the Saturation Curve and the Vee Curve

Salient

Non-Salient

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

Synchronous Speed:

RPM

Winding Connection:

Min. Operating Freq:

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:

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.

Limited Export and Non-Export Controls Information

Manufacturer:

Model Number:

Limited Export or Non-Export?

Limited Export

Non-Export

Control Type:

Reverse Power Protection

Minimum Power Protection

Relative Distributed Energy Resource Rating

Configured Power Rating

Limited Export Power Control Systems

Limited Export using mutually agreed-upon means

Directional Power Protection

Export Capacity Value:

Control Power Setting:

Control Power Time Delay (if any):

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

Dedicated Transformer (applicant owned):

Rating:

MVA

Voltage Ratio:

Fixed Tap Setting:

Winding connections:

Impedance:

% based on transformer rating

Capacitor Banks:

Type:
Size:			MVAR

Other Facility Information:

One Line Diagram attached: Yes

Plot Plan attached: Yes

Battery Storage Facility Information (If Applicable)

Do the batteries share an inverter with a renewable energy system?	☐ Yes	☐ No
Does the applicant intend to have the batteries charged by the distribution grid?			☐ Yes	☐ No
System Manufacturer:
Model:
Battery Type:
Battery Charge/Discharge Rating (kW AC):
Maximum Battery Charge/Discharge Rate (kW AC per second):
Battery Energy Capacity (kWh):
Power Factor Settings Range:

Battery Storage Inverter Information

Energy System

Manufacturer:

Model:

Type: ☐ Forced ☐ Commutated

Line Commutated Rated Output

Watts:

Volts:

Efficiency:

____ %

Power Factor:

____ %

Inverter IEEE 1547 / UL 1741 Listed:

☐ Yes

☐ No

Number of Inverters:

Total Capacity:

DC Source / Prime Mover:

- Rating:

kW Rating:

kVA Rated Voltage:

Volts

Open Circuit Voltage (If Applicable):

Volts

Rated Current:

Amps

Battery Operational Information

Backup – allows for partial or whole home transition to off-grid during a grid outage. ☐ Yes ☐ No

Solar Self-Powered – the battery will charge from the renewable energy source during normal operation and discharge to serve loads behind your meter. ☐ Yes ☐ No

Solar Non-Export – limits the export of energy to the grid to zero for both the battery and inverter, even if the battery system is fully charged and there is excess renewable source energy. ☐ Yes ☐ No

Time-Based Control (sometimes called time-of-use or TOU mode) – the battery charges during off-peak hours and discharges to serve onsite loads during on-peak hours. ☐ Yes ☐ No

Describe any other intended operation of the battery:

Comments or additional information:

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 must be submitted before the application can be processed. The application fee is $15,000 for all Large (>10 MVA) Distributed Energy Resources Facilities. Of the total application fee, $5,000 is nonrefundable, while the EDC shall apply the remaining $10,000 toward any subsequent studies related to this application.

EDC Acknowledgement

Receipt of the application and fee is acknowledged. This acknowledgement does not preclude the requirement to furnish additional information by the applicant if requested by the EDC when it is necessary for the EDC's review under these procedures. When this interconnection request is deemed complete by the EDC, the EDC shall notify the interconnection customer in writing.

EDC Signature:		Date:
Printed Name:	Title:

(Source: Amended at 46 Ill. Reg. 9788, effective May 26, 2022)