2 APPENDIX B: Generation Interconnection Application Form WHO SHOULD FILE THIS APPLICATION: Anyone expressing interest to install generation which will interconnect with Xcel Energy (Local electric utility) This application should be completed and returned to the Generation Interconnection Coordinator, in order to begin processing the request INFORMATION: This application is used by Xcel Energy to perform a preliminary interconnection review The Applicant shall complete as much of the form as possible The fields in BOLD are required to be completed to the best of the Applicant s ability The Applicant will be contacted if additional information is required The response may take up to 15 business days after receipt of all the required information COST: A payment to cover the application fee shall be included with this application The application fee amount is outlined in the State of Minnesota Interconnection Process for Distributed Generation Systems OWNER/APPLICANT Company / Applicant s Name: Representative: Phone Number: FAX Number: Title: LOCATION OF GENERATION SYSTEM INTERCONNECTION Street Address, legal description or GPS coordinates: PROJECT DESIGN / ENGINEERING (if applicable) Company: Representative: Phone: FAX Number: ELECTRICAL CONTRACTOR (if applicable) Company: Representative: Phone: FAX Number: (Continued on Sheet No -3) Docket No E002/GR-05-1428 Order Date: 09-01-06 S:\General-Offices-GO-01\PSF\RA\Rates\Current\Mn_elec\Me 2doc
3 APPENDIX B: Generation Interconnection Application Form (Continued) GENERATOR Model: Type (Synchronous Induction, Inverter, etc): Phases: 1 or 3 Rated Output (Prime kw): (Standby kw): Frequency: Rated Power Factor (%): Rated Voltage (Volts): Rated Current (Amperes): Energy Source (gas, steam, hydro, wind, etc) TYPE OF INTERCONNECTED OPERATION Interconnection / Transfer method: Open Quick Open Closed Soft Loading Inverter Proposed use of generation: (Check all that may apply) Peak Reduction Standby Energy Sales Cover Load Duration Parallel: None Limited Continuous Pre-Certified System Yes / No (Circle one) Exporting Energy Yes / No (Circle one) ESTIMATED LOAD INFORMATION The following information will be used to help properly design the interconnection This Information is not intended as a commitment or contract for billing purposes Minimum anticipated load (generation not operating): kw: kva: Maximum anticipated load (generation not operating): kw: kva: ESTIMATED START/COMPLETION DATES Construction start date: Completion (operational) date: DESCRIPTION OF PROPOSED INSTALLATION AND OPERATION Attach a single line diagram showing the switchgear, transformers, and generation facilities Give a general description of the manner of operation of the generation (cogeneration, closed-transition peak shaving, opentransition peak shaving, emergency power, etc) Also, does the Applicant intend to sell power and energy or ancillary services and/or wheel power over Xcel Energy facilities? If there is an intent to sell power and energy, also define the target market (Continued on Sheet No -4) Docket No E002/GR-05-1428 Order Date: 09-01-06 S:\General-Offices-GO-01\PSF\RA\Rates\Current\Mn_elec\Me 3doc
4 APPENDIX B: Generation Interconnection Application Form (Continued) SIGN OFF AREA: With this Application, we are requesting Xcel Energy to review the proposed Generation System Interconnection We request that Xcel Energy identifies the additional equipment and costs involved with the interconnection of this system and to provide a budgetary estimate of those costs We understand that the estimated costs supplied by Xcel Energy, will be estimated using the information provided We also agree that we will supply, as requested, additional information, to allow Xcel Energy to better review this proposed Generation System interconnection We have read the State of Minnesota Distributed Generation Interconnection Requirements and will design the Generation System and interconnection to meet those requirements Applicant Name (print): Applicant Signature: Date: SEND THIS COMPLETED & SIGNED APPLICATION AND ATTACHMENTS TO THE GENERATION INTERCONNECTION COORDINATOR (Continued on Sheet No -5) Docket No E002/GR-05-1428 Order Date: 09-01-06 S:\General-Offices-GO-01\PSF\RA\Rates\Current\Mn_elec\Me 4doc
5 APPENDIX C: Engineering Data Submittal Form WHO SHOULD FILE THIS SUBMITTALL: Anyone in the final stages of interconnecting a Generation System with Xcel Energy This submittal shall be completed and provided to the Generation Interconnection Coordinator during the design of the Generation System, as established in the State of Minnesota Interconnection Process for Distributed Generation Systems INFORMATION: This submittal is used to document the interconnected Generation System The Applicant shall complete as much of the form as applicable The Applicant will be contacted if additional information is required OWNER / APPLICANT Company / Applicant: Representative: Phone Number: FAX Number: Title: PROPOSED LOCATION OF GENERATION SYSTEM INTERCONNECTION Street Address, Legal Description or GPS coordinates: PROJECT DESIGN / ENGINEERING (if applicable) Company: Representative: Phone: FAX Number: ELECTRICAL CONTRACTOR (if applicable) Company: Representative: Phone: FAX Number: (Continued on Sheet No -6) Docket No E002/GR-05-1428 Order Date: 09-01-06 S:\General-Offices-GO-01\PSF\RA\Rates\Current\Mn_elec\Me 5doc
6 TYPE OF INTERCONNECTED OPERATION Interconnection / Transfer method: Open Quick Open Closed Soft Loading Inverter Proposed use of generation: (Check all that may apply) Peak Reduction Standby Energy Sales Cover Load Duration Parallel: None Limited Continuous Pre-Certified System: Yes / No (Circle one) Exporting Energy Yes / No (Circle one) GENERATION SYSTEM OPERATION / MAINTENANCE CONTACT INFORMATION Maintenance Provider: Phone #: Pager #: Operator Name: Phone #: Pager #: Person to Contact before remote starting of units Contact Name: Phone #: Pager #: 24hr Phone #: GENERATION SYSTEM OPERATING INFORMATION Fuel Capacity (gals): Engine Cool Down Duration (Minutes): Start Time Delay on Outage (Seconds): Full Fuel Run-time (hrs): Start time Delay on Load Shed signal: ESTIMATED LOAD The following information will be used to help properly design the interconnection This Information is not Intended as a commitment or contract for billing purposes Minimum anticipated load (generation not operating): kw: kva: Maximum anticipated load (generation not operating): kw: kva: (Continued on Sheet No -7) Docket No E002/GR-05-1428 Order Date: 09-01-06 S:\General-Offices-GO-01\PSF\RA\Rates\Current\Mn_elec\Me 6doc
7 REQUESTED CONSTRUCTION START/COMPLETION DATES Design Completion: Construction Start Date: Footings in place: Primary Wiring Completion: Control Wiring Completion: Start Acceptance Testing: Generation operational (In-service): (Complete all applicable items Copy this page as required for additional generators) SYNCHRONOUS GENERATOR (if applicable) Unit Number: Total number of units with listed specifications on site: Type: Phases: 1 or 3 Serial Number (each) Date of manufacture: Speed (RPM): Freq (Hz); Rated Output (each unit) kw Standby: kw Prime: kva: Rated Power Factor (%): Rated Voltage(Volts): Rated Current (Amperes): Field Voltage (Volts): Field Current (Amperes): Motoring Power (kw): Synchronous Reactance (Xd): % on kva base Transient Reactance (X'd): % on kva base Subtransient Reactance (X d): % on kva base Negative Sequence Reactance (Xs): % on kva base Zero Sequence Reactance (Xo): % on kva base Neutral Grounding Resistor (if applicable): I 2 t or K (heating time constant): Exciter data: Governor data: Additional Information: (Continued on Sheet No -8) Docket No E002/GR-05-1428 Order Date: 09-01-06 S:\General-Offices-GO-01\PSF\RA\Rates\Current\Mn_elec\Me 7doc
8 INDUCTION GENERATOR (if applicable) Rotor Resistance (Rr): Rotor Reactance (Xr): Magnetizing Reactance (Xm): Design Letter: Exciting Current: Rated Output (kw): Stator Resistance (Rs): Stator Reactance (Xs): Short Circuit Reactance (Xd): Frame Size: Temp Rise (deg C ): Reactive Power Required: kvars (no Load) kvars (full load) If this is a wound-rotor machine, describe any external equipment to be connected (resistor, rheostat, power converter, etc) to rotor circuit, and circuit configuration Describe ability, if any, to adjust generator reactive output to provide power system voltage regulation Additional Information: PRIME MOVER (Complete all applicable items) Unit Number: Type: Serial Number: Date of Manufacture: HP Rated: HP Max: Inertia Constant: lb-ft 2 Energy Source (hydro, steam, wind, wind etc): INTERCONNECTION (STEP-UP) TRANSFORMER (If applicable) kva: Date of Manufacture: Serial Number: High Voltage: kv Connection: delta wye Neutral solidly grounded? Low Voltage: kv Connection: delta wye Neutral solidly grounded? Transformer Impedance (Z): % on kva base Transformer Resistance (R): % on kva base Transformer Reactance (X): % on kva base Neutral Grounding Resistor (if applicable) (Continued on Sheet No -9) Docket No E002/GR-05-1428 Order Date: 09-01-06 S:\General-Offices-GO-01\PSF\RA\Rates\Current\Mn_elec\Me 8doc
9 TRANSFER SWITCH (If applicable) Model Number: Type: Rating (amps): INVERTER (If applicable) Model: Rated Power Factor (%): Rated Voltage (Volts): Rated Current (Amperes): Inverter Type (ferroresonant, step, pulse-width modulation, etc): Type of Commutation: forced line Minimum Short Circuit Ratio required: Minimum voltage for successful commutation: Current Harmonic Distortion Maximum Individual Harmonic (%): Maximum Total Harmonic Distortion (%): Voltage Harmonic Distortion Maximum Individual Harmonic (%): Maximum Total Harmonic Distortion (%): Describe capability, if any, to adjust reactive output to provide voltage regulation: NOTE: Attach all available calculations, test reports, and oscillographic prints showing inverter output voltage and current waveforms POWER CIRCUIT BREAKER (if applicable) Model: Rated Voltage (kilovolts): Rated Ampacity (Amperes): Interrupting Rating (Amperes): BIL Rating: Interrupting Medium (vacuum, oil, gas, etc) Insulating Medium (vacuum, oil, gas, etc) Control Voltage (Closing): (Volts) AC DC Control Voltage (Tripping): (Volts) AC DC Battery Charged Capacitor Close Energy (circle one): Spring Motor Hydraulic Pneumatic Other Trip Energy (circle one): Spring Motor Hydraulic Pneumatic Other Bushing Current Transformers (Max ratio): Relay Accuracy Class: CT S Multi Ratio? (circle one); No / Yes: (Available taps): (Continued on Sheet No -1) Docket No E002/GR-05-1428 Order Date: 09-01-06 S:\General-Offices-GO-01\PSF\RA\Rates\Current\Mn_elec\Me 9doc
Northern States Power Company, a Minnesota corporation 1 MISCELLANEOUS (Use this area and any additional sheets for applicable notes and comments) SIGN OFF AREA This Engineering Data Submittal documents the equipment and design of the Generation System We agree to supply Xcel Energy with an updated Engineering Data Submittal any time significant changes are made in the equipment used or the design of the proposed Generation System The Applicant agrees to design, operate and maintain the Generation System within the requirements set forth by the State of Minnesota Distributed Generation Interconnection Requirements Applicant Name (print): Applicant Signature: Date: SEND THIS COMPLETED & SIGNED ENGINEERING DATA SUBMITTAL AND ANY ATTACHMENTS TO THE GENERATION INTERCONNECTION COORDINATOR (Continued on Sheet No -111) E002/GR-05-1428 09-01-06 S:\General-Offices-GO-01\PSF\RA\Rates\Current\Mn_elec\Me 1doc