Issued: September 2, 2014 Effective: October 3, 2014 WN U-60 Attachment C to Schedule 152, Page 1 PUGET SOUND ENERGY

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WN U-60 Attachment C to Schedule 152, Page 1 SCHEDULE 152 APPLICATION FOR INTERCONNECTING A GENERATING FACILITY TIER 2 OR TIER 3 This Application is considered complete when it provides all applicable and correct information required below. Additional information to evaluate the Application may be required. Certain terms in this Application are defined in Schedules 80 and 152. Application Fee A non-refundable fee must accompany this Application. For Generating Facilities of 0 kw to 25 kw, the fee is $100.00 For Generating Facilities of greater than 25 kw to 500 kw, the fee $500.00 For Generating Facilities of greater than 500 kw to 20 MW, the fee is $1000.00 For Generating Facilities of greater than 2 MW or up to 20 MW the fee is $1000.00. psei. Puget Sound Energy ( PSE or Company ): [Note: The blanks below must be filled in prior to sending this form to an Interconnection Customer.] Designated Contact Person: Address: Telephone Number: Fax: E-Mail Address: Preamble and Instructions An Interconnection Customer who requests Interconnection must submit this Application by hand delivery, mail, e-mail, or fax to the Company. Interconnection Customer Information Legal Name of the Interconnection Customer (or, if an individual, individual s name) Name: Contact Person: Mailing Address: City: State: Zip:

WN U-60 Attachment C to Schedule 152, Page 2 Facility Location (if different from above): Telephone (Day): Fax: Telephone (Evening): E-Mail Address: Alternative Contact Information (if different from the Interconnection Customer) Contact Name: Title: Address: Telephone (Day): Fax: Application is for: Telephone (Evening): E-Mail Address: New Generating Facility Capacity addition to Existing Generating Facility If capacity addition to existing facility, please describe: Will the Generating Facility be used for any of the following? Net Metering? Yes No To Supply Power to the Interconnection Customer? Yes No To Supply Power to Others? Yes No For installations at locations with existing electric service to which the proposed Generating Facility will Interconnect, provide: (Existing PSE Account Number*) Requested Point of Interconnection: Interconnection Customer s Requested In-Service Date: Generating Facility Information Information applies only to the Generating Facility, not to the Interconnection Facilities.

WN U-60 Attachment C to Schedule 152, Page 3 Energy Source: Solar Wind Hydro Hydro Type (e.g. Run-of-River): Diesel Natural Gas Fuel Oil Other (state type) Prime Mover: Fuel Cell Recip Engine Gas Turb Steam Turb Microturbine PV Other Synchronous Generators Generator Nameplate Rating: kw (Typical) Generator Nameplate kva: Interconnection Customer or Customer-Site Load: kw (if none, so state) Typical Reactive Load (if known): Maximum Physical Export Capability Requested: kw List components of the Generating Facility equipment package that are currently certified: Equipment Type Certifying Entity 1 2 3 4 5 Is the prime mover compatible with the certified protective relay package? Yes No Generator: Manufacturer, Model name, & Number: Version Number: Nameplate Output Power Rating in kw: (Summer) Nameplate Output Power Rating in kva: (Summer) (Winter) (Winter ) Individual Generator Power Factor: Rated Power Factor: Leading: Lagging: Direct Axis Synchronous Reactance, Xd: P.U. Direct Axis Transient Reactance, X d: P.U. Direct Axis Subtransient Reactance, X d: P.U. Negative Sequence Reactance. X2: P.U. Zero Sequence Reactance, X0: P.U. KVA Base: Field Volts: Field Amperes:

WN U-60 Attachment C to Schedule 152, Page 4 Induction Generators Generator Nameplate Rating: kw (Typical) Generator Nameplate kva: Interconnection Customer or Customer-Site Load: kw (if none, so state) Typical Reactive Load (if known): Maximum Physical Export Capability Requested: kw List components of the Generating Facility equipment package that are currently certified: Equipment Type Certifying Entity 1 2 3 4 5 Is the prime mover compatible with the certified protective relay package? Yes No Generator Manufacturer, Model name, & Number: Version Number: Nameplate Output Power Rating in kw: (Summer) (Winter) or Nameplate Output Power Rating in kva: (Summer) (Winter ) Individual Generator Power Factor Rated Power Factor: Leading: Lagging: Motoring Power (kw): l22t or K (Heating Time Constant): Rotor Resistance, Rr: Stator Resistance, Rs: Stator Reactance, Xs: Rotor Reactance, Xr: Magnetizing Reactance, Xm: Short Circuit Reactance, Xd : Exciting Current: Temperature Rise: Frame Size: Design Letter: Reactive Power Required in Vars (No Load): Reactive Power Required in Vars (Full Load): Total Rotating Inertia, H: Per Unit on kva Base

WN U-60 Attachment C to Schedule 152, Page 5 Inverter Based Generation Source Nameplate Rating: DC KW (Typical) Inverter Nameplate Rating AC KW Interconnection Customer or Customer-Site Load: kw (if none, so state) Will site load be a separate service Reactive Capability : Maximum Physical Export Capability Requested: kw List components of the Generating Facility equipment package that are currently certified: Equipment Type Certifying Entity 1 2 3 4 5 Is the inverter controller UL1741 listed? Yes No Generator (or solar collector) Manufacturer, Model name, & Number: Version Number: Inverter Model number: Output Power Rating in kw: (Summer) (Winter) List of adjustable set points for the protective equipment, including software adjustable points: Contact the Company to discuss this item prior to filling out the Application. Note: A completed Power Systems Load Flow data sheet must be supplied with the Application. Generating Facility Characteristic Data (for inverter-based machines) Max design fault contribution current: Instantaneous or RMS? Harmonics Characteristics: Start-up requirements: Generating Facility Characteristic Data (for rotating machines)

WN U-60 Attachment C to Schedule 152, Page 6 Note: Please contact the Company prior to submitting the Application to determine if the specified information below is required. RPM Frequency: (*) Neutral Grounding Resistor (If Applicable): Synchronous Generators: Direct Axis Synchronous Reactance, Xd: P.U. Direct Axis Transient Reactance, X d : P.U. Direct Axis Subtransient Reactance, X d : P.U. Negative Sequence Reactance. X 2 : P.U. Zero Sequence Reactance, X 0 : P.U. KVA Base: Field Volts: Field Amperes: Induction Generators Motoring Power (kw): l 22 t or K (Heating Time Constant): Rotor Resistance, Rr: Stator Resistance, Rs: Stator Reactance, Xs: Rotor Reactance, Xr: Magnetizing Reactance, Xm: Short Circuit Reactance, Xd : Exciting Current: Temperature Rise: Frame Size: Design Letter: Reactive Power Required in Vars (No Load): Reactive Power Required in Vars (Full Load): Total Rotating Inertia, H: Per Unit on kva Base Excitation and Governor System Data for Synchronous Generators Only Provide an appropriate IEEE model block diagram of excitation system, governor system, and power system stabilizer (PSS) in accordance with the regional reliability council criteria. Studies may determine that a PSS is required. A copy of the manufacturer s block diagram may not be substituted. Interconnection Facilities Information Will a transformer be used between the generator and the Point of Common Coupling (PCC)? Yes No

WN U-60 Attachment C to Schedule 152, Page 7 Will the transformer be provided by the Interconnection Customer? Yes No Transformer Data (If Applicable, for Interconnection Customer-Owned Transformer): Is the transformer: single phase three phase? Transformer Impedance: % on kva Base Size: kva If Three Phase: Transformer Primary: Volts Delta Wye Wye Grounded Transformer Secondary: Volts Delta Wye Wye Grounded Transformer Tertiary: Volts Delta Wye Wye Grounded Transformer Fuse Data (If Applicable, for Interconnection Customer-Owned Fuse): (Attach a copy of the fuse manufacturer s Minimum Melt and Total Clearing Time-Current Curves) Manufacturer: Type: Size: Speed: Interconnecting Circuit Breaker (if applicable): Manufacturer: Type: Load Rating (Amps): Interrupting Rating (Amps): Trip Speed (Cycles): Interconnection Protective Relays (if applicable): If Microprocessor-Controlled: List of functions and adjustable set points for the protective equipment, including software adjustable points: Setpoint Function Minimum Maximum 1. 2. 3. 4. 5. 6. If Discrete Components:

WN U-60 Attachment C to Schedule 152, Page 8 (Enclose Copy of any Proposed Time-Overcurrent Coordination Curves) Current Transformer Data (if applicable): (Enclose a copy of the Manufacturer s Excitation and Ratio Correction Curves) Manufacturer: Type: Manufacturer: Type: Accuracy Class: Proposed Ratio Connection: Accuracy Class: Proposed Ratio Connection: Potential Transformer Data (if applicable): Manufacturer: Type: Manufacturer: Type: Accuracy Class: Proposed Ratio Connection: Accuracy Class: Proposed Ratio Connection: General Information Enclose a copy of the site electrical one-line diagram showing the configuration of all Generating Facility equipment, current and potential circuits, and protection and control schemes. This one-line diagram must be signed and stamped by a Washington State licensed electrical Professional Engineer if the Generating Facility is larger than 50 kw. Is one-line diagram enclosed? Yes No Enclose a copy of any site documentation that indicates the precise physical location of the proposed Generating Facility (e.g., USGS topographic map or other diagram or documentation). Proposed location of protective interface equipment on property (include address if different from the Interconnection Customer s address) Enclose a copy of any site documentation that describes and details the operation of the protection and control schemes. Is available documentation enclosed? Yes No Enclose copies of schematic drawings for all protection and control circuits, relay current circuits, relay potential circuits, and alarm/monitoring circuits (if applicable). Are schematic drawings enclosed? Yes No

WN U-60 Attachment C to Schedule 152, Page 9 Notification of Potential Voltage Irregularities: The Company s Electric System voltage may be routinely at the upper limits of the range described in WAC 480-100-373, and this may limit the ability of a Generating Facility to export power to the PSE Electric System. For example, for a nominal 240-volt service the voltage could range up to 252 volts. Applicant Signature I hereby certify that, to the best of my knowledge, all the information provided in this Application is true and correct. For Interconnection Customer: Date: