GENERATOR INTERCONNECTION APPLICATION Category 3 For All Projects with Aggregate Generator Output of More Than 150 kw but Less Than or Equal to 550 kw

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GENERATOR INTERCONNECTION APPLICATION Category 3 For All Projects with Aggregate Generator Output of More Than 150 kw but Less Than or Equal to 550 kw ELECTRIC UTILITY CONTACT INFORMATION Consumers Energy Interconnection Coordinator 1945 West Parnall Road (Room P14-205) Jackson, MI 49201 (517)788-1432 Net Metering E-mail: net_metering@cmsenergy.com FOR OFFICE USE ONLY Application Number Date and Time Application Received Customer Name (Last, First, Middle) CUSTOMER / ACCOUNT INFORMATION Electric Utility Customer Information (As shown on utility bill) Customer Mailing Address Customer Phone Number ( ) Electric Service Account # Customer E-mail Address (Optional) Electric Service Meter Number Are you interested in selling Renewable Energy Credits (REC s)? Yes No GENERATION SYSTEM SITE INFORMATION Physical Site Service Address (If Not Billing Address) Annual Site Requirements Without Generation in kwh kwh/year Attached Electrical One-Line Drawing Page # Peak Annual Site Demand in kw (only for customers billed on Demand Rates) kw Attached Site Plan Page # (Per MPSC Order in Case No. U-15787 The One-Line Drawing must be signed and sealed by a licensed professional engineer, licensed in the State of Michigan or by an electrical contractor licensed by the State of Michigan with the electrical contractor s license number noted on the diagram.) See Page 5 for sample Site Plan See Page 6 for sample of Inverter Generator Electrical One-Line Drawing See Page 7 for sample of Synchronous Generator Electrical One-Line Drawing See Page 8 for sample of Induction Generator Electrical One-Line Drawing GENERATION SYSTEM MANUFACTURER INFORMATION System Type (Solar, Wind, Biomass Methane Digester, etc) Generator Type (Inverter, Induction, Synchronous) Generator Nameplate Rating kw A.C. Operating Voltage Expected Annual Output in Kilowatt Hours kwh/year Wiring Configuration (Single Phase, Three Phase) Certified Test Record No. (Testing to Standard UL1741 scope 1.1a) INVERTER GENERATOR - BASED SYSTEMS Manufacturer Model (Name/Number) Inverter Power Rating (kw) kw Form 1215 9-2012 Page 1 of 8

SYNCHRONOUS AND INDUCTION GENERATOR - BASED SYSTEMS (Must complete either Page 3 or Page 4 and attach Electrical One-Line Drawing The following information on these system components shall appear on the Electrical One-Line Drawing: Breakers Rating, location and normal operating status (open or closed) Buses Operating voltage Capacitors Size of bank in Kvar Circuit Switchers Rating, location and normal operating status (open or closed) Current Transformers Overall ratio, connected ratio Fuses Normal operating status, rating (Amps), type Generators Capacity rating (kva), location, type, method of grounding Grounding Resistors Size (ohms), current (Amps) Isolating Transformers Capacity rating (kva), location, impedance, voltage ratings, primary and secondary connections and method of grounding Potential Transformers Ratio, connection Reactors Ohms/phase Relays Types, quantity, IEEE device number, operator lines indicating the device initiated by the relays Switches Location and normal operating status (open or closed), type, rating Tagging Point Location, identification Manufacturer Model Name Model Number INSTALLATION INFORMATION Project Single Point of Contact: (Electric Utility Customer, Developer or Other) Name Company (If Applicable) Phone Number E-Mail Address ( ) Requested In Service Date Licensed Contractor(Name of Firm or Self) Contractor s Name (Last, First, MI) Contractor s Phone # Contractor s E-mail CUSTOMER AND PROJECT DEVELOPER/CONTRACTOR SIGNATURES AND FEES Attached $150 Interconnection Application Fee Check # Money Order # Sign and Return Completed Application with Application Fee to Electric Utility Contact To the best of my knowledge, all the information provided in this application form is complete and correct. Customer Signature: Date Project Developer/Contractor Signature (if applicable): Date Note: Refer to the applicable Michigan Electric Utility Generator Interconnection Requirements for a detailed explanation of the Interconnection Process and Technical Requirements. Form 1215 9-2012 Page 2 of 8

Generator Nameplate Voltage SYNCHRONOUS GENERATORS GENERATOR INFORMATION Generator Nameplate Watts or Volt-Amperes Generator Nameplate Power Factor (pf) RPM Minimum and Maximum Acceptable Terminal Voltage TECHNICAL INFORMATION Direct Axis Reactance (saturated) Direct Axis Reactance (unsaturated) Quadrature Axis Reactance (unsaturated) Direct Axis Transient Reactance (saturated) Direct Axis Transient Reactance (unsaturated) Quadrature Axis Transient Reactance (unsaturated) Direct Axis Sub-Transient Reactance (saturated) Direct Axis Sub-Transient Reactance (unsaturated) Leakage Reactance Direct Axis Transient Open Circuit Time Constant Quadrature Axis Transient Open Circuit Time Constant Direct Axis Sub-Transient Open Circuit Time Constant Quadrature Axis Sub-Transient Open Circuit Time Constant Open Circuit Saturation Curve Reactive Capability Curve Showing Overexcited and Underexcited Limits (Reactive Information if Non-Synchronous) Excitation System Block Diagram with Values for Gains and Time Constants (Laplace Transforms) Short Circuit Current Contribution From Generator at the Point of Common Coupling Rotating Inertia of Overall Combination Generator, Prime Mover, Couplers and Gear Drives Station Power Load When Generator is Off-Line, Watts, pf Station Power Load During Start-Up, Watts, pf Station Power Load During Operation, Watts, pf Form 1215 9-2012 Page 3 of 8

Generator Nameplate Voltage INDUCTION GENERATORS GENERATOR INFORMATION Generator Nameplate Watts or Volt-Amperes Generator Nameplate Power Factor (pf) RPM Synchronous Rotational Speed TECHNICAL INFORMATION Rotation Speed at Rated Power Slip at Rated Power Minimum and Maximum Acceptable Terminal Voltage Motoring Power (kw) Neutral Grounding Resistor (If Applicable) I2 2t or K (Heating Time Constant) Rotor Resistance Stator Resistance Stator Reactance Rotor Reactance Magnetizing Reactance Short Circuit Reactance Exciting Current Temperature Rise Frame Size Design Letter Reactive Power Required in Vars (No Load) Reactive Power Required in Vars (Full Load) Short Circuit Current Contribution from Generator at the Point of Common Coupling Rotating Inertia, H in Per Unit on kva Base, of Overall Combination Generator, Prime Mover, Couplers and Gear Drives Station Power Load When Generator is Off-Line, Watts, pf Station Power Load During Start-Up, Watts, pf Station Power Load During Operation, Watts, pf Form 1215 9-2012 Page 4 of 8

SAMPLE SITE PLAN PROVIDED FOR REFERENCE ONLY Applicant SITE PLAN Address City/Town Signature 100.00 Property Line 30 0 BUILDING SETBACK LINES 20 0 20 0 Sample on-site generator location GARAGE 150.00 Inverter Visible Break 24-0 24 HOUSE 36 Home Service Panel Metering To Utility 150.00 29 0 25 0 N 59º 48 00 WEST STREET Weblink to State of Michigan / Plats: http://www.cis.state.mi.us/platmaps/sr_subs.asp Note: Legible hand drawn site plans are acceptable Form 1215 9-2012 Page 5 of 8

SAMPLE ONE-LINE DRAWING PROVIDED FOR REFERENCE ONLY INVERTER GENERATOR UL 1741 SCOPE 1.1A COMPLIANT ONE LINE DRAWING Licensed PE/Contractor PE/Contractor License Number PE/Contractor Address PE/Contractor Signature Customer 2 Pole xx Amp Located: House Service Panel Breaker #:a Visible Break AC Disconnect Located External to Building Lockable, Taggable, Accessible to Utility Customer 2 Pole xx Amp Located: House Service Panel Breaker #:Main in/out Utility Installed Meter Customer / Contractor / Developer Installed Enclosure(s) GEN Inverter / Generator Manufacturer: XYZ Corp Make: AAA Model: 2000aa Voltage: 240VAC Connection: 240 Phase to Phase Note: Legible Hand Drawn One-Line is Acceptable Form 1215 9-2012 Page 6 of 8

SAMPLE ELECTRICAL ONE-LINE DRAWING PROVIDED FOR REFERENCE ONLY TYPICAL ISOLATION AND FAULT PROTECTION FOR SYNCHRONOUS GENERATOR Licensed PE/Contractor ONE LINE DRAWING PE/Contractor License Number PE/Contractor Address PE/Contractor Signature LEGEND 27 Undervoltage 32 Reverse Power (Not Required for Flow-Back) 51N Neutral overcurrent (required for grounded secondary) 59 Overvoltage 59N Zero sequence overvoltage (assuming ungrounded secondary on power transformer) 81o/u Over/Underfrequency NOTES A) See technical requirements for permissible connection configurations and protection. Transformer connections proposed shall be shown on the one-line drawing by the Project Developer. Transformer connection and secondary grounding to be approved by Utility. B) Protection alternatives for the various acceptable transformer connections are shown. Only one protection alternative will ultimately be used, depending on the actual transformer winding connections. VT s for 59, 27, 81o/u and 32 are shown connected on the primary (Project side) of the power transformer, but may instead be connected on the secondary (Utility side). VT s are required on the secondary of the power transformer if a 59N is required for an ungrounded secondary connection. IEEE std 1547 requirements for voltage and frequency must be met at the PCC. IEEE Std. 1547 permits the VT s to be connected at the point of generator connection in certain cases. C) Main breaker protection, generator protection and synchronizing equipment are not shown. D) Trip of all 52G breakers or the 52M breaker is acceptable, depending upon whether the Project Developer wants to serve its own isolated load after loss of Utility service. Form 1215 9-2012 Page 7 of 8

SAMPLE ELECTRICAL ONE-LINE DRAWING PROVIDED FOR REFERENCE ONLY TYPICAL ISOLATION AND FAULT PROTECTION FOR INDUCTION GENERATOR Licensed PE/Contractor ONE LINE DRAWING PE/Contractor License Number PE/Contractor Address PE/Contractor Signature LEGEND 27 Undervoltage 32 Reverse Power (Not Required for Flow-Back) 51N Neutral overcurrent (required for grounded secondary) 59 Overvoltage 59N Zero sequence overvoltage (assuming ungrounded secondary on power transformer) 81o/u Over/Underfrequency NOTES A) See technical requirements for permissible connection configurations and protection. Transformer connections proposed shall be shown on the one-line drawing by the Project Developer. Transformer connection and secondary grounding to be approved by Utility. B) Protection alternatives for the various acceptable transformer connections are shown. Only one protection alternative will ultimately be used, depending on the actual transformer winding connections. VT s for 59, 27, 81o/u and 32 are shown connected on the primary (Project side) of the power transformer, but may instead be connected on the secondary (Utility side). VT s are required on the secondary of the power transformer if a 59N is required for an ungrounded secondary connection. IEEE std 1547 requirements for voltage and frequency must be met at the PCC. IEEE Std. 1547 permits the VT s to be connected at the point of generator connection in certain cases. C) Main breaker protection, generator protection and synchronizing equipment are not shown. D) Trip of all 52G breakers or the 52M breaker is acceptable, depending upon whether the Project Developer wants to serve its own isolated load after loss of Utility service. Form 1215 9-2012 Page 8 of 8