Section 467.APPENDIX B
Application
Large
Interconnection Request Application Form
(Greater than 10
MVA)
Applicant Contact Information
Name:
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Company:
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Mailing Address:
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City:
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State:
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Zip Code:
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Telephone (Primary):
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(Alternate):
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Facsimile Number:
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E-Mail Address:
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Alternative or Designated Representative Contact
Information
Name:
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Company:
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Mailing Address:
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City:
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State:
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Zip Code:
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Telephone (Primary):
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(Alternate):
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Facsimile Number:
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E-Mail Address:
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Distributed Energy Resources
Facility Information
Project Name:
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Facility Address:
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City:
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County:
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State:
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Zip Code:
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Electric Distribution Company
(EDC) serving Facility site:
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Electric Supplier (if
different from EDC):
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Account Number of Facility
site (existing EDC customers):
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Inverter Manufacturer:
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Model:
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Equipment Contractor (if known):
Name:
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Mailing Address:
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City:
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State:
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Zip Code:
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Telephone (Primary):
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(Alternate):
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Facsimile Number:
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E-Mail Address:
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Electrical Contractor (if known):
Name:
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Mailing Address:
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City:
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State:
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Zip Code:
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Telephone (Primary):
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(Alternate):
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Facsimile Number:
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E-Mail Address:
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License number:
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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:
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(Amps)
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Voltage:
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(Volts)
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Type of Service:
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Single-Phase
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Three-Phase
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(If customer-provided) Three-Phase Transformer, Indicate
Type:
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Primary Winding
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Wye
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Delta
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Secondary Winding
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Wye
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Delta
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Transformer Size:
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Impedance:
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Point of Interconnection − Brief Description and
Address of the Distributed Energy Resources
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Location:
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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
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.):
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ENERGY CONVERTER TYPE (Wind
Turbine, Photovoltaic Cell, Fuel Cell, Steam Turbine, etc.):
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NAMEPLATE
CAPACITY:
kW or kVA
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NUMBER OF UNITS:
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TOTAL
EXPORT CAPACITY:
kW or kVA
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GENERATOR
TYPE (Check one):
Induction Inverter Synchronous Other
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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
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NRTL Providing Label & Listing
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1.
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2.
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3.
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4.
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5.
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Please provide
copies of manufacturer brochures or technical specifications
Energy Production Equipment/Inverter Information:
Synchronous
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Induction
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Inverter
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Other
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Rating:
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kW
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Rating:
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kVA
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Rated Voltage:
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Volts
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Rated Current:
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Amps
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System Type Tested (Total System):
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Yes
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No; attach product literature
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For Synchronous Machines:
Manufacturer (when available):
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Model No. (when available):
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Version No. (when available):
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Submit copies of the Saturation Curve and the Vee Curve
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Salient
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Non-Salient
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Rated RPM:
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Field Amperes:
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at rated generator
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voltage and current and
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% PF over-excited
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Type of Exciter:
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Output Power of Exciter:
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Type of Voltage Regulator:
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Locked Rotor
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Synchronous Speed:
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RPM
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Winding Connection:
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Min.
Operating Freq:
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Generator Connection:
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Delta
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Wye
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Wye Grounded
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Direct-axis Synchronous Reactance:
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(Xd)
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ohms
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Direct-axis Transient Reactance:
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(X'd)
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ohms
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Direct-axis Sub-transient Reactance:
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(X''d)
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ohms
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Negative Sequence Reactance:
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ohms
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Zero Sequence Reactance:
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ohms
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Neutral Impedance or
Grounding Resister (if any):
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ohms
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For Induction Machines:
Manufacturer:
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Model No.:
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Version No.:
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Locked Rotor Current:
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Amps
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Rotor Resistance (Rr):
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ohms
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Exciting Current:
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Amps
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Rotor Reactance (Xr):
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ohms
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Reactive Power Required:
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Magnetizing Reactance (Xm):
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ohms
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VARs (No Load)
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Stator Resistance (Rs):
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ohms
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VARs (Full Load)
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Stator Reactance (Xs):
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ohms
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Short Circuit Reactance (X"d):
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ohms
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Phases:
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Single Three-Phase
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Frame Size:
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Design Letter:
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Temp. Rise:
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°C.
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Limited Export and Non-Export Controls Information
Manufacturer:
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Model Number:
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Limited Export or Non-Export?
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Limited Export
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Non-Export
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Control Type:
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Reverse Power Protection
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Minimum Power Protection
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Relative
Distributed Energy Resource Rating
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Configured Power Rating
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Limited
Export Power Control Systems
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Limited
Export using mutually agreed-upon means
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Directional
Power Protection
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Export Capacity Value:
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Control Power Setting:
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Control Power Time Delay (if any):
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Additional Information for Inverter-Based Facilities
Inverter Information:
Manufacturer:
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Model:
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Type:
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Forced Commutated
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Line Commutated
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Rated Output:
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Watts
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Volts
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Efficiency:
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%
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Power Factor:
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%
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Inverter UL 1741 Listed:
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Yes
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No
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DC Source / Prime Mover:
Rating:
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kW
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Rating:
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kVA
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Rated Voltage:
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Volts
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Open Circuit Voltage (if applicable):
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Volts
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Rated Current:
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Amps
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Short Circuit Current (if applicable):
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Amps
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Dedicated Transformer (applicant owned):
Rating:
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MVA
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Voltage Ratio:
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/
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kV
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Fixed Tap Setting:
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Winding connections:
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Impedance:
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% based on transformer rating
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Capacitor Banks:
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?
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☐
Yes
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☐
No
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Does the applicant
intend to have the batteries charged by the distribution grid?
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☐
Yes
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☐
No
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System Manufacturer:
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Model:
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Battery Type:
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Battery Charge/Discharge Rating (kW AC):
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Maximum Battery Charge/Discharge Rate (kW AC per second):
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Battery Energy Capacity (kWh):
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Power Factor Settings Range:
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Battery Storage Inverter Information
Energy System
Manufacturer:
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Model:
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Type: ☐
Forced ☐ Commutated
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Line Commutated Rated Output
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Watts:
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Volts:
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Efficiency:
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____ %
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Power Factor:
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____ %
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Inverter IEEE 1547 / UL 1741 Listed:
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☐
Yes
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☐
No
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Number of Inverters:
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Total Capacity:
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kW
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DC Source / Prime Mover:
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- Rating:
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kW Rating:
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kVA Rated Voltage:
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Volts
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Open Circuit Voltage (If Applicable):
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Volts
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Rated Current:
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Amps
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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:
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Comments or additional
information:
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Customer Signature
I hereby certify that all of the information provided in
this Interconnection Request Application Form is true.
Applicant Signature:
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Title:
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Date:
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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:
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Date:
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Printed Name:
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Title:
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(Source: Amended at 46 Ill. Reg. 9788,
effective May 26, 2022)