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Application for Operation of Customer-Owned Residential Solar (Photovoltaic Generation under 250 kW)

To begin processing your request, this application must be completed. The following application is used by the Cooperative to determine the required equipment configuration for the Customer interface. Upon submission, application will be sent to the Cooperative Customer Service department to begin processing the request.

Additional information can be found in the Distributed Generation Procedures and Guidelines Manual for Members for additional information.

To help in processing the request, every effort should be made to supply as much information as possible.

1. Owner of Distributed Generation Resource

Please indicate the name and type of entity who is the owner of the distributed generation (DG) resource.

1.1 Member Information

Member Name

Service Address

City

State

Zip Code

Phone

CoServ Account #

Meter #

2. Project Design/Installation Contractor Information

Company Name

Mailing Address

City

State

Zip Code

Phone

2.1 Installer Representatives

Salesperson Name

Salesperson Phone Number

Project Manager Name

Project Manager Phone Number

3. Electrical Contractor Information

Do you have an electrical contractor for this project?

YesNo

Company Name

Electrician Name

Mailing Address

City

State

Zip Code

County

Phone

Page 2

Please select your application type and fill out all fields.

To help in processing the request, every effort should be made to supply as much accurate information as possible.

4. DG Resource Information

This application is for:

4.1 Existing Equipment

What type of resource(s) do you have?

Solar PanelsInverterBattery StorageOther

If other, please specify:

Solar Panel(s)

Qty.

Manufacturer

Model Number

Watts

Inverter

Qty.

Manufacturer

Model Number

Power Rating

Voltage

Single or Three Phase

UL-1741 Certified

Battery Storage

How many different battery types do you have?

123

Battery Information

Quantity

Manufacturer

Model Number

Capacity (AH)

Total Capacity in AH

Certification

(UL-1741, etc.)

Battery Technology Type

(Li+, NiCaD, NiMH, etc.)

Output (AC)
Voltage

Max Continuous Power Rating

Additional Information

Battery #2 Information

Quantity

Manufacturer

Model Number

Capacity (AH)

Total Capacity in AH

Certification

(UL-1741, etc.)

Battery Technology Type

(Li+, NiCaD, NiMH, etc.)

Output (AC)
Voltage

Max Continuous Power Rating

Additional Information

Battery #3 Information

Quantity

Manufacturer

Model Number

Capacity (AH)

Total Capacity in AH

Certification

(UL-1741, etc.)

Battery Technology Type

(Li+, NiCaD, NiMH, etc.)

Output (AC)
Voltage

Max Continuous Power Rating

Additional Information

4.2 New Equipment Being Installed

What type of equipment are you installing?

Solar PanelsInverterBattery StorageOther

If other, please specify:

Solar Panels

Qty.

Manufacturer

Model Number

Watts

Inverter(s)

Qty.

Manufacturer

Model Number

Power Rating

Voltage

Single or Three Phase

UL-1741 Certified

Battery Storage

How many different battery types are you installing?

123

Battery Information

Quantity

Manufacturer

Model Number

Capacity (AH)

Total Capacity in AH

Certification

(UL-1741, etc.)

Battery Technology Type

(Li+, NiCaD, NiMH, etc.)

Output (AC)
Voltage

Max Continuous Power Rating

Additional Information

Battery #2 Information

Quantity

Manufacturer

Model Number

Capacity (AH)

Total Capacity in AH

Certification

(UL-1741, etc.)

Battery Technology Type

(Li+, NiCaD, NiMH, etc.)

Output (AC)
Voltage

Max Continuous Power Rating

Additional Information

Battery #3 Information

Quantity

Manufacturer

Model Number

Capacity (AH)

Total Capacity in AH

Certification

(UL-1741, etc.)

Battery Technology Type

(Li+, NiCaD, NiMH, etc.)

Output (AC)
Voltage

Max Continuous Power Rating

Additional Information

Intended Use and Operation

Please provide a sequence of operations explaining how the system will operate under normal and off-grid conditions (explain how the battery will disconnect and reconnect to the grid).

What type of switching does it utilize?

Please provide the type of switching and indicate if it is self contained or utilizes separate components, reference specific equipment on the one-line diagram.

What is the out-flow capacity?

If your system rated kW out flow to the grid is restricted by control logic (outflow kW is less than inverter total capacity), then indicate the worst case out-flow capacity.

What is the maximum charging demand when utilizing power from CoServ?

Does the battery storage system have dedicated inverter(s) where the DC source for the inverter(s) is only batteries?

YesNo

Please describe the other equipment providing DC power to the inverter:

(example – PV panels and batteries)

Off Grid Use

Is the intended use of the battery storage and inverter system for off-grid use only?

YesNo

Will the energy storage system NOT be charged from the electric grid?

YesNo

System kW

Existing System kW/DC

Existing System kW/AC

New System kW/DC

New System kW/AC

Total System kW/DC

Total System kW/AC

Page 3

Visible, Lockable, Labeled Disconnect (VLLD) One-Line Diagram & Layout Sketch

CoServ requires a visible, lockable, labeled AC disconnect (“VLLD”) for interconnection. The AC disconnect must have:

a visual break (with external handle) that is appropriate to the voltage level
be accessible to utility personnel
is capable of being locked in the open position.

CoServ personnel or company authorized agents will operate the VLLD as needed to ensure the DG system is removed for operation and cannot back feed or inadvertently energize company facilities during emergency switching or other conditions.

CoServ requires the VLLD be located on an exterior wall and within ten feet of the CoServ meter; only under approved exception should it be located elsewhere. If the VLLD is more than ten feet from the CoServ meter, then CoServ requires a site directory placard (indicating the location of the VLLD) be placed on the customer’s equipment beside the CoServ meter or (if only an CoServ meter) on the CoServ meter base showing the location of the VLLD.

Goal of One-Line Diagram

Did you identify the address on the layout sketch?

YesNo

Did you identify the location of the CoServ meter, the Visible, Lockable, Labeled, Disconnect (VLLD) and the distance between the two?

YesNo

Does the layout sketch have the words “Visible, Lockable, Labeled, Disconnect” written on the sketch?

YesNo

Is the VLLD located within ten feet of the CoServ meter?

YesNo

If No, then did you provide placard proofs that will be used at or near the CoServ meter base showing the location of the VLLD?

YesNo

Did you identify the address on the one-line diagram?

YesNo

Did you identify the location of the CoServ meter, the VLLD and the generation equipment?

YesNo

Does the one-line diagram have the words written on the sketch that show the location of the CoServ meter, the VLLD and the generation equipment?

YesNo

File Upload

CoServ requires a sketch depicting the physical layout (layout sketch) and one-line diagram be submitted with the interconnection application.

The one-line diagram shows the sequence of the CoServ meter, the VLLD and the generation equipment.

The layout sketch is an overhead view of the physical layout between the CoServ meter, the VLLD and the distance between the two.

Generic examples of these sketches are available here.

Upload one-line diagram

Upload layout sketch

Required Hidden Content

Service Location Number

Application ID

Record Type ID

Billing Account Lookup

Salesforce Contact

Salesforce Account

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