Application for Net Metering
Note: This Application is considered complete when it provides all applicable and correct information required below. Additional information or clarification to evaluate the Application may be requested by the City.
Customer
Name (Print): _____________________________________________________________
Contact Person (if other than customer):_________________________________________
Address:__________________________________________________________________
City: State: Zip:_____________________________________________________________
Telephone (Day): ________________________(Evening): __________________________
Fax: ___________________________ E-Mail Address: ____________________________
Customer Signature: ________________________________________________________
I hereby apply for participation in the City’s Net Metering Program for Customer Owned Renewable Energy Resources at the utility service address listed above. By my signature, I further affirm that I have read and fully understand the City’s policies and procedures for the program and agree to fully abide by the all the terms and conditions.
Signed: _________________________________________________________________
Date: ___________________________________________________________________
For Office Use Only
Requirements for Approval of Net Metering – The City must verify that the following requirements are met in order for Customer Generator to qualify for Net Metering:
☐Qualified Renewable Energy Resource
☐Application for Interconnection
☐Certificate of Completion
City Signature: __________________________________________________
Title: __________________________________________ Date:___________________
Application ID number: __________________
Application for Interconnection
NOTE: This Application is considered complete when it provides all applicable and correct information required below. Additional information or clarification to evaluate the Application may be requested by the City.
This application must be accompanied by a plan for the generating system including, but not limited to, a wiring diagram and specifications for the generating unit. Prior to interconnection with the utility’s distribution system, the customer-generator must furnish a certification from a qualified professional electrician or engineer that the installation meets the requirements of the “Net Metering and Easy Connection Act”.
This application for Interconnection expires one year after the customer-generator has been notified of the City’s approval if the interconnection has not been completed.
Processing Fee:
A non-refundable processing fee of $30.00 must accompany this Application.
Customer
Name: ________________________________________________________________________
Contact Person: ________________________________________________________________
Address: ______________________________________________________________________
City: State: Zip: _________________________________________________________________
Telephone (Day):___________________________ (Evening):____________________________
Fax: __________________________ E-Mail Address:___________________________________
Contact (if different from Customer)
Name: ________________________________________________________________________
Address: ______________________________________________________________________
City: State: Zip: _________________________________________________________________
Telephone (Day): __________________________ (Evening):_____________________________
Fax:_____________________________ E-Mail Address:________________________________
Owner of the facility: __________________________________________________________________
Generating Facility Information
Location (if different from above): _________________________________________________
Electric Service Company: Kennett Board of Public Works
Account Number: ______________________________________________________________
Inverter Manufacturer: __________________________________________________________
Model _______________________________________________________________________
Nameplate Rating: (kW) _________________________ (kVA)_______________________
(AC Volts) Single Phase _______ Three Phase_________
System Design Capacity: _________ (kW) _______ (kVA)
Prime Mover: Photovoltaic Reciprocating Engine Fuel Cell
Turbine Other
Energy Source: Solar Wind Hydro Hydrogen
Is the equipment UL1741 Listed? Yes No
If yes, attach manufacturer’s cut-sheet showing UL1741 listing.
Estimated Installation Date: _____________ Estimated In-Service Date: ____________
List components of the Small Generating Facility equipment package that are currently certified:
Equipment Type Certifying Entity
- ______________________ ________________________________
- ______________________ ________________________________
- ______________________ ________________________________
- ______________________ ________________________________
- ______________________ ________________________________
If additional pieces of equipment are included please attach an additional sheet(s) containing the information indicated immediately above.
Customer Signature
I hereby certify that, to the best of my knowledge, the information provided in this Application is true. I agree to abide by the terms and conditions of the City’s Interconnection Standard and will return the Certificate of Completion when the Generating Facility has been installed.
Signed: ___________________________________________________________________
Title: ________________________________________________ Date:_______________________
– – – – – – – – – – — – – – – – – – – – – – – – – – – – – – – – – – – – – – – – – – – – – – – – – – – – – – – – – – – – – – – – –
Contingent Approval to Interconnect the Generating Facility
Interconnection of the Generating Facility is approved contingent upon the terms and conditions of the City’s Interconnection Standard and upon return of the Certificate of Completion.
City Signature: __________________________________________________
Title: Date:
Application ID number: __________________
City waives inspection/witness test? Yes___ No___