APPENDIX A

Net Metering Inverter Based System

INTERCONNECTION REQUEST

(Application Form)

An Interconnection Request is considered complete when it provides all applicable and correct information required below.

Application is for:         New Renewable Energy System

                  Capacity addition to Existing Renewable Energy System

Processing Fee

A non-refundable processing fee of $100 (25kW or less) or $150 (26kW up to 95 kW) must accompany this application.

Interconnection Customer Information

Legal Name of the Interconnection Customer (or, if an individual, individual's name)

Name:                                                     Account #:                                                          

Mailing Address:                                                                                                                                 

City:                                                       State:                           Zip:                           

Telephone (Day):                                             Telephone (Evening):                                                 

E-Mail Address:                                                                   

Electrician Contact Information (if different from the Interconnection Customer)

Company:                                                      

Contact:                                                        Oklahoma License #:                               

Address:                                           E-Mail Address:                                            

Telephone (Day):                                    Telephone (Evening):                                     

Renewable Energy Facility Information

Attach an electric single-line diagram, facility plan view, and equipment catalog information to assist the utility in its review.

Energy Source: Solar        Wind        Hydro        Other (Describe)                                 

Inverter Size                                kW Brand                       Mode                              

Is the equipment UL1741 Listed? Yes       No       

Does equipment comply with IEEE Standard 1547? Yes        No       

Attach manufacturer's cut-sheet showing listing/standard compliance.

For Photovoltaic Systems:

Number of New Panels:                                     Wattage per panel:                           kW

Existing Panels: Number                                    Wattage per panel:                           kW

Total System Capacity:                                      kW

Inspection:

The generating facility must be installed and inspected in compliance with the local building/electrical code of Claremore, Oklahoma.

(Attach signed electrical inspection):

Applicant 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 Net Metering Interconnection Agreement for Interconnection and Parallel Operation of Inverter-Based Generation Equipment (100 kilowatts or less) and return the Certificate of Completion when the generating facility has been installed.

Signed:                                                                                Title:                      

Date:                                         

...........................................................................................................................................

(For Utility Use Only)

Contingent Approval to Interconnect the Generating Facility

Interconnection of the Generating Facility is approved contingent upon the terms and conditions included within the Net Metering Interconnection Agreement for Interconnection and Parallel Operation of Inverter-Based Generation Equipment (100 kilowatts or less) and return of the Certificate of Completion.

Utility Representative:                                                            Title:                     

Date:                                        

Renewable Energy Facility Certificate of Completion

Interconnection Customer
Name:
Contact Person:
Address:
City:		State:		Zip :
Telephone (Day):		(Evening ):
Fax:		E-Mail Address:
Location: (if different)
Utility Acct #:
Electrician
Name:
Contact Person:
Address:
City:		State:		Zip :
Telephone (Day):		(Evening ):
Fax:		E-Mail Address:
OK License #:
Date of Utility Contingent Approval for Interconnection:

 

Inspection:

The Generating Facility has been installed and inspected in compliance with the local building/electrical code of Claremore, Oklahoma.

(Completed by local electrical wiring inspector, or attach signed electrical inspection):

Signature:                                                                 

Inspector's Name:                                                                            Date:                                          

                     (Please Print)

Customer Checklist for Utility Interconnection

   Submit an application with payment of applicable fee to the utility.

      Interconnection inverter must be UL 1741 Listed or IEEE 1547 compliant.

      Electrical single-line diagram, site-specific plan view, and catalog cuts must be included with application.

      A lockable disconnect for utility's use must be provided.

   Send application to City of Claremore Electric, P.O. Box 249, Claremore, OK 74018, ATTN: Director of Electric Utility.

   Receive contingent interconnection approval from the utility.

   Parties execute Net Metering Interconnection Agreement.

   Get electrical permit from City of Claremore Electric (918-341-2895). Follow the National Electrical Code (NEC) as required.

   Complete the generating facility installation.

   Get inspections from City of Claremore Electric.

   Utility installs bi-directional meter(s).

   Submit Certificate of Completion (including as-built drawings) to utility.

   Start generating energy.

Questions?

Contact Director of Electric Utilities at 918-341-2895.

Or Inspections at 918-341-0457.

(Ord. 2021-3, passed 4-19-21)