Fillable INTERCONNECTION REQUEST APPLICATION Certified Inverter-Based Generating Facility No (Santee Cooper)

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INTERCONNECTION REQUEST APPLICATION Certified Inverter-Based Generating Facility No (Santee Cooper)

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Page 1 of 4
SC0924i (06/13/2018) (FS)
I hereby certify that, to the best of my knowledge, the information
provided in this Interconnection Request Application Form is true. I agree
to abide by the Terms and Conditions for Interconnecting a Certified
Inverter-Based Generating Facility No Larger than 20 kW and return the
Certificate of Completion when the Generating Facility has been installed.
E-Mail:
Address:
Acct. No:
Natural Gas
Is the equipment UL 1741 listed?
(If Yes, attach manufacturer's cut-sheet UL 1741 listing.)
List components of the Facility equipment package that are currently certified:
Number
1.
3.
5.
4.
2.
Equipment Type Certifying Entity
No Yes
Fuel Oil
Other:
Diesel
Wind
Hydro
Solar
Energy Source:
Nameplate
Rating:
System Design
Capacity:
(kW)
or
(kW)
(kVA)
(kVA) (AC Volts)
Model:
Generating Facility Information
Customer Signature
Generating Facility Location (if different from above)
Owner(s)
of Facility:
Inverter
Manufacturer:
Utility:
Phone
Day:
Office of Regulatory Staff
Certificate No.:
(if applicable)
Name:
Alternative Contact Information/Owner/Lessor (if different from Interconnection Customer)
Evening:
Fax:
Address:
City:
City:
County:
State:
Zip:
Zip:State:
County:
City:
County:
State:
Zip:
Address:
Fax:
Evening:
This Application is considered complete when it provides all applicable and correct information required below. Additional information to evaluate the
Interconnection Request may be required. A non-refundable processing fee of $100 must accompany this Application. If the Interconnection Request is
submitted solely due to a transfer of ownership of the Generating Facility, the fee is $50. In addition to this form and payment, an application must contain
(1) a line electrical drawing, (2) an inverter specifications data sheet, (3) a PV module specifications data sheet, and (4) proof of insurance.
Interconnection Customer
Name:
Contact
Person:
Phone
Day:
E-Mail:
Single Phase:
Prime Mover:
Photovoltaic
Reciprocating Engine
Fuel Cell
Turbine
Other:
The 20 kW Inverter Process is available only for inverter-based Generating
Facilities no larger than 20 kW that meet the codes, standards, and certification
requirements of Attachments 5 and 6 of the Generator Interconnection
Procedures, or the Authority has reviewed the design or tested the proposed
Generating Facility and is satisfied that it is safe to operate.
Please select return area:
INTERCONNECTION REQUEST APPLICATION
Certified Inverter-Based Generating Facility No Larger than 20 kW
Three Phase:
Estimated Installation Date:
Estimated In-Service Date:
Date:
Title:
Sign:
Title:
Interconnection Request
ID Number:
Attachment 7
Contingent Approval to Interconnect the Generating Facility (For Authority Use Only)
Date:
Authority
Signature:
Interconnection of the Generating Facility is approved contingent upon the Terms and Conditions for Interconnecting a Certified Inverter-Based Generating
Facility No Larger than 20 kW and return of the Certificate of Completion.
Authority waives inspection/witness test? No Yes
Signature is required, print & sign
Page 2 of 4
SC0924i (06/13/2018) (FS)
Certified Inverter-Based Generating Facility No Larger than 20 kW
CERTIFICATE OF COMPLETION
Is the Generating Facility owner-installed? No Yes
City:
County:
State: Zip:
Address:
E-Mail:
Phone
Day:
Name:
Inspection
The Generating Facility has been installed and inspected in compliance
with the local building/electrical code of:
As a condition of interconnection, you are required to send/e-mail/fax a
copy of this form
along with a copy of the signed electrical
permit to:
Energizing the Generating Facility is approved contingent upon the
Terms and Conditions for Interconnecting a Certified Inverter-Based
Generating Facility No Larger than 20 kW.
Signed (local electrical wiring inspector) and/or attach signed
electrical inspection:
Company:
Evening:
License
Number:
Fax:
Fax:
Evening:
Interconnection Customer
Name:
Contact
Person:
Phone
Day:
E-Mail:
Zip:State:City:
Address:
Address:
Generating Facility Location (if different from above)
Electrician
City:
County:
State: Zip:
Title:
Approval to Energize the Generating Facility
(For Authority Use Only)
Date:
Sign:
Date:
Print
Name:
Sign:
Interconnection Request
ID Number:
Date Approved to Install
Generating Facility granted
by the Authority:
Page 3 of 4
SC0924i (06/13/2018) (FS)
TERMS & CONDITIONS
For Interconnecting a
Certified Inverter-Based Generating Facility No Larger than 20 kW
1.0 Construction of the Facility
The Interconnection Customer (Customer) may proceed to construct (including operational testing not to exceed two hours) the
Generating Facility when the Authority approves the Interconnection Request and returns it to the Customer.
The Customer shall install a manual load-break disconnect switch or safety switch as a clear visible indication of switch position
between the Authority System and the Interconnection Customer. For personnel safety, the switch shall have visible blades so
that switch position can be confirmed. The switch shall be installed immediately adjacent to the Authority's meter, unless
otherwise agreed to and approved by the Authority.
The customer shall be responsible for all costs associated with the installation of the facility, including required equipment on the
customer's premise and upgrades to the Authority's system.
2.0 Interconnection and Operation
The Customer may interconnect the Generating Facility with the Authority's System and operate in parallel with the Authority's
System once all of the following have occurred:
2.1 Upon completing construction, the Customer will cause the Generating Facility to be inspected or otherwise certified by the
appropriate local electrical wiring inspector with jurisdiction, and
2.2 The Customer returns the Certificate of Completion, and a signed copy of the electrical permit from the Authority Having
Jurisdiction (AHD) to the Authority, and
2.3 The Authority has either:
2.3.1 Completed its inspection of the Generating Facility to ensure that all equipment has been appropriately installed
and that all electrical connections have been made in accordance with applicable codes. All inspections must be
conducted by the Authority, at its own expense, within ten Business Days after receipt of the Certificate of
Completion and shall take place at a time agreeable to the Parties. The Authority shall provide a written statement
that the Generating Facility has passed inspection or shall notify the Customer of what steps it must take to pass
inspection as soon as practicable after the inspection takes place; or
2.3.2 If the Authority does not schedule an inspection of the Generating Facility within ten Business Days after receiving
the Certificate of Completion, the witness test is deemed waived (unless the Parties agree otherwise); or
2.3.3 The Authority waives the right to inspect the Generating Facility.
2.4 The Authority has the right to disconnect the Generating Facility in the event of improper installation or failure to return the
Certificate of Completion.
2.5 Revenue quality metering equipment must be installed and tested in accordance with applicable American National
Standards Institute (ANSI) standards and all applicable regulatory requirements.
2.6 For systems that are connected behind-the-meter and for which the customer has concurrent electric service under the
Authority's Retail Rate Schedule, the Customer agrees to the costs, pricing and terms as set forth in the Authority's
Distributed Generation Rider (DG-17) or its successors.
2.7 Service under the Authority's Distributed Generation Rider DG-17 or its successors, as well as the customer's applicable
retail rate schedule, are subject to the Authority's "Terms and Conditions of Retail Electric Service." Section IX.f
"Tampering" prohibits customers or their agents from removing a seal on a Santee Cooper meter. A fee will be assessed in
accordance with the Authority's current fee schedule.
3.0 Safe Operations and Maintenance
The Customer shall be fully responsible to operate, maintain, and repair the Generating Facility as required to ensure that it complies
at all times with the interconnection standards to which it has been certified.
4.0 Access
The Authority shall have access to the disconnect switch (if a disconnect switch is required) and metering equipment of the
Generating Facility at all times. The Authority shall provide reasonable notice to the Customer, when possible, prior to using its right
of access.
5.0 Disconnection
The Authority may temporarily disconnect the Generating Facility upon the following conditions:
5.1 For scheduled outages upon reasonable notice.
5.2 For unscheduled outages or emergency conditions.
5.3 For maintenance work where generator creates a possible hazard for utility workers.
5.3 If the Generating Facility does not operate in a manner consistent with these Terms and Conditions.
5.4 The Authority shall inform the Customer in advance of any scheduled disconnection, or as soon as is reasonable after an
unscheduled disconnection.
Page 4 of 4
SC0924i (06/13/2018) (FS)
6.0 Indemnification
To the extent permitted by law, the Parties shall at all times indemnify, defend, and save the other Party harmless from, any and all
damages, losses, claims, including claims and actions relating to injury to or death of any person or damage to property, demand,
suits, recoveries, costs and expenses, court costs, attorney fees, and all other obligations by or to third parties, arising out of or
resulting from the other Party's action or inactions of its obligations hereunder on behalf of the indemnifying Party, except in cases of
gross negligence or intentional wrongdoing by the indemnified Party.
7.0 Insurance
All insurance policies must be maintained with insurers authorized to do business in South Carolina. The Interconnection Customer
shall provide certificates evidencing the required coverage as required by the Authority. The Parties agree to the following insurance
requirements:
7.1 If the Customer is a residential customer of the Authority, the required coverage shall be a standard homeowner's insurance
policy with liability coverage in the amount of at least $100,000 per occurrence.
7.2 For an Interconnection Customer that is a non-residential customer of the Authority proposing to interconnect a Generating
Facility no larger than 20 kW, the required coverage shall be comprehensive general liability insurance with coverage in the
amount of at least $300,000 per occurrence.
7.3 The Customer may provide this insurance via a self-insurance program if it has a self-insurance program established in
accordance with commercially acceptable risk management practices.
8.0 Limitation of Liability
Each Party's liability to the other Party for any loss, cost, claim, injury, or expense, including reasonable attorney's fees, relating to or
arising from any act or omission hereunder, shall be limited to the amount of direct damage actually incurred. In no event shall either
Party be liable to the other Party for any indirect, special, incidental, consequential, or punitive damages of any kind.
9.0 Termination
The agreement to interconnect and operate in parallel may be terminated under the following conditions:
9.1 By the Customer
By providing written notice to the Authority and physically and permanently disconnecting the Generating Facility.
9.2 By the Authority
If the Generating Facility fails to operate for any consecutive 12-month period or the Customer fails to remedy a violation of
these Terms and Conditions.
9.3 Permanent Disconnection
In the event this Agreement is terminated, the Authority shall have the right to disconnect its facilities or direct the Customer
to disconnect its Generating Facility.
9.4 Survival Rights
This Agreement shall continue in effect after termination to the extent necessary to allow or require either Party to fulfill
rights or obligations that arose under the Agreement.
10.0 Assignment/Transfer of Ownership of the Facility
10.1 This Agreement shall not survive the transfer of ownership of the Generating Facility to a new owner.
10.2 The new owner must complete and submit a new Interconnection Request agreeing to abide by these Terms and
Conditions for interconnection and parallel operations within 20 Business Days of the transfer of ownership. The Authority
shall acknowledge receipt and return a signed copy of the Interconnection Request Application Form within ten Business
Days.
10.3 The Authority shall not study or inspect the Generating Facility unless the new owner's Interconnection Request Application
Form indicates that a Material Modification has occurred or is proposed.
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INTERCONNECTION REQUEST APPLICATION Certified Inverter-Based Generating Facility No (Santee Cooper)

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Completed 22 July 2021

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