HomeMy WebLinkAbout03112020 PACAB Laydown - Kaluza Application 0/ o0311 PA cM8
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Hf Application for Interconnection of
E a
At., Alternative Power Generation
A Touchstone Energy"Cooperative OA
Member Name: Member Number:
Federal Tax ID No. or Social Security No.:
Contact Person:
Address:
City: State: Zip Code:
Phone: Fax: E-mail Address:
Alternate Contact Phone:
Location of Proposed Project (legal description):
Wind Turbine:
Wind Turbine Manufacturer: Model No.:
Rated Power Output, Watts: at m.p.h Wind Speed.
Inverter Manufacturer: Model No.:
UL 1741 "Utility Interactive" Listed: ❑Yes ❑No
IEEE 1547 Compliant: ❑ Yes ❑No
Solar PV Type:
Quantity of Solar Panels: x Nominal Rating Watts (each) = Total Wattage
Solar Panel Manufacturer: Model No.:
Type of Array Mounting: ❑Fixed ['Tracking
Inverter Manufacturer: Model No.:
UL 1741 "Utility Interactive" Listed: ❑Yes ❑No
IEEE 1547 Compliant: ❑Yes ❑No
HEA Form#0037 1 TA 310-32 May 1,2010
Other Qualified Alternative Energy Generator:
Describe:
Member Signature: Date:
Title:
Please direct all inquiries and return this application to the Engineering Department at Homer
Electric Association, Inc. before purchasing and installing a Alternative Power Generator:
Homer Electric Association, Inc.
280 Airport Way Phone: 907-283-2307
Kenai AK 99611 Web Site: www.homerelectric.com
For HEA Use Only
Member#:
Approved by: Date:
Title:
HEA Form#0037 2 TA 310-32 May 1,2010