SOUTHEASTERN ILLINOIS

ELECTRIC COOPERATIVE

Application for Operation of

Customer-Owned Generation

This application should be completed and returned to the Cooperative in order to begin processing the request.

INFORMATION:This application is used by the Cooperative to determine the required equipment configuration for the Customer interface. Every effort should be made to supply as much information as possible.

PART 1:

OWNER/APPLICANT INFORMATION

Owner/Customer

Name:________________________________________________________________

Mailing Address:________________________________________________________________

City:______________________County:_________________State:_____________Zip Code:_________________

Account #________________________________ Map Location #:_________________

Phone Number:____________________________Representative: _________________

Email Address:____________________________ Fax Number:_________________

TYPE OF GENERATOR

Photovoltaic ____________ Wind ___________ Microturbine ___________

Diesel Engine ____________ Gas Engine ___________ Combustion Turbine___________

Other ________________________________________________________________

ESTIMATED LOAD, GENERATOR RATING AND MODE OF OPERATION INFORMATION

The following information is necessary to help properly design the Cooperative customer interconnection.

This information is not intended as a commitment or contract for billing purposes.

Total Site Load ___________ (kW)

Residential ___________ Commercial _________________ Industrial _________________

Generator Rating _________________ (kW) Annual Estimated Generation______(kWh)

Mode of Operation

Isolated ___________ Paralleling ___________Power Export ___________

PROJECT DESIGN/ENGINEERING (ARCHITECT) (if applicable)

Company:__________________________________________________________________

Mailing Address:__________________________________________________________________

City:______________________County:_________________State:_____________Zip Code:____________

Phone Number:____________________________Representative:______________________

Email Address:____________________________ Fax Number:______________________

ELECTRICAL CONTRACTOR (if applicable)

Company:__________________________________________________________________

Mailing Address:__________________________________________________________________

City:______________________County:_________________State:_____________Zip Code:___________

Phone Number:____________________________Representative: ______________________

Email Address:____________________________ Fax Number:______________________

DESCRIPTION OF PROPOSED INSTALLATION AND OPERATION

Give a general description of the proposed installation, including a detailed description of its planned location, the date you plan to operate the generator, the frequency with which you plan to operate it and whether you plan to operate it during on or off-peak hours.

__________________________________________________________________________________________

PART 2:

(This section shall be completed for all generators rated 50KW or more)

SYNCHRONOUS GENERATOR DATA

Unit Number: _________________Total number of units with listed specifications on site:__________________________

Manufacturer: __________________________________________________________________________

Type: _____________________________________Date of manufacture: _____________________________________

Serial Number (each):__________________________________________________________________________

Phases: Single Three R.P.M.: __________________ Frequency (Hz):__________________

Rated Output (for one unit): _____________________Kilowatt __________________________Kilovolt-Ampere

Rated Power Factor (%): ______________Rated Voltage (Volts): ____________Rated Amperes:____________

Field Volts: _____________ Field Amps: __________________ Motoring power (kW):

Synchronous Reactance (Xd):__________________% on __________________ KVA base

Transient Reactance (X'd): __________________ % on__________________ KVA base

Subtransient Reactance (X'd): __________________% on__________________ KVA base

Negative Sequence Reactance (Xs): __________________% on __________________ KVA base

Zero Sequence Reactance (Xo):__________________ % on __________________KVA base

Neutral Grounding Resistor (if applicable):______________________________________________________ __________________________________________________________________________________________

I22t or K (heating time constant): ______________________________________________________

Additional information:______________________________________________________

INDUCTION GENERATOR DATA

Rotor Resistance (Rr):______________________ ohms Stator Resistance (Rs):____________ ohms

Rotor Reactance (Xr):______________________ ohms Stator Reactance (Xs):_____________ ohms

Magnetizing Reactance (Xm):________________ ohms Short Circuit Reactance (Xd"):____________ ohms

Design letter:_________________________________ Frame Size: ____________

Exciting Current:________________________________ Temp Rise (deg Co):____________

Reactive Power Required:_____________________ Vars (no load), _________________________Vars (full load)

Additional information:__________________________________________________________________ ___________________________________________________________________________________________________

PRIME MOVER (Complete all applicable items)

Unit Number: _____________ Type:_____________

Manufacturer: ____________________________________________________

Serial Number:______________________________ Date of manufacture:_____________

H.P. Rated: ______________ H.P. Max.: _________________Inertia Constant: _____________ lb.-ft.2

Energy Source (hydro, steam, wind, etc.) ___________________________________________________ ___________________________________________________________________________________________ ______________________________________________________________________________

GENERATOR TRANSFORMER (Complete all applicable items)

TRANSFORMER (between generator and utility system)

Generator unit number: ________________________ Date of manufacturer: ________________________

Manufacturer:________________________________________________

Serial Number:________________________________________________

High Voltage: ______________ KV, Connection: delta wye, Neutral solidly grounded?________________________

Low Voltage: ______________ KV, Connection: delta wye, Neutral solidly g rounded? ________________________

Transformer Impedance(Z): ______________________________% on ________________________ KVA base.

Transformer Resistance (R): ______________________________% on ________________________ KVA base.

Transformer Reactance (X): ______________________________% on ________________________ KVA base.

Neutral Grounding Resistor (if applicable): ________________________________________________ ________________________________________________________________________________________________

INVERTER DATA (if applicable)

Manufacturer: ________________________________________ Model:________________________

Rated Power Factor (%): __________Rated Voltage (Volts): __________ Rated Amperes:________________________

Inverter Type (ferroresonant, step, pulse-width modulation, etc):________________________

Type commutation: forced line

Harmonic Distortion: Maximum Single Harmonic (%)________________________________________________

Maximum Total Harmonic (%) ________________________________________________

Note: Attach all available calculations, test reports, and oscillographic prints showing inverter output voltage and current waveforms.

POWER CIRCUIT BREAKER (if applicable)

Manufacturer: ____________________________________Model: ________________________

Rated Voltage (kilovolts): ___________________________Rated ampacity (Amperes) ________________________

Interrupting rating (Amperes): ____________________________BIL Rating:________________________

Interrupting medium / insulating medium (ex. Vacuum, gas, oil ) __________________ / ________________________

Control Voltage (Closing): ___________________ (Volts) AC DC

Control Voltage (Tripping): __________________ (Volts) AC DC Battery Charged Capacitor

Close energy: Spring Motor Hydraulic Pneumatic Other: ________________________

Trip energy: Spring Motor Hydraulic Pneumatic Other:________________________

Bushing Current Transformers: ______________ (Max. ratio) Relay Accuracy Class: ________________________

Multi ratio? No Yes: (Available taps)________________________________________________

ADDITIONAL INFORMATION

In addition to the items listed above, please attach a detailed one-line diagram of the proposed facility, all applicable elementary diagrams, major equipment, (generators, transformers, inverters, circuit breakers, protective relays, etc.) specifications, test reports, etc., and any other applicable drawings or documents necessary for the proper design of the interconnection. Also describe the project's planned operating mode (e.g., combined heat and power, peak shaving, etc.), and its address or grid coordinates.

SIGN OFF AREA

The customer agrees to provide the Cooperative with any additional information required to complete the interconnection. The customer shall operate his equipment within the guidelines set forth by the cooperative.

_________________________________________ _______________________________

Applicant Date

Please send the completed application to the Cooperative at the address listed below:

SouthEastern Illinois Electric Cooperative, Inc.

585 Highway 142 South

P.O. Box 251

Eldorado, IL 62930

Attention: Engineering Department

(800)833-2611