RENEWABLE ENERGY GENERATOR INTERCONNECTION
APPLICATION AND AGREEMENT


Type N/A into a field that you are unsure of.
Member Name
Account Number
Mailing Address
City
State
Zip
Daytime Phone
Email
Contractor Name
Company
Daytime Phone
Email
PROJECT POINT OF CONTACT:   
   
PROGRAM:   
       
Physical installation address (if different)
City
State
Zip
System Design (Tracking, Tilt, Fixed, etc.)
Generator Nameplate Rating (kW)
Generator Size (kWac)
Expected Annual Output (kWh/year)
AC Operating Voltage
Wiring Configuration (Single Phase or Three Phase)
Inverter Model (Name/Number)
Inverter Manufacturer
Inverter Power Rating (kW)
UL 1741 Scope 1.1A Compliant?
  
Member-Consumer's kW installed AC (kW)
FILE UPLOADS
Site Plan
Electric one-line drawings

*must be stamped by electrical engineer*
Panel and Inverter Specifications

*Must Be IEEE1547 Compliant*

* $100 Interconnections Application Fee billed at a later date

DATE
Apr 19th, 2024

SIGNATURE (draw with your mouse/finger)



Interconnection and Purchase Agreement – DRE Contract No. __________________
Phase 2

AGREED TO BY:

Member


Service Address

Membership Number
#

Cooperative

Waiting for MEC approval

Wolverine Power Supply Cooperative, Inc.

Waiting for Wolverine approval