Remote Telecom Site Microgrid Interconnection Application
1. Site Information
Site Name
Site Address
City
State/Province
Postal Code
Country
GPS Coordinates
2. Applicant Information
Applicant Name
Title/Role
Company/Organization
Contact Email
Contact Phone
3. Microgrid System Details
Total Planned Capacity (kW)
Energy Storage Capacity (kWh)
Generation Sources
Solar PV
Wind
Diesel GenSet
Hydro
Other
Interconnection Voltage (V)
Battery Type / Storage Information
Existing On-Site Generation?
Yes
No
Additional Microgrid Description
4. Proposed Interconnection Details
Requested Interconnection Date
Interconnection Type
Grid-Tied
Islanded
Hybrid
Description of Proposed Interconnection
5. Attachments
Single Line Diagram
Site Layout Drawing
Other Supporting Documents
6. Declaration
Declaration/Signature