Community Solar Garden Interconnection Application

1. Applicant Information

Applicant Name Company/Organization Contact Person Phone Number Email Address Mailing Address

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2. Project Information

Project Name Project Address / Location GPS Coordinates Total Capacity (kW AC/DC) Estimated Interconnection Date Utility Name Utility Account Number (if applicable)

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3. Technical Specifications

Solar PV Array Size (kW) Inverter Manufacturer/Model Number of Inverters System Type Roof Mount Ground Mount Other Point of Interconnection Voltage at Interconnection Point

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4. Supporting Documents

Site Plan Electrical One-Line Diagram Equipment Data Sheets

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5. Additional Notes

Comments or Special Requirements