Agricultural Biogas System Interconnection Form
Applicant Information
Name
Organization/Farm
Address
City
State
ZIP Code
Phone
Email
System Details
System Capacity (kW)
Facility Type
Dairy
Swine
Poultry
Mixed
Other
Feedstock/Input Materials
Major Equipment (Digester, Generator, etc.)
Interconnection Information
Electric Utility Name
Utility Account Number
Project Location (if different from above)
Proposed Interconnection Date
Additional Comments