Ida Cameron_ Execute Contingent Approval1
NC 20 kW Inverter
Interconnection Request Application Form
for Interconnecting a Certified Inverter-Based
Generating Facility No Larger than 20 kW
This Interconnection Request Application Form is considered complete when it
provides all applicable and correct information required below. Additional
information to evaluate the Interconnection Request may be required.
Processing Fee
A non-refundable processing fee of $100 must accompany this Interconnection
Request Application Form.
If the Interconnection Request is submitted solely due to a transfer of ownership
of the Generating Facility, the fee is $50.
Interconnection Customer
Name:Ida Cameron
Contact Person:Christopher Yarbrough
Email Address:ceacm1@aol.com
Address:241 Happy Ln
City:Sanford
State:NC
Zip:27332
County:Harnett
Telephone (Day):9194983705
(Evening):
Fax:
Contact (if different than Interconnection Customer)
Name:Christopher Yarbrough
Email Address:interconnections@ncsolarnow.com
Address:3401-101 Atlantic Ave
City:Raleigh
State:NC
Zip:27604
County:Wake
Telephone (Day):9198339096
(Evening):
Fax:
Owner(s) of the Generating Facility:
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NC 20 kW Inverter
Generating Facility Information
Facility Location (if different from above):
Address:241 Happy Ln
City:Sanford
State:NC
Zip:27332
County:Harnett
Utility Duke Energy Progress
Account Number:3534428432
For photovoltaic sources only:
Inverter Manufacturer:
Model:
Total panel capacity:
Nameplate Rating (each inverter):
Inverter: 1 x SolarEdge Technologies 7.6 kW
(Model SE7600A-US (240V))
Inverter Rating (ea): 7.625 kW AC Efficiency:
97.5%
PV Module Array: 23 x Trina Solar 360W (Model
TSM-360DD14A(II))
Module Rating (ea): 360 W DC, 324.9 W PTC
Tilt: 19 Azimuth: 273 Tracking: Fixed
Nameplate Rating: 8.28 kW DC
AC Rating: 7.286 kW CEC-AC
Estimated Annual Production: 11119 kWh
Design Factor: 89.8 %
7.6 kVA(AC) (each inverter)
240 Volts(AC) (each inverter)
Phase:Single Phase
System Design Capacity:7.6kVA(AC)
Maximum Physical Export
Capability Requested:
7.6 kW(AC)
Prime Mover Photovoltaic
ENERGY SOURCE TABLE
Renewable Non-Renewable
H-1. Solar – Photovoltaic
Is the equipment UL 1741 Listed?
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NC 20 kW Inverter
If Yes, attach manufacturer’s cut-sheet showing UL 1741 listing
Estimated Installation Date 7/6/2018
Estimated In-Service Date 7/9/2018
The 20 kW Inverter Process is available only for inverter-based Generating
Facilities no larger than 20 kW that meet the codes, standards, and certification
requirements of Attachments 3 and 4 of the North Carolina Interconnection
Procedures, or the Utility has reviewed the design or tested the proposed
Generating Facility and is satisfied that it is safe to operate.
List components of the Generating Facility equipment package that are currently
certified:
Number Equipment Type Certifying Entity
1.
2.
3.
4.
5.
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NC 20 kW Inverter
Interconnection Customer Signature
I hereby certify that, to the best of my knowledge, the information provided in this
Interconnection Request Application Form is true. I agree to abide by the Terms
and Conditions for Interconnecting a Certified Inverter-Based Generating Facility
No Larger than 20 kW and return the Certificate of Completion when the
Generating Facility has been installed.
Signed:_{Customer Sign}___________________________________________
Title: Date: {Customer
Date}
DocuSign Envelope ID: 50819FEE-6BDD-4BF7-802E-AC6F592D4D6F
7/3/2018
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NC 20 kW Inverter
Terms and Conditions
for Interconnecting a Certified Inverter-Based
Generating Facility No Larger than 20 kW
1.0 Construction of the Facility
The Interconnection Customer (Customer) may proceed to construct
(including operational testing not to exceed two hours) the Generating
Facility when the Utility approves the Interconnection Request and returns
it to the Customer.
2.0 Interconnection and Operation
The Customer may interconnect the Generating Facility with the Utility’s
System and operate in parallel with the Utility’s System once all of the
following have occurred:
2.1 Upon completing construction, the Customer will cause the
Generating Facility to be inspected or otherwise certified by the
appropriate local electrical wiring inspector with jurisdiction, and
2.2 The Customer returns the Certificate of Completion to the Utility,
and
2.3 The Utility has either:
2.3.1 Completed its inspection of the Generating Facility to
ensure that all equipment has been appropriately
installed and that all electrical connections have been
made in accordance with applicable codes. All
inspections must be conducted by the Utility, at its own
expense, within ten Business Days after receipt of the
Certificate of Completion and shall take place at a time
agreeable to the Parties. The Utility shall provide a
written statement that the Generating Facility has passed
inspection or shall notify the Customer of what steps it
must take to pass inspection as soon as practicable after
the inspection takes place; or
2.3.2 If the Utility does not schedule an inspection of the
Generating Facility within ten Business Days after
receiving the Certificate of Completion, the witness test is
deemed waived (unless the Parties agree otherwise); or
2.3.3 The Utility waives the right to inspect the Generating
Facility.
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NC 20 kW Inverter
2.4 The Utility has the right to disconnect the Generating Facility in the
event of improper installation or failure to return the Certificate of
Completion.
2.5 Revenue quality metering equipment must be installed and tested
in accordance with applicable American National Standards
Institute (ANSI) standards and all applicable regulatory
requirements.
3.0 Safe Operations and Maintenance
The Customer shall be fully responsible to operate, maintain, and repair
the Generating Facility as required to ensure that it complies at all times
with the interconnection standards to which it has been certified.
4.0 Access
The Utility shall have access to the disconnect switch (if a disconnect
switch is required) and metering equipment of the Generating Facility at all
times. The Utility shall provide reasonable notice to the Customer, when
possible, prior to using its right of access.
5.0 Disconnection
The Utility may temporarily disconnect the Generating Facility upon the
following conditions:
5.1 For scheduled outages upon reasonable notice.
5.2 For unscheduled outages or emergency conditions.
5.3 If the Generating Facility does not operate in a manner consistent
with these Terms and Conditions.
5.4 The Utility shall inform the Customer in advance of any scheduled
disconnection, or as soon as is reasonable after an unscheduled
disconnection.
6.0 Indemnification
The Parties shall at all times indemnify, defend, and save the other Party
harmless from, any and all damages, losses, claims, including claims and
actions relating to injury to or death of any person or damage to property,
demand, suits, recoveries, costs and expenses, court costs, attorney fees,
and all other obligations by or to third parties, arising out of or resulting
from the other Party’s action or inactions of its obligations hereunder on
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NC 20 kW Inverter
behalf of the indemnifying Party, except in cases of gross negligence or
intentional wrongdoing by the indemnified Party.
7. 0 Insurance
All insurance policies must be maintained with insurers authorized to do
business in North Carolina. The Parties agree to the following insurance
requirements:
7.1 If the Customer is a residential customer of the Utility, the required
coverage shall be a standard homeowner’s insurance policy with
liability coverage in the amount of at least $100,000 per
occurrence.
7.2 For an Interconnection Customer that is a non-residential customer
of the Utility proposing to interconnect a Generating Facility no
larger than 250 kW, the required coverage shall be comprehensive
general liability insurance with coverage in the amount of at least
$300,000 per occurrence.
7.3 The Customer may provide this insurance via a self-insurance
program if it has a self-insurance program established in accordance
with commercially acceptable risk management practices.
8.0 Limitation of Liability
Each Party’s liability to the other Party for any loss, cost, claim, injury, or
expense, including reasonable attorney’s fees, relating to or arising from
any act or omission hereunder, shall be limited to the amount of direct
damage actually incurred. In no event shall either Party be liable to the
other Party for any indirect, special, incidental, consequential, or punitive
damages of any kind.
9.0 Termination
The agreement to interconnect and operate in parallel may be terminated
under the following conditions:
9.1 By the Customer
By providing written notice to the Utility and physically and
permanently disconnecting the Generating Facility.
9.2 By the Utility
If the Generating Facility fails to operate for any consecutive
12-month period or the Customer fails to remedy a violation of
these Terms and Conditions.
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NC 20 kW Inverter
9.3 Permanent Disconnection
In the event this Agreement is terminated, the Utility shall have the
right to disconnect its facilities or direct the Customer to disconnect
its Generating Facility.
9.4 Survival Rights
This Agreement shall continue in effect after termination to the
extent necessary to allow or require either Party to fulfill rights or
obligations that arose under the Agreement.
10.0 Assignment/Transfer of Ownership of the Facility
10.1 This Agreement shall not survive the transfer of ownership of the
Generating Facility to a new owner.
10.2 The new owner must complete and submit a new Interconnection
Request agreeing to abide by these Terms and Conditions for
interconnection and parallel operations within 20 Business Days of
the transfer of ownership. The Utility shall acknowledge receipt and
return a signed copy of the Interconnection Request Application
Form within ten Business Days.
10.3 The Utility shall not study or inspect the Generating Facility unless the new
owner’s Interconnection Request Application Form indicates that a Material
Modification has occurred or is proposed.
DocuSign Envelope ID: 50819FEE-6BDD-4BF7-802E-AC6F592D4D6F
Attachment 6
NC 10 kW Inverter Process 1
Contingent Approval to Interconnect the Generating Facility (For Utility use only)
Interconnection of the Generating Facility is approved contingent upon the Terms and Conditions
for Interconnecting a Certified Inverter-Based Generating Facility No Larger than 20 kW and return
of the Certificate of Completion.
Utility Signature: {SSC Admin Sign}
Title: ______Smart Energy Specialist_________ Date: __7/5/2018_
Interconnection Request ID number: ______INTCO-11248_______________________
Utility waives inspection/witness test? No
DocuSign Envelope ID: 2D3C53AE-B82D-498C-A804-59FAA29EF129