CDE Lightband Application for Interconnection of Distributed Generation – Clarksville Department of Electricity, CDE Lightband

TIER 1 (LESS THAN 50 KW DC)

Interconnection Program Participation(Required)

Please select the interconnection program you are participating in from the dropdown list.

Participant Name(Required)

First Last

Customer Type(Required)

Service Address of Qualifying System(Required)

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country

Participant Account Number(Required)

Participant Sub-account Number(Required)

Participant Email(Required)

Participant Phone(Required)

Owner of Building (if different from participant)

Project Contact Name (if different from participant)

First Last

Project Contact Address (if different from participant)

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country

Project Contact Email

Project Contact Phone

Project Owner Name (if different from participant)

First Last

Project Owner Address (if different from participant)

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country

Project Owner Email

Project Owner Phone

Distribute Generation Installation Contractor Company Name(Required)

Company Name

Company Mailing Address(Required)

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country

Company Representative Name(Required)

First Last

Company Email(Required)

Company Phone(Required)

Company Contractor License Number(Required)

NABCEP Level One Certificate Number(Required)

NABCEP Entry Level Candidate Number(Required)

Electrical Contractor Company Name(Required)

Company Name

Electrical Contractor Company Address(Required)

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country

Electrical Contractor Representative Name(Required)

First Last

Electrical Contractor Email(Required)

Electrical Contractor Phone(Required)

Electrical Contractor License Number(Required)

Generating Facility Type(Required)

If Generating Facility Type is "Other," please describe.

Inverter Model(Required)

Inverter Manufacturer(Required)

Proposed System Nameplate Rating (kW DC)(Required)

Proposed System Nameplate Rating (kW AC)(Required)

Proposed System Nameplate Rating (AC Volts)(Required)

Estimated Annual Generation (kWh)(Required)

Estimated Annual Excess Generation (kWh)(Required)

Phases(Required)

Number of Wires from AC Disconnect(Required)

Wire Size from AC Disconnect(Required)

Electric Service Type(Required)

Electric Service Voltage (kV)(Required)

Orientation of Facility(Required)

Estimated Installation Date(Required)

Estimated In-service Date(Required)

List of Facility Components and their Certifying Entities(Required)

Equipment Type and Model

Certifying Entity

*Click the plus sign at the right of screen to add additional rows as necessary.

Consent(Required)

This application is considered complete when it provides all applicable and correct information required below. Inaccurate information will delay approval and could result in higher interconnection costs. The required Application for Interconnection fee must be paid by check, payable to Clarksville Department of Electricity, before the application can be reviewed. All application fees are listed in CDE operating policy 2-5. If a system interconnection study or CDE distribution system modifications are deemed necessary for interconnection after review of this application, then additional charges may be assessed to the applicant before the applicant can continue the interconnection process.

ADDITIONAL INFORMATION – SINGLE LINE DIAGRAM
Provide manufacturer’s specification sheets for the proposed system components to show testing and listing by a Nationally Recognized Laboratory for compliance with the codes and standards outlined in the CDE Distributed Generation Interconnection Procedures. In addition, attach a detailed one-line diagram of the proposed facility, all
applicable elementary diagrams, major equipment including: number and location of PV panels, wind turbines,
generators, transformers, inverters, AC disconnect switch, circuit breakers, protective relays, batteries and any other components that represent the balance of the system, plus location of existing CDE electric billing meter (unless DPP or Self-Generation where site does not have electric service) and proposed point of interconnection. Include manufacturer’s specifications, test reports and any other applicable drawings or documents necessary for the proper design of the interconnection.

PERMISSION TO INTERCONNECT
Installer must leave AC disconnect in the “off” position to prevent unauthorized generation prior to CDE’s System Acceptance Test. Customer must not operate their generating facility until they receive written authorization from CDE via a CDE-executed Distributed Generation System Acceptance Form. The System Acceptance Form can only be issued after all Code inspections, CDE meter installation, and CDE System Acceptance Test have been completed. Unauthorized parallel operation could result in injury to persons and/or damage to equipment and/or property for which the customer may be liable. NOTE: If the initial commissioning test performed by CDE or TVA personnel does not pass requirements, installer may be subject to additional fees to cover a follow-up inspection.

I hereby certify that, to the best of my knowledge, the information provided in this application is true. I understand that the generation system cannot be operated in parallel with CDE’s system until I have received written approval from CDE. I understand this project cannot begin technical review until I have paid the application fee. I understand that I may incur CDE interconnection costs, which will be calculated and quoted to me based on this application and which must be paid before CDE interconnection work can begin. I understand that submitting this document does not obligate me to proceed with the project.

Signature(Required)

Name of Signee(Required)

First Last

Title of Signee

Date of Signature(Required)

Please upload one-line diagrams and equipment manufacturer specification sheets as a single .pdf file here:(Required)

Drop files here or

Accepted file types: pdf, Max. file size: 25 MB, Max. files: 1.

After completing this application and uploading the required documents, an application fee must be paid to CDE Lightband to facilitate the review.

To pay application fees make checks payable to Clarksville Department of Electricity, mailed or delivered to 2021 Wilma Rudolph Blvd. Clarksville TN 32040 ATTN: Energy Services Department. Please write “Application for Interconnection” and the project address, if different from address on check, in the note field.

Application fees are:
$250.00 for Systems less than 50kW DC (partial kW will be rounded)
$500.00 for Systems greater than or equal to 50kW DC (partial kW will be rounded)

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