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Network Connection (Australian National University)

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Network
Connection
Services
Major
Customer
Services
Enquiry Form
Privacy Notice
Ergon Energy is collecting information on this form for the purpose of assessing the
Connection Enquiry. This may include the collection of your personal information. Your
personal information will not be disclosed to any external third parties without your
consent, unless authorised or required by law. If you wish to apply for access to this
information, or make a privacy complaint, you may contact the Privacy Officer on 13 10 46
or privacy@ergon.com.au.
Ergon Energy’s privacy policy may be viewed at
ergon.com.au. If you have provided personal information of another individual, please
ensure that you advise the person about this privacy statement.
Major Customer Connection Enquiry
July 2016
2
Wh
en completed, please email this enquiry form to majorconnections@ergon.com.au
For information about the connection process, please see the Major Customer
Connection Guidelines, which can be found at www.ergon.com.au
Please complete as many sections as possible. Relevant sections will depend on the nature of your particular
project
Business Representative Details (Note that you can also nominate an Authorised Agent on page 5)
Name
Email Address (we will use email as the preferred method of contact unless otherwise advised)
Postal Address
Phone Number 1
Role/Title
Phone Number 2
Fax Number
SECTION B
Customer Business Details (this will be the entity that enters into a construction contract, connection agreement and retail agreements)
Company Name (as per ASIC registration)
Date
Email Address (we will use email as the preferred method of contact unless otherwise advised)
Website Address
Postal Address
Phone Number 1
Other information about company (e.g. joint venture)
The applicant listed above acknowledges and agrees that information submitted as part of this Major Customer Connection Enquiry Form may
be released to contractors, sub-contractors or consultants of Ergon Energy (subject to confidentiality requirements) for the purposes of
managing the Connection Enquiry on Ergon Energy's behalf, and submission of this Enquiry Form is deemed to be consent to such
release. This Major Customer Connection Enquiry Form is hereby submitted to Ergon Energy by an authorised representative of the applicant
listed above.
Please refer to the Major Customer
Connection Guideline for more information.
No Yes
Phone Number 2
Fax Number
SECTION A
Registered Participant with AEMO
ACN or ABN
Signed
Position
Date
CONTESTABILITY OF LARGE CUSTOMER DESIGN AND CONSTRUCT SERVICE
The National Electricity Rules (NER) allow customers to construct, design and own connection assets where the works
are in relation to assets that will be dedicated to providing services only to that customer. These assets may also be
gifted (at no cost) to Ergon Energy. Ergon Energy may also be able to quote to construct and design these assets.
Specific rules covering the materials, auditing, construction and design may apply and further information is available on
the Ergon Energy website:
https://www.ergon.com.au/network/connections/major-business-connections
Major Customer Connection Enquiry
July 2016
3
Please note that this form is only applicable to Major Customers (as defined in Ergon Energy’s Pricing Proposal, which is available on Er-
gon Energy’s Network Pricing webpage https://www.ergon.com.au/network/network-management/network-pricing
) seeking a load or altera-
tion to a existing connection or contract.
For an
Export Embedded Generation connection enquiry, please use the relevant Export Embedded Generation Enquiry Form located on
our Embedded Generation webpage (https://www.ergon.com.au/network/connections/major-business-connections/embedded-generation
)
which details the relevant application process for other types of embedded generation connections.
For a
Non Export Embedded Generation connection enquiry, such as for Embedded Generator via an Inverter Energy System > 30 kVA (Non
-export), please use the Non-Export Embedded Generation Enquiry Form located on our Embedded Generation webpage (
https://
www.ergon.com.au/network/connections/major-business-connections/embedded-generation) which details the relevant application process
for other types of non-export embedded generation connections.
SECTION D
Please tick the service you require
(see Major Customer Connection Guideline for more information on these services)
Services - Load (> 1,500 kVA), External Design
Please tick
Provision of general advice, specifications etc.
(Not applicable to Generation enquiries 5MW and above.)
A Planning Report (prepared for the purposes of submitting an Application to Connect)
Fee Applicable
Project Scope (prepared for the purposes of submitting an Application to Connect)
Fee Applicable
External design review and technical support—pre-application
Fee Applicable
Customer owned asset advice
Fee Applicable
Connection Details
New Connection – Load > 1,500 kVA (If you require a new connection either to a new premises, property
or equipment above 1.5 MVA)
Alteration to an Existing Connection or Contract - If you require an upgrade of the existing supply or
require modification to an existing contract
Other - If your enquiry does not relate to any of the above options, but is still a Major Customer (ICC or
CAC) connection, please ensure you describe your enquiry in the form of an attachment to this enquiry.
SECTION C SECTION E
Options for Construction & Ownership of Connection Assets
Please choose from the following options. Quotes for services will be provided when available and will only be indicative in
nature at this stage. Further information can be found in the Major Customer Connection Manual
on the Ergon Energy website.
Option 1: Ergon Energy Build, Own and Operate Connection Assets (EE BOO)
Option 2: Major Customer Design, Construct and Transfer Asset Ownership to Ergon Energy (DCT)
Option 3: Major Customer Build, Own & Operate (BOO)
Option 4: Unsure at this stage
Please note that all works in connection with the shared distribution system will be designed, constructed and
owned by Ergon Energy
Major Customer Connection Enquiry
July 2016
4
Project Timing
Anticipated life of Connection
(if applicable to your type of connection, e.g. life of a mine site in years)
Permanent Supply - Anticipated Connection Date:
If Construction Supply is required - Anticipated Connection Date:
If capacity requirements are to change over time, please provide indicative timeframes below:
(e.g. 5 MW in YYYY, 10 MVA in YYYY etc.)
Project/Site Details
Project/Site Name
Site Address
Is the Registered Owner of the property the applicant?
Site Location (latitude/long, GPS, KML preferably Google Earth pin attachment, files, spatial data etc.)
(For Generators ≥ 5,000 kW please include alternative site locations in order of preference, if applicable.)
Additional Details on Location (i.e. restrictions, cultural heritage etc)
SECTION F
SECTION G
Registered Plan Number and/or Lease No.
No
Yes
If no please provide name of Registered Owner:
Registered Owner:
No
Yes
Additional location details attached
National Metering Identifier (if existing connection)
Capacity of Supply
plea
se specify kW or kVA
Capacity of Supply
please specify if kW or kVA
Major Customer Connection Enquiry
July 2016
5
Consultant Details
Company or Business (Trading) name (as per ASIC registration)
Website
Consultant’s Name
Email Address (we will use email as the preferred method of contact unless otherwise advised)
Postal Address
Phone Number
Authorised Agent (if you complete this section and nominate an authorised agent, we will only transact with this agent and not
any business representative listed on page 1)
As Ergon Energy will only transact with an authorised agent, please arrange for the applicant to sign section A and
this section to grant authority for the consultant to act on their behalf.
I/we a
uthorise
t
o act on
our be
half in relation to this project. Any information or advice provided by my/our authorised agent may be
relied upon by Ergon Energy as if it were information or advice provided by the Entity listed in section A.
SECTION H
Fax Number
Role Title
Mobile Number
Signed
Position
Date
SECTION I
Invoicing Details
Company Name
Postal Address
Phone Number 1
Business Address
(as above)
ABN
Business Representative Address
(as above)
Other
(enter details below)
Phone Number 2
Fax Number
ABN
Major Customer Connection Enquiry
July 2016
6
Load Connection Details
Connection Voltage
Type of Plant (e.g. rolling mill, production lines, wash plant, dragline)
Motor Start Up Limit Requirements
Maximum Demand please specify kW or kVA (highest 30 min average demand after diversity for a 12 month period)
Additional Information (including Estimated in-service Date for each item of major plant for Registered Participants
only):
415 V 11/22 kV 66 kV 33 kV
132kV
Estimated Energy Consumption
kWh per annum
Average Monthly Demand please specify kW or kVA
Operating Hours (Including Load Profile Curves i.e. 24hrs/7days per week operation)
Details of Disturbing Loads—please specify kW or kVA
(Additional information including nature of power electronic plant which may produce harmonic distortion,
e.g. harmonics, large motors, welders, thyristor drives, draglines.)
Load Type:
Component Size:
Duty Cycle:
Load Type:
Component Size:
Duty Cycle:
Load Type:
Component Size:
Duty Cycle:
Load Type:
Component Size:
Duty Cycle
Additional Information: (including nature of power electronic plant which may produce harmonic distortion)
SECTION J SECTION K
NOTES
Within 5 working days of receiving your enquiry, Ergon Energy will send you a written response confirming receipt of your enquiry and
whether any further information is required to finalise the enquiry.
Please note that failure to provide any additional information requested will result in your enquiry being placed “on hold”, such that it
will not be progressed until sufficient information has been received to form a complete connection enquiry.
Where your enquiry will be processed under Chapter 5A of the NER, you should take some time to understand your responsibilities
under this process. The NER, which is regularly updated, can be found at the Australian Energy Market Commission website
http://
www.aemc.gov.au/Energy-Rules/National-electricity-rules/Current-Rules.
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Network Connection (Australian National University)

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