Fillable StorageApplication EnergyStorage ThisformisrequiredinadditiontoacompletedInterconnectionApplicationformforanyDERwithan energystoragecomponent.Anapplicationtointerconnectenergystorageisonlyrequiredfors

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StorageApplication EnergyStorage ThisformisrequiredinadditiontoacompletedInterconnectionApplicationformforanyDERwithan energystoragecomponent.Anapplicationtointerconnectenergystorageisonlyrequiredforstorage designedtooperateinparallelwiththedistributionsystem.Electricvehiclesandbackupgeneratorsdo notneedtoapply. Applicationfor: StandalonestorageasDERStorageascomponentofDER (Owatonna Public Utilities)

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The StorageApplication EnergyStorage ThisformisrequiredinadditiontoacompletedInterconnectionApplicationformforanyDERwithan energystoragecomponent.Anapplicationtointerconnectenergystorageisonlyrequiredfors form is 2 pages long and contains:

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OwatonnaPublicUtilities 208SWalnutAve,POBox800 Owatonna,MN55060‐0800,
Jared.Hendricks@owatonnautilities.com 507‐451‐2480
StorageApplication
ThisformisrequiredinadditiontoacompletedInterconnectionApplicationformforanyDERwithan
energystoragecomponent.Anapplicationtointerconnectenergystorageisonlyrequiredforstorage
designedtooperateinparallelwiththedistributionsystem.Electricvehiclesandbackupgeneratorsdo
notneedtoapply.
EnergyStorage
Applicationfor: Stand‐alonestorageasDERStorageascomponentofDER
CustomerAccountNumber:
AddressofGeneratingFacility:
City:
State: ZipCode:
EquipmentManufacturer:
EquipmentModel:
MaxContinuousRealPower(InkW):
MaxContinuousApparentPower(InkVA):
PowerFactorrangeofadjustability:
PeakACEnergy(InkWh):
IstheequipmentUL1741listed?Manufacturerspecification
sheet(s)arerequiredtobeattachedtothisapplication.
YesNo
Isthestorage100%chargedbyanetenergymeteringeligible
energysource?
YesNo
Sourcechargingthestorage(Checkallthatapply):
Utility Wind Solar
Diesel  Other(pleasespecify)
IsthestorageconfiguredtoexportenergytotheAreaEPS? YesNo
Arethesettingsaccessibletotheenduser? YesNo
ForOfficeUseOnly
ApplicationID: QueueNumber:
DateReceived:
OwatonnaPublicUtilities 208SWalnutAve,POBox800 Owatonna,MN55060‐0800,
Jared.Hendricks@owatonnautilities.com 507‐451‐2480
EnergyStorage
Availablecontroloperatingmodes:
Controlmodesbeingenabledforinterconnection:
Fornon‐export,howdoesthesystemdeterminethemagnitudeofcustomerload?
Whatistheprocessforchangingoperationalmodesoftheenergystorage?
Pleaseattachanyadditionalmaterials.
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StorageApplication EnergyStorage ThisformisrequiredinadditiontoacompletedInterconnectionApplicationformforanyDERwithan energystoragecomponent.Anapplicationtointerconnectenergystorageisonlyrequiredforstorage designedtooperateinparallelwiththedistributionsy

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Completed 8 June 2021

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