CUSTOMER / ACCOUNT INFORMATION Electric Utility Customer Information (As shown on utility bill)

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GENERATOR INTERCONNECTION APPLICATION Category 2 (Combined) For All Projects with Aggregate Generator Output of More Than 20 kw but Less Than or Equal to 150 kw Also Serves as Application for Category 2 Net Metering (Note: Category 2 Net Metering Program only available to Renewable Generator Projects) ELECTRIC UTILITY CONTACT INFORMATION Consumers Energy Interconnection Coordinator 1945 West Parnall Road (Room P14-205) Jackson, MI 49201 (517)788-1432 Net Metering E-mail: net_metering@cmsenergy.com Application Number FOR OFFICE USE ONLY and Time Application Received Customer Name (Last, First, Middle) CUSTOMER / ACCOUNT INFORMATION Electric Utility Customer Information (As shown on utility bill) Customer Mailing Address Customer Phone Number ( ) Electric Service Account Number Customer E-mail Address (Optional) Electric Service Meter Number Are you applying for the Net Metering Program? Yes No Do you have an Alternative Electric Supplier? Yes No If Yes, Name Are you interested in selling Renewable Energy Credits (REC s)? Yes No Notes: Enter name ONLY if your energy is supplied by a 3 rd party, not the utility. You must apply to both the Distribution Utility and your Alternate Energy Provider (if applicable) for Net Metering GENERATION SYSTEM SITE INFORMATION Physical Site Service Address (If Not Billing Address) Annual Site Requirements Without Generation in kwh kwh/year Attached Electrical One-Line Drawing Page # Peak Annual Site Demand in kw (only for customers billed on Demand Rates) kw Attached Site Plan Page # (Per MPSC Order in Case No. U-15787 The One-Line Drawing must be signed and sealed by a Licensed Professional Engineer, licensed in the State of Michigan or by an electrical contractor licensed by the State of Michigan with the electrical contractor s license number noted on the drawing.) See page 5 for sample Site Plan See Page 6 for sample of Inverter Generator Electrical One-Line Drawing See Page 7 for sample of Synchronous Generator Electrical One-Line Drawing See Page 8 for sample of Induction Generator Electrical One-Line Drawing GENERATION SYSTEM MANUFACTURER INFORMATION System Type (Solar, Wind, Biomass Methane Digester, etc.) Generator Type (Inverter, Induction, Synchronous) Total Generator(s) Nameplate DC Rating (Solar Only) kw A.C. Operating Voltage Total Generator(s) Nameplate AC Rating kw Wiring Configuration (Single Phase, Three Phase) Expected Annual Output in Kilowatt Hours kwh/year Is the Inverter tested to IEEE 1547.1? Yes No Not Applicable Form 1208 4-2013 Page 1 of 8

INVERTER GENERATOR - BASED SYSTEMS Manufacturer Model (Name/Number) Inverter Power Rating (kw) Number of Inverters SYNCHRONOUS AND INDUCTION GENERATOR - BASED SYSTEMS (Must complete either Page 3 or Page 4 and attach Electrical One-Line Drawing) The following information on these system components shall appear on the Electrical One-Line Drawing: Breakers Rating, location and normal operating status (open or closed) Buses Operating voltage Capacitors Size of bank in Kvar Circuit Switchers Rating, location and normal operating status (open or closed) Current Transformers Overall ratio, connected ratio Fuses Normal operating status, rating (Amps), type Generators Capacity rating (kva), location, type, method of grounding Grounding Resistors Size (ohms), current (Amps) Isolating Transformers Capacity rating (kva), location, impedance, voltage ratings, primary and secondary connections and method of grounding Potential Transformers Ratio, connection Reactors Ohms/phase Relays Types, quantity, IEEE device number, operator lines indicating the device initiated by the relays Switches Location and normal operating status (open or closed), type, rating Tagging Point Location, identification Manufacturer Model Name Model Number INSTALLATION INFORMATION Project Single Point of Contact: (Electric Utility Customer, Developer or Other) Name Company (If Applicable) Phone Number E-mail Address ( ) Requested in Service Licensed Contractor(Name of Firm or Self) Contractor Name (Last, First, MI) Contractor Phone Number Contractor E-mail ( ) CUSTOMER AND PROJECT DEVELOPER/CONTRACTOR SIGNATURES AND FEES Attached $100 Interconnection Application Fee OR Attached $100 combined Interconnection and Net Metering Program Application Fees (Includes $75 Interconnection Application Fee plus $25 Fee required if selecting Net Metering) Check # Money Order # Sign and Return Completed Application with Application Fee to Electric Utility Contact To the best of my knowledge, all the information provided in this application form is complete and correct. Customer Signature Project Developer/Contractor Signature (If Applicable) Note: Refer to the applicable Michigan Electric Utility Generator Interconnection Requirements for a detailed explanation of the Interconnection Process, Fees, Timelines, and Technical Requirements. Form 1208 4-2013 Page 2 of 8

Generator Nameplate Voltage SYNCHRONOUS GENERATORS GENERATOR INFORMATION Generator Nameplate Watts or Volt-Amperes Generator Nameplate Power Factor (pf) RPM Minimum and Maximum Acceptable Terminal Voltage TECHNICAL INFORMATION Direct Axis Sub-Transient Reactance (saturated) Direct Axis Reactance (saturated) Direct Axis Sub-Transient Reactance (unsaturated) Direct Axis Reactance (unsaturated) Leakage Reactance Quadrature Axis Reactance (unsaturated) Direct Axis Transient Open Circuit Time Constant Direct Axis Transient Reactance (saturated) Quadrature Axis Transient Open Circuit Time Constant Direct Axis Transient Reactance (unsaturated) Direct Axis Sub-Transient Open Circuit Time Constant Quadrature Axis Transient Reactance (unsaturated) Quadrature Axis Sub-Transient Open Circuit Time Constant Open Circuit Saturation Curve Reactive Capability Curve Showing Overexcited and Underexcited Limits (Reactive Information if Non-Synchronous) Excitation System Block Diagram with Values for Gains and Time Constants (Laplace Transforms) Short Circuit Current Contribution From Generator at the Point of Common Coupling Rotating Inertia of Overall Combination Generator, Prime Mover, Couplers and Gear Drives Station Power Load When Generator is Off-Line, Watts, pf Station Power Load During Start-Up, Watts, pf Station Power Load During Operation, Watts, pf Form 1208 4-2013 Page 3 of 8

Generator Nameplate Voltage INDUCTION GENERATORS GENERATOR INFORMATION Generator Nameplate Watts or Volt-Amperes Generator Nameplate Power Factor (pf) RPM Synchronous Rotational Speed TECHNICAL INFORMATION Stator Resistance Rotation Speed at Rated Power Stator Reactance Slip at Rated Power Rotor Reactance Minimum and Maximum Acceptable Terminal Voltage Magnetizing Reactance Motoring Power (kw) Short Circuit Reactance Neutral Grounding Resistor (If Applicable) Exciting Current ½ 2t or K (Heating Time Constant) Temperature Rise Rotor Resistance Frame Size Design Letter Reactive Power Required in Vars (No Load) Reactive Power Required in Vars (Full Load) Short Circuit Current Contribution from Generator at the Point of Common Coupling Rotating Inertia, H in Per Unit on kva Base, of Overall Combination Generator, Prime Mover, Couplers and Gear Drives Station Power Load When Generator is Off-Line, Watts, pf Station Power Load During Start-Up, Watts, pf Station Power Load During Operation, Watts, pf Form 1208 4-2013 Page 4 of 8

SAMPLE SITE PLAN PROVIDED FOR REFERENCE ONLY Applicant SITE PLAN Project Site Address City/Town Site Plan Prepared By Prepared 100.00 Property Line 30 0 BUILDING SETBACK LINES 20 0 20 0 Sample on-site generator location GARAGE 150.00 Inverter Visible Break 24-0 24 HOUSE 36 Home Service Panel Metering To Utility 150.00 29 0 25 0 N 59º 48 00 WEST STREET Weblink to State of Michigan / Plats: http://www.cis.state.mi.us/platmaps/sr_subs.asp Note: Legible hand drawn site plans are acceptable. Form 1208 4-2013 Page 5 of 8

SAMPLE ELECTRICAL ONE-LINE DRAWING PROVIDED FOR REFERENCE ONLY NET METERING INVERTER - BASED GENERATOR Customer Name ONE LINE DRAWING Licensed PE/Contractor (if applicable) Project Site Address Electrical Contractor License Number Licensed PE/Contractor Signature Customer 2 Pole xx Amp Located: House Service Panel Breaker #:a Visible Break AC Disconnect Located External to Building Lockable, Taggable, Accessible to Utility Customer 2 Pole xx Amp Located: House Service Panel Breaker #:Main in/out Utility Installed Meter Customer / Contractor / Developer Installed Enclosure(s) GEN Inverter / Generator Manufacturer: XYZ Corp Make: AAA Model: 2000aa Voltage: 240VAC Connection: 240 Phase to Phase Note: Legible hand drawn one-line drawings are acceptable. It must be signed and sealed by a Licensed Professional Engineer, licensed in the State of Michigan or by an electrical contractor licensed by the State of Michigan. Form 1208 4-2013 Page 6 of 8

SAMPLE ELECTRICAL ONE-LINE DRAWING PROVIDED FOR REFERENCE ONLY TYPICAL ISOLATION AND FAULT PROTECTION FOR SYNCHRONOUS GENERATOR INSTALLATIONS Customer Name ONE LINE DRAWING Licensed PE/Contractor (if applicable) Project Site Address Electrical Contractor License Number Licensed PE/Contractor Signature LEGEND 27 Undervoltage 32 Reverse Power (Not Required for Flow-Back) 51N Neutral overcurrent (required for grounded secondary) 59 Overvoltage 59N Zero sequence overvoltage (assuming ungrounded secondary on power transformer) 81o/u Over/Underfrequency NOTES A) See technical requirements for permissible connection configurations and protection. Transformer connections proposed shall be shown on the one-line drawing by the Project Developer. Transformer connection and secondary grounding to be approved by Utility. B) Protection alternatives for the various acceptable transformer connections are shown. Only one protection alternative will ultimately be used, depending on the actual transformer winding connections. VT s for 59, 27, 81o/u and 32 are shown connected on the primary (Project side) of the power transformer, but may instead be connected on the secondary (Utility side). VT s are required on the secondary of the power transformer if a 59N is required for an ungrounded secondary connection. IEEE std 1547 requirements for voltage and frequency must be met at the PCC. IEEE Std. 1547 permits the VT s to be connected at the point of generator connection in certain cases. C) Main breaker protection, generator protection and synchronizing equipment are not shown. D) Trip of all 52G breakers or the 52M breaker is acceptable, depending upon whether the Project Developer wants to serve its own isolated load after loss of Utility service. E) One-line drawing must be signed and sealed by a Licensed Professional Engineer, licensed in the State of Michigan or by an electrical contractor licensed by the State of Michigan. Form 1208 4-2013 Page 7 of 8

SAMPLE ELECTRICAL ONE-LINE DRAWING PROVIDED FOR REFERENCE ONLY TYPICAL ISOLATION AND FAULT PROTECTION FOR INDUCTION GENERATOR Customer Name ONE LINE DRAWING Licensed PE/Contractor (if applicable) Project Site Address Electrical Contractor License Number Licensed PE/Contractor Signature LEGEND 27 Undervoltage 32 Reverse Power (Not Required for Flow-Back) 51N Neutral overcurrent (required for grounded secondary) 59 Overvoltage 59N Zero sequence overvoltage (assuming ungrounded secondary on power transformer) 81o/u Over/Underfrequency NOTES A) See technical requirements for permissible connection configurations and protection. Transformer connections proposed shall be shown on the one-line drawing by the Project Developer. Transformer connection and secondary grounding to be approved by Utility. B) Protection alternatives for the various acceptable transformer connections are shown. Only one protection alternative will ultimately be used, depending on the actual transformer winding connections. VT s for 59, 27, 81o/u and 32 are shown connected on the primary (Project side) of the power transformer, but may instead be connected on the secondary (Utility side). VT s are required on the secondary of the power transformer if a 59N is required for an ungrounded secondary connection. IEEE std 1547 requirements for voltage and frequency must be met at the PCC. IEEE Std. 1547 permits the VT s to be connected at the point of generator connection in certain cases. C) Main breaker protection, generator protection and synchronizing equipment are not shown. D) Trip of all 52G breakers or the 52M breaker is acceptable, depending upon whether the Project Developer wants to serve its own isolated load after loss of Utility service. E) One-line drawing must be signed and sealed by a Licensed Professional Engineer, licensed in the State of Michigan or by an electrical contractor licensed by the State of Michigan. Form 1208 4-2013 Page 8 of 8