5.a 5 Appendix D - Woolford Generation Interconnection Application FormNorthern States Power Company, a Minnesota corporation
and wholly owned subsidiary of Xcel Energy Inc.
Minneapolis, Minnesota 55401
MINNESOTA ELECTRIC RATE BOOK - MPUC NO. 2
DISTRIBUTED GENERATION STANDARD Section No. 10
INTERCONNECTION AND POWER PURCHASE TARIFF (Continued) Original Sheet No. 102
APPENDIX B: Generation Interconnection Application Form
WHO SHOULD FILE THIS APPLICATION: Anyone expressing interest to install generation which will interconnect
with Xcel Energy (Local electric utility). This application should be completed and returned to the Generation
Interconnection Coordinator, in order to begin processing the request.
INFORMATION: This application is used by Xcel Energy to perform a preliminary interconnection review. The
Applicant shall complete as much of the form as possible. The fields in BOLD are required to be completed to the
best of the Applicant's ability. The Applicant will be contacted if additional information is required. The response may
take up to 15 business days after receipt of all the required information.
COST: A payment to cover the application fee shall be included with this application. The application fee amount is
outlined in the "State of Minnesota Interconnection Process for Distributed Generation Systems".
OWNER/APPLICANT
Company / Applicant's Name: MSC-Scandia0l, LLC
Representative: Charlie Nickoloff Phone Number: 612-709-8064 FAX Number: n/a
Title: Vice President
Mailing Address' 345 St Peter St - Suite 1600, St Paul MN 55102
Email Address: canickoloff@mnsolarconnection.com
LOCATION OF GENERATION SYSTEM INTERCONNECTION
Street Address, legal description or GPS coordinates:
23485 Manning Trail N, Scandia MN 55073
PROJECT DESIGN / ENGINEERING (if applicable)
Company: Westwood Professional Services
Representative: Jack Hays I Phone: 952-697-5703 FAX Number: n/a
Mailing Address: 7699 Anagram Dr, Eden Prairie MN 55344
Email Address:jack.hays@westwoodps.com
ELECTRICAL CONTRACTOR (if applicable)
Company: TBD
Representative: TBD Phone: TBD FAX Number: TBD
Mailing Address: TBD
Email Address: TBD
(Continued on Sheet No. 10-103)
Date Filed: 11-02-05 By: Cynthia L. Lesher Effective Date: 02-01-07
President and CEO of Northern States Power Company
Docket No. E002/GR-05-1428 Order Date: 09-01-06
S:\General-Offices-GO-01\PSF\RA\Rates\Current\Mn elec\Me 10 102.doc
Northern States Power Company, a Minnesota corporation
and wholly owned subsidiary of Xcel Energy Inc.
Minneapolis, Minnesota 55401
MINNESOTA ELECTRIC RATE BOOK - MPUC NO. 2
DISTRIBUTED GENERATION STANDARD Section No. 10
INTERCONNECTION AND POWER PURCHASE TARIFF (Continued) Original Sheet No. 103
APPENDIX B: Generation Interconnection Application Form (Continued)
GENERATOR
Manufacturer: ChlntPower Systems Model: 5okW
Type (Synchronous Induction, Inverter, etc): Inverter, 50kW (twenty) Phases: 1 or 3 3
Rated Output (Prime kW): 1,000ac (Standby kW): o Frequency: 60Hz
ted Power Factor (%): >0.99 Rated Volta a (Volts):480Vac Rated Current (Amperes): 60A
ergy Source (gas, steam, hydro, wind, etc.) solar photovoltaic
F
TYPE OF, INTERCONNECTED OPERATION
Interconnection / Transfer method:
❑Open ❑ Quick Open ❑ Closed ❑ Soft Loading ❑■ Inverter
Proposed use of generation: (Check all that may apply)
❑ Peak Reduction ❑ Standby ❑■ Energy Sales ❑ Cover Load
Duration Parallel:
❑ None ❑ Limited
✓ Continuous
-Certified System orting Energy
nYe/ No (Circle one) ✓ Ye No (Circle one)
ESTIMATED LOAD RMATION
The following information will be used to help properly design the interconnection. This
Information is not intended as a commitment or contract for billing purposes.
Minimum anticipated load (generation not operating):
kW:0
kVA:0
Maximum anticipated load (generation not operating):
kW: 0
kVA: 0
ESTIMATED START/COMPLETION DATES
Construction start date: 01 March 2018
Completion (operational) date: 30 April 2018
DESCRIPTION OF PROPOSED INSTALLATION AND OPERATION
Attach a single line diagram showing the switchgear, transformers and generation facilities Give a general
description of the manner of operation of the generation (cogeneration closed -transition beak shaving open -
transition peak shaving emergency power, etc.). Also does the Applicant intend to sell power and energy or
ancillary services and/or wheel power over Xcel Energy facilities? If there is an intent to sell power and energy, also
define the target market.
Please see attached; sale of power to Xcel Energy's Solar*Rewards Community program.
(Continued on Sheet No. 10-104
Date Filed: 11-02-05 By: Cynthia L. Lesher Effective Date: 02-01-07
President and CEO of Northern States Power Company
Docket No. E002/GR-05-1428 Order Date: 09-01-06
S:\General-Offices-GO-01\PSF\RA\Rates\Current\Mn elec\Me 10 103.doc
Northern States Power Company, a Minnesota corporation
and wholly owned subsidiary of Xcel Energy Inc.
Minneapolis, Minnesota 55401
MINNESOTA ELECTRIC RATE BOOK - MPUC NO. 2
DISTRIBUTED GENERATION STANDARD Section No. 10
INTERCONNECTION AND POWER PURCHASE TARIFF (Continued) Original Sheet No. 104
APPENDIX B: Generation Interconnection Application Form (Continued)
SIGN OFF AREA:
With this Application, we are requesting Xcel Energy to review the proposed Generation System Interconnection.
We request that Xcel Energy identifies the additional equipment and costs involved with the interconnection of this
system and to provide a budgetary estimate of those costs. We understand that the estimated costs supplied by
Xcel Energy, will be estimated using the information provided. We also agree that we will supply, as requested,
additional information, to allow Xcel Energy to better review this proposed Generation System interconnection. We
have read the "State of Minnesota Distributed Generation Interconnection Requirements" and will design the
Generation System and interconnection to meet those requirements.
Applicant Name (print):
Charlie Nickoloff
Applicant Signature: f Date:
25 January 2017
SEND THIS COMPL Q IGNED APPLICATION AND ATTACHMENTS TO THE
GENERATION INTERCONNECTION COORDINATOR
(Continued on Sheet No. 10-105)
Date Filed: 11-02-05 By: Cynthia L. Lesher Effective Date: 02-01-07
President and CEO of Northern States Power Company
Docket No. E002/GR-05-1428 Order Date: 09-01-06
S:\General-Offices-GO-01\PSF\RA\Rates\Current\Mn elec\Me 10 104.doc
Northern States Power Company, a Minnesota corporation
and wholly owned subsidiary of Xcel Energy Inc.
Minneapolis, Minnesota 55401
MINNESOTA ELECTRIC RATE BOOK - MPUC NO. 2
DISTRIBUTED GENERATION STANDARD Section No. 10
INTERCONNECTION AND POWER PURCHASE TARIFF (Continued) Original Sheet No. 105
APPENDIX C: Engineering Data Submittal Form
WHO SHOULD FILE THIS SUBMITTALL: Anyone in the final stages of interconnecting a Generation System with
Xcel Energy. This submittal shall be completed and provided to the Generation Interconnection Coordinator during
the design of the Generation System, as established in the "State of Minnesota Interconnection Process for
Distributed Generation Systems".
INFORMATION: This submittal is used to document the interconnected Generation System. The Applicant shall
complete as much of the form as applicable. The Applicant will be contacted if additional information is required.
OWNER / APPLICANT
Company / Applicant: MSC-Scandia0l, LLC
Representative: Charlie Nickoloff Phone Number: 612-709-8064 FAX Number: n/a
Title: Vice President
Mailing Address: 345 St Peter St - Suite 1600, St Paul MN 55102
Email Address:
PROPOSED LOCATION OF GENERATION SYSTEM INTERCONNECTION
Street Address, Legal Description or GPS coordinates: 23485 Manning Trail N, Scandia MN 55073
PROJECT DESIGN /ENGINEERING (if applicable)
Company: Westwood Professional Services
Representative: Jack Hays I Phone: 952-265-4871 FAX Number: N/A
Mailing Address: 7699 Anagram Dr, Eden Prairie MN 55344
Email Address:
ELECTRICAL CONTRACTOR (if applicable)
Company: TBD
Representative: TBD Phone: TBD FAX Number: TBD
Mailing Address: TBD
[Email Address: TBD
(Continued on Sheet No. 10-106)
Date Filed: 11-02-05 By: Cynthia L. Lesher Effective Date: 02-01-07
President and CEO of Northern States Power Company
Docket No. E002/GR-05-1428 Order Date: 09-01-06
S:\General-Offices-GO-01\PSF\RA\Rates\Current\Mn elec\Me 10 105.doc
Northern States Power Company, a Minnesota corporation
and wholly owned subsidiary of Xcel Energy Inc.
Minneapolis, Minnesota 55401
MINNESOTA ELECTRIC RATE BOOK - MPUC NO. 2
DISTRIBUTED GENERATION STANDARD Section No. 10
INTERCONNECTION AND POWER PURCHASE TARIFF (Continued) Original Sheet No. 106
APPENDIX C: Engineering Data Submittal Form (Continued)
TYPE OF INTERCONNECTED OPERATION
Interconnection /Transfer method:
❑ Open ❑ Quick Open ❑ Closed ❑ Soft Loading
I Inverter
Proposed use of generation: (Check all that may apply)
Duration Parallel:
❑ Peak Reduction ❑Standby 6 Energy Sales
❑ None ❑ Limited 8 Continuous
❑ Cover Load
Person to Contact before remote starting of units
Pre -Certified System: Ye No (Circle one)
Exporting Energy Yes No (Circle one)
GENERATION SYSTEM OPERATION / MAINTENANCE CONTACT INFORMATION
Maintenance Provider:
Phone #:
Pager #:
Operator Name:
Phone #:
Pager #:
Person to Contact before remote starting of units
Contact Name:
Phone #:
Pager #:
24hr Phone #:
GENERATION SYSTEM OPERATING INFORMATION
Fuel Capacity (gals): Full Fuel Run-time (hrs):
Engine Cool Down Duration (Minutes): Start time Delay on Load Shed signal:
Start Time Delay on Outage (Seconds):
ESTIMATED LOAD
The following information will be used to help properly design the interconnection. This Information is not
Intended as a commitment or contract for billing purposes.
Minimum anticipated load (generation not operating): kW: kVA:
Maximum anticipated load (generation not operating): kW: kVA:
(Continued on Sheet No. 10-107)
Date Filed: 11-02-05 By: Cynthia L. Lesher Effective Date: 02-01-07
President and CEO of Northern States Power Company
Docket No. E002/GR-05-1428 Order Date: 09-01-06
S:\General-Offices-GO-01\PSF\RA\Rates\Current\Mn elec\Me 10 106.doc
Northern States Power Company, a Minnesota corporation
and wholly owned subsidiary of Xcel Energy Inc.
Minneapolis, Minnesota 55401
MINNESOTA ELECTRIC RATE BOOK - MPUC NO. 2
DISTRIBUTED GENERATION STANDARD Section No. 10
INTERCONNECTION AND POWER PURCHASE TARIFF (Continued) Original Sheet No. 107
APPENDIX C: Engineering Data Submittal Form (Continued)
REQUESTED CONSTRUCTION START/COMPLETION DATES
Design Completion:
Construction Start Date:
Footings in place: 01 March 2019
Primary Wiring Completion:
Control Wiring Completion:
Start Acceptance Testing:
Generation operational 3� April 20 8
(In-service):
(Complete all applicable items. Copy this page as required for additional generators.)
SYNCHRONOUS GENERATOR (if applicable)
Unit Number:
Total number of units with listed specifications on site:
Manufacturer:
Type:
Phases: 1 or 3
Serial Number (each)
Date of manufacture:
Speed (RPM):
Freq.
(Hz);
Rated Output (each unit) kW Standby:
kW Prime:
kVA:
Rated Power Factor (%):
Rated Voltage(Volts):
Rated Current (Amperes):
Field Voltage (Volts):
Field Current (Amperes):
Motoring Power (kW):
Synchronous Reactance (Xd):
Transient Reactance (X'd):
Subtransient Reactance (X'd):
Negative Sequence Reactance (Xs):
Zero Sequence Reactance (Xo):
% on
% on
% on
% on
% on
kVA base
kVA base
kVA base
kVA base
kVA base
Neutral Grounding Resistor (if applicable):
1 2t or K (heating time constant):
Exciter data:
Governor data:
Additional Information:
(Continued on Sheet No. 10-108)
Date Filed: 11-02-05 By: Cynthia L. Lesher Effective Date: 02-01-07
President and CEO of Northern States Power Company
Docket No. E002/GR-05-1428 Order Date: 09-01-06
S:\General-Offices-GO-01\PSF\RA\Rates\Current\Mn elec\Me 10 107.doc
Northern States Power Company, a Minnesota corporation
and wholly owned subsidiary of Xcel Energy Inc.
Minneapolis, Minnesota 55401
MINNESOTA ELECTRIC RATE BOOK - MPUC NO. 2
DISTRIBUTED GENERATION STANDARD Section No. 10
INTERCONNECTION AND POWER PURCHASE TARIFF (Continued) Original Sheet No. 108
APPENDIX C: Engineering Data Submittal Form (Continued)
INDUCTION GENERATOR (if applicable)
Rotor Resistance (Rr):
Rotor Reactance (Xr):
Magnetizing Reactance (Xm):
Ohms Stator Resistance (Rs):
Ohms Ohms
Ohms Stator Reactance (Xs):
Ohms
Short Circuit Reactance (Xd):
Ohms
Design Letter:
Frame Size:
Exciting Current:
Temp Rise (deg C°):
Rated Output (kW):
Low Voltage: kV Connection: delta wye ❑
Reactive Power Required:
kVars (no Load) kVars (full load)
If this is a wound -rotor machine, describe any external equipment to be connected (resistor, rheostat, power
converter, etc.) to rotor circuit, and circuit configuration. Describe ability, if any, to adjust generator reactive output to
provide power system voltage regulation.
kVA base
Transformer Resistance (R): % on
kVA base
Transformer Reactance (X): % on
Additional Information:
Neutral Grounding Resistor (if applicable)
PRIME MOVER (Complete all applicable items)
Unit Number: Type:
Manufacturer:
Serial Number:
Date of Manufacture:
H. P. Rated: H.P. Max:
Inertia Constant: Ib. -ft.
Energy Source (hydro, steam, wind, wind etc.):
INTERCONNECTION (STEP-UP) TRANSFORMER (If applicable)
Manufacturer: I kVA:
Date of Manufacture: Serial Number:
High Voltage: kV Connection: delta wye ❑
Neutral solidly grounded?
Low Voltage: kV Connection: delta wye ❑
Neutral solidly grounded?
Transformer Impedance (Z): % on
kVA base
Transformer Resistance (R): % on
kVA base
Transformer Reactance (X): % on
I kVA base
Neutral Grounding Resistor (if applicable)
(Continued on Sheet No. 10-109)
Date Filed: 11-02-05 By: Cynthia L. Lesher Effective Date: 02-01-07
President and CEO of Northern States Power Company
Docket No. E002/GR-05-1428 Order Date: 09-01-06
S:\General-Offices-GO-01\PSF\RA\Rates\Current\Mn elec\Me 10 108.doc
Northern States Power Company, a Minnesota corporation
and wholly owned subsidiary of Xcel Energy Inc.
Minneapolis, Minnesota 55401
MINNESOTA ELECTRIC RATE BOOK - MPUC NO. 2
DISTRIBUTED GENERATION STANDARD Section No. 10
INTERCONNECTION AND POWER PURCHASE TARIFF (Continued) Original Sheet No. 109
APPENDIX C: Engineering Data Submittal Form (Continued)
TRANSFER SWITCH (If applicable)
Model Number: Type:
Manufacturer: Rating (amps):
INVERTER (If applicable)
Manufacturer: Chint Power systems Model: 50kw
Rated Power Factor (%): >0.99 Rated Voltage (Volts): 48ovac Rated Current (Amperes): 60A
Inverter Type (ferroresonant, st ulse-width modulation, etc.): pulse -width modification
Type of Commutation: forced line I Minimum Short Circuit Ratio required: nia
Minimum voltage for successfu commutation: 480vao
Current Harmonic Distortion Maximum Individual Harmonic t%1: >3%
Maximum Total Harmonic Distortion (%): >3i
Voltage Harmonic Distortion Maximum Individual Harmonic t%1: >3%
Maximum Total Harmonic Distortion (%):>3%
Describe capability, if any, to adjust reactive output to provide voltage regulation:
power factor adjustable to +/- 80%
NOTE: Attach all available calculations, test reports, and oscillographic prints showing inverter output voltage and
current waveforms.
POWER CIRCUIT BREAKER (if applicable)
Manufacturer:
Model:
Rated Voltage (kilovolts):
Rated Ampacit (Amperes):
Interrupting Rating (Amperes):
BIL Rating:
Interrupting Medium (vacuum, oil, gas, etc.)
Insulatin Medium (vacuum, oil, gas, etc.)
Control Voltage (Closing): (Volts) ❑ AC
❑ DC
Control Voltage (Tripping): (Volts) AC
0 DC 013atter
hargecl Capacitor
Close Energy (circle one): Spring Motor
❑ Hydraulic
❑ Pneumatic ❑Other
Trip Energy (circle one): LJ Spring ❑ Motor
❑ Hydraulic
❑ Pneumatic ❑Other
Bushing Current Transformers (Max. ratio):
I Relay Accuracy Class:
CT'S Multi Ratio? (circle one); DNo / Yes: (Available taps):
(Continued on Sheet No. 10-110)
Date Filed: 11-02-05 By: Cynthia L. Lesher Effective Date: 02-01-07
President and CEO of Northern States Power Company
Docket No. E002/GR-05-1428 Order Date: 09-01-06
S:\General-Offices-GO-01\PSF\RA\Rates\Current\Mn elec\Me 10 109.doc
Northern States Power Company , a Minnesota corporation
and wholly owned subsidiary of Xcel Energy Inc.
Minneapolis, Minnesota 55401
MINNESOTA ELECTRIC RATE BOOK - MPUC NO. 2
DISTRIBUTED GENERATION STANDARD Section No. 10
INTERCONNECTION AND POWER PURCHASE TARIFF (Continued) Original Sheet No. 110
APPENDIX C: Engineering Data Submittal Form (Continued)
11 MISCELLANEOUS (Use this area and any additional sheets for applicable notes and comments) 11
SIGN OFF AREA
This Engineering Data Submittal documents the equipment and design of the Generation System. We agree
to supply Xcel Energy with an updated Engineering Data Submittal any time significant changes are made in
the equipment used or the design of the proposed Generation System. The Applicant agrees to design,
operate and maintain the Generation System within the requirements set forth by the "State of Minnesota
Distributed Generation Interconnection Requirements".
Applicant Name (print):
Charlie Nickoloff
Applicant Signature: Date: 25 January 2017
SEND THIS COMPLETENED ENGINEERING DATA SUBMITTAL AND ANY ATTACHMENTS TO THE
GENERATION INTERCONNECTION COORDINATOR
(Continued on Sheet No. 10-111)
Date Filed: 11-02-05 By: Cynthia L. Lesher Effective Date: 02-01-07
President and CEO of Northern States Power Company
E002/GR-05-1428 09-01-06
S:\General-Offices-GO-01\PSF\RA\Rates\Current\Mn elec\Me 10 110.doc