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ATTACHMENT Y Screens Process Interconnection Request (For Generation Facilities of 2MW or Less)

1.0 Instructions:

Interconnection Customer must submit the Screens Process Interconnection Request to transmission Provider by hand delivery, mail, e-mail, or fax.

2.0 Processing Fee or Deposit

Interconnection Customer is required to provide the Transmission Provider the applicable initial deposit and the applicable non-refundable base deposit (all per MW amounts to be proportionately allocated to .1 (onetenth) of a megawatt) for a proposed interconnection of a generation facility of 2 MW or less. The base and initial per MW deposit received will be credited toward the amount of the Generation Interconnection Customer’s cost responsibility for the Generation Interconnection Feasibility Study and other studies or reviews conducted under Part IV or Part VI of the Tariff.

3.0 Interconnection Customer Information

Legal Name of the Interconnection Customer (or, if an individual, individual's name) Name: Contact Person: Mailing Address: City: State: DE DC IL IN KY MI MD NC NJ OH PA TN VA WV Zip Code: Facility Location: (if different from above) Telephone (Day): Telephone (Evening): Fax: E-mail Address: Alternative Contact Information (if different from the Interconnection Customer) Name: Title: Address: Telephone (Day): Telephone (Evening): Fax: E-mail Address:

4.0 Energy Resource Information

Will the Energy Resource be used for any of the following: Yes No Net Metering? Yes No To Supply Power to the Interconnection Customer? Yes No To Supply Power to Others? For installations at locations with existing electric service to which the proposed Energy Resource will interconnect, provide: Local Electric Service Provider: Contact Name: Title: Address: Telephone (Day): Telephone (Evening): Fax: E-mail Address: Requested Point of Interconnection: Interconnection Customer's Requested In-Service Date: Energy Source: Solar Wind Hydro Hydro Type (e.g. Run-of-River): Diesel Natural Gas Fuel Oil Other (state type) : Prime Mover: Fuel Cell Recip Engine Gas Turb Steam Turb Microturbine PV Other Type of Generator: Synchronous Induction Inverter Generator Nameplate Rating: kW (Typical) Generator Nameplate kVAR: Interconnection Customer or Customer-Site Load: kW (if none, so state) Typical Reactive Load (if known): Maximum Physical Export Capability Requested: kW List components of the Small Energy Resource equipment package that are currently certified: Equipment Type Certifying Entity 1. 2. 3. 4. 5. Is the prime mover compatible with the certified protective relay package? Yes No Generator (or solar collector) Manufacturer, Model Name, and Number: Version Number: Nameplate Output Power Rating in kW: (Summer) (Winter) Nameplate Output Power Rating in kVA: (Summer) (Winter) Individual Generator Power Factor Rated Power Factor: Leading: Lagging: Total Number of Generators in wind farm to be interconnected pursuant to this Interconnection Request: Elevation: Single phase Three phase Inverter Manufacturer, Model Name & Number (if used): List of adjustable set points for the protective equipment or software: Note: A completed Power Systems Load Flow data sheet must be supplied with the Interconnection Request.

5.0 Energy Resource Characteristic Data (for inverter-based machines)

Max design fault contribution current: Instantaneous or RMS? Harmonics Characteristics : Start-up Requirements:

6.0 Energy Resource Characteristic Data (for rotating machines)

RPM Frequency: (*) Neutral Grounding Resistor (If Applicable): Synchronous Generators: Direct Axis Synchronous Reactance, Xd: P.U. Direct Axis Transient Reactance, X'd: P.U. Direct Axis Subtransient Reactance, X"d: P.U. Negative Sequence Reactance, X2: P.U. Zero Sequence Reactance, X0: P.U. KVA Base: Field Volts: Field Amperes: Induction Generators: Motoring Power (kW): I22t or K (Heating Time Constant): Rotor Resistance, Rr: Stator Resistance, Rs: Stator Reactance, Xs: Rotor Reactance, Xr: Magnetizing Reactance, Xm: Short Circuit Reactance, Xd": Exciting Current: Temperature Rise: Frame Size: Design Letter: Reactive Power Required In Vars (No Load): Reactive Power Required In Vars (Full Load): Total Rotating Inertia, H: Per Unit on kVA Base Note: Please contact the Transmission Provider prior to submitting the Interconnection Request to determine if the specified information above is required. Excitation and Governor System Data for Synchronous Generators Only Provide appropriate IEEE model block diagram of excitation system, governor system and power system stabilizer (PSS) in accordance with the appropriate regional reliability council criteria. A PSS may be determined to be required by applicable studies. A copy of the manufacturer's block diagram may not be substituted.

7.0 Interconnection Facilities Information

Will a transformer be used between the generator and the point of common coupling? Yes No Will the transformer be provided by the Interconnection Customer? Yes No Transformer Data (If Applicable, for Interconnection Customer-Owned Transformer): Is the transformer: Single Phase Three Phase Size: kVA Transformer Impedance: % on kVA based     If Three Phase: Transformer Primary: Volts Delta Wye Wye Grounded Transformer Secondary: Volts Delta Wye Wye Grounded Transformer Tertiary: Volts Delta Wye Wye Grounded Transformer Fuse Data (If Applicable, for Interconnection Customer-Owned Transformer): (Attach copy of fuse manufacturer's Minimum Melt and Total Clearing Time-Current Curves) Manufacturer: Type: Size: Speed: Interconnecting Circuit Breaker (if applicable): Manufacturer: Type: Load Rating (Amps) : Interrupting Rating (Amps): Trip Speed (Cycles): Interconnection Protective Relays (If Applicable): If Microprocessor-Controller: List of Functions and Adjustable Setpoints for the protective equipment or software: Setpoint Function   Minimum Maximum 1. 2. 3. 4. 5. 6. If Discrete Components: (Enclose Copy of any Proposed Time-Overcurrent Coordination Curves) Manufacturer Type Style/Catalog No. Proposed Setting Current Transformer Data (If Applicable): (Enclose Copy of Manufacturer's Excitation and Ratio Correction Curves) Manufacturer Type Accuracy Class. Proposed Ratio Connection Potential Transformer Data (If Applicable): Manufacturer Type Accuracy Class. Proposed Ratio Connection

8.0 Diagrams and Site Control Documentation

Enclose copy of site electrical one-line diagram showing the configuration of all Energy Resource equipment, current and potential circuits, and protection and control schemes. This one-line diagram must be signed and stamped by a licensed Professional Engineer if the Energy Resource is larger than 50 kW. Is one-line diagram enclosed? Yes No Enclose copy of any site documentation that indicates the precise physical location of the proposed Energy Resource ( e.g., USGS topographic map or other diagram or documentation). Proposed location of protective interface equipment on property (include address if different from the Interconnection Customer's address) Enclose copy of any site documentation that describes and details the operation of the protection and control schemes. Is available documentation enclosed? Yes No Enclose copies of schematic drawings for all protection and control circuits, relay current circuits, relay potential circuits, and alarm/monitoring circuits (if applicable). Are schematic drawings enclosed? Yes No Provide demonstration of site control through an exclusive option to purchase the property on which the generation project is to be developed, a property deed, or a range of tax or corporate documents that identify property ownership. Site control must either be in the name of the party submitting the generation interconnection request or documentation must be provided establishing the business relationship between the project developer and the party having site control.

Interconnection Customer hereby certifies that, to the best of my knowledge, all the information provided in this Screens Process Interconnection Request is true and correct. Interconnection Customer     By:   Name Title Date