Distributed Generation Interconnection Application Distributed Generation Interconnection Policy Introduction Carroll Electric Membership Corporation (herein after referred to as “Carroll EMC” or the “Cooperative”) is a non-profit cooperative created to provide the best possible service to its members. In efforts to provide great service, Carroll EMC is providing a Distributed Generation Interconnection Policy; allowing the member to connect their own electric power generation in parallel with Carroll EMC’s system. This Distributed Generation Interconnection Policy establishes the terms and conditions for the interconnection of distributed generation facilities and for providing net energy metering services. Members must not operate their distributed generation facilities in parallel with Carroll EMC’s system until they have received written authorization for parallel operation from Carroll EMC. Unauthorized parallel operation of the member generating facilities could result in injury to persons and/or damage to equipment or property. Section 1: Application Information Member Name * Mailing Address * Mailing Address Mailing Address Mailing Address City City State/Province AlabamaAlaskaArkansasArizonaCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyoming State/Province Zip/Postal Zip/Postal Facility Address (if different from above) Facility Address (if different from above) Facility Address (if different from above) Facility Address (if different from above) City City State/Province AlabamaAlaskaArkansasArizonaCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyoming State/Province Zip/Postal Zip/Postal Account Number * Phone Number * Email Address * _____________________________________________________________________________________________________________________________________________________ Contractor (if applicable) Mailing Address Mailing Address Mailing Address Mailing Address City City State/Province AlabamaAlaskaArkansasArizonaCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyoming State/Province Zip/Postal Zip/Postal Representative Phone Number Email Address If you are human, leave this field blank. Next
