EL PASO ELECTRIC COMPANY FIRST REVISED SAMPLE FORM NO. 21 CANCEWNG ORIGINAL SAMPLE FORM NO. 21

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1 I EL PASO ELECTRIC COMPANY FIRST REVISED SAMPLE FORM NO. 21 CANCEWNG ORIGINAL SAMPLE FORM NO. 21 APPUCAnONTOINTERCONNECT TO EL PASO ELECTRIC COMPANY'S ELECTRICAL SYSTEM BY A QUAUFYING COGENERAnON OR SMALL POWER PRODUCnON FACIUTY Page 1 of 9 I. Applicant's Name: A. Contact Person: ~--Telephone: II. Applicant's Address: Zip Code: III. Project Name: ~ _ A. Project Location: Include site plan to scale showing exact location of the Qualifying facility and desired point of interconnection with EI Paso Electric Company (EPE). B. Project Developer: C. Pr~ed~er: D. Contact Telephone: (If~d;:-::iff;-e-re-n-:-t fr=-o-m-a-pp-=i-=-ic-a-=nt-:-") ---- E. Project Developer's Address: Zip: (If different from applicant) IV. Type of Qualifying _ Cogeneration Small Power Production FOR SERVICE ON BY F O. C4>& - 9) S? 1"")9 HEW MEXICO PUEllC SERVICE WYMISSION Signa\urefTilfe~~1 ----

2 Continuation of Fonn No. 21 EI Paso Electric COmpany's Electrical System Page 2 of 9 V. Description of Project (Please provide a brief narrative description of the Qualifying F acuity sufficient to describe any unique characteristics of the.) VI. If Cogeneration A. Is the Cogeneration a:,bottom Cycle or pping Cycle B. Fuel Source(s) _Natural Gas_Fuel Oil Coal Other (specify) C. Prime Mover(s) Type(s) of Prime Mover D. Generating Unites) 1. What is the design capacity of each unit? KW KW KW 2. What is the nameplate voltage of the generating unit(s) SERVICE ON Advice Notice No. 1,:..4:,::5: MEXICO PUBUC SERVICE COMMISSION Signaturernue ~!.oi.c....c-~,... _ ~.

3 Continuation of Form No. 21 Page 3 of9 3. Is the generating unites): Three phase or Single phase 4. Is the generator(s): Synchronous or Induction 5. What percent of the designed capacity will this facility normally be operated % 6. Days of week this facility will normally be in operation: Monday Tuesday Wednesday Thursday Friday Saturday Sunday All Holidays 7. Specify what hours of each operating day of the week this facility will normally be in operation. VII. If small power production facility. A. Renewable Energy Source: _Sun _ Wind _Biomass _ Geothermal _ Other (specify) B. If Biomass. please specify type. SERVICE _ON M Xl(X) PUBUC SERVICE rommission SignaturelTltle ~ra40"""~' ""-----'oa:'c(

4 Continuation of Form No. 21 COgeneration or Small Power Production Page 4 of 9 c. If augmented by a non-renewable energy resource, what is the type of fuel used? Type of fuel: _. _Natural Gas _Fuel oil Coal D. Generating Unites) 1. What is the design capacity of each unit? KW KW KW 2. What is the nameplate voltage of the generating unites) 3. Are the generating unites): Three phase or Single phase 4. Is the generator(s): Synchronous or 'nduction 5. What percent of the designed capacity will this facility normally be operated % 6. Days of week this facility will normally be in operation: Monday Tuesday Wednesday _Thursday _ Friday _Saturday _Sunday _All Holidays _ SERVICE ON MEXJ(X) PUBLIC SERVICE COMMISSION SignalurelTlUe~.'----::' VIce President

5 _.. EL PASO ELECTRIC COMPANY ContinuatIon of Form No. 21 Cogeneration or SmaU Power Production Page 50f9 7. Specify what hours of each operating day of the week this facility will be in operation, and at what percent of the designed capacity. If depended on solar or wind power, write N/A. VIII. Will this facility qualify under Federal Energy Regulatory Commission Regulations, Subpart B, 18 CFR Part 292. promulgated pursuant to Section 201 of the Public Utility Regulatory Policies Act of 1978, P.L , 92 Stat. 3117, November 9, 1978? 1. Please attach copy of your Federal Energy Regulatory Commission (FERC) application for Qualifying FaCility. A. If applicable: FERC Docket (please attach copy of Letter of Notification) and status of Docket. IX. Will there be any electric utility company or subsidiary of an electric utility company ownership of this project? _ If yes, what percentage? _% Name ~Company X. Estimated date this facility will be ready for interconnection with EI Paso Electric Company. XI. Estimated date this facility will be in operation under test conditions. XII. What electric power and energy requirements need to be supplied by EI Paso Electric Company? A. Desired type of service: volts, phase, _ wire B. Supplementary Power KW C. Back-up Power KW,--.;;S;..;;;;;E~RV~I:..=C=E ON 60. Coy: ~C#sfl<) MEXICO PUBUC SERVICE COMMISSfOr~ Advice Notice No. ~--:..;:.=- Signaturetrdle ----.

6 Continuation of fond No. 21 By a Qualifying Page 6 of 9 D. Scheduled Maintenance Power KW 1. What will be the normal maintenance schedule for the unit(s)? (Please submit manufacturer's data) E. Interruptible Power KW XIII. Project Licensed Professional Engineer: Name: Address: Telephone: Before the project is interconnected with EPE's electrical system, a statement must be submitted to EPE by the Licensed Professional Engineer certifying that the design of the Qualifying and its interconnection equipment complies with utility requirements and with reasonable interconnection safety and design standards and prudent electrical practices. XIV. Technical information pertaining to interconnection and safety requirements. A. Please prepare a one-line electrical diagram of the proposed Qualifying Projects and attach it to this form. B. Please describe the proposed protection schemes and attach to this form. C. Please describe the proposed relay settings and attach to this form. D. Please describe the proposed operating procedure for the facility and attach to this form. E. Please outline the proposed construction schedule and attach to this form. FOR SERVICE ON BY Eo. CaY 4Jr ~Q)"'l9 NEW M XJCO PUBlIC SfRVICE WMMlSSlor, Advice Notice No. --:.1..;:,4;::.5 SignaturefrlHe ~='.,C... c.4~..-:'~ ~ ~

7 Continuation of Form No. 21 Page 7 of 9 F. Please prepare a fault study and protection analysis for the entire facility and attach to this form. Received By EI Paso Electric Company Date: Applicant's Name: By: Title: Date: Application Approval by EI Paso Electric Company By: Date: Application Disapproval EI Paso Electric Company By: Date: Project Interconnection and Safety Requirements Approval EI Paso Electric Company By: Date: " SERVICE ON M XIIX) PUBLIC SERVICE COMMISSION Signa\ureITdle~~=""'''':''''~---''----

8 Continuation of Fonn No. 21 Page 8 of 9 MACHINE DATA (Complete this section separately for each generating unit in the project) GENERATOR DATA TYPE: NAME PLATE RATING: (Induction/Synchronous) KVAlHP RATED POWER FACTOR:. % RATED VOLTAGE: Volts EFFICIENCY: % INERTIA CONSTANT (When Available) Ibm ft. GENERATOR PARAMETERS Synchronous Reactances*: Synchronous (Xd) % TranSient (X'd) % Subtransient (X'd) % Negative Sequence Armature (X2) % Rotor (Field) (Xr) % -Sase KVA Resistances: Armature (ra) Rotor (Field) (rr) Time Constant Direct Axis Subtransient (T"d) sec. " SERVICE --- ON MEXICO PUBlIC SERVICE COMMlSSlOtI. SignalurelTitle ~ ;;;

9 Continuation of Form No. 21 Page 9 of 9 Induction Reactances*: Stator (Xs) Rotor (Xr) "Base KVA Resistances: Rotor (Rr) --- % PRIME MOVER Type: _-.-;. (ReciprocatinglTurbine) Rating: KW or HP Inertia Constant (When Available) _Ibm ft. TRANSFORMER High Voltage: KV Connection Low Voltage: KV Connection KVA Rating: Impedance*: Resistance: Reactance: "Base KVA - Available Taps: ~::.:.:.:..:.=:;.=.. ON mill_tal PUBlIC SERVICE COMMISSIQH