Distributed Generation Interconnection Application

"*" indicates required fields

Step 1 of 9

1 – Date*

2 – Name*

3 – Address*

Street Address Address Line 2 City State ZIP Code

Do you consent to signing this document electronically?*

Yes

DG Owner/Operator Full Name (Electronic Signature)*

Whom It May Concern;

To establish electric service in your name, please complete a membership application. Return the completed form with a photo ID.

The $10 membership fee and the $60 non-refundable connect fee can be billed on your first statement with a credit reference letter showing zero late payments in the last 12 months of service from another power company. If no credit reference letter is available, the deposit is equal to two times the highest actual monthly bill at that particular address. You can choose the date to have your bill due each month if desired. Please specify a date between the 1st and the 28th of the month.

You may also choose to have a pre-paid account. If you choose to put the account on pre-pay, please also provide the following:

A pre-paid electric service signed agreement
$10 membership fee
$60 connect fee
a minimum of $50 on your account

If you have any questions, please contact the New Business Department at the phone number listed below or at newbusiness@vea.coop.

Thank You,

Customer Service

Application for New Membership

Agreement established, between Valley Electric Association (VEA), and _____________________ (hereinafter called the “MEMBER”) upon the following terms and conditions:

This membership shall be effective upon acceptance of this application, and all rights and privileges thereto shall continue as long as the member (a) purchases electric energy from VEA and (b) complies with and be bound by the provisions of the Articles of Incorporation, the Amended Bylaws of VEA and any amendments thereto and such Rules and Regulations, service policies and billing procedures as may from time to time be adopted by the Board of Directors.
The MEMBER, by becoming a member, assumes no personal liability or responsibility for any debts or liabilities of VEA, and it is expressly understood that under the law the MEMBER’S private property cannot be attached for any debts or liabilities of VEA.
The MEMBER, through this application and agreement, and in consideration of VEA’S furnishing electric service, hereby grants and conveys all necessary and convenient right-of-way, easements, rights of ingress and egress to VEA for the purposes of installing, furnishing and maintaining electric service and facilities to the MEMBER, which shall include the right to clear right of-way. MEMBER agrees to work with and provide easement to VEA for extending new facilities or relocation of existing facilities.
Production or use of electric energy on the MEMBER’S premises, regardless of the source thereof, by means of facilities, which shall be interconnected with VEA facilities, shall be subject to appropriate Rules and Regulations as shall be adopted by VEA. Such facilities interconnected with VEA’S facilities shall require execution of an Interconnection Agreement between the MEMBER and VEA.
SIGNING this agreement constitutes permission to collect previous credit information for the purpose of determining payment history.
In the event the MEMBER defaults on any charges for electric service, construction, extension or any other accounts, VEA shall have the right to collect the entire balance of all monies due and VEA may elect any remedy at law as well as the right to disconnect its electric facilities and lines; in the event of an action at law to enforce collection, the MEMBER agrees to pay VEA’S collection costs ,attorney fees and court costs.
VEA shall have the right to apply any or all the MEMBER’S unretired Patronage Capital toward the payment of the MEMBER’S unpaid billing balance(s).
The MEMBER’S membership in VEA and termination or withdrawal of membership shall be governed by the provisions of the Articles of Incorporation, the Amended Bylaws of VEA and any amendments thereto and such Rules and Regulations, service policies and billing procedures as may from time to time be adopted by the board of Directors.
CONTINUITY OF SERVICE: VEA shall use reasonable diligence to provide a constant and uninterrupted supply of electric power and energy hereunder. If the supply of electric power shall fail or be interrupted, or become defective through an act of God, Government authority, action of the elements, public enemy, accident, labor trouble, required maintenance work, inability to secure right-of-way or any other cause beyond the reasonable control of VEA, VEA shall therefore not be liable for damages caused thereby.
BY SIGNING this application and agreement, the patrons of VEA, by dealing with VEA, acknowledge that the terms and provisions of the Articles of Incorporation and Bylaws shall constitute and be a contract between VEA and each patron, and both VEA and the patrons are bound by such contract, as fully as though each patron had individually signed a separate instrument containing such terms and provision. The provisions of this Article of the Bylaws shall be called to the attention of each patron of VEA.
SUCCESSION AND APPROVAL: This Agreement shall be binding upon and inure to the benefit of the successors, legal representatives and assigns of the respective parties hereto. It is agreed that the venue for the enforcement or interpretation of the Agreement shall be Nye County, Nevada.

To Whom It May Concern:

To establish electric service for your business, please complete the attached application. Return the completed form with a photo ID of at least one signer on the application. A Tax ID number or other documentation showing eligibility to conduct business in the state of Nevada is also required to start a business account.

The $10 membership fee can be billed on your first statement with a credit reference letter in the name of the business showing zero late payments in the last twelve months of service with another power company. If no credit reference letter is available, the deposit is equal to two times the highest actual monthly bill at that particular address or a minimum of $300. The $60 non-refundable connect fee will be billed on your first billing statement.

You can choose the date to have your bill due each month if desired. Please specify any date between the he 1st and the 28th of the month.

If you have any questions, please contact the New Business Department at the phone number listed below or at newbusiness@vea.coop

Thank you,

Customer Service

Application for New Membership

Agreement established, between Valley Electric Association (VEA), and _____________________ (hereinafter called the “MEMBER”) upon the following terms and conditions:

This membership shall be effective upon acceptance of this application, and all rights and privileges thereto shall continue as long as the member (a) purchases electric energy from VEA and (b) complies with and be bound by the provisions of the Articles of Incorporation, the Amended Bylaws of VEA and any amendments thereto and such Rules and Regulations, service policies and billing procedures as may from time to time be adopted by the Board of Directors.
The MEMBER, by becoming a member, assumes no personal liability or responsibility for any debts or liabilities of VEA, and it is expressly understood that under the law the MEMBER’S private property cannot be attached for any debts or liabilities of VEA.
The MEMBER, through this application and agreement, and in consideration of VEA’S furnishing electric service, hereby grants and conveys all necessary and convenient right-of-way, easements, rights of ingress and egress to VEA for the purposes of installing, furnishing and maintaining electric service and facilities to the MEMBER, which shall include the right to clear right of-way. MEMBER agrees to work with and provide easement to VEA for extending new facilities or relocation of existing facilities.
Production or use of electric energy on the MEMBER’S premises, regardless of the source thereof, by means of facilities, which shall be interconnected with VEA facilities, shall be subject to appropriate Rules and Regulations as shall be adopted by VEA. Such facilities interconnected with VEA’S facilities shall require execution of an Interconnection Agreement between the MEMBER and VEA.
SIGNING this agreement constitutes permission to collect previous credit information for the purpose of determining payment history.
In the event the MEMBER defaults on any charges for electric service, construction, extension or any other accounts, VEA shall have the right to collect the entire balance of all monies due and VEA may elect any remedy at law as well as the right to disconnect its electric facilities and lines; in the event of an action at law to enforce collection, the MEMBER agrees to pay VEA’S collection costs ,attorney fees and court costs.
VEA shall have the right to apply any or all the MEMBER’S unretired Patronage Capital toward the payment of the MEMBER’S unpaid billing balance(s).
The MEMBER’S membership in VEA and termination or withdrawal of membership shall be governed by the provisions of the Articles of Incorporation, the Amended Bylaws of VEA and any amendments thereto and such Rules and Regulations, service policies and billing procedures as may from time to time be adopted by the board of Directors.
CONTINUITY OF SERVICE: VEA shall use reasonable diligence to provide a constant and uninterrupted supply of electric power and energy hereunder. If the supply of electric power shall fail or be interrupted, or become defective through an act of God, Government authority, action of the elements, public enemy, accident, labor trouble, required maintenance work, inability to secure right-of-way or any other cause beyond the reasonable control of VEA, VEA shall therefore not be liable for damages caused thereby.
BY SIGNING this application and agreement, the patrons of VEA, by dealing with VEA, acknowledge that the terms and provisions of the Articles of Incorporation and Bylaws shall constitute and be a contract between VEA and each patron, and both VEA and the patrons are bound by such contract, as fully as though each patron had individually signed a separate instrument containing such terms and provision. The provisions of this Article of the Bylaws shall be called to the attention of each patron of VEA.
SUCCESSION AND APPROVAL: This Agreement shall be binding upon and inure to the benefit of the successors, legal representatives and assigns of the respective parties hereto. It is agreed that the venue for the enforcement or interpretation of the Agreement shall be Nye County, Nevada.

Membership Type*

Individual

Joint

Commercial

Billing Type*

Traditional Billing

Pre-paid Account Billing

Applicant Legal Name*

Applicant Social Security Number*

Applicant Email Address*

Co-Applicant Legal Name

Co-Applicant Social Security Number

Co-Applicant Email Address

Taxpayer ID Number*

Main Contact

Are you the*

Owner

Tenant

Agent

Date Service Requested*

Due Date

Service Address*

Street Address Address Line 2 City State ZIP Code

Mailing Address*

Street Address Address Line 2 City State ZIP Code

Telephone Number — Home*

Telephone Number — Cell

Telephone Number — Other

Employer

Employer Telephone Number

Co-Applicant Employer

Co-Applicant Employer Telephone Number

Supporting Documents

Drop files here or

Accepted file types: jpg, jpeg, gif, doc, docx, pdf, png, Max. file size: 120 MB.

Such as photo ID and credit reference letter.

I, the undersigned, swear the information contained in this Application for Membership is true and correct to the best of my knowledge.

Do you consent to signing this document electronically?*

Yes

Applicant Full Name (Electronic Signature)*

Co-Applicant Full Name (Electronic Signature)

Date*

INITIAL HERE IF YOU RECEIVED AND UNDERSTAND THE PRE-PAID BILLING HANDOUT*

Terms & Conditions for Pre-paid Service

Residential Application Instructions

FOR NEW (NO PRE-EXISTING) ELECTRIC SERVICE

THE FOLLOWING DOCUMENTS and FEES ARE REQUIRED TO INITIATE APPLICATION FOR SERVICE.
1. PROOF OF OWNERSHIP. A copy of ownership document for property on which service is to be located.
2. COUNTY APPROVED SITE PLAN (Stamped by county) indicating location of meter base, APN, and street address.
3. NON-REFUNDABLE ENGINEERING FEE. $300.00. ALL RESIDENTIAL APPLICATIONS FOR SERVICE WILL HAVE AN INITIAL NON-REFUNDABLE ENGINEERING FEE OF $300.00. ADDITIONAL INSTALLATION, IMPACT, AND APPLICABLE LINE EXTENSION FEES WILL BE DETERMINED AFTER THE SITE MEET. CONSTRUCTION WILL NOT BEGIN UNTIL ALL FEES ASSESSED AFTER THE SITE MEET HAVE BEEN PAID.
4. RESIDENTIAL SERVICE MEMBERSHIP FEE and DEPOSIT
  If not currently a VEA member: $10
  A deposit is required. Minimum security deposit is $200.00. Credit Reference letter from another ELECTRIC utility indicating 12 months of good payment history will be accepted in lieu of deposit.
5. OR: PROPERTY OWNER RELEASE.
  If installation fee is paid by Contractor/Builder, Property Owner must sign release, The account will then be opened under the name of the contractor/builder. Upon completion and release by Building & Safety, the account can then be transferred to Property Owner when Membership and Deposit (unless waived) fees have been paid.
6. CONSTRUCTION APPLICATION for ELECTRIC SERVICE.
  Print date, name(s) of person(s) listed on proof of ownership (deed, etc.), street address, city, site contact info, and Assessors Parcel Number (APN) where indicated. Include service capacity (Amperage), and voltage requirements. Owner(s) grants and conveys to Valley Electric Association permission to provide access to install and maintain utility service facilities.
7. RIGHT-OF-WAY EASEMENT.
  Each prospective member will also be required to execute a Right-of-Way Easement for their property, and may be required to secure Right-of-Way Easements from adjacent property owners upon whose land it may be necessary to locate power lines to serve Valley Electric Association members.
8. SERVICE LOAD CALCULATION WORKSHEET. See Chapter 2, National Electrical Code (NEC).

NOTE: Applications mailed or dropped off at VEA’s office will be returned to the individual requesting the service if any forms are missing or they are not properly filled in.

NOTE: Applicant shall acquire all necessary easements required to serve property.

NOTE: Applicant shall provide professionally surveyed property corner stakes.

NOTE: Applicant is responsible for meter base, conduit, trenching and back-filling.

NOTE: Individual Sewage Disposal Systems require an inspection and approval from the Nevada State Bureau of Health (702) 486-5068 or in Pahrump, Dept of Bldg. & Safety 751-3773, before the meter will be energized. Residents in Clark County must have inspection sticker on meter base before energizing.

NOTE: Manufactured Homes require an inspection by the State Division of Manufactured Housing before a meter will be energized. Call (702) 486-4311 for information. In Pahrump, an additional manufactured home inspection permit is also required before energizing the meter. Call (775) 751-3773 for information. Residents in Clark County must have inspection sticker on meter base before energizing.

NOTE: Department of Bldg. & Safety, 751-3773, in Pahrump, requires a pre-final inspection of all “stick” buildings (residential and commercial) before a meter will be energized. Exceptions are those services that have met “Red Iron” requirements.

NOTE: Service entrance panels are to be pre-approved by VEA Engineering Department personnel.

FOR INFORMATION CALL:

PHONE (775) 727-5312
FAX (775) 727-6320
1-800-742-3330 (from inside Nevada only)

Construction Application for Electric Service

Owner/Developer*

Address*

Street Address Address Line 2 City State ZIP Code

(current mailing address)

Phone Number*

(current)

1. DESCRIPTION

Non-refundable Engineering Fee $600.00

OH/UG*

Rate*

Phase*

Volts*

(Amps, KW, HP)*

Wire, 60 hertz, AC*

Contact Person*

(if different from owner)

Phone Number*

Assessor’s Parcel Number (APN)*

2. PAYMENT

The Owner agrees to pay the Association for service hereunder at the rates and upon the terms and conditions set forth in the appropriate rate classification for this service. The Association will determine the rate/construction classification. Owner also agrees to pay any and all amounts associated with the installation of underground/overhead service as designated within the Rules and Regulations of the Association.

3. CONDITIONS

Service shall be rendered at rates and conditions in effect or that may become effective during the time the service is rendered as set forth in the Association’s tariff schedules and approved by the Association’s Board of Directors. The Owner agrees to provide any required underground service trench in conformance with the Association’s specifications from the Association distribution facilities to an approved electric service termination facility. Applications for service not completed within 90 days from the time it is received in our Construction Department will be closed and unencumbered fees returned. The 90- day period pertains to consumer/applicant delays and does not include VEA construction delays.

4. RIGHTS-OF-WAY

Owner(s) of the above described property do hereby grant and convey to Valley Electric Association permission to provide access to install and maintain utility service facilities.

Extension of power lines necessary to supply electric service will be made by the Association only upon and across properties on which it has the legal right to construct, maintain and operate power lines, and upon lands and real property over which rights-of-way satisfactory to the Association can be obtained without cost to the Association. Each prospective member may also be requested to secure all necessary and convenient rights-of-way from adjacent property owners upon whose land it may be necessary to locate the lines to serve such members.

Do you consent to signing this document electronically?*

Yes

Full Name (Electronic Signature)*

Full Name (Second Electronic Signature)

Property Owner Release

Property Owner(s)

Address

Street Address Address Line 2 City State ZIP Code

(current mailing address)

Phone Number

(current)

Assessor’s Parcel Number (APN)

Street Address

Street Address Address Line 2 City State ZIP Code

I/We, the above listed property owner(s), am/are granting the contractor/builder listed below the authorization to build on our property. It is our understanding that an electrical service account with Valley Electric Association (VEA) will be established in the name of our contractor/builder. Upon completion of the electrical service work order and the receipt of all required permits from the appropriate governmental entity, it will be our responsibility to meet membership and deposit requirements to have the account transferred or opened into our name. Until such time, the account will remain in the name of our contractor/builder.

1. Contractor/Builder

Name of Contractor/Builder

Contractor/Builder Account Number

Address

Street Address Address Line 2 City State ZIP Code

Contact Person

Phone Number

(if different from owner)

Rate applied for

Signature of Owners

Do you consent to signing this document electronically?**

Yes

Full Name (Electronic Signature 1)

Full Name (Electronic Signature 2)

Full Name (Electronic Signature 3)

Distributed Generation (DG) Interconnection Application

Location of the DG Project

Member's Name*

VEA Account Number*

Street Address*

Street Address Address Line 2 City State ZIP Code

Phone Number*

Fax Number

Email*

Note: Please complete the Site Plan attached to this document.

Interconnection Oneline (PDF)

Contractor Contact Information

Contact Person*

Company Name*

Contractor License*

Street Address*
Street Address Address Line 2 City State ZIP Code

Phone Number*

Fax Number

Email*

Facility Information

Type of Generation Source*

Solar

Wind

Other

Estimated Monthly kWh Production*

Estimated In-Service Date*
MM slash DD slash YYYY

Does the Homeowner Own the Equipment?*

Yes

No

Who Owns the Equipment?*

Do you consent to signing this document electronically?*
Yes

Member's Full Name (Electronic Signature)*

Do not begin operation until Valley Electric Association has inspected the interconnection and installed a net meter.

Panel Load Calculation Worksheet
Project

Panel ID

Lighting
Connected Load
kVA
Code Demand Factor
%
Calculated Demand Load
kVA
General-use Receptacles (First 10kVA)
Connected Load
kVA
Code Demand Factor
%
Calculated Demand Load
kVA
General-use Receptacles (Over 10kVA)
Connected Load
kVA
Code Demand Factor
%
Calculated Demand Load
kVA
Motor & Compressors
Connected Load
kVA
Code Demand Factor
%
Calculated Demand Load
kVA
Largest Motor Load
Connected Load
kVA
Code Demand Factor
%
Calculated Demand Load
kVA
Dedicated or Specific-use Receptacles
Connected Load
kVA
Code Demand Factor
%
Calculated Demand Load
kVA
HVAC & Mechanical Equipment Loads
Connected Load
kVA
Code Demand Factor
%
Calculated Demand Load
kVA
Kitchen Equipment
Number
Connected Load
kVA
Code Demand Factor
%
Calculated Demand Load
kVA
Miscellaneous Load 1
Volts
Connected Load
kVA
Code Demand Factor
%
Calculated Demand Load
kVA
Miscellaneous Load 2
Volts
Connected Load
kVA
Code Demand Factor
%
Calculated Demand Load
kVA
Miscellaneous Load 3
Volts
Connected Load
kVA
Code Demand Factor
%
Calculated Demand Load
kVA
Miscellaneous Load 4
Volts
Connected Load
kVA
Code Demand Factor
%
Calculated Demand Load
kVA
Other
System Voltage
240/120
3φ
208/120
1φ
480/277
Other φ
Other φ

Total Connected Load
kVA
Total Calculated Demand Load
kVA
Total Calculated Amps
Connected Loads:

The nameplate rating of all appliances that are fastened in place, permanently connected, or located to be on a specific circuit (Water heaters, space heaters, ranges, refrigerators, etc.).

180 VA for each general-use receptacle.

Maximum VA of lighting fixtures.

VA of all motors based on full load amps from table 430-147, 148, 149, and 150 of the NEC.

Calculated Demand Load:

The connected load after any code required adjustment factor has been applied.
Load calculations shall be submitted/expressed in VA and converted to amps when sizing feeders and equipment.

Supporting Documents Upload

Drop files here or

Accepted file types: jpg, jpeg, gif, doc, docx, pdf, png, Max. file size: 120 MB.

Upload a Credit Reference letter from another ELECTRIC utility indicating 12 months of good payment history. The letter will be accepted in lieu of deposit.

Upload your site plan document.

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