production or cogeneration facility form 556 certification ... · form 556 certification of...

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FEDERAL ENERGY REGULATORY COMMISSION oMBControi# 1902-0075 WASHINGTON, DC Explratlon o:i/31/2016 Form 556 Certification of Qualifying Facility (QF) Status for a Small Power Production or Cogeneration Facility General Questions about completing this form should be sent to Form556<S)ferc.gov. Information about the Commission's QF program, answers to frequently asked questions about QF requirements or completing this form, and contact information for QF program staff are available at the Commission's QF website,www,ferc,gov/QF. The Commission's QF website also provides links to the Commission's QF regulations (18 C.F.R. § 131.80 and Part 292), as well as other statutes and orders pertaining to the Commission's QF program. Who Must File Any applicant seeking QF status or recertification of QF status for a generating fadiity with a net power production capacity (as determined in lines 7a through 7g below) greater than 1000 kW must file a self-certification oranappiicationfor Commission certification of QF status, which includes a properly completed Form 556. Any applicant seeking QF status for a generating facility with a net power production capacity 1000 kW or !ess is exempt from the certification requirement, and is therefore not required to complete or file a Form 556. See 18 C.F.R. § 292.203. How to Complete the Form 556 This form is intended to be completed by responding to the items in the order they are presented, according to the instructions given. If you need to back-track, you may need to clear certain responses before you wil! be allowed to change other responses made previously in the form. If you experience problems, click on the nearest help button (Q') for assistance, or contact Commission staff at [email protected]. Certain fines in this form wiii be automatically calculated based on responses to previous lines, with the relevant formulas shown. You must respond toali of the previous lines within a section before the results of an automatically calculated field will be displayed. If you disagree with the results of any automatic calculation on this form, contact Commission staff at [email protected] to discuss the discrepancy before filing. You must complete all lines in this form unless instructed otherwise. Do not alter this form or save this form in a different format. Incomplete or altered forms, or forms saved in formats other than PDF, will be rejected. How to File a Completed Form 556 Applicants are required to file their Form 556 electronically through the Commission's eFiiing website (see instructions on page 2). By filing electronically, you will reduce your filing burden, save paper resources, save postage or courier charges, help keep Commission expenses to a minimum, and receive a much faster confirmation (via an email containing the docket number assigned to your facility) that the Commission has received your filing. If you are simultaneously filing both a waiver request and a Form 556 as part of an application for Commission certification, see the "Waiver Requests" section on page 3 for more information on how to file. Paperwork Reduction Act Notice This form is approved by the Office of Management and Budget. Compliance with the information requirements established bytheFERCForm No. 556 is required to obtain or maintain status as a QF. See 18CF.R.§ 131.80 and Part 292. An agency may not conduct or sponsor, and a person is not required to respond to, a collection of information unless it displays a currentiy valid 0MB control number. The estimated burden for completing the FERC Form No. 556, including gathering and reporting information, is as follows: 3 hours for self-certification of a small power production facility, 8 hours for self-certifi cat ions of a cogeneration facility/6 hours for an application for Commission certification of a small power production facility, and 50 hours for an application for Commission certification of a cogeneration facility. Send comments regarding this burden estimate or any aspect of this collection of information, including suggestions for reducing this burden, to the following: Information Clearance Officer, Office of the Executive Director (ED-32), Federal Energy Regulatory Commission, 888 First Street N.E., Washington, DC 20426 ([email protected]); and Desk Officer for FERC, Office of information and Regulatory Affairs, Office of Management and Budget, Washington, DC 20503 ([email protected]). Include the Control No. 1902-0075 in any correspondence.

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Page 1: Production or Cogeneration Facility Form 556 Certification ... · Form 556 Certification of Qualifying Facility (QF) Status for a Small Power Production or Cogeneration Facility General

FEDERAL ENERGY REGULATORY COMMISSION oMBControi# 1902-0075WASHINGTON, DC Explratlon o:i/31/2016

Form 556 Certification of Qualifying Facility (QF) Status for a Small PowerProduction or Cogeneration Facility

General

Questions about completing this form should be sent to Form556<S)ferc.gov. Information about the Commission's QFprogram, answers to frequently asked questions about QF requirements or completing this form, and contact information forQF program staff are available at the Commission's QF website,www,ferc,gov/QF. The Commission's QF website alsoprovides links to the Commission's QF regulations (18 C.F.R. § 131.80 and Part 292), as well as other statutes and orderspertaining to the Commission's QF program.

Who Must FileAny applicant seeking QF status or recertification of QF status for a generating fadiity with a net power production capacity(as determined in lines 7a through 7g below) greater than 1000 kW must file a self-certification oranappiicationforCommission certification of QF status, which includes a properly completed Form 556. Any applicant seeking QF status for agenerating facility with a net power production capacity 1000 kW or !ess is exempt from the certification requirement, and istherefore not required to complete or file a Form 556. See 18 C.F.R. § 292.203.

How to Complete the Form 556This form is intended to be completed by responding to the items in the order they are presented, according to theinstructions given. If you need to back-track, you may need to clear certain responses before you wil! be allowed to changeother responses made previously in the form. If you experience problems, click on the nearest help button (Q') forassistance, or contact Commission staff at [email protected].

Certain fines in this form wiii be automatically calculated based on responses to previous lines, with the relevant formulasshown. You must respond toali of the previous lines within a section before the results of an automatically calculated fieldwill be displayed. If you disagree with the results of any automatic calculation on this form, contact Commission staff [email protected] to discuss the discrepancy before filing.

You must complete all lines in this form unless instructed otherwise. Do not alter this form or save this form in a differentformat. Incomplete or altered forms, or forms saved in formats other than PDF, will be rejected.

How to File a Completed Form 556Applicants are required to file their Form 556 electronically through the Commission's eFiiing website (see instructions onpage 2). By filing electronically, you will reduce your filing burden, save paper resources, save postage or courier charges,help keep Commission expenses to a minimum, and receive a much faster confirmation (via an email containing the docketnumber assigned to your facility) that the Commission has received your filing.

If you are simultaneously filing both a waiver request and a Form 556 as part of an application for Commission certification,see the "Waiver Requests" section on page 3 for more information on how to file.

Paperwork Reduction Act Notice

This form is approved by the Office of Management and Budget. Compliance with the information requirements establishedbytheFERCForm No. 556 is required to obtain or maintain status as a QF. See 18CF.R.§ 131.80 and Part 292. An agency maynot conduct or sponsor, and a person is not required to respond to, a collection of information unless it displays a currentiyvalid 0MB control number. The estimated burden for completing the FERC Form No. 556, including gathering and reportinginformation, is as follows: 3 hours for self-certification of a small power production facility, 8 hours for self-certifi cat ions of acogeneration facility/6 hours for an application for Commission certification of a small power production facility, and 50 hoursfor an application for Commission certification of a cogeneration facility. Send comments regarding this burden estimate orany aspect of this collection of information, including suggestions for reducing this burden, to the following: InformationClearance Officer, Office of the Executive Director (ED-32), Federal Energy Regulatory Commission, 888 First Street N.E.,Washington, DC 20426 ([email protected]); and Desk Officer for FERC, Office of information and Regulatory Affairs,Office of Management and Budget, Washington, DC 20503 ([email protected]). Include the Control No.1902-0075 in any correspondence.

Page 2: Production or Cogeneration Facility Form 556 Certification ... · Form 556 Certification of Qualifying Facility (QF) Status for a Small Power Production or Cogeneration Facility General

FERC Form 556 Page 2-instructions

Electronic Filing (eFiling)To eiectronicaiiy file your Form 556, visit the Commission's QFwebsiteatwww.ferc.gov/QFandclicktheeFiling iink.

If you are eFEIing your first document, you wiil need to register with your name, email address, mailing address, and phonenumber. If you are registering on behaifofan employer, then you will also need to provide the employer name, aiternatecontact name, alternate contact phone number and and alternate contact email.

Once you are registered, !og in to eFHing with your registered email address and the password that you created atregistration. Foiiowthe instructions. When prompted, select one of the foliowing QF-reIated fifing types, as appropriate,from the Electric or General filing category.

Filing category

Electric

General

Filing Type as listed in eFEIing

(Fee) Application for Commission Cert. as Cogeneration QF

(Fee) Application for Commission Cert. as Small Power QF

Seif-Certification Notice (QF, EG/ FQ

Seif-Recertification of Qualifying Facility (QF)

Supplementa! Information or Request

(Fee) Petition for Declaratory Order (not under FPA Part 1)

Description

Use to submit an application forCommission certification or

Commission recertification ofa

cogeneration faciHty as a QF.

Use to submit an application forCommission certification orCommission recertiflcation of a

small power production facility as aQF.

Use to submit a notice of self-certification of your facility(cogeneration or small powerproduction) as a QF.

Use to submit a notice of self-

recertification ofyourfacility(cogeneration or small power

production) as a QF.

Use to correct or supplement aForm 556 that was submitted witherrors or omissions, or for which

Commission staff has requestedadditional information. Do not usethis filing type to report newchanges to a facility or itsownership; rather, use a self-

recertification or Commissionrecertification to report suchchanges.

Use to submit a petition fordeclaratory order granting a waiverof Commission QF regulationspursuant to 18 CF.R. §§ 292.204(a)(3) and/or292.205(c). A Form 556 isnot required for a petition fordeclaratory order unless

Commission recertification Es beingrequested as part of the petition.

You will be prompted to submit your filing fee, if applicable, during the electronic submission process. Filing fees can be paidvia electronic bank account debit or credit card.

During the eFiling process, you will be prompted to select your file(s) for upload from your computer.

Page 3: Production or Cogeneration Facility Form 556 Certification ... · Form 556 Certification of Qualifying Facility (QF) Status for a Small Power Production or Cogeneration Facility General

FERC Form 556 Page 3 - Instructions

Filing FeeNo filing fee is required if you are submitting a seif-certification or self-recertification of your facility as a QF pursuant to 18CF.R. § 292.207(a).

A fEiing fee Es required if you are filing either ofthe following:

(1) an application for Commission certification or recertification of your facility as a QF pursuant to 18C.F.R.§292.207(b)/or(2) a petition for declaratory order granting waiver pursuant to 18 C.F.R. §§ 292.204(a)(3) and/or 292.205(c).

The current fees for applications for Commission certifications and petitions for declaratory order can be found by visiting theCommission's QF website at www.ferc.gov/QF and clicking the Fee Schedule link.

You will be prompted to submit your filing fee, if applicable, during the electronic filing process described on page 2.

Required Notice to Utilities and State Regulatory AuthoritiesPursuant to 18 C.F.R. § 292.207(a)(ii), you must provide a copy of your self-certification or request for Commission certificationto the utilities with which the facility will interconnect and/or transact, as well as to the State regulatory authorities of thestates in which your facility and those utilities reside. Links to information about the regulatory authorities in various statescan be found by visiting the Commission's QFwebsite at www.fercgov/QF and clicking the Notice Requirements link.

What to Expect From the Commission After You File

An applicant filing a Form 556 electronicaiiy wiii receive an email message acknowledging receipt of the filing and showingthe docket number assigned to the filing. Such email is typically sent within one business day, but may be delayed pendingconfirmation by the Secretary of the Commission of the contents of the filing.

An applicant submitting a self-certificatlon ofQF status should expect to receive no documents from the Commission, otherthan the electronic acknowledgement of receipt described above. Consistent with its name, a self-certification is acertification by f^ie opp//can^/Ke/fthat the facility meets the relevant requirements for QF status/and does not involve adetermination by the Commission as to the status of the facility. An acknowledgement of receipt of a self-certificatEon, inparticular, does not represent a determination by the Commission with regard to the QF status of the facility. An applicantseif-certifying may/ however, receive a rejection/ revocation or deficiency letter if its application is found/ during periodiccompliance reviews, not to comply with the relevant requirements.

An applicant submitting a request for Commission certification wEU receive an order either granting or denying certification ofQF status, or a letter requesting additional information or rejecting the application. Pursuant to 1 8 C.F.R. § 292.207(b)(3], theCommission must act on an application for Commission certification within 90 days of the later of the filing date of theapplication or the filing date of a supplement/amendment or other change to the application.

Waiver Requests

18C.F.R.§292.204(a)(3)allowsan applicant to request a waiver to modify the method of calcuiation pursuant to 18C.F.R.§292.204(a)(2) to determine Ef two facilities are considered to be located at the same site, for good cause. 18C.F.R.§292.205(c)allows an applicant to request waiver of the requirements of 1 8 C.F.R. §§ 292.205(a) and (b) for operating and efficiency upona showing that the faciiity will produce significant energy savings. A request for waiver of these requirements must besubmitted as a petition for declaratory order, with the appropriate filing fee for a petition for declaratory order. Applicantsrequesting Commission re certification as part of a request for waiver of one of these requirements should electronicallysubmit their compieted Form 556 along with their petition for declaratory order, rather than filing their Form 556 as aseparate request for Commission recertification. On!y the filing fee for the petition for declaratory order must be paid tocover both the waiver request and the request^orrecert'tilc^ort if such requests are made simultaneously.

18 C.F.R. § 292.203{d)(2) allows an applicant to request a waiver of the Form 556 filing requirements/ for good cause.Applicants filing a petition for dedaratory order requesting a waiver under 18 C.F.R. § 292.203(d)(2) do not need to completeor submit a Form 556 with their petition.

Page 4: Production or Cogeneration Facility Form 556 Certification ... · Form 556 Certification of Qualifying Facility (QF) Status for a Small Power Production or Cogeneration Facility General

FERC Form 556 Page 4 - Instructions

Geographic Coordinates

If a street address does not exist for your facility, then line 3c of the Form 556 requires you to report your facility's geographiccoordinates (latitude and longitude). Geographic coordinates may be obtained from several different sources. You can findiinks to online services that show latitude and longitude coordinates on online maps by visiting the Commission's QFwebpage at www.ferc.gov/QF and ciicking the Geographic Coordinates link. You may also be able to obtain your geographiccoordinates from a GPS device, Google Earth (avaE!abiefreeathttp://ear£h.gQQgle,com),a property survey, variousengineering or construction drawings, a property deed, or a municipal or county map showing property lines.

Filing Privileged Data or Critical Energy Infrastructure Information in a Form 556

The Commission's regulations provide procedures for applicants to either (1 ) request that any information submitted with aForm 556 be given privileged treatment because the information Es exempt from the mandatory public disclosurerequirements ofthe Freedom of Information Act, 5 U.S.C. § 552, and should be withheld from public disclosure; or (2) identifyany documents containing critical energy infrastructure information (CEII) as defined in 18 C.F.R. § 388.1 13 that should not bemade public.

If you are seeking privileged treatment or CEII status for any data in your Form 556, then you must follow the procedures in 18C.F.R. §388.112. See www.ferc.aov/helD/fiiina-auide/file-ceii.asp for more information.

Among other things (see 1 8 C.F.R. § 388.11 2 for other requirements), applicants seeking privileged treatment or CEII status fordata submitted in a Form 556 must prepare and file both (1) a complete version of the Form 556 (containing the privilegedand/or CEII data), and (2) a public version of the Form 556 (with the privileged and/or CEH data redacted). Applicantspreparing and filing these different versions of their Form 556 must indicate below the security designation of this version oftheir document. If you are not seeking privileged treatment or CEII status for any of your Form 556 data, then you shouid notrespond to any of the items on this page.

Non-Public: Applicant is seeking privileged treatment and/or CEI! status for data contained in the Form 556 linesj[ indicated below. This non-public version of the applicant's Form 556 contains ail data, including the data that is redacted

in the (separate) public version of the applicant's Form 556.

Public (redacted): Applicant is seeking privileged treatment and/or CEil status for data contained En the Form 556 lines|_| indicated below. This public version of the appiicants's Form 556 contains a!l data except for data from the iines

indicated below, which has been redacted.

Privileged: indicate below which lines of your form contain data for which you are seeking privileged treatment

Critical Energy Infrastructure information (CEII): Indicate beiow which lines of your form contain data for which you areseeking CEIi status

The eFiling process described on page 2 will allow you to identify which versions of the electronic documents you submit arepublic, privileged and/or CEII. The filenames for such documents shouid begin with "Public", "Priv", or "CEil", as appiicabie, todearly indicate the security designation of the fite. Both versions ofthe Form 556 should be unaitered PDF copies of the Form556, as available for download from www.ferc.gov/QF. To redact data from the public copy of the submittal/ simply omit therelevant data from the Form. For numerica! fields, leave the redacted fields blank. For text fields, complete as much of thefieid as possible, and replace the redacted portions of the field with the word "REDACTED" En brackets. Be sure to identifyabove Ml fields which contain data for which you are seeking non-public status.

The Commission is not responsible for detecting or correcting filer errors, including those errors related to securitydesignation. If your documents contain sensitive information, make sure they are filed using the proper security designation.

Page 5: Production or Cogeneration Facility Form 556 Certification ... · Form 556 Certification of Qualifying Facility (QF) Status for a Small Power Production or Cogeneration Facility General

FEDERAL ENERGY REGULATORY COMMISSION OMB controls 1902-0075WASHINGTON, DC Expiration 5/31/2016

Form 556 Certification of Qualifying Facility (QF) Status for a Small PowerProduction or Cogeneration Facility

la Full name of applicant (iegai entity on whose behalf qualifying facility status is sought for this facility)

Benson Creek Windfarm/ LLC

1b Applicant street addressc/o Keating Associates

Two Waterview Road/ Suite E-ll

1c City

West Chester

1d State/province

PA

Ie Postal code

19380

1f Country [if not United States) 1g Telephone number

610 235-2580

1h Has the instant facility ever previously been certified as a QF? Yes ^] No [__]

1 i If yes/ provide the docket number of the last known QF filing pertaining to this facility: QF12 - 181 - 000

c04-"

ru

i—

.0

1j Under which certification process is the applicant making this filing?

Notice ofself-certification m Application for Commission certification (requires filing(see note beiow) L-i fee; see "Filing Fee" section on page 3}

Note: a notice of self-certiftcation is a notice by the applicant itself that its facility complies with the requirements forQF status. A notice of self-certification does not establish a proceeding, and the Commission does not review anotice of self-certification to verify compliance. See the "What to Expect From the Commission After You File"section on page 3 for more information.

1k What type(s) of QF status is the applicant seeking for its facility? (check all that apply)

Qualifying small power production facility status |_j Qualifying cogeneration fadiity statusc0

11 What is the purpose and expected effective date(s) of this filing?f0uQ-0-<

Q Original certification; facility expected to be installed by and to begin operation on

Change(s)toa previously certified facility to be effective on 11/16/15

(identify type(s) of change(s) beiow, and describe change(s) in the Misceiianeous section starting on page 19)

^ Name change and/or other administrative change(s)

^ Change in ownership

Q Change(s) affecting plant equipment, fuel use, power production capacity and/or cogeneration thermal output

[~] Supplement or correction to a previous filing submitted on

(describe the supplement or correction in the Misceiianeous section starting on page 19)

1m If any of the following three statements is true, check the box(es) that describe your situation and complete the formto the extent possible, explaining any special circumstances in the Miscellaneous section starting on page 19.

,—j The instantfadlitycompiieswiththeCommission'sQFrequirementsby virtue of a waiver of certain reguiationsi—! previously granted by the Commission in an order dated . (specify any other relevant waiver

orders En the Miscellaneous section starting on page 19)

The instant facility would compiy with the Commission's QF requirements if a petition for waiver submittedconcurrently with this application is granted

The instant facility complies with the Commission's regulations, but has special circumstances, such as the[_] employment of unique or innovative technoiogies not contemplated by the structure of this form, that make

the demonstration of compliance via this form difficult or impossible (describe En Misc. section starting on p. 19)

Page 6: Production or Cogeneration Facility Form 556 Certification ... · Form 556 Certification of Qualifying Facility (QF) Status for a Small Power Production or Cogeneration Facility General

FERC Form 556 Page 6-All Facilities

2a Name of contact person

Robert Jans

2b Telephone number

610 235-2580

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n3

£c

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2c Which of the foliowing describes the contact person's relationship to the applicant? (check one)

[_] Applicant (self) Q Employee, owner or partner of applicant authorized to represent the applicant

Employee of a company affiliated with the applicant authorized to represent the applicant on this matter

[_| Lawyer, consultant, or other representative authorized to represent the applicant on this matter

2d Company or organization name (if applicant is an individual/ check here and skip to line 2e) [_]

Oregon International Holdings/ LLC

2e Street address (if same as Applicant, check here and skip to line 3a)|

2f City 2g State/provEnce

2h Postal code 2i Country (if not United States)

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3a Faciiityname

Benson Creek Windfarm

3b Street address (if a street address does not exist for the facility, check here and skip to line 3c)|

3c Geographic coordinates: If you indicated that no street address exists for your facility by checking the box in line 3b,then you must specify the latitude and longitude coordinates of the facility in degrees (to three decimai places). Usethe foliowing formufa to convert to decimal degrees from degrees, minutes and seconds: decimal degrees =degrees-f-(minutes/60)-i-(seconds/3600). See the "Geographic Coordinates" section on page 4 for help. !f you

provided a street address for your facility in !ine 3b, then specifying the geographic coordinates beiow is optionaL

LongitudeD East (+}

West (")117.268 degrees Latitude

North (4-)

South (-)44.418 degrees

3d City (if unincorporated, check here and enter nearest city)

Huntington

3e State/province

OR

3f County (or check here for independent city) [_]

Baker

3g Country (if not United States)

Identify the electric utilities that are contemplated to transact with the faciiity.

ur>aj

enc

•t->

0fOLH

cfOi—

4a Identify utility interconnecting with the facility

Idaho Power Company

4b identify utilities providing wheeling service or check here if none

4c Identify utilities purchasing the usefu! electric power output or check here if none [_]

Idaho Power Company

4d Identify utilities providing supplementary power, backup power/ maintenance power, and/or interruptible powerservice or check here if none Q

Idaho Power Company

Page 7: Production or Cogeneration Facility Form 556 Certification ... · Form 556 Certification of Qualifying Facility (QF) Status for a Small Power Production or Cogeneration Facility General

FERC Form 556 Page 7-All Facilities

c0ff3i—(Ua.

0"0c{VCL-ct/1^—01c

6

5a Direct ownership as of effective date or operation date: identify ail direct owners of the fadiity holding atieast 10percent equity interest. For each identified owner, also (1) indicate whether that owner is an electric utiiity, asdefined in section 3(22) of the Federal Power Act (16 U.S.C. 796(22}), or a holding company, as defined in section1262(8} of the Public Utiiity Holding Company Act of 2005 (42 U.S.C. 16451 (8)), and (2) for owners which are electricutilities or holding companies/providethepercentageof equity interest in the facility held by that owner. If nodirect owners hold at least 10 percent equity interest in the facility, then provide the required information for thetwo direct owners with the largest equity interest in the facility.

Electric utility or if Yes,holding % equity

Fuii legal names of direct owners company interest

1) Benson Creek Windfarm/ LLC Yes No

2)

3)

4}

5)

6)

7)

8)

9)

10)

Yes Q No Q

Yes D No Q

Yes D No Q

Yes Q No

Yes Q No Q

Yes Q No

Yes Q No

Yes Q No Q

Yes Q No Q

Check here and continue in the Miscellaneous section starting on page 19 if additional space is needed

5b Upstream (Le., indirect) ownership as of effective date or operation date: identify all upstream (E.e./ indirect) ownersof the facility that both (1 ) hold at least 1 0 percent equity interest in the facility, and (2) are electric utiiities/ asdefined in section 3(22} of the Federal Power Act (16 U.S.C. 796(22)), or holding companies, as defined in section1262(8) of the Public Utility Hoiding Company Act of 2005 (42 U.S.C. 16451(8)). Also provide the percentage ofequity interest En the facility held by such owners. (Note that, because upstream owners may be subsidiaries of oneanother, total percent equity interest reported may exceed 100 percent.)

Check here Ef no such upstream owners exist. Q

Full legal names ofeiectric utility or holding company upstream owners% equityinterest

1) Oregon International Holdings/ LLC 99%

2)

3)

4)

5)

6)

7)

8}

9}

10)

Benson

Benson

Benson

DESRI

DESRI

DESRI

D. E.

Creek Windfarm Holdings 2,

Creek Windfarm Holdings 1,

Creek Windfarra Holdings/ L

Huntington 2, L.L.C.

Huntington Acquisition, L.L

L.L.

L.L.

.L.C.

c.

Huntington Acquisition Holdings,

Shaw Renewable Investments/ L.L.

c.

c.

L.L.C.

c.

100%

100%

100

1%

Check here and continue in the MEsceilaneous section starting on page 19 if additional space is needed

5c Identify the fadiity operator

Benson Creek Windfarm/ LLC

Page 8: Production or Cogeneration Facility Form 556 Certification ... · Form 556 Certification of Qualifying Facility (QF) Status for a Small Power Production or Cogeneration Facility General

FERC Form 556 Page 8-All Facilities

6a Describe the primary energy input; (check one main category and, if appiicable/one subcategory)

jI Biomass (specify) ^ Renewable resources (specify) Q Geothermal

Q Landfill gas

Q Manure digester gas

Q Municipal solid waste

Q Sewage digester gas

d Wood

Q Other biomass (describe on page 19)

]j Waste (specify type beiow in line 6b)

D Hydro power - river

Q Hydro power-tidal

D Hydro power - wave

Q Solar - photovoltaic

Q Soiar-thennai

Wind

Other renewable resource

(describe on page 19}

Fossil fuel (specify)

D Coai (not waste)

Q Fuel oil/diesel

Q Natural gas (not waste)

Other fossil fueiD (describe on page 19)

Other (describe on page 1 9)

6b If you specified "waste" as the primary energy input in line 6a, indicate the type of waste fuei used: (check one)

j—j Waste fuel listed in 18 C.F.R. § 292.202(b) (specify one of the following)

a Anthracjte culm produced prior to July 23,1985

Anthradte refuse that has an average heat content of 6,000 Btu or fess per pound and has an average

3Q-c>^enI—(Uc

LU

D

a

a

ash content of 45 percent or more

Bituminous coal refuse that has an average heat content of 9,500 Btu per pound or less and has anaverage ash content of 25 percent or more

Top or bottom subbituminous coai produced on Federal lands or on Indian lands that has beendetermined to be waste by the United States Department of the interior's Bureau of Land Management(BLM) or that is iocated on non-Federal or non-lndian lands outside of BLM's jurisdiction, provided thatthe applicant shows that the iatter coal is an extension of that determined by BLM to be waste

Coal refuse produced on Federal lands or on Indian iands that has been determined to be waste by theQ BLM or that is located on non-Federal or non-lndjan lands outside of BLM's jurisdiction, provided that

applicant shows that the latter is an extension of that determined by BLM to be waste

aLignite produced in association with the production ofmontan wax and iignite that becomes exposedas a result of such a mining oper'ation

Q Gaseous fuels (except natural gas and synthetic gas from coal) (describe on page 19)

Waste natural gas from gas or oil wells (describe on page 19 how the gas meets the requirements of 18D CF.R. § 2.400 for waste natural gas; include with your filing any materials necessary to demonstrate

compliance with 18 C.F.R. § 2.400)

[J Materials that a governmentagency has certified for disposal by combustion (describe on page 19)

Q Heat from exothermic reactions (describe on page 19} 0 Residuai heat (describe on page 19)

Q Used rubber tires Q Plastic materials Q Reflnery off-gas Q Petroleum coke

Other waste energy input that has little or no commercial value and exists in the absence of the qualifying[_] facility industry (describe in the Miscellaneous section starting on page 19; include a discussion of the fuel's

lackofcommercia! value and existence in the absence of the qualifying facility industry)

6c Provide the average energy input, calculated on a calendar year basis, in terms of Btu/h for the following fossil fuelenergy inputs, and provide the related percentage of the total average annual energy input to the facility (18 C.F.R. §292.202(j)). For any oil or natural gas fuel, use lower heating value (18 C.F.R. § 292.202(m)).

FuelAnnual average energy

input for specified fue!Percentage oftotai

annual energy input

Natural gas

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0 Btu/h

0 Btu/h

0 Btu/h

0 %

0 %

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Page 9: Production or Cogeneration Facility Form 556 Certification ... · Form 556 Certification of Qualifying Facility (QF) Status for a Small Power Production or Cogeneration Facility General

FERC Form 556 Page 9-Ail Facilities

Indicate the maximum gross and maximum net electric power production capacity of the facility at the point(s) ofdelivery by compieting the worksheet below. Respond to all items. If any of the parasitic loads and/or losses identified inlines 7b through 7e are negligible, enter zero for those lines.

7a The maximum gross power production capacity at the terminals of the individual generator(s)under the most favorable anticipated design conditions 10/000 kW

7b ParasEtic station power used at the facility to run equipment which is necessary and integral tothe power production process (boiler feed pumps/ fans/blowers, office or maintenance buildingsdirectly related to the operation of the power generating facility, etc.). If this facility includes non-power production processes (for instance, power consumed by a cogeneration facility's thermalhost) / do not include any power consumed by the non-power production activities in yourreported parasEtic station power. 10 kW

7c Electrical losses in interconnection transformers111.6 kW

7d Electrical losses in AC/DC conversion equipment, if any0 kW

7e Other interconnection losses in power lines or facilities (other than transformers and AC/DCconversion equipment) between the terminals of the generator(s) and the point of interconnectionwith the utility 182.1 RW

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7f Total deductions from gross power production capacity =: 7b + 7c + 7d -{- 7e303.7 kW

7g Maximum net power production capacity = 7a - 7f9/696.3 kW

7h Description of facility and primary components: Describe the facility and its operation, identify all boilers, heatrecovery steam generators, prime movers (any mechanical equipment driving an electric generator), electricaigenerators, photovoltaic solar equipment, fuel cell equipment and/or other primary power generation equipmentused in the facility. Descriptions of components should include (as applicable) specifications of the nominalcapacities for mechanical output, electricai output/or steam generation of the identified equipment. For each pieceof equipment identified, clearly indicate howmany pieces of that type of equipment are included in the plant, andwhich components are normally operating or normally in standby mode. Provide a description of how thecomponents operate as a system. Applicants for cogeneration facilities do not need to describe operations ofsystems that are clearly depicted on and easily understandable from a cogeneratjon faciiity's attached mass andheat balance diagram; however, such applicants should provide any necessary description needed to understandthe sequential operation of the facility depicted in their mass and heat balance diagram, if additional space isneeded, continue in the Miscellaneous section starting on page 1 9.

The wind-powered facility will consist of five (5) wind turbines with a combined

nameplate rated capacity of 10 MW and an actual deliverable capacity of less than

10 MW/ on monopole towers with concrete foundations.

Interconnection Facilities: The facility includes under or above-ground feeders

at 34.5 kV site voltage/ which is transformed to transmission voltage of 138 kV

at an on-site substation jointly owned and shared on a prorated capacity basis

with other unaffiliated QFs (in a manner consistent with the facility's

possession of rights and of blanket waivers as provided for in Commission Order

No. 807). The facility will then be interconnected to the Idaho Power Company's

system using a 138 k-V interconnection line that is jointly owned and shared with

other unaffiliated QFs, in the manner indicated. The interconnection facilities

are components of the QF.

Page 10: Production or Cogeneration Facility Form 556 Certification ... · Form 556 Certification of Qualifying Facility (QF) Status for a Small Power Production or Cogeneration Facility General

FERC Form 556 Page 10 - Smail Power Production

Information Required for Small Power Production Facilityif you indicated in line 1k that you are seeking qualifying small power production facility status for your facility, then youmust respond to the items on this page. Otherwise, skip page 10.

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Pursuant to 18 C.F.R. § 292.204(a), the power production capacity of any small power production facility, togetherwith th& power production capacity of any other small power production facilities that use the same energyresource, are owned by the same person(s) or its affiliates, and are located at the same site, may not exceed 80

megawatts. To demonstrate compliance with this size limitation, or to demonstrate that your facility is exempt

from this size iimitation under the Solar, Wind, Waste, and Geothermal Power Production Incentives Act of 1990

(Pub. L. 101-575,104 Stat. 2834(1990) as amended by Pub, L. 102-46,105 Stat. 249 (1991)}, respond to lines 8athrough 8e beiow (as applicable).

8a Identify any facilities with electrical generating equipment located within 1 mile of the electrical generatingequipment of the instant facility/ and for which any of the entities identified in lines 5a or 5b, or their affiliates, holdsat least a 5 percent equity interest.

Check here if no such faciiitEes exist.

Facility location(city or county, state)

Root docket #(if any) Common owner(s)

Maximum net powerproduction capacity

QF

QF

QF

kW

kW

kW

Q Check here and continue in the Miscellaneous section starting on page 19 if additional space is needed

8b The Solar, Wind, Waste/ and Geotherma! Power Production Incentives Act of 1990 (Incentives Act) providesexemption from the size limitations in 18 C.F.R. § 292.204(a) for certain facilities that were certified prior to 1 995.Are you seeking exemption from the size limitations in 1 8 C.F.R. § 292.204(a) by virtue of the Incentives Act?

jI Yes (continue at line 8c beiow) No (skip lines 8c through 8e)

8c Was the original notice of seif-certification or application for Commission certification of the facility fifed on orbefore December 31,1994? Yes Q No Q

8d Did construction ofthefadlitycommenceon orbeforeDecember31,1999? Yes Q No Q

8e if you answered No in line 8d, indicate whether reasonable diligence was exercised toward the completion ofthe facility, taking into account ail factors relevant to construction? Yes Q No Q if you answered Yes, providea brief narrative explanation in the Miscellaneous section starting on page 19 of the construction timeline (inparticular, describe why construction started so long after the facility was certified) and the diligence exercisedtoward compietion of the fadiity.

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Pursuant to 18 C.F.R. § 292.204(b)/ quafifying small power production fadiities may use fossil fuels, in minimalamounts, for only the foliowEng purposes: ignition; start-up; testing; fiame stabilization; control use; alleviation orprevention of unanticipated equipment outages; and aiieviation or prevention of emergencies, directiy affectingthe pubik health, safety, or welfare, which would result from electric power outages. The amount of fossil fuelsused for these purposes may not exceed 25 percent of the total energy input of the facility during the 12-monthperiod beginning with the date the facility first produces electric energy or any calendar year thereafter.

9a Certification of compliance with 1 8 C.F.R. § 292.204(b) with respect to uses of fossil fuel:

Appiicant certifies that the facility will use fossil fuels exclusively for the purposes listed above.

9b Certification of compliance with 18 C.F.R. § 292.204(b) with respect to amount of fossil fuel used annually:

Appiicant certifies that the amount of fossil fuel used at the facility will not, in aggregate, exceed 25percent of the total energy input of the facility during the 1 2-month period beginning with the date thefacility first produces electric energy or any calendar year thereafter.

Page 11: Production or Cogeneration Facility Form 556 Certification ... · Form 556 Certification of Qualifying Facility (QF) Status for a Small Power Production or Cogeneration Facility General

FERC Form 556 Page 11 - Cogeneration Facilities

Information Required forCogeneration FacilityIf you indicated in line 1 k that you are seeking qualifying cogeneration facility status for your facility, then you must respondto the items on pages 11 through 13. Otherwise, skip pages 11 through 13.

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Pursuant to 18 C.F.R. § 292.202(c), a cogeneration facility produces eSectric energy and forms of useful thermalenergy (such as heat or steam) used for industrial, commercial, heating, or cooling purposes, through the sequentiause of energy. Pursuant to 18 C.F.R. § 292.202(s), "sequential use" of energy means the following: (1) for a topping-cycie cogeneration facility, the use of reject heat from a power production process En sufficient amounts in athermal application or process to conform to the requirements of the operating standard contained In 1 8 CF.R. §292.205(a); or (2) for a bottoming-cycle cogeneration facility, the use of at ieast some reject heat from a thermalapplication or process for power production.

lOa Whattype(s) ofcogeneration technoiogy does the facility represent? (check all that apply)

Q ToppEng-cycle cogeneration [~] Bottom ing-cycle cogeneratEon

10b To help demonstrate the sequential operation of the cogeneration process, and to support compliance withother requirements such as the operating and efficiency standards, include with your filing a mass and heatbalance diagram depicting average annual operating conditions. This diagram must include certain items andmeet certain requirements, as described below. You must check next to the description of each requirementbeiow to certify that you have complied with these requirements.

Check to certifycompliance with

indicated requirement Requirement

D

a

D

D

D

D

D

D

Diagram must show orientation within system piping and/or ducts of all prime movers,heat recovery steam generators/ boilers, electric generators, and condensers (as

applicable), as well as any other primary equipment relevant to the cogenerationprocess.

Any average annual vaiues required to be reported in lines 10b, 12a, 1 3a, 13b, 13d, 13f,14a, 15b, 15d and/or 15f must be computed over the anticipated hours of operation.

Diagram must specify all fue! inputs by fuel type and average annual rate in Btu/h. Fuelfor supplementary firing should be specified separately and deariy labeled. A!!specifications of fuel inputs should use lower heating values.

Diagram must specify average gross electric output in kW or MW for each generator.

Diagram must specify average mechanical output (that is, any mechanical energy takenoff of the shaft ofthe prime movers for purposes not directly related to electric powergeneration) in horsepower, Ef any. Typically, a cogeneration facility has no mechanicaloutput.

At each point for which working fluid flow conditions are required to be specified (seebelow), such flow condition data must include mass flow rate (in Ib/h or kg/s),temperature (in °F, R, °C or K), absolute pressure (in psia or kPa) and enthalpy (in Btu/lbor kJ/kg). Exception: For systems where the working fluid is liquid only (no vapor at anypoint in the cycle) and where the type of liquid and specific heat of that liquid are dearlyindicated on the diagram or in the Miscellaneous section starting on page 19, on!y massflow rate and temperature (not pressure and enthalpy) need be specified. For reference,specific heat at standard conditions for pure liquid water is approximately 1.002 Btu/(Ib^R) or 4.195 kJ/(kg*K).

Diagram must specify working fluid flow conditions at input to and output from eachsteam turbine or other expansion turbine or back-pressure turbine.

Diagram must specify working fluid flow conditions at delivery to and return from eachthermal application.

Diagram must specify working fluid flow conditions at make-up water inputs.

Page 12: Production or Cogeneration Facility Form 556 Certification ... · Form 556 Certification of Qualifying Facility (QF) Status for a Small Power Production or Cogeneration Facility General

FERC Form 556 Page 12 - Cogeneration Facilities

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EPAct 2005 cogeneration facilities: The Energy Policy Act of 2005 (EPAct 2005) established a new section 210(n) ofthe Public Utility Reguiatory Policies Act of 1978 (PURPA), 16 USC 824a-3(n)/ with additional requirements for anyquaiifying cogeneration facility that (1) is seeking to sell electric energy pursuant to section 210ofPURPAand (2)was either not a cogeneration facility on August 8,2005, or had not filed a self-certification or application forCommission certification of QF status on or before February 1,2006. These requirements were implemented by theCommission in 18 CF.R. § 292.205(d). Complete the lines below, carefully following the instructions, to demonstratewhether these additional requirements apply to your cogeneration facility and, if so, whether your facility complieswith such requirements.

11 a Was your facility operating as a qualifying cogeneration facility on or before August 8/2005? Yes Q No [-]

lib Was the initial filing seeking certification of your facility (whether a notice of self-certification or an applicationfor Commission certification)fiiedonor before February 1,2006? Yes [__] No [—|

if the answer to either line 11 a or 11b is Yes, then continue at line 11c below. Otherwise, if the answers to both lines11 a and 11 b are No, skip to line 1 1 e below.

11c With respect to the design and operation ofthe facility, have any changes been implemented on or afterFebruary 2, 2006 that affect general plant operation, affect use of thermal output, and/or increase net powerproduction capacity from the plant's capacity on February 1, 2006?

Ij Yes (continue at line 11d below)

No. Your facility is not subject to the requirements of 18 C.F.R. § 292.205(d) at this time. However, it may be[_] subject to to these requirements in the future if changes are made to the facility. At such time, the applicant

would need to recertify the facility to determine eligibility. Skip lines 11 d through 11J.

11d Does the applicant contend that the changes identified En line 11 care not so significant as to make the facilitya "new" cogeneration facility that would be subject to the 18 C.F.R. § 292.205(d) cogeneration requirements?

Yes. Provide in the Miscelfaneous section starting on page 19 a description of any relevant changes made to[_] the facility (including the purpose of the changes) and a discussion of why the facility should not be

considered a "new" cogeneration facility In light of these changes. Skip lines 11 e through 11j.

No. Applicant stipulates to the fact that it is a "new" cogenerationfaciiity (for purposes of determining theQ applicability of the requirements of 18 C.F.R. § 292.205(d)) by virtue of modifications to the facility that were

initiated on or after February 1,2006. Continue below at line 11 e.

He Will electric energy from the facility be sold pursuant to section 210ofPURPA?

D

a

Yes. The facility is an EPAct 2005 cogeneration facility. You must demonstrate compliance with 1 8 C.F.R. §292.205(d)(2) by continuing at line 1 1f below.

No. Applicant certifies that energy wiil not be sold pursuant to section 210 of PURPA. Applicant also certifiesits understanding that it must recertify its facility in order to determine compliance with the requirements of18 C.F.R. § 292.205(d) before selling energy pursuant to section 210 of PURPA in the future. Skip lines 1 1 fthrough 11j.

D

1 If Is the net power production capacity of your cogeneration facility/ as indicated En fine 7g above/ less than orequal to 5,000 kW?

Yes/the net power production capacity is less than orequaito5,000 kW. 18 CF.R.§292.205(d)(4) provides arebuttable presumption that cogeneration fadlities of 5,000 kW and smaller capacity comply with therequirements for fundamental use of the facility's energy output in 18 C.F.R. § 292.205(d)(2). Applicantcertifies its understanding that, should the power production capacity of the facility increase above 5,000kW, then the facility must be recertified to (among other things) demonstrate compliance with 18CF.R.S292.205(d)(2). Skip lines 11 g through 11J.

No, the netpower production capacity is greater than 5,000 kW. Demonstrate compliance with the

[_] requirements for fundamental use of the facility's energy output in 18 C.F.R. § 292.205(d)(2) by continuing onthe next page at line 11g.

Page 13: Production or Cogeneration Facility Form 556 Certification ... · Form 556 Certification of Qualifying Facility (QF) Status for a Small Power Production or Cogeneration Facility General

FERC Form 556 Page 13 - Cogeneration Facilities

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Lines 11 g through 11 k below guide the applicant through the process of demonstrating compliance with therequirements for "fundamental use" of the facility's energy output. 18 C.F.R. § 292.205 (d}(2). Only respond to thelines on this page if the instructions on the previous page direct you to do so. Otherwise, skip this page.

18 C.F.R. § 292.205(d)(2) requires that the electrical/ thermal, chemical and mechanical output of an EPAct 2005cogeneration facility is used fundamentaily for industriai, commercial, residential or institutional purposes and isnot intended fundamentally for sale to an electric utility, taking into account technological/ efficiency, economic,and variablethermalenergy requirements, as weli as state laws appiicable to sales of electric energy from aqualifying facility to its host facility. If you were directed on the previous page to respond to the items on this page,then your facility is an EPAct 2005 cogeneration facility that is subject to this "fundamental use" requirement.

The Commission's regulations provide a two-pronged approach to demonstrating compliance with therequirements for fundamental use of the facility's energy output First, the Commission has estabiished in 1 8 CF.R.§ 292.205(d)(3) a "fundamental use test" that can be used to demonstrate compliance with 1 8 C.F.R. § 292.205(d)(2).Under the fundamental use test, a facility is considered to comply with 18C.F.R. § 292.205(d)(2}ifatleast50 percentof the facility's total annual energy output (including electrical, thermal, chemical and mechanical energy output) isused for industrial, commercial, residential or institutionai purposes.

Second, an applicant for a facility that does not pass the fundamental use test may provide a narrative explanationof and support for its contention that the facility nonetheless meets the requirement that the electrical, thermal/chemical and mechanical output of an EPAct 2005 cogeneration facility is used fundamentally for industrial,commercial, residential or institutionaf purposes and is not intended fundamentaHy for sale to an electric utility,taking into account technoiogical, efficiency, economic, and variable thermal energy requirements, as well as state

laws applicable to sales of electric energy from a qualifying facility to its host facility.

Complete lines 11 g through 11J below to determine compliance with the fundamental use test in 18 C.F.R. §292.205(d)(3). Complete lines 11g through 11J even if you do not intend to rely upon the fundamental use test todemonstrate compliance with 18CFM. § 292.205(d)(2).

11 g Amount of electrical, thermal, chemical and mechanical energy output (net of internalgeneration plant losses and parasitic loads) expected to be used annually for industrial,commercial, residential or institutional purposes and not sold to an electric utility

lib Totai amount of electrical, thermal, chemical and mechanical energy expected to besold to an electric utility

111 Percentage of tota! annual energy output expected to be used for industrial,commerciai/ residential or institutional purposes and not sold to a utility=100*11g/(ng+11h)

MWh

MWh

0 %11j Is the response in line 11 i greater than or equa! to 50 percent?

Yes. Your facility complies with 18 C.F.R.§292.205(d](2) by virtue of passing the fundamental use testprovided in 18 C.F.R. § 292.205(d)(3). Applicant certifies its understanding that, if it is to rely upon passing

[~] the fundamental use test as a basis for complying with 18 CF.R. § 292.205(d)(2), then the facility mustcomply with the fundamental use test both in the 1 2-month period beginning with the date the facility firstproduces electric energy, and in all subsequent calendar years.

No. Your facility does not pass the fundamental use test. Instead, you must provide in the Miscellaneoussection starting on page 19 a narrative explanation of and support for why your facility meets therequirement that the electrica!, thermal, chemical and mechanical output of an EPAct2005cogenerationfaciiity is used fundamentaliy for Endustria!, commercial/ residential or institutional purposes and is notintended fundamentally for saie to an electric utility, taking into account technological/ efficiency, economic,and variable thermal energy requirements, as well as state laws applicable to sales of electric energy from aQF to its host facility. Applicants providing a narrative explanation of why their facility shouid be found to

[_] comply with 18 C.F.R. § 292.205(d)(2) in spite of non-compiiance with the fundamental use test may want toreview paragraphs 47 through 61 of Order No. 671 (accessibie from the Commission's QFwebsite atwww.ferc.gov/QF), which provide discussion of the facts and circumstances that may support theirexplanation. Applicant should also note that the percentage reported above will establish the standard thatthat facility must comply with, both for the 12-month period beginning with the date the facility firstproduces electric energy, and in all subsequent calendar years. See Order No. 671 at paragraph 51. As such,the applicant should make sure that it reports appropriate values on lines 11 g and 1 th above to serve as therelevant annual standard/ taking into account expected variations in production conditions.

Page 14: Production or Cogeneration Facility Form 556 Certification ... · Form 556 Certification of Qualifying Facility (QF) Status for a Small Power Production or Cogeneration Facility General

FERC Form 556 Page 14-Topping-CydeCogeneration Facilities

Information Required for Topping-CycleCogeneration FacilityIf you indicated in line 1 Oa that your facility represents topping-cycle cogeneration technology, then you must respond tothe items on pages 14 and 15. Otherwise, skip pages 14 and 15.

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The thermal energy output ofatopping-cyde cogeneration facility is the net energy made available to an industrialor commercia! process or used in a heating or cooling application. Pursuant to sections 292.202(c), (d) and (h) of theCommission's regulations (18 C.F.R.§§292.202(c), (d) and (h)), the thermal energy output of a qualifying topping"cycle cogeneration facility must be useful. In connection with this requirement, describe the thermal output of thetopping-cyde cogeneration facility by responding to lines 12a and 12b below.

12a identify and describe each thermal host, and specify the annual average rate of thermal output made availableto each host for each use. For hosts with multiple uses of thermal output, provide the data for each use in

separate rows. Average annual rate of

thermal outputattributable to use (net ofheat contained in processreturn or make-up water)

Name of entity (thermai host)taking thermal output

Thermal host's reiationship to faciiity;Thermal host's use ofthermal output

1}

6)

Select thermal host's relationship to faciiity

Select thermal host's use of thermal output

Select thermal host's relationship to faciiity

Select thermal host's use oftherma! output

Select thermal host's relationship to facility

Seiect thermal host's use of thermal output

Select thermal host's reiationship to facility

Select thermal host's use ofthermai output

Select thermal host's relationship to facility

Select thermal host's use of thermal output

Select thermal host's relationship to facility

Select thermal host's use of thermal output

Btu/h

Btu/h

Btu/h

Btu/h

Btu/h

Btu/h

[_] Check here and continue in the Miscellaneous section starting on page 19 if additional space is needed

12b Demonstration of usefulness of thermal output: At a minimum, provide a brief description of each use of thethermal output identified above. In some cases, this brief description is sufficient to demonstrate usefulness.However, if your facility's use ofthermai output is not common, and/or if the usefulness of such thermal output isnot reasonably dear, then you must provide additional details as necessary to demonstrate usefulness. Your

application may be rejected and/or additional information maybe required if an insufficient showing of usefulnessis made. (Exception: If you have previously received a Commission certification approving a specific use of thermaloutput related to the instant fadiity, then you need oniy provide a brief description of that use and a reference bydate and docket number to the order certifying your facility with the indicated use. Such exemption may not beused if any change creates a material deviation from the previously authorized use.) if additional space is needed,continue in the Miscelianeous section starting on page 19.

Page 15: Production or Cogeneration Facility Form 556 Certification ... · Form 556 Certification of Qualifying Facility (QF) Status for a Small Power Production or Cogeneration Facility General

FERC Form 556 Page 15" Topping-Cyde Cogeneration Facilities

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Applicants for facilities representing topping-cycle technology must demonstrate compliance with the topping-cycle operating standard and, if applicable, efficiency standard. Section 292.205(a}(1) ofthe Commission'sregulations (18 C.F.R. § 292.205(a)(1)) establishes the operating standard for topping-cycle cogeneration facilities:the useful thermal energy output must be no less than 5 percent of the total energy output. Section 292.205(a}[2)(18 C.F.R. § 292.205(a)(2)) establishes the efficiency standard fortopping-cycle cogeneration facilities for whichinstallation commenced on or after March 13,1980: the useful power output of the facility plus one-halfthe usefulthermal energy output must (A) be no less than 42.5 percent of the total energy input of natural gas and oil to thefacility; and (B) if the useful thermal energy output is less than 15 percent of the total energy output of the facility,be no !ess than 45 percent of the total energy input of natural gas and oil to the facility. To demonstratecompliance with the topping-cycle operating and/or efficiency standards, or to demonstrate that your facility isexempt from the efficiency standard based on the date that instaliation commenced, respond to lines 13a through131 beiow.

If you indicated in line 1 Oa that your facility represents both topping-cycle and bottoming-cydecogenerationtechnology, then respond to lines 13a through 131 below considering only the energy inputs and outputsattributable to the topping-cycle portion of your facility. Your mass and heat balance diagram must make clearwhich mass and energy flow values and system components are for which portion (topping or bottoming) of thecogeneration system.

13a indicate the annual average rate of useful thermal energy output made availableto the host(s), net of any heat contained in condensate return or make-up water

13b Indicate the annual average rate of net electricai energy output

13c Multiply line 13b by 3,412 to convert from kW to Btu/h

13d Indicate the annual average rate of mechanical energy output taken directly offof the shaft of a prime mover for purposes not directly related to power production(this value is usually zero)

13e Multiply line 1 3d by 2,544 to convert from hp to Btu/h

13f Indicate the annual average rate of energy input from natural gas and oi!

13g Topping-cyde operating value ^ 100 * 13a/ (13a + 13c + 13e)

13h Topping-cyde efficiency value = 100 * (0.5*13a + 13c + 13e) /13f

Btu/h

kW

0 Btu/h

M0 Btu/h

Btu/h

0 %

0 %

13i Compliance with operating standard: Is the operating value shown in line 13g greater than or equa! to 5%?

[_] Yes (complies with operating standard) [_] No (does not comply with operating standard)

13j Did installation of the faciiEty in its current form commence on or after March 13, 1980?

Yes. Your facility is subject to the efficiency requirements of 1 8 C.F.R. § 292.205(a)(2). DemonstrateD compliance with the efficiency requirement by responding to line 1 3k or 131, as applicable, below.

Q No. Your facility is exempt from the efficiency standard. Skip iines 13k and 131.

13k Compliance with efficiency standard (for low operating value): If the operating value shown in line 13g is lessthan 15%, then indicate below whether the efficiency value shown En line 13h greater than or equa! to 45%:

[_] Yes (complies with efficiency standard) [_] No (does not comply with efficiency standard)

13l Compliance with efficiency standard (for high operating value): If the operating value shown in line 13g isgreater than or equal to 15%, then indicate belowwhethertheefficiency value shown in line 13h is greater than orequal to 42.5%:

[_] Yes (compiles with efficiency standard) No (does not comply with efficiency standard)

Page 16: Production or Cogeneration Facility Form 556 Certification ... · Form 556 Certification of Qualifying Facility (QF) Status for a Small Power Production or Cogeneration Facility General

FERC Form 556 Page 16 - Bottoming-Cyde Cogeneration Facilities

Information Required for Bottoming-Cyde Cogeneration Facilityif you indicated in iine 10a that your facility represents bottoming-cycle cogenerationtechnoiogy,then you must respondto the items on pages 16 and 17. Otherwise, skip pages 16 and 17.

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The thermal energy output of a bottoming-cyde cogeneration facility is the energy related to the process(es) fromwhich at least some of the reject heat is then used for power production. Pursuant to sections 292.202(c) and (e) ofthe Commission's regulations (18 C.F.R.§ 292.202(c) and (e)), the thermal energy output of a qualifying bottoming-cycle cogeneration facility must be useful. In connection with this requirement, describe the process(es) from whichat least some of the reject heat is used for power production by responding to iines Uaand 14b below.

14a Identify and describe each thermal host and each bottom ing-cycle cogeneration process engaged in by eachhost. For hosts with multiple bottom in g-cyc ie cogeneration processes, provide the data for each process mseparate rows.

Name of entity (thermal host)performing the process from

which at least some of thereject heat is used for power

productionThermal host's relationship to faciiity;

Thermal host's process type

Has the energy input tothe thermal host been

augmented for purposesof increasing powerproduction capacity?

(if Yes, describe on p. 19}

D

2)

3)

Select thermal host's relationship to facility

Select thermal host's process type

Select thermal host's relationship to facility

Select thermal host's process type

Select thermal host's relationship to facility

Select thermal host's process type

Yes a No Q

Yes D No D

Yes Q No Q

Q Check here and continue in the Miscellaneous section starting on page 19 if additional space is needed

14b Demonstration of usefulness of thermal output: At a minimum, provide a brief description of each processidentified above. In some cases, this brief description is sufficient to demonstrate usefulness. Howeverjfyourfacility's process is not common, and/or if the usefulness of such thermal output is not reasonably clear, then youmust provide additional details as necessary to demonstrate usefulness. Your application maybe rejected and/oradditionai information may be required if an insufficient showing of usefulness is made. (Exception: If you havepreviously received a Commission certification approving a specific bottom ing-cyde process related to the instantfacility, then you need only provide a brief description of that process and a reference by date and docket numberto the order certifying your facility with the indicated process. Such exemption may not be used if any materialchanges to the process have been made.) if additionai space is needed, continue in the Misceilaneous sectionstarting on page 19.

Page 17: Production or Cogeneration Facility Form 556 Certification ... · Form 556 Certification of Qualifying Facility (QF) Status for a Small Power Production or Cogeneration Facility General

FERC Form 556 Page 17 - Bottom in g-Cyde Cogeneration FaciiitEes

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Applicants for facilities representing bottom ing-cyde technology and for which installation commenced on or afterMarch 13,1990 must demonstrate compliance with the bottoming-cyde efficiency standards. Section 292.205(b) ofthe Commission's regulations (18 C.F.R. § 292.205(b)) establishes the efficiency standard for bottom in g-cyclecogeneration facilities: the useful power output of the faciiity must be no less than 45 percent of the energy inputof natural gas and oil for supplementary firing. To demonstrate compliance with the bottom in g-cyde efficiencystandard (if applicable), or to demonstrate that your fadiity is exempt from this standard based on the date thatinstallation of the facility began, respond to iines 15a through 15h below.

If you indicated in iine 10a that your facility represents bot/itopping-cycle and bottom ing-cyc ie cogenerationtechnology, then respond to iines 15a through 15h below considering only the energy inputs and outputsattributable to the bottom ing-cycle portion of your facility. Your mass and heat balance diagram must make clearwhich mass and energy flow values and system components are for which portion of the cogeneration system(topping or bottoming).

15a Did installation of the facility in its current form commence on or after March 13,1980?

Yes. Your facility is subject to the efficiency requirement of 1 8 C.F.R. § 292.205(b). Demonstrate compliancewith the efficiency requirement by responding to lines 15b through 15h below.

No. Your facility is exempt from the efficiency standard. Skip the rest of page 17.

15b Indicate the annual average rate of net electrical energy output

15c Muitiplyline 15b by 3,412 to convert from kW to Btu/h

15d Indicate the annual average rate of mechanical energy output taken directly offoftheshaftofa primemoverfor purposes not directly related to power production(this value is usually zero)

15e Multiply iine 1 5d by 2,544 to convert from hp to Btu/h

15f Indicate the annual average rate of supplementary energy input from naturai gasor oil

15g Bottomi ng-cycle efficiency value = 100 * 0 5c + 15e) /15f

kW

0 Btu/h

M.

0 Btu/h

Btu/h

0 %

15h Compliance with efficiency standard: Indicate beiow whether the efficiency value shown in line 15g is greaterthan or equal to 45%:

Q Yes (complies with efficiency standard) [_] No (does not comply with efficiency standard)

Page 18: Production or Cogeneration Facility Form 556 Certification ... · Form 556 Certification of Qualifying Facility (QF) Status for a Small Power Production or Cogeneration Facility General

FERC Form 556 Page 18 - Ad Faciiities

Certificate of Completeness/ Accuracy and AuthorityApplicant must certify compliance with and understanding of filing requirements by checking next to each item beiowandsigning at the bottom of this section. Forms with incomplete Certificates of Completeness, Accuracy and Authority will berejected bythe Secretary of the Commission.

Signer identified below certifies the following: (check all items and applicable subitems)

He or she has read the fifing, including any information contained in any attached documents, such as cogenerationmass and heat balance diagrams, and any information contained En the Miscellaneous section starting on page 19, andknows its contents.

He or she has provided ail of the required information for certification, and the provided information is true as stated/to the best of his or her knowledge and belief.

He or she possess full power and authority to sign the filing; as required by Rule 2005(a)(3) of the Commission's Rules ofPractice and Procedure (18 C.F.R. § 385.2005(a}(3}), he or she is one of the following: (check one)

Q The person on whose behalf the filing is made

E3 An officer of the corporation, trust, association, or other organized group on behalf of which the filing is made

An officer, agent, or employe of the governmental authority, agency, or instrumentality on behalf of which thefiling is made

A representative qualified to practice before the Commission under Rule 2101 of the Commission's Rules ofPractice and Procedure (18C.F.R.§ 385.2101) and who possesses authority to sign

He or she has reviewed all automatic calculations and agrees with their results, unless otherwise noted in theMiscelianeous section starting on page 19.

He or she has provided a copy of this Form 556 and all attachments to the utilities with which the fadiity willinterconnect and transact (see lines 4a through 4d), as well as to the reguiatory authorities of the states in which thefacility and those utilities reside. See the Required Notice to Pubiic Utilities and State Regulatory Authorities section onpage 3 for more information.

Provide your signature, address and signature date below. Rule 2005(c) of the Commission's Rules of Practice andProcedure (18 C.F.R. § 385.2005(c}) provides that persons filing their documents electronically may use typed charactersrepresenting his or her name to sign the filed documents. A person filing this document electronically should sign (bytyping his or her name) in the space provided below.

Your Signature

Robert Jans

Your address

Two Waterview

West Chester,

Road/ Suite E~ll

PA 19380

Date

11/25/2015

Audit Notes

Commission Staff Use Only: D

Page 19: Production or Cogeneration Facility Form 556 Certification ... · Form 556 Certification of Qualifying Facility (QF) Status for a Small Power Production or Cogeneration Facility General

FERC Form 556 Page 19 - All Facilities

MiscellaneousUse this space to provide any information for which there was not sufficient space in the previous sections of the form toprovide. For each such item of mformat\on dearly identify the line number that the information belongs to. You may also usethis space to provide any additional information you believe is relevant to the certification of your facility.

Your response beiow is not iimited to one page. Additional page(s) wiil automatically be inserted into this form if thelength of your response exceeds the space on this page. Use as many pages as you require.

This Notice of Self-Recertification is filed to reflect changes to the QF that do not

affect eligibility for QF status or for the regulatory exemptions set forth in 18 CFR

Part 292 Subparfc F. The QF''s current voting or equivalent ownership effective 11/16/15

is indicated in item 5b/ and the location is specified in item 3c. In addition/ certain

tax-related financial rights are held by Firstar Development/ LLC.

Page 20: Production or Cogeneration Facility Form 556 Certification ... · Form 556 Certification of Qualifying Facility (QF) Status for a Small Power Production or Cogeneration Facility General
Page 21: Production or Cogeneration Facility Form 556 Certification ... · Form 556 Certification of Qualifying Facility (QF) Status for a Small Power Production or Cogeneration Facility General

FEDERAL ENERGY REGULATORY COMMISSION OMB controls 1902-0075WASHINGTON, DC Explratlon 05/31/2016

Form 556 Certification of Qualifying Facility (QF) Status for a Small PowerProduction or Cogeneration Facility

GeneralQuestions about completing this form should be sent to [email protected]. Information about the Commission's QFprogram, answers to frequently asked questions about QF requirements or completing this form, and contact information forQF program staff are available at the Commission's QF website, www.ferc.aQv/QF. The Commission's QF website alsoprovides links to the Commission's QF regulations (18 CF.R. § 131.80 and Part 292), as well as other statutes and orderspertaining to the Commission's QF program.

Who Must FileAny applicant seeking QF status or recertification ofQF status for a generating facility with a net power production capacity(as determined in lines 7a through 7g beiow) greater than 1000 kW must file a self-certification or an application forCommission certification of QF status/ which includes a properly completed Form 556. Any applicant seeking QF status for agenerating facility with a net power production capacity 1000 kW or less is exempt from the certification requirement, and istherefore not required to complete or file a Form 556. 5ee18CF.R. §292.203.

How to Complete the Form 556

This form is intended to be completed by responding to the items in the order they are presented, according to theinstructions given. !f you need to back-track/ you may need to clear certain responses before you will be allowed to changeother responses made previously in the form. If you experience problems, click on the nearest help button (Q) forassistance, or contact Commission staff at [email protected].

Certain lines En this form will be automatically calculated based on responses to previous lines, with the relevant formulasshown. You must respond to all of the previous lines within a section before the results of an automatically calculated fieldwill be displayed. If you disagree with the results of any automatic calculation on this form, contact Commission staff atForm556@fer'c.gov to discuss the discrepancy before filing.

You must complete ail lines in this form unless instructed otherwise. Do not alterthis form or save this form En a differentformat. Incomplete or altered forms, or forms saved in formats other than PDF, will be rejected.

How to File a Completed Form 556Applicants are required to file their Form 556 electronically through the Commission's eFifing website (see instructions onpage 2). By filing electronically, you will reduce your fifing burden, save paper resources/ save postage or courier charges,heip keep Commission expenses to a minimum, and receive a much faster confir'mation (via an email containing the docketnumber assigned to your faciiity) that the Commission has received your filing.

If you are simultaneously filing both a waiver request and a Form 556 as part of an application for Commission certification,see the "Waiver Requests" section on page 3 for more information on how to file.

Paperwork Reduction Act NoticeThis form is approved by the Office of Management and Budget. Compliance with the information requirements establishedby the FERC Form No. 556 is required to obtain or maintain status as a QF. See 18 CF.R. § 131.80 and Part 292. An agency maynot conduct or sponsor, and a person is not required to respond to, a collection of information uniess it displays a currentlyvalid 0MB control number. The estimated burden for completing the FERC Form No. 556, including gathering and reportinginformation, is as follows: 3 hoursforself-certificationofa sma!! power production facility, 8 hours for self-certifications of acogeneration facility, 6 hours for an application for Commission certification of a small power production facility, and 50 hoursfor an application for Commission certification of a cogeneration facility. Send comments regarding this burden estimate orany aspect of this collection of information, including suggestions for reducing this burden, to the following; InformationClearance Officer, Office of the Executive Director (ED-32), Federal Energy Regulatory Commission/ 888 First Street N.E.,Washington, DC 20426 fDataClearanceiafercaov); and Desk Officer for FERC, Office of Information and Regulatory Affair's,Office of Management and Budget, Washington, DC 20503 (oira submissioniaomb.eop.govl. Include the Control No.1902-0075 in any correspondence.

Page 22: Production or Cogeneration Facility Form 556 Certification ... · Form 556 Certification of Qualifying Facility (QF) Status for a Small Power Production or Cogeneration Facility General

FERC Form 556 Page 2-Instructions

Electronic Filing (eFiling)To eiectronicaily file your Form 556, visit the Commission's QFwebsite at www.fercgov/QE and ciicktheeFiiing link.

If you are eFEIing your first document, you will need to register with your name, email address, maiiing address, and phonenumber. If you are registering on behalf of an employer, then you will also need to provide the employer name, alternatecontact name, alternate contact phone number and and alternate contact email

Once you are registered/ iog in to eFiling with your registered email address and the password that you created atregistration. Follow the instructions. When prompted, select one of the following QF-related filing types, as appropriate,from the Electric or General filing category.

Filing category

Electric

General

Filing Type as listed in eFiiing

(Fee) Application for Commission Cert. as Cogeneration QF

(Fee) Application for Commission Cert. as Small Power QF

Self-Certification Notice (QF, EG, FC)

Seif-Recertification of Qualifying Facility (QF)

Suppiementai information or Request

(Fee) Petition for Declaratory Order (not under FPA Part 1 )

Description

Use to submit an application forCommission certification orCommission re certification of acogeneration facility as a QF.

Use to submit an application forCommission certification orCommission recertification of asmall power production facility as aQF.

Use to submit a notice of self-

certification of your facility(cogeneration or smai! power

production) as a QF.

Use to submit a notice of self-recertification ofyourfacifity(cogeneratlon or small powerproduction) as a QF.

Use to correct or supplement a

Form 556 that was submitted witherrors or omissions, or for which

Commission staff has requested

additional information. Do not use

this filing type to report newchanges to a facility or itsownership; rather, use a self-

recertifjcation or Commissionrecertjfication to report suchchanges.

Use to submit a petition fordeclaratory order granting a waiverof Commission QF regulationspursuant to 18 C.F.R. §§ 292.204(a)(3) and/or 292.205(c). A Form 556 isnot required for a petition fordeclaratory order unlessCommission re certification is beingrequested as part of the petition.

You will be prompted to submit your filing fee/ if applicable, during the electronic submission process. Filing fees can be paidvia electronic bank account debit or credit card.

During the eFiiing process, you will be prompted to select your file(s) for upload from your computer.

Page 23: Production or Cogeneration Facility Form 556 Certification ... · Form 556 Certification of Qualifying Facility (QF) Status for a Small Power Production or Cogeneration Facility General

FERC Form 556 Page 3 - Instructions

Filing FeeNo filing fee is required if you are submitting aself-certEfEcationorself-recertificationofyourfadiityasaQFpursuantto 18C.F.R. § 292.207(a).

A filing fee is required if you are filing either of the following:

(1) an application for Commission certification or recertification of your facility as a QF pursuant to 18CF.R. § 292.207(b)/or(2) a petition for declaratory order granting waiver pursuant to 1 8 C.F.R. §§ 292.204(a)(3) and/or 292.205(c).

The current fees for applications for Comnnission certifications and petitions for declaratory order can be found by visiting theCommission's QF website at www.ferc.gov/QF and ciicking the Fee Schedule link.

Youwiil be prompted to submit your filing fee, if applicable, during the electronic filing process described on page 2.

Required Notice to Utilities and State Regulatory AuthoritiesPursuant to 18C.F.R.§ 292.207(a)(ii),you must provide a copy of your self-certification or request for Commission certificationto the utiijtjes with which the faciiity will interconnect and/or transact, as well as to the State regulatory authorities of thestates in which your facility and those utilities reside. Links to information about the regulatory authorities in various statescan be found by visiting the Commission's QF website at www.ferc.gov/QF and clicking the Notice Requirements link.

What to Expect From the Commission After You FileAn applicant filing a Form 556 electronically will receive an email message acknowledging receipt of the filing and showingthe docket number assigned to the filing. Such email is typically sent within one business day, but may be delayed pendingconfirmation by the Secretary of the Commission of the contents of the filing.

An applicant submitting a self-certification of QF status should expect to receive no documents from the Commission, otherthan the electronic acknowledgement of receipt described above. Consistent with its name, a self-certification is acertification ^y f/ie app//'cont fce/Vthat the faciiity meets the relevant requirements for QF status, and does not involve adetermination by the Commission as to the status of the facility. An acknowledgement of receipt of a self-certification, inparticular, does not represent a determination bythe Commission with regard to the QF status ofthe facility. An applicantself-certifying may/ however, receive a rejection, revocation or deficiency letter if its application is found, during periodiccompliance reviews, not to comply with the relevant requirements.

An applicant submitting a request for Commission certification wiil receive an order either granting or denying certification ofQF status, or a letter requesting additional information or rejecting the application. Pursuant to 1 8 C.F.R. § 292.207(b}(3), theCommission must act on an application for Commission certification within 90 days of the later ofthe filing date of theappiicatjon or the filing date of a supplement, amendment or other change to the application.

Waiver Requests18 C.F.R.§292.204(a)(3) allows an applicant to request a waiver to modify the method of calculation pursuant to 18CF.R.§292.204(a}(2) to determine if two facilities are considered to be located at the same site, for good cause. 18 C.F.R. § 292.205(c)allows an applicant to request waiver of the requirements of 1 8 C.F.R. §§ 292.205(a) and (b) for operating and efficiency upona showing that the facility will produce significant energy savings. A request for waiver of these requirements must besubmitted as a petition for declaratory order, with the appropriate filing fee for a petition for declaratory order. Applicantsrequesting Commission recertificatson as part of a request for waiver of one of these requirements should electronicallysubmit their completed Form 556 along with their petition for declaratory order, rather than filing their Form 556 as aseparate request for Commission recertiflcation. Only the fiiing fee for the petition for declaratory order must be paid tocover both the waiver request and the request^ fecert.\tiC3t\ort if such requests are made simuftaneously.

18C.F.R.§ 292.203(d)(2) allows an applicant to request a waiver of the Form 556 filing requirements/for good cause.Applicants filing a petition for declaratory order requesting a waiver under 18 C.F.R. § 292.203(d)(2) do not need to completeor submit a Form 556 with their petition.

Page 24: Production or Cogeneration Facility Form 556 Certification ... · Form 556 Certification of Qualifying Facility (QF) Status for a Small Power Production or Cogeneration Facility General

FERC Form 556 Page 4 - Instructions

Geographic Coordinatesif a street address does not exist for your facility, then line 3c of the Form 556 requires you to report your facility's geographiccoordinates (iatitude and longitude). Geographic coordinates may be obtained from several different sources. You can findlinks to online services that show iatitude and longitude coordinates on online maps by visiting the Commission's QFwebpage at www.ferc.gov/QF and clicking the Geographic Coordinates iink. You may also be able to obtain your geographiccoordinates from a GPS device, Google Earth (available free at http://earth,gQpg^^^^^^^^^ a property survey, various

engineering or construction drawings, a property deed, or a municipal or county map showing property lines.

Filing Privileged Data or Critical Energy Infrastructure Information in a Form 556

The Commission's regulations provide procedures for applicants to either (1) request that any information submitted with aForm 556 be given privileged treatment because the information is exempt from the mandatory public disclosurerequirements of the Freedom of information Act, 5 U.S.C. § 552, and should be withheld from public disclosure; or (2) identifyany documents containing critical energy infrastructure information (CEIi) as defined in 18 C.F.R. § 388.113 that should not bemade public.

if you are seeking privileged treatment orCEII status for any data in your Form 556, then you must follow the procedures in 18C.F.R. § 388.112. See www.ferc.qov/he)p/filina-auide/fEie-ceii,asp for more information.

Among other things (see 1 8 C.F.R. § 388.11 2 for other requirements), applicants seeking privileged treatment or CEIf status fordata submitted in a Form 556 must prepare and die both (1) a complete version ofthe Form 556 (containing the privilegedand/or CEII data), and (2) a public version of the Form 556 (with the privileged and/or CEH data redacted). Applicantspreparing and filing these different versions of their Form 556 must indicate below the security designation of this version oftheir document, if you are not seeking privileged treatment or CE11 status for any of your Form 556 data/ then you should notrespond to any of the items on this page.

Non-Public: Applicant is seeking privileged treatment and/or CEI! status for data contained in the Form 556 linesI[ indicated below. This non-pubiic version of the applicant's Form 556 contains ail data, including the data that is redacted

in the (separate) public version of the applicant's Form 556.

Public (redacted): Applicant is seeking privileged treatment and/or CE11 status for data contained in the Form 556 linesQ indicated beiow. This public version oftheapplicants'sForm 556 contains all data ex^eyt for data from the lines

indicated beiow, which has been redacted.

Privileged: Indicate below which lines of your form contain data for which you are seeking privileged treatment

Critical Energy Infrastructure Information (CEIi): Indicate beiow which lines of your form contain data for which you areseeking CEIi status

The eFiling process described on page 2 wil! allow you to identify which versions of the electronic documents you submit arepublic/ privileged and/or CEII. The filenames for such documents should begin with "Public", "Priv", or "CE11", as applicable, toclearly indicate the security designation of the file. Both versions of the Form 556 should be unaitered PDF copies ofthe Form556, as available for download from www.ferc.gov/QF. To redact data from the public copy of the submittal, simply omit therelevant data from the Form. For numerical fields, ieave the redacted fields blank. For text fields, complete as much of thefield as possible, and replace the redacted portions of the field with the word "REDACTED" in brackets. Be sure to identifyabove ^11 fields which contain data for which you are seeking non-public status.

The Commission is not responsible for detecting or correcting filer errors/ including those errors related to securitydesignation, if your documents contain sensitive information, make sure they are filed using the proper security designation.

Page 25: Production or Cogeneration Facility Form 556 Certification ... · Form 556 Certification of Qualifying Facility (QF) Status for a Small Power Production or Cogeneration Facility General

FEDERAL ENERGY REGULATORY COMMISSIONWASHINGTON, DC

0MB Controls 1902-0075

Expiration 5/31/2016

Form 556 Certification of Qualifying Facility (QF) Status for a Small PowerProduction orCogeneration Facility

1a Full name of applicant (legal entity on whose behalf qualifying facility status is sought for this facility)

Jefct Creek Windfarm/ LLC

1b Applicant street addressc/o Oregon Windfarms/ LLC

3145 Geary Blvd./ #723

1c City

San Francisco

Id State/province

CA

1e Postaicode

94118

1f Country (if not United States) 1g Telephone number

415-221-9909

th Hastheinstantfadlityever previously been certified as a QF? ^6siKI No [_]

1i ifyes, provide the docket number of the last known QF filing pertaining to this facility: QF12 - 183 - 000

1j Under which certification process is the applicant making this filing?

Notice ofself-certification p-^ Application for Commission certification (requires filing

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(see note below) l—J fee; see "Filing Fee" section on page 3}

Note: a notice of self-certification is a notice by the applicant itself that its facility complies with the requirements forQF status. A notice ofseif-certification does not establish a proceeding, and the Commission does not review anotice of self-certiflcation to verify compliance. See the "What to Expect From the Commission After You File"section on page 3 for more information.

1 k What type(s) of QF status is the applicant seeking for its facility? (check all that appiy)

Qualifying small power production facility status ["_] Qualifying cogeneration faciUty status

11 What is the purpose and expected effective date(s) of this filing?

Q Original certification; facility expected to be installed by __ and to begin operation on

Change(s)toa previously certified facility to be effective on 11/16/15

(identify type(s) of change(s) below, and describe change(s) in the Miscellaneous section starting on page 19)

D Name change and/or other administrative change(s)

^ Change in ownership

D Change(s) affecting plant equipment, fuel use, power production capacity and/or cogeneration thermal output

Q Supplement or correction to a previous filing submitted on

(describe the supplement or correction in the Miscellaneous section starting on page 19}

1m if any of the following three statements is true, check the box(es) that describe your situation and complete the formto the extent possible/ explaining any special circumstances in the Misceilaneous section starting on page 19.

The instantfaciIitycompiieswiththeCommission'sQFrequirementsby virtue of a waiver of certain regulationspreviously granted by the Commission in an order dated (specify any other relevant waiver

orders in the Misceilaneous section starting on page 19)

The instant facility would comply with the Commission's QF requirements if a petition for waiver submittedD concurrently with this application is granted

The instant facility complies with the Commission's regulations, but has special circumstances/ such as theQ employment of unique or innovative technologies not contemplated by the structure of this form, that make

the demonstration of compliance via this form difficult or impossible (describe in Misc. section starting on p. 19)

Page 26: Production or Cogeneration Facility Form 556 Certification ... · Form 556 Certification of Qualifying Facility (QF) Status for a Small Power Production or Cogeneration Facility General

FERC Form 556 Page 6-Ail Facilities

2a Name of contact person

Maurice Miller

2b Telephone number

415-221-9909

c0

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2c Which of the foilowing describes the contact person's relationship to the applicant? (check one)

[_] Applicant (self) [_] Employee, owner or partner of applicant authorized to represent the applicant

Employee of a company affiliated with the applicant authorized to represent the applicant on this matter

Lawyer, consultant, or other representative authorized to represent the applicant on this matter

2d Company or organization name (if applicant is an individual, check here and skip to line 2e) Q

Oregon Windfarms, LLC

2e Street address (if same as Applicant, check here and skip to line 3a)

2f City 2g State/province

2h Postal code 2t Country (if not United States)

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T3crt3

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-0

^uro

3a Facility name

Jett Creek Windfarm

3b Street address (if a street address does not exist for the facility, check here and skip to line 3c)j

3c Geographic coordinates: if you indicated that no street address exists for your facility by checking the box in line 3b,then you must specify the latitude and longitude coordinates of the facility En degrees (to three decima! places). Usethe following formula to convert to decimal degrees from degrees, minutes and seconds: decimal degrees =

degrees + (minutes/60) + (seconds/3600). See the "Geographic Coordinates" section on page 4 for heip. if youprovided a street address for your facility in line 3b, then specifying the geographic coordinates below is optional.

LongitudeEast(+]West (-}

117.274 degrees LatitudeNorth (+)

Q South (-}44.425 degrees

3d City (if unincorporated, check here and enter nearest city) ||

Huntington

3e State/province

OR

3f County(or check here for independent city) Q

Baker

3g Country (if not United States)

identify the electric utilities that are contemplated to transact with the facility.

VICD

enc+-•

u(D1/1

crt3^-

4a identify utility interconnecting with the facility

Idaho Power Company

4b identify utilities providing wheeling service or check here if none

4c identify utilities purchasing the useful electric power output or check here if none [-]

Idaho Power Company

4d Identify utilities providing supplementary power, backup power, maintenance power, and/or interruptibie powerservice or check here if none [_]

Idaho Power Company

Page 27: Production or Cogeneration Facility Form 556 Certification ... · Form 556 Certification of Qualifying Facility (QF) Status for a Small Power Production or Cogeneration Facility General

FERC Form 556 Page 7-A!l Facilities

c04-'

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0~0cra

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0

5a Direct ownership as of effective date or operation date: Identify all direct owners of the facility holding at least 10percent equity interest. For each identified owner/ also (1) indicate whether that owner is an electric utility, asdefined En section 3(22) of the Federal Power Act (16 U.S.C 796(22)), or a holding company, as defined in section1262(8) of the Public Utility Holding Company Act of 2005 (42 U.S.C 16451 (8)), and (2) for owners which are electricutilities or holding companies, provide the percentage of equity interest in the facility heid by that owner, if nodirect owners hold at least 10 percent equity interest in the facility, then provide the required information for thetwo direct owners with the largest equity interest in the facility.

Electric utility or if Yes,holding % equity

Full legal names of direct owners company interest

1) Jett Creek Windfarm/ LLC

2)

3)

4}

5}

6)

7)

8)

9}

10)

Yes D No ^]

Yes Q No Q

Yes Q No Q

Yes Q No

Yes D No Q

Yes Q No Q

Yes Q No Q

Yes D No Q

Yes D No Q

^esQ No Q

[—] Check here and continue En the Miscellaneous section starting on page 19 if additional space is needed

5b Upstream (i.e.Jndirect) ownership as of effective date or operation date: Identify all upstream (i.e./ indirect) ownersof the facility that both (1 ) hold at least 1 0 percent equity interest in the facility, and (2) are electric utilities, asdefined in section 3(22) of the Federal Power Act (16 U.S.C. 796(22)), or holding companies, as defined in section1262(8) of the Public Utility Holding Company Act of 2005 [42 U.S.C 16451 (8)). Also provide the percentage ofequity interest in the facility held by such owners. (Note that, because upstream owners may be subsidiaries of oneanother, total percent equity interest reported may exceed 100 percent.)

Check here if no such upstream owners exist. [__j

Fuli legai names of electric utility or holding company upstream owners% equityinterest

1) Oregon Windfarms/ LLC 99

2)

3)

4)

5)

6}

7}

8}

9)

10}

Jett

Jett

Jett

DESRI

DESRI

DESRI

D. E.

Creek Windfarm Holdings

Creek Windfarm Holdings

Creek Windfarm Holdings/

Huntington 1, L.L.C.

Huntington Acquisition/

Huntington Acquisition

1, L.L.C.

1, L.L.C.

L.L.C.

L.L.C.

Holdings, L.L.C.

Shaw Renewable Investments/ L.L.C.

100

100

100%

1 %

[_| Check here and continue in the Misceiianeous section starting on page 19 if additional space is needed

5c Identify the facility operator

Jett Creek Windfarm^ LLC

Page 28: Production or Cogeneration Facility Form 556 Certification ... · Form 556 Certification of Qualifying Facility (QF) Status for a Small Power Production or Cogeneration Facility General

FERC Form 556 Page 8 "All Facilities

6a Describe the primary energy input: (check one main category and, if applicable, one subcategory)

j—j Biomass (specify) ^ Renewable resources (specify) Q Geothermal

Q Landfill gas

Q Manure digester gas

D Municipal solid waste

Q Sewage digester gas

0 Wood

Q Other biomass (describe on page 19)

Q Waste (specify type below in line 6b]

D Hydro power - river

Q Hydro power-tidai

Q Hydro power" wave

D Solar ~ photovoltaic

Q Solar-thermal

|g| Wind

n Fossil fuel (specify)

n Coal (not waste)

Q Fuei oil/diesei

D Natural gas (not waste)

Other fossil fuel(describe on page 19)

Other renewable resource Q other (describe on page 19}(describe on page 19)

6b If you specified "waste" as the primary energy input in !Ene 6a, indicate the type of waste fuei used: (check one)

Q Waste fuel listed in 18 C.F.R. § 292.202(b) (specify one of the foiiowing)

Q Anthracite culm produced priortoju!y23,1985

Anthradte refuse that has an average heat content of 6,000 Btu or less per pound and has an average

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ash content of 45 percent or more

Bituminous coal refuse that has an average heat content of 9,500 Btu per pound or less and has anaverage ash content of 25 percent or more

Top or bottom subbituminous coal produced on Federal lands or on Indian iands that has beendetermined to be waste by the United States Department of the Interior's Bureau of Land Management(BLM) or that is located on non-Federai or non-lndian landsoutsideofBLM's jurisdiction, provided thatthe applicant shows that the latter coal is an extension of that determined by BLM to be waste

Coal refuse produced on Federal iands or on Indian lands that has been determined to be waste by theQ BLM or that is located on non- Federal or non-Indian lands outside of BLM's jurisdiction, provided that

applicant shows that the latter is an extension of that determined by BLM to be waste

aLignite produced in association with the production ofmontan wax and lignitethat becomes exposedas a result of such a mining operation

D Gaseous fuels (except natural gas and synthetic gas from coai) (describe on page 1 9)

Waste natural gas from gas or oil weiis (describe on page 19 how the gas meets the requirements of 18D C.F.R. § 2.400 for waste natural gas; include with your filing any materials necessary to demonstrate

compliance with 18 C.F.R. § 2,400)

Q Materials that a government agency has certified for disposal by combustion (describe on page 19)

Q Heat from exothermic reactions (describe on page 19} D Residual heat (describe on page 19)

Q Used rubber tires d Plastic materials Q Refinery off-gas Q Petroleum coke

Other waste energy input that has little or no commerciai vaiueand exists En the absence of the qualifyingn facility industry (describe in the Miscellaneous section starting on page 19; include a discussion of the fuel's

lack of commercial value and existence En the absence of the qualifying facility industry)

6c Provide the average energy input, calculated on a calendar year basis, in terms of Btu/h for the following fossil fuelenergy inputs, and provide the related percentage of the total average annual energy input to the facility (18 C.F.R. §292.202(j)}. For any oil or natural gas fuel, use lower heating value (18 C.F.R. § 292.202(m)}.

Fue!Annual average energyinput for specified fuel

Percentage of totalannual energy input

Natural gas

Oil-based fuels

Coai

0 Btu/h

0 Btu/h

0 Btu/h

0 %

0 %

0 %

Page 29: Production or Cogeneration Facility Form 556 Certification ... · Form 556 Certification of Qualifying Facility (QF) Status for a Small Power Production or Cogeneration Facility General

FERC Form 556 Page 9-Ail Facilities

indicate the maximum gross and maximum net electric power production capacity of the fadiity at the point(s) ofdelivery by compieting the worksheet beiow. Respond to all items. If any of the parasitic loads and/or losses identified infines 7b through 7e are negligible, enter zero for those lines.

7a The maximum gross power production capacity at the terminals of the individual generators)under the most favorable anticipated design conditions 10/000 kW

7b Parasitic station power used at the facility to run equipment which is necessary and integral tothe power production process (boiler feed pumps, fans/biowers, office or maintenance buildingsdirectly related to the operation ofthe power generating facility, etc.}. If this facility includes non-power production processes (for instance, power consumed by a cogeneration faciiity's thermalhost), do not include any power consumed by the non-power production activities in yourreported parasitic station power. 10 kW

7c Electrical losses in interconnection transformers111.6 kW

7d Eiectricai losses in AC/DC conversion equipment, if any0 kW

7e Other interconnection losses En power lines or facilities (other than transformers and AC/DCconversion equipment) between the terminals ofthe generator(s) and the point of interconnectionwith the utility 182.1 kW

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7f Total deductions from gross power production capacity = 7b-s-7c+ 7d + 7e303.7 kW

7g Maximum net power production capacity = 7a" 7f9/696.3 kW

7h Description of facility and primary components: Describe the facility and its operation. Identify all boilers, heatrecovery steam generators/ prime movers (any mechanical equipment driving an electric generator)/ electricalgenerators, photovoltaic solar equipment, fuel cell equipment and/or other primary power generation equipmentused in the facility. Descriptions of components should include (as applicable) specifications of the nominalcapacities for mechanical output, eiectrical output, or steam generation of the identified equipment For each pieceofequipmentidentified/dearly indicate how many pieces of that type of equipment are included in the plant, andwhich components are normally operating or normally in standby mode. Provide a description of how thecomponents operate as a system. Applicants for cogeneration facilities do not need to describe operations of

systems that are clearly depicted on and easily understandable from a cogeneration facility's attached mass andheat balance diagram; however, such applicants should provide any necessary description needed to understandthe sequential operation ofthe facility depicted in their mass and heat balance diagram, if additional space isneeded, continue in the IVIiscelianeous section starting on page 19.

The wind-powered facility will consist of five (5) wind turbines with a combined

nameplate rated capacity of 10 MW and an actual deliverabie capacity of less than

10 MW, on monopole towers with concrete foundations.

Interconnection Facilities: The facility includes under or above-ground feeders

at 34.5 kV site voltage/ which is transformed to transmission voltage of 138 kV

at an on-site substation jointly owned and shared on a prorated capacity basis

with other unaffiliated QFs (in a manner consistent with the facility's

possession of rights and of blanket waivers as provided for in Commission Order

No. 807). The facility will then be interconnected to the Idaho Power Company's

system, using a 138 kV interconnection line that is jointly owned and shared with

other unaffiliated QFs, in the manner indicated. The interconnection facilities

are components of the QF.

Page 30: Production or Cogeneration Facility Form 556 Certification ... · Form 556 Certification of Qualifying Facility (QF) Status for a Small Power Production or Cogeneration Facility General

FERC Form 556 Page 10" Small Power Production

Information Required for Small Power Production FacilityIf you indicated in !ine 1k that you are seeking qualifying smal! power production facility status for your facility, then youmust respond to the items on this page. Otherwise/skip page 10.

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Pursuant to 18 C.F.R. § 292.204(a), the power production capacity of any small power production facility, togetherwith the power production capacity of any other smail power production facilities that use the same energyresource, are owned by the same person(s) or its affiliates/ and are iocated at the same site, may not exceed 80megawatts. To demonstrate compliance with this size limitation, or to demonstrate that your facility is exemptfrom this size limitation under the Solar, Wind, Waste, and Geothermal Power Production incentives Act of 1990(Pub. L. 101-575,104 Stat. 2834 (1990) as amended by Pub. L. 102-46,105 Stat. 249 (1991)), respond to lines 8athrough 8e below (as applicable).

8a Identify any facilities with electrical generating equipment located within 1 mile of the electrical generatingequipment of the instant facility/and for which any of the entities identified En lines 5a or 5b, or their affiliates, holdsat least a 5 percent equity interest

Check here if no such facilities exist.

Facility location(city or county, state)

Root docket #(if any) Common owner(s)

Maximum net power

production capacity

QF

QF

QF

kW

kW

kW

[_] Check here and continue in the Miscellaneous section starting on page 19 if additional space is needed

8b The Solar, Wind/ Waste, and Geotherma! Power Production Incentives Act of 1990 (incentives Act) providesexemption from the si2e limitations in 18 C.F.R. § 292.204(a) for certain facilities that were certified prior to 1995.Are you seeking exemption from the size limitations in 1 8 C.F.R. § 292.204(a) by virtue of the Incentives Act?

[_j Yes (continue at line 8c below) No (skip lines 8c through 8e)

8c Was the original notice of self-certification or application for Commission certification of the facility filed on orbefore December 31 J 994? YesQ No Q

8d Did construction of the facility commence on or before December 31,1999? ^esQ No Q

8e If you answered No in line 8d, indicate whether reasonabie diligence was exercised toward the compietion ofthe facility/ taking into account all factors relevant to construction? Yes Q No Q If you answered Yes, providea brief narrative explanation in the Miscellaneous section starting on page 19 of the construction timeline (inparticular, describe why construction started so long after the faciiity was certified) and the diiigence exercisedtoward completion of the facility.

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Pursuant to 18 C.F.R. § 292.204(b), qualifying smaii power production facilities may use fossil fuels/ in minima!amounts, for only the foilowing purposes: ignition; start-up; testing; flame stabiiization; control use; alleviation orprevention of unanticipated equipment outages; and alleviation or prevention of emergencies, directly affectingthe public health, safety, or welfare, which wouid resuit from electric power outages. The amount of fossil fuelsused for these purposes may not exceed 25 percent of the total energy input ofthe facility during the 12-monthperiod beginning with the date the facility first produces electric energy or any calendar year thereafter.

9a Certification of compiiance with 18C.F.R. § 292.204{b) with respect to uses of fossii fuel:

Applicant certifies that the facility wili use fossil fuels exc/U5;Ve/y for the purposes listed above.

9b Certification of compliance with 18C.F.R.§292.204(b}with respect to amount of fossi! fuel used annually:

Applicant certifies that the amount of fossil fuel used at the facility wii! not, in aggregate^ exceed 25percent of the total energy input of the facility during the 1 2-month period beginning with the date thefacility first produces electric energy or any calendar year thereafter.

Page 31: Production or Cogeneration Facility Form 556 Certification ... · Form 556 Certification of Qualifying Facility (QF) Status for a Small Power Production or Cogeneration Facility General

FERC Form 556 Page 11 ~ Cogeneration Facilities

Information Required for Cogeneration FacilityIf you indicated in line 1k that you are seeking qualifying cogeneration facility status for your facility, then you must respondto the items on pages 11 through 13. Otherwise, skip pages 11 through 13.

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Pursuant to 18 C.F.R. § 292.202(c), a cogeneration faciiity produces electric energy and forms of useful thermalenergy (such as heat or steam) used for industrial, commercial, heating, or cooling purposes, through the sequentiause of energy. Pursuant to 18CF.R.§ 292.202(s), "sequential use" of energy means the foi!owing:(1) for a topping-cycle cogeneration fadiity/ the use of reject heat from a power production process in sufficient amounts in athermal application or process to conform to the requirements of the operating standard contained in 1 8 C.F.R. §292.205(a);or(2)fora bottoming-cyclecogeneration facility, the use of at least some reject heat from a thermalapplication or process for power production.

10a What type(s) ofcogeneration technology does the facility represent? (check all that apply)

[_] Topping-cyde cogeneration [_] Bottom in g-cycle cogeneration

10b To help demonstrate the sequential operation of the cogeneration process, and to support compiiance withother requirements such as the operating and efficiency standards/ include with your filing a mass and heatbalance diagram depicting average annual operating conditions. This diagram must include certain items andmeet certain requirements, as described below. You must check next to the description of each requirementbelow to certify that you have complied with these requirements.

Check to certifycompliance with

indicated requirement Requirement

D

D

D

D

D

D

D

D

D

Diagram must show orientation within system piping and/or ducts of all prime movers,heat recovery steam generators, boilers, electric generators, and condensers (as

applicabie), as well as any other primary equipment relevant to the cogenerationprocess.

Any average annual values required to be reported En lines 10b,12a, 1 3a, 13b, 13d, 1 3f,14a, 15b, 15d and/or 15f must be computed over the anticipated hours of operation.

Diagram must specify all fue! inputs by fuel type and average annual rate En Btu/h. Fuelfor supplementary firing should be specified separately and cleariy labeled. Aiispecifications of fuel inputs should use tower heating values.

Diagram must specify average gross electric output in kW or MW for each generator.

Diagram must specify average mechanical output (that is, any mechanical energy takenoff ofthe shaft of the prime movers for purposes not directly related to electric powergeneration) in horsepower, if any. Typically, a cogeneration fadiity has no mechanEcaIoutput

At each point for which working fluid flow conditions are required to be specified (seebeiow), such flow condition data must include mass flow rate (in ib/h or kg/s),temperature (in OF, R/ °C or K), absolute pressure (in psia or kPa) and enthalpy (in Btu/lborkJ/kg). Exception: For systems where the working fluid is/jqu;c/on/y(novaporatanypoint in the cycie) and where the type of liquid and specific heat of that liquid are clearlyindicated on the diagram or in the Miscellaneous section starting on page 19/ only massflow rate and temperature (not pressure and enthalpy) need be specified. For reference,specific heat at standard conditions for pure liquid water is approximately 1.002 Btu/(lb*R)or4.195kJ/(kg*K).

Diagram must specify working fluid flow conditions at input to and output from eachsteam turbine or other expansion turbine or back-pressure turbine.

Diagram must specify working fluid flow conditions at deliveryto and return from eachthermal application.

Diagram must specify working fluid flow conditions at make-up water inputs.

Page 32: Production or Cogeneration Facility Form 556 Certification ... · Form 556 Certification of Qualifying Facility (QF) Status for a Small Power Production or Cogeneration Facility General

FERC Form 556 Page 12-Cogeneration Facilities

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EPAct 2005 cogeneration facilities: The Energy Policy Act of 2005 (EPAct 2005) estabiished a new section 210(n) ofthe Public Utility Regulatory Policies Act of 1978 (PURPA), 16 USC 824a-3(n), with additional requirements for anyqualifying cogeneration facility that (1) is seeking to sell electric energy pursuant to section 210 of PURPA and (2)was either not a cogeneration facility on August 8,2005, or had not filed a self-certification or application forCommission certification ofQF status on or before February 1/2006. These requirements were implemented by theCommission in 18C.F.R. §292.205(d). Complete the lines below, carefully following the instructions, to demonstratewhether these additional requirements apply to your cogeneration facility and, if so, whether your facility complieswith such requirements.

11 a Was your facility operating as a qualifying cogeneration facility on or before August 8, 2005? Yes Q No [_]

11b Was the initial filing seeking certification of your facility (whether a notice of seif-certification or an appiicationfor Commission certification) filed on or before February 1,2006? Yes [_] No [_]

If the answer to either line 11 a or 11 bis Yes, then continue at line 11 c below. Otherwise, if the answers to both lines11 a and 11 b are No, skip to line 1 1 e below.

11 c With respect to the design and operation of the fadiity, have any changes been implemented on or afterFebruary 2,2006 that affect generai piant operation, affect use of thermal output, and/or increase net powerproduction capacity from the plant's capacity on February 1, 2006?

[_] Yes (continue at line 11 d below)

No. Your facility is not subject to the requirements of 18 C.F.R.§292.205(d) at this time. However, it may beQ subject to to these requirements En the future if changes are made to the facility. At such time, the applicant

would need to recertEfy the facility to determine eligibility. Skip lines 11 d through 11j.

nd Does the applicant contend that the changes identified in iine 11 care not so significant as to make the fadiitya "new" cogeneration facility that wouid be subject to the 18 C.F.R. § 292.205(d) cogeneration requirements?

Yes. Provide in the Miscellaneous section starting on page 1 9 a description of any reievant changes made to[__] the facility (including the purpose of the changes) and a discussion ofwhythe facility should not be

considered a "new" cogeneration faciiity in light of these changes. Skip lines 11 e through 11j.

No. Applicant stipulates to the fact that it is a "new" cogeneration facility (for purposes of determining the[__] applicability ofthe requirements of 18 C.F.R. § 292.205(d)) by virtue of modifications to the facility that were

initiated on or after February 2,2006. Continue below at line 11 e.

He Will electric energy from the facility be said pursuant to section 210 of PURPA?

Yes. The faciiity is an EPAct 2005 cogeneration facility. You must demonstrate compliance with 1 8 C.F.R. §D

a

292.205(d)(2) by continuing at line 11f below.

No. Appiicant certifies that energy will not be sold pursuant to section 210 of PURPA. Applicant also certifiesits understanding that it must recertify its facility in orderto determine compliance with the requirements of18 C.F.R. § 292.205(d) before seifing energy pursuant to section 210 of PURPA in the future. Skip lines 11fthrough 11j.

D

11f is the net power production capacity of your cogeneration facility, as indicated in line 7g above, less than orequal to 5,000 kW?

Yes, the net power production capacity is !ess than or equal to 5/000 kW. 1 8 C.F.R. § 292.205(d)(4) provides arebuttabie presumption that cogeneration facifities of 5/000 kW and smaller capacity comply with therequirements for fundamental use of the facility's energy output in 18C.F.R.§292.205(d)(2). Applicantcertifies its understanding that, should the power production capacity of the facility increase above 5,000kW, then the facility must be recertified to (among other things) demonstrate compliance with 1 8 CF.R. §292.205(d)(2). Skip lines 11 g through 1 1J.

No, the net power production capacity is greater than 5,000 kW. Demonstrate compliance with the[_] requirements for fundamental use of the facility's energy output in 18 C.F.R. § 292.205(d)(2) by continuing on

the next page at line 11g.

Page 33: Production or Cogeneration Facility Form 556 Certification ... · Form 556 Certification of Qualifying Facility (QF) Status for a Small Power Production or Cogeneration Facility General

FERC Form 556 Page 13 - Cogeneration Facilities

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Lines 11g through 11 k below guide the applicant through the process of demonstrating compliance with therequirements for "fundamentai use" of the facility's energy output. 18 C.F.R. § 292.205(d)(2). Only respond to thelines on this page if the instructions on the previous page direct you to do so. Otherwise, skip this page.

18 C.F.R. § 292.205(d)(2) requires that the electrical/ thermal, chemical and mechanical output of an EPAct 2005cogeneration facility is used fundamentally for industrial, commercia!, residential or institutionai purposes and isnot intended fundamentally for sale to an electric utility, taking into account technoiogicaL efficiency, economic,and variable thermal energy requirements, as well as state laws applicable to saies of electric energy from aqualifying facility to its host facility, if you were directed on the previous page to respond to the items on this page,thenyourfacEHtyisan EPAct 2005 cogeneration facility that is subject to this "fundamental use" requirement

The Commission's regulations provide a two-pronged approach to demonstrating compliance with therequirements for fundamental use of the facility's energy output. First, the Commission has established in 1 8 C.F.R.§ 292.205(d}(3) a "fundamental use test" that can be used to demonstrate compliance with 18 C.F.R. § 292.205(d)[2).Under the fundamental use test/ a facility is considered to comply with 18 C.F.R. § 292.205(d)(2) if at least 50 percentof the facility's total annual energy output (including eiectrica!, thermal, chemical and mechanical energy output) isused for industrial/ commercial, residential or institutional purposes.

Second, an applicant for a facility that does not pass the fundamental use test may provide a narrative expianationof and support for its contention that the facility nonetheless meets the requirement that the eiectrical, thermal/chemical and mechanical output of an EPAct 2005 cogeneration facility is used fundamentally for industriaf/commercial, residential or institutional purposes and is not intended fundamentally for sale to an electric utility,taking into account technological, efficiency, economic, and variable thermal energy requirements, as well as statelaws applicable to sales of electric energy from a qualifying facility to its host facility.

Complete lines 11 g through 11J below to determine compliance with the fundamental use test in 18 C.F.R. §292.205(d)(3). Complete lines 11g through }'\^ even if you do not intend to rely upon the fundamental use test todemonstrate compliance with 18 C.F.R. § 292.205(d)(2).

11 g Amount of electrical/thermal, chemica! and mechanical energy output (net of internalgeneration plant losses and parasitic loads) expected to be used annually for industrial,commercial, residential or institutional purposes and not sold to an electric utiitty

1 th Tota! amount of electrical, thermal, chemical and mechanical energy expected to besoid to an electric utility

11i Percentage of total annual energy output expected to be used for industrial,commercial residentiai or institutional purposes and not sold to a utility=100*Hg/(11g+11h)

MWh

MWh

%11j Is the response En line 11 i greater than or equal to 50 percent?

Yes. Your fadfity compiles with 18 C.F.R. § 292.205(d)(2) by virtue of passing the fundamental use testprovided in 18 C.F.R. § 292.205(d)(3). Applicant certifies its understanding that/ if It is to rely upon passing

Q the fundamental use test as a basis for complying with 18 C.F.R. § 292.205 (d}(2), then the facility mustcomply with the fundamental use test both in the 12-month period beginning with the date the facility firstproduces electric energy, and in all subsequent calendar years.

No. Your facility does not pass the fundamental use test. instead, you must provide in the Miscellaneoussection starting on page 1 9 a narrative explanation of and support for why your facility meets therequirement that the electricai, thermal, chemicai and mechanica! output of an EPAct 2005 cogenerationfacility is used fundamentaily for industrial/ commercial, residential or institutiona! purposes and is notintended fundamentally for sale to an electric utility/ taking into account technological, efficiency, economic,and variable thermal energy requirements, as weil as state laws applicable to sales of electric energy from aQF to its host facility. AppiEcants providing a narrative explanation of why their facility should be found to

Icomply with 1 8 C.F.R. § 292.205(d}(2) in spite of non-compliance with the fundamental use test may want toreview paragraphs 47 through 61 of Order No. 671 (accessible from the Commission's QF website atwww.ferc.gov/QF), which provide discussion of the facts and circumstances that may support theirexplanation. Applicant should also note that the percentage reported above wii! establish the standard thatthat facility must comply with, both for the 12-month period beginning with the date the facility firstproduces electric energy, and in all subsequent calendar years. See Order No. 671 at paragraph 51. As such,the applicant should make sure that it reports appropriate values on lines 11 g and 11 h above to serve as therelevant annual standard, taking into account expected variations in production conditions.

Page 34: Production or Cogeneration Facility Form 556 Certification ... · Form 556 Certification of Qualifying Facility (QF) Status for a Small Power Production or Cogeneration Facility General

FERC Form 556 Page 14-Topping-CydeCogeneration Facilities

Information Required for Topping-Cycle CogeneratEon FacilityIf you indicated in line 1 Oa that your facility represents topping-cycle cogeneration technology, then you must respond tothe items on pages 14 and 15. Otherwise, skip pages 14 and 15.

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The thermal energy output of a topping-cyde cogeneration facility is the net energy made availabie to an industrialor commercial process or used in a heating or cooling application. Pursuant to sections 292.202(c), (d)and (h) of theCommission's regulations (18 C.F.R.§§292.202(c), (d) and (h)), the thermal energy output of a qualifying topping-cycle cogeneration facility must be useful, in connection with this requirement, describe the thermai output of thetopping-cycie cogeneration facility by responding to lines 12a and 12b below.

12a Identify and describe each thermal host, and specify the annual average rate of thermal output made availableto each host for each use. For hosts with multiple uses of thermal output, provide the data for each use mseparate rows.

Name of entity (thermal host)taking thermal output

Thermal host's relationship to facility;Thermal host's use ofthermal output

Average annual rate of

thermal outputattributable to use (net ofheat contained in process

return or make-up water)

DSelect thermal host's relationship to facility

Select thermal host's use of thermal output

Select thermal host's relationship to facility

Select thermal host's use of thermal output

Select thermal host's reiationship to facility

Select thermal host's use of thermal output

Select thermai host's relationship to facility

Select thermal host's use of thermal output

Select thermal host's relationship to facility

Select thermal host's use of thermal output

Select thermal host's relationship to facility

Select thermal host's use of thermal output

Btu/h

Btu/h

Btu/h

Btu/h

Btu/h

Btu/h

Check here and continue En the MEsceilaneous section starting on page 19 if additional space is needed

12b Demonstration of usefulness of thermal output: At a minimum, provide a brief description of each use of thethermal output identified above, in some cases, this brief description is sufficient to demonstrate usefulness.

However, if your facility's use of thermal output is not common, and/or if the usefulness of such thermal output is

not reasonably clear, then you must provide additional detaiis as necessary to demonstrate usefulness. Your

application may be rejected and/or additional information maybe required if an insufficient showing of usefulnessis made. (Exception: If you have previously received a Commission certification approving a specific use of thermaloutput related to the instant facility, then you need oniy provide a brief description of that use and a reference bydate and docket number to the order certifying your facility with the indicated use. Such exemption may not beused if any change creates a material deviation from the previously authorized use.) If additional space is needed,continue in the Miscellaneous section starting on page 19.

Page 35: Production or Cogeneration Facility Form 556 Certification ... · Form 556 Certification of Qualifying Facility (QF) Status for a Small Power Production or Cogeneration Facility General

FERC Form 556 Page 15 - Topping-Cyde Cogeneration Facilities

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Applicants for faciijties representing topping-cyde technology must demonstrate compliance with the topping-cycle operating standard and, if applicable, efficiency standard. Section 292.205(a)(1) ofthe Commission'sregulations (18 CF.R. § 292.205(a)(1)) estabiishes the operating standard fortopping-cycle cogeneration facilities;the useful thermal energy output must be no less than 5 percent of the total energy output. Section 292.205(a}(2)(18 C.F.R. § 292.205(a)(2)} establishes the efficiency standard fortopping-cyde cogeneration fadiities for whichinstallation commenced on or after March 13,1980: the useful power output of the facility piusone-half the usefulthermal energy output must (A) be no less than 42.5 percent of the total energy input of natural gas and oil to thefacility; and (B) if the useful thermal energy output is less than 15 percent of the total energy output of the facility,be no less than 45 percent of the total energy input of natural gas and oil to the facility. To demonstratecompliance with the topping-cyde operating and/or efficiency standards, or to demonstrate that your facility isexempt from the efficiency standard based on the date that installation commenced/ respond to lines 13a through131 below.

if you indicated in iine 1 Oa that your facility represents bof/itopping-cycle and bottom ing-cyde cogenerationtechnology, then respond to lines 13a through 13l below considering only the energy inputs and outputsattributable to the topping-cycie portion of your facility. Your mass and heat balance diagram must make clearwhich mass and energy flow vaiues and system components are for which portion (topping or bottoming) of thecog en oration system.

13a Indicate the annual average rate of useful thermal energy output made availableto the host(s), net of any heat contained Encondensate return or make-up water

13b indicate the annual average rate of net electrical energy output

13c Multiply line 1 3b by 3,412 to convert from kW to Btu/h

13d Indicate the annual average rate of mechanical energy output taken directly offof the shaft of a prime mover for purposes not directly related to power production(this value is usually zero)

13e Multiply line 1 3d by 2,544 to convert from hp to Btu/h

13f Indicate the annual average rate of energy input from natural gas and oE!

13g Topping-cycle operating value = 100 * 13a / (13a + 13c + 13e)

13h Topping-cycle efficiency value = 100 * (0.5*13a+ 13c+ 13e) / 13f

Btu/h

kW

0 Btu/h

M0 Btu/h

Btu/h

0 %

0 %

13i Compliance with operating standard: is the operating value shown in line 13g greater than or equal to 5%?

[~] Yes (complies with operating standard) [_] No (does not comply with operating standard)

13j Did installation of the facility En its current form commence on or after March 13,1980?

Yes. Your facility is subject to the efficiency requirements of 18 C.F.R. § 292.205(a)(2). Demonstratecompliance with the efficiency requirement by responding to line 13k or 1 3i, as applicable/ below.

No. Your facility is exempt from the efficiency standard. Skip iines 13k and 131.

13k Compliance with efficiency standard (for low operating value): ff the operating value shown in line 13g is lessthan 15%, then indicate below whether the efficiency value shown in line 13h greater than or equal to 45%:

Q Yes (compiies with efficiency standard) [~] No (does not compiy with efficiency standard)

13! Compliancewithefficiencystandard(for high operating value): If the operating value shown in line 13g isgreater than or equal to 15%, then indicate below whether the efficiency vaiue shown En line 13h is greater than or

equai to 42.5%:

[_] Yes (compiles with efficiency standard) [—] No (does not comply with efficiency standard)

Page 36: Production or Cogeneration Facility Form 556 Certification ... · Form 556 Certification of Qualifying Facility (QF) Status for a Small Power Production or Cogeneration Facility General

FERC Form 556 Page 16 - Bottom Eng-Cycie Cogeneratlon Faciiities

Information Required for Bottoming-Cycle Cogeneration FacilityIf you indicated in !Ene 1 Oa that your facility represents bottom ing-cyde cogeneratEon technology, then you must respondto the items on pages 16 and 17. Otherwise, skip pages 16 and 17.

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The thermal energy output of a bottoming-cycle cogeneration facility is the energy related to the process(es) fromwhich at least some of the reject heat is then used for power production. Pursuant to sections 292.202(c) and (e) ofthe Commission's regulations (18 C.F.R.§292.202(c) and (e)), the thermal energy output of a qualifying bottoming-cycle cogeneration facility must be useful, in connection with this requirement, describe the process(es) from whichat least some of the reject heat is used for power production by responding to lines 14a and 14b below.

14a identify and describe each thermal host and each bottom ing-cycie cogeneration process engaged in by eachhost. For hosts with multiple bottom ing-cyc Ie cogeneratlon processes, provide the data for each process inseparate rows.

Name of entity (thermal host)performing the process fromwhich at least some of the

reject heat is used for powerproduction

Thermal host's relationship to facility;Thermal host's process type

Has the energy input tothe thermal host been

augmented for purposes

of increasing power

production capacity?(if Yes, describe on p. 1 9}

D

2)

3)

Select thermal host's relationship to facility

Select thermal host's process type

Select thermal host's relationship to facility

Select thermai host's process type

Select thermai host's relationship to fadiity

Select thermal host's process type

Yes Q No Q

Yes Q No Q

Yes D No Q

[_] Check here and continue in the Miscellaneous section starting on page 19 if additional space is needed

14b Demonstration of usefulness of thermal output: At a minimum, provide a brief description of each process

identified above. In some cases, this brief description is sufficient to demonstrate usefulness. However, if your

facility's process is not common, and/or if the usefulness of such thermal output is not reasonably clear, then you

must provide additional details as necessary to demonstrate usefulness. Your application may be rejected and/oradditional information may be required if an insufficient showing of usefulness is made. (Exception: If you havepreviously received a Commission certification approving a specific bottom in g-cycle process related to the instantfacility, then you need only provide a brief description of that process and a reference by date and docket numberto the order certifying your facility with the indicated process. Such exemption may not be used if any materialchanges to the process have been made.) If additional space is needed, continue in the Miscellaneous section

starting on page 19.

Page 37: Production or Cogeneration Facility Form 556 Certification ... · Form 556 Certification of Qualifying Facility (QF) Status for a Small Power Production or Cogeneration Facility General

FERC Form 556 Page 17 - Bottom ing-Cyde Cogeneration Fadiities

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Applicants for facilities representing bottom Eng-cyc ie technology and for which instaliatjon commenced on or afterMarch 13,1990 must demonstrate compliance with the bottoming-cycie efficiency standards. Section 292.205(b) ofthe Commission's regulations (18 C.F.R.§ 292.205(b)) establishes the efficiency standard for bottoming-cyclecogeneration facilities: the useful power output ofthe facility must be no !ess than 45 percent of the energy inputof natural gas and oil for supplementary firing. To demonstrate compliance with the bottom in g-cycle efficiencystandard (if applicable), or to demonstrate that your facility is exempt fronn this standard based on the date thatinstallation of the facility began, respond to lines 15a through 15h below.

If you indicated in Hne 1 Oa that your facility represents both topping-cycle and bottom ing-eye ie cogenerationtechnology, then respond to lines 15a through 15h below considering only the energy inputs and outputsattributable to the bottom in g-cycle portion of your facility. Your mass and heat balance diagram must make dearwhich mass and energy flow values and system components are for which portion of the cogeneration system

(topping or bottoming).

15a Did instailation of the facility in its current form commence on or after March 13,1980?

a Yes. Your facility is subject to the efficiency requirement of 1 8 C.F.R. § 292.205(b). Demonstrate compliancewith the efficiency requirement by responding to lines 15b through 15h below.

[_] No. Your facility is exempt from the efficiency standard. Skip the rest of page 17.

15b Indicate the annual average rate of net eiectrical energy output

15c Multiply line 15b by 3,412 to convert from kW to Btu/h

15d Indicate the annual average rate of mechanical energy output taken directly offof the shaft of a prime mover for purposes not directly related to power production(this value is usually zero)

15e Multiply line 1 5d by 2,544 to convert from hp to Btu/h

15f Indicate the annual average rate of supplementary energy input from natural gasor oil

15g Bottoming-cycle efficiency value ^ 100 ^ (15c + 15e) /15f

kW

0 Btu/h

M0 Btu/h

Btu/h

0 %

15h Compliance with efficiency standard: Indicate below whether the efficiency value shown En line 15g is greaterthan or equal to 45%:

Q Yes [complies with efficiency standard) [_] No (does not comply with efficiency standard)

Page 38: Production or Cogeneration Facility Form 556 Certification ... · Form 556 Certification of Qualifying Facility (QF) Status for a Small Power Production or Cogeneration Facility General

FERC Form 556 Page 18 - All Facilities

Certificate of Completeness/ Accuracy and AuthorityApplicant must certify compliance with and understanding of filing requirements by checking next to each item below andsigning at the bottom of this section. Forms with incomplete Certificates of Compieteness, Accuracy and Authority will berejected by the Secretary of the Commission.

Signer identified below certifies the foliowing: (check all items and applicable subitems)

He or she has read the filing, including any information contained in any attached documents, such as cogeneration

mass and heat balance diagrams, and any information contained in the MisceUaneous section starting on page 19, and

knows its contents.

He or she has provided all of the required information for certification/ and the provided information is true as stated,to the best of his or her knowledge and belief.

He or she possess fuii power and authority to sign the filing; as required by Ruie 2005(a)(3) ofthe Commission's Rules ofPractice and Procedure (18 C.F.R, § 385.2005(a)(3)), he or she Es one of the foiiowEng: (check one)

Q The person on whose behaifthe fliing is made

^ An officer of the corporation, trust, association, or other organized group on behalf of which the filing is made

An officer, agent, or employs of the governmental authority/agency/or instrumentality on behalf of which thefiling is made

A representative qualified to practice before the Commission under Rule 2101 of the Commission's Rules ofPractice and Procedure (18 C.F.R.§ 385.2101) and who possesses authority to sign

He or she has reviewed ail automatic calculations and agrees with their results, unless otherwise noted in theMiscellaneous section starting on page 19.

He or she has provided a copy of this Form 556 and ali attachments to the utilities with which the facility wiilinterconnect and transact (see lines 4a through 4d), asweil as to the regulatory authorities of the states in which thefacility and those utilities reside. See the Required Notice to Public Utiiities and State Regulatory Authorities section onpage 3 for more information.

Provide your signature, address and signature date below. Rule 2005(c) of the Commission's Rules of Practice andProcedure (18 C.F.R. § 385.2005(c)} provides that persons filing their documents eiectronicaiiy may use typed charactersrepresenting his or her name to sign the filed documents. A person filing this document electronically shouid sign (bytyping his or her name) in the space provided below.

Your Signature

Maurice Miller

Your address

3145 Geary Blvd

San Francisco/

./ tt723

CA 94118

Date

11/24/2015

Audit Notes

Commission Staff Use Only:

Page 39: Production or Cogeneration Facility Form 556 Certification ... · Form 556 Certification of Qualifying Facility (QF) Status for a Small Power Production or Cogeneration Facility General

FERC Form 556 Page 19 - All Facilities

MiscellaneousUse this space to provide any information for which there was not sufficient space in the previous sections of the form toprovide. For each such item of mformat\on dearly identify the line number that the information belongs to. You mayaisousethis space to provide any additional information you beiieve is relevant to the certification of your facility.

Your response below is not limited to one page. Additional page(s) will automatically be inserted into this form if thelength of your response exceeds the space on this page. Use as many pages as you require.

This Notice of Self-Recertification is filed to reflect changes to the QF that do not

affect eligibility for QF status or for the regulatory exemptions set forth in 18 CFR

Part 292 Subpart F. The QF/s current voting or equivalent ownership is indicated in item

5b. In addition/ certain tax-related financial rights are held by Firstar Development/

LLC.

Page 40: Production or Cogeneration Facility Form 556 Certification ... · Form 556 Certification of Qualifying Facility (QF) Status for a Small Power Production or Cogeneration Facility General
Page 41: Production or Cogeneration Facility Form 556 Certification ... · Form 556 Certification of Qualifying Facility (QF) Status for a Small Power Production or Cogeneration Facility General

FEDERAL ENERGY REGULATORY COMMISSION OMB control # 1902-0075WASHINGTON/ DC Expirat!on 05/31/2016

Certification of Qualifying Facility (QF) Status for a Smali PowerProduction or Cogeneration Facility

General

Questions about completing this form should [email protected]. Information about the Commission's QFprogram, answers to frequently asked questions about QF requirements or completing this form, and contact information forQF program staff are available at the Commission's QFwebsEte, www.ferc.gov/QF. The Commission's QFwebsiteaisoprovides links to the Commission's QF regulations (18 C.F.R. § 131.80 and Part 292), as well as other statutes and orderspertaining to the Commission's QF program.

Who Must FileAny applicant seeking QF status or recertification of QF status for a generating facility with a net power production capacity(as determined in lines 7a through 7g below) greater than 1000 kW must fiie a self-certification or an application forCommission certification ofQF status, which includes a properly completed Form 556. Any applicant seeking QF status for agenerating facility with a net power production capacity 1000 kW or less is exempt from the certification requirement, and istherefore not required to complete or fi!e a Form 556. See 18 C.F.R. § 292.203.

How to Complete the Form 556

This form is intended to be completed by responding to the items in the order they are presented, according to theinstructions given. If you need to back-track, you may need to clear certain responses before you wil! be allowed to changeother responses made previously in the form. If you experience problems, click on the nearest help button (^') forassistance, or contact Commission staff at [email protected].

Certain lines in this form will be automatically calculated based on responses to previous lines, with the relevant formulasshown. You must respond to all of the previous lines within a section before the results of an automatically calculated fieidwill be displayed, if you disagree with the results of any automatic calculation on this form, contact Commission staff [email protected] to discuss the discrepancy before filing.

You must complete ail lines in this form unless instructed otherwise. Do not alter this form or save this form in a differentformat. Incomplete or altered forms, or forms saved in formats other than PDF/will be rejected.

How to File a Completed Form 556Applicants are required to fife their Form 556 electronically through the Commission's eFiling website (see instructions onpage 2). By filing electronically/ you wil! reduce your filing burden, save paper resources/ save postage or courier charges,help keep Commission expenses to a minimum, and receive a much faster confirmation (via an email containing the docketnumber assigned to your facility) that the Commission has received your filing.

If you are simuitaneousiy filing both a waiver request and a Form 556 as part of an application for Commission certification,see the "Waiver Requests" section on page 3 for more information on how to file.

Paperwork Reduction Act Notice

This form is approved by the Office of Management and Budget. Compliance with the information requirements establishedbytheFERCForm No. 556 is required to obtain or maintain status as a QF. See 18C.F.R.§ 131.80 and Part 292. An agency maynot conduct or sponsor, and a person is not required to respond to, a collection of information unless it displays a currently

valid 0MB control number. The estimated burden for completing the FERC Form No. 556, including gathering and reportinginformation, Esasfoiiows; 3 hours for self-certification of a small power production facility, 8 hoursforself-certificationsofacogeneratjon facility, 6 hours for an application for Commission certification of a smaii power production facility, and 50 hoursfor an application for Commission certification of a cogeneration faciiity. Send comments regarding this burden estimate orany aspect of this coilection of information, including suggestions for reducing this burden, to the following: InformationCiearance Officer, Office of the Executive Director (ED-32), Federal Energy Regulatory Commission, 888 First Street N.E.,Washington, DC 20426 fDataCiearanceOferc.aov); and Desk Officer for FERC, Office of information and Regulatory Affairs,

Office of Management and Budget; Washington, DC 20503 (ojra [email protected]). include the Control No.1902-0075 in any correspondence.

Page 42: Production or Cogeneration Facility Form 556 Certification ... · Form 556 Certification of Qualifying Facility (QF) Status for a Small Power Production or Cogeneration Facility General

FERC Form 556 Page 2- instructions

Electronic Filing (eFiling)To electronically file your Form 556, visit the Commission's QF website at www.ferc.gov/QF and click the eFiling link.

If you are eFiling your first document/ you wiil need to register with your name, email address, mailing address, and phonenumber. If you are registering on behalf of an employer, then you wil! also need to provide the employer name/alternatecontact name, alternate contact phone number and and alternate contact email.

Once you are registered, iog in to eFiiing with your registered emai! address and the password that you created atregistration. Follow the instructions. When prompted, select one of the foiiowing QF-reiated filing types, as appropriate/from the Electric or Genera! filing category.

Filing category

Electric

General

Fiiing Type as listed in eFiiing

(Fee) Application for Commission Cert. as Cogeneration QF

(Fee) Application for Commission Cert. as Small Power QF

Self-CertJfication Notice (QF, EG, FC)

Self-Recertification of Qualifying Faciiity(QF)

Supplemental information or Request

(Fee) Petition for Declaratory Order (not under FPA Part 1 )

Description

Use to submit an application forCommission certification or

Commission recertification of acogeneration facility as a QF.

Use to submit an appiication forCommission certification or

Commission recertification ofa

small power production facility as aQF.

Use to submit a notice of self-certification of your facility(cogeneration or smail powerproduction) as a QF.

Use to submit a notice of self-

recertification ofyourfacility(cogeneration or small power

production) as a QF.

Use to correct or supplement aForm 556 that was submitted witherrors or omissions, or for which

Commission staff has requestedadditional information. Do not use

this filing type to report newchanges to a facility or itsownership; rather, use a self-

recertification or Commissionrecertification to report suchchanges.

Use to submit a petition fordeclaratory order granting a waiver

of Commission QF regulationspursuant to 18 C.F.R. §§ 292.204(a)

(3) and/or 292.205(c). A Form 556 isnot required fora petition fordeclaratory order unless

Commission recertification is beingrequested as part of the petition.

You will be prompted to submit your ftiing fee, if applicable, during the electronic submission process. Filing fees can be paidvia electronic bank account debit or credit card.

During the eFiling process, you will be prompted to select your file(s) for upload from your computer.

Page 43: Production or Cogeneration Facility Form 556 Certification ... · Form 556 Certification of Qualifying Facility (QF) Status for a Small Power Production or Cogeneration Facility General

FERC Form 556 Page 3 " Instructions

Filing FeeNo filing fee is required if you are submitting a self-certification or self-recertification of your facility as a QF pursuant to 18CF.R.§292.207(a).

A filing fee is required if you are filing either of the following:

(1) an application for Commission certification or re certification of your facility as a QF pursuant to 18C.F.R.§ 292.207(b), or(2) a petition for declaratory order granting waiver pursuant to 18 C.F.R. §§ 292.204(a)(3) and/or 292.205[c).

The current fees for applications for Commission certifications and petitions for declaratory order can be found by visiting theCommission's QFwebsJteatwww.ferc.gov/QF and clicking the Fee Schedule link.

You will be prompted to submit yourfiling fee, if applicable, during the electronic filing process described on page 2.

Required Notice to Utilities and State Regulatory AuthoritiesPursuant to 18 C.F.R. § 292.207(a)(iE), you must provide a copy of your self-certification or request for Commission certificationto the utilities with which the facility will interconnect and/or transact, as well as to the State regulatory authorities of thestates in which your facility and those utEiities reside. Links to information about the regulatory authorities in various statescan be found by visiting the Commission's QF website at www.ferc.gov/QF and clicking the Notice Requirements link.

What to Expect From the Commission After You File

An applicant filing a Form 556 electronically will receive an email message acknowledging receipt of the filing and showingthe docket number assigned to the filing. Such email is typically sent within one business day, but may be delayed pendingconfirmation by the Secretary of the Commission of the contents of the filing.

An appiicant submitting a self-certification of QF status should expect to receive no documents from the Commission/ otherthan the electronic acknowledgement of receipt described above. Consistent with its name, a self-certification is acertification fay f/ie opp/tonf/fse/fthat the facility meets the relevant requirements for QF status, and does not Envoive adetermination by the Commission as to the status of the facility. An acknowledgement of receipt of a self-certificationjnparticular, does not represent a determination bythe Commission with regard to the QF status ofthe facility. An applicantsejf-certifying may/ however, receive a rejection, revocation or deficiency letter if its application is found, during periodiccompliance reviews/ not to comply with the relevant requirements.

An appiicant submitting a request for Commission certification will receive an order either granting or denying certification ofQF status, or a ietter requesting additional information or rejecting the application. Pursuant to 1 8 C.F.R. § 292.207(b)(3), theCommission must act on an application for Commission certification within 90 days of the later of the filing date of theapplication or the filing date of a supplement, amendment or other change to the application.

Waiver Requests18 C.F.R.§292.204(a)(3)a!iows an applicant to request a waiver to modify the method of calculation pursuant to 18CF.R.§292.204(a)(2) to determine if two facilities are considered to be located at the same site, for good cause. 18C.F.R. §292.205(c)allows an applicant to request waiver of the requirements of 1 8 C.F.R. §§ 292.205(a) and (b) for operating and efficiency upona showing that the facility will produce significant energy savings. A request for waiver of these requirements must besubmitted as a petition for declaratory order, with the appropriate fliing fee for a petition for declaratory order. Applicantsrequesting Commission recertificationaspartofa request for waiver of one of these requirements should electronicallysubmit their completed Form 556 along with their petition for declaratory order, rather than filing their Form 556 as aseparate request for Commission recertification. Only the filing fee for the petition for declaratory order must be paid tocover both the waiver request and the request for re certification if such requests are made simultaneously.

18 C.F.R. § 292.203(d}(2) allows an applicant to request a waiver of the Form 556 filing requirements, for good cause.Applicants filing a petition for declaratory order requesting a waiver under 18 C.F.R. § 292.203{d)(2) do not need to completeor submit a Form 556 with their petition.

Page 44: Production or Cogeneration Facility Form 556 Certification ... · Form 556 Certification of Qualifying Facility (QF) Status for a Small Power Production or Cogeneration Facility General

FERC Form 556 Page 4 - Instructions

Geographic Coordinatesif a street address does not exist for your facility, then iineBcofthe Form 556 requires you to report your facility's geographiccoordinates (iatitude and longitude). Geographic coordinates may be obtained from several different sources. You can findlinks to online services that show latitude and longitude coordinates on online maps by visiting the Commission's QFwebpage at www.ferc.gov/QF and clicking the Geographic Coordinates link. You may also be able to obtain your geographiccoordinates from a GPS device, Google Earth (available free at http://earth.google.com), a property survey, variousengineering or construction drawings, a property deed, or a municipal or county map showing property lines.

Filing Privileged Data or Critical Energy Infrastructure Information in a Form 556

The Commission's regulations provide procedures for applicants to either (1) request that any information submitted with aForm 556 be given privileged treatment because the information is exempt from the mandatory public disclosurerequirements of the Freedom of Information Act, 5 U.S.C. § 552, and should be withheld from public disclosure; or (2) identifyany documents containing critical energy infrastructure information (CEH) as defined in 18 C.F.R. § 388.113 that should not bemade public.

If you are seeking privileged treatment or CEIi status for any data in your Form 556, then you must follow the procedures in 18CF.R. § 388.112. See www.ferc.qov/heip/filinq-quide/fiie-ceii.aspfor more information.

Among other things (see 18 C.F.R. § 388.112 for other requirements), applicants seeking privileged treatment or CE11 status fordata submitted in a Form 556 must prepare and file both (1) a complete version of the Form 556 (containing the privilegedand/or CEU data)/ and (2) a public version of the Form 556 (with the privileged and/or CEIi data redacted). Applicantspreparing and fiiing these different versions of their Form 556 must indicate below the security designation of this version oftheir document, if you are not seeking privileged treatment or CEH status for any of your Form 556 data, then you should notrespond to any of the items on this page.

Non-PubIic: Applicant is seeking privileged treatment and/or CEII status for data contained in the Form 556 linesII indicated below. This non-public version of the applicant's Form 556 contains ail data, including the data that is redacted

in the (separate) public version of the applicant's Form 556.

Public (redacted): Applicant is seeking privileged treatment and/or CEII status for data contained En the Form 556 linesQ indicated below. This public version of the appiicants's Form 556 contains all data except for data from the lines

indicated below, which has been redacted.

Privileged: Indicate below which lines of your form contain data for which you are seeking privileged treatment

Critical Energy Infrastructure Information (CEII): indicate beiow which lines of your form contain data for which you areseeking CEII status

The eFiling process described on page 2 will aiiow you to identify which versions of the electronic documents you submit arepublic, privileged and/or CEii. The filenames for such documents shouid begin with "Public", "Priv", or "CEII", as applicable, todearly indicate the security designation of the fiie. Both versions of the Form 556 should be unaltered PDF copies of the Form556, as available for download from www.ferc.gov/QF, To redact data from the public copy of the submittai, simply omit therelevant data from the Form. For numerical fieids, leave the redacted fields blank. For text fields, complete as much of thefield as possible, and replace the redacted portions of the fieid with the word "REDACTED" in brackets. Be sure to identifyabove all fields which contain data for which you are seeking non-public status.

The Commission is not responsible for detecting or correcting filer errors, including those errors related to securitydesignation. If your documents contain sensitive information, make sure they are fiied using the proper security designation.

Page 45: Production or Cogeneration Facility Form 556 Certification ... · Form 556 Certification of Qualifying Facility (QF) Status for a Small Power Production or Cogeneration Facility General

0MB Control # 1902-0075Expiration 5/31/2016

Form 556

FEDERAL ENERGY REGULATORY COMMISSIONWASHINGTON/DC

Certification of Qualifying Facility (QF) Status for a Small PowerProduction orCogeneration Facility

1a Full name of applicant (legal entityonwhosebehalfqualifyingfadlity status is sought for this facility)

Willow Spring Windfarm^ LLC

1b Applicant street addressc/o 8030 Companies/ Inc.

855 13th Street

1c City

Boulder

1d State/province

co

1e Postaicode

80302

1f Country (if not United States) 1g Telephone number

303-818-2703

1h Has the instant facility ever previously been certified as a QF? Yes j^ No Q

1i If yes, provide the docket number of the last known QF filing pertaining to this facility: QF14 - 231 - 001

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1j Under which certification process is the applicant making this filing?

i—i Application for Commission certification (requires filingLJ fee; see "Fiiing Fee" section on page 3}

Notice ofself-certification(see note beiow)

Note: a notice of self-certification isa notice by the applicant itself that its facility compiles with the requirements forQF status. A notice of self-certificatEon does not establish a proceeding, and the Commission does not review anotice of self-certification to verify compliance. See the "What to Expect From the Commission After You File"section on page 3 for more information.

1 k What type(s) of QF status is the applicant seeking for its facility? (check all that apply)

Qualifying small power production facility status [~] Qualifying cogeneration facility status

11 What is the purpose and expected effective date(s) of this filing?

[~] Original certification; facility expected to be installed by and to begin operation on

Change(s) to a previously certified facility to be effective on 11/16/15

(identify type(s) of change(s) below/and describe change(s) in the Miscellaneous section starting on page 19)

D Name change and/or other administrative change(s)

^ Change in ownership

Q Change(s) affecting plant equipment, fuel use, power production capacity and/or cogeneration thermal output

Q Supplement or correction to a previous filing submitted on

(describe the supplement or correction in the Miscdianeous section starting on page 19)

1m if any of the following three statements is true/check the box(es) that describe your situation and complete the formto the extent possible, explaining any special circumstances in the Miscellaneous section starting on page 19.

The instant facility compiles with the Commission's QF requirements by virtue of a waiver of certain regulationspreviously granted by the Commission in an order dated (specify any other relevant waiverorder's in the Miscellaneous section starting on page 19}

D

D The instant facility would comply with the Commission's QF requirements if a petition for waiver submittedconcurrently with this application is granted

The instant facility complies with the Commission's regulations/ but has special circumstances, such as theemployment of unique or innovative technologies not contemplated by the structure of this form, that makethe demonstration of compliance via this form difficult or impossible (describe in Misc. section starting on p. 19)

Page 46: Production or Cogeneration Facility Form 556 Certification ... · Form 556 Certification of Qualifying Facility (QF) Status for a Small Power Production or Cogeneration Facility General

FERC Form 556 Page 6 "Ail Facilities

2a Name of contact person

John Brown

2b Telephone number

303-818-2703

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ufO4-i

c00

2c Which of the foliowing describes the contact person's relationship to the applicant? (check one)

Q Applicant (self) Q Employee, owner or partner of applicant authorized to represent the applicant

Employee of a company affiliated with the applicant authorized to represent the applicant on this matter

Lawyer, consultant, or other representative authorized to represent the applicant on this matter

2d Company or organization name (if applicant is an individual, check here and skip to iine 2e)[_J

8030 Companies, Inc.

2e Street address (if same as Applicant, check here and skip to line 3a}|

2f City 2g State/province

2h Postal code 2i Country (if not United States)

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3a Facility name

Willow Spring Windfarm

3b Street address (if a street address does not exist for the facility, check here and skip to line 3c)|

3c Geographic coordinates: if you indicated that no street address exists for your facility by checking the box in line 3b,then you must specify the latitude and longitude coordinates of the faciiity in degrees (to three decimal places). Usethe following formula to convert to decimal degrees from degrees, minutes and seconds: decimal degrees =degrees + (minutes/60) + (seconds/3600). Seethe "Geographic Coordinates" section on page 4 for help. if youprovided a street address for your facility in line 3b, then specifying the geographic coordinates below is optional.

LongitudeD East (+)

I West (-)117 .273 degrees Latitude

North (+)

n South (-)44.382 degrees

3d City (if unincorporated, check here and enter nearest city)

Huntington

3e State/province

OR

3f County (or check here for independent city) Q

Baker

3g Country (if not United States)

Identify the electric utiiities that are contemplated to transact with the facility.

una»

+-*

r>enc

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cff3

4a Identify utility interconnecting with the facility

Idaho Power Company

4b identify utilities providing wheeling service or check here if none

4c Identify utilities purchasing the useful electric power output or check here if none Q

Idaho Power Company

4d Identify utilities providing supplementary power, backup power/ maintenance power, and/or interruptible powerservice or check here if none [_]

Idaho Power Company

Page 47: Production or Cogeneration Facility Form 556 Certification ... · Form 556 Certification of Qualifying Facility (QF) Status for a Small Power Production or Cogeneration Facility General

FERC Form 556 Page 7-All Facilities

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5a Direct ownership as of effective date or operation date: Identify aii direct owners of the facility holding at least 10percent equity interest. For each identified owner, also (1) indicate whether that owner is an eiectric utility/ asdefined in section 3(22) of the Federal Power Act (16 U.S.C. 796(22)}, or a holding company, as defined in section1262(8) of the Public Utility Hoiding Company Act of 2005 (42 U.S.C. 16451 (8)), and (2) for owners which are electricutilities or holding companies, provide the percentage of equity interest in the facility held by that owner. If nodirect owners hold at least 10 percent equity interest in the facility, then provide the required information for thetwo direct owners with the largest equity interest En the facility.

Eiectric utility or If Yes,hoiding % equity

Full legal names of direct owners company interest

1) Willow Spring Windfarm, LLC

2}

3)

4)

5)

6)

7}

8}

9)

10)

Yes Q No

Yes D No Q

Yes D No Q

Yes D No Q

Yes Q No Q

Yes Q No Q

Yes D No

Yes D No

Yes Q No

Yes Q No Q

[~] Check here and continue in the Miscellaneous section starting on page 19 if additional space is needed

5b Upstream (i.e., indirect) ownership as of effective date or operation date: Identify all upstream (i.e., indirect) owners

of the facility that both (1) hold at ieast 10 percent equity interest in the facility, and (2) are electric utilities, asdefined in section 3(22) of the Federal Power Act (16 U.S.C. 796(22}), or holding companies, as defined in section1262(8) of the Public Utility Holding Company Act of 2005 (42 U.S.C 16451 (8)). Also provide the percentage ofequity interest in the facility heid by such owners. (Note that, because upstream owners may be subsidiaries of oneanother, total percent equity interest reported may exceed 100 percent.)

Check here if no such upstream owners exist. [_]

Full legal names of electnc utility or holding company upstream owners% equityinterest

1) 8030 Companies/ Inc. 99%

2) Willow Spring Windfarm Holdings 2, L.L.C. 100%

3} Willow Spring Windfarm Holdings 1, L.L.C 100%

4} Nillow Spring Windfarm Holdings/ L.L.C 100

5} DESRI Huntington 1, L.L.C.

6} DESRI Huntington Acquisition, L.L.C.

7) DESRI Huntington Acquisition Holdings/ L.L.C.

D. E. Shaw Renewable Investments/ L.L.C.

9)

10)

r~| Check here and continue En the Miscellaneous section starting on page 19 if additional space is needed

5c Identify the facility operator

Willow Spring Windfarm, LLC

Page 48: Production or Cogeneration Facility Form 556 Certification ... · Form 556 Certification of Qualifying Facility (QF) Status for a Small Power Production or Cogeneration Facility General

FERC Form 556 Page 8 "Ail Facilities

6a Describe the primary energy input; (check one main category and, if applicabie, one subcategory)

[—[ Biomass (specify) ^ Renewable resources (specify) || Geothermal

[] Landfill gas

D Manure digester gas

Q Municipal solid waste

Q Sewage digester gas

D Wood

Q Other biomass (describe on page 19)

jj Waste (specify type beiow in line 6b)

D Hydro power - river

Q Hydro power-tidal

D Hydro power - wave

Q Soiar-photovoltaic

Q Soiar-thermal

|^| Wind

Fossil fuel (specify)

D Coal (not waste)

D Fuel oil/diesel

D Natural gas (not waste)

Other fossil fuel(describe on page 19)

Other renewable resource Q other (describe on page 19)(describe on page 19)

6b If you specified "waste" as the primary energy input in line 6a, indicate the type of waste fuel used: (check one)

Q Waste fuel listed in 18 C.F.R. § 292.202(b) (specify one of the following)

D Anthraciteculm produced prior to July 23,1985

Anthracite refuse that has an average heat content of 6,000 Btu or iess per pound and has an average

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ash content of 45 percent or more

Bituminouscoai refuse that has an average heat content of 9/500 Btu per pound or less and has an

average ash content of 25 percent or more

Top or bottom subbituminous coai produced on Federal lands or on Indian lands that has beendetermined to be waste by the United States Department of the Interior's Bureau of Land Management(8LM) orthat Es located on non-FederaI or non-lndjan iands outside of BLM's jurisdiction, provided thatthe appiicant shows that the latter coa! Es an extension of that determined by BLM to be waste

Coai refuse produced on Federal lands or on Indian lands that has been determined to be waste by theQ BLM or that is located on non-Federal or non-lndian lands outside of BLM's jurisdiction/provided that

appiicant shows that the latter is an extension ofthat determined by BLM to be waste

a Lignite produced in association with the production of montan wax and [ignite that becomes exposedas a result of such a mining operation

Q Gaseous fuels (except natural gas and synthetic gas from coal) (describe on page 19)

Waste natural gas from gas or oil wells (describe on page 19 how the gas meets the requirements of 18Q CF.R. § 2.400 for waste natural gas; include with your filing any materials necessary to demonstrate

compliance with 18 C.F.R. § 2.400}

Q Materials that a government agency has certified for disposal by combustion (describe on page 19}

Q Heat from exothermic reactions (describe on page 19) Q Residual heat (describe on page 19)

Q Used rubber tires Q Plastic materials Q Refinery off-gas Q Petroleum coke

Other waste energy input that has little or no commerda! value and exists in the absence of the qualifyingQ facility industry (describe En the Miscellaneous section starting on page 19; include a discussion of the fuel's

lack of commercial value and existence in the absence of the qualifying facility industry)

6c Provide the average energy input, calculated on a calendar year basis/in terms of Btu/h for the following fossi! fuelenergy inputs/and provide the related percentageofthetotalaverageannualenergy input to the facility (18 C.F.R. §292.202(j)). For any oi! or natural gas fuel, use lower heating value (18 C.F.R. § 292.202(m)}.

FuelAnnuai average energyinput for specified fuel

Percentage oftotaiannual energy input

Naturai gas

OEl-based fuels

Coal

0 Btu/h

0 Btu/h

0 Btu/h

0 %

0 %

0 %

Page 49: Production or Cogeneration Facility Form 556 Certification ... · Form 556 Certification of Qualifying Facility (QF) Status for a Small Power Production or Cogeneration Facility General

FERC Form 556 Page 9-All Facilities

Indicate the maximum gross and maximum net electric power production capacity of the facility at the point(s) ofdelivery by completing the worksheet below. Respond to all items, if any of the parasitic loads and/or losses identified inlines 7b through 7e are negligible/ enter zero forthose lines.

7a The maximum gross power production capacity at the terminals of the individual generators)under the most favorable anticipated design conditions lo/ooo kW

7b Parasitic station power used at the facility to run equipment which is necessary and integral tothe power production process (boiler feed pumps, fans/biowers, office or maintenance buiidingsdirectiy related to the operation of the power generating facility, etc.). If this facility includes non-power production processes (for instance, power consumed by a cogeneration faciiity's therma!host), do not include any power consumed by the non-power production activities En yourreported parasitic station power. 0 kW

7c Electrical losses in interconnection transformers151 kW

7d Electrical losses En AC/DC conversion equipment, if any0 kW

7e Other interconnection losses in power lines or facilities (other than transformers and AC/DCconversion equipment) between the terminals of the generators) and the point of interconnectionwith the utility 69.4 kW

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7f Total deductions from gross power production capacity ^ 7b+7c+ 7d + 7e220.4 kW

7g Maximum net power production capacity == 7a - 7f9,779.6 kW

7h Description of facility and primary components: Describe the fadiity and its operation. Identify all boiiers, heatrecovery steam generators, prime movers (any mechanical equipment driving an electric generator), electricalgenerators, photovoitaic solar equipment, fuel cell equipment and/or other primary power generation equipmentused in the facility. Descriptions of components should include (as applicable) specifications of the nominalcapacities for mechanical output, electricai output, or steam generation of the identified equipment. For each pieceof equipment identified, clearly indicate how many pieces of that type of equipment are included in the plant, andwhich components are normaliy operating or normally in standby mode. Provide a description of how thecomponents operate as a system. Applicants for cogeneration facilities do not need to describe operations ofsystems that are dearly depicted on and easily understandable from a cogeneration facility's attached mass andheat balance diagram; however, such applicants should provide any necessary description needed to understandthe sequential operation of the facifity depicted in their mass and heat balance diagram. If additional space isneeded, continue in the Misceilaneous section starting on page 1 9.

The wind-powered facility will consist of five (5) wind turbines with a combined

nameplate rated capacity of 10 MW and an actual deliverable capacity of less than

10 MW/ on monopole towers with concrete foundations.

Interconnection Facilities: The facility includes under or above-ground feeders

at 34.5 kV site voltage/ which is transformed to transmission voltage of 138 kV

at an on-site subsfcation jointly owned and shared on a prorated capacity basis

with other unaffiliated QFs (in a manner consistent with the facility's

possession of rights and of blanket waivers as provided for in Commission Order

No. 807). The facility will then be interconnected to the Idaho Power Company's

system using a 139 kV interconnection line that is jointly owned and shared with

other unaffiliated QFs/ in the manner indicated. The interconnection facilities

are components of the QF.

Page 50: Production or Cogeneration Facility Form 556 Certification ... · Form 556 Certification of Qualifying Facility (QF) Status for a Small Power Production or Cogeneration Facility General

FERC Form 556 Page 10 - Smali Power Production

Information Required for Small Power Production FacilityIf you indicated in line 1k that you are seeking qualifying small power production facility status for your facility, then youmust respond to the items on this page. Otherwise, skip page 10.

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Pursuant to 18 C.F.R.§292.204(a), the power production capacity of any small power production facility, togetherwith the power production capacity of any other small power production facilities that use the same energyresource, are owned by the same person(s) or its affiliates, and are located at the same site, may not exceed 80

megawatts. To demonstrate compiiance with this size limitation, or to demonstrate that your facility is exemptfrom this size limitation under the Solar, Wind, Waste, and Geothermal Power Production Incentives Act of"! 990

(Pub. L. 101-575,1 04 Stat. 2834 (1990) as amended by Pub. L. 102-46,105 Stat. 249 (1991)), respond to lines 8athrough 8e below (as applicable).

8a Identify anyfacilities with eiectrical generating equipment located within 1 mile ofthe electrical generatingequipment of the instant fadiity, and for which any of the entities identified in iines 5a or 5b, or their affiliates, hoidsat least a 5 percent equity interest.

Check here if no such facilities exist.

Facility location(city or county, state)

Root docket ff

(if any) Common owner(s)Maximum net power

production capacity

QF

QF

QF

kW

kW

kW

[_] Check here and continue in the Misceilaneous section starting on page 19 if additional space is needed

Sb The Solar, Wind, Waste, and Geothermal Power Production Incentives Act of 1990 (Incentives Act) providesexemption from the size limitations in 18C.F.R. § 292.204(a) for certain facilities that were certified prior to 1995.Are you seeking exemption from the size limitations En 1 8 C.F.R. § 292.204(a) by virtue of the Incentives Act?

Yes (continue at iine 8c below) No (skip lines 8c through 8e)

8c Was the original notice of seif-certification or application for Commission certification of the facility filed on orbefore December31,1994? Yes Q No Q

8d Did construction of the facility commence on or before December 31,1999? YesQ No Q

8e If you answered No in line 8d, indicate whether reasonable diligence was exercised toward the completion ofthe facility/ taking into account ai! factors relevant to construction? Yes Q No Q if you answered Yes/ providea brief narrative explanation in the Miscellaneous section starting on page 19 of the construction timeline (inparticular, describe why construction started so long after the facility was certified) and the diligence exercisedtoward completion of the facility.

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Pursuant to 18 CF.R. § 292.204(b), qualifying small power production facilities may use fossil fuels, in minimalamounts, for only the following purposes: ignition; start-up; testing; flame stabilization; control use; alleviation orprevention of unanticipated equipment outages; and aileviation or prevention of emergencies/directly affectingthe pubiic heaith, safety, or welfare/ which would result from electric power outages. The amount of fossil fuelsused for these purposes may not exceed 25 percent of the total energy input of the facility during the 12-monthperiod beginning with the date the facility first produces electric energy or any calendar year thereafter.

9a Certification of compliance with 18C.F.R.§292.204(b)with respect to uses of fossii fuel:

Applicant certifies that the facility will usefossi! fuels exdusively for the purposes listed above.

9b Certification of compliance with 18 C.F.R. § 292.204(b) with respect to amount of fossil fuel used annually:

Applicant certifies that the amount of fossil fuel used at the facility will not, in aggregate, exceed 25percent of the total energy input of the facility during the 12-month period beginning with the date thefacility first produces eiectric energy or any calendar year thereafter.

Page 51: Production or Cogeneration Facility Form 556 Certification ... · Form 556 Certification of Qualifying Facility (QF) Status for a Small Power Production or Cogeneration Facility General

FERC Form 556 Page 11 - Cogeneration Facilities

Information Required for Cogeneration Facilityff you indicated in iine 1 k that you are seeking qualifying cogeneration facility status for your facility, then you must respondto the items on pages 11 through 13. Otherwise, skip pages 11 through 13.

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Pursuant to 18 C.F.R. § 292.202(c), a cogeneration facility produces electric energy and forms of useful thermalenergy (such as heat or steam) used for industrial, commercial/ heating, or cooling purposes, through the sequentialuse of energy. Pursuant to 18 C.F.R. § 292.202(s), "sequential use" of energy means the following: (1) for a topping-cycle cogeneration facility, the use of reject heat from a power production process in sufficient amounts in athermal application or process to conform to the requirements of the operating standard contained in 1 8 CF.R. §292.205(a); or (2) for a bottom ing-cyde cogeneration facility, the use of at least some reject heat from a thermalappiication or process for power production.

10a What type(s) of cogeneration technoiogy does the facility represent? (check all that apply)

Topping-cycie cogeneration [""] Bottom ing-cycie cogeneration

lOb To help demonstrate the sequential operation of the cogeneration process, and to support compliance withother requirements such as the operating and efficiency standards, include with your fiiing a mass and heatbalance diagram depicting average annual operating conditions. This diagram must include certain items andmeet certain requirements, as described below. You must check next to the description of each requirementbelow to certify that you have complied with these requirements.

Check to certifycompliance with

indicated requirement Requirement

a

D

D

D

a

D

D

D

D

Diagram must show orientation within system piping and/or ducts of ail prime movers,heat recovery steam generators, boilers, eiectric generators, and condensers (as

applicable), as well as any other primary equipment relevant to the cogenerationprocess.

Any average annual values required to be reported in lines 10b,12a, 1 3a, 13b, 13d, 13f,14a, 15b, 15d and/or15f must be computed over the anticipated hours of operation.

Diagram must specify all fuel inputs by fuel type and average annual rate in Btu/h. Fuelfor supplementary firing should be specified separately and clearly labeled. Allspecifications of fuel inputs should use lower heating values.

Diagram must specify average gross electric output in kW or MW for each generator.

Diagram must specify average mechanical output (that is, any mechamca! energytakenoff of the shaft of the prime movers for purposes not directly related to eiectric powergeneration) in horsepower/ if any. Typically, a cogeneration facility has no mechanicaioutput.

At each point for which working fluid flow conditions are required to be specified (seebelow), such flow condition data must include mass flow rate (in Ib/h or kg/s)/temperature (in °F, R, OC or K), absolute pressure (in psia or kPa) and enthalpy (in Btu/lborkJ/kg). Exception: For systems where the working fluid is//qu/yon/y(novaporatanypoint in the cycle) and where the type of liquid and specific heat of that liquid are clearlyindicated on the diagram or En the Miscellaneous section starting on page 19/ only massflow rate and temperature (not pressure and enthalpy) need be specified. For reference/specific heat at standard conditions for pure iiquid water is approximately 1.002 Btu/(!b*R)or4.195kJ/(kg*K).

Diagram must specify working fluid flow conditions at input to and output from eachsteam turbine or other expansion turbine or back-pressure turbine.

Diagram must specify working fluid flow conditions at delivery to and return from eachthermal application.

Diagram must specify working fluid flow conditions at make-up water inputs.

Page 52: Production or Cogeneration Facility Form 556 Certification ... · Form 556 Certification of Qualifying Facility (QF) Status for a Small Power Production or Cogeneration Facility General

FERC Form 556 Page 12 - Cogeneration Facilities

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EPAct 2005 cogeneratEon facilities: The Energy Policy Act of 2005 (EPAct 2005) established a new section 210(n) ofthe Public Utility Regulatory Policies Act of 1978 (PURPA), 16 USC 824a"3(n), with additional requirements for anyqualifying cogeneration facility that (1) Es seeking to seli electric energy pursuant to section 210ofPURPAand (2)was either not a cogeneration fadiity on August 8,2005, or had not filed a self-certification or application forCommission certification ofQF status on or before February 1,2006. These requirements were impiemented by theCommission En 18 C.F.R. § 292.205(d). Complete the lines below, carefuily foilowing the instructions, to demonstratewhether these additional requirements apply to your cogeneration facility and, if so, whether your facility complieswith such requirements.

11 a Was your facility operating as a qualifying cogeneration facility on or before August 8,2005? YesQ No Q

11b Was the initial filing seeking certification of your facility (whether a noticeofself-certificationoranappiicationfor Commission certification) filed on or before February 1,2006? Yes Q No [_]

If the answer to either iine 11 a or 11b is Yes, then continue at line 11c below. Otherwise, if the answers to both lines11 a and 11 bare No, skip to line He below.

11 c With respect to the design and operation of the facility, have any changes been Jmpiemented on or afterFebruary 1,2006 that affect general piant operation, affect use of thermal output, and/or increase net powerproduction capacity from the plant's capacity on February 1, 2006?

Q Yes (continue at iine 11 d below)

No. Your facility is not subject to the requirements of 18 C.F.R. § 292.205(d) at this time. However, it may beQ subject to to these requirements in the future if changes are made to the facility. At such time/the applicant

wouid need to recertify the facility to determine eligibility. Skip lines 11 d through 11j.

ltd Does the applicant contend that the changes identified in line 11c are not so significant as to make the facilitya "new" cogeneration facility that would be subject to the 18 C.F.R. § 292.205(d) cogeneration requirements?

Yes. Provide in the Miscellaneous section starting on page 19 a description of any relevant changes made to[_] thefaciiityOndudingthe purpose of the changes) and a discussion of why the facility shouid not be

considered a "new" cogeneration facility in light of these changes. Skip lines 11 e through 11j.

No. Applicant stipulates to the fact that it is a "new" cogeneration facility (for purposes of determining the[__] applicability of the requirements of 18 C.F.R. § 292.205(d)} by virtue of modifications to the facility that were

initiated on or after February 2,2006. Continue below at line 11 e.

He Will electric energy from the facility be sold pursuant to section 210ofPURPA?

Yes. The facility is an EPAct 2005 cogeneration facitity. You must demonstrate compliance with 1 8 C.F.R. §D

D

292.205(d)(2) by continuing at line 11f below.

No. Applicant certifies that energy will not be sold pursuant to section 210 of PURPA. Applicant also certifiesits understanding that it must recertify its facility in order to determine compiiance with the requirements of18 C.F.R. § 292.205(d) before selling energy pursuant to section 210 of PURPA in the future. Skip lines 1 1 fthrough 11j.

Hf Is the net power production capacity of your cogeneration facility, as indicated in line 7g above/ less than orequal to 5,000 kW?

Yes, the net power production capacity is less than or equal to 5,000 kW. 1 8 CF.R. § 292.205(d)(4) provides arebuttable presumption that cogeneration fadiities of 5,000 kW and smaller capacity comply with therequirements for fundamental use of the facility's energy output in 18CF.R.§292.205(d)(2). Applicantcertifies its understanding that, should the power production capacity of the facility increase above 5/000kW, then the facility must be recertified to (among otherthings) demonstrate compiiance with 18 C.F.R. §292.205(d)(2). Skip lines 11 g through 11J.

D

No, the net power production capacity is greaterthan 5,000 kW. Demonstrate compliance with the

[_] requirements for fundamental use of the facility's energy output En 18 C.F.R. § 292.205(d)(2) by continuing onthe next page at line 11 g.

Page 53: Production or Cogeneration Facility Form 556 Certification ... · Form 556 Certification of Qualifying Facility (QF) Status for a Small Power Production or Cogeneration Facility General

FERC Form 556 Page 13 - Cogeneration Facilities

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Lines 11 g through 11 k beiow guide the applicant through the process of demonstrating compliance with therequirements for "fundamental use" of the faciiity's energy output. 18 C.F.R. § 292.205(d)(2). Only respond to thelines on this page if the instructions on the previous page direct you to do so. Otherwise, skip this page.

18 C.F.R. § 292.205(d)(2) requires that the electrical/ thermal, chemical and mechanical output of an EPAct 2005cogeneration faciiity is used fundamentally for Endustria!, commercial, residential or institutional purposes and isnot intended fundamentally for sale to an electric utility, taking into account technological, efficiency, economic,and variable thermal energy requirements, as well as state laws applicable to sales of electric energy from aqualifying facility to its host facility. If you were directed on the previous page to respond to the items on this page,then your facility is an EPAct 2005 cogeneration facility that is subject to this "fundamental use" requirement

The Commission's regulations provide a two-pronged approach to demonstrating compliance with therequirements for fundamental use of the facility's energy output. First/ the Commission has established in 1 8 C.F.R.§ 292.205(d)(3) a "fundamental use test" that can be used to demonstrate compliance with 1 8 C.F,R. § 292.20 5 (d) (2).Under the fundamental use test, a facility is considered to comply with 18 C.F.R. § 292.205{d)(2) if at least 50 percentof the facility's total annual energy output (including electrical thermai, chemical and mechanical energy output) isused for industrial/ commercial residentiai or institutional purposes.

Second, an applicant for a facility that does not pass the fundamental use test may provide a narrative explanationof and support for its contention that the facility nonetheless meets the requirement that the electrical, thermal/chemica! and mechanical output of an EPAct 2005 cogenerationfadiity is used fundamentally for industrial,commercial/ residential or institutional purposes and is not intended fundamentaiiy for sale to an electric utility,taking into account technologica!, efficiency, economic, and variable thermal energy requirements, as weii as state

jaws applicabie to sales of electric energy from a qualifying facility to its host facility.

Compiete lines 11 g through 11j beiow to determine compliance with the fundamental use test in 18 C.F.R. §292.205(d)(3). Complete lines 11 g through '\'\] even if you do not intend to rely upon the fundamental use test todemonstrate compliance with 18 C.F.R. § 292.205(d)(2).

11g Amount of electrica!, thermal, chemical and mechanical energy output (net of intemaigeneration plant losses and parasitic loads) expected to be used annually for industrial,commercial/ residential or institutional purposes and not sold to an electric utility

11h Total amount of electrical, thermal, chemical and mechanical energy expected to besold to an electric utility

Hi Percentage of total annual energy output expected to be used for industrial,commercial, residential or institutional purposes and not sold to a utility=100*11g/(11g+Hh}

MWh

MWh

0 %

11j is the response in line 11 i greater than or equal to 50 percent?

Yes. Your facility complies with 18 C.F.R. § 292.205(d)(2) by virtue of passing the fundamental use testprovided En 18 C.F.R. § 292.205(d)(3). Applicant certifies its understanding that, if it is to rely upon passing

[~] the fundamental use test as a basis for complying with 18 C.F.R. § 292.205(d)(2), then the facility mustcompiy with the fundamental use test both in the 1 2-month period beginning with the date the facility firstproduces electric energy, and in all subsequent calendar years.

No. Your facility does not pass the fundamental use test. Instead, you must provide in the Miscellaneoussection starting on page 19 a narrative explanation of and support for why your facility meets therequirement that the electrical, thermal, chemical and mechanical output of an EPAct 2005 cogenerationfacility is used fundamentally for industrial/ commercial, residential or institutional purposes and is notintended fundamentaily for sale to an electric utility, taking into account technological, efficiency, economic/and variable thermal energy requirements, as well as state laws applicable to saies of electric energy from aQF to its host facility. Applicants providing a narrative explanation of why their facility should be found to

Q comply with 18C.F.R.§292,205(d)(2)in spite of non-compliance with the fundamental use test may want toreview paragraphs 47 through 61 of Order No. 671 (accessible from the Commission's QF website atwww.ferc.gov/QF), which provide discussion of the facts and circumstances that may support theirexplanation. Applicant should also note that the percentage reported above will establish the standard thatthat facility must comply with, both for the 12-month period beginning with the date the facility firstproduces electric energy, and in ali subsequent calendar years. See Order No. 671 at paragraph 51. As such,the applicant should make sure that it reports appropriate values on lines 11 g and 11 h above to serve as therelevant annual standard, taking into account expected variations in production conditions.

Page 54: Production or Cogeneration Facility Form 556 Certification ... · Form 556 Certification of Qualifying Facility (QF) Status for a Small Power Production or Cogeneration Facility General

FERC Form 556 Page 14-Topping-CydeCogeneration Facilities

Information Required for Topping-CydeCogeneration Facilitytf you indicated in line 10a that your facility represents topping-cycie cogeneration technology, then you must respond tothe items on pages 1 4 and 15. Otherwise, skip pages 14 and 15.

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The thermal energy output of a topping-cyclecogeneration facility Is the net energy made avaiiabie to an industrialor commercial process or used in a heating or cooling application. Pursuant to sections 292.202(c)/ (d) and (h) of theCommission's regulations (18 C.F.R.§§292.202(c)/(d) and (h)), the thermal energy output of a qualifying topping-cycle cogeneration facility must be useful. In connection with this requirement, describe the thermal output of thetopping-cycle cogeneration facility by responding to lines 12a and 12b below.

12a identify and describe each thermal host, and specify the annual average rate of thermal output made availableto each host for each use. For hosts with multiple uses of thermal output/ provide the data for each use m

separate rows. Average annuai rate of

thermal outputattributable to use (net ofheat contained in processreturn or make-up water)

Name of entity (thermal host)taking thermal output

Thermal host's relationship to facility;Thermal host's use of thermal output

DSelect thermal host's relationship to facility

Select thermal host's use of thermal output

Select thermal host's relationship to facility

Select thermal host's use of thermal output

Select thermal host's relationship to faciiity

Select thermal host's use of thermal output

Seiect thermal host's relationship to facility

Select thermal host's use of thermal output

Select thermal host's relationship to facility

Select therma! host's use of thermal output

Select thermal host's relationship to facility

Select thermal host's use oftherma! output

Btu/h

Btu/h

Btu/h

Btu/h

Btu/h

Btu/h

[_] Check here and continue in the Miscellaneous section starting on page 19 if additional space is needed

12b Demonstration of usefulness of thermal output: At a minimum, provide a brief description of each use of thethermal output identified above. In some cases, this brief description is sufficient to demonstrate usefulness.

However, if your faciJity's use ofthermai output is not common, and/or if the usefulness of such thermal output is

not reasonably clear, then you must provide additionai details as necessary to demonstrate usefulness. Your

application maybe rejected and/or additional information may be required if an insufficient showing of usefuinessis made. (Exception: If you have previously received a Commission certification approving a specific use of thermaloutput related to the instant facility, then you need only provide a brief description of that use and a reference bydate and docket number to the order certifying your facility with the indicated use. Such exemption may not beused if any change creates a material deviation from the previously authorized use.) If additional space is needed,continue in the Miscelianeous section starting on page 19.

Page 55: Production or Cogeneration Facility Form 556 Certification ... · Form 556 Certification of Qualifying Facility (QF) Status for a Small Power Production or Cogeneration Facility General

FERC Form 556 Page 15 - Topping-Cyde Cogeneration Fadiities

Applicants for facilities representing topping-cycle technology must demonstrate compliance with the topping-cycle operating standard and, if applicable, efficiency standard. Section 292.205(a)(1) of the Commission'sregulations (18 CF.R. § 292.205(a)(1)) establishes the operating standard for toppEng-cycle cogeneration facilities:the useful thermal energy output must be no less than 5 percent of the total energy output. Section 292.205(a}(2)(18 C.F.R. § 292.205(a}(2)) establishes the efficiency standard for topping-cyde cogeneration facilities for whichinstallation commenced on or after March 13,1980: the useful power output of the faciiity plus one-haif the usefulthermal energy output must (A) be no iess than 42.5 percent of the total energy input of natural gas and oil to thefacility; and (B) if the useful thermal energy output is less than 15 percent of the total energy output of the facility,be no less than 45 percent ofthe total energy input of natural gas and oil to the facility. To demonstratecompliance with the topping-cyde operating and/or efficiency standards/ or to demonstrate that your facility isexempt from the efficiency standard based on the date that installation commenced, respond to lines 13a through13lbeiow.

If you indicated in line 10a that your facility represents bof/itopping-cycle and bottoming-cydecogenerationtechnology, then respond to lines 13a through 131 beiow considering only the energy inputs and outputsattributabie to the topping-cycle portion of your facility. Your mass and heat balance diagram must make clearwhich mass and energy flow values and system components are for which portion (topping or bottoming) of thecogeneration system.

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13a Indicate the annual average rate of useful thermal energy output made availableto the host(s), net of any heat contained incondensate return or make-up water

13b indicate the annual average rate of net electrical energy output

13c Multiply line 13b by 3,412 to convert from kW to Btu/h

13d Indicate the annual average rate of mechanical energy output taken directly offof the shaft of a prime mover for purposes not directly related to power production(this value is usually zero)

13e Multiply line 1 3d by 2,544 to convert from hp to Btu/h

13f Indicate the annual average rate of energy input from natural gas and oil

13g ToppEng-cyde operating value ^ 100 * 13a / (13a + 13c + 13e)

13h Topping-cyde efficiency value = 100 * (0.5*13a + 13c + 13e) /13f

Btu/h

kW

0 Btu/h

J2£.

0 Btu/h

Btu/h

0 %

0 %

13i Compliance with operating standard: Is the operating value shown in line 13g greater than or equa! to 5%?

Q Yes (complies with operating standard) Q No (does not comply with operating standard)

13j Did installation of the fadiity in its current form commence on or after March 13,1980?

Yes, Your facility is subject to the efficiency requirements of 18 CF.R. § 292.205(a)(2). Demonstratecompliance with the efficiency requirement by responding to line 13k or 1 3l/ as applicable, below.

Q No. Your facility is exempt from the efficiency standard. Skip lines 13k and 131.

13k Compliance with efficiency standard (for low operating value): If the operating value shown in fine 13g is lessthan 15%, then indicate below whether the efficiency value shown in line 13h greater than or equal to 45%:

[~~] Yes (complies with efficiency standard) Q No (does not comply with efficiency standard)

131 Compliance with efficiency standard (for high operating vaiue): If the operating value shown inline 13g isgreater than or equal to 15%, then indicate below whether the efficiency vaiue shown in line 13h is greater than orequal to 42.5%:

[~] Yes (complies with efficiency standard) Q No (does not comply with efficiency standard)

Page 56: Production or Cogeneration Facility Form 556 Certification ... · Form 556 Certification of Qualifying Facility (QF) Status for a Small Power Production or Cogeneration Facility General

FERC Form 556 Page 16 - Bottoming-Cyde Cogeneration Facilities

Information Required for Bottoming-Cyde Cogeneration Facilityif you indicated in fine 1 Oa that your facility represents bottom in g"cyc Ie cogeneration technology, then you must respondto the items on pages 16 and 17. Otherwise, skip pages 16 and 17.

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The thermal energy output of a bottom in g-cyde cogeneration facility is the energy related to the process(es) fromwhich at least some of the reject heat is then used for power production. Pursuant to sections 292.202(c) and (e) ofthe Commission's regulations (18 C.F.R.§292.202(c) and (e)L the thermal energy output of a qualifying bottoming-cyde cogeneration facility inust be useful, in connection with this requirement, describe the process(es) from whichat least some of the rejectheatisusedfor power production by responding to iines Uaand 14b below.

14a Identify and describe each thermal host and each bottom ing-cyde cogeneration process engaged in by eachhost. For hosts with muitiple bottom ing-cycie cogeneration processes, provide the data for each process inseparate rows.

Name of entity (thermal host)performing the process from

which at least some of thereject heat is used for power

productionThermal host's relationship to facility;

Thermal host's process type

Has the energy input tothe thermal host been

augmented for purposes

of increasing power

production capacity?(EfYes, describe on p. 19)

D

2}

3)

Select thermal host's relationship to facility

Seiect thermal host's process type

Select thermal host's relationship to facility

Select thermal host's process type

Select thermal host's relationship to facility

Select thermal host's process type

Yes a No Q

Yes Q No Q

Yes Q No Q

Q Check here and continue in the Miscellaneous section starting on page 19 if additional space is needed

14b Demonstration of usefulness of thermal output; At a minimum, provide a brief description of each processidentified above. In some cases, this brief description is sufficient to demonstrate usefulness. Howeverjfyourfacility's process is not common, and/or if the usefulness of such thermal output is not reasonably dear, then youmust provide additional details as necessary to demonstrate usefulness. Your application may be rejected and/oradditional information may be required if an insufficient showing of usefulness is made. (Exception: if you havepreviously received a Commission certification approving a specific bottom ing-cyde process related to the instantfacility/then you need only provide a brief description of that process and a reference by date and docket numberto the order certifying your facility with the indicated process. Such exemption may not be used if any materialchanges to the process have been made.) If additional space is needed, continue in the Miscellaneous section

starting on page 19.

Page 57: Production or Cogeneration Facility Form 556 Certification ... · Form 556 Certification of Qualifying Facility (QF) Status for a Small Power Production or Cogeneration Facility General

FERC Form 556 Page 17-Bottoming-CydeCogeneration Facilities

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Applicants for facilities representing bottoming-cyde technology and for which installation commenced on or afterMarch 13,1990 must demonstrate compliance with the bottoming-cyde efficiency standards. Section 292.205(b) ofthe Commission's regulations (18 CF.R. § 292.205(b]) estabiishes the effEdency standard for bottom ing-cyctecogeneration facilities: the useful power output of the facility must be no less than 45 percent of the energy inputof natural gas and oil for supplementary firing. To demonstrate compliance with the bottom in g-cyc Ie efficiencystandard (if applicable), or to demonstrate that your facility is exempt from this standard based on the date thatinstaliation of the facility began, respond to lines 15a through 15h below.

If you indicated in line 10a that your facility represents bof/itopping-cyde and bottoming-cycie cogenerationtechnology, then respond to lines 15a through 15h below considering only the energy inputs and outputsattributable to the bottoming-cyde portion of your facility. Your mass and heat balance diagram must make clearwhich mass and energy flow values and system components are for which portion of the cogeneration system

(topping or bottoming).

15a Did installation of the facility in its current form commence on or after March 13,1980?

Yes. Your facility is subject to the efficiency requirement of 18 CF.R. § 292.205(b). Demonstrate compiianceD with the efficiency requirement by responding to lines 15b through 15h below.

[_] No. Your facility is exempt from the efficiency standard. Skip the rest of page 17.

15b Indicate the annual average rate of net electrical energy output

15c Multiply line 1 5b by 3,412 to convert from kW to Btu/h

15d Indicate the annual average rate of mechanical energy output taken directly offofthe shaft of a prime mover for purposes not directly reiated to power production(this value is usually zero)

15e Multiply line 1 5d by 2,544 to convert from hp to Btu/h

15f Indicate the annual average rate of supplementary energy input from natural gasor oil

15g Bottoming-cyde efficiency value = 1 GO* (15c+ 15e) / 15f

kW

0 Btu/h

M0 Btu/h

Btu/h

0 %

15h Compliance with efficiency standard: indicate below whether the efficiency value shown En line 15g is greaterthan or equal to 45%:

Q Yes (complies with efficiency standard) Q No (does not comply with efficiency standard)

Page 58: Production or Cogeneration Facility Form 556 Certification ... · Form 556 Certification of Qualifying Facility (QF) Status for a Small Power Production or Cogeneration Facility General

FERC Form 556 Page 18 - All Facilities

Certificate of Completeness/ Accuracy and AuthorityApplicant must certify compliance with and understanding of filing requirements by checking next to each item below andsigning at the bottom of this section. Forms with Encompiete Certificates of Completeness, Accuracy and Authority will berejected by the Secretary ofthe Commission.

Signer identified below certifies the following: (check all items and applicable subitems)

He or she has read the filing, induding any information contained in any attached documents, such as cogenerationmass and heat baiance diagrams, and any information contained in the Miscellaneous section starting on page 19, and

knows its contents.

He or she has provided ai! of the required information for certification/ and the provided information is true as stated,to the best of his or her knowledge and belief.

He or she possess ful! power and authority to sign the filing; as required by Ru!e 2005(a)(3) of the Commission's Rules ofPractice and Procedure (18 CF.R.'§ 385.2005(a)(3))/ he or she is one of the following: (check one)

D The person on whose behalf the filing is made

^ An officer of the corporation, trust, association, or other organized group on behalf of which the filing is made

An officer, agent, or employe of the governmental authority, agency, or instrumentality on behalf of which thefiling is made

A representative qualified to practice before the Commission under Rule 2101 of the Commission's Rules ofPractice and Procedure (18 CF.R.§ 385.2101} and who possesses authority to sign

He or she has reviewed all automatic calculations and agrees with their results, unless otherwise noted in theMiscellaneous section starting on page 19.

He or she has provided a copy of this Form 556 and ail attachments to the utilities with which the facility willinterconnect and transact (see iines4a through 4d), as well as to the regulatory authorities of the states in which thefacility and those utilities reside. See the Required Notice to Public Utilities and State Regulatory Authorities section onpage 3 for more information.

Provide your signature, address and signature date below. Rule 2005(c) of the Commission's Rules of Practice andProcedure (18 C.F.R. § 385.2005(c)) provides that persons filing their documents electronically may use typed charactersrepresenting his or her name to sign the filed documents. A person filing this document electronically should sign (bytyping his or her name) in the space provided below.

Your Signature

John Brown

Your address

855 13th StreetBoulder, CO 80302

Date

11/23/2015

Audit Notes

Commission Staff Use Only: n

Page 59: Production or Cogeneration Facility Form 556 Certification ... · Form 556 Certification of Qualifying Facility (QF) Status for a Small Power Production or Cogeneration Facility General

FERC Form 556 Page 19 - All Facilities

MiscellaneousUse this space to provide any information for which there was not sufficient space in the previous sections of the form toprovide. For each such item of information dearly identify the line number that the information belongs to. You may also usethis space to provide any additional information you believe is relevant to the certification of your facility.

Your response beiow is not limited to one page. Additional page(s) will automatically be inserted into this form if thelength of your response exceeds the space on this page. Use as many pages as you require.

This Notice of Self-Recertification is filed to reflect changes to the QF that do not

affect eligibility for QF status or for the regulatory exemptions set forth in 18 CFR

Part 292 Subpart F. The QF/s current voting or equivalent ownership is indicated in item

5b. In addition, certain tax-related financial rights are held by Firstar Development/

LLC.