FEDERAL ENERGY REGULATORY COMMISSION WASHINGTON, DC Form 556 OMB Control# 1902-0075 Expiration 05/31 /2016 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@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 facility with a net power production capacity (as determined in lines 7a through 7g below) greater than 1000 kW must file a self-certification or an application for 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 less 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 will be allowed to change other responses made previously in the form. If you experience problems, click on the nearest help button ( for assistance, or contact Commission staff at Form556@ferc.gov. 0) Certain lines in this form will be automatically calculated based on responses to previous lines, with the relevant formulas shown. You must respond to all 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 Form556@ferc.gov 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 eFiling 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 by the FERC Form No. 556 is required to obtain or maintain status as a QF. See 18 C.F.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 currently valid OMB 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-certifications 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 (DataClearance@ferc.gov); and Desk Officer for FERC, Office of Information and Regulatory Affairs, Office of Management and Budget, Washington, DC 20503 (oira submission@omb.eop.gov). Include the Control No. 1902-0075 in any correspondence. Page 2- Instructions FERC Form 556 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 will need to register with your name, email address, mailing address, and phone number. If you are registering on behalfof an employer, then you will also need to provide the employername, alternate contact name, alternate contact phone number and and alternate contact email. Once you are registered, log in to eFiling with your registered email address and the password that you created at registration. Follow the instructions. When prompted, select one of the following OF-related filing types, as appropriate, from the Electric or General filing category. Filing category Filing Type as listed in eFiling Description Use to submit an application for Commission certification or (Fee) Application for Commission Cert. as Cogeneration QF Commission recertification of a cogeneration facility as a QF. (Fee) Application for Commission Cert. as Small Power QF Self-Certification Notice (QF, EG, FC) Self-Recertification of Qualifying Facility (QF) Use to submit a notice of selfrecertification of your facility (cogeneration or small power production) as a QF. Supplemental Information or Request Use to correct or supplement a Form 556 that was submitted with errors or omissions, or for which Commission staff has requested additional information. Do not use this filing type to report new changes to a facility or its ownership; rather, use a selfrecertification or Commission recertification to report such changes. (Fee) Petition for Declaratory Order (not under FPA Part 1) Use to submit a petition for declaratory order granting a waiver of Commission QF regulations pursuantto 18 C.F.R. §§ 292.204(a) (3) and/or 292.205(c). A Form 556 is not required for a petition for declaratory order unless Commission recertification is being requested as part of the petition. Electric General Use to submit an application for Commission certification or Commission recertification of a small power production facility as a QF. Use to submit a notice of selfcertification of your facility (cogeneration or small power production) as a QF. You will be prompted to submit your filing fee, if applicable, during the electronic submission process. Filing fees can be paid via electronic bank account debit or credit card. During the eFiling process, you will be prompted to select yourfile(s) for upload from your computer. FERC Form 556 Page 3 - Instructions Filing Fee No filing fee is required if you are submitting a self-certification or self-recertification of your facility as a QF pursuant to 18 C.F.R. § 292.207(a). A filing fee is required if you are filing either ofthe following: (1) an application for Commission certification or recertification of your facility as a QF pursuantto 18 C.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 the Commission'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 Authorities Pursuant to 18 C.F.R. § 292.207(a)(ii), you must provide a copy of your self-certification or request for Commission certification to the utilities with which the facility will interconnect and/or transact, as well as to the State regulatory authorities of the states in which your facility and those utilities reside. Links to information about the regulatory authorities in various states can 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 showing the docket number assigned to the filing. Such email is typically sent within one business day, but may be delayed pending confirmation 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, other than the electronic acknowledgement of receipt described above. Consistent with its name, a self-certification is a certification by the applicant itself that the facility meets the relevant requirements for QF status, and does not involve a determination by the Commission as to the status of the facility. An acknowledgement of receipt of a self-certification, in particular, does not represent a determination by the Commission with regard to the QF status of the facility. An applicant self-certifying may, however, receive a rejection, revocation or deficiency letter if its application is found, during periodic compliance reviews, not to comply with the relevant requirements. An applicant submitting a request for Commission certification will receive an order either granting or denying certification of QF status, or a letter requesting additional information or rejecting the application. Pursuant to 18 C.F.R. § 292.207(b)(3), the Commission must act on an application for Commission certification within 90 days of the later of the filing date of the application or the filing date of a supplement, amendment or other change to the application. Waiver Requests 18 C.F.R. § 292.204(a)(3) allows an applicantto request a waiver to modify the method of calculation pursuant to 18 C.F.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 18 C.F.R. §§ 292.205(a) and (b) for operating and efficiency upon a showing that the facility will produce significant energy savings. A request for waiver of these requirements must be submitted as a petition for declaratory order, with the appropriate filing fee for a petition for declaratory order. Applicants requesting Commission recertification as part of a request for waiver of one of these requirements should electronically submit their completed Form 556 along with their petition for declaratory order, rather than filing their Form 556 as a separate request for Commission recertification. Only the filing fee forthe petition for declaratory order must be paid to cover both the waiver request and the request for recertification 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 complete or submit a Form 556 with their petition. 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 geographic coordinates (latitude and longitude). Geographic coordinates may be obtained from several different sources. You can find links to online services that show latitude and longitude coordinates on online maps by visiting the Commission's QF webpage at www.ferc.gov/QF and clicking the Geographic Coordinates link. You may also be able to obtain your geographic coordinates from a GPS device, Google Earth (available free at http://earth.google.com), 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 a Form 556 be given privileged treatment because the information is exempt from the mandatory public disclosure requirements of the Freedom of Information Act, 5 U.5.C. § 552, and should be withheld from public disclosure; or (2) identify any documents containing critical energy infrastructure information (CEii) as defined in 18 C.F.R. § 388.113 that should not be made public. If you are seeking privileged treatment or CEii status for any data in your Form 556, then you must follow the procedures in 18 C.F.R. § 388.112. See www.ferc.gov/help/filing-guide/file-ceii.asp for more information. Among other things (see 18 C.F.R. § 388.112 for other requirements), applicants seeking privileged treatment or CEii status for data submitted in a Form 556 must prepare and file both (1) a complete version of the Form 556 (containing the privileged and/or CEii data), and (2) a public version of the Form 556 (with the privileged and/or CEii data redacted). Applicants preparing and filing these different versions of their Form 556 must indicate below the security designation of this version of their document. If you are not seeking privileged treatment or CEii status for any of your Form 556 data, then you should not respond to any of the items on this page. D Non-Public: Applicant is seeking privileged treatment and/or CEii status for data contained in the Form 556 lines indicated below. This non-public version of the applicant's Form 556 contains all data, including the data that is redacted in the (separate) public version of the applicant's Form 556. D Public (redacted): Applicant is seeking privileged treatment and/or CEii status for data contained in the Form 556 lines indicated below. This public version of the applicants'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 below which lines of your form contain data for which you are seeking CEii status The eFiling process described on page 2 will allow you to identify which versions of the electronic documents you submit are public, privileged and/or CEii. The filenames for such documents should begin with "Public", "Priv", or "CEii", as applicable, to clearly indicate the security designation of the file. Both versions of the Form 556 should be unaltered PDF copies of the Form 556, as available for download from www.ferc.gov/QF. To redact data from the public copy of the submittal, simply omit the relevant data from the Form. For numerical fields, leave the redacted fields blank. Fortext fields, complete as much of the field as possible, and replace the redacted portions of the field with the word "REDACTED" in brackets. Be sure to identify above fill 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 security designation. If your documents contain sensitive information, make sure they are filed using the proper security designation. FEDERAL ENERGY REGULATORY COMMISSION WASHINGTON, DC Form 556 OMB Control# 1902-0075 Expiration 5/31/2013 Certification of Qualifying Facility (QF) Status for a Small Power Production or Cogeneration Facility 1a Full name of applicant (legal entity on whose behalf qualifying facility status is sought for this facility) NorWest Energy 16, LLC 1b Applicant street address 3250 Ocean Park Blvd, Suite 355 1c City 1d State/province Santa Monica 1e Postal code California 1f Country (if not United States) 1g Telephone number 617-304-3810 90405 1h Has the instant facility ever previously been certified as a QF? YesO No IZJ 1i If yes, provide the docket number of the last known QF filing pertaining to this facility: QF -·-·- - -""--"- - - - 1j Under which certification process is the applicant making this filing? IZJ Notice of self-certification c 0 ...... ro E ._ ~ c c 0 ...... ro u Q_ Q_ <( (see note below) D Application for Commission certification (requires filing 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 for QF status. A notice of self-certification does not establish a proceeding, and the Commission does not review a notice 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) 1ZJ Qualifying small power production facility status D Qualifying cogeneration facility status 11 What is the purpose and expected effective date(s) of this filing? IZJ Original certification; facility expected to be installed by 11/30/16 D Change(s) to a previously certified facility to be effective on and to begin operation on 12/31/16 (identify type(s) of change(s) below, and describe change(s) in the Miscellaneous section starting on page 19) Name change and/or other administrative change(s) D D Change in ownership Change(s) affecting plant equipment, fuel use, power production capacity and/or cogeneration thermal output D 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 form to the extent possible, explaining any special circumstances in the Miscellaneous section starting on page 19. D The i_nstant facility complies with _the Commission's QF requirements by virtue of a waiver of certain regulations previously granted by the Comm1ss1on in an order dated orders in the Miscellaneous section starting on page 19) (specify any other relevant waiver D The instant facility would comply with the Commission's QF requirements if a petition for waiver submitted concurrently with this application is granted The instant facility complies with the Commission's regulations, but has special circumstances, such as the D 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 6 - All Facilities FERC Form 556 2b Telephone number 2a Name of contact person Peter A. Bruno 617-304-3810 2c Which of the following describes the contact person's relationship to the applicant? (check one) c D Applicant (self) D Employee, owner or partner of applicant authorized to represent the applicant 0 cg] Employee of a company affiliated with the applicant authorized to represent the applicant on this matter Cll D Lawyer, consultant, or other representative authorized to represent the applicant on this matter ...... E ,,__ ~ -......c u Cll ...... c 2d Company or organization name (if applicant is an individual, check here and skip to line 2e) [ ] Cypress Creek Renewables, LLC 2e Street address (if same as Applicant, check here and skip to line 3aJ[] 3250 Ocean Park Blvd, Suite 355 0 u 2g State/province 2f City Santa Monica California 2i Country (if not United States) 2h Postal code 90405 c 0 ·.;::; Cll u 0 3a Facility name Salem 3b Street address (if a street address does not exist for the facility, check here and skip to line 3c)[g] _I "'O c Cll c 0 ·.;::; Cll u ~ 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 decimal places). Use the 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 help. If you provided a street address for your facility in line 3b, then specifying the geographic coordinates below is optional. ...... c Q) "'O >- .-t= -u Cll LL Longitude D East(+) cg] West(-) 122. 982 degrees Latitude 3d City (if unincorporated, check here and enter nearest city) D cg] North(+) D South(-) 44. 8 65 degrees 3e State/province Oregon Salem 3f County (or check here for independent city)[] 3g Country (if not United States) Marion Identify the electric utilities that are contemplated to transact with the facility. Vl Q) 4a Identify utility interconnecting with the facility ...... -·.;::; Portland General Electric Company ::> 4b Identify utilities providing wheeling service or check here if none cg] Ol c ...... u Cll Vl c Cll ,,__ f- 4c Identify utilities purchasing the useful electric power output or check here if none D Portland General Electric Company 4d Identify utilities providing supplementary power, backup power, maintenance power, and/or interruptible power service or check here if none n Portland General Electric Company FERC Form 556 Page 7 - All Facilities Sa Direct ownership as of effective date or operation date: Identify all direct owners of the facility holding at least 1O percent equity interest. For each identified owner, also (1) indicate whetherthat owner is an electric utility, as defined in section 3(22) of the Federal Power Act (16 U.S.C. 796(22)), or a holding company, as defined in section 1262(8) of the Public Utility Holding Company Act of 2005 (42 U.S.C. 16451 (8)), and (2) for owners which are electric utilities or holding companies, provide the percentage of equity interest in the facility held by that owner. If no direct owners hold at least 10 percent equity interest in the facility, then provide the required information for the two 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) NorWest Energy 16, LLC YesO No~ % 2) YesO No % 3) YesO No 4) YesO No 5) YesO No 6) YesO No 7) YesO No 8) YesO No 0 9) YesO No ..... 10) YesO No D D D D D D D D D c ..... ..., - u (IJ LI- -(IJ u c .£: u 25.0 kW 7g Maximum net power production capacity= la - lf 2,975.0 kW 7h Description of facility and primary components: Describe the facility and its operation. Identify all boilers, heat recovery steam generators, prime movers (any mechanical equipment driving an electric generator), electrical generators, photovoltaic solar equipment, fuel cell equipment and/or other primary power generation equipment used in the facility. Descriptions of components should include (as applicable) specifications of the nominal capacities for mechanical output, electrical output, or steam generation of the identified equipment. For each piece of equipment identified, clearly indicate how many pieces of that type of equipment are included in the plant, and which components are normally operating or normally in standby mode. Provide a description of how the components 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 and heat balance diagram; however, such applicants should provide any necessary description needed to understand the sequential operation of the facility depicted in their mass and heat balance diagram. If additional space is needed, continue in the Miscellaneous section starting on page 19. Qi I- The facility will consist of approximately thirteen thousand (13,000) 300Wp photovoltaic modules (or equivalent) affixed to ground mounted racks supported on driven piles. The system will utilize six I 6 I 500 kW inverters (or equivalent). FERC Form SS6 Page 10 - Small Power Production Information Required for Small Power Production Facility If you indicated in line 1k that you are seeking qualifying small power production facility status for your facility, then you must respond to the items on this page. Otherwise, skip page 10. Pursuant to 1B C.F.R. § 292.204(a), the power production capacity of any small power production facility, together with the power production capacity of any other small power production facilities that use the same energy resource, 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 limitation under the Solar, Wind, Waste, and Geothermal Power Production Incentives Act of 1990 (Pub. L. 101-S?S, 104 Stat. 2B34 (1990) asamendedby Pub. L. 102-46, lOS Stat. 249 (1991)), respond to lines Ba through Be below (as applicable). Ba Identify any facilities with electrical generating equipment located within 1 mile of the electrical generating equipment ofthe instant facility, and for which any of the entities identified in lines Sa or Sb, ortheir affiliates, holds at least a S percent equity interest. CJ.) Check here if no such facilities exist. u c -~ ~ - Q.. · - 8 ...... 0 c 1) ·E QF 2) QF ::J 3) CJ.) N ...... V"l 0 ro ..c u ...... \+:::: ·- ·-e Root docket# (if any) Facility location (city or county, state) 0 E ~ [8J $: CJ.) u ------------- Maximum net power production capacity Common owner(s) kW - - - --------·-- ------·---·----------------- ------------·----------- QF D ~ kW Check here and continue in the Miscellaneous 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) provides exemption from the size limitations in 1B C.F.R. § 292.204(a) for certain facilities that were certified prior to 199S. Are you seeking exemption from the size limitations in 1B C.F.R. § 292.204(a) by virtue of the Incentives Act? D Yes (continue at line Bc below) [8J No (skip lines Bc through Be) Sc Was the original notice of self-certification or application for Commission certification of the facility filed on or before December 31, 1994? Yes No [ ] D Bd Did construction of the facility commence on or before December 31, 1999? Yes D No D Be If you answered No in line Bd, indicate whether reasonable diligence was exercised toward the completion of the facility, taking into account all factors relevant to construction? Yes No If you answered Yes, provide a brief narrative explanation in the Miscellaneous section starting on page 19 of the construction timeline (in particular, describe why construction started so long afterthe facility was certified) and the diligence exercised toward completion of the facility. D CJ.) u VI ...... c cCJ.) ro E Q.. CJ.) E ·-.....::i u ...... 0: 0 0 c 0 ...... ro u 4= CJ.) Pursuant to 1B C.F.R. § 292.204(b), qualifying small power production facilities may use fossil fuels, in minimal amounts, for only the following purposes: ignition; start-up; testing; flame stabilization; control use; alleviation or prevention of unanticipated equipment outages; and alleviation or prevention of emergencies, directly affecting the public health, safety, or welfare, which would result from electric power outages. The amount of fossil fuels used for these purposes may not exceed 2S percent of the total energy input of the facility during the 12-month period beginning with the date the facility first produces electric energy or any calendar year thereafter. VI 9a Certification of compliance with 1B C.F.R. § 292.204(b) with respect to uses of fossil fuel: [8J Applicant certifies that the facility will use fossil fuels exclusively for the purposes listed above. ~ -CJ.) ::i 9b Certification of compliance with 1B C.F.R. § 292.204(b) with respect to amount of fossil fuel used annually: LL ·.;:::; ..c ..... ...... CJ.) D 0CJ.) u $: 0 [8J Applicant certifies thatthe amount of fossil fuel used at the facility will not, in aggregate, exceed 2S percent of the total energy input of the facility during the 12-month period beginning with the date the facility first produces electric energy or any calendar year thereafter. 0 Page 11 -Cogeneration Facilities FERC Form 556 Information Required for Cogeneration Facility If you indicated in line 1k that you are seeking qualifying cogeneration facility status for yourfacility, then you must respond to the items on pages 11 through 13. Otherwise, skip pages 11 through 13. Pursuant to 18 C.F.R. § 292.202(c), a cogeneration facility produces electric energy and forms of useful thermal energy (such as heat or steam) used for industrial, commercial, heating, or cooling purposes, through the sequential use of energy. Pursuantto 18 C.F.R. § 292.202(s), "sequential use" of energy means the following: (1) for a toppingcycle cogeneration facility, the use of reject heat from a power production process in sufficient amounts in a thermal application or process to conform to the requirements of the operating standard contained in 18 C.F.R. § 292.205(a); or (2) for a bottoming-cycle cogeneration facility, the use of at least some reject heat from a thermal application or process for power production. 1 Oa What type(s) of cogeneration technology does the facility represent? (check all that apply) 0 Topping-cycle cogeneration D Bottoming-cycle cogeneration 1 Ob To help demonstrate the sequential operation of the cogeneration process, and to support compliance with other requirements such as the operating and efficiency standards, include with your filing a mass and heat balance diagram depicting average annual operating conditions. This diagram must include certain items and m€:E;?t certain requirements, as described below. You must check next to the description of each requirement below to certify that you have complied with these requirements. Check to certify compliance with indicated requirement c D 0 :;:::; Ill ..... QI c QI Ill 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 cogeneration process . 0 c +-' Ol Requirement Any average annual values required to be reported in lines 1Ob, 12a, 13a, 13b, 13d, 13f, 14a, 15b, 15d and/or 15f must be computed over the anticipated hours of operation. E u ..... 0 Diagram must specify all fuel inputs by fuel type and average annual rate in Btu/h. Fuel for supplementary firing should be specified separately and clearly labeled. All specifications of fuel inputs should use lower heating values. -Ill..... Ec QI c Diagram must specify average gross electric output in kW or MW for each generator. QI \..9 Diagram must specify average mechanical output (that is, any mechanical energy taken off of the shaft of the prime movers for purposes not directly related to electric power generation) in horsepower, if any. Typically, a cogeneration facility has no mechanical output. [] i---1 L_J At each point for which working fluid flow conditions are required to be specified (see below), such flow condition data must include mass flow rate (in lb/h or kg/s), temperature (in °F, R, °C or K), absolute pressure (in psia or kPa) and enthalpy (in Btu/lb or kJ/kg). Exception: For systems where the working fluid is liquid only (no vapor at any point in the cycle) and where the type ofliquid and specific heat of that liquid are clearly indicated on the diagram or in the Miscellaneous section starting on page 19, only mass flow 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) or 4.195 kJ/(kg*K). Diagram must specify working fluid flow conditions at input to and output from each steam turbine or other expansion turbine or back-pressure turbine. Diagram must specify working fluid flow conditions at delivery to and return from each thermal application. Diagram must specify working fluid flow conditions at make-up water inputs. Page 12 - Cogeneration Facilities FERC Form 556 EPACT 2005 cogeneration facilities: The Energy Policy ACT of 2005 (EPAct 2005) established a new section 21 O(n) of the Public Utility Regulatory Policies ACT of 1978 (PURPA), 16 USC 824a-3(n), with additional requirements for any qualifying 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 for Commission certification of QF status on or before February 1, 2006. These requirements were implemented by the Commission in 18 C.F.R. § 292.205(d). Complete the lines below, carefully following the instruCTions, to demonstrate whether these additional requirements apply to your cogeneration facility and, if so, whether your facility complies with such requirements. 11a Was your facility operating as a qualifying cogeneration facility on or before August 8, 2005? Yes[] No[] 11b Was the initial filing seeking certification of your facility (whether a notice of self-certification or an application for Commission certification) filed on or before February 1, 2006? Yes No n Qi Vl Vl Qi => -..... -:e ·c; (IJ (IJ c D If the answerto either line 11aor11 bis Yes, then continue at line 11 c below. Otherwise, if the answers to both lines 11 a and 11 b are No, skip to line 11 e below. 11 c With respect to the design and operation of the facility, have any changes been implemented on or after February 2, 2006 that affect general plant operation, affect use of thermal output, and/or increase net power produCTion capacity from the plant's capacity on February l, 2006? u.. D Yes (continue at line 1ld below) "D ..... No. Your facility is not subjectto the requirements of 18 C.F.R. § 292.205(d) at this time. However, it may be [ ] subjectto 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 l lj. ..2 Qi Ol 0 11d Does the applicant contend that the changes identified in line 11 care not so significant as to make the facility a "new" cogeneration facility that would be subject to the 18 C.F.R. § 292.205(d) cogeneration requirements? Qi E c0 (IJ (IJ c ..... :::l Qi u.. c ..... ..... u c Vl Qi E 0 E .... Qi '+.... ..... ·:::l :::l 0- Qi Q_ ..... LO 0 >- cc 0 0 N :::l <( a... '+LI.J 0 0 0 Yes. Provide in the Miscellaneous section starting on page 19 a description of any relevant changes made to D 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 1le through 1lj. 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. 11e Will electric energy from the facility be sold pursuant to section 21 Oof PURPA? Ol ..... Qi ..... c u LI.J 0 0 Yes. The facility is an EPAct 2005 cogeneration facility. You must demonstrate compliance with 18 C.F.R. § 292.205(d)(2) by continuing at line 1 lf below . 0 No. Applicant certifies that energy will not be sold pursuant to seCTion 210 of PURPA. Applicant also certifies [·-] its understanding that it must recertify its facility in order to determine compliance with the requirements of - 18 C.F.R. § 292.205(d) before selling energy pursuantto section 210 of PURPA in the future. Skip lines 1lf through 11 j. 11f Is the net power production capacity of your cogeneration facility, as indicated in line 7g above, less than or equal to 5,000 kW? Yes, the net power production capacity is less than or equal to 5,000 kW. 18 C.F.R. § 292.205(d)(4) provides a rebuttable presumption that cogeneration facilities of 5,000 kW and smaller capacity comply with the requirements for fundamental use of the facility's energy output in 18 C.F.R. § 292.205(d)(2). Applicant certifies its understanding that, should the power production capacity of the facility increase above 5,000 kW, then the facility must be recertified to (among other things) demonstrate compliance with 18 C.F.R. § 292.205(d)(2). Skip lines 1 lg through 1 lj. [J 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 in 18 C.F.R. § 292.205(d)(2) by continuing on the next page at line 11 g. 0 Page 13 - Cogeneration Facilities FERC Form 556 Lines 1 lg through 11 k below guide the applicantthrough the process of demonstrating compliance with the requirements for "fundamental use" of the facility's energy output. 18 C.F.R. § 292.20S(d)(2). Only respond to the lines on this page if the instructions on the previous page direct you to do so. Otherwise, skip this page. 18 C.F.R. § 292.20S(d)(2) requires that the electrical, thermal, chemical and mechanical output of an EPAct 2005 cogeneration facility is used fundamentally for industrial, 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 state laws applicable to sales of electric energy from a qualifying 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. ~ "'O QI ::J c ::> c0 QI VI -ro +-' c QI +-' u ~ VI QI E -:!::::: ro "'C u ro c u.. ::J u.. c 0 ..... ·.;:::; ro ~ ..... VI +-' QI c cQI QI E QI Ol 0 ..... u 0 0 N Complete lines llg through 1lj below to determine compliance with the fundamental use test in 18 C.F.R. § 292.20S(d)(3). Complete lines 1lg through 1 lj even if you do not intend to rely upon the fundamental use test to demonstrate compliance with 18 C.F.R. § 292.205(d)(2). 11 g Amount of electrical, thermal, chemical and mechanical energy output (net of internal generation plant losses and parasitic loads) expected to be used annually for industrial, commercial, residential or institutional purposes and not sold to an electric utility MWh 11 h Total amount of electrical, thermal, chemical and mechanical energy expected to be sold to an electric utility MWh ..... +-' 11j Is the response in line 11 i greater than or equal to 50 percent? CJ 0 Cl:: 4LI) Second, an applicant for a facility that does not pass the fundamental use test may provide a narrative explanation of 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 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 state laws applicable to sales of electric energy from a qualifying facility to its host facility. 11 i Percentage of total annual energy output expected to be used for industrial, commercial, residential or institutional purposes and not sold to a utility = 100. 11 g /(11 g + 11 h) ·3 E QI The Commission's regulations provide a two-pronged approach to demonstrating compliance with the requirements for fundamental use of the facility's energy output. First, the Commission has established in 18 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. § 292.20S(d)(2) if at least 50 percent of the facility's total annual energy output (including electrical, thermal, chemical and mechanical energy output) is used for industrial, commercial, residential or institutional purposes. ::J 0. +-' ::J u 0 +-' <( >- LU QI Ol c... ..... 0 Ofo Yes. Your facility complies with 18 C.F.R. § 292.205(d)(2) by virtue of passing the fundamental use test provided in 18 C.F.R. § 292.20S(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 must comply with the fundamental use test both in the 12-month period beginning with the date the facility first produces electric energy, and in all subsequent calendar years . c LU 4- 0 D No. Your facility does not pass the fundamental use test. Instead, you must provide in the Miscellaneous section starting on page 19 a narrative explanation of and support for why your facility meets the requirementthatthe electrical, thermal, chemical and mechanical output of an EPAct 2005 cogeneration facility is used fundamentally for industrial, 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 state laws applicable to sales of electric energy from a QF to its host facility. Applicants providing a narrative explanation of why their facility should be found to comply with 18 C.F.R. § 292.20S(d)(2) in spite of non-compliance with the fundamental use test may wantto review paragraphs 47 through 61 of Order No. 671 (accessible from the Commission's QF website at www.ferc.gov/QF), which provide discussion of the facts and circumstances that may support their explanation. Applicant should also note that the percentage reported above will establish the standard that that facility must comply with, both forthe 12-month period beginning with the date the facility first produces 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 the relevant annual standard, taking into account expected variations in production conditions. ,, FERC Form 556 Page 14- Topping-Cycle Cogeneration Facilities Information Required for Topping-Cycle Cogeneration Facility If you indicated in line 1Oa that your facility represents topping-cycle cogeneration technology, then you must respond to the items on pages 14 and 15. Otherwise, skip pages 14 and 15. The thermal energy output of a topping-cycle cogeneration facility is the net energy made available to an industrial or commercial process or used in a heating or cooling application. Pursuant to sections 292.202(c), (d) and (h) of the Commission's regulations (18 C.F.R. §§ 292.202(c), (d) and (h)), the thermal energy output of a qualifying toppingcycle cogeneration facility must be useful. In connection with this requirement, describe the thermal output of the topping-cycle cogeneration facility by responding to lines l 2a and l 2b below. 12a Identify and describe each thermal host, and specify the annual average rate of thermal output made available to each host for each use. For hosts with multiple uses of thermal output, provide the data for each use in separate rows. Name of entity (thermal host) taking thermal output 1) Thermal host's relationship to facility; Thermal host's use of thermal output Select thermal host's relationship to facility Select thermal host's use of thermal output 2) u u>- 3) ·Q......, - Q.. Q.. ::J oO I- "+- ro 0 Ill Ill E ..... ..c 4) I- 6) Btu/h Select thermal host's relationship to facility Select thermal host's use of thermal output u>>I U Ol c c Cli ·a_ :g c.. it: 0 f- 13d Indicate the annual average rate of mechanical energy output taken directly off of the shaft of a prime mover for purposes not directly related to power production (this value is usually zero) 13e Multiply line 13d by 2,544 to convert from hp to Btu/h ho 0 Btu/h 13f Indicate the annual average rate of energy input from natural gas and oil Btu/h 13g Topping-cycle operating value= 100 * 13a I (13a + 13c + 13e) ;) 9b 13h 'Topping-cycle efficiency value= 100 * (0.5*13a + 13c + 13e) I 13f UJ 0 O/o 13i Compliance with operating standard: Is the operating value shown in line 13g greaterthan or equal to 5%? Yes (complies with operating standard) O No (does not comply with operating standard) 13j Did installation of the facility in its current form commence on or after March 13, 1980? D Yes. Your facility is subject to the efficiency requirements of 18 C.F.R. § 292.205(a)(2). Demonstrate compliance with the efficiency requirement by responding to line 13k or 131, as applicable, below. O 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 line 13g is less than 15%, then indicate below whether the efficiency value shown in line 13h greater than or equal to 45%: Yes (complies with efficiency standard) O No (does not comply with efficiency standard) 131 Compliance with efficiency standard (for high operating value): If the operating value shown in line 13g is greater than or equal to 1So/o, then indicate below whether the efficiency value shown in line 13h is greater than or equal to 42.5%: Yes (complies with efficiency standard) No (does not comply with efficiency standard) FERC Form 556 Page 16- Bottoming-Cycle Cogeneration Facilities Information Required for Bottoming-Cycle Cogeneration Facility If you indicated in line 1Oa that your facility represents bottoming-cycle cogeneration technology, then you must respond to the items on pages 16 and 17. Otherwise, skip pages 16 and 17. The thermal energy output of a bottoming-cycle cogeneration facility is the energy related to the process( es} from which at least some of the reject heat is then used for power production. Pursuant to sections 292.202(c} and (e} of the Commission's regulations (18 C.F.R. § 292.202(c} and (e}}, the thermal energy output of a qualifying bottomingcycle cogeneration facility must be useful. In connection with this requirement, describe the process(es} from which at 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 bottoming-cycle cogeneration process engaged in by each host. For hosts with multiple bottoming-cycle cogeneration processes, provide the data for each process in separate rows. Name of entity (thermal host} performing the process from which at least some of the reject heat is used for power production 1) Thermal host's relationship to facility; Thermal host's process type Select thermal host's relationship to facility Has the energy input to the thermal host been augmented for purposes of increasing power production capacity? (if Yes, describe on p. 19) Yes No0 YesO No Yes No Select thermal host's process type Q) 2) u I u>I Select thermal host's process type ·E ....:J ....:J c::l 0 E ,__ Vl Vl ..c 01 c 0 .... ....0 '+- Q. 0 t1j Q) Q) c I- - -2Q) Vl ~ Select thermal host's relationship to facility 3) Select thermal host's relationship to facility Select thermal host's process type []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/or additional information may be required if an insufficient showing of usefulness is made. (Exception: If you have previously received a Commission certification approving a specific bottoming-cycle process related to the instant facility, then you need only provide a brief description of that process and a reference by date and docket number to the order certifying your facility with the indicated process. Such exemption may not be used if any material changes to the process have been made.) If additional space is needed, continue in the Miscellaneous section starting on page 19. FERC Form 556 Page 17 - Bottoming-Cycle Cogeneration Facilities Applicants for facilities representing bottoming-cycle technology and for which installation commenced on or after March 13, 1990 must demonstrate compliance with the bottoming-cycle efficiency standards. Section 292.205(b) of the Commission's regulations (18 C.F.R. § 292.205(b)) establishes the efficiency standard for bottoming-cycle cogeneration facilities: the useful power output of the facility must be no less than 45 percent of the energy input of natural gas and oil for supplementary firing. To demonstrate compliance with the bottoming-cycle efficiency standard (if applicable), or to demonstrate that your facility is exempt from this standard based on the date that installation of the facility began, respond to lines 15a through 15h below. -0 c c "'c01 ·-......0 ...... -"' ·"' .._ :J u QI - If you indicated in line 1Oa that your facility represents both topping-cycle and bottoming-cycle cogeneration technology, then respond to lines 15a through 15h below considering only the energy inputs and outputs attributable to the bottoming-cycle portion of your facility. Your mass and heat balance diagram must make clear which 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? D Yes. Your facility is subject to the efficiency requirement of 18 C.F.R. § 292.205(b). Demonstrate compliance with the efficiency requirement by responding to lines 15b through l 5h below. O No. Your facility is exempt from the efficiency standard. Skip the rest of page 17. 0.. "' Ou QI QI :J -u- >. "' u> I 01 u c c ·E 1 Sb Indicate the annual average rate of net electrical energy output kW >. 1 Sc Multiply line 15b by 3,412 to convert from kW to Btu/h 0 Btu/h QI u 0 ...... ...... ~ LI.J 15d Indicate the annual average rate of mechanical energy output taken directly off of the shaft of a prime mover for purposes not directly related to power production (this value is usually zero) a::i 1 Se Multiply line 15d by 2,544 to convert from hp to Btu/h 0 ho 0 Btu/h 15f Indicate the annual average rate of supplementary energy input from natural gas or oil 1 Sg Bottoming-cycle efficiency value= 100 * (15c + 15e) I 15f Btu/h D % 1 Sh Compliance with efficiency standard: Indicate below whether the efficiency value shown in line 15g is greater than or equal to 45%: Yes (complies with efficiency standard) 0 No (does not comply with efficiency standard) Page 18 - All Facilities FERC Form 556 Certificate of Completeness, Accuracy and Authority Applicant must certify compliance with and understanding offiling requirements by checking nextto each item below and signing atthe bottom of this section. Forms with incomplete Certificates of Completeness, Accuracy and Authority will be rejected by the Secretary of the Commission. Signer identified below certifies the following: (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 Miscellaneous 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 full power and authority to sign the filing; as required by Rule 2005(a)(3) of the Commission's Rules of Practice and Procedure (18 C.F.R. § 385.2005(a)(3)), he or she is one of the following: (check one) D l8J The person on whose behalf the filing is made D An officer, agent, or employe of the governmental authority, agency, or instrumentality on behalf of which the filing is made D A representative qualified to practice before the Commission under Rule 2101 of the Commission's Rules of Practice and Procedure (18 C.F.R. § 385.2101) and who possesses authority to sign An officer of the corporation, trust, association, or other organized group on behalf of which the filing is made ~ He or she has reviewed all automatic calculations and agrees with their results, unless otherwise noted in the Miscellaneous 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 facility will interconnect and transact (see lines 4a through 4d), as well as to the regulatory authorities of the states in which the facility and those utilities reside. See the Required Notice to Public Utilities and State Regulatory Authorities section on page 3 for more information. Provide your signature, address and signature date below. Rule 2005(c) of the Commission's Rules of Practice and Procedure (18 C.F.R. § 385.200S(c)) provides that persons filing their documents electronically may use typed characters representing his or her name to sign the filed documents. A person filing this document electronically should sign (by typing his or her name) in the space provided below. Your Signature Your address Date Peter A. Bruno 3250 Ocean Park Blvd, Suite 355, Santa Monica, CA 9040.5 J.J./:?4/2014 Audit Notes Commission Staff Use Only: D FERC Form 556 Page 19 - All Facilities Miscellaneous Use this space to provide any information for which there was not sufficient space in the previous sections of the form to provide. For each such item of information clearly identify the line number that the information belongs to. You may also use this space to provide any additional information you believe 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 the length of your response exceeds the space on this page. Use as many pages as you require.