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Site Survey Completion form
YOUR OWN DETAILS:
First Name
Last Name
Service Lovatge at Interconnection
*
1-Phase, 3-Wire 120/240 V
1-Phase, 2-Wire 240 V (no neutral)
Utility Company
*
National Grid
Eversource
Interconnection Strategy
*
Backfed Breaker
Tap
Roof Material
Backfeed Breaker Location
Number of Roof Structures
Tap Location
Roof Structure Type
Derate the main Breaker?
Rafter Size
Electrical Panel Breaker Rating
Rafter Spacing (on-center)
Main Breaker Bus Rating
Rafter Span
Existing Meter Location
Electrical Grounding Method
*
Ground Rod
Ufer
Cold Water Pipe
Utility Entrance
*
Underground
Overhead
Main Elctrical Panel Locatio
*
Internal Wall
External Wall
Electrical Panel Orientation
Submit
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We’ll contact this person only in case of emergency.
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