16B-001-016 / , 2- 00 /— drb
M.D.P.U.No. 1468
C ling M.D.P.U.No. 1320
Sheet 104 of 170
STANDARDS FOR INTERCONNECTION OF DISTRIBUT D GENERATION
ATTACHMENT 2
Certificate of Completion for Simplified Process Interconnections
Installation Information: Check if owner-installed
Interconnecting Customer Name(print): Carleton Townsend
Contact Person:
Mailing Address: 20 Bridge Rd,
City: Northampton State: MA Zip Code: 01060
Telephone(Daytime): (413) 427-4796 (Evening): 1
Facsimile Number: E-Mail Address:carl.s.townsend(c�gmail.com
Address of Facility(if different from above):
20 Bridge Rd "COGEN" Northampton, MA 01060
Electrical Contractor's Name(if appropriate):. Valley Solar LLC
Mailing Address: PO BOX 60627
City: Florence State: MA Zip Code: 01062
Telephone(Daytime): 413-584-8844 (Evening): I
Facsimile Number: E-Mail Address: Inf Valle solar.solar '-' '("Nna1(9-1,L
License number: 664 Al
5/ 7/Lt7ZZ
Date of approval to install Facility granted by the Company: 3 4/2022
Application ID number: 00411789
Inspection:
I
The system has been installed and inspected in compliance with the local Building/Electrical
Code of
(City/County)
Signed(Lo 1 Elet
firing Inspector,or attach signed electrical inspection):
I,Name(printed): '2 ivtl W
Date: c 17- a 7.
License# W0 O.A.A
Exhibit A
M.D.P.U.No. 1468
Canceling M.D.P.U.No. 1320
Sheet 105 of 170
STANDARDS FOR INTERCONNECTION OF DISTRIBUTED GENERATION
As a condition of interconnection you are required to send/fax a copy of this form along with a
copy of the signed electrical permit to(insert Company's name below):
Name:
Company:
Mail 1:
Mail 2:
City, State ZIP:
Fax No.:
Exhibit A