16C-025 (18) Massachusetts Electric Company&Nantucket Electric Company(d/b/a National Grid) it C M.D.P.U. 1320
Certificate of Completion for Simplified Process Interconnections
Installation Information: • ❑ Check if owner-installed
Interconnecting Customer: Crimson Clover Farm Contact Person:
Mailing Address: 209 Spring St Barn
City: Florence State: MA Zip Code: 01062
Telephone(Daytime): .413-570-0337 (Evening):
Facsimile Number: E-Mail Address: farmers@crimsonandcloverfarm.com
Address of Facility(if different from above):
Electrical Contractor's Name (if appropriate): Northeast Solar Design Associates - David J Baird
Mailing Address: 136 Elm St
City: Hatfield State: Ma Zip Code: 01038
Telephone (Daytime): 413-247-6045 (Evening):
Facsimile Number: 413-674-0006 E-Mail Address: Interconnection@northeast-solar.com
c License number: 21918A lm�l� till
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Date of approval to install Facility granted by National Grid: 12/8/2021
Application ID number: 00397675 SMART ID#: N/A
Contruction WR#: N/A
Inspection:
The system has been installed and inspected in compliance with the local Building/Electrical Code of
(City/County):
Signeep ocal E trical Wiring Inspector, or attach signed electrical inspection):
Name (printed): c n Ge'(r-t.2_ )no 1 Date: I' /0 ' g 2•
License #: (c,GL
As a condition of interconnection you are required to send/e-mail a copy of this form along with a copy of the
signed electrical permit to National Grid:
National Grid
Attn: Distributed Generation
40 Sylvan Rd
Waltham, MA 02451
E-mail: distributed.generation(anationalgrid.com
Massachusetts:http://www.nationalgridus.comimasselectric/home/energyeff/distributed generation.asp
Nantucket: http://wvw.nationa1 ridus.com/nantucket/home/eneruefl7distributed generationJasi Page 1 of 1