Customer Information Request

The following information request is required in order to properly qualify and quantify the site for the generation of hydrokinetic power. Please fill in the information to the best of your knowledge. This will help identify any additional information needed to understand the specifics of the application.

Customer information

Legal Company Name: ______

Contact Name: ______

Position within the Organization: ______

Address: ______

Street: ______City: ______

Prov/State: ______Country: ______

Zip/Postal Code: ______

Contact Details: ______

Tel: ______

Fax: ______

Email: ______

Other: ______

General

Nature of Project: ______

(test site, pilot plan, commercial install)

Initial Project Size: ______

Ultimate Project Size: ______

Power Use: ______

(grid connect, stand alone, supplement existing power)

Resource

Resource Type: ______

(Uncontrolled River, Controlled River, Canal, Industrial Outflow, Tidal)

Water Composition:______

(freshwater, saltwater, clean, silt laden, effluent (specify))

Channel Profile:Minimum depth: ______

Maximum depth: ______

Width available for install: ______

Flow Profile:Maximum flow velocity: ______

Minimum flow velocity: ______

Average velocity over interval: ______

Note: In order to properly assess the power generation potential of a site, a full resource assessment is generally required. This includes detailed cross sectional flow measurements of the site, extrapolation to the full range of flows encountered, and modeling the energy extraction capabilities of the site. The above is only used to verify the suitability of the site for hydrokinetic power generation, and as a first level estimation of the potential.

Site Description

Location: Provide map showing (google, photos, legal description, etc)

-Proposed location of the equipment

-Distance to shore

-Location of control room

-Interconnection point

Channel characteristics:

Bottom composition: ______

(mud, sand, gravel, rock, concrete)

Channel stability: ______

(movement of sand and silt, movement of channel)

Site Restrictions/hazards:

Navigation Issues: ______

(restrictions on placement of equipment)

Human use: ______

Other: ______

(ice, debris (specify nature of debris), other items of note)

Site Access:

Are there access roads to the site? ______

If not, how is site accessed? ______

Equipment/Resources Available:

Land equipment: ______

(Cranes, forklifts, loaders, line trucks, etc)

Water equipment: ______

(Boats, barges, dredges, etc)

Human resources: ______

(Equipment operators, electricians, mechanics,labourers)

Electrical

Electrical Interconnect

Local interconnection: ______

(voltage, frequency, phases)

Stand alone or grid tie: ______

(grid tie includes microgrid)

Distance to interconnection point: ______

Standards

Electrical Standards: ______

(standards, equipment test reports, etc)

Grid Study:

Is a grid study required? ______

If yes, what is the status of study? ______

Are there potential grid capacity limitations? ______

Approvals

Approvals and Permitting:

What permits are required? ______

What environmental approvals are required? ______

______

What is the status of approvals and permitting? ______

______

Other regulatory requirements: ______

Economics

Local price of power: ______

Government incentive programs: ______

Other: ______

(Sources of capital investment, etc)

Customer Information Request: New Energy CR-001 Apr 12