Note -A :- As prescribed in O.M. No. 2/94/Gen/95-PAC dt.17.08.95 of Central Electricity Authority.

Note - B :- Project Report as per CEA's "Guidelines for Formulation of Project Reports for Power Projects in Private Sector", June, 1995.

Note -C :- As per CEA guideline vide No. CEA/Plg/IRP/414/33/99-1348 dt.23 July, 1999.

APPLICATION FORM FOR GRANT OF PERMISSION BY
ORISSA ELECTRICITY REGULATORY COMMISSION
UNDER SECTION 44 OF THE ELECTRICITY (SUPPLY) ACT, 1948
TO SET UP GENERATING STATIONS

1. (a) (i) Name/s of the applicant :

(b) Registered Office Address :

(c) Postal Address for Communication :

(d) Processing fees paid with deposit particulars (Original evidence to be sent to OERC with application) in Rs. :

(e) Location of the proposed generating station :
(i) District :
(ii) Location :
(iii) Name of the Electricity Supply Division and the name of Distribution & Retail Supply Licensee :

(f) (i) Existing capacity of the generating, if any :
(ii) Capacity unit wise :
(iii) Date of installation :
(iv) Purpose :
(v) Enclose copy of the permission letter :

2. Type of Generating Station Proposed.

(a) Thermal - Coal/Gas/Naptha/Others :
(b) Diesel Generating Set :
(c) Others - Specify :

3. Tie Ups

(i) Fuel/Coal :
(ii) Fuel Transport :

4. Generation Capacity
(i) Capacity in K.V.A. :
(ii) Voltage :
(iii) Phase :
(iv) Power Factor :
(v) Frequency (Cycle per sec.) :
(vi) Other technical specifications.(Please enclose full technical details) :

5. Purpose of application for Generating Station
(i) Stand-by set to run in emergency only & will NOT back feed power to the System :
"OR"
(ii) Generating Station to run in parallel with the System :
"OR"
(iii) Generating Station to run in isolation i.e. in stand alone mode and will not require power supply from the Licensee at any time :
"OR"
(iv) Generating Station to run in isolation i.e. in stand alone mode and may require emergency power supply from the Licensee for start up purpose :
"OR"
(v) Any other purpose : (Please specify)

6. If power supply for the applicant has been availed from the Licensee
(a) Date of Agreement :
(b) Contract demand in K.V.A. :
(c) Date of availing power supply :
(d) Licensee's tariff (Category/Rate/Unit) :
(e) Purpose of utilisation
(Name the industrial products, (if any) whether it is a continuous process industry or any other purpose) :
(f) No. of interruptions & maximum duration of interruption experienced by the applicant during last year. :
(g) The extent and nature of loss suffered by the applicant during power interruption. :
(h) Capacity of the substation in KVA (if it is exclusively for the applicant) :
(i) Arrears of Electricity dues outstanding so far :

7. If power supply for the unit has not been availed by the applicant then indicate
(a) Maximum KVA requirement & average Demand of the proposed load :
(b) Time by which power supply is proposed to be availed, with phasing of requirement, if any :
(c) If the applicant does not intend to avail power supply from the Licensee. Please specify the reason :

8. If a requisition has been made to the Licensee to supply power is not available - give details. :

OTHER PARTICULARS OF THE GENERATING STATION
[* STRIKE OUT WHICHEVER IS NOT APPLICABLE]

*9. For all stand-by Generating Stations to run in emergency only [Sl-5(i)]
(i) Cost of generating station including installation.
(ii) Fixed cost/unit of generation.
(iii) Variable cost/unit of generation.
(iv) Total cost/unit of generation.
(v) Preventive arrangement against back feeding to the System, if grid power has been availed.
(vi) In case the generating station capacity is higher than the contracted load of the consumers with the Licensee, please state the reason for such additional requirement.

*10. All other Generating Stations (Sl-5(ii) to 5(v) :
(i) Proposed date of generation.
(ii) New Project/Expansion of the existing Generating Sets. (In case of phased programme of installation year to year information must be furnished).
(iii) Salient features of the project (To be separately attached) relating to Technical Details of Generator, Prime Mover, Exciter, Automatic Voltage Regulation, Protection, Interconnection with the System.
(iv) Planned peak generation in MW.
(v) Operating plant load factor.
(vi) Total annual requirement of electricity in million units by the industry.
(vii) Peak requirement of the industry in MW.
(viii) Voltage at which interconnection with the System is desired.
(ix) Nearest point of interconnection with the System.
(x) Technical feasibility of synchronization.
(xi) Cost of proposed interconnection.
(xii) Back up power from the Licensee
a) Power Requirement -
b) Voltage of supply -
(xiii) Whether surplus power is available for sale to GRIDCO/Distribution and Retail Supply Licensee.
Committed capacity :-
(xiv) Proposed rate of sale of surplus power (if negotiated), per KW of capacity and per Kwh of energy.
(xv) If the capacity of the generating station is higher than the load, the reason of such higher capacity.
(xvi) Cost of generating station including installation.
(xvii) Fixed cost per unit of generation.
(xviii) Variable cost per unit.
(xix) Total cost per unit of energy.
(xx) Cost of power of emergency assistance, if required, from the Licensee.
(xxi) Total cost of generation and the cost of emergency assistance.

11. Concluding remark about the reason of installation of the generating station.

Date :                                                                                                    Signature :

Place :                                                                                         (with designation, if any)

Enclosure : Three copies of the following to be enclosed with the application to be submitted to OERC and one copy (or two copies as applicable) along with the application to be submitted to the Licensee's authorised supply Engineer.

(1) Treasury Challan/Bank Draft
(2) Site map indicating the location.
(3) Detail of the D.G. Set.
(4) Interruption details. [Refer clause 6(f)]
(5) Copy of Detail Project Report/Feasibility Report.
(6) Electrical single line diagram for interconnection with the System.
(7) Details of calculation of cost of the Licensees supplies/cost of generation of Generating station/cost of emergency power assistance.
(8) Other details (As per Annexure-I).
(9) Salient data of captive/co-generation power plant exceeding 25 MW as per Annexure-II.

12. Copy to the Executive Engineer, (of the Licensee) . . . . . . . . . . . . . . for necessary action.

Signature of Applicant

13. Views of GRIDCO (to be submitted to the licensee) in case of connection to the Transmission System.

14. Views of Distribution and Retail Supply Licensee.
(To be filled up by the Designated Authority of the Licensee for grant of consent)

DESIGNATED OFFICER
LICENSEE/GRIDCO
(With Rubber Stamp)

1. Name of Scheme :

2. Name of Promoter :

3. Whether the CPP is required for existing or how proposed industry

4. Type of Industry

5. Location

6. Fuel

7. Source of Supply of Fuel & its tie up

8. Requirement of Fuel (MT)

9. Transportation of Fuel

10. Zero Date

11. Gestation Period (Months)

12. Year of Commissioning

13. Details of Estimated Cost Incl. IDC,
- Whether environment clearance obtained,
- If yes, copy of the same may be enclosed

14. Cost per MW

15. Generation cost per unit at Bus bar
a) In 1st year
b) Levellised tariff
c) SEB supply

16. Present & Future Power Demand of the industry from SEB

17. Type of proposed plant
a) Coal/Oil/Gas fired
b) Co-generation plant
c) Hydro
d) Any other

18. Capacity of proposed plant (MW)
Total capacity selected, keeping in view the
a) Standard size
b) Margin
c) Sale to grid

19. Total surplus power over and above it own requirement.
a) How is it proposed to utilise the surplus power
b) Do you propose to sell the excess power to grid Yes/No.
c) If yes, whether agreement with SEB has been finalised and at what tariff.

20. Power Supply Position in the State
- Peak demand (MW)
- Peak availability (MW)
- Surplus(+)/Deficit(-)
- Energy requirement (MU)
- Energy availability (MU)
- Surplus (+)/Deficit(-)

21. Justification for setting up of CPP, If state is already Surplus.

22. Whether un-interrupted power supply is required ?
a) If yes, Why
b) Quantum of uninterrupted power supply required
c) Whether Seb is able to provide
d) If not supporting document in this respect may be enclosed

23. Whether the industry requires stringent tolerance in voltage & frequency.
a) If yes, why
b) Whether SEB is able to maintain these parameters.
c) If not supporting document from concern SEB.

24. Whether captive plant is able to generate power at a price lower that the tariff charged by Board.
If yes, furnished detail calculation of cost of generation.

25. Any other relevant information for justification of the proposal.

Annex-IV

In the Court of the Executive Magistrate, ......................................(indicate here the place).

or

In the matter of an application to/for .................................................................... (indicate here briefly the purpose as well as the provision of law and the case reference for which the affidavit is filed)

and

In the matter of

A,
B, &
C etc. .......................................................................................................... Petitioner (s)

Versus

X,
Y, &
Z etc. ....................................................................................................... Affected Parties

I, ....................................................................................................................., (indicate here the name who swears affidavit) Son of Shri ............................................................., aged ............ years residing at present at .................................................................................. (indicate here the full and complete postal address) do hereby, solemnly affirm and state as follows :-

1. That,I am a/an ......................................................................................................... (indicate here the designation of the deponent which he holds in the company) of ...................................... ...................., (indicate here the name of the company), the petitioner in the above matter and am duly authorised by the said petitioner to swear this affidavit for and on behalf of the aforesaid petitioner.

2. That, I am a principal officer of the petitioner within the meaning of Indian Companies Act, 1956.