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| Date of Survey: |
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| Site Name: |
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| Contact Name: |
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| Site Street Address: |
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| City: State:
Zip: Country: |
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| Phone: ( )
Fax: ( ) |
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| Email: |
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| Utility Company:
Net Metering? ( Y / N ) Outdoor Disconnect
Requirement? ( Y / N ) |
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| Building Permiting
Agency: |
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| Home Owners Association Requirements: |
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| Utility or Government
Incentives: |
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| 1. ROOF OR OTHER ARRAY
MOUNTING SURFACE |
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| Check boxes or specify in the blank for items below. |
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| 1.01 |
Building Type |
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| 1.02 |
Type of Roof Material or Mounting Surface (Specify): |
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| 1.03 |
Roof or Mounting Surface Condition: |
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| 1.04 |
Age: |
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| 1.05 |
Supporting Structure (e.g. roof trusses) |
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| 1.06 |
Roof or Mounting Surface Slope (e.g., 5/12, flat): |
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| 1.07 |
Area (Sq. ft.) |
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- Azimuth Direction (degrees E or W of true South): |
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- Eave Height (ft.): |
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- Ridge Height (ft.): |
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| 1.08 |
Accessibility to Proposed Array Location |
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| Easy
Moderate Unacceptable |
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| 1.09 |
Area (sq. ft.) Suitable for the Array (based on shading)
sq. ft. |
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| Roof Obstructions/Location: |
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| 2. INVERTER, UTILITY ACCESS, BATTERIES AND
ENGINE-GENERATOR (AS APPLICABLE) |
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| 2.01 |
Utility Service |
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Voltage: |
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Amps: |
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| 2.02 |
Proposed Inverter Location (Specify): |
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| 2.03 |
| Accessibility to Proposed Inverter
Location |
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Easy |
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| 2.04 |
Proposed Battery Location (Specify, if applicable): |
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| 2.05 |
| Accessibility to Proposed Battery
Location |
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Adequate Ventilation |
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| 2.06 |
| Proposed Engine-Generator Location
(Specify, if applicable): |
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Adequate Ventilation |
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| Check the appropriate box below. |
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Approve site for system installation |
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Do not approve site for system installation (If site
not approved, specify reasons for rejection below:) |
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Site Approved |
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| SURVEY REVIEWER INFORMATION |
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| Name: |
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| Organization: ATLAS SOLAR INNOVATIONS |
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| Signature:
Date: |
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| Please list other committee members reviewing this design: |
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| Name
Organization |
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| SKETCH ROOF AREA AND PROPOSED ARRAY LOCATION
(OR ATTACH ON A SEPARATE PAGE) |
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| Available
Roof Area (sq. ft.) |
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