Application for Natural Gas Connection · 2016. 4. 6. · The number and location of the bollards...

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Application for Natural Gas Connection 01 AppNatGasConFront v160301 ENSTAR Natural Gas Company P.O. Box 190288 Anchorage, AK 99519-0288 Ph: (907) 277-5551 Fax: (907) 334-7737 Kenai/Soldotna: (907) 262-9334 Matanuska Valley: (907) 376-7979 Whittier/Homer: 1-877-907-9767 Customer Information Name of Applicant (Please Print) Lot/Block Subdivision Mailing Address (Street) Service Address (number/mile and street name/highway) Mailing Address (City, State, Zip) City Zip Home Phone Business Phone Cell Phone Nearest Cross Street Email Address Parcel ID# Building Description: Single Family Duplex 4-plex Commercial Other _________________ New Construction Existing Building Total Square Footage of Building: ________________ Lot cleared Framed Ready for Gas Now Foundation Backfilled? Yes No Expected Date: ___________ Total Square Footage of Unit served by meter: ________________ Permanent Service Temporary Construction Heat Check any underground obstructions that apply and indicate on drawing. Customer is responsible for providing accurate information: Underground wiring Oil lines & tank Well Septic * No obstructions per Customer Other: _______________________________ * Customer Initial: __________ ---------- Do not fill in below -- To be completed by ENSTAR representative ---------- Company Use Customer Account #: Sequence # : _________ Cycle / Route: _________ Grid: Ops Area: Jurisdiction: Elevation Zone: Gross CFH Load: Gross CFH Load per meter: No. of Units: Add’l Meter Set(s): Existing Main Main Extension Rate: G1 G2 G3 G4 ER and/or Proposal # : On-demand Water Heater? Standby Generator? Latitude: Longitude: Road Crossing Required: Yes No Credit Approval: Amount Due: $ _______________ Service Line Service Line less than 2” Charges 100 ft. or less: $ _____________ Excess footage @ ________ per foot: $ _____________ Excess Charges: $ _____________ Est. Permanent Service Line Charges: $ _____________ Service Line 2” or Greater Estimated Charges 100 ft. or less: $ ____________ Estimated cost per foot: $ ____________ (over 100 ft.) Est. Charge to Collect: $ ____________ Meter Charges Meter Size: __________ Measurement Pressure: In. WC PSIG Meter Installation Charge: $ ____________ Est. Annual Consumption (Mcf/Yr): __________ Allowance per Mcf: $ _________ Less Meter Allowance: $ - ___________ Sales Tax (if applicable): $ ____________ Est. Service Connection Fee: $ ____________ Meter Location / Notes * Installation weather permitting * * Customer to mark Meter location * Contact: ________________________ Phone: _____________ Application for Natural Gas Service: The Customer is applying for natural gas service under the terms and conditions set out in the Company’s tariff approved by the Regulatory Commission of Alaska (RCA). The Customer understands that fees and charges for service line and meter set installation must be paid prior to installation. Billing for gas service and any deposits are due upon receipt and will become delinquent if not paid within twenty-five (25) days of billing, in accordance with the Company’s tariff. Failure to pay by the date specified on the bill or a notice of non-payment may result in the discontinuance of service. The Customer agrees to pay reasonable costs and attorney fees incurred by the Company for the collection of any unpaid accounts. The Company’s tariff and the terms of this application may be amended periodically as a result of action by the RCA. This application is only a request for service, and does not bind the Company to provide the service line and meter set. The Company will only install service lines during the normal Alaska construction season and will not attempt installation in frozen ground. ENSTAR Rep: _____________ Date: _____________ Customer of Customer’s Agent Signature Printed Name Owner Signature Application Date RCA No. 4 Fifth Revision Cancelling Fourth Revision Sheet No. 251____________ Sheet No. 251 §3001 Agreement for Service Line - Front (8 1/2 X 11) Tariff Advice No. 281-4 Effective: Issued By: ENSTAR Natural Gas Company, A Division of SEMCO ENERGY, Inc. By: /s/ Daniel M. Dieckgraeff Title: Director of Rates and Regulatory Affairs

Transcript of Application for Natural Gas Connection · 2016. 4. 6. · The number and location of the bollards...

Page 1: Application for Natural Gas Connection · 2016. 4. 6. · The number and location of the bollards is shown on the meter drawing. 3. When installing bollards, call for locates before

Application for Natural Gas Connection

01 AppNatGasConFront v160301

ENSTAR Natural Gas Company P.O. Box 190288 Anchorage, AK 99519-0288

Ph: (907) 277-5551 Fax: (907) 334-7737 Kenai/Soldotna: (907) 262-9334

Matanuska Valley: (907) 376-7979 Whittier/Homer: 1-877-907-9767

Cus

tom

er In

form

atio

n

Name of Applicant (Please Print) Lot/Block Subdivision

Mailing Address (Street) Service Address (number/mile and street name/highway)

Mailing Address (City, State, Zip) City Zip

Home Phone Business Phone Cell Phone Nearest Cross Street

Email Address Parcel ID#

Building Description: Single Family Duplex 4-plex Commercial Other _________________ New Construction Existing Building

Total Square Footage of Building: ________________

Lot cleared Framed Ready for Gas Now Foundation Backfilled? Yes No Expected Date: ___________

Total Square Footage of Unit served by meter: ________________ Permanent Service Temporary Construction Heat

Check any underground obstructions that apply and indicate on drawing. Customer is responsible for providing accurate information: Underground wiring Oil lines & tank Well Septic * No obstructions per Customer Other: _______________________________ * Customer Initial: __________

---------- Do not fill in below -- To be completed by ENSTAR representative ----------

Com

pany

Use

Customer Account #: Sequence # : _________ Cycle / Route: _________

Grid: Ops Area: Jurisdiction: Elevation Zone:

Gross CFH Load: Gross CFH Load per meter:

No. of Units: Add’l Meter Set(s): Existing Main Main Extension

Rate: G1 G2 G3 G4 ER and/or Proposal # :

On-demand Water Heater? Standby Generator? Latitude: Longitude:

Road Crossing Required: Yes No Credit Approval: Amount Due:

$ _______________

Serv

ice

Line

Service Line less than 2” Charges 100 ft. or less: $ _____________ Excess footage @ ________ per foot: $ _____________ Excess Charges: $ _____________

Est. Permanent Service Line Charges: $ _____________

Service Line 2” or Greater Estimated Charges 100 ft. or less: $ ____________ Estimated cost per foot: $ ____________ (over 100 ft.)

Est. Charge to Collect: $ ____________

Met

er C

harg

es

Meter Size: __________ Measurement Pressure: In. WC PSIG

Meter Installation Charge: $ ____________ Est. Annual Consumption (Mcf/Yr): __________ Allowance per Mcf: $ _________ Less Meter Allowance: $ - ___________ Sales Tax (if applicable): $ ____________

Est. Service Connection Fee: $ ____________

Meter Location / Notes * Installation weather permitting ** Customer to mark Meter location *

Contact: ________________________ Phone: _____________

Application for Natural Gas Service: The Customer is applying for natural gas service under the terms and conditions set out in the Company’s tariff approved by the Regulatory Commission of Alaska (RCA). The Customer understands that fees and charges for service line and meter set installation must be paid prior to installation. Billing for gas service and any deposits are due upon receipt and will become delinquent if not paid within twenty-five (25) days of billing, in accordance with the Company’s tariff. Failure to pay by the date specified on the bill or a notice of non-payment may result in the discontinuance of service. The Customer agrees to pay reasonable costs and attorney fees incurred by the Company for the collection of any unpaid accounts. The Company’s tariff and the terms of this application may be amended periodically as a result of action by the RCA. This application is only a request for service, and does not bind the Company to provide the service line and meter set. The Company will only install service lines during the normal Alaska construction season and will not attempt installation in frozen ground.

ENSTAR Rep: _____________

Date: _____________

Customer of Customer’s Agent Signature Printed Name

Owner Signature Application Date

RCA No. 4 Fifth Revision Cancelling

Fourth Revision

Sheet No. 251____________ Sheet No. 251

§3001 Agreement for Service Line - Front (8 1/2 X 11)

Tariff Advice No. 281-4 Effective:Issued By: ENSTAR Natural Gas Company, A Division of SEMCO ENERGY, Inc. By: /s/ Daniel M. Dieckgraeff Title: Director of Rates and Regulatory Affairs

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02 AppNatGasConBack v160301

Gas Meter Location Gas meters will not be located:

1. In living quarters, garages, carports, boiler rooms, or unventilated or inaccessible locations2. In contact with ground or in a depression below the general ground level3. Near a driveway unless adequately protected from passing vehicles4. Closer than 36” to any ignition source including an electric meter assembly5. Closer than 36” to or directly under an operable window or wall opening6. In areas subject to ice and snow damage from roof, or vehicular damage

Gas meters shall be located in ventilated spaces readily visible and accessible for examination, reading, replacement, and maintenance.

A. To have service line installed:Your service line can be installed any time after the foundation is complete and backfilled to within 6” of finished grade and meter location is marked.Customer is responsible for accurately locating all underground obstructions. Any damage resulting from underground obstructions that have not beenlocated or improperly located will be the responsibility of the Customer. If the Customer fails to provide adequate locate information for private, undergroundfacilities (fuel lines, well, wires, septic, etc.), damage during the service line installation will be the responsibility of the Customer.B. To have meter bar installed:Licensed plumbers may pick up a single meter bar at any ENSTAR office and install it. This will allow the house piping to be tied in. The meter bar mustbe secured solidly to a stud wall and installed at the proper height in accordance with the requirements of ENSTAR. For meter bars with two or moremeters, call ENSTAR’s Service Department at the appropriate phone numbers below to schedule installation.C. To have a meter set and unlocked (gas turned on):

1. Call the nearest ENSTAR office for an air test and inspection instructions for your area. (Anchorage and Palmer must be inspected and taggedby a city inspector)

2. House piping must be connected to a meter bar and a service line must be installed.3. A major gas appliance must be connected to the house piping and ready to be turned on.4. Must have legal address (lot, block, and subdivision name) and name as it appears on the service line application. When you are ready for a

meter, please call ENSTAR Customer Service at:Anchorage/Eagle River/Turnagain areas 334-7600Mat-Su Valley 376-7979Kenai / Soldotna 262-9334Whittier / Homer 1-877-907-9767

5. If No. 1, 2, & 3 of above are not completed when a service person arrives to install and unlock a meter, a one-hour service charge at theprevailing hourly labor rate will be billed to your account. An additional trip may be necessary.

D. Call before you dig:Remember that before any excavation work (post holes, shrubs, etc.) is done, please call the following number for underground line locates.Hand dig within 2’ (two feet) of ENSTAR’s service line and other utilities.

Alaska Statewide: 811 This is a free service offered by your local utilities to prevent you from being charged for damages to underground services.

Commercial Meters 1. Upon request, ENSTAR Marketing Representatives will provide you with a drawing of the type of gas meter that will be installed to serve your

needs.2. It is the customer’s responsibility to install 6” (six-inch) pipe bollards filled with concrete to protect ENSTAR’s meter from damages.

The number and location of the bollards is shown on the meter drawing.3. When installing bollards, call for locates before digging by calling 811.

Important Information Service Line Installation and Fees: The Company will generally install the service line along the shortest practical and available route, as

determined by the Company, from the nearest gas distribution main to the metering equipment at the service connection. The location of the service connection, which includes the meter and meter assembly, will be approved by the Company, taking into consideration convenience and unimpeded access for meter reading and maintenance of the Company’s facilities. Under normal, frost-free conditions, the Company will install a meter and service line to the Company’s preferred meter location for the charges and fees set out in the Company’s tariff. The Customer understands that requesting a service connection or service line routing that differs from the Company’s preferred location may result in additional charges to the customer as detailed in the Company’s tariff. For example, in the case of a service line less than two inches in diameter, the Customer will be assessed a service line excess footage charge in addition to the basic service line installation fee for the length of service line that is in excess of 100 feet, or for the additional length of the service line installed to accommodate the Customer’s preferred meter location, whichever is greater.

The Customer understands that the service line and the service connection will remain the property of the Company, regardless of any contribution made by the Customer, and the Company has the right of access to such Company-owned facilities at all reasonable times, including the right of ingress to and egress from the Customer’s property. After any installation, repair or removal, the Company will exercise care to return the Customer’s premises to a reasonable approximation of the conditions in which they were found immediately prior to such work. Interference with the metering equipment, its connections, the service line, or any other property of the Company may result in the discontinuance of service and additional charges to the Customer. It is further understood that it is the responsibility of the Customer to exercise reasonable care to prevent damage to the facilities (including damage by snow and ice from roofs or vehicular damage) and that the Customer may be held responsible for any such injury or damage. The Customer will notify the Company if any damage, defect, or leakage of gas is discovered.

RCA No. 4 Fifth Revision Cancelling

Fourth Revision

Sheet No. 252____________ Sheet No. 252

§3002 Agreement for Service Line - Reverse (8 1/2 X 11)

Tariff Advice No. 281-4 Effective:Issued By: ENSTAR Natural Gas Company, A Division of SEMCO ENERGY, Inc. By: /s/ Daniel M. Dieckgraeff Title: Director of Rates and Regulatory Affairs

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03 ResLoadSheet v160212

Residential Natural Gas Equipment Usage Data Sheet

Customer Name: Contact Phone #:

Legal Address: SPID:

Service Address:

Total Load Breakdown Quantity Equipment Type Load (per unit) Total Load

Furnace BTU/Hr BTU/Hr

Boiler Circle type of heating system: Radiant Floor Baseboard BTU/Hr BTU/Hr

Boiler Hydronic Loads: Water Heater Snowmelt Unit Heater BTU/Hr BTU/Hr

Range BTU/Hr BTU/Hr

Dryer BTU/Hr BTU/Hr

Water Heater BTU/Hr BTU/Hr

On-Demand Water Heater BTU/Hr BTU/Hr

Generator BTU/Hr BTU/Hr

Standby Generator BTU/Hr BTU/Hr

Garage Unit Heater BTU/Hr BTU/Hr

Fireplace BTU/Hr BTU/Hr

Grill BTU/Hr BTU/Hr

BTU/Hr BTU/Hr

BTU/Hr BTU/Hr

Total: BTU/Hr BTU/Hr

Total: CFH CFH

Load Information shown above confirmed as accurate by the Customer (Customer Initials): __________Customer represents that the above information is an accurate listing of all gas-fired equipment intended to be used by the Customer. This information will be used by the Company to determine the size and type of service line and meter needed to serve the Customer. The Customer shall notify the Company of any future load changes. Load changes may require the Company to change the equipment needed to meet the Customer’s load demand. It is critical that the Customer inform ENSTAR’s Marketing Department before any additional gas-fired equipment is added to the service line. The Customer will be responsible for any and all additional costs and damages associated with failure to notify the Company of any load change.

Installation and Use of Excess Flow Valve Effective February 12, 2010, ENSTAR is required by Federal Pipeline Safety Regulations 49 CFR 192.383 to install an Excess Flow Valve (EFV) in all new and renewed service line that serve only one single-family residence.

Excess Flow Valve Definition An Excess Flow Valve (EFV) is a device placed inside the natural gas service line near the gas main that shuts off the flow of natural gas automatically if ENSTAR’s service line is broken or otherwise has excessive flow, thereby restricting the flow of gas and mitigating the potential for property damage. Such excessive flow can be caused by damage due to excavation, damage caused by a natural disaster such as an earthquake, or excessive flow due to additional gas-fired equipment being added to the service line that exceeds the design capacity of the EFV. EFV’s are designed for a specific flow range with some tolerance for additional load, and will be sized based on information provided by the Customer at the time application is made for a new or renewed service line. The cost of the initial installation is included in the service line charge. Installation of the EFV will NOT protect against Customer appliance gas leaks, small service line punctures or gas meter leaks. An EFV may not protect against damages due to earthquakes or flooding.

Customer Responsibilities It is critical that the Customer inform ENSTAR’s Marketing Department before any additional gas-fired equipment is added to the service line. Failure to do so could cause the EFV to close, disrupting natural gas service to the home. If a larger EFV needs to be installed to handle the Customer’s increased load, the Customer will be responsible for the Company’s cost to replace the EFV.

Should a Customer increase the load on the service line without notifying the Company causing the EFV to close, the Customer will be responsible for any and all costs and damages associated with the closed EFV, including but not limited to damage to the Customer’s dwelling and equipment, and the Company’s cost to repair and/or replace the EFV.

Customer’s Printed Name: ___________________________________

Customer’s Signature: ______________________________________ Date signed: ______________________

RCA No. 4 Fourth Revision Cancelling

Third Revision

Sheet No. 253____________ Sheet No. 253

§3003 Residential Natural Gas Equipment Usage Data Sheet (8 1/2 X 11)

Tariff Advice No. 281-4 Effective:Issued By: ENSTAR Natural Gas Company, A Division of SEMCO ENERGY, Inc. By: /s/ Daniel M. Dieckgraeff Title: Director of Rates and Regulatory Affairs

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04 ComLoadSheet v 160212

Gas Equipment Usage and Pressure Data Sheet (To be completed for all new and increased commercial loads and for all medium pressure requests)

Customer Name: Phone:

Legal Address: SPID:

Service Address: Grid:

Account #: Marketing Rep:

Architect/Heating Engineer:

Contact Person: Phone:

Temporary Permanent Approx. Date Needed:

Total Load Breakdown

Quantity Equipment Type Individual Equipment Load

Total Equipment Load

Manifold Inlet Operating Pressure

CFH CFH

CFH CFH

CFH CFH

CFH CFH

CFH CFH

CFH CFH

CFH CFH

CFH CFH

CFH CFH

CFH CFH

CFH CFH (**Conversion: 100,000 BTU = 100 CFH **) Total Load on

Meter: CFH

Customer represents that the above information is an accurate listing of all gas-fired equipment intended to be used by the Customer. This information will be used by the Company to determine the size and type of service line and meter needed to serve the Customer. The Customer shall notify the Company of any future load changes. Load changes may require the Company to change the equipment needed to meet the Customer’s load demand. It is critical that the Customer inform ENSTAR’s Marketing Department before any additional gas-fired equipment is added to the service line. The Customer will be responsible for any and all costs and damages associated with failure to notify the Company of any load change.

Load information shown above confirmed accurate by the Customer.

Customer’s printed name: _______________________________________

Customer Signature: _______________________________________ Date signed: __________________________

Request for Medium Pressure Delivery Pressure Requested: 2 PSIG 5 PSIG

Building Use & Occupancy: _____________________________________________________________________________

Reason for Medium Pressure Request: ____________________________________________________________________

Approvals

Distribution System Approval (for connected load >= 1000 CFH)

Engineering Approval: init: ________

Date: ___________

Medium Pressure Approval 2 PSIG 5 PSIG Customer supplies 14” WC regulator required

Marketing Manager Approval: Measurement Supervisor Approval:

Date: ____________________ Date: _______________

Measurement Equipment Required: __________________

RCA No. 4 Fourth Revision Cancelling

Third Revision

Sheet No. 254____________ Sheet No. 254

§3004 Gas Equipment Usage and Pressure Data Sheet (8 1/2 X 11)

Tariff Advice No. 281-4 Effective:Issued By: ENSTAR Natural Gas Company, A Division of SEMCO ENERGY, Inc. By: /s/ Daniel M. Dieckgraeff Title: Director of Rates and Regulatory Affairs

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Check here for change of address or phone number and indicate changes on reverse side.

9999 222 PORT ST

JOE SMITH 0123456789

STATUS OF YOUR BUDGET BILLING PLAN

123456789

000000000621800000 000010900 1

Total ENSTAR Charges

Total Supplier ChargesCurrent Gas Charges:

AVG

TEMPERATURE

CCF

Please make sure ENSTAR has yourmost current contact information toreach you in the event of anemergency. You can update youraccount information by [email protected] andreference your ENSTAR accountnumber.

RCA No. 4 Fourth Revision Cancelling

Third Revision

Sheet No. 258

Sheet No. 258 §3008 Budget Bill Format - Front (8 1/2 X 11)

Tariff Advice No. 281-4 Effective:

Issued By: ENSTAR Natural Gas Company, A Division of SEMCO ENERGY, Inc.

By: /s/ Daniel M. Dieckgraeff Title: Director of Rates and Regulatory Affairs

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Area: ____________ Prop #: ____________

Prior Year CapEx#: ____________ FMA: ____________

Contract #: __________________________ 05 MX Dep Pvt 160301

ENSTAR Natural Gas Company P.O. Box 190288 Anchorage, AK 99519-0288

Ph: (907) 277-5551 Fax: (907) 334-7737 Kenai/Soldotna: (907) 262-9334

Matanuska Valley: (907) 376-7979 Whittier/Homer: 1-877-907-9767

Main Extension Deposit Agreement

This is an Agreement between ENSTAR NATURAL GAS COMPANY, (the “Company”) and

___________________________________________________________________ (the “Participant”).

The Participant wishes to have natural gas service at ____________ (Grid Numbers)

__________________________________________________________________________________ (Legal Description) _________________________________________________________________ (“Participant’s Facilities”)(Street Address) (City)

The Participant has promised the Company to begin to use natural gas within a reasonable time after natural gas service is provided.

The Company provides natural gas service subject to its tariff on file with the Regulatory Commission of Alaska. Section 602 of that tariff governs the Company’s Main Extension policy and provides, among other things, that the Company’s Main Extension agreements must be in writing. The term “Main Extension” used in this Agreement means a Gas Distribution Main to which a Participant will have access, which is already constructed or which will be constructed, which was or will be financed in whole or in part by Participant Advances from which a Service Line can be installed to serve the Participant’s Facilities. Terms which are capitalized in this Agreement are defined either in the Company’s tariff or in this Agreement.

The Company and the Participant agree as follows:

1. The Main Extension is shown in the sketch attached to this Agreement. The Participant will pay the Company a total Advance in Aidof Construction of $ _________ as follows:

a) $ __________ of the total Advance is a Main Extension Deposit and it will be refunded to the Participant in accordance withparagraph 5 of this agreement. The Company has no obligation to construct the Main Extension or connect the Participant’sFacilities to the Main Extension until after a reasonable period of time of frost-free ground working conditions.

b) $ __________ of the total Advance is the Feeder Main Component and is non-refundable. This Main Extension may obtainservice from one or more Feeder Mains where all the original costs have not yet been collected. Feeder Main Component(s)will be excluded from any potential refunds outlined in this agreement. Feeder Main(s) relevant to this agreement are:1) Feeder Main __________ Year: _______ Prop # _______ Amount $_________ 2) Feeder Main __________ Year: _______ Prop # _______ Amount $_________

2. This Agreement does not provide for the connection of the Service Line from the Main Extension to the Participant’s Facilities. Thecost, terms, and conditions for connection of the Service Line are governed by a separate Service Line Agreement which must beexecuted before natural gas service can be provided to the Participant’s Facilities.

3. The Main Extension Deposit must be recomputed when a new Participant or new consuming Customer who was not a Participant isadded in the calendar year of construction and for two (2) full calendar years following (the new consuming Customer will also becomea new Participant). The new Participant will be required to pay, as a Main Extension Deposit, a prorated share of the original MainExtension Deposit. The Company will calculate a Free Main Allowance (FMA) using the applicable Standard Load Allowances in effectat the time the new consuming Customer joins the system and in accordance with Section 602c of the Company’s tariff.

4. Any new consuming Customers added to the Main Extension after two full calendar years following the calendar year of constructionwill not be required to pay a prorated share of the original Main Extension Advance.

5. Refunds:a) Refunds will be calculated for those Participants who made Main Extension Deposits, pro rata, equal in total to the amount of

Deposits received from new Participants plus the Free Main Allowance from new consuming Customers directly served by theMain Extension during the calendar year of its construction and for two full calendar years following. These refunds will becalculated and paid by the Utility annually by April 1 based upon the prior year’s Participant and Customer additions to theMain Extension.

b) After the two full calendar years following the calendar year of construction, refunds will be calculated for those Participantswho have Main Extension Advances on the Main Extension except for Feeder Mains, pro rata, equal in total to the amount ofthe Free Main Allowance for each new consuming Customer directly served by the Main Extension until all of the MainExtension Deposit portion of the Advance has been refunded or until the end of ten full calendar years following the calendaryear of construction, whichever occurs earlier. These refunds will be calculated and paid by the Utility quarterly within onemonth following the end of the calendar quarter based upon the previous calendar quarter’s Customer additions to the MainExtension.

c) After the end of ten full calendar years following the calendar year of construction the entire remaining amount of the Depositsshall be refunded by the first of April of the eleventh year.

RCA No. 4 Second Revision Cancelling

First Revision

Sheet No. 277____________ Sheet No. 277

§3027 Main Extension Deposit Agreement – Page 1 (8 1/2 X 11)

Tariff Advice No. 281-4 Effective:Issued By: ENSTAR Natural Gas Company, A Division of SEMCO ENERGY, Inc. By: /s/ Daniel M. Dieckgraeff Title: Director of Rates and Regulatory Affairs

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d) The Company may offset against any portion, or all, of any Main Extension Deposit, or any refund of a Main ExtensionDeposit, for any or all outstanding monies due the Company by the Participant.

e) This Main Extension Deposit shall bear no interest and in no case may the amount of the refund or the amount totally refundedexceed the amount of the original Deposit.

f) After April 1st of each year, any Participant with an outstanding Main Extension Deposit may request a report of Customersadded to the Main Extension in the preceding calendar year.

g) Refunds due to the Participant will be mailed to the Participant at the address below the Participant’s signature. If theParticipant wishes for the refund to be mailed to another address, it is the Participant’s obligation to notify the Company inwriting directed to ENSTAR Natural Gas Company, Attention: Plant Accountant, P. O. Box 190288, Anchorage, AK 99519-0288.

6. The Participant will grant the Company all easements and rights-of-way and will sign all documents necessary to permit constructionof Main Extensions and connection of gas service to the Participant’s premises. The Company is not obligated to begin anyconstruction or to permit the Participant access to the Main Extension until all necessary easements, rights-of-way, and otherdocuments have been executed by the Participant.

7. The Participant may not assign the rights and obligations under this Agreement without the written consent of the Company. TheCompany will not unreasonably withhold its consent but it will not give its consent until (1) the person to whom this Agreement isassigned agrees in writing to the assignment, (2) the person to whom this Agreement is assigned gives the Company a mailingaddress, and (3) no monies are owed the Company by the assignor.

8. The Main Extension and all related equipment installed in accordance with this Agreement are the property of and under the controlof the Company.

9. This Agreement may not be modified except in writing. The Agreement is made in Alaska and shall be construed under the laws ofthe State of Alaska.

10. Additional Terms:

____________________________________________________________________________________

____________________________________________________________________________________

11. The Company reserves the right to cancel this Agreement if, at its sole discretion, the construction required is deemed not feasible.Within thirty days of the date of any such determination the Participant is entitled to a full refund of the Deposit.

12. By signing, Participant acknowledges having read and understood this Agreement and its provisions.

___________________________________ ENSTAR Natural Gas Company (Participant Name - PLEASE PRINT)

BY: _______________________________ BY: _________________________________ (Signature of Participant, Agent, or Participant’s Officer) (ENSTAR Officer)

___________________________________ Date: ________________________________ (Title or Relationship to Participant)

Date: ______________________________

Contact Phone: ______________________

Contact email: _______________________

Mailing Address:

____________________________________ _____________________________________

____________________________________ _____________________________________

____________________________________ _____________________________________

SSN or Federal Tax ID #: _______________ (Optional)

PARTICIPANT: Please list the name, title and address of each shareholder, owner or partner of your corporation or business.

RCA No. 4 Second Revision Cancelling

First Revision

Sheet No. 278____________Sheet No. 278

§3028 Main Extension Deposit Agreement – Page 2 (8 1/2 X 11)

Tariff Advice No. 281-4 Effective:Issued By: ENSTAR Natural Gas Company, A Division of SEMCO ENERGY, Inc. By: /s/ Daniel M. Dieckgraeff Title: Director of Rates and Regulatory Affairs

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Area: _________________ Prop #: _________________

Prior Year CapEx#: _________________ FMA: _________________

Contract #: __________________________ 06 MX CIAC Pvt 160301

ENSTAR Natural Gas Company P.O. Box 190288 Anchorage, AK 99519-0288

Ph: (907) 277-5551 Fax: (907) 334-7737 Kenai/Soldotna: (907) 262-9334

Matanuska Valley: (907) 376-7979 Whittier/Homer: 1-877-907-9767

Main Extension Contribution in Aid of Construction (CIAC) Agreement

This is an Agreement between ENSTAR NATURAL GAS COMPANY, (the “Company”) and

___________________________________________________________________ (the “Participant”). The Participant wishes to have natural gas service at ____________ (Grid Numbers)

__________________________________________________________________________________ (Legal Description) _________________________________________________________________ (“Participant’s Facilities”)(Street Address) (City)

The Participant has promised the Company to begin to use natural gas within a reasonable time after natural gas service is provided.

The Company provides natural gas service subject to its tariff on file with the Regulatory Commission of Alaska. Section 602 of that tariff governs the Company’s Main Extension policy and provides, among other things, that the Company’s Main Extension agreements must be in writing. The term “Main Extension” used in this Agreement means a Gas Distribution Main to which a Participant will have access, which is already constructed or which will be constructed, which was or will be financed in whole or in part by Participant Advances from which a Service Line can be installed to serve the Participant’s Facilities. Terms which are capitalized in this Agreement are defined either in the Company’s tariff or in this Agreement.

The Company and the Participant agree as follows:

1. The Main Extension is shown in the sketch attached to this Agreement. The Participant will pay the Company a total Advance in Aidof Construction of $ _________ as follows:

a) $ __________ of the total Advance is a Main Extension Contribution In Aid Of Construction (CIAC) and it will not be refundedto the Participant except as outlined paragraph 5 of this Agreement. The Company has no obligation to construct the MainExtension or connect the Participant’s Facilities to the Main Extension until after a reasonable period of time of frost-freeground working conditions.

b) $ __________ of the total Advance is the Feeder Main Component and is non-refundable. This Main Extension may obtainservice from one or more Feeder Mains where all the original costs have not yet been collected. Feeder Main Component(s)will be excluded from any potential refunds outlined in this agreement. Feeder Main(s) relevant to this agreement are:1) Feeder Main __________ Year: _______ Prop # _______ Amount $_________ 2) Feeder Main __________ Year: _______ Prop # _______ Amount $_________

2. This Agreement does not provide for the connection of the Service Line from the Main Extension to the Participant’s Facilities. Thecost, terms, and conditions for connection of the Service Line are governed by a separate Service Line Agreement which must beexecuted before natural gas service can be provided to the Participant’s Facilities.

3. The Main Extension CIAC must be recomputed when a new Participant or new consuming Customer who was not a Participant isadded in the calendar year of construction and for two (2) full calendar years following (the new consuming Customer will also becomea new Participant). The new Participant will be required to pay, as a Main Extension CIAC, a prorated share of the original MainExtension CIAC. The Company will calculate a Free Main Allowance (FMA) using the applicable Standard Load Allowances in effect atthe time the new consuming Customer joins the system and in accordance with Section 602c of the Company’s tariff.

4. Any new consuming Customers added to the Main Extension after two full calendar years following the calendar year of constructionwill not be required to pay a prorated share of the original Main Extension Advance.

5. Refunds:a) Refunds will be calculated for those Participants who made Main Extension CIACs, pro rata, equal in total to the amount of

CIACs received from new Participants plus the Free Main Allowance from new consuming Customers directly served by theMain Extension during the calendar year of its construction and for two full calendar years following. These refunds will becalculated and paid by the Utility annually by April 1 based upon the prior year’s Participant and Customer additions to theMain Extension.

b) After the two full calendar years following the calendar year of construction, refunds will be calculated for those Participantswho have Main Extension Advances on the Main Extension except for Feeder Mains, pro rata, equal in total to the amount ofthe Free Main Allowance for each new consuming Customer directly served by the Main Extension until all of the MainExtension CIAC portion of the Advance has been refunded or until the end of ten full calendar years following the calendaryear of construction, whichever occurs earlier. These refunds will be calculated and paid by the Utility quarterly within onemonth following the end of the calendar quarter based upon the previous calendar quarter’s Customer additions to the MainExtension.

RCA No. 4 Second Revision Cancelling

First Revision

Sheet No. 279____________ Sheet No. 279

§3029 Main Extension Contribution in Aid of Construction Agreement – Page 1 (8 1/2 X 11)

Tariff Advice No. 281-4 Effective:Issued By: ENSTAR Natural Gas Company, A Division of SEMCO ENERGY, Inc. By: /s/ Daniel M. Dieckgraeff Title: Director of Rates and Regulatory Affairs

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c) After the end of ten full calendar years following the calendar year of construction the entire remaining amount of the CIACshall become non-refundable.

d) The Company may offset against any portion, or all, of any Main Extension CIAC, or any refund of a Main Extension CIAC, forany or all outstanding monies due the Company by the Participant.

e) This Main Extension CIAC shall bear no interest and in no case may the amount of the refund or the amount totally refundedexceed the amount of the original CIAC.

f) After April 1st of each year, any Participant with an outstanding Main Extension CIAC may request a report of Customersadded to the Main Extension in the preceding calendar year.

g) Refunds due to the Participant will be mailed to the Participant at the address below the Participant’s signature. If theParticipant wishes for the refund to be mailed to another address, it is the Participant’s obligation to notify the Company inwriting directed to ENSTAR Natural Gas Company, Attention: Plant Accountant, P. O. Box 190288, Anchorage, AK 99519-0288.

6. The Participant will grant the Company all easements and rights-of-way and will sign all documents necessary to permit constructionof Main Extensions and connection of gas service to the Participant’s premises. The Company is not obligated to begin anyconstruction or to permit the Participant access to the Main Extension until all necessary easements, rights-of-way, and otherdocuments have been executed by the Participant.

7. The Participant may not assign the rights and obligations under this Agreement without the written consent of the Company. TheCompany will not unreasonably withhold its consent but it will not give its consent until (1) the person to whom this Agreement isassigned agrees in writing to the assignment, (2) the person to whom this Agreement is assigned gives the Company a mailingaddress, and (3) no monies are owed the Company by the assignor.

8. The Main Extension and all related equipment installed in accordance with this Agreement are the property of and under the controlof the Company.

9. This Agreement may not be modified except in writing. The Agreement is made in Alaska and shall be construed under the laws ofthe State of Alaska.

10. Additional Terms:

____________________________________________________________________________________

____________________________________________________________________________________

11. The Company reserves the right to cancel this Agreement if, at its sole discretion, the construction required is deemed not feasible.Within thirty days of the date of any such determination the Participant is entitled to a full refund of the Deposit.

12. By signing, Participant acknowledges having read and understood this Agreement and its provisions.

___________________________________ ENSTAR Natural Gas Company (Participant Name - PLEASE PRINT)

BY: _______________________________ BY: _________________________________ (Signature of Participant, Agent, or Participant’s Officer) (ENSTAR Officer)

___________________________________ Date: ________________________________ (Title or Relationship to Participant)

Date: ______________________________

Contact Phone: ______________________

Contact email: _______________________

Mailing Address:

____________________________________ _____________________________________

____________________________________ _____________________________________

____________________________________ _____________________________________

SSN or Federal Tax ID #: _______________ (Optional)

PARTICIPANT: Please list the name, title and address of each shareholder, owner or partner of your corporation or business.

RCA No. 4 Second Revision Cancelling

First Revision

Sheet No. 280____________Sheet No. 280

§3030 Main Extension Contribution in Aid of Construction Agreement – Page 2 (8 1/2 X 11)

Tariff Advice No. 281-4 Effective:Issued By: ENSTAR Natural Gas Company, A Division of SEMCO ENERGY, Inc. By: /s/ Daniel M. Dieckgraeff Title: Director of Rates and Regulatory Affairs

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Area: ____________ Prop #: ____________

Prior Year CapEx#: ____________ FMA: ____________

Contract #: __________________________ 07 MX Dep Dvlpr 160301

ENSTAR Natural Gas Company P.O. Box 190288 Anchorage, AK 99519-0288

Ph: (907) 277-5551 Fax: (907) 334-7737 Kenai/Soldotna: (907) 262-9334

Matanuska Valley: (907) 376-7979 Whittier/Homer: 1-877-907-9767

Main Extension Deposit Agreement for Developing Subdivision

This is an Agreement between ENSTAR NATURAL GAS COMPANY, (the “Company”) and

___________________________________________________________________ (the “Developer”).

The Developer wishes to have natural gas service at ____________ (Grid Numbers)

_________________________________________________________________ (“Developer’s Subdivision”)(Street Address) (City)

The Developer has promised the Company to begin to use natural gas within a reasonable time after natural gas service is provided.

The Company provides natural gas service subject to its tariff on file with the Regulatory Commission of Alaska. Section 602 of that tariff governs the Company’s Main Extension policy and provides, among other things, that the Company’s Main Extension agreements must be in writing. The term “Main Extension” used in this Agreement means a Gas Distribution Main to which a Developer will have access, which is already constructed or which will be constructed, which was or will be financed in whole or in part by Developer Advances from which a Service Line can be installed to serve the Developer’s Facilities. Terms which are capitalized in this Agreement are defined either in the Company’s tariff or in this Agreement.

A “Developing Subdivision” is a subdivision which is being subdivided or developed for either residential or commercial use, and which contemplates the installation of an integrated system to serve the entire subdivision or a portion of a subdivision being developed in stages.

The Company and the Developer agree as follows:

1. The Main Extension is shown in the sketch attached to this Agreement. The Developer will pay the Company a total Advance in Aidof Construction of $ _________ as follows:

a) $ __________ of the total Advance is a Main Extension Deposit and it will be refunded to the Developer in accordance withparagraph 5 of the Agreement. The Company has no obligation to construct the Main Extension or any facilities to the MainExtension until after a reasonable period of time of frost-free ground working conditions.

b) $ __________ of the total Advance is the Feeder Main Component and is non-refundable. This Main Extension may obtainservice from one or more Feeder Mains where all the original costs have not yet been collected. Feeder Main Component(s)will be excluded from any potential refunds outlined in this agreement. Feeder Main(s) relevant to this agreement are:1) Feeder Main __________ Year: _______ Prop # _______ Amount $_________ 2) Feeder Main __________ Year: _______ Prop # _______ Amount $_________

2. This Agreement does not provide for the connection of the Service Line from the Main Extension to the Developer’s Facilities. Thecost, terms, and conditions for connection of the Service Line are governed by a separate Service Line Agreement which must beexecuted before natural gas service can be provided to the Developer’s Facilities.

3. The Main Extension DEPOSIT must be recomputed when a new Participant or new consuming Customer who was not a Developeris added in the calendar year of construction and for two (2) full calendar years following (the new consuming Customer will alsobecome a new Participant). The new Participant will be required to pay, as a Main Extension Deposit, a prorated share of the originalMain Extension Deposit. The Company will calculate a Free Main Allowance (FMA) using the applicable Standard Load Allowances ineffect at the time the new consuming Customer joins the system and in accordance with Section 602c of the Company’s tariff. A newParticipant or new consuming Customer who was not included within the boundary of the Developer’s Subdivision added to the MainExtension after that time period will not be required to pay a share of the original Main Extension cost or Deposit.

4. New participant(s) served directly by the Main extension that were included within the boundary of the Developer’s Subdivision willnot be required to pay a share of the original Main Extension cost or Deposit.

5. Refunds:a) The Main Extension Deposit collected from a new Participant (as described in paragraph 3 above) plus the FMA attributable to

the new Participant will be calculated and paid by the Company annually on a pro rata basis to the Developer and any newParticipant having paid a Main Extension Deposit. These will be paid by April 1 and be based upon the prior year’s Participantadditions to the Main Extension.

b) Refunds not involving the collection of a Deposit will be calculated for the Developer and those Participants who have MainExtension Advances on the Main Extension, except for Feeder Mains, pro rata, equal in total to the amount of the Free MainAllowance for each new consuming Customer directly served by the Main Extension (not already included in a refund madeunder paragraph 5(a) above) until all of the Deposit portion of the Advance has been refunded or until the end of ten fullcalendar years following the calendar year of construction, whichever occurs earlier. These refunds will be calculated and paid

RCA No. 4 Second Revision Cancelling

First Revision

Sheet No. 281____________ Sheet No. 281

§3031 Main Extension Deposit Agreement for Developing Subdivision- Page 1 (8 1/2 X 11)

Tariff Advice No. 281-4 Effective:Issued By: ENSTAR Natural Gas Company, A Division of SEMCO ENERGY, Inc. By: /s/ Daniel M. Dieckgraeff Title: Director of Rates and Regulatory Affairs

Page 11: Application for Natural Gas Connection · 2016. 4. 6. · The number and location of the bollards is shown on the meter drawing. 3. When installing bollards, call for locates before

by the Company quarterly within one month following the end of the calendar quarter and will be based upon the previous calendar quarter’s Customer additions to the Main Extension.

c) After the end of ten (10) full calendar years following the calendar year of construction the entire remaining amount of theDeposit shall be refunded by the first of April of the eleventh year.

d) The Company may offset against any portion, or all, of any Main Extension Deposit, or any refund of a Main ExtensionDeposit, for any or all outstanding monies due the Company by the Developer.

e) This Main Extension Deposit shall bear no interest and in no case may the amount of the refund or the amount totally refundedexceed the amount of the original Deposit.

f) After April 1st of each year, any Developer with an outstanding Main Extension Deposit may request a report of Customersadded to the Main Extension in the preceding calendar year.

g) Refunds due to the Developer will be mailed to the Developer at the address below the Developer’s signature. If theDeveloper wishes for the refund to be mailed to another address, it is the Developer’s obligation to notify the Company inwriting directed to ENSTAR Natural Gas Company, Attention: Plant Accountant, P. O. Box 190288, Anchorage, AK 99519-0288.

6. The Developer will grant the Company all easements and rights-of-way and will sign all documents necessary to permit constructionof Main Extensions and connection of gas service to the Developer’s premises. The Company is not obligated to begin anyconstruction or to permit the Developer access to the Main Extension until all necessary easements, rights-of-way, and otherdocuments have been executed by the Developer.

7. The Developer may not assign the rights and obligations under this Agreement without the written consent of the Company. TheCompany will not unreasonably withhold its consent but it will not give its consent until (1) the person to whom this Agreement isassigned agrees in writing to the assignment, (2) the person to whom this Agreement is assigned gives the Company a mailingaddress, and (3) no monies are owed the Company by the assignor.

8. The Main Extension and all related equipment installed in accordance with this Agreement are the property of and under the controlof the Company.

9. This Agreement may not be modified except in writing. The Agreement is made in Alaska and shall be construed under the laws ofthe State of Alaska.

10. Additional Terms:

____________________________________________________________________________________

____________________________________________________________________________________

11. The Company reserves the right to cancel this Agreement if, at its sole discretion, the construction required is deemed not feasible.Within thirty days of the date of any such determination the Developer is entitled to a full refund of the Deposit.

12. By signing, Developer acknowledges having read and understood this Agreement and its provisions.

___________________________________ ENSTAR Natural Gas Company (Developer Name - PLEASE PRINT)

BY: _______________________________ BY: _________________________________ (Signature of Developer, Agent, or Developer’s Officer) (ENSTAR Officer)

___________________________________ Date: ________________________________ (Title or Relationship to Developer)

Date: ______________________________

Contact Phone: ______________________

Contact email: _______________________

Mailing Address:

____________________________________ _____________________________________

____________________________________ _____________________________________

____________________________________ _____________________________________

SSN or Federal Tax ID #: _______________ (Optional)

DEVELOPER: Please list the name, title and address of each shareholder, owner or partner of your corporation or business.

Tariff Advice No. 281-4 Effective:Issued By: ENSTAR Natural Gas Company, A Division of SEMCO ENERGY, Inc. By: /s/ Daniel M. Dieckgraeff Title: Director of Rates and Regulatory Affairs

RCA No. 4 Second Revision Cancelling

First Revision

Sheet No. 282____________ Sheet No. 282

§3032 Main Extension Deposit Agreement for Developing Subdivision- Page 2 (8 1/2 X 11)

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Area: _________________ Prop #: _________________

Prior Year CapEx#: _________________ FMA: _________________

Contract #: __________________________ 08 MX CIAC Dvlpr 160301

ENSTAR Natural Gas Company P.O. Box 190288 Anchorage, AK 99519-0288

Ph: (907) 277-5551 Fax: (907) 334-7737 Kenai/Soldotna: (907) 262-9334

Matanuska Valley: (907) 376-7979 Whittier/Homer: 1-877-907-9767

Main Extension Contribution in Aid of Construction (CIAC) Agreement for Developing Subdivision

This is an Agreement between ENSTAR NATURAL GAS COMPANY, (the “Company”) and

___________________________________________________________________ (the “Developer”). The Developer wishes to have natural gas service at ____________ (Grid Numbers)

__________________________________________________________________________________ (Legal Description) _________________________________________________________________ (“Developer’s Subdivision”)(Street Address) (City)

The Developer has promised the Company to begin to use natural gas within a reasonable time after natural gas service is provided.

The Company provides natural gas service subject to its tariff on file with the Regulatory Commission of Alaska. Section 602 of that tariff governs the Company’s Main Extension policy and provides, among other things, that the Company’s Main Extension agreements must be in writing. The term “Main Extension” used in this Agreement means a Gas Distribution Main to which a Developer will have access, which is already constructed or which will be constructed, which was or will be financed in whole or in part by Developer Advances from which a Service Line can be installed to serve the Developer’s Facilities. Terms which are capitalized in this Agreement are defined either in the Company’s tariff or in this Agreement.

A “Developing Subdivision” is a subdivision which is being subdivided or developed for either residential or commercial use, and which contemplates the installation of an integrated system to serve the entire subdivision or a portion of a subdivision being developed in stages.

The Company and the Developer agree as follows:

1. The Main Extension is shown in the sketch attached to this Agreement. The Developer will pay the Company a total Advance in Aidof Construction of $ _________ as follows:

a) $ __________ of the total Advance is a Main Extension Contribution In Aid Of Construction (CIAC) and it will not be refundedto the Developer except as outlined paragraph 5 of this Agreement. The Company has no obligation to construct the MainExtension or connect the Developer’s Facilities to the Main Extension until after a reasonable period of time of frost-freeground working conditions.

b) $ __________ of the total Advance is the Feeder Main Component and is non-refundable. This Main Extension may obtainservice from one or more Feeder Mains where all the original costs have not yet been collected. Feeder Main Component(s)will be excluded from any potential refunds outlined in this agreement. Feeder Main(s) relevant to this agreement are:1) Feeder Main __________ Year: _______ Prop # _______ Amount $_________ 2) Feeder Main __________ Year: _______ Prop # _______ Amount $_________

2. This Agreement does not provide for the connection of the Service Line from the Main Extension to the Developer’s Facilities. Thecost, terms, and conditions for connection of the Service Line are governed by a separate Service Line Agreement which must beexecuted before natural gas service can be provided to the Developer’s Facilities.

3. The Main Extension CIAC must be recomputed when a new Participant or new consuming Customer who was not a Developer isadded in the calendar year of construction and for two (2) full calendar years following (the new consuming Customer will also becomea new Participant). The new Participant will be required to pay, as a Main Extension CIAC, a prorated share of the original MainExtension CIAC. The Company will calculate a Free Main Allowance (FMA) using the applicable Standard Load Allowances in effect atthe time the new consuming Customer joins the system and in accordance with Section 602c of the Company’s tariff. A new Participantor new consuming Customer who was not included within the boundary of the Developer’s Subdivision added to the Main Extensionafter that time period will not be required to pay a share of the original Main Extension cost or CIAC.

4. New participant(s) served directly by the Main extension that were included within the boundary of the Developer’s Subdivision willnot be required to pay a share of the original Main Extension cost or CIAC

5. Refunds:a) The Main Extension CIAC collected from a new Participant (as described in paragraph 3 above) plus the FMA attributable to

the new Participant will be calculated and paid by the Company annually on a pro rata basis to the Developer and any newParticipant having paid a Main Extension CIAC. These will be paid by April 1 and be based upon the prior year’s Participantadditions to the Main Extension.

b) Refunds not involving the collection of a CIAC will be calculated for the Developer and those Participants who have MainExtension Advances on the Main Extension, except for Feeder Mains, pro rata, equal in total to the amount of the Free MainAllowance for each new consuming Customer directly served by the Main Extension (not already included in a refund made

RCA No. 4 Second Revision Cancelling

First Revision

Sheet No. 283____________ Sheet No. 283

§3033 Main Extension Contribution in Aid for Developing Subdivision – Page 1 (8 1/2 X 11)

Tariff Advice No. 281-4 Effective:Issued By: ENSTAR Natural Gas Company, A Division of SEMCO ENERGY, Inc. By: /s/ Daniel M. Dieckgraeff Title: Director of Rates and Regulatory Affairs

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under paragraph 5(a) above) until all of the CIAC portion of the Advance has been refunded or until the end of ten full calendar years following the calendar year of construction, whichever occurs earlier. These refunds will be calculated and paid by the Company quarterly within one month following the end of the calendar quarter and will be based upon the previous calendar quarter’s Customer additions to the Main Extension.

c) After the end of ten (10) full calendar years following the calendar year of construction the entire remaining amount of theCIAC shall become non-refundable and property of the Company.

d) The Company may offset against any portion, or all, of any Main Extension CIAC, or any refund of a Main Extension CIAC, forany or all outstanding monies due the Company by the Developer.

e) This Main Extension CIAC shall bear no interest and in no case may the amount of the refund or the amount totally refundedexceed the amount of the original CIAC.

f) After April 1st of each year, any Developer with an outstanding Main Extension CIAC may request a report of Customersadded to the Main Extension in the preceding calendar year.

g) Refunds due to the Developer will be mailed to the Developer at the address below the Developer’s signature. If theDeveloper wishes for the refund to be mailed to another address, it is the Developer’s obligation to notify the Company inwriting directed to ENSTAR Natural Gas Company, Attention: Plant Accountant, P. O. Box 190288, Anchorage, AK 99519-0288.

6. The Developer will grant the Company all easements and rights-of-way and will sign all documents necessary to permit constructionof Main Extensions and connection of gas service to the Developer’s premises. The Company is not obligated to begin anyconstruction or to permit the Developer access to the Main Extension until all necessary easements, rights-of-way, and otherdocuments have been executed by the Developer.

7. The Developer may not assign the rights and obligations under this Agreement without the written consent of the Company. TheCompany will not unreasonably withhold its consent but it will not give its consent until (1) the person to whom this Agreement isassigned agrees in writing to the assignment, (2) the person to whom this Agreement is assigned gives the Company a mailingaddress, and (3) no monies are owed the Company by the assignor.

8. The Main Extension and all related equipment installed in accordance with this Agreement are the property of and under the controlof the Company.

9. This Agreement may not be modified except in writing. The Agreement is made in Alaska and shall be construed under the laws ofthe State of Alaska.

10. Additional Terms:____________________________________________________________________________________

____________________________________________________________________________________

11. The Company reserves the right to cancel this Agreement if, at its sole discretion, the construction required is deemed not feasible.Within thirty days of the date of any such determination the Developer is entitled to a full refund of the Deposit.

12. By signing, Developer acknowledges having read and understood this Agreement and its provisions.

___________________________________ ENSTAR Natural Gas Company (Developer Name - PLEASE PRINT)

BY: _______________________________ BY: _________________________________ (Signature of Developer, Agent, or Developer’s Officer) (ENSTAR Officer)

___________________________________ Date: ________________________________ (Title or Relationship to Developer)

Date: ______________________________

Contact Phone: ______________________

Contact email: _______________________

Mailing Address:

____________________________________ _____________________________________

____________________________________ _____________________________________

____________________________________ _____________________________________

SSN or Federal Tax ID #: _______________ (Optional)

DEVELOPER: Please list the name, title and address of each shareholder, owner or partner of your corporation or business.

Tariff Advice No. 281-4 Effective:Issued By: ENSTAR Natural Gas Company, A Division of SEMCO ENERGY, Inc. By: /s/ Daniel M. Dieckgraeff Title: Director of Rates and Regulatory Affairs

RCA No. 4 Second Revision Cancelling

First Revision

Sheet No. 284____________ Sheet No. 284

§3034 Main Extension Contribution in Aid for Developing Subdivision – Page 2 (8 1/2 X 11)

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Natural Gas Main Extension Agreement for a Developing Subdivision

09 MX Agreement - DvlpngSubd 160301

ENSTAR Natural Gas Company P.O. Box 190288 Anchorage, AK 99519-0288

Ph: (907) 277-5551 Fax: (907) 334-7737 Kenai/Soldotna: (907) 262-9334

Matanuska Valley: (907) 376-7979 Whittier/Homer: 1-877-907-9767

ENSTAR Natural Gas Company (ENSTAR) is agreeable to extending natural gas pipelines into the

___________________________________________________ subdivision/development, subject to the

following conditions agreed upon by the Developer:

The Developer shall complete prior to gas installation: 1) Right-of-Way grades (including streets and easements) shall be within six inches (6”) of finish grade.2) All construction with a bury depth of four feet (4’) or more shall be completed. All utilities, including manholes, key

boxes, sewer services, etc., shall be clearly marked.3) Adequate survey control shall exist to define property lines along the gas pipeline alignment.4) All right-of-way easements deemed necessary by ENSTAR shall be granted.5) Shall provide a fifteen foot (15’) wide cleared and grubbed path centered on the gas pipeline alignment.6) Shall provide field locates of all underground facilities including but not limited to sewer, telephone, cable TV,

electricity, storm drains, street lights, conduits, sprinkler systems, etc. until accepted by the respective utility.7) Shall provide two (2) weeks minimum written notice so ENSTAR can schedule the installation of natural gas

mains and/or road crossings.ENSTAR will be allowed to install the gas pipelines prior to: 1) Pavement and concrete installation unless casings are provided as described in the casing option below.2) Any landscaping including but not limited to topsoil, seeding, shrubs and/or trees along the road, easement or

right-of-way.

Casing Option for Road Crossings 1) ENSTAR requires 4-6 hours of uninterrupted/unobstructed installation time for each gas pipeline road crossing.2) In order to accommodate tight construction schedules, the Developer may choose to install casings for the gas

pipeline road crossings. ENSTAR will provide a construction drawing of the proposed gas pipeline locations,install survey stakes (three (3) working days’ notice & adequate survey control required) at each crossinglocation and provide the correct size and type of conduit through a local vendor with Developer pick-up.

Note: ENSTAR will not be responsible for damage or repair to substructures, rigid insulation, or geo-textiles with less than 48 inches (48”) of cover, when casing is not installed by the Developer.

Special Conditions for Developments with Private Roads and/or Driveways In developments with private roads and/or common driveways, ENSTAR will not be responsible for compaction or repairs to geo-textile fabric. ENSTAR will not be responsible for subsequent asphalt failures resulting from inadequate compaction or damage to geo-textile fabric resulting from the installation of the gas mains or service lines.

Notification Information Anchorage Area (incl. ER & TA) MatSu Valley Area Kenai Peninsula Stan Staples / Nathan Burke Dave Kolberg / Arlon Mongeau Charlie Pierce / James Merrow w: 334-7777 / 334-7739 w: 352-7425 / 352-7427 w: 714-7510 / 714-7514 1-877-907-9767 (from Whittier) 1-877-907-9767 (from Homer)

Execution Information Developer ENSTAR Natural Gas Company

Date ____________________ ___________________

Signature ______________________________ ______________________________

Printed Name ______________________________ ______________________________

Address ______________________________ PO Box 190288

______________________________ Anchorage, AK 99519-028

RCA No. 4 First Revision Cancelling

Original

Sheet No. 285____________ Sheet No. 285

§3035 Main Extension Agreement for a Developing Subdivision- Additional Terms (8 1/2 X 11)

Tariff Advice No. 281-4 Effective:Issued By: ENSTAR Natural Gas Company, A Division of SEMCO ENERGY, Inc. By: /s/ Daniel M. Dieckgraeff Title: Director of Rates and Regulatory Affairs