Large Load Quotations with a Peak Instantaneous Demand SHQ above 10,800kWh/ 1000scmh All the information in this form supplied by the individual, firm or company to Northen Gas Networks is confidential to that individual, firm or company and MUST NOT be disclosed to any other person, including any person employed in Northern gas Networks as a Service Provider, without the consent of that individual, firm or company.This field is hidden when viewing the formHas an Enquiry Form been submitted for this site previously? Yes No This field is hidden when viewing the formDate of requestThis field is hidden when viewing the formNorthern Gas Networks Ref No.Enquiring Company InformationEnquiring Company Name:Enquiring Contact Name:Enquiring Company Correspondence Address:Post code:Telephone No:Contact Email Address:Proposed Site InformationSite Contact:Site Name:Site AddressPostcode:Telephone Number:Easting:Northing:Single or Multiple Premises Single Multiple Additional Site InformationType of Development (select all required) CNG Commercial Industrial Power Generation CHP Other Please state:Section A: Proposed LoadMax. Supply Hourly Quantity - SHQ (kW)Max. Annual Offtake Quantity - AOQ (kW)Max. Supply Daily Offtake Quantity - SOQ (kW)Does the propose load follow a normal space heating pattern? Yes No Section B: Connection DetailsProposed Pressure Tier: LP MP IP HP Connection point parent main diameter and material (if known):Easting:Northing:Termination point:Easting:Northing:Length and diameter of proposed mains and service:Predicted service pressure drop at peak (mbarg)?Does your request fall within the parameters of the standard design pressures tables in NGN/SP/NP/14/E? Yes No Do you want to use the standard pressure? Yes No Do you wish the complete the Final Connection? Yes No Anticipated gas on date:Please enclose site plans including connection and termination points with meter house location marked X:Max. file size: 20 MB. Please download the Profile Template here, and upload a completed version. Max. file size: 20 MB.Section C: Additional informationType of Load (e.g. modulating, constant, process/on-off/CHP)?Will a compressor be fitted? Yes No Please indicate if NGN is to take ownership of the system?What pressure do you require at the inlet to supply meter installation?Do you require works to be carried out outside normal working hours?* Yes No Do you require meter housing to be supplied and installed by Northern Gas Networks?* Yes No Do you require additional conditions or site rules and regulations applicable to this project?* Yes No *Please note, the above three items may attract additional costs.A Network Exit Agreement is the only contractual agreement NGN will have the End User that sets out physical parameters such as maximum rates at which gas can be off taken, and the rate at which the offtake can be increased. This normally relates to specific large supply points or connected systems. The NeXA’s may be amended by NGN from time to time and as such the versions on the website may not necessarily be the most up to date at aby given point in time.* Please tick to acknowledge a Network Exit Agreement may be required A Network Exit Agreement is the only contractual agreement NGN will have the End User that sets out physical parameters such as maximum rates at which gas can be off taken, and the rate at which the offtake can be increased. This normally relates to specific large supply points or connected systems. The NeXA’s may be amended by NGN from time to time and as such the versions on the website may not necessarily be the most up to date at aby given point in time.* Please tick to acknowledge this application attracts a payment of £848 + VAT Additional Information:CAPTCHA Δ