| According to the Paperwork Reduction Act of 1995, an agency may not conduct or sponsor, and a person is not required to respond to a collection of information unless it displays a | 
 | 
 | 
 | 
 | 
 | 
 | 
 | 
 | 
 | 
 | 
 | 
 | 
 | 
	
		| valid OMB control number.  The valid OMB control number for this information collection is 0572-0025.  The time required to complete this information collection is estimated to average | 
 | 
 | 
 | 
 | 
 | 
 | 
 | 
 | 
 | 
 | 
 | 
 | 
 | 
	
		| 4 hours per response, including the time for reviewing instructions, searching existing data sources, gathering and maintaining the data needed, and completing and reviewing the | 
 | 
 | 
 | 
 | 
 | 
 | 
 | 
 | 
 | 
 | 
 | 
 | 
 | 
	
		| collection of information. | 
 | 
 | 
 | 
 | 
 | 
 | 
 | 
 | 
 | 
 | 
 | 
 | 
 | 
	
		| UNITED STATES DEPARTMENT OF AGRICULTURE | BORROWER DESIGNATION | 
 | 
 | 
 | 
 | 
 | 
	
		| RURAL UTILITIES SERVICE |  | 
	
		| 
 | 
 | 
 | 
 | 
 | 
 | 
 | 
 | 
	
		| REVIEW RATING SUMMARY | DATE PREPARED | 
 | 
 | 
 | 
 | 
 | 
	
		| 
 | 
 | 
 | 
 | 
 | 
 | 
 | 
 | 
 | 
	
		| 
 | 
 | 
 | 
 | 
 | 
 | 
 | 
 | 
	
		| Ratings on form are: | 
 | 
 | 0:   Unsatisfactory -- No Records | 
 | 
 | 2:   Acceptable, but Should be Improved -- See Attached Recommendations | 
 | 
 | 
 | 
 | 
 | 
 | 
 | 
	
		| NA:   Not Applicable | 
 | 
 | 1:   Corrective Action Needed | 
 | 
 | 3:   Satisfactory -- No Additional Action Required at this Time | 
 | 
 | 
 | 
 | 
 | 
 | 
 | 
	
		| PART I.  TRANSMISSION and DISTRIBUTION FACILITIES | 
	
		| 1. Substations (Transmission and Distribution) | 
 | 
 | 
 | 
 | 
 | (Rating) | 4. Distribution - Underground Cable | 
 | 
 | 
 | 
 | 
 | (Rating) | 
	
		| a. Safety, Clearance, Code Compliance | 
 | 
 | 
 | 
 | 
 | 
 | a. Grounding and Corrosion Control | 
 | 
 | 
 | 
 | 
 | 
 | 
	
		| b. Physical Conditions: Structure, Major Equipment, Appearance | 
 | 
 | 
 | 
 | 
 | 
 | b. Surface Grading, Appearance | 
 | 
 | 
 | 
 | 
 | 
 | 
	
		| c. Inspection Records - Each Substation | 
 | 
 | 
 | 
 | 
 | 
 | c. Riser Pole: Hazards, Guying, Condition | 
 | 
 | 
 | 
 | 
 | 
 | 
	
		| d. Oil Spill Prevention | 
 | 
 | 
 | 
 | 
 | 
 | 
 | 
 | 
 | 
 | 
 | 
 | 
 | 
	
		| 
 | 
 | 
 | 
 | 
 | 
 | 
 | 5. Distribution Line Equipment:  Conditions and Records | 
 | 
 | 
 | 
 | 
 | 
 | 
	
		| 2. Transmission Lines | 
 | 
 | 
 | 
 | 
 | 
 | a. Voltage Regulators | 
 | 
 | 
 | 
 | 
 | 
 | 
	
		| a. Right-of-Way: Clearing, Erosion, Appearance, Intrusions | 
 | 
 | 
 | 
 | 
 | 
 | b. Sectionalizing Equipment | 
 | 
 | 
 | 
 | 
 | 
 | 
	
		| b. Physical Condition: Structure, Conductor, Guying | 
 | 
 | 
 | 
 | 
 | 
 | c. Distribution Transformers | 
 | 
 | 
 | 
 | 
 | 
 | 
	
		| c. Inspection Program and Records | 
 | 
 | 
 | 
 | 
 | 
 | d. Pad Mounted Equipment | 
 | 
 | 
 | 
 | 
 | 
 | 
	
		| 
 | 
 | 
 | 
 | 
 | 
 | 
 | 
 | Safety: Locking, Dead Front, Barriers | 
 | 
 | 
 | 
 | 
 | 
	
		| 3. Distribution Lines - Overhead | 
 | 
 | 
 | 
 | 
 | 
 | 
 | Appearance: Settlement, Condition | 
 | 
 | 
 | 
 | 
 | 
	
		| a. Inspection Program and Records | 
 | 
 | 
 | 
 | 
 | 
 | 
 | Other | 
 | 
 | 
 | 
 | 
 | 
	
		| b. Compliance with Safety Codes: | 
 | 
 | 
 | Clearances | 
 | 
 | e. Kilowatt-hour and Demand Meter | 
 | 
 | 
 | 
 | 
 | 
 | 
	
		| 
 | 
 | 
 | 
 | Foreign Structures | 
 | 
 | Reading and Testing | 
 | 
 | 
 | 
 | 
 | 
 | 
	
		| 
 | 
 | 
 | 
 | Attachments | 
 | 
 | 
 | 
 | 
 | 
 | 
 | 
 | 
 | 
	
		| c. Observed Physical Condition from Field Checking: | 
 | 
 | 
 | 
 | 
 | 
 | 
 | 
 | 
 | 
 | 
 | 
 | 
 | 
	
		| 
 | 
 | 
 | 
 | Right-of-Way | 
 | 
 | 
 | 
 | 
 | 
 | 
 | 
 | 
 | 
	
		| 
 | 
 | 
 | 
 | Other | 
 | 
 | 
 | 
 | 
 | 
 | 
 | 
 | 
 | 
	
		| 
 | 
 | 
 | 
 | 
 | 
 | 
 | 
 | 
 | 
 | 
 | 
 | 
 | 
 | 
	
		| PART II.  OPERATIONS and MAINTENANCE | 
 | 
	
		| 6. Line Maintenance and Work Order Procedures | 
 | 
 | 
 | 
 | 
 | (Rating) | 8. Power Quality | 
 | 
 | 
 | 
 | 
 | (Rating) | 
	
		| a. Work Planning & Scheduling | 
 | 
 | 
 | 
 | 
 | 
 | a. General Freedom from Complaints | 
 | 
 | 
 | 
 | 
 | 
 | 
	
		| b. Work Backlogs: | 
 | 
 | Right-of-Way Maintenance | 
 | 
 | 
 | 
 | 
 | 
 | 
 | 
 | 
 | 
 | 
	
		| 
 | 
 | 
 | Poles | 
 | 
 | 
 | 9. Loading and Load Balance | 
 | 
 | 
 | 
 | 
 | 
 | 
	
		| 
 | 
 | 
 | Retirement of Idle Services | 
 | 
 | 
 | a. Distribution Transformer Loading | 
 | 
 | 
 | 
 | 
 | 
 | 
	
		| 
 | 
 | 
 | Other | 
 | 
 | 
 | b. Load Control Apparatus | 
 | 
 | 
 | 
 | 
 | 
 | 
	
		| 7. Service Interruptions | 
 | 
 | 
 | 
 | 
 | 
 | c. Substation and Feeder Loading | 
 | 
 | 
 | 
 | 
 | 
 | 
	
		| a. Average Annual Minutes/Consumer by Cause (Complete for each of the previous 5 years) | 
 | 
 | 
 | 
 | 
 | 
 | 
 | 
 | 
 | 
 | 
 | 
 | 
 | 
	
		| PREVIOUS | POWER | MAJOR | PLANNED | ALL | TOTAL | 
 | 10. Maps and Plant Records | 
 | 
 | 
 | 
 | 
 | 
 | 
	
		| 5 YEARS | SUPPLIER | EVENT | 
 | OTHER | 
 | 
 | a. Operating Maps: Accurate and Up-to-Date | 
 | 
 | 
 | 
 | 
 | 
 | 
	
		| (Year) | a. | b. | c. | d. | e. | (Rating) | b. Circuit Diagrams | 
 | 
 | 
 | 
 | 
 | 
 | 
	
		| 
 | 
 | 
 | 
 | 
 | 0.00 | 
 | c. Staking Sheets | 
 | 
 | 
 | 
 | 
 | 
 | 
	
		| 
 | 
 | 
 | 
 | 
 | 0.00 | 
 | 
 | 
 | 
 | 
 | 
 | 
 | 
 | 
	
		| 
 | 
 | 
 | 
 | 
 | 0.00 | 
 | 
 | 
 | 
 | 
 | 
 | 
 | 
 | 
	
		| 
 | 
 | 
 | 
 | 
 | 0.00 | 
 | 
 | 
 | 
 | 
 | 
 | 
 | 
 | 
	
		| 
 | 
 | 
 | 
 | 
 | 0.00 | 
 | 
 | 
 | 
 | 
 | 
 | 
 | 
 | 
	
		| b.  Emergency Restoration Plan | 
 | 
 | 
 | 
 | 
 | 
 | 
 | 
 | 
 | 
 | 
 | 
 | 
 | 
	
		| 
 | 
 | 
 | 
 | 
 | 
 | 
 | 
 | 
 | 
 | 
 | 
 | 
 | 
 | 
	
		| PART III.  ENGINEERING | 
 | 
	
		| 11. System Load Conditions and Losses | 
 | 
 | 
 | 
 | 
 | (Rating) | 13. Load Studies and Planning | 
 | 
 | 
 | 
 | 
 | (Rating) | 
	
		| a. Annual System Losses | 
 | 
 | 
 | % | 
 | 
 | a. Long Range Engineering Plan | 
 | 
 | 
 | 
 | 
 | 
 | 
	
		| b. Annual Load Factor | 
 | 
 | 
 | % | 
 | 
 | b. Construction Work Plan | 
 | 
 | 
 | 
 | 
 | 
 | 
	
		| c. Power Factor at Monthly Peak | 
 | 
 | 
 | % | 
 | 
 | c. Sectionalizing Study | 
 | 
 | 
 | 
 | 
 | 
 | 
	
		| d. Ratios of Individual Substation Annual Peak kW to kVA | 
 | 
 | 
 | 
 | 
 | 
 | d. Load Data for Engineering Studies | 
 | 
 | 
 | 
 | 
 | 
 | 
	
		| 
 | 
 | 
 | 
 | 
 | 
 | 
 | e. Load Forecasting Data | 
 | 
 | 
 | 
 | 
 | 
 | 
	
		| 12. Voltage Conditions | 
 | 
 | 
 | 
 | 
 | 
 | 
 | 
 | 
 | 
 | 
 | 
 | 
 | 
	
		| a. Voltage Surveys | 
 | 
 | 
 | 
 | 
 | 
 | 
 | 
 | 
 | 
 | 
 | 
 | 
 | 
	
		| b. Substation Transformer Output Voltage Spread | 
 | 
 | 
 | 
 | 
 | 
 | 
 | 
 | 
 | 
 | 
 | 
 | 
 | 
	
		| 
 | 
 | 
 | 
 | 
 | 
 | 
 | 
 | 
 | 
 | 
 | 
 | 
 | 
 | 
	
		| RUS Form 300 (Rev. 3-09) | 
 | 
 | 
 | 
 | 
 | 
 | 
 | 
 | 
 | 
 | PAGE 1 OF 2 PAGES | 
 | 
 | 
	
	
	
		| STATUS OF O&M ACTIVITIES | 
	
		| ATTACHMENT TO RUS FORM 300 | 
	
		| (OPTIONAL FORM - NOT REQUIRED) | 
	
		| SYSTEM DESIGNATION | 
 | 
	
		| Date Long Range System Engineering Plan Approved | 
 | 
 | 
	
		| Date Annual Work Plan Approved | 
 | 
	
		| Date of Last Load and Voltage Survey | 
 | 
	
		| STATISTICS | 
	
		
	
		| YEAR | ____ | ____ | ____ | ____ | ____ | 
	
		| Miles of Distribution Line | 
 | 
 | 
 | 
 | 
 | 
	
		| Miles of Transmission Line | 
 | 
 | 
 | 
 | 
 | 
	
		| Number of Substations | 
 | 
 | 
 | 
 | 
 | 
	
		| Sum of Substation Peak Demands (kW) | 
 | 
 | 
 | 
 | 
 | 
	
		| Average Number of Consumers | 
 | 
 | 
 | 
 | 
 | 
	
		| Plant Investment ($ x 1,000) | 
 | 
 | 
 | 
 | 
 | 
	
		| Operation Expense ($ x 1,000) | 
 | 
 | 
 | 
 | 
 | 
	
		| Maintenance Expense ($ x 1,000) | 
 | 
 | 
 | 
 | 
 | 
	
		| ROW CLEARING | 
	
		
	
		| Units on System | 
 | 
 | 
 | 
 | 
 | 
	
		| Units Recleared | 
 | 
 | 
 | 
 | 
 | 
	
		| Regrowth Cycle (Years) | 
 | 
 | 
 | 
 | 
 | 
	
		| POLES | 
	
		
	
		| Number on System | 
 | 
 | 
 | 
 | 
 | 
	
		| Number Inspected | 
 | 
 | 
 | 
 | 
 | 
	
		| Number Condemned | 
 | 
 | 
 | 
 | 
 | 
	
		| Number Replaced | 
 | 
 | 
 | 
 | 
 | 
	
		| OIL CIRCUIT RECLOSERS | 
	
		
	
		| Number on System | 
 | 
 | 
 | 
 | 
 | 
	
		| Number Serviced | 
 | 
 | 
 | 
 | 
 | 
	
		| LINE REGULATORS | 
	
		
	
		| Number on System | 
 | 
 | 
 | 
 | 
 | 
	
		| Number Serviced | 
 | 
 | 
 | 
 | 
 | 
	
		| METERS | 
	
		
	
		| Number on System | 
 | 
 | 
 | 
 | 
 | 
	
		| Number Serviced | 
 | 
 | 
 | 
 | 
 | 
	
		| PATROL AND MAINTENANCE | 
	
		
	
		| Miles of Distribution Patrolled | 
 | 
 | 
 | 
 | 
 | 
	
		| Miles Distribution Maintained | 
 | 
 | 
 | 
 | 
 | 
	
		| Miles of Transmission Patrolled | 
 | 
 | 
 | 
 | 
 | 
	
		| Miles of Transmission Maintained | 
 | 
 | 
 | 
 | 
 | 
	
		| Number of Substations Serviced | 
 | 
 | 
 | 
 | 
 | 
	
		| AVERAGE MINUTES OUTAGE PER CONSUMER | 
	
		
	
		| Power Supply | 
 | 
 | 
 | 
 | 
 | 
	
		| Major Event | 
 | 
 | 
 | 
 | 
 | 
	
		| All Other | 
 | 
 | 
 | 
 | 
 | 
	
		| Total |  |  |  |  |  | 
	
		| 
 | 
 | 
 | 
 | 
 | 
 | 
	
		| 
 | 
 | 
 | RUS Form 300 Attachment (Rev. 3-09) | 
 | 
 |