0 Form Approved 0MB No. 2120-0020 2/28/2011 MAJOR REPAIR AND ALTERATION (Airframe, Powerplant, Propeller, or Appliance) U.S Department of Transportation I Electronic Tracking Number For FAA Use Only Federal Aviation Administration INSTRUCTIONS: Print or type all entries. See Title CFR 43.9, Part 43 Appendix B, and AC 43.9-1 (or subsequent revision thereof) for instructions and disposition of this form. This report is required by law (49 U.S.C. 44701 ). Failure to report can result in a civil penalty for each such violation. (49 U.S.C. 46301(a)) Nationality and Registration Mark Serial No. Nl22TP 1. Aircraft BB-1293 Model Make Beech Aircraft Comvanv Kinf! Air B200 Name (As shown on registration certificate) Address (As shown on registration certificate) Commuter Air Technology, Inc. 2. Owner Series 2701 Liberty Pkwy Ste. 309 State Oklahoma Oklahoma City 73110-2895 Country United States Address City Zip 3. For FAA Use Only 4.Type 5. Unit Identification Repair Alteration Unit D LI AIRFRAME D D DD --~- Make Serial No. Model (As described in Item 1 above) POWE RP LANT PROPELLER -bd- APPLIANCE Type Manufacturer 6. Conformity Statement A. Agency's Name and Address Manufacturer B. Kind of Agency Name VALA!R Aviation Address 7301 NW 50th Street State Oklahoma City Oklahoma City Country United States Zip 73132-9702 0 0 U.S. Certificated Mechanic C. Certificate No. Foreign Certificated Mechanic 181Certificated Repair Station 0 V5SR2l70 Certificated Maintenance Organization D. I certify that the repair and/or alteration made to the unit(s) identified in item 5 above and described on the reverse or attachments hereto have been made in accordance with the requirements of Part 43 of the U.S. Federal Aviation Regulations and that the information furnished herein is true and correct to the best of my knowledge. Extended range fuel Per 14 CFR Part 43 App. B s;goat"rn/Dateof A"thori,e~ D 1ltfichael Dussault · 10-16-2016 7. Approval for Return to Service Pursuant to the authority given persons specified below, the unit identified in item 5 was inspected in the manner prescribed by the Administrator of the Federal Aviation Administration and is APPROVED REJECTED D 181 BY Certificate Designation FAA Flt Standards Inspector FAA Designee X or Manufacturer Maintenance Repair Station Inspection Authorization of Authorized Individual Signature/Date No. V5SR2l70 Michael Dussault IPersons Approved by Canadian Department of Transport Organization ,~ L_ - -- h Y Other /Specify) \ " - ·_../ 10-16-2016 NOTICE Weight and balance or operating limitation changes shall be entered in the appropriate aircraft record. An alteration must be compatible with all previous alterations to assure continued conformity with the applicable airworthiness requirements. 8. Description of Work Accomplished (If more space is required, attach additional sheets. Identify with aircraft nationality and registration mark and date work completed.) I.__ __ N_1_22_rP __ ___.!! ..... __1o_-1_6-2_0_16 _ __.I Nationality and Registration Mark Date Installed Troll System (I) Installed troll system, al I work was performed with reference to the instructions and procedures contained in CAT structural drawing #CAI 00438 Rev IR and drawing #CAl00443 Rev IR, as approved by FAA form 8110-3 dated 09/24/2016 and CAT electrical drawing #CA028-443-999 Rev IR as approved by FAA form 8110-3 dated 09/02/2016. Instructions for Continued Airworthiness: (1) Introduction: The following Instructions for Continued Airworthiness (ICA) satisfy the requirements and provide the information necessary to complete on -going maintenance & inspection of the structural and electrical modifications described herein. (2) Description: See Description of Work Accomplished above. (3) Control/Operation Information: Use the manufacturer's control/ operation information. (4) Servicing Information: None. (5) Maintenance Instructions: Use the aircraft manufacturer's recommended inspection/maintenance periods to check for condition and security. This installation requires no special periodic maintenance or overhaul requirements. (6) Trouble Shooting Information: None. (7) Removal/Replacement Information: Use standard shop tools. (8) Diagrams: None. (9) Special Inspection Requirements: None. (10) Application of Special Treatments: None. (11) Data: None. (12) List of Special Tools: None. (13) For Commuter Category Aircraft: None. (14) Recommendecl Overhaul Periods: No additional overhaul time limitations. (15) Airworthiness Limitations Section: Not applicable. (16) Revision: Submit a letter to the local FSDO with a copy of the revised FAA form 337 and revised ICA. Weight & Balance has been calculated & added to the W&B supplement equipment list sheet dated 10/16/2016 in the Airplane Flight Manual Weight and Balance Section. End D FAA Fonn 337 (10-06) Additional Sheets Are Attached U.S.GPO:1989-0-663-17I .. U S. DEPARTMENT OF TRANSPORTATION FEDERAL AVIATION ADMINISTRATION 1. DATE STATEMENTOF COMPLIANCEWITH THE FEDERALAVIATIONREGULATIONS September 2, 2016 AIRCRAFTOR AIRCRAFTCOMPONENTIDENTIFICATION 2. MAKE 3. MODELNO. Beechcraft 4. TYPE (Airplane, Radio, Helicopter, etc.) B200 5. NAME OF APPLICANT Airplane Valair Aviation LIST OF DATA 6. IDENTIFICATION 7. TITLE CA028-443-999, Rev. IR, Sept. 2, 2016. Downlink Equipment CA020-444-999, Rev. IR, Sept. 2, 2016. SIGINT Equipment CA001-473-290, Rev. IR, · Sept. 2, 2016. Tactical Equipment Modifications --------------------------------------END OF DATA----------------------------------Notes: 1. This approval is for electrical Systems and Equipment aspects only. 2. This approval is for engineering design data only. It indicates the data listed above demonstrates compliance only with the regulations specified by paragraph and subparagraph listed below as Applicable Requirements. (Compliance with additional regulations not listed here may be required.) This form does not constitute FAA approval of all the engineering data necessary for substantiation of compliance to necessary requirements for the entire alteration/repair. 3. This approval applies only to Beechcraft 8200, sin 88-1293 (currently N122TP). ---------------------------- END ---------------------------------- 8. PURPOSE OF DATA To support installation of various non-required special mission equipment on Beechcraft 8200, sin 88-1293 (currently N122TP). . ---- - -·- -- -------------- ------- -- ---- 9. APPLICABLE REQUIREMENTS (List specific sections) --~-----· ~- -- ---------- ---- ------ -- - -- -- 14CFR: 23.1301 (a)(b)(c)(Amdt. 23-20); 23.1357(a)( c)(Amdt. 23-20), 23.1367(a)(b)(d) (Arndt. 23-0). 10. CERTIFICATION - Under authOrity vested by direction of the Administrator and in acocrdanoe with conditions and limitations of appointment under 14 CFR Part 183. data ;isled above ana on attached slleets numbered _l1!_8__ sheets have been examined in a=rdance with established procedures and found to comply with applicable requirements of the Airworthiness Standards listed. I ~l Therefore D Recommend approval of these data [xJ Approve these data 11. SIGNATURE($) OF DESIGNATED ENGINEERING REPRESENTATIVE(S) PaulJ.Magno~~ FAA Form 8110-3 (03/10) Representation File Name: Valair.81103.8200.090216-2 12. DESIGNATION NUMBER(S) DERT -605340-NM 13. CLASSIFICATION($) Systems and Equipment, Chart C2, Special: Major Repair, Major Alteration. Flight Analyst, Chart G, Special: Major Alteration. , .( + DEPARTMENT OF TRANSPORTATJON FEDERAL AVIATION ADMINISTRATION l. DATE STATEMENTOf COMPLIANCEWITH FEDERALAVIATl ON 24 September 2016 REGULATIONS AIRCRAFT OR AIRCRAFT COMPONENTIDENTlFICATION 2. MAKE Beech craft 3. MODEL NO. B200 4. TYPE (Airplane, Radio, 5. NAME OF APPLICANT Commuter Air Technology Helicopter, etc) Airplane Drawing No. CAI00429, Rev.A Master Drawing List Mod 9, Structures. Report No. LE-1737, Rev. NC ------------End------------- Structural Substantiation for Mod 9 Project on Beechcra:ft B200, SIN BB1293. Notes: l. This approval is for engineering design data only. lt indicates the data listed above demonstrates compliance only with the regulations specified by paragraph listed below as "Applicable Requirements". This form does not constitute FAA approval of all the engineering data necessary for substantiation of compliance to necessary requirements for the entire alteration/repair. ---------------------------------------------------END----------------------------------- 8. PURPOSE OF DATA Engineering data to support field activity for Beechcraft B200, S/N BB-1293. 9. A~e.LLGABLE-REQHIRE·M-EN:r:S-(tisr-sptctficsecrions)-- - -- ----· - ----14 CFR 23. 30l(a)amdt 23-28, 303 amdt 0, 305(a)(b) amdt 0, 307(a) amdt 0, 321 amdt 23-45, 337 amdt 23-48, 341 admt 23-34, 601 arndt 0, 603(a)(b) amdt 23-23, 605(a)(b) amdt 23-23, 609(a)(b) amdt 0, 61 l arndt 23-7, 613(a)(b)(c) amdt 23-23. 10. CERT[fICATION. Under authority vested by direction of the Administrator and in accordance with conditions and limitations of appointment under 14 CFR part 183 of the Federal Aviation Regulations, data listed above and on attached sheets numbered N/ A have been examined in accordance with established procedures and found to comply with app1icable requirements of the Airworthiness Standards listed. _ Recommend approval of these data I (We) therefore X Approve these data s DERT 605325-NM / FAA Form 8110-3 (representation of 03/10 edition) ---------··-·-··---··-···--T-·-------·-··-·--··---------·-------·--··-----·-···-----··--··--· Structural .• 0 (Airframe,Powerplant,Propeller,or Appliance) U.S Departmentof Transportation I Form Approved 0MB No. 2120-0020 2/28/2011 MAJOR REPAIR AND ALTERATION Electronic Tracking Number ForFAAUseOnly Federal Aviation Administration INSTRUCTIONS: Print or type all entries. See Title CFR 43.9, Part 43 Appendix B, and AC 43.9-1 (or subsequent revision thereof) for instructions and disposition of this form. This report is required by law (49 U.S.C. 44701). Failure to report can result in a civil penalty for each such violation. (49 U.S.C. 46301(a)) Nationality and Registration Mark Serial No. N122TP 1. Aircraft BB-1293 Make Model Beech Aircraft Comvanv B200 Name (As shown on registrationcertificate) Kin£ Air Address (As shown on registrationcertificate) Commuter Air Technology, Inc. 2. Owner Series Address 2701 Liberty Pkwy Ste. 309 City Oklahoma City Zip 731 I 0-2895 State Oklahoma Countrv United States 3. For FAA Use Only 4. Type Repair D 5. Unit Identification • Alteration D D DD D D Unit Make Model AIRFRAME (As described Serial No. in Item 1 above) POWERPLANT PROPELLER APPLIANCE Type Manufacturer 6. ConformityStatement A. Agency's Name and Address B. Kind of Agency Name VALAIR Aviation Address 7301 NW 50th Street City Oklahoma City State Oklahoma Zip 73132-9702 Country United States D D Manufacturer U.S. Certificated Mechanic C. Certificate No. Foreign Certificated Mechanic 181Certificated Repair Station D Certificated Maintenance Organization V5SR2170 D. I certify that the repair and/or alteration made to the unit(s) identified in item 5 above and described on the reverse or attachments hereto have been made in accordance with the requirements of Part 43 of the U.S. Federal Aviation Regulations and that the information furnished herein is true and correct to the best of my knowledge. Extended range fuel Per 14 CFR Part 43 App. B Signature/Date D of Authorized Individual Glen Williams~., ,/ ///, ./ M - 09-26-2016 7. Approvalfor Returii'"to-ServicePursuant to the authority given persons specified below, the unit identified in item 5 was inspected in the manner prescribed by the Administrator of the Federal Aviation Administration and is APPROVED REJECTED D 1:8] BY Certificate Designation FAA Flt Standards Inspector FAA Designee X or No. Manufacturer Maintenance Repair Station Inspection Authorization Signature/Date V5SR2170 of Authorized Glen Williams ~.J \ Persons Approved by Canadian Department of Transport Organization Individual / u4 Other (Soecifv) -~ - - - 09-26-2016 .. NOTICE Weight and balance or operating limitation changes shall be entered in the appropriate aircraft record. An alteration must be compatible with all previous alterations to assure continued conformity with the applicable airworthiness requirements. 8. Description of Work Accomplished (If more space is required, attach additional sheets. Identify with aircraft nationality and registration mark and date work completed) ~I __ N_l_22_TP __ ~I ~' Nationality and Registration Mark _0_9_-2_6-2_0_16 _ __.I Date Installed and Updated these individual and interconnected modifications. (I) Modified the existing cargo pod assembly on the lower surface of the aircraft fuselage b removing the LDG/W AMI camera. Removed the existing MX camera and installed a new MX-15DiD camera system. Installed a LDG/WAM blank out cover on bottom of the cargo pod. Installed a Troll data Link system. Installed a Dark Blade system. Installed a RF Shield. Installed a modified Nebulla mounting plate. All work performed with reference to the instructions and procedures contained in CAT structural MDL #CA 100429 Rev A, as approved by FAA form 8110-3 dated 09/24/2016 and CAT electrical drawing #s CA0294 I 3-050 Rev A dated 9/2/2016, CA020-442-999, Rev IR dated 9/2/2016, CA028-443-999 Rev IR, dated 9/2/2016, and CA020444-999 Rev IR, dated 9/2/20 I 6 as approved by FAA form 8110-3 dated 09/02/20 I 6. (2) Installation of mission equipment rack located in aft cabin section. All work performed with reference to the instructions and procedures contained in CAT structural MDL #CAJ00429 Rev A, as approved by FAA form 8110-3 dated 09/24/2016 and CAT electrical drawing #s CA020-444-999, CA020-442-999 and CA020-44 l-999 as approved by FAA form 8110-3 dated 09/02/20 I 6. (3) Modification of mission console with addition of3 rd PRC-I 17 radio system equipment, updated Troll mission computer server, installation of Net gear system. All work performed with reference to the instructions and procedures contained in CAT structural MDL #CA100429 Rev A, as approved by FAA form 8110-3 dated 09/24/2016 and CAT electrical drawing #s CA00!-473-920 and CA028-443-999 as approved by FAA form 8110-3 dated 09/02/2016. (4) Installation of mission disconnect panel and HF switch panel located in cabin RH side f\vd of the aft equipment rack. All work performed with reference to the instructions and procedures contained in CAT structural MDL #CA I 00429 Rev A, as approved by FAA form 8110-3 dated 09/24/2016 and CAT electrical drawing #s CA020-442-999, CA020-44 I-999 and CA020-444-999 as approved by FAA form 8110-3 dated 09/02/20 I 6. (5) Installation of fuselage cable assembly feed-thru ports for special mission equipment. All work performed with reference to the instructions and procedures contained in CAT structural MDL #CA I 00429 Rev A as approved by FAA form 81 I 0-3 dated 09/24/2016 and CAT electrical drawing #s CA029-413-050, CA020-442-999, CA028-443-999 and CA020-444-999. (6) Installation of two A V-20 I blade antennas under LH and RH wings and installation of BAT wing antenna on top of fuselage. All work performed with reference to the instructions and procedures contained in CAT structural MDL #CA l 00429 Rev A as approved by FAA form 8 I I0-3 dated 09/24/20 I 6, CAT electrical drawing #CAOO1-473-290 as approved by FAA form 8 I I 0-3 dated 09/02/2016 and AMS computer flight analysis report #AMS2016-0066 Rev RO dated 9/1/2016 as approved by FAA form 8110-3 dated 09/06/2016. (7) Installation of power system for Nebula at these locations, mission buss, aft equipment rack and cabin baggage floor. All work performed with reference to the instructions and procedures contained in CAT structural MDL #CA !00429 Rev A as approved by FAA form 8110-3 dated 09/24/2016 and CAT electrical drawing #CA020-44 I-999 as approved by FAA form 8110-3 dated 9/02/2016 ' Instructions for Continued Airworthiness: (!) Introduction: The following Instructions for Continued Airworthiness (ICA) satisfy the requirements and provide the information necessary to complete on -going maintenance & inspection of the structural and electrical modifications described herein. (2) Description: See Description of Work Accomplished above. (3) Control/Operation Information: Use the manufacturer's control/ operation information. (4) Servicing Information: None. (5) Maintenance Instructions: Use the aircraft manufacturer's recommended inspection/maintenance periods to check for condition and security. This installation requires no special periodic maintenance or overhaul requirements. (6) Trouble Shooting Information: None. (7) Removal/Replacement Information: Use standard shop tools. (8) Diagrams: None. (9) Special Inspection Reguirements: None. (10) Application of Special Treatments: None. (11) Data: None. (12) List of Special Tools: None. (13) For Commuter Category Aircraft: None. (14) Recommended Overhaul Periods: No additional overhaul time limitations. ( 15) Airworthiness Limitations Section: Not applicable. ( 16) Revision: Submit a letter to the local FSDO with a copy of the revised FAA form 337 and revised !CA. The aircraft was weighed after all the above work was completed. Revised Weight & Balance Sheet inserted into the Aircraft Flight Manual, Weight & Balance Section. Aircraft Equipment List updated to reflect the above changes 0 FAA Form 337 (10-06) Additional Sheets Are Attached U.S.GPO: 1989-0-663-l 71 + DEPARTMENT OF TRANSPORTATION FEDERAL AVIATION ADMINISTRATION STATEMENTOF COMPLIANCEWITH FEDERALAVIATION REGULATIONS 2.MAKE Beechcraft 3. MODELNO. 4. TYPE (Airplane, Radio, Helicopter, etc) B200 1. DATE 24 September 2016 5. NAME OF APPLICANT Commuter Air Technology Airplane Drawing No. CA100429, Rev.A Master Drawing List Mod 9, Structures. Report No. LE-1737, Rev. NC Structural Substantiation for Mod 9 Project on Beechcraft B200, SIN BB1293. ------------End------------- Notes: 1. This approval is for engineering design data only. It indicates the data listed above demonstrates compliance only with the regulations specified by paragraph listed below as "ApplicableRequirements". This form does not constitute FAA approval of all the engineering data necessary for substantiation of compliance to necessary requirements for the entire alteration/ repair. -----------------------·----------------------------END-----·-----------------------------~ 8. PURPOSE OF DATA Engineering data to support field activity for Beechcraft B200, SIN BB-1293. 9. APPLICABLE REQUIREMENTS (List specific sections) 14 CFR 23. 301(a)amdt 23-28, 303 amdt 0, 305(a)(b) amdt 0, 307(a) amdt 0, 321 amdt 23-45, 337 amdt 23-48, 341 admt 23-34, 601 amdt 0, 603(a)(b) amdt 23-23, 605(a)(b) amdt 23-23, 609(a)(b) amdt 0, 611 amdt 23-7, 613(a)(b)(c) amdt 23-23. 10. CERTIFICATION. Under authority vested by direction of the Administrator and in accordance with conditions and limitations of appointment under 14 CFR part 183 of the Federal Aviation Regulations, data listed above and on attached sheets numbered NIA have been examined in accordance with established procedures and found to comply with applicable requirements of the Airworthiness Standards listed. · _ Recommend approval of these data I (We) therefore x_ Approve these data Rex Ruoh-yu Liu / .. _ J/ tA-"''f- .riC~,,:~ ... , ... , - ,,,.., tr ,/ FAA Form 8110-3 (representation of03/10 edition) ,·' ·· ...- DERT605325-NM Structural U.S. DEPARTMENT OF TRANSPORTATION FEDERAL AVIATION ADMINISTRATION 1. DATE STATEMENTOF COMPLIANCEWITHTHE FEDERALAVIATIONREGUL ATIONS September 2, 2016 AIRCRAFTOR AIRCRAFTCOMPONENTIDENTIFICATION 2. MAKE 3. MODEL NO. 8eechcraft 4. TYPE (Airplane, Radio, Helicopter, etc.) 8200 Airplane 5. NAME OF APPLICANT Valair Aviation LIST OF DATA 6. IDENTIFICATION 7. TITLE CA029-413-050, Rev. A, Sept. 2, 2016. EO/IR Equipment CA020-441-999, Rev. IR, Sept. 2, 2016. Aux Mission Power CA020-442-999, Rev. IR, Sept. 2, 2016. Nebula System Equipment -------------------------------------END OF DATA---------------------------Notes: 1. This approval is for electrical Systems and Equipment aspects only. 2. This approval is for engineering design data only. It indicate s the data listed above demonstrates compliance only with the regulations specified by paragraph and subparagraph listed below as Applicable Requirements. (Compl iance with additional regulations not listed here may be required.) This form does not constitute FAA approval of all the engineering data necessary for substantiation of compliance to necessary requirements for the entire alteration/repair. 3. This approval applies only to 8eechcraft 8200, sin 88-1293 (currently N122TP). ----------------------------------------END ----------------------------------------------- To support installation of various non-required special mission equipment on 8eechcraft B200, (currently N122TP). 8. PURPOSE OF DATA sin BB-1293 9. APPLICABLE REQUIREMENTS (Us1speclflcucrtons) 23.1367(a)(b)(d) (Arndt. 23-0). 14CFR: 23.1301 (a)(b)(c)(Amdt. 23-20); 23.1357(a)(c)(Amdt. 23-20), 10. CERTIFICATION - Under authority vested by direcfion of the Adminislrator and in accordance with conditions and limitations of appointment under 14 CFR Part 183, data listed above and on attached sheets numbered .-t:!l8,_ sheets have been examined in accordance with estaolisned procedure s and found to comply with applicable requirements of the Airworthiness Standards listed. I ½W&) Therefore D W Recommendapprovalof these data Approvethese data 11. SIGNATURE(S) OF DESIGNATED ENGINEERING REPRESE NTATIVE(S) Paul J. Magno c;v4~~ FAA Form 8110-3 (03/10) Representation File Name: Valair.81103.6200.090216-1 12. DESIGNATION NUMBER(S) DERT-605340-NM 13. CLASSIFICATION(S) Systems and Equipment, Chart C2, Special: Major Repair, Major Alteration. Flight Analyst, Chart G, Special: Major Alteration. .. U.S. DEPARTMENT OF TRANSPORTATION FEDERAL AVIATION ADMINISTRATION 1. DATE STATEMENT OF COMPLIANCE WITH THE FEDERAL AVIATION REGULA TIONS September 2, 2016 AIRCRAFT OR AIRCRAFT COMPONENT IDENTIFICATION 2. MAKE 3. MODELNO. Beechcraft 4. TYPE (Airplane,Radio,Helicopteretc.) , 8200 Airplane 5. NAME OF APPLICANT Valair Aviation LIST OF DATA 6. IDENTIFICATION 7. TiTLE CA028-443-999, Rev. IR, Sept. 2, 2016. Downlink Equipment CA020-444-999, Rev. IR, Sept. 2, 2016. SIGINT Equipment CA001-473-290, Rev. IR, Sept. 2, 2016. Tactical Equipment Modifications ---------------------------------------END OF DATA-----------------------------------Notes: 1. This approval is for electrical Systems and Equipment aspects only. 2. This approval is for engineering design data only. It indicates the data listed above demonstrates compliance only with the regulations specified by paragrap h and subparagraph listed below as Applicable Requirements. (Compliance with additional regulations not listed here may be required.) This form does not constitut e FAA approval of all the engineering data necessary for substantiation of complian ce to necessary requirements for the entire alteration/repair. -~- 3. This approval applies only to Beechcraft 8200, sin BB-1293 (currentl y N122TP). ------------------------------------------END -----------------------------------------8. PURPOSE OF DATA To support installation of various non-requ ired special mission equipment on Beechcraft B200, sin BB-1293 (currently N122TP). 9. APPLICABLE REQUIREMENTS (List specijrcsections) 14CFR: 23.1367(a)(b)(d) (Arndt. 23-0). 23.1301 (a)(b)(c)(Amdt. 23-20); 23.1357(a)(c)(Amdt. 23-20), 10. CERTIFICATION - Under authority vested by direction of the Administrat or and in accordance with conditions and limitations of appointment under 14 CFR Part 183, data listed above and on attached sheets numbered __N!A,_ sheets have been examined in accordance with established procedures and found to comply with applicable requirements of the Airworthiness Standards listed. 1IW&)Therefore D W Recommendapprovalof these data Approve these data 11. SIGNATURE(S) OF DESIGNATED ENGINEERING REPRESENTATIVE(S) Paul J. Magno~_@#~-~ ( _,,_:p.-,· .. c:....---· /~-- FAA Form 8110-3 (03/10) Representation File Name: Valair.81103.BZ00.090216-2 12. DESIGNATION NUMBER(S) DERT-605340-NM 13. CLASSIFICATION(S) Systems and Equipment, Chart C2, Special: Major Repair, Major Alteration. Flight Analyst, Chart G, Special: Major Alteration. 0 U.S Department of Transportation I Form Approved 0MB No. 2120-0020 2/28/2011 MAJOR REPAIR AND ALTERATION (Airframe, Powerplant, Propeller, or Appliance) Electronic Tracking Number For FAA Use Only Federal Aviation Administration INSTRUCTIONS: Print or type all entries. See Title CFR 43.9, Part 43 Appendix B, and AC 43.9-1 (or subsequent revision thereof) for instructions and disposition of this form. This report is required by law (49 U.S.C. 44701). Failure to report can result in a civil penalty for each such violation. (49 U.S.C. 46301 (a)) Nationality and Registration Mark Serial No. BB-1293 N122TP 1. Aircraft Beech Aircraft Comvanv Kinf! Air B200 Name (As shown on registration certificate) Address (As shown on registration certificate) Commuter Air Technology, Inc. 2. Owner Series Model Make 2701 Liberty Pkwy Ste. 309 City Oklahoma City State Oklahoma Zip 73 I I 0-2895 Country United States Address 3. For FAA Use Only 5. Unit Identification 4. Type Repair D • Alteration D D DD D D Make Unit Model AIRFRAME (As described Serial No. in Item 1 above) POWE RPLANT PROPELLER APPLIANCE Type Manufacturer 6. Conformity Statement A. Agency'sName and Address B. Kindof Agency Name VALAIR Aviation Address 7301 NW 50th Street State Oklahoma City Oklahoma City Country United States Zip 73132-9702 D D Manufacturer U.S. Certificated Mechanic C. Certificate No. Foreign Certificated Mechanic 181 Certificated Repair Station D Certificated Maintenance Organization V5SR2l70 D. I certify that the repair and/or alteration made to the unit(s) identified in item 5 above and described on the reverse or attachments hereto have been made in accordance with the requirements of Part 43 of the U.S. Federal Aviation Regulations and that the information furnished herein is true and correct to the best of my knowledge. Extended range fuel Per 14 CFR Part 43 App. B Signature/Date D of Authorized ' Individual Glen Williams 04-22-2016 U////2 7. Approval for Return to SeWe - - - Pursuant to the authority given persons specified below, the unit identified in item 5 was inspected in the manner prescribed by the Administrator of the Federal Aviation Administration and is [8] APPROVED REJECTED D BY Certificate Designation FAA Flt Standards Inspector FAA Designee X Manufacturer Maintenance Repair Station Inspection Authorization of Authorized Individual Signature/Date or No. V5SR2170 Glen Williams I Persons Approved by Canadian Department of Transport Organization // - Other (Specify) .,h_///_,. 04-22-2016 NOTICE Weight and balance or operating limitation changes shall be entered in the appropriate aircraft record. An alteration must be compatible with all previous alterations to assure continued conformity with the applicable airworthiness requirements. 8. Description of Work Accomplished (If more space is required, attach additional sheets. Identify with aircraft nationality and registration mark and date work completed.) ~---N_l 2_2_T_P ___ __.II ._ __0_4-_2_2-_2_0_16 __ _, Nationality and Registration Mark Date Modified this King Air with these individual and interconnected modifications. J. Installed a 60 cubic foot cargo pod assembly, on the lower surface of the aircraft fuselage with reference to STC #SA254 I CE. 2. Modified the pod as follows: forward section: two LH & RH inspection doors, one RH access door, one fwd mount EO/JR turret access hole at nose of pod and LDG turret access hole at bottom of pod. Aft section: one RH aft inspection door 3. Updated Mission Console. 4. Installation, relocation of Antennas and one Blanking Plate, with three Nebula antennas in pod. 5. Installed fuselage cable assembly feed-thru ports for the LDG, EO/IR, in cargo pod and Comm 2 located_in aft bulkhead. 6. Installed LDG equipment rack in aft baggage area 7. Modified Mission Disconnect Panel. 10. Installed Vortex R/T system. 8. Installed Cabin Audio-ICS/video system. 11. Modified Mission system power Buss with LDG interface. 9. Installed ( 1ea) SS 120 inverter. 12. Installed (1 ea) PRC 1 I 7F tactical radio. (I) Installed a 60 cubic foot cargo pod Assembly, p/n - 20025002-3, s/n - 082 on the lower surface of the aircraft fuselage. All work performed with reference to STC #SA245 I CE. FAA Approved Flight Manual Supplement, entitled, "Supplement No. CAT 1013" dated 03-25-93 was placed in the Aircraft Flight Manual, Supplement Section. For !CA see document #DR-758, Rev-, dated 04/25/2012. (2) Modified the newly installed 60 cubic foot cargo pod assembly to accommodate an EO/IR turret and LOG turret. Modifications to the cargo pod assembly were performed with reference to the instructions and procedures contained in CA2002 I 0, CA200208, CA200206, CA200205, CA200204, CA200203, CA200202, CA200200, CAI00379, CAI00377, CAI00376, CAI00375 and CA I 00340, as approved by FAA form 8 I I 0-3 dated 04/20/20 I 6 and CA029-4 I 3-050, as approved by FAA form 81 I0-3, dated 4/21/2016 (3) Updated Mission Console. Installed MX Hand Controller, Harris Manpack Radio, Ethernet Switching Unit, Makito X Harsh Video Encoder, Vortex Los Datalink, Cabin Mission Computer, 17 " LCD Monitor, Laser Arming Panel, DACS Audio Control Panel, ARC-231, and Wave Relay. Installations to the Mission Console were performed with reference to the instructions and procedures contained in drawing #CA I 00383, CA 100382, CA 10038 l and CA I 00380 as approved by FAA form 8110-3, dated 04/20/2016 and CA030-416-999, CA020-414-999 as approved by FAA form 8110-3, dated 04/21/2016 (4) Installation of Antennas with one Blanking Plate were performed with reference to the instructions and procedures contained in drawing #CAI00378 as approved by FAA form 8110-3, dated 4/20/2016. (A) Installed blanking plate at the bottom section of aircraft fuselage at this location: . _ (a)_ Bla~king Plate_~! F:~· 35p, ~~_3.0 . .,_ ". .,~. (B) Installed antennas on the aircraft fuselage at these locations: (a) Wave Relay #I at F.S. 373.7, LBL 3.5 (Bottom) (b) Vortex at F.S. 373.7, LBL 14.0 (Bottom) (c) Wave Relay #2 at F.S. 235.8, 0.0 CL (Pod) (d) Comm 2 at F.S. 378.7, RBL 9.0 (Bottom) (5) Installation of fuselage cable assembly feed-thru ports was performed with reference to the instructions and procedures contained In the following drawing #CA 100340 and CA 1003 79 as approved by FAA form 8110-3, dated 04/20/2016. (6) Installation of the aft baggage area equipment rack was performed with reference to the instructions and procedures contained in the following drawing #CAI00390, CAI00386, CA100384 and CAI00385 as approved by FAA form 8110-3, dated 04/20/2016. (7) Modification of the mission disconnect panel was performed with reference to the instructions and procedures contained in the following drawing #CA 100383 as approved by FAA form 8 I I 0-3, dated 04/20/20 I 6. See page 2 D Additional Sheets Are Attached FAA Form 337 (10-06) U.S.GPO: 1989-0-663-171 NOTICE Weight and balance or operating limitation changes shall be entered in the appropriate aircraft record. An alteration must be compatible with all previous alterations to assure continued conformity with the applicable airworthiness requirements. 8. Description of Work Accomplished (If more space is required, attach additional sheets. Identify with aircraft nationality and registration mark and date work completed.) ·.__I N_l_22_TP __ __ ____.I _0_4-_22_-2_0_16 _ __.I Nationality and Registration Mark .__I Date Confined from Page I (8) Installation of cabin audio-ICSNideo system was perfonned with reference to the instructions and procedures contained in following Drawings #CAl00380 as approved by FAA fonn 8110-3, dated 04/20/2016 and CAOI0-412-110 as approved by FAA fonn 8110-3, dated 04/21/2016 (9) Installation of the SS I 20 inverter was perfonned with reference to the instructions and procedures contained in the following drawing #CAl00392 as approved by FAA fonn 8110-3, dated 04/20/2016. (10) Installation of the Vortex R/T system was perfonned with reference to the instructions and procedures contained in the following drawings #CAI00378, CAI00381 and CA028-434-050 as approved by FAA fonn 8110-3, dated 04/20/2016 and CA028-434050 as approved by FAA fonn 8110-3, dated 04/21/2016 (11) Modification of the Mission system power buss with LOG interface was perfonned with reference to the instructions and procedures contained in the following drawings #CA020-210-999, CAI00-385 and CAI00-377 as approved by FAA fonn 81103, dated 04/20/2016 and CA020-210-999 as approved by FAA fonn 8110-3, dated 04/21/2016. (12) Installation of 2ea PRC I I 7F Tactical Radios perfonned with reference to instructions and procedures contained in the following drawings #CAOOl-337-290 and CAI00-381 as approved by FAA fonn 8110-3, dated 04/20/2016 and CAOOl-337-290 as approved by FAA fonn 8 I I 0-3, dated 04/21/20 I 6 Instructions for Continued Airworthiness: (I) Introduction: The following Instructions for Continued Airworthiness (ICA) satisfy the requirements and provide the information necessary to complete on -going maintenance & inspection of the structural and electrical modifications described herein. (2) Description: See Description of Work Accomplished above. (3) Control/Operation Information: Use the manufacturer's control/ operation information. (4) Servicing Information: None. (5) Maintenance Instructions: Use the aircraft manufacturer's recommended inspection/maintenance periods to check for condition and security. This installation requires no special periodic maintenance or overhaul requirements. (6) Trouble Shooting Information: None. (7) Removal/Replacement Information: Use standard shop tools. (8) Diagrams: None. (9) Special Inspection Requirements: None. (10) Application of Special Treatments: None. (11) Data: None. (12) List of Special Tools: None. (13) For Commuter Category Aircraft: None. (14) Recommended Overhaul Periods: No additional overhaul time limitations. (15) Airworthiness Limitations Section: Not applicable. (16) Revision: Submit a letter to the local FSDO with a copy of the revised FAA form 337 and revised ICA. The aircraft was weighed after all the above work was completed. A new revised Weight & Balance Sheet was placed in the Aircraft Flight Manual, Weight & Balance Section. The Aircraft Equipment List was updated to reflect the above changes. End D Additional Sheets Are Attached FAA Fonn 337 (10-06) U.S.GPO:I 989-0-663-171 ' + DEPARTMENT OF TRANSPORTATION FEDERAL AVlATION ADMINISTRATION 1. DATE STATEMENT OF COMPLIANCE WITH FEDERAL AVIATION REGULATIONS 2.MAKE Beechcraft 3. MODEL NO. B200 4. TYPE (Airplane, Radio, Helicopter,etc} 20 April 2016 5. NAME OF APPLICANT Commuter Air Technology Airplane Drawing No. CA100374, Rev. IR ------------End------------- Master Drawing List, Structures. Sheet 1 of 1. Notes: 1. This approval is for engineering design data only. It indicates the data listed above demonstrates compliance only with the regulations specified by paragraph listed below as "Applicable Requirements". The structural aspects only of the above listed data are approved herein. 2. This approval is issued in support of alteration performed on SIN BB-1293 only. ----------------------------------------------------END----------------------------------- 8. PURPOSE OF DATA Engineering data to support field activity 9. APPLICABLE REQUIREMENTS (List specific sections) 14 CFR 23.601, 603 amdt 23-23, 605 amdt 23-23, 609,613 amdt 23-45, 10. CERTIFICATION. Under authority vested by direction of the Administrator and in accordance with conditions and limitations of appointment under 14 CFR part 183 of the Federal Aviation Regulations, data have been examined in accordance with listed above and on attached sheets numbered NIA established procedures and found to comply with applicable requirements of the Airworthiness Standards listed. _ Recommend approval of these data I (We) therefore x_ Approve these data FAA Fonn 8110~3 (representation of 03/10 edition) LMHCAT006-16 U.S. DEPARTMENTOF TRANSPORTATION Apr. 21, 2016 FEDERALAVIATIONADMINISTRATION STATEMENT OF COMPLIANCE WITH AIRWORTHINESS STANDARDS AIRCRAFTOR AIRCRAFTCOMPONENTIDENTIFICATION 4. TYPE (Aircraft, Engine,Propeller,etc.) 5. NAME OF APPLICANT 3. MODEL NO. 2. MAKE Commuter Air Technology, Inc. th 200 SERIES 7301 NW 50 Street AIRPLANE Beechcraft Corp. Oklahoma City, Oklahoma 73132 ' LISTOF DATA 6. IDENTIFICATION 7. TITLE CA001-337-290, Rev E, Dated 4/20/2016, Sht 1 thru 5 Tactical Equipment END Notes: 1. This design data approval is limited to the electrical Systems & Equipment aspects only. 2. This approval is for design data only and is not an installation approval. 8. PURPOSE OF DATA: : Aoorove data In suooort of Equipment to be installed in aircraft listed in item 3 above 9. APPLICABLEREQUIREMENTS: (List specific sections) SYSTEMS & EQUIPMENT: 14CFR Part 23.1309(a), Arndt 23-34 14CFR Part23.1351(b)(1); Amdt23-34 14CFR Part 23.1431; No Arndt 10. CERTIFICATION - Under authority vested by direction of the Administrator and in accordance with conditions and limitations of appointment under 14 CFR Part 183, data listed above and on attached sheets numbered xxxxxxxxxxxxxxx have been examined in accordance with established procedures and found to comply with applicable requirements of the Airworthiness Standards listed. I (X) Therefore D m Recommend approval of these data Approve these data 11, SIGNATURE (S) OF DESIGNATED ENGINEERING REPRESENTATIVE (Sl 12. DESIGNATION NUMBER (S) DERT-710123-SW ~eJIJn./.{~ LOYD M. HIGGINS FAForm 8110-3 (03/10) SUPERSEDES PREVIOUS EDITION 13. CLASSIFICATION (S) Systems & Equipment Elect. LMHCAT005-16 U.S. DEPARTMENTOF TRANSPORTATION Apr. 22, 2016 FEDERALAVIATIONADMINISTRATION STATEMENT OF COMPLIANCE WITH AIRWORTHINESS STANDARDS AIRCRAFTOR AIRCRAFTCOMPONENTIDENTIFICATION 4. TYPE (Aircraft, Engine,Propeller,etc.) 5. NAME OF APPLICANT 3. MODEL NO. 2. MAKE 200 SERIES Beechcraft Corp. AIRPLANE Commuter Air Technology, Inc. th 7301 NW 50 Street Oklahoma City, Oklahoma 73132 LIST OF DATA 7. TITLE 6. IDENTIFICATION CA020-210-999, Rev B, Dated 4/20/2016, Sht 1 thru 6 Mission Power Equipment END Notes: 1. This design data approval is limited to the electrical Systems & Equipment aspects only. 2. This approval is for design data only and is not an installation approval. 8. PURPOSE OF DATA: : Aoorove data In suooort of Eauioment to be installed in aircraft listed in item 3 above 9. APPLICABLEREQUIREMENTS: (List specific sections) SYSTEMS & EQUIPMENT: 14CFR Part 23.1309(a}, Arndt 23-34 14CFR Part23.1351(b)(1); Amdt23-34 14CFR Part 23.1431; No Arndt 10. CERTIFICATION - Under authority vested by direction of the Administrator and in accordance with conditions and limitations of appointment under 14 CFR Part 183, data listed above and on attached sheets numbered xxxxxxxxxxxxxxx have been examined in accordance with established procedures and found to comply with applicable requirements of the Airworthiness Standards listed. I (X) Therefore D m Recommend approval of these data Approve these data 11, SIGNATURE (S) OF DESIGNATED ENGINEERING REPRESENTATIVE IS) 12. DESIGNATION NUMBER (S) DERT-710123-SW ~~~-/.I~ LOYD M. HIGGINS FAForm 8110-3 (03/10) SUPERSEDES PREVIOUS EDITION 13. CLASSIFICATION (S) Systems & Equipment Elect. LMHCATOl 1-16 U.S. DEPARTMENT OF TRANSPORTATION FEDERAL A VIATION ADMINISTRATION Apr. 21, 2016 STATEMENT OF COMPLIANCE WITH AIRWORTHINESS STANDARDS AIRCRAFT ORAIRCRAFT COMPONENT IDENTIFICATION 4. TYPE (Aircraft, Engine,Propeller,etc.) 5. NAME OF APPLICANT 2. MAKE 3. MODEL NO. Beechcraft Corp. 200 SERIES AIRPLANE Commuter Air Technology, Inc. th 7301 NW 50 Street Oklahoma City, Oklahoma 73132 LIST OF DATA 7. TITLE 6. IDENTIFICATION CA028-434-050, Rev IR, Dated 4/20/2016, Shts 1 &2 Datalink Equipment END Notes: 1. This design data approval is limited to the electrical Systems & Equipment aspects only. 2. This approval is for design data only and is not an installation approval. 8. PURPOSE OF DAT A: : Aoorove data In suooort of Eauioment to be installed in aircraft listed in item 3 above 9. APPLICABLE REQUIREMENTS: (List specific sections) SYSTEMS & EQUIPMENT: 14CFR Part 23.1309(a}, Arndt 23-34 14CFR Part 23.1351 (b)(1 ); Arndt 23-34 14CFR Part 23.1431; No Arndt 10. CERTIFICATION - Under authority vested by direction of the Administrator and in accordance with conditions and limitations of appointment under 14 CFR Part 183, data listed above and on attached sheets numbered xxxxxxxxxxxxxxx have been examined in accordance with established procedures and found to comply with applicable requirements of the Airworthiness Standards listed. I (X) Therefore D Recommend approval of these data II] Approve these data 11, SIGNATURE (S) OF DESIGNATED ENGINEERING REPRESENTATIVE (Sl ·4~./.1~ LOYD M. HIGGINS FAForm 8110-3 (03/10) SUPERSEDES PREVIOUS EDITION 12. DESIGNATION NUMBER (S) DERT-710123-SW 13. CLASSIFICATION (S) Systems & Equipment Elect. LMHCAT007-16 U.S. DEPARTMENTOF TRANSPORTATION FEDERALAVIATIONADMINISTRATION STATEMENT OF COMPLIANCE WITH AIRWORTHINESS STANDARDS Apr. 21, 2016 AIRCRAFT OR AIRCRAFT COMPONENT IDENTIFICATION 4. TYPE (Aircraft, Engine,Propeller,etc.) 5. NAME OF APPLICANT 2. MAKE 3. MODEL NO. Beechcraft Corp. 200 SERIES AIRPLANE Commuter Air Technology, Inc. th 7301 NW 50 Street Oklahoma City, Oklahoma 73132 LIST OF DATA 6. IDENTIFICATION 7. TITLE CA010-412-110, Rev IR, Dated 4/20/2016, Shts. 1 thru 8 Audio / ICS Equipment END Notes: 1. This design data approval is limited to the electrical Systems & Equipment aspects only. 2. This approval is for design data only and is not an installation approval. 8. PURPOSE OF DATA: : Aoorove data In suooort of Eauioment to be installed in aircraft listed in item 3 above 9. APPLICABLEREQUIREMENTS: (List specific sections) SYSTEMS & EQUIPMENT: 14CFR Part 23.1309(a), Arndt 23-34 14CFR Part23.1351(b)(1); Amdt23-34 14CFR Part23.1431; No Arndt 10. CERTIFICATION - Under authority vested by direction of the Administrator and in accordance with conditions and limitations of appointment under 14 CFR Part 183, data listed above and on attached sheets numbered xxxxxxxxxxxxxxx have been examined in accordance with established procedures and found to comply with applicable requirements of the Airworthiness Standards listed. I (X) Therefore D Recommend approval of these data [KJ Approve these data 11, SIGNATURE (S) OF DESIGNATED ENGINEERING REPRESENTATIVE (Sl 12. DESIGNATION NUMBER (S) DERT-710123-SW 4~/Jn./.(~ LOYD M. HIGGINS FAForm 8110-3 (03/10) SUPERSEDES PREVIOUS EDITION 13. CLASSIFICATION (S) Systems & Equipment Elect. LMHCAT008-16 U.S. DEPARTMENT OF TRANSPORTATION FEDERAL AVIATION ADMINISTRATION Apr. 21, 2016 STATEMENT OF COMPLIANCE WITH AIRWORTHINESS STANDARDS AIRCRAFT OR AIRCRAFT COMPONENT IDENTIFICATION 4. TYPE (Aircraft, Engine,Propeller,etc.) 5. NAME OF APPLICANT 2. MAKE 3. MODEL NO. Beechcrafl Corp. 200 SERIES AIRPLANE Commuter Air Technology, Inc. th 7301 NW 50 Street Oklahoma City, Oklahoma 73132 LIST OF DATA 6. IDENTIFICATION 7. TITLE CA029-413-050, Rev IR, Dated 4/20/2016, Shts 1 thru 10 EO/IR EQUIPMENT END Notes: 1. This design data approval is limited to the electrical Systems & Equipment aspects only. 2. This approval is for design data only and is not an installation approval. 8. PURPOSE OF DATA:: Aoorove data In suooort of Eauioment to be installed in aircraft listed in item 3 above (List specific sections) 9. APPLICABLE REQUIREMENTS: SYSTEMS & EQUIPMENT: 14CFR Part23.1309(a), Amdt23-34 14CFR Part 23.1351 (b){1 ); Arndt 23-34 14CFR Part 23.1431; No Arndt 10. CERTIFICATION - Under authority vested by direction of the Administrator and in accordance with conditions and limitations of appointment under 14 CFR Part 183, data listed above and on attached sheets numbered xxxxxxxxxxxxxxx have been examined in accordance with established procedures and found to comply with applicable requirements of the Airworthiness Standards listed. I (X) Therefore D Recommend approval of these data [Kl Approve these data 11, SIGNATURE (S) OF DESIGNATED ENGINEERING REPRESENTATIVE !Ae,fDije eJtatl/iJ.A'ea' #'pde .9V'~tndtH- o-/ de !#edend'.9/u.iation, .s;l~t,atiun. 9°.ak~~- November 10, 1986 9°.ak~..&".,..=· May 29, 1987 9°.ak~ May 26, J993,Apd 17, 2008 ~Acting Manager.Seattle Aircraft CertificationOffice (J'it/e) Any alteration oftl,;s cer1ificateis punishable by a.fine of not exceeding $1,000,or Imprisonmentnot exceeding 3 years, or both. This certificate may be traniferred In accordance with FAR 21.47. FAA FOR~!Bl IO-Z(I0-68) ,\)f)r:"·",· ,,.?!i,·,;s.:,;-,:.1··· ·thli®·~o!~1Utia1 iitnnf"· i Mninistt' f i\tiwtinr -· JJrwum of Wrnusµnt1ntfm \.:,, ..' ." · Qte11ifkatt·'·'·' ···'· tl~,!Pt "Wt ,'d/~uµplttntutt •••"_,. .•I - •.•• ,; • ·u:-~,:.,i,:;:,•• · • ' ~-~.w.,· ::.,1.~ ·~·· • ·~v- ·,, · .,. , .... .:.~•.,. •,...o..::::,:. Raisbeck Engineering 4411 South Ryan Way ,.,. ····:;•·:, ·,:.,;v1r,~-;,/,·,•< Seattle, WA 98178,,... -rti";·,,.". ·,:,:1!>· ...... /bP tlfe p/~HtJtitp /ll'(}t/2tot ttJt't.itlfe &mta/t'(}IMa1u/ C(}1tc/t'(t,'tJ.;1,j ce;.•tt/fedtlfat tlfe clfa1w.etit tlfe tjl;ze &.11;f7/1, 23 o-/td'e Fe'deraF¼vi~.tlbn'i 1~tureme1t/j o/~/;t' tlknj/;-1·ead :fjtectfiecli!eretJI!,meet:J t~ (W't(}(J/'t&ae.1d ..._.,__ . , .. ,.. ·..... . ... . ....... . !Jl!ept/6,(t°(}l?..1,. .. . ~6/-·ttjloah/Kem&,.,_·A24CE &i--~ilza/9JrPa2tct-Bj;ze . . .. ., ....lhl!e: =.~:.:·:,.. ····( . . Beechcraft 1 ~ \~( -}~v/~.1A~ • ... i ....... 1e ............ 00~(~~1 ··A200G 20~'.(e=12A)~~ oeer-;2oeT,--A ..····-------·-···· ·-·--.-. ..-..~·:::·~:~~·::·~~~i~~200~2cioe;-2 ·· ...···____ A200CT(C-12[?),A20QCT(FWC-1°i'D), (UC~12B), A200CT(C-12F},A2,00CT(RC-12.D),A200CT(~C-12G), A26qc.f;(RG.~~12P), ~1:'cr·iRk~~t : . ., 8200C (UC-12F),B200GT ••• O .;.H .,.,.\,,.,•, •• ~::.: ••• ......... :,,,,.,.~H· O O ••-•H O OO ', ... :, <·{. ,,:,::,,•:,.~. O O O ,i, 'atC.Q[da:'ricfw'ltfi"'' Installation'of the Ram.AirRei'covery"system o/t&; ~ze 9e:Jtj'/1, Wilm~: g;(J.1C/"f?,tt'(!:l7, List R81-1001,Revision K, dated February 1, 2008, or later Fe~~r~J}~l~!~9!L,P,j Draw.).n9 Rais~~ck,,E.ngineeri11g . ::: . ·.. . ·· · . . . Q f~YJ~Jon. ~P.Rf9.Y~. t1or:, Admm1stra O ·~ ' ' • • ' :•,•J.•,•, l.,· ..:,.\,,., .• r, ' ''••••• ,,,.,,, H<,:,,,,. 'H '•--1,,..,;_:, ,' .,,.LJ,••'••• ,.J,.,/_, ,, , ·.· · ;.:.•. Approval of this ch~~ge.in'type designapplied to the above model aircraftonly. mt¢'.WMeu,'4'tJl?..1.' .:lbnt'tatt'tJ11,:) to other aircraft of this model on which other previo~s·ly~-pproved extended be This approval should nqt it is determinedthat the relationshipbetween.thi~.changeand any of unl.1;iss d inc.orporate been h~\1\3 s modification effect in type desigri,·willintrddac·e{nb·adyerse those other previouslyapprovedmodificatioi\~.JricJu~lng):_hanges permanent the of part as maintained be upon the airworthinessof that aircraft. A copy of this certificatemust record of the modifiedaircraft. ;,i·,;J, .',;';•,,.·•.;I '' ... '(see ContinuationSheet Page 3 of 3 pJ~etf':\·,~ 9'lli:J cedt/f:cate durn11itknd aaclt&:dtfi;wi-t'tifji l'fJtJ()4d :Jttdj(:tJ/_ukd (}f' o-/a;-f?,tkd{(}/Z·,. !lf atfJ tyt':f:Jttmu:fJ.· ,;,\', : ', tmtt'/·· 'tit #ct pl'a;tjviJ.t)d:J,,{afl/;~IJl'liatit 'tv/ud t':Jde 'lla.1t':J kd $~1.itiit':Jfl'at(}1·.P/ 8:ltad'li.1/,/pJtftJ a !fJl'llztiiatt'tHi dah i:JtJt,4'gnui:Je dzta 1/eau'o/z. Z, ;p.i'd.??tiit': .9ecitJl'a/.xlrJt'atf~/ !lfate 'i, March 11, 1986 -·.~March 31, 2014 April 30, 1986 11/21/97; 11/23/99; 2/1/08 •' er Seattle Aircraft CertificationOffice (Title) Any a/ten,tion of this certifirnteis punishableby a fine of not exceech'ng.$/,000,or imprisonment not exceeding3 years, or both. Thiscertificate may be transferredin accordancewith FAR21.47, FAA FORM8110-2( 10·68) PAGE 1 OF 3 PAGES U.S.DEPARTMENT OF TRANSPORTATION FEDERALAVIATIONADMINISTRATION DATE STATEMENT OF COMPLIANCE WITH THE FEDERALAVIATION REGULATIONS ( 14 April 2015 MAKE AIRCRAFT OR AIRCRAFT COMPONENT IDENTIFICATION TYPE(Airplane,Radio,Hellcopler.ale.) MODELNO. NAMEOF APPLICANT Beechcraft 8200 Airplane Valair Aviation, Inc. LISTOF DATA IDl=NTIFICATION TITLE Fwd fairing cover installationon cargo pod. NIA -----------EN 0--------- Notes: 1. This approval is for engineeringdesign data only. It indicates the data listed above demonstratescomplianceonly with the regulationsspecified by paragraphlisted below as "ApplicableRequirements".The structural aspects only of the above listed data are approved herein. 2. This is an interim approvalfor alteration performed on S/N BB-1293only. · 3. This approval is based on photos (5ea) and emails dated 4/14/15 from Alan Vander. Background:The fwd cargo pod has been modified for MX10 camera Installation,cover is used when the MX1O is not installedor operational. Is is currently used for partial system check out flights. Final drawingsfor this cover will follow when total system has been aquired and installed. --------------------------------------END------------------------------------···· Engineeringdata to support field activity. PURPOSEOF DATA FAR 23.601, 603 amdt 23-23, 605 amdt 23-23, 609, 613 amdt 23-45. APPLICABLEREQUIREMENTS (Listspecmcsacllons) CERTIFICATION• Under authority vested by dlreclion of Iha Administrator and In accordance with conditions and !Imitations of appointment under Part 183 of lhe Federal Aviation Regulatlons, data listed above and on auached sheets numbered ..1:!tA_ have been examined In accordance with established procedures and found to comply with applicablerequirements of the Federal Aviation Regulations. 0 Recommendapproval of thosodata (81Approvethese data t (Wet Therefore S!GNATURE(SlOF DESIGNATED ENGINEERING REPRESENTATIVE/Sl DESIGNATION NUMBERS/Sl CLASSIFICATIONIS\ Rex Ruoh-yu Liu£_ DERT 605325-NM Structures '/ F - /. L __/. a20/f,/ 7. Approval for Return to Service Pursuant to the authority given persons specified below, the unit identified in item 5 was inspected in the manner prescribed by the Administrator of the Federal Aviation Administration and is fxlApproved nRejected BY FAA Flt. Standards Inspector Manufacturer FAA Designee Repair Station Certificate or Designation No. 3386006 I.A. FAA Form 337 {10/06) - I Maintenance Organization X Inspection Authorization Other (Specify) 1~/4s f ~,r Pagel Persons Approved by Canadian Department of Transport NOTICE Weight. and balance or operating limitation changes shall be entered in the appropriate aircraft record. ,An ·alteration; must. be·: compatible with all previous alterations to assure continued conformity with the applicable airworthiness requirements. 8. Description of Work Accomplished (If more space is required, attach additional sheets. Identify with aircraft nationality and registration mark and date work completed.) N122TP Nationalityand RegistrationMark December5, 2014 Date Installed LoPresti Aviation "BoomBeam" Landing and Taxi lights, per the instructions and procedures contained in STC #SA02279AT, LSM-500-027, Rev Y, dated 10-24-14.Premission for install via LoPresti Aviation Letter dated 11/20/2014. Aimed lights, performed gear swing and performed ops check after install. Parts installed: a. King Air BoomBeam Kit, p/n - LSM-500-027-13 b. Ballast (3 ea.), pin -LSM-SCD-019-5 c. Lamp (3 ea.), p/n - LSM-SCD-009-1 Weight and balance has been revised and a new weight and balance sheet has been installed in the AFM/POH and aircraft records. Note 1: The ballasts were installed in the primary location, under the L/H avionics compartment floor. Instructions for Continued Airworthiness: I. Introduction: The following Instructions for Continued Airworthiness (ICA's) satisfy the requirements and provide information necessary to complete on-going maintenance and inspection of the modification descried herein. 2. Description: See Description of Work Accomplished above. 3. Control/Operation Information: Same as OEM installation 4. Servicing Information: None. 5. Maintenance Instructions: Perform a 600 hour/12 month LoPresti BoomBeam Inspection - Inspect the mechanical and electrical integrity of the BoomBeam Equipment and Components per the LSM-500-027 Rev Y ICA's 6. Troubleshooting Information: See LSM-500-027 Rev Y ICA's 7. Removal/Replacement Information: See LSM-500-027 Rev Y ICA's 8. Diagrams: See LSM-500-027 Rev Y ICA's 9. Special Inspection Requirements: Perform a 600 hour/12 month LoPresti BoomBeam Inspection - Inspect the mechanical and electrical integrity of the BoomBeam Equipment and Components per the LSM-500-027 Rev Y ICA's 10. Application of Special Treatments: None. 11. Data: See LSM-500-027 Rev Y ICA's 12. List of Special Tools: None: 13. For Commuter Category Aircraft: Not Applicable. 14. Recommended Overhaul Periods: None. · 15. Airworthiness Limitations Section: Not Applicable. 16. Revision: Submit a letter to the local FSDO with a copy of the revised FAA Form 337 and revised ICA. 0Additional Sheets Are Attached FAA Form 337 (10/06) Page 2 ~rpllrtmrnt ,,f [ransµort:1ti1111 -- Jfiri'irrnl J\liiatinn ~:\~111i11istr:1lio11 l e Qiertificatc mup ffi,upple1ne11tu LuPrt·sti Spt·t·1 •'! 6 'The world's leading providell"of aviation 9 PERFORMANCE soh.11tnonso' l l/20//2014 To whom it may concern: LoPresti Aviation gives permission to Commuter Air Technology to install our STC SA02279AT on KingAirserial number BB-1293. Curt LoPresti President LoPresti Speed Merchants ' ,,./1 /. /J ,/ -7I . ·//I / /' / . • :.,,..? I{,,?fvV{I i qy(1r·;/~ t) 1/- I) r .r. , 1 ·, .'J, 210 Airport Drive East, Sebastian, FL 32958 772-562-4 757 ° 772-228-9750 Fax .. www.LoPrestiAviation.com 1' 0 I Fonn Approved 0MB No. ElectronicTracking Number 2120-00202/28/2011 For FAA Use Only MAJOR REPAIR AND AL TERA TION (Airframe, Powerplant, Propeller, or Appliance) U.S Department of Transportation FoderafAviation Administration INSTRUCTIONS:Print or type all entries. See Title CFR 43.9, Part 43 AppendixB, and AC 43.9-1 (or subsequent revision thereof) for instructions and dispositionof this form. This report is required by law (49 U.S.C.44701). Failure to report can result in a civil penalty for each such violation. (49 U.S.C. 4630Han Serial No. Nationalityand RegistrationMark 1. Aircraft BB-1293 NJ22TP Series Model Make King Air B200 Beech Aircraft Corp Address (As shownon registrationcertificate) Address 7200 N. W. 63 rd Street City Bethany State: Oklahoma Zio 73008-5002 Countrv USA Name (As shown on registration certificate) 2. Owner Commuter Air Technology Inc 3. For FAA Use Onlv 4. Type Repair D S. Unit Identification • Alteration D D DD D D Make Unit Model AIRFRAME Serial No. (As described in Item I above) POWERPLANT PROPELLER Type APPLIANCE Manufacturer 6. Conformitv Statement B. Kind of Agency A. Agency's Name and Address Name VALAIR Aviation Address 7301 NW 50th Street City Oklahoma City State Oklahoma Zip 73132-9702 Country USA Manufacturer D U.S. CertificatedMechanic D ForeignCertificatedMechanic C. Certificate No. 181 CertificatedRepair Station D CertificatedMaintenanceOrganization V5SR2l70 D. I certifythat the repair and/or alteration made to the unit(s) identifiedin item 5 above and described on the reverseor attachmentshereto have been made in accordancewith the requirementsof Part 43 of the U.S. FederalAviation Regulationsand that the informationfurnished 1..,. ...,,.:... ic tn1P ExtendedRange Fuel Per 14 CFR Part 43 App. 8. ,..,......a nn.-an• tn •l..a I..~,.• nf ....... ... Signature/Dateof AuthorizedIndividual D Glen Williams ..,;~ // /. // 10/02/2014 ....... 7. Approval for Return to Service Pursuantto the authoritygiven persons specified below, the unit identifiedin item 5 was inspected in the manner prescribed by the Administratorof the FederalAviation Administrationand is 181APPROVED 0 REJECTED By FAA Flt Standards lnsoector FAA Designee Maintenance Organization Repair Station Inspection Authorization X Signature/Dateof AuthorizedIndividual V5SR2170 FAAForm337 ( 10-06) IPersons Approved by Canadian Department of Transport Certificate or Designation No. Manufacturer Glen Williams ,P - . Other (SoecifvJ U,,& / /./ _ ·~ 10/02/2014 NOTICE Weight and balance or operating limitation changes shall be entered in the appropriate aircraft record. An alteration must be compatible with all previous alterations to assure continued conformity with the applicable airworthiness requirements. 8. Description of Work Accomplished (l/ more space is required, attach additional sheets. Identify with aircraft nationality and registration mark and date work completed.) ._I __ __ N_l_22_TP ,....____10;,_02_'12_0_14_~1 ___.I Nationality and Registration Mark Date Removed factory installed avionics and related components as necessary and Installed Garmin GI 000 Integrated Avionics Systems and GFC 700 Automatic Flight Control System. All work performed was done in accordance with the instructions and procedures contained in Garmin International, Inc., STC# SAOl535Wl-D. Installed the Mid-Continent Standby Attitude Module. All work performed was done in accordance with the instructions and procedures contained in Mid-Continent STC #SAOl 969SE using Master Data List #AM026 l-DL02-00, dated Ol/17/2014. FAA Approved Flight Manual Supplement, Garmin Airplane Flight Manual Supplement (AFMS), entitled "G/000 Integrated Avionics System and GFC 700 AFCS in Hawker Beechcraft 200, 200C, 8200 and 8200C King Air Aircraft", Dwg. Number 190-00915-02, Revision 7, dated 02-28-20/4 was placed in the Aircraft Flight Manual, Supplement Section. FAA Approved Flight Manual Supplement, Mid Continent Flight Manual Supplement (AFMS), entitled "Supplement #AM0261-FMOI-OO Mid-Continent MD302 Standby Attitude Model", dated 1/17/2014 was placed in the Aircraft Flight Manual, Supplement Section. Removed original TCAS antenna, p/n - S72- l 746, sin - 1971 from F.S. I 81.6 and LBL 3 .2 and installed a blanking plate, with reference to Beech SIRM 20-10-16-201 Rev C, dated 11/2013. New TCAS antenna installed per Garmin STC. Removed Temp Probe, p/n- 122-384003-l, sin - A31627 from F.S. 65.1 and RBL 3.0 And installed a blanking plate, with reference to Beech SIRM 20-10-16-201 Rev C, dated 11/2013. New Temp Probe installed per Garmin STC. Installed UHFNHF antenna inside pod, p/n - V A20 I, sin - 1548. All work performed was done in accordance with the instruction and procedures contained in Commuter Air Technology Drawing #CAOOl-337-290 Rev D, dated 9/29/2014 as approved by FAA form 8110-3, dated 09/30/2014, and Commuter Air Technology Drawing #CAI00319, Rev IR as approved by FAA form 8110-3, dated 09/28/2014, Modified MCO/ICS isolation switch. All work performed was done in accordance with the instructions and procedures contained in Commuter Air Technology Drawings #CAOI 0-346-110, Rev B, dated 9/16/2014, as approved by FAA form 81103, dated 9/22/2014. Instruction for Continued Airworthiness: See section 4, pages 4-1 thru 4-40 of Garmin Document GI 000/GFC 700 System Maintenance Manual-200/8200 Series King Air, pin - 190-00915-0 I, Revision 9. This document was given to the owner/operator. See Mid-Continent Installation Manual and Operating Instructions for lnstructions for Continued Airworthiness, Manual #AM0261-ICOI-OO Rev-, dated l l/11/2013. Instructions for Continued Airworthiness: (I) Introduction: The following Instructions for Continued Airworthiness (!CA) satisfy the requirements and provide the information_necessaryto complete on -going maintenance & inspection of the structural and electrical modifications described herein. (2) Description: See Description of Work Accomplished above for UHFNHF antenna. (3) Control/Operation Information: Use the manufacturer's control/ operation information (4) Servicing Information: None. (5) Maintenance Instructions: Use the aircraft manufacturer's recommended inspection/maintenanceperiods to check for condition and security. This installation requires no special periodic maintenance or overhaul requirements. (6) Trouble Shooting Information: None. (7) Removal/ReplacementInformation: Use standard shop tools. (8) Diagrams: None. (9) Special Inspection Requirements: None. (10) Application of Special Treatments: None. ( 11) Data: None. ( 12) List of Special Tools: None. ( 13) For Commuter Category Aircraft: None. (14) Recommended Overhaul Periods: No additional overhaul time limitations. (15) Airworthiness Limitations Section: Not applicable. (16) Revision: Submit a letter to the local FSDO with a copy of the revised FAA form 337 and revised ICA. The aircraft was weighedafter all the above work was completed, a new revisedWeight& Balance Sheet was placed in the Aircraft Flight Manual,Weight& Balance Section. The Aircraft Equipment list was updated to reflect the above change. •••END••• D Additional Sheets Are Attached FAA Form 337 (10-06) U.S.GPO:1989-0-663-171 Wniteb~tatell'of~nmica .,.,jfeberal~biation~bmini.s'tration l)epartmenoft ~ran.s'portation if \leppebeet) (QContinuation ff tuntfe,µ SA01535WI-D ~a/4 t>,/i.lJu~· ~<7~ yjv,~ ./4.,,.~a( March 14, 2009 December 14, 2009; November 23, 2010; May 11, 2012; May 14, 2013, February 28, 2014 ~m:&tM.t»1t4u-,/.1t<.Y:,c,;,,:k,:/ lc,/o~/ t'/4 l,{;.:k4 ,(,,r: /4/4 ol tt &PvN?,,;,.,a/4b,,,.,, ,.a,#,t' 3/j/Ut7vctt1~!:f':cm,v)n ,(/4 co«ttf'tf/;/c/tfJr ,.;;o!'/4?/UP.1(:; U.S. DEPARTMENT OF TRANSPORTATION FEDERAL AVIATION ADMINISTRATION DATE STATEMENT OF COMPLIANCE WITH THE FEDERAL AVIATION REGULATIONS 13 August 2014 AIRCRAFT OR AIRCRAFT COMPONENT IDENTIFICATION MAKE MODEL NO. TYPE (Airplane, Radio, Helicopter. etc.) NAME OF APPLICANT Beechcraft B200 Airplane Valair Aviation, Inc LIST OF DATA IDENTIFICATION TITLE Drawing No. VA-BB1293-001.1 AV201 FM Antenna lnstl. Shi 1 of 1 VA-BB 1293-001 AV201 FM Antenna Doubler. Sht 1-2. Attachment A ------------End------------- AV201 antenna airload cal. Notes: 1. This approval is for engineering design data only. It indicates the data listed above demonstrates compliance only with the regulations specified by paragraph listed below as "Applicable Requirements". The structural aspects only of the above listed data are approved herein. 2. This approval is issued to support alteration performed on S/N BB-1293 only. ---------------------------------------------------- ----EN D---------------------------------------------------- Engineering data to support field activity. PURPOSE OF DATA APPLICABLE REQUIREMENTS (List specific sections) FAR 23.601, 603 amdt 23-23, 605(a) amdt 23-23, 609, 613 amdt 23-45. _,_ CERTIFICATION - Under authority vested by direction of the Administrator and in accordance with conditions and limitations of appointment under Part 183 of the Federal Aviation Regulations, data !Isled above and -on attached sheets numbered have been examined in accordance with established procedures and found to comply with applicable requirements of the Federal Aviation Regulations. D Recommend approval of these data I (Wet Therefore Approve these data SIGNATURE/SJ OF DESIGNATED ENGINEERING REPRESENTATIVE/SJ DESIGNATION NUMBERS(S) CLASSIFICATlON(S) Rex Ruoh-yu Liu~ DERT 605325-NM Structures M-vttd~ / FAA Form 8110-3 (1 t-70) SUPERSEDES PREVIOUS EDITION ELECTrlONIC f'ORMAT (7·00) 0 Form Approved 0MB No. 2120-0020 2/28/2011 MAJOR REPAIR AND ALTERATION (Airframe, Powerplant, Propeller, or Appliance) U.S Departmentof Transportation I Electronic Tracking Number For FAA Use Only Federal Aviation Administration INSTRUCTIONS: Print or type all entries. See Title 14 CFR 43.9, Part 43 Appendix B, and AC 43.9-1 (or subsequent revision thereof) for instructions and disposition of this form. This report is required by law (49 U.S.C. 44701 ). Failure to report can result in a civil penalty for each such violation. (49 U.S.C. 46301(a}} Nationality and Registration Mark Serial No. N122TP 1. Aircraft BB-1293 Make Model Beech Aircrafi Co. Super KinR Air B200 Name (As shown on registration certificate) Address (As shown on registration certificate) Address 2. Owner Series Commuter Air Technology, Inc. 2701 Liberty Pkwy Ste. 309 City Oklahoma City Zip State Oklahoma 73110-2895 Country United States 3. For FAA Use Only 4. Type Repair D 5. Unitldentification • Alteration D D D D D D Unit Make Serial No. Model AIRFRAME (As described in Item 1 above) POWERPLANT PROPELLER APPLIANCE Type Manufacturer 6. Conformity Statement A. Agency's Name and Address Manufacturer B. Kind of Agency Name VALAIR Aviation Address 7301 NW 50th Street State Oklahoma City Oklahoma City Zip 73132-9702 Country United States D U.S. Certificated Mechanic D Foreign Certificated Mechanic D Certificated Maintenance Organization C. Certificate Certificated Repair Station No. V5SR2J70 D. I certify that the repair and/or alteration made to the unit(s) identified in item 5 above and described on the reverse or attachments hereto have been made in accordance with the requirements of Part 43 of the U.S. Federal Aviation Regulations and that the information furnished herein is true and correct to the best of my knowledge. Extended range fuel Per 14 CFR Part 43 App. B Signature/Date D of Authorized Individual ' Glen William5_,,,j/~, . ..1 /// / / .. ./~ 07/23/2014 7. Approval for Return to Service Pursuant to the authority given persons specified below, the unit identified in item 5 was inspected in the manner prescribed by the Administrator of the Federal Aviation Administration and is BY Certificate Designation FAA Flt Standards Inspector FAADesignee X or APPROVED V5SR2l70 REJECTED Manufacturer Maintenance Repair Station Inspection Authorization IPersons Approved by Canadian Department of Transport Organization Other (Specify) Signature/Date No. D of Authorized Glen Williams .v~ Individual ' /////_L,, _ > 07/23/2014 NOTICE Weight and balance or operating limitation changes shall be entered in the appropriate aircraft record. An alteration must be compatible with all previous alterations to assure continued conformity with the applicable airworthiness requirements. 8. Description of Work Accomplished (If more space is required, attach additional sheets. Identify with aircraft nationality and registration mark and date work completed.) I Nl22TP Nationality and Registration Mark II 07/23/2014 I Date Installed: Cable feed thru panels one at F.S: 177.5, LBL 11, and one at F.S: 177.5, RBL 3.5 and RBL 6.0, per structural report #LE-1707 Rev, as approved by FAA form 81 I 0-3, dated 07/22/2014. Installed: Removed existing video encoder and installed a Makito video encoder in mission console, per electrical drawing #CA020-336-999, Rev 1/R, dated 7/16/2014, as approved by FAA form 8110-3, dated 07/19/2014. Installed: Removed existing turret camera and mounted a new turret camera MX 15-HD(D)I with new modified cable assembly, per electrical drawing #CA029-334-050, Rev 1/R, dated 7/15/2014, as approved by FAA form 8110-3, dated 07/19/2014. Installed: Two comm antennas one located outside aft left side and one inside antenna located aft right side, per structural Report #LE-1707 as approved by FAA form 8110-3, dated 07/22/2014, and electrical drawing #CA020-336-999, Rev 1/R, dated 7/16/2014, as approved by FAA form 8110-3, dated 07/19/2014. /11structio11sfor Continued Airworthiness: (I) Introduction: The following Instructions for Continued Airworthiness (!CA) satisfy the requirements and provide the information necessary to complete on -going maintenance & inspection of the structural and electrical modifications described herein. (2) Description: See Description of Work Accomplished above. (3) Control/Operation Information: Use the manufacturer's control/ operation information (4) Servicing Information: None. (5) Maintenance Instructions: Use the aircraft manufacturer's recommended inspection/maintenance periods to check for condition and security. This installation requires no special periodic maintenance or overhaul requirements. (6) Trouble Shooting Information: None. (7) Removal/Replacement Information: Use standard shop tools. (8) Diagrams: None. (9) Special Inspection Requirements: None. ( I 0) Application of Special Treatments: None. (11) Data: None. ( 12) List of Special Tools: None. ( 13) For Commuter Category Aircraft: None. ( 14) Recommended Overhaul Periods: No additional overhaul time limitations. (15) Airworthiness Limitations Section: Not applicable. (16) Revision: Submit a letter to the local FSDO with a copy of the revised FAA form 337 and revised ICA. Weight and balance change for these items had been detennined to be negligible. ***END*** D FAA Forni 337 (10-06) Additional Sheets Are Attached U.S.GPO:1989-0-663-171 DATE U.S. DEPARTMENT OF TRANSPORTATION FEDERAL AVIATION ADMINISTRATION STATEMENT OF COMPLIANCE WITH THE FEDERAL AVIATION REGULATIONS 22 July 2014 AIRCRAFT OR AIRCRAFT COMPONENT IDENTIFICATION MAKE MODEL NO. TYPE (Airplane, Radio, Helicopter, etc.) NAME OF APPLICANT Beechcraft B200 Airplane Valair Aviation, Inc LIST OF DATA 1ni:NTIFlr.ATION TITLE WR-ANT-015 and WR-ANT-047 Antenna Installations on Beechcraft B200, SIN BB1293. Pages 1-3 and Appendix. Report No. LE- 1707 Valair Aviation Work Order No. W0-590, Item/Squawk# 9.4 ------------End------------- Two antennas installation (WR-ANT-015 and WR-ANT-047) Notes: 1. This approval is for engineering design data only. It indicates the data listed above demonstrates compliance only with the regulations specified by paragraph listed below as "Applicable Requirements". The structural aspects only of the above listed data are approved herein. 2. This approval is issued to support alteration performed on S/N BB-1293 only. ----------------- .--------------------------------------EN0-------- ------------------------------------ -------- Engineering data to support field activity. PURPOSE OF DATA APPLICABLE REQUIREMENTS (Lisi specific seclions) FAR 23.601, 603 amdt 23-23, 605(a) amdt 23-23, 609, 613 amdt 23-45. CERTIFICATION - Under authority vested by direction of the Administrator and in accordance with conditions and limitations of appointment NIA have been examined in under Part 183 of the Federal Aviation Regulations, data listed above and on attached sheets numbered accordance with established procedures and found to comply with applicable requirements of the Federal Aviation Regulations. 0 I {We-)Therefore Recommend approval of these data t8]Approve these data SIGNATURE/SI OF DESIGNATED ENGINEERING REPRESENTATIVE(S) Rex Ruoh-yu Liu 4 ,If_/ , ./4. DESIGNATION NUMBERS/SI CLASSIFICATION/SI DERT 605325-NM Structures I FAA Form 8110-3 (11·70) SUPERSEDES PREVIOUS EDITION ELECTRONIC FORMAT (7-00) • LMHVAAV18 U.S. DEPARTMENT OF TRANSPORTATION FEDERAL AVIATION ADMINISTRATION July 19, 2014 STATEMENT OF COMPLIANCE WITH AIRWORTHINESS STANDARDS AIRCRAFT OR AIRCRAFT COMPONENT IDENTIFICA TIONTE 4. TYPE (Aircraft, Engine,Propel/er,etc.) 5. NAME OF APPLICANT 2. MAKE 3. MODEL NO. Beechcraft Corp. B200 SIN BB-1293 only AIRPLANE Valair Aviation th 7301 NW 50 Street Oklahoma City, Oklahoma 73132 LIST OF DATA 6. IDENTIFICATION 7. TITLE CA029-334-050, Rev 1/R Dated 7/15/14 Sheets 1 thru 10 EO/IR Equipment CA030-209-220, Rev 1/R Dated 7/15/14 Sheets 1 thru 3 VIDEO System Equipment Modification CA020-336-999, Rev 1/R Dated 7/16/14 Sheets 1 and 2 Wave Relay Equipment END Notes: 1. This design data approval is limited to the Systems & Equipment Electrical aspects only. 2. This approval is for design data only and is not an installation approval. 8. PURPOSE OF DATA: To approve data for EO/IR Eq, Video System Eq. Modification and Wave Relay Equipment to be installed in aircraft listed in item 3 above. 9. APPLICABLE REQUIREMENTS: (List specific sections) SYSTEMS & EQUIPMENT: 14CFR 23.1301 (b), (c) {Amndt 23-57} 10. CERTIFICATION - Under authority vested by direction of the Administrator and in accordance with conditions and limitations of appointment under 14 CFR Part 183, data listed above and on attached sheets numbered xxxxxxxxxxxxxxx have been examined in accordance with established procedures and found to comply with applicable requirements of the Airworthiness Standards listed. I (We) Therefore D Recommend approval of these data [KJ Approve these data 11, SIGNATURE (S) OF DESIGNATED ENGINEERING REPRESENTATIVE (S} 12. DESIGNATIONNUMBER(S) DERT-710123-SW ~~rn.ffr LOYD M. HIGGINS FAA Form 8110-3 (03/10) SUPERSEDES PREVIOUS EDITION 13. CLASSIFICATION(S) Systems & Equipment Elect. I 0 Form Approved0MB No. . 2120-0020 2/28/2011 MAJOR REPAIR AND ALTERATION (Airframe, Powerplant, Propeller, or Appliance) U.S Department of Transportation I ElectronicTracking Number For FAA Use Only Federal Aviation Administration INSTRUCTIONS: Print or type all entries. See Title CFR 43.9, Part 43 Appendix B, and AC 43.9-1 (or subsequent revision thereof) for instructions and disposition of this form. This report is required by law (49 U.S.C. 44701). Failure to report can result in a civil penalty for each such violation. (49 U.S.C. 4630l(a)) Nationality and Registration Mark I. Aircraft Serial No. Nl22TP RB-1293 Make Model Reech Aircraft Cnrn Series R200 Name (As shown on registration certificate) Suver King Air Address (As shown on registration certificate) 2. Owner Address Commuter Air Technology, Inc. 2701 Liberty Pkwy Ste. 309 City Oklahoma City Zip 73110-2895 State: Oklahoma Country United States 3. For FAA Use Onlv 4. Tvoe 5. Unit Identification • Alteration Repair D D D DD D D Unit Make Model AIRFRAME Serial No. (As described in Item I above) POWERPLANT PROPELLER Type APPLIANCE Manufacturer 6. Conformity Statement A. Agency's Name and Address B. Kind of Agency Name VALAIR Aviation Address 7301 NW 50th Street City Oklahoma City State Oklahoma Zip 73132-9702 Country USA Manufacturer D U.S. Certificated Mechanic C. Certificate No. D Foreign Certificated Mechanic 181 Certificated Repair Station D Certificated Maintenance Organization V5SR2l70 D. I certify that the repair and/or alteration made to the unit(s) identified in item 5 above and described on the reverse or attachments hereto have been made in accordance with the requirements of Part 43 of the U.S. Federal Aviation Regulations and that the information furnished ho,o;n i< fn,p Extended Range Fuel Per 14 CFR Part 43 App. B. nnA ~n"o~t In tho h ,et nf m" t.-nn,.,loAop . Signature/Date of Authorized Individual D . IL/J_/~~• Glen Williams.~ 07/23/2014 7. Approval for Return to Service Pursuant to the authority given persons specified below, the unit identified in item 5 was inspected in the manner prescribed by the Administrator of the Federal Aviation Administration and is [8] APPROVED 0 REJECTED By FAA Flt Standards Insoector FAA Designee Manufacturer X Repair Station V5SR2l70 FAA Fom1 337 ( 10-06) IPersons Approved by Canadian Deoartment ofTransoort Organization Inspection Authorization Signature/Date of Authorized Individual Certificate or Designation No. Maintenance Glen Williams~~ . //4 Other (Svecifv) 07/23/2014 ., NOTICE Weight and balance or operating limitation changes shall be entered in the appropriate aircraft record. An alteration must be compatible with all previous alterations to assure continued conformity with the applicable airworthiness requirements. 8. Description of Work Accomplished (/f more space is required, attach additional sheets. Identify with aircraft nationality and registration mark and date work completed.) ~---N_l 2_2_T_P ___ ~, Nationality and Registration Mark ._I __ 0_7_!2_31_2_01_4 _ ____. Date Refurbished aircraft seats using the following materials: (I) Recovered both crew seats using Wollsdorf Ambassador Natural Leather and Douglass Interiors SS Honey Sheepskin. (2) Recovered (5ea) cabin seats, (I ea) couch, (I ea) potty seat using Wollsdorf Ambassador Natural Leather. (3) Seat belts on cabin seats, crew belts & shoulder harness were re-webbed with black webbing by CRS# V05R749Y The above items ( I & 2) were composite build-up "bum tested" by Skandia and meet the requirements of 14 CFR 23.853 (a), Arndt. 23-62, Appendix F, Part I, (e) as approved by FAA fonn 8110-3, dated 06-26-2014. The material change & installation of material approval was done in accordance with drawings V A-329, VA-330, V A-345, VA-346, dated 06-19-20I 4 as approved by FAA fonn 8 I I 0-3 dated 07-02-20I 4. Weight and balance change for these items had been detennined to be negligible. Instructions for Continued Airworthiness: I) Introduction: Refurbished aircraft seats. 2) Description: Recovered crew seats, recovered cabin seats, seat belts & shoulder harness were rewebbed, see all the above for a complete description of the work perfonned. 3) Control/Operation Infonnation: None. 4) Servicing Infonnation: None. 5) Maintenance Instructions: Use the aircraft manufacturer's recommended inspection/ maintenance periods. This installation requires no special periodic maintenance or overhaul requirements & should be treated in the same manner as the factory installed seats. 6) Trouble Shooting Infonnation: None. 7) Removal/Replacement Infonnation: Use standard shop tools. 8) Diagrams: None. 9) Special Inspection Requirements: None. IO) Application of Special Treatments: None. 11) Data: None. 12) List of Special Tools: None. 13) For Commuter Category Aircraft: Not applicable. 14) Recommended Overhaul Periods: None. 5) Airworthiness Limitations Section: Not applicable. I 6) Revision: Submit a letter to the local FSDO with a copy of the revised FAA fonn 337 and revised ICA. ***END*** D Additional Sheets Are Attached FAA Forni 337 (10-06) U.S.GP0:1989-0-663-171 ' .......................................................... - ....... ---,,------------- , t' DEPARTMENTOF TRANSPORTATION FEDERALAVIATIONADMINISTRATION I. DATE STATEMENT OF COMPLIANCE WITH AIRWORTHINESS STANDARDS 7!2fl014 AIRCRAFTOR AIRCRAFTCOMPONENI' IDENTIFICATION 2.MAKE 3.MODELNO. HawkerBeechcraftCorp. 4. TYPE(tfirplane, R.adio,Helicopter,tic.) B200 5. NAMEOF APPLICANT Airplane VALAIRAVIATION LISTOF DATA 6. IDENTIFICATION 7. TITLE VALAIRAVIATION DWGS: VA-329,Rev1/R,Shts 1 & 2, Dtd6-19-2014 Cockpit Seats With Annrests, Headrest & Shroud VA-330,Rev1/R,Sht 1, Otd6-19-2014 Cabin Seat Covers VA-345,Rev1/R,Sht 1, Dtd6-19-2014 Adhesive Bonding Process VA-346, Rev 1/R,Sht 1, Thread & Stitching Process Dtd6-19-2014 NOTES: 1. This FAA approval is for engineering design data only. It indicates the data listed above demonstrates compliance only with the regulations specified by para. & subparagraph listed below as "APPLICABLEREQUIREMENTSa.This form may not constitute FAA approval of all the engineering data necessaryfor substantiation compliance to necessary requirementsfor the entire alteration/repair. Flammability approval is required. Structural approval only is indicated by this form. 2. This approval is for the noted model, SIN BB-1293 only. 3. Approval is for design only, not installation inspection. SE-14--019 8. PURPOSEOF DATA To provide approveddata for an FAA Form 337 alteration 9. APPLICABLEREQUIREMENTS(Ust specific sectiom) CFR Part 23.603, 23.605 @ Amendment23-9 I0. CERTIFlCATION - Underauthorityvested by directionof the Administratorand in occordancewith conditionsand limitationsof appointment yyyy under 14 CFR Part 183, data listed above and attached sheets numbered havebeen examined in accordancewith established proceduresand foundto complywith applicablercquircmcnts of the AirworthinessStandardslisted. I (We) Therefore D [81 Recommend approval of these data Approvethesedata 11. SIONATURES(S)OF DESIGNATEDENGINEERING REPRESENT ATIVE(S) Richard W. Southa~,. {) A A 12.DESIGNATIONNUMBER(S) J 11)l.~~~9 ' FAA Fonn 8110-3 (03110)SUPERSEDESPREVIOUSEDmON DERT-710241-SW 13.CLASSIFICATION(S) Structures r U.S. DEPARTMENTOF TRANSPORTATION FEDERALAVIATIONADMINISTRATION 1.DATE STATEMENT OF COMPLIANCE WITH AIRWORTHINESS STANDARDS 6/26/2014 AIRCRAFT OR AIRCRAFT COMPONENT IDENTIFICATION 2.MAKE 3.MODELNO. Beech craft 6 4.TYPE(Airptane,Engine,Propeller.etc.) 5.NAMEOF APPLICANT B200 Airplane Valair Aviation LIST OF DATA lnFNTIFICATION 7.TITLE TP 275240-14 RevA Skandia, Inc. Flammability Test Report Bunsen Burner Testing Dated 06/26/2014 Test Specimen P/N's 1 (represents cabin seats, couch, potty and crew headrest) 2 (represents cabin seats, couch, potty and crew headrest) 3 (represents crew seats) Notes: 1) Work accomplished 2) Flammability under Skandia Inc. WO# 275240-14, Ref Document ID 95636. test witnessing only, does not constitute installation approval of materials. 8.PURPOSE OF DATA Demonstration of compliance with material flammability requirements 1293 in support of Major Repair & Alteration for S/N BB- 9.APPLICABLE REQUIREMENTS (List specific sections) 14 CFR Part 23.853 (a) Arndt 23-62 Appx F Part l(e) 10.CERTIFICATION - Under authority vested by direction of the Administrator and in accordance with conditions and limitations of appointment under 14 CFR Part 183, data listed above and on attached sheets numbered have been examined in accordance with established procedures and found to comply with applicable requirements of the Airworthiness Standards listed. D Recommend approval of these data I Therefore 15:( Approve these data rJ({, 11.SIGNATURECS) OF DESIGNATEDENGINEERINGREPRESENTATIVE 12.DESIGNATION NUMBER(S) /) ) / ,,,IJAl 1 (I 13.CLASSIFICATION(S) /7 i/1 J1:,,./j#1/1 A-., 5ennifer Paluzzi FAA Form 8110-3 1;. -FAA'bER (03/10) SUPERSEDESPREVIOUSEDITION DERY-832779-CE Structural Special ,~ 0MB No. 2120-0020 Exp: 8/31/2014 MAJOR REPAIR AND ALTERATION (Airframe, Powerplant, Propeller, or Appliance) US Department of Transportation Federal Aviation Administration I ElectronicTrackingNumber For FAA Use Only INSTRUCTIONS: Print or type all entries. See Title 14 CFR §43.9, Part 43 Appendix B, and AC 43.9-1 (or subsequent revision thereof) for instructions and disposition of this form. This report is required by law (49 U.S.C. §44701). Failure to report can result in a civil penalty for each such violation. (49 U.S.C. §46301(a)) Nationality and Registration Mark Serial No. N122TP 1. Aircraft Make Model Beechcraft _1 293 I Series 8200 Address (As shown on registration certificate) Name (As shown on registration certificate) Address 7200 NW 63rd Street Commuter Air Technology 2.0wner 88 City Bethany Zip 73008 State OK Country U.S.A. 3. For FAA Use Only 5. Unit Identification 4. Type Repair Alteration 0 0 AIRFRAME 0 0 POWERPLANT 0 0 PROPELLER Unit Serial No. Model Make (As described in Item 1 above) Type APPLIANCE 0 0 Manufacturer 6. Conformity Statement B. Kind of Agency A. Agency's Name and Address X Name Address I U. S. Certificated Mechanic State City Zip Certificated Repair Station Country Manufacturer C. Certificate No. Foreign Certificated Mechanic A&P #3386006 Certificated Maintenance Organization D. I certify that the repair and/or alteration made to the unit(s) identified in item 5 above and described on the reverse or attachments hereto have been made in accordance with the requirements of Part 43 of the U.S. Federal Aviation Regulations and that the information furnished herein is true and correct to the best of my knowledge. Extended range fuel per 14 CFR Part 43 App. B D ~AWh~ 10~/ao1J 7. Approval for Return to Service Pursuant to the authority given persons specified below, the unit identified in item 5 was inspected In the manner prescribed by the Administrator of the Federal Aviation Administration and is [x]Approved nRejected BY FAA Flt. Standards Inspector Manufacturer FAA Designee Repair Station Certificate or Designation No. 3386006 I.A. FAA Form 337 (10/06) Maintenance Organization X 10/oJ Page I Persons Approved by Canadian Department of Transport Other (Specify) Inspection Authorization I~'~ I j /4o,, NOTICE Weight and balance or operating limitation changes shall be entered in the appropriate aircraft record. An alteration must be compatible with all previous alterations to assure continued conformity with the applicable airworthiness requirements. 8. Description of Work Accomplished (If more space is required, attach additional sheets. Identify with aircraft nationality and registration mark and date work completed.) N122TP NationaIity and RegistrationMark --------Date 10-03-2013 1. Removed the CAT Cargo Carrier from the lower surface of the aircraft and sent the CAT Cargo Carrier to Val Air A via tion for modifications. 2. ValAir Aviation modified the CAT Cargo Carrier by removing the metal door, installing a fiberglass access panel and removing the metal U-Channel from the center of the carrier. ValAir Aviation recorded these modifications on FAA Form 8130-3, dated 10/3/2013, Form Tracking Number SC88666, Work Order# WO 167, which states"Cargo Pod modified per Commuter Air Technology drawing #CA2200-MOD and structure aspects substantiated by DER on FAA Form 8110-3 dated 24 September 2013. This modification meets the requirements of FAR 23.601, 603 and 23-23, 609, 613 and 23-45." 3. Reinstalled the CAT Cargo Carrier onto the lower surface of the aircraft. 4. Weight and balance was calculated and a new weight and balance form was placed in the AFM/POH. Instructions for Continued Airworthiness: I. Introduction: The following Instructions for Continued Airworthiness (ICA's) satisfy the requirements and provide information necessary to complete on-going maintenance and inspection of the structural modification descried herein. 2. Description: See Description of Work Accomplished above. 3. Control/Operation Information: 4. Servicing Information: None. 5. Maintenance Instructions: Use the aircraft manufacturer's recommended inspection/maintenance periods to check for condition, security and operation. This installation requires no periodic maintenance or overhauls. 6. Troubleshooting Information: None. 7. Removal/Replacement Information: Use Standard Shop Tools. 8. Diagrams: 9. Special Inspection Requirements: None. IO. Application of Special Treatments: None. 11. Data: None. 12. List of Special Tools: None: 13. For Commuter Category Aircraft: Not Applicable. 14. Recommended Overhaul Periods: None: 15. Airworthiness Limitations Section: Not Applicable. 16. Revision: Submit a letter to the local FSDO with a copy of the revised FAA Form 33 7 and revised ICA. 0Additional Sheets Are Attached FAA Form 337 (10/06) Page 2 DATE U.S. DEPARTMENT OF TRANSPORTATION FEDERAL AVIATION ADMINISTRATION STATEMENT OF COMPLIANCE WITH THE FEDERAL AVIATION REGULATIONS 24 September 2013 AIRCRAFTOR AIRCRAFTCOMPONENT IDENTIFICATION MAKE MODEL NO. TYPE (Airplane,Radio,Helicopter,etc.) NAME OF APPLICANT Hawker Beechcraft 8200 Airplane Valair Aviation, Inc. LIST OF DATA TITlF IDENTIFICATION CA2200-MOD --------------END---------- Pod Mod, Cargo Carrier. Sheets 1-2. Notes: 1. The structural aspects only of the above listed data are approved herein. This approval is only for the engineering design data. 2. This approval is issued in support of alteration performed on Hawker Beechcraft Model 9200, S/N BB-1293 only. ------------------------- ----------- ----------------EN D----------- --------- ------------- ------------------ ------- PURPOSE OF DATA Engineering data to support field activity. APPLICABLE REQUIREMENTS (List specific sections) FAR 23.601, 603 amdt 23-23, 605 amdt 23-23, 609, 613 amdt 23-45. CERTIFICATION - Under authority vested by direction of the Administrator and In accordance with conditions and limitations of appointment have been examined in under Part 183 of the Federal Aviation Regulations, data listed above and on attached sheets numbered accordance with established procedures and found to comply with applicable requirements of the Federal Aviation Regulations. D Recommendapprovalof thesedata I Therefore Approvethese data 4 SIGNATURE/SI OF DESIGNATED ENGINEERING REPRESENTATIVE/SI DESIGNATION NUMBERS/SI CLASSIFICATION(Sl Rex Ruoh-yu Liu DERT 605325-NM Structures ~-t/4, d :_ / FAA Form 8110-3 (11·70) SUPERSEDES PREVIOUS EDITION ELECTRONIC FORMAT (7·00) ,~ I 0MB No. 2120-0020 ElectronicTracking Number Exp: 8/31/2014 MAJOR REPAIR AND ALTERATION (Airframe, Powerplant, Propeller, or Appliance) US Department of Transportation Federal Aviation Administration For FAA Use Only INSTRUCTIONS: Print or type all entries. See Title 14 CFR §43.9, Part 43 Appendix 8, and AC 43.9-1 (or subsequent revision thereof) for instructions and disposition of this form. This report is required by law (49 U.S.C. §44701). Failure to report can result in a civil penalty for each such violation. (49 U.S.C. §46301 (a)) Nationality and Registration Mark Serial No. N122TP 1. Aircraft Make Model Beechcraft Name (As shown on registration certificate) _1 293 I Series 8200 Address (As shown on registration certificate) Address 7200 NW 63rd Street Commuter Air Technology 2. Owner 88 City Bethany Zip 73008 State Country OK U.S.A. 3. For FAA Use Only 5. Unit Identification 4. Type Repair D D D Alteration Unit Make Model (As described in Item 1 above) AIRFRAME 0 D D Serial No. POWE RP LANT PROPELLER Type D APPLIANCE D Manufacturer 6. Conformity Statement B. Kind of Agency A. Agency's Name and Address X Nome Address I U.S. Certificated Mechanic City State Zip Certificated Repair Station Country Manufacturer C. Certificate No. Foreign Certificated Mechanic A&P #3386006 Certificated Maintenance Organization D. I certify that the repair and/or alteration made to the unit(s) identified in item 5 above and described on the reverse or attachments hereto have been made in accordance with the requirements of Part 43 of the U.S. Federal Aviation Regulations and that the information furnished herein is true and correct to the best of my knowledge. Extended range fuel per 14 CFR Part 43 App. 8 Signature/Date of Authorized Individual ,,/4..,r:.o,) 1,,,,..--/. .....·v- D 7. Aooroval for Return to Service Pursuant to the authority given persons specified below, the unit identified in item 5 was inspected in the manner prescribed by the Administrator of the Federal Aviation Administration and is nRejected 0Approved BY FAA Flt. Standards Inspector Manufacturer FAA Designee Repair Station Certificate or Designation No. 3386006 I.A. I Persons· Approved by Canadian Department of Transport Maintenance Organization X Inspection Authorization Other (Specify) ,,r{.,4gf) S~~I FAA Form 337 (10/06) Page I NOTICE Weight and balance or operating limitation changes shall be entered in the appropriate aircraft record. An alteration must be compatible with all previous alterations to assure continued conformity with the applicable airworthiness requirements. 8. Description of Work Accomplished (If more space is required. attach additional sheets. Identify with aircraft nationality and registration mark and date work completed.) N122TP Nation a Iity and Registration Mark 11-04-2013 --------Date 1. Removed the CAT Cargo Carrier from the lower surface of the aircraft and sent the CAT Cargo Carrier to ValAir Aviation for modifications. 2. YalAir Aviation modified the CAT Cargo Carrier by installing hinges on the fiberglass access panel. Ya!Air Aviation recorded these modifications on FAA Form 8130-3, dated 10/25/2013, Form Tracking Number SC88667, Work Order# WO 219, which states"Cargo Pod modified per Commuter Air Technology drawing #CA2200-MOD, Rev IR and structure aspects substantiated by DER on FAA Form 8110-3 dated 25 October 2013. This modification meets the requirements of FAR 23.601, 603 and 23-23, 609, 613 and 23-45." 3. Reinstalled the CAT Cargo Carrier onto the lower surface of the aircraft. 4. Weight and balance was calculated and a new weight and balance form was placed in the AFM/POH. Instructions for Continued Airworthiness: I. Introduction: The following Instructions for Continued Airworthiness (ICA's) satisfy the requirements and provide information necessary to complete on-going maintenance and inspection of the structural modification descried herein. 2. Description: See Description of Work Accomplished above. 3. Control/Operation Information: 4. Servicing Information: None. 5. Maintenance Instructions: Use the aircraft manufacturer's recommended inspection/maintenance periods to check for condition, security and operation. This installation requires no periodic maintenance or overhauls. 6. Troubleshooting Information: None. 7. Removal/Replacement Information: Use Standard Shop Tools. 8. Diagrams: 9. Special Inspection Requirements: None. 10. Application of Special Treatments: None. 11. Data: None. 12. List of Special Tools: None: 13. For Commuter Category Aircraft: Not Applicable. 14. Recommended Overhaul Periods: None: 15. Airworthiness Limitations Section: Not Applicable. 16. Revision: Submit a letter to the local FSDO with a copy of the revised FAA Form 337 and revised !CA. 0Additional Sheets Are Attached FAA Form 337 (10/06) Page 2 U.S. DEPARTMENTOF TRANSPORTATION FEDERALAVIATIONADMINISTRATION DATE STATEMENTOF COMPLIANCEWITH THE FEDERALAVIATIONREGULATIONS 25 October 2013 MAKE AIRCRAFT OR AIRCRAFT COMPONENT IDENTIFICATION MODELNO. TYPE {Airplane,Radio, Helicopter,etr:.) NAMEOF APPLICANT Hawker Beechcraft B200 Airplane Valair Aviation, Inc. LIST OF DATA IDENTIFICATION TITLE Commuter Air Tech. Drawing No. CA2200-MOD, Rev. lR --------------END--------- Pod Mod, Cargo Carrier. Sheets 1-2. . Notes: 1. The structural aspects only of the above listed data are approved herein. This approval is only for the engineering design data. 2. This approval is issued in support of alteration performed on Hawker Beechcraft Model 8200, SIN BB-1293 only. 3. This approval is for redline portion on sheet 1 of the drawing only. --------------------------------------------------END--------------------------------------------------------- Engineering data to support field activity. PURPOSEOF DATA APPLICABLEREQUIREMENTS (Listspecificsections) FAR 23.601, 603 amdt 23-17, 23-23, 605 amdt 23-23, 609,613 amdt 23· 23, 23-45. CERTIFICATION • Under authority vested by direction of the Administrator and in accordance with conditions and limitations of appointment under Part 183 of the Federal Aviation Regulations, data listed above and on attached sheets numbered NIA have been examined In accordance with established procedures and found to comply with applicable requirements of the Federal Aviation Regulations. 0 I (Yffl)Therefore Recommend ap~roval of these data C8J Approve these data SIGNATURE(SlOF DESIGNATEDENGINEERINGREPRESENTATIVE(Sl DESIGNATIONNUMBERS(Sl CLASSIFICATION!Sl Rex Ruoh-yu Li~ DERT 605325-NM Structures ~v.,~ / d~ I FAA Form 8110-3 (11-70) SUPERSEDESPREVIOUSEDITION ELECTRONICFORMAT(7·00) 0 U.S Department of Transportation I Form Approved 0MB No. 2120-0020 2/28/2011 MAJOR REPAIR AND AL TERA TION (Airframe, Powerplant, Propeller, or Appliance) Electronic Tracking Number For FAA Use Only Federal Aviation Administration INSTRUCTIONS: Print or type all entries. See Title 14 CFR 43.9, Part 43 Appendix B, and AC 43.9-1 (or subsequent revision thereof) for instructions and disposition of this form. This report is required by law (49 U.S.C. 44701). Failure to report can result in a civil penalty for each such violation. (49 U.S.C. 46301(a)) Nationality and Registration Mark 1. Aircraft Serial No. N122TP BB-1293 Make Model Beech Aircraft Co. B200 Name (As shown on registration certificate) 2. Owner Series Super Kin~ Air Address (As shown on registration certificate) 2701 Liberty Pkwy Ste. 309 Oklahoma City State Oklahoma 73110-2895 Country United States Address Commuter Air Technology, Inc. City Zip 3. For FAA Use Only 4. Type • Repair 5. Unit Identification Alteration D D D DD D D Unit Make Model AIRFRAME Serial No. (As described in Item 1 above) POWER PLANT PROPELLER APPLIANCE Type Manufacturer 6. Conformity Statement A. Agency's Name and Address B. Kind of Agency Name VALAIR Aviation Address 7301 NW 50th Street City Oklahoma City State Oklahoma Zip 73132-9702 Country United States Manufacturer D U.S. Certificated Mechanic D Foreign Certificated Mechanic C. Certificate No. 181 Certificated Repair Station D V5SR2170 Certificated Maintenance Organization D. I certify that the repair and/or alteration made to the unit(s) identified in item 5 above and described on the reverse or attachments hereto have been made in accordance with the requirements of Part 43 of the U.S. Federal Aviation Regulations and that the information furnished herein is true and correct to the best of my knowledge. Extended range fuel Per 14 CFR Part 43 App. B Signature/Date of Authorized Individual D Glen Williams //h///_ ~~_, ' p 7. Approval for Return to Service Pursuant to the authority given persons specified below, the unit identified in item 5 was inspected in the manner prescribed by the Administrator of the Federal Aviation Administration and is APPROVED REJECTED D BY FAA Flt Standards Inspector FAA Designee X Certificate or Designation No. Manufacturer Maintenance Organization Repair Station Inspection Authorization Other (Specifv)' Signature/Date of Authorized Individual V5SR2l70 IDepartment Persons Approved by Canadian of Transport Glen Williams~ w~ NOTICE Weight and balance or operating limitation changes shall be entered in the appropriate aircraft record. An alteration must be compatible with all previous alterations to assure continued conformity with the applicable airworthiness requirements. 8. Description of Work Accomplished (If more space is required, attach additional sheets. Identify with aircraft nationality and registration mark and date work completed.) N122TP Nationality and Registration Mark ' ' 10/06/2013 Date Installed doublers between F.S. 207.1 and F.S. 226.2, and B.L. 0.0 and L.B.L. 6.5 for installation of GPS antenna, p/n - 3G1215A-XT-1, per DER drawing #"Attachment A", as approved by FAA form 8110-3, dated 10/02/2013. Instructions for Continued Airworthiness: (1) Introduction: The following Instructions for Continued Airworthiness (ICA) satisfy the requirements and provide the information necessary to complete on -going maintenance & inspection of the structural modification described above. (2) Description: See Description of Work Accomplished above. (3) Control/Operation Information: Use the manufacturer's control/ operation information (4) Servicing Information: None. (5) Maintenance Instructions: Use the aircraft manufacturer's recommended inspection/maintenance periods to check for condition and security. This installation requires no special periodic maintenance or overhaul requirements. (6) Trouble Shooting Information: None. (7) Removal/Replacement Information: Use standard shop tools. (8) Diagrams: None. (9) Special Inspection Requirements: None. (10) Application of Special Treatments: None. (11) Data: None. (12) List of Special Tools: None. (13) For Commuter Category Aircraft: None. (14) Recommended Overhaul Periods: No additional overhaul time limitations. (15) Airworthiness Limitations Section: Not applicable. (16) Revision: Submit a letter to the local FSDO with a copy of the revised FAA form 337 and revised ICA. ***END*** D FAA Form 337 (10-06) Additional Sheets Are Attached U.S.GPO: 1989-0-663-171 I ftJ 0MB No. 2120-0020 ElectronicTracking Number Exp: 8/3112014 MAJOR REPAIR AND ALTERATION (Airframe, Powerplant, Propeller, or Appliance) US Department or Transportation Federal Aviation Administration For FAA Use Only INSTRUCTIONS: Print or type all entries. See Title 14 CFR §43.9, Part 43 Appendix B, and AC 43.9-1 (or subsequent revision thereof) for instructions and disposition of this form. This report is required by law (49 U.S.C. §44701). Failure to report can result in a civil penalty for each such violation. (49 U.S.C. §46301 (a)) Nationality and Registration Mark Serial No. N122TP 1. Aircraft Make Model Beechcraft _1 293 I Series 8200 Address (As shown on registration certificate) Name (As shown on registration certificate) Address 7200 NW 63rd Street Commuter Air Technology 2. Owner 88 City Bethany Zip 73008 Stale Counlry OK U.S.A 3. For FAA Use Only I ' 5. Unit Identification 4. Type Repair Alteration Model Make Unit Serial No. (As described in Item 1 above) D 0 D D POWERPLP.,NT D D PROPELLER AIRFRAME Type D APPLIANCE D Manufacturer 6. Conformity Statement B. Kind of Agency A. Agency's Name and Address Name Address City Zip X Nicholas Hawker 3625 N lndapondonco Avo State OK Counlry Certificated Repair Station U.S.A. Manufacturer C. Certificate No. Foreign Certificated Mechanic Oklahoma City 73112 I U.S. Certificated Mechanic A&P #3386006 Certificated Maintenance Organization D. I certify that the repair and/or alteration made to the unit(s) identified in item 5 above and described on the reverse or attachments hereto have been made in accordance with the requirements of Part 43 of the U.S. Federal Aviation Regulations and that the information furnished herein is true and correct to the best of my knowledge. Extended range fuel per 14 CFR Part 43 App. B D Sig~Aut~ /4,.J ro/4y 7. Approval for Return to Service Pursuant to the authority given persons specified below, the unit identified in item 5 was inspected in the manner prescribed by the Administrator of the Federal Aviation Administration and is ORejected 0Approved BY FAA Flt. Standards Inspector Manufacturer FAA Designee Repair Station Certificate or Designation No. 3386006 I.A,. Signature/Dal 7 - Persons Approved by Canadian Department orTransport Maintenance Organization X Inspection Authorization Other .(Specify) Authorized Individual to/4y~I) FAA Form 337 (10/06) Page I NOTICE Weight and balance or operating limitation changes shall be entered in the appropriate aircraft record. An alteration must be compatible with all previous alterations to assure continued conformity with the applicable airworthiness requirements. 8. Description of Work Accomplished (If more space is required, attach additional sheets. Identify with aircraft nationality and registration mark and date work completed.) N122TP NationaIity and Registration Mark 10-04-2013 ---------- Date Installed the Sable Halberd Research and Development sensors in the CAT Cargo Carrier to include a Forward ADA and Retraction Mechanism, Aft ADA and Retraction Mechanism, APL Shelf and LOS Shelf. This alteration was done in accordance with CAT Report# BB- I 293-SH-l 0-03-2013, entitled "Sable Halberd Research and Development Structural Integration" and dated October 3, 2013 as approved by FAA Fonn 8110-3 entitled "Sable Halberd Research and Development Structural Integration. Pages 1-5, Analysis of ADA Mounting. Pages 1-18." and dated 4 October 2013. Weight and balance was calculated and a new weight and balance form was placed in the AFM/POH. Instructions for Continued Airworthiness: I. Introduction: The following Instructions for Continued Airworthiness (ICA's) satisfy the requirements and provide information necessary to complete on-going maintenance and inspection of the structural modification described herein. 2. Description: See Description of Work Accomplished above. 3. Control/Operation Information: ADA retraction mechanisms are controlled by carry-on computer. The pilot can manually retract the AD A's by pulling on one or both of the manual retract cables located at the aft side of the cockpit pedestal. This pulling releases the ADA motor and a spring and gas-spring drive the ADA into the retracted position. The pilot must ensure that the AD A's are retracted prior to taxi, takeoff or landing. 4. Servicing Information: None. 5. Maintenance Instructions: Use the aircraft manufacturer's recommended inspection/maintenance periods to check for condition, security and operation. This installation requires no periodic maintenance or overhauls. 6. Troubleshooting Information: None. 7. Removal/Replacement Information: Use standard shop tools. 8. Diagrams: Reference CAT Report B B-l 293-SH-10-03-2013 for a master drawing list of applicable diagrams. 9. Special Inspection Requirements: None. I 0. Application of Special Treatments: None. 11. Data: None. I 2. List of Special Tools: None. I 3. For Commuter Category Aircraft: Not Applicable. 14. Recommended Overhaul Periods: None. 15. Airworthiness Limitations Section: Not Applicable. 16. Revision: Submit a letter to the local FSDO with a copy of the revised FAA Form 337 and Revised ICA. 0Additional Sheets Are Attached FAA Form 337 (10/06) Page 2 ·u.s.DEPARTMENTOF TRANSPORTATION DATE· FEDERALAVIATI_QN ADMINISTRATION STATEMENTOF COMPLIANCEWITH THE.FEDERALAVIATIONREGULATIONS 4 October 2013 AIRCRAFTOR AIRCRAFTCOMPONENTIDENTIFICATION MAKE MODELNO. TYPE (Airplane,Rar:fro,He/lpopter.etc.) NAMEOF APPLICANT Hawker Beechcraft B200 Airplane Commut~r Air Te~~riology UST OF DATA IDFNTil=f"'"TION TITLE CAT Reprot No. BB-1293-SH-10-032013 Sable Halberd Research and Development Structural Integration. Pages 1-~. Applied Physics Laboratory Report No. QRF-13-0004 ---END Analysis of ADA Moµntirig, Pages 1-18. Notes: 1. The structural c1spectsonly of the above listed data are approved herein. This approval is only for the enginee~ng design data. 2: T~is approval is issued in support of alteration performed on Hawker Beechcraft Model B200, S/N BB-1293 only: END.·· -· .. ! Engineering data to support field activity. PURPOSE.OFDATA APPLICABLEREQUIREMENTS (List specificsections) FAR 23: 307{a), 601,603 amdt 23-23, 605 amdt23-23, 609, 613 amdt 23-45. CERTIFICATION.- Under authority vested by direction of the Administrator and in accordance with concfrtionsand limitations of appointment under Parf 183 of the Federal Aviation· Regulations; data listed above and on attached stieets numbered NIA have been examined in accordance w!th establishe 0MB No. 2120-0020 )Electronic Tracking Number Exp: 8/31/2014 0 MAJOR REPAIR AND ALTERATION (Airframe, Powerplant, Propeller, or Appliance) US Department of Transportation Federal Aviation For FAA Use Only Administration INSTRUCTIONS: Print or type all entries. See Title 14 CFR §43.9, Part 43 Appendix B, and AC 43.9-1 (or subsequent revision thereof) for instructions and disposition of this form. This report is required by law (49 U.S.C. §44701). Failure to report can result in a civil penalty for each such violation. (49 U.S.C. §46301(a)) Nationality and Registration Mark Serial No. N122TP 1. Aircraft Make Model Beechcraft _1 293 I Series 8200 Address (As shown on registration certificate) Address 7200 NW 63rd Street Name (As shown on registration certificate) Commuter Air Technology 2. Owner 88 City Bethany Zip 73008 Stale Country OK U.S.A. 3. For FAA Use Onlv 5. Unit Identification 4. Type Repair Alteration D D D 0 D D Serial No. Model Make Unit (As described in Item 1 above) AIRFRAME POWERPLANT PROPELLER Type APPLIANCE 0 D Manufacturer 6. Conformity Statement B. Kind of Agency A. Agency's Name and Address Name X Nicholas Hawker Address 3625 N lndopendenco Avo City Oklahoma City Zip 73112 I U. S. Certificated Mechanic State OK Country Certificated Repair Station U.S.A. Manufacturer C. Certificate No. Foreign Certificated Mechanic A&P #3386006 Certificated Maintenance Organization D. I certify that the repair and/or alteration made to the unit(s) identified in item 5 above and described on the reverse or attachments hereto have been made in accordance with the requirements of Part 43 of the U.S. Federal Aviation Regulations and that the information furnished herein is true and correct to the best of my knowledge. Extended range fuel per 14 CFR Part 43 App. B D Sig~,~~ 7. Approval for Return to Service Pursuant to the authority given persons specified below, the unit identified in item 5 was inspected in the manner prescribed by the nRejected Approved Administrator of the Federal Aviation Administration and is !Xl BY FAA Flt. Standards Inspector Manufacturer FAA Designee Repair Station Certificate or Designation No. . 3386006 I.A. FAA Form 337 (10/06) Maintenance Organization X Inspection Authorization Signature/Date of Authorized Individual Page I I Persons Approved by Canadian Department of Transport Other (Specify) NOTICE Weight and balance or operating limitation changes shall be entered in the appropriate aircraft record. An alteration must be compatible with all previous alterations to assure continued conformity with the applicable airworthiness requirements. 8. Description of Work Accomplished (If more space is required, attach additional sheets. Identify with aircraft nationality and registration mark and date work completed.) N122TP NationaIity and RegistrationMark 08-06-2013 --------Date Re-installed the L-3 WESCAM MX- l 5DiA Turret, hand controller and GPS antenna on existing mounting provisions in accordance with the instructions and procedures contained in MDL Drawing CA 18, Rev NC as originally approved by FAA Form 8 l I 0-3 dated 02/29/20 I 2. Calculated and updated the aircraft weight and balance form. Placed a copy of this new Weight and Balance form in the aircraft AFM/POH. Instructions for Continued Airworthiness: I. Introduction: The following Instructions for Continued Airworthiness (ICA)n satisfy the requirements and provide information necessary to complete on-going maintenance and inspection of the structural modification described herein. 2. Description: See Description of Work Accomplished above. 3. Control/Operation Information: Not applicable. 4. Servicing Information: See L-3 WESCAM MX- l 5DiA Operations and Maintenance Manual, document #TM00598, latest revision 5. Maintenance Instructions: Use the aircraft manufacturer's recommended inspection/maintenance periods to check for condition and security. This installation requires no periodic maintenance or overhauls. 6. Troubleshooting Information: Not applicable: 7. Removal/Replacement Information: Use standard shop tools. 8. Diagrams: Reference MOL Drawing CA l 8, Rev NC 9. Special Inspection Requirements: None. 10. Application of Special Treatments: None. 11. Data: None. 12. List of Special Tools: None. 13. For Commuter Category Aircraft. Not applicable. 14. Recommended Overhaul Periods: None. 15. Airworthiness Limitations Section: Not applicable. l 6. Revision: Submit a letter to the local FSDO with a copy of the revised FAA Form 337 and revised !CA. 0Additional Sheets Are Attached FAA Form 337 (10/06) Page 2 .... f,r..•' ;~,\' '·,~:!:·,, I: ' -;;••,(°• J:•; '•~, ,,: ·.::r-. •;• • ', ,· •'._.,,V!~ .., -:~..:.~ ·,:;,..:_, ··:_.:.~s~·: ·'::"<::2<:,.~:) ~.:'~- ,.,.<· .·:·><'·~·::;~kc·:::.:;,: ·._._ _,_.· ~-,•"·,_,_'<".· --_.,_:_·_, '' • ! •,, ',', I~ J~~' '' J' :'}/ •, U.S. DEPARTMENT OF TRANSPORTATION FEDERAL AVIATION ADMINISTRATION STATEMENT OF COMPLIANCE WITH THE FEDERAL AVIATION REGULATIONS Y'. ,_••, DATE 29 February 2012 AIRCRAFT OR AIRCRAFTCOMPONENT IDENTIFICATION MAKE MODEL NO. WPE (Airplane, Radio, Helicopter,etc.) NAME OF APPLICANT Hawker Beechcraft 8200 Airplane Valair Aviation. Inc. LIST OF DATA TITLE IDE~ITIFICATION Commuter Air Tech. Drawing No. CA18, Rev. NC ··------· ·-·--EN 0---------- CAT- BB1293 MDL, Special Equipment Install. Sheets 1-2. Notes: 1. The structural aspects only of the above listed data are approved herein. This approval is only for the engineering design data. 2. This approval is issued in support of alteration performed on Hawker Beechcraft Model 6200, S/N 88-1293.only. 3. This DER have performed analysis and evaluation on items listed in this MDL. Analysis showed ample margins, formal documentation is not complete to meet aircraft comformity check. Structural substantiation report No. LE-1660 for signicant items on this list will follow shortly. -- .--· ------------· ·- · -----------·- - .· -----· •·······EN 0- ·• .•••• -· •••--------. --·- ---------.. --. -----.. --. ----- --- PURPOSE OF DArA Engineering data to support field activity. FAR 23.307(a), 561 amdt 23-7, 23-24, 23-36, 23-46, 23-48, 601, 603 amdt 23-17, 23-23, 605 amdt 23-23, 609,613 amdt 23-23, 23-45. APPLICABLE REQUIREMENTS (List specific sactlons) CERTIFICATION - Under authority vested by direction of the Administrator and in accordance with condilions and limitations of appoiniment have been examined in _lli,!_ unr.er Part 183 of the Federal Aviation Regulations. data listed above and 011 attached sheets numbered accordance with established procedures ani Thi;relore those data - S1GNATIJJ1s(§J. OF_DESIGNATEDENQ.1,!'IEERING REPRESENTAIWE(S) ±DESIGNATION Rex Ruoh-yu Liu ;/' ,/ NUMBERS@.._ DERT 605325-NM --- _______ [ l-~/j,.,,± -..;t.'t!....,,.z.G= .. ---------·---· ·-·-------~~- ·1 Cl.ASS1F1CA TION~L _________ 1 ---------------···--~ Stnictures t-· ----------------··l L _________________________________ l___ ---···---------···-·-·-·-___________ ..·-----------_ ~ f---·· -----·-----------··--·- ./ ___________ ---------- .1 FAA Forrn 8110-3 I' 1,)) 5UPrnS,:O~S Pl{,:'/li)U~ 1;:.;1[ION E~f.CfRUNI(. 1'011.i/L\1 ' ( JO• 0 MAJOR REPAIR AND ALTERATION (Airframe, Powerplant, Propeller, or Appliance) U.S Departmentof Transportation Form Approved OMS No. 2120-0020 2/28/2011 I Electronic Tracking Number For FAA Use Only Federal Aviation Administration INSTRUCTIONS: Print or type all entries. See Title 14 CFR 43.9, Part43 Appendix 8, and AC 43.9-1 (or subsequent revision thereof} for instructions and disposition of this form. This report is required by law (49 U.S.C. 44701 ). Failure to report can result in a civil penalty for each such violation. (49 U.S.C. 46301(a)) Nationality and Registration Mark Serial No. Nl22TP 1. Aircraft BB-1293 Make Model Beech Aircraft Co. Super King Air B200 Name (As shown on registration certificate) 2. Owner Series Address (As shown on registration certificate) 2701 Liberty Pkwy Ste. 309 Oklahoma City State Oklahoma Country United States Zip 73110-2895 Address Commuter Air Technology, Inc. City 3. For FAA Use Only 4. Type Repair 5. Unit Identification Alteration LJ Unit Make Model AIRFRAME D D D D D D Serial No. (As described in Item 1 above) POWE RP LANT PROPELLER APPLIANCE Type Manufacturer 6. Conformity Statement A. Agency's Name and Address Name VALAIR Aviation Address 7301 NW 50th Street City Oklahoma City State Oklahoma 7;,... 7'<1' 7 '7/'I ...,,_ ........ .... ...., D. I certify that the repair and/or alteration made to the unit(s) identified in item 5 above and described on the reverse or attachments hereto have been made in accordance with the requirements of Part 43 of the U.S. Federal Aviation Regulations and that the information furnished herein is true and correct to the best of my knowledge. Extended range fuel Per 14 CFR Part 43 App.B s;'"""~'Zd;,;'"'' D ,c;/~9htJI3 / 7. Approval for Return to Service Pursuant to the authority given persons specified below, the unit identified in item 5 was inspected in the manner prescribed by the Administrator of the Federal Aviation Administration and is APPROVED REJECTED D [gj BY I Certificate Designation FAA Flt Standards Inspector FAA Designee X or Manufacturer Maintenance Repair Station Inspection Authorization V5SR2l70 Approved by Canadian Department of Transport Other . £/ t.Jv(,( _{(i/, ft:t'/,,,1,l \ :MAL/ Signature/Date No. IPersons Organization of Authorized (Specify) Individual If(to.. (f,(' 15 NOTICE Weight and balance or operating limitation changes shall be entered in the appropriate aircraft record. An alteration must be compatible with all previous alterations to assure continued conformity with the applicable airworthiness requirements. 8. Description of Work Accomplished {If more space is required, attach additionat'sheets. Identify with aircraft nationality and registration mark and date work completed.) I Nl22TP Nationality and Registration Mark II 5/29/2013 I Date Removed FWD mounted Turret MX-15 at F.S 160.10 per DER MDL drawing CA18, Rev NC as approved by FAA form 8110-3 dated 02/29/2012. Removed Hand controller from F.S: 236.5 Removed GPS antenna at F.S: 221.0 Equipment list and W &B updated to reflect these changes. ***END*** ,:., -:... ·...·.~·~-.·~', '• ' .. _, 0 FAA Fonn 337 (10-06) -· Additional Sheets Are Attached U.S.GPO: 1989-0-663-171 0 Fonn Approved 0MB No. 2120-0020 2/28/2011 MAJOR REPAIR AND ALTERATION (Airframe, Powerplant, Propeller, or Appliance) U.S Department of· Transportation I Electronic Tracking Number For FAA Use Only Federal Aviation Administration INSTRUCTIONS: Print or type all entries. See Title 14 CFR 43.9, Pait 43 Appendix B, and AC 43.9-1 (or subsequent revision thereof) for instructions and disposition of this form. This report is required by law (49 U.S.C. 44701). Failure to report can result in a civil penaltyfor each such violation. (49 U.S.C. 46301(a}) Nationality and Registration Mark Serial No. . BB-1293 Nl22TP 1. Aircraft Make Model Beech Aircraft Co. Series B200 Name {As shown on registrationcertificate) Suver Kinf! Air Address (As shown on registrationcertificate) Address 2701 Liberty Pkwy Ste. 309 City Oklahoma City State Oklahoma Countrv United States Zio 731J0-2895 2. Owner Commuter Air Technology, Inc. 3. For FAA Use Only ' The Data identified herein complies with applicable airworthiness th, aho,e d""ih,d ,,;,croft ,ubj"t to uth°kt). ; .; :R Part 43. 7. requfr,ment, aud i, app~, conformity illspection by a perso &d;z.01:1_ _ , , 1 -..,.,_ _ Approving Inspector Date 4. Type Repair ASW-FSDO-OKC 5. Unit Identification Alteration D 0 D D Unit Make Serial No. Model AIRFRAME (As described in Item 1 above) POWERPLANT D D PROPELLER D D APPLIANCE Type Manufacturer 6. Conformity Statement A. Agency's Name and Address Manufacturer B. Kind of Agency Name VALAIRAviation Address 7301 NW 50th Street City Oklahoma City State Oklahoma Zip 73132-9702 Country United States D D U.S. Certificated Mechanic C. Certificate .. Foreign Certificated Mechanic 18'1Certificated Repair Station D '- No. V5SR2l70 Certificated Maintenance Organization D. I certify that the repair and/or alteration made to the unit(s) identified in item 5 above and described on the reverse or attachments hereto have been made in accordance with the requirements of Part 43 of the U.S. Federal Aviation Regulations and that the information furnished herein is true and correct to the best of my knowledge. Extended range fuel Per 14 CFR Part 43 App.B Signature/Date D of Authorized .. lndLl Dennis W. Kirkpatrick · / I// -I u! " - ,/, ,.;_ - 7. Approval for Return to Service - / -.... ' OJ/01/Jon Pursuant to the authority given persons specified below, the unit identified in item 5 was inspected in the manner prescribed by the Administrator of the Federal Aviation Administration and is BY Certificate Designation FAA Flt Standards Inspector FAA Designee X or No. [gj APPROVED Manufacturer Maintenance Repair Station Inspection Authorization I Persons Approved by Canadian Department of Transport Organization Other (Specify) Signature/Date V5SR2l70 D REJECTED of Authorized Glen Williams ~- Individual 1 J U/- - -;/~ - 1 /~ 1/2-d/2.... NOTICE Weight and balance or operating limitation changes shall be entered in the appropriate aircraft record. An alteration must be compatible with all previous alterations to assure continued conformity with the applicable airworthiness requirements. : 8. Description of Work Accomplished· . (If more space is required, attach additional sheets. Identify with aircraft nationality and registration mark and date work completed.) .___N_l2_2_~ __ __,II3////2 Nationality and Registration Mark Date The following installation is being made in ac_cordancewith the instructions and procedures contained in Universal Avionics Systems Corporation STC# SA0207 JLA. Installed a Universal Avionics Systems Corporation lJNS-JK Multi Mission Management System (MMMS), Flight Management System (FMS) consisting of the following components: 1) (lea) Universal lK-NCU, p/n - 1116-30-1116; s/n -1870, mounted in the forward avionics bay right side at F/Sta. 72.0 .. 2) (lea) Universal 4" FPCDU, p/n- 1117-12, s/n - 2502, mounted in the quadrant left side at F/Sta. 122.0. 3) (lea) Universal DTU-100, p/n- 1406-01-2, s/n - 1500, mounted in the quadrant right side at F/Sta. 122.0. 4) (lea) Universal GPS Antenna, p/n -AT575-126UA W-TNCF-000-RG-30-NM, s/n - 6951, mounted on the top of the fuselage left side at F/Sta. 147.2. 5) (lea) Annunciator, p/n - 582-lOAOBOClF AL5Nl(D)P12, 13, located in the right instrument panel at F/Sta.102.2 6) (lea) Annunciator, p/n - 582-10AOBOC1FAL5Nl(A)P12,13, located in the right instrument panel at F/Sta.102.2 7) (lea) Annunciator, p/n- 582-10AOBOC3F4L5N12(AAA)Pl 1,13, located in the left instrument panel at F/Sta.102.2 8) ( 1ea) Annunciator, pin - 582-1 OAOBOC3FAL5N 12(LDA)P 11, 13, located in the left instrument panel at F/Sta. I 02.2 Units were mounted using the manufacturer's supplied racks & mounts in accordance with the Manufacturer's Installation Manual, p/n 34-60-12, Rev. 3 dated 06-25-2009 and FAA AC 43.I3-2B, Chapter 1 & Chapter 2. The antenna was mounted on the upper surface of the fuselage using an internal, 7.0 inch by 6.2 inch, .040", 2024-T3 alclad aluminum doubler in accordance with DER approved drawing CA1420 entitled, "Installation, Antennas & Lights Hawker/Beechcraft B200, s/n BB1293 dated 02-29-2012 as approved by FAA form 8110-3 dated 02-29-2012 and then sealed in accordance with the manufacturer's installation instructions. All wiring & cable installation was done in accordance with the instructions and procedures contained in FAA AC 43.13-lB, Chapter 11, Sections 5,6,7,8,9,10,11,12,13,l4,l5,16 & 17 and the Universal UNS-lK Installation Manual. See VALAIR Aviation wiring diagram number VA 028-212-180 dated 02-17-2012 for installation details. Electrical load analysis was performed & found to be within tolerance in accordance with AC 43.13-lB, Chapter 11, Sect. 3, para. 11-30, 11-31, 11-32, 11-35 & 11-36. Circuit protection devices recommended by the manufacturer were installed in accordance with AC 43.13-lB, Chap. 11, Sect. 4, para. 11-47, 11-48 and 11-49. Systein was ground operationally checked after installation, found all indications & operations normal. The FAA Approved Flight Manual Supplement dated Supplement Section.' t>~., / ,:;?ot2= was placed in the Aircraft Flight Manual, The aircraft was weighed after all the above equipment was installed. A new revised Weight & Balance Sheet was placed in the Aircraft Flight Manual, Weight & Balance Section. The Aircraft Equipment List was updated to reflect the above change. The UNS-lK Pilots Guide, Report NO. 2423sv703, Dates 02-16-1998 and ROTC-4, dated 02-04-2011 was given to the owner/operator and needs to be available to the flight crew whenever the system is in use. · Inst;uctions for Co~tinued Airworthiness: No scheduled maintenance is required for continued airworthiness. Removal of components is on condition of failure. Check for security and damage during the normal manufacturer's scheduled inspections. ***END*** D FAAForm 337 (10-06) Additional SheetsAre Attached U.S.GPO:1989-0-663-171 U.S. DEPARTMENT OF TRANSPORTATION FEDERAL AVIATION ADMINISTRATION DATE STATEMENT OF COMPLIANCE WITH THE FEDERAL AVIATION REGULATIONS MAKE MODEL Hawker Beechcraft 8200 29 February 2012 AIRCRAFT OR AIRCRAFT COMPONENT IDENTIFICATION TYPE /Airplane, Radio, Helicopier,etc.) NAME OF APPLICANT ~JO Airplane Valair Aviation, Inc. LISTOF DATA IDENTIFICATION TITLE Commuter Air Tech. Drawing No. CA18, Rev. NC ··············END·········· CAT· 881293 MDL, Speci~! Equipment Install. Sheets 1·2. Notes: i. The structural aspects only of the above listed data are approved herein. This approval is only for the engineering design data. 2. This approval is issued in support of alteration performed on Hawker Beechcraft Model B200, S/N B8·1293 only. 3. This DER have performed analysis and evaluation on items listed in this MDL Analysis showed ample margins, formal documentation is not complete to meet aircraft com form ity check. Structural substantiation report No. LE· 1660 for signicant items on this list will follow shortly. · -·----------------· ------· ---· • -· -· -· •••-·· ·· · --· --EN0-· -·· · --· --•· · ·· ·· · ---· --.. •----•. -·-... ---------•.. -.. -•. Engineering data to support field activity. PURPOSE OF DAfA APPLICABLE REQUIREMENTS (List spedic sections) FAR 23.307(a), 561 amdt 23-7, 23-24, 23·36, 23-46, 23-48, 601,603 amdt 23-17, 23·23, 605 arndt 23·23, 609,613 amdt 23·23, 23·45. CERTIFICATION • Under authority vested by direction of the Administrator and in accordance with conditions and limitations ol appointment under Part 183 ol the Federal Aviation Regulations, data listed above and on attached sheets numbered .....!'::!LA_have been examined in accordance with established procedures and found to comply with applicable requirements of the Federal Aviation Regulaliono. 0 I (WetTherefore Recommend i!pproval of these data IS]Approve these data SIGNATURE(S) OF DESIGNATED ENGINEERING REPRESENTATIVE(S) DESIGNATION NUMBERS(S) CLASSIFICA TION(S) Rex Ruoh-yu Li~ DERT 605325·NM Structures .,( ./:.~-v-h- h, ,, I /..·---. / _J FAA Form 8110·3 111-70) SUPERSEDES PREVIOUS EDITION ELECTRONIC FORMAT 17-COJ 0 Form Approved 0MB No. MAJOR REPAIR AND ALTERATION (Airframe, Powerplant, Propeller, or Appliance) U.S Departmentof Transportation 2120-0020 2/28/2011 I Electronic Tracking Number For FAA Use Only Federal Aviation Administration INSTRUCTIONS: Print or type all entries. See Title 14 CFR 43.9, Part 43 Appendix B, and AC 43.9-1 (or subsequent revision thereof) for instructions and disposition of this form. This report is required by law (49 U.S.C. 44701). Failure to report can result in a civil penalty for each such violation. (49 U.S.C. 46301 (a)) Nationality and Registration Mark Serial No. BB-1293 N122TP 1. Aircraft Series Model Make Super Kin~ Air B200 Beech Aircraft Co. Name (As shown on registration certificate) Address (As shown on registration certificate) 2701 Liberty Pkwy Ste. 309 State Oklahoma Country United States Zip 73110-2895 Address 2. Owner Commuter Air Technology, Inc. City Oklahoma City 3. ForFAAUseOnly 4. Type Repair 5. UnitIdentification Alteration LJ [2J D D DD D D Unit Serial No. Model Make AIRFRAME (As described in Item 1 above) POWE RP LANT PROPELLER APPLIANCE Type Manufacturer 6. Conformity Statement B. Kindof Agency A. Agency's Name and Address Name VALAIR Aviation Address 7301 NW 50th Street City' Oklahoma Ciiy .:..State Oklahoma Country United States Zip 73132-9702 D U.S. Certificated Mechanic D Foreign Certificated Mechanic 181 Certificated D Repair Station Certificated Maintenance Organization IManufacturer C. Certificate No. V5SR2170 D. I certify that the repair and/or alteration made to the unit(s) identified in item 5 above and described on the reverse or attachments hereto have been made in accordance with the requirements of Part 43 of the U.S. Federal Aviation Regulations and that the information furnished herein is true and correct to the best of my knowledge. Ex1ended range fuel Per 14 CFR Part 43 App. B Signatu~o:zi~idual D / 7. Approvalfor Returnto Service -1/t/la1c'J/ 2- Pursuant to the authority given persons speti'fied below, the unit identified in item 5 was inspected in the manner prescribed by the Administrator of the Federal Aviation Administration and is BY Certificate Designation FAA Flt Standards Inspector FAA Designee X or [gj APPROVED D REJECTED Manufacturer MaintenanceOrganization Repair Station Inspection IPersons Approved by Canadian Department of Transport Authorization Other (Specify) Signa~=thz~ndividual No. V5SR2170 / . 3/~hc)j '-- NOTICE Weight and balance or operating limitation changes shall be entered in the appropriate aircraft record. An alteration must be compatible with all previous alterations to assure continued conformity with the applicable airworthiness requirements. 8. Description of Work Accomplished (If more space is required, attach additional sheets. Identify with aircraft nationality and registration mark and date work completed.) N/22TP Nationality and Registration Mark I I,i/c;/~012-I __.. Date Installed a 60 cubic foot cargo compartment PIN: 20025002-3 on the fuselage lower surface. All work performed was done in accordance with the instructions and procedures contained in Commuter Air Technologies, Inc. STC #SA2451 CE and Commuter Air Technologies Data and Devore Aviation Corp. Drawing List 200DL, dated O1-27-89 or later approved revision. FAA Approved Flight Manual Supplement, CAT IO 12 dated Ol-27-89 was placed in the Aircraft Flight Manual, Supplement Section. All modifications to the cargo pod were performed in accordance with the instructions & procedures per DER drawing MDL CA 18, Rev NC dated 02/29/2012. Installation on Hawker Beechcraft Model B200 per DER drawing MDL CA 18, Rev NC as approved by FAA form 8 i i0-3 dated 02/29/2012. Installed FWD mounted Turret MX-15 and TFU mounting assembly per DER MDL drawing CA18, Rev NC as approved by FAA form 8110-3 dated 02/29/2012. Removed factory interior and installed "Special Mission" Kydex interior, per DER MDL drawing CA 18, Rev NC as approved by FAA form 8110-3, dated 02/29/2012. Instructions for Continued Airworthiness: I) Introduction: The following Instructions for Continued Airworthiness (ICA) satisfy the requirements and provide the information necessary to complete on -going maintenance & inspection of the "Cargo Pod" described herein. 2) Description: See Description of Work Accomplished above. 3) Control/Operation Information: None. 4) Servicing Information: None. 5) Mai11te11anceInstructions: Periodic inspections of the cargo carrier shall be performed at the same interval as the airplane periodic inspection and inspected as specified in the basic maintenance manual. 6) Trouble Shooti11g l11formatio11: None. 7) Removal/Replaceme11t J11formatio11: Use standard shop tools. 8) Diagrams: None. 9) Special J11spectio11 Requirements: None. JO) Application o{Special Treatments: None. JJ) Data: None. 12) List o{Special Tools: None. 13) For Commuter Category AircraO: None. 14) Recommended Overhaul Periods: None. 15) Airworthiness Limitations Section: POD maximum permitted load: 500 pounds. Weight distribution: FWD: 250 pounds; AFT: 250 pounds. Weight must be distributed evenly over entire floor. Load shift barriers must be used to prevent load shifting. Placards must be installed per CAT supplement No. CAT 1012. 16) Revision: Submit a letter to the local FSDO with a copy of the revised FAA form 337 and revised ICA. The aircraft was weighed after all the above work was completed. Revised Weight & Balance Sheet inserted into the Aircraft Flight Manual, Weight & Balance Section. Aircraft Equipment List updated to reflect the above changes. ***END*** 0 FAA Form 337 (10-06) Additional Sheets Are Attached U.S.GPO:1989-0-663-171 • 0 MAJOR REPAIR AND ALTERATION (Airframe, Powerplant, Propeller, or Appliance) U.S Department of Transportation Form Approved 0MB No. 2120-0020 2/28/2011 I Electronic Tracking Number For FAA Use Only Federal Aviation Administration INSTRUCTIONS: Print or type all entries. See Title 14 CFR 43.9, Part 43 Appendix B, and AC 43.9-1 (or subsequent revision thereof) for instructions and disposition of this form. This report is required by law (49 U.S.C. 44701). Failure to report can result in a civil penalty for each such violation. (49 U.S.C. 46301 (a)) Serial No. Nationality and Registration Mark BB-1293 N122TP 1. Aircraft Series Model Make Super Kin~ Air B200 Beech Aircraft Co. Name (As shown on registration certificate) Address (As shown on registration certificate) 2701 Liberty Pkwy Ste. 309 State Oklahoma Oklahoma City Country United States 73110-2895 Address 2. Owner Commuter Air Technology, Inc. City Zip 3. For FAA Use Only 5. Unit Identification 4. Type Repair Alteration LJ •D D D D Serial No. Model Make AIRFRAME D D A. Agency's Unit (As described in Item 1 above) POWERPLANT PROPELLER APPLIANCE Type Manufacturer 6. Conformity Statement IManufacturer B. Kind of Agency Name and Address Name VALAIR Aviation Address 7301 NW 50th Street ·City Oklahoma City State Oklahoma Country United States Zip 73132-9702 D U.S. Certificated Mechanic D Foreign Certificated Mechanic C. Certificate [8J Certificated Repair Station D Certificated Maintenance Organization No. V5SR2170 D. I certify that the repair and/or alteration made to the unit(s) identified in item 5 above and described on the reverse or attachments hereto have been made in accordance with the requirements of Part 43 of the U.S. Federal Aviation Regulations and that the information furnished herein is true and correct to the best of my knowledge. Extended range fuel Per 14 CFR Part 43 App. B Signature/Date D /4 of Auth;z~ual James Nix 3/v//2- Y. Approval for Return to Service Pursuant to the authority given persons specified below, the unit identified in item 5 was inspected in the manner prescribed by the Administrator of the Federal Aviation Administration and is • BY Certificate Designation FAA Flt Standards Inspector FAA Designee X or Manufacturer Maintenance Repair Station Inspection V5SR2170 REJECTED IPersons Approved by Canadian Department of Transport Organization Authorization Other (Specify) Signature/Date No. D [8] APPROVED JamesNix of Authzd /- ~-- Individual W ' J/4t L NOTICE Weight and balance or operating limitation changes shall be entered in the appropriate aircraft record. An alteration must be compatible with all previous alterations to assure continued conformity with the applicable airworthiness requirements. ~----------------'· 8. Description of Work Accomplished (If more space is required, attach additional sheets. Identify with aircraft nationality and registration mark and date work completed.) N/22TP Nationality and Registration Mark 11 3/$1h.. Date Installed Raisbeck Dual Aft Strakes, STC SA3491 NM, Kit number R8 l- l 004-1 /2, per Raisbeck engineering document R81l 024 Rev H. Inserted FAA approved Pilots operating handbook and Airplane flight manual supplement into the basic Airplane flight manual per the STC instructions. Instructions for Continued Airworthiness: I) Introduction: The:following Instruction::: for Continued Airworthiness (ICA) satisfy the requirements and provide the information necessary to complete on -going maintenance & inspection of the Raisbeck Dual Strakes. 2) Description: See Description of Work Accomplished above. 3) Control/Operation Information: See Raisbeck POH/ AFM Document #85-11 I found in Airplane POHi AFM supplement section. 4) Servicing Information: Clean per Beechcraft Super King Air Maintenance Manual Chapter 12-20-00 5) Maintenance Instructions: Maintenance inspection should be accomplished at the same time as the existing Beechcraft maintenance inspections given in the Super King Air maintenance manual chapter 5-00-00. 6) Trouble Shooting Information: None. 7) Removal/Replacement Information: ''On condition". Repair per AC43.13. lB. Acceptable Methods, Techniques and Practices for Alteration, Inspection and Repair 8) Diagrams: None. 9) Special Inspection Requirements: None. 10) Application of Special Treatments: None. 11) Data: None. 12) list o(Special Tools: None. 13) For Commuter Category Aircraft: None /4) Recommended Overhaul Periods: No additional overhaul time limitations. 15) Airworthiness limitations Section: See Raisbeck POH/ AFM Document #85-111 found in Airplane POH/AFM supplement section 16) Revision: Submit a letter to the local FSDO with a copy of the revised FAA form 337 and revised !CA. • No Change to weight and balance. ***END*** D FAA Form 337 (10-06) Additional Sheets Are Attached U.S.GPO: 1989-0-663-171 • • 0 MAJOR REPAIR AND ALTERATION (Airframe, Powerplant, Propeller, or Appliance) U.S Department of Transportation Form Approved 0MB No. 2120-0020 2/28/2011 I Electronic Tracking Number For FAA Use Only Federal Aviation Administration INSTRUCTIONS: Print or type all entries. See Title 14 CFR 43.9, Part 43 Appendix B, and AC 43.9-1 (or subsequent revision thereof) for instructions and disposition of this form. This report is required by law (49 U.S.C. 44701 ). Failure to report can result in a civil penalty for each such violation. (49 U.S.C. 46301(a)) Nationality and Registration Mark Serial No. BB-1293 N122TP 1. Aircraft Make Series Model Beech Aircraft Co. Super Kin~ Air B200 Name (As shown on registration certificate) Address (As shown on registration certificate) 2701 Liberty Pkwy Ste. 309 Oklahoma City State Oklahoma 73110-2895 Country United States Address 2. Owner Commuter Air Technology, Inc. City Zip 3. For FAA Use Only .. .. 5. Unit Identification 4. Type Repair • Alteration LJ Model Make AIRFRAME D D DD D D A. Agency's Unit Serial No. (As described in Item 1 above) POWE RP LANT PROPELLER APPLIANCE Type Manufacturer 6. Conformity Statement Name and Address B. Kind of Agency Name VALAIR Aviation Address 730/ NW 50th Street City Oklahoma City State Oklahoma Zip 73132-9702 Country United States 0 0 U.S. Certificated Mechanic No. C. Certificate Foreign Certificated Mechanic 181 Certificated 0 IManufacturer Repair Station Certificated Maintenance Organization V5SR2170 D. I certify that the repair and/or alteration made to the unit(s) identified in item 5 above and described on the reverse or attachments hereto have been made in accordance with the requirements of Part 43 of the U.S. Federal Aviation Regulations and that the information furnished herein is true and correct to the best of my knowledge. Extended range fuel Per 14 CFR Part 43 App. B Signature/Date D k~- of Authorized James Nix Individual 3·~112.. 7....,Approval for Return to Service Pursuant to the authority given persons specified below, the unit identified in item 5 was inspected in the manner prescribed by the Administrator of the Federal Aviation Administration and is • BY Certificate Designation FAA Flt Standards Inspector FAADesignee X or Manufacturer Maintenance Repair Station Inspection V5SR2J70 REJECTED Organization IPersons Approved by Canadian Department of Transport Authorization Other (Specify) Signature/Date No. D [8] APPROVED of Aut~d James Nix Individual '/1 / _ , J /V/?' 2- NOTICE Weight and balance or operating limitation changes shall be entered in the appropriate aircraft record. An alteration must be compatible with all previous alterations to assure continued conformity with the applicable airworthiness requirements. 8. Description of Work Accomplished (If more space is required, attach additional sheets. Identify with aircraft nationality and registration mark and date work completed.) N122TP Nationality and Registration Mark 11 • 3/Y'/2:z_ Date Installed Raisbeck/Hartzell Quiet Turbofan Propeller System, Drawing list No. 85-1500 per S.T.C. SA2698NM-S Inserted FM approved Pilots operating handbook and airplane flight manual supplement into the basic Airplane Flight manual per the STC instructions. Instructions for Continued Airworthiness: 1) Introduction: The following Instructions for Continued Airworthiness (ICA) satisfy the requirements and provide the information necessary to complete on -going maintenance & inspection of the Raisbeck/Hartzell Quiet Turbofan Propeller System. 2) Description: See Raisbeck Maintenance Manual Document #85-120 for further information. 3) Control/Operation Information: See Raisbeck POH/AFM manual supplement Doc #85-106 found in the Airplane POHIAFM manual, supplement section. 4) Servicing Information: See Raisbeck Maintenance Manual Document# 85-120. 5) Maintenance Instructions: See Raisbeck Maintenance Manual Document# 85-120. 6) Trouble Shooting Information: None 7) Removal/Replacement Information: See Raisbeck Maintenance Manual Document #85-120. 8) Diagrams: None. 9) Special Inspection Requirements: None. 10) Application of Special Treatments: See Hartzell Manual #149, Propeller Owners manual & Log book and Hartzell Manual # 133, Aluminum Blade Inspection. 11) Data: See Raisbeck Maintenance Manual #85-120. 12) List of Special Tools: See Raisbeck maintenance manual Document #85-120. 13) For Commuter Category Aircraft: None 14) Recommended Overhaul Periods: Recommended Time between overhauls is 3,000 hours or 5 years or as called out per Hartzell Propellers, Inc Service letter 61 () 15) Airworthiness Limitations Section: See Raisbeck POHIAFM manual supplement Doc #85-106 found in the Airplane POHIAFM manual, supplement section. 16) Revision: Submit a letter to the local FSDO with a copy of the revised FM form 337 and revised ICA. • The aircraft was weighed after all the above work was completed. Revised Weight & Balance Sheet inserted into the Aircraft Flight Manual, Weight & Balance Section. Aircraft Equipment List updated to reflect the above changes ***END*** D FAA Form 337 (10-06) Additional Sheets Are Attached U.S.GPO:1989-0-663-171 • • 0 MAJOR REPAIR AND ALTERATION (Airframe, Powerplant, Propeller, or Appliance) U.S Departmentof Transportation Form Approved 0MB No. 2120-0020 2/28/2011 I Electronic Tracking Number For FAA Use Only Federal Aviation Administration INSTRUCTIONS: Print or type all entries. See Title 14 CFR 43.9, Part 43 Appendix B, and AC 43.9-1 (or subsequent revision thereof) for instructions and disposition of this form. This report is required by law (49 U.S.C. 44701 ). Failure to report can result in a civil penalty for each such violation. (49 U.S.C. 46301{a)) Serial No. Nationality and Registration Mark BB-1293 Nl22TP 1. Aircraft Series Model Make Super Kin~ Air B200 Beech Aircraft Co. Name (As shown on registration certificate) Address (As shown on registration certificate) 2701 liberty Pkwy Ste. 309 State Oklahoma Oklahoma City Country United Stales 73110-2895 Address 2. Owner Commuter Air Technology, Inc. City Zip 3. For FAA Use Only 5. Unit Identification 4. Type Repair • Alteration LJ Serial No. Model Make AIRFRAME D D DD D D A. Agency's Unit (As described in Item 1 above) POWE RP LANT PROPELLER APPLIANCE Type Manufacturer 6. Conformity Statement IManufacturer B. Kind of Agency Name and Address Name VALAIR Aviation Address 7301 NW 50th Street City Oklahoma City State Oklahoma Zip 73132-9702 Country United States D U.S. Certificated Mechanic D Foreign Certificated Mechanic ·i:8] Cert1ficatet1Rep:iir Station D Certificated Maintenance Organization C. Certificate No. V5SR2170 D. I certify that the repair and/or alteration made to the unit(s) identified in item 5 above and described on the reverse or attachments hereto have been made in accordance with the requirements of Part 43 of the U.S. Federal Aviation Regulations and that the information furnished herein is true and correct to the best of my knowledge. Extended range fuel Per 14 CFR Part 43 App. B Signature/Date D of Autzlndividual JamesNix ,~.,., ...... ' '/~JJ ;r. Approval for Return to Service 3/~/J;;, Pursuant to the authority given persons specified below, the ~nit identified in item 5 was inspected in the manner prescribed by the Administrator of the Federal Aviation Administration and is • BY Certificate Designation FAA Flt Standards Inspector FAADesignee X or cgj APPROVED Manufacturer Maintenance Repair Station Inspection V5SR2J70 REJECTED Organization IPersons Approved by Canadian Department of Transport Authorization Other (Specify) Signature/Date No. D of A~ed JamesNix / Individual .5/f//?Z NOTICE ___________ Weight and balance or operating limitation changes shall be entered in the appropriate aircraft record. An alteration must be compatible with all previous alterations to assure continued conformity with the applicable airworthiness requirements . ..____ ____ 8. Description of Work Accomplished (If more space is required, attach additional sheets. Identify with aircraft nationality and registration mark and date work completed.) Nl22TP Nationality and Registration Mark I I ~}l;;z_ Date Installed Commuter Air Technology Exhaust Gas extractor, Kit No. 78-03 Per SCT SA8986SW Inserted FAA approved Pilots operating handbook and Airplane flight manual supplement into the basic Airplane flight manual per the STC instructions. Instructions for Continued Airworthiness is found in Commuter Air Technologies Drawing Number 78-02-02. Instructions for Continued Airworthiness: 1) Introduction: The following Instructions for Continued Airworthiness (ICA) satisfy the requirements and provide the information necessary to complete on -going maintenance & inspection of the Commuter Air Technology Exhaust Gas Extractors 2) Description: See Description of Work Accomplished above. 3) Control/Operation Information: None 4) Servicing Information: None 5) Maintenance Instructions: Per Airframe manufactures inspection program and Commuter Air Technology Drawing No. 78-02-03 6) Trouble Shooting Information: None. 7) Removal/Replacement Information: None 8) Diagrams: None. 9) Special Inspection Requirements: None. 10) Application of Special Treatments: None. 11) Data: None. 12) List of Special Tools: None. 13) For Commuter Category Aircraft: None 14) Recommended Overhaul Periods: No additional overhaul time limitations. 15) Ain,vorthiness Limitations Section: No additional airworthiness limitations. 16) Revision: Submit a letter to the local FSDO with a copy of the revised FAA form 337 and revised ICA. • No Change to weight and baiance. ***END*** D Additional Sheets Are Attached FAA Form 337 (10-06) U.S.GPO:1989-0-663-171 • 0 MAJOR REPAIR AND ALTERATION {Airframe, Powerplailt, Propeller, or Appliance) U.S Department or Transportation Federal Aviation Administration FormApproved 0MB No. 2120-0020 11/30/2007 I Electronic Tracking Number For FAA Use Only INSTRUCTIONS: Print or type all entries. See FAR 43.9, FAR 43 Appendix B, and AC 43.9-1 (or subsequent revision thereof) for.instructions and disposition of this form. This report is required by law (49 U.S.C. 1421). Failure to report can result in a civil penalty not to exceed $1,000 for each such violation (Section 901 Federal Aviation Act 1958) Serial No. Nationality and//j/r;o~a;.;o 1. Aircraft Make&ee/2 ,41/l~/'/.JU r].'J. Name (As shown on registration certificate) Model/{:} 8/3-/;}93 t}t) l ~i~~d-" k'1)1)J. A/I) Address (As shown on registration certificafe) '-)1()/ L,'/,rtR~ PKw'f STF. 3o1 (b/J'l/J'lt)k 4n ~d/4Jt>~ .wt:..'0KIA-J,om4 /fl,tJ1(/4hom~ '7.3//1)-dgcjS" /J. .s /J. 2. Owner 3. For FAAUse Only 4. Type 5. Unit Identification Repair Alteration D D D D POWERPLANT D D PROPELLER Unit Make Model Serial Number (As described in Item 1 above) AIRFRAME PROP AMMETER APPLIANCE D IND .. 1574AM 721-19904 Manufacture: PHAOSTRON A. Agency's Name and Address 6. Conformity Statement B. Kind of Agency Aero-Mach Labs, Inc. 7707 E Funston Wichita, KS 67207 Country: USA D U.S. Certificated Mechanic D Foreign Certificated Mechanic C8l Certificated Repair Station D Certificated Maintenance Organization 0 IManufacturer C. Certificate No. NU2R044L D. I certify that the repair and/or alteration macle to the unit(s) identified in item 5 above and described on the reverse or attachments hereto have been made in accordance with the requirements of Part 43 of the U.S. Federal Aviation Regulations and that the information furnished herein is true and correct to the best of my knowledge. Extended range fuel per 14 CFR Part 43 App. B Signature/Date of Authorized Individual CRAIGANDERSEN ~. D Date 02-15-12 ~- .· 7. Approval for Return to Service Pursuant to the authority given persons specified below, the unit identified in item 5 was inspected in the manner prescribed by the Administrator of the Federal Aviation Administration and Is BY FAA Flt Standards Inspector FAA Designee Certificate or Designation No. NU2R044L X [81APPROVED D REJECTED Manufacturer Maintenance Organization Repair Station Inspection Authorization I Person Approved by Canadian Department of Transport Other (Specify) n Signature/Date of Authorized lndi~ CRAIG ANDERSEN · .. vv y IA A - - Date 02-15-12 FAA Form (10-06) 337 NOTICE Weight and balance or operating limitation changes shall be entered in the appropriate aircraft record. An alteration must be compatible with all previous alterations to assure continued conformity with the applicable airworthiness requirements. 8. Description of Work Accomplished · (l1more space is required, attach additional sheets. ldentify'with aircraft nationality and registration mark and date work completed.) l·.3/y/12- ! ! i , Nationality and Registration Mark Date DisJssembled,.cle~ned an~ inspected. Re~creened dial per STC# SA2698NM-S I . . . - Reassembled, calibrated and functionally tested. . . ,. .. ' . RA~THEON 101-389017 I I ·-------------------------------------------------NO FURTHERENTRIES----------------------------1-----------------------------------------------------1 II 0 FAA Form 337 (10-06) Additional Sheets Are Attached 0 MAJOR REPAIR AND Al TERATION (Airframe, Powerplant, Propeller, or Appliance) of U.S Department Transportation Federal Aviation Administration FormApproved 0MB No.2120-0020 11/30/2007 I E.lectronicTracking Number . For_FAA Use Only INSTRUCTIONS: Print or type all entries. See FAR 43.9, FAR 43 Appendix B, and AC 43.9-1 (or subsequent revision thereof) for instructions and disposition of this form. This report is required by law (49 U.S.C. 1421). Failure to report can result in a civil penalty not to exceed $1,000 for each such violation (Section 901 Federal Aviation Act 1958) Nationality and Registration Mark Make Serial No. /J//:J:J J) . 1. Aircraft J, Lk'f;f4_/1A A~e(._.· ('J.. Model/{,,J , µIIC' µchtvl)/Or}f Ari? {'~;noJt( t} l) /JJ£ 1o;u-t ls:J~.a, Address (As shown on registration certificafe) Name (As shown on registration certificate) 2. Owner AJ?-/ d 93 ;no, i..,'be? /Jl(telf/ STG. 3o1 t)K/,4,},/)/t1~ ()kh>lu;mA ,·-1-;,,, t.J.J. /) ?a; II/ - d i5 .r 3.. For FAA Use Only 5. Unit Identification 4. Type Alteration D D AIRFRAME D D POWERPLANT D D PROPELLER (As described in Item 1 above) MAX. ALLOWABLE AIRSPEED IND. APPLIANCE D Serial Number Model Make Unit Repair [8J 29140AM 1441-07 : ManufactJ.Jre AERO-MA~H LABS, INC. 6. Conformity Statement B. Kind of Agency A. Agency's Name and Address Aero-Mach Labs, Inc. 7707 E Funston Wichita, KS D U.S. Certificated Mechanic D Foreign Certificated Mechanic 181 Certificated Repair Station D Certificated Maintenance Organization 67207 Country:USA D IManufacturer C. Certificate No. NU2R044L D. I certify that the repair and/or alteration made to the unit(s) •den!ified in item 5 above and described on the reverse or attachments hereto have been made in accordance with the requirements of P3rt 43 of the U.S. Federal Aviation Regulations and that the information furnished herein is true and correct to the best of my knowledge. Extended range fuel per 14 CFR Part 43 App. B Date 02-14-12 Signature/Date of Authorized Individual D CRAIGANDERSEN . ~-- 7. Approval for Return to Service Pursuant to the authority given persons specified below, the un t identified in item 5 was inspected in the manner prescribed by the REJECTED [8] APPROVED Administrator of the Federal Aviation Administration and is D BY FAA Flt Standards Inspector Manufacturer Maintenance Organization Repair Station Inspection Authorization I Person Approved by Canadian Department of Transport Other (Specify) FAA Designee Certificate or Designation No. NU2R044L X Date 02-14-12 Signature/Date of Authorized lndi~ - CRAIG ANDERSEN FAA Form (10-06) 337 V NOTICE Weight and balance or operating limitation changes shall be entered in the appropriate aircraft record. An alteration must be compatible with all previous alterations to assure continued conformity with the applicable airworthiness requirements. 8. Description of Work Accomplished (If more space is required, attach additional sheets. Identify with aircraft nationalit; and registration mark and date work completed.) I. I 3/V//;)_ Nationality and Registration Mark Date Disassemble_d,cleaned a_ndinspected. Rescreened dial per STC# SA2698NM-S Reassembied, calibrated and func~ioilally tested. RAYTHEON 101~384074 REV.'A 4/20/81 . -------------NO E;NTRIES------------------------------------------------FURTHER --------------------------------------------------------------- D Additional Sheets Are Attached FAA Form 337 (10-06) .. 0 Form Approved 0MB No. 2120-0020 2/28/2011 MAJOR REPAIR AND ALTERATION (Airframe, Powerplant, Propeller, or Appliance) U.S Department of Transportation I Electronic Tracking Number For FAA Use Only Federal Aviation Administration INSTRUCTIONS: Print or type all entries. See Title 14 CFR 43.9, Part 43 Appendix B, and AC 43.9-1 (or subsequent revision thereof) for instructions and disposition of this form. This report is required by law (49 U.S.C. 44701). Failure to report can result in a civil penalty for each such violation. (49 u.s.c. 46301(a)) Nationality and Registration Mark Serial No. BB-1293 N122TP 1. Aircraft Make Series Model Beech Aircraft Co. Super Kin,? Air B200 Name (As shown on registration certificate) Address (As shown on registration certificate) 2701 Liberty Pkwy Ste. 309 State Oklahoma Oklahoma City 73110-2895 Country United States Address 2. Owner Commuter Air Technology, Inc. City Zip 3. For FAA Use Only 5. Unit Identification 4. Type Repair Alteration LJ Make Unit AIRFRAME D D DD D D Serial No. Model (As described in Item 1 above) POWE RP LANT PROPELLER APPLIANCE Type Manufacturer 6. Conformity Statement A. Agency's Name and Address IManufacturer B. Kind of Agency Name VALAIR Aviation D Address 730! NW 50th Street City Okiahoma City State Oklahoma Country United States Zip 73132-9702 - 0 IU.S. Certificated Mechanic !Foreign Cf.'rlificated Mr chanic. I 181 Certificated Repair Station D I Certificated Maintenance Organization C. Certificate No. ·- V5SR2170 D. I certify that the repair and/or alteration made to the unit(s) identified in item 5 above and described on the reverse or attachments hereto have been made in accordance with the requirements of Part 43 of the U.S. Federal Aviation Regulations and that the information furnished herein is true and correct to the best of my knowledge. Extended range fuel Per 14 CFR Part 43 App.B Slgoat,~-=~dl,ld,al D 3/y/27/J/2- / 7. Approval for Return to Service Pursuant to the authority given persons specified below, the unit identified in item 5 was inspected in the manner prescribed by the Administrator of the Federal Aviation Administration and is BY FAA Flt Standards Inspector FAA Designee X Certificate or Designation Manufacturer Maintenance Repair Station Inspection Authorization Organization IPersons Approved by Canadian Department of Transport Other (Specify) Signa~ate No. D REJECTED cgj APPROVED V5SR2170 of Authorized '//f/,'A??M,~' / Individual '/ / 3/$1'/0/?J 2- ' . NOTICE Weight and balance or operating limitation changes shall be entered in the appropriate aircraft record. An alteration must be compatible with all previous alterations to assure continued confonnity with the applicable airworthiness requirements. 8. Description of Work Accomplished ! (If more space is require~,. attach ad~itional sheets. Identify with aircraft nationality and registration mark and date work completed.) I NJ22TP Nationality and Registration Mark 11 J/1///2 1· Date Installed forward and aft fuselage cable feed thru panel at F.S: 177.0 to F.S: 185.0; between Lstrgr 14 and Lstrgr 15 per DER drawings under MDL CAI&, Rev. NC as approved by FAA form 8110-3 dated 02/29/2012 Assembly and Installation of mission console at F.S: 188.0 to F.S. 246.75 in cabin, per DER drawings under MDL CA 18, Rev NC as approved by FAA form 8110-3 dated 02/29/2012 Installed two IO" monitor mounts and one 5" monitor mount per DER drawings, under MDL CA 18, Rev.NC as approved by FAA form 8110-3 dated 02/29/2012 Installed 3 NAT intercom system attach points and mounting provisions in cabin, per DER drawings under MDL CA 18, Rev NC as approved by FAA form 8110-3' dated 02/29/2012 · Installed five Ethernet mounting points, per DER drawings under MCL CA 18, Rev.NC as approved by FAA form 8 I I 0-3 dated 02/29/2012 Installed five I I 5VAC/60Hz outlet attach points and mounting provisions in cabin, per DER drawings under MDL CA I 8, Rev NC as approved by FAA form 8 I I 0-3 dated 20/29/2012 Installed shelf for the 115VAC/60Hz inverter and circuit breakers mounts under aft cabin floor between F.S. 177 .5 to F.S. 188.0,for west cam MXl5 FUR in cargo pod, for FDS detached electronic box at F.S. 143.0 to F.S. 150.0 behind co-pilot's cockpit sidewall, per DER drawings under MDL CA18, Rev NC as approved by FAA form 8110-3 dated 02/29/2012 Installed Anti-collision Light between F.S: 125.0 and F.S: 134.0 per DER drawings under MDL CA 18, Rev NC as approved by FAA form 8110-3 dated 02/29/2012 Re-located: antennas at lower aft section of aircraft at these locations: Comm. #2 at F.S: 316.0 to F.S: 326.0. DME #2 at F.S. 342.0, Transponder #I at F.S. 120.0Transponder #2 at F.S. 342; R.B.L 15.4. DME #I at F.S. 110.0; R.B.L.18. Installed New Antennas: Two GPS antenna doublers with antennas at F.S. 220.8, radar altimeter #I at F.S. 32 I .0 and radar altimeter #2 at F.S. 342.0 Installed UNS-1 K antenna with doubler at F.S: 155.0 upper fuselage. Installed one Line of Sight antenna doubler with antenna at F.S. 416.0 on lower fuselage. Installed SATCOM antenna doubler with antenna at F.S. 236.0 to F.S. 246.0 upper fuselage. All antenna installations and relocations were accomplished per DER drawings under MDL CA-18,Rev NC as approved by FAA form 8110-3 dated 02/29/2012. Instructio11sfor Co11ti11ued Airworthiness: (I) Introduction: The following Instructions for Continued Airworthiness (!CA) satisfy the requirements and provide the information necessary to complete on -going maintenance & inspection of the structural and electrical modifications described herein. (2) Description: See Description of Work Acr.omp!ished above. (3) Control/Operation Information: Use the manufacturer's control/ operation inf01mation (4) Servicing Information: None. (5) Maintenance Instructions: Use the aircraft manufacturer's recommended inspection/maintenance periods to check for condition and security. This installation requires no special periodic maintenance or overhaul requirements. (6) Trouble Shooting Information: None. (7) Removal/Replacement Information: Use standard shop tools. (8) Diagrams: None. (9) Special Inspection Requirements: None. (10) Application of Special Treatments: None. (11) Data: None. (12) List of Special Tools: None. ( 13) For Commuter Category Aircraft: None. (I 4) Recommended Overhaul Periods: No additional overhaul time limitations. (15) Airworthiness Limitations Section: Not applicable. (16) Revision: Submit a letter to the local FSDO with a copy of the revised FAA form 337 and revised ICA. The aircraft was weighed after all the.above work was ·completed. Revised Weight & Balance Sheet inserted into the Qalan~e .S~ftiqn .. ~_ir~ra.ft Eqµip!Ile.nt List upd~ted. t~ .~~fleet.th~ ~l>_o~echanges Aircraft.Flight Manual, \\:'.ejg,h,t/Jr.. D FAA Form 337 (10-06) ***END*** Additional Sheets Are Attached U.S.GPO:1989-0-663-171 .. ' . DATE U.S. DEPARTMENT OF TRANSPORTATION FEDERAL AVIATION ADMINISTRATION STATEMENT OF COMPLIANCE WITH THE FEDERAL AVIATION REGULATIONS 29 February 2012 AIRCRAFT OR·AIRCRAFT COMPONENT IDENTIFICATION MAKE MODEL NO. TYPE (Airplanf/, Radio, Helicopter,etc.) NAME OF APPLICANT Hawker 8eechcraft 8200 Airplane Valair Aviation, Inc. LISTOF DATA TITLE IDENTIFICATION CommuterAir Tech. Drawing No. CA 18, Rev. NC ·············· EN0---· ······ CAT· 881293 MDL, Special Equipment Install. Sheets 1-2. ..,:, .. .. , Notes: .. . ., ' 1. The structural aspects only of the above listed data are approved herein. This approval is only for the engine-ering design data. 2. This approval is issued in support of alteration performed on Hawker Beechcraft Model 8200, SIN 88-1293 only. 3. This DER have performed analysis and evaluation on items listed in this MDL. Analysis showed ample margins, formal documentation is not complete to meet aircraft comf9rmity check. Structural substantiation report No. LE-1660 for signicant items on this list will follow shortly. ··················································--ENO---······················································· Engineering data to support field activity. PURPOSE OF DATA FAR 23.307(a), 561 amdt 23-7, 23-24, 23-36, 23-46, 23-48, 601, 603 amdt 23-17, 23-23, 605 amdt 23-23, 609,613 amdt 23-23, 23-45 . APPLICABLE REQUIREMENTS (List specific sections) .. '. . . . ·.·! .~~·-· • !' '!" • .•!'. :-1:: ~-.. :4" ~'lo• ' ..,. .. .. ' . ·~.. .... . ) ·" .. ': ..,~ , . ;• .. ; - . ...., . CERTIFICATION • Under authority vested by direction of the Administrator and in accordance with conditions and limitations of appointment have been examined in -1:Y..A..... under Part 183 of the Federal Aviation Regulations. data listed above and on attached sheets numbered accordance with established procedures and found to comply with applicable requirements of the Federal Aviation Regulations. D Recommendapprovalof these data I (WerTherefore Approvethese data C8J SIGNATURE(S) OF DESIGNATED ENGINEERING REPRESENTATIVE/$\ DESIGNATION NUMBERS/SI CLASSIFICATION/$) Rex Ruoh-yu Li~/ DERT 605325-NM Structures /_,,_,,,-L-Yr., . ;{ / FAA Form 8110-3 (11-70) SUPERSEDES PREVIOUS EDITION ELECTRONIC FORMAT (7-00) GTW-12-027 U.S. DEPARTMENT OF TRANSPORTATION FEDERAL AVIATION ADMINISTRATION STATEMENT OF COMPLIANCE WITH AIRWORTHINESS STANDARDS II Date: March 3, 2012 AIRCRAFT OR AIRCRAFT COMPONENT IDENTIFICATION MAKE MODEL NO. Hawker Beechcraft 8200 TYPE (Aircraft, Engine, Propeller, etc.) Aircraft NAME.OF APPLICANT VALAIR AVIATION LISTOF DATA IDENTIFICATION VALAJR AVIATION Doc.: YA010-206-110, Revision JR Dated February 1, 2012 TITLE AUDIO/ JCS EQUIPMENT .. VA029-208-050, Revision IR Dated February 10, 2012 MX-15 (FLIR) EQUIPMENT VA020-210-999, Revision IR Dated February 21, 2012 MISSION CONNECTORS AND PANELS VA020-210-999, Revision IR Dated February 6, 2012 MISSION POWER SYSTEMS VA028-207-270, Revision IR Dated January 2·5, 2012 DOWNLINK EQUIPMENT VA001-205-290, Revision IR Dated January 20, 2012 TACTICAL UHF COMM EQUIPMENT VA030-209-220, Revision IR D.ated February 6, 2012 VIDEO SYSTEM EQUIPMENT /A000-204-000, Revision IR Dated January 20, 2012 0-----------------------0 WIRE INSTALLATION NOTES, LEGEND & BOM 0------------------------------------END OF DATA-----------------------------0 Notes: 1) The electricaland system aspects of the above listeddata are approvedhereinand only those regulationsspecified by paragraphand sub-paragraphlisted below are includedin the approval. conditionsand limitations. 2) See TCDS numberA24CE for aiJWorthiness PURPOSE OF DATA: In support of a major alteration for the installation of a Special )Vlission Platform in a Hawker Beech Model 8200, serial number BB-1293. This approval is for engineering design data approval only and does not constitute installation approval. APPLICABLE REQUIREMENTS (Ust specific sections) 14 CFR 23.867 (a, b) 14 CFR 23.1301 (a, b, C, d) Arndt. 23-20 14 CFR 23.1309 (e) Arndt. 23-49 14 CFR 23.1322 (d) Arndt. 23-43 14 CFR 23.1359 (c) Arndt. 23-49 14 CFR 23.1365 (a-f) Amdt. 23-49 14 CFR 23.1431 (a, b) Admt. 23-43 14 CFR 23.1307 (b, 3) ·Amdt. 23-43 14 CFR 23.1357 (a, b, C, d) Arndt. 23-43 14 CFR 23.1367 (a, b, d) No Arndt. CERTIFICATION - Under authority vested by direction of the Administrator and in accordance with conditions and limitations of appointment under 14 CFR Part 183, data listed above and on attached sheets numbered N/A have been examined in accordance with established procedures and found to comply with applicable requirements of the Airworthiness Standards listed. I tt>Therefore D Recommend approval of these data ~pprove these data ,r SIGNATURE(S) OF DESIGNATED ENGINEERING REPRESENTATIVE(S) I} ., DESIGNATION NUMBER(S) CLASSIFICATION(S) I G.T. WOLTERS /... ,,.··1/ ._'/2; .,._ !iy;--·1, FAA Form 8110-3 (03-10) SUPERSEDES PREVIOUS DERT-510435-SW SYSTEMS & EQUIPMENT ELECTRICAL GTW-12-028 U.S. DEPARTMENT OF TRANSPORTATION FEDERAL AVIATION ADMINISTRATION STATEMENT OF COMPLIANCE WITH AIRWORTHINESS STANDARDS II Date: March 4, 2012 AIRCRAFT OR AIRCRAFT COMPONENT IDENTIFICATION MAKE MODEL NO. Hawker-Beechcraft 8200 TYPE (Aircraft, Engine, Propeller, etc.) Aircraft NAME OF APPLICANT VALAIR AVIATION LIST OF DATA IDENTIFICATION TITLE VALAIR Documents: .. CAT_ELA_B200 Revision IR Dated February 28, 2012 SUPPLEMENTAL ELECTRICAL LOAD ANALYSIS - SPECIAL MISSION POWER BUS - IN HAWKER BEECH SUPER KINGAIR MODEL 8200 SERIAL NUMBER BB129-3 . 0----------------------------0 0--------------------------END OF DATA-------. --. -------------------0 Notes: 1) The electrical and_system aspects of the above listed data are approved herein and only those regulations specified by paragraphand sub-paragraphlisted below are included in the approval. 2) See TCDS number A24CE for airworthinessconditionsand limitations. · PURPOSE OF DATA: In support of a major alteration for the installation of a Special Mission Power Bus in a Hawker Beech Model B200, serial number BB-1293 with upgraded 300 A starter-generators. This approval is for engineering design data approval only and does not constitute installation approval. APPLICABLE REQUIREMENTS (List specific sections) 14 CFR 23.1307 (b, 2) Arndt 23-43 14 CFR 23.1365 (a) Arndt. 23-49 14 CFR 23.1309 (c, d) Arndt 23-49 14 CFR 23.1351 (a) Arndt 23-49 CERTIFICATION - Under authority vested by direction of the Administrator and in accordance with conditions and limitations of appointment under 14 CFR Part 183, data listed above and on attached sheets numbered N/A have been examined in accordance with established procedures and found to comply with applicable requirements of the Airworthiness Standards listed. I~ D ~ecommend approval of these data Therefore kpprove these data SIGNATURE(S) OF DESIGNATED ENGINEERING REPRESENTATIVE(S) ,., 11~ 1/ 2/4,1/J _,,,..I A,/ DESIGNATION NUMBER(S) J G.T. WOLTERS L , II FAA Form 8110-3 {03-10) SUPERSEDES PREVIOUS EDITION A_·· , DERT-510435-SW CLASSIFICATION(S) SYSTEMS & EQUIPMENT ELECTRICAL 0 I Form Approved 0MB No. 2120-0020 MAJOR REPAIR AND ALTERATION (Airframe, Powerplant, Propeller_,or Appliance) U.S Department of Transportation FederalAviation Administration Electronic Tracking Number 1113012007 For FAA Use Only INSTRUCTIONS: Print or type all entries. See FAR 43.9, FAR 43 Appendix B, and AC 43.9-1 (or subsequent revision thereof) for instructions and disposition of this form. This report Is required by law (49 U.S.C. 1421 ). Failure to report can result in a civil penalty not to exceed $1,000 for each such violation (Section 901 Federal Aviation Act 1958) Nationality and 71.,;t;n;.; 1. Aircraft Make /,{i p ,t:?r' _j, Serial No. /4''RI'!/",a.Ci-- etJ Mo/d l~;P.l'tf RI'tvt: A,~ ?.tJO Address (As shown on registration certificale) Name (As shown on registration certificate) 2. Owner ~/3-/,:}9-,'3 . cJ7()1 /..,'h,R,'fdPKtcJZ STF.J!J'/ /)i.tf Tedtt1al09y: :t:;,;c. ~K/Ahtim/J C,~, ..,t)/Yl/>'I(/ft({, {)K, 7:iu -.:JNr A-h()mt> / L <. L1 3. For FAA Use Only 5. Unit Identification 4. Type Repair Alteration Unit D D AIRFRAME D D POWE RP LANT D D PROPELLER Serial Number Model Make (As described in Item 1 above) MAX. ALLOWABLE AIRSPEED IND. APPLIANCE D 27L5AM 1441-07 Manufacture : AERO-MACH LABS, INC. 6. Conformity Statement A. Agency's Name and Address B. Kind of Agency Aero-Mach Labs, Inc. D D 7707 E Funston Wichita, KS 67207 Country: USA IManufacturer U.S. Certificated Mechanic D Foreign Certificated Mechanic C. Certificate No. Certificated Repair Station D NU2R044L Certificated Maintenance Organization D. I certify that the repair and/or alteration made to the unit(s) identified in item 5 above and described on the reverse or attachments hereto have been made in accordance with the requirements of Part 43 of the U.S. Federal Aviation Regulations and that the information furnished herein is true and correct to the best of my knowledge. Extended range fuel per 14 CFR Part 43 App.B Date 02-13-12 Signature/Date of Authorized Individual -~ CRAIG ANDERSEN D 7. Approval for Return to Si!'rvlce Pursuant to the authority given persons specified below, the unit identified in item 5 was inspected in the manner prescribed by the Administrator of the Federal Aviation Administration and is BY FAA Flt Standards Inspector FAA Designee Certificate or Designation No. NU2R044L X APPROVED D Manufacturer Maintenance Organization Repair Station Inspection Authorization I Person Approved by Canadian Departmenl of Transport · Other (Specify) Signature/Date of Authorized lndivi~ CRAIG ANDERSEN Date 02-13-12 . •J i V \\ REJECTED • FAA Form 337 . (10-06) .... NOTICE Weight and balance or operating limitation changes shall be entered in the appropriate aircraft record. An alteration must be compatible with all previous alterations ta assure continued conformity with the applicable airwarlhiness requirements: 8. Description of Work Accomplished (If mare space is required, attach additional sheets. Identify with aircraft nationality and registration mark and date work ~ompleted.) 3/y/12. Nationality and Registration Mark Date Disassembled, cleaned and inspected. Rescreened dial per STC# SA2698NM-S . Reassembled, calibrated and functionally tested. RAYTHEON 101-384074 REV. A 4/20/81 ------------NOFURTHERENTRIES------------------------------·-------.-·--------------··--·---------------------·-·--·------------------------------------. D Additional Sheets Are Attached FAAForm 337 (10-06) 0 Form Approved 0MB No. 2120-0020 MAJOR REPAIR AND ALTERATION (Airframe, Powerplant, Propeller, or Appliance) US Department of Transportation Federal Aviation Administration Electronic Tracking Number 11/30/2007 For FAA Use Only INSTRUCTIONS: Print or type all entries. See Title 14 CFR §43.9, Part 43 Appendix B, and AC 43.9-1 (or subsequent revision thereof) for instructions and disposition of this form. This report is required by law (49 U.S.C. §44701 ). Failure to report can result in a civil penalty for each such violation. (49 U.S.C. §46301(a)) Nationality and Registration Mark Serial No. N122TP 1. Aircraft BB-1293 Make Model Beech 2. Owner \ Series 8200 Name (As shown on registration certificate) Address (As shown on registration certificate) Tango Papa Aviation Inc. Address P.O. Box 22333 City Ielludde Zip 81435 Stata CO Country 3. For FAA Use Onlv 4. Type 5. Unit Identification Repair Alteration D fl] AIRFRAME D D POWERPLANl D D PROPELLER Unit Make Model Serial No. (As described in Item 1 above) Type D D APPLIANCE Manufacturer 6. Conformity Statement A. Agency's Name and Address Cily Omega Avionics, LLC 2B6Bl'lla~igamra Wa~ Grand Junction, Zip 81506 Name Address B. Kind of Agency U. S. CertificatedMechanic tta Slate co I ForeignCertificatedMechanic CertificatedRepairStation ,/ Country Manufacturer C. Certificate No. CertificatedMaintenanceOrganization OXDR947X D. I certify that the repair and/or alteration made to the unit(s) identified in item 5 above and described on the reverse or attachments hereto have been made in accordance with the requirements of Part 43 of the U.S. Federal Aviation Regulations and that tho information furnished herein is true and correct to the best of my knowledge. Extended range fuel per 14 CFR Part 43 App.B D - s;,~'"""°'" Au~""'"''"'"''~ • Danny Pinson o1 ll"\.••. I '-1/o'I ( 7. Aooroval for Return to Service Pursuant to the authority given persons specified below, the unit lden;d Administrator of the Federal Aviation Administration and is BY FAA Flt. Standards Inspector FAA Designee Certificate or Designation No. O'X.'Df<..q47X FAA Form 337 (10-06) in item 5 was inspected in the manner prescribed by the Approved Rejected D Maintenance Organization Manufacturer x·~,..=~~, ....,,Vt Inspection Authorization Repair Station - .. __ I,,,. .a.. - .J. .. .. • ~· ~n PersonsApprovedby Canadian Departmentof Transport Other (Specify) a-/LJ /09 NOTICE Weight and balance or operating limitation changes shall be entered in the appropriate aircraft record. An alteraiion must be compatible with all previous alterations to assure continued conformity with the appicable airworthinessrequirements. _____ IN122TP .__ 8. Description of Work Accomplished · _,I I~---~ Nationality and Registration Mark I Date N122TP, s/n BB-1293 Removed Avidyne Flightmax 850 MFD. Installed Avidyne FlightMax EX500 Series MFD PIN 20037047 in center radio panel at F.S. 94.0. as per STC # SA00161BO Interfaced EX500 MFD to existing Collins WXT250B Radar for weather, King KLN 900 GPS for navigation,and to BF Goodrich Skywatch 497 for traffic. · Wiring is MIL-W~22759. Equipmentlist, wiring diagrams,and weight and balance were updated. Power is supplied by the avionics buss through a 3 amp Klixon circuit breaker p/n 7277-2-3 labeled "EX500" located on the co-pilot's circuit breaker panel mounted in the co-pilot's sidewall. The above installationwas installed in accordancewith: AC43.13-IB, Chapters 7 and 11, AC43.13-2Achange 2, chapter I, chapter 2, Avidyne EX500 MFD installationmanual PIN 600-00079-000Rev. 06 dated 02/18/05, Collins WXT2SOBRadar Installation Manual PIN 523-0774518Ed ~ev. 0 08/30195,King KLN 900 installationmanual PIN 006-15533-0000Rev 5 Dated 01/99, BF Goodrich Skywatch 497 Installation Manual p/n 009-10800-001Rev. B dated 9/28/98, and 14 CFR 23 Subpart F. The Avidyne FlightMax EX500 Integrated Datalink MFD Pilot's Guide PIN 600-00078-000Rev. 6 04/14/05 and the FAA Approved Flight Manual Supplement PIN 600-00083-00dated 02/08/05 were placed in the aircraft. The Avidyne FlightMax EX-500 Instructions For Continued Airworthiness supplement PIN AVMFD-073 Rev 05 dated 10/15/04was inserted in the aircraft flight manual. ---END---- I .J Additional Sheets Are Attached ~iteb ~tide& JE)eparitmnt of 'filrane;portation - ®f J\.nttrica Jffe.beral .!'-&udion ~ntinie;tration ~uppltmental CCI!ypt Oitrtificatt ff~ ~_,_,f!, __ ,,_~l'o ~ddde SA00161BO Avidyne·Corporation 55 Old Bedford Road ·L~coin, Massach~tts O1773 ~;,,,,de~~fo~~~av:d' ~~«Ad~ .2J ¥de ¥~ «.J,~~~ ~JV.-tf- .. See attached FAA ApprovedModel List (AML), DocumentNo. AVMFC-076,Rev (D), dated February 08, 2005, or later FAA approved revisions for the list of approved airplane models and applicable regulations. ~-· ~-· Installation of Avidyne CorporationFlightMax 700-00007-{) EX500 Multi-FunctionDisplay in accordancewith Avidyne Corporaticin.MasterDocunientList, DocumentNo. AVMFD-088,Revision 09, dated February 4, 2005, or later FAA-approved revisions. l. 2. 3. The FlightMax EX500 Multi-Fune.lionDisplay integrates with separately approved system installations. Adherenceto the limitations in the appropriate Aircraft Flight Manual Supplements for those systems is mandatory. Instructionsfor ContinuedAirworthiness (ICA),AvidyneCorporationDocumentAVMFTh083,Revision 05, dated.October 15, 2004 or later FAA acceptedrevision shall be made available to tlie operator af the time of installation. . .. . . . Compatibilityof this design with previouslyapprovedmodificationsmust be determined by the installer. If the holder agrees to permit another person to use this certificate to alter the product, the holder shall give the other person written evidence of that permission. r/4/a, Al, ~o,,a~,/4A, ~aA, ¥~ ¥~ ~-4 de &e.wfo ~~~;,,,, Al- .·September JO, 2002 .·February 6, 2003 ~~.·February 8, 200S RobertG. Mann Manager BostonAircraft CertificationOffice (Title) Any Blterat1on of this FM Form 8110-2110-68) cert1f1cate ls punishable Page 1 of l by a flne of not exceeding Thls $1,000, cert1flcate or imprisonment llL!Y be transferred not exceed1nq in accordance 3 ye4rs, with or both. FAR 21.47. ----- -------~ AircraftMake AircraftModel(s) TypeCertificate Number Certification Basis A78EU 14CFRPart23 7A15 CAR3 A20SO CAR3 PA-31P, PA-31T, PA-31T1, PA-31T2, PA· 31T3,PA-31 P-350 ABEA CARJ PA-42,PA-42-720, PA-42-720R, PA-421000 A23SO 14CFRPart23 200(A100-1 (U-21J)), 200C,200CT, 200T, A200(C-12A) or (C-12C), A200C(UC-128), A200CT (C-120)or (FWC-120) or (RC-120) or (C-12F) or (RC-12G) or(RC·12H)or (RC12K)or (RC-12P) B200,8200C(C-12F) or (UC-12F) or (UC-12M), or (C-12R), 8200CT, B200T, 300,B300,B300C, 300LW,1900, 1900C(C-12J), 19000 A24CE 14CFRPart23 A100(U-21F), A100A, A100C,8100 A14CE 14CFRPart23 F90 A31CE 14CFRPart23 5A4 CAR3 A12CE 14CFRPart23 3A20 CARJ, 14CFRPart23 A765 CAR3 A60EU 14CFRPart23 2A4 CAR3 6A1 CAR3 A12SW 14CFRPart23 PilatusAircraft PC-12,PC-12/45 Limited PC-6,PC-6-H1, PC-6-H2, PC-6/350, PC6/350-H1, PC-6/350-H2, PC-6/A, PC-6/A-H1, PC-6/A·H2, PC-6/B-H2, PC-6/B1·H2, PC6JB2-H2, PC-6/B2-H4, PC-61C-H2, PC-6/C1 • H2 TheNewPiper PA-31,PA-31-300, PA-31-325, PA-31-350 Aircraft,Inc Raytheon Aircraft Company E50(L-230,RL-230), C50,F50,050(L· 23E),G50,050AH50,0508,J50,D50C, 050E,D50E-5990 60,ABO, 860 65,65-A90-1, A65,65-A90·2, A65-8200, 65A90-3,65-80,65-A90-4, 65-ASO, 65-ABQ. 8800,65-880,65-88,65-90,65-A90, 70, B90,C90,C90A,C90GT, E90,H90, D18C,018S,E18S,E18S-9700, G18S, H18 SOCATA- TBM700 Groupe AEROSPATIALE Twin 560-F,681,680,690,6SOE, 685,680F, Commander 690A,720,690B,680FL,690C,680FL(P), 6900,680T,695,680V,695A,680W,6956 500-A,500-8,500-U,560-E,500-S 700 FAA Approved Date: OCTO5 2008 AVMFC-076 Avidyne 700-00007-XXX~() MFD Approved Model List Page10 of10 src No. SA00161 BO 0 Form Approved 0MB No. 2120-0020 For FAA Use Only Office ldentificatio~ MAJOR REPAIR AND ALTERATION (Airframe, Powerplant, Propeller, or Appliance) US Department of Transportation Federal Aviation Administration A//UreO INSTRUCTIONS: Print or type all entries. See FAR 43.9, Appendix B, and AC 43.9-1 (or subsequent revision thereof) for instructions and disposition of this form. This report is required by law (49 U.S.C. 1421 ). Failure to report can resultin a civil penalty not-to exceed $1,000 for each such violation (Section 901 Federal Aviation Act of 1958). Model Make 6200 RAYTHEON AIRCRAFT COMPANY 1. Aircraft Nationality and Registration Mark Serial No. N122TP BB-1293 Address (As shown on registration certificate) Name (As shown on registration certificate) 2. Owner Tango Papa Aviation PO Box 22333 Telluride, Co. 81435 Inc. 3. For FAA Use Only The data identified herein complies with the applicable airworthiness requirements and is approved for the above described aircraft, subject to the conformity inspection by a person authorized in FAR Part 43, Section 43.7 c::Z--/?.~ Februa!Y 7 2005 Date NM-FSD0-03 District Office /4ignature of FAA Inspector 5. Type 4. Unit Identification Unit AIRFRAME -------- Repair Serial No. Model Make Alteration (As described in Item 1 above) -------- X POWERPLANT PROPELLER Type APPLIANCE Manufacturer 6. Conformity Statement C. Certificate No. B. Kind of Aoencv VIB6368K U.S. Certificated Mechanic Airframe Class 3 Foreion Certificated Mechanic Stevens Aviation, Inc. Limited Airframe 11905 Corporate Way X Certificated Repair Station Limited Powerplant Manufacturer · Radfo Class 1,2&3 80021 Broomfield, Colorado D. I certify that the repair and/or alteration made to the unit(s) identified in item 4 above and described on the reverse or attachments hereto have been made in accordance with the requirements of Part 43 of the U.S. Federal Aviation Regulations and that the information furnished herein is true and correct to the best of mv knowledge. Signature of Authorized Individual Date February 7, 2005 A. Aoencv's Name and Address - Gerald R. Davidson \)~ ~le. 7. Aooroval for Return to Service Pursuant to the authority given persons specified below, the unit identified in item 4 was inspected in the manner prescribed by the 0 REJECTED 12] APPROVED Administrator of the Federal Aviation Administration and is Other (Sp~cify) FAA Flt. Standards Inspection Authorization Manufacturer Inspector BY Person Approved by Transport FAA Designee X Repair Station Canada Airworthiness Group Date of Approval or Rejection .J.a.1..-9. ,':l no&"' FAA Form 337 (12-as) Certificate or Designation Nci. CRS VIB6368K Signature of Authorized Individual ~•~,.OAR, Go.1-~iQ..Q ; NOTICE Weight and balance or operating limitation changes shall be entered in the appropriate aircraft record. An alteration must be compatible with all previous alterations to assure continued conformity with the applicable airworthiness requirements. 8. Description of Work Accomplished (If more space is required, attach additional sheets, Identify with aircraft nationality and registration mark and date work completed.) S/N-B.B1293 Model.B200 RAYTHEON DATED 2~7-2005 N122TP Installed a Bendix/King KGP 860 General Aviation Enhanced Ground Proximity Warning system (GA-EGPWS) consisting of: • KGP 860 GA EGPWS unit PIN 965-1199-005 (TSO C 151b els B,C) installed onto upper R/H fwd avionics bay shelf at sta . 77.75. . ., . . 77.75. sta at connector KGP860 into installed B,C) els Cl5lb (TSO 700-1710-21 PIN Module Configuration 560/860 KGP • GA EGPWS switching / annunciation unit p/n MD4 l- l 208 (Mid-Continent Instruments) installed in lower. R/H side of pilots • . panel at sta 107.0. Antenna power splitter PIN-071-01600-0001 at sta 122.0. Note! Installed wiring provisions for display unit for later installation by owner if desired. Previous approval ofthe KGP 860 System obtained by Honeywell International Inc. on STC # SA01190WI-D . . . . . . . . . Above work done IA W Bendix/King KGP 860 Installation Manual p/n 006-10618-0000 rev. - dat~d June 16, 2003, Mid Continent MD41-1300 Installation manual p/n 9011644 rev. A June 26, 2003, Stevens Aviation Wiring drawing 24-515-W02 Rev 1/R, dated 1-26-05, DER 8110-3 approved 2-2-05, SAl structural drawing# 24-124-026 lRdated 2-9-04, DER 8110-3 approved 22-05.AC43.13 1B ch 11 sec 5,6,7,8,9,10,l l,12,15,16,17, 2A ch 1 para 1-12, ch 2 para 21-27. KGP 860 System installed using MIL-W-22759/16, MIL-C-27500 wire and RG-400 coax which meets or exceeds gauges called out in manufactures installation manual. KGP 860 unit is connected to the 28 vdc Avionics bus using a 2 amp circuit breaker p/n 7277-2-2 labeled EGPWS. Continued Airworthiness: RefBendix/King KGP 860 Installation Manual p/n 006-10618-0000 rev. - dated June 16, 2003. Sect. 7.4 "Design and manufacture of the equipment will provtde for installation so as not to impair the airworthiness of the aircraft." Ref sect 7.4 for.information ifKGP 860 system should require maintenance. FAA approved airplane flight manual supplement dated February 7. 2005 is required for this approval. Refer to the KGP 560 I 860 Pilot Guide, Honeywell pin 006-18254-0001 rev 5 July/2004 or later revision for information regarding specific operating details of the KGP 860 GA-EGPWS. Total continuous electrical load found not to exceed generator load limitations IA W A.C. 43.13-lB Chapt. 11 sect 3 para: 11-36. Amended aircraft equipment list and weight & balance. ---- ---------------END----------------. ------. D Additional Sheets Are Attached K U.S. GP0:1991-0558-012/40035 Form Approved 0MB No. 212Q.0020 MAJOR REPAIR AND ALTERATION (Airframe, .P.owerplant, Propeller, or Appliance) US Department of Transportation Federal Aviation Administration For FAA Use Only ol11rntification INSTRUCTIONS: Print or type all entries. See FAR 43.9, FAR 43 Appendix B, and AC 43.9-1 (or subsequent revision thereof) for instructions and disposition of this form. This form is required by law (49 U.S.C. 1421). Failure to report can result in a civil penalty not to exceed $1,0CIJ for each such violation (Section 901 Federal Aviation Act of 1958'. · Model Make B-200 Beechcraft 1. Aircraft Nationality and Registration Mark Serial No. -· N122TP BB-1293 Name (As shown on registration certificate) Kladstrup Wetzel Associates 2. Owner Address (As shown on registration certificate) 7785 S. Peoria St Englewood, CO 80112-4184 3. For FAA Use Only - .. -- - , -- __ . _,_ .. - - . . . .. ~-- ,., .. 4. Unit Unit (As POWERPLANl '.· , .. . .' '.. ··-.. ' .. ' ..... -- . ·• Repair .. '. ' . . - X .t . ~- \ - Alteration · .' ·-· .. t-·-· .- ' ., . ·, ... Type APPLIANCE . Serial No:" !• . I .... - "' .. : . d'cribed in ~:'!1} ~b_ove)-:-'.~,.:~~----;-~--:- .. .. . 5. Type Model 41W"'11'"'1JIAIIA#IIIINll1'"111"".,.,.,,., PROPELLER -- Identification Make AIRFRAME . Manufacturer ... 6. Conformity Statement ,B. Kind of Agency .. U.S. CertificatedMechanic A. Agency's Name and Address Rose Aircraft Interiors, Inc. P.O. Box 1363 · Mena, AR 71953 C. Certificate No. HR2R882K Limited Airframe ForeignCertificatedMechanic X CertificatedRepairStation Manufacturer D. I certify that the repair and/or alteration made to the unit(s) identified in item 4 above and described on the reverse or attachments hereto have been made in accordance with the requirements of Part 43 of the U.S. Federal Aviation Regulations and that the information furnished herein is true and correct to the best of my knowledge. Date Signature of Authorized Individual January 23, 2001 Bruce A. Myers 7. Approval ,..,, :BI\..U..C.R.. 0" ·-o .... for Return to Service ·Pursuant to the authority given persons specified below, the unit identified in item 4 was inspected in the manner prescribed by the Administrator of the Federal Aviation Administration and is APPROVED REJECTED D BY FAA Flt. Standards Inspector FAf.. Designee -- ·-. Date of Approval or Rejection 01-23-2001 FAA Form 337 X Inspection Authorization Repair Station Person ApRroved byTransport • Canadian_ irworthiness Group .. - Certificate or Designation No. HR2R882K c12..aai Other (Specify) Manufacturer .. - .. -- --- . - - . . - -·- . - Signature of Authorized Individual .. Bruce A. Myers :J31t;..J...U...O.. .. "II D .... ... -. ... . --------------------------------------------------·NOTICE Weight and balance or operating limitation changes shall be entered in the appropriate air;_craftrecord. An a::eration must be compatible with all previous alterations to assure continued conformity with the apP_licabl~airworthiness requirements. 8. Description of Work Accomplished (If more space ls required,attach additional sheets. Identify with aircraft nationality and registration mark and dale work completed.) Beechcraft King Air B200, N122TP, sin BB-1293 1. Installed KGS SS50 inverter and three circuit breakers under the floor panel atfuselage station 270.5 in accordance with Ronnie Bays engineering report number ER-0104, and documented with FAA Form 8110-3, dated 21 January 2001. manual. 2. New aircraft weight and balance was calculated and added to aircraft flight..:::.,,...._..........-~-_.. ......-=~~ ,.....,.-::~~-= ........... .... ...,..,., '< 11...... .. --------------------------------------------END-------------------------------------------- '·_;. f 2 9 200J 'JAN •, - .. __......,., ..... ..:., ~--' , , , .~ditional Sheets Ive Attached U.S. GOVERNl\/'..ENT PRINTING OFFICE: 1992-769-012/60157 . --·. .. 0112112001 ·--· i6:34 RONNIEBAYS 9724963608 FilcNo.00-04 PAGE . ' 02 DATE DEPARTMENTOF TRANSPORTATION FEDERALAVIATIONADMINISTRATION STATEMl:NT OF ~OMPLIANCE WITH THE FEDERAL AVIATION REGULATIONS 21 Januarv 2001 AtRCRAFf OR.AIRCRAFT COMPONENTll>l!NTIFICATICN MAKE MODEL NO. TYPE (lllrplaM, Radio, Hsfir:oplu, ,tc.) Beechcraft 200 Airplane NAME OF APPLICANT RoseAircraft Interiors Mena,Arkanaaa LISTOF DATA Tin.~ IDENTIACATIOH REV inveiter ~nd Circuit Br.aakerlns~ilation Report: ER-0104 NC Note&: aspecl8 only ot the ebovedata are approved. 1. The structu1c1I 2. This approval is only fQrthe engineeringdesign data. 3. This approval Is Issued In support of a major alteration and Is valid only for the Beeehcraft200, serial number BB-1293. . - - PURPOSE OF DATA In support of a major alteration, APPLICABLERfQUIREMENTS(Lut .qmific .rectlon.r) FAR 23.301,.303,.307,.341,.561,.601,.605,.609,.813,.815. CERTIFICATtON - l (Vie)Therefore CJ Rccommc:ndapprovalof1hcsc:data Unclerautbo.rltYvested by direction of tl}e Admlnl!tratQrand In accordance with conditions ancf limitations of appolnanentunder Part 183 of the Federal AviationRegulations,data listed aboveand on anachedsheets numbered None have been examined In acoordam:c: with ~tablish!Xi prooc:durcs WiO found iC i.omply y;i~h app!icabl~ requirementsof the FederalAviationRegulatlon8. 181Approvethesedata SIGNATURE($)OF DESIGNATEDENGINEERINGREPRESENTATIVE($) DESIGNATIONNUMBER(S) . _,..,·~ DERT-710017-SW R.M.8av~~ ,- - FM Form 8110-3(11-70)SUPERSEDES PREVIOUSEDITION(COMPUTER GENERATED) CLASSIFICATION CS) Structural GPO 901-613 UNITED STATESOF AMERICA DEPARTMENT OF TRANSPORTATION-FEDERAL AVIATION ADMINISTRATION STANDARD AIRWQRTHINESS CERTIFICATE 1. NATIONALITYAND REGISTRATION MARKS N122TP 2. MANUFACTURERAND MODEL BEECH AIRCRAF.r CORPORATIONB200 -,r 3. AIRCRAFTSERIAL NUMBER BB-1293 4. CATEGORY NORMAL 5. AUTHORITY AND BASIS FOR ISSUANCE This a1rworth1nesscertificate is issued pursuant to the Federal Aviation Act of 1958and cert,fies that. as of the date of issuance. the aircraft to which ossuedhas been inspected and found to conform to the type certificate therefor. to be in condition for safe operation. and has been shown to meet the requirements of the applicable comprehensive and detailed airworthiness code as provided by Annex B to the Convention on International Civil Aviation. except as noted herein. Exceptions: NONE 6 TERMS AND CONDITIONS Unless sooner surrendered. suspended. revoked. or a termination date 1s otherwise established by the Administrator. this airworthiness cert1f1cate1seffective as long as the maintenance. prev tahve maintenance. and alterations are performed in accordancew11hParts21.43,and91 oftheFederalAv1at nR ulat1on. app roate.and eaorcraft1sregosteredmtheUniled Stales. DATE OF ISSUANCE R 05/23/1988 FAA REPRESENTATIVE ROBERTD. L Any allerat1on. reproduction. or misuse of this certificate may be punishable by a fine ot exceedin years. or both. THIS CERTIFIQATE MUST BE DISPLAYED IN THE AIRCRAFT IN ACCOR AVIATION REGULATIONS. FAA Form 8100-218-821 * U.S. G.P.0.:1998 669-038 UNITED DEPA'RTMENT OF STATES OF AMERICA TRANSPORTATION-FEDERAL AVIATION STANDARD AIRWO~THINESS I. NATIONALITY AND REGISl RATION MARKS N3127K 5. AUTHORllY 2 MANUFACTURER AND MODEL AIRCRAFT NUMBER • ADMINISTRATION CERTIFICATE SERIAL BEECHAIRCRAFTCORPORATIONBB-1293 " 13200 4 CATEGORY NORMAL AND BASIS FOR ISSUANCE This airworthiness certificate is issued pursuant to the Federal Aviation Act of 1958 and certifies that, as of the date of issuance, the aircraft to which issued has been inspected and found to conform to the type certificate therefor, to be in condition for safe operotion,-ond has been shown to meet the requirements of the applicable comprehensive and detailed airworthiness code as provided by Annex 8 to the Convention on International Civil Aviation, except as noted herein. Exceptions: NONE 6 TERMS AND CONDITIONS Unless sooner surrendered, suspended, revoked~ or o termination date is otherwise established by the Administrator, this airworthiness certificate is effective as long as the maintenance, preventative maintenonce, and alterations are performed in accordance with Parts 11, 43, and 91 of the Federa.l Aviation Regulations., as appropriate, and the aircraft is registered in the l!"itedJ Stales. / ,,.,./ DESIGNATION DA IE OF ISSUANCE NUMBER DOA, PCf/8 5-23-88 Any alteration. reproduction. or misuse of this certificate may be punishable by a fine not exceeding $1.000, or imprisonment not exceeding 3 years, or both. THIS CERTIFICATE MUST BE DISPLAYED IN THE AIRCRAFT IN ACCORDANCE WITH APPLICABLE FEDERAL AVIATION REGULATIONS. , FAAForm8100-2o 67• FORMERLY FAA FORM 1362 . ' Form Approved ' MAJOR REPAIR AND ALTERATION (Airframe, Powerplant, Propeller, or Appliance} .. US Department of Transportation Federal Aviation Administration 0MB No. 2120-002 For FAA Use Only Office Identification Al t::=::' 4: 4?L-V 1' /) ,JJ~7 3' INr ~IJCTIONS: Print or type all entries. See FAR 43.9, FAR 43 Appendix B, and AC43.9-1 (or subsequent revision thereof) for instructions and dis . _ .ion of this form. This report is required by law (49 U.S.C. 1421). Failure to report can result in a civil penally not to exceed S1000 for each such violation (Section 901 Federal Aviation Act of 1958). - Make 1. Aircraft Model i3EEc..,-/CEfll=T Serial No. . Name (As shown on registration certificate) ~t..,qc,::s-r.euP-wE.T~e~ 2. Owner 2.oo National and Registration Mark a.a - /2~.3 __, 8 Al.3/Z?K.. Address (As shown on registration certificate) /1:s::,oc,,::,Tes I s. Peoe,~ 778~E~6 LS c,;:)CoJ co t.ri). S-r. 80112.. 3. For FAA Use Only . . . - Unit Make AIRFRAME 4. Unit Identification Model ------------------ 5.Type Repair Serial No. Alteration . (As described in item 1 above)---------------- POWERPLANT 1-- PROPELLER .. . Type APPLIANCE Manufacturer PIN: 101-410095-7 A. Agency's Name and Address SAINT-GOBAIN PERFORMANCE PLASTICS CORPORATION 335 N. Diamond St. Ravenna, OH 44266 S/N: N/A 6. Conformity Statement B. Kind of Agency xx ·xx C. Certificate No. U.S. Certificated Mechanic Foreign Certificated Mechanic Certificated Repair Station Manufacturer OA1R367K D. I certify that the repair and/or alteration made to the unit(s) identified in item 4 above and described on the reverse or attachments hereto have been -·::ide in accordance with the requirements of Part 43 of the U.S. Federal Aviation Regulations and that the information furnished herein is true and rect to the best of my knowledge. Date NOV 1 4 2000 Sigoaru~,,~~ 7. Approval for Return to Service \ ?ursuant to the authority given persons specified below, the unit identified in item 4 was inspected in the manner prescribed by the Administrator of the Federal Aviation Administration and is (29 APPROVED REJECTED D FAA Flt. Standards Inspector Inspection Authorization Repair Station Person Approved by Transport Canada Airworthiness Group BY l FAA Designee Dateof Approval or Rejection xx NOV14 2000 FAA Form 337 (12-88 Other (Specify) Manufacturer Certificate or Designation No. STgoaWraofAu~~. OA1R367K NOTICE Weight and balance or operating limitations changes shall be entered in the appropriate aircraft record. And alteration must be compatible with all previous a/Iterations to assure continued conformity with the applicable ai"::'orthinfJ..SS requirements. ) 8. Description of Work Accomplished (If more space is required, attach additional sheets. Identify with aircraft nationality and·registration mark and date work completed.) SALES ORDER#:· 826722 SAINT-GOBAIN RO#: 00-821 · Radome shell cutoff and new radome shell attached in accordance with FAA approved specification ps.:200. FAA Approval authprity: .FAA Form 8110-3, Dated 10/27 /99 · ··· NOTE TO INSTALLER: COMPLETE THE FOLLOWING INFORMATION AT INSTALLATION: Final airworthiness of this aircraft with regard to the above work requires the proper installation of this component in accordance with the aircraft manufacturer's manual. After installation of the component, and aircraft maintenance logbook entry must be made by a c~rtificated person. For additional information on the Form 337 see AC 43.9-1. Complete the following information after the installation is complete: COMPLETE BLOCK 1, 2 ON FRONT SHEET OF FORM. RECORD FOLLOWING DATA ON THIS SIDE: MODEL#: SER IAL#: B zoo ----------- BB - IZ.9.3 SIGNATURE: AIRCRAFT TOTAL TIME: ·3soa. 7 REGISTRATION#: N 3 t 2? K.. cQ, . CERTIFICATE TYPE/NU~BjR: ----'-';:;_ • P __ ......;i INSTALLATION DATE: II· 3o -oc 7_9_4_2_3....;;:8=f:.'"""3. ___________ END OF REPORT D Additional Sheets are attached _ . ' US Department of Transportation Federal Aviation Administration Form Approved OM8 No. 2120-0020 MAJOR REPAIR AND ALTERA TION (Airframe, Powerplant, Propeller, or Appliance) F9r FAA Use Only Office ldemyo~·,r.n -· ~c~a INSTRUCTIONS: Print or type all entries. See FAR 43.9, FAR 43 Appendix 8, and AC 43.9-1 (or subsequent revision thereof) for instructions and disposition of this form. This form is required by law (49 U.S.C. 1421). Failure to report can result in a civil penalty not to exceed $1,000 for each such violation (Section 901 Federal Aviation Act of 1958). Model Make 8200 Beechcraft 1. Aircraft Nationality and Registration Mark Serial No. BB-1293 N112TP Name (As shown on registration certificate) Kladstrup-Wetzel 2. Owner Address (As shown on registration certificate) 7785 S. Peoria St. Englewood, CO 80112-4184 Asso LTD 3. For FAAUse Only The da1a identified herein complies with applicable airworthiness requirementsand is approved only for the above descn"bedaircraft ,-n-p, subject to confo~ inspection by~~M43;::-. /&FSDO Date FAA 1nspcctor Jackie Black 5. Type 4. Unit Identification Unit Make AIRFRAME Model ------------- Serial No. Repair Alteration (As described in item 1 above).,.• ................................ POWERPLANl PROPELLER Type APPLIANCE Manufacturer 6. Confonnity Statement A. Agency's Name and Address · 8. Kind of Agency C. Certificate No. U.S. Certificated Mechanic Northwest Arkansas Avionics 5404 Airport Blvd. Ft. Smitfl, AR 72903 501-648-3001 QNAR051K LTD. Airframe Radio 1 &2 Foreign Certificated Mechanic X Certificated Repair Station Manufacturer D. I certify that the repair and/or alteration made to the unit(s) identified in item 4 above and described on the reverse or attachments hereto have been made in accordance with the requirements of Part 43 of the U.S. Federal Aviation Regulations and that the information furnished herein is true and correct to the best of my knowledge. p~ A Date S~oatureof Awhortzed January 22, 2001 Andrew L. Knox · ' .7.Approval for Returnto Service (_ K/ Pursuant to the authority given persons specified below, the unit identified in item 4 was inspected in the manner prescribed by the Administrator of the Federal Aviation Administration and is APPROVED REJECTED IxJ BY FAA Flt. Standards Inspector FAA Designee 0 X Inspection Authorization Repair Station Person Aptoved by Transport Canadian ·rworthiness Group Certificate or Designation No. (12-88) Other (Specify) Manufacturer 7;;;7; 7·"'" FAAForm337 O ' QNAR051K s;goab"e of Awhorized Andrew L. Knox './4/4l I I X . .. NOTICE Weight and balance or operating limitation changes shall be entered in the appropriate aircraft record. An alteration must be compatible with all previous alterations to assure continued conformity with the applicable airworthiness requirements. 8. Description of Work Accomplished (If more space is required, sttach additional sheets. Identify with aircraft nationality and registration marl< and date work completed.) N122TP January 22, 2001 1.) Installed Wiring for KGS Model# SS50 60HZ 110VAC inverter with 3 Electric outlets. Installed I.A.W. KGS SS50 installation Sheets PIN 110106 Rev. H August 11, 2000, AC 25.10 and AC 43.13-1B Chap.11. The equipment was installed by Rose Aircraft Interior IAW approved data of the attached 8110-3 2.) Power Was Taken thru a 30amp C.B. for the inverter and 3ea 1 amp c.b.s for the outlets IAW KGS installation sheets, and AC 43.13-1B chapter 11. 3.) Electrical load is within allowable limits and does not exceed 80% of the electrical system capacity with the SS50 Added. 4.) Installation tested IAW above installation sheets. 5.) A log book entry has been made, weight and.balance_~u:ig equipment list updated by Rose Aircraft Interiors. 6.) The requirements F.A.R 91.407 (b) must be complied with. The following ICA is IAW HBAW 98-18 iN,d_-(_( .IJ:.SSSot"'-ver{-cRfJol,,f../lef.S f:oRf<.(;,5 ~i°l'J'\f? I. INTRODUCTION:JO il\.Sf<>I{ IJ&veIM-A6£Afif 11. DESCRIPTION:9kt: f • Ill. CONTROUOPERATION: NIA IV. SERVICING INFORMATION: N/A V. MAINTENANCE INFORMATION: N/A VI. TROUBLESHOOTING INFORMATION: See KGS SS50 installation sheets P/N 110106 rev H. dated Aug.11, 2000. VII. REMOVAUREPLACEMENT: NIA VIII. DIAGRAMS: See KGS SS50 installation Sheets P/N 110106 Rev. H dated Aug. 11, 2000. IX. SPECIAL INSPECTION REQUIREMENTS: Refer to FAR 43 appendix D And AC 43.13-1B chapter 12. X. APPLICATION OF SPECIAL TREATMENTS: NIA XI. DATA: NIA XII. LIST OF SPECIAL TOOLS: N/A XIII. FOR COMPUTER CATAGORY ARICRAFT: N/A XIV. RECOMMENDED OVERHAUL PERIODS: N/A XV. AIRWORTHINES LIMITATION SECTION: NIA XVI. REVISION: To revise this ICA, letter will be sent to the local FSDO with a copy of the revised FAA Form 337 and revised ICA. --------------------------------------------END-------------------------------------------- i--- - .,.. ... ..__,_ ------·----- J~ ----· ·----·-- ... -· . .·- .' ·-··' < i ' ----~ ...... t.-"t, t ___ ! ' .. 'i. ... __i] I ~::, ---·-·~~ -----; t. •: ' 'I -i·--··· ' ffi Additional Shee!s Are Attached \ U.S. GOVERNMENT PRINTING OFFICE: 1992-769-012/60157 , 0 MAJOR REPAIR AND ALTERATION _ --(Airframe, Powerplant, Propeller, or Appliance) U.S Department of TransportaUon Federal AvlaUon AdmlnlstraUon Fenn Approved OMS No. 2120-0020 -- A/"M For FAA Use Only Office Identification F~/J/7.-c,7 INSTRUCTIONS: Print or type all entries. See FAR 43.9, FAR 43 Appendix 8, and AC 43.9-1 (or subsequent revision thereof) for instructions . and disposition of this fonn. This report is required by law (49 U.S.C. 1421). Failure to report can result in a civil penalty not to exceed $1,000 for each such violation (Section 901 Federal Aviation Act 1958) 1.Aircraft 2. Owner Make Beech Model 8200 Serial No. BB 1293 Nationality and Registration Mark N3127K Name (As shown on registration certificate) Kladstrup Wetzel Associates, LTD Address (As shown on registration certificate) 7785 S. Peoria SL Englewood, CO 80112 !Jndl - (_ 3. For FAA Use Only 4. Unit Identification Unit Make 5. Type Model . Serial No. Repair Alteration l AIRFRAME . (As described in item 1 above) : POWERPLANT PROPELLER Type APPLIANCE Manufacturer I 6. Conformity Statement A. Agency's Name and Address DaleTuety 7785 S. Peoria St Englewood, CO 80112 B. Kind of Agency C. Certificate No. 181 U.S. Certificated Mechanic D Foreign Certificated Mechanic D Certificated Repair Station D Manufacturer 79423863 D. I certify that the repair and/or alteration made to the unit(s) identified in item 4 above and described on the reverse or attachments hereto have been made in a=rdance with the requirements of Part 43 of the U.S. Federal Aviation Regulations and that the infonnation furnished herein is true and correct to the best of my knowledge. - Date 12/15/00 Signature of Authorized Individual {_Q./1-~ DaleTuety 7. Approval for Return to Service j' Pursuant to the authority given persons specified below, the unit identified in item 4 was inspected in the manner prescribed by~e Administrator of the Federal Aviation Administration and is APPROVED REJECTED [g] BY FAA Flt Standards Inspector Manufacturer FAA Designee Repair Station Date of Approval or Rejection 12/15/00 FAAForm337 (12-88) Certificate or Designation No. 474840834 X D Other (Specify) Inspection Authorization Person Approved by Transport Canada Airworthi~roup .1 Signature of Au~lndividual Perrv S. Harcev - --.... '-._,/ ..I - L.,.) X NOTICE Weight and balance or operating limitation changes shall be entered in the appropriate aircraft record. An alteration must be compatible with all pre.viou__s alterations to assure continued confonnity with the applicable airworthiness requirements. 8. Description of Work Accomplished {ff more space is required, attach additional sheets. Identify with aircraft nationality and registration mark and date work completed.) Installed nacelle overwing storage lockers and lower flap fairing in accordance with Raisbeck Engineering STC SA3857NM Amended 12/8/99. ---------------------END'-------------------------- --i:-~ ::..-~:,-: b:. -~-::...~- ·.,:.?!.C,~ T ,.:. .... ~.---..;: l,. -·-~ - ,--- ·~1.:,-;-r_:: --~=1-::. ~e:::s: ~d:rc ;-::~ ~;i:,~t.- ,_-~"'r .. ;-,. ... - .,. .: . - --.::,.' ,-_ <..:- '_I._ .., ,J., -,- .. D AdditionalSheetsAre Attached U.S.GPO:1989-0-663-171 DEPARTMENTOF TRANSPORTATION ' Form Approved Budget Bureau No. 04-R060.J FEDERALAVIATION ADMINISTRATION MAJOR REPAIR AND AL TERA TION / FOR FAA USE ONLY~ OFFICE IDENTIFICATION (Airframe, Powerplant, Propeller, or Appliance) !,//V{r/ 3 INSTRUCTIONS: Print or type all entries. See FAR43.9, FAR43 Appendix B, and AC 43.0-1 (or subsequent revision thereof) for instructions and disposition of this form. MAKE MODEL 8eechcraft 1.AIRCRAFT King Air 8200 SERIAL NO. NATIONALITY AND REGISTRATION 88-1293 USA NAME (As shown on registration certificate) N3127K ADDRESS (As shown on registration certificate) Kladstrup-Wetzel Associates, Ltd. 2.0WNER MARK 7785 S. Peoria Street Englewood, CO 80112 3. FOR FAA USE ONLY The data identified herein complies with the applicable airworthinessrequirementsand is approved for the above described aircraft, subject to conformity inspection by a person authorized in FAR Part 43, Section 43.7. 11/2ef~ NM-FSD0-03 District Office -, -, ate • Signature of FAA Inspector 4. UNIT IDENTIFICATION UNIT MAKE 5. TYPE MODEL SERIAL NO. REPAIR ALTERATION (As described in item 1 above) AIRFRAME X POWERPLANT PROPELLER TYPE APPLIANCE MANUFACTURER 6. CONFORMITY STATEMENT A. AGENCY'S NAME AND ADDRESS B. KIND OF AGENCY U.S. CERTIFIED MECHANIC Duncan Avionics 12850 East Control Tower Road Englewood, CO 80112 D. C. CERTIFICATE NO. CRS# JG7D076J FOREIGN CERTIFICATED MECHANIC Radio Class 1, 2 & 3 X CERTIFIED REPAIR STATION Limited Aces., Inst. & MANUFACTURER Special Services I certify that the repair and/or alteration made to the unit(s) identified in item 4 above and described on the reverse or attachments hereto have been make in accordance with the requirements of Part 43 of the U.S. Federal Aviation Regulations and that the information furnished herein is true and correct to the best ofmy knowledge. DATE SIGNA~~HORIZED November 29, 2000 INDIVIDUAL IQ,-,- 7. APPROVAL FOR RETURN TO SERVICE Pursuant to the authority given persons specified below, the unit identified in item 4 was inspected in the manner prescribed by the Administrator of the Federal Aviation Administration and is 00 APPROVED D REJECTED FAA FLT. STANDARDS INSPECTOR FAA DESIGNEE DATE OF APPROVAL OR REJECTION 11 - ?.~ -'(J)(Z) FAA Form 337 (7-67) X MANUFACTURER INSPECTIONAUTHORIZATION REPAIR STATION CANADIAN DEPARTMENTOF TRANSPORT INSPECTOROF AIRCRAFT A CERTIFICATE OR DESIGNATION NO. SIG~ JG7D076J OTHER (Specify) AUTHORIZEDINDIVIDUAL ~n-~ (8320) I I I NOTICE Weight and balance or operating limitation changes shall be entered in the appropriate aircraft record. An alteration must be compatible with all previous alterations to assure continued conformity with the applicable airworthiness requirements. 8. Description of Work Accomplished (If more space is required, attach additional sheets. Identify with aircraft nationality and registration mark and date work completed.) Kladstrup-Wetzel Associates, Ltd. N3127K Beechcraft King Air B200 SN: BB-1293 11/30/2000 Installation is for IFR, En Route, Terminal and IFR Non-Precision Approach Certification of AlliedSignal KLN-900 Removed Bendix/King KNS-660 Flight Management System consisting of: KNC-667 (PIN 066-4011-44, SIN 50037) from Arm 68, KNR-620 (PIN 066-1126-00, SIN 1632) from Arm 68, KLN-670 (PIN 066-1124-00, SIN 1401) from Arm 73, KA-670 (PIN 0711361-10, SIN 1533) from Arm 138.50, KCU-568 (PIN 066-4013-31, SIN 2346) from Arm 122, GPS Antenna (PIN S67-1575-20, SIN 1442) from Arm 147.20, KDL-569 (PIN 071-0030-00, SIN X2249) from Arm 123.50, KA-163 (PIN 071-1303-00, SIN 1223) from Arm 61, and KA-33 (PIN 071-4037-01, SIN T203) from Arm 67.50. Installed AlliedSignal KLN-900 TSO Cl29 Al (PIN 066-04034-0104) at Arm 122, with KCM-100 Configuration Module (PIN 07100073-5000) at Arm 122, KA-90 Interface Adapter (PIN 071-01508-0201) at Arm 73, and GPS Antenna (PIN S67-1575-39) at Arm 147.20. Interfaced KLN-900 navigational outputs to Pilot's HSI, Flight Director, and Autopilot systems via remote switching, using existing AlliedSignal KA-138 relays, installed in the forward avionics bay. GPS antenna (PIN S67-1575-39) was installed on aircraft at Arm 147.20 into existing doubler with same footprint as removed GPS Antenna. KLN-900 GPS Navigation System meets requirements of TSO Cl29 (Al). This installation qualifies as a follow-on installation to Allied Signal Avionics Inc. STC Number SA00440WI-D. This installation was performed in accordance with AlliedSignal KLN-900 GPS Navigation System Installation Manual PIN: 00615533-0000, Revision 3, dated March 1997, AlliedSignal KA-90 Interface Adapter Installation Manual PIN 006-00691-0002, Revision 2, dated July 1995 and AC 43.13-lB,dated September 8, 1998, Chapter 4, paragraphs 4-53, 4-55 thru 4-57, Chapter 6, section 3, Chapter 7, sections 1-5, Chapter 11, paragraphs 11-31, 11-53 thru 11-56, sections 5 thru 14, paragraphs 11-186, 11-187, 11-189, 11-190, 11-192, 11-194, sections 16 thru 19, AC 43.13-2A, Revised 1977, Chapter 1, paragraphs 4-7, 9, 11, 12, Chapter 2, paragraphs 21, 22, 27, subparagraphs a-e, h, i, and Chapter 13. Performed all work in accordance with FAA A.C. 20-138, appendix 1, Sec. 2, dated May 25, 1994. The aircraft's pitot and static systems were leak checked and found to be in compliance with FAR 43, Appendix E, paragraph a to meet the requirements of FAR 91.411, paragraph (a)(2). DC power was supplied to the AlliedSignal KLN-900 through a 5 amp circuit breaker (PN: 7277-2-5), labeled "GPS", located on the Copilot's circuit breaker panel. DC power was supplied to the AlliedSignal KA-90 Interface Adapter through a 5 amp circuit breaker (PN: 7277-2-5), labeled "KA-90", located on the Copilot's circuit breaker panel. Circuit protection was chosen in accordance with AC 43.13-lB, Chapter 11, paragraphs 11-47thru11-51. Electrical load was calculated and found not to exceed existing circuit protection or generator load limits in accordance with AC 43.13-lB, Chapter 11, paragraphs 11-30, 11-32, 11-33, 11-36 and 11-37. Electrical wiring meets the requirements of FAR 25.1357 and FAR 25.1431. The aircraft's new empty weight was calculated and a new center of gravity was established in accordance with AC 43.13-lB, Chapter 10, paragraph 10-16. The aircraft equipment list was amended to reflect this installation in accordance with AC 43.13-lB, Chapter 10, paragraph 10-19. The GPS system was installed in accordance with AC 20-138, paragraph 8.c.(2)(i)(ii)(iii) and (iv). The GPS system was ground tested for Comm radio interference in accordance with FAA AC 20-138, paragraph 8.c.(l)(iv)(F) to comply with paragraph 8.c.(2)(iv)(F) and was found not to be effected by Comm radio transmissions, no filters were installed. The GPS system was ground tested for causing interference with existing on board electrical equipment, no interference was noted. The GPS system was ground and flight evaluated to collect and verify GPS data in accordance with FAA AC 20-138, paragraph 8.c.(2)(iv)(A-K). Flight Evaluation data per AC 20-138, paragraph 8.c.(2)(iv)(H) was omitted. IFR Flight Evaluation per AC 20-138; paragraph 8.c.(2)(iv)(J) and (K) were completed, see attached Flight Evaluation Data. Instructions for Continued Airworthiness are contained in the AlliedSignal KLN-900 Installation Manual PIN 006-15533-0000, Revision 3, dated March 1997, to be in compliance with FAR 25.1529. 11/~otCJO , An approved Flight Manual Supplement, dated AlliedSignal KLN-900 pilot's guide, PIN: 006-087960000, dated 2/97 and KLN-900 Memory Jogger, PN: 00 - 8798-0000, dated 1/99 were installed in the aircraft. Details for this installation are on file with Duncan Avionics under WO: SKVCA. ---------------------END ,Eij'Additional Sheets Are Attached U.S. GOVERNMENT PRINTING OFFICE: 1992-012/60157 'L Duncan Avionics CRS# JG7D076J Englewood, Colorado 80112· Flight Manual Supplement Bendix/King KLN-900 Beechcraft King Air B200 FAA APPROVED AIRPLANE FLIGHT MANUAL SUPPLEMENT FOR BEECHCRAFT KING AIR 8200 WITH KLN-900 GPS NAVIGATION SYSTEM AIRCRAFT MAKE ____________________ .;___________Beechcraft _____ AIRCRAFT MODEL-----------------------------------King Air 8200 AIRCRAFT SERIAL NUMBER--------------------- BB-1293 REGISTRATION NUMBER-------------------------- N3127K This document must be carried in the airplane at all times. It describes the operating procedures for the Bendix/King KLN-900 GPS when it has been installed in accordance-with Bendix/King KLN-900 GPS Installation Manual, PN: 006-15533-0000, Revision 3 dated March 1997 and FAA Form 337 Dated 11/30/2000. For aircraft with an FAA Approved Airplane Flight Manual, this document serves as the FAA Approved Bendix/King KLN-900 GPS Flight Manual Supplement. For airplanes that do not have an approved flight manual, this document serves as the FAA Approved Bendix/King KLN-900 GPS Supplemental Flight Manual. The information contained herein supplements or supersedes the basic Airplane Flight Manual only in those areas listed herein. For limitations, procedures and performance information not contained in this document, consult the basic Airplane Flight Manual. _.,4d~ Approved: Gerald H. Villhauer Aviation Safety Inspector NM-FSD0-03 FAAA;l,/2v~ Date: c; (M)'Z)CJ Page: 1 of 11 f e Form Approved MAJOR REPAIR AND ALTERATION NOVfi R c 1-.Qti)B No. 2120-0020 For FAA Use Only -•uu (Airframe, Powerplant, Propeller, or Appli~rice) 1/;l~,s.,. ~"-"0. /Office!di/cation .:!l U.S Oepar!ment of TransportaUon Fespa1011Cn -, Form Approved 0MB No. 2120-0020 -~MAJOR REPAIR AND ALTERATION (Air.frame,Powerplant,Propeller, or Appllance) For FAA UseOnly iNSTRUCTIONS: Print or type all entri11s.See FAR 43.9, FAR 43 Appendix B. and AC 43.9-1 (or subsequent revision thereof) for instructions arid disposition of this fo~m. This report is required by law (49 U.S.C. 142ii. Failure to report can~esult in a civil penalty nottoexceed $1,000 for each suet) violation (Section 901 -Federal Aviation Act of 1958). · 1, Alrc:raft Malfeechcraft Mode1 Serial No. Nation~rtz~egistration Name (As shown on registration certificate) Address (As shown on registration certificiitef· BB-1293 J.H.~elly Mark . _ · · PO Box 2038 ,•:.. ; '(') 200 Longview, WA986}2 3. For FAA Use Only 1-. -T. Unit Make Model .,~,.,.,_... ,.,.,_, __ ~RFRAME Onll Identification ,., .... ..,-~ (As described in Item 1 ~e) Serial No. Repair Alteration xx _,,.~_.,._,.••,.,-~ ....,,._ .._.,.~,.,-_, POWER Pl.ANT -~-. :,: .., _ _,_ PROPELLER r ,, • -... Type AfPLIANCE MllllUfacturer - i-1 . -.-- . ' - -- A. Aaencv·s Name and Address · B. Kind or A!lllncy-. . Flightcraft FCPR831D Al,3 & 4 Pl ;PRI & 2 RI, 2 & 3 _ ACI. 2&3 II. 2&3 7505 NE Airport Way ....._,. ·' ,..1 OrPann 9721R , 0. I certify that tj'le repair ;nd/or alteri!:ti':'n ~adefto ) the 011 Jeverse ~it(sJ identified in item 4above and described tt1e or attachments hereto have ~n made in accordance with~ require!"l'nts·ot Part 43 of the U.S. Federal Aviation Regulations and.that the information furnished herein is true a_ndco_rrectto_the ~f my knowledge. . , , , _. best Date Signature of Authorized.Individual - 1df~'/;·, Purs~~nt to the authority give~ ~rsons belo~. tlle,.upit i«entified in itern 4 was inspected in the·manne, p_rescribed by the , Administrator of the Federal Avtatron Adm1n,strat1on and ,s ~- APPROVED . O REJECTED_ ! BY FAA Flt. Standards' Inspector FAA Oesignee ~te of Approv~ or Rejection Manulacturer lX RepairStation I._ InspectionAillharlzalian PersonApprovedby Transport CanadaAirworthiness Group ,s......... , l";"V''I ,, A. :~. ---- - - Certificate or Designation No. FCPR83ID .. Other -~-~--~- ----,:.- .. -.:-::;;;.-: -s-,-C/s ·.··· 1.EctS'ta,,-, DATE: /- .. ~- :;:;_ ' -- --· t¥1~~ifa, ,/. 1 NOTICE ---~-:'. ·weigti(~[!d balan_ceor operating limitation changes shall be entered in the appropriate aircraft re.cord. An alteration ,;.,ust be { coinpatible ·with·a11previous alterations to assure continued conformity 8. Descrl~--~ of Work Accomplished · ·. · with the applicable airworthiness requirements. · ·' (if more space is required, attach additional sheets. Identify with aircraft nationality and registration mark and date work completed.} · · Removeda FOSTERRNAV systemconsistingof: lea. FOSTER-RNC601RNA CONTROL,lea. FOSTERLR65l LORANREC., lea. FOSTERD1-681ADATABASE; and lea. FOSTERNY153LORAN-C ANTENNA Coveredthe existing holes with a-CO, lea. KA-163 INTERFACEADAPTERPIN 071~1303-00 and a KINGKA-33 EQUIPMENT COOLINGFAN PIN 071~3 i;oi',iillabove'miits·m1iiiitecfiif thenose a;,ionicsbay. · · · •· · fr>-.... . . . . . . ....-- . .. - - .- . ·. Installed in the cabin behind the cockpit lea KINGKA-671 GPS ANT PIN 071;:1sis:oo~,TSO-CUh1mm ti:d at F.S .147 using 2024 T3 .050 aluminum and sealed wiihBEECffappmved PR.f4U Bui slialant,.as'perAC43;132A CHAP'rER 3 SECTION4. ' """ ,l---· . \ Mounted the KINGKA-670DOWN CONVERTERPIN on-1361~10,-TSOGi'fS-mciwiti:dontlJe·siileof the fuselage at F.S 138and attached using a mount _platerivetedto·tfie existiiignbs.:.. Mountedthe KINGKCU-568CDU PIN 066-4013-3t TSO C40b and.KING KD~.569.DATALO.ADERP/ND71 0030-00, TSO C40b, C94a in thecenter pedestal. .. . ' Operationalrevision status (ORS) is 06. One annunciator/5\\itch STACOPIN17215-2214'labeledf'MSINAV,anil"omfarnuuiciafurSl'ACO P/NI7212;.,· _ 20n labeled (XTRI9DR /WPT/MSG) are moiuited in.thepilo&'pane1 iiitJie·pilots fiiiw~ fieldofvisicja,··· ' · Both the aommciato~ switch are tied miothe A/Cs mie!dafdlms;siem'imd'anoilmaii.ftesi; TP-i#mthe'~ =at ;.· J box. . ~A The KINGKPS -282 AIR DATA SENSORis tied mu,ihept1ots SUdic and. iiof -. hose AN fi · The KTS-283 TEMP PROBE simialled m'ttie Afc lioitoni below • • -· ,:r\ ', _.. , aviomcsbay; USUlg maonfa<:l!uesdata. ·, ' · - ont&f The FMS sys1em is integrated into the OBSinterface . PAGE 1 OF2 •.•_a~. __ __,,-~---~--~ 7 AEROQuiPl=c-c :JO iH forward · :::s.~- . ·. · . COLLINS-EHSI-74's,stem wiihthe'KINGKA"l63°toprovide'f~; proper ! . -, . ·." · ·' · , '== Form Approved 0MB No. 2120-0020 For FAA Use Only Office Identification AND ALTERATION MAJORREPA_IR ll!lnce} r-J!'lrlrame, Powerplant,Propeller,or App \ -Adrr*ntranml ) for instructions AC 43.9-t (or subsequent revision thereof . See FAR 43.9, FAR 43 Appendix B. and not to exceed $1.000 INSTRUCTIONS: Pri~~rtype all er.tries ). Failure to·reportcan result in a civil ~nalty · 1421 U.S.C. (49 law by d · require is report ·, . and disposition of this form. This l Aviation Act of 1958). · for each such violation (Section 901 Federa Model ZOO Ma1Jeechcraft 1. Aircraft ate} Address (As shown on registration cartific ate} Name (As shown on registr[!tion certific POBox2038 · Longview, WA 95632 J.H. Kelly 2. Owner Mark f1~istration Natio"ffi 3.. ForFAAUseOnlv 5. Tvne . . 4. Unit ldentlflcallon .,.,,_,_,_,.,.., AIRFRAME Serial No. Model Make Unit __ ,, ... N...., .... ,: - ' (Asd8Scribedin Item ' • • • ' • • Alteration flepair xx .,.,,.,_,.,,----1 abovB).., ...... •• .. • ',:!" • l'OWERPLANT PROPELLER :_·--~-. r:. _) Type , .' APPllANCE Manufacturer ..::::::· ·-,.. ~-·. . :State..at:: ency t ofAa tcinc e, . A. Agencv·s Name and Address . C. Certificate No. FCPR83ID Al,3 &4Pl PR l & 2 RI, 2 & 3 : ACl. 2&3 Il. 2&3 · Mec;llanie Fcirei;nCertiflcale~ ......... .·_-· l NOTICE in the appropriate aircraft record. An alteration must be Wiiight and balance or operating limitation changes shall be entered with the applicable airworthiness requirements. . compattble with all previous alterations to assure continued conformity · · . 8 .. Description of Work Accomplished nationality and registration mark and date. work completed.) aircraft with Identify sheets. additional attach required, is space more '· (/I COLLINS pr~# · The HPU-74 HSI symbolgenerator modified from -003 to-012 sta~ as per . RADIO. COLLINS by inputs LRN 660 accoirunodatetheFMS The instr_umentpanel is placarded / •. , . _·1GPS ~~-~R-~:N~_"rPRO~ 3667 . ! :~·}·~···J, __ l '·:H'; 1 . ..'.~~ · c1 ... •~an ~R~_NAVmATI~N- use emoute.' :.._,-·,-;.· · ·__ -- •· .-~ Ai.AskAof the systemcheck Olit sectionIV.of_-.tlJr through cooipleiimr confirmed Proper groundoperationof the system was exceedall k·IFR This installation meetstlierequirementsof AC20..i30 and·AC90-4-SA 'iuli1 .afproach operation in thecontiguousUNITED sfA-TES irieefor fowuno the installation manual PIN 006-05596-0000, REV 5, APRll..;1993. Thewas . . . section. this of ion specificat '\...... aridptoci:dures: manuals Installedand testedequipmentusing·the following'insta)Jafum ... ~G: 0 ' REV:5 PIN 006--05596-000 KNS-660 FMS PIN 006-00676-0001 REV.I KAD-280 AIR DATA SYSTEM REV:l.. KLN-670 GLOBALPOSmONING SENSOR PIN ~71~1 v:o 3-0000·RE 006--0053 .PIN RELAY KA-138 . -.,.,,~.,. -- : ·. - · PIN 523-077374l;;o()5fl8 STII Ei>mON COLLINS DME-42 93 PIN101-342486i FORB~l.2 AMS DIAGR WIRING BEECHAJC - . ilofs'¢i.e.aihig 17- '!l!l!L·andKNS66(>'P FAAApprovedF1ightManua1Supp1ement.dated MAY · · •. crewfor IFR.\ipeiatiou.. ·· flight the to milable be must -0000 Handbookp/n 006-08407 . -,\. · ·'-,: ... ,.' .j ved ftTest Flight ReportfoiKNS660 system. approFlightcra 6: c ·AND of ACUI3~IA CHAPTER.If SEC 2.3~7~CHAPTER3'i;:'§E This installation meets the requirements . Test flight conductedas per AC43.13-2A CHAP'lER1 PAR. 1,4, lhrougll 12,AND CHAPTER 2;3;l3. ; -. · - · ;, LISTAMENDEll"CURRENTl;Y AND EQUIPMENT TIIE WEIGHTANDB.ALANCE :./ THEENI>:_:C; . C,. I. 1···_ ( !, ~:i ', : )., .'# __. ·. - ·-----· - -· .I• -- _:_____ -~ ' ··-~-- Form Approved 0MB No. 2120--0020 I · MAJOR REPAIR AND ALTERATION (Airframe, Powerplant, Propeller, or Appliance) usOeparlment OIT:crupor1or,on For FAA Use Only M,•n1colloc1 - INSTRUCTIONS: Print or type all entries. See FAR 43.9, FAR 43 Appendix 8, and AC43.9-1 (or subsequ ent revision thereof) for instructions and disposition of this form. This report is required by law (49 U.S.C. 1421). Failure to ,.,port can result in a civil penalty notto exceed $1,000 . for each such violation (Section 901 Federal Aviation Act of 1958). Make Model Beech 1. Aircraft Serial No. B200 BB-1293 Name (As shown on registration certificate) / Address (As sho.,_n on registration certificate) PO Box 203ts Longview, Wa 98632 JH Kelly Inc. _2. Owner 3. For FAA Use Only 4. Unit Identification Unit Make AIRFRAME ,. ,. • 5. Tn,e Model , ••••• (As described inlterh 1 Serial No. Repair Alteration_ above)_..,,_,.,.,_,,,_....., ... ..,,.,_,.,., xx POWERPLANT PROPELLER ·. Type APPLIANCE - ·-/ Manufacturer 6. . ConformitySlatemeet A. Aoency's Name and Address Flightcraf't Inc 7505 NE Airport Vay· Portland, Ore 97218 · B; Kind of Agency I U.S.Certificated Mechanic - Foreign CertificatecfMechanic Ivv Certificated Repair Station '. C.· Certificate No. ~ID Al,:1&4Pl .... iaa RI.JIN .-a::1.aaan.a.aa4 Ma.""1a.cturer D. I certify that the repair an'dtor alteration made to the unit(s) identified in item 4 above arid described.on the reverse or attachme11ts hereto have been made in accordal)ce with, the· reqiiireefients of Part 43 of the U.S. Federaf Aviation Regulations· and that the information furnis_hed herein is true and correct to the best of my-I nowledge. _ ,_ . 1 . Date t. ·- -- I for 7. ADl:lrowat Return To Sel'Ylce Pursuant to the authority give!! persons specified beiow,the Jlnit idef)tified in item 4 was inspect~, in the manner prescribe Administrator of the Federal Aviation Administration d by the and is - f!l APPROVED • D REJECTED - _ . FAA Flt. Standards . Other /Specify) Manufactu-rer Inspector Inspection Authorization BY FAA Designee • XX R~r PersonApproved by Transport Canada Airworthiness Group:. _ Station--·· · Date of Approval or Rejec1ion -..~ature _, oD() W\~lt_~ ~f,n/4u FAAFoim of Auth6rized Individual 3:f7t•?-881 ~---·--. -·-·~.- -..... ~~~-,.:~-.- ...-::· ·~-- -'i,i~--·--·~ ::-t~'.;}_.,;:,.~::: ~--.-: /:i--~·:-' 4 ,,. •-•~~-•-•• _.,._,_a ____e,,_,. FAAAllCaAF~ Cl.!!!U SO. A~CISTl? ATE: .. 12-2'-9 4 ' . ' NOTICE' . 0 · Weight and balance or o~ting limitation changes shall b e enteredin the 'appropriate aircraft record. An alteration must be compatible with all prevjous alterations to assure continued conformity with the applicable airworthiness requirements. 8. Description of Work Accomplished • _._ (If more space is required, attach additional sheets. Identify with aircraft nationality and registration mark and date work completed.) Removed the Nicad battery and installed STC RG-380E Sealed lead acid battefy inaccordance mast~r drawing lisi~o. MDL-HOF2639. ;'. Revised updated equipment weight and SA 26~950. Concord ~ith hanger one list. . .·., ,.. haianc;,(·-END ' ..__ '. ·. ..i -.~- ~·.-:--.... . • + -:- ~----~- - - ( ~1.i'.'s.GO.;,ERNMENT PRINTING oFFicEi 1s92:.s68-0121soo4i __ ,_ __ PAA AIRCRAFT R CIST&Y CAMEU RO. / DATE: &'- / 8-9 L.j .. ._-.:_______ __ 0 - . -- .. .,,... Form Approved ;J 0MB No. 2120-0020 MAJOR REPAIR AND ALTERATION (Airframe, Powerplant, Propeller, or _AJ)plla~ce) us Deo:::-€,:C:;"-:~?.':":::c::'~-.c:;:"-·~---.. ·· . Proper gound operation of the system was confirmedthrough completion of the.system check out section IV, of the installation manual PlN ~55~, REV 5, APRIL, 1993. The ·wasfound to meet or · e:cceedall specificationof this se.ction. · Installed and tested_equipmentusing the following installation manuals andprocedures: ·KING: KNS-660 FMS PIN ~5596-0000 REV.5 .KAD-280AIR DATA SYSTEM PIN ~7&-0001 REV. l · KL..~-670GLOBALrosmoNING SENSORPIN 006-00671-0001REV,l · KA-138 RELAY PIN ~533-00 REV.O COLLJNSDME42 PIN 523-0773741-005118 51HEDffiON · BEECH NC WIRINGDIAGRAMS FOR BB-1293 PINIOl-342486 This installation meets the requirements of AC43.I3-lA CHAPTER 11 SEC 2,3,7, CHAPTER 15 SEC 3' · A.."'ID 6, AC43.I3-2A CHAPTER 1-I~AR:1,4, ~-12.AND CHAPTER 2,3JJ.-· .. STATIC SYSTEMRECERlFIED AS PER F.AR. 91411, TiiE WEIGHTAND BALANCEDAND . . EQUIPMENTLIST AMENDED CURRENTI..Y. ···. . 1HEEND. ···-·· . ~U.S. GOVERNMENT PRINTING OFf'.ICE:.1992-668-012/600'6 ·- ~--·· :0 us -- Oeoc.-iment om~.,_ ·-· --~·-- ·._· Form Approved 0MB No. 2120-0020 MAJOR REPAIR AND ALTERATION · / . , (Airframe, Powerplanl, propeller, or.Appliance) - Adn.ilst1atkWI For F;AAUse Only Offi~ {\lgn.!)fication £,l\H-SD0-09 A (I j thereof) forinstruc~s all eriries: 5eefAA 43.9·.FAR43 Apperiilfx it aiid At·43:i1 (or subsequent revision to report.can result in a civil penalty not to exc~ $1,000 ~nd disposition of this form. This report is required by law (49 U.S.C. 1421 ).,Failure • ·,, .· . · 901 Federal Aviation Act of 1958). --;a:r~ach such violat;on (~tion I INSTRUCTION-Sj'rint-ortype --~ , Make 1. Aircraft Serial No. BB-1293 -<' .,. .. BEfXlf _ 200:· __ Nationality and Registration Mark - . ' . N3127K Address ( As sh~wn on registration cettificate) · Name (As shown on registration certificate) 2. Owner Model PO OOX 2038 ~,-WA J.H.KELLY. 98632 'll l'gt fb.6. llRA nnlv 5. Tn,e 4. Unit ldenllllcation Model Make Unit , •• .--,,., AIRFRAME ,,,,, ,.,._..,,,.,~--,, (As_described in lte~ 1 ~bo~) __ Alteration Repair Serial No. , _,..,,.,.. ..,-, .. POWERPLANT . PROPELLER Type APPLIANCE Manufacturer &. I B. Kind of Agency A. Ac:iency's Name and Address JNC/roRI'IAl'ID r 7505 N.E. AIRPCRWAY PCRI'IAND,.CR. · 9721 8 FLJ:.GHTCR1,F'!' l U.S. Certifi:a\ed f C, Certificate No. l'CPt083 ID Mechanic I MeCl1anic I Fo,eignCertificated !XX I Certificated Repair Station I Manufaclurer A1.~ca, .. , '.ll<'lta21u .c, • .a111a -,~:1111.a.:1•, and described on the reverse or attachments hereto 0. I certify that the repair and/or alteration made to the unit(s) identified in item 4 above Aviation Regulations and that the information have been made in accon:lance with tne requirements of Part 43 of the U.S. Ff3deral ___ _ . · ·· · · furnished herein is true and correct to the best ofmy knowledge:· · .. Individual Authorized of Signature !· Date ;;.o, ~~~·,If Je.~ _.... 7. Aamonl fol' Return To Service . . . ,. in item 4 was inspected in the manner prescribed by the Pursuant to the autl'lority given persons specified below; tl'le unit identified . ;.,,_ Cl( APPROVED .· O_ REJECTED Administrator of the Federal Aviation Administration and is Auinorization ' r ' - . lns'pection acture s Manuf in~~;tandard BY FAA Oesignee .... Date of Approval or Rejection. ' )QC Repair Station. : Olhet (Specify} ' ' PeB0n Approved by Transport Canada Airworthiness Group Certificate or ~rn- ;~ ~-...~:~ --;~. :;r-"~ --:~..-•~~ _ ·~;---;;-~ ~:-.· ~,7. _,_.· ~-,,--'":•}i· J8-q'j . -. NOTICE. Weight and baia~ce or operating Hmitation changes shall be entered in the appropriate aircraft record. A[)alteration must (;e applicable airworthiness requirements. to assure cont/nued conformity·with.the previo_us- alterations ·,-compat1ble. with··a11 • , • - ! , - , . . • ,·,- ,: · ·. · .'' . . . ·_ .. 8. Descriptiono1WmAccompllshed (if more space is'required; attac~ additiona(sheets. Joentify with ii!;cfaft natio·naJityand registrationmar~· arid dale work completed.) FOSTER RNC60I RNA CONTROL, lea. Remo,·eda FOSTER RNAV systemconsisting of: lea NYI53 FOSTER LR651 LORAN REC., lea. F0STERDI-681ADATA-BASE,and lea. FOSTER CO\ued the existing holes wi~ a oover plate and sealed up \\ith GE RTVI 62 . LORAN -C ANTENNA. and connectorsremoved from A/C except. aft cabin area All wiruig silicone rubber in the .unpressuIUed .. . bay: . . the interconriect v.iring/betweenthe aft bulkhead~ the noseavionics ,~ · Installed,a ICINGKNS~ MULTI-SENSORFLIGIITMANAGEMENT SYSTEM with GPS in BEECH AIRCRAFf MODEL 200 N8I50N, SIN BBaccoroa,ce ~ith a follow onJ9 a type~ . .-------.:-~..: wiringdia~~ 1478~~CH ·- ; .. :._-·~ :=~-:~-::. JL~:..:i componen-Jn 'f1-4-j, ., ... ,- ....... _ ~ed ~mtem, j~-::·tNG667NAV.COMP.P lea0_KNR.""620NAVREC. PiNaii llli _ lea. KDC-281 A.D.C PIN 065--011~, 88, -_--~ . .. - ··.. - ·· · lea, KJ>S..;282A.D.S. :PIN 065--0llJ-IO, PROBE PIN 065--011~, 1ea. K. T.s-2sJ TEMP G~P.S.REC.-PIN066-1124-00, lea: .KLN.:C,70 · - 1ea -11sREi.:AYPiN01H2S1.oo • KA . ,_ · - - .- ,"' _ . 1ea:KA~16JINTERFACBADAPl'ERPJN011-1Joo:oo PIN Q71-4031-0l, all above units mounted in the. ,, and l!)(ING KA~:33EQUIPMENTCOOLINGFAN ·... ·_...._·..· ':~,~ionk:s_~. ··--:-c:-. . . . ' •· ·. f • .. -· _·:· . ·:,,·· Installed in the cabinbehind the cockpitlea. KINGKA-671 GPS ANTPIN 071-152S.OO. mounted at F.S . . 147using 2024 T3 .050almninmn andsealedwithBEECH approvedPR1422 Bl/csealant as-per , _ . . . ACi3:13-2,(CHAPTER3 SECTION4. MountedtheKING KA-670 DOWNCONVHRTBRPIN 071-1361~10 at F.S 138 and attached nsing a . .. . -< .,:" . . .· . - .. ' to'ttie existing ribs. plateriveted . moont .. Mountedthe KINGKCU-S68CDU PIN066-4013-31,and.KINGKDL-569 DATA LOADER PIN071- . · · · · in theceritefPedestal 0030:00_ ·L _,. ·The data base nmsl updatedevezy28 days via di.9:etteand KDL-569 DATA LOADER. · · (ORS}is Of>~ status Oper:itiorial f'e\ision - . /\\IPI'/MSG)are labeled(XTRK/DR one81111unciator FMS/NAVand labeled ·swm:h_ OneailllllDCl81or ., . fiehfof vision. . _ ,_mountedin the pilotSpase1 fu mepilOIS diin system and annnnciatortesl .. andswitch.~ tiedinto A/Csnite/day . Both the ann_unctatQr me· -- . - ' . -· staticandpilot systemsusing_ -·•TheKINGKPS -282AIRPAT A SENSORis tied into thepilots· AN fittings.Thens,:233 TEMPPROBE is installedin the A/C on the bottom:.. AEROQUIP 301 lu>Se 8\i.TEO ~1VY'.U MECHANIC FOIIEIGNCERT.FICATED --Avlall.lnc. 6114 F.on,st Park Road. Dallas.Taas . x NO. YRRR4Sfl -· CERTIFICATE . REPAIRSTATION CERTIFICATED E C. CERTIFl(ATNO. YRRR.491L. 3 POWERPLANT. - 1, 2, l ACCESSORY !.JMITE0S~!:C!All!ED SER.VIC: MANUFACTURER item 4 above and described o.n the reverse or D. I certify that the repair and/or alter;tion made to the unit(s) .identified inPatt Federal Aviation Regulations 43 o~U.S. attachments herc,o iiavc been made in accord2ncc with the requirement~ ' · · _· · and dm the inttltm2tion furnished herein is true and coacct ro the best '!!.JI"! . ·---,~:- TOSERVICE RETURN 1YM FOR 7. APPR 4 was inspected in the man.tier prescribed by Pursuant 10 the authority given persons specified below.the unit identified_ in item , · the Admin.isttamcof the FederalAmrion .Adrninismnioo and is iii APPROVED'0 REJECTED BY·t--..,.______________ "='OOW>IA=.,.,.N""DEP,=ur""M:NT'="=------t X REPAllStAilON g;~INSPECI0.1/ ifAADESIGNEf OR DATEOF APPROVAL RE1E0JON /~-/u,-'9;s" ... - fAA Form337 C7-67J ....--:;z..-.. OR CERTIACATE DESIGNATIONNO. VRRR491L· (8320): . /;' RCOS-75 ._.:___ c,·:~. ·. . .. '~-- ·._. . . . . . . NOTICE ra~ recorf be. ente,;ed in !he approp·ri'!_leai~c ... An· in_glimiiatl';>'!changes 5!101/ assure: continued confomuty w,th the applicable. ·Welgfa~and balance or oP_erptwith to all prer10us aheranons :· · . · ~-. alferat,on must be compatible . : . · '. . . .. •. · -~. . · \ .· '; ents; s airworthines~irem space, is required,attadr adamonalsheets.) more ~CCOMPUS(IfIIED N RK OfWO . : B. DESCRIPTIO \ 7 ' :' ?W5 follt -as izea ,~ su,m are ~e repairs accomplishedon this unit CONDITION. OVER-TEMP F.OR ANDREPAiRED l. INSPECTED N WAS~MH-PT6A-ALL. I/A/ N PECTIO SECTIOINS HED 2. ACCOMPLISHOT N WAS-PR-PT6A-ALL~ I/A/ R· PECTIO HOUINS HED 3. ACCOMPLIS100 E G ANDP.T. VANRIN NEW WITH 1 EA. 12 P.T. BLADE 1 ,EA. fl P.T. BLADE, EDEA. C.T. BLADES 4. REPLAC58 T. LED UNI LY H.OVERHAU ASSEMBWIT 5. TESTED.•. NS CIFICATIO R'S -SPE W ACTURE I/A/NUF ACCOHPLISHED-MA 6. ALLWORK --- 5.erviceBulleti~ ~iness M~~ons-~ -·- __·-·· _.. ---...-·, . -- .. f.-----~- NONE - , been incorporated: ntal Type Certificatechanges The followingMajor Repa~ andSuppl~e --__., ____. _··-~--·. -·. ..,_ . ·..·. ·_.;·_. ..·._._.__..,. ___-~'~~- --·NONE ·,. •"O::_· L_· .,._ ____ -------4:::-='. -·-l-6;·., :-. '. _,-_-:·I .'_·1.~ -- .. ··-·· ___ -,,c- , •• • _, ...... - , -~-- -· ,'.~ • ' • ·' - '. :- :,._-c': • :.,• /·. ' -~.; ,· h-,:., ~..::,. - . ,..,_. :\~:7,,_;_::.--_ -~~~-' iJ1accordance and)nspi!cteci has beens~ This Engine/Module.and/orAflp6an~ ' ' :. ke;l. sei-v to rn id retu appnMfor Federal AviationAdministrationand is -,,:!-:. TT:· ·nIB.3 ···tso:__ _1 _ ·tsN: __ 10_1____ No. thisRepair:StaiionunderWoii{O@er Pertinentdetailsof this repair are on .file ','. . ____ ._N~tA_- the regul~of with;~ cso:· · NtA _ 9_____ .... 0~6 __ R9 ____ F__ '-:.~ OW TCf~i.L R TEMENT : NO FURTHESTA E CHE C ADOffiONALSHEETSARATIA O ·,U.S.G?O 1981 • 775-ml47 C '\ RCQS.75 - fM AC 72-4906 31241 R12-53 ---------·-·· --,; .. . _ FAA AIRCRAFT REGISTRY j),j'f~C/3 DATE: CAMERA NO./ 0 -- Form Approved ():I.ABNo. 2120-0020 MAJOR REPAIR AND ALTERATION (Airframe, Powerplant, Propeller, or Appliance) lJS Departmenr 01Tronspona!JOn For FAA Uae Only 0 Adl1•11s1,.. 11011 1fM~5~~09 (f) subsequent rev\sion thereof) for instructidris. INSTRUCTIONS: Print or type all entries. See FAR43.9, FAR 43 Appendix B, and AC43.9-1 (or result in 11-civil penalty notto exceed $1,000 and disposition of this form. This report is required by law (49 U.S.C; 1421). Failure to report can for each such violation (Section 901 Federal Aviation.Act of 1958). Model Make 200 Beech 1. Aircraft Nationality and Registration Mark 'Serial No. N,l ;:>7K Address (As shown on registration certificate} J:>Pl;>C,'.l Name ( As shown on registration certificate) · Owner 7505 NE Airport way Portland Ore, 97218 Inc Flightcraft 3. For FAA Use Only \ \ .. ---· _.., : ' 4. Unit ldentlflcaUon ... POWERPLANT 5. Type \" / xx ,. ) ·- Type Alteration Repair l .. ···- (As described in Item 1 above) ....... ., PROPELLER APPLIAf'!CE '"I Serial No. .............. AIRFRAME ,' - Model Make Unit ......~) ,., '-::: ' - Manufacturer ,\, :,: 6. Conlormlty Statement B. Kind of Aiiency U.S.Certificated Mechanic A. Agency's Name and Address Inc / Portland Flightcraft 7505 NE Airport Way Portland, Ore 97218 C. Certificate No. l'CPR8310 . Foreign CertificatedMechanic VY Certificated RepairStation ,1.1.sa•Pt Pll I az A1.2aa .-i:1.aas 11,a.sa• ' Manufacturer on the reverse or attachments hereto D. I certify that the repair and/or alteration made to the unit(s) identified in item 4 above and described Regulations and that the information have been made in accordance with th'e requirements of Part 43 of the U.S. Federal Aviation furnished herein_is true and correct to the best of my knowledge. Date ,~-"22.,-q :> C . < ,,.; f"'h-iof' ·- M-1114 - 7. Approval tor Return To Service inspected in the ma_nnerprescribed by the Pursuant tp the authority given persons specified below, the unit identified in item 4 was · , _ D REJECTED .Administr!itor of the Federa: Aviation Administration and. is, ..· :..;:;;APPROVED Other (Specify J FAA Flt. Standards Inspection Authorization Manufacturer . A Inspector f BY FAA Designee .Date of Approval or Rejection · \ C)-'2.-1:-q~ · FAA.Form 337 11.2-&J ---~-. -----=-...·~· - -~-:; .._. xxRepair Station Certificate or Designation No. ----""1-~r,, C < Person Approved by Transport Canada Airworthiness Group h)J).a.. ""Signature ::"- of ~~vidual \ ~,,, 'I - ' 03 FAA AIRCRAFT REGISTRY // . u~ CAMERA NO. DAU: / Ii( - I I I- I NOTICE Weight and balance or operating limitation changes shall be ent~red in the appropriate aircraft record. An alteration must be ·cpmpatible with all previous alterations to assure continued conformity with the applicable airworthiness requirements. 8. Description of Work Accomplished' . (If more space is required, attach additional sheets. Identify with aircraft nationality and registration mark and date work completed.) Previously installe~ is a heads up check list installed in pilots instrument Inspected unit and found it. installed inaccordance with heads up check list. Installation meets the :r:equirernents of AC 43,13-2.A, chapter 1, paragraph i, 4 thru 10, panel, No weight change' No equipment list change~.END ,! ..;.· .• '.·.:::.; . •.: _-:}. :_:: :·--' ;.·_.,: "'-:::. - ,- ... ··~-··-~-;. -· 0 Additional Sheets Are Attached f~isz -~OVERN.MENT ---'-----'---'--'-----.....;--__:__"-~- ---· .. --.-----·------~ .. - ----.:.· ,,;-:-~,'->~~-:...; C>· _ _..._..__ __ --.----- - - --- f'RlNTIIIG _,: :: '(!'F~~CE: t!i!l2·.:.fisa:.:0121soo46 1 t_ FAA AU.CRkFT . 1-!CISTRY Cl.HERA WO.· .!>ATE: 3. 3 . IS-89 -·~-.:,"~--' ; ______ ----~--·~..,._......_....._ ,-~----- --. ----.-~ ~.-. , . Form l.oproved C' ':-1·• No. 04-ROJ58 U.S.DEPA!mlENT OF~ · PEllEIIAL AVIA'IJONAllKIIIISIIIA1] INSl~-UCTIONS .::.-Pontor tYPEI'. Do !'.ot writP in shaded a·eas; these·are for FAA use ,only. Submit original onty to an aut'lorized FAA. A~resen~ative. If additio~ space is required, use an attachment. For r;.>ecial flight pe1.·,1ts complete. Sections II and VI or VII as_applicable. APPLICATION FORAIRWORTHINESSCERTIFICATE · I. REGISTRATION MAflK 2. AIRCRAFTBUILD£ll"SNAME _, N3I27K B~HAIRCRAFT CORl>. ~~D..-1----------+ --'-----------,~---------.._ :a: .. 3. AIRCRAFTMODEL'.>ESIGNA TION 4. YR. MFG. 9.PROPELlERBUllDER'SNAME 2 PT6A-42 IAfakd 10 .PROPELLER MOOR DESIGNATION McCauley- 3GFR34C702 APPLICATION IS HEREBY MADE FOB: !Check-_nemsi X STANDARD AIRWORTHINESS CER~TE _ _, SPECIALAIRW!JRTH1NESS CERTIACATE LIMITED -+------ X i.oRMAL UTiUTY ACROBATIC TRANSPORT /Check_,.,._ -.- ----- PROVISIONAL{-dass) AGRICULTUHEANO PEST CONTROL r:~lAL FOREST fW~conservationJ PATROLUN3 SURVEYING OTHER /Spec;{yl EXPERlMENTAL(lndic:jataapemionlsJ to be conducted! RESEARCH ANO DEVELOPMENT AMATEUR 3UILT RACING CREW TRI.INING TO SHOW COMPLIANCE WITH FAR FERRY FLIGHT FOR REPAIRS, ALTEF..ATIONS, MAtriTENANCE SPECIAL FLIGHTPERMIT fJndit:ata oper;nion ta be conductfJd, rher. OR STOtFO~A~T~E--'--------~T_IT_li wzu.. AIRCRAFTMANUFA~URER ~2 CERTIRCATED REPA,IR STATION {GMJ c.tifiate Np.} {Gn,,enameoffirmJ ____________________ _;~S-IG_~_A_T_U ______________ _R_E A. I find that the aircraft described in Section I or VII meets requirements for. !;j;B. lnspecbOOfoc a special l~ 2 IGMt ALL applica,bls. blociG.initems A and BJ (Chect ~z CERTIACATED MECHANIC CertmcatffNo.} was conducted by: . ffoght permit under secbOOVII ~m~ec::-,=-----..-:-=====---- le s-23-sa "' - 1111 t- FAA A TE Form FAR Tll OR 127 8130-6'14-80) WICHITA MIDO .,. U.S. GOVERNMENT SUPERSEDES PREVIOUS.EDITION -·-- -----·-------- ... ------ ·, ; --~-~-,.-· •..:~. FAR 145 OISTIUCT OFFICE PRINTING OFFICE: 675-964/147 --< ·t· _fAA AIIClAF? ___ ·C~~£RA ..._,... NO. l!GlSTRY $ 3 DATE: I.S,;..8q ··c;-''!'"'(°;'.''U_~., r! .A.MANUFACTURER : NAME 2'.i; ...... ~t \ AODRESS 0 z~-~-----;__ 8.PROOUCTION _____ -------,----~------t __;;.._..,.....;.. _ _;__....,__ ..;..iL-_.,.;..~--- PRODUCTION J ...... BASIS/C/la!kai,p5cab/sifsml csm,s~TE~IG_NB __producDon ___ -__ ca-1ilica __ 1&_nu_m_tJ«_I _____________________________ g~. 1YPECER!"1~CATEV~t·;.: _f'i APPROVEDPROOUCTIONINSPECTIONSYSTEM > C.GIVE QUANTITY OF CERTIFICATESREQUIREDFOROPERATINGNEEDS -----+ DATE OF APPLICATJON - • SIGNATURE • A.DESCRIPTION OF AIRCRAFT I REGISTERED OWNER ! . ADDRESS . . BUILDER fMaQJ MODEL SERIAL NUM~~ .,... ... ... ... - :c B .DESCRIPTION OF FLIGHT. FROM ... :::; 0 a: D_URATION / C.CREW REOUIRED-TOClPERATETHE AIRCRAFT AND u ::, I DEPARTURE DATE l z 0 ;: 0 TO JV!A C, PILOT ITS EQUIPMENT I ICO-PILOT I I NAVIGATOR I. I OTHER (Specffy} D-THE AIRCRAFT DOESNOT MEETTHE APPLICABLE AIRWORTHINESS REQUIRE MENTSAS FOUOWS: 4. z Cl :z: ... a: :c .... 0 w ., .,... 0 .,. a: ::, .,. ... i.. .,. ... :z: :::; ... u ... .,. ... -· E.THE FOUOWING RESTRICTIONSARE CONSIDE REDNECESSARYFOR SAFE OPERATION /Usaattachmsnt ifnscessaryl C, > F. CERTIFICATION - I hereby certify that I am the registered owner (or his agent) of the aircraft described above; that the aircraft is registered with the Federal Aviation Administration in accordance with Section 501 of the Federal A'i.:abOn Act of 1958. and appftcab& e Federal Aviation Regulations; and that the aircraft has bee,,~inspected and isairworthy for the ffigt,t described. DA,ft :g INAMEANDITTtE /Prinrar,_1 : SIGNATURE I. X A. opi;.ating L1mitat10nsand Markings mCompliance with FAR 91 3 1 _ _·_ _as_A;..ppl_ica_bl_ _____• .._·__________ ~-,.t--11-- G. Statement of Conformity, FAA Form 813()..9{Attach when required} H. Foreign Airworthiness Certification for Import Aircraft -4 ~~}t-__,~e_._c_u_~_•_nt_ __ O_pera t_in_g_L_im_i_ra ___ti_o_ns _______ _A_ttach _ ,__ +-+-,-~l-A_ttach __ wne.,.., ._n_req...,.,u_~_~.....,/,-=--------,----,--------i ~; : t---l~c_._o_a_ta_._D_ra_w_i_ngs_._P_h_ot_og_r_ l_A_rr_ac __ a_p_hs_._ w_he_n_r h •_tc_. eq_..;.u_i_ ____r~_1 I. PreviousAirworthiness Certificate Issued in Accordan >:::>" ce with ~g:~x~~D~-~C=u~~=nt~W:..:.:e,g~·=ht~•=n=d~B=•=~=nce.: :::..l=n=fo~rma::.::.o ___o=·=n~A~ ...J..-l-~F~ v=•=ilab::: A~R!...=:: ::~~i=n~N :;====;.=~ =·rcra~·::. ~C~A~R:. :;:ft .======= =-~W~r,g ct c !:. ~ina/:=_~B~tracf>«l::::;~1 E. Major Repair and AJteration. 337 (Attach when required} J. Current Airworthiness Certificate Issued in Accordanc e with x X F. This Inspection Recorded in Aircraft Reco«!s"· FM > t--i------------~-------'--------i FAR .. ·_ ' (~:,: • -[/\ \. ; ~-\ \ I \ --~- . ,. ,_ - J ,I . ; J '/ ;· . . ;.--. i -~ ,_ ,~ . .:_';:-. 21.183 J ,.,,/.~_r-'\ L / ____!_ INAMEANOTITLE IP.rinror~J I . ____L.. (a) per 21:273 \J- - :~r ------:........:-~---------~-~----..--UNI TEO .:<-~~-i . D£PA~T-ME!llT OF c;.TATES OF AMERICA -r RANSPORTAT!ON-FEOEF>.>.L STAIIDA'RDAIRWO~~JtESS "-VIATION STRATIO" ADMIN CERTIFICATE ,. 1 - CATEGORY i ! BORMAL S-1,000, er imbe punis.hoble by a i..ne not e•c~ing re-production, or misuw of thiJ.· te"rti(,co~y Any oltnation. IN ACCORD,3 yeon, D1' both. THIS CERTIFICATE MUST 8£ DISPLAYED IN THE "IRCRAFT prl!,,Of\'fflef\t not euff'ding REGULATIONS. ANCE WITH APPLICABLE FEDERAL AVIATION 8100-2" .,, _FAAForm ,.· . 9. FOR"'ERLv FAA FORM , .. 2 , ... ..... .• ,- - .... r- ··=----, ,~- '. 3 antra? 15?8?? ?mo. FAA AIRCRAFTR!CISTRY 3 CAMERA RO•. DATE: 3::_ JS-8Cf :---------------.-~- . ~~----~: M/fJ/STERE DES TRfN__¥0R1S . . . .. CERTIRCATDE-NAViGABIUTE POUREXPORTATION IFlcA TE OF AfflWORTNtlllESS CERT FOREXPORT · / UlX-22424 ~.cl¾<> , JK...51..p~.,;.t cf J~"i>'>,.t. /:..nadc.K~ .tr,., ~"P.,,.t,,. ·fu,.,...Ji.,d..t.,.; L '~ •,:, ~"- e-e4=k cf(!._,.. ~'i"'" in· _...,.p/tl. cf tl\-e (I;_=....ft/ ...!c.lhin ..,...._ f,,, ~.t f-e ffl;_,,._~ ·.Le.a..Joan6j>n pou• .ce,,tif.Lcal d.... na.~;_-'.""';I!«nat-ed !kw. d..e¼f,.,* ..tf.._.,__,_p«.i.p~o., m.....t~d=.._f•K..m..f"'l~ _.,.._,..tJ',.cat, .t... ...t ~!',. ... qu.e., i. fa d.ak .te .....t "" ~fa...., ..u m<1t....• .tl..it """'.,...d.e,,k: =-l.i.'i"E!'. £•~...fl d....l\jp-e.p....,,l.in....-l, ...xee.pU <.amm« u,,ii'l'd .) d... u,,i.-e. d.u(d=) m<1l-e.u•(,,_-j, PCE-94181 0&...~,., :R-ema,Jt.o., to and found been- examined has certificate by this covered The engine February 33, dated Part Regulations, comply with the U. s .. 'c'ede:ral Aviation Type to U.S. 33-5 and conforms 33-1 throughamendment.s 1,. 1965 including operation, safe for No. E4EA .._. and is in condition Data Sheet Certificate check. oper.ational to a ·final by the manufact:urer and has been subjected at '.D..t-e.i :D..u: .,_______Montreal, Jl\i..o. · 24TH £ ... -------------- , ·,- _Quebec s..... (10-78) --------- ;( --~-- Richard = .t.... oils, . Deschenes aer-="-f"'-..t mw..;k, 88 ---- FEBRUARY d.... ----------------19 ..e.qu.'.f""""-1"'~, ! ~-IJ= 6.U• 6~a.. K1c:to'1.s . FA.( AlBClAF'f CAMERA'IH> • .: Jt!c1s·1ay __DATE: 3-./S .- -8q . ~----- -·-·---~--~.-- __ ..-:-:......:; ._. ~-.:_-:--~ , ____ __:_._ .... :/ .. ~,;_.··-~ _f -,._-')_'. -~·--- --- . --t ·.--·-··. _.----.-. .....-. ,:-~-.----,...,... .-:_. ._ : . -·. -·--· MINISTERE DES TRANSPOns 0 .. DEPART,.,ENI. OF TRANSPORT CERTl~lCATE OFAIRWORTHINESS CERTIFICATOf NAV/GABIUTE POUREXPORTATION FOREXPORT '1..mk. "tume,,o- ULX-22425 __ ' ____ _ 4 2.... mw...U,,..4-e.>.'.T""""¥'>...!,,.du <:an ad.a, p-....nan! =nnaic..a.o.ne.e. ii.a.ppo~ quC. t'u<. ont ilk ~r.i..~a. d...~:Pt~~f-e. p~,.,,..! ~ea.! de. n~a.&.if'.i.u. paur. ""'Jl-"·-,l«l.i.-On p=• f• m.a.leu• m-e.n.li.ann-e .ci-~A -e.{ f:P~1 pc.l.<:uf'.i.~..e- · · · :rn-e.j;~.,,.tnent '.T~.t. (:..,....k, ii~ ~.d. AK-e.:Re.i,.,,a,,. fu=~-e.d .t.. a; ~"""....,_ .tf....,<:-e..t.f;-=L. .,f (r._.,_ ..J<>,,W,,n.e6.6. f...•~;,t in ~-e.cl <>f!he.(! .. ... U.enti.j';..dtkw and m<1.e.p<1.t.aJ.,4 4==<.W in .!K:e. ½Jl.e. =41 ~.!-edli..£.i-w .. ~.,,e·F.am~ =/'.ti Hait de.t..fp-e.p.e..ti.,,.e.n.!, e,e_c.er...ti.f.A cal ci-~6- ~w-e.-== de. ,i;., ,,.... -c.l,iucl;,.., de. OF AMERICA N/A mad~ ....,1.., e•oo-.an4: a:..,c-.af.t&.,....a£ :n.,_ 4-e. '.f\fl"" Upp=~ fow{,.): PCE-94182 . The engine covered by this certificate has been examined and found to· comply with the U.S. Federal Aviation Regulations, Part 33, dated February 1, 1965 including amendments 33-1 tl;!rough 3.J-5 and conforms to U.S. Type Certificate Data Sheet: No. E4EA, _and is in condition_ for safe operatior., and has been subjected by the manilfacLurer to a fin,:.1 ··.pi'r>,~ional check, ; :I)a,ld aI •7\ ,, .u.iti a . __ .-----···--. '.f~ 0 ".,1_~ 24TH ---------------- - . Y.or,treal-, Quebec - · ----------------------------- Richard m~ 11