EFTA01329414

`Oral No 2120-0020 EMatenc ' ,sank Hint*. Exp Sal /2014 MAJOR REPAIR AND ALTERATION e el? (Airframe, Powerplant, Propeller, or Appliance) Fa FM the arty US Doormen ol turepottabon Nan/ Avignon Admislettifte 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. 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. USA N722JE 760750 1. Aircraft Model Series Make S-76C SIKORSKY Name (As shown on registration certificate) Address (As shown on registration certificated AC4ens 610O Red Hook (Nana. 10 2. Owner Hyperion Air LLC City SL Thomas State 20 00F02 Country USA 3. For FAA Use Only • 4. Type 5. Unit Identification Repair Alteration Unit Make Model Serial No. • ISI AIRFRAME _....._......___ ____.-- (As described in item 1 above) • O POWERPLANT • O PROPELLER APPLIANCE O O itivackew & Conformity Statement _ A Agency's Name and Address B. Kind of Agency r Manufacturer International Jet Interiors U.S. Certificated Mechanic I C Certificate No 2221 Smithtown Ave Foreisn Certificated Mechanic Ronkonkoma, New York x Certificated Repair Station CRS I1JR439Y 11779 USA Certificated Maintenance Organization I D. I certify that the repair and/or alteration made to the units) identified in Hen 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 15 true and correct to the best of my Au knovAed Extended range fuel per Signature/Date of widual 14 CFR Part 43 O INSP App B 001 Jay Masser 8/272019 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 Adnwiistrator of the Federal Aviation Administration and is n APPROVED O REJECTED Persons Approved by Canadian FM FN. Standards Department of Transport Manufacturer Maintenance Organization Inspector BY Other (Specify) FM Designee X Repair Station Inspection Authorization Certificate or Signature/Date of Authorized ual Designation No. INSP 002 CRS I1JR439Y Thomas Norden 8/27/2019 ^ FM Form 337 reek SDNY_GM_02757629 SUBJECT TO PROTECTIVE ORDER PARAGRAPHS 7, 8, 9, 10, 15, and 17 EFTA_0024455 1 EFTA01329414 NOTICE Weight and balance or operating Imitation 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. IL Description of Work Accomplished (If more space is reQuirad. attach additional sheets. Wordy with 011073n nabonakty and registration mark and date work accomplished.) USA N722JE Dote Nationality and Registration Mark 8/27/2019 I) Reupholstered the existing Divans (Outer Cover Only) with Cowtan & Tout Fabric: 1.8905-07, EMI Silver. All PAX seat belts have been rewebbed by Aircraft Belts Inc. (FAA/CRS # YBIR632K) reference Certificate of Conformance dated 8/9/2019. 2) All PAX Scat Cushions have been fireblocked in accordance with FAA Title 14 CFR 29.853 (a) Amdt 29-23 and Part 25 Appendix F Part I (a)(1Xii) and Title 14 CFR 29.853 (b) and Pan 25 appendix F part II requirements. Reference Skandia Inc. FAA/DER form 8110-3 (attached) dated 08/21/2019 (Skandia TP 28191 Rev A dated 8/21/2019) by FANDER Mackenzie Kacvinsky, (DERV-834396-CE). 3) Relocated the existing phone & reel any (P/N TN1003.101) from the window line panel to the Fwd facing Divan RH cabinet in accordance with International Jet Interiors structural drawing No. 131-S76C-750-01, Rev IR dated 8/13/201% Titled "Instl-Phone Relocation". The listed structural drawing was approved via (attached) FAA/DER Form 8110-3 dated 8/22/2019, by Karol Mordasiewicz (DERT-834582-CE). 4) Reupholstered the existing Crew Seats with Aeristo leather: Aeronappa Incas P/N AN-G-018M, D/L 1118-P-1214 and Aeristo Leather. Alcantara Anthracite PN ALCA-AV-1883 (center insert). Reference Skandia Inc. FAA/DER form 8110-3 (attached) dated 08/21/2019 (Skandia burn report TP1/ 360764-19, Rev A dated 8/21/2019) by FAA/DER Jane Biberstein. (DERV-832780-CE). Crew seat belts have been rewebbed by C&M Marine Aviation Services Inc. (FAA/CRS # VO5R749Y) reference 8130-3 dated 8/1/2019. 5) Stripped and recovered the existing Headliner Panels, Window Line and Side Wall Panels throughout the cabin and cockpit with Aeristo leather: Aeronappa Incas P/N AN-G-0113M. D/L V18-P-1214. Reference Skandia Inc. FAA/DER Conn 8110-3 (attached) dated 08/21/2019 (Skandia burn report TP# 360764.19, Rev A dated 8/21/2019) by PANDER Jane Biberstein, (DERV-832780-CE). 6) Stripped and recovered the existing Headliner Insert with Perrone Fabric: Alcantara Avant 4883 Anthracite ALCA-AV- 4883. Reference Skandia Inc. PANDER form 8110-3 (attached) dated 08/21/2019 (Skandia burn report TP/1 360764-19, Rev A dated 8/21/2019) by FAA/DER Jane Biberstein, (DERY-832780-CE). 7) Stripped and recovered the existing upper and lower side wall panels, cabin door overlay, cabin side ledge throughout the cabin and cockpit with Aeristo leather. Aeronappa Incas P/N AN-G-018M, D/L VIII-P-I214. Reference Skandia Inc. FAA/DER form 8110-3 (attached) dated 08/21/2019 (Skandia bum report TP# 360764-19, Rev A dated 8/21/2019) by FAAMER lane Biberstein, (DERY-832780-CE). 8) Stripped and recovered the existing Cabin Fwd Bulkhead Panels with Aeristo leather: Aeronappa Incas P/N AN-G-018M, D/L YI8-P-1214 and Dedar Fabric: 3040/14 Contemporary/Perla. Reference Skandia Inc. FAA/DER form 8110-3 (attached) W4418/21/2019 and 8/23/2019 (Skandia burn reports TP# 360764-19, Rev A dated 8/21/2019 and TP 360828-195S% dated 8/23/2019) by FANDER Jane Biberstein, (DERY-832780-CE). 1'00 9) Stripped and recovered the existing Cabin Alt Bulkhead Panels with Aeristo leather. Aeronappa Incas P/N AN-G-018M, D/L Y18-P-1214 and E&T Mirror 2064 Grey M IMP K. Reference Skandia Inc. FAA/DER form 8110-3 (attached) dated 08/21/2019 and 8/23/2019 (Skandia burn reports TP# 360764-19, Rev A dated 8/21/2019 and TP 360828-19, Rev A dated 8/23/2019) by FAA/DER Jane Biberstein,(DERY-8327130-CE). 10) Installed new replacement Carpet throughout Cabin and Cockpit with Red Rock carpet: Hampton I -I GR968, Color Black. Reference Skandia Inc. FAA/DER form 8110-3 dated 08/21/2019 (Skandia bum report TPN 360764-19, Rev A dated (attached) 8/21/2019 by FAA/DER Jane Biberstein, (DERY-832780-CE). El Additional Sheets Are Attached FAA Form 337 (10-06) SDNYGM02757630 SUBJECT TO PROTECTIVE ORDER PARAGRAPHS 7, 8, 9, 10, 15, and 17 EFTA_00244552 EFTA01329415 NOTICE Weight and balance a 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 S. Description of Work Accomplished (If more space is required, attach additional sheets. Identify with aircraft nationality and registration mark and date work accomplished) USA N722JE Date Nationality and Registration Mark 8/27/2019 I I) All affected areas of the aircraft interior have been placarded in accordance with Keystone Helicopter Engineering Document No. IC01217 Rev G. 12) This aircraft's W&B has been revised (calculated) this date showing new CG. 13) A logbook entry has been made reflecting this alteration. 14) This Refurbishment/Repair/Alteration to the existing Cabin Interior furnishings requires No Scheduled Maintenance Tasks or Airworthiness Limitations, refer to the OEM Maintenance Manual, and all other existing ICA's. The Aircraft's Scheduled Maintenance Program is not altered by this Modification/refurbishment. IS) The work described, has been found to be in conformity with the above mentioned approved data and continues to meet the airworthiness criteria under which it was originally certificated. Work Order No. 19150, on file at this agency, covers the above described work. No further entries. 0 Additional Sheets Are Attached FM Form 337 (10-06) SDNYGA402757631 SUBJECT TO PROTECTIVE ORDER PARAGRAPHS 7, 8, 9, 10, 15, and 17 EFTA_00244553 EFTA01329416 SDNY_GM_02757632 SUBJECT TO PROTECTIVE ORDER PARAGRAPHS 7, 8, 9, 10, 15, and 17 EFIA_00244554 EFTA01329417 Control Number. 2019-117 Sheet 1 of 1 119. DEPARTMENT OF TRMISPORTAT/ON I. DATE FEDERAL AVIATION ADMINISTRATION Elnrzois STATEMENT OF COMPLIANCE WITH AIRWORTHINESS STANDARDS AIRCRAFT OR AIRCRAFT empower IDENTIFICATION 2. MAKE & MOOG. NO. 4. TYPE Obtat &Una Pnettn. Vol S NAME OF AFRICAN Sikorsky Aircraft S-78C Aircraft International Jet Interiors. Corporation UST OF DATA 6. CDITIFCAIION T. MIRE .121: a: UkS76C-750-01 Rev Instl-Phone Relocation. IR Dated 08113)2019 Decurnents IJI-S76C-750-0ISA Rev IR Structural Analysis Phone Relocation Installation Sikorsky S76 Dated: 08/16(2019 END END Notes I 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. 2. This form constitutes FAA approval of all the engineering data necessary (or substantiation of compliance to necessary requirements for the entire atterationirepair. Electrical and Flammability approval may be required. 3. The modified cabinet is not part of the seat TSO. 4 Applicable Requirements are per the TWA HINE Rev 47, dated Apr1130, 2019 a. PURPOSE Of DATA Engineering drawing and report release in support of Field Approval of major alteration for Sikorsky helicopter Serial Number 780750. N722JE as outlined In drawing'. IJI-S78C-750-01 Rev IR, Dated 08113/2019 9 FFPuCial McMullinNo WOW maws) 14 CFR Part 29 Arndt 29-11, Sections: 29.301 Amdt 29-0, 29.303 Amdt 29-0, 29.305 Arndt 29-0, 29.307(a) Arndt 29-4, 29.309(a) Arndt 29-0, 29.337(a) Arndt 29-0, 29.561 (a)(b)(e) Amdt 29-0, 29601 Amdt 29-0, 29.603 Am* 29-0, 29.805 Arndt 29-0, 29.607(a) Arndt 29-5, 29.609(a) Amdt 29-0, 29.813 (a,b) Arndt 29-0, 29.825 Amdt 29-0 and 25.787 Arndt 29-0 10. aRTIFICATON . Undo autarky inset by Orecbon d OW AONIUMOY and n entadinca ent cantons and Inane:dm or aapposentani &d 14 CFR Pm In. data Bled is. AM 00 toted ghee furlIblred hat ONO atanted in liett0nfalce ern estatlases porettwes and town to amply at toncatle ettnernenb of the AnonymMesa Slant MINA 0 Recommend approval of Mese Oats I ONal TORO= = e Approve Owns darn 11. SIONAIURE4 • TED ENGIICERING REPRESENTATIVES) n. CESIGTATIONTAMMERS(S) 11 CUISSIFWATKVES) Karol a DERT-834582-CE Structures vewiat FAR Fens 91104 (0OJI0) SuPERSEOES PREVIOUS EOTiON SDNY_GM_02757833 SUBJECT TO PROTECTIVE ORDER PARAGRAPHS 7, 8, 9, 10, 15, and 17 EFTA 00244555 EFTA01329418 SDNY_GM_02757634 SUBJECT TO PROTECTIVE ORDER PARAGRAPHS 7, 8, 9, 10, 15, and 17 EFTA_00244556 EFTA01329419 U. S. DEPARTMENT OF TRANSPORTATION 1. DATE FEDERAL AVIATION ADMINISTRATION 08/21(2019 STATEMENT OF COMPLIANCE WITH AIRWORTHINESS STANDARDS AIRCRAFT OR AIRCRAFT COMPONENT IDENTIFICATION 2. MANE 3. MODEL NO. 4. Typo (Mw.Eva Atspasc. as f 5. NAME OF APPLICANT Sikorsky S-76C Helicopter International Jet Interiors LIST OF DATA 6. IDENTIFICATION 7. TITLE TP 28191 Skandia. Inc. Flammability Test Report Rev A Oil Burner Testing and Vertical Burner Testing Dated 8/21/2019 Notes: 1) Work accomplished under Skandia Inc. WO e 360502-19. Ref Document ID 102212 2) Flammability test witnessing only, does not constitute Installation approval of the matenals. 8. PURPOSE OF DATA Demonstration of compliance with material flammability requirements in support of Major Repair 8 Alteration for WI 760750 9. APPLICABLE REQUIREMENTS (List speak sections) 14 CFR Part 29.853 (a) Anull 29-23 and Ran 25 Appendix F Pail I (aXIX ii) 14 CFR 29.853(b) and Pan 25 Appendix F Part II 10. CtaTtFKATION - Under authority vested by direction of the Administrator and in th 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 Ainseethiness Standards listed. 0 Recommend approval of these data I iYerd Therefore tjlk Approve these data 11. SIGNATURE(S) OF OESIGNATED ENGINEERING REPRESENTATIVE 12. DESIGNATION NUM['ERIS) 13. cl.ASSiFiCATioN(S) A fr Oc irtjA au fild - aCkenzie Kacvinsky DERY-834396-CE Structural Special FAA Form 8110-3 (WO) SUPERSEDES PREVIOUS ION SDNY_GM_02757635 SUBJECT TO PROTECTIVE ORDER PARAGRAPHS 7, 8, 9, 10, 15, and 17 EFTA_00244557 EFTA01329420 SDNY_GM_02757636 SUBJECT TO PROTECTIVE ORDER PARAGRAPHS 7, 8, 9, 10, 15, and 17 EFTA_00244558 EFTA01329421 U. S. DEPARTMENT OF TRANSPORTATION 1. DATE FEDERAL AVIATION ADMINISTRATION OW21/2019 STATEMENT OF COMPLIANCE WITH AIRWORTHINESS STANDARDS AIRCRAFT OR AIRCRAFT COMPONENT IDENTIFICATION 2. MAKE I. MODEL NO. 4. Type wen, &oak Props. WO S. NAME OF APPLICANT Sikorsky Aircraft Co S-76C Helicopter International Jet Interiors UST OF DATA S. MENT1P1CATION 7. TITLE TP 360764-19 Skandia. Inc. Flammability Test Report Rev A Dated 8/2112019 Bunsen Burner Testing Test Specimen Part Numbers: PN: 1 (Represents: Headliner panels) PN: 2 (Represents: Cockpit door panel & side wall panels) PN: 2A (Represents: Cockpit door panel & side wall panels) PH: 5 (Represents: Cockpit crew seats) PN: 6 (Represents: Cabin floor covering carpet) PN: 12 (Represents: Headliner panel insert) PN: 13 (Represents: Cabin door panel overlay) Notes: 1) Work accomplished under Skandia Inc. WO # 360764-19, Ref Document ID 102231. 2) Flammability test witnessing only, does not constitute installation approval of the materials. 8. PURPOSE OF DATA Demonstration Cr compliance with material flammability requirements in support of Major Repair 8 Alteration for S/N 780750 9. APPLICABLE REQUIREMENTS (List specific sections) 14 CFR Part 29.853 (a) Arndt 29-23 and Part 25 Appendix F Part I (a)(1)(0 14 CFR Part 29.853 (a) Arndt 29-23 arid Part 25 Appendix F Part I (a)(1)00 10. CERTIFiCATiON - Under authority vested by direction of the Administrator and in accordance with conditions and limitation of appointment Mkt 14 CFR Part 183. data fisted 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. O Recommend approval of these data I (Prt.)Thefefore X Approve these data it. 814 TURNS) OF DESIGNATIDEN8INEERING REPREStNTATTVE \ 12. DESIGNATION NUMBER(5) 13. CLASSIFICATION(S) i ... bmJani\Biberstein DERV-832780-CE Structural Special FAA Fom181O.3 103110) SUPERSEDES PREVIOUS EDITION SDNY_GM_02757837 SUBJECT TO PROTECTIVE ORDER PARAGRAPHS 7, 8, 9, 10, 15, and 17 EFTA_00244559 EFTA01329422 1 SDNY_GM_02757638 SUBJECT TO PROTECTIVE ORDER PARAGRAPHS 7, 8, 9, 10, 15, and 17 EFTA 00244560 EFTA01329423 U. S. DEPARTMENT OF TRANSPORTATION 1. DATE FEDERAL AVIATKIN ADMINISTRATION 0803/2019 STATEMENT OF COMPLIANCE WITH AIRWORTHINESS STANDARDS AIRCRAFT OR AIRCRAFT COMPONENT IDENTIFICATION 2. MAKE 3. MODEL NO. 4. Typo (Nrplem, Engtv, Prewar. itc.) S. NAME Of APPLICANT Sikorsky Aircraft Co S-76C Helicopter International Jet Interiors UST Of DATA • IMMOLATION 7. TTTLE TP 360828-19 Skandia, Inc. Flammability Test Repel Rev A Dated 8/23/2019 Bunsen Burner Testing Test Specimen Part Numbers: PN: 9 (Represents: FWD cabin bulkhead) PN: 14 (Represents: Aft cabin bulkhead) Notes: 1) Work accomplished under Skandia Inc. WO # 360828-19. Ref Document ID 102236. 2) Flammability test witnessing only, does not constitute installation approval of the materials. S. PURPOSE OF DATA Demonstration of compliance with material flammability requirements in support of Major Repair 4 Aiteratlon for SIN 760750 9. APPLICABLE REQUIREMENTS (LW specific sections) 14 CFR Part 29.853 (a) Arndt 29-23 and Pan 25 Appendix F Part I (at] xi) 70. CERTIFICATION - Under authonty vested by *renew 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 AinvortNness Standards listed. O Recommend approval of these data I( ) Therefore yc Approve these data 11. TURERDOF D64961M-11TED ENGINEERING REPRESENTATIVE 12. DESIGNATION NUMBER(S) 13. CLASSIFICATION'S) r \ -,. c l-) A 1)j (Z:v_ r t 1 XO DER Jarte B \IR ibersiein DERY-832780-CE Structural Special FAA Fon\ 110-3 ( 10) SUPERSEDES PREVIOUS EDITION \ SDNY_GM_02757693 SUBJECT TO PROTECTIVE ORDER PARAGRAPHS 7, 8, 9, 10, 15, and 17 EFTA_0024456 I EFTA01329424 SDNY_GM_02757640 SUBJECT TO PROTECTIVE ORDER PARAGRAPHS 7, 8, 9, 10, 15, and 17 EFTA 00244562 EFTA01329425 roan Aperoad I WI/0/K Tn.:bay Wrest OM No 21200320 0 MAJOR REPAIR AND ALTERATION 2/2610‘ I Le DaierUmm amIML We ay <I Treigatieo• (Airframe, Powerplant, Propeller, or Appliance) Feral miaow Mlainliengen INSTRUCTIONS Prnt or type al Nines See Tree 14 CFR §139. Part 13 Appends( R and AC 139.1 Mr subsequent mime thereof) for instructions and depasMon of this form The report a required by law (19 USG 644701) FaUe to report can resat to a awl penally for each such yolaton (49 U S C 546301(a)) Nationetly and Regetration Mark Seral No N722JE 760750 I. Aircraft us, Motel Series Keystone Helicopter S76 C++ Name (As shown on regestranon certificere) MOMS (As Moan on registration comfiest.) bad 151 Farrningten Ava 3. Owner ch Hartford sum ST ASI Wings LLO be 06156 Car,/ USA 3 For FAA Use Only 4. Type 5. Unit klentifkation ROOM Alteration Unit Make Model Ser ai No El AIRFRAME (As deserted n Am 1above) O El . POWERPtANT O O PROPELLER Type O APPLIANCE O umanurer 6 Conformity Statement A Agencys Name and Address 8 Kind or Agency NPs( Aeennated Aircraft Smile Mr U$ Certfceted Mecham I Mandocauret men. 32 Griffith Way Fear CWced Mechem C Certificate No car 10/aXED4N1 F•11‘ airs NY i Ctourcated Repair Slaw* 7.4. 12590 owetv USA centsras MaulalelanCe Ononemon AYPR340S CI I certty that the repar anctror alteration mac* to the und( ) Identified n date 5 above ant deserted on the reverse or attachments hereto have been made in accordance weft the requirements of Pad 43 or the U 5 Federt Aviation Regulations and that the inkonabon !unshed hewn a true and correct to the best oh my knowledge Extended range fuel S Dale of Autnonzed Individual pet 14 CFR Pan 43 O Alt 8 ' Tom Henry 28 Apr 16 / 7. Approval for Return to Service Recut t to the authority 9 von pe Jr %decried tekm, the unit denied in Item 5 was napectecl in the manner prescribed by the Administrator of the Federal Amber, Adminstraton and is le APProved O Rejected FAA Pt Standards Persons Approved by Cowden Inspector Manufacturer Maintenance Orgamzsion Chicanmers or Tenger, BY Other (SPX* FAA Designee it Repair Sieben Inspector' AuthOrtZatiOn Cenificate or SgnatureOate of Authonred I intuit Designation No AYPR34OS a / C-2( -4 ?2-4-4-I CP Scheftic 28 Apr 16 FAA Form 337 norm SDNY_GM_02757841 SUBJECT TO PROTECTIVE ORDER PARAGRAPHS 7, 8, 9, 10, 15, and 17 EFTA_00244563 EFTA01329426 NOTICE Weight and balance or operating hmitahon changes shell be entered in the composts 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 to more space gs requv-ed attach Sitcshei sheets Identify with suctalt nationekly end regsstaton ins* and dote work 00ettplitifx1) N722JE 28 Apr 16 Nationally and Repastration Mark Date Alteration to Sikorsky S-76C++, N722JE, 760750 @Aircraft TSN 1.747 0, Lndgs 3.698 Removed engine oil access door PIN 76302-07014-061 and installed new engine oil access door P/N 76302-07014-049, modified with the "Thumb Latches" IAW Sikorsky Drawing No 33776.84145 Ref also Sikorsky Drawings 33776-84145-AL-001 Application List and 33776.84145-PL-001 Parts List The Door with Thumb Latches is an on-condition component with no airworthiness life limited parts This alteration does not require a Rotorcraft Flight Manual revision Weight and Balance is not affected by this alteration Airworthiness Inspections will be accomplished IAW the existing Sikorsky Airworthiness Limitations and Inspection Requirements Manual, ALIRM, SA 4047-76C-2-1, Ch 5-20.00 Pertinent details are on file under Work Order 5262-04.2016 A AS O ildarbonal SheetS Are *decree INSP. FAA Form 337 ecot. SONY_GM_02757642 SUBJECT TO PROTECTIVE ORDER PARAGRAPHS 7, 8, 9, 10, 15, and 17 EFTA_00244564 EFTA01329427 f. • SDNY_GM_02757643 SUBJECT TO PROTECTIVE ORDER PARAGRAPHS 7, 8, 9, 10, 15, and 17 EFTA_00244565 EFTA01329428 SDNY_GM_02757644 SUBJECT TO PROTECTIVE ORDER PARAGRAPHS 7, 8, 9, 10, 15, and 17 EFTA_00244566 EFTA01329429 I l e f -.4--, 2 211x 1 --- --- -- - . -- -- -- --- -- ---- f i•11 ;IVII ....._ 18 1 tr i l; I; ii le it 'Z' ,- 3 Ii1 4 114: 1 1 p i - 1 ptvi i l 1....11 Ip 'll ; 1! • g 01 .. 11 gilei a .2 Mi it! ; e ts l - S. l i E O21 1 I i h le . , t 1)t 4 , Ili '1 § ... 1 ., i !' 9. i I II. !IS - I . Iliiii ::: 0 I Mai i! e M .- I Fi l l g 1 ... , i. !!! i!1 z z .. ' ,1 I 0 .. I if NOTED a C i 0 a 8 il i . . ' i 1 .a. 8 • !.? e 1 . o. I ill0 I / o 1 a. !! : : II R3 i I III/ rkgtices. APPLIE1 AUUMfNUM ALLOY gi I ii ! ' 2 iI 1 1 ea II L.I .. I ; t s k i II r,'" . Ili i . rs . IIII . -'. : : : : 1 . ft q ... I 2 14 • I • i., r. ' ! I iSl!! 5 Lo .• e. • * i i 15 ! if Li a li i l" , i i It 6 i.f44-2; 17 7'. 3 1. V i-2E4 Ili f • !I SI, iI • i I . 4 5ta1' 1 z.1. ... ......... -- --- --- --- --A " - ar.-.,% .-..t.:g.:1- ..:.5.. .._..... .._______—_-- --- -!th ;1 :: 7 77 • m -iii It .. 4, - SDNY_GM_02757645 SUBJECT TO PROTECTIVE ORDER PARAGRAPHS 7, 8, 9, 10, 15, and 17 EFTA 00244567 EFTA01329430 SDNY_GM_02757646 SUBJECT TO PROTECTIVE ORDER PARAGRAPHS 7, 8, 9, 10, 15, and 17 EFTA 0024456% EFTA01329431 0 Sikorsky DESIGNED BY APPLICATION LIST REL. AUTE 8E C • u•••• •••••••pwOmes o ACCESS DOOR MOD 39066A AL 33776-84145 001 CO CAGR SIZE CRTC . RUM. ORIG. PREP. UNDER CONTRACT CESOCIIR NATHRIAL REVISED BY REV. DATA R rn 78286 A NAPIER NAPIER N ERICKSON 13JUL98 E CODS 1 CODS 3 •PART ml D • DRTAIL I - IllTALLATION N - NOT TO II 011D T • TOOL CODS 3 - 100. WITIRCRWKWAIIZLITY A • All1WOLT 1 - On IT I • SIT V - tones cram, v. voccanan tawny. 2 .vor nertano 3 • en icons LA • WITS/ DUOS le • an V • TOI0ING I. • MOLT 0OWT OTT R • /Alt KleTS12/1• V • V131211031 APPLES/ TO PART NO. IN LETT RAND CO VIP H KW IleTSWIAL PART C • COMM II • @PIC TOITTIlin N • ALTERED ITS/ 111_.156330N TO PART NO. nun prate° R C C QTY PART NUMBER • • CTISTOMER• EP PECTIVI TY • INTERNAL* • -O 2 PART NUMBER D D NEXT ASSEMBLY NA BEING REPLACED MODEL IN OUT IN OUT V 1 3 0 • • • • EXTERNAL APPLICATION • • H 33776-84145-011 33776-20407.011 0001 S76PEC 0001 SUBQ 0001 SUBQ rn . S76PEC 0001 SUBQ 0001 SUBQ 33776-20453-011 0001 n 33776-20472-011 0001 976P EC 0001 SUBQ 0001 SUBQ H 33776-20485-011 0001 S76PEC 0001 SUBQ 0001 SUBQ E 33776-20489-012 0001 S76PEC 0001 SUBQ 0001 SUBQ 33776-60290-041 0001 S76PEC 0001 SUBQ 0001 SUBQ REVISION 13 DESCRIP ION 33776-84145-011 NEXT ASSY 33776-20489-112 MODEL S76PEC 0001 SUBQ ADDED xP 0 3D -O 3> 3> 70 -O (/) •/ 4 34 00 SC) • • • APPLICATION LIST - SKEET 001 LAST SHEET • • • V•el CA P 13 • 0 Ceoperanan, lieu nnpeNnhed wort reverted ethic 0.3 ;1 4 This thiCUINCIII. Of an embrliterne of tr in any media. th.elow, anfahnenen ranch 1. repenter. ts ehe paperer alSolonly .Ittraft winding reproduction to a dernathr work. re er.haable eatinght laa t. end A Ile/awed on the awn. antlaten thee n h nee la he awl. inekned, or repeadurni. N whole or inpate Inekne er so site any utionnanan tomatoesI Glenne.. CL inndfor own...fannyfor rapine other than SiAan.4 iteraft Coeparetn wither kViOCIIC0ITWIll. end throe right i• tenni.,II to AllnchA relayed ,in at: in nelanen of appliceble Sew ary nth In rail end ethwinelpowthie‘ I-a IJ p EFTA01329432 Ln SDNY_GM_02757648 SUBJECT TO PROTECTIVE ORDER PARAGRAPHS 7, 8, 9, 10, 15, and 17 EFTA_00244570 EFTA01329433 0, MAJOR REPAIR AND ALTERATION Awn Wawa O4 He 21200320 TIMM I Chrome Third Harem cot MA use One us himmuzi of Tfric011210II (Airframe. Powerplant, Propeller, or Appliance) hash Aviation arminisentioa INSTRUCTIONS: Print or type al entries. See Title 14 CFR 343.9. Part 43 Append* B. and AC 43.91 (or subsequent revision thereof) for instnictions and disposition of this form This report is required by law (49 U.S.C. $44701). False to repeat Can Masse in a tail penalty for each such violation. (49 V.S.C. §46301(a)) Nationality and Registration Mark Saul No. N722JE 760750 1. Aircraft make Model Series Keystone Helicopter S-76C Name (As shown on registration cert#icare) Address (As show) on registration certificate) Men, 151 Farmington Avenue 2. Owner car Sim CT ASI Wings. LLC Hartf0rd as 06156-0001 camy USA 3. For FAA Use Only 4. Typo 5. Unit Identification Repair notation UM Make Model Serial No. • 2 AIRFRAME (As desenbe0 In Neil I above) O . POWERPLANT O O PROPELLER Type O APPLIANCE O Manufamwar 6. Conformity Statement A. Agency's Name and Address B. Kind of Agency rom Pm Star Aviation 11 C u. S Carthame Mecham I Manstlactiger Add,SI 5 Industrial Drive, Manchester Airport FIXIMII Ceeirlicaed MecMnic C. Certificate No hi I ondondenv sue NH i Char-Med Repar StabOn is 03053 cach, USA Chair-Mee Maintionanos 0rganzath P6UR006Y D. I certify that the repair andiw alteration made to the urea( ) identified in item 5 above and described on the reverse or attachments hereto have been made Ni accordance with the requrements of Parl 03 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 Signature/Date of Authorized individual per 14 CFR Part 43 ADP. 6 Spencer Roy ,------, --? (s----- 04-tea-16 T. Approval for Return to Service Pursuant IO the authority given persons specified below. the int identified in tern 5 was -nSpected in the manner proscribed by the Admirntrater of the Federal Aviation Adieu titration and * 2 Acoroved • Rejected _ FAA Ft Standards Persons Appoanse by Camden Manufacturer Maintenance Organization Deperimeni of tismoon inspeacir BY Other (Speciiy) FAA Designee V Repair Staten Inspection Authonzation Certificate or Signature/Date of Authorized Individual Designation No. Spencer Roy ..______?..<_-- 04- ._-"4716 P6URONY FAA Form 337tmob SDNY_GM_02757649 SUBJECT TO PROTECTIVE ORDER PARAGRAPHS 7, 8, 9, 10, 15, and 17 EFTA_0024457 I EFTA01329434 NOTICE Weight and balance or operating limitation changes shalt be entered in the appropnate 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 add.tonat sheets. ldenbty web aircraft nationaMy and regisbacon mark and date work completed.) N722JE 04-9-A-62016 Nationally and Registration Mark Date ------ DUAL TDR-94D TRANSPONDER WITH ABS-B OUT UPGRADE (STC SR09641RC) • Upgraded the Transponder System by removing the existing TOR-94 (2 each) and installing the New TDR-940 (2 each), Annunciator (2 each), associated electrical wiring and component provisions, per the Installation Instructions (-02 Installation), PHI document PHI-S7641.0003, revision 2. • Installed the TDR-94D (part number 622-9210-551. 2 each). per the PHI mechanical drawing PHI-S76-60936. revision IR. Installed the ADS-B 1/FAIL Annunciator (part number 95-40-17-H1-E1BKK), per the PHI mechanical drawing PHI-576-60937, revision A. Installed the ADS-B 2/FAIL Annunciator (part number 95-40-17-H1-E18KL), per the PHI mechanical drawing PHI-S76-60938, revision A. • Modified the wiring for the #1 Transponder System, per the PHI electrical drawing PHI-S76-13204, revision E. Modified the wiring for the #2 Transponder System, per the PHI electrical drawing PHI-576-13205. revision E. • Completed the configuration of the Dual Transponder Upgrade, as recorded on the Configuration Instructions, PHI document PHI-S76-CFG-0002, revision 2. • Completed the checkout for the Dual Transponder Upgrade, as recorded on the Installation Check Out Procedure, PHI document PHI-S76-ICP-0002. revision 3. • Rotorcraft Flight Manual Supplement, Pro Star Aviation document 21394-FMS-01, revision A. DER Approved on FAA Form 8110-3. dated 0411a-16, has been supplied to the operator, to insert into the existing Rotorcraft Flight Manual. • For continued airworthiness of the Dual TDR-94D Transponder with ADS-B Out Upgrade, refer to the Instructions for Continued Airworthiness, PHI document PHI.576-ICA-0005, revision B. supplied to the operator. Where the CTL-92E Controller is referenced in the ICA, refer to the existing aircraft maintenance documentation for the Collins RTU-4200 Radio Tuning Unit. • No change to the electrical load for this rotorcraft. • Refer to the updated Aircraft Computed Weight and Balance, and Aircraft Equipment List Supplement, dated 04- gin-16. for further information reflecting this modification. • The upgrade for the Dual TOR-94D Transponder with ADS-B Out System has been accomplished per the Master Drawing and Documents List. PHI document PHI.576-DL-0015, revision B. in accordance with STC SR09641RC. Pertinent details of the above modifications are retained on work order 21394, on file at Pro Star Aviation. END O Additional Sheets Are Anathen FAA Form 337 oocei SDNY_GM_02757650 SUBJECT TO PROTECTIVE ORDER PARAGRAPHS 7, 8, 9, 10, 15, and 17 EFTA 00244572 EFTA01329435 thriontateroperenea (Department of Transportation Teeferaffiviation Administration Suppkmentaf Type Cert cate Wum6ersRo9e4iRc This certfficate issueito: Rockwell Collins. Inc. 400 Collins Road NE, MS 164-100 Cedar Rapids, IA 52498 certifies that the change in the type disOnfor thefollowingproduct with the limitations andconditions there ore as specifiedhereon meets the airuorthiness requirements ofeart nofthe Federal Aviation RyguLttions Original Product - Type Cenificate Number: HINE Make: Sikorsky Airmail Corporation Model: S-76C Description of Type Design Change: Installation of DO-260B compliant Mode S Transponder System with ADS-B Out capability in accordance with Master Document List. PHI-S76-Dl...0015, Revision B. doled February 26, 2014. or later FAA approved revision. Rower:raft Flight Manual Supplement. PHI.959-S76-TDR-001, Revision 0, dated March 13, 2014, or later FAA approved revision is required for this installation. Instructions for Continued Airwonhiness, FHI-576-11CA-0005, Revision A. dated February 21. 2014. or later revision is required. Limitations and Conditions: I The installer must determine whether this design change is compatible with previously approved modifications. 2 A ropy of this certificate must be maintained as pan or the permanent records for the modified aircraft. 3 If the holder agrees to pennit another person to use this certificate to alter a product. the holder must give the other person written evidence of that permission. This certiwate oaths supporting data which is the hasit for approvalshaltremain in effect untilsurrendred susperuk4 and revoked or a termination date is otherwise estahlished 6y the Administrator of the federal Aviation Administration. Date of application: January 17, 2014 Date reissued: July 15.2014 Date ofissuance: March 21.2014 Date wended: By direction oftheAdministrator Tale Manager, Rotoreraft Certification Office. Southwest Region Any aserationof this certificate is purinhable by a me anal media, SI.000.m imprisonment not eneding 3 yews. or both. Tbes certificatenay be transcend or ma& avertable to tknd µsae by hemming ethreernents w accordacce with 14 CFR 21.47. Possession of this Supplemental Type Cenillase ISTCleoctorent by persons mho than the STC holder does sot destitute nem to the dela darn not to eke an stiasA. oirenal Ogee. oe propeller. The STC's sweeten documemation (drawings. instructions. spreificaimen. flight manual sapplemenes. eiel is the peoµny of the STC bather An SIC holler nem alkms a µnee '0 use the SIC to alter an meant. aircraft rn5uw or propeller arm semi* that µism with %WM* periftiniCsa metpuble untie FAA. (Ref le CFR 33130) FAA Form el t0-2 (3/13) Page I SDNY_GM_02757651 SUBJECT TO PROTECTIVE ORDER PARAGRAPHS 7, 8, 9, 10, 15, and 17 EFTA 00244573 EFTA01329436 SDNY_GM 02757652 SUBJECT TO PROTECTIVE ORDER PARAGRAPHS 7, 8, 9, 10, 15, and 17 EFTA_00244574 EFTA01329437 PHI, INC. ENGINEERING DEPARTMENT MASTER DRAWING AND DOCUMENTS LIST NO. PHI-S76-DL-0015 FOR INSTALLATION OF SINGLE OR DUAL ROCKWELL COLLINS TDR-94D ATC/MODE-S (ADS-B) TRANSPONDER(S) IN A SIKORSKY AIRCRAFT CORPORATION S-76C HELICOPTER Revision (B) 02/26/2014 Prepared By. PHI Engineering, Electrical Approval: PHI Engineering, Structural Approval: Project Management Approval: 0070900AA“ Page I of 6 SDNY_GM_02757653 SUBJECT TO PROTECTIVE ORDER PARAGRAPHS 7, 8, 9, 10, 15, and 17 EFTA_00244575 EFTA01329438 SDNY GM 02757654 SUBJECT TO PROTECTIVE ORDER PARAGRAPHS 7, 8, 9, 10, 15, and 17 EFTA_00244576 EFTA01329439 PHI-S76-DL-0015 Rev (8)02/26/14 REVISIONS PAGES PAGES PAGES REV DATE DESCRIPTION APP ADDED DELETED REVISED IR 02/06/14 Initial release N/A N/A N/A RG A 02/10/14 Added signature block; added Revisions page: changed 2 N/A 1-6 EH the date on documents PHI.576-60936, PHI.576.60942, PHI.576.60943. PHI-S76-60944. PHI.576.60945. and PHI.050-60948: changed the date and revision of document PHI-S76-SA-0019; changed the date and revision of document AC345289011; added document A1345289011; changed revision on document 523- 0821779; changed revision and title of document 523- 0821492 B 02/26/14 Updated revision status for documents PHI.576.13204, N/A N/A All EH PHI.576.13205. PHI.576-60937. PHI.576.60938. PHI- 576-CFG-0002. PHI-S76-II-0003. PHI-S76-FHA-0006. PHI-S76-SA-0019, PHI-S76-TP-0028. PHI-S76-FTP-0005. PHI-S76-ICP-0002, AC345289011, A1345289011; added documents PHI-576-13081, PHI-S76-13082, PHI-576- BTR-0001, PHI-S76-TR-0028, PHI-S76-FTR-0005; removed Universal Avionics Systems Corporation Service Bulletin No. 3XXX.XX.( )-34-3565 - PROPRIETARY NOTICE THIS DOCUMENT AND THE INFORMATION HEREIN ARE PROPRIETARY DATA TO PHI. INC., ARO ALL DESIGN MANUFACTURING. REPRODUCTION, USE, PATENT RIGHTS. AND SALES RIGHTS REGARDING THE SAME ARE EXPRESSLY RESERVED. THIS DATA IS SUBMITTED UNDER A CONFIDENTIAL RELATIONSHIP FOR A SPECIFIC PURPOSE AND NEITHER THIS DOCUMENT NOR THE INFORMATION CONTAINED HEREIN SHALL BE REPRODUCED. USED. OR DISCLOSED TO OTHERS 0070900A cloc Page 2 of 6 SDNY_GM_02757655 SUBJECT TO PROTECTIVE ORDER PARAGRAPHS 7, 8, 9, 10, 15, and 17 EFTA_00244577 EFTA01329440 SDNY GM 02757656 SUBJECT TO PROTECTIVE ORDER PARAGRAPHS 7, 8, 9, 10, 15, and 17 EFTA_00244578 EFTA01329441 PHI-S76-OL-0015 Rev: (8) 02126/14 ELECTRICAL INSTALLATION DESCRIPTIVE DATA DOCUMENT TITLE / SUMMARY REVISION DATE PHI-S76-13204 NO. 1 TRANSPONDER SYSTEM, ROCKWELL COLLINS E 02/20/14 TDR-94D/CTL-92E WITH EXTENDED SQUITTER (ADS-8) PHI-S76-13205 NO. 2 TRANSPONDER SYSTEM. ROCKWELL COLLINS E 02/20/14 TDR-94D/CTL-92E WITH EXTENDED St:WITTER (ADS-8) PHI-576-13081 ELECTRICAL ROUTING - NO. 1 TRANSPONDER SYSTEM. IR 02/11/14 I ROCKWELL COLLINS TDR-94D ATC/MODE-S (ADS-B) PHI-S76.13082 ELECTRICAL ROUTING - NO. 2 TRANSPONDER SYSTEM. IR 02/11114 I ROCKWELL COLLINS TDR-94D ATC/MODE-S (ADS-B) STRUCTURAL AND MECHANICAL INSTALLATION DESCRIPTIVE DATA PHI.576-60935 TOP DRAWING - SINGLE OR DUAL ROCKWELL IR 01/20/14 COLLINS TDR-94D ATC/MODE-S (ADS-B) TRANSPONDER(S) IN A SIKORSKY AIRCRAFT CORPORATION S-76C HELICOPTER PHI.576.60936 INSTALLATION - SINGLE OR DUAL ROCKWELL IR I 02/10/14 COLLINS TOR-94D TRANSPONDER($) PHI.576.60937 INSTALLATION - ANNUNCIATOR, NO. 1 TRANSPONDER A 02/20/14 I PHI-576-60938 INSTALLATION - ANNUNCIATOR, NO. 2 TRANSPONDER A 02/20/14 I PHI-576-60939 INSTALLATION - RELAY MOUNT. NO. 1 TRANSPONDER IR 01/20/14 PHI-S76-60940 INSTALLATION - RELAY MOUNT. NO. 2 TRANSPONDER IR 01/20/14 PHI.576.60941 INSTALLATION - TRANSPONDER CONTROL (CTL-92E) IR 01/20/14 J PHI-S76-60942 INSTALLATION - NO. 1 TRANSPONDER ANTENNA IR 02/10/14 (TOP) STA. 143.67, LBL 27.00, WL. 119.82 PHI-576-60943 INSTALLATION - NO. 2 TRANSPONDER ANTENNA IR 02/10/14 (TOP) STA. 143.67. RBL 27.00, WL. 119.82 0070900A0oc Page 3 of 6 SDNY_GM_02757657 SUBJECT TO PROTECTIVE ORDER PARAGRAPHS 7, 8, 9, 10, 15, and 17 EFTA 00244579 EFTA01329442 SDNY_GM02757658 SUBJECT TO PROTECTIVE ORDER PARAGRAPHS 7, 8, 9, 10, 15, and 17 EFTA 002445R0 EFTA01329443 PHIS76-DL-0015 Rev: (8)02/26/14 PHI-S76-60944 INSTALLATION - NO. 1 TRANSPONDER ANTENNA IR 02/10/14 (BOTTOM) STA. 140.00. LBL. 14.50. WL. 49.00 PHI-S76-60945 INSTALLATION - NO. 2 TRANSPONDER ANTENNA IR 02/10/14 (BOTTOM) STA. 126.00. LBL. 14.50. WL. 49.00 PHI-050-60913 TANDEM ADAPTER ASSY - 4.500' MOUNTING HOLE IR 01/20/14 SPACING. 3.990" INSIDE HEIGHT DIMENSION PHI-050.60947 MANUFACTURE - ANTENNA COVER PLATE. SIX HOLE IR 01/20/14 BASE CONFIGURATION, DMNI50 SERIES ANTENNA PHI-050.60948 ASSEMBLY - ANTENNA RETAINER, SIX HOLE BASE IR 02/10/14 CONFIGURATION, DMNI50 SERIES ANTENNA INSTALLATION & CONFIGURATION INSTRUCTIONS PHI.576-CFG-0002 CONFIGURATION INSTRUCTIONS FOR SINGLE OR 2 02/19/14 DUAL ROCKWELL COLLINS TDR-940 ATC/MODE-S (ADS-8) TRANSPONDER(S) IN A SIKORSKY AIRCRAFT CORPORATION S76C HELICOPTER PHI-S76-II-0003 INSTALLATION INSTRUCTIONS FOR SINGLE OR 2 02/19/14 DUAL ROCKWELL COLLINS TDR-94D ATC/MODE-S (ADS-8) TRANSPONDER(S) IN A SIKORSKY AIRCRAFT CORPORATION S-76C HELICOPTER SUBSTANTIATION DATA PHI-S76-FHA-0006 INSTALLATION SYSTEM SAFETY ASSESSMENT 1 02/19/14 FOR INSTALLATION OF SINGLE OR DUAL ROCKWELL COLLINS TOR-94D ATC/MODE-S (ADS- 8) TRANSPONDER(S) IN A SIKORSKY AIRCRAFT CORPORATION S-76C HELICOPTER PHI-S76-SA-0019 STRUCTURAL ANALYSIS REPORT FOR B 02/21/14 INSTALLATION OF SINGLE OR DUAL ROCKWELL COLLINS TDR-94D ATC/MODE-S (ADS-8) TRANSPONDERS) IN A SIKORSKY AIRCRAFT CORPORATION MODEL S-76C HELICOPTER PHIS76-BT-0008 FLAMMABILITY TEST PLAN FOR INSTALLATION OF IR 01/16/14 ADDED MATERIALS (ELECTRICAL WIRE AND COAXIAL CABLE) IN A SIKORSKY AIRCRAFT CORPORATION S-76C HELICOPTER 0070003A.doc Page 4 of 6 SONY_GM_O2757659 SUBJECT TO PROTECTIVE ORDER PARAGRAPHS 7, 8, 9, 10, 15, and 17 EFTA_00244581 EFTA01329444 SDNYGM02757660 SUBJECT TO PROTECTIVE ORDER PARAGRAPHS 7, 8, 9, 10, 15, and 17 EFTA_00244582 EFTA01329445 PHI-S7643L-0015 Rev: (6)02/26/14 PHI-576-BTR-0001 FLAMMABILITY TEST RESULTS FOR TESTING IR 02/19/14 PERFORMED IN ACCORDANCE WITH PHI FLAMMABILITY TEST PLAN DOCUMENT PHI-576- BT-0008 (ELECTRICAL WIRE AND COAXIAL CABLE) PHI-59243T-0004 FLAMMABILITY TEST PLAN FOR INSTALLATION OF A 07/07/13 ADDED MATERIALS (ELECTRICAL WIRE AND. ASSOCIATED ELECTRICAL COMPONENTS) IN A SIKORSKY AIRCRAFT CORPORATION S-92A HELICOPTER PHI-S92-BTR-0003 FLAMMABILITY TEST RESULTS FOR TESTING IR 07/23/13 PERFORMED IN ACCORDANCE WITH FLAMMABILITY TEST PLAN PHI-S92-BT-0004 (ELECTRICAL WIRE AND ASSOCIATED ELECTRICAL COMPONENTS) PHI.576C-SLA-760730 SUPPLEMENTAL ELECTRICAL LOAD ANALYSIS IR 01/14/14 FOR SIKORSKY MODEL S76C++ N772P S/N 760730 PHI.576-TP-0028 EMURFI GROUND TEST PLAN FOR INSTALLATION 2 02/15/14 OF SINGLE OR DUAL ROCKWELL COLLINS TDR- 94D ATC/MODE-S (ADS-B) TRANSPONDER(S) IN A SIKORSKY AIRCRAFT CORPORATION S-76C HELICOPTER PHIS76-TR-0028 EMURFI GROUND TEST REPORT FOR 1 02/20/14 INSTALLATION OF SINGLE OR DUAL ROCKWELL COLLINS TDR-94D ATC/MODES (ADS-B) TRANSPONDER(S) IN A SIKORSKY AIRCRAFT CORPORATION 5-76C HELICOPTER PHI-S76-FTP-0005 IN-FLIGHT EMI/RFI AND ADS -B FLIGHT TEST PLAN 1 02/16/14 FOR INSTALLATION OF SINGLE OR DUAL ROCKWELL COLLINS TDR-94D ATC/MODE-S (ADS- B) TRANSPONDER(S) IN A SIKORSKY AIRCRAFT CORPORATION S-76C HELICOPTER PHIS76-FTR-0005 IN-FLIGHT EMURFI AND ADS-B FLIGHT TEST IR 02/26/14 REPORT FOR INSTALLATION OF SINGLE OR DUAL ROCKWELL COLLINS TDR-940 ATC/MODE-S (ADS- B) TRANSPONDER(S) IN A SIKORSKY AIRCRAFT CORPORATION S-76C HELICOPTER OPERATIONAL & CONTINUED AIRWORTHINESS DATA PHI-576-ICP-0002 INSTALLATION CHECK OUT PROCEDURE FOR 3 02/19/14 SINGLE OR DUAL ROCKWELL COLLINS TDR-94D ATC/MODE-S (ADS-B) TRANSPONDER(S) IN A SIKORSKY AIRCRAFT CORPORATION S-76C HELICOPTER 00709COA Doc Page 606 SDNY_GM_02757661 SUBJECT TO PROTECTIVE ORDER PARAGRAPHS 7, 8, 9, 10, 15, and 17 EFTA_00244583 EFTA01329446 SDNYGNI02757662 SUBJECT TO PROTECTIVE ORDER PARAGRAPHS 7, 8, 9, 10, 15, and 17 EFTA_00244584 EFTA01329447 PHI.576.01.-0015 Rev: (8)02/26/14 COMPLIANCE DATA AC345289011 CERTIFICATION PROGRAM PLAN, AUTOMATIC B 02/25/14 I DEPENDENT SURVEILLANCE-BROADCAST (ADS-B) SYSTEM A1345289011 WIRING COMPLIANCE INSPECTION REPORT, A 02/16/14 I MODE S TRANSPONDER SYSTEM REFERENCE DATA SIKORSKY AIRCRAFT CORPORATION SER-761924 ELECTRICAL LOAD ANALYSIS FOR BASELINE S76 05/15/07 C++ AIRCRAFT, SERIAL NUMBERS 641 AND SUBS ROCKWELL COLLINS 523-0821779 AUTOMATIC DEPENDENT SURVEILLANCE 0 05/07/13 BROADCAST (ADS-B) OUT INSTALLATION GUIDE 523-0821492 TDR-94/94D ATC/MODE-S TRANSPONDER SYSTEM 0 05/01/13 (-5)(X) INSTALLATION MANUAL 946-4833-115 SUPPLEMENTAL MOPS 8 ROBUSTNESS TEST - 01/17/14 PROCEDURES AND RESULTS FOR TDR-94 ADS-B OUT UNIVERSAL AVIONICS SYSTEMS CORPORATION SERVICE LETTER WAAS/SBAS FLIGHT MANAGEMENT SYSTEMS C 10/10/13 NO. 2847 COMPLIANCE WITH AC 20.165A 0070900Adoc Page 6 of 6 SDNY_GM_02757663 SUBJECT TO PROTECTIVE ORDER PARAGRAPHS 7, 8, 9, 10, 15, and 17 EFTA_00244585 EFTA01329448 SDNY GM 02757664 SUBJECT TO PROTECTIVE ORDER PARAGRAPHS 7, 8, 9, 10, 15, and 17 EFTA 002445R6 EFTA01329449 5 INDUSTRIAL DRIVE LONDONDERRY, NH 03053 FAA CRS# P6UR006Y FAA APPROVED ROTORCRAFT FLIGHT MANUAL SUPPLEMENT SIKORSKY MODEL S-76C EQUIPPED WITH IIDS AND 2S2 ENGINES FOR Installation of dual TDR-94D ATC/MODE-S/ADS-B Transponders Reg. No. N722JE Serial No. 760750 This supplement must be attached to the FM Approved Sikorsky S-76C Flight Manual when dual Rockwell Collins TOR-94D ATC/MODE-S/ADS-B Transponders are installed in accordance with FAA Form 337 dated 04-27-16 , The information contained herein supplements the basic Rotorcraft Flight Manual only in those areas listed herein. For Limitations, Procedures, and Performance information not contained in this Supplement; consult the basic Rotorcraft Flight Manual. This document and all information and expression contained herein are the property of Pro Star Aviation, and is provided to the recipient in confidence on a "need to know" basis. Your use of this document is strictly limited to a legitimate business purpose requiring the information contained herein. Your use of this document constitutes acceptance of these terms. FAA APPROVED: Refer To Page iii Document Number 21394-FMS-01 FM APPROVED DATE: APR12712016 Revision A Page i SDNY_GM_02757665 SUBJECT TO PROTECTIVE ORDER PARAGRAPHS 7, 8, 9, 10, 15, and 17 EFTA_00244587 EFTA01329450 SDNY_GM_02757666 SUBJECT TO PROTECTIVE ORDER PARAGRAPHS 7, 8, 9, 10, 15, and 17 EFTA 00244588 EFTA01329451 Part 1 Pro Star Aviation. LLC. FM Approved Rotorcraft Flight Manual Supplement Londonderry. NH 03053 Installation of dual TDR•94D ATC/MODE-StADS-B Transponders Sikorsky S-76C Sheet Intentionally Left Blank Document Number 21394-FMS-01 FM APPROVED DATE: APR/27/2016 Revision A Page ii SDNY_GM_02757667 SUBJECT TO PROTECTIVE ORDER PARAGRAPHS 7, 8, 9, 10, 15, and 17 EFTA 00244589 EFTA01329452 SDNY_GM_02757668 SUBJECT TO PROTECTIVE ORDER PARAGRAPHS 7, 8, 9, 10, 15, and 17 EFTA 00244590 EFTA01329453 Pad 1 Pro Star Aviation. LLC. FM Approved Rotorcraft Flight Manual Supplement Londonderry, NH 03053 Instalation of dual TDR-94D ATC/MODE-S/ADS-8 Transponders Sikorsky S-76C U.S. DEPARTMENT OF TRANSPORTATION 1. DATE FEDERAL AVIATION ADMINISTRATION APR/27/2018 STATEMENT OF COMPLIANCE WITH AIRWORTHINESS STANDARDS AIRCRAFT OR AIRCRAFT COMPONENT IDENTIFICATION 2. MAKE 3. MODEL NO. 4. TYPE (Aaent& Engine. Prepear. ac.) 5 NAME OF APPLICANT Sikorsky 8-76C Rotorcraft Pro Star Aviation UST OF DATA S IDENTIFICATION 7 TITLE Pro Star Aviation Document 21394-FMS-01 FM Approved Rotorcraft Flight Manual Supplement Revision A For Sikorsky Aircraft Corporation Aircraft Model S-78C Aircraft Equipped with IIDS and 2S2 Engines For Installation of dual TDR-940 ATC/MODE-S/ADS-B Transponders The approval of this Airplane Flight Manual Supplement is valid for Sikorsky Aircraft Corporation S-76C, serial number 760750 only 8. PURPOSE OF DATA In support of a Major Alteration on S76C serial number 760750 9 APPLICABLE REQUIREMENTS (LisI SWAN tierdent0 14CFR Pan 29: §29.1501(a)(bXc) [Arndt 29-0); §29.1581(a)(b) [Arndt 29-0) ; §29.1583(e) [Amdt 29-3): 29.1585(a) [Arndt 29-2] io. CERTIFICATION • Under autNonty vested by deaden Of The Administrator and n accordarce Mel conatone and Iimitairsna of atmantment under 14 CFR Part 183. data laded atom and on attached sneers nornband nave been enameled on accordance wt. establiOled iNOCedtreS ard bond lo campy wan acomatte readmit...not die Anathema Standards lead. . Recommend approval Of theta data I (We) Therefore Egl Approve these data II. SIGNATURES) OF CESIGNATEDENCANEERING 12. DESIGNATION modIERSSII 13. CIASSIFICATIONM DERT-500112-CE Flight Analyst r9W,„„,,e Mark D. Haycock FAA Form 8110-3 103710) SUPERSEDES PREVIOUS EDITION ELECTRONIC FORMAT (4.11 Document Number 21394-FMS-01 FM APPROVED DATE: APR/27/2016 Revision A Page iii SDNY_GM_02757669 SUBJECT TO PROTECTIVE ORDER PARAGRAPHS 7, 8, 9, 10, 15, and 17 EFTA 00244591 EFTA01329454 SDNY_GM_02757670 SUBJECT TO PROTECTIVE ORDER PARAGRAPHS 7, 8, 9, 10, 15, and 17 EFTA_00244592 EFTA01329455 Part 1 Pro Star Aviation, LLC. FAA Approved Rotorcraft Flight Manual Supplement Londonderry, NH 03053 Installation of dual TDR-940 ATC/MODE-S/ADS-B Transponders Sikorsky S-76C PART 1 LOG OF REVISIONS Revision Date Original (IR) 01/06/2016 A 04/27/2016 LOG OF PAGES Page Revision Page Revision i A 3-1 A ii A 3-2 A iii A 3-3 A iv A 3-4 A v A 4-1 A vi A 4-2 A 1-1 A 1-2 A 2-1 A 2-2 A APPROVED: Refer to Page iii NOTE: Revised text indicated by a black vertical line. Insert latest revision pages; dispose of superseded pages. Document Number 21394-FMS-01 FAA APPROVED DATE: APR/2712016 Revision A Page iv SDNY_GM_02757671 SUBJECT TO PROTECTIVE ORDER PARAGRAPHS 7, 8, 9, 10, 15, and 17 EFTA 00244593 EFTA01329456 SDNY_GM_02757672 SUBJECT TO PROTECTIVE ORDER PARAGRAPHS 7, 8, 9, 10, 15, and 17 EFTA_00244594 EFTA01329457 Part 1 Pro Star Aviation. LIC. FAA Approved Rotorcraft Flight Manual Supplement Londonderry. NH 03053 Installation of dual TDR-94D ATC/MODE-S/ADS-B Transponders Sikorsky S-76C TABLE OF CONTENTS FAA FORM 8110-3 iii LOG OF REVISIONS iv TABLE OF CONTENTS INTRODUCTION vi SECTION I OPERATING LIMITATIONS 1-1 SECTION II NORMAL PROCEDURES S-76C++ 2-1 SECTION III EMERGENCY PROCEDURES 3-1 SECTION IV PERFORMANCE DATA 4-1 Document Number 21394-FMS-01 FAA APPROVED DATE: APR/27/2016 Revision A Page v SDNY_GM_02757673 SUBJECT TO PROTECTIVE ORDER PARAGRAPHS 7, 8, 9, 10, 15, and 17 EFTA 00244595 EFTA01329458 SONY_GM_02757674 SUBJECT TO PROTECTIVE ORDER PARAGRAPHS 7, 8, 9, 10, 15, and 17 EFFA_00244596 EFTA01329459 Part 1 Pro Star Aviation, LLC. FAA Approved Rotorcraft Flight Manual Supplement Londonderry, NH 03053 Installation of dual TOR-94D ATC/MODE-S/ADS•B Transponders Sikorsky S-76C INTRODUCTION GENERAL This Rotorcraft Flight Manual Supplement describes dual TDR-94D ATC/Mode- S/ADS-B transponder(s) with dual RTU-4200. The RTU-4200 is capable of providing Flight ID information to the Mode S transponder system(s) for ADS-B operations. The Rockwell Collins TDR-94D ATCIMode-S Transponder System with ADS-B Out meets the equipment requirements of 14 CFR 91.227. Document Number 21394-FMS-01 FAA APPROVED DATE: APR/27/2016 Revision A Page vi SDNY_GM_02757675 SUBJECT TO PROTECTIVE ORDER PARAGRAPHS 7, 8, 9, 10, 15, and 17 EFTA_00244597 EFTA01329460 SONY_GM_02757676 SUBJECT TO PROTECTIVE ORDER PARAGRAPHS 7, 8, 9, 10, 15, and 17 EFTA_00244598 EFTA01329461 Part 1, Section I Pro Star Aviation. LW. FAA Approved Rotorcraft Flight Manual Supplement Londonderry, NH 03053 Installation of dual TDR-94D ATC/MODE-S/ADS-B Transponders Sikorsky S-76C SECTION I OPERATING LIMITATIONS This RFMS is only applicable to S-76C++ s/n 76O750 equipped with IIDS. TYPES OF OPERATIONS ADS-B OPERATIONS The following equipment must be operational for ADS-B coverage: 1. One Universal Avionics Systems Corporation UNS-1Fw Flight Management System. 2. One Air Data Computer (ADC). 3. One Rockwell Collins TDR-94D ATC/Mode-S/ADS-B transponder. 4. One Radio Tuning Units (RTU-4200). 5. One Attitude Heading and Reference System (AHRS). If the No. 1 ADC fails, activate the No. 2 transponder. If the No. 2 ADC fails, activate the No. 1 transponder. Document Number 21394-WSW FAA APPROVED DATE: APR/27/2016 Revision A Page 1.1 SDNY_GM_02757677 SUBJECT TO PROTECTIVE ORDER PARAGRAPHS 7, 8, 9, 10, 15, and 17 EFTA 00244599 EFTA01329462 SONY_GM_02757678 SUBJECT TO PROTECTIVE ORDER PARAGRAPHS 7, 8, 9, 10, 15, and 17 EFTA_00244600 EFTA01329463 Pan 1, Section I Pro Star Aviation. LLC. FAA Approved Rotorcraft Flight Manual Supplement Londonderry, NH 03053 Installation of dual TDR-94D ATC/MODE-S/ADS43 Transponders Sikorsky S-76C PLACARDS ADS-B NO. 1 1. PHI P/N PHID-1913, located on the instrument panel left, right, above, or below the ADS-B 1 FAIL annunciator (for the No. 1 transponder). ADS-B NO. 2 2. PHI P/N PHID-1914, located on the instrument panel left, right, above, or below the ADS-B 2 FAIL annunciator (for the No. 2 transponder). Document Number 21394-FMS-01 FAA APPROVED DATE: APR/27/2016 Revision A Page 1-2 SDNY_GM_02757679 SUBJECT TO PROTECTIVE ORDER PARAGRAPHS 7, 8, 9, 10, 15, and 17 EFTA 00244601 EFTA01329464 SONY_GM_02757880 SUBJECT TO PROTECTIVE ORDER PARAGRAPHS 7, 8, 9, 10, 15, and 17 EFTA 00244602 EFTA01329465 Part 1. Section II Pro Star Aviation, LLC. FAA Approved Rotorcraft Flight Manual Supplement Londonderry, NH 03053 Installation of dual TOR-940 ATC/MODE-S/ADS-B Transponders Sikorsky S-76C SECTION II NORMAL PROCEDURES S-76C++ BEFORE STARTING ENGINES 20.IIDS: d. IIDS — Press to test all three displays. Observe parameter slewing, test results, and illumination of these auxiliary warning lights: Master Warning Panels Engine control lights, press to dim Landing gear unlock Fire extinguisher test Float panel test (if installed) OEI TRNG light ADS-B 1 FAIL Annunciator ADS-B 2 FAIL Annunciator NOTE Newly displayed fault information resulting from press to test should be noted and referred for maintenance action, but system performance will not be affected. If using battery power, depressing the copilots display test button will not illuminate the auxiliary warning lights. Document Number 213941-FMS-01 FAA APPROVED DATE: APR./27/2016 Revision A Page 2-1 SDNY_GM_02757681 SUBJECT TO PROTECTIVE ORDER PARAGRAPHS 7, 8, 9, 10, 15, and 17 EFTA_00244603 EFTA01329466 SDNY_GM_02757682 SUBJECT TO PROTECTIVE ORDER PARAGRAPHS 7, 8, 9, 10, 15, and 17 EFTA 00241604 EFTA01329467 Part 1, Section II Pro Star Aviation, LLC. FAA Approved Rotorcraft Flight Manual Supplement Londonderry, NH 03053 Installation of dual TOR-940 ATC/MODE-S/ADS-B Transponders Sikorsky S-76C STARTING ENGINES BATTERY OR EXTERNAL POWER 27. Avionics — As desired. a. Transponder (RTU-4200)— ON. b. ATC FLIGHT ID(s) — Verify correct. c. ADS-B 1 FAIL Annunciator — Verify ADS-B 1 FAIL annunciator is extinguished. d. ADS-B 2 FAIL Annunciator — Verify ADS-B 2 FAIL annunciator is extinguished. Document Number 21394-FMS-01 FAA APPROVED DATE: APR/272016 Revision A Page 2.2 SDNY_GM_02757683 SUBJECT TO PROTECTIVE ORDER PARAGRAPHS 7, 8, 9, 10, 15, and 17 EFTA_00244605 EFTA01329468 SDNY_GM_02757884 SUBJECT TO PROTECTIVE ORDER PARAGRAPHS 7, 8, 9, 10, 15, and 17 EFTA_00244606 EFTA01329469 Part 1. Section III Pro Star Aviation, LLC. FAA Approved Rotorcraft Flight Manual Supplement Londonderry, NH 03053 Installation of dual TDR-940 ATC/MODE-S/ADS-B Transponders Sikorsky S-76C SECTION III EMERGENCY PROCEDURES DAFCS MALFUNCTIONS AIR DATA FAILURE All flight director pitch modes including go-around will be inoperative and the autopilots will assume a fixed value of 110 knots. The VEL HOLD mode and low speed heading hold with yaw will be inoperative. SINGLE AIR DATA COMPUTER (ADC) FAILURE No indication of Airspeed, Altitude, and Vertical Velocity on EADI and EHSI on one side of cockpit. Failures of SG, ATT, HDG, and ADC can be handled by reversion to alternate sources. Refer to the EDZ-756 EFIS Pilot's Manual for specific procedures. NOTE To maintain transponder operational coverage, the transponder must receive ADC information. The No. 1 transponder receives data from the No.1 ADC. The No.2 transponder, receives data from the No. 2 ADC. NOTE The ADS-B 1 FAIL and ADS-B 2 FAIL Annunciators only indicate loss of GPS position information for the transponders and will not illuminate with an ADC failure. Document Number 21394-FMS-01 FAA APPROVED DATE: APR/27/2016 Revision A Page 3-1 SDNY_GM_02757685 SUBJECT TO PROTECTIVE ORDER PARAGRAPHS 7, 8, 9, 10, 15, and 17 EFTA 00241607 EFTA01329470 SDNY_GM_02757686 SUBJECT TO PROTECTIVE ORDER PARAGRAPHS 7, 8, 9, 10, 15, and 17 EFTA_00244608 EFTA01329471 Pan 1, Section III Pro Star Aviation. LLC. FAA Approved Rotorcraft flight Manual Supplement Londonderry. NH 03053 Installation of dual TDR-94D ATC/MODE-S/ADS-B Transponders Sikorsky S-76C 1. If No.1 ADC fails activate the No.2 transponder. 2. If No.2 ADC fails, activate the No.1 transponder. 3. Attain VMC if possible. 4. If VMC is not available, land as soon as practicable. DUAL AIR DATA COMPUTER FAILURE No indication of Airspeed, Altitude, and Vertical Velocity on my EADIs and EHSIs. NOTE After a dual ADC failure, the standby altimeter and airspeed indicators must be used for altitude and airspeed information. 1. Attain VMC as soon as possible. 2. Land as soon as practicable. Document Number 21394-FMS-01 FAA APPROVED DATE: APR/27/2016 Revision A Page 3-2 SDNY_GM_02757687 SUBJECT TO PROTECTIVE ORDER PARAGRAPHS 7, 8, 9, 10, 15, and 17 EFTA_00244609 EFTA01329472 SDNY_GM_0275788.8 SUBJECT TO PROTECTIVE ORDER PARAGRAPHS 7, 8, 9, 10, 15, and 17 EFTA_002446 I 0 EFTA01329473 Part 1. Section III Pro Star Aviation, LLC. FAA Approved Rotorcraft Flight Manual Supplement Londonderry, NH 03053 Installation of dual TOR-940 ATC/MODE-S/ADS-8 Transponders Sikorsky S-76C FMS FAILURE Loss of navigational data from failed FMS. ADS-B FAIL Annunciator Result: • • I '..3*.I8 1 A '2 AND I'AIL FAIL • No. 1 System No. 2 System Annunciator Annunciator 1. Select alternate navigation sources. NOTE With the failure of the FMS, ADS-B coverage is no longer possible due to loss of the GPS signal. Both the ADS-B 1 FAIL annunciator and the ADS-B 2 FAIL annunciator will illuminate. TRANSPONDER FAILURE For failure of the active transponder, the RTU-4200 Radio Tuning Unit will annunciate XPDR FAIL in yellow on the ATC top level sub display and the ATC main display page and the associated ADS-B FAIL annunciator, ADS-8 1 FAIL or ADS-B 2 FAIL, will illuminate. If the ADS-B ( ) FAIL light(s) illuminate, determine whether the failure is a loss of ADS- B function or a loss of the ADS-B system (transponder). Document Number 21304-FMS-01 FM APPROVED DATE: APR/27/2016 Revision A Page 3-3 SDNY_GM_02757689 SUBJECT TO PROTECTIVE ORDER PARAGRAPHS 7, 8, 9, 10, 15, and 17 EFTA 00244611 EFTA01329474 SDNY_GM_02757690 SUBJECT TO PROTECTIVE ORDER PARAGRAPHS 7, 8, 9, 10, 15, and 17 EFTA_002446 I 2 EFTA01329475 Part 1, Section III Pro Star Aviation, LLC. FAA Approved Rotorcraft Flight Manual Supplement Londonderry, NH 03053 Installation of dual TDR-94D ATC/MODE-S/ADS-B Transponders Sikorsky S-76C 1. Dual TOR-94D Transponder Installation • Failure of one transponder system o ADS-B FAIL annunciator result: ME I) 1 OR ADS 112 FAIL ran. No. 1 System No. 2 System Annunciator Annunciator o If only one ADS-B ( ) FAIL illuminates, confirm XPDR FAIL on RTU • Select the alternate transponder by pressing the ATC1/ ATC2 line select on the ATC page of the RTU. • Confirm selected transponder operates normally • Failure of both transponder systems o ADS-B FAIL annunciator result: ADS-B 1 AND OS FAIL FAIL No. 1 System No. 2 System Annunciator Annunciator o If both ADS-B FAIL lights illuminate, GPS position information to the transponder has failed Advise ATC that ADS-B transmissions have failed. o If navigating using the UNS-1Fw, verify the navigation information is still valid or use a different navigation source Document Number 21394-FMS-01 FAA APPROVED DATE: APRI27/2016 Revision A Page 3-4 SDNY_GM_02757691 SUBJECT TO PROTECTIVE ORDER PARAGRAPHS 7, 8, 9, 10, 15, and 17 EFTA 00244613 EFTA01329476 SDNY_GM_02757692 SUBJECT TO PROTECTIVE ORDER PARAGRAPHS 7, 8, 9, 10, 15, and 17 EFTA_00244614 EFTA01329477 Part 1, Section IV Pro Star Aviation, LLC. FM Approved Rotorcraft Flight Manual Supplement Londonderry, NH 03053 Installation of dual TDR-94D ATC/MODE-S/ADS•S Transponders Sikorsky S-76C SECTION IV PERFORMANCE DATA No Change. Document Number 21394-FMS-01 FM APPROVED DATE: APR/27/2016 Revision A Page 4-1 SDNY_GM_02757693 SUBJECT TO PROTECTIVE ORDER PARAGRAPHS 7, 8, 9, 10, 15, and 17 EFTA 00244615 EFTA01329478 SDNY_GM_027576. SUBJECT TO PROTECTIVE ORDER PARAGRAPHS 7, 8, 9, 10, 15, and 17 EFTA_002446 I 6 EFTA01329479 Part 1, Section IV Pro Star Aviation, LLC. FM Approved Rotorcraft Flight Manual Supplement Londonderry, NH 03053 Installation of dual TDR-94D ATUMODE-S/ADS-B Transponders Sikorsky S-76C Sheet Intentionally Left Blank Document Number 21394-FMS-01 FAA APPROVED DATE: APR/27/2016 Revision A Page 4-2 SDNY_GM_02757695 SUBJECT TO PROTECTIVE ORDER PARAGRAPHS 7, 8, 9, 10, 15, and 17 EFTA 00244617 EFTA01329480 SDNY_GM_02757696 SUBJECT TO PROTECTIVE ORDER PARAGRAPHS 7, 8, 9, 10, 15, and 17 EFTA_00244618 EFTA01329481 Part 2 Pro Star Aviation, LLC. FAA Approved Rotorcraft Flight Manual Supplement Londonderry, NH 03053 Installation of dual TDR-94D ATC/MODE-S/ADS-B Transponders Sikorsky S-76C ROTORCRAFT FLIGHT MANUAL SUPPLEMENT FOR SIKORSKY MODEL S-76C AIRCRAFT EQUIPPED WITH IIDS AND 2S2 ENGINES PART 2 MANUFACTURER'S DATA (MD) FOR INSTALLATION OF DUAL TDR-94D ATC/MODE- S/ADS-B TRANSPONDER(S) Document Number 21394-FMS-01 Revision A Page MD-i SDNY_GM_02757697 SUBJECT TO PROTECTIVE ORDER PARAGRAPHS 7, 8, 9, 10, 15, and 17 EFTA 00244619 EFTA01329482 SDNY_GM_02757698 SUBJECT TO PROTECTIVE ORDER PARAGRAPHS 7, 8, 9, 10, 15, and 17 EFTA_00244620 EFTA01329483 Part 2 Pro Star Aviation, LLC. FAA Approved Rotorciaft Right Manual Supplement Londonderry, NH 03053 Installation of dual TDR-94D ATC/MODE-S/ADS-8 Transponders Sikorsky S-76C PART 2 LOG OF REVISIONS Revision Date Original (IR) 01/0612016 A 04/27/2016 LOG OF PAGES Page Revision MD-i A MD-ii A MD-1 A MD-2 A MD-3 A MD-4 A MD-5 A MD-6 A MD-7 A NOTE: Revised text indicated by a black vertical line. Insert latest revision pages; dispose of superseded pages. Document Number 21394-FMS-01 Revision A Page MD-ii SDNY_GM_02757699 SUBJECT TO PROTECTIVE ORDER PARAGRAPHS 7, 8, 9, 10, 15, and 17 EFTA 0024462I EFTA01329484 SDNY_GM_02757700 SUBJECT TO PROTECTIVE ORDER PARAGRAPHS 7, 8, 9, 10, 15, and 17 EFTA_00244622 EFTA01329485 Part 2. Section I Pro Star Aviation. LLC. FM Approved Rotorcraft Flight Manual Supplement Londonderry, NH 03053 Installation of dual TDR-94D ATC/MODE-S/ADS-B Transponders Sikorsky S-76C SECTION I SYSTEM DESCRIPTION S_PZ-7600 DIGITAL AUTOMATIC FLIGHT CONTROL SYSTEM (DAFCS1 AIR DATA Air Data Computer Two P&G air data computers, as part of the SPZ-7600 system, are installed. Each supplies its respective FZ-706 with altitude and airspeed data. This data is used not only for pitch flight director modes (IAS, VS, GS, ALT, PRE, DECEL, and GA) but also autopilot gain programming, AOG, heading hold switching and transponder functions. Loss of air data valid to its own FZ-706 will cause the pitch and collective flight director command bars to bias from view but the selected modes will remain engaged. Additionally, regardless of which sensor failed, the autopilot(s) will assume a fixed value of 110 knots causing the VEL HLD mode and low speed (yaw) heading hold to be inoperative. The No. 1 transponder receives altitude information from the No. 1 (Copilot) ADC and the No. 2 transponder receives altitude information from the No. 2 (Pilot) ADC. Pressing the ATC1/ATC2 line select on the RTU-4200, selects No. 1 or No. 2 transponder, placing the unselected transponder in standby mode. The active transponder (ATC1 or ATC2), is shown in cyan and in large letters on the ATC main display page. Document Number 21394-FMS-01 Revision A Page MD-1 SDNY_GM_02757701 SUBJECT TO PROTECTIVE ORDER PARAGRAPHS 7, 8, 9, 10, 15, and 17 EFTA_00244623 EFTA01329486 SDNY_GM_02757702 SUBJECT TO PROTECTIVE ORDER PARAGRAPHS 7, 8, 9, 10, 15, and 17 EFTA 00244624 EFTA01329487 Part 2, Section I Pro Star Aviation, LLC. FAA Approved Rotorcraft Flight Manual Supplement Londonderry, NH 03053 Installation of dual TDR-94D ATCIMODE-S/ADS-B Transponders Sikorsky S-76C TDR 94D-551 TRANSPONDER Dual TDR-94D ATC/Mode-S/ADS-B transponders have been installed to allow the aircraft to gain Automatic Dependent Surveillance-Broadcast (ADS-B) coverage. The TDR-94D encompasses Mode-A, Mode-C, Mode- S. Elementary Surveillance (ELS), Enhanced Surveillance (EHS), and Automatic Dependent Surveillance Broadcast transmissions (ADS-B OUT). The TDR-94D transponders are diversity type transponders capable of transmitting and receiving on either of two antennas. The ADS-B system must be enabled (turned ON) during all phases of flight operation including airport surface movement operations. ADS-B IN surface applications and ATC surface surveillance will use ADS-B broadcasts, thus it is important for aircraft ADS- B OUT systems to continue to transmit on the airport surface. It is not possible to turn off the transmission of ADS-B information without turning off the transponder; if the transponder(s) are turned off, all of the corresponding limitations to operating without a transponder apply. To meet the requirements of ADS-B, each TDR-94D transponder requires information from the following: • One Air Data Computer (ADC) [barometric altitude], • One Attitude Heading and Reference System (AHRS) [ground heading information], and • One Flight Management System (FMS) [GPS position data]. Document Number 21394-EMS-01 Revision A Page MD-2 SDNY_GM_02757703 SUBJECT TO PROTECTIVE ORDER PARAGRAPHS 7, 8, 9, 10, 15, and 17 EFTA_O0244625 EFTA01329488 SDNY_GM_02757704 SUBJECT TO PROTECTIVE ORDER PARAGRAPHS 7, 8, 9, 10, 15, and 17 EFTA_002444526 EFTA01329489 Part 2, Section I Pro Star Aviation, LLC. FM Approved Rotorcraft Flight Manual Supplement Londonderry, NH 03053 Installation of dual TDR•94D ATC/MODE-S/AD$-B Transponders Sikorsky S-76C With the dual transponder installation, any single failure of the ADC, RTU- 4200, AHRS, or transponder will not result in a loss of ADS-B coverage. Each transponder receives altitude information from its respective ADC sensor. As with any dual transponder system, only one transponder is active at any one time. When dual transponders are installed, one transponder is automatically placed in standby mode. The RTU-4200 has provisions for entering FLT ID information to the transponder system(s) for ADS-B operations. The RTU-4200 can be used to control either transponder and to enter FLT ID information. Interrogation is not required for the ADS-B function of the TDR-94D transponder. The active TDR-94D transponder transmits the ADS-B information approximately once every second. An annunciator for each TDR-94D transponder has been added to notify the crew when the transponder fails to transmit ADS-8 position information. On the ADS-8 1 FAIL and the ADS-B 2 FAIL annunciators, text illuminates in an amber color indicating an ADS-B function failure. Both the No. 1 TDR-94D Transponder "ADS-8 1 FAIL" annunciator and the No. 2 TDR-94D Transponder "ADS-B 2 FAIL' annunciator are controlled by the annunciator dimmer switch (located in the upper left quadrant of the instrument panel center section). Transponder equipment failures are displayed on the RTU-4200. Document Number 21394-FMS-01 Revision A Page MD-3 SDNY_GM_02757705 SUBJECT TO PROTECTIVE ORDER PARAGRAPHS 7, 8, 9, 10, 15, and 17 EFTA 00244627 EFTA01329490 SDNY_GM_02757706 SUBJECT TO PROTECTIVE ORDER PARAGRAPHS 7, 8, 9, 10, 15, and 17 EFTA 00244628 EFTA01329491 Part 2, Section I Pro Star Aviation. LLC. FAA Approved Rotorcraft Flight Manual Supplement Londonderry. NH 03053 Installation of dual TDR-94D ATC/MODE-S/ADS-B Transponders Sikorsky S-76C ADS-B 1 FAIL and ADS-B 2 FAIL Annunciators Shown is a dual transponder installation. The ADS-B 2 FAIL annunciator is shown with illuminated amber text as an example of indicating ADS-B function failure. Headina Information ADS-B requires aircraft heading information for ground control proposes. Heading information is only transmitted via the ADS-B function when the aircraft is on the ground. The transponders receive this heading information from the Attitude Heading and Reference System (AHRS). The number 1 transponder receives heading information from the number 1 AHRS and the number 2 transponder receives heading information from the number 2 AHRS. Document Number 21394-FMS-01 Revision A Page MD-4 SDNY_GM_02757707 SUBJECT TO PROTECTIVE ORDER PARAGRAPHS 7, 8, 9, 10, 15, and 17 EFTA 00244629 EFTA01329492 SDNY_GM_02757708 SUBJECT TO PROTECTIVE ORDER PARAGRAPHS 7, 8, 9, 10, 15, and 17 EFFA_00244630 EFTA01329493 Part 2, Section I Pro Star Aviation, LLC. FM Approved Rotorcraft Flight Manual Supplement Londonderry, NH 03053 Installation of dual TOR-94D ATC/MODE-S/ADS-B Transponders Sikorsky S•76C RTU-4200 Radio Tuning Unit Introduction The Radio Tuning Unit provides centralized control and display of the TDR-94D. The centralized control includes the setting of radio frequencies/channels and modes as well as the optional control of radio volume. The RTU provides single point control of both onside and cross- side radios from either pilot's or copilot's cockpit positions. The RTU has the capability of providing Flight ID. Displays The RTU display structure is made up of three tiers: the top level displays, the main display pages, and the preset pages. Two error pages also exist that can be shown from any level: the Cross-Side Radio Tuning Inoperative page and the Configuration Error page. An HSI page may or may not be present, depending on the installation. If present, the HSI page is accessible from the top level displays. RTU Controls CCI41 2 I135.97 NAV1 : 117.5D ' ,17/CI ATC1 rCAS 112 — 1000 RPLY STBY 1 CL - CI O Flight LACE NEXT PAGE ID 3 Document Number 21394-FMS-01 Revision A Page MD-5 SDNY_GM_02757709 SUBJECT TO PROTECTIVE ORDER PARAGRAPHS 7, 8, 9, 10, 15, and 17 EFTA 00244631 EFTA01329494 SDNY_GM_02757710 SUBJECT TO PROTECTIVE ORDER PARAGRAPHS 7, 8, 9, 10, 15, and 17 EFTA_00244632 EFTA01329495 Pan 2. Section I Pro Star Aviation. LLC. FAA Approved Rotorcraft Flight Manual Supplement Londonderry. NH 03O53 Installation of dual TOR-94D ATC/M00E-S/ADS-B Transponders Sikorsky S-76C On/Off Reversion Switch (1) An RTU On/Off switch may or may not be present, depending on the installation. If present, the on/off switch is incorporated into the brightness knob. Turn the brightness knob clockwise past the detent to select on, and counter clockwise past the detent to select off. Brightness Knob (1) In installations where the RTU brightness is controlled by an aircraft master brightness control, the RTU brightness knob is used in conjunction with the aircraft master brightness control. To adjust the RTU brightness, turn the RTU's brightness knob to the middle position, then adjust the airplane's master dimming control to set the desired brightness level. If the RTU's brightness level differs greatly from other display brightness levels for any given aircraft master brightness control position, adjust the RTU brightness knob to attain an equal brightness level. If the RTU's brightness knob is adjusted counterclockwise from the middle of the adjustment range, the RTU display will not reach full bright when the airplane's master brightness control is adjusted to full bright. In installations where an aircraft master brightness control is not included, adjust the RTU brightness knob to set the desired brightness level. Line Selects (2) The RTU has seven panel mounted line selects adjacent to the display. The line selects are used to select control of individual radio frequencies, presets, codes, and modes. The tune window is shown around the value selected for control. Tuning Knobs (3) The tuning knobs are used to set the value shown in the tune window. When a frequency, code, or mode is shown in the tune window, the large tuning knob controls the most significant digits, and the small tuning knob controls the least significant digits. Tune Window The tune window surrounds the frequency, preset, or code selected for control. Operation of the tuning knobs change the value shown in the tune window. The default position for the tune window is around the COM recall (top-right) frequency on the top level page. Document Number 21394-FMS-01 Revision A Page MD-6 SDNY_GM_02757711 SUBJECT TO PROTECTIVE ORDER PARAGRAPHS 7, 8, 9, 10, 15, and 17 EFTA 00244633 EFTA01329496 SONY_GM_02757712 SUBJECT TO PROTECTIVE ORDER PARAGRAPHS 7, 8, 9, 10, 15, and 17 EFTA_00244634 EFTA01329497 Part 2, Section I Pro Star Aviation, LW. FAA Approved Rotorcraft Flight Manual Supplement Londonderry. NH 03053 Installation of dual TDR-940 ATC/MODE-SfADS-B Transponders Sikorsky S-76C IDENT Function Key Push the IDENT function key to transmit an ATC identification pulse. When the IDENT feature is active, ID is annunciated in cyan on the ATC sub display and on the ATC main display page. DME-H (hold) Function Key Push the DME-H function key to hold the currently tuned DME frequency. When DME hold is active, the DME hold frequency is shown in green followed by a yellow H on the top level page, NAV main display page and preset page. Inputting Flight ID The Flight ID displayed on the Top Level page can be changed by pressing the ATC line select key until a box appears on the left Flight ID character. The Top Level page displays the active Flight ID. When activated. Flight ID is displayed on the RTU's Top Level and ATC Transponder Main pages. All eight characters comprising the entire Flight ID are displayed. The Flight ID can be changed from either the Top Level or ATC Transponder Main pages. Upon power-up of the RTU the previously stored Flight ID will be retrieved from NVM. A new unit from the factory or a unit serviced from a repair facility will default on power-up to all zero characters. This display indicates an entry for Flight ID is required. The cursor on the Flight ID page will be represented as a box. The boxed character is the only character on the page that can be altered. The large and small tune knobs are used to change the Flight ID. Setting The Transponder Code The ATC transponder code may be set directly by pushing the ATC line select key to position the tune window around the ATC code and setting with the tuning knobs, or it may be swapped with the code in the recall (right side) display. The ATC code range is 0000-7777. More information on the RTU-4200 can be found in the Collins RTU-4200/4210/4220 Radio Tuning Unit Pilot's Guide. Document Number 21394-FMS-01 Revision A Page MD-7 SDNY_GM_02757713 SUBJECT TO PROTECTIVE ORDER PARAGRAPHS 7, 8, 9, 10, 15, and 17 EFTA_00244635 EFTA01329498 SDNY_GM_02757714 SUBJECT TO PROTECTIVE ORDER PARAGRAPHS 7, 8, 9, 10, 15, and 17 EFTA_00244636 EFTA01329499 PHI, INC. ENGINEERING DEPARTMENT INSTRUCTIONS FOR CONTINUED AIRWORTHINESS FOR INSTALLATION OF SINGLE OR DUAL ROCKWELL COLLINS TDR-94D ATC/MODE-S (ADS-B) TRANSPONDER(S) IN A SIKORSKY AIRCRAFT CORPORATION MODEL S-76 HELICOPTER DOCUMENT NUMBER PHI-S76-ICA-0005 Initial Release February 4, 2014 Revision B June 5, 2014 Prepared By: Date: February 4, 2014 Revised By: Date: lane 5 2014 alecked By: Date: to Engineering Review: Date: /5, " Mninienance Review: Date: 1 O2 /./r /Y QA Review: Date: / SDNY_GM_02757715 SUBJECT TO PROTECTIVE ORDER PARAGRAPHS 7, 8, 9, 10, 15, and 17 EFTA 00241637 EFTA01329500 SDNY_GM_02757716 SUBJECT TO PROTECTIVE ORDER PARAGRAPHS 7, 8, 9, 10, 15, and 17 EFTA_002444538 EFTA01329501 PHIInc. PHI-S76-ICA-0005 200! SE Evangeline Mummy Revision B Lafayette. La. 70508 June 5. 2014 Revisions Pages PHI Revision Date Description Affected Approval IR le4r2014 Initial Release All D. DEEL Changed revision level and signatures on titlepage, titlespge__ Updated Revisions. ii Updated List Of Effective Pages, iii Revised Table of Content; iv Clarified distribution format of revisions to this document, 2 Added single TDR-940 control, changed annunciator label, 4 Removed time date front description of aircraft sensors,, 5 Changed annunciator label, 7 Revised step 12 ofFMS configuration, 10 Revised steps 27 and 43 ofParagraph 2.5.5, 16 Corrected NACv values, 17 Corrected ADS-B annunciator functionality., 18 Revised part numbers for annunciator cap A4 Changed annunciator label, A8 2.'21/2014 D. DEEL Revised pan numbers for annunciator cap, A9 Changed annunciator label A13 RevisedRan numbers for annunciator assembly and cap, B2, B3 Revised Notes 1.(41102A1,?,3)... M‘ deleted notes 12 & 13 B4 Made wiring chaps to transRonder sxstem I, BS Added terminal block 2CCDC1 and pin callow, B7 Removed time mark wires. B8 Changed coax cable routing and added terminal block, B9 Revisedpart numbers for annunciator assembly and cal, 810 B11 Revised Notes 442), and 23, deleted notes 18 & 22, B12 Made wirinachanges to transponder vstem 2, Bl3 Added terminal block 2CCSHI and pin callow, B15 Removed time mark wires, and BI6 Changed coax cable rowing and added terminal block. B17 Title Page, ii, Updated to reflect Revision B iii, iv Corrected Steps 9 and 12 in Paragraph 2.5.4 TDR-94D 13 Mode S Testing B 6/512014 D. DEEL Corrected Steps 25, 28. and 84 in Paragraph 2.5.5 TDR-94D IC HI _ . . ADS-B Testing _... Adjusted pagination due to revision; no content changes 12, 14, 15, 17. occurred 19,20 it 0070120A SDNY_GM_02757717 SUBJECT TO PROTECTIVE ORDER PARAGRAPHS 7, 8, 9, 10, 15, and 17 EFTA_00244639 EFTA01329502 SDNY GM 02757718 SUBJECT TO PROTECTIVE ORDER PARAGRAPHS 7, 8, 9, 10, 15, and 17 EFTA_00244640 EFTA01329503 PHIIna 8111-.5764CA-0005 2001SE Evangeline Ihnnvay RC.*ion B Lafayette. La. 70508 June 5.20/4 List of Effective Pates Revision Revision Revision Date Page Date Page Level Date Page Level Level Title B 6/5/2014 Appendix A Appendix B ii B 6/5/2014 Al IR 2/4/2014 B1 IR 2/4/2014 iii B 6/52014 A2 IR 2/4/2014 B2 IR 2/42014 iv B 6/5/2014 A3 IR 2/4/2014 B3 IR 2/4/2014 1 IR 2/4/2014 A4 A 2/212014 B4 A 2./21/2014 2 A 2/21/2014 A5 IR 2/4/2014 B5 A 2/21/2014 3 IR 214/2014 A6 IR 2142014 B6 IR 2/42014 4 A minom A7 IR 2/4/2014 87 A 2/212014 5 A 2/21/2014 A8 A 2/212014 B8 A 2121/2014 6 IR 2/4/2014 A9 A 2/21/2014 B9 A 2212014 7 A 2/21/2014 A10 IR 2/4/2014 B10 IR 2./4/2014 8 IR 2/4/2014 All IR 2/4/2014 B11 IR 2/4/2014 9 IR 2/4/2014 Al2 IR 2/4/2014 B12 A 2./21/2014 10 A 2/21/2014 AI 3 A 2/21/2014 813 A 2/21/2014 11 IR 2/4/2014 Al4 IR 2/4/7014 B14 III 2/4/2014 12 B 6/5/2014 ---- -- ---- B15 A 2121/2014 13 B A 2/212014 14 B 6/5/2014 ----- -- --- B17 A 2/21/2014 15 B 6/5/2014 - - -- 16 B 6/5/2014 -- • -- -. -- 17 B 6/5/2014 --- --. .-- -- 18 B 6/5/2014 -- -- --- -- -- -- 19 B 6/5/2014 — —___ _ — 20 B 21 A 2/21/2014 ---- — — -- --- --- -- ----- --- -.— .-- _ — -- -- — --- ---- --- _ .---- ----- ---- --- ----- ----- --- ---- -- -- — ----- -------- --- ---- -- ---- --- ---- ----- ---- — --- - ----- ---- ----- --- — _ __ . ----- --- ----. — Proprietary Notice — This document and the information herein are proprietary data to PHI, Inc., and all design, manufacturing, reproduction, use, patent rights, and sales rights regarding the same are expressly reserved. This data is submitted under a confidential relationship for a specific purpose and neither this document nor the information contained herein shall be reproduced, used, or disclosed to others. iii 0070120A SDNY_GM_02757719 SUBJECT TO PROTECTIVE ORDER PARAGRAPHS 7, 8, 9, 10, 15, and 17 EFTA_00244454 I EFTA01329504 SDNY_GM02757720 SUBJECT TO PROTECTIVE ORDER PARAGRAPHS 7, 8, 9, 10, 15, and 17 EFTA 00244642 EFTA01329505 PIIline. PH1476-1CA-0005 2001 SE Evangeline Thruway Revision B Lafayette. La. 70508 June 5.2014 Table of Contents Title Page Revisions....... .................. List of Effective Pages 111 Table of Contents iv 1.0 INTRODUCTION 1.1 PURPOSE 1 1.2 Scope 1 1.3 DERNMONS 1 IA ACRONYMS 1 1.5 DISTRIBUTION 2 2.0 MAINTENANCE PROCEDURES................ 3 2.1 DESCRIPTION, CONTROL, AND OPERATIONAL INFOILMATION 3 2.2 COMPONENT REMOVAL AND INSTALLATION INSTRUCTIONS 5 2.3 UNS-IFw FMS CONFIGURATION 2.4 INSPECTIONS 11 2.5 FUNCTIONAL TESTS AND TROUBLESHOOTING II 2.6 DECALS AND PLACARDS 19 3.0 SERVICING INFORMATION- 19 4.0 AIRWORTHINESS LIMITATIONS 20 5.0 COMPONENT OVERHAUL 20 6.0 GENERAL MAINTENANCE INFORMATION AND STANDARD PRACTICES .. 20 6.1 WEIGHT AND BALANCE REQUIREMENTS 20 6.2 CONSUMABLE MATERIALS 21 6.3 TORQUE INFORMATION 21 APPENDIX A. MECHANICAL INSTALLATION INFORMATION Al APPENDIX B. ELECTRICAL INSTALLATION INFORMATION BI 0070120A SDNYGlvl0275772 1 SUBJECT TO PROTECTIVE ORDER PARAGRAPHS 7, 8, 9, 10, 15, and 17 EFTA_00244643 EFTA01329506 SDNY_GM_02757722 SUBJECT TO PROTECTIVE ORDER PARAGRAPHS 7, 8, 9, 10, 15, and 17 EFTA_00244644 EFTA01329507 PHI Inc. PHI-576.1C4-0005 2001SE Evangeline Thnmay Revision IR Lafayette. La. 70508 February 4. 2014 1.0 INTRODUCTION 1.1 Purpose The purpose of this document is to meet the requirements of 14 CFR Paragraph 29.1529 and Appendix A of Part 29 by providing instructions for continued airworthiness for the single or dual installation of Rockwell Collins TDR-94D ATC/Mode S transponder(s) with the capabilities of transmitting A DS-B information, in a Sikorsky Aircraft Corporation S-76C rotorcraft. Note: It is recommended that all supplemental maintenance manuals as well as vendor maintenance/operator manuals remain accessible during maintenance periods. The ability ofmaintenance personnel is recognized and those procedures that are considered common to all aircraft hare been either briefly referenced or omitted; however, prior to performing any procedure, ensure that all instructions have been thoroughly read and completely understood. 1.2 Scope The scope of this document is limited to the installation of a single or dual Rockwell Collins TDR-94D(s) with ADS-B extended squitter and the installation of a single Rockwell Collins CTL-92E transponder control when performed in accordance with drawing list PHI-576-DL- 0015. This ICA is intended to provide maintenance information to supplement the maintenance information in the Sikorsky S.76 maintenance manuals to maintain the dual Rockwell Collins TDR-94D transponder(s) and the CTL-92 transponder control, in an airworthy condition. 1.3 Definitions ale Is an information item. It adds emphasis to a procedural step. Caution Points out an operating procedure, practice, or condition that, if not correctly followed, could result in damage to or destruction of equipment. %Vomit)* May be a maintenance procedure, practice, condition, etc., which could result in destruction of equipment, personal injury, or loss of life. 1.4 Acronyms ADC Air Data Computer A DS-B Automatic Dependent Surveillance-Broadcast AHRS Attitude Heading and Reference System ATC Air Traffic Control BDS A DS-B Register C.G Center of Gravity CDTI Cockpit Display of Traffic Information DME Distance Measuring Equipment FMC Flight Management Computer FMS Flight Management System 0070120A SDNY_GM_02757723 SUBJECT TO PROTECTIVE ORDER PARAGRAPHS 7, 8, 9, 10, 15, and 17 EFTA_00244645 EFTA01329508 SDNY_GM_02757724 SUBJECT TO PROTECTIVE ORDER PARAGRAPHS 7, 8, 9, 10, 15, and 17 EFTA_00244646 EFTA01329509 PHIInc. PHI-SAS-ICA-0005 2001SE Evangeline Thruway Revision A Lafayette, La. 70508 February 21, 7014 HRD Horizontal Reference Direction ICA Instructions for Continued Airworthiness IIDS Integrated Instrument Display System IR Initial Release LSK Line Select Key MAX Maximum MFD Multi-Function Display MMMS Multi-Mission Management System MSG Message NAC Navigation Accuracy Category NACp Navigation Accuracy Category for position NIC Navigation Integrity Category PL Places RA Resolution Advisory SCN Software Control Number SIL Surveillance Integrity Level STBY Standby STC Supplemental Type Certificate TYP Typical UTC Coordinated Universal Time (formerly GMT) WAAS Wide Area Augmentation System WOW Weight On Wheels XTK Crosstrack 1.5 Distribution From time to time, it may be necessary to revise or update information contained in this ICA. Any revisions to this ICA will be distributed to the registered owner of the product. Even though revisions to the ICA will be distributed in a timely manner, it is ultimately the responsibility of the current user to ensure that he/she is using the most current information available. Additional copies of this ICA as well as revision status and updates may be obtained by contacting PHI, Inc. Revisions to this ICA may be distributed in a digital format via e-mail or mailed to the owner of the product in a digital format on a digital storage device (CD, thumb drive, etc.) or can be delivered as a printed paper copy. When revised pages are received, insertions should be logged on the Revision Status and the List of Effective Pages should be updated. 2 0070120A SDNY_GM_02757725 SUBJECT TO PROTECTIVE ORDER PARAGRAPHS 7, 8, 9, 10, 15, and 17 EFTA_00244647 EFTA01329510 SDNY_GM_02757726 SUBJECT TO PROTECTIVE ORDER PARAGRAPHS 7, 8, 9, 10, 15, and 17 EFTA_00244648 EFTA01329511 PHIInc. • PHI-S76-1C4-0005 2001 SE Evangeline Thruncry Revision IR Lafayette. La. 70508 Patna?), 4. 2014 2.0 MAINTENANCE PROCEDURES The following paragraphs detail supplemental maintenance procedures and inspection requirements for the single or dual Rockwell Collins TDR-9413 Part Number 662-9210-550 transponders with ADS-B extended squitter installations in the Sikorsky S-76 aircraft. A single transponder installation consists of system I only; and a dual installation consists of system I and system 2. The maintenance information in this ICA is meant to supplement the maintenance information in the Sikorsky S-76C maintenance manuals. For mechanical installation information, see Appendix A; for electrical installation information, see Appendix B. 2.1 Description, Control, and Operational Information System Block Diagrams AMOS'S Ne. Wow Mate TrwwieeNt Number Ntsebor 2 laRJsO Tienspeear Trenteemlat MR440 11)R4.0 ITT • Mel He 2 Lew" Laws, CR42g CTL422 TrevecomIse Cased UM Cresol mil. RN 1-1 1.1$41- AIM P !HAWS MRS Nei Me 2 NO. 1 Arises lbechline Unit -- Far se AN OSY NDigo MOM, Canpuler Casey Single ADS-B Transponder with Single FMS Dual ADS-B Transponders with Single FMS TDR-94D ADS-B Transponder(s1 Single or dual Rockwell Collins TDR-94D ATC/Mode-S/ADS-B transponder(s) are installed to provide the capabilities of transmitting additional aircraft and flight information to ATC. The Rockwell Collins TDR-94D transponder(s) with ADS-B still operate as mode A, mode C. and mode S transponder(s); however, the transponder(s) are now capable of transmitting additional ADS-B flight following information. The transmitting of ADS-B information is automatic and transparent to the flight crew. When dual transponder systems arc installed, each transponder system operates separately of each other and only one system can be operational at any one time. When one system is operational the other is in standby. The transponder system(s) (each) have two antennas, one located on the top of the aircraft and the other located on the lower surface of the aircraft. The transponder(s) arc located on the forward pilot side lower avionics shelf in the nose of the aircraft. The transponder(s) arc controlled with a single CTL-92E control unit located in the cockpit on the 3 0070120A SDNY_GM_02757727 SUBJECT TO PROTECTIVE ORDER PARAGRAPHS 7, 8, 9, 10, 15, and 17 EFTA 00244649 EFTA01329512 SDNY_GM 02757728 SUBJECT TO PROTECTIVE ORDER PARAGRAPHS 7, 8, 9, 10, 15, and 17 EFTA_00244650 EFTA01329513 PHIInc. PH1S76-ICA-0005 2001 SE Evangeline Thruway Revision A Lafayette. La. 70508 February It 2014 instrument panel or center console. Electrical power is supplied to the number one transponder unit from the Radio Master No. I DC Primary bus through a 3 amp circuit breaker labeled NO. I XPDR. This circuit breaker also supplies power to the 28VDC IN NO I pin of the CTL-92E control unit. The number two transponder unit if installed is supplied electrical power from the 28VDC Essential bus through another existing 3 amp circuit breaker labeled NO. 2 XPDR. This circuit breaker also supplies power to the 28VDC IN NO 2 pin of the CTI.-92E control unit. CTL-92E Transponder Control Unit The transponders) TDR-94D(s) are controlled by a single Rockwell Collins CTL-92E Transponder Control Unit. When a single TDR-94D is installed, the number I transponder must be selected on the CTL-92E. When dual transponder systems arc installed, each system is separate of the other except that both TDR-94D transponders are controlled by the single CTL-92E Transponder Control Unit. The CTL-92E provides a means for entering the flight identification code into the TDR-94D transponder(s). The flight identification code is one of the additional requirements for ADS-B functionality. Software in the Rockwell Collins CTL-92E is controlled by Rockwell Collins assigning a specific part number to the CTL-92E. ffegie 88.66° ATC ON ALT OFF 0 Om % Rockwell Collins CTL-92E transponder control head ADS-B Fail Annunciators With the installation of the Rockwell Collins TDR-94D Pan Number 662.9210.550 transponders, an "ADS-B Fail- annunciator is added (one for each transponder system). The annunciator(s) are located in the center section of the instrument panel in clear view of the pilot. If dual transponders are installed, the d2 ADS-B annunciator is located adjacent to the NI annunciator. These annunciators will illuminate when the ADS-B function of the particular transponder fails or if the position source data supplied to the ADS-B function of the transponder fails or is considered inaccurate or invalid. ADS-B LDS 92 ADS-B NO. 1 FAR NO. 2 Transponder System I Transponder Sys em 2 ADS-B Fall Annunciators 4 0070120A SDNY_GM_02757729 SUBJECT TO PROTECTIVE ORDER PARAGRAPHS 7, 8, 9, 10, 15, and 17 EFTA 00244651 EFTA01329514 SDNY_GM_02757730 SUBJECT TO PROTECTIVE ORDER PARAGRAPHS 7, 8, 9, 10, 15, and 17 EFTA_002444552 EFTA01329515 P111Inc. PHI-S76.1CA-0005 2001SE Evangeline Thruway Revision A Lafayette. La. 70508 February 21.2014 With the single TDR-94D ATC/Mode-SIADS-B transponder installation, only the number 1 annunciator is installed. In the figure above, note that the number 2 ADS-B 2 Fail annunciator is shown with illuminated amber text as an example of indicating an ADS-B function failure. Aircraft Sensors The ADS-B function of the transponder(s) is transmitting of additional information derived from several aircraft sensors. These sensors include the Air Data Computer(s) (ADC) [altitude and air pressure data], the Attitude Heading and Reference System(s) (AHRS) [heading information], and the Flight Management System (FMS) [GPS position data]. With dual TDR-94D transponders installed, the number I transponder receives sensor information from the number I sensors and the number 2 transponder receives sensor information from the number 2 sensors. Heading information is supplied by both number I and number 2 AHRS through the FMS. With the single existing Universal Avionics UNS-IFw FMS /GPS P/N. 3192-00-111102 installed, the transponder receives position data from that single FMS GPS. When dual TDR-94D transponders are installed, both transponders receive position source data from that single FMS. Maintenance To Interfacing Components (Aircraft Sensors! When maintenance is performed on or design changes are made to interfacing components or systems, those components or systems must be inspected and tested to ensure validity of the data to the transponders. If it can be verified with system checks that the interfacing system data is valid, it is not necessary to test the ADS-B out functions of the transponders. If that data cannot be verified through system checks, perform ADS-B testing in accordance with paragraph 2.5.5. °untitled Position Source This installation of the Dual Rockwell Collins TDR-94D mode S transponders with activation of the ADS-B extended squitter functions is approved for interfacing with the existing Universal Avionics UNS-IFw FMS /GPS with WAAS P/N. 3192.00.111102. See Appendix B for electrical drawings and installation details. FMS Software Requirements The Universal Avionics UNS-IFw FMS /GPS with WAAS P/N. 3192-00-111102 software control number must be I 000.X (where X is equal to or greater than 7). ADS-B Functionality The TDR-94D transponders must continue to meet the operational requirements of 14 CFR 91.413, 91.215, and 91.217 and comply with the transponder system tests and inspections called out in 14 CFR Part 43, Appendix E and Appendix F. See AC 43.6, Altitude Reporting Equipment and Transponder System Maintenance and Inspection Practices. For testing of the ADS-B function, see paragraph 2.5.5. 2.2 Component Removal and Installation Instructions NOTE: Following any transponder installation or maintenance where data correspondence error could be introduced. the integrated system shall be tested, inspected. andfound to comply with 14 CFR. Part 91. Section 91.411. andSection 91.413 by complying with thefollowing: • Paragraph (c). Appendix E ofPart 43 and • Appendix F ofPart 43. 5 0070120A SDNY_GM_02757731 SUBJECT TO PROTECTIVE ORDER PARAGRAPHS 7, 8, 9, 10, 15, and 17 EFTA_00244653 EFTA01329516 SDNY_GM_02757732 SUBJECT TO PROTECTIVE ORDER PARAGRAPHS 7, 8, 9, 10, 15, and 17 EFTA_00244654 EFTA01329517 PHIinc. PHI-S76-1CA-0006 200! SE Evangeline Amway Revision IR Lafayette, La. 70508 Febnavy 4. 2014 Also. the transponder ADS-B system shall befunctionally tested in accordance with paragraph 2.5 of this ICA. A log book entry is requiredfor accomplishment ofthis test. When maintenance is performed on aircraft systems that provide data to the ADS- B portion ofthe transponders (Source Data). those systems must befunctionally checked to verify the data being supplied is valid. 2.2.1 Removal and installation of TDR-94D transoonders Removal and installation of the system I and, if installed, system 2 TDR-94D transponders arc identical except that the number 2 transponder is stacked on top of the number I transponder using two mounting frames. The transponder(s) are located stacked on the lower shelf in the right side nose avionics compartment. Removal Ensure all aircraft electrical power is deenergized. Gain access to the transponders by removing the right side avionics compartment access panel. Locate the TDR-94D transponder, loosen the two retaining knurl nuts, lift the retaining sleeves from the tabs, and pull the transponder from the rack. Installation Ensure all aircraft electrical power is deenergized. Inspect the transponder rack and retaining system, and the tandem adapter assemblies, for general condition, security, and serviceability. Inspect exposed system wiring behind the transponder racks for general condition and serviceability. Slide the serviceable transponder into the rack ensuring engagement of the wiring connectors. Lift the retaining sleeves up and over the tabs on the TDR-94D and secure with the two retaining knurl nuts. Reinstall the avionics access panel. If the transponder is being replaced, perform functional checks in accordance with paragraph 2.5.4 and 2.5.5. 2.2.2 Removal and installation of transponder antennas DNIN150_-6-2 Each transponder, system I and system 2 (if installed), have two antennas (diversity setup consisting of a lower antenna and an upper antenna). The transponder system I lower antenna is located on the lower surface of the aircraft, left of the aircraft centerline at fuselage station 140.00. Transponder system 2 lower antenna is located on the lower surface of the aircraft left of centerline at station 126.00. Transponder system I upper antenna is located left of the aircraft centerline on the top surface of the aircraft at fuselage station 143.67 and transponder system 2 upper antenna is located right of the aircraft centerline on the top surface of the aircraft at fuselage station 143.67. Removal and installation procedures for the transponder system antennas are typical and are as follows: Removal I. Turn off all electrical power. 2. Use a phenolic or plastic scraper and remove the sealing compound from the screws and around the edge of the antenna. 3. Remove the antenna attachment screws and remove the antenna from the fuselage enough to disconnect the antenna coax connector. 4. Disconnect the coax connector from the antenna and remove the antenna. 6 0070120A SDNY_GM_02757733 SUBJECT TO PROTECTIVE ORDER PARAGRAPHS 7, 8, 9, 10, 15, and 17 EFTA_00244655 EFTA01329518 SDNY_GM_02757734 SUBJECT TO PROTECTIVE ORDER PARAGRAPHS 7, 8, 9, 10, 15, and 17 EFTA_00244656 EFTA01329519 PMInc. PHI-576-1CA-0005 2001 SE Evangeline Thruway Revision A Lafayette. La. 70508 February 21.2014 5. Using the plastic scraper, remove all sealing compound and gasket material from the fuselage mounting area. Discard the used gasket. Installation I. Ensure all electrical power is turned off. 2. Clean mounting screws and screw contact surfaces of the antenna base and structure with methyl-ethyl-ketone to maintain electrical bond thru mounting hardware. 3. Inspect the skin surface of the aircraft to ensure it is free of corrosion. If necessary reapply chemical film treatment MIL-DTL-5541. 4. Remove AG247000-0I gasket from protective packaging, taking care not to fold or bend it. Verify that fastener holes and connector cutouts in the gasket will align with antenna when positioned for installation. Trim the perimeter of the gasket flush with antenna if needed. 5. Remove release film from the side of the gasket marked "antenna side". 6. Beginning at one side or corner of the antenna, place gasket in position, carefully aligning gasket fastener holes with antenna fastener holes. Note: Release film should remain on exposed "aircraft side" of gasket until immediately prior to antenna installation. 7. Remove release film from the aircraft side of the gasket and connect coaxial connector to the antenna. 8. Position the antenna and gasket on the fuselage and install attachment screws. 9. Allow gasket to flow into place for approximately 15 minutes then re-tighten screws. 10. Apply a bead of sealing compound, AMS-S-8802, Class B2, around the edge of the antenna. II. Perform an electrical bonding check from one antenna attachment screw head to a known airframe ground. Resistance shall not be greater than 0.005 ohms. 12. Apply corrosion preventative compound MIL-PFtF-I6173E over the attachment screw heads. 13. Perform tests and inspections in accordance with paragraphs 2.5.4. 2.23 Removal and installation of ADS-B fail annunciator(s) ADS-B MSS/ ADS-B NO. 1 FAR NO. 2 Transponder System I Transponder System 2 ADS-B Fall Annunciators With the single TDR-94D ATC/Mode-S/ADS-B transponder Installation, only the number I annunciator is installed. 7 0070120A SDNY_GM_02757735 SUBJECT TO PROTECTIVE ORDER PARAGRAPHS 7, 8, 9, 10, 15, and 17 EFTA_00244657 EFTA01329520 SDNY_GM02757736 SUBJECT TO PROTECTIVE ORDER PARAGRAPHS 7, 8, 9, 10, 15, and 17 EFTA 00241658 EFTA01329521 Mina PHI-S76-ICA-0005 2001SE Evangeline Ihnnvay Revision IR Lafayette, La. 70508 February 4.2014 Removal 1. Ensure all aircraft electrical power is de-energized. 2. Gain access to the back of the annunciator. 3. Remove the annunciator cap by applying finger pressure on the two sides of the annunciator cap pulling the cap from the switch body and hinging the cap down. 4. Remove the wiring plug from the back of the annunciator using the plug extraction tool (Vivisun part number 18-234). 5. Loosen the two internal locking screws and slide the locking sleeve off the back of the annunciator. 6. Slide the annunciator out front the front of the instrument panel. Installation I. Ensure all aircraft electrical power is de-energized. 2. Install the annunciator body into the cutout with the orientation stencil "up" in the up position. 3. With access to the back of the instrument panel, slide the locking sleeve onto the back of the annunciator and secure by tightening the two internal locking screws from the front of the annunciator body. 4. From the back side of the instrument panel, install the wiring plug into the back of the annunciator body to the locked position. 5. Swing the annunciator cap into position and push it into the switch body until it snaps in place. 6. Test the annunciator lamp by applying electrical power to the aircraft and pushing the pilot's side IIDS TEST button. The ADS-B fail annunciator(s) should illuminate. INSTRUMENT MOUNTING SLEEVE PANEL LOCKING TAB EDDY PLLG CONNECTOR CAP AND LAMP TYPICAL ANNUNCIATOR UNS-1Fw FMS Configuration The UNS- I Fw Flight Management System (FMS) configuration must be changed to send ARINC 429 data to the ADS-B transponders. A spare FMS ARINC 429 port will be set to GPS/XPDR to send data to the transponders. The configuration data must be entered through the FMS Control Display Unit (CDU). 8 0070120A SDNY_GM_02757737 SUBJECT TO PROTECTIVE ORDER PARAGRAPHS 7, 8, 9, 10, 15, and 17 EFTA_00244659 EFTA01329522 SDNYGM02757738 SUBJECT TO PROTECTIVE ORDER PARAGRAPHS 7, 8, 9, 10, 15, and 17 EFTA 00244660 EFTA01329523 PMInc. PH1476-1CA-0005 200! SE Evangeline Thruway Revision A Lafayette, La. 70508 February 21, 2014 - L) (IR) - : 8, - (2L) (2R) - UNE smacr LINE SELECT KEYS a- (M.) (3R) - KEYS — (4R) LEI qsi.) (SRI', 9 HEE =oaao HEEEDEIEICIEI EICIECIEEEMEICI EITIE= HEI EMIEEEITEI ti 'oa0000 NITER UNS-IFw FMS Control Display Unit Action Result/Note Display Lint Select Rations: VOL) left / (MR) right. I. Press the ON/OFF DIM button on FMS Navigation Navigation Computer Unit will power up and undergo Computer Unit. a built-in-test. 2. If the Tactical Waypoints page is displayed press The MIT I/I page is displayed. KEEP TACTICAL WPTS (4L) to display NIT I/I page. 3. Press ACCEPT (5L) to initialize the EMS. The position, date, and time do not matter. 4. Press Date (IR). The date field is highlighted. 5. Type 4.5.6, 7, 8, 9 and press the ENTER button. 6. Press the DATA button to display DATA 1/4 page. The DATA 1/4 page is displayed. 7. Press MAINT (5R) to display MAINT 1/1 page. The MAINT 1/I page is displayed. 8. Press CONFIG (IL) to display CONFIG 1/2 page. The CONFIG 1/2 page is displayed. 9. Press EDIT( IR) once. The word EDIT will change to STORE. 10. Press ARINC (4L) to display ARINC OPT Ill page. The ARINC OPT 1/1 page is displayed. 9 0070120A SDNY_GM_02757739 SUBJECT TO PROTECTIVE ORDER PARAGRAPHS 7, 8, 9, 10, 15, and 17 EFTA_00244661 EFTA01329524 SDNY_GM_02757740 SUBJECT TO PROTECTIVE ORDER PARAGRAPHS 7, 8, 9, 10, 15, and 17 EFTA_00244662 EFTA01329525 PHIInc. P111-576-1CA-0005 200! SE Evangeline Thruway Revision A Lafayette, La. 70508 February 21. 2014 Action Resalt/Note Display Line Select Buttons: (IL) left / (1R) right. I I. Press TRANSMIT (2L) to display AMC XMIT I/I The ARINC XMIT I/I page is displayed. page. 12. Set the ARINC XMIT port option as follows: Press ENTER key on FMS Navigation Computer Unit (4L) Port 3 = GPS/XPDRHS (High Speed) keypad to accept this option before going on to the neat step. 13. Press RETURN (5R) to display ARINC OPT 1/I The ARINC OPT I/I page is displayed. page. 14. Press RETURN (SR) to display CONFIG 1/2 page. The CONFIG I/2 page is displayed. IS. Press NEXT button to enter FMS CONFIG 212 menu. Do not change the SCN (software control number)or the Aircraft Identification number displayed on this page. 16. Do nor pits RETURN(510 If "RETURN" is pressed the FMS will display the MAINT I/I page and the new configuration data will not be stored in the configuration module. 17. Press STORE (IR) twice to save the new The first time STORE is pressed to save the new configuration configuration the field is highlighted. When you push store a second time, the system will reset itself and initiate the power-up self test. IS. Verify all sections of FMS Self Test Pass: A Self test page displays the results ofeach test CPU = PASS performed. 576 is displayed on the second line at the RAM =i PASS top of the page. If the self test is successful the DATABASE = PASS copyright page is displayed. CONFIG MODULE = PASS The self test page will remain on the display if a AUXILIARY = PASS serious failure of the FMS occurs. WAAS / ARINC = PASS Failures of a minor nature will allow you to continue other alerting you of the failure. Press the MSG key to view the message. 19. If the WAAS Config Unconfirmed message is on, the This is required only if the WAAS Config GPS/WAAS Dynamic Test will have to be performed Unconfirmed message is on the message page. as per section 6. 20. If the Tactical Waypoints page is displayed; press The Initialization page is displayed KEEP TACTICAL. WPTS (4L) 21. Press ACCEPT (L5) to complete initialization. The Accept prompt is only available when all data fields display valid data. 22. Turn off the FMS. Power/Display Control Page is displayed. Press the ON/OFF/DIM. Confirm Off page is displayed. Press (5R) OFFISTBY. The FMS will shutdown. Press ( I R) CONFIRM OFF. 10 0070120A SDNY_GM_02757741 SUBJECT TO PROTECTIVE ORDER PARAGRAPHS 7, 8, 9, 10, 15, and 17 EFTA_0O244663 EFTA01329526 SDNY_GM02757742 SUBJECT TO PROTECTIVE ORDER PARAGRAPHS 7, 8, 9, 10, 15, and 17 EFTA 00241664 EFTA01329527 PHIInc. PHI-S76-ICA-0005 200! SE Evangeline Thruway Revision IR Lafayette. La. 70508 February 4, 2014 2.4 Inspections Daily Inspection Visually inspect all antenna installations for general condition and security. 300 Hours of Operation Remove the right side nose avionics bay access panel and visually inspect the TDR-94D transponder(s) and mounting racks for general condition, security of attachment, and deformation. If dual TDR-94D transponders are installed, pay particular attention to the general condition, attachment, and security of the tandem adapter assemblies. Also visually inspect all associated exposed electrical wiring and harnesses for general condition and security. Further disassembly is not required unless discrepancies are found. Reinstall the right side nose avionics bay access panel. Visually inspect the ADS-B instrument panel annunciators for general condition, security, and legibility of the decals. 24 Month Inspection Test the TDR-94D transponder system(s) in accordance with the functional test procedures in paragraphs 2.5.4 and 2.5.5 of this ICA. Transponder function modes A, C, and S must meet the two year requirements of 14 CFR Part 43, Appendix E and Appendix F. ADS-B functions must continue to meet the operational requirements of 14 CFR 91.2I 7. Special Inspections Post lightning strike inspection: In the event that a lightning strike occurs, perform inspections and functional checks as required by the appropriate Sikorsky S-76 Maintenance Manual. Visually inspect the transponder antennas for signs of arc damage. If any signs of arcing are found, the entire transponder(s) system must be inspected in accordance with a 300 hour inspection and must be tested in accordance with a 24 month inspection as noted above. Any components showing signs of arcing must be replaced with a serviceable component. Hard landing inspection: In the event of a hard landing, perform hard landing inspections as required by the appropriate Sikorsky S-76 Maintenance Manual. In addition to the hard landing inspection required by Sikorsky S-76 Maintenance Manuals, visually inspect the TDR- 94D transponder(s) mounting racks for general condition, security, and deformation. Pay particular attention to the tandem adapter assemblies for the number 2 TDR-94D transponder system installation (if installed). Replace any component showing signs of deformation. 2.5 Functional Tests and Troubleshooting 2.5.1 Functional checks are applicable to both number 1, and if installed, number 2 transponder systems. If failures or discrepancies are discovered during the functional checks, correct those failures or discrepancies prior to continuing the checks. These functional tests are also intended to provide information to help with troubleshooting the systems. These functional tests are intended to show that the installed transponder system(s) are functioning properly and that the system(s) meet the minimum requirements for a 2 year recertification in accordance with 14 CFR Part 43 Appendixes E and F, and to ensure the extended &ruiner with ADS-B functions meet the requirements of 14 CFR Part 91.227. I 0070120A SDNY_GM_02757743 SUBJECT TO PROTECTIVE ORDER PARAGRAPHS 7, 8, 9, 10, 15, and 17 EFTA_00244665 EFTA01329528 SONY_GM 02757744 SUBJECT TO PROTECTIVE ORDER PARAGRAPHS 7, 8, 9, 10, 15, and 17 EFTA_00244666 EFTA01329529 PillInc. P111-576-1CA-0005 2001 SE Evangeline Thruway Revision B Lafayette. La. 70508 AMC 5. 2014 2.5.2 Aircraft equipment requirements The aircraft must be equipped with at least the following: I. A single or dual Rockwell Collins TDR-94D transponderts) part numbers 622- 9210-550 installed in accordance with drawing list PHI-576-DL-0015. Revision IR. 2. A single CTL-92E Rockwell Collins transponder control head part number 822- 1807-004. 3. Qualified operational single Flight Management Systems with WAAS Global Positioning System(s). 4. All other standard type certificated navigation and communications equipment. All associated aircraft systems must be functioning properly before testing is initiated. Observe all applicable safety precautions for the systems being tested and for aircraft operations during all test procedures. 2.5.3 Required test equipment I. Aeroflex IFR 6000 ATC Transponder tester or equivalent test equipment with the capabilities of testing transponder modes A, C, S, and the extended squitter ADS- B. The Aeroflex IFR 6000 ATC Transponder tester must have software version 02.09.00 or later. 2. Laversab Model 6300 Automated Pitot Static Tester or an equivalent tester capable of performing all applicable altimeter system tests required in 14 CFR Part 43. Appendix E. 2.5.4 Transponder TDR-94D mode S testing This test applies to both TDR-94D transponder system I and system 2 (if installed). Note: For ADS-B testing. if the ADS-B Register BDS 0, 5 Airborne Position Message Code 9 -18 is to be tested concurrently with the mode S testing, the aircraft must be located outside where the FMS GPS will acquire valid position data. For mode A, mode C, and mode S testing, perform the following: I. Install safety lock pins (red flag attached) in main and nose landing gear before applying electrical power to the helicopter. Refer to the S-76 Maintenance Manual. 2. Connect external electrical power to the aircraft. Refer to applicable S-76C Rotorcrati Flight Manual, Normal Procedures. 3. Make sure all circuit breakers are pushed in except those noted as being pulled for maintenance or safety. 4. Place the CTL-92E ON and select the respective transponder to be tested. 5. Pull LDG GR CTL circuit breaker. (Airborne) 6. Verify the FMS is ON and has acquired satellites. Note: Turning on the FMS and acquired satellites is only necessary if the ADS-B Register BDS 0, 5 Airborne Position Message Code 9 -18 is to be tested concurrently with the mode S testing. 12 0070120A SDNY_GM_02757745 SUBJECT TO PROTECTIVE ORDER PARAGRAPHS 7, 8, 9, 10, 15, and 17 EFTA_00244667 EFTA01329530 SDNY_GM 02757746 SUBJECT TO PROTECTIVE ORDER PARAGRAPHS 7, 8, 9, 10, 15, and 17 EFTA_00244668 EFTA01329531 PHIInc. PHI-576-1O1-0005 2001SE Evangeline Thruway Revision B Lafayette, La. 70508 June 5, 2014 7. Set up and configure the transponder test set and antenna. Set the test set to check the top antenna. Attenuate the bottom antenna for this test. 8. On transponder test set, initiate the Auto Test Sequence by pressing the Run Test soft key. Antenna: 9. Verify the following: Top / Bottom • Respective Transponder selected on CTL-92E control • Hexadecimal code (Flight ID) on CTL-92E • Transponder test set INTERR light illuminates • Transponder test set REPLY light illuminates • CTL-92E control TX annunciator illuminates • Transponder test set ATC code matches CTL-92E control • Transponder test set altitude matches CTL-92E control • Transponder test set frequency approximately 1090 MHz • Transponder test set tail number matches aircraft • Transponder test set — Mode S UFO Test, RI =I I • Transponder test set — Mode S UF5 Test, FS =0 10. Reset the LDG GR CTL circuit breaker. (On Ground) I I. On transponder test set, initiate the Auto Test Sequence by pressing the Run Test soft key. Antenna: 12. Verify the following: Top/Bottom • Transponder being tested is selected on CTL-92E control • CTL-92E control Flight ID set to aircraft registration number • CTL-92E control TX annunciator off • Transponder test set mode S ATC code matches CTL-92E control • Transponder test set mode S altitude matches CTL-92E control • Transponder test set indicates ON Ground • Transponder test set — Mode S UFO Test, RI =I I • Transponder test set — Mode S UF5 Test, FS - I 13 0070120A SDNY_GM_02757747 SUBJECT TO PROTECTIVE ORDER PARAGRAPHS 7, 8, 9, 10, 15, and 17 EFTA_00244669 EFTA01329532 SONY_GM 02757748 SUBJECT TO PROTECTIVE ORDER PARAGRAPHS 7, 8, 9, 10, 15, and 17 EFTA 00244670 EFTA01329533 PHIInc. PHI-576-1CA-0005 2001SE Emmeline Thruway Revision B Lafayette. La. 70508 June 5. 2014 13. Set the transponder test set to Mode A/C and X PDR-S ALL-CALL and press the Run Test soft key. Antenna: 14. Verify the transponder test set does not indicate a valid reply Top/Bottom 15. Pull LDG GR CTL circuit breaker. (Airborne) 16. Set up transponder test set for bottom antenna. Attenuate the top antenna for this test. 17. Repeat steps 9 thru 13 of this section to check bottom antenna. 18. Set up pressure altitude test equipment to check the barometric altitude reported by the mode S and ADS-B transponder. Note: Checking the ADS-B Register BDS 0, 5 Airborne Position Message Code 9 -18 Barometric Altitude is not required for transponder mode S testing: however, if the ADS-B portion of the transponder will be tested, it will save time if the tests are done concurrently. 19. Check the mode S altitude and the A DS-B Register BDS 0,5 Airborne Position Message Code 9 -18 Barometric Altitude at each of these altitudes. Note: Checking the ADS-B Register BDS 0, 5 Airborne Position Message Code 9.18 Barometric Altitude is not required for transponder mode S testing; however, if the ADS-B portion of the transponder will be tested, it will save time if the tests are done concurrently. Altitude (ft.) Mode S (ft.) ADS-B (ft.) -1,000 0 500 1,000 1,500 2,000 3,000 4.000 6,000 8,000 10,000 12,000 14,000 16,000 18,000 14 0070120A SDNY_GM_02757749 SUBJECT TO PROTECTIVE ORDER PARAGRAPHS 7, 8, 9, 10, 15, and 17 EFTA 00244671 EFTA01329534 SDNY_GM 02757750 SUBJECT TO PROTECTIVE ORDER PARAGRAPHS 7, 8, 9, 10, 15, and 17 EFTA_00244672 EFTA01329535 PHI Inc. PHI-S76-ICA-0005 2001 SE Evangeline Thruway Revision B Lafayette, La. 70508 June 5. 2014 20. If the ADS-B functions of the transmitter are to be tested, proceed to 2.5.5. 21. If the ADS•B functions of the transmitter are not to be tested, turn off avionics as required, and disconnect external electrical power. Refer to the applicable S-76 Rotorcraft Flight Manual, Normal Operations. 22. Shutdown all test equipment and remove from aircraft. 2.5.5 Transponder TDR-94D ADS-B testing This test applies to both TDR-94D transponder system I and system 2 (if installed). For ADS-B testing, the aircraft must be located outside where the FMS GPS will acquire valid position data. For ADS-B function testing, perform the following: 1. Install safety lock pins (red flag attached) in main and nose landing gear before applying electrical power to the helicopter. Refer to the S-76 Maintenance Manual. 2. Verify all circuit breakers are pushed in except those noted as being pulled for maintenance or safety. 3. Place the CTL-92E ON and select the respective transponder to be tested. 4. Pull the LDG GR CTL circuit breaker. (Airborne). 5. Verify the ADS-B position source (GPS, EMS) is operational and acquiring valid position data. 6. Setup and configure the transponder test set and antenna to check the ADS-B. Verify that the transponder test set REPLY light illuminates. 7. On transponder test set, initiate auto test sequence by pressing RUN TEST soft key. 8. The transponder test set INTERR indicator illuminates. 9. The transponder test set the RPLY indicator illuminates. 10. The CLT-92E control TX annunciator illuminates. NOTE: An AUTO TEST — FAILED indication can be caused by the close proximity to other aircraft or hanger signal reflection. I I. If the transponder test set indicates AUTO TEST — FAILED, list the failed tests. 12. FAA assigned Mode S Code: 13. On transponder test set, press XPDR button to access the XPDR ADS-B page. 14. On transponder test set, go to Aircraft Identification and Type Message. BDS 0,8 Type Code 1-4. 15. Type Code must be "4": 15 0070120A SDNY_GM_02757751 SUBJECT TO PROTECTIVE ORDER PARAGRAPHS 7, 8, 9, 10, 15, and 17 EFTA_00244673 EFTA01329536 SONY_GM 02757752 SUBJECT TO PROTECTIVE ORDER PARAGRAPHS 7, 8, 9, 10, 15, and 17 EFTA 00244674 EFTA01329537 PHIInc. PH1S76-1CA 4005 2001 SE Evangeline Thruway Revision 8 Lafayette. La. 70508 June 5.2014 16. Aircraft identification (8 characters octal) must match the Mode S Code in step 12. Record 8 character octal: 17. ADS-B Flight ID must match the Flight ID as entered in the CTL- 92E. 18. ADS-B Emitter Category Set must be "A": 19. ADS-B Emitter Category must be "Rotorcraft": 20. Reset the LDG GR CTL circuit breaker. (On Ground) 21. On transponder test set go to Surface Position Message, BDS 0,6 Type Code 5-8. 22. Record Type Code: 23. Record Latitude and Longitude from the position source (UPS, FMS): Latitude Longitude 24. Record ADS-B reported latitude and Longitude from test set: Latitude Longitude 25. Verify ADS-B reported LAT/LONG in Step 24 is the same as the Position Source LAT/LONG in Step 23: 26. Verify movement is "I" or "Stopped": 27. Verify that the Time Sync is not used "N/UTC". 28. Verify the ADS-B heading is reported. 29. Verify ADS-B reported position decoding is "Global": 30. Record NIC Supplement "7 or 8": 31. On transponder test set, go to Aircraft Operational Status Message, BDS 6,5 Type Code 31. 32. Type Code must be "3I": 33. Aircraft Operational Status Subtype must be "I or Surface": 34. Verify Version Number Subfield is "2 or DO-260B". 35. Verify Class B2 Transmit Power is (B2 LOW) "0 or a 70 watts": 36. Verify that System Design Assurance (SDA)"2": 37. Verify that the Single Antenna Flag (SAF) is "0 or Dual": 38. Verify Resolution Advisory (RA) is "0 or not active": 39. Verify Ident is "0 or Not active": 40. Activate [dent on transponder system; Verify ADS-B reported Ident is "I or active" for approximately 18 seconds: 41. Verify Antenna Offset is "0 meters lateral and 10 meters longitudinal": 42. Verify Horizontal Reference Direction (HRZ) is "0 or True North": 16 0070120A SDNY_GM_02757753 SUBJECT TO PROTECTIVE ORDER PARAGRAPHS 7, 8, 9, 10, 15, and 17 EFTA_00244675 EFTA01329538 SONY_GM 02757754 SUBJECT TO PROTECTIVE ORDER PARAGRAPHS 7, 8, 9, 10, 15, and 17 EFTA_00244676 EFTA01329539 PHIInc. PHI-S76-1O1-0005 2001 SE Evangeline Thruway Revision 8 Lafayette. La. 70508 June 5. 2014 43. Verify that Surveillance Integrity Level (SIL) is "3": 44. Verify that NACP ≥ 8: 45. Verify Aircraft Length and Width is "2 or Length <25.0m, Width < 28.0m": 46. Pull the LDG GR CTL circuit breaker. (Airborne). 47. On test set, go to Airborne Position Message, BDS 0,5 Type Code 9 - 18. 48. Record Type Code: 49. Record NIC Supplement "7 or 8": 50. On test set go to Airborne Velocity Message, BDS 0,9 Type Code 19. 51. Record Type Code: 52. Verify East - West, North - South Velocities and Directions. For a stationary aircraft: East - West • "0": / North - South "0": 53. For a WAAS position source, verify NACv is I or 2: 54. Verify Airborne Velocity Subtype is "I or ground speed normal": 55. Verify ADS-B reported Vertical Rate is the same as aircraft indication, stationary aircraft should be zero: 56. Record ADS-B reported Geometric Height Difference from Barometric Altimeter 57. Verify ADS-B Vertical Rate Source is "0 or Geometric": 58. Turn Transponder Altitude reporting OFF. 59. On test set, go to Airborne Position Message, BDS 0,5 Type Code 22 - 20. 60. Record Type Code: 61. Record ADS-B reported Altitude: 62. Turn Transponder Altitude reporting ON. 63. On transponder test set go to Extended Squitter Aircraft Status BDS 6,1 Type Code 28. Note: Attenuate transponder RF output or notify ATC that the following emergency tests will be accomplished. 64. On the CTL-92E control input Mode 3/A code "7700": 65. Verify Type Code is "28": 66. Verify the ADS-B Mode 3/A code is "I or General emergency": 67. Verify Emergency/Priority Status Subtype Coding is "1 or Emergency/Priority Status": 17 0070120A SDNY_GM_02757755 SUBJECT TO PROTECTIVE ORDER PARAGRAPHS 7, 8, 9, 10, 15, and 17 EFTA_00244677 EFTA01329540 SDNY_GM 02757756 SUBJECT TO PROTECTIVE ORDER PARAGRAPHS 7, 8, 9, 10, 15, and 17 EFTA_00244678 EFTA01329541 Mine, PHIS76-ICA•0005 2001 SE Evangeline Thruway Revision 8 Lafayette. La. 70508 June S. 2014 68. On the CTL-92E control input Mode 3/A code "7600": 69. Verify the ADS-B Mode 3/A code is "4 or No communications": 70. Verify Emergency/Priority Status Subtype Coding is "I or Emergency/Priority Status": 71. On the CTL-92E control input Mode 3/A code "7500": 72. Verify the ADS-B Mode 3/A code is "5 or Unlawful Interference": 73. Verify Emergency/Priority Status Subtype Coding is " I or Emergency/Priority Status": 74. On the CTL-92E control input Mode 3/A code "1200". End Of Emergency Code Testing 75. On transponder test set go to Aircraft Operational Status Message, BDS 6,5 Type Code 31. 76. Verify Type Code is "31": 77. Verify Aircraft Operational Status Subtype is " 0 or Airborne": 78. Verify Navigation Accuracy Category for Position (NACP) is >8: 79. Verify that SDA "2": 80. Verify that the Single Antenna Flag (SAF) is "0 or Dual": 81. Verify Resolution Advisory is "0 or TCAS II or ACAS RA not active": 82. Verify (dent is "0 or Not active": 83. Activate Ident on transponder system; Verify ADS-B reported (dent is "I or active" for approximately 18 seconds: 84. Verify that Traffic Alert and Collision Avoidance System Status is "Not TCAS", "TCAS ON 0", "TCAS not installed", or "TCAS not operational": 85. Verify Navigation Integrity Category for Baro (NICBARO) is "I or crossed checked": 86. Switch off the GPS/FMS. 87. Verify Navigation Accuracy Category for Position (NACP) goes to "0" within S seconds: 88. Verify that the transponder(s)ADS-B Fail annunciator(s) illuminates. Note: If dual transponders are installed, both ADS-B Fail annunciators illuminate. 89. Switch on the FMS and acquire satellites. 90. Verify the transponder ADS-B Fail annunciator(s) extinguish. 91. Pull the XPNDR circuit breaker to the transponder being tested. 92. Verify that the appropriate transponder ADS-B Fail annunciator illuminates. 18 0070 I20:\ SDNY_GM_02757757 SUBJECT TO PROTECTIVE ORDER PARAGRAPHS 7, 8, 9, 10, 15, and 17 EFTA_00244679 EFTA01329542 SDNY_GM_02757758 SUBJECT TO PROTECTIVE ORDER PARAGRAPHS 7, 8, 9, 10, 15, and 17 EFTA 00244650 EFTA01329543 P111Inc. PH1476-1CA-0005 200! SE Evangeline Thntuvy Revision B Lafayene, La. 70508 June 5. 2014 93. Reset the XPNDR circuit breaker. 94. Verify that the appropriate transponder ADS-8 Fail annunciator extinguishes. 95. Reset the LDG GR CTL circuit breaker. (On Ground) 96. Pull the FMS circuit breaker. 97. Verify that the transponder(s) ADS-B Fail annunciator(s) illuminates. 98. Reset the FMS circuit breaker and acquire satellites. 99. Verify that the transponder(s) ADS-B Fail annunciator(s) extinguish. 100. Turn off avionics as required, and disconnect external electrical power. Refer to the applicable S-76 Rotorcraft Flight Manual, Normal Operations. 101. Shutdown all test equipment and remove from aircraft. 2.6 Decals and Placards No. 1 TRANSPONDER (BOTTOM) I. PHI P/N PHID-1757, located on the avionics shelf in front of the #1 transponder. No. 2 TRANSPONDER (TOP) 2. PHI P/N P1110-1756, located on the avionics shelf in fron of the #2 transponder. ADS-B NO. 1 3. PHI P/N P1110-1913, located on the instrument panel adjacent to the number 1 transponder ADS-B I fail annunciator. ADS-B NO. 2 4. PHI P/N P1110-1914, located on the instrument panel adjacent to the number 2 transponder ADS-B 2 fail annunciator. 3.0 SERVICING INFORMATION No servicing is required. 19 0070120A SDNY_GM_02757759 SUBJECT TO PROTECTIVE ORDER PARAGRAPHS 7, 8, 9, 10, 15, and 17 EFTA 0024468I EFTA01329544 SDNY GM 02757760 SUBJECT TO PROTECTIVE ORDER PARAGRAPHS 7, 8, 9, 10, 15, and 17 EFTA 00241682 EFTA01329545 PHIInc. PHI-S76-ICA-0005 2001SE Evangeline Thruway Revision Lafayette. La. 70508 June 5, 2014 4.0 AIRWORTHINESS LIMITATIONS The Airworthiness Limitations section is FAA approved and specifies maintenance required under Sections 43.16 and 91.403 of the Federal Aviation Regulations unless an alternative program has been FAA approved. There are no airworthiness limitations associated with this installation. 5.0 COMPONENT OVERHAUL Components within the TDR-94D transponder system(s) are considered to be on condition items and no overhaul requirements are associated with the installation. 6.0 GENERAL MAINTENANCE INFORMATION AND STANDARD PRACTICES 6.1 Weight and Balance Requirements When equipment changes are made, the aircraft weight and balance record shall be corrected, and the equipment list amended as necessary to reflect those changes. The weight and location shall be determined for the equipment being removed or installed. This information (weight, station, and butt line) shall be recorded and used to calculate a new aircraft empty weight center of gravity. This new empty weight center of gravity shall be recorded in the aircraft permanent records and made available to the pilot. Lon 'tudinal Lateral Weight Arm (io.) I Moment Arm (1n) Moment System/Component OW 1 (lb.-In.) (I0.-In.) TDR-94D Transponder System I Rockwell Collins TDR-94D 8.5 48.30 410.5 RBL-17.19 -146.1 TDR-94D Mounting Tray 1.0 48.30 48.3 RBL -17.19 -17.2 NI ADS-B Annunciator, see Note 2 0.1 77.00 7.7 LBL 8.00 0.8 System I upper antenna. see Note 1 1.0 143.67 143.7 LBL 27.00 27.0 System I lower antenna. see Note I 1.0 140.00 140.0 LBL 14.50 14.5 TDR-941) Transponder System 2 Rockwell Collins TDR-94D 8.5 48.30 410.5 RBL -17.19 -146.1 TDR-94D Mounting Tray 1.0 48.30 48.3 RBL -17.19 -17.2 Tandem Adapter Assembly (2 1.0 48.30 48.3 RBL -17.19 -17.2 frames) #2 ADS-B Annunciator, see Note 2 0.1 77.00 7.7 RBL -8.00 -.08 System 2 upper antenna, see Note I 1.0 143.67 143.7 RBL -27.00 -27.0 System 2 lower antenna. see Note I 1.0 126.00 126.0 LBL 14.50 14.5 Rockwell Collins CTL-92E Transponder Control CIL-92E, see Note 3 I 1.3 I 79.62 I 103.5 I LBL 1.65 I 2.1 No e: 1 Actual antenna station locations may very up to 3 inches depending on the installation. No e: 2 Actual ADS-B Annunciator locations may very within the instrument panel, see FIGURES A-2 and A-3. No e: 3 Actual CTL-92E location may very within the center console and instrument panel, see FIGURE A-4. 20 0070120A SONY_GM_02757761 SUBJECT TO PROTECTIVE ORDER PARAGRAPHS 7, 8, 9, 10, 15, and 17 EFTA_00244683 EFTA01329546 SDNYGM_02757762 SUBJECT TO PROTECTIVE ORDER PARAGRAPHS 7, 8, 9, 10, 15, and 17 EFTA_00244684 EFTA01329547 PHIInc. PHI-S76-1CA-0005 2001 SE Evangeline Thruway Revision A Lafayette. La. 70308 February 21. 2014 6.2 Consumable Materials Additional consumable materials are noted in Appendix A and 6 of this document. Only those consumable materials noted herein shall be used. If necessary, the SIC holder can be contacted for approval to use alternate materials. 6.3 Torque Information For hardware torque values, refer to Appendix A. Where torque values arc not specifically addressed in this ICA, the Sikorsky S•76 Maintenance Manual, Chapter 20, may be used as a guideline for fastener torque values and techniques. 21 0070120A SDNY_GM_02757763 SUBJECT TO PROTECTIVE ORDER PARAGRAPHS 7, 8, 9, 10, 15, and 17 EFTA_00244685 EFTA01329548 SDNY_GM_027577. SUBJECT TO PROTECTIVE ORDER PARAGRAPHS 7, 8, 9, 10, 15, and 17 EFTA 00241686 EFTA01329549 PHIInc. PH1-576-1CA-0005 2001 SE Evangeline Thruway Revision IR Lafayette. La. 70308 February 4. 2014 Appendix A APPENDIX A. MECHANICAL INSTALLATION INFORMATION Appendix A Table of Contents Title Page/Contents AI General Notes AI FIGURE A-I, Component Locations A2 Transponder TDR-94D, Single Transponder Installation Parts List, FIGURE A-2. Single Transponder Installation A4 FIGURE A-2, Single Transponder Installation A5 Transponder TDR-94D, Dual Transponder Installation Parts List. FIGURE A-3. Dual Transponder Installation A9 FIGURE A-3, Dual Transponder Installation AIO Transponder Control CTL-92E Single or Dual Installation FIGURE A-4, Transponder Control CTL-92E Al4 General Notes: I. Application of sealant around mating surfaces: A. Remove all dust, dirt, oil, grease, wax, loose paint, etc. By wiping surface with methyl ethyl ketone (MEK) using a clean cloth. B. Mask off perimeter of area to be scaled. C. Apply 1/8"-I/4" bead of sealant around mating surfaces. D. Remove excess sealant and masking materials. E. Allow sealant to cure at room temperature (for full cure, allow approximately 72 hrs. @ room temperature). 2. Antenna gasket installation: reference paragraph 2.2.2. 3. Chemical film all aluminum pans and assemblies with materials conforming to MIL-DTL- 5541. If parts become scratched, re-apply chemical film to the scratched surfaces. Following any drilling or cutting operation, remove all burrs and metal particles, re-apply chemical film to bare surfaces prior to part or fastener installation. 4. Prime exposed surfaces with MIL-PRF-23377 epoxy polyamide primer. 5. Application of corrosion preventive compound: A. Remove all dust, dirt, oil, grease. wax, loose paint, etc. By wiping surface with methyl ethyl ketone (MEK) using a clean cloth. B. For best results, the ambient and product temperature should be 50-95°F (I0-35°C) at time of application. Ensure uniform consistency prior to use. Brush a thin coat of compound over head of screws ensuring edges of screws and mating surfaces are sealed. C. Allow compound to cure for 24 hours at room temperature. AI 0070120A SDNY_GM_02757765 SUBJECT TO PROTECTIVE ORDER PARAGRAPHS 7, 8, 9, 10, 15, and 17 EFTA_00244687 EFTA01329550 SDNY_GM_02757766 SUBJECT TO PROTECTIVE ORDER PARAGRAPHS 7, 8, 9, 10, 15, and 17 EFTA_002444588 EFTA01329551 co n PIM Me 11,141.14C1-0091 H !MI St &won.. TArinuy REVISMAY la lailsrmtie la 7O,NY fobsoryR MU APPENNY A -0 xl O ANNUNCIATOR. NO. 2 TRANSPONDER RELAY MOUNT. NO 1 TEWEEPONDER (sorra! ✓at ut ONANCAL 145•AltATKPI Ut Naas A4 n RELAY MOUNT. NO. l TAM:WONDER MP) ✓ ACtacT u NOM WAWA. Mt NCASIIII.2 TRANSPONDER TOR440 NO. I ibOTIOM VNII r011Y NVALIAIEN. 'I *4 0ON V.C.CTNICAL OUGOVAII WS riCalige4 RR TRANSPONECR TOR440 NO.2 (TOP WTI El. 00 Poi MICIONCAL INSTALIAEOR SO 1105 1.3 PET O rW NICIPICIA WRING PAGAN& WI 0G4. .2 swims, NO. 2 TRMISPONDUC (TOP) 7D FOR IROSIKAL MSTAILATION SCA 1,004 MI FOR E1ECTNGL1 RAMS OLICALAN YC 'GAR Si C ANTENNA, NO.1 TRANSPONDER (TOP) PO ICR PECAMSCAI NI/ALIATEN SEE NOSE FOR ELECTACM. WANG MORAY SITE FIGURE AI ANNUNCIATOR. NO. I TRANSPONDER 7D FON P.NOWKA‘ NISTN.LATICH, WE HOAR At PON UACTRIOA VSINCOACIAIN SLR/Aloft Si G) TRANSPONDER CONTROL (C1.420) /OA lEONNICAL INSTNUL, ION Sit HONK A4 row .C.INCAL NIRPO PANAMA x LxtI LA srl NOW -o FIGURE A-1, TOP VIEW SINGLE OR DUAL ROCKWELL COLLINS TDR-94D Io ATCINIODE-S (ADS-B) TRANSPONDER(S) i-a P 1-11O • IM 00704 NCO*, r CD_ T., I-a EFTA01329552 SDNY_GM_02757768 SUBJECT TO PROTECTIVE ORDER PARAGRAPHS 7, 8, 9, 10, 15, and 17 EFTA 00244690 EFTA01329553 ve, co ‘_ n PM. ht PlllS744C4 H EMI SE Etuarrinr Thnravy &MON IR , -04kner lu MAI fans°. 4. 2014 AMEATIIN A -O ANTONIA. NO. 1 TRIJIIIPONDER ANTENNA. NO 2 TRANSPONDER ONNO TRANSPONDER CON1ROL 1CTLA2E) O ANNUNClATON. 110.1 TRANSPONDER (olio ANNINCIAT011.. SD. S 111.41111110NOINI 0.111, n ST f MAY MOUNT. NO. 2 TRANSPONDER (RIS) Ref rot utowec.N. riStAL LAMM MC /MUM Al 004UAC19Y.M WPKNCMIM SIN 'WS 84 rn O 111.11/41.13NO01 MIND NO. 2 (TOP Inn C ‘1 1 01101 41. , rn 70 TRANSPONOIN TORSO NO., (BOTTOM ONO) RELAY MOUNT. NO.1 TRANSPONDER MINN — RE A-1, LEFT SIDE VIEW cON mtaumedy. Halµ1AIIOR SEE rq.AtE FOR MC TRIM WSW) OACSA MC F SI ANTENNANO.I 111ANSPONOER (WITCO' AM ON NO. 2 TRANSPONDER 0101TOIN FOR ima0WIlat HST& LAI10µ St; MUM A4 FOR liperuNICAL NEtµtMG11 Mt IlOa 44 POP MCCOOK/at ISM WC t•Al 'Kt nos • I SOP EIECTACAL RaG DuCcull SEE FIGURE 04 70 CM 00 0 FIGURE A-1, BOTTOM VIEW N(0 P SINGLE OR DUAL ROCKWELL COLLINS TDR-94D I- 11O ATC/MODE-S (ADS-11) TRANSPONDER(S) u -i 0110120C too Al r a_ g l-a EFTA01329554 SDNY_GM_02757770 SUBJECT TO PROTECTIVE ORDER PARAGRAPHS 7, 8, 9, 10, 15, and 17 EFTA_00244692 EFTA01329555 PHIInc. P11I-576-/CA-0005 2001 SE Ems:cline Thnstray Revision A Lafayette. La. 70508 February 21, 2014 Appends's A FIGURE A-2 TDR-94O Single Transponder Installation, Mechanical ITEM I QT I Part Number Nomenclature i 4 M527039-0806 SCREW 2 4 NAS620-8 WASHER 3 4 NASI832-08-3 INSERT 4 AR EA9309.3NA ADHESIVE 5 I PHID-1757 DECAL 6 I 622-9672-104 TDR-94D MOUNTING TRAY 7 4 MS35338.42 LOCK WASHER 8 2 DMNI50-6-2 ANTENNA 9 2 AO247000-01 ANTENNA GASKET 10 2 PHI.050.60948.01 ANTENNA RETAINER ASSEMBLY (1 ea. / antenna installation) 11 12 MS24693-538 SCREWS (6 ca. / antenna installation) 12 AR AMS-S-8802 SEALANT 13 AR MIL-PRE-16173 CORROSION PREVENTITIVE COMPOUND 14 I PHID-1913 DECAL 15 I MI2883-52-001 RELAY MOUNT 16 2 MS24693-•• (8-32) SCREW 17 2 NASI149DN816.1 WASHER IS 2 MS21042L08 NUT 19 I PH1D-1915 DECAL 20 I 95-XX-17-III-EI BKK ANNUNCIATOR CAP (Number I) 21 I 95.40.17 ANNUNCIATOR BODY 22 I 17-043 LAMP QT —Quantity AR —As Required ** — Double asterisks at the end of a pan number indicates, installer must determine length of hardware. A4 0070120A SDNY_GM_02757771 SUBJECT TO PROTECTIVE ORDER PARAGRAPHS 7, 8, 9, 10, 15, and 17 EFTA 00244693 EFTA01329556 SONY_GM 02757772 SUBJECT TO PROTECTIVE ORDER PARAGRAPHS 7, 8, 9, 10, 15, and 17 EFTA 00241694 EFTA01329557 C co Pill tar PIIISMICLOOPS H :WI St Elleagetwe rArte.v• untlav 14.neme WM Alinun• ION AMENOLV A 0 -0 os 0 n os C oo -0 os RAI SIDE VIEW SINGLE TOR•940 INSTALLATION oo NOTE: -0 THE RESISTANCE a TRANSPONDER TO THE MOUNTING RACK MIST NOT E/OCEILO G0025 OHMS, THE RESISTANCE OF MOUNTING RICK TO FIGURE A-2 THE SHELF MUST NOT EXCEE0ROM OHMS SINGLE TDR-94D TRANSPONDER INSTALLATION Co TOP VIEW i-a In o 2 • O 00,01300049 AS 0.1 r„4 CD_ Z; I-a EFTA01329558 SDNY_GM02757774 SUBJECT TO PROTECTIVE ORDER PARAGRAPHS 7, 8, 9, 10, 15, and 17 EFTA 00241696 EFTA01329559 co n PH( IA- PIIINISIC64901 H :on SI ,,,,,, REVISION IR PAP MI H APIKIVINE -O 0 H n H NQ 1 TRMI G(DER TOR 94D 0 7J 70 C.) 7J SECURE TDR-94D ICUNT DIG TRAY® TOR-940 HETRITING TRAY TO EXISTING SKIS WIND O SCREW PL) O I. WASHER (4 PO 0 RASHER (4 PI.) INSERT (4 VW Co ) ADHESIVE FIGURE A-2 (Contd.) C .514 DETAIL A-A SINGLE TDR-94D TRANSPONDER INSTALLATION O I-1 o Ul 0070ITOCHAH AS r-4 O- EFTA01329560 SDNYGNI02757776 SUBJECT TO PROTECTIVE ORDER PARAGRAPHS 7, 8, 9, 10, 15, and 17 EFTA 00241698 EFTA01329561 CM C ozi n net lAv H Nal SC CiusirtAne RI-YAWN IN irntli I WC 14, Fon )(Mn 4. 2014 APPENDIV A -O SCREWS (6 PER ANTENNA INSTALLATIDN) NOTE: 0 1. THE RESISTANCE FROM THE ANTENNA TO THE ANTENNA ANTEnNA GROUND PLANE MUST NOT EXCEED 0.0025 OHMS. 2. THE RESISTANCE FROM THE ANTENNA TO THE AIRFRAME GASKET MUST NOT EXCEED 0.005 OHMS. n CERROSIEN PREvENTAI5E COMPOUND C SEALANT OVER HEADS or ALL SCREWS C ANTENNA RETAINER ASSEMBLY DHESIVE -O ANTENNA RETAINER ASSEMBLY APTESIVE Gl -O SEALANT cM os ION PREVENTATIVE COPIPOuND OVER HEADS Or ALL® SCREWS (f) GASKET FIGURE A-2 (Contd.) SINGLE TDR-94D TRANSPONDER INSTALLATION ANTENNA CO DMNI50.6-2 TRANSPONDER ANTENNA INSTALLATION SCREWS NOTE: BOTH UPPER AND LOWER ANTENNA 6 PER ANTENNA INSTALLATION) INSTALLATIONS ARE TYPICAL 40 2 VT 3 Dona12oca.4 Al U m IJ EFTA01329562 SDNY_GM_02757778 SUBJECT TO PROTECTIVE ORDER PARAGRAPHS 7, 8, 9, 10, 15, and 17 EFTA_00244700 EFTA01329563 co PM PA PlIASICAICAMO INN.SELNAmTAr 1100PY RAYLUCAV A Lamm fa. AMOS Fnlertv APPENPLIf A 0 EXACT LOCATION IS aumato ON NUM INVALLATVN Q BUT 73 MUST REMAIN WITHIN SIMOEO AREA SHOW. 0 IMICATED MCA,. TO BE ADMCENT TO ANM.R.CATOR APPROMMTELY M %OMNI (LEFT. RIGHT. MOVE OR BELOW) Q FOR MCI C TRANSPONDER (AD. I SYSTEDNEANCTRICP4 PARTSANDOM& SEE APPENDix B FIGURE St 0 73 0 INSTRU€NT PANEL A CENTER SECTION 73 INSTRUI.ENT MOUNTING SLEEVE 73 PANEL LUCKING TAB CAP BODY PLUG CONNECTER LAMP TYPICAL ANNUNCIATOR P z) INSTALLATION .93 No FIGURE A-2 (Contd.) P ANNUNCIATOR AND RELAY MOUNT 0 • IM EO7O12OC4m Al U-4 • 0_ af I-s EFTA01329564 SDNY_GM_02757780 SUBJECT TO PROTECTIVE ORDER PARAGRAPHS 7, 8, 9, 10, 15, and 17 EFTA_00244702 EFTA01329565 PHI Inc. PH1476-1CA-0005 2001SE Evangeline Thruway Revision A Lafayette. La. 70508 February 2!. 2014 Appendix A FIGURE A 3 TDR-941) Dual Installation, Mechanical ITEM I QT Part Number Nomenclature I 2 MS27039-0809 SCREW 2 8 MS35338-42 LOCK WASHER 3 8 NAS620.8 WASHER 4 2 MS27039-0805 SCREW 5 4 MS27039-0807 SCREW 6 AR LOCTITE 222MS THREAD LOCK 7 4 NAS1832.08.3 INSERT a AR EA9309.3NA ADHESIVE 9 I PHID-1757 DECAL 10 I PHID-1756 DECAL II 2 622.9672.104 TDR-94D MOUNTING TRAY 12 2 PHI-050-60913-01 TANDEM ADAPTER ASSEMBLY 13 4 DMNI50-6-2 ANTENNA 14 4 A6247000.01 ANTENNA GASKET IS 4 P111-050-60948-01 ANTENNA RETAINER ASSEMBLY (I ea. / antenna installation) 16 24 MS24693.538 SCREWS (6 ea. / antenna installation) 17 AR AMS-S-8802 SEALANT III AR MIL-PRE-16173 CORROSION PREVENTITIVE COMPOUND 19 I PHID-I914 DECAL 20 I PHID-1913 DECAL 21 2 M12883-52-001 RELAY MOUNT 22 4 MS24693-n (8-32) SCREW 23 4 NASI149DN8161 WASHER 24 4 MS21042L08 NUT 25 I PHID-1915 DECAL 26 I PHID-1916 DECAL 27 I 95-XX-17-HI-El 5KB ANNUNCIATOR CAP (Number 2) 28 I 95.40.17 ANNUNCIATOR BODY 29 AR 17-043 LAMP 30 I 95-XX-17-HI-E15KK ANNUNCIATOR CAP (Number I) OT - Quantity AR - As Required — Double asterisks at the end of a part number indicates, installer must determine length of hardware. A9 0070120A SDNY_GM_02757781 SUBJECT TO PROTECTIVE ORDER PARAGRAPHS 7, 8, 9, 10, 15, and 17 EFTA_OO2447O3 EFTA01329566 SDNY_GM_02757782 SUBJECT TO PROTECTIVE ORDER PARAGRAPHS 7, 8, 9, 10, 15, and 17 EFTA_00244704 EFTA01329567 cr) n PHI. Ax. MS76 HASH ION SC tkompOur newsy RE11OOII lR L•letwe. la MIRY FiAnnut t 20II H API/AVIV A 0 -0 0 H rn n H 33 0 -o 7u WM WOE VIEW DUAL TDR44D INSTALLATION NOTE: THE RESISTANCE OF TRANSPONDER TO THE (J CAL MOUNTING RACX MUST NOT MEW ROOM CORM THE RESISTANCE OF PADUPITPC RACK TO FIGURE A-3 THE SHELF MUST POT INCING0402$ ONE. ro DUAL TDR-94D TRANSPONDER INSTALLATION TOP VIEW .5) W n P 3 I-, 10 Lri 0070120CAND A10 Al -4 0_ 5 1—k EFTA01329568 SDNY_GM_02757784 SUBJECT TO PROTECTIVE ORDER PARAGRAPHS 7, 8, 9, 10, 15, and 17 EFTA_00244706 EFTA01329569 n RAYAVION Ix fetnepr ION H APPENDIX A SEEIRC IDR-94D WANTING TRAY 0 TO TAMEN ADAPTER ASSEMBLIES USING, -o SCREW (2 PL) LOCK WASHER (2 PL) 0 I H WASTER (2 PL) THREAD LEEK n $ TOR-910 MOUNTING TRAY H SCORE TOR-940 WONTING TRAY TO TANDEM ADAPTER ASSEMBLIES USURP 7c; SCREW (2 in.) SECURE TDR-91D RACK To LOCK WASHER (2 PL) EXISTING SHELF vSING. WASTER (2 PL) -0 SOW+ (2 Pia THREAD LOCK LOO( wASI-ER (2 RL) WASHER (2 RE) SECURE TER-94D MOUNTING TRAY AND TANK), ADAPTER ASSEHILYS INSERT (2 PI.) TO EXISTING SHELF USING. UI 23 ACNESIKE SCREW (2 PL) LOCK WAS)ER (2 PL) -o WASHER (Z PL) INSERT (2 PL) AEmESIvE 00 ) TM-94D HOUNTING TRAY ••of FIGURE A-3 (Contd.) l" 0 DETAIL B-B • IE DUAL TOR-94D TRANSPONDER INSTALLATION 00,101200049 Al( • .4 4 EFTA01329570 SDNY_GM 02757786 SUBJECT TO PROTECTIVE ORDER PARAGRAPHS 7, 8, 9, 10, 15, and 17 EFTA_00244708 EFTA01329571 C Co AN PIIISHLICASEH pall SE Evnellee MHHIP REVIVING, Ix '4— 70503 TrIvnery 4. ZOI4 APPFARIN A 0 -o 73 46 PER ANTENNA I TILLATIONT NOTE: 0 1. THE RESISTANCE FROM THE ANTENNA TO THE ANTENNA ANTOBM GROUND PLANE MUST NOT EXCEED 0.0025 OHMS. 2. THE RESISTANCE FROM THE ANTENNA TO THE AIRFRAME CASKET MUST NOT EXCEED 0.005 OHMS. CORROSIO4 PREVENTAgVE CCOPOUND SEALANT OVER /CADS CF ALL I6 SCREWS 0 73 0 AN MAN RETAINER ASSEMBLY ANTENNA RE TAINER ASSENT?. ADHESIVE 73 734 73 SEALANT COMOSION PREVENTATIVE C75/3 OVER WADS OF ALL SCREWS cm CASICET FIGURE A-3 (Contd.) DUAL TDR-94D TRANSPONDER INSTALLATION ANTENNA P c) DMNI50-6-2 TRANSPONDER ANTENNA INSTALLATION lO stEDH NOTE: ALL FOUR ANTENNA INSTALLATIONS ARE TYPICAL C6 PER µTEMM I TALLATI0NT g P io F-1 ()IF scp 037012CC iii2 cu V V IA m 8 EFTA01329572 SDNY_GM_02757788 SUBJECT TO PROTECTIVE ORDER PARAGRAPHS 7, 8, 9, 10, 15, and 17 EFTA 00244710 EFTA01329573 co PM At P lAVAICI-000 MN SE Esmatlee Rowe MOAN* A Law. la NM PgArvan 2/. 2N4 APIINDI% A 0 EXACT LOCATION IS CRTERMINE0 ON MINH VISTALLAIION A BUT FAUST REMAIN WITHIN SHADED AREA SHOWN. 73 MCCATED hs AS SHOWN DECAL TOSE ADJACENT TOANNUNCIATOR APPROXIMATELY (LEFT. RIGHT. ABOVE OR BELOW). 0 SPICA t TRANSPONDER (HO. L SYSTEM) ELECTRICAL PARTS AHD DATA. A FOR SEE APPENDIX S FIGURE 6, INSTRUMENT MUNI 'NG SLEEVE PANEL LOCKING TAB 0 73 EIJOY PLUG CONNECTOR CAP 0 TYPICAL ANNUNCIATOR LAW INSTRUMENT PANEL CENTER SECTICH INSTALLATION -12 ANNUNCIATOR A MAT NOWT 73 A 3451D3 I I SCREW (2 PL) RASHER (2 Pt) MIT (2 Pt) 73 DECAL ADS-1 I FAIL cm PCLAT MOUNT SCREW La PL) L\ DECAL WASTER L2 PL) .93 MIT (2 PL) DECAL .93 g FIGURE A-3 (Contd.) P ANNUNCIATORS AND RELAY MOUNTS I-- 0 w 0070120C.Ong AN 0_ et EFTA01329574 SONY_GM 02757790 SUBJECT TO PROTECTIVE ORDER PARAGRAPHS 7, 8, 9, 10, 15, and 17 EFTA 00244712 EFTA01329575 VI CO PIII316-1C.4.000 ATO/StasoloIewOlowoo ReIVION IR Lamm. La 70/01 FAratas).4. 2014 H AMINIPINA NOTES: 0 &COOT LOCATION IS DETERMINED CR 110114 INS TALMO, ba MUST REMAIN WORM -0 5100(0 PASS S, MN &FOR ELECTRICAL PARTS AND DATA. SEE APPENDU 0 3. %HEN INSTALLING TRANSPOsOER CONTROL. MARE CERTAII UMT ODES NOT INTERTERE MIN EXISTING COMPONENTS AND HARNESSES A. nit RESISTANCE FROM THE TRANSPONDER CONTROL TO LOCAL AinRfralt MUST NOT n EXCEED OHO OHMS 0 rn -0 TRANSPONDER CONTREL INSTRuPoi PAWL C -92D, ,Z3 CENTER CONSOLE UI CIL-92E CUTOUT -0 6`888 70 ENSURE ELECTRICAL IONDOC. LC NOT 88.88° PAINT OR PRIME SHADED ISSAS ON THE RACK SIDE or TIC INSTRUMENT PMCL. APPLY V) AUDIIC OLT 00 FIGURE A-4 .93 TRANSPONDER CONTROL (CTL-92E) cn INSTALLATION :c:' 2 lc) O 00/0i70C AM ZA4 CL EFTA01329576 SDNY_GM 02757792 SUBJECT TO PROTECTIVE ORDER PARAGRAPHS 7, 8, 9, 10, 15, and 17 EFTA 00244714 EFTA01329577 PHIInc. IH1-S76.1C4.0005 2001SE Evangeline Thruway Revision 11? Lafayette, La. 70508 Febnany 4. 2014 Appendix APPENDIX B. ELECTRICAL INSTALLATION INFORMATION Anuendix B Table of Contents Title Page/Contents BI General Electrical System Notes BI TDR-94D Transponder System I FIGURE B-I Parts List B2 FIGURE B-I Electrical Drawing Notes B4 FIGURE B-I Decals B4 FIGURE B-I B5 FIGURE B-I Component Locations B9 TDR-94D Transponder System 2 FIGURE B-2 Parts List BI0 FIGURE B-2 Electrical Drawing Notes B12 FIGURE 8-2 Decals 812 FIGURE B-2 B13 FIGURE B-2 Component Locations BI7 Electrical System General Notes: I. Abbreviations per MIL-STD-I2D. 2. Unless noted otherwise, all unshielded wire per M1L-W-22759/43-**-9. 3. Unless noted otherwise, all shielded wire per MIL-C -27500-••SP-•S23. 4. As a minimum standard for workmanship, prepare, perform, and inspect electrical installations per AC 43.13-I B, Chapter II: a General inspection and care for electrical systems per Section I. b. Select electrical wire and materials per Sections 6, 7, & 12. c. Install and inspect wire and cable installations per Sections 8, 9, & 10. d. Clamp wire and cable installations per Section I I. e. Prepare, install, & inspect splices for wire & cable installations per Section 13. 1 Prepare, install, & inspect electrical bonding for mounting and components per Section IS. g. Marking wiring and cables per Section 16. h. Prepare unused connectors and unused wiring per Section 19. 5. Use shield terminations manufactured to military specification NASI745, or M83519/l or /2. 6. Install MS25274 caps to terminate and stow unused wires. 7. Install MIL-I-23053/13 Heat Shrinkable Tubing when required. 8. All installed materials are required to meet flammability per 14 CFR 29.853. 9. Wire Legend: EXISTING NEW WIRE REROUTE -o-o-o-o-o •• Double asterisks correspond to wire size. • Single asterisk corresponds to number of wires in the cable. BI 0070I 20A SDNY_GM_02757793 SUBJECT TO PROTECTIVE ORDER PARAGRAPHS 7, 8, 9, 10, 15, and 17 EFTA_002447I5 EFTA01329578 SDNY_GM02757794 SUBJECT TO PROTECTIVE ORDER PARAGRAPHS 7, 8, 9, 10, 15, and 17 EFTA_00244716 EFTA01329579 PHI Inc. PHAS76-ICA-0005 2001 SE Evangeline Thruway Revision A Lafayette. La. 70508 February 21.2014 Appendix B Figure B-I TDR-940 Single System, Electrical ITEM QT Part Number Nomenclature 1 1 628-8660.001 CONNECTOR KIT 2 2 MS25036-149 TERMINAL LUG, CRIMP 3 AR 628-8664-001 BLOCK MOUNTING 4 AR 343-0133.000 SCREW 5 AR 17-043 LAMP 6 AR 372-2514-110 CONTACT 7 AR MS25036-103 TERMINAL LUG, CRIMP 8 6 8660-202 CONTACT 9 AR M39029/5-115 CONTACT 10 1 M85049/524.20W STRAIN RELIEF 11 AR 0-436-82 WIRE SPLICE 12 AR 372-2514-110 CONTACT 13 I 030-1975407 CONTACT 14 AR M39029/22-191 CONTACT 15 AR M39029132-259 CONTACT 16 AR M39029/5-115 CONTACT 17 AR M39029/22-192 CONTACT 18 I 622-9672-104 MOUNTING TRAY 19 I PHID-1740 DECAL 20 I 95-XX-17-H1-ElBKK ANNUNCIATOR CAP (number 1) 21 .2 AG247000-0I • . GASKET 22 I 95-40-17 ANNUNCIATOR BODY 23 I PHID-1757 DECAL 24 I PHID-1913 DECAL 25 AR M23053/13412-0 HEAT-SHRINKABLE TUBING 26 AR 311601 COAXIAL CABLE 27 AR M39029/22-I92 CONTACT 28 AR 18-215 SEALING PLUG 29 I MI 2883/53-00I MOUNTING TRACK 30 I PHID-1915 DECAL 31 AR M39029-101.553 CONTACT 32 I M39029/63-368 CONTACT 33 I PHID-1827 DECAL 34 I PH1S76-683 DECAL 35 AR M17/113-R0316 COAXIAL CABLE 3451CB1 I MS3320-3 CIRCUIT BREAKER 345 ICT1 I 822-1807-004 TRANSPONDER CONTROL 3451051 I 95-40-17-H 1-ElBKK ANNUNCIATOR ASSEMBLY (cap & body) 3451E1 I DMNI504-2 ANTENNA 82 0070I20A SDNY_GM_02757795 SUBJECT TO PROTECTIVE ORDER PARAGRAPHS 7, 8, 9, 10, 15, and 17 EFTA_00244717 EFTA01329580 SONY_GM 02757796 SUBJECT TO PROTECTIVE ORDER PARAGRAPHS 7, 8, 9, 10, 15, and 17 EFTA_002447 I 8 EFTA01329581 PHI Inc. PH1-S76.1CA-0005 2001 SE Evangeline Thruway Revision A Lafayette. La. 70508 February 21, 2014 Appendix B Figure B-I TDR-940 Single System Electrical ITEM QT Part Number i Nomenclature 3451E2 I DMN150.6.2 ANTENNA 3451K1 I M83536/2-028M RELAY 345IRVI AR 714-3258-020 VARISTOR 345ITRI 1 622-9210-550 TRANSPONDER 3451W I I P111.576-13204.01 CABLE ASSEMBLY 3451XDSI I 18-200 CONNECTOR MODULE 345 IXKI I M12883.52.00I RELAY SOCKET PI73R AR 634.1112.001 CONNECTOR PI882R AR 634.1112.001 CONNECTOR _ P1883R I CTR922 TNC CONNECTOR P1884R 1 CTR922 TNC CONNECTOR P I 889R I CNS922 TYPE N CONNECTOR P1891R I CNS922 TYPE N CONNECTOR P792R I MS3476W20-4 I SY CONNECTOR, CRIMP CONTACTS P792RS 1 MS3126F8-45 CONNECTOR T1534-V AR CT.1122EOIC TERMINAL JUNCTION MODULE QT— Quantity AR— As Required ALT — This part is an alternate to the preceding part. B3 0070120A SDNY_GM_02757797 SUBJECT TO PROTECTIVE ORDER PARAGRAPHS 7, 8, 9, 10, 15, and 17 EFTA 00241719 EFTA01329582 SDNY_GM02757798 SUBJECT TO PROTECTIVE ORDER PARAGRAPHS 7, 8, 9, 10, 15, and 17 EFTA_00244720 EFTA01329583 CO rn PHI Sc PHI476LIC.1 000 H NMI SC buntline Mess lt€0011V A 14.ro.le La MAI fMniavy?). 200 H APPFXRIV I DECALS FIGURE 6.1 NOTES 70 FIGURE 6.1 0 NOTES: No. 1 TRANSPONDER 1:3 I. aces sot sown we awns six ootwannes. oast set(I).0359K2 OK is /postwar aruccont... on uses oat DK TICKKOI INITKLATIO4 E!! C:13 DIOTTOTAI H [ C. Plitt Wlet I. If105100 COSTICTOT rote COTTACTS 453 ANC Ito. new wilt AS SKIS TO CanCIDT tint CDTTKI 00. CIDNICT WIC As PSNCOTna CCIOCCUT P1730. COCCI <OD 114101740 .. Cat tit CPPOSIrt DOS Cr Dial 443 lizonWe NO KT na0fea 1•Cf DUI I CC 0. 14011-17•37 • SIW 51X3 C 040 4022 NOM 1110314.4K DT KC CULL •53040. KNIND TIC Kt nut-1040 TONNWOdeae 0 t/SITIO= r Ian DS C a TI1406POCC• SV1T KC440.4 CLIVE DWINSICTLICE Vino CXTDOCD lawn. 403 -To H i i. ILL KIN EPOS Kat K COSCCIT3 INDIVIC.Lsi TO • I.M. TwIrLD CaCtia 1> C. DO IT COACCI 144ICLO LOOPS III MILS SITS • TI NS Silt CONCH° TO 0Cue 1. cirt /KT MKSISTMa or0 re towsss ww•costera TO DC essowe mat rots IT teas a CONS D L Caw IKT TIC KIIST•Na IC TIC TIKKOMots Twain TAM TO TIC SKIS CT ICT (Kai a 03150 1 KIDITnal we Norma 'C TIC TO•40000 CDTTKL 011-%1) TO LC01. MCC( KU KIT CHM 00050 PN10-1911 thOlf IRK Cat Lan. DCLUDIK COCUOTIS. IC IC IOC TKW 3 NI DOW Ii we COOT 1.0011 HS 311401 COMA. DIU ®I. 01440VCC Pi sI LOSS KTKVIT Mt KO CULLS Nat Not K KIK a • Tit NOCK Linn. W TIC 10111 CASt MST K 143 INC LOCO< Cr DC LOCO Cal. 7s two we stsisuscs IC IN mows TO DC CDS+ 00.10 owe :as or CXCUP 0.0030 3411053 Non BC:s aI. wort reDDT NESISINTa 10 TIC neTts• TO TIC PICK CS CT COKED 0 CO C 1 mules CaiM111. PIOSTS -ens © t. Hl SICNICS fail/OTIK MITT MD 1141K DICTA 10 fl at P1RD-1827 e 70 SLOPLICD Telt KOTCCTICK t. TIC C II MCP Ow TIC 11 B> ne pate one tromp maw on err vow swam rot stotoon auraL5CD TA MIS IfrattaiLD104 > rat KK f CPCMOICK CAD. TESTS MST CC MI •IICINIT itanottiatot au two It TITICKNI aLL 000 IKNTICHATITIN COM Dolt COK TO COUIPICT -7 D CCM INITCLaTIK TIC •IrtsurT K ISTIt•TICN Tan • SKCIAL PeXCIDK TO GM MIONT DPENTVIDDION Melt DC CIA MCC NT OCTAL 100(1 DST!TIC 0•004.401 mat OWL& tO TIC hetet/NT 24.11T SIC C . 10 LID DC TAN( KL . Hu MT CCP DC .0000I TIC GIVIll 0-1.000 00M. DIE 14 IK STOTISX CMS •T DC TIP Et 001 CDC WC TIC CHET ril0 LAY1 TO MINT IN Tit HMO= KS CT MDT CMOs TO tit C MD in MC SC COCO •S TWC DOCK0 tiC •STC•i14 TOKCIAT ITC Ti. K CCU'S DC coetcutatess sows owe two two 00 III CT CO.• W TM Tar AFC 1K sacs Iwo ow SOT CONK?. TO POND TIP CT Tana W TIC CCT40. salia 7s Ws man* 00.413000110 04-141 MAP COW WSW) 177/0PIN T • • • • • • • • V. D pl. <OCT WIND DST KIST K COCO TO Cr •0(11.11 PIN IN InKlait. JJXCTIOT 11551. Nati a Not sot a CAP KO ST0 04.4 ICUS VICCS DKr OUT I CC W. I Mt • 7 - • ? • -44 • 47 • • • MC 1 nes ma LitCCD SKI a DC CAM kiltieL4 KK TOINCL DICTIOT TAI34. DCA V 6") T . II I> INST•LL KCAL 04510) Kat IK Da I CC IMIIIMPO TN ) I :utt :,ro-3; l'e,v,:ri ., ... .1 .. P p / 4 0/* -33 macs& 1:1Y-)4 010/ist PIIMM3 PIM. ITC. 3 P3 3 r=8 ii ii;l1 PIWi ll iliP:a ;R.! :133•..10 iiirit.11 jr 1-54 • 11030 Pi P1723-34 Pi ili;:g ii.ii;:ii :Itt ;TM : 1 - P i ? i /kit ;c 3> KC IC 3 voi-MO tonne V oe essorare-wm ITO Cr' :1Ei :NEg reg wt: :RE., :gr.. .17,.. .17 1 NCL 40(34,0 -Yes TO C41104 PAITINDED Cha P011, 03. Sant KT TUDIDalt 0 SKID( PS KOOK. es Pi? I 41 .1],-: Pil MCC Pita -0 P1704-34 STOMOD SC MIMIC% *CS mows 311.140 • Watlit•TO TKITKOD OMNI (ma [4> etrotoor Kifatu. auto 'NICK H conwouse noes • KCMG 411.0 ICI I 4041 TIC •05•3 PAIL lanallaRitt 01101.01100 ICK TON 3/3-03 tttttt .04 NATITIONT. KT•ILII. Co > 14004.1. C I tlisiSPOTKe 40100 KCAL IN DIOS CI 150/40000.141110 ecsiemoec SOCK. DK WPC MST owsno 34-17-00 • All VITA *canon CT mint D KIWIDISCX ISSAL. awns as-sa-os - souses Coulee (WIC DS710 :D Ea>scrum( ;mono ®INSTALL IS Inn KCAL ANN101 TO INC KW I 04.4.0440 Ciltaill PEATICR I-1 ID i> CIH C I TIP- T/41 TeN410401 4505 OD 19113en0C •IOC itaZOKCKLO TO DITTOS Distkiii Aos CHIC Slaaa MO Itiebart CP TAKE *3 SPANS P 2 p IC) t:400001X DUCT STK 4140410KKE CC. CPC 74.51-0) • TICS4000111101 R ®IT POSIT DT CM IS HT MI LP SPUN CA new PIN K NAT K 0001400. O 007012CCIDVIG Si N .61 i 4 m IJ p -J IJ EFTA01329584 SDNYGM_02757800 SUBJECT TO PROTECTIVE ORDER PARAGRAPHS 7, 8, 9, 10, 15, and 17 EFTA_00244722 EFTA01329585 PHI PIIISASHIADONS H St 1 notselue Thrwavp AMWAY A LAIneue. 'WU Airmen.ll. 2814 APPNIVIAPC 0 CAILL .atan 001Et 00<el criza Ansa moc IC sats „ MOW SCONIMEEELD 0 B>+ 00 0-4 =WWI O WI i• rn @01 xual I..—IIAal.TIJ n H 1 " o l- et MO IGO- i I 1-14". 1-1=11 a lr ,= Z ta>.4°7111.c /WI IMP C Ram, rn OW I RI MAWS.. WIT. 44/55 pad. —O War rra , li>t>{}— lar xp WOWSICIUS 0—tn =1M rtr" ..arEM O WW W0 MOW WWI WWW -O fil>DIrl00 DI> Co lD aa I WNW WWI l-a cn FIGURE B-1 P Transponder System 1 SHEET 1of 5 2 00/012(XWING = CD_ I-a EFTA01329586 SDNY_GM 02757802 SUBJECT TO PROTECTIVE ORDER PARAGRAPHS 7, 8, 9, 10, 15, and 17 EFTA_00244724 EFTA01329587 Cr co rn n PHISISICA-000 REPANTV m 1014 APPIRM.V -0 70 0 H rn n H rn 70 0 rn 7a -o -0 (r) FIGURE B-1 Transponder System 1 ADS-B Fail Annunciator -Co SHEET 2 of 5 lD cn Oz ul io GO 701X18 ONG CU co CL. 8 EFTA01329588 SDNY_GM_02757804 SUBJECT TO PROTECTIVE ORDER PARAGRAPHS 7, 8, 9, 10, 15, and 17 EFTA_00244726 EFTA01329589 to co Hit Air PIIISYNICIONT H ZOO St nokrOkar Peanntr REVISION A taws , Ia NOUS &Naar 70I RVIENINV I 345ICII Cit•St IRMSPONDIR O I Pna I® ® -, T c > 21 'PDC '"Cl 16 iszooiszt—t CgallifttriV5O 0 r SLIM [3, CAMPO S -S500142214 rn LIDOS CONNITN SX002A221/ n >O1 maxi I l ANL SELECT tl -SX001APPIN CONSOLE <ANTS OMNI 000 MIEFENI Tftn'; 707, os 5V LTG A HE' 0-5 YS OUT CL IGIIT ITC) Op Plow I <I C .12) •VG fV ALT Trim Aso VG <V Att Ft A MX AIRSPEED oo LIGHTS GIN Et:13) -AVG IV M ARSPEED NAX AIRSPEED tl -SX004Ar ILJ SDI INPUT A -0 2AVG (V SDI INPUT 3 22-AvG STRAP CERRO, DISABLE CPS INTEGRITY LIMIT CIPII/A411 CONDO. os nv,COPILOT AIR - 77777'AYR- iSx0atin WI 919 PM IN A RATA COINIBIR -IFAI74028- -44 ISX0391.22 429 ALT IN ul IST010422N-I WF kl• oo CTRL IN IA CTRL IN II IN0NP2 gat E 2 -0 CTRL OUT IA T INg30 333S 4 I CTRL OUT II 0 : 12; 41 N a (>"' Walt /IX CM LIADDIAta.--{lala.ch...® 03)\ Plait > I ISO .t2) paws I .. ,,,..9., ...,,... D® EDE] 11 .7002A-131,60l) <25 Pt UPPER mama Cri.tel KW egg : Th t2 svG tom h n Co Y) MIS ISVIOIP,I311101/ CV IT LAID MIDes >O Ea] [ji=ca LIINC ANTENNA FIGURE B-1 e @ 7 ,p 2 Transponder System 1 1-a 0 CTL-92E Control Interface U1 3 CO70120ROWG SHEET 3 of 5 87 N 3,1 CD- 8 m I-a I S IJ p IJ EFTA01329590 SDNY_GM02757806 SUBJECT TO PROTECTIVE ORDER PARAGRAPHS 7, 8, 9, 10, 15, and 17 EFTA_00244728 EFTA01329591 In CO rn n lw PHISISICA-01,05 H ?VISE ImmoVac Thmov, REiltION A Wm*, I. Mot Arauri 21.1014 H APIIWOIN 73 0 H rn oar Anterf moat n 000 AM-s 00$11ail IOUlet 0 mum Is. I nee-me H MOWS 114 en. mina< am faros 0 rn tible•I24,1/ IT10412- a artlitifil entassim—I>Msta 1-.C)e<1 0 L 0 rn MUIC 4rt °Awe KM, {gra: 1* 6.2=r111. 7 -o -o FIGURE B-1 Transponder System 1 Ib UNS-1Fw Interface SHEET 4 of 5 :D I_a to '0 VI 3 O 00701206.CMG tla 0.) 0- I p O p IJ EFTA01329592 SDNY GM 02757808 SUBJECT TO PROTECTIVE ORDER PARAGRAPHS 7, 8, 9, 10, 15, and 17 EFTA_00244730 EFTA01329593 SDNY_GM_02757809 SUBJECT TO PROTECTIVE ORDER PARAGRAPHS 7, 8, 9, 10, 15, and 17 EFTA_0024473 I EFTA01329594 SDNY_GM02757810 SUBJECT TO PROTECTIVE ORDER PARAGRAPHS 7, 8, 9, 10, 15, and 17 EFTA 00244732 EFTA01329595 Pill PH/-S76-!Cd.00B, 2001SE Evangeline Thruway Revision A Lafayette. La. 70308 February 21. 2014 .4ppendir B Figure B-2 TDR-94D Dual System, Electrical ITEM I QT I Part Number Nomenclature I I 6284660.001 MATING CONNECTOR KIT 2 2 MS25036-149 TERMINAL LUG, CRIMP 3 AR 628-8664-001 BLOCK, MOUNTING 4 AR 343-0133.000 SCREW 5 AR 17443 LAMP 6 AR 372-2514-110 CONTACT 7 10 MS25036-103 TERMINAL LUG, CRIMP 8 I PHID-1828 DECAL 9 AR M39029/5.115 CONTACT 10 I M39029/63-368 CONTACT II IS D-436-82 WIRE SPLICE 12 I 0-434-83 WIRE SPLICE 13 1 030-1975-007 CONTACT 14 AR M39029/22-191 CONTACT IS AR M39029-101453 CONTACT 16 I M39029/5-115 CONTACT 17 I PHID-1916 DECAL IS I 622-9672-104 MOUNTING TRAY 19 I PH1D-1741 DECAL 20 1 95-XX-I 7-HI-ElBKL ANNUNCIATOR CAP (number 2) 21 2 AG247000-01 GASKET 22 I 95-40-17 ANNUNCIATOR BODY 23 I PHID-1756 DECAL 24 I PH1D-1914 DECAL 25 AR M23053/I3-012-0 HEAT-SHRINKABLE TUBING 26 AR 311601 COAXIAL CABLE 27 AR M39029/22-192 CONTACT 28 AR 18-215 SEALING PLUG 29 I M12883/53-00I MOUNTING TRACK 30 AR MI7/I I3-RG316 COAXIAL CABLE 3451CB2 I MS3320-3 CIRCUIT BREAKER 345ICTI AR 822-1807-004 TRANSPONDER CONTROL 3451DS2 I 95-40- 17-H1-EIBKL ANNUNCIATOR ASSEMBLY (cap & body) 3451E3 I DMN150-64 ANTENNA 3451EA I DMNI50-6-2 ANTENNA 3451K2 I M83536/2-028M RELAY 345IRV2 AR 714-3258-020 VARISTOR 345 ITR2 1 622-9210-550 TRANSPONDER 345IW2 I PH1476-1320541 CABLE ASSEMBLY 3451XDS2 I 18-200 CONNECTOR MODULE 345 I XK2 I M12883-52-001 RELAY SOCKET RIO 0070120A SDNY_GIv102757811 SUBJECT TO PROTECTIVE ORDER PARAGRAPHS 7, 8, 9, 10, 15, and 17 EFTA_00244733 EFTA01329596 SDNY GM 02757812 SUBJECT TO PROTECTIVE ORDER PARAGRAPHS 7, 8, 9, 10, 15, and 17 EFTA_00244734 EFTA01329597 PHIInc. PlitS76-1CA-0005 200! SE Evangeline thruway Revision A Lafayette. La. 70508 February 21. 2014 Appendix B , c•-!' FigUre 8-2 -.; :' p .: ;: .1, Waicijit:tilt ,-.4.:Ci•,31 r4ti - ri . .4. :: /TDR-94D Dual System, Electrical . 't ;:, 4 ..4k ',. :::::reicC; ITEM : QT • :.•:. Part Nisiiiliei-a. 14S1. 4 " &N0ITIellelaillier, e r .. PI7IR AR ; 634.1I I 2-00 I -,^=r ".V8444,, '41 CONNECTORI1 /2, ii:k. a , .8>514A.1- -''2 r"c--; PIDSR I - CTR922, I- .' O-NC.CONNECTOR14 ` . . -- P11386R ' , AR 634-1112-001 CONNECTOR.. , ., . PI 887R I CTR922 . TNC CONNECTOR :-.._7, - i- P I D0R I CNS922 TYPE N CONNECTOR P1892R I 4 CNS922 TYPE N, CONNECTOR.. ')n- P792R AR MS3476W20-4 I SY CONNECTOR; CRIMP CONTACTS ' 11534-X AR CTJI22E0IC TERMINAL JUNCTION MODULE QT — Quantity AR- As Required ALT — This part is an alternate to the preceding pan Et I I 0070120A SDNY_GM_02757813 SUBJECT TO PROTECTIVE ORDER PARAGRAPHS 7, 8, 9, 10, 15, and 17 EFTA_00244735 EFTA01329598 SDNY_GM 02757814 SUBJECT TO PROTECTIVE ORDER PARAGRAPHS 7, 8, 9, 10, 15, and 17 EFTA_00244736 EFTA01329599 t .0 LL As Ks x1242 agh5l 4.428 al!! ) i I A 2 2 ilApe ! W I IPsY1 .1! i M i roll IP i yy 2 I is o ; ! il e:! 11; ;ft 2.4 orIg VI '; ! 4 4 p glf 4 e E se 1 !PI •v; s I II 1 i li i ;1 Xli k ke Y g i! 5°! • 4 - .4 grt elt; liI g i i ! . e s 'kE v g -6 !pig ! ggqi g Egigl iSi I 1 ! ie3 ! i g i d 1 I 2 I t i yr* 1 1 •vi !!! tr: I I IX; 1 I ! op irt! i b 2' 6 i I I Ex 6 43 4i !gt-f I i I i ZEE 1 EF1 ; 4 i i a 21 imwormilmM2R i nt 416444 i a3 lani 2 ; ..ee; 1 i4 tr - ;Ii;1 / 4O0 PX rem . . Ww 4 ? M; i / tl 0 D Z0 I' A - 4pg ;;; H it 0 1 NI;I ! 1 . - 4= Fi.b ! I : st. g ; v gm ; 1. 2 EV:P i§ I OA • ha g I I ; YR AIEEY i I i i 5 Sc.! =AAA AAA AAAA AAA 8 SDNY_GM_02757815 SUBJECT TO PROTECTIVE ORDER PARAGRAPHS 7, 8, 9, 10, 15, and 17 EFTA_00244737 EFTA01329600 SDNY_GM02757816 SUBJECT TO PROTECTIVE ORDER PARAGRAPHS 7, 8, 9, 10, 15, and 17 EFTA_00244738 EFTA01329601 to 0 L.- PIII.SAWCA.0003 H 209Ill:e.erder Moir, REVINION A Lnine.v. rt.e..7rn NI I AKtVPI%S 000 vac awe -0 I.E4 I Ma, 7Z, yi:tigartt—h CliEB3ITED 0 KIES. MI ID bit MAD a 0 SI CIO SOJI OM 13)- f t>=7600 rn 044 ©L,2 i• 14 Itri•CA 00[>ilat I 264Srlittt UNA at3 164000 a AVG IV li lt' Aparennonas mei Loweertare • LSO ON6 kleelftellal. AW evict rn O C e2 4.6 c. 'CH tt : TgekirofitIsuligsrstrw' 1. Linrjr;Itg.c 7Z, r -el An in- it =tar r' C Wtsta," i rn 22 Waal rot 0 OJC•8 lastla Pram -O ▪ I I I M. aj NAM OM e mi nitcl l ona Iivilt>{r====.- anxix— 7S untsferbilig tci =Mg ligra" AMMO IAD O \-0 'tea C -eSzin•ee guns. • latrt ObM 00.00, -O to y It Ii M 3 FIGURE B-2 Transponder System 2 Oz St a S MOM Can SHEET 1 of 5 Ul Im 0 00701200 DWG all 0.) Zji CD_ r, i-a EFTA01329602 6ELtrZOO- V.U3 SDNYGAL02757818 SUBJECT TO PROTECTIVE ORDER PARAGRAPHS 7, 8, 9, 10, 15, and 17 EFTA_00244740 EFTA01329603 to CO L_ tilt Ave ItS74ICA.04.$ H 1001 SL LSsvicreior Tbrwer, REVAIOPI IN LaAnnie la 7056.1 &two" 4. 20Il AMAMI. -O O rn ANNUNCIATOR n 343IDS2 ;glee I 345IXDSE le@ CAILE ASSOTILTI 345112 2-PAIG (6•/—, el P14922 PILOT ANNUNCIATOR OWNER rn Z-AWG 32 132022 VT 5 WC DM CIO VOC 2-4G (V 22-ANN C6')--, 2-ANN CPl)-3 73) C rn I . 2 WON OA/VAIN ®®el 34511(2 I I 3451Xx2 ICI ®Ina-RI -O ESX 15RAW1 000 2SX-1nA22 3431182 1 No, 2 TOR-540 2SX 133422 (i)l P1712 j TRANSPONDER xp (Al 2S2 131Ata 31 PALLT POSITOR OUTPUT Gl 212 136A2211 0•11006 RE INTIGRATID INSTRIANNT MILO Slit 11 P 74517 -O KNOT( DATA AWNINTION WIT! P6D9 I LOW TEST OUTPUT 24 -L121A22- — — --WARMS-D-22- —A— -L121122- — —A— -.PPRP745-27-22- — — - 27 - — Co FIGURE B-2 Y) Transponder System 2 I_am ADS-B Fail Annunciator Oz SHEET 2 of 5 FR IG) 00701706.0WO 1114 C0 Z31 CD- al i-a I fLtti0O-VIda EFTA01329604 SDNY_GM 02757820 SUBJECT TO PROTECTIVE ORDER PARAGRAPHS 7, 8, 9, 10, 15, and 17 EFTA_00244742 EFTA01329605 to co n PHIAL' PIII4764CIAlb31 H :iv), SC C•wyeeme Anon) IttnIJON A LAntnr. la 7O,A, filwifflrr:I.2011 H APPENDIV -0 Eat annul 312132 0 000 H 345'112 IN. 2 TC41-940 rn TRANSPONDER r• I Pala-% 18 01 PISA I ca, PUT D as ts 42,429 p 144 Am DATA t_ -ermanat—r _erstottaa 'm aul ALT I>. GONPUTER 345ICTI 2SP361•224-1 GG44 I—NO cn.-92E TRANSPRNDER r pm,* 10 canna v¢ IN MaIN. 2 G ▪ 2SECOIDe2-4 Calriro 252030422 at t3 GIRL Guy • R> ccgana iZ t 255031.22 12.0 24 CTRL WT I 0 G.._ CONTROL WT PA N -251O32A22 WI 13 QV Wal k rn pi-- COMM WI 21 251033•22 RU 14 429 TIM IN 3D ecc 0.1 GG4le J-2510063•2204 -0 AwG Un— 4I ALT _Aut ASO AVG ES• 22 (6. )__ 42 ALT TYPE ASI z_AvG "e t__ 43 Nix AIRSPEED 22-AvG (6')— 44 MAX AIRSPEED 3D 45 MAX AIRSPEED 22-AvG (6•/— 46 501 Dan A 47 SRI Dan D e-ANG WY-- 52 STRAP gap 53 DISABLE GPS INTEGRITY LIMIT % CtinfrA421 Wan - 3D LIPPER - AMENNA I pin I ja, -0 Ci 4 IEDI 3451(4 1511020 311601 (25 ED- 0=OUPPER NOrin LOME ANTENNA PINPOR =GIN N>01 351E3>=3=11-2SX101A-3DEOI CI' ay C —.• DKR ANTDom Co FIGURE B-2 cO Transponder System 2 CTL-92E Control Interface to SHEET 3 of 5 Oz '0 O CO/Ol200 ONG als V CL 1-1 EFTA01329606 EtLitZ00-VIi3 SDNY GM 02757822 SUBJECT TO PROTECTIVE ORDER PARAGRAPHS 7, 8, 9, 10, 15, and 17 EFTA_00244744 EFTA01329607 co rn n PM Mt fIllaNICANNO5 H NOW NE EBBywiine risnawar E£YAWWN A Lalunor. Ls AUK Amin. 11. 70" H APPENDIX a -0 COI a. PM. - NAL AtIONCII WPC no 0 1014-1. • SPAYS sono. H MILICIECCOME rn nos aeon Al Y {on DATA A 1011•C 743A DATA On ATA $ IOC n H rn 31 /*INC W OJTIUT PCill 3 0 rn 3D -0 7s VMS TIMMIOX KO* 3D I Ida/ 1CAll AINICILY SS® -0 to 04 FIGURE B-2 Transponder System 2 So 041 UNS-1Fw Interface SHEET 4 of 5 .90 NIn SD 2 'O O 0070I 20, OWG 016 CD_ t,' 5fLtti0O- V.Li3 EFTA01329608 SDNYGM02757824 SUBJECT TO PROTECTIVE ORDER PARAGRAPHS 7, 8, 9, 10, 15, and 17 EFTA_00244746 EFTA01329609 PH(. few PIII4744CA.MIPS M0I St tavaaohur Ana.) RICYLVON A H &Nueva?). MU Loiarrut La 711,05 APPENDIX A H 0 H rn n rn cocun MAME rn O(C4110) BLOCK G02 -0 MONO ACC( TERMIAL AACIOA a a KAY 345122 NOM -o IA 2 1M-110 TRANISPONDER Co FIGURE B-2 TRANSPONOCI Transponder System 2 =alba SHEET 5 of 5 cn .9 -42 low-4 mansttra( 2 POWItIt 0101140 F-1 '0 3431052 I W. (OMIN) to 3 2 C0701200.0.220 uv = ;34, m I8 IJ p EFTA01329610 SDNY_GM_02757826 SUBJECT TO PROTECTIVE ORDER PARAGRAPHS 7, 8, 9, 10, 15, and 17 EFTA_00244748 EFTA01329611 PRO STAR Federal Aviation Administration Aircraft Registration Branch, AFS-750 P.O. Box 25504 Oklahoma City, OK 73125 Attn: Please find enclosed FAA Form 337 for the following aircraft: Registration: N722JE Make: Keystone Helicopters Model: S-76C Serial No.: 760750 Thank You, John Driscoll Pro Star Aviation Manchester Airport 5 Industrial Drive Londonderry, NH 03053 E-mail: 603 627-7827 Voice ax Pro Sky AvioHon. LIC.. 5 IndusIdol Drive. Londonderry, NH 03053 U.S.A. CRS RP6UR0067 Bus: 0031 627.7827 I Fax: (603) 627.7801 I gRostaoTlalion.com STC 0DA •O0A-R3fl3.NE SDNY_GM_02757827 SUBJECT TO PROTECTIVE ORDER PARAGRAPHS 7, 8, 9, 10, 15, and 17 EFTA_00244749 EFTA01329612 SDNY_GM_02757828 SUBJECT TO PROTECTIVE ORDER PARAGRAPHS 7, 8, 9, 10, 15, and 17 EFTA_00244750 EFTA01329613 I Font to exatonc Astro wren Se% USC4Oweactr MAJOR REPAIR AND ALTERATION Ora No 2n04020 2r2142(ii I or Minis. Oar of Minsormse. (Airframe, Powerplant, Propeller, or Appliance) Faded AWN.. AdnirSsitalial INSTRUCTIONS: Print or type as entries. See Title II CFR §43.9. Pan 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 penaey for each such violation. (49 U.S.C. §46301(a)) Nationally and Registration Mark Serial No. N722JE 760750 1. Aircraft Model Series Make SIKORSKY S-76 C++ Name (As shOWn on registration certificate) Address (As shown OA regietaaron certificate) AOSviii 151 FARMINGTON AVF 2. Owner cw HARTFORD awe CT ASI WINGS 74, 05156-0001 cote( USA 3. For FAA Use Only 4. Type 5. Unit Identification Repair Alteration Unit Make Model Serial No. 0 AIRFRAME (As described in Item I Obeys) O 0 O POWERPLANT O O PROPELLER Type CI APPLIANCE O Manutacturer 6 Conformity Statement A. Agency's Name and Address B. Kind of Agency Writ StOVP lahlrintiri ,/ U. S Cenecated methane I Manulacturer menu 33 Barrett road Focnin Certacared Mechanic C. Certificate No. ca. Fnfietd Soy CT Ceitirkated Repair Suwon ru 06082 cam, USA Cedireated Maintenance Organization A+P 3529533 0. I certify that the repair and/or alteration made to the unit( ) identified in item 5 above and described on the reverse or attachments hereto have been made in accordance with the requirements of Pad 43 of the U.S. Federal Aviation Regulations and that the information furnished nerein is true and correct to the best of my knowledge. Extended range fuel Signature/Date of Authorized Individual per 14 CFR Pan 43 O App. B Steve Jablonski / ,,,e, 07/18/2013 7. Approval for Return to Se ' e Pursue t to the authority omen persons specified below, the unit identified iten, 5 was nspected in the manner prescribed by the Administrator of the Federal Aviation Administration and is 9 Approved O Rejected FMFt Standards Person, ApprOved try Canadian Inspector Manufacturer Maintenance Organization Departmental Transoon BY Other (Specify) FM Designee Repair Station 1/ Inspection Authorization Gem Cate or SignatureiDate of Authorized Individual Designation No. IA 3624479 Charles Breese O2118/2013 00e) SDNY_GM_02757829 SUBJECT TO PROTECTIVE ORDER PARAGRAPHS 7, 8, 9, 10, 15, and 17 EFTA_0024475 I EFTA01329614 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 Of more space is required, attach additional sheets. Identify with siraah nationality end registration mark and date wont completed) N722JE 07/12/2013 Nationality and Registration Mark Date TT: 857.2 Complied with Sikorsky aircraft corporation mandatory alert service bulletin No.76-76.7 Title: Engine Control- One time incorporation of friction devices within the engine control quadrant assembly. Performed engine control lever lever friction check, throttle position check, and engine control quadrant re- identification. All work done IAW Sikorsky ASB 76-76-7 instructions. No change to weight and balance. See attached ASB for details. Charles Breese IA 3624479 End- El Additional Sheets Are Attached FAA Form 337 ulnae/ SDNY_GM_02757830 SUBJECT TO PROTECTIVE ORDER PARAGRAPHS 7, 8, 9, 10, 15, and 17 EFTA_00244752 EFTA01329615 Form Appro., Delionic Truarg Wit. OMs,* ziz000zo 0 2125/Oil pprFnpm MAJOR REPAIR AND ALTERATION et FAA ue•Onty olturnmeaten (Airframe, Powerplant, Propeller, or Appliance) keen. Artists AMInisration INSTRUCTIONS: Pnnt or type all entries See Title 14 CFR §43.9. Part 43 Appendix B. and AC 43 94 (or subsequent revision !tiered) for instruotiOny and disposition of this form. This report IS required by law (49 U.S.C. §44701). Failure to report pan resit in a dull penalty for each such violation. (49 U.S.C. 5463O1(a)) Nationally and Registration Mark Serial No. United States Of America N722JE 760750 1. Aircraft Make Model Series Sikorsky S76 C++ Name (As shown on registration certificate) Address (As shown on registration certificate) meal. 151 Farminotnn Ave 1 Owner Sias CT ASI Wings LLC car Nallf2G1 59 06156-0001 cam USA 3. Foe FAA Use Only 4. Typo 5. Unit Identification Repair Alteration Unit Make model Serial No 0 AIRFRAME (As describes:let Item 1 above) O O El POWERPLANT O O PROPELLER rum Ill D APPLIANCE ManufaCture• 6. Conformity Statement A. Agency's Name and Address 8. Kind of Agency maw Amnrialsrl Airrraft Arnim Ino U S ConleaUxl Leather* L Manufacturer ram 32 Griffith Way. Dutchess County Airport Corny Certificated Mechanic C Cenificate No. c* Wagoimas Falk sm.. Nay Ynek i Cenncseed Ryser Sueon FAA CRS-AYPR340S a, 12590 Cant" USA Certificated maintaname Oriamitaro Limited Airframe S76 D. I certify that the repair andlor alteration made to the unit( ) identified in item 5 above and described on he reverse a attadwnents hereto have been made in accordance with the requkernents of Part 03 of the U.S. Federal Aviation Regurations and that the information furnished herein is true and Correa to the best of my knOvAedge. Extended range fuel SignaturerDate of Authorized IndMdual per ta CFR Part 43 O APP. a 61Moked 0 rat ir -- Michael Hage, April 29, 2013 7. Approval for Return to Service Pursuant to the authority given persons specified below, the Lint identified in item 5 was matted in the manner prescribed by the Administrator of the Federal Aviation Administration and is O Approved . Rejected FM Fit. Standards nations Manvea byCanadian Manufacturer Maintenance Organization Inspect., Deperenent or Transom BY Other (Specify) FM Designee I Repair Station Inspection Authorization CAM Kate or Signature/Date of Authorized Int:Pa:Nal Des, nation No. FAA CRS-AYPR340S ...-- -ii. ..- Tony Tirone, April 29, 2013 FAA Form 337 raa, SDNY_GM_02757831 SUBJECT TO PROTECTIVE ORDER PARAGRAPHS 7, 8, 9, 10, 15, and 17 EFTA_0O244753 EFTA01329616 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. a. Description of Work Accomplished of more space is men( wrath additional sheet !denrN, eih aircraft natronality andnips:taboo math and date biotic compbtect) U.S.A N722JE April 29, 2013 Nationally and Registration Mark Oale Repair to Sikorsky 576C, N722JE, 760750 0 Aircraft TSN: 763.5 Removed original equipment Marathon #SP-376, Ni-Cad battery P/N: 30596-0001, SIN: 9702342 Q STA 264, -83-lbs and installed FAAPMA Concorde Battery. Valve Regulated. Sealed Lead Acid Battery, PIN: RG-380E144, SIN: 40545254, in accordance with Falcon Crest Aviation Supply, STC #SR09050RC, per the supplied S76 Installation Instructions and Drawing List #1, STA 264, +86-lbs an increase of +3-lbs. The Aircraft Weight And Balance Chart-A and Chart-C has been revised to incorporate the +3-lb weight increase for this alteration. The Falcon Crest Rotorcraft Flight Manual Supplement has been incorporated into the Flight Manual. A copy of the Concorde Battery Corporation, Instructions for continued Airworthiness, Component Maintenance Manual No: 5.0171, has been provided and incorporated into the maintenance inspection program. A copy of the Concorde Battery Corporation, RG-Series Battery Owner 8 Operator Manual No: 5-0324. has been provided. Aircraft Total Time: 763.50 Landings: 1.528 Pertinent details of this repair are of file at this repair station, Associated Aircraft Group, FAA CRS-AYPR340S Under Work Order # 4223-04-2013. NOTHING FOLLOWS E(Addikonal Sheets Are Attached FAA Forni??7oote) SDNY_GM_02757832 SUBJECT TO PROTECTIVE ORDER PARAGRAPHS 7, 8, 9, 10, 15, and 17 EFTA_00244754 EFTA01329617 •Priteb Stara p it Attila • !enactment of transportation -31fdrerat pitiiatigm Ahminislration 1.. c.... $upplattental Qiertifiatte .4 724.71.4"3R09050RC .43./'aepleas /3..Weemeip Falcon Crest Aviation Supply, Inc. 7798 Braniff Houston, Texas 77061 arlejeas da *ear rib 44 ire oesiellafr AdAttod;riv asat LnhrSnsame . . .4 ,414.-a.sratrigmanwanseaa araootanalA ar a.Ayneysa t att9.9,>44.9heetrl Swan Apana ariaalandaw - ffn e SIvirofaamors-.• HINE .41;a4 Sikorsky S-76A, B, C .426ww0w‘e,AiwpARWO,RZolpo' Installation of Concorde valve regulated sealed lead acid battery P/N RG300E/40 in accordance with Falcon Crest Aviation Supply, Inc. 5-76 drawing number 1, dated September 22, 1995, or later FAA approved revision. ginelaapeetaeavesse Rotorcraft Flight Manual Supplement (RIMS) dated November 3, 1995, or later FAA approved RPMS must be installed. Compatibility of this design change with previously approved modifications must be determined by the installer. gi4 orieraza ara Jeferoatir 444% a Mi14 teaa,A.n ......i.sez.,4,0franie JeAnkleetsd Jaanaleidatt04424n. ral:A(4.9,44i/ 044Y040 esdalateatifo a•• agernei V24.9- 04,raviriendtkiniemletatas agail4ppelom4eo.. August 30, 1995 Aatrameadieww(. Res4.,..A.vesete.• November 3, 1995 ems enwpote: (Seowum Carl F. atittag, Rotorcraft Cert gouthwesE Reg Ida) ti Any alteralan oftAls cerrylcate spank/table by On ofra coseang 54004 or Sprisostast not tweeding sumo,Mk. FAA FonAlI.1040 Urn 774.5catgleols may be emendIn accordance with FAA 21.47. SDNY_GM_02757833 SUBJECT TO PROTECTIVE ORDER PARAGRAPHS 7, 8, 9, 10, 15, and 17 EFTA_00244755 EFTA01329618 SDNY_GM_02757834 SUBJECT TO PROTECTIVE ORDER PARAGRAPHS 7, 8, 9, 10, 15, and 17 EFTA_00244756 EFTA01329619 CONCORDE BATTERY CORPORATION COMPONENT MAINTENANCE MANUAL Re SERIES MAIN AIRCRAFT BATTERY TESTING AND FAULT ISOLATION 1. Capacity Testing to Verify Continued Airworthiness A. Batteries Used to Start Turbine Engines: 1. Operating less than 1000 hours per year. a. Initial check at 12 months after initial installation (± 1 month). b. As long as the capacity is above 90%, subsequent capacity checks every 6 months in service (± 1 month). c. If the capacity is between 85 and 90%, subsequent checks every 3 months in service (± 1 month). d. If the capacity is less than 85%, remove battery from service. 2. Operating 1000 hours per year or more: a. Initial check at 1000 hours after initial installation (± 100 hours). b. As long as the capacity is above 90%, subsequent capacity checks every 500 hours in service (± 100 hours). c. If the capacity is between 85 and 90%, subsequent checks every 250 hours in service (± 100 hours). d. If the capacity is less than 85%, remove battery from service. B. Batteries Not Used to Start Turbine Engines: 1. Operating less than 1000 hours per year: a. Initial check at 12 months after initial installation (± 1 month). b. As long as the capacity is above 90%, subsequent capacity checks every 12 months in service (± 1 month). c. If the capacity is between 85 and 90%, subsequent checks every 6 months in service (± 1 month). d. If the capacity is less than 85%, remove battery from service. 2. Operating 1000 hours per year or more: a. Initial check at 1000 hours after initial installation (± 100 hours). b. As long as the capacity is above 90%, subsequent capacity checks every 1000 hours in service (± 100 hours). c. If the capacity is between 85 and 90%, subsequent checks every 500 hours in service (± 100 hours). d. If the capacity is less than 85%, remove battery from service. NOTES: 1. THE CAPACITY CHECK INTERVALS SPECIFIED ABOVE ARE GENERAL RECOMMENDATIONS SUITABLE FOR MOST APPLICATIONS. THE INTERVALS MAY BE ADJUSTED FOR A SPECIFIC AIRCRAFT OR FLEET ONCE THE AVERAGE BATTERY LIFE IS ESTABLISHED. 2. CAPACITY CHECKS ARE OPTIONAL IF THE BATTERY'S FUNCTIONALITY DOES NOT AFFECT AIRWORTHINESS OF THE AIRCRAFT. Page 101 24-30-71 Mar 15/2012 SDNY_GM_02757835 SUBJECT TO PROTECTIVE ORDER PARAGRAPHS 7, 8, 9, 10, 15, and 17 EFTA 00244757 EFTA01329620 SDNY_GM_02757836 SUBJECT TO PROTECTIVE ORDER PARAGRAPHS 7, 8, 9, 10, 15, and 17 EFTA_00244758 EFTA01329621 Falcon Crest Aviation Supply, Inc. 7798 Braniff Houston, Texas 77061 FLIGHT MANUAL SUPPLEMENT :FOR SIKORSKY MODEL NUMBERS S-76 A, B & C CONCORDE RG380E/40 wave:am REGISTRATION NO: M722.3E SERIAL NO: 740150 This supplement shall be attached to the Sikorsky S-76 A,B,&C, FAA approved flight manual when the Concorde RG380E/40 batteries has been installed in accordance with SIVOISR09050RO The information contained herein supplements the information of the basic flight manual. Per Limitations, Procedures and Performance Data not con- tained in this supplement, consult the basic flight manual. LIMITATIONS: Any limitations regardingnicieircadmium battery operations are no longer applicable. Placards indicating that lead acid batteries - 'are now in use must be installed. NORMAL OPERATING PROCEDURES: Any procedures regarding nickel-cadmium battery operations are no longer applicable. EMERGENCY PROCEDURES - BATTERY OVERHEAT: The battery overheat warning system has been made inoperative with lead acid batteries installed in place of nickel-cadmium batteries, and these emergency procedures are no longer applicable. PERFCRMANCE DATA: Pb change F.A.A. APPROVED: da.xr,01-4- e Manager Rotorcraft Cert- b _ ification Office Federal Aviation Admin. FAA APPROVED: SDNY_GM_02757837 SUBJECT TO PROTECTIVE ORDER PARAGRAPHS 7, 8, 9, 10, 15, and 17 EFTA 00241759 EFTA01329622 SDNY_GM_02757838 SUBJECT TO PROTECTIVE ORDER PARAGRAPHS 7, 8, 9, 10, 15, and 17 EFTA_00244760 EFTA01329623 . 0101M 1Sle0 CO litArattEDERAL iiCatilelPaTal STANDARD AIRWORTHINESS CERTIFICATE --- K722JC • aornervs04.•••• Pia g• 0.140.••••• •• en used. lasts bowie. • rims.° l•••• Nom Ow Palma. asanins.• Mil 00•••• PoSen• impIC Wood ass One 01.. eitsCe 8-12/08/20W3 non eis it. , 10 , 11 ••••Pw ow.o L =mei inn /PLOYS war FAA Fain 81002 u 0.0100 'Yen SDNY GM 02757839 T TO PROTECTIVE ORDER PARAGRAPHS 7, 8, 9, 10, 15, EFTA 00244761 EFTA01329624 SONY_Gb.4_02757840 T TO PROTECTIVE ORDER PARAGRAPHS 7, 8, 9, 10, 15, EFTA 00244762 EFTA01329625 OWAS.M. 0 0 CF VIWISPOITTItgrt=, I .004 ANSE SIWCIC. STANDARD AIRWORDIINESS CERTIFICATE X s sato son Itenarm ,..nie••••• W•oni.O. taine•••• ▪ reIWOMO 4••• Maw 'No ea ail.. OPAIMIO •••••••••••••••••1 , • *617 08,2008 ✓ein 00 .• 'VP Olt CHITA On NICIPAmOwS - FAA !win1100.2.te. GIO US mo.inwK-i.00w-400 SGAY GM 02757841 r TO PROTECTIVE ORDER PARAGRAPHS - 7, 8, 9, 10, 15, EFTA_00244763 EFTA01329626 I ► SONY_GM_02757842 ..* 1 TO PROTECTIVE ORDER PARAGRAPHS 7, 8, 9, 10, 15 EFTA_00244764 EFTA01329627 From Apropos proormc Tracking runcor Owe re> 2.204020 l e us Csonwt MAJOR REPAIR AND ALTERATION 2,21401, or FAA Ufa only of tramemaron (Airframe, Powerplant, Propeller, or Appliance) roan, smarm AdmIrdiltratlen INSTRUCTIONS: Print or type all cranes. See Title 14 CFR §439. 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 wolahon. (49 U.S.C. §46301(a)) Nationality and Aegistratom Mark Serial No. N722JE 760750 1. Aircraft Make Model Series KEYSTONE HELICOPTER S-76C Name (As shown on repstranon certificate) address (As shown on regeseeton certificate) Adean trrt FMII K an STF 7(17 2. Owner Cr Wit MINGTION Si*67 DE FREEDOM AIR INTERNATIONAL INC Zro 19803-3742 carry USA 3. For FAA Use Only 4. Typo 5. Unit Identification Repay Mershon Unit Make Model Serial No. • AIRFRAME (As describedin item I *ben) TA 0 0 POWERPLANT 0 0 PROPELLER Type 0 0 APPLIANCE Manufacturer 6 Conformity Statement A Agencys Name and Address B. Kona of Agency Nn Pm Star Aviatinn U.S Cartficalea Mechanic I Manulacturer Awn. Manchester Amon 5 Industnal Drive Foreign Cessono Memaivo C. Certificate No. cay I norkinderry pm, all( i taruticated Repay Saban bp 03053 GIP", USA tenrcau4 0nbliOunc• mosattwon CRS* P6UR006Y 0. to:edify that the repay and/or alteration made to the unit( ) identified in item 5 above and described on tne reverse or attachments hereto have been made in accordance with the requirements of Pad 43 of the U.S. Federal Aviation neguishons and that the information banished herein is true and correct to the best of my knowledge Extended range fuel Signature/Date of Authorized Individual per 14 CFR Pan 43 O APO El t-`tt--r-7; 5C'— CAA/Incl._ OH — I Li''" l) 7. Approval for Return to Service Pursuant to the authority g teen persons specified below. the unit identified in item 5 was nspeaed in the manner prescribed by the Administrator of the Federal Aviation Administration and is 2 Approved p Rejected FM Flt. Standards Parsons Approved oy Canadian InspectOr Manufacturer Maintenance Organization Oaparanent of Transport SY Inspection Authorization Other (Specify; FM Designee I Repair Station Certificate or SignalurefDate of Authorized Individual Designation No CRSit P6UROO6Y C e5. --- . 5"'"..--Q------ Sc 1317 Skft MEL__ (Pi ^ 1`i— 1) FAA Form 337 i10-06, SDNY_GM_02757843 SUBJECT TO PROTECTIVE ORDER PARAGRAPHS 7, 8, 9, 10, 15, and 17 EFTA 00244765 EFTA01329628 NOTICE Weight and balance or operating Mutation 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 (II monk space u required. atttann additional sheets identity web aircraft nationaley and regnaretiOn mark and date work corm:Wed.) N722JE 04 -IN- /1 Nationality and Registration Mark Date Installed a Sandia altitude encoder, p/n 305154.00, s/n 11035. electrical interface for TCAS function of the Garmin GMX-200, and enabled the terrain function of the Garmin GMX-200 I.A.W. Pro Star Aviation STC SR00264B0 with deviations documented on Pro Star Aviation, DER approved drawing 2649 *GMX 200 MFD MOD WIRING DIAGRAM", Rev. IR dated 04/11/11. Performed post installation test I.A.W. the applicable sections of the post installation test document 20677-PTP-01. Rev. D dated 11/24/08 with no faults noted Removed the existing Sikorsky RFMS No. 48 Rev. 2 dated 06/22/07 and installed Pro Star Aviation RFMS 20677- fms-01 Rev. A dated 12/04108 into the Flight Manual. Provided the customer with with Instructions for Continued Airworthiness document 20677-ICA-01 Rev. B dated 05/20/08. The equipment list supplement and the helicopter weight and balance have been updated to reflect the work performed. Pertinent details of work performed are retained in Pro Star Aviation, LLC work order number 21050. END 0 Additional Sheets Are Attached FAA Form 337/mai SDNY_GM_02757844 SUBJECT TO PROTECTIVE ORDER PARAGRAPHS 7, 8, 9, 10, 15, and 17 EFTA 00244766 EFTA01329629 OME041411.00i U.S DEPARTMENT OF TRANSPORTATION DATE FEDERAL AVIATION ADMIMSTRATION 04/14/2011 STATEMENT OF COMPLIANCE WITH THE FEDERAL AVIATION REGULATIONS AIRCRAFT OR AIRCRAFT COMPONENT IDENTIFICATION MAKE MODEL NO. TYPE 440plane. Ratio. NotapaN Mc) NAME OF APPLICANT Sikorsky S-76C Helicopter Pro Star Aviation Londonderry, NH LIST OF DATA 10F/triFICATiON TITLE Drawing No. 2649 "GMX 200 MFD MOD WRING DIAGRAM Sheet 1 of 1 Rev IR. dated 04/11/11 ------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 and subparagraph listed below as "Applicable Requirements". Compliance with additional regulations not listed here may be required. 2) This form does not constitute approval of all the engineering data necessary for substantiation of compliance to necessary requirements for the entire alteration. 3) This approval covers electrical details only, structural aspects of this alteration are not included in this approval and require separate approval if applicable. 4) This approval is related to modifying an existing GMX 200 MFD and only covers the addition of the traffic interface and the altitude digitizer with deviations to STC SR0026480. — -- ----- PURPOSE OF DATA In support of a Major Alteration for s/n 760750 APPLCAPLE REQUIREMENTS (UM weak scdmns) 14CFR Parts 29.1301(a)(b)(c) [Arndt 29.0], 29.1357(a)(c) [Arndt. 29-42] CERTIFICATION • Under aulnonty vested by direction of the Administrator and In accordance with conditions and Imitations of appsttnem under Part 183 al the Federal Aviation Regulations. data listed above and on attached Sleet numbered N/A nave been examined n accordance with established procedures and found 10 Comply with applicaMe requirements of Me Federal Avisbon Regulations. 0 Recommend approval al New data I IOW) Therefore IS,I Approve these data SIGNATUREISI OF DESIGNATED ENGINEERING REPRESENTATIvE(S) DESIGNATION NUMSERS(S) CLASSIFICATION(S) Douglas M. England DERY-830903-NE Systems and Equipment (Electrical) / FAA Form 81104 (11•70) SUPERSEDES PREVIOUS EOITION ELECTRONIC FORMAT (7-00) SDNY_GM_02757845 SUBJECT TO PROTECTIVE ORDER PARAGRAPHS 7, 8, 9, 10, 15, and 17 EFTA (X)244767 EFTA01329630 SDNYGM02757846 SUBJECT TO PROTECTIVE ORDER PARAGRAPHS 7, 8, 9, 10, 15, and 17 EFTA 00244768 EFTA01329631 • ...Amen, £.O.,taw...team. 2,200120 f i b MAJOR REPAIR AND ALTERATION , .40I06, S r (Airframe, Powerplant, Propeller, or Appliance) re. CAA Use Only 0•0••••~I 0 itanpv.los I1/4 0n•lanis lea.seas INSTRUCTIONS: Print or type all &dries. See Title 14 CFR §43.9. Pan 43 Appendix B. and AC 3.9.1 for subsequent revision thereof) fOr instructions and diSOOSitiOn el dye form. Ties report is required by law (49 U.S.C. §44701). Failure to report can result In a civil penally for each such violation. (49 U.S.C. 946301(a)) Nationality and Registration Mark Serial No N750A 760750 1. Aircraft Make Model Serra Sikorsky S-76C Name (As shown on regrsvatbn certificate) Address (As shown on rogntration maker.) mans 103 Fain Rd 2. Owner Air Ghislaine Inc. Cry Wilmington Sine Delaware be 19603-3742 Casey USA 3. For FAA Use Snly 4. Type 5. Unit Identification Repair Marston Unit Make Model Serial No. ❑ LEI ARFRAt.€ (As described in item 1above) POWERPLANT O O PROPELLER Two O O APPLIANCE Manufacturer 6. Conborm,ty Statement A. Agency's Name and Address B. Kind of Agency Name Ic r NolcoctorCanwaten U S. Certificated Methane 1 lAantelectuier Address '10 Nest Howe Oise Feseign Cenificate0 Llecharic C. Certificate No. Cay ;Danville sips 86_ X Ceninested Repoli Sialita ZO SIR) ,Covey It A A. Cenrceim LiaiNenance Organismic% FAA CRS EGRRS2$0 D. I codify that the repair and/or alteration made to the un4(s) identified in tern 5 above and described en the reverse Or MISCIIMenIS hereto have been made in accordance with the requirements Cil Part 43 of the U.S. Federal Aviation Regulations and that the information furnished herein is true arid coffee to the best of my knOwled Extended range fuel Signature/Date ol Autny,ed Ind . Per 14 CFR Part 43 ) gee ei , - 11 Jan 2010 APO B O Ronald Holley it 7. Approval for Return to Service Pursuant to the authority given persons specified below, the unit identified in it 5 was inspestg in the manna prescribed by the Admnistrator of the Federal Aviation Administration and is 0 A0PrOved 0 Rejected f FAA Fli. Standards Poisons Approved by Canadian MIWIJIMItttf fAlliftlfaXIOgantalon inspector Depanmail el lranspon BY One. /Soo* FM Designee X Repair Stew Pimlico AlAhOOZaten Cenific ale or Sgnalure/Date of Atli prized Individual Designation No. David Celts , c A aC_________ 11 Jan 2010 FAA CRS EGRR526D c.. I FAA Form 337 :006r SDNY_GM_02757847 SUBJECT TO PROTECTIVE ORDER PARAGRAPHS 7, 8, 9, 10, 15, and 17 EFTA_00244769 EFTA01329632 NOTICE Weight and balance or operating limitation changes shall be .meted in the appropriate aircraft record. An alteration must be compatible with all previous alterations to assure continued conformity with the applicable ainyorthiness resquiremeniS 8. Description of Work Accomplished more spec. is required attach additional sheets. identity with secratt nationality and registration mark and date work completed ) N750A 11 Jan 2010 Aircraft TT: 5.4 his rosionany sM Regamon WA Osie Keystone Helicopter Corporation has installed Single Universal Avionics Systems Corporation, UNS-1Fw Flight Management Systems with LPV, in accordance with STC# SR02691NY dated April 30. 2009. Instructions for Continued Airworthiness are found in report no. IC01841. Flight manual supplement FM01841 has been inserted into the Rotorcraft flight manual. An actual aircraft weighing has been performed and the equipment list revised for this installation. Reference Keystone Helicopter Corporation work order number 2760750-1 for work performed. END ❑% Adamonat Snorts Are Attached FAA Form 337 :moot SDNY_GM_02757848 SUBJECT TO PROTECTIVE ORDER PARAGRAPHS 7, 8, 9, 10, 15, and 17 EFTA_00244770 EFTA01329633 Motto'. Sink* .1ARMkit prpartment of transportation — Arberal eaflation l i ll 'strution Supplemental Zu_pe Certificate SI10269 I N V . orriskissrb Abw,i/dir Keystone lidicopter Corp. 110 E. Stereo Huston Drive Coatesville, PA 19320 tentiokt .441/45, jar in /4 /gem des.dowAr toA dalveekrfreen/ne. nv/I etonZu/reasi not/"nava 44"-Aer. vere.Avante eel.' /4 niresnelArno... evytta-nwea.4 efiritel 29 eyea.- Federal AviatiOn . /44/4/rimv. erstame?..0n.G.,./.91,ne IIINE Sikorsky Sod, s-me friver.frkka 1.3 -yer .5frodys raatifer. Installation of a Single Universal Aviaries Systems Corporation UNS.I Kw Flight Managemenl System wills LPV Approach on a Sikmsky S-76C with Honeywell ElY/-756 EFTS in accordance with Keylech Installation drawing Lid IDLO IRO I Revision E dated April DI. 2009. 'Zahm•Yohivro tfasitr'ane./.4-mi.. I. Keystone Helicopter Instructions for Contimied Airworthiness. thiiversal Avionics I.INS-IP% Flight Ma:lap:mein System with I.PV Monitor Installed in Sikorsky ti.76C Airtian. Report No. IC01841 Revision A. dated September 15. 200K is nsquired for this modification. 2. FAA Appoivcd Itainrcran Flight Manual Supplement. Supplemau No. rmoi g4 I Revision -.dated April 29. 2009 FAA appmved April 30.2009 is itquircl for Ibis modificanion. 3. I ocalizer Performance with Vertical Guidance (LPV) approaches in !minim:no Meteorological Conditions (IAC) retiuhcs iwo 4. LPV allowances arc limited in a maximum glideslope of 3.5 ocgre.o. 5. The Installer must determine whelks this design change is compatible with previously approved modifications. 6. If the holder agrees to permit mother person to use this connote to aka a product the hokkr mast give the oilier POSIDO Written evidence of that permission •Yhis ertiOnr..4 amide arpor/fing AS/ teal A /4 Air a /et wierrettJAratenotrati• ..,0e/ owns anern.m4re4 sinew/ewe ern-4..1re IA /evawiathevv AVr A r/hrtrar east4;;Vene4, /4 ..4.ehminedivf/rr ep/a.. • 7roinnte. /44ntal.Vreeter:vt. r,4* ntrp/f4w/eivi.- May 08. 200S (4,/, /1, 6414f/Al. liw./...../4.kw.orci.. April 311. 2009 fink anted.i/drid .4, „4„,,,,:„„ (Signalmo) Anthony Swiss Manager Ncw York Airmail Certification Office (nib) 2.7 337., Cii=eliffirZieVi.PiaiZ:7,31:17."•; iM mytircArrit;;;-- ort -"" 7,4l; SDNY_GM_02757849 SUBJECT TO PROTECTIVE ORDER PARAGRAPHS 7, 8, 9, 10, 15, and 17 EFTA_00244771 EFTA01329634 SDNY_GM_0275785O SUBJECT TO PROTECTIVE ORDER PARAGRAPHS 7, 8, 9, 10, 15, and 17 EFTA_00244772 EFTA01329635 Iem.014.4 COS.... ask...an. we on. 1.:00041 e Orb MAJOR REPAIR AND ALTERATION nosne us 0•0114.1111 (Airframe, Powerplant. Propeller, or Appliance) re. FAA use Only a l.....eaa , soosm000. Aronon INSTRUCTIONS: Print or type all envies See Title 14 CFR §43.9. Pan 43 Appendix 8. and AC 3 9-1 (or subsequent revision thereof) (Or instructions and disposition d this term. This capon is required by law (49 U.S.C. §44701). Failure I repel can result in a Civil penalty for each such violation. (49 U.S.C. §4630k an Nationality and Registration Mark Serial No N750A 760750 1. Aircraft Make Senes Model Sikorsky S•76C Name (As shown on regusvation ceracate) Address (As shown on registration ceedhcate) /bans 103 Falk Rd 2. Owner Air Ghislalne Inc. City Wilmington WO Dclavorc Zip 19803-3742 Coalry USA 3. For FAA Use Only 4. Type 5. Unit Identification Repair Nitration UM make Model Serial No. (As described in from I above) O CO AIRFRAME El El POWERPLANT ❑ O PROPELLER Type ❑ E APPLIANCE Manufacamer 6. Conformity Statement A. Agency's Name and Address 8. Kind of Agency Name Kersenne Helton., Corobabon U. S. Cersecared Mechanic I Manufacturer mown 1io 80.a0 Foreign Cenificated Mananic C. CertifiCa* No. Gay crOies Stale l'a i X Conical." Repair Sioien Zo 13020 Cony U.S A Cenilicasedmantenarce Organization FAA CRS EGRR526D 0 I Certify that the repair and/Or EnteratiOn made to the unit( ) identified in item 5 above and described on the reverse or attachments hereto have been made in accordance with the requirement of Pal 43 of the U S. Federal Aviation Regulations and that the information furnished herein is true and correct 10 the best Of my knowledge. Ecended range fuel SeralurefDate d Authorized Individual Per 14 CFR Part 43 .!. . .- - ll .O App 9 Ronald Holley y‘ in,L .4 . 64 11 Jan 2010 7. Approval for Relurn to Service C Pursuant to the authonty given persons specified below, the unit ideniterl in item 5 was inspected in the mariner prescribed by me Administrator d the Federal Aviation Admintsumion arid is El Approved O Roteded FAAFit Standaids Oolons AtioOved by Carnan Inspector Manulackoir MalralTherg•OrpliolaeOn Daparimere et Tian:oat _ _ ElT caw (scam FM Designee X ReOblr SWAM I ' Aultenalien Certificate or Signature/Dale is( Aut zed Individual Designation No. David Celes Z., 3 d j{:2 . - 11 Jan 2010 FAA CRS EGRR526D - - FAA form 337.m or, SDNY_GM_02757851 SUBJECT TO PROTECTIVE ORDER PARAGRAPHS 7, 8, 9, 10, 15, and 17 EFTA 00241773 EFTA01329636 NOTICE Weight and balance or operating limitation changes shag be entered in the appropriate aircraft record. An Aeration must be compatible with allprewous alterations to assure continued conformity with the appiCable airworthiness requirements 8. Description of work Accomplished II, more space is required attach addition's/Was. /densely with aircraft nationality and registration mark and date work completed.) Aircraft TT: 5.4 hrs . N750A 11 Jan 2010 Nanny and Rig spool min Coca Keystone Helicopter Corporation installed the following equipment in accordance with the listed drawings: 080768708001.1 215 Wall Pallet 080768668002-1/2 215 Wall Equip Install, LH/RH 080768908005-01/02/03/04/05 115VAC. 60HZ, 1KVA Converter to W14 Outlets W/D 080768908006-01/02J03104/05 12 vDC Cabin Outlets W/D Sikorsky Global Helicopter has installed a 115VAC .60 HZ,1KVA Converter to 4 cabin outlets IAW Keystone Helicopter Corp. listed drawing which is identical in function to Sikorsky DWG 33776-83163 with minor deviations. The following maintenance instructions are to be performed every 300 hrs. or annually. 1. Inspect Converter system for damage and security of attachment to Sta.215 wall by disengaging fasteners and removing cover on boxes located in baggage canpartmenl LH and RH. 2. Inspect all cabin outlets for damage and security of attachment on cabin Divans FWD and AFT. 3. Inspect all visible wiring for damage and security of connections in baggage compartment area. All work, as listed in above drawing. has been performed in accordance with FM DER. approved. report number: Structural Analysis-Interiors and Avionics Misc. Structures: ER01859 1, N/Ri dated 01.07.10. and FM form 8110-3 dated 01-07-10. All work, as listed in above drawing, has been performed in accordance with FAA DER. approved, report number: System Analysis-Interiors and Avionics Misc. Systems: ER02193.2.3, Rev. -. dated 11-16-09 and FM form 8110-3 dated 01.08.10. ER02194.2.2. Rev.-, dated 12.22.09 and FAA form 8110-3 dated 12-07-10, ER02190.1, Rev.- dated 01.11.10 and FAA form 8110- 3 dated 01.11.10. Electrical Load Analysis has been performed and the additional loads of the added equipment do not exceed available aircraft electrical power. An aircraft actual weighng has been performed. The aircraft weight and balance records and equipment list have been updated fa these installations. Reference Keystone Helicopter Corporation work order number 2760750/1. ---- ---- —----------------- ------ — — I il Additional Sheets Am Alladhad FAA Form 337 floc* SDNY_GM_02757852 SUBJECT TO PROTECTIVE ORDER PARAGRAPHS 7, 8, 9, 10, 15, and 17 EFTA 00244774 EFTA01329637 DEPARTMENT OF TRANSPORTATION l'CDCRAI. AVIATION ADMINISTRATION [ STATEMENT OF COMPLIANCE WITH FEDERAL AVIATION REGULATIONS T A I.In i rri :Om. AIRCRAFT OR AIRCRAFT COMPONENT IDENTIFICATION ..._ MAKI: I MODEL NO. I WI! oirprane radio RAWL* APPI It .AN I itch:on/et MCI Sikorsky Snit; Helicopter Keystone Hetisivin 'corp...... LIST OF DATA IOCNTIFICATiON TITLE ------ Engineering report no. ER01859.1. NIR -Structural Analysis - Interiors 8 Avionics. Misc. Siiiichii-..• Dated 01.07.2010 For Sikorsky S76C. sin 760750- NOTC3' 1 'I he structural aspect only ot the above data is approved herein. IN,. approval is valid for a Sikorsky S76C. stn 760750 ONLY. 2 The equipment covered by the above data are: STA 255. V3. 300 Nita restraints; EFIS filter restraint; glide slope diptexer restraint: Stacker' OME restraint: CMS equipment (tone generator. primary cabin controller. cabin call controller, and light dimmer) restraint; audio video distributor restraint. instrument/switch panels restraint center console equipment restraint. STA 215 LH pallel equipment (hequency comer let) restraint STA 715 RH pallet 8 equipment (converter) restraint; Heeds bottle provisions restraint; umbrella holder restraint: cabin lights and gaspers 'Astral,* lwrl bulkhead window restraint; switch panel restraint; pilot seat attachment' modification restraint; TCAS access door material change. alt lacing t,ni,:h sent modification. cabin ts'tlei leNifelifliS. C4 tahlipmelim• sensor restraint and IPOD cradle restraint. 3. This approval is engineering design data only and is POI installation a •!Oval. Additional a royal for s stem installation. PURPOSE OF DATA In support of major alteration for aircraft Sikorsky S-76C. On 760750 ONLY. This approval is design data only and is not installation approval. APPLICABLE REQUIREMENTS (LIST OF SPECIFIC SECTIONS) 29.301(29.0); 29.303(29-3): 29.305(8)(29-4 29 307(a)(29-30): 29 309(29.0): 29.337(29.301: n.341{2.4.0) Z9.bbliaLIDL(C)128-0); 29.601(19-0): 29.OU3(29-1 ty. 29.61J1(29-b): 29.W9(29.9); e. 29.isizgai.cniAcor9-:0*, 29.785(a).(b).01(0(29-24) CERTIFICATION Under authority vested by direction of the Administrator and in accordance with cow Simi. and limitations of appointments under Pan 183 of the Federal Aviation Regulations. data listed above :net Qn Attached atoms inniitiviert WA have iltt:Iliatinrined uccurduratu wall estuubslast prikairaw, mail &Naga to compty with applicable requirements of the Federal Aviation Regulations Ej Recommended approval of these data I (wel Therefore 171 Approve these data SIGNATURES) OF DESIGNATED ENGiNEIR DESIGNATION CI ASAIREATI1 REPRESENTATI E Sin II-Auras' Chart John Sotak DERT-955 10-NE 1A. IA 8 9A F Form NI 10.3 SI :PERM I'RI'VXNH FINI II MI LAST6tREPORT DATM760750 Air Gk.:Lin.: 2tRaanitctr Rot dor SDNY_GM_02757853 SUBJECT TO PROTECTIVE ORDER PARAGRAPHS 7, 8, 9, 10, 15, and 17 EFTA_00244775 EFTA01329638 SDNY_GM_02757854 SUBJECT TO PROTECTIVE ORDER PARAGRAPHS 7, 8, 9, 10, 15, and 17 EFTA_00244776 EFTA01329639 II N II.I. WP.I1,71(0,1 rue ZPIIK I MP C: I., ll; WIWI Al avoiraiitmeouriummea ON JAN 20I 0 crATEmper i w (AN I'LlANCK WIT!! Till. lehIDEltAl.AVIATION 12 :GLI II .ATIONS t 'III 'ICA yr ON AIM .ItAIf imairisscut inwriIli. Attois hlACI htti111.1.Nti type r.Ittplaree Mo.Int IttIkvrter. NAME OF AITLICANI Slta tItSKT S-76C !Iclivopier Keystone I Iclicopter Corporation I.IST OF DATA urrierwormh IN TIll.l: I hVg. NO.: 080761m011006 2SV1)C• I 2VDC CONVERTER w/4 OUTLETS W/1) Rev. • dated WI WO Rep011 Ni,.: ERD2 '93.2.3 SYSTEM INSTALLATION INALUATIOhl; 12 VOC Cabin Oullet(s) Rev. - dated 16 NOV NMI) installation in Sikorsky S-76C Helicopter END NOTES: I) The data depicted in the above Indiad thawingskloconicine. including system integration. is ;immix:LI, Ibis appmval is limited to the Systems & Equipment inpmas or Ihe data only as limed Itcrein. 2) ihis approval does Ot.1 include install:nitin testing. Ibis approval is M. might...Ong ikmipt data init.' and is tool of and in itself an 'WWII:Mimi ailvatval. This them dues not in itself et elgiltyle FAA :IPIWOV:II Or:,iI the enziniming design rkita required liar volistanllathy. olcompliaimc Iii emecset y requinattents ror the entire alit:tation II Ittet ME or Mat IA Complia tee findings in support 01a major ;Merin ion for airerali S/N: 760750 only. AITLICAIII Y. It IVII1IICINI:WI S. din specific mvitstt) Title 14 CPR; Chapter I: Subchapter C; Pan 29; Arndt 29-47 §29.130100.(b).(e): §24.133744.(O: 1 29. f35904(r) CERT,Ell:ATI( ire • I /mks Night.,ity mmied by direet inn only Aihninimmor and in IILtinalat nill, VOIrillInlIS :al Irmezeimm at umniautteat muter ran I D or tlw redcoat Avtaiima Repot-16one. 11IIA pixel Awl: and 00 motile° sheets niumbarvil , Moiti4_,...., _ .. lure Emu examined in acconbece %nth emaholiebed PoWCtituv,‘ and 1""iti I" W.ThOY with ,,PrItealote mitsiscommls ,'dike 'Ward Ar ;mien icg.mblions I . Tr:mei.tem 0 jpetimmotil appimeal me Om Jan rAfinwe them; Ilaa %XiNAII ItZf011f DISK ;NAITO FM INliliNIKKI KErkliSENTATIVIV) , IILsK;NATION NI thIIII:R(fI ClASSIFICATIONO David A. Mulliml ""it)a,Lad ,A. 7figi fi a( e DEICE-955064-NE Systems R Equipment A.\ I./wind i Ina ( I I an) NI -I!! le.1 Or.% I Rh\ MPS i.lfl I ION XII• Ix. 3.0 SONY_GM_02757855 SUBJECT TO PROTECTIVE ORDER PARAGRAPHS 7, 8, 9, 10, 15, and 17 EFTA_00244777 EFTA01329640 I SDNY_GM_02757856 SUBJECT TO PROTECTIVE ORDER PARAGRAPHS 7, 8, 9, 10, 15, and 17 EFTA_00244778 EFTA01329641 . • . • . • . - • ISORILL ,AL01•41 11.1EJ.SIMP•I (IX JAN 2n sTATEm ENT OK CI IVIPLIANCE Willi THE FEDERAI.AVIA:rION R .ATII An mil I N. PSI,w. t > tr.; ANY SIKORSKY S•76C 1k:hooter Kc% stow I Iclicoplcr corpor.ltion - LasT Ihn A II 4.14111;1i 'a II•YI I hvg. 11Mt7ounnRoun 28 YIW- I 2V1)l • CI IN V EX 1.1..R n:/4 O1. ITV : is \VA) Rcv. • glaml 518') Report Nu.: CRII2 I q3.2 sysTcto iNsTALLA noro EVAIMATION; I2 VIX.' Cultin nielvt(s) lice. • Alin( I6 NoV !(Iit) insclllal ion in Sikorsky S-76C Helicopter FNI) II Ihc .1.14:1....1 in Ilw al% we: lizacti •Intainp,•ItnasawaIs. inc kaki a. 'Taloa "Ibis apitt•ral is limital I.. die: S••Itaas Emailman' a..qm:Is ••I Ric itela oh :.<1W..1 21 Mk Amman •Iii.CS 0.0 in. la& iliSlidialle.11 WA illy. 'I his appanal K ‘.1.11):111“1111::•leii::11 slate only awl is owl :.w1 ill asdraii Aren't:al N.s in half volnlilab: FAA :irs alall IN: coy:in:aria); tIcciv.• aa I:a +al aliaiant lilt ....pilaw, In nanataa. for iliac : ;•livra••••• NI. I I•iniipli;int:c IIIWings in stit/ptigt ol'a major :dicta kin !tic aircrali 761/75114mly. nu9ItH frth nile 14 Cl-'1?; Chapter 1: Subchapter C.: Puri 29: 29-17 1.10Inallq.63: ORISS sUR /kiln,,, (Tali' . I hula .caol h. Algalimy a la; Amin,•,, ;n:ootkowe nit% camilmiaa•.••••I llioniaa....4.tarnissiami auk. Pay Ix) ..1 ii. 1•••ice ‘. can, avca....te dam fiord :Lac aid at auah.I stn... mail i.l 1/0/1)41 lacy ban CN.IllilakNI ill at nidase“ nab raaNiaa.1 • ....I na• I U am...y..44 fhtacdal I't \ pin. 4 •14.• • I I :1q...:(.1 0 1>I SIG Lt I f•N I P. F.41! silmAlo iN NI YI .1%111.1C.11 /a 1 1)41% ill A. Niiill'ord DERT-95591;4•NI, __Symons & Equipment . i • .•••.< i•: LI i I It I . 1 !ea PP. ill 1111 I 1:1. 1.. SDNY_GM_02757857 SUBJECT TO PROTECTIVE ORDER PARAGRAPHS 7, 8, 9, 10, 15, and 17 EFTA 00244779 EFTA01329642 SDNY_GM_02757858 SUBJECT TO PROTECTIVE ORDER PARAGRAPHS 7, 8, 9, 10, 15, and 17 EFTA_00244780 EFTA01329643 (we idgiembe [best unknown. On /a 1.100:00 Ell MAJOR REPAIR AND ALTERATION IIIXGODI 41.0 Re' FAA WO Only t,,,,,,,,,,,, (Airframe, Powerplant, Propeller, or Appliance) C. haminiten ••••••14Adion fhwaw INSTRUCTIONS: Print or type an entries. See Tine 14 CFR §43.9. Part 43 Appendix 8, and AC 3.9-1 for subsequent revision thereof) for instructions nd disposition of this tam. This report is required by law (49 U.S.C. §44701). Failure to report can result in a civil penaty for each such violation. (49 U.S.C. §46301(a)) Nationality and Resisltavon Mark Serial No. N750A 760750 1. Aircraft Make Model Seises Sikorsky S-76C Name (As shown on regostrarion cerreal0 Address (AS shown on regefarriOn cerblicate) Address 103 Feu% Rd 2. Owner Air Ghislaine Inc. City Wattage:it Stare Delaware Zip 19803-3742 Country USA 3 For FM Use Only 4. T)pe 5. Unit Identification Repair Meration Unit Make Model Serial No. 0 AIRFRAME (As Oesathed in irem 1above) O O ❑ POWERPLANT ❑ El PROPELLER bee APPLIANCE lamullatlar 6. Conformity Statement A. Agency's Name and AddeeSS 8. Kind of Agency leame Karen Ilesseettrearoarasim U.S Cerulemed Mechanic manufacture meress 710 Sierran Iltificel owe. Foreign Cenitcateo Mechanic C. Certificate No. City C0Yesvett . BIB ea- X Cendeetee Repair Station Ze 19330 - Csomq ittabt.._- Certificated maintenance Organnation FAA CRS EGRR526D O. I Certify that the repair and/or alteration made to the un4(s) identified in item 5 above and described co the reverse a attachments hereto have been made in accordance with the requirements ci Pal 43 of the U.S. Federal Aviation Regulations and that the information furnished herein is true and correct 10 the best 01my knOwledge Extended range fuel Signature/Date of Aalborg Individual Per 14 CFR Pan 43 / O Ronald Holley , 11 Jan 2010 App. B Orette ..7 7. Approval for Return to Smirk. Pursuant to the authOnly given persons specified belOsc the n4 identified in item 5 was inspected in manner prescribed by the Administrate., d the Federal Aviation Administration and O 0 /Waved 0 Rested FM Fe Mandates Manulactuter Mamenince Organomon Persona Arsattved by Bauman Inspector Devanmars at Transport BY OsnIMSOoser/ FAA Designee X Retail Station "Inspection Autismizanan Calecale a Signature/Oate d Authorized Individual Designation No David Celes( 2) „ t" g(2_ , 11 Jan 2010 eze FAA CRS EGRR526D FAA Form 337 noes' SDNY_GM_02757859 SUBJECT TO PROTECTIVE ORDER PARAGRAPHS 7, 8, 9, 10, 15, and 17 EFTA_0024478 I EFTA01329644 NOTICE weight and balance a operating limitation changes shad be entered in the appropriate aircraft record. An ellereliOn must be compatible with all previous alterations to assure continued conformity with the applicable airwonhmess requaremeas B. Description of Work Accomplished Id mote space is roomed attach additional sheets. Identify with aircraft nationality andregistration mark and date work completed.) Aircraft TT: 5.4 los . N750A 11 Jan 2010 mnality sna Rogsran. NW. au Keystone Helicopter Corporation installed the following equipment in accordance with the listed drawings: 080766908010-01 Cabin ICS & Entertainment W/0 08076A61A002-1 Audio-Video Distributor Install 080766618004.1 CMS Equip Install Sikorsky Global Helicopter has installed a Cabin ICS & Entertainment System with an Audio-Video Distributor and CMS Equipment install IAW Keystone Helicopter Corp. drawings listed above. The Entertainment system is controlled by an I-Pod located in a cradle on the rear divan center console and an audio control panel located on the Aft right side wall. An Audio -Video Distributor and a CMS Equipment install, both located on the Sta.273 shelf in the tail boom we system components. The following maintenance instructions are to be performed every 300 hrs or annually. 1. Inspect the Audo-Video Distributor and CMS Equip. installs for damage and security of attachment to the shelf. 2. Inspect all cairn controls for damage and security of attachment to walls and console of the divan. 1 Inspect all visible Wring for damage and security of connections in tail boom area. All work, as listed in above drawing, has been performed in accordance with FM DER. approved, report number: Structural Analysis-Interiors and Avionics Misc. Structures: ER01859.1. N/R- dated 01-07-10, and FM form 8110-3 dated 01-07-10. All work, as listed in above drawing, has been performed in accordance with FM DER. approved, report number: System Analysis-Interiors and Avionics Misc. Systems: ER02193.2.3. Rev. -. dated 11.16.09 and FM form 8110-3 dated 01-08-10. ER(12194.2.2, Rev.-, dated 12.22.09 and FM form 8110-3 dated 12-07-10, ER02190.1. Rev.- dated 01.11.10 and FM form 8110- 3 dated 01-11-10. Electrical Load Analysis has been performed and the additions loads of the added equipment do not exceed available aircraft electrical power. An aircraft actual weighing has been performed. The aircraft weight and balance records and equipment list have been updated for these installations. Reference Keystone Helicopter Corporation work order number 2760750/1. 4.- END — ----- • -------- . FIC Additional Sheets Are Attached FAA Form 337 00 061 SDNY_GM_02757860 SUBJECT TO PROTECTIVE ORDER PARAGRAPHS 7, 8, 9, 10, 15, and 17 EFTA 00244782 EFTA01329645 MAKE DEPAR WENT i'EnCRAL AVIATION ADMINISTRATION l- fRANSPORIATION STATEMENT OF COMPLIANCE WITH FEDERAL AVIATION REGULATIONS AIRCRAFT OR AIRCRAFT COMPONENT IDENTIFICATION MONS NO. I YPt I naperiiv. raµo /leactnin ere ) TDATI: rt I 0/ Alin . NAP& 01. Al-le II:AN I 1 Sikorsky Sibt; Helicopter Keystone Helimpuir erap. LIST OF DATA ()mineLT[0N TITLE Engineering report no ER01859.1. N/R "Structural Analysis - Interiors & Avionics. Misc. Dated 01-07.2010 For Sikorsky S76C. sin 760750" NOTES: 1. The structural aspect only of the above data is al/Proved herein. Ilan approval is valid for a Sikorsky S76C, s/n 760750 ONLY. 2. The equipment covered by the above data are: STA 255. 2%3.:100 oirlf restraints, EFIS filter restraint glide sbpe diplexer restraint stacked DMI' restraint: CMS equipment (tone generator. primary cabin controller. cabin call controller. and light dimmer) restraint audio video distributor restraint. instrument/switch panels restraint: center console equipment restraint STA 215 LH pallet equipment (frequency converter.) i estranII. STA 2 IS RH pallet & equipment (converter) restraint Heeds bottle provisions restraint: umbrella holder restraint: cabin lights and gaspers restraint. Iwd bulkhead window restraint; switch panel restraint: ON soot attachment modification restraint. TCAS access door material change: aft la,:ing bierhrndl seal cabin outlet len:barrels. C4 ealiiir teinpusair sensor restraint and IPOD cradle restraint 3. This approval is engineering design data only and is not installation a •royal. Additional a,• oval for s stem installation. PURPOSE OF DATA In support of major alteration for aircraft Sikorsky S-76C. s/n 760750 ONLY. This approval is design dal° 'AIN and is not installation approval. APPLICABLE REOUIREMENTS (LIST OF SPECIFIC SECTIONS) 29.301(29.0): 29.303(29-0): 29.305(a)(29-0), 29.307(8)(29-30): 29 309(29-0); 29.337(29.30). 79.34 1(29 0) 29.DI11(a).(b)•(C)(29-U); ZW.ti0l(a-U): 29.603(29-1r): 29.60/{29.5):29.609(49-U}; & 29.613(aMbL(dIca 29.785(a),(b) (1).(g)(29.24). CERTIFICATION Under authority vested by direction of the AdMinistralor and in accordance with condilime. and limitations of appointments under Pan 183 of the Federal Aviation Regulations. data listed above and on Allixannl 5.liteN Instal N/A him/ Imeir eitimmittl iir accuithirice will, ritricridisim and tainiri to comply wilh spareable fequirelllellb of lire Federal Aviaiion Regulations. EJ Recommended approval of these data Therefore Approve these data SIGNATURE(S) OF DESIGNAIEU ENGINEER DESIGNATION CI AS.cliFICA I ION/::; REPRESENTATIVE Sin rehire% Cher A John Sotak DERT-955110-NE 1A 4A & 9A K %A Fin I 10.3 t 1.70 Ci IZSI•111.% N 1.:1876IREPORT DATM760750 Air ;ARepnrIMFRAIAMi. 1 (Ifit SDNY_GM_02757861 SUBJECT TO PROTECTIVE ORDER PARAGRAPHS 7, 8, 9, 10, 15, and 17 EFTA_00244783 EFTA01329646 SDNY_GM_02757862 SUBJECT TO PROTECTIVE ORDER PARAGRAPHS 7, 8, 9, 10, 15, and 17 EFTA_00244784 EFTA01329647 . u s 10.1110•WItYl• IICANKPOW(ATIHN MOE 1104..U.M.WPC:111111/11STItArkei STATEM ENT OF COMPLIANCK WITII TII F. FEDERAL AVIATION RFC: tlLATIONS I I JAN 2(11(1 A Ila*RAVr OR AlICCRAVE COMPONENT MENUF WAT1ON MARE AP IIM1. Nu. TYPE filtepintat MAIM. Ilefterverr. NAME OP Mtn:AN. - SiKORSK Y S.76C etc 1 I le licopter Keystone I Iclicoptcr Corporation LIST OF DATA IDENDFICA1ION TITLE Dwg. No.: 0807613908010 CABIN ICS & ENTERTAINMENT W/D Rev. C dated 12/23/09 Report No.: Eft.02190.2.I SYSTEM INSTALLATION EVALUATION; Cabin ICS & Entenainmcnt Rev. - dated II JAN 2010 installation in Sikorsky S-76C Helicopter S/N: 760750 END NOTES: I) 'Me dam depicted in the above listed drawings/ducrienctils. including system integration, is approved. This approval is limited to the Systems & Equipment atoms of the data only as listed herein. 21 This approval does Mt include installation lasting. This noon. vat is lin engineering design data only and is not of surd in itself an installation Avowal. This kola does not in itsClI conMilutc FAA approval or all the engineering design damn Itxptifal hit substantiation or compliance 10 necessary oxruirouciiis for the entire alteration. riar, or ol: I it DATA Compliance findings in support of a major alteration for aircraft S/N: 760750 only. AltIrmitr liMAIMEMENTS 0.00 MeDfir fernanD Title 14 CFR; Chapter 1; Subchapter c; Purl 29; Atm/I 29-47 §29.130100.(14.41: c29. 1309(g): n9.1322(OO: §29.11.57(0.(c); §29.1339(e) c:EarlFll'ATION • Under polhormy vpilcil by ilireciim of the Admodualoi NM it attmilmx toll. tothlthom all htlIblill“ of appoinummtlAt1/41 Pan no of the FetlerAl Aviathm Rweblions, dath limed shpvc nod on :suaehell sheaf nuoiheicd _A.AkCe .... . _ have taxa cwiniited in accmilmox withmiatirtthed pokm1thes and fond to amply with applicable fethommnif of thc Ecth:thlAviafion Rey&iths. T OM 'Rad, 0 Syeannaculd artmv:•1 of ibe.e AM rt appforc th.....c dau MONATIIRTODOE DESIGNATED ENDINEEK1Nf 1It EPRESENTATIVE00 DESIGNATION mministob clAssirranimpn David A. Mulion.6,4--)2.vrie rfia of, DERT-955064-NE Systems & Emiipincni .p•7 FAA Forme. SI 10-3 (11-70) SUPERSEDES PK EN HIPS CAUTION A.In Tim A•11 SONY_GM_02757863 SUBJECT TO PROTECTIVE ORDER PARAGRAPHS 7, 8, 9, 10, 15, and 17 EFTA 00244785 EFTA01329648 SDNY_GM_02757864 SUBJECT TO PROTECTIVE ORDER PARAGRAPHS 7, 8, 9, 10, 15, and 17 EFTA 00244786 EFTA01329649 ........rew owiewegresewsekwew 04 4.200020 e dr l MAJOR REPAIR AND ALTERATION 0.20001 (Airframe, Powerplant, Propeller, or Appliance) Fa wane Only 42•44.4 0 1.22.2 . 10' 6444 4044 0.444 — INSTRUCTIONS: Print or type all eMnes. See Tide 14 CFR §43.9. Pan 43 Appendix S. and AC 43.9.1 (or subsequent revision thereat) for instructions and disposition of this farm. This report is required by law (49 U.S.C. §44701). Failure to repon can result in a civil penalty for each Such vidatiOn. (49 U.S.C. §46301(9)) NatiOnafay and Registration Mark Serial Na N750A 760750 I. Airaaft Make Model Series Sikorsky S-76C Name (As shown on regelrereon cern/care) Address (As shown on regisfrilion cerfifecele) Acorns t0] Folk Rd 2. Owner Air Ghislaine Inc. City Wilmington Sias Delaware Zip 19603.3742 County USA 3. For FAA use Onty 4. T pe S. Unit Identification ROCS I Alteration Una Make Model Sella No O El AIRFRAME (As described m sem I above) ❑ O POWERPLANT PROPELLER Tye* O O APPLIANCE klanutearer 6. Conformlly Statement A. Agency's Name and Address B. Kind d Agency Mime Kersione lattanterConsoMtras U. S. Centauri Meclunt Manufacturer Mann lie Sltuan Huston Dust Ceneficarm krechanic Far C. Certificate No. Cry Coacessest • Swat ea— X Certificated Remo Station bp 12.120--. Soule' Ua....._ Canikaeed maintenance OrgaratasIOn FAA CRS EGRR526D D. I certify that the repair and/or alteration made to the tongs) identified in item 5 above and described on the reverse or allachmeMs hereto have been made in accordante with the reguremenls of Pat 43 of the U.S. Federal Aviation Regulations and that the information furnished herein is true and confect to tne best of my knOwledge Emended range fuel Signature/Date of Au ed IndM Per 14 CFR Part 43 ADP. 13 O Ronald Holley ' , 11 Jan 2010 - el" 7. Approval for Return to Service ) r Purskanl to the authority given persons specked below. he one identified in item 5 was inspected in the manner prescribed by the Adennistrator of the Federal 2411144 Administration and is 0 ReseCled 0 Approved FAA Ft Siandae0S alion A Persons Arrorouel byCann- Manulaaurer MaireenanCe Ofganiz Inspect°, Depanuen of TranSpOrt BY CrwiifSpeCed FM Desiree X Reese Sulion 1 1.02.2020 Avalon:awn Certificate or Signalure/Date ol Aul zed Inckendu Designation No. / C\ David Coles i ' S ild 11 Jan 2010 •__ i l.." • FAA CRS EGRR526D FAA Form 337 past SDNY_GM_02757865 SUBJECT TO PROTECTIVE ORDER PARAGRAPHS 7, 8, 9, 10, 15, and 17 EFTA_00244787 EFTA01329650 NOTICE Weight and balance or operating limitation changes shall be entered in the appropriate aircraft record. An alteration must be compatible with as previous alterations to assure continued conformity with the applicable airworthiness requirements. 8. description of Work Accomplished (If more space is required attach additional sheers. Identify with aircraft nationality and registration mark and date work completed.) Aircraft TT: 5A Ms . N750A 11 Jan 2010 1.11:Nilyrd F4941-1110(1MA Owe Keystone Helicopter Corporation installed the following equipment in accordance with the listed drawings: 66776-64887-011 Equip Changeover to DME-42 51876.66139 TCAS antenna install modification 080768458001-11-2 Window Install, Fwd Bulkhead UH R/H 08076A30T002.1 Aft Facing Bench Seat Mod 09076.20A008-1 C-4 cabin Temp Sensor Install 65376-57583.011 Pilot Seat Relocation All work, as listed in above drawing, has been performed in accordance with FAA DER, approved, repon number: Structural Analysisiintenors and Avionics Msc. Structures: ER01859.1, NIR- dated 01-07-10. and FAA form 8110-3 dated 01-07-10. All work, as listed in above drawing, has been performed in accordance with FM DER, approved, report number: System Analysis- Interiors and Avionics Msc. Systems: ER02193.2.3. Rev. -, dated 11-16-09 and FM form 8110-3 dated 01-08-10, ER02194.2.2, Rev.-, dated 12-22-09 and FM form 8110-3 dated 12-07-10. ER02190.1, Rev.- dated 01-11.10 and FM form 8110-3 dated 01-11- 10. Electrical Load Analysis has been performed and the additional loads of the added equipment do not exceed available aircraft electrical power. An aircraft actual 'Neighing has been performed. The aircraft weight and balance records and equipment list have been updated for these installations. Reference Keystone Helicopter Corporation work order number 2760750/1. I lc Adationel Sheets he Attached FAA Form 337 00-051 SDNY_GM_02757866 SUBJECT TO PROTECTIVE ORDER PARAGRAPHS 7, 8, 9, 10, 15, and 17 EFTA_00244788 EFTA01329651 DEPARTMENT' OF TRANSPORTATION I)A FEDERAL AVIATION ADMINISTRATION STATEMENT OF COMPLIANCE WITH FEDERAL AVIATION REGULATIONS AI'S AIRCRAFT OR AIRCRAFT COMPONENT IDENTIFICATION .-- ITAAKE —1 MODEL NO. 1WE (Airplane. radio NAME OF APpi • kootomer. Om! [ Sikorskx_ S /be Helicopter Keystone Helirivor Corp LIST OF DATA IDENTIFICATION TITLE Engineering report no. ER01859.1. NfR 'Structural Analysis - Interiors 8 Avionics. Misc. Stru,aao.i. Dated 01.07.2010 For Sikorsky S76C. sin 760750" NOTES: 1. The structural aspect only of the above data is approved herein. Ike. approval is valid for a Sikorsky S76C, sin 760750 ONLY. 2. The equipment covered by the above data are: STA 255. 273. 300 restraints: EFIS filler restraint. glide slope diplexer restraint; stacked OW restraint CMS equipment (tone generator primary cabin controller. cahin call controller, and light dimmer) restraint. audio video distributor restraint. inslrumenuswitch panels restraint; center console equipment restraint STA 215 LH pallet equipment (frequoic-y COIWel lel) I estiairit. STA 21=. RH pallet & equipment (converter) restraint: Heeds b0111U provisions restraint: umbrella holder restraint: cabin lights and gaspers restraint. trod bulkhead window restraint; switch panel restraint; pilot seal allachment modification restraint; TCAS access door material change: aft (acing bench seal inudificatitm. cabin outlet restraints, C4 cabin temper Whit! sensor restraint and 'POO cradle restraint 3 This approval is engineering design data only and is not installation approval Additional approval for system installation. PURPOSE OF DATA In support of major alteration for aircraft Sikorsky S-76C. s/n 760750 ONLY. This approval Is design Oak) ont• and is not installation approval. APPLICABLE REQUIREMENTS (LIST OF SPECIFIC SECTIONS) 29.301(29-0): 29.303(29-0); 29.305(a)(29-0). 29.307(a){29.30}; 29 309(29-0). 29 337(29-30}. :.9.34){26.fri 29.661(a).(b),IC)(29-0); 29.601(29-0); 29.603(29-17); 26.60/(29-4 29.I5U9(29-W; & 29.6134akibudk::9 29.785(a).(b),(9.(g)(29-24). CERTIFICATION Under authority vested by Section of the Adinoushator and in accordance with conditions and limitations of appointments under Pan 183 of me Federal Aviation Regulations, data fisted above - .-.1 Attached sheets numbered NrA have been examined ill accordance with esumisried lo comply mai applicable requirements 01 the Federal Aviation Regulations. Li Recommended approval of these data I (we) TherefOre El Approve these data SIGNATURE(S) OF DESIGNATED ENGINEER DESIGNATION :Tut: L REPRESENTATIVE • i , _ 11 ., kiar}:1.- ... rPtAT' John Sotak DERT-955110-NE IA. IA 3 9A t ; • FAA Flinn X I 19.3 • I 1.1.11:1rlikSHIES IT I'Vli K:•1:111Eli NN. LIS761REPORT DATA1760750 Ai t,E.1,: :"OReporiMERilierini Inc SDNY_GM_02757867 SUBJECT TO PROTECTIVE ORDER PARAGRAPHS 7, 8, 9, 10, 15, and 17 EFTA_00244789 EFTA01329652 SDNY_GM_02757868 SUBJECT TO PROTECTIVE ORDER PARAGRAPHS 7, 8, 9, 10, 15, and 17 I EFTA 00244790 EFTA01329653 --- ••— — • lie Ifiela Wee: • • , il.l.:IFOIC I MKT< I/Alt MON. itllGilefil kr.nlillSiMill:N 07 JAN 2010 STATEMENT 017 COMPLIANCE: WITH THE FEDERAL. AVIATION RAW I .A liONS Alla NAPT OH ninciinrr COMPONLNT IDENTIFICA TIIN AMA; I: uooijt NO. TYPE mapAtAA !ran Ikllorso NAhll; VI, APPLICANT SIKORSKY S.76C Helieniner Keysinite Helicopter Corporation LIST OF DATA IDENTIFICATION TITLE Dwg. Na.: 080761190111}05 115VAC. 60117., I KVA CONVERTER Nvia O1.111.ets Wit Rev. A dated MS109 Repon No.: ERD2I94.2.2 SYSTEM INSTALLATION EVALUATION; Ili VAC, 60 Hz, I KVA Rev. - dated 22 DEC 2009 Convener with Ouilet(s) installation in Sikorsky S-76C SIN 760750 ENO sum. I) ilic dab &pionl in the uhum lido) drawings'documans. including iynent integration. k approved. This appmval ie limited Id the Systems & Equipment aspecie °Olin data only as listed herein. 2? Ilde approval dues nut inchide insnlimion testing. Mc aryword is in engineering dedign damonly Ind is noi oland in itself an inn:dinion apprval. TWIN Evan does Ain in iimirimininie.: FAA approval orall the col:joky:6112 .I.,:iyn olavo required for SIINi MN i'll iun of almplionce le locccsaary ro.poinamni* for the .4ntirc :ell o-uo ion 4.1101101: OF LIMA Compliance findings in suppos of n innjor alteration jor diroull SIN: 760750 only. APHJlABLC k ECAIIPIMEN TS its,, Aaegiesecrwora Tilly 34 CFR; Chapter I; Subchapter C; Pun 29; Anal, 29-47 psi. 130164.05.).(.7: §≥4.1JOVIv: §211.1357(0).k.': §29.13.5 96661 FgwriFice•rioN . VFW.. ablhryky tybbbl by eltalbla viihc ifli'lltilflfilf1 lad hi aceen.lant, .., al. A.A.,l'A;.”, aid liwl,lilineli el ilirilloilliilll Mitt! Fill !i) of the Federal AValim licerdaiAns. data !PAS :obeys awl no aottoo...J slocopt omookivl 130 A.Jil Nun hec,. :,ini, et! la .I.VIitlien. ,ilhclablished l',"“an, and A'and I. "'me,' 'lid, 4 , 04att e I:pm cm m.o., of Ay l'olvii At iotive. l“-juknivic 1•s. Tin Vt. OReaenurad appootal a Om JAI Gr—Apponelhese dab %RIAU TI :ra.s, or. orsinnaliDEN0INPFRIVn tanehl:NTATIYIninl DE IGNATI0K MUNII1Fniqi CLASSIEICAI IONIY. , David A. Mulfordco,..4 0( A i itill , 064-e/ it ,O7,:s DERT-955064-NR Systems ien Equipment I N.% Ctwin S I 111.3 I-70) SI.PEitAWilt.A. ruk EH SDNY_GM_02757869 SUBJECT TO PROTECTIVE ORDER PARAGRAPHS 7, 8, 9, 10, 15, and 17 EFTA_00244791 EFTA01329654 SDNY_GM_02757870 SUBJECT TO PROTECTIVE ORDER PARAGRAPHS 7, 8, 9, 10, 15, and 17 EFTA_00244792 EFTA01329655 1.S CII—.4 rst:11if TRAP4.11:1All' .7S P.1:1 IISEItAl..VilsiklelAMILVISIMAITYS OR JAN 20 I 0 KIWI":M ENT OF CONIPLIANC I.: WITH TII F. FEDERA I. A V IATIC.XV It EctiLATK)Ns • A I RIVICA Fr UM A I ItCRAFI' C(,MI iaNLS T In I:CI'1rl(tATIIL" MASI: NIt.Illtl. NV. 'VIII /.lirme. Q..../at ilettaam. !MAW i IF ANIJCAN I SIKORSKY S-76C Helicopter Keystone Helicopter Corporation LIST OF 0AT,\ lownricAtio.9 rcrus Dteg. No: 08076B90B006 28VDC-12VDC CONVERTER wAl OliTLETS win Rev. - dated 8/I 8/09 Report No.: ER02193.2.3 SYSTEM INSTALLATION EVALUATION; 12 VDC Cabin Outlets) Rev. • dated 16 NOV 2009 installation in Sikorsky S-76C Helicopter END NlifIts: I) 'Ill.:Akita &pion' in Mc :Move rrmerl Jrawingfirlocsornaus. includins s)14,:m inks:ration. is appoovsl. This approval is liertiresl to Ilic S.skins AL Equiprocol asinxts "ITN: II:03 011i) ili ilM4.li IletVill. 2) 'nth approval does nee include insiallailon Levine. This ;woos.' la for eriSitkrairits tItsti,alitIata Oaf) mid is Viol ti i:is id in iltclf mi instalL.1KM alipt0V3I 111i$ refM .M V> no la ith;lroSiestiltsh: r NA await a101 all the eligilloaiiii; ocsien il.ua required i subouinialion ereoiurlIjIW,.` le II.X.:SS:6:21- IlViiIV/IWIIIS I.01lili: .:Illio: :elicration. rowousfifr lucm Coniplia ice lindingS in StepiRot or a major aural ion l0r aircraft S/N: 760750 only. timitict‘my urryiRENO)! IS OW Inn a• Sleilliall Tide 14 CPR; Chapel* 1: Sobchnider C; Puri 19; Arndt 29-47 .:Q9.1.101restad ICJ: §29.1337totter: §2913594wr, (1.: lell I, I I '.t'll I IN - Iloilo meltaitt tythil Tit ilimMirei of du: AilmiaiorMat mil in maNiibria: ‘14h 0 waifs vs .inil lanin:iult$ viappoiraohrm Rohr l.i Is$ .4 'he fralsrai MI:MOO itegtiatictoc data lihvJ :ibmt fata ea 'gimbal INV° atillIknell. Afet)t: _ . .... h., e KV./ C•Ialei.itel in a.m./Jams it kb niahliANI reamthay.ana (maul to tvitiply ....iilt wylimatla mai .d14 ir,4....,“ A, istial 11419 hissli I•ir..: tea., Von. timid ammo al at ierismiata .: d Altman.: thcSa data Ski VIiiitliiift OF DESICINA an ENGiMiiilti : UM* rSEKrATIVI ii Si l/f %MINA (ION NLINIIIEKI CIASSIFICA I IttaIINI David A. Nit:Word 6 --s-,— .avie:r ./.. Vie,41/63,01 DE RTO/55O6.1-NE Systems .0 CO iPMent .................. ...........................-- .---..--........- ........... .... ............... -........ ........ ... .. ........ ono 3 I Iti.i 11 I neI 'SI Yr " •. 'flak WO. IP/ SDNY_GM_02757871 SUBJECT TO PROTECTIVE ORDER PARAGRAPHS 7, 8, 9, 10, 15, and 17 EFTA 00244793 EFTA01329656 SDNY_GM_02757872 SUBJECT TO PROTECTIVE ORDER PARAGRAPHS 7, 8, 9, 10, 15, and 17 EFTA_00244794 EFTA01329657 . 05 IIPTAIIIIIIINI•• IrAKUNIIITA THIN row: MORAL aWilligil AINAINISIRAVIIIII I I JAN 21)1(1 STATF.M ENT OF COM FLIANCE WITH THE FEINUtAL AVIATION REMILATIONS A latIlAvr lilt A IIICRA PI' COMPON WI' IIIF:ffl'IFICA THIN MAKI: ith 'intim). Typh clirythy. Raw. !fellows" NAM:: OF APPLICANT SIKORSKY S-76C rk.) Helicopter Keystone Helicopter Corporation LIST OF DATA IDENTIFICATION 11118 Dwg. No.: 08076B9OBOIO CABIN ICS & ENTERTAINMENT W/D Rev. C dated 12/23/09 Report No.: Elt02190.2.1 SYSTEM INSTALLATION EVALUATION; Cabin ICS & Entertainment Rev. - dated I I JAN 2010 installation in Sikorsky S-76C Helicopter S/N: 760750 END NOTES: II The data depicted in the allow limed drawings/documents. including system integration. is approved. This apptoval is limited to the Systems & Equipment aspects alb.: data only as listed herein. 2) This approval dies not include installation testing. This :trimoval is kir cnktincei log design data only and is no: of and in itself an install:a:on appnwal This limn dots not in itself antslitute FAA approval oral] the engineeiing design data requital for substantiation ofeemplianec to necessary requirements for the entity: alteration. PURPOSE OF DATA Compliance findings in support of a major alteration for aircraft S/N: 760750 only. ATI'LICAULti REQUIREMENTS Aisr walk Amnon? Title 14 CFR; Chapter I; Subchapter C; Part 29: Arndt 29-47 §29.130IM.(h).(c): 529. 1309(g); 529.1322(OR0: 529. I 357(a).(c); 529.1359(c) CERTIFic;Knon • limb aniliwny yelled by direction or Ow Atiminalniar nod a accord.= with aviditiorn aid Imniationg or appoiniman interh.in is' id the Federal Aviation Itcsulniioni. dna kited :thirty ant ith arracticdsheas madmen Se haw: limy examinee in accordance with coatthiilicd arocalwth and rand to pimply with applicable rapiknanis ofIla reikral Aviation Rcwilaions, Illnerwitia 0 Seconmicnd :involved of III/St: dna rt APProve Ana dale SKINATLIKIMOY DESKiNATED CNGINElitt IN:: RENCESENTATIVEM DEsKiNATION NUrvIDENS) CLASSIFICATION011 l)avid A. MolfortCX - 4.414,7 ,_.1 frig 01( DEFtI-055064-NE Systems & Equipment VA A Form R i IINJ (11-711) SOP KKK litILK PREViril IS EDITION .171 SDNY_GM_02757873 SUBJECT TO PROTECTIVE ORDER PARAGRAPHS 7, 8, 9, 10, 15, and 17 EFTA_00244795 EFTA01329658 SDNY_GM_02757874 SUBJECT TO PROTECTIVE ORDER PARAGRAPHS 7, 8, 9, 10, 15, and 17 EFTA_00244796 EFTA01329659 Forasyceowea Ilnanc •Oing Mate ovt. No I 060:Q0 e lb S i, MAJOR REPAIR AND ALTERATION (Airframe, Powerplant, Propeller, or Appliance) For FAA1.14 Only 0 O..'"Or 0l netwarkot, 0440. Avleles Li.......n.. INSTRUCTIONS: Print or type all emnes. Sec Title 14 CFR §43.9. Part 43 Appendix B. and AC 43.9.1 (or subsequent revision thereof) la instructions and disposition of this tam. This report is required by law (49 U.S.C. §44701). Failure to felon can result in a civil penally tor oath such violation. (49 U.S.C. 546301(a)) Nationally and Registration Mark Serial No N750A 760750 1. Aircraft Make model Series Sikorsky S•76C Name (As shown on registration certificate) Address (As shown on regotration certificate) Amen 103 Faulk Rd 2. Owner Air Ghislaine Inc. Oiy Wilmington Sisie Delaware zo 19803-3742 Coney USA 3. For FAA the Only 4. Tt•oo S. Unit Identification Repair /aeration Unit Make Model SOW NO. O e AIRFRAME (As descbec in "ern I above) O C3 POWERPLANT PROPELLER Toe O ❑ APPLIANCE Manulacturer 6. Con ormity Statement A Agency's Name and Address 8. Kind of Agency Name Kerstre archenrcer Can/cc:don U. S. Cenificaleci Mechanic I Manufacturer mower Lt2SreArt Huston Dove Fwisp CervIscAKKI MOChinic C. Certificate No. Cey romenyio . Sin EL._ X Certificated Repair Swoon 20 ava County ILLS Cenhcaleo manienanceOitienktation FAA CRS EGRR526D D. I [ray that the repair andfor alteration made to the links) identified in item 5 above and described on the reverse a attachments hereto have been made in accordance with the requirements of Pan 43 of the U.S. Federal Aviation Regulations and that the information furnished herein is true and correc to the best of my knowledge. Edended range fuel SignaturefDate of Aul ed Individu Per 14 CFR Pan 41 O Ronald Holley if ergacAl 11 Jan 2010 APP.B ifV\ 7. Approval for Return to Service Pursuant to the authority given persons specified below. the and identified in item 5 was inspected in the manner prescribed by the Administrator of the Federal Awaken Administration and is S Approved 0 Rejected FAA FE Wormier Polon; Asonwerlav Crowns` inspector i maiwsowei Mairrenence Ortfanamon DepanmentetTransoon ev Pow (Spoiry1 FM Ors roe X Paten $won Inspection Authenzelhan Cevfircate or Designation No FAA CRS EGRR526D FAA Form 337 r coo, Signaturetate d Auth 'ied Individual David Cates / 4. at.._______ 11 Jan 2010 SDNY_GM_02757875 SUBJECT TO PROTECTIVE ORDER PARAGRAPHS 7, 8, 9, 10, 15, and 17 EFTA 00241797 EFTA01329660 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 rllmore space is mewed, attach additional sheets. Identify with savers nationality end 'eon:ration mark and dare work completed.; Aircraft TT. 5.4 hra . N750A 11 Jan 2010 Nog:Maly WC Rags.*Non V. Owe Keystone Helicopter Corporation has performed the installation of modification kit 76070-20566-011 to the vertical tail pylon in accordance with CSN 76-237A Rev A, dated June 10/09. Aircraft weight and balance change is negligible for this alteration. Reference Keystone Helicopter Corporation work order series: 2760750/1 for details of work performed. END 0 Adoptions Sheets Are Attached FAA Form 337 0006) SDNY_GM_02757876 SUBJECT TO PROTECTIVE ORDER PARAGRAPHS 7, 8, 9, 10, 15, and 17 EFTA_00244798 EFTA01329661 see Arosor Moons haw" Noes or wane/XS ti e MAJOR REPAIR AND ALTERATION unseen — For FAA Use Only UStcuretworr (Airframe, Powerplant, Propeller, or Appliance) FF•••••utige` 1, 0080. eng•Son " .. .^.0. INSTRUCTIONS: Print or type all rents. See Title 14 CFR §43.9. Part 43 AaRenCkif B. and AC 43.9-1 (or subsequent revision thereof) for instructions and diSpesition 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 sten Woofer,. (49 U.S.C. §46301(8)) Nationality and Registration Mark Serial No. N750A 760750 1. Aircraft Make Model Series Sikorsky S-76C Name (As shown on registration defalcate) Address (As shown on registration certificate) tarn 103 FOUR RO 2. Owner Air Ghislaine Inc. day WilMington store Oct:mare a', 19803-3742 Canby USA 3. FOr FAA Use Only 4. Type 5. Unit Identification Repair Alteration Unit Make Model Serial No. O CI AIRFRAME (As describedin der f above) O ❑ POWERPLANT ❑ O PROPELLER Tyoe ❑ O APPLIANCE manutacever 6. Conformity Statement A Agency's Name and Address 8. Kind CI Agency Neuf Kevolono linriopoirr Corpoiaran U. S. Cana:Yee Mechant __I Pellnuflieloett Actdoss NO Penal KAZOn Dive Foreign Ceriiicated mechanic C. Certificate No. Cry rAPIesmi* Sam Fv! X Centric/see Repa! Slat on Zip 19320 CoularY lat5 Ceninesed Marrnenance Organ:awn FAA CRS EGRR626I3 D. I certify that the repair Miler alteration made to the units) identified in item 5 above and described on the reverse a attachments hereto have been made m 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 knovAedge. Extended range fuel SignalureOate of Auth ;zed Individual Per 14 CFR Part 43 App. a O Ronald Holley 11 Jan 2010 7. Approval for Return to Service ) Pursuant to the authority given persons specified booty. the unol identified in item 5 wen inspected in the manner prescribed by the Administrate 01 the Fecerar Avlaton Administrate(' and 's E savored 0 Reteoted FAA Ft Standards Persons Approved try Canadian Inspectcr tilaroofiCloter MainiananCit Organization Oeponmern el Tampon BY now eSeerm FAA Designee X Repair Staten 7.7'04c:ion .1/4 0.01121140a CentGale or &paint ate el Authinted Individual Designation NO. David Celes / )a e........e...il icc-7, Ct. __ 11 Jan 2010 FAA CRS EGRR526D ...__ FAA Form 337 none: SDNY_GM_02757877 SUBJECT TO PROTECTIVE ORDER PARAGRAPHS 7, 8, 9, 10, 15, and 17 EFTA 0024r1799 EFTA01329662 NOTICE Weight and balance or operating limilalion changes shall be entered in the appropriate aircraft record. An alteration most be compatible with allpfewous akerations to assure continued conformity with the applicable airworthiness requirements. 8. Description of Work Accomplished (If mote space is requited, attach adelitionet sheers. Identity with eitevalt nationality and registration mark and date week completed) N750A Aircraft TT: $.4 ha L 11 Jan 2010 NP0allaty M RE,01,010. von DAM Keystone Helicopter Corporation has installed the Eaton Aerospace Zapper Pulsed chip detector system (1K7707) in accordance with STC# SR01472NY. date amended 11 May 2006. Instructions for Continued Airworthiness are found in Eaton/Tedeco zapper system document 1K7707 I.C.A. Flight manual supplement FM00508 has been inserted into the Rotoraaft flight manual. An actual aircraft weighing has been performed and the equipment list revised for this installation. Reference Keystone Helicopter Corporation work order number 2760750/1 for work performed. END Additional Sheens Are Alladled FAA Fwm 337 now, SDNY_GM_02757878 SUBJECT TO PROTECTIVE ORDER PARAGRAPHS 7, 8, 9, 10, 15, and 17 EFTA 00244800 EFTA01329663 Amin el chwirrint giTuxtIntnt of Zuntsportalinn — Xebera I cabin/jun ,Atniiinisivalion Supplemental r. gp.e gerttftrate fi tiOna Peta S1102472NY te,/oefeen4 slweet ek Eaton Aerospace 24 San Glenuklen Avenue Glanklen. PA I 9036.2l9S .m.vsm Area Lear m. 44 Gym ,h,Gm,em e4/014mmy,momcsamma' ot; 4.44shiwo mum'emmeel:Gnma /Avec 444 .smentAti‘mvme. ennt4 xft ...twonAwoi terumm.ms4m4 ma. -/29 044 Faust Aviation RyerefresS4. Cgmoirame, HINE Sikorsky S-76A, 576C alen dielriva enigen. gewirn Mow. , lithiallation of Edon Aerospace/110mm Product Zapped pulsed electric chip detector system I K7707 on Sikorsky Helicopter 5.76A man Models with Turbomcca Mid IS. 151. 251 and LS2 Engines in acconfonee with Inundation Drawing List IDI- 00503. Rev. B, dated May 11, 2006. Sli•III4VAIVI4 /lad "4".4:14thi.. I. For the Sikorsky 5-76 Micmac:slits:6 with Amid IS and IS! engines— the Ariel IS and ISI *engines must be equipped with TB 208 and 11) 232 riot to the insult) en of she IK7707 Zapper Systrn. 2. Eaton Aerospace. Rolorcrall Flight Manual SupeemeM, CIOCUIPOli Al FM 00308, Revision I, FAA approved May II, 2006 is required with this modification. 3. lithe holder agrees to pea nit another person to use this cvnifienic to alter the product, the holder shalt give the other person written evidence of that permission. 4. Comp:labilityof this design change with previously approved modifications mutt be determined by the installer. art:; Mehlataie SW/ Jtyreeh;Oy date entii.e.:, al t tan eenneerateaerenwogeO. VA/ embe ne" -rdantse .w.pearent; envoredw Isnweiondie., e4.4. ntinvenie esnearederie; 44..A.A.:44414.44 c/.014 ...tindviraithdwiraw. QUO , Itrdeolten December I4. NOS as i/e en:NNW March 20, 2002 f414. 4>eiallf69 , fir • March 8.2002 ale runeniAce. May I t. 70D6 athrelien endS ,A,enele•V":14,0 etteRnitiony Sodas Manager New Yost Aircraft Cenitieuion Oilict Pa, • ay se er antene Cr .15sti Sawn, NC &Itasca iiq 3 y.s.. 0: ani. MA Nee 11/0••110.101 Pas I et l a This Thfai. aurae *sr be mn.t.nca .n arcs. fre• meth rat al. I . SDNY_GIvl_02757879 SUBJECT TO PROTECTIVE ORDER PARAGRAPHS 7, 8, 9, 10, 15, and 17 EFTA_00244801 EFTA01329664 SDNY_GM_02757880 SUBJECT TO PROTECTIVE ORDER PARAGRAPHS 7, 8, 9, 10, 15, and 17 EFTA_00244802 EFTA01329665 Nernitsorone lirseac loseinj rays *SW }MOM -- MAJOR REPAIR AND ALTERATION imam= FPI f AA INA ONy usomnun (Airframe, Powerplant, Propeller, or Appliance) a nevi*. toss A.alon. •••••••••••• INSTRUCTIONS: Print or type all entries. See Title 14 CFR §43.9. Pan 43 Appendix 8. and AC 43 9-1 (or subsequent revision thereof) for instructions and disposition of pas form This report is required by law (49 U.S.C. §44701) F MING I raped can result in a civil penalty for each such violation. (49 U.S.C. §40301(a)) Nationality and Registration Mark Serial No N750A 760750 1. Aircraft Make Model Reiss Sikorsky S-76C Name (As shown on registration ceit6cale) Address (As shown on regOtrahon affricate) AMOS 103 Faulk Rd 2. Owner Air Ghislaine Inc. cry Wellington Sure Dclawnic zo 19803-3742 Carey USA 3 For FAA Us* 0nry 4. Type 5. Unit Identification Rep* Alteration Unit Make Model Serial No. ❑ 0 AIRFRAME (As deserted n item I above) O O POWERPLANT O ❑ PROPELLER 'two O O APPLIANCE mansion 6. Conformity Statement A Agency's Name and Address B. Kind of Agency Nan* licalgoonsteermearontion U. 5. Genets:eel Methane I Manufacwrer Aedram n0 Seam HutitenDelve Roar Cenilicated mechanic C. Cestificale No. Oh commas Soil RS_ X CentIceted Repair Suit* 20 imp county USA Condom Maintenance 0rgenizabon FAA CRS EGRRS26D D. I cedar/ that the repair and/or a oration made to the unit( ) identified in item S above and described on the reverse a attachments hereto have been made in accordance with the requirement 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 SignanierDale of Aut eel Individu ... Per le CFR Pan 43 App, 0 O Ronald Holley 11 Jan 2010 7. Approval for Return to Service Pursuant to the 8UlhOltty given persons specified below, the un4 identified in item 5 was in petted in the manner prescribed by the Adrninelraton cl the Federal Aviation Administration and is 71 Approved 0 Rejected FAA Fir. Sianeards Rations Approved by Canadian Inspector Marolacturet Maintelance0rgandarion Deowneni of Transom BY Ow (Sorcer)) FAA Designee X Repair Moon IrICIICII AkthOn.LIONI Certificate or Sgnatureittale of Auth zed Individual Designation No. David Colas / T C^ 11 Jan 2010 FAA CRS EGRR526D e -------- FAA Form 337 er7 se, SDNY_GM_02757881 SUBJECT TO PROTECTIVE ORDER PARAGRAPHS 7, 8, 9, 10, 15, and 17 EFTA_00244803 EFTA01329666 NOTICE Weight and balance or operating limitation changes shall be entered in the appropriate airc,aft record. An alteration must be compatible with all previous alterations to assure continued con!ormity will the applicable airworthiness requirements. 8. Description or Work Accompaned III more space is required, attach additional sheets. identify with aircraft nationality and registration mark and date work completed.) N750A Aircraft IT 5.4 hrs 11 Jan 2010 Malt/4.y ONIRe$Ivalicil Mot 0 Keystone Helicopter Corporation has installed hydraulic quick disconnects in accordance with the following Sikorsky Type Certificate drawings numbers: 33776-64617-015 and 33776-64617-016. A Rotorcraft actual weighing has been performed and the Rotorcraft Equipment List has been updated for these installations. Reference Keystone Helicopter Corporation Work Order 2760750/1 for details of work performed. ENO ❑ Addit,cnal ShettS Ate :MIAOW FAA Form 337 noon SDNY_GM_0275788:2 SUBJECT TO PROTECTIVE ORDER PARAGRAPHS 7, 8, 9, 10, 15, and 17 EFTA_00244804 EFTA01329667 ......0.. oete...n.‘,......e. 010 in MOON° eal MAJOR REPAIR AND ALTERATION i tuar/tin ....- For fl air Owy 0404.0.An (Airframe. Powerplant. Propeller, or Appliance) Ob...wins. tenant /Mown wanowniwi INSTRUCTIONS: Print or type all entries. See Toe 14 CFR §43.9. Part 43 Appendix 8. and AC 3.9-1 (or subsequent revision thereat) for instructions and disposition of this form. This tenon is required by law (49 U.S.C. §44701). Facture to report can result in a civil penalty for each such violation. (49 U.S.C. §46301(a)I Nationality and Registrahcn Meek Serial No. N750A 760750 I. Aircr aft Make Model Series Sikorsky S-76C Name (As shown onregistration cendocase) Address (As shown on techsfrotbn certifico(t) hose 103 Foulk Rd 2. Owner Air Ghislaine Inc. eat Wilmington Sim Delaware da 19803-3742 Counvy USA &For FM Use Only 4. Type 5. Unit Identification Repek ?Maranon Unit Make Model Serial No ❑ 0 AIRFRAME (As *naked in Item 1abort) ❑ O POWERPLANT O O PROPELLER Type El O APPLIANCE manufacturer 6. Conformity Statement A. Agency's Name and Address 8. Kind of Agency Name SitalgCS__..•* 4ow, CPepacon U S. Certificeted Mechanic I Manufacturer Address 110 Stevan Aucen0,A4 Foreign Cantata Mecham C. Certificate No. Cry comma slue ES-- X CertificatedRees/ Station zo yeazo cone 111A Certificated maintenance Omani:aim FAA CRS EGRR526I3 D. I certify that the repair and/or a oration made to the unit( ) identified in item S above and deSCribed on the reverse or attachments hereto have been made in accordance W4h the requirement Of Psi 43 of tne HS. Federal Aviation Regulations and that the information furnished herein is true and correct 10 tne best el my knowledge. Extended range !yet SignaturerDale of Aut • ed India' .,' Per 14 CFR Part 43 ADP. 0 Ronald Holley . ii Jan 2010 I 7. Approval for Return to Service Pursuant to the authority given persons specified below, the una identified in item S was inspected in i manner prescribedby the Administrator of the Federal Aviation Admintsvalicn and is I:0 Approved O Rejected FAA R. Standards Persons Acomeed by Canadian Inspector Manufacturer maintenance Onsertalion Ciaparomeni of Transport BY Onal rarPOC4,1 FM°tarn X Papal Surion "Imam Aidiorluebri Cell Kate or Designation No. FAA CRS EGRR5260 Signature/Dale of Aut David Coles 1/ ed Inckvidual -e."--ej Y .; 6- -di-2- 11Jan 2010 FAA Form 337 0000 SONY_GM_02757883 SUBJECT TO PROTECTIVE ORDER PARAGRAPHS 7, 8, 9, 10, 15, and 17 EFTA_00244805 EFTA01329668 NOTICE Weight and balance or operating hmitation changes shall be entered in the appropriate aircrah record. An alteration must be compatible with all previous alterations to assure continued conformity with the applicable airworthiness requirements. 8. Owwiption of Work Accomplished (if mole Space is required attach additional sheets. identify with aircraft nationality and registration mark and dale work completed./ Aircraft IT. N750A 11 Jan 2010 5.4 Ns aftionalty aim Awatnion taw oat Keystone Helicopter Corporation has removed the following Sikorsky Type Certificated (TC) options. 33776-84625-011 - Cabin Door Vent Removal. LH 33776-84625-012 - Cabin Door Vent Removal, RH An actual aircraft weighing has been performed and the equipment list revised for this removals. Reference Keystone Helicopter Corporation work order number 2760750/1 for work performed. -END ❑ Adeltiional Sneers Are Swathed FAA Form 337 i‘0,06, SDNY_GM_02757884 SUBJECT TO PROTECTIVE ORDER PARAGRAPHS 7, 8, 9, 10, 15, and 17 EFTA 00244806 EFTA01329669 an nanny, Ott,en[ rod.. grow Ohtani )#00:0 e OW b MAJOR REPAIR AND ALTERATION , 14,1, 0, Foe FAA On Only vli Onenroia (Airframe, Powerplant, Propeller, or Appliance) a nselsoPleini ratio Anal. INSTRUCTIONS. Print or type all entries. See Title 14 CFR §4I.9. Pan 43 Appendix 8. and AC 39-I (or subsequent revision thereof) for instructions and disposition of this form. This report is required by law (49 U.S.G. §44701). Failure to report can result in a civil penally for each such violation (49 U S C §46301(a)) Nationality and Registrat-on Mark Serial No N750A 760750 1. Aircraft Mike Model Series Sikorsky S.76C Name (As shown on rogiskabon certificate) Address (As shown on fegasuahon cedthcate) mom 103 Foult Rd 2. Owner Air Ghislaine Inc. . cay Wilmington Sib* Delaware zit 19803-3742 caner USA 3. Foe FAA Use Only 4. Type S. Unit Identification Rene I Alteration Unit Make Model Serial No. 0 AIRFRAME (As described n item f above) O ❑ in POWERPUU47 O ❑ PROPELLER Type ❑ O APPLIANCE lAtinulaclurar 6. Conformity Statement A. Agency's Name and Address B. Kind of Agency name ItOYMOne llenCOVICI COPO011iOn U. S Cerserawo Mechanic —17.1;nufacturee mcitess 310 Stevan titgeO•iin Foreign cerskaleo ineownc C. Ce4Iicate No. Cey ecialesinie • Slat. Ee—i X ClOhale0 Ropes &e'en Zip 19320 Carey u.5.., Certificated KlallenanCe Organization FAA CRS EGRRS26O D. I certify that the repair andhor alteration made to the odds) identified in item 5 above and described on the reverse or attachments hereto have been made in accordance with the requirements of Pan 43 of the V.S. Federal Aviation Regulations and that the information furnished herein is true and correct to the best of my knowledge. Extended range fuel SgnalurerDate of Auth . ed Individual Per 14 CFR Pan 43 App. B O Ronald Holley 11 Jan 2010 17121 -12( "-Ira . 6i .: 7. Approval for Return to Service Pursuant to the authority given persons specified belOw, the unit identified in item 5 was inspected i manner prescribed by the Administrator of the Federal Aviation Adminisuation and is CEI Approved O Rejected FAA Fli Stardoms Pelson, Approved by Canattan Manuracturer mainamance a of Transport BY Other iSpeory) FM Designee X Regal Stair nspeciion Aomori:aeon Certilicate or Signature/Date of Aulkorded Individual 7 Desgriation NO. •I ,_ 11 Jan 2010 David Coles, i i ici I / FAA CRS EGRR526D --- FAA Form 337 nom SDNY_GM_02757885 SUBJECT TO PROTECTIVE ORDER PARAGRAPHS 7, 8, 9, 10, 15, and 17 EFTA 00244807 EFTA01329670 NOTICE Weight and.balance or operating limitation changes shalt be entered in the appropriate aircraft record. An alteration must be compatible with an previous alterations to assure continued conformity with the applicable airworthiness requirements. 8. Description of Work Accomplished Of more space is rooked. attach additional sheets Identify well abriall nahonality and regiStrelion mark and dato work completed) Aircraft TT: 5.4 hrs . N750A 11 Jan 2010 somei.yme itroanson wen Dan Keystone Helicopter Corporation has installed the following Sikorsky Type Certificate options in accordance with the listed Sikorsky drawing numbers. Radio Tuning Units. RTU 4200 33776-61203 FMS: 123 Dual TDR 94D 33776.61369 FMS: N/A DME 42. r 33776-61346 FMS: N/A NAV/LNAV Switch for ADI 335D 33776-61339 FMS: N/A , Vertical Card Standby Compass 33776-61301 FMS: N/A Lightning Strike Sensor 33776-61358 FMS: 113 Primus 880 WX Avoidance Radar 33776-61330 FMS: 120 Garin GMX -200 Moving Map Display 33776-91357 FMS: 48 Honeywell MFRD 33776-90843 FMS: 49 TCAS I System-CAS 66A 3377641359 FMS: N/A Deluxe Silencer VIP Interior 33776-91217 FMS: 47 Single Action Door Release 33776-84893 FMS: 140 Retractable Boarding Steps 33776-90925 FMS: N/A Enhanced Door Pins 33776-90278 FMS: 37 Annunciator — "Fuel X-Feed* 33776-67085 FMS: N/A C-4 Environmental System 3377641372 FMS: 122 Anti-Collision LED Light, Red. Top/Bottom .33776-.91696 FMS: N/A Overhead Lateral Absorber 33776-84784 FMS: N/A 5P Bildar 76088-10003 FMS: N/A Rotor Pedals tube Kit 33776-93032 FMS: N/A Emergency Floatation System 76076.02002 FMS: N/A Flight manual supplements (FMS) listed above have been inserted into the rotorcraft flight manual. A Rotorcraft actual weighing has been performed and the Rotorcraft Equipment List has been updated for these installations. Reference Keystone Helicopter Corporation work order number: 2760750/1 for details of work performed. END 0AckMional Sheets Are Altachecl FAA Form 337 emir.") SDNY_GM_02757888 SUBJECT TO PROTECTIVE ORDER PARAGRAPHS 7, 8, 9, 10, 15, and 17 EFTA_00244808 EFTA01329671 Nat Awes) IA0404. at..,... weips. O.le 2149.00 P, MAJOR REPAIR AND ALTERATION 1100/077 (Airframe, Powerplant, Propeller, or Appliance) FOC OM LW Only VS Osyrnp• aToKogan+ /Meal Aasieen afaIrIeelien INSTRUCTIONS: Print or type all entries. See Title 14 CFR 543.9. Pail 43 Appendix B. and AC 43 9-1 (or subsequent revision thereof) for instructions and disposition of the form. This report is required by law (09 U.S.C. §44701). Failure to report can result in a eke penally for each such violation. (49 U.S.C. 646301(4)) Nationality and Registration Mark Serval No. N750A 760750 1. Aircraft Make Model Series Sikorsky S-76C Name (AS Shawn on registration certificate) Address (As shown on registration certificate) MOPss 103 Fouk Rd 2. Owner Air Ghislaine Inc. cow VWmington swig Delaware zp 19803-3742 conin USA 3. For FAA Use Only 4. Type 6. Unit IdeMIficallon Repair Alteration Unit Make Model Serial No. AIRFRAME (As described in item I above) POWERPLANT PROPELLER Typo APPLIANCE manufacturer 6. Con ormity Statement A. Agency's Name and Address B Kind of Agency Name Kantor* strIcceser Consciailon U S Certificated Mechanic 1 Man4laclueet Addrass 110 Waal Kraut Ctwe Foreign Corti cared Mechanic C. Collimate NO. Cal Comets-Is Sin BS_ X certificated Roar Suition ZAP 19320 Cowin USA _ CerlifiClOW Maintenance Ofonizason FAA CRS EGRR526D 0. I certify that the repar arc/or alteration made to the unit(s) identified in item 5 above and descnbed on the reverse or attachments hereto have been made in accordance with the requirements of Pal 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 Signature/Date of Authorized Individual Per 14 CFR Pail 43 22 Jan 2010 App. B 9 Michael Wisler nit.....„..i.,„*../ 9 /4-e-- 7. Approval for Return to Service Pursuant to the auttiOnty given persons specified below, the unit identified e. item 5 was inspected in the manner prescreen by me Administrator of the Federal Av alien Admimstralion and ks 0 Approved Rejecled FMFit Standards Fatale Approved by Canadian MOSOOOf Manufacturer Maintenance Organza:Ion Otgranment el Transport BY dew (Sane/ FM Designee X Repair Station Inspection Aulhorualarn 17 Certificate or Signature/Date of Auth As Individual --id. 72_______ Designation No. FAA CRS EGRR526D . . David Coles Licaii.44_,.....ri <-..._ 6", 22 Jan 2010 FAA Form 337 00051 SDNY_GM_02757887 SUBJECT TO PROTECTIVE ORDER PARAGRAPHS 7, 8, 9, 10, 15, and 17 EFTA 00244809 EFTA01329672 NOTICE Weight and balance or operating limitation changes shaft be entered in the appropriate aircraft record. An alteration must be compatible with all previous alterations to assure Continued COIfOrinity with the applicable airworthiness requirements, 8. Description of Work Accomplished at more space is requited attach additional sheets. identify with airctelt nationahly and registration main arid date work completed) Aircraft TT: N750A 22 Jan 2010 14.8 us . itamoryana Rla.w M MaA ow Keystone Helicopter Corporation has installed the TrueNorth Avionics SATCOM system with optional Wi•Fi in accordance with STC# SR02570NY•D dated January 22. 2010. Instructions for Continued Airworthiness are found in report no. IC01812. Flight manual supplement FM01812 has been inserted into the Rotorcraft flight manual. An actual aircraft weighing has been performed and the equipment list revised for this installation. Reference Keystone Helicopter Corporation work order number 2760750.1 for work performed. Additional Sheets Are Attached FAA Form 337 110.C61 SDNY_GM_02757888 SUBJECT TO PROTECTIVE ORDER PARAGRAPHS 7, 8, 9, 10, 15, and 17 EFTA 00244810 EFTA01329673 1.luiree.einte unser , Depal.Nand of it ratter oda Unit - - ?At/it:lion '\tee' ii•drtiI /14/41: ";' • tat ZELP11: QICIThfiCrie •vr ,•• •1 e;neeir SA0257010.0 Keystone Helicopter Corp. 110 E. Stewed Huston. Dove Coatesville. PA 19320 ide;ereAth4C4*.v. 44:fisiviC•ACAOW•sistWORAY'rwaie:44. l'hoZrA es: .44rt,etYlv 106+21';', ti.. OW. pa/ Jen ••••.;,anndica,-v 9:44./.4roeleG: .lerreit;Med, H1NE Sikorsky Aile.4t S•TBA/BIC ?Aar Installation of TrueNorth Avitubcs SATCOM System with Optional vVi.Fi installed on a Sikorsky S-76A/EUC H aCCORIenCe WO Keystone Helicopter insiallation (Naively Lost *U01812 Rev. C. dared 01/18/2010 or later FAA approved revision. SOO' aeal ,•••/ /1•4 114;erdelMni: 1. keystone elehoopler Instructions fOr Continued Aliworileness. TrueNorth Simphone SalCorn System installed ni Sikorsky S 76AtELIC. Report Nu IC01912 Rev. A. doled October 1.2009 or tater FAA accepted revision is fecal ed for this modifr.alion. 2. FAA Approved ROUSCrafi Flight Manual Supplement. Supplement No rerIGII3I2 Rev. dated 07:risagoe in later FAA approved revision is required for this modification 2. This approval shoeld not be rocoepOrated in any aircraft of this specific model on which other approved inoddic.:ations are incorporated. unless it is determined that the interrelationship beiween nlis chancre and ally of Muse previously incorporated approved modification will not introduce any adverse elfecl upon the airworthiness of the aircraft. 3. If the holder awes to permit another person to use this ctailicale to alter the product. the hOlde• shall give Ihe other parson written evidence of that airamittion. arr§r4re - Awe/44 Jr/ay .44 er4o14 Aer d/r.:4,r4r.snartratrr44,4: any.. ..#;leotte.,440CePolW•441.Vr JrPorktat40, rdorm4r/ra woad . A. $44 4 . ne... 7%41.; ..;;;;;',./.. e.e.‘yed.:evatr, : May 14. Inept : July 15.2008 C44. ranpary 22. 201* ez5..-01.4 • retionanaT1 Daniel J. Shapiro STC.ODA Adrninittralor ODA•ZOM7041E f g& • SDNY_GM_02757889 SUBJECT TO PROTECTIVE ORDER PARAGRAPHS 7, 8, 9, 10, 15, and 17 EFTA_002,1481 I EFTA01329674 SDNY_GM_02757890 SUBJECT TO PROTECTIVE ORDER PARAGRAPHS 7, 8, 9, 10, 15, and 17 EFTA_00244812 EFTA01329675 thitha blairs of Asirrki Prp;Irfinet d of irratif.porkiiiim 47,:tr+Lialeinerrta I ru,u p I,. LIT rt ifica ,-, /1 i. 1 i ly:/114 ,4 SR0257011Y-D Date ainencled January 22. 2010 duer] On 14 CFR ,,,§21.11F and 21.101, and Ihe FAA trolicy for significarn chenges in FAA Orde, 311O48. Ihe cerlification basis for the Sihursky S-rattre p as letions: a. Ille type ceniSubon basis la Sagsky S.76A18/C is rIsivm on TOOS 1IINE for parts ara cliunpOrl rir no' pilecied by the charge. b. the ceilificalion busis for paris r.hangril nr altsried by PIP ohange %i c. Ire retersnea daip of application is bocuo upon Pan 29 as ainended hy Antendinern 29.51. Based On 14 ClF §§ 21.115 and 21.101. ond Ihe FAA policy for significani chonges in FAA Order 8110 48. Ille basis tur Ibis ir.odificaiinn sms delermined lo be' Regulations at the blom aniendmein 29.0 through 29.51 29.301. 29.303. 29.305(a). 29.307(a). 29.332, 25.341. 29.601, 29.603, 29.6O7(u). 29.4399(3). 29.613(a)0)14:0. 29.853(a)(4) 29.13O1. 29.13O9(I)i2)(d)(g). 29.1351(a). 29. i 3s::.(a). is.Ess i(a1(c). 29.1359(a)(c). 29.1351. 29 1431. 29.1529 Regulations at an intermediate ~ond:noen None Regutations at Ihe amendment level in TCDS HINE 29 931(aRb)(3)(C). 29.1591, 29.1581, 29.196Sfat ....END. SDNY_GIvl_O2757891 SUBJECT TO PROTECTIVE ORDER PARAGRAPHS 7, 8, 9, 10, 15, and 17 EFTA /10244813 EFTA01329676 SDNY_GM_02757892 SUBJECT TO PROTECTIVE ORDER PARAGRAPHS 7, 8, 9, 10, 15, and 17 EFTA_00244814 EFTA01329677 IM ............ 7 ticsaq h.arby Coeillies. 2.2•40:10 Ii MAJOR REPAIR AND ALTERATION MO? For !AA leo pity (Airframe, Powerplant, Propeller, or Appliance) ire lawasses samara. PISS Aiston Arww.e.... INSTRUCTIONS: Pont 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 the loan. This tenon is required by law (49 U.S.C. §44701). Failure to report can result in a awl penalty for each such violation. (49 U.S C §46301(a)) Nationality and Registration Mann Sena' No. N750A 760750 1. Aircraft Make Model Series Sikorsky S-76C Name (As shown on registration certificate) Address (As shown on registration certificate) roan. 103 Fouk Rd 2. Owner Air Ghislaine Inc. ce Warnington Sw. Delaware 144 19803-3742 crown USA 3. For FAA Use Only 4. Ty pa S. Unit Identification Repair Alteration Unit I Make Model Serial No. MI AIRFRAME (As described in item 1 above) 0 POWERPLANT ❑ PROPELLER Type APPLIANCE Maruiacturer 6. Conformity St lament A Agency's Name and Address B. Kind of Agency Nan. Keil:One NCIICOptel Cortaro:a U S. Congealed Mocha —7 MaillbaUter Addrm 111261efron 'logo, Poe Foreign Unfrosted alecoand C. Certificate No. City canine . SUN es__. X Cannoned Repair Stalpn FAA CRS EGRR526D zip 12229 Covivry USA Cid/fated Meinvenende OrgalliZatiell D. I certify that the repair andfor a Ignition 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 requirementsof Pan 43 of the U.S. Federal Aviation RegulationS and that the information furnished herein is true and coffee to the best of my knowledge. extended range fuel Signature/Date of Authorized Individual Per 14 CFR Part 43 22 Jan 2010 pp. 8 ❑ Michael Wisler nre,„....0-*-- .04.9 .7--Z--- 7. Approval for Return to Senile. Pursuant to the authority given persons specifred below. :he unit identified in item 5 was inspected in the manner presorted by the Administrator of the Federal evialsen Administration and s 0 Approved iRejected FAA Fe SUNUNU Itanolachaer Persons Approved or Caned an I Mzereenanoe Cagan/shoo Deponent or Transom Inieclor BY . One Mere/ FM Designee X Repair Station I inspedionAustaizanon Certificate or Signature:late of An tied Individual Designation No. David Celes / # 22 Jan 2010 FAA CRS EGRRS26D N._ l FAA Form 337 time; SDNY_GM_02757893 SUBJECT TO PROTECTIVE ORDER PARAGRAPHS 7, 8, 9, 10, 15, and 17 EFTA 00244515 EFTA01329678 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 df more space is required. attach additional sheets. Identify with aircraft nationality and registration mark and date work compiefo0 Aircraft TT. 14 8 hrs N7S0A 22 Jan 2010 PlillsbNlily ad Rgwa:m Usk Dar• Keystone Helicopter Corporation has installed Garmin GDL 69/69A system in accordance with STC# SR02424NY-D dated January 21. 2010. Instructions for Continued Airworthiness are found in report no. IC01421. Flight manual supplement FM01421 has been inserted into the Rotorcraft flight manual. An actual aircraft weighing has been performed and the equipment list revised for this installation. Reference Keystone Helicopter Corporation work order number 2760750.1 for work performed. .ND Additional Sheets Are Attached FAA Form 337 ototet SDNY_GM_02757894 SUBJECT TO PROTECTIVE ORDER PARAGRAPHS 7, 8, 9, 10, 15, and 17 EFTA 00241816 EFTA01329679 nickntnica epaiimeni of Mranspartation -- (.7iationakbministnttioit Supplemental gpe aertifirate iikardeir SR02424NY-0 c..9464 .4 #4.0adarib Keystone Helicopter Corp. 110 E. Stewart Huston Dove Coatesville, PA 19320 41.44.4 1444 e-lato, t4 davenAsuheinatsnagsom dr.-Su a.. 4.10,414...0...4, IC • "env 41,44 aria/ amiscs - s70., gana4 Aranrer HINE .445.4.. Sikorsky Seed. S-76/1/4/8/C Sepias orris, Arsoks SU-bin.- Installation of Gamin GDL 69039A system in accordance with Keystone Helicopter Installation drawing List IDL01421 Rev. F dated 01/18/2010 or later FAA approved revision. .'..'slaw EenverBen • 1. Keystone Helicopter Instructions for Continued Airworthiness. Gamin SDI 69169A Weather Data Receiver installation. Report No. IC01421 Rev. B dated October I, 2009 or bier FAA accepted revision is required for this modification. 2. FAA Approved RolOrcraft Flight Manual Supplement. Supplement No. FM01421 Rev. 2 dated 01/21/2010 w later FAA approved revision is required for this modification 3. This approval should not be incorporated in any aircraft of this specific model on which other approved modifications are incorporated, unless it is determined Thal the interrelationship between this change and any of those previously incorporated approved modification will not introduce any adverse effect upon the airworthiness of the aircraft 4,If me 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. e..# 4,4 esta4 0•41,40 VOi, dno. adiosto AG 0,04%..e.senoran4,1Aier.rw4oe ....o.doto, 4.404. aka a' exisedeseaseldr. -.4Cinekossnd- 944..frmen.rogapisin-4fterraskisera. Sur 9.4.14.48, : May 25. 2007 January D9. 2009 ACe : July 03, 2007 Si/ .41. December 30. 2008 January 21.2010 almedes tple.4-egainsiskAile• Daniel J. Shapiro SIC-ODA Administrator 00A-800670-NE iruto aM •It•tewen et in. ....... pre....... q • iseee7:•• excearin. :Len, et ',we-hutment nCI *.c.vora7Tre.. ar ec7F elf •I I g• II •••••••••• • I In Inn:., rN I cc., Ants In IA rM #7. SONY_GM_02757895 SUBJECT TO PROTECTIVE ORDER PARAGRAPHS 7, 8, 9, 10, 15, and 17 EFTA_0024481 7 EFTA01329680 SONY_GM_02757898 SUBJECT TO PROTECTIVE ORDER PARAGRAPHS 7, 8, 9, 10, 15, and 17 EFTA_002448 I 8 EFTA01329681 2lhatab„Sielu eqarnica !spartmenf ref tiransparialion -- jileberal(Ablationithminislration ,Supplertuntal tut aertifirate (Glantinuatisnahget) ../Irezenle" SR02424NY-D 0ate Amended January 21.2010 ri.444.444....eram • Based on 14 CFR §§ 21.115 and 27.101. and the FAA policy for significant changes in FM Order 8110.46. the certification basis for the Sikorsky S•76N8/C is as follows: 1. The type certification basis for Sikorsky S-76A/B/C is shown on TCDS HI NE for parts not changed or not affected by the change. 2. The certification basis for pans changed or affected by the change since the reference date of application is based upon Part 29 as amended by Amendment 29-51. Based on 14 CFR §§ 21.115 and 21.701. and the FM polity for significant changes in FM Order 8110.46, the certification basis for this modification was determined to be: Regulations at the latest amendment 29-0 through 29.51 29.301. 29.303. 29.305(a), 29.307(a). 29.337. 29.341, 29.601. 29.603. 29.607(a). 29.613(a)(b)(0), 29.7301. 29.1309(b)(2)(d)(g), 29.1351(a), 29.1353(8). 29.1357(8)(c). 29.1359(a)(c). 29.1431. 29.1501, 29.1529, 29.1581(a)(b)(d). 29.1583(e). 29.1585(a) Regulations at an intermediate amendment N/A Regulations at the amendment level in TCDS HINE 29.561(a)(b)(3)(c) • an e. <him c.......... L inoa.7=rr • •.a• a Aat •acteraloa SI tait. H koliel•Sen Al4 /A 4.471140, : fu.. .140.: MA fees t 'Ora ...Cr M1.a %tr.{ fleet, LY I Cr•nlattawa sa aacorenar• +Irk ea SDNY_GIvl_02757897 SUBJECT TO PROTECTIVE ORDER PARAGRAPHS 7, 8, 9, 10, 15, and 17 EFTA_002448 9 EFTA01329682 SDNY_GM_0275789.9 SUBJECT TO PROTECTIVE ORDER PARAGRAPHS 7, 8, 9, 10, 15, and 17 EFTA 00241820 EFTA01329683 P drli MAJOR REPAIR AND ALTERATION balm 2.214020 Foe FAA U4Offily viOnst, ri (Airframe, Powerplant, Propeller, or Appliance) 0.1.4ar...... Awn' Avon. Allit•Sifil IIIMA INSTRUCTIONS: Print or type all entries. See Title 14 CFR y3.9. Pan 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 V.S.C. 544701). Failure to report can result in a civil penally to. each such violation. (49 U S.C. §46301(a)) Nationality and Registrabon Mark Serial No. N750A 760750 1. Aircraft Make Model Series Sikorsky S-76C Name (As shown on registration certificate) Address (As shown on registration certificate) meets 103 Foul( Rd 2. Owner Air Ghislaine Inc. bit Wilmington sine Delaware to 19803-3742 [oxen USA 3. For FM Use Only S'pe 5. Unit Identification Repair Alteration Unit mate Model Sena! No. ❑ 0 AIRFRAME (As crescnbectIn item 1 above) POWERPLANT PROPELLER Type APPLIANCE Manufacturer 6. Conformity Statement A. Agency's Name and Address 8 Kind of Agency ray* Onion. MOIC0010, Cettainco D. S. Generate: Mechanic I Manufacturer mem Ito sewn phniononve Foreign Cerbricated mocharie C. Certificate No cry rnafew Le . Sum ea_.— X Cenrcaroe Repay SOltien JO li 2211-----.. 00‘,F6Y U15 Centre-area mamenarce Oreenitabon J FAA CRS EGRR5261) Cl. I certify Mal the repair and/or a teration 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 V S Federal Aviation Regulations and that the information furnished herein is true and coffee to the best of my knowledge. Extended range fuei SignatucerDate of Authorized Individual Per 14 CFR Pan 43 ❑ 22 Jan 2010 App. 8 Michael Wisler 7,4 20/4.:4- 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 i:RI Approved Rejected FM Fn. Standards l —1 POWS AP910.100 oy Caradan letSPOCIOI Maruacwe r M aintenance on Organizati Dep1111114211od Transom 8 thrs (Small FM Designee X Repair Station inepectionAusionzmon Can. ate or Signature/Date of Alghlf:Zed Individual 1 Designation No i.., Davin Cele 22 Jan 2010 2 FAA CRS EGRR526D FAA Form 337 41)(4, SDNY_GM_02757899 SUBJECT TO PROTECTIVE ORDER PARAGRAPHS 7, 8, 9, 10, 15, and 17 EFTA_00244521 EFTA01329684 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 ainvorMiness requirements. 8. Description of Work Accomplished (If more space is reourred, attach additional sheets Identify with aircraft nationality and regisfratkw mark and date work Oarodeted.) N750A 22 Jan 2010 Aircraft TT: 14.8 hr! NalicAny wd R9 r Mir. Doe Keystone Helicopter Corporation has installed Replacement LED External Lights, in accordance with STC# SR02446NY-D dated January 21, 2010. Instructions for Continued Airworthiness are found in report no. IC01696. Flight manual supplement FM01946 has been inserted into the Rotorcraft flight manual. An actual aircraft weighing has been performed and the equipment list revised for this installation. Reference Keystone Helicopter Corporation work order number 2760750.1 for work performed • — END @Additional Sheets Are AllaChed FAA Form 337 noon SDNY_GM_02757900 SUBJECT TO PROTECTIVE ORDER PARAGRAPHS 7, 8, 9, 10, 15, and 17 EFTA (X)244822 EFTA01329685 ,eletink sitars al ' rleparlirieul ni Orin/you -- l i llkind' uppinneatal tgurpc giertificato tiiw trie SR02446NY-0 orate seegiPausi Keystone Helicopter Corporation 110 E. Stevtail Huston Dr. ComeowPe, PA 10320 iikeryteii . H1NE . : Sikorsky • SEE PAC F. 3 . 14 4/ : S-76A/WC i• i.J..eyeare re*. Kier- Insiaaalioa et ReplaeAmeni LED External Lights installed on a Sikorsky S-76A431C in accordance with Keystone Helicopter Insialtation Drawing List IDL01696 Rev K. dated 01/15/2010 or later FAA approved revision. 1.7..[J..rseraer geeease...: *I. Keystone Helios*: Instructions for Continued Airworthiness. Replacement LED E:dernal Lights installed on a Sikorsky S•76A/8/C. Report No. 1C01696 Rev. 8. dated 11(302009 or law FAA accepted revision is required for :his modification. 2. FAA Approved Rotorua Flighl Manual Supplement. Supplement NO FM01946 Rev. •. dated 064002000 or later FM approved revision R required when installing consguranons a or ti of this mastication as defines on drawn) 07076A10t4000 Rev. J. dated 1212912009 or later FAA approved revision. 3 This approval should not be incorporated in any aircraft of this specific model on which other approved modifications are incorporaled. unless it s determined lhal the interrelationship between this change and any of those pitim)uSly incorporated approved nmelilirMinn rna nil 'ARM,re Any Atha,/ a nllert upon the airworthiness of the nirende a the holder agrees to pored another person to use this certificate to Wier Inc product. the holder shalt give the emu. Person written evidence of that permission . #4,40.4".4.r. ord.? ...14441.CA.5. Aric -45.[AsAsearrs-9,Aff.- /..:.Nn. AA. e" r 9ecriliawcwi : April 13. 2008 ielAy 21. 2008 June 4, 2009, January 21.2010 4enkon eyed& .0:47.L-;Alt -',:t .... 'Lk" IS:ignalcio Daniel .1. Shapiro TC.CDA Administrator „ • SDNY_GM_02757901 SUBJECT TO PROTECTIVE ORDER PARAGRAPHS 7, 8, 9, 10, 15, and 17 EFTA_00244823 EFTA01329686 SUBJECT SDNY_GM_02757902 TO PROTECTIVE ORDER PARAGRAPHS 7, 8, 9, 10, 15, and 17 I EFTA_00244824 EFTA01329687 • Altana .frisus eft: Eli isas linnet a cruni.bouriath.., - 1111plettlentill .(LATI3e. !J-t rt Lcitt olil it it oIi.;;$ by el ) ,./11;..ein•Ge SR02446NT-D Date amended: January 21. 2010 Based On 14 CFR §§ 21.115 and 21.101. and the FAA policy !or significant changes in FAA Order 8110.48. ihe Certification basis for the Sikorsky 5-75A/B/C is as folows a. The type certification basis for Sikorsky 546ASIC is shawl On TCDS N7 NE for pans not changed 0rib:staffer-led by the change b. The cedification basis for pans changed or affected by the change since the ielerebbe date of application is based uoon Pon 29 as amended by Amendment 29-ST Based on 14 CFR §§ 21 115 and 21.101. and 11w FAA nnik.y ram significant changes in FAA Cider 8110.48. the conification NIS'S for Um inoclification was determined to be: Regulations at the latest amendment 29-U through 29-51 29 301. 29303. 29.305(a). 29.307(a). 29.337.29.341. 29601. 29403. 29.607. 29.609. 29.813(a)fbXs0. 29 773(021. 29.1301. 29.1309(b)(2)(d)(9). 29 1351(a). 29.13.03(a). 29 1357(00(01. 29.13599n(c). 29.1431, 29.1501. 29 1529. 29 1581.29.1585(a) Reigulatinna at an intermediate amendment None Regulations ei the amendment level hi TCDS WINE 29.56 l(a)(b)13Xc) SDNY_GM_02757903 SUBJECT TO PROTECTIVE ORDER PARAGRAPHS 7, 8, 9, 10, 15, and 17 EFTA 00244525 EFTA01329688 SDNY_GM_02757904 SUBJECT TO PROTECTIVE ORDER PARAGRAPHS 7, 8, 9, 10, 15, and 17 EFTA_00244826 EFTA01329689 I onAlso.. Ebert TaselivoNiass 00 e lizoccoo MAJOR REPAIR AND ALTERATION ror unmo ell) _ (Airframe. Powerplant, Propeller, or Appliance) or FAA UllIP Only .60••••••• 0 hinitsia•.. tote. Aran AMISIMOII• INSTRUCTIONS: Print or lyoe all entries. See Title 14 CFR §43.9. Part 43 Appendix B. and AC 43.94 (a subsequent revision Meted) for Instructions and disposition of this tarn. This report 6 required by law (49 U.S.C. §44701). Faucet report can result in a civil penalty to each such violation. (49 U.S.C. §46301(a)) Nationality and Rttpintliti011 Mark Serial NO. N750A 760750 1. Aircraft Make Model Senes Sikorsky S-76C Name (As shown on registration centicate) AdttreS3 (As shown on moist/awn certificate) MOOS 103 Fora Rd 2. Owner Air GhiStaine Inc. Oly Wilmington Poe Delaware ;to 19.903-3742 Covey USA 3. For FAA Use Only 4. T pit 5. Unit Identification Repair Alteration Unit Make Model Serial No ❑ r AIRFRAME (As described in dem I above) POWERPLANT PROPELLER Tait ❑ M APPLIANCE mat.„4,2 c:u.ei 6. Conformity Statement A. Agencys Name and Access B. Kind of Agency Nam Kiimica Heiccoei Sonic*, U. S. Cendicatod kleChartic I MfolutiClunif hides Ili/SW.4A tioslimOi.tie Foreign Cense-aged MKMgK C. Certificate No. City Coney.* Sale es— X Cairlikald Roper &non zo 19229....--. Cowart ILIA.--. Cofireated minim/ince Orearialon FAA CRS EGRR5260 D. I certify that the repair and/or aeration made to the Link( ) identified in item 5 above and described on the reverse or attachments hereto have been made in accordance with the requirement of Pad 43 Of the U.S. Federal Aviation Regulations and that the information furnished herein is true and correct to the best of my knowledge. Emended range luel SrgnalureCtate of Authoring Ind Per 14 CFR Pan 43 1 • App. 0 O Ronald Roney L..‘)._. / 29 Jan 2010 . Approval for Return to Service Pursuant I me authority given pars ns specified below, the Leit identified in hem5 was inspected in the nner prescnoed by the A.dMilliSlfillOr of the Federal Aviation Administration and is 14 Approved 0 Rejected FM Fit Sbndards Pews Mittfivikl byCanadian [WOO*. manufacture, maintenance Oreketiaberi Department or Mal .,-. BY Ono MOONS FM Designee X Repair Station ilitSDKUOn AvOlOIMUCol Certificate or SignatureA3ate a AuthaFed Inav Designate, No. ---2 29 Jan 2010 David Celts ,' -m / 17.C_—....__—. FAA CRS EGRR5261) FAA Form 337 nee* SDNY_GM_02757905 SUBJECT TO PROTECTIVE ORDER PARAGRAPHS 7, 8, 9, 10, 15, and 17 EFTA_00244827 EFTA01329690 NOTICE Weight and balance or operating limitation changes shall be entered in the apprOpriafe secret record. An alteration must be compatible with ad previous alterations to assure continued conformity with the aingrabse airworthiness requirements. 8. Description of Work Accomplished re more space 45 lealfarod. attach additional sheers. identify with aircraft nationality and registration mate and date work completed-I Aircraft TT: ILI) Nt . N750A 29 Jan 2010 Wonky AO ittesirmo, r4rA Das Keystone Helicopter Services has installed the follovang Sikorsky Type Certificated Options in accordance with the following Sikorsky drawing numbers: 33776-34889-014 Sta 300 Shelf Installation 33776-52177-011 Cockpit and Pilot Floor Scuff Plates 33776.52204-013 Sill Plate Install 33776.52562.011,-12 Jeppesen Manual Stowage Crew Door, LH & RH 33776.52578-011,-012 Drink Helder Install, LH & RH 33776-54138-011, -012 Landing Gear Lock Pin Stowage. LH & RH 33776-54746-012 Cockpit Headset Hanger Installation 33776-56019-011 Soft Cover Install. Fire Extinguisher 33776-57548-011 Cockpit Ceiling Support Angle 33776-57543-011 Cockpit Ceiling Install, H Panel 33776-57555-011. -012 Cabin Door Filler Installation, LH & RH 33776-52608-011, -012 Door Lock Pin, Extension, LH & RH 33776-52610.011,-012 Cockpit Door. Window Trim, LH & RH 33776.53554-013,-014 Door Threshold Light, LH & RH 33776-54107-013 Cable Guard Install 33776-54196.015,-016 Plug Stow Install, RH 8 LH 33776-44543-019. -020 Chart Install, Pilot & Copilot 33776-64732-023, -024 Nose Ballast Provisions, LH & RH 33776-64798-011 Shore Power CB Install 33776-58902-012 VIP Interior Paint Prep and Finish installation of equipment listed above, has been installed in accordance with Sikorsky Aircraft Type Certificate Drawings. Ground tests have been conducted to ensure that the installations, referenced above. operate property in accordance with the manulacturers' instructions. For FAA DER approved Flame Test Results reference Keytech Engineering Services report number ER01859.8 dated 29 Jan 2010. An aircraft actual weighing has been performed and equipment list has been updated for these installations. Reference Keystone Helicopter Services work order number: 2760750/1 for details of wort performed. --End- ['Additional Sheets Are Attached FAA Form 337 0006r SDNY_GM_02757906 SUBJECT TO PROTECTIVE ORDER PARAGRAPHS 7, 8, 9, 10, 15, and 17 EFTA 00244828 EFTA01329691 F... Awe.. licvmc nanny/urea. omits tisane ej MAJOR REPAIR AND ALTERATION wiener For MA Use Omy us oremm. (Airframe, Powerplant, Propeller, or Appliance) a tomonfon renalNano Aalantauta INSTRUCTIONS: Print or type all entries. See Titre 14 CFR 543.9, 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 V.S.C. §4470I). Failure to report can result in a cavil penally lot each such violation. (49 U.S.C. 448301(a)) Nationality and Registration Mark Senei No N750A 760750 1. Aircraft Maice Wel Series Sikorsky S-76C l Name (As Shown on tecustrabon certificate) Address (As shown on registration certificate) Mamas 103 Four( Rd 2. Owner Air Ghislaine Inc. City Wilmington Slate Delaware Lie 19803-3742 Country USA 3. For FM Use Only 4. Type S. Unit Identification Repair Alteration Unit Make Model Serial No kI4 AIRFRAME (As ciesentred in 110011 above) O O ❑ POWERPLANT O mu PROPELLER Type O ❑ APPLIANCE Manufacturef 8. Con ormity Statement A. Agency's Name and Address B. Kind of Agency Mane OntOre HalrOMIN COreefalion U. S. Certificated Wettable Manufacturer Address 110 Stenran fbaton Onte Foreign CenAcated Methane C. Certificate No. Cily Cedatrtite Sur* EA—, X Ceniacxed Repo« SiMon be 19229_ twin' USA Certificate Maintenance CreanintiOn FAA CRS EGRR5261) 0. I certify that the repair and/or a teratton 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 Pad 43 of the U.S. Federal Aviation Regulations end that the information furnished herein is true aid correct to the best of my knowledge. Extended range fuel SignaturerDale 01AutherMed IncInsduel Per 14 CFR Pail 43 ❑ App. 8 Michael WIster 74 1,1‘il-d OS Feb 2010 7. Approval for Return to Service Pursuant I Ike authority given persons specified below. the unit identified in item 5 was in peeled .:11 the manner prescribed by the Administrator of the Federal Aviation Administration and is el Approved Rejected FM FR Standards I Persons Approveo by Cannon InsO0Cla Manulaclurec Main...nand, Orgardabon Oeriamer4or Transpat BY Owe Maeard FM Desiree X REAM SIM*, InsepelOnANIMIltelien 1 Geri, ate or Signature/Date or Auth zed Individual ri. Designation No. - 1 x David Celes /9 05 Feb 2010 / ca l FAA CRS EGRR526D FAA Form 337 voce) SDNY_GM_02757907 SUBJECT TO PROTECTIVE ORDER PARAGRAPHS 7, 8, 9, 10, 15, and 17 EFTA_00244829 EFTA01329692 NOTICE Weight and balance or operating limitation changes shall be entered in the appropriate aircraft record. An alteration must be compatible with alt previous alterations to assure continued conformity with the applicable airworthiness requirements. 8. Description of Work Accomplished (If mote space is required. attach additional sheets. Identify with aircraft nationality and registration mark and date work completed) Aircraft TT: 19.0 hrs N750A 05 Feb 2010 . Naltedity and RptWatitn 0N• Keystone Helicopter Corporation modified the cabin entertainment system in accordance with the listed drawings: 080768908010-01 Cabin CS 8. Entertainment WrD 080768610051-1 Audio Mixing Amplifier Modification Sikorsky Global Helicopter has modified the Cabin ICS & Entertainment System with an Audio-Video Distributor and CMS Equipment install lAW Keystone Helicopter Corp. drawings listed above. The Entertainment system is controlled by an I-Pod located in a cradle on the rear divan center console and an audio coned panel located on the Aft right side wall. An Audio -Video Distributor and a CMS Equipment install, both located on the Sta.273 shelf in the tail boom ate system components. The maintenance instructions have not changed for the entertainment system and is to be performed every 360 hrs or annuatly. All work, as listed in above drawing, has been performed in accordance with FAA DER. approved, report number. System Analysis-Interiors and Avionics Misc. Systems ER02190.2.1, Rev. A, dated 0244-10 and FAA form 8110.3 dated 02-04-10. An aircraft weight and balance change is negligible for this modification. Reference Keystone Helicopter Corporation work order number 2760750)1. END DTI Additional Sheets Are Attached FAA Form 337 00.05) SDNY_GM_02757908 SUBJECT TO PROTECTIVE ORDER PARAGRAPHS 7, 8, 9, 10, 15, and 17 EFTA 00244830 EFTA01329693 i . oeure:elf..0'40 lk inAll.KI linos I•ill • WAPERAL AV.41114i nordusneutoK 0.1Fr.° 2010 STATEMENT OF COMM.IANCE WITH TI.1E FEDERAL AVIATION R. EfItt LATIONS Allt( RAF I' Cm Alit( RA VI' Co IOW. CWC inchairi('ratoht NIAKC hniCelt MO ryre r. fifpint' Nakit • I 1i Inicia NAME Of AVM ICAN1 SIKORSKY S..76C •.I Helicopter Keystone Helicopter Corporation LIST OF DATA IDENTIFICATION TITLE Dwg. No: 080768908010 CABIN ICS & ENTERTAINMENT W/D Rev. E dated 213/10 Report No.: ER02190.2.1 SYSTEM INSTALLATION EVALUATION; Cabin ICS & Entertainment Rev. A dated 09 FEB 2010 installation in Sikorsky S-76C Helicopter SIN: 760750 END NOTES: I) The data depicted in the above listed diawingiidocurncnis, including system integration, is approved. This approval is liontoJ to the Systems & Equipment aspects of the data only as listed herein. 2) This approval does not include installation testing. 3) This S110-3 supersedes 3110.3 dated II JAN 2010 to include design changes outlined in the revised documents above. This approval is for engineering design data only and is not of and in itself an installation approval. This form does not in itself constitute FAA approval of all the engineering design data Itemised tor substatilmOOtt of compliance to necessary requirements for the enure alteration. PURPOSE OF DATA Compliance findings in support of a major alteration for aircraft S/N: 760750 only. APPLICABLE REQUIREMENTS purl Walk arnIa0M) Title 14 CHI; Chapter I; Subchapter C; Part 29; Arndt 29-47 529 1301(tt).(h).(c); 529.1309(s); 529.1322(0(d); 529 1357(a).(c); 529.1339(c) CERTIFICATION - Under authority vattel by &aukg, of the Administrator and in accordance with conditions and ilfrikbliernal of appointment under Pan In of lilt FCdClnl Aviateon Rs-diddling, daa listed above and en attached sheets (wintered WOVE hay been examined in accordance with establnhol procedures and found to comply .vith applecable requeremenes of the Federal Aviation Residations Wit Thotkr 0 Recommend approval of best data Gnipplove Iht5C data SIGNATUREO0 OF DESIGNATED ENGINEERING REPRESENTATIVE156 DESIGNATION NUMB£Rt$d CLASSIFICATIMS4 David A. Mulford c4,ja 4, ...1. Mar titiet- DERT-955064-NE Systems & Equipment FAA Form 8110-3 I I -70) SUPERSF.ntS rtt,siottS mach: SDNY_GM_02757909 SUBJECT TO PROTECTIVE ORDER PARAGRAPHS 7, 8, 9, 10, 15, and 17 EFTA_00244983 I EFTA01329694 SDNY_GM_02757910 SUBJECT TO PROTECTIVE ORDER PARAGRAPHS 7, 8, 9, 10, 15, and 17 EFTA 00244832 EFTA01329695 DEFENSE LOGISTICS AGENCY DEFENSE SUPPLY CENTER PHILADELPHIA 700 ROBBINS AVENUE PHILADELPHIA, PENNSYLVANIA 19111-5092 ill WIN alltSCM DSCP-NASA September 28, 2009 Austin Hardware Attn: Jon Leopold Dear Mr. Leopold: The purpose of this letter is to inform you that your applications for the Qualified Suppliers Lists for Distributors (QSLD) of Classes 3 & 2 Threaded Fasteners, Rivets, and Quick Release Pins have been approved. This qualification is based on a review of your quality manual, your quality history with DSCP, and on the survey performed at your facility under CAGE code 1P9Z9 on September 23, 2009, by DSCP. Qualification must be renewed after a three-year term, and is subject to removal as determined in the Criteria and Provisions. Keep in mind that post-awards audits may be conducted at any time, either announced or unannounced, by either DSCP personnel or our designated representatives. For your convenience, the Criteria and Provisions are available online at httpliwww.dsc .dla.mil/ i/ sl/. For any questions or concerns. you may contact the undersign or send e-mail to Our fax number is Thank you for your participation. Sincerely. l Jonathan iatd16) A141 Vidal QSL Team Leader Engineering & Qualifications Branch Aviation Supply Chain Directorate SDNY_GM_02757911 SUBJECT TO PROTECTIVE ORDER PARAGRAPHS 7, 8, 9, 10, 15, and 17 EFTA 00241533 EFTA01329696 SDNY_GM_02757912 SUBJECT TO PROTECTIVE ORDER PARAGRAPHS 7, 8, 9, 10, 15, and 17 EFTA 00244834 EFTA01329697 UMTIO SATBCC Merl COWNW OF TRAMPOITIA110.1 KW"... /00.1.110.1•0411/4TRATO1 SPECIAL AIRWORTHINESS CERTIFICATE A CATEGORWOESGNATON 8 4. I PuRPOTIF ..... n LONG NAME , ,'.. WA' FACTURER ADORERS !: ' G c ;Len FROM ,T2/4' TO e. .! I at 710.1. , _SE NO 714710 O l '' BUILDER TO eFTPonir mot L 571C DATE CC 140,0 \ I / 2 own unarm° OPERATING MATEO 01/14/2010‘ E PART Of THIS CIERTFICATE E ..04.Yalt Co r la “mt‘.,.... ' .. . ‘ 5.0lanOtt OA 0011Ct NO A. C 04.400470.NE .., .44" 'W04.00^ a 'ma* the •••• 0WO/ 1,1 ore 101 11,Th COOSaCATt affralit OISPLAN=11= ,1 4..22" Za " 1731.ur aETIT{E n rcIA."v.w Ile. CeRn avo SONY_GM_02757913 T TO PROTECTIVE ORDER PARAGRAPHS 7, 8, 9, 10, 15, EFTA_00244835 EFTA01329698 nws aroortNis ankle' some, nee 0. artaty of Mk Lat 1014. a Weasel Caa A (0SC) 4001rd Re %Cat alFaint Recolobat (CFR) The afactinntia otrircat astfoires N andante,refs of CS vele lab onikel E 0,0030, ilr S sit all NO•flan We Vss. ta anal %aft., A fani NOVICAna) °Tan>Wax,icel fRa L0R.P* metal. III Cav new s a Midi afaCtranalaN a f ye you r11 Canynnenan N emetatb ex inweedlifigt Ns warren anion *stolen Iro bill paned oi te tarn 'CobIN p11 taw af C (fat A Ns anacernms I onief NI Mn. dm cbasurce. N *RSInnen bead No tan Nona Imhof le mon et owners% Cl N topkatio CFR TN and dots Nil N nine an* a)petaa ccepshanfes an, /slat annewesso:de at pram Wan. 0 I co te Cann On rfamecnal °ethos, MopeNal ray maw Ronnfl dumbed of IN mete sok Cl) actpI A avadarce rail% acquit, CFR ate nacCONtONO usfahm WO Irfentnife sty bomitn)ed try INhannesaf poi olRdMeat Mean keep *wry eiteta Re Kitt {raw of Ito wary E Wen %ow wetly* Nona& csendat lidlarlinial Pa • alma Ict N SON ON ai Or 1* wad* pinata n 14 CFR Pin ?I. 3.3of 21 1111.21 21? SONY GM D2757914 T TO PROTECTIVE ORDER PARAGRAPHS 7, 8, 9, 10, 15, EFTA 00244836 EFTA01329699 a U S. Deportment of Tronsportotion Engine 8 Propeller Directorate Manufacturing Inspection Dtstnct Office e44 400 Airport Drive. Po rn 102 New Cumberland. 17070-3419 Tel: (717) 782-4a Federal Aviation Fax: (717) 782-2 Administration EXPERIMENTAL OPERATING LIMITATIO RESEARCH AND DEVELOPMENT BUILDER: Keystone Helicopter Corporation MODEL: S-76C SERIAL NUMBER: 760750 REGISTRATIO UMBER: N750A DATE OF ISSUANCE: January 14. 2010 EXPIRATION D TE: February 13.2010 1. No person may operate this aircraft unless the FAA form -7, Special Airworthiness Certificate, is displayed at the cabin or cockpit entrance at it is visible to passengers and crew. V 2. No person may operate this aircraft for other than t urpose of Research and Development to accomplish the flight openitio utfaual in the applicant's program letter dated January 14, 2010, describing compliance h §21.193(d), and made available to the pilot in command of the aircraft. Additionally, s aircraft shall be operated in accordance with applicable air traffic and general ope niles of part 91, and all additional limitations herein prescribed under the provisions of 19(e 3. These limitations are a part of the F 8130-7, Special Airworthiness Certificate, and arc to be carried in the aircraft at all for availability to the pilot. Blocks A, D, and Eon the reverse side of FAA form 8130- a part of these operating limitations. 4. The owner/operator of this aircraft ust ensure that a copy of the current program letter, and amendments, if any, are carried card this aircraft at all times. 5. The base of operation for this ircraft is as follows: KMQS-Chester County Ai r rt. Coatesville, Pa. All operations shall be c ducted from the base of operation. 6. All flights shall be c r ducted within the geographical flight test area described as follows: within a 100 nautic mile radius of KMQS - Chester County Airport, Coatesville, Pa. Page I of 4 SDNY_GM_02757915 SUBJECT TO PROTECTIVE ORDER PARAGRAPHS 7, 8, 9, 10, 15, and 17 EFTA_00244837 EFTA01329700 7. Take-offs and landings from only the following airports within the assigned geographical flight test area are authorized: Reading Regional Airport KRDG Reading, PA New Castle Airport KILG Wilmington DE Pottstown Limerick Airport KPTW Pottstown, PA Lancaster Airport KLNS Lancaster, PA Chester County Airport KMQS Coatesville, PA Millville Airport KMIV Millville, NJ New Garden Airport KN57 Avondale, PA 8. No operations, including take-offs and landings, shall be conducted over den y populated areas or in congested airways, except when otherwise directed by Air Traffi Control. 9. No person shall operate this aircraft unless the replacement times for I imited parts specified in the applicable technical publications pertaining to the II and its components are complied with. 10. The pilot-in-command of this aircraft must, as applicable, appropriate category/class rating. If required for the type of aircraft to be flown, the p n command must also hold either an appropriate type rating or a letter of authorized ued by an FAA Flight Standards Operations Inspector. 11. Unless appropriately equipped for night and/or inst ent flight in accordance with 191.205, this aircraft shall be operated under Visual Fli ht R es (VFR). 12. Aircraft instruments and equipment installed used under 191.205 must be inspected and maintained in accordance with the requirem s of 14 CFR part 91. Any maintenance or inspection of this equipment must be in the aircraft maintenance records. 13. No person may operate this aircraft fo ing persons or property for compensation or hire. 14. No person may be carried in this ircraft during flight unless that person is essential to the purpose of the flight. 15. The pilot in command of t s aircraft shall advise each person carried of the experimental nature of this aircraft, explain that it does not meet the certification requirements of a standard certificated raft. 16. This aircraft shal ontain the placards, markings, etc., as required by §91.9. 17. This aircraft'. prohibited from acrobatic flight, i.e., an intentional maneuver involving an abrupt ch e in the aircraft's attitude, an abnormal attitude, or abnormal acceleration not necessary or normal flight. Page 2 of 4 SDNY_GM_02757916 SUBJECT TO PROTECTIVE ORDER PARAGRAPHS 7, 8, 9, 10, 15, and 17 EFTA_00244838 EFTA01329701 IS. This aircraft shall not be used for glider towing, banner towing, or intentional parachute jumping. 19. No person shall operate this aircraft unless within the preceding twelve (12) calendar months / it has had a condition inspection performed in accordance with the scope and detail of appendix D to part 43, or other FAA approved programs, and found to be in a condition f safe operation. This inspection shall be recorded in the aircraft maintenance records. 20. Only FAA certificated personnel with appropriate ratings as authorized by §43.3 rgdy perform inspections required by these operating limitations. 21. Inspections shall be recorded in the aircraft maintenance records showing tl following or a similarly worded statement: "I certify that this aircraft has been inspeic ed on (insert date) in accordance with the Manufacturer's Inspection Program p FAR 91.403, (or other FAA approvedprograms) and was found to be in a condition or safe operation." The entry will include the aircraft total time in service, and the na signature, and certificate type and & number of the person performing the inspection. 22. If aircraft, engine, or propeller, operating limitations are 'tcded, an appropriate entry shall be made in the aircraft records. 23. This aircraft shall not be operated unless it is mai ed and inspected in accordance with the requirements of part 43, Maintenance, Preven Maintenance, Rebuilding, and Alteration. 24. This aircraft shall display the word EXP ENTAL in accordance with §45.23(b). 25. The following placard shall be dis la inside the aircraft at all times, in letters at least 3/8 inches in height and in a location visible and legible to all persons entering the aircraft: WT FD .R LSAFETY AIR RAFT" 26. The pilot-in-command o s aircraft shall notify the air traffic control tower of the experimental nature oft aircraft when operating into or out of airports with operating air traffic control towers. e pilot in command shall plan routing that will avoid densely populated areas and ongested airways when operating VFR. 27. The pilot in co mand of this aircraft shall notify Air Traffic Control of the experimental nature of this rcraft when operating under IFR conditions, and shall request routing which will avoid • nsely populated areas and congested airways. 28. This raft does not meet the requirements of the applicable, comprehensive, and detailed airw hiness code as provided by Annex 8 of the International Civil Aviation Organization (I 'AO). The owner/operator of this aircraft must obtain written permission from another ountry's Civil Aviation Authority (CAA) prior to operating this aircraft in or over that country. That written permission must be carried aboard the aircraft together with the U.S. Page 3 of 4 SDNY_GM_02757917 SUBJECT TO PROTECTIVE ORDER PARAGRAPHS 7, 8, 9, 10, 15, and 17 EFTA_00244839 EFTA01329702 airworthiness certificate and, upon request, be made available to an FAA inspector or the CAA in the country of operation. 29. Any major change to this aircraft, as defined by §21.93, invalidates the Special Airworthiness Certificate issued for this aircraft. 30. Application shall be made to FAA New Cumberland MIDO at telephone number (7)/7) 782- 4425, for any revision to these operating limitations. 31. In accordance with §47.45, the FAA Aircraft Registry must be notified within,3b days for any change of the aircraft registrant's address. Such notification is to be made/in the form of a submission of an FAA Form 8050-1, Aircraft Registration Application. / 32. All airworthiness directives applicable to this aircraft, or any pan thaw/ shall be complied with in accordance with the requirements of 14 CFR part 39. Issued by:rrAdy-77e:r_ Date: / 14 Jan. 2010 Timothy A. Chopp ODA-800670-NE • Page 4 of 4 SDNY GM 02757918 SUBJECT TO PROTECTIVE ORDER PARAGRAPHS 7, 8, 9, 10, 15, and 17 EFTA_00244840 EFTA01329703 FAA FORM 8130-6, APPLICATION FOR U.S. AIRWORTHINESS CERTIFICATE Form Approved O.M.B. No. 212O-OO18 Exp. date 12/31/2010 APPLICATION FOR INSTRUCTS:44S . Pred or type Do nee vole in shaded areas, mete are tee FAA oat 0 dna &Ord arra cap to en /661.06205 FAA RepreSertaive II addltbrial us DOPAlOwA U.S. AIRWORTHINESS (cooked. uSit eltechrrard FIX 196001 fight roman =Waft &clam a VIant et n1;Caleol TriS AMOS. PON CERTIFICATE PI ea Walelitie Adalnlignics 1. REGISTRATION 166/1k 2 AIRCRAFT NMDERS NAME Iona 3 NKR*, MOCO. OE9O14471O,4 4 YR MER FM COOING i 5 N75OA Keystone Helicopter Corp. S-76C 2OO8 Do not coder per FM 0 5 ARCRAFT SEWN. NO 6 ENGINE WI.DERR NAME nom 7 114O1NE ACM CESIONAT1O4 760750 Turtomeca Arriel 2S2 CREW 8130.29 . 4 Filmset CF EIKIIIES 9 PROPaLER MADERO NAME Oisto 10 PROPELLER NKRIEL O621OnAlION 11 AIRCRAFT IS (Owl smobale 2 N/A N/A DEPORT APPLICATKIN IS HERESY Ma FOR eCtoet witao• Amin A l STANDARD AIRWORTHNESS CERTIFICATE pas Capon I IC I I 04W I I Winn 1 [` won't I wasa. I I aaoa I IWO e / FECAL A/RWORINAZESCERTIFKATE /CAS umeows la/ 7 PRIMARY 9 LIGIaNWORT eueca• Cow I WWI I I FORIMARACNUR I 1INIOINalk1047604. 1 1 WWI I I LAMMPAM AR 2 UMITEO i CLASS I 6 PROVISONAL seas Casa 2 °Ana IL CERTIFICATION REQUEST® 1 0431•CULTURE NO peercorrrea 2 *ERIK SURVEY 3 AERM4. .1OVERTRIN3 3 RESTIECTIO/meanissaa a FOREST 0•04/04 O.1o1.., 5 PATROLLING 6 WEATHERCONTROL lorn•SIO01 0 OTHER Moth, I / RESEMKRAMCevacemert 1 AMATEUR BUCT 3 IDICBTFON 4 ARRACING 5 CREWTRAMP° • MARKET SURAT DWASEWAL new 0 TO 2.147.14 COMPUN10E MOTH TIE CPR 7 CPERATF6G ant Colow$KIT SALT AIRCRAFT d i ••••••••Wal•Maabfall 64 fa ay Most Aran en swarms,. wettest Os As nom 2 IN l I AB OIAIMAII464.4A SAM UGHT-SPC161 AT SC O••••14 en6lom manor mad smaapwool own ovetoom WOWS ..nas 1 a 646 1 FERRY FLOW FOR REPARIS. ALTERAT1O149 MAiNTENRCE OR STORAGE %PEON. FLIG/4T PERiaT 2 EVACUATION FROM AREA OF 11AFEKONG GANGER • awassainca OPERATION IN fna SS OF MAXWMCEFillf.CATEO TAKEOFF WEIGHT Irs• alio Sala.•Mr la "NM wan' 3 - •Plabla• le IWO MIDI 4 GELIVERING CA !WOWING I 5I I PROONCTONFEDORATenn° • CUSTOMER 000ONSTRATICAlfUG.09 71 6 MATRIX AAVVRTTNINESSCERTIFICATE eonMOW later 4•••e/est limeWer %seta erieNew A REG STEAED CANER As Mom en •15 cans* nrael IF DIALIARNICA mai I NAME ADDRESS 103 FotAk 320 Air Ghislaine Inc. VWminglon DE 19803-3742 It A RcRAr CUITAACATIOD BASIS KM amintko•WA• no<wonNair olleir•A OVMEW5 cut nnceacm AIRCRAFT SPECMICAT0N OR roe CCRIWICATC DATA SAW 066e Alt 4of NRVCRIIONESSCIRECTIVES Kloot nimeat•Mo AO an /robe wee neeMno asawas) HINE Rev. 30 raffirEtt agn; =11772" 7 ""b" wa.a. "...tin.° ARO/1AR Urea) FaaFero soeMAI SPREVENTAL TYRE CERTINCATE We net. V ea ITC Pesoos) N/A WA C ARCRMT OPERATION AMINNNTENMa Racine CHECK IF RECORDS IN TOTAL *MANIA WuRS OPERIDAIMAL CAILY &Mesa Arm ova often's.... *An•• CCOMAJAPCWAITI4 II Csii sine* Santa 617 5.4 hrs s 0 his J. CERtFCATC1/1• libler Old* ON I an IP* regasedRow Es Pm agog AIM Mtn* 0040.000 atrOot MOM ONOlft S aseleAree.46 we Feast Avelt41 Aarnnenson in IPORCila ValISO al Ow Uwe; Segue Con141O1f112 AN opp.apele hen. mar Anise• sad ANA Awn,/ ha Wei Impeded AM A ~thy Ara ono AA ve Seadrirdedde plandrasiquelial. DATE OF AWYCATICA NAME AND TITLE Penes* 15/OHATURE _.......s. 01/14/2010 Wheel J. Wader SN3C Quay Assurance Inspector s e A. 14 WOW, COMM AWNKW NW mentCrtO Ann /WO MAWR THY AY Kes•••••• ista•:;;;;r oll eteMe. O a 2 NICER pun 111 CERTIFICATE 1461.O19e CA•Call/SIN.1 3 CERTIFICATED ll 6O.1O1C DMA CoVita• An a CeninCATED PERNA STATION Pea easiketao 1L 1a lei t s DAM ARCRAFT NUR,&MISER Sea ' 111.11 saw SiGnAntnE OSI AU el Agralt•INI rail sm* - 1 THE CERTIFICATE REaoESIT3O Z A A Imo NM Swat twat*, in Seat& or Y• mars nen lot 4 AMETCGOR CO IAXPPC.A71O11 OF CURRIER APINCOM411E315cein ACME >l P ic•- A inwicacahr 5 grow Arm AA* Soar v3 Aim con0JOKI by DATE 01/14/2010 area CfnCE NNE-MIOO-44 4 FM INSPECTOR CERTIFCATE MOWER UNDER O ,, •NEES ,• • .. - . Timothy A. Chopp ODA 70-NE LI FM OESOARE 14 CFR 0•1160 I 114 CPR pen 12113R 1351 FM ASPECtORS EaGlIATURE 114 CFR pen 145 FM Form 8130-8 (10-04) PF•001.19 Edition Dated 5/O1 May De Used Until Depleted. Except for Light-Sport Aircraft NSN: 0052430-024-7008 SDNYGIv1_02757919 SUBJECT TO PROTECTIVE ORDER PARAGRAPHS 7, 8, 9, 10, 15, and 17 EFTA_00244S4I EFTA01329704 A IAMUSACTUOSIT NAmE PCCITLSS VI. PRODUCT°. EL PROWCDON LIAS4sSoloydatios) PUGH. TESTING OROCIATiati CORTTOCATE Orstattbaconinty ruSe0 Tort CERTITICAltOnti APPROKOMOOKTION POPeCTIOR SKID/ C 06E OtWITRY OF O.ERTITCATES RECURS'S FORC.ISTAT.43 HEMS i/ATE Of AMICATION NAME OW ?AC ores AM SONATAS A.LCXSOTPTC04 OSAKA/Ft ACOISTVII:00VtatO ,ICORESS OUTCOR raw I0OCEL SPAT% NU/400A REOCIPATION MAII.0 or extoilstcoakM*19.1) currowetogooteismAnor krona TO. in PorAntisTO TR VOCAL FLCRT Patter PURPOSES CORER Owl Precoucnom mow ma VIA 50.30uReOME Door TS./ 'C..:OltWREOIJIREO.TO OPERATES/1E ARCRAFI-MOITS EOLIFACTIT I PILOT I I .CO-PCOT I I Fl.t..TrENGT/CER I i OTIOTOJSOichl ITI T€ MRUAr DOSS *ST mar ma AMCASTE Ati,AORTN,WSS SEGA SEATS AS FOLLOWS S. •" -FOLLOW.14 14 STOICIOsS A?ECiOnSCEREONECESSART PCs SITE OTERAT ON tat anti ins% F. 'CUTICATION - I lenbytellyMel I ••••thortilifend pew IC‘Tot sprOrot IfitiecrollSonocliborn St neon b ropstited 4111•4 Fotiost Mar ArtnaraIon o lotO)PCOndmiOTbnponitUniul OuLoseLoo4410/4/214113.00ICIEL•Fildsalialenpreln: MOW On OMMOH Olin MOCI00 *V 4 set lor IN Or <woad we MM NC MU pins Oak **MAWR* A CeirS TOLSaOtotoroAlitholSCCoSilMitylin la MSS., sit 0.11Itnet *I COMPIPP4.FAA Poen 110-9 OLNO arm Oslo,/ N. Fang, ftanolVnet CMPeden far Iwo/ Past / .0. 9.ATTTOOTTTITIOUTTISS(in, (AMP na•• /1101460) .C. CoSOrISSIOStolelrgrnotossionoossIol I. Primps Aawoollwols Cebical• beadIn Accerelsree vat 1 %CPR Stipp 2,103 PO UR PrOw arse) 1 .0. Cain Wilt IN NISI - Asa m Suet ii q LE i;05e6soiA)pepAhrseoe.7.6.k.fewilkitartamens i 4rcratentlitrite "mad nAcaniononon , • 1 J. Trilsoteinints{lodihproiliRocaOs K. 09TASpos Soot SISinort se Cormier*, 0A Form toSO.ISSIICS/Olo Itiratc9 FM Farm 61 ) R6e ug Eg6On 06160 SCI Mey be Used Until Depleted. excePI TOT Leill P00 Awn NSN: 2-00-024-7006 SDNY_GM_02757920 SUBJECT TO PROTECTIVE ORDER PARAGRAPHS 7, 8, 9, 10, 15, and 17 EFTA 00244842 EFTA01329705 ` UNNEO SUMS 00 NIONCA DEPARTNIENT OF TRNOOORTMON . iNDOP.M. MEADOW ACIAWMAT ION SPECIAL AIRY/DIMMERS CERTIFICATE A CATEOCCOCCSKINATION PURPOSE a.-4 MANU. NMIE -- . B FAC URER ACORESS c., ," FROM : 1 /1 C ruceir TO ." N. TOM -, - sO NO 760750 D BUILDER STEC , DATE OF iSSUAAC /14,2910 OM 54016 OPERAT61G L MUTATIONS lip ‘-..1 OK PART OF IMS CERTIFICATE E Nr.ankat CS Ida KtNOV.Nr '. Of , ' SONATICN Olt °FRU 'C TIMM, A C 00A100670.NE Amy ~mei refroh.010 Nem of sued, n pawerty• by • Ins notocineeN SI IXO or n inecovon l'a • 3 von o Coo T.R. CERT E mar OPLAYID TM of BE R AIRRAFT C NACCORCANOI NMI A CAM./ TINE II COot c• FEDERAL ReGuLATIORS (CPRI SONCGM_02757921 T TO PROTECTIVE ORDER PARAGRAPHS 7, 8, 9, 10, 15, EFTA_00244843 EFTA01329706 The arocehneu andaet a clad vedette (atoll aNu* Law 1015 49 thletr&afes Cale A MSC) fl an/11ft i a Ca d WWI %Saw*Pill The aftereweieanFan Waite. to ninaleame reef mho ran sae barna . many,Ihr M ard otlf mann. WI tea d emit wend nPa on lb renal may ul anima pa talr BOOM take N amicell (IIGrim; Weal a net. *34 ofecinHIONCe NM MR' al COWS, been ebaiwitai b 1,1,401101h1050% , Ms andlans earMatefleaVel be klelpeofed to tonine le Pa N mole Paton ''. 81:0A fin anicetang coinicate not NI* on. OMMesa enroll 13 NO mob] Me been aosald one bit to Coed N minerals alto "Mateo CM Tv sank dose rcl mod IV Agana allit ikWt calves.* ad dealsIirsaTnn cede a plant Dykes CI I la ne Canine= OnItirreknil Cal/mem Ne pew ref wail IMAMS 4.4Creed Coal mete fele Maw, a suat)rce slit* gaketle CFI ado ateMlnee at matteall insole NON ray be pivotal lar N Athleartra is an al N calla Oltieel WM bar comfy *earns =OW pogain Of all mini LKeis tin unseen. sumperiCed. a inds0.1hs II1110/MINII mikado a eftkin brie E Osibm in:I WOO, ti• 0:40104•01100•100 ril4CCR. PIA 21. SKI0171 151 of Ti 217 T TO PROTECTIVE ORDER PARAGRAPHS 7, 8, 9, 10, 15, EFTA 00241841 EFTA01329707 US. Deportment Engine a Propeller Directorate Manufacturing Inspection District Wee /44 400 Alrpon ()nue. Room 102 Of Ironwork:than New Cumberland. PA 17070-3419 Federal Aviation Tel. (717) 7824425 Administration Fax (717) 782.2231 EXPERIMENTAL OPERATING LIMITATIONS RESEARCH AND DEVELOPMENT BUILDER: Keystone Helicopter Corporation MODEL: S-76C SERIAL NUMBER: 760750 REGISTRATION NUMBER: N750A DATE OF ISSUANCE: January 14.2010 EXPIRATION DATE: February 134010 1. No person may operate this aircraft unless the FAA form 8130-7, Special Airworthiness Certificate, is displayed at the cabin or cockpit entrance so that it is visible to passengers and crew. 2. No person may operate this aircraft for other than the purpose of Research and Development to accomplish the flight operation(s) outlined in the applicant's program letter dated January 14, 2010, describing compliance with §21.19 3(d), and made available to the pilot in command of the aircraft. Additionally, this aircraft shall be operated in accordance with applicable air traffic and general operating rules of part 91, and all additional limitations herein prescribed under the provisions of §91.319(e). 3. These limitations are a part of the FAA Form 8130-7 , Special Airworthiness Certificate, and are to be carried in the aircraft at all times for availability to the pilot. Blocks A, D, and E on the reverse side of FAA form 8130-7 are a part of these operating limitations. 4. The owner/operator of this aircraft must ensure that a copy of the current program letter, and amendments, if any, are carried aboard this aircraft at all times. 5. The base of operation for this aircraft is as follows: KMQS-Chester County Airport, Coatesville. Pa. All operations shall be conducted from the base of operation. 6. All flights shall be conducted within the geographical flight test area described as follows: within a 100 nautical mile radius of KMQS — Chester County Airport, Coatesville, Pa. COPv Page 1 of 4 SDNY_GM_02757923 SUBJECT TO PROTECTIVE ORDER PARAGRAPHS 7, 8, 9, 10, 15, and 17 EFTA 00244845 EFTA01329708 SDNY_GM_02757924 SUBJECT TO PROTECTIVE ORDER PARAGRAPHS 7, 8, 9, 10, 15, and 17 EFTA 00244846 EFTA01329709 l 7. Takeoffs and landings from only the following airports within the assigned geographica flight test area are authorized: Reading Regional Airport KRDG Reading, PA New Castle Airport KILL Wilmington DE Pottstown Limerick Airport KPTW Pottstown. PA Lancaster Airport KLNS Lancaster, PA Chester County Airport KMQS Coatesville. PA Millville Airport KMIV Millville, NJ New Garden Airport KN57 Avondale, PA IL No operations, including take-offs and landings. shall be conducted over densely populated areas or in congested airways. except when otherwise directed by Air Traffic Control. 9. No person shall operate this aircraft unless the replacement times for life-limited parts specified in the applicable technical publications pertaining to the aircraft and its components are complied with. 10. The pilot-in-command of this aircraft must, as applicable, hold an appropriate category•/class rating. If required for the type of aircraft to be flown, the pilot in command must also hold either an appropriate type rating or a letter of authorization issued by an FAA Flight Standards Operations Inspector. 11. Unless appropriately equipped for night and/or instrument flight in accordance with 191.205, this aircraft shall be operated under Visual Flight Rules (VFR). 12. Aircraft instruments and equipment installed and used under 191.205 must be inspected and maintained in accordance with the requirements of 14 CFR part 91. Any maintenance or inspection of this equipment must be recorded in the aircraft maintenance records. 13. No person may operate this aircraft for carrying persons or property for compensation or hire. 14. No person may be carried in this aircraft during flight unless that person is essential to the purpose of the flight. 15. The pilot in command of this aircraft shall advise each person carried of the experimental nature of this aircraft. and explain that it does not meet the certification requirements of a standard certificated aircraft. 16. This aircraft shall contain the placards, markings, etc., as required by §91.9. 17. This aircraft is prohibited from acrobatic flight, i.e., an intentional maneuver involving an abrupt change in the aircraft's attitude, an abnormal attitude, or abnormal acceleration not necessary• for normal flight. e! of P2....\. P SDNY_GM_02757925 SUBJECT TO PROTECTIVE ORDER PARAGRAPHS 7, 8, 9, 10, 15, and 17 EFTA 00244847 EFTA01329710 SDNY_GM_02757928 SUBJECT TO PROTECTIVE ORDER PARAGRAPHS 7, 8, 9, 10, 15, and 17 EFTA_00244848 EFTA01329711 18. This aircraft shall not be used for glider towing, banner towing, or intentional parachute jumping. 19. No person shall operate this aircraft unless within the preceding twelve (12) calendar months it has had a condition inspection performed in accordance with the scope and detail of appendix D to part 43, or other FAA approved programs, and found to be in a condition for safe operation. This inspection shall be recorded in the aircraft maintenance records. 20. Only FAA certificated personnel with appropriate ratings as authorized by §43.3 may perform inspections required by these operating limitations. 21. Inspections shall be recorded in the aircraft maintenance records showing the following or a similarly worded statement: "I certify that this aircraft has been inspected on (insert glia) in accordance with the Manufacturer's Inspection Program per FAR 91.403, (or other FAA approvedprograms) and was found to be in a condition for safe operation." Thc entry will include the aircraft total time in service, and the name. signature, and certificate type and & number of the person performing the inspection. 22. If aircraft, engine, or propeller, operating limitations are exceeded, an appropriate entry shall be made in the aircraft records. 23. This aircraft shall not be operated unless it is maintained and inspected in accordance with the requirements of part 43, Maintenance. Preventive Maintenance. Rebuilding. and Alteration. 24. This aircraft shall display the word EXPERIMENTAL in accordance with §45.23(b). 25. The following placard shall be displayed inside the aircraft at all times, in letters at least 3/8 inches in height and in a location easily visible and legible to all persons entering the aircraft: "PASSENGER NOTICE: THIS AIRCRAFT DOES NOT COMPLY WITH FEDERAL SAFETY REGULATIONS FOR STANDARD AIRCRAFT." 26. The pilot-in-command of this aircraft shall notify the air traffic control tower of the experimental nature of this aircraft when operating into or out of airports with operating air traffic control towers. The pilot in command shall plan routing that will avoid densely populated areas and congested airways when operating VFR. 27. The pilot in command of this aircraft shall notify Air Traffic Control of the experimental nature of this aircraft when operating under 1FR conditions, and shall request muting which will avoid densely populated areas and congested airways. 28. This aircraft does not meet the requirements of the applicable. comprehensive, and detailed airworthiness code as provided by Annex 8 of the International Civil Aviation Organization (ICAO). The owner/operator of this aircraft must obtain written permission from another country's Civil Aviation Authority (CAA) prior to operating this aircraft in or over that country.. That written permission must be carried aboard the aircraft together with the U.S. SDNY_GM_02757927 SUBJECT TO PROTECTIVE ORDER PARAGRAPHS 7, 8, 9, 10, 15, and 17 EFTA_00244849 EFTA01329712 SDNY_GM_02757928 SUBJECT TO PROTECTIVE ORDER PARAGRAPHS 7, 8, 9, 10, 15, and 17 EFTA 00244850 EFTA01329713 airworthiness certificate and, upon request, be made available to an FAA inspector or the CAA in the country of operation. 29. Any major change to this aircraft, as defined by §21.93, invalidates the Special Airworthiness Certificate issued for this aircraft. 782- 30. Application shall be made to FAA New Cumberland MIDO at telephone number (717) 4425. for any revision to these operating limitations. 31. In accordance with §47.45, the FAA Aircraft Registry must be notified within 30 days for any change of the aircraft registrant's address. Such notification is to be made in the form of a submission of an FAA Form 8050-1, Aircraft Registration Application. 32. All airworthiness directives applicable to this aircraft, or any part thereof, shall be complied with in accordance with the requirements of 14 CFR pan 39. Issued by:( Date: 14 Jan. 2010 Timothy A. Chopp ODA-800670-NE Page 4 of4 © P"7 SDNY_GM_02757929 SUBJECT TO PROTECTIVE ORDER PARAGRAPHS 7, 8, 9, 10, 15, and 17 EFTA_00244851 EFTA01329714 SDNY_GM_02757930 SUBJECT TO PROTECTIVE ORDER PARAGRAPHS 7, 8, 9, 10, 15, and 17 EFTA 00244852 EFTA01329715 FAA FORM 8130-6, APPLICATION FOR U.S. AIRWORTHINESS CERTIFICATE Form Approved O.M.B. No. 2120-0018 APPLICATION FOR NISTRUCTICSIS - Pnnt Ot type. Do nOt mite in sheds meat these are tor FM IM 3 0 Subs* otairb Only b an abbe* FM Repnbentelive a SCISNIOMI SOW * US Ditunnva U.S. AIRWORTHINESS pm- request use Mannntann Fee WNW ISOM parrot wiliplete Seems R. VI art Trompoi al Rant Avisimben CERTIFICATE VI ea sp0cabb PailliiirMOSTRSTION I.WIK 2 Mobil BURGER* NNE piew 1 MICMIN 1630EL DCSGMTION 4 VA MR FM 0241113 3 N750A Keystone Helicopter COMP S76C 2008 1 0 F 5 ouRCMFT SERIAL PC I ENGINE NADER' NAME tuisw 7. ENGINE MODEL DESIGNATION 0 760750 Turtiomeca Artie) 2S2 t MASER OF Eti3PES a PROPELLER IsFLOEFTS NAME mow 10 PROPELLER KM OESIONATION b. maw, star dement 2 N/A N/A SPORT APPLCATON 6 HEREBY MACE OR mum erimany A I 1 STA.MARDAMW1InaNESS CERTIFICATE miens met I I' O1e I ['nun I I semen III ' west. I IC I 15Pusa 1 l ens. • PEON. NANOWOWS CERTIFCATE M. mem mu 7 FRAIARY • LIGHT-SPORT mambo* iMuse I I Fotipmworali I I niiirsieraiebt I F aoiXel I I meal* nava 2 LIMITED I CLASS I IL PROVISIONAL Pam am* 2 CLAW, 3 anicitorasongunk.„ i4 3,343 /10iSCUL 0 TURE 3.3...M e.:Iina.3 PEST CONNICIL 2 AERIAL SURVEY 3 AERIAL ADVERTISING ot•400o0.404 5 FATROLUIC S MATHER coma. 0 OTHER arab I I I RESEARCH AND DEVB.OPIENT AIR NOM 2 5 I AMATEUR BUILT CREW TRAIMIG 3 * IDSNINTICt. MARKET SURVEY 4 EXPERNENT AL nag* 0 TO SHOwCOMPUANCE NON THE a* , I CIPEMnr4G pow,Oa ni KR BUILT MICRAFt earrowo r...m.o.:Ng M I ere war mead a• ...ewe alliksb 0 emit..ei 6 lel oeartantra w • LabiT4PORT El °me. lah.e. Mme. AFeMM ma.. am.mannaopponmrippmarmi ...beam i it m. t FERRY FLIGHT FOR REPAAlt ITERATIONS. MAINTENANCE. OR STORAGE SPECIAL TIGHT PEST 2 EVACLATC•iFROm MIA OF SPENDING CANOES • Osssnese st susses OPERATIC,. IN EXCESS OF WOMAN CERTIFICATED TM.X.COCVM00a ow awwwirferanl Vir " 3 4001•14, ot mans allol 4 DELNIMPIO CA IDIFORTIN3 16 I I fitcoucnoN RCM TWIG S CUSTOMER DEMONSTRATON RIGHTS C I S MULTIPLE MWARTHINESS CERTIFICATE imp mom theiraenaina• enrinse et warms 01010001 A REGISTERED OYMER ma awm amotheinimm warm. MUM lea 1 ACOIESSI ie Senn bob Dr. Keystone Helicopter Corporation Cm.. FA. IMO II IMCRAFT CERTIFCATON BASIS cam imbsimaiii mem.. ab......Nmel AIRCRAFT SPEOFICATION CM TYPE MINIMA,* DATA SHEET Ms or me AMORY HINESS ORECTIVES tan* ea note 401 nanteItio • • iI Mais 1 al...•• he i MINE Rev. 27 1 gres nag ig=1:7= "s ."..""."."""."...I AIRCRAFT USING ossimomiteste SUPPLEMENTAL TYPE CIPITIMATIllano044•0••• $0000•04.00 NIA N/A C ritCRAFT OPERATION MD LW RDIANCI RECORDS , CHECK', RECOILS S TOTAL AIRFRAME HOURS EXPERIMENTAL ONLY(Es.•••••,....atarwisassion• Oi if COMPLANCE YEN 14 CFR 3 mum bean 01.417 3.2 hotn a N/A accit o cesina nr orat Tie.44 ot tvatf re 0.4 06111/ a M l see Cato: 44 •001411.01ITW omt tillr ets r ebonossolbai ke e : w Rvinnaliota tm. rai mstina reissnel eivenahlrenia rma NO. ihsem bdiral e snice, Anormem Abearn ows k, o i;.. siberematesicao niqu011ed. DATE OF APPLICATION December 8.2008 WA* AND TITLE Irmo new Lisa R. Dolph. Quality Inspector SG tr4(t) A. MEAIRCRAFT DESCRIEDMOW IIAS OEM INSFICTIO AND1011O MSACOTTIY SI Menow. as Nom pee • Gram IN eiseiss 14 CFR pan lb CERTIFICATE SOLON CERTMCATED IMCNANIC Os bobs am CERTIFICATED REPAIR STATION nano casan. he ) 1 i 2 gm cimm mi 3 5 AIRCRAFT IM.NUFACTURERNisisocuM•1 i 1 el i DATE TITLE SONATURE Mini boom We ilme.A.010. it necumricsrs REQUESTED I i A I WO IIIIIIPOrtall CIOSOlted In WOW la VII ewes /Worn fit 4 MiEnDliNNT OR LOCIFICATON OF CURRENT MMORTNINESS CERT/CATS 4 0. Rap on We spanel peratrrow Saab MIMI FM INSPECTOR MCF.SIGNEE is,,,,htAf,A..07:4 !I i 03 0200101 Pi CFAIIIICATI HOUXR Una* 14 CFR port 65 I 114 OM POI IN OR 135 I It4 COI piri lb INSTRCT OFFALY 4 OE SONATURE AND MD...... FM INSPECT R'S 9G.LATURE Dec. IL 2008 AA Foie, 8130-6 0040 ANE-MIDO-44 Previous Edition Dated 5101 May XJ&I be Used Grail Di lea, Except for Ligni-Sport Alf Craft 0052-00-024-70W MN Dean K. Gladfelter SDNY:DIA_02757931 SUBJECT TO PROTECTIVE ORDER PARAGRAPHS 7, 8, 9, 10, 15, and 17 EFTA_00244853 EFTA01329716 t / A MANUFACTURER II 1 NAME e PROr. nice, MSS (ado *Were Nowt PRODUCTION CERTIFICATE rawassasopeilis..~ AGGRESS TYPE CERTIFICATE ONLY APPROVED PACCUCTICM RaPecnom SYSTEM C GIVE OLLAWITV O CERTIFICATES REOUNED FOR OVERATING NEEDS CAT OF APAJCATON NAVE AND TITLE At. Tow 9161401.1RE A CESCRHTION CC NRCRAFT REOSTEREO OWNER *DUKES BOLDER neat Weft. SERIAL NUMBER REGISTRATION MARK 8 OESCRIPTION OR PUGH? COSTC•IER DEMONSTRATION FuOwS O Mum e %WNW FROM TO vIA DEPARTURE DATE DURATION i I C CREW REQUIRED TOOPERATE THE AIRCIUFT AND RS EQUIPMENT OMER MAN Pra00uCTI0N i PILOT 1 COAL OT J I NW ENONEER I I OTHER avivel I 0 THE AIRCaJST COES IROC MEET THE ARPL AftwORTKAISS REOU.REMOITS AS FOLLOWS VA SPECIAL PAWS PENNY PW.., E THE FOu.OMAS RESTRCTICNS ARE CONSIDERED NECESSARY I. OR SAFE OPERATOR flAnt.a......a....0 F CER11FICATON - Inn:vat, IHMI am Me nmomored owe (a An owl) et Ms *won emereipa Nos. AMMO NOIR IF MIONNIKI MT WM NEWS ARNIM ADEENNVOW .ri NOWIEnot HO TOE 19 d PROMS SIMPICoN141011.mig,ilndONECROla FROWN Waal REOFFMRS MY EM OR Sun QM NM COMER NM El sae IM188 00•LOWFO DATE NAME ARO TITTLE owes: rpm ;' SIONATIAI II n A O)Sang unelom ardlielefi•Cair eon 14 CPR SIM+Ili It Q ewes at ConNEWN. FAA Farm 81308 (Assomme se s NFalun AavorMenns C•Hlfamol be WNW/Mat 8. COMO °Pie, LMENICTRANEFOI 9.0. Fr NRATO) C OB. OM** P111001•010131 moo ....nosual l Amapa /EmolNnese Cantles Huai nAcentinverM 14 ORR Soso CAA Res rats. 1 13 Ckeroft WOO EN Son: IneamEten *slabs MIAS:MI /X I I. mop /Ow4PM AMMON FAA Fan 3)7 seamNowsw) 1 14°..." 21 is, (AI imad li' Aticarnars eth Me meow) 1 i Mg raped:co Remap a Maul aeons . ‘ .• - K. UOISINNNash StaMmon of COnmisixe. FM Rs MOTE Mao' Rhin FAARan 813043 (10-04) Mressous Edney, Dated S)01 May De Used Uratepieled. mete 10( Dot-soft Am:raft NSN: 0052-00-024-7006 SDNY_GM_02757932 SUBJECT TO PROTECTIVE ORDER PARAGRAPHS 7, 8, 9, 10, 15, and 17 EFTA_00244854 EFTA01329717 * MOM PAM OF JINORIG OffsAIMAINT OR TRANSPOR TATION—CIDENAL AVIATION AONNISTRATION • STANDARD AIRWORTHINESS • MATIONµITV AND CERTIFICATE II/SusTRATIOM MARKS 3 MPC0A14 StRift NiNSEA I. c,,,,Goa, 14750A • &OTIOSITY NCSAYS Thy 4,444s TOR .heist44, .1 Rom-Amu i4F j, 0750 t ransport 44Crall IC tow Woota ' Of • FOSe ao d aRFAR INV M of AA 04•F toorelun news tem Al me type 14AFACA Tf ?Rom larva ihri , Pinta 0 LIP 4 040444 IN YN pendia pr Arno. ICI 14 Caile•O• Oa We • 0116100 Anu)RAINAS code OS GCTOI043 &soot, e rows ANOCOtOn.001.4 1.144s4 WON. U. 64,43440441 • SWAM* 4 . \... 11 ITTE*004W-44. 4tOPPIT we .snip 34 Ihe itornoustollOr 1.0 AOCONIWast^.01.21 43 " Folv aAft eFAZ--- arci aftera30.4 •I• 34 Seen la'kele somre""4". 4 34440 IA ....wan , rognAnoti m Ilndal DATE OF ISSUANCE FAAZETitt*t Dec 08,2008 id e " " DESIGNATION 14W4RER AAPRosOIRAIRC000/0•00 F. onutotMUST )ARF844001NE Cr 000. THIS SiSTIF CA E othofurbirrase SA AVIAN* SEOU L/3CM' se iiluWelegby• gspt A to *4 e•FE At An•CRAFAARS mgcnur Al ACCOR I 000 or onyonceownl noce•C oodoq3 DANCE WITH MOLISA TTLE FSOSAAL FAA Form 8100-2 tegni G;Ja U.S commonMMHG MIX 2O*-0534s3 • —. - SDNY_GM_02757933 SUBJECT TO PROTECTIVE ORDER PARAGRAPHS 7, 8, 9, 10, 15, and 17 EFTA_00244855 EFTA01329718 SDNYGM_02757934 SUBJECT TO PROTECTIVE ORDER PARAGRAPHS 7, 8, 9, 10, 15, and 17 EFTA 00244856 EFTA01329719 SECTION: 4 tt Sikorsky AIRCRAFT ACCEPTANCE DATA PAGE 1 C A United Toarrobipsi CORWOM CO 0 MODEL NO: S76C REGISTRATION NO: . SERIAL NO: 760760 REMARKS - PILOT OR INSPECTOR SIGNATURE DATE H I certify that this aircraft, SIN 760750 has been built and inspected in accordance with FM Type ff e.-______ I V- g -e43. Design Data and was found to be in a condition for safe operation. Jeremy Park . 101C Flight Inspector -(p #07 The aircraft meets the minimum requirements for flight testing and FM Form 8130-7, Special 0 Flight Permit has been issued for the purpose of Production Flight Testing dated 12/03/08 Shaun Gabbard, KHC Flight Supervisor Iz?.cs expiring 12/31/08. m Date: 12/05/2008 Total lime: 3.2 hours tet 0 cf occ n Test completed in accordance with KHC ATP-25113. Rev G, dated 08/16/08. and was itt a Production Flight &ides W. Event Lk. No. 1470 determined to be airworthy. C e8 m I certify that this aircraft, S/N 760750 has been built and inspected in accordance with FAA Type Design kiht I 18tat Data, under FAA Production Certificate 121NE and was found to be in a condition for safe operation. Lisa phte He Hight Inspector I have determined this NC meets the requirements for the certificate requested and I have issued FM Aye /Wipe _ c at, luoi 0 form 8100-2. dtd December 8. 2008 for standard airworthiness. This certificate does not change dr.- , ille Total Landing: 6 , an K. Gladleft ay 01NE scheduled NC inspection. Aircraft total time. 3.2 hrs -o Cl 70 to Co 0 u -I lo uT E a) ti Y SA 7343-6 Revision 02/15/2005 VERIFY CURRENT REVISION OF FORM to EFTA01329720 SDNY_GM_02757936 SUBJECT TO PROTECTIVE ORDER PARAGRAPHS 7, 8, 9, 10, 15, and 17 EFTA 00244858 EFTA01329721 U.S. Oepanment Fign $14039101 Semite BOX 25504 114 MR09,90lava &weft Raanneon ranch. AFS-750 Otclalwr4 City, 010ahons 73125.0604 Federal Aviation (405)%4-42C6 Ttll FrIO' 1-8613-704-4715 Administration WEB Adams. 191Whogicry.1214309 September 9, 2005 KLYS7f.X9F, FIELICOVIIK CORP tOSTEWRitT HUSTON DR COATESVIIJ-EPA 19320 Dear Sirs: United States identification mark N750A has been assigned to KEYSTONE HELICOPTER CORP S-76C-2, serial number 760750, Mode S Transponder Code 52415011 as requested by you. This manufacturers assignment of special registration number cannot be used as an authorization for a number change. If we may be of fiirther assistance, please contact the Aircraft Registration Branch at (405) 954-4206 or toll free 1466.704.4715. Sincerely. O-1 OMCIA(A— 0 c- Coco LO-6- N C Legal Instruments Examiner Aircraft Registration Branch 4 AFS-450-SUPPORT•5 (9/04) • SDNY_GM_02757937 SUBJECT TO PROTECTIVE ORDER PARAGRAPHS 7, 8, 9, 10, 15, and 17 EFTA 00244859 EFTA01329722 FAA ANE-MiDO-44 DEC 2 3 2000 Act 1IIr0. f• 212 dAr ..... SONY_GM_02757938 SUBJECT TO PROTECTIVE ORDER PARAGRAPHS 7, 8, 9, 10, 15, and 17 EFTA_00244.860 EFTA01329723