EFTA01329414

`Oral MAJOR REPAIR AND ALTERATION eel? (Airframe, Powerplant, Propeller, or Appliance) US Doormen ol turepottabon Nan/ Avignon Admislettifte No 2120-0020 Exp Sal /2014 EMatenc ' ,sank Hint*. Fa FM the arty 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)). 1. Aircraft Nationality and Registration Mark USA N722JE Serial No. 760750 Model S-76C Series Make SIKORSKY 2. Owner Name (As shown on registration certificate) Hyperion Air LLC Address (As shown on registration certificated AC4ens 610O Red Hook (Nana. 10 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. • [VICTIM NAME REDACTED] _....._.. .... ___ ____.-- (As described in item 1 above) • O POWERPLANT • O PROPELLER O O APPLIANCE 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 [[VICTIM NAME REDACTED]] 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 knovAed Extended range fuel per 14 CFR Part 43 O App B Signature/Date of Au widual Jay Masser 8/272019 INSP 001 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 FM FN. Standards Inspector Manufacturer Maintenance Organization Persons Approved by Canadian Department of Transport BY FM Designee X Repair Station Inspection Authorization Other (Specify) Certificate or Designation No. CRS I1JR439Y Signature/Date of Authorized ual INSP 002 Thomas Norden 8/27/2019 ^ FM Form 337 reek SDNY_GM_027 57629 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 FEDERAL AVIATION ADMINISTRATION STATEMENT OF COMPLIANCE WITH AIRWORTHINESS STANDARDS I. DATE Elnrzois AIRCRAFT OR AIRCRAFT empower IDENTIFICATION 2. MAKE Sikorsky Aircraft Corporation & MOOG. NO. S-78C 4. TYPE Obtat &Una Pnettn. Vol Aircraft S NAME OF AFRICAN International Jet Interiors. UST OF DATA 6. CDITIFCAIION T. MIRE .121: a: UkS76C-750-01 Rev IR Dated 08113)2019 Decurnents Instl-Phone Relocation. Structural Analysis Phone Relocation Installation Sikorsky S76 END IJI-S76C-750-0ISA Rev IR Dated: 08/16(2019 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 McMullin No 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 est atlases 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 vewiat DERT-834582-CE Structures 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 FEDERAL AVIATION ADMINISTRATION STATEMENT OF COMPLIANCE WITH AIRWORTHINESS STANDARDS 1. DATE 08/21(2019 AIRCRAFT OR AIRCRAFT COMPONENT IDENTIFICATION 2. MANE Sikorsky 3. MODEL NO. S-76C 4. Typo (Mw. Eva At spas c. as f Helicopter 5. NAME OF APPLICANT International Jet Interiors LIST OF DATA 6. IDENTIFICATION 7. TITLE TP 28191 Rev A Dated 8/21/2019 Skandia. Inc. Flammability Test Report Oil Burner Testing and Vertical Burner Testing 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 appointment under 14 CFR Part 183. data listed above and on attached sheets numbered in accordance with established procedures and found to comply with applicable requirements 0 Recommend approval of these data I iYerd Therefore tjlk Approve these data th conditions and limitations of have been examined of the Ainseethiness Standards listed. 11. SIGNATURE(S) OF OESIGNATED ENGINEERING REPRESENTATIVE 12. DESIGNATION NUM ['ERIS) 13. cl.ASSiFiCATioN(S) A fr OcirtjA au fild - aCkenzie Kacvinsky DERY-834396-CE Structural Special FAA Form 8110-3 (WO) SUPERSEDES PREVIOUS ION SDNY_GM_02 757635 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 FEDERAL AVIATION ADMINISTRATION STATEMENT OF COMPLIANCE WITH AIRWORTHINESS STANDARDS 1. DATE OW21/2019 AIRCRAFT OR AIRCRAFT COMPONENT IDENTIFICATION 2. MAKE Sikorsky Aircraft Co I. MODEL NO. S-76C 4. Type wen, &oak Props. WO Helicopter S. NAME OF APPLICANT International Jet Interiors UST OF DATA S. MENT1P1CATION 7. TITLE TP 360764-19 Rev A Dated 8/2112019 Skandia. Inc. Flammability Test Report 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 appointment Mkt 14 CFR Part 183. data fisted above and on attached In accordance with established procedures and found to comply with applicable O Recommend approval of these data I (Prt.)Thefefore X Approve these data and in accordance with conditions sheets numbered and limitation of have been examined Standards listed. requirements of the Airworthiness 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_02 757837 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 FEDERAL AVIATKIN ADMINISTRATION STATEMENT OF COMPLIANCE WITH AIRWORTHINESS STANDARDS 1. DATE 0803/2019 AIRCRAFT OR AIRCRAFT COMPONENT IDENTIFICATION 2. MAKE Sikorsky Aircraft Co 3. MODEL NO. S-76C 4. Typo (Nrplem, Engtv, Prewar. itc.) Helicopter S. NAME Of APPLICANT International Jet Interiors UST Of DATA • IMMOLATION 7. TTTLE TP 360828-19 Rev A Dated 8/23/2019 Skandia, Inc. Flammability Test Repel 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 appointment under 14 CFR Part 183, data listed above and on attached in accordance with established procedures and found to comply with applicable O Recommend approval of these data I ( ) Therefore yc Approve these data and in accordance with conditions sheets numbered and limitations of have been examined Standards listed. requirements of the AinvortNness 11. TURERDOF D64961M-11TED ENGINEERING REPRESENTATIVE 12. DESIGNATION NUMBER(S) 13. CLASSIFICATION'S) r \ -,. l-) A1)j (Z:v_ r t 1 XO \IR c DER Jarte B 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 0 MAJOR REPAIR AND ALTERATION Le DaierUmm Treigatieo• (Airframe, Powerplant, Propeller, or Appliance) Feral miaow Mlainliengen roan Aperoad OM No 21200320 2/2610‘ I I WI/0/K Tn.:bay Wrest am IML We ay <I 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)) I. Aircraft Nationetly and Regetration Mark N722JE Seral No 760750 us, Keystone Helicopter Motel S76 Series C++ 3. Owner Name (As shown on regestranon certificere) ASI Wings LLO MOMS (As Moan on registration comfiest.) bad 151 Farrningten Ava ch Hartford sum ST be 06156 Car,/ USA 3 For FAA Use Only 4. Type 5. Unit klentifkation ROOM Alteration Unit Make Model Ser ai No O El AIRFRAME (As deserted n Am 1 above) El . POWERPtANT O O PROPELLER O O APPLIANCE Type umanurer [ADDRESS REDACTED]atement A Agencys Name and Address 8 Kind or Agency NPs( Aeennated Aircraft Smile Mr U$ Certfceted Mecham I Mandocauret men. [ADDRESS REDACTED] 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 pet 14 CFR Pan 43 O Alt 8 S Dale of Autnonzed Individual ' 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 Administrator of the Federal Amber, Adminstraton and is le in Item 5 was napectecl in the manner prescribed by the APProved O Rejected BY FAA Pt Standards Inspector Manufacturer Maintenance Orgamzsion Persons Approved by Cowden Chicanmers or Tenger, FAA Designee it Repair Sieben Inspector' AuthOrtZatiOn Other (SPX* Cenificate or Designation No AYPR34OS SgnatureOate of Authonred I intuit 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 Nationally and Repastration Mark 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 28 Apr 16 O ildarbonal SheetS Are *decree Date A AS 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 1 --- --- t 4, -- - . -- - -- S. § -- --- -- ---- ....._ 1....11 -.4--, 18 ; IVII ii 114: 1 I 'll ; p gilei Mi l l e O21 Iliiii Mai 1 le st 1) i t !' f i• I; Ii14 i l 11 2 211x tr i it 'Z' ,- l; 3 1 p 11 i - • 1! it! a i E I i 1 h Ili '1 .- ... , a C 0 a .a. o. I II gi L. . rs I 2 1 ptvi g .. 01 .2 9. I i. 8 I . IIII 1 4 5 L o i., i I ; el. , i I II. ::: Fi l l !!! i 8 il • !.? ill0 !IS 0 I i! e ... - 1., I . M i! i e 1 1 z 1 .. z g ',1 . . if NOTED I 0 . .. ' I !! : III/ i 1 : I / ' 1o R3 a. i I I ii ! i I 1 . t s -'. k : 2 : 1 i : ea II : rkgtices. APPLIE1 AUUMfNUM ALLOY r,'" . 1 II Ili i .. ; I • I • ft q ... ' r. ! I Sil!! • .• e. * i ! if i l", • i i i I It . 4 6 ta51' i.f4 4-2; ar.-..,% -...t.:g.:1-..:.5.. .._..... .._______—_ 17 Li V a i-2E4 i 7'. 1 15 3 z.1. ............ . 1. -- --- --- -- --- --- --A -!th Ili f • " - • m li !I SI, ;1 -iii :: 7 77 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 C CO rn H -O 0 H rn H n xP 0 3D -O 3> 3> 70 -O (/) • 3/44 00 SC) V•el CA P 13 • 0 0.3 ;14 CL I-a 0 Sikorsky DESIGNED BY APPLICATION LIST ACCESS DOOR MOD REL. AUTE 39066A AL 33776-84145 8E 001 • u•••• •••••••pwOmeso CAGR 78286 SIZE A CRTC . RUM. ORIG. PREP. UNDER CONTRACT CESOCIIR NAPIER NATHRIAL NAPIER REVISED BY N ERICKSON REV. DATA 13JUL98 R E CODS 1 LA • WITS/ DUOS KW IleTSWIAL PART CODS 3 •PART ml D • DRTAIL I - IllTALLATION N - NOT TO II 011D T • TOOL A • All1WOLT 1 - On IT I • SIT V - tones cram, v. voccanan le • an V • TOI0ING I. • MOLT 0OWT OTT R • /Alt KleTS12/1• V • V131211031 C • COMM II • @PIC TOITTIlin N • ALTERED ITS/ CODS 3 - 100. WITIRCRWKWAIIZLITY tawny. 2 .v or nertano 3 • en icons APPLES/ TO PART NO. IN LETT RAND CO VIP 111_.156330N TO PART NO. nun prate° R 2 V PART NUMBER C D 1 C D 3 NEXT ASSEMBLY QTY NA PART NUMBER BEING REPLACED • • CTISTOMER• EP PECTIVI TY MODEL IN OUT • INTERNAL* • IN OUT E • • • • EXTERNAL APPLICATION 33776-84145-011 . REVISION 13 DESCRIP 33776-84145-011 • ION • NEXT 33776-20407.011 33776-20453-011 33776-20472-011 33776-20485-011 33776-20489-012 33776-60290-041 ASSY 33776-20489-112 • • • APPLICATION 0001 0001 0001 0001 0001 0001 LIST MODEL S76PEC - SKEET 001 LAST S76PEC 0001 SUBQ S76PEC 0001 SUBQ 976P EC 0001 SUBQ S76PEC 0001 SUBQ S76PEC 0001 SUBQ S76PEC 0001 SUBQ 0001 SUBQ ADDED SHEET • • • 0001 SUBQ 0001 SUBQ 0001 SUBQ 0001 SUBQ 0001 SUBQ 0001 SUBQ This thiCUINCIII. Of an embrliterne of tr in any media. th.elow, anfahnenen ranch 1. repenter. ts ehe paperer al Solonly .Ittraft Ceoperanan, lieu nnpeNnhed wort reverted ethic 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 in pate winding reproduction to a dernathr work. re innd for own...fanny for rapine other than SiAan.4 ite raft Coeparetn wither kViOCIIC0ITWIll. end throe right i• tenni., I I to Inekne er so site any utionnanan tomatoes I Glenne.. All nchA relayed ,in at: in nelanen of appliceble Sew ary nth In rail end ethwinel powthie‘ IpJ Ln EFTA01329432 SDNY_GM_02757648 SUBJECT TO PROTECTIVE ORDER PARAGRAPHS 7, 8, 9, 10, 15, and 17 EFTA_00244570 EFTA01329433 0, us himmuzi MAJOR REPAIR AND ALTERATION of Tfric011210II (Airframe. Powerplant, Propeller, or Appliance) hash Aviation arminisentioa Awn Wawa O4 He 21200320 TIMM I Chrome Third Harem cot MA use One 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)) 1. Aircraft Nationality and Registration Mark N722JE Saul No. 760750 make Keystone Helicopter Model S-76C Series 2. Owner Name (As shown on registration cert#icare) ASI Wings. LLC Address (As show) on registration certificate) Men, [ADDRESS REDACTED] 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 O O APPLIANCE Type 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 [ADDRESS REDACTED], Manchester Airport FIXIMII Ceeirlicaed MecMnic C. Certificate No hi I ondondenv sue NH i Char-Med Repar StabOn P6UR006Y is 03053 cach, USA Chair-Mee Maintionanos 0rganzath 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 per 14 CFR Part 43 ADP. 6 Signature/Date of Authorized individual Spencer Roy ,------, --?(s----- 04-tea-16 T. Approval for Return to Service Pursuant IO the authority specified below. the identified in tern 5 was -nSpected in the manner by the given persons int Admirntrater of the Federal Aviation Adieu titration and * 2 Acoroved • proscribed Rejected _ BY FAA Ft Standards inspeacir Manufacturer Maintenance Organization Persons Appoanse by Camden Deperimeni of tismoon FAA Designee V Repair Staten Inspection Authonzation Other (Speciiy) Certificate or Designation No. P6URONY Signature/Date of Authorized Individual Spencer Roy ..______?..<_-- 04- ._-"471 6 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 Nationally and Registration Mark 04-9-A-62016 ------ DUAL TDR-94D TRANSPONDER WITH ABS-B OUT UPGRADE (STC SR09641RC) Date • 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 the following product with the limitations andconditions there ore as specified hereon meets the airuorthiness requirements ofeart nof the 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 approval shalt remain in effect untilsurrend red 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 of issuance: March 21.2014 Date wended: By direction of theAdministrator 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. oi renal 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 REV DATE DESCRIPTION PAGES ADDED PAGES DELETED PAGES APP 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 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 2 N/A 1-6 EH B 02/26/14 Updated revision status for documents PHI.576.13204, 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 N/A N/A All EH - 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 DOCUMENT PHI-S76-OL-0015 Rev: ELECTRICAL INSTALLATION DESCRIPTIVE DATA (8) 02126/14 DATE TITLE / SUMMARY REVISION PHI-S76-13204 NO. 1 TRANSPONDER SYSTEM, ROCKWELL COLLINS TDR-94D/CTL-92E WITH EXTENDED SQUITTER (ADS-8) E 02/20/14 PHI-S76-13205 NO. 2 TRANSPONDER SYSTEM. ROCKWELL COLLINS TDR-94D/CTL-92E WITH EXTENDED St:WITTER (ADS-8) E 02/20/14 PHI-576-13081 ELECTRICAL ROUTING - NO. 1 TRANSPONDER SYSTEM. ROCKWELL COLLINS TDR-94D ATC/MODE-S (ADS-B) IR 02/11/14 I PHI-S76.13082 ELECTRICAL ROUTING - NO. 2 TRANSPONDER SYSTEM. ROCKWELL COLLINS TDR-94D ATC/MODE-S (ADS-B) IR 02/11114 I 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 COLLINS TOR-94D TRANSPONDER($) IR I 02/10/14 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) J IR 01/20/14 PHI-S76-60942 INSTALLATION - NO. 1 TRANSPONDER ANTENNA (TOP) STA. 143.67, LBL 27.00, WL. 119.82 IR 02/10/14 PHI-576-60943 INSTALLATION - NO. 2 TRANSPONDER ANTENNA (TOP) STA. 143.67. RBL 27.00, WL. 119.82 IR 02/10/14 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_O2 757659 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 DEPENDENT SURVEILLANCE-BROADCAST (ADS-B) I SYSTEM A1345289011 WIRING COMPLIANCE INSPECTION REPORT, MODE S TRANSPONDER SYSTEM A 02/16/14 I REFERENCE DATA SIKORSKY AIRCRAFT CORPORATION SER-761924 ELECTRICAL LOAD ANALYSIS FOR BASELINE S76 C++ AIRCRAFT, SERIAL NUMBERS 641 AND SUBS 05/15/07 ROCKWELL COLLINS 523-0821779 AUTOMATIC DEPENDENT SURVEILLANCE BROADCAST (ADS-B) OUT INSTALLATION GUIDE 0 05/07/13 523-0821492 TDR-94/94D ATC/MODE-S TRANSPONDER SYSTEM (-5)(X) INSTALLATION MANUAL 0 05/01/13 946-4833-115 SUPPLEMENTAL MOPS 8 ROBUSTNESS TEST - 01/17/14 PROCEDURES AND RESULTS FOR TDR-94 ADS-B OUT UNIVERSAL AVIONICS SYSTEMS CORPORATION SERVICE LETTER NO. 2847 WAAS/SBAS FLIGHT MANAGEMENT SYSTEMS COMPLIANCE WITH AC 20.165A C 10/10/13 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 FM APPROVED DATE: APR12712016 Document Number 21394-FMS-01 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 Pro Star Aviation. LLC. Londonderry. NH 03053 Part 1 FM Approved Rotorcraft Flight Manual Supplement Installation of dual TDR•94D ATC/MODE-StADS-B Transponders Sikorsky S-76C Sheet Intentionally Left Blank FM APPROVED DATE: APR/27/2016 Document Number 21394-FMS-01 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 EFTA[ADDRESS REDACTED]ar Aviation. LLC. Londonderry, NH 03053 Pad 1 FM Approved Rotorcraft Flight Manual Supplement Instalation of dual TDR-94D ATC/MODE-S/ADS-8 Transponders Sikorsky S-76C U.S. DEPARTMENT OF TRANSPORTATION FEDERAL AVIATION ADMINISTRATION STATEMENT OF COMPLIANCE WITH AIRWORTHINESS STANDARDS 1. DATE APR/27/2018 AIRCRAFT OR AIRCRAFT COMPONENT IDENTIFICATION 2. MAKE Sikorsky 3. MODEL NO. 8-76C 4. TYPE (Aaent& Engine. Prepear. ac.) Rotorcraft 5 NAME OF APPLICANT Pro Star Aviation UST OF DATA S IDENTIFICATION 7 TITLE Pro Star Aviation Document 21394-FMS-01 Revision A FM Approved Rotorcraft Flight Manual Supplement 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 I (We) Therefore campy wan acomatte readmit...not die Anathema Standards lead. . Recommend approval Of theta data Egl Approve these data II. SIGNATURES) OF CESIGNATEDENCANEERING 12. DESIGNATION modIERSSII 13. CIASSIFICATIONM r9W,„„,,e Mark D. Haycock DERT-500112-CE Flight Analyst FAA Form 8110-3 103710) SUPERSEDES PREVIOUS EDITION ELECTRONIC FORMAT (4.11 FM APPROVED DATE: APR/27/2016 Document Number 21394-FMS-01 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 Pro Star Aviation, LLC. Londonderry, NH 03053 Part 1 FAA Approved Rotorcraft Flight Manual Supplement 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 i ii iii iv v vi 1-1 1-2 2-1 2-2 Revision Page A 3-1 A 3-2 A 3-3 A 3-4 A 4-1 A 4-2 A A A A Revision A A A A A A APPROVED: Refer to Page iii NOTE: Revised text indicated by a black vertical line. Insert latest revision pages; dispose of superseded pages. FAA APPROVED DATE: APR/2712016 Document Number 21394-FMS-01 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 Pro Star Aviation. LIC. Londonderry. NH 03053 Part 1 FAA Approved Rotorcraft Flight Manual Supplement 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 FAA APPROVED DATE: APR/27/2016 Document Number 21394-FMS-01 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 Pro Star Aviation, LLC. Londonderry, NH 03053 Part 1 FAA Approved Rotorcraft Flight Manual Supplement 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. FAA APPROVED DATE: APR/27/2016 Document Number 21394-FMS-01 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 Pro Star Aviation. LW. Londonderry, NH 03053 Part 1, Section I FAA Approved Rotorcraft Flight Manual Supplement 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. FAA APPROVED DATE: APR/27/2016 Document Number 21394-WSW 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 Pro Star Aviation. LLC. Londonderry, NH 03053 Pan 1, Section I FAA Approved Rotorcraft Flight Manual Supplement 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). FAA APPROVED DATE: APR/27/2016 Document Number 21394-FMS-01 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 Pro Star Aviation, LLC. Londonderry, NH 03053 Part 1. Section II FAA Approved Rotorcraft Flight Manual Supplement 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. FAA APPROVED DATE: APR./27/2016 Document Number 213941-FMS-01 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 Pro Star Aviation, LLC. Londonderry, NH 03053 Part 1, Section II FAA Approved Rotorcraft Flight Manual Supplement 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. FAA APPROVED DATE: APR/272016 Document Number 21394-FMS-01 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 Pro Star Aviation, LLC. Londonderry, NH 03053 Part 1. Section III FAA Approved Rotorcraft Flight Manual Supplement 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. FAA APPROVED DATE: APR/27/2016 Document Number 21394-FMS-01 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 Pro Star Aviation. LLC. Londonderry. NH 03053 Pan 1, Section III FAA Approved Rotorcraft flight Manual Supplement 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. FAA APPROVED DATE: APR/27/2016 Document Number 21394-FMS-01 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 Pro Star Aviation, LLC. Londonderry, NH 03053 Part 1. Section III FAA Approved Rotorcraft Flight Manual Supplement 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 8 '..3*.I 1 I'AIL No. 1 System Annunciator 1. Select alternate navigation sources. AND • • A '2 FAIL • No. 2 System Annunciator 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). FM APPROVED DATE: APR/27/2016 Document Number 21304-FMS-01 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 Pro Star Aviation, LLC. Londonderry, NH 03053 Part 1, Section III FAA Approved Rotorcraft Flight Manual Supplement 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 FAIL No. 1 System Annunciator OR ADS 11 2 ran. No. 2 System 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 FAIL No. 1 System Annunciator AND OS FAIL No. 2 System 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 FAA APPROVED DATE: APRI27/2016 Document Number 21394-FMS-01 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 Pro Star Aviation, LLC. Londonderry, NH 03053 Part 1, Section IV FM Approved Rotorcraft Flight Manual Supplement Installation of dual TDR-94D ATC/MODE-S/ADS•S Transponders Sikorsky S-76C SECTION IV PERFORMANCE DATA No Change. FM APPROVED DATE: APR/27/2016 Document Number 21394-FMS-01 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 Pro Star Aviation, LLC. Londonderry, NH 03053 Part 1, Section IV FM Approved Rotorcraft Flight Manual Supplement Installation of dual TDR-94D ATUMODE-S/ADS-B Transponders Sikorsky S-76C Sheet Intentionally Left Blank FAA APPROVED DATE: APR/27/2016 Document Number 21394-FMS-01 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 Pro Star Aviation, LLC. Londonderry, NH 03053 Part 2 FAA Approved Rotorcraft Flight Manual Supplement 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 Pro Star Aviation, LLC. Londonderry, NH 03053 Part 2 FAA Approved Rotorciaft Right Manual Supplement 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 MD-i MD-ii MD-1 MD-2 MD-3 MD-4 MD-5 MD-6 MD-7 Revision A A A A A A A A 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 Pro Star Aviation. LLC. Londonderry, NH 03053 Part 2. Section I FM Approved Rotorcraft Flight Manual Supplement 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 Pro Star Aviation, LLC. Londonderry, NH 03053 Part 2, Section I FAA Approved Rotorcraft Flight Manual Supplement 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 Pro Star Aviation, LLC. Londonderry, NH 03053 Part 2, Section I FM Approved Rotorcraft Flight Manual Supplement 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 Pro Star Aviation. LLC. Londonderry. NH 03053 Part 2, Section I FAA Approved Rotorcraft Flight Manual Supplement 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 Pro Star Aviation, LLC. Londonderry, NH 03053 Part 2, Section I FM Approved Rotorcraft Flight Manual Supplement 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 2 Flight ID I 135.97 CCI41 : NAV1 1 17.5D ' 1,7/CI ATC1 rCAS — 1000 RPLY STBY 1 CL LACE NEXT PAGE 112 - C I O 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 Pro Star Aviation. LLC. Londonderry. NH 03O53 Pan 2. Section I FAA Approved Rotorcraft Flight Manual Supplement 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 Pro Star Aviation, LW. Londonderry. NH 03053 Part 2, Section I FAA Approved Rotorcraft Flight Manual Supplement 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: Revised By: alecked By: Engineering Review: Mninienance Review: QA Review: Date: February 4, 2014 Date: lane 5 2014 Date: to Date: /5, " Date: 1 O2 /. /r /Y 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 PHI Inc. 200! SE Evangeline Mummy Lafayette. La. 70508 Revisions PHI-S76-ICA-0005 Revision B June 5. 2014 Revision Date Description Pages Affected PHI Approval IR le4r2014 Initial Release All D. DEEL 2.'21/2014 Changed revision level and signatures on titlepage, Updated Revisions. Updated List Of Effective Pages, Revised Table of Content; Clarified distribution format of revisions to this document, Added single TDR-940 control, changed annunciator label, Removed time date front description of aircraft sensors,, Changed annunciator label, Revised step 12 of FMS configuration, Revised steps 27 and 43 of Paragraph 2.5.5, Corrected NACv values, Corrected ADS-B annunciator functionality., Revised part numbers for annunciator cap Changed annunciator label, Revised pan numbers for annunciator cap, Changed annunciator label RevisedRan numbers for annunciator assembly and cap, Revised Notes 1.(41102A1,?,3) ... M‘ deleted notes 12 & 13 Made wiring chaps to transRonder sxstem I, Added terminal block 2CCDC1 and pin callow, Removed time mark wires. Changed coax cable routing and added terminal block, Revisedpart numbers for annunciator assembly and cal, Revised Notes 442), and 23, deleted notes 18 & 22, Made wirinachanges to transponder vstem 2, Added terminal block 2CCSH I and pin callow, Removed time mark wires, and Changed coax cable rowing and added terminal block. titlespge__ ii iii iv 2 4 5 7 10 16 17 18 A4 A8 A9 A13 B2, B3 B4 BS B7 B8 B9 810 B11 B12 Bl3 B15 BI6 B17 D. DEEL B 6/512014 Updated to reflect Revision B Title Page, ii, iii, iv D. DEEL Corrected Steps 9 and 12 in Paragraph 2.5.4 TDR-94D Mode S Testing 13 Corrected Steps 25, 28. and 84 in Paragraph 2.5.5 TDR-94D ADS-B Testing IC HI _ . . _... Adjusted pagination due to revision; no content changes occurred 12, 14, 15, 17. 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 PHI Ina 2001 SE Evangeline Ihnnvay Lafayette. La. 70508 List of Effective Pates 8111-.5764CA-0005 RC.* ion B June 5.20/4 Page Revision Level Date Page Revision Level Date Page Revision Level Date 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 PI Iline. PH1476-1CA-0005 2001 SE Evangeline Thruway Revision B Lafayette. La. 70508 June 5.2014 Table of Contents Title Page Revisions List of Table 1.0 ....... .................. Effective Pages of Contents INTRODUCTION 111 iv 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. 2001 SE Evangeline Thnmay Lafayette. La. 70508 1.0 INTRODUCTION PHI-576.1C4-0005 Revision IR February 4. 2014 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 of maintenance 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 0070120A 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 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 PHI Inc. PHI-SAS-ICA-0005 2001 SE 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_02 757725 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 PHI Inc. • 2001 SE Evangeline Thruncry Lafayette. La. 70508 PHI-S76-1C4-0005 Revision IR 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 Mate TrwwieeNt laRJsO ITT CR42g Cased UM RN AIM P !HAWS Nei Me 2 -- Far AN OSY Canpuler Unit Number Tienspeear MR440 Mel Lew" AMOS'S Ne. Wow • He 2 Laws, CTL422 TrevecomIse Cresol mil. Ntsebor 2 Trenteemlat 11)R4.0 MRS NO. 1 1.1$41- 1-1 NDigo Arises lbechline se MOM, 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 PHI Inc. 2001 SE Evangeline Thruway Lafayette. La. 70508 PH1S76-ICA-0005 Revision A 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° ON ALT OFF ATC 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 NO. 1 LDS 92 FAR ADS-B 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 P111 Inc. PHI-S76.1CA-0005 2001 SE 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-I Fw FMS /GPS P/N. 3[SSN REDACTED]02 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. 3[SSN REDACTED]02 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. and found to comply with 14 CFR. Part 91. Section 91.411. and Section 91.413 by complying with the following: • Paragraph (c). Appendix E of Part 43 and • Appendix F of Part 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 PHI inc. PHI-S76-1CA-0006 200! SE Evangeline Amway Revision IR Lafayette, La. 70508 Febnavy 4. 2014 Also. the transponder ADS-B system shall be functionally tested in accordance with paragraph 2.5 of this ICA. A log book entry is required for accomplishment of this test. When maintenance is performed on aircraft systems that provide data to the ADS- B portion of the transponders (Source Data). those systems must be functionally 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_02 757733 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 PM Inc. 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 AG247000-0 I 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 NO. 1 MSS/ FAR ADS-B 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 2001 SE 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 PANEL CAP AND LAMP MOUNTING SLEEVE LOCKING TAB EDDY TYPICAL ANNUNCIATOR PLLG CONNECTOR 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 PM Inc. PH1476-1CA-0005 200! SE Evangeline Thruway Revision A Lafayette, La. 70508 February 21, 2014 UNE smacr KEYS - L) (IR) - : - (2L) (2R) - 8, a- — (M.) (3R) (4R) - qsi.) (SRI', 9 LEI HEE =oaao HEEEDEIEICIEI EICIECIEEEMEICI EITIE= HEI EMIEEEITEI ti'oa0000 NITER UNS-IFw FMS Control Display Unit LINE SELECT KEYS Action Display Lint Select Rations: VOL) left / (MR) right. Result/Note I. Press the ON/OFF DIM button on FMS Navigation Computer Unit. Navigation Computer Unit will power up and undergo a built-in-test. 2. If the Tactical Waypoints page is displayed press KEEP TACTICAL WPTS (4L) to display NIT I/I page. The MIT I/I page is displayed. 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 PHI Inc. 200! SE Evangeline Thruway Lafayette, La. 70508 P111-576-1CA-0005 Revision A February 21. 2014 Action Display Line Select Buttons: (IL) left / (1R) right. Resalt/Note I I. Press TRANSMIT (2L) to display AMC XMIT I/I page. The ARINC XMIT I/I page is displayed. 12. Set the ARINC XMIT port option as follows: (4L) Port 3 = GPS/XPDRHS (High Speed) Press ENTER key on FMS Navigation Computer Unit keypad to accept this option before going on to the neat step. 13. Press RETURN (5R) to display ARINC OPT 1/I page. The ARINC OPT I/I page is displayed. 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 (I R) twice to save the new configuration The first time STORE is pressed to save the new 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: CPU = PASS RAM =i PASS DATABASE = PASS CONFIG MODULE = PASS AUXILIARY = PASS WAAS / ARINC = PASS A Self test page displays the results of each test performed. 576 is displayed on the second line at the top of the page. If the self test is successful the copyright page is displayed. The self test page will remain on the display if a serious failure of the FMS occurs. 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 GPS/WAAS Dynamic Test will have to be performed as per section 6. This is required only if the WAAS Config Unconfirmed message is on the message page. 20. If the Tactical Waypoints page is displayed; press KEEP TACTICAL. WPTS (4L) The Initialization page is displayed 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. Press the ON/OFF/DIM. Press (5R) OFFISTBY. Press ( I R) CONFIRM OFF. Power/Display Control Page is displayed. Confirm Off page is displayed. The FMS will shutdown. 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 PHI Inc. 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 91.2 I 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 Pill Inc. 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_002 44667 EFTA01329530 SDNY_GM 02757746 SUBJECT TO PROTECTIVE ORDER PARAGRAPHS 7, 8, 9, 10, 15, and 17 EFTA _00244668 EFTA01329531 PHI Inc. PHI-576-1O1-0005 2001 SE 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. 12. Verify the following: • 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 Antenna: Top/Bottom 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 PHI Inc. PHI-576-1CA-0005 2001 SE 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. 14. Verify the transponder test set does not indicate a valid reply Antenna: 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. 2001 SE Evangeline Thruway Lafayette, La. 70508 0070120A PHI-S76-ICA-0005 Revision B 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 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 PHI Inc. 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 PHI Inc. 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 P111 Inc. 200! SE Evangeline Thntuvy Lafayene, La. 70508 PH1476-1CA-0005 Revision B 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 PHI Inc. PHI-S76-ICA-0005 2001 SE 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. System/Component Weight OW Lon 'tudinal Lateral Arm (io.) I Moment 1 (lb.-In.) Arm (1n) Moment (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 frames) 1.0 48.30 48.3 RBL -17.19 -17.2 #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 PHI Inc. 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 PHI Inc. 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 A I General Notes A I 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_02 757765 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 H n -0 xlO n 7DO C PO 7D G) -o Io i-a P 1-11O • IM r CD_ T., I-a PIM Me !MI St &won.. TArinuy lailsrmtie la 7O,NY 00704 NCO*, RELAY MOUNT. NO 1 TEWEEPONDER (sorra! RELAY MOUNT. NO. l TAM:WONDER MP) TRANSPONDER TOR 440 NO. I ibOTIOM VNII r011Y NVALIAIEN. 'I *4 0ON V.C.CTNICAL OUGOVAII WS riCalige4 TRANSPONECR TOR440 NO.2 (TOP WTI Poi MICIONCAL INSTALIAEOR SO 1105 1.3 rW NICIPICIA WRING PAGAN& WI 0G4. .2 ANNUNCIATOR. NO. I TRANSPONDER FON P.NOWKA‘ NISTN.LATICH, WE HOAR At PON UACTRIOA VSINCOACIAIN SLR/Aloft Si TRANSPONDER CONTROL (C1.420) /OA lEONNICAL INST NU L, ION Sit HONK A4 row .C.INCAL NIRPO PANAMA x LxtI LA srl NOW ANNUNCIATOR. NO. 2 TRANSPONDER at ut ONANCAL 145•AltATKPI Ut Naas A4  ACtacT u NOM WAWA. Mt NCASIIII.2 FIGURE A-1, TOP VIEW SINGLE OR DUAL ROCKWELL COLLINS TDR-94D ATCINIODE-S (ADS-B) TRANSPONDER(S) RR El. 00 PET swims, NO. 2 TRMISPONDUC (TOP) FOR IROSIKAL MSTAILATION SCA 1,004 MI FOR E1ECTNGL1 RAMS OLICALAN YC 'GAR Si ANTENNA, NO.1 TRANSPONDER (TOP) ICR PECAMSCAI NI/ALIATEN SEE NOSE FOR ELECTACM. WANG MORAY SITE FIGURE AI 11,141.14C1-0091 REVISMAY la fobsoryR MU APPENNY A EFTA01329552 SDNY_GM_02757768 SUBJECT TO PROTECTIVE ORDER PARAGRAPHS 7, 8, 9, 10, 15, and 17 EFTA 00244690 EFTA01329553 ve, co ‘_ H n -O O n rn O C rn 70 70 N(0 CM 00 0 P I- 11O u-i r a_ g l-a PM. ht EMI SE Etuarrinr Thnravy , -04kner lu MAI 0110120C too ANTONIA. NO. 1 TRIJIIIPONDER ANTENNA. NO 2 TRANSPONDER ON NO TRANSPONDER CON1ROL 1CTLA2E) ANNUNClATON. 110.1 TRANSPONDER (olio ANNINCIAT011.. SD. S 111.41111110NOINI 0.111, MAY MOUNT. NO. 2 TRANSPONDER (RIS) rot utowec.N. riStAL LAMM MC /MUM Al 004UAC19Y.M WPKNCMIM SIN 'WS 84 111.11/41.13NO01 MIND NO. 2 (TOP Inn ‘1 01101 41. , 1 TRANSPONOIN TORSO NO., (BOTTOM ONO) RELAY MOUNT. NO.1 TRANSPONDER MINN — cON mtaumedy. Halµ1AIIOR SEE rq.AtE FOR MC TRIM WSW) OACSA MC F SI STf Ref AM ON NO. 2 TRANSPONDER 0101TOIN FOR liperuNICAL NEtµtMG11 Mt IlOa 44 SOP EIECTACAL RaG DuCcull SEE FIGURE 04 SINGLE OR DUAL ROCKWELL COLLINS TDR-94D ATC/MODE-S (ADS-11) TRANSPONDER(S) RE A-1, LEFT SIDE VIEW ANTENNANO.I 111ANSPONOER (WITCO' FOR ima0WIlat HST& LAI10µ St; MUM A4 POP MCCOOK/at ISM WC t•Al 'Kt nos • I FIGURE A-1, BOTTOM VIEW Al PlllS744C4 &MON IR fans°. 4. 2014 AMEATIIN A EFTA01329554 SDNY_GM_02757770 SUBJECT TO PROTECTIVE ORDER PARAGRAPHS 7, 8, 9, 10, 15, and 17 EFTA_00244692 EFTA01329555 PHI Inc. 2001 SE Ems:cline Thnstray Lafayette. La. 70508 P11I-576-/CA-0005 Revision A 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) 1 1 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-E I 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 H 0 -0 os 0 n os C oo -0 os oo -0 Co i-a In o 2 • O 0.1 r„4 CD_ Z; I-a Pill tar :WI St Elleagetwe rArte.v• 14.neme WM RAI SIDE VIEW SINGLE TOR•940 INSTALLATION FIGURE A-2 SINGLE TDR-94D TRANSPONDER INSTALLATION 00,01300049 AS TOP VIEW PIIISMICLOOPS untlav Alinun• ION AMENOLV A NOTE: THE RESISTANCE a TRANSPONDER TO THE MOUNTING RACK MIST NOT E/OCEILO G0025 OHMS, THE RESISTANCE OF MOUNTING RICK TO THE SHELF MUST NOT EXCEE0 ROM OHMS EFTA01329558 SDNY_GM02757774 SUBJECT TO PROTECTIVE ORDER PARAGRAPHS 7, 8, 9, 10, 15, and 17 EFTA 00241696 EFTA01329559 co H H n -O 0 n H H 0 7J 70 C.) 7J Co .514 O I-1 o Ul r-4 O- PH( IA- :on SI ,,,,,, 0070ITOCHAH NQ 1 TRMI G(DER TOR 94D TOR-940 HETRITING TRAY FIGURE A-2 (Contd.) DETAIL A-A SINGLE TDR-94D TRANSPONDER INSTALLATION PIIINISIC64901 REVISION IR PAP MI APIKIVINE SECURE TDR-94D ICUNT DIG TRAY® TO EXISTING SKIS WIND O O 0 SCREW PL) I. WASHER (4 PO RASHER (4 PI.) INSERT (4 VW C) ADHESIVE AS EFTA01329560 SDNYGNI02757776 SUBJECT TO PROTECTIVE ORDER PARAGRAPHS 7, 8, 9, 10, 15, and 17 EFTA 00241698 EFTA01329561 CM C ozi H n -O 0 C n C -O Gl -O (f) CO 40 2 VT 3 U m IJ net lAv Nal SC CiusirtAne irntli I WC 14, Fon SEALANT SCREWS (6 PER ANTENNA INSTALLATIDN) DHESIVE ANTENNA RETAINER ASSEMBLY FIGURE A-2 (Contd.) ANTEnNA GASKET SINGLE TDR-94D TRANSPONDER INSTALLATION DMNI50.6-2 TRANSPONDER ANTENNA INSTALLATION NOTE: BOTH UPPER AND LOWER ANTENNA INSTALLATIONS ARE TYPICAL Dona 12oca.4 NOTE: 1. THE RESISTANCE FROM THE ANTENNA TO THE ANTENNA GROUND PLANE MUST NOT EXCEED 0.0025 OHMS. 2. THE RESISTANCE FROM THE ANTENNA TO THE AIRFRAME MUST NOT EXCEED 0.005 OHMS. CERROSIEN PREvENTAI5E COMPOUND OVER HEADS or ALL SCREWS SEALANT ANTENNA RETAINER ASSEMBLY APTESIVE SCREWS 6 PER ANTENNA INSTALLATION) Al RI-YAWN IN )(Mn 4. 2014 APPENDIV A c os M ION PREVENTATIVE COPIPOuND OVER HEADS Or ALL® SCREWS GASKET ANTENNA EFTA01329562 SDNY_GM_02757778 SUBJECT TO PROTECTIVE ORDER PARAGRAPHS 7, 8, 9, 10, 15, and 17 EFTA _00244700 EFTA01329563 co 0 73 0 0 73 0 73 73 P z) .93 No P 0 • IM Al • U-4 0_ af I-s PM PA INN .SELNAmTAr 1100PY Lamm fa. AMOS INSTRU€NT PANEL A CENTER SECTION EO7O12OC4m INSTRUI.ENT PANEL CAP LAMP TYPICAL ANNUNCIATOR INSTALLATION FIGURE A-2 (Contd.) ANNUNCIATOR AND RELAY MOUNT MOUNTING SLEEVE LUCKING TAB BODY PlIASICAICAMO RAYLUCAV A Fnlertv APPENPLI f A Q EXACT LOCATION IS au mato ON NUM INVALLATVN BUT MUST REMAIN WITHIN SIMOEO AREA SHOW. 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 PLUG CONNECTER EFTA01329564 SDNY_GM_02757780 SUBJECT TO PROTECTIVE ORDER PARAGRAPHS 7, 8, 9, 10, 15, and 17 EFTA_00244702 EFTA01329565 PHI Inc. 2001 SE Evangeline Thruway Lafayette. La. 70508 PH1476-1CA-0005 Revision A 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 H 0 -0 0 H rn H n 33 0 -o 7u (J ro .5) nW P 3 I-, 10 Lri Al -4 0_ 5 1—k PHI. Ax. ION SC tkompOur newsy L•letwe. la MIRY WM WOE VIEW DUAL TDR44D INSTALLATION FIGURE A-3 DUAL TDR-94D TRANSPONDER INSTALLATION 0070120CAND MS76 HASH RE11OOII lR FiAnnut t 20II API/AVIV A A10 NOTE: THE RESISTANCE OF TRANSPONDER TO THE CAL MOUNTING RACX MUST NOT MEW ROOM CORM THE RESISTANCE OF PADUPITPC RACK TO THE SHELF MUST POT INCING0402$ ONE. TOP VIEW EFTA01329568 SDNY_GM_02757784 SUBJECT TO PROTECTIVE ORDER PARAGRAPHS 7, 8, 9, 10, 15, and 17 EFTA_00244706 EFTA01329569 n H 0 -o 0 n H H 7c; -0 UI 23 -o 00 ) of •• l" 0 • IE • 4.4 SECURE TDR-91D RACK To EXISTING SHELF vSING. SOW+ (2 Pia LOO( wASI-ER (2 RL) WASHER (2 RE) INSERT (2 PI.) ACNESIKE 00,101200049 SEEIRC IDR -94D WANTING TRAY TO TAMEN ADAPTER ASSEMBLIES USING, I SCREW (2 PL) LOCK WASHER (2 PL) $ WASTER (2 PL) THREAD LEEK FIGURE A-3 (Contd.) DETAIL B-B DUAL TOR-94D TRANSPONDER INSTALLATION TM-94D HOUNTING TRAY Al( RAYAVION Ix fetnepr ION APPENDIX A TOR-910 MOUNTING TRAY SCORE TOR-940 WONTING TRAY TO TANDEM ADAPTER ASSEMBLIES USURP SCREW (2 in.) LOCK WASHER (2 PL) WASTER (2 PL) THREAD LOCK SECURE TER-94D MOUNTING TRAY AND TANK), ADAPTER ASSEHILYS TO EXISTING SHELF USING. SCREW (2 PL) LOCK WAS)ER (2 PL) WASHER (Z PL) INSERT (2 PL) AEmESIvE EFTA01329570 SDNY_GM 02757786 SUBJECT TO PROTECTIVE ORDER PARAGRAPHS 7, 8, 9, 10, 15, and 17 EFTA_00244708 EFTA01329571 C Co 0 -o 73 0 0 73 0 73 734 73 cm Pc) lO g P F-1 io ()IF V V cu IA m 8 AN pall SE Evnellee MHHIP '4— 70503 SEALANT 46 PER ANTENNA I TILLATIONT ANTENNA RETAINER ASSENT?. ANTOBM CASKET NOTE: 1. THE RESISTANCE FROM THE ANTENNA TO THE ANTENNA GROUND PLANE MUST NOT EXCEED 0.0025 OHMS. 2. THE RESISTANCE FROM THE ANTENNA TO THE AIRFRAME MUST NOT EXCEED 0.005 OHMS. CORROSIO4 PREVENTAgVE CCOPOUND OVER /CADS CF ALL I6 SCREWS SEALANT FIGURE A-3 (Contd.) DUAL TDR-94D TRANSPONDER INSTALLATION DMNI50-6-2 TRANSPONDER ANTENNA INSTALLATION NOTE: ALL FOUR ANTENNA INSTALLATIONS ARE TYPICAL 037012CC AN MAN RETAINER ASSEMBLY ADHESIVE scp stEDH C6 PER µTEMM I TALLATI0NT iii2 PIIISHLICASEH REVIVING, Ix TrIvnery 4. ZOI4 APPFARIN A COMOSION PREVENTATIVE C75/3 OVER WADS OF ALL SCREWS CASICET ANTENNA EFTA01329572 SDNY_GM_02757788 SUBJECT TO PROTECTIVE ORDER PARAGRAPHS 7, 8, 9, 10, 15, and 17 EFTA 00244710 EFTA01329573 co 0 73 0 0 73 0 -12 73 73 cm .93 .93 g P I-- 0 w 0_ et PM At MN SE Esmatlee Rowe Law. la NM A ANNUNCIATOR 3451D3 I I L\ DECAL 0070120C.Ong INSTRUMENT PANEL CENTER SECTICH ADS-1 I FAIL FIGURE A-3 (Contd.) ANNUNCIATORS AND RELAY MOUNTS A P lAVAICI-000 MOAN* A PgArvan 2/. 2N4 APIINDI% A A EXACT LOCATION IS CRTERMINE0 ON MINH VISTALLAIION BUT FAUST REMAIN WITHIN SHADED AREA SHOWN. hs MCCATED DECAL TOSE ADJACENT TOANNUNCIATOR APPROXIMATELY AS SHOWN (LEFT. RIGHT. ABOVE OR BELOW). A FOR SPICA t TRANSPONDER (HO. L SYSTEM) ELECTRICAL PARTS AHD DATA. SEE APPENDIX S FIGURE 6, INSTRUMENT PANEL CAP LAW MAT NOWT SCREW (2 PL) RASHER (2 Pt) MIT (2 Pt) DECAL PCLAT MOUNT SCREW La PL) WASTER L2 PL) MIT (2 PL) DECAL TYPICAL ANNUNCIATOR INSTALLATION MUNI 'NG SLEEVE LOCKING TAB EIJOY PLUG CONNECTOR AN EFTA01329574 SONY_GM 02757790 SUBJECT TO PROTECTIVE ORDER PARAGRAPHS 7, 8, 9, 10, 15, and 17 EFTA 00244712 EFTA01329575 VI CO ATO/StasoloIewOlowoo H Lamm. La 70/01 0 -0 0 n 0 rn -0 INSTRuPoi PAWL ,Z3 UI -0 V) CENTER CONSOLE TRANSPONDER CONTREL C -92D , 00 FIGURE A-4 .93 TRANSPONDER CONTROL (CTL-92E) cn INSTALLATION :c:' 2lc) O 00/0i70C ZA4 CL 6`888 88.88° PIII316-1C.4.000 ReIVION IR FAratas).4. 2014 AMINIPIN A NOTES: &COOT LOCATION IS DETERMINED CR 110114 INS TALMO, ba MUST REMAIN WORM 5100(0 PASS S, MN &FOR ELECTRICAL PARTS AND DATA. SEE APPENDU 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 EXCEED OHO OHMS CIL -92E CUTOUT 70 ENSURE ELECTRICAL IONDOC. LC NOT PAINT OR PRIME SHADED ISSAS ON THE RACK SIDE or TIC INSTRUMENT PMCL. APPLY AUDI IC OLT AM EFTA01329576 SDNY_GM 02757792 SUBJECT TO PROTECTIVE ORDER PARAGRAPHS 7, 8, 9, 10, 15, and 17 EFTA 00244714 EFTA01329577 PHI Inc. IH1-S76.1C4.0005 2001 SE 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 0070 I 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. 2001 SE Evangeline Thruway Lafayette. La. 70508 PHAS76-ICA-0005 Revision A 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-H 1 -El BKK 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 -El BKK 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_002447 17 EFTA01329580 SONY_GM 02757796 SUBJECT TO PROTECTIVE ORDER PARAGRAPHS 7, 8, 9, 10, 15, and 17 EFTA_002447 I 8 EFTA01329581 PHI Inc. 2001 SE Evangeline Thruway Lafayette. La. 70508 PH1-S76.1CA-0005 Revision A 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 m IpJ -J IJ CO rn H H 70 0 H H 7s C 70 -7 7s T D 6") Cr' TN Co : D I-1 ID P 2IC) O N .61 i 4 PHI Sc NMI SC buntline Mess 14.ro.le La MAI NOTES FIGURE 6.1 NOTES: [1:3 I. aces sot sown we awns six ootwannes. oast set (I).0359K2 OK is /postwar aruccont... on uses oat DK TICKKOI INITKLATIO4 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 Cat tit CPPOSIrt DOS Cr Dial 443 lizonWe NO KT na0fea 1•Cf DUI I CC 0. • SIW 51X3 C 040 4022 NOM 1110314.4K DT KC CULL •53040. KNIND TIC Kt nut-1040 TONNWOdeae it/SITIO= r Ian DS C a TI1406POCC• SV1T KC440.4 CLIVE DWINSICTLICE Vino CXTDOCD lawn. 403-To 1> i. ILL KIN EPOS Kat K COSCCIT3 INDIVIC.Lsi TO • I.M. TwIrLD CaCtia C. DO IT COACCI 144ICLO LOOPS III MILS SITS • TINS Silt CONCH° TO 0Cue D 1. cirt /KT M KSISTMa or0 re towsss ww•costera TO DC essowe mat rots IT teas a CONS L Caw IKT TIC KIIST•Na IC TIC TIKKOMots Twain TAM TO TIC SKIS CT ICT (Kai a 03150 1 KIDIT nal we Norma 'C TIC TO•40000 CDTTKL 011-%1) TO LC01. MCC( KU KIT CHM 00050 ®I. thOlf IRK Cat Lan. DCLUDIK COCUOTIS. IC IC IOC TKW 3 NI DOW Ii we COOT 1.0011 HS 311401 COMA. DIU 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. BC:s I. wort two we stsisuscs IC IN mows TO DC CDS+ 00.10 owe :as or CXCUP 0.0030 a Non DDT re NESISINTa 10 TIC neTts• TO TIC PICK CS CT COKED 0 CO © 1 mules CaiM111. t. Hl SICNICS fail/OTIK MITT MD 1141K DICTA 10 fl at B> ne pate one tromp maw SLOPLICD vow swam Telt rot stotoon aura KOTCCTICK t. TIC C II MCP Ow TIC 11 on err L5CD TA MIS IfrattaiLD104 D> rat KK f CPCMOICK CAD. TESTS MST CC MI •IICINIT itanottiatot au two It TITICKNI aLL 000 IKNTICHATITIN COM Dolt COK DST! TO COUIPICT CCM INITCLaTIK TIC •IrtsurT K ISTIt•TICN Tan • SKCIAL PeXCIDK TO GM MIONT DPENTVIDDION Melt DC CIA MCC NT OCTAL 100(1 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= two 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 00 III CT CO.• W TM Tar AFC 1K sacs Iwo ow SOT CONK?. TO POND TIP CT Tana W TIC CCT40. salia Ws man* 00.413000110 04-141 MAP COW WSW) E!! C:13 0 114101740 DECALS FIGURE 6.1 PN10-1911 177/0PIN T • • • • • • • • a Not sot I Mt • 7 - • ? • -44 • 47 • • • MC ) :utt :,,ro-3; l'e,v,:ri .,I ... .1 .. . P p / 4 0/* -33 macs& 1:1Y-)4 010/ist PIIMM3 PIM. ITC. 3 P3 3 r=8 iiii;l1 PIWi ll iliP:a ;R.! :133•..10 iiirit.11 jr 1-54 • 11030 P1723-34 Pi Pi ili;:g ii.ii;:ii :Itt ;TM i : 1 - P i ;c ? :1Ei es :NEg Pi? reg I 41 wt: .1],-: :RE., Pil :gr.. MCC /kit .17,.. Pita -0 .17 P1704-34 • KCMG 411.0 ICI I 4041 TIC •05•3 PAIL lanallaRitt ecsiemoec SOCK. DK WPC MST owsno 34-17-00 • All VITA *canon CT mint Ea> scrum( ;mono KIWIDISCX ISSAL. awns as-sa-os - souses Coulee (WIC DS710 ®INSTALL IS Inn KCAL ANN101 TO INC KW I 04.4.0440 Ciltaill PEATICR pi> CIH C I TIP- T/41 TeN410401 4505 OD 19113en0C •IOC itaZOKCKLO TO DITTOS Distkiii Aos Rt:400001X DUCT STK 4140410KKE CC. CPC 74.51-0) • TICS4000111101 ®IT POSIT DT CM IS HT MI LP SPUN CA new PIN K NAT K 0001400. 007012CCIDVIG P1RD-1827 PHI476LIC.1 000 lt€0011V A fMniavy?). 200 APPFXRIV I No. 1 TRANSPONDER DIOTTOTAI 14011-17•37 3411053 e PIOSTS -ens pl. <OCT WIND DST KIST K COCO TO Cr •0(11.11 PIN IN InKlait. JJXCTIOT 11551. Nati V. a CAP KO ST0 04.4 ICUS VICCS DKr OUT I CC W. 1 nes ma LitCCD SKI a DC CAM kiltieL4 KK TOINCL DICTIOT TAI34. DCA V III> INST•LL KCAL 04510) Kat IK Da I CC IMIIIMPO 13> KC IC 3 voi-MO tonne V oe essorare-wm ITO NCL 40(34,0 -Yes TO C41104 PAITINDED Cha P011, 03. Sant KT TUDIDalt 0 SKID( PS KOOK. STOMOD SC MIMIC% *CS mows 311.140 • Watlit•TO TKITKOD OMNI (ma [4> etrotoor Kifatu. auto 'NICK H conwouse noes 01101.01100 ICK TON 3/3-03 tttttt .04 NATITIONT. KT•ILII. D> 14004.1. C I tlisiSPOTKe 40100 KCAL IN DIOS CI 150/40000.141110 CHIC Slaaa MO Itiebart CP TAKE *3 SPANS Si EFTA01329584 SDNYGM_ 02757800 SUBJECT TO PROTECTIVE ORDER PARAGRAPHS 7, 8, 9, 10, 15, and 17 EFTA_00244722 EFTA01329585 H 0 0 n H rn C rn —O xp -O Co lD l-a cn P 2 = CD_ I-a PHI St 1 notselue Thrwavp LAIneue. 'WU 00/012(XWING 00<el Ansa moc IC sats „ MOW SCONIMEEELD 001Et criza 0-4 B>+ 00 =WWI O WI i• @01 xual I..—IIAal.TIJ I 1 " o l- et MO IGO- i 1-14". 1-1=11 a lr ,= Z War rra , WOWSICIUS li>t>{}— lar 0—tn O ..arEM ta>.4°7111.c fil>DIrl00 DI> FIGURE B-1 Transponder System 1 SHEET 1 of 5 a CAILL .atan /WI IMP Ram , OW IRI MAWS.. WIT. 44/55 pad. =1M rtr" WW W0 MOW WWI WWW a I WNW WWI PIIISASHIADONS AMWAY A Airmen. ll. 2814 APPNIVIAPC EFTA01329586 SDNY_GM 02757802 SUBJECT TO PROTECTIVE ORDER PARAGRAPHS 7, 8, 9, 10, 15, and 17 EFTA_00244724 EFTA01329587 Cr co n rn -0 70 0 rn n H rn H 70 0 rn 7a -o -0 (r) -Co lD cn O z ul io CU co CL. 8 GO 701X18 ONG FIGURE B-1 Transponder System 1 ADS-B Fail Annunciator SHEET 2 of 5 PHISISICA-000 REPANTV m 1014 APPIRM.V EFTA01329588 SDNY_GM_02757804 SUBJECT TO PROTECTIVE ORDER PARAGRAPHS 7, 8, 9, 10, 15, and 17 EFTA_00244726 EFTA01329589 m IS IpJ IJ to co H T O 0 n rn os C oo -0 os ul oo -0 CM > I Co Y) ,p 2 1-a 0 U1 3 N 3,1 CD- 8 I-a Hit Air ZOO St nokrOkar Peanntr taws , Ia NOUS I 345ICII Cit•St IRMSPONDIR I Pna I® ® -, r c > 21 'PDC 16 '"Cl [3, CAMPO LIDOS CONNITN ANL SELECT 5V LTG LIGHTS GIN CTRL IN IA CTRL IN II iszooiszt—t CgallifttriV5O S -S500142214 SLIM SX002A221/ tl -SX001APPIN A l>O1 maxi I MIEFENI Et:13) tl -SX004Ar ILJ CTRL OUT IA T CTRL OUT II 0 .t2) Cri.tel KW egg : MIS CO70120ROWG CONSOLE <ANTS OMNI HE' 0-5 YS OUT CL IGIIT ITC) nv,COPILOT AIR - 77777 'AYR- COINIBIR -IFAI74028 -44 - RATA LIADDIAta.--{lala.ch...® .. ,,,..9., ...,,... EDE] paws I Th t2 svG tom h D® VG <V iSx0atin WI ISX0391.22 IST010422N-I WF kl• 000 Op Plow I •VG fV -AVG IV 2AVG (V 22-AvG IN0NP2 INg30 333S (>"' Walt /IX n >O Ea] [ji=ca LIINC FIGURE B-1 ANTENN e A Transponder System 1 CTL-92E Control Interface SHEET 3 of 5 03)\ 11.7002A-131,60l) <25 Pt ISVIOIP,I311101/ CV IT @ 7 Plait PIIISYNICIONT REVISION A &Naar 70I RVIENINV Tftn'; 707, <I .12) ALT Trim Aso MX Att AIRSPEED Ft A M NAXX AIRSPEED ARSPEED SDI INPUT A SDI INPUT 3 STRAP CERRO, DISABLE CPS INTEGRITY LIMIT CIPII/A411 CONDO. 919 PM IN A 429 ALT IN gat E 2 4 : 12; 41 I N a ISO UPPER mama LAID MIDes 87 EFTA01329590 SDNY_GM02757806 SUBJECT TO PROTECTIVE ORDER PARAGRAPHS 7, 8, 9, 10, 15, and 17 EFTA_00244728 EFTA01329591 In CO rn H H n 73 0 H rn n H rn 0 0 rn -o -o Ib :D I_a to '0 VI 3 O 0.) 0- I p p O IJ lw ?VISE ImmoVac Thmov, Wm*, I. Mot AM-s 00$11ail IOUlet MUIC 4rt °Awe KM, {gra: MOWS 114 0 en. am faros 0 1* entassim—I>Msta 1-.C)e<1 L FIGURE B-1 Transponder System 1 UNS-1Fw Interface SHEET 4 of 5 tible•I24,1/ IT10412- 6.2=r111. 7 PHISISICA-01,05 RE iltION A Arauri 21.1014 APIIWOIN oar Anterf moat 000 mum Is. I nee-me mina< a artlitifil 00701206.CMG tla 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 2001 SE Evangeline Thruway Lafayette. La. 70308 PH/-S76-!Cd.00B, Revision A 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-El BKL 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 3451 CB2 I MS3320-3 CIRCUIT BREAKER 345 ICTI AR 822-1807-004 TRANSPONDER CONTROL 3451DS2 I 95-40- 1 7-H 1-EI BKL ANNUNCIATOR ASSEMBLY (cap & body) 3451 E3 I DMN150-64 ANTENNA 3451 EA I DMNI50-6-2 ANTENNA 3451K2 I M83536/2-028M RELAY 345IRV2 AR 714-3258-020 VARISTOR 345 ITR2 1 622-9210-550 TRANSPONDER 345 IW2 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 PHI Inc. 200! SE Evangeline thruway Lafayette. La. 70508 PlitS76-1CA-0005 Revision A February 21. 2014 Appendix B FigUre 8-2 -.; , c•-!' :' p .: ;: .1,Waicijit:tilt ,-.4.:Ci•,31r4ti - ri . .4. ..4 ',. :::::reicC; :: /TDR-94D Dual System, Electrical . 't ;:, 4 k 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- -''2r"c--; PIDSR I - CTR922, I- .' O-NC.CONNECTOR14 ` . . -- P11386R ' , AR 634-1112-001 CONNECTOR.. , ., . P I 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 1. 2 ; Sc.! As Ks x1242 agh5l 4.428 al!! ilApe IPsY1 roll o ; ! il e:! orIg 4se ;1 Xli ke Y g i!5° ! !pig ! ggqi g -6 Egigl irt! op 2' Ex 6 43 4i 21 tr - ;Ii;1 4O0 rem W w PX 0 D I' A - 4pg Z 0 it 0 1 4= Fi.b i§ I EV:P YR AIEEY =AAA OA • •v; • 4 •vi ;ft 2.4 !PI -.4 grt elt; iSi !!! tr: !gt-f ZEE a imwormilm i nt 416444 M2R ;;; ) i I A 2 2 ! W I .1! i yy M i i IP 2 I is 11; V I '; ! 4 1 p glI f 4 e E s II 1 i li i i ! e s li I g i k 'kE v g . ! ie3! i g i d I I 1 1 ! 1 2 1 t i yr* 1 I I IX; I I i 6 i I I i b I i 1 EF1 ; 4 i i i 3 lani 2 ; ..ee; 1 i 4 a . . 4 ? M; i H / / ! I NI; I ! 1 . - : st. g g ; v m ; i I ha g I i i 5 AAA AAAA AAA I tl I 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 6ELtrZOO- V.U3 to 0 H 7Z, -0 0 rn rn C 7Z, rn -O 7S -O to My Oz Ul Im 0 0.) Zji CD_ r, i-a L.- 209Ill:e.erder Moir, Lnine.v. 00701200 DWG yi:tigartt—h CliEB3ITED 13)- f t>=7600 C mi nitcl ona l untsferbilig FIGURE B-2 Transponder System 2 SHEET 1 of 5 044 00[>ilat 0 000 vac awe KIES. I.E4 I Ma, MI ID bit MAD a SI CIO SOJI OM ©L,2 i• 14 Itri•CA I 264Srlittt UNA at3 164000 a AVG IV li lt' Aparennonas mei Loweertare • LSO AW ON6 O kleelftellal. evict C e2 4.6 c. 'CH tt : TgekirofitIsuligsrstrw' 1. Linrjr;Itg.c =tar r' r-el An in- it Wtsta i ," 22 Waal rot ▪ I 0 OJC•8 lastla Pram I I M e. aj NAM OM Iivilt>{r====.- anxix— AMMO 'tea IAD -eSzin•ee O \-0 tci =Mg ligra" 3 guns. • latrt ObM 00.00, It Ii St a S MOM Can all PIII.SAWCA.0003 REVINION A rt.e..7rn NI I AKtVPI%S EFTA01329602 SDNYGAL02757818 SUBJECT TO PROTECTIVE ORDER PARAGRAPHS 7, 8, 9, 10, 15, and 17 EFTA_00244740 EFTA01329603 I fLtti0O-VIda to CO L_ H -O rn n rn O C rn -O xp Gl -O Co Y) I_am Oz FR IG) C0 Z31 CD- al i-a tilt Ave 1001 SL LSsvicreior Tbrwer, LaAnnie la 7056.1 ANNUNCIATOR 343IDS2 ;glee I 345IXDSE le@ 2-PAIG (6•/—, Z-AWG 32 132022 2-4G (V CAILE ASSOTILTI 345112 el P14922 2-ANN CPl)-3 73) 22-ANN C6')--, I . 2 WON OA/VAIN ®®el 34511(2 I I 3451Xx2 ICI ESX 15RAW1 2SX-1nA22 2SX 133422 INTIGRATID INSTRIANNT MILO Slit 11 KNOT( DATA AWNINTION WIT! LOW TEST OUTPUT 2S2 131Ata 212 136A2211 ®Ina-RI PILOT ANNUNCIATOR OWNER VT 5 WC DM CIO VOC 000 (i)l P1712 j 3431182 1 No, 2 TOR-540 TRANSPONDER (Al 31 PALLT POSITOR OUTPUT P 17 P6D9 I 745 24 -L121A22- — — --WARMS-D-22- —A— -L121122- — —A— -.PPRP745-27-22- — — - 27 - — 0•11006 FIGURE B-2 Transponder System 2 ADS-B Fail Annunciator SHEET 2 of 5 00701706.0WO 1114 RE ItS74ICA.04.$ REVAIOPI IN &two" 4. 20Il AMAMI. EFTA01329604 SDNY_GM 02757820 SUBJECT TO PROTECTIVE ORDER PARAGRAPHS 7, 8, 9, 10, 15, and 17 EFTA_00244742 EFTA01329605 EtLitZ00-VIi3 to co H H n -0 0 rn H 0 rn 3D -0 3D 3D -0 Co cO to Oz '0 O V CL 1-1 PHIAL' :iv), SC C•wyeeme Anon) LAntnr. la 7O,A, CO/Ol200 ONG 345ICTI cn.-92E TRANSPRNDER r pm,* 10 canna v¢ IN MaIN. 2 G ▪ 2SECOIDe2-4 Calriro R> ccgana iZ t G.._ CONTROL WT PA N pi-- COMM WI 21 Dr• I Pala-% 18 Eat annul 312132 000 345'112 IN. 2 TC41-940 TRANSPONDER 01 PISA I ca, I>. PUT -ermanat—r as ts 42,429 ALT p 144 Am DATA t_ _erstottaa GONPUTER 'm aul 2SP361•224-1 GG44 I—NO 252030422 at 255031.22 12.0 -251O32A22 WI 251033•22 RU ecc 0.1 GG4le J-2510063•2204 AMEN LIPPER NA Ci 4 IEDI 3451(4 FIGURE B-2 Transponder System 2 CTL-92E Control Interface SHEET 3 of 5 AVG ES• - t3 GIRL Guy • 24 CTRL WT I 13 QV Wal k 14 429 TIM IN AwG 22 Un— 4I ALT TYPE ASO _Aut (6. )__ 42 ALT TYPE ASI z_AvG "e t__ 43 Nix AIRSPEED 22-AvG (6')— 44 MAX AIRSPEED 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 - I pin I ja, 1511020 311601 (25 ED- 0=OUPPER NOrin LOME ANTENNA PINPOR N>01 351E3>=3=11-2SX101A-3DEOI CI' ay =GIN C —.• DKR ANTDom als PIII4764CIAlb31 IttnIJON A filwifflrr:I.2011 APPENDIV EFTA01329606 SDNY GM 02757822 SUBJECT TO PROTECTIVE ORDER PARAGRAPHS 7, 8, 9, 10, 15, and 17 EFTA_00244744 EFTA01329607 5fLtti0O- V.Li3 co n H H rn -0 0 rn n H rn H 31 rn 3D -0 7s 3D -0 to So .90 NIn SD 2 'O O CD_ t,' PM Mt NOW NE EBBywiine risnawar Lalunor. Ls AUK COI 0070 I 20, OWG a. PM. - NAL AtIONCII WPC no 1014-1. • SPAYS sono. MILICIECCOME nos aeon Al Y {on DATA A 1011•C 743A DATA On ATA $ IOC /*INC W OJTIUT PCill 3 VMS TIMMIOX KO* 0 I Ida/ 1CAll AINICILY SS® 04 041 FIGURE B-2 Transponder System 2 UNS-1Fw Interface SHEET 4 of 5 016 fIllaNICANNO5 E£YAWWN A Amin. 11 . 70" APPENDIX a EFTA01329608 SDNYGM02757824 SUBJECT TO PROTECTIVE ORDER PARAGRAPHS 7, 8, 9, 10, 15, and 17 EFTA_00244746 EFTA01329609 H H 0 rn n rn H rn -0 -o Co cn .9 F-1 '0 to 3 2 = ;34, m I8 IpJ PH(. few M0I St tavaaohur Ana.) Loiarrut La 711,05 cocun MAME O(C4110) BLOCK G02 MONO ACC( TERMIAL AACIOA a a KAY 345122 NOM IA 2 1M-110 TRANISPONDER C0701200.0.220 3431052 I W. 2 POWItIt 0101140 (OMIN) -42 low-4 mansttra( TRANSPONOCI =alba FIGURE B-2 Transponder System 2 SHEET 5 of 5 uv PIII4744CA.MIPS RICYLVON A &Nueva?). MU APPENDIX A 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 % Se MAJOR REPAIR AND ALTERATION USC4Oweactr of Minsormse. (Airframe, Powerplant, Propeller, or Appliance) Faded AWN.. AdnirSsitalial Font to Ora No 2n04020 2r2142(ii I exatonc Astro wren or Minis. Oar 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)) 1. Aircraft Nationally and Registration Mark N722JE Serial No. 760750 Make SIKORSKY Model S-76 Series C++ 2. Owner Name (As shOWn on registration certificate) ASI WINGS Address (As shown OA regietaaron certificate) AOSviii 151 FARMINGTON AVF cw HARTFORD awe CT 74, 05156-0001 cote( USA 3. For FAA Use Only 4. Type 5. Unit Identification Repair Alteration Unit Make Model Serial No. O 0 AIRFRAME (As described in Item I Obeys) 0 O POWERPLANT O O PROPELLER O CI APPLIANCE Type Manutacturer [ADDRESS REDACTED]atement A. Agency's Name and Address B. Kind of Agency Writ StOVP lahlrintiri ,/ U. S Cenecated methane I Manulacturer menu [ADDRESS REDACTED] Focnin Certacared Mechanic C. Certificate No. ca. Fnfietd Soy CT Ceitirkated Repair Suwon A+P 3529533 ru 06082 cam, USA Cedireated Maintenance Organization 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 per 14 CFR Pan 43 O Signature/Date of Authorized Individual 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 BY FM Ft Standards Inspector Manufacturer Maintenance Organization Person, ApprOved try Canadian Departmental Transoon FM Designee Repair Station 1/ Inspection Authorization Other (Specify) Gem Cate or Designation No. IA 3624479 SignatureiDate of Authorized Individual 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 Nationality and Registration Mark TT: 857.2 07/12/2013 Date 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 pprFnpm 0 MAJOR REPAIR AND ALTERATION olturnmeaten (Airframe, Powerplant, Propeller, or Appliance) keen. Artists AMInisration Form Appro., OMs,* ziz000zo 2125/Oil Delionic Truarg Wit. et FAA ue•Onty 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)) 1. Aircraft Nationally and Registration Mark United States Of America N722JE Serial No. 760750 Make Sikorsky Model S76 Series C++ 1 Owner Name (As shown on registration certificate) ASI Wings LLC Address (As shown on registration certificate) meal. [ADDRESS REDACTED] car Nallf2G[ADDRESS REDACTED] 59 06156-0001 cam USA 3. Foe FAA Use Only 4. Typo 5. Unit Identification Repair Alteration Unit Make model Serial No O 0 (As describes:let Item 1 above) AIRFRAME O El POWERPLANT O O PROPELLER Ill D APPLIANCE rum 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 [ADDRESS REDACTED] Dutchess County Airport Corny Certificated Mechanic C Cenificate No. c* Wagoimas Falk sm.. Nay Ynek i Cenncseed Ryser Sueon FAA CRS-AYPR340S Limited Airframe S76 a, 12590 Cant" USA Certificated maintaname Oriamitaro 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 per ta CFR Part 43 O APP. a SignaturerDate of Authorized IndMdual 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 Administrator of the Federal Aviation Administration and is O Approved . matted in the manner prescribed by the Rejected BY FM Fit. Standards Inspect., Manufacturer Maintenance Organization nations Manvea byCanadian Deperenent or Transom FM Designee I Repair Station Inspection Authorization Other (Specify) CAM Kate or Des, nation No. FAA CRS-AYPR340S Signature/Date of Authorized Int:Pa:Nal Tony Tirone, April 29, 2013 ...-- -ii. ..- FAA Form 337 raa, SDNY_GM_02 757831 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, ei h aircraft natronality and nips:taboo math and date biotic compbtect) U.S.A N722JE Nationally and Registration Mark Repair to Sikorsky 576C, N722JE, 760750 0 Aircraft TSN: 763.5 April 29, 2013 Oale 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 # 4[SSN REDACTED]. 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 $upplattental Qiertifiatte .4 724.71.4"3R09050RC .43./'aepleas /3..Weemeip Falcon Crest Aviation Supply, Inc. 7798 Braniff Houston, Texas 77061 1.. c.... 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 - ffne SIvirofaamors-.• .41;a4 HINE 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 Res4.,..A.vesete.• November 3, 1995 Aatrameadieww(. ems enwpote: (Seowum Carl F. atittag, Rotorcraft Cert gouthwesE Reg Ida) ti Any alteralan of tAls cerrylcate spank/table by On ofra coseang 54004 or Sprisostast not tweeding sumo, Mk. FAA FonAl I.1040 Urn 774.5catgleols may be emend In 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. 24-30-71 Page 101 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 FAA APPROVED: F.A.A. APPROVED: da.xr,01-4- b e Manager Rotorcraft Cert- _ ification Office Federal Aviation Admin. 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• used. lasts bowie. • rims.° l•••• Nom asanins.• Mil ass One 01.. eitsCe 8-12/08/20W3 non eis it. , 10 ,11 ••••P w ow.o L =mei inn /PLOYS war 0.140.••••• •• en Ow Palma. 00•••• PoSen• imp IC Wood 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 •••••••••••••••••1 , • *617 08,2008 ein 00 .• 'VP Olt CHITA On NICIPAmOwS - FAA !win 1100.2.te. ea ail.. OPAIMIO 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 l e MAJOR REPAIR AND ALTERATION us Csonwt of tramemaron (Airframe, Powerplant, Propeller, or Appliance) roan, smarm AdmIrdiltratlen From Apropos Owe re> 2.204020 2,21401, proormc Tracking runcor or FAA Ufa only 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)) 1. Aircraft Nationality and Aegistr atom Mark N722JE Serial No. 760750 Make KEYSTONE HELICOPTER Model S-76C Series 2. Owner Name (As shown on repstranon certificate) FREEDOM AIR INTERNATIONAL INC address (As shown on regeseeton certificate) Adean trrt FM II K an STF 7(17 Cr Wit MINGTION Si*67 DE Zro 19803-3742 carry USA 3. For FAA Use Only 4. Typo 5. Unit Identification Repay Mershon Unit Make Model Serial No. • TA AIRFRAME (As described in item I *ben) 0 0 POWERPLANT 0 0 PROPELLER 0 0 APPLIANCE Type Manufacturer [ADDRESS REDACTED]atement A Agencys Name and Address B. Kona of Agency Nn Pm Star Aviatinn U.S Cartficalea Mechanic I Manulacturer Awn. Manchester Amon [ADDRESS REDACTED] Foreign Cessono Memaivo C. Certificate No. cay I norkinderry pm, all( i taruticated Repay Saban CRS* P6UR006Y bp 03053 GIP", USA tenrcau4 0 nbliOunc• mosattwon 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 per 14 CFR Pan 43 O APO El Signature/Date of Authorized Individual 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 SY FM Flt. Standards InspectOr Manufacturer Maintenance Organization Parsons Approved oy Canadian Oaparanent of Transport FM Designee I Repair Station Inspection Authorization Other (Specify; Certificate or Designation No CRSit P6UROO6Y SignalurefDate of Authorized Individual 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 Nationality and Registration Mark 04 -IN- /1 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 FEDERAL AVIATION ADMIMSTRATION STATEMENT OF COMPLIANCE WITH THE FEDERAL AVIATION REGULATIONS DATE 04/14/2011 AIRCRAFT OR AIRCRAFT COMPONENT IDENTIFICATION MAKE Sikorsky MODEL NO. S-76C TYPE 440plane. Ratio. NotapaN Mc) Helicopter NAME OF APPLICANT Pro Star Aviation Londonderry, NH LIST OF DATA 10F/triFICATiON TITLE Drawing No. 2649 Sheet 1 of 1 Rev IR. dated 04/11/11 ------END-- "GMX 200 MFD MOD WRING Notes: 1) This approval is for engineering demonstrates compliance only subparagraph listed below as regulations not listed here may 2) This form does not constitute substantiation of compliance to 3) This approval covers electrical included in this approval and require 4) This approval is related to modifying addition of the traffic interface SR0026480. DIAGRAM design data only. It indicates the data listed above with the regulations specified by paragraph and "Applicable Requirements". Compliance with additional be required. approval of all the engineering data necessary for necessary requirements for the entire alteration. details only, structural aspects of this alteration are not separate approval if applicable. an existing GMX 200 MFD and only covers the and the altitude digitizer with deviations to STC -- ----- — 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 under Part 183 al the Federal Aviation Regulations. data listed above and on attached Sleet numbered accordance with established procedures and found 10 Comply with applicaMe requirements of Me Federal 0 Recommend approval al New data I IOW) Therefore IS,I Approve these data and Imitations of appsttnem N/A nave been examined n Avisbon Regulations. SIGNATUREISI OF DESIGNATED ENGINEERING REPRESENTATIvE(S) DESIGNATION NUMSERS(S) CLASSIFICATION(S) Douglas M. England DERY-830903-NE Systems and Equipment (Electrical) / FAA Form 81104 (1 1•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 f i b MAJOR REPAIR AND ALTERATION S r 0•0••••~I (Airframe, Powerplant, Propeller, or Appliance) 0 itanpv.los I1/4 0n•lanis lea.seas • ...Amen, 2,200120 , .40I06, £.O.,taw...team. re. CAA Use Only 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)) 1. Aircraft Nationality and Registration Mark N750A Serial No 760750 Make Sikorsky Model S-76C Serra 2. Owner Name (As shown on regrsvatbn certificate) Air Ghislaine Inc. Address (As shown on rogntration maker.) mans [ADDRESS REDACTED] Casey USA 3. For FAA Use Snly 4. Type 5. Unit Identification Repair Marston Unit Make Model Serial No. K LEI ARFRAt.€ (As described in item 1 above) POWERPLANT O O PROPELLER O O APPLIANCE Two 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 FAA CRS EGRRS2$0 ZO SIR) ,Covey It A A. Cenrceim LiaiNenance Organismic% D. I codify that the repair and/or alteration hereto have been made in accordance furnished herein is true arid coffee made to the un4(s) identified in tern 5 above and described en the reverse Or MISCIIMenIS with the requirements Cil Part 43 of the U.S. Federal Aviation Regulations and that the information to the best of my knOwled Extended range fuel Per 14 CFR Part 43 APO B O Signature/Date ol Autny,ed Ind . Ronald Holley it ) gee ei , - 11 Jan 2010 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 inspector MIWIJIMItttf fAlliftlfaXIOgantalon Poisons Approved by Canadian Depanmail el lranspon BY FM Designee X Repair Stew Pimlico AlAhOOZaten One. /Soo* ific ale or Cen Designation No. FAA CRS EGRR526D A A Sgnalure/Date of Atli prized Individual David Celts , c aC_________ 11 Jan 2010 I c.. 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 ) Aircraft TT: 5.4 his N750A rosionany sM Regamon WA 11 Jan 2010 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* .1 ARM kit prpartment of transportation — Arberal eaflation l i ll 'strut ion Supplemental Zu_pe Certificate . orriskissrb Abw,i/dir SI10269 I N V Keystone lidicopter Corp. 110 E. Stereo Huston Drive Coatesville, PA 19320 tentiokt .441/45, jar in /4 /gem des.dowAr to A dalveekr freen/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 III NE 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 liw./...../4.kw.orci.. April 311. 2009 (4,/, /1,6414f/Al. 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 e b MAJOR REPAIR AND ALTERATION Or (Airframe, Powerplant. Propeller, or Appliance) us 0•0114.1111 a l.....eaa , soosm000. Aronon Iem.014.4 we on. 1.:00041 nosne COS .... ask...an. re. FAA use Only 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. §4630 k an 1. Aircraft Nationality and Registration Mark N750A Serial No 760750 Make Sikorsky Model S•76C Senes 2. Owner Name (As shown on regusvation ceracate) Air Ghislalne Inc. Address (As shown on registration ceedhcate) /bans [ADDRESS REDACTED] Coalry USA 3. For FAA Use Only 4. Type 5. Unit Identification Repair Nitration UM make Model Serial No. O El CO El AIRFRAME POWERPLANT (As described in from I above) K O PROPELLER K E APPLIANCE Type 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 Per 14 CFR Part 43 App 9 ll SeralurefDate d Authorized Individual .O .!. . .- - 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 Inspector Manulackoir MalralTherg•OrpliolaeOn Oolons AtioOved by Carnan Daparimere et Tian:oat _ _ ElT FM Designee X ReOblr SWAM caw (scam I ' Aultenalien Certificate or Designation No. FAA CRS EGRR526D Signature/Dale is( Aut David Celes zed Individual Z., 3 d j{:2 - . - - 11 Jan 2010 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 all prewous alterations to assure continued conformity with the appiCable airworthiness requirements 8. Description of work Accomplished II, more space is required attach addition's/Was. Aircraft TT: 5.4 hrs . /densely with aircraft the following equipment nationality and registration mark and drawings: date work completed.) N750A 11 Jan 2010 Keystone Helicopter Corporation installed Nanny and Rig spool min in accordance with the listed Coca fa 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 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 itch:on/et MCI RAWL* APPI It .AN I 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 REPRESENTATI E John Sotak DESIGNATION DERT-955 10-NE CI ASAIREATI1 Sin II-Auras' Chart 1A. IA 8 9A F Form NI 10.3 SI :PERM I'RI'VXNH FIN I II MI 2tRaanitctr Rot dor LAST6tREPORT DATM760750 Air Gk.:Lin.: 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: WIWI Al avoiraiitmeouriummea crATEmper i w (AN I'LlANCK WIT!! Till. lehIDEltAl.AVIATION 12 :GLI II .ATIONS I., ll; ON JAN 20I 0 t 'III 'ICA yr ON AIM .ItA If imairisscut inwri Ili. Attois hlACI Slta tItSKT htti111.1.Nti S-76C type r.Ittplaree Mo.Int IttIkvrter. !Iclivopier NAME OF AITLICANI Keystone I Iclicopter Corporation I.IST OF DATA urrierwormh IN TIll.l: I hVg. NO.: 080761m011006 Rev. • dated WI WO Rep011 Ni,.: ERD2 '93.2.3 Rev. - dated 16 NOV NMI) 2SV1)C• I 2VDC CONVERTER w/4 OUTLETS W/1) SYSTEM INSTALLATION INALUATIOhl; 12 VOC Cabin Oullet(s) 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 :,i I the enziniming design rkita required liar volistanl lathy. 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 n ill, 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 %XiNA II ItZf011f DISK ;NAITO FM IN liliNIKKI KErkliSENTATIVIV) IILsK;NATION NI thIIII:R(fI ClASSIFICATIONO , David A. Mulliml ""it)a,Lad ,A. 7figi a( fi 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•4111.1EJ.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 II 4.14111;1i 'a II•YI I hvg. 11Mt7ounnRoun Rcv. • glaml 518') Report Nu.: CRII2 I q3.2 lice. • Alin( I6 NoV !(Iit) NI. I S•76C - LasT Ihn A 1k:hooter Kc% stow I Iclicoplcr corpor.ltion 28 YIW- I 2V1)l • CI IN V EX 1.1..R n:/4 O1. ITV : is \VA) sysTcto iNsTALLA noro EVAIMATION; I2 VIX.' Cultin nielvt(s) insclllal ion in Sikorsky S-76C Helicopter FNI) I I 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::•lei i::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••••• 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! / a 1 1)41% ill A. Niiill'ord . i • .•••.< i•: LI i I It I . 1 !ea PP. ill 1111 I 1:1. 1.. silmAlo iN NI DERT-95591;4•NI, YI .1%111.1C.11 __Symons & Equipment 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 Ell MAJOR REPAIR AND ALTERATION 41.0 t,,,,,,,,,,,, (Airframe, Powerplant, Propeller, or Appliance) C. haminiten ••••••14Adion (we idgiembe [best unknown. On /a 1.100:00 IIIXGODI Re' FAA WO Only 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)) 1. Aircraft Nationality and Resisltavon Mark N750A Serial No. 760750 Make Sikorsky Model S-76C Seises 2. Owner Name (As shown on regostrarion cerreal0 Air Ghislaine Inc. Address (AS shown on regefarriOn cerblicate) Address 103 Feu% Rd 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. O 0 AIRFRAME (As Oesathed in irem 1 above) O K POWERPLANT K El PROPELLER APPLIANCE bee lamullatlar 6. Conformity Statement A. Agency's Name and AddeeSS 8. Kind of Agency leame Karen Ilesseettrearoarasim U.S Cerulemed Mechanic manufacture Sierran Iltificel owe. Foreign Cenitcateo Mechanic C. Certificate No. meress 710 City C0Yesvett . BIB ea- X Cendeetee Repair Station FAA CRS EGRR526D Ze 19330 - Csomq ittabt.._- Certificated maintenance Organnation 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 01 my knOwledge Extended range fuel Per 14 CFR Pan 43 O App. B Signature/Date of Aalborg Individual / Ronald Holley , 11 Jan 2010 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 BY FM Fe Mandates Inspector Manulactuter Mamenince Organomon Persona Arsattved by Bauman Devanmars at Transport FAA Designee X Retail Station "Inspection Autismizanan OsnIMSOoser/ Calecale a Designation No FAA CRS EGRR526D Signature/Oate d Authorized Individual David Celes 11 Jan 2010 eze „ t" g(2_ , ( 2) 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 is sheets. Identify with aircraft the following equipment nationality and registration mark and date work completed.) Id mote space roomed attach additional Aircraft TT: 5.4 los . N750A 11 Jan 2010 Keystone Helicopter Corporation installed mnality sna Rogsran. NW. in accordance with the listed au 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 i'EnCRAL AVIATION ADMINISTRATION STATEMENT OF COMPLIANCE WITH FEDERAL AVIATION REGULATIONS TDATI: DEPAR WENT l- fRANSPORIATION rt I 0/ Alin. AIRCRAFT OR AIRCRAFT COMPONENT IDENTIFICATION MAKE MONS NO. I YPt I naperiiv. raµo NAP& 01. Al-le II :AN I /leactnin ere ) Sikorsky Sibt; Helicopter Keystone Helimpuir erap. LIST OF DATA ()mineLT[0N TITLE Engineering report no ER01859.1. N/R Dated 01-07.2010 "Structural Analysis - Interiors & Avionics. Misc. 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 estran II. 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). 79.341(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 REPRESENTATIVE John Sotak DESIGNATION DERT-955110-NE CI AS.cliFICA I ION/::; Sin rehire% Cher A 1A 4A & 9A K %A Fin I 10.3 t 1.70 Ci IZSI•111.% N ;ARepnrIMFRAIAMi. 1 (Ifit 1.:1876IREPORT DATM760750 Air 1 SDNY_GM_02 757861 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 1104..U.M.WPC:111111/11STItArkei STATEM ENT OF COMPLIANCK WITI I TI I F. FEDERAL AVIATION RFC: tl LATIONS MOE I I JAN 2(11(1 A Ila*RAVr OR AlICCRAVE COMPONENT MENU F WAT1ON MARE SiKORSK Y AP IIM1. Nu. S.76C TYPE filtepintat MAIM. Ilefterverr. etc 1 I le licopter NAME OP Mtn:AN. - Keystone I Iclicoptcr Corporation LIST OF DATA IDENDFICA1 ION TITLE Dwg. No.: 0807613908010 Rev. C dated 12/23/09 Report No.: Eft.02190.2. I Rev. - dated II JAN 2010 CABIN ICS & ENTERTAINMENT W/D SYSTEM INSTALLATION EVALUATION; Cabin ICS & Entenainmcnt 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 itsCl I conMilutc FAA approval or all the engineering design damn Itxptif al 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. 1 309(g): n9.1322(OO: §29.11.57(0.(c); §29.1339(e) c :Earl Fll'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 with miatirtthed 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 END INEEK1Nf 1 It EPRESENTATIVE00 DESIGNATION mministob clAssirranimpn Systems & Emiipincni David A. Mulion.6,4--)2.vrie .p•7 rfia of, DERT-955064-NE 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 e ldr MAJOR REPAIR AND ALTERATION 42•44.4 (Airframe, Powerplant, Propeller, or Appliance) 0 1.22.2 .10' 6444 4044 0.444 — ........rew 04 4.200020 0.20001 owiewegresewsekwew Fa wane Only 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)) I. Airaaft NatiOnafay and Registration Mark N750A Serial Na 760750 Make Sikorsky Model S-76C Series 2. Owner Name (As shown on regelrereon cern/care) Air Ghislaine Inc. Address (As shown on regisfrilion cerfifecele) Acorns t0] Folk Rd 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) K O POWERPLANT PROPELLER O O APPLIANCE Tye* 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 Far Ceneficarm krechanic C. Certificate No. Cry Coacessest • Swat ea— X Certificated Remo Station FAA CRS EGRR526D bp 12.120--. Soule' Ua....._ Canikaeed maintenance OrgaratasIOn 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 Per 14 CFR Part 43 ADP. 13 O Signature/Date of Au ed IndM ' Ronald Holley - el" , 11 Jan 2010 r 7. Approval for Return to Service ) 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 Approved 0 ReseCled BY FAA Ft Siandae0S Inspect°, Manulaaurer MaireenanCe Ofganizalion A Persons Arrorouel byCann- Depanuen of TranSpOrt FM Desiree X Reese Sulion 1 1.02.2020 Avalon:awn CrwiifSpeCed Certificate or Designation No. FAA CRS EGRR526D Signalure/Date ol Aul zed Inckendu C\ David Coles i / l.." • ' 11 Jan 2010 S ild •__ i FAA Form 337 past SDNY_GM_02 757865 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 Aircraft TT: 5A Ms . sheers. Identify with aircraft the following equipment nationality and registration mark and drawings: date work completed.) - for N750A 11 Jan 2010 Keystone Helicopter Corporation installed 1.11:Nilyrd F4941-1110(1 MA in accordance with the listed Owe 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 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. 1 WE (Airplane. radio kootomer. Om! NAME OF APpi • [ Sikorskx_ S /be Helicopter Keystone Helirivor Corp IDENTIFICATION Engineering report no. ER01859.1. NfR Dated 01.07.2010 LIST OF DATA TITLE 'Structural Analysis - Interiors 8 Avionics. Misc. Stru,aao.i. 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 REPRESENTATIVE DESIGNATION • i , _ 11 ., kiar}:1. L - ... John Sotak DERT-955110-NE t ; • :Tut: rPtAT' IA. IA 3 9A FAA Flinn X I 19.3 • I 1.1.11:1 rlikSHIES IT I'Vli K:•1:111 Eli 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 I SDNY_GM_02757868 SUBJECT TO PROTECTIVE ORDER PARAGRAPHS 7, 8, 9, 10, 15, and 17 EFTA 00244790 EFTA01329653 --- • • • — — lie Ifiela Wee: • • , il.l.:IFOIC I MKT< MON. itllGilefil kr.nlillSiMill:N STATEMENT 017 COMPLIANCE: WITH THE FEDERAL. AVIATION RAW I .A liONS I/Alt 07 JAN 2010 Alla NAPT OH ninciinrr COMPONLNT IDENTIFICA TIIN AMA; I: SIKORSKY uooijt NO. S.76C TYPE mapAtAA !ran Ikllorso Helieniner NAhll; VI, APPLICANT Keysinite Helicopter Corporation LIST OF DATA IDENTIFICATION TITLE I Dwg. Na.: 080761190111}05 Rev. A dated MS109 Repon No.: ERD2I94.2.2 Rev. - dated 22 DEC 2009 115VAC. 60117., I KVA CONVERTER N via O1.111.ets Wit SYSTEM INSTALLATION EVALUATION; Ili VAC, 60 Hz, I KVA 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 o land 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 the Federal AValim licerdaiAns. data !PAS :obeys l',"“an, and A'and I. "'me,' 'lid, 4 ,04att 1•s. Tin Vt. O Reaenurad appootal Gr—Apponelhese dab by eltalbla vi ihc ifli'lltilflfilf 1 lad hi aceen.lant, .., al. A.A.,l'A;.”, aid liwl,lilineli awl no aottoo...J slocopt omookivl 130 A.Jil Nun hec,. :,ini, et! la el ilirilloilliilll Mitt! Fill !i) of .I.VIitlien. ,ilhclablished e I:pm cm m.o., of Ay l'olvii At iotive. l“-juknivic a Om JAI %RIAU TI :ra.s, or. orsinnaliDEN0INPFRIVn tanehl:NTATIYIninl DE IGNATI0K MUNII1Fniqi CLASSIEICAI IONIY. , till e/ i t David A. Mulfordco,..4 0( A i i , 064- ,O7,:s DERT-955064-NR Systems ien Equipment 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:11 if TRAP4.11:1 All' .7S IISEItAl..VilsiklelAMILVISIMAITYS KIWI": M ENT OF CONIPLIANC I.: WITH TII F. FEDERA I. A V IATIC.XV It EctiLATK)Ns P.1:1 • OR JAN 20 I 0 A I RIVICA Fr UM A I ItCRAFI' C(,MI iaN LS T In I:CI'1rl(tATIIL" MASI: SIKORSKY NIt.Illtl. NV. S-76C 'VIII /. lirme. Q..../at ilettaam. Helicopter !MAW i IF ANIJCAN I Keystone Helicopter Corporation LIST OF 0AT,\ lownricAtio.9 rcrus Dteg. No: 08076B90B006 Rev. - dated 8/I 8/09 Report No.: ER02193.2.3 Rev. • dated 16 NOV 2009 28VDC-12VDC CONVERTER wAl OliTLETS win SYSTEM INSTALLATION EVALUATION; 12 VDC Cabin Outlets) 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 al ipt0V3I 111i$ ref M .M V> no la ith;lroSiestiltsh: r NA await a101 all the eligilloaiiii; ocsien il.ua required i subouinial ion ereoiurlIjIW,.` le II.X.:SS:6:21- IlViiIV/IWIIIS I.01 lili: .: Illio: :elicration. rowousfifr lucm Coniplia ice lindingS in StepiRot or a major aural ion l0r aircraft S/N: 760750 only. timitict‘my urryi RENO)! 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 :ibm t fata ea 'gimbal INV° atillIknell. Afet)t: _ ... . . h., e KV./ C•Ialei.itel in a.m./Jam it kb s niahliANI mai .d14 ir,4....,“ A, istial 11419 hissli reamthay.ana (maul to tvitiply ....iilt wylimatla ierismiata I•ir..: tea., Von. timid amm at o al .: d Altman.: thcSa data Ski VIiiitliiift OF DESICINA an ENGiMiiilti : UM* rSEKrATIVI ii Si l/f %MINA (ION NLINIIIEKI CIASSIFICA I IttaIINI 6 David A. Nit:Word --s-,—.avie:r ./.. Vie,416/3,01 DE RTO/55O6.1-NE Systems .0 CO iPMent .................. ...........................-- .---..--........- ........... .... ............... -........ ........ ... .. ........ ono 3 I Iti.i 1 1 I ne I '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 MORAL aWilligil AINAINISIRAVIIIII STATF.M ENT OF COM FLIANCE WITH THE FEINUtAL AVIATION REMILATIONS row: I I JAN 21)1(1 A latIlAvr lilt A IIIC RA PI' COM PON WI' IIIF:ff l'IFICA THIN MAKI: SIKORSKY ith 'intim). S-76C Typh clirythy. Raw. !fellows" rk.) Helicopter NAM:: OF APPLICANT Keystone Helicopter Corporation LIST OF DATA IDENTIFICATION 11118 Dwg. No.: 08076B9OBOIO Rev. C dated 12/23/09 Report No.: Elt02190.2.1 Rev. - dated I I JAN 2010 CABIN ICS & ENTERTAINMENT W/D SYSTEM INSTALLATION EVALUATION; Cabin ICS & Entertainment 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. 1 309(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 of Ila 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( D -055064-NE EFtI Equipment Systems & 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 elb MAJOR REPAIR AND ALTERATION S i, 0 O..'" Or (Airframe, Powerplant, Propeller, or Appliance) 0l netwarkot, 0440. Avlel es Li.......n.. Forasyceowea ovt. No I 060:Q0 Ilnanc •Oing Mate For FAA1.14 Only 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)) 1. Aircraft Nationally and Registration Mark N750A Serial No 760750 Make Sikorsky model S•76C Series 2. Owner Name (As shown on registration certificate) Air Ghislaine Inc. Address (As shown on regotration certificate) Amen [ADDRESS REDACTED] 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 O K APPLIANCE Toe 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 F wisp CervIscAKKI MOChinic C. Certificate No. Cey romenyio . Sin EL._ X Certificated Repair Swoon FAA CRS EGRR526D 20 ava County ILLS Cenhcaleo manienanceOitienktation D. I [ray that the repair andfor alteration hereto have been made in accordance furnished herein is true and correc made to the links) identified in item 5 above and described on the reverse a attachments with the requirements of Pan 43 of the U.S. Federal Aviation Regulations and that the information to the best of my knowledge. Edended range fuel Per 14 CFR Pan 41 APP .B O SignaturefDate of Aul ed Individu Ronald Holley if ergacAl if \ 11 Jan 2010 7. Approval for Return to Service V Pursuant to the authority given persons specified below. the and identified Administrator of the Federal Awaken Administration and is in item 5 was inspected in the manner prescribed by the S Approved 0 Rejected ev FAA FE Wormier inspector i maiwsowei Mairrenence Ortfanamon Polon; Asonwerlav Crowns` DepanmentetTransoon FM Ors roe X Paten $won Inspection an Authenzelh Pow (Spoiry1 Cevfircate or Designation No FAA CRS EGRR526D Signaturetate d Auth David Cates / 'ied Individual 4. at.._______ 11 Jan 2010 FAA Form 337 r coo, 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 rll more space is mewed, attach additional sheets. Identify with savers nationality end 'eon:ration mark and dare work completed.; Aircraft TT. 5.4 hra . N750A Nog:Maly WC Rags.* Non V. 11 Jan 2010 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 ti e MAJOR REPAIR AND ALTERATION — US t curetworr (Airframe, Powerplant, Propeller, or Appliance) FF•••••utige` 1,0080. eng•Son " .. .^.0. see Arosor or wane/XS unseen Moons haw" Noes For FAA Use Only 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)) 1. Aircraft Nationality and Registration Mark N750A Serial No. 760750 Make Sikorsky Model S-76C Series 2. Owner Name (As shown on registration defalcate) Air Ghislaine Inc. Address (As shown on registration certificate) tarn 103 FOUR RO 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 described in der f above) O K POWERPLANT K O PROPELLER K O APPLIANCE Tyoe manutacever 6. Conformity Statement A Agency's Name and Address 8. Kind CI Agency Neuf Kevolono linriopoirr Corpoiaran U. S. Cana:Yee Mechant Pellnuflieloett Actdoss NO Penal KAZOn Dive Foreign Ceriiicated mechanic __I C. Certificate No. Cry rAPIesmi* Sam Fv! X Centric/see Repa! Slat on FAA CRS EGRR626I3 Zip 19320 CoularY lat5 Ceninesed Marrnenance Organ:awn 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 Per 14 CFR Part 43 O App. a SignalureOate of Auth ;zed Individual 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 BY FAA Ft Standards Inspectcr tilaroofiCloter MainiananCit Organization Persons Approved try Canadian Oeponmern el Tampon FAA Designee X Repair Staten 7.7'04c:ion .1/40.01121140a now eSeerm Cent Gale or Designation NO. FAA CRS EGRR526D &paint ate el Authinted Individual David Celes / )a e........e...il icc-7, Ct. __ ...__ 11 Jan 2010 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) Aircraft TT: $.4 ha L N750A NP0allaty M RE,01,010. von 11 Jan 2010 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 gi Tux t Int n t of Zuntsportalinn — Xebera I cabin/jun ,Atniiinisivalion Supplemental r. gp.e gerttftrate te,/oefeen4 slweet ek fi tiOna Peta S1102472NY 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 f414. 4>eiallf69 , fir • March 8.2002 as i/e en:NNW March 20, 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 Pa l s I et 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 -- MAJOR REPAIR AND ALTERATION usomnun (Airframe, Powerplant, Propeller, or Appliance) a Nernitsorone *SW }MOM imam= lirseac loseinj rays FPI f AA INA ONy 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)) 1. Aircraft Nationality and Registration Mark N750A Serial No 760750 Make Sikorsky Model S-76C Reiss 2. Owner Name (As shown on registration ceit6cale) Air Ghislaine Inc. Address (As shown on regOtrahon affricate) AMOS [ADDRESS REDACTED] Carey USA 3 For FAA Us* 0nry 4. Type 5. Unit Identification Rep* Alteration Unit Make Model Serial No. K 0 AIRFRAME (As deserted n item I above) O O POWERPLANT O K PROPELLER O O APPLIANCE 'two 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* FAA CRS EGRRS26D 20 imp county USA Condom Maintenance 0rgenizabon 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 Per le CFR Pan 43 App, 0 O SignanierDale Ronald Holley of Aut eel Individu ... 11 Jan 2010 7. Approval for Return to Service Pursuant to the 8UlhOltty given persons specified below, the un4 identified Adrninelraton cl the Federal Aviation Administration and is in item 5 was in petted in the manner prescribed by the 71 Approved 0 Rejected BY FAA Fir. Sianeards Inspector Marolacturet Maintelance0rgandarion Rations Approved by Canadian Deowneni of Transom FAA Designee X Repair Moon IrICIICII AkthOn.LIONI Ow (Sorcer)) Certificate or Designation No. FAA CRS EGRR526D Sgnatureittale of Auth zed Individual David Colas / T C^ e -------- 11 Jan 2010 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.) Aircraft IT 5.4 hrs N750A Malt/4.y ONIRe$Ivalicil Mot 11 Jan 2010 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 K 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 eal MAJOR REPAIR AND ALTERATION ....- 0404.0.An (Airframe. Powerplant. Propeller, or Appliance) Ob...wins. tenant /Mown wanowniwi ......0.. 010 in MOON° i tuar/tin oete...n.‘,......e. For fl air Owy 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 I. Aircraft Nationality and Registrahcn Meek N750A Serial No. 760750 Make Sikorsky Model S-76C Series 2. Owner Name (As shown onregistration cendocase) Air Ghislaine Inc. Address (As shown on techsfrotbn certifico(t) hose [ADDRESS REDACTED] Counvy USA &For FM Use Only 4. Type 5. Unit Identification Repek ?Maranon Unit Make Model Serial No K 0 AIRFRAME (As *naked in Item 1 abort) K O POWERPLANT O O PROPELLER El O APPLIANCE Type manufacturer 6. Conformity Statement A. Agency's Name and Address 8. Kind of Agency Name SitalgCS__..• 4 * ow, 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 Per 14 CFR Part 43 ADP. 0 SignaturerDale of Aut • ed India' .,' 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 Inspector Ciaparomeni Manufacturer maintenance Onsertalion Persons Acomeed by Canadian of Transport BY FM °tarn X Papal Surion "Imam Aidiorluebri Onal rarPOC4,1 Cell Kate or Designation No. FAA CRS EGRR5260 Signature/Dale of Aut ed Inckvidual David Coles 1/ -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. 5.4 Ns N750A aftionalty aim Awatnion taw 11 Jan 2010 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 K 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 e b OW MAJOR REPAIR AND ALTERATION (Airframe, Powerplant, Propeller, or Appliance) vli Onenroia a nselsoPleini an nanny, Ohtani 0, )#00:0 , 14,1, Ott,en[ rod.. grow Foe FAA On Only 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 N750A Serial No 760750 1. Aircraft Mike Sikorsky Model S.76C Series 2. Owner Name (As shown on rogiskabon certificate) Air Ghislaine Inc. . Address (As shown on fegasuahon cedthcate) mom 103 Foult Rd 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. O 0 AIRFRAME (As described n item f above) K in POWERPUU47 O K PROPELLER K O APPLIANCE Type lAtinulaclurar 6. Conformity Statement A. Agency's Name and Address B. Kind of Agency —17.1;nufacturee name ItOYMOne llenCOVICI COPO011iOn U. S Cerserawo Mechanic mcitess 310 Stevan titgeO•iin Foreign cerskaleo ineownc C. Ce4Iicate No. Cey ecialesinie • Slat. Ee—i X ClOhale0 Ropes &e 'en FAA CRS EGRRS26O Zip 19320 Carey u.5.., Certificated KlallenanCe Organization 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 Per 14 CFR Pan 43 App. B O SgnalurerDate of Auth . ed Individual Ronald Holley 17121 -12( "-Ira . 6 i .: 11 Jan 2010 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 BY FAA Fli Stardoms Manuracturer mainamance a Pelson, Approved by Canattan of Transport FM Designee X Regal Stair nspeciion Aomori:aeon Other iSpeory) Certilicate or Desgriation NO. FAA CRS EGRR526D Signature/Date of Aulkorded Individual • I ,_ David Coles i I , i ici 7 / 11 Jan 2010 --- 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 0 AckMional Sheets Are Altachecl FAA Form 337 emir.") SDNY_GM_02 757888 SUBJECT TO PROTECTIVE ORDER PARAGRAPHS 7, 8, 9, 10, 15, and 17 EFTA_00244808 EFTA01329671 P , MAJOR REPAIR AND ALTERATION VS Osyrnp• (Airframe, Powerplant, Propeller, or Appliance) aTo Kogan+ /Meal Aasieen afaIrIeelien Nat Awes) O. le 2149.00 1100/077 weips. IA0404. at..,... FOC OM LW Only 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 N750A Serval No. 760750 1. Aircraft Make Sikorsky Model S-76C Series 2. Owner Name (AS Shawn on registration certificate) Air Ghislaine Inc. Address (As shown on registration certificate) MOP ss [ADDRESS REDACTED] 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 APPLIANCE Typo 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 FAA CRS EGRR526D ZAP 19320 Cowin USA _ CerlifiClOW Maintenance Ofonizason 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 Per 14 CFR Pail 43 App. B 9 Signature/Date of Authorized Individual 22 Jan 2010 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 Admimstral ion and ks 0 Approved Rejecled BY FM Fit Standards MOSOOOf Manufacturer Maintenance Organza:Ion Fatale proved by Canadian Ap Otgranment el Transport FM Designee X Repair Station dew (Sane/ Inspection Aulhorualarn 17 Certificate or Designation No. FAA CRS EGRR526D Signature/Date of Auth As Individual David Coles Licaii.44_,.....ri --i . . d.72_______ <-..._ 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 COI fOrinity 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: 14.8 us . N750A itamoryana Rla.w M MaA 22 Jan 2010 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•drti I 1/41/4";:' • 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;Irfinetd of irratif.porkiiiim ,-,1/47,:tr+Lialeinerrta I ru, u p I,. LIT rt ifica 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 1 II NE 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 Ii MAJOR REPAIR AND ALTERATION ire lawasses (Airframe, Powerplant, Propeller, or Appliance) ............ Coeillies. 2.2•40:10 IM MO? 7 ticsaq h.arby For !AA leo pity 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)) 1. Aircraft Nationality and Registration Mann N750A Sena' No. 760750 Make Sikorsky Model S-76C Series 2. Owner Name (As shown on registration certificate) Air Ghislaine Inc. Address (As shown on registration certificate) roan. 103 Fouk Rd 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 0 AIRFRAME (As described in item 1 above) POWERPLANT K PROPELLER APPLIANCE Type Maruiacturer 6. Conformity St lament A Agency's Name and Address B. Kind of Agency —7 Nan. Keil:One NCIICOptel Cortaro:a U S. Congealed Mocha 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 hereto have been made in accordance furnished herein is true and coffee Ignition made to the unit(s) identified in item 5 above and described on the reverse or attachments with the requirementsof Pan 43 of the U.S. Federal Aviation RegulationS and that the information to the best of my knowledge. extended range fuel Per 14 CFR Part 43 pp. 8 K Signature/Date of Authorized Individual 22 Jan 2010 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 BY FAA Fe SUNUNU Inieclor Itanolachaer I Mzereenanoe Cagan/shoo iRejected Persons Approved or Caned an Deponent or Transom FM Designee X Repair Station . I inspedionAustaizanon One Mere/ Certificate or Designation No. FAA CRS EGRRS26D Signature:late of An tied Individual David Celes / # 22 Jan 2010 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 PlillsbNlily ad Rgwa:m Usk 22 Jan 2010 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 c..9464 .4 #4.0adarib iikardeir SR02424NY-0 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.senoran4,1 Aier.rw4oe ....o.doto, 4.404. aka a' exisedeseaseldr. -.4Cinekossnd- 944..frmen.rogapisin -4fterraskisera. Sur 9.4.14.48, : May 25. 2007 ACe : July 03, 2007 January D9. 2009 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_02 757895 SUBJECT TO PROTECTIVE ORDER PARAGRAPHS 7, 8, 9, 10, 15, and 17 EFTA_002448 1 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 (Ablation ithminislration ,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) MA fees • an e. <him c .......... L inoa.7=rr • •.a• a Aat •acteraloa SI tait. H koliel•Sen Al4 /A 4.471140, : fu.. .140.: 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 Pdr li MAJOR REPAIR AND ALTERATION viOnst, ri (Airframe, Powerplant, Propeller, or Appliance) 0.1.4ar...... Awn' Avon. Allit•Sifil III MA balm 2.214020 Foe FAA U4Offily 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)) 1. Aircraft Nationality and Registrabon Mark N750A Serial No. 760750 Make Sikorsky Model S-76C Series 2. Owner Name (As shown on registration certificate) Air Ghislaine Inc. Address (As shown on registration certificate) meets 103 Foul( Rd 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. K 0 (As crescnbect In item 1 above) AIRFRAME 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 J I Manufacturer mem Ito sewn phniononve Foreign Cerbricated mocharie C. Certificate No cry rnafew Le . Sum ea_.— X Cenrcaroe Repay SOltien FAA CRS EGRR5261) JO li 2211-----.. 00‘,F6Y U15 Centre-area mamenarce Oreenitabon Cl. I certify Mal the repair and/or a hereto have been made in accordance furnished herein is true and coffee teration made to the unit(s) identified in item 5 above and described on the reverse or attachments with the requirements of Part 43 of the V S Federal Aviation Regulations and that the information to the best of my knowledge. Extended range fuei Per 14 CFR Pan 43 K App. 8 SignatucerDate of Authorized Individual Michael Wisler 7,4 20/4.:4- 22 Jan 2010 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 —1 FM Fn. Standards M l r aruacwe aintenance M POWS Organization letSPOCIOI AP910.100 oy Caradan Dep1111114211od Transom 8 FM Designee X Repair Station inepectionAusionzmon thrs (Small Can. Designation FAA ate or No CRS EGRR526D Signature/Date of Alghlf:Zed Davin Cele Individual i.., 1 2 22 Jan 2010 FAA Form 337 41)(4, SDNY_GM_02 757899 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.) Aircraft TT: 14.8 hr! N750A NalicAny wd R9 r Mir. 22 Jan 2010 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 ll kind' uppinneatal tgurpc giertificato tiiw trie SR02446NY-0 orate see giPausi 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 nmelilir Minn 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 -',:t ....4enkon eyed& .0:47.L- ;Alt '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 I SDNY_GM_02757902 SUBJECT TO PROTECTIVE ORDER PARAGRAPHS 7, 8, 9, 10, 15, and 17 EFTA_00244824 EFTA01329687 • Altana .frisus eft: Eli isas linnet a cruni.bouriath.., - 1111plettlentill .(LATI3e. !J-t rt Lcitt oli l it it o Ii.;;$ 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 _ MAJOR REPAIR AND ALTERATION ell) .60••••••• (Airframe. Powerplant, Propeller, or Appliance) 0 hinitsia•.. tote. Aran AMISIMOII• I on Also.. e lizoccoo 00 ror unmo Ebert TaselivoNiass or F AA UllIP Only 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)) 1. Aircraft Nationality and Rttpintliti011 Mark N750A Serial NO. 760750 Make Sikorsky Model S-76C Senes 2. Owner Name (As shown on registration centicate) Air GhiStaine Inc. AdttreS3 (As shown on moist/awn certificate) MOOS [ADDRESS REDACTED] 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 K r AIRFRAME (As described in dem I above) POWERPLANT PROPELLER K M APPLIANCE Tait mat.„4,2c:u.ei 6. Conformity Statement A. Agency s 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 Per 14 CFR Pan 43 O App. 0 Ronald SrgnalureCtate of Authoring Ind 1 Roney L..‘)._. • / 29 Jan 2010 . Approval for Return to Service Pursuant I me authority given pars ns specified below, the Leit identified A. d MilliSlfillOr of the Federal Aviation Administration and is in hem5 was inspected in the nner prescnoed by the 14 Approved 0 Rejected BY FM Fit Sbndards [WOO*. manufacture, maintenance Oreketiaberi .,-. Pews Mittfivikl byCanadian Department or Mal FM Designee X Repair Station ilitSDKUOn AvOlOIMUCol Ono MOONS Certificate or Designate, No. FAA CRS EGRR5261) SignatureA3ate a AuthaFed Inav David Celts , ---2 -m ' / 17.C_—....__—. 29 Jan 2010 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 33776-52177-011 33776.52204-013 33776.52562.011,-12 33776.52578-011,-012 33776-54138-011, -012 33776-54746-012 33776-56019-011 33776-57548-011 33776-57543-011 33776-57555-011. -012 33776-52608-011, -012 33776-52610.011,-012 33776.53554-013,-014 33776-54107-013 33776-54196.015,-016 33776-44543-019. -020 33776-64732-023, -024 33776-64798-011 33776-58902-012 Sta 300 Shelf Installation Cockpit and Pilot Floor Scuff Plates Sill Plate Install Jeppesen Manual Stowage Crew Door, LH & RH Drink Helder Install, LH & RH Landing Gear Lock Pin Stowage. LH & RH Cockpit Headset Hanger Installation Soft Cover Install. Fire Extinguisher Cockpit Ceiling Support Angle Cockpit Ceiling Install, H Panel Cabin Door Filler Installation, LH & RH Door Lock Pin, Extension, LH & RH Cockpit Door. Window Trim, LH & RH Door Threshold Light, LH & RH Cable Guard Install Plug Stow Install, RH 8 LH Chart Install, Pilot & Copilot Nose Ballast Provisions, LH & RH Shore Power CB Install 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 ej MAJOR REPAIR AND ALTERATION us m. orem (Airframe, Powerplant, Propeller, or Appliance) a tomonfon F... Awe.. omits tisane wiener licvmc nanny/urea. For MA Use Omy renal Nano 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 N750A Senei No 760750 1. Aircraft Maice Sikorsky Wel S-76C Series l 2. Owner Name (As Shown on tecustrabon certificate) Air Ghislaine Inc. Address (As shown on registration certificate) Mamas 103 Four( Rd 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 O kI4 AIRFRAME (As ciesentred in 110011 above) O K POWERPLANT O mu PROPELLER O K APPLIANCE Type Manufacturef 8. Con ormity Statement A. Agency's Name and Address B. Kind of Agency OntOre HalrOMIN COreefalion U. S. Certificated Wettable Manufacturer Mane Address 110 Stenran f baton 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 Per 14 CFR Pail 43 K App. 8 SignaturerDale 01 AutherMed IncInsduel 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 BY FM FR Standards I InsO0Cla Manulaclurec Main...nand, Orgardabon Persons Approveo by Cannon Oeriamer4or Transpat FM Desiree X REAM SIM*, InsepelOnANIMIltelien 1 Owe Maeard Geri, ate or Designation No. FAA CRS EGRR526D Signature/Date or Auth zed Individual ri. 1 x - David Celes /9 / 05 Feb 2010 ca l FAA Form 337 voce) SDNY_GM_02 757907 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 Naltedity and RptWatitn 05 Feb 2010 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 • WAPERAL AV.41114i nordusneutoK STATEMENT OF COMM.IANCE WITH TI.1E FEDERAL AVIATION R. EfItt LATIONS I•ill 0.1Fr.° 2010 Allt( RAF I' Cm Alit( RA VI' Co IOW. CWC inchairi('ratoht NIAKC SIKORSKY hniCelt MO S..76C ry re r. fif pint' Nakit • I 1 i In icia •.I Helicopter NAME Of AVM ICAN1 Keystone Helicopter Corporation LIST OF DATA IDENTIFICATION TITLE Dwg. No: 080768908010 Rev. E dated 213/10 Report No.: ER02190.2.1 Rev. A dated 09 FEB 2010 CABIN ICS & ENTERTAINMENT W/D SYSTEM INSTALLATION EVALUATION; Cabin ICS & Entertainment 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 lilt FCdClnl Aviateon Rs-diddling, daa listed above procedures and found to comply .vith applecable Wit Thotkr 0 Recommend approval Gnipplove Iht5C data by &au kg, of the Administrator and in accordance with conditions and ilfrikbliernal and en attached sheets (wintered WOVE hay been examined in of appointment under Pan In of accordance with establnhol requeremenes of the Federal Aviation Residations of best data SIGNATUREO0 OF DESIGNATED ENGINEERING REPRESENTATIVE156 DESIGNATION NUMB£Rt$d CLASSIFICATIMS4 Mar David A. Mulford c4,ja ...1. 4, 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 ill WIN alltSCM DSCP-NASA Austin Hardware Attn: Jon Leopold Dear Mr. Leopold: DEFENSE LOGISTICS AGENCY DEFENSE SUPPLY CENTER PHILADELPHIA 700 ROBBINS AVENUE PHILADELPHIA, PENNSYLVANIA 19111-5092 September 28, 2009 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 iatd16) A141 Jonathan 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 SAT BCC Merl COW NW 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 O l'' 710.1. , _SE NO 714710 BUILDER TO eFTPonir mot L 571C E DATE CC 140,0 \ I / 2 own unarm° OPERATING MATEO 01/14/2010‘ E PART Of THIS CIERTFICATE ..04.Yalt Co r la “mt‘.,.... ' . ‘ . . A. C 5.0lanOtt OA 0011Ct NO 04.400470.NE .., .44" 'W04.00^ a 'ma* the •••• 11, 0WO/ Th 1,1 ore 101 4..22" ZanrcIA v.w ." 1731.ur a " Ile. CeRn ETIT{E COOSaCATt affralit OISPLAN avo =11= SONY_GM_02757913 ,1 T TO PROTECTIVE ORDER PARAGRAPHS 7, 8, 9, 10, 15, EFTA_00244835 EFTA01329698 A nws aroortNis ankle' some, nee 0. artaty of Mk Lat 1014. a Weasel Caa (0 SC) 4001 rd Re %Cat al Faint Recolobat (CFR) E The afactinntia otrircat astfoires N andante, refs of CS vele lab onikel 0,0030, ilr S sit all NO•flan We Vss. ta anal %aft., A fani NOVICAna) °Tan >Wax, icel fRa L0R. P* metal. II I Cav new s a Midi afaCtranalaN a f ye you r11 Canynnenan N emetatb ex inweedlifigt C Ns warren anion *stolen Iro bill paned oi te tarn 'Cob IN p11 taw af (fat A 0 Ns anacernms I onief NI Mn. dm cbasurce. N *RS Innen 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. I cote Cann On rfamecnal °ethos, MopeNal ray maw Ronnfl dumbed of IN mete sok Cl) act p I A avadarce rail% acquit, CFR ate nacCONtONO usfahm WO Irfentnife sty bomitn)ed try IN hannesaf poi ol Rd Meat Mean keep *wry eiteta Re Kitt {raw of Ito wary E Wen %ow wetly* Nona& csendat lid larlinial Pa • alma Ict N SON ON a i 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 Federal Aviation Administration Engine 8 Propeller Directorate Manufacturing Inspection Dtstnct Office e44 400 Airport Drive. Po rn 102 New Cumberland. 17070-3419 Tel: (717) 782-4a Fax: (717) 782-2 EXPERIMENTAL OPERATING LIMITATIO RESEARCH AND DEVELOPMENT BUILDER: Keystone Helicopter Corporation MODEL: S-76C SERIAL NUMBER: 760750 DATE OF ISSUANCE: January 14. 2010 1. REGISTRATIO UMBER: N750A EXPIRATION D TE: February 13.2010 No person may operate this aircraft unless the FAA form Certificate, is displayed at the cabin or cockpit entrance crew. V urpose of Research and utfaual in the applicant's program letter §21.193(d), and made available to the s aircraft shall be operated in accordance niles of part 91, and all additional limitations 2. No person may operate this aircraft for other than t Development to accomplish the flight openitio dated January 14, 2010, describing compliance pilot in command of the aircraft. Additionally, with applicable air traffic and general ope herein prescribed under the provisions of 19(e 3. These limitations are a part of the F arc to be carried in the aircraft at all the reverse side of FAA form 8130- h -7, Special Airworthiness at it is visible to passengers and 8130-7, Special Airworthiness Certificate, and for availability to the pilot. Blocks A, D, and Eon 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 New Castle Airport Pottstown Limerick Airport Lancaster Airport Chester County Airport Millville Airport New Garden Airport KRDG Reading, PA KILG Wilmington DE KPTW Pottstown, PA KLNS Lancaster, PA KMQS Coatesville, PA KMIV Millville, NJ 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 specified in the applicable technical publications pertaining to the are complied with. 10. The pilot-in-command of this aircraft must, as applicable, rating. If required for the type of aircraft to be flown, the p either an appropriate type rating or a letter of authorized Standards Operations Inspector. imited parts II and its components appropriate category/class n command must also hold ued by an FAA Flight 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 maintained in accordance with the requirem inspection of this equipment must be used under 191.205 must be inspected and s of 14 CFR part 91. Any maintenance or 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 approved programs) 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 the requirements of part 43, Maintenance, Preven Alteration. ed and inspected in accordance with Maintenance, Rebuilding, and 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 0 APPLICATION FOR us DOPAlOwA U.S. AIRWORTHINESS et PON n1;Caleol TriS AMOS. CERTIFICATE Adalnlignics INSTRUCTS:44S . Pred or type Do nee vole in shaded areas, mete are tee FAA oat dna &Ord arra cap to en /661.06205 FAA RepreSertaive II addltbrial ant (cooked. uSit eltechrrard FIX 196001 fight roman =Waft &clam a VI PI ea Walelitie i 5 0 . 1. REGISTRATION 166/1k N75OA 2 AIRCRAFT NMDERS NAME Iona Keystone Helicopter Corp. 3 NKR*, MOCO. OE9O14471O,4 S-76C 4 YR MER 2OO8 FM COOING Do not coder per FM 5 ARCRAFT SEWN. NO 760750 6 ENGINE WI. DERR NAME nom Turtomeca 7 114O1NE ACM CESIONAT1O4 Arriel 2S2 CREW 8130.29 4 Filmset CF EIKIIIES 11 2 9 PROPaLER MADERO NAME Oisto N/A 10 PROPELLER NKRIEL O621OnAlION AIRCRAFT IS (Owl smobale N/A DEPORT IL CERTIFICATION REQUEST® 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 1 INIOINalk1047604. 1 1 WWI I I LAMM PAM AR 2 UMITEO 6 PROVISONAL Casa i CLASS I seas 2 °Ana 1 0431•CULTURE NO peercorrrea 2 *ERIK SURVEY 3 AERM4. .1OVERTRIN3 3 RESTIECTIO/meanissaa lorn•SIO01 a FOREST 0•04/04 O.1o1.., 5 PATROLLING 6 WEATHERCONTROL 0 OTHER Moth, I / RESEMKRAMCevacemert 1 AMATEUR BUCT 3 IDICBTFON 4 ARRACING 5 CREWTRAMP° • MARKET SURAT new 0 TO 2.147.14 COMPUN10E MOTH TIE CPR 7 CPERATF6G ant Colow$KIT SALT AIRCRAFT d i DWASEWAL ••••••••Wal•Maabfall 64 fa ay Most Aran en swarms,. wettest Os As nom 2 IN l I AT UGHT-SPC161 AB OIAIMAII464.4A SAM 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 • la " wan' Irs• alio Sala. Mr NM 3 OPERATION IN fna SS OF MAXWMCEFillf.CATEO TAKEOFF WEIGHT - •Plabla• le IWO MIDI 4 GELIVERING CA !WOWING I 5 I I PROONCTON FEDORATenn° • CUSTOMER 000ONSTRATICAlfUG.09 71 6 MATRIX AAVVRTTNINESSCERTIFICATE eon MOW later 4•••e/est limeWer %seta erieNew OVMEW5 cut nnceacm A REG STEAED CANER IF DIALIARNICA mai I As Mom en •15 cans* nrael NAME Air Ghislaine Inc. ADDRESS 103 FotAk 320 VWminglon DE 19803-3742 It A RcRAr CUITAACATIOD BASIS KM amintko•WA• no <won Nair olleir•A AIRCRAFT SPECMICAT0N OR roe CCRIWICATC DATA SAW 066e Alt 4of asawas) HINE Rev. 30 NRVCRIIONESSCIRECTIVES Kloot nimeat•Mo AO an /robe wee neeMno raffirEtt agn; =11772" 7 ""b" wa. a. "...tin.° ARO/1AR Urea) Faa Fero soeMAI N/A SPREVENTAL TYRE CERTINCATE We net. V ea ITC Pesoos) WA C ARCRMT OPERATION AMINNNTENMa Racine CHECK IF RECORDS IN TOTAL *MANIA WuRS OPERIDAIMAL CAILY &Mesa Arm ova often's.... *An •• CCOMAJAPCWAITI4 II Csii Santa 617 5.4 hrs s sine* 0 his J. CERtFCATC1/1• libler Old* ON IPORCila Val ISO al Ow Uwe; Segue Seadrirdedde plandrasiquelial. I an IP* regased Row Es Pm agog AIM Mtn* 0040.000 atrOot Con 141O1f112 AN opp.apele hen. mar Anise• sad MOM ONOlft S aseleAree.46 we Feast Avelt41 Aarnnenson in ANA Awn,/ ha Wei Impeded AM A ~thy Ara ono AA ve DATE OF AWYCATICA 01/14/2010 NAME AND TITLE Penes* Wheel J. Wader SN3C Quay Assurance Inspector 15/OHATURE s _.......s. O a 1L 1 lei a t A. 14 WOW, COMM AWN KW NW mentCrtO Ann /WO MAWR THY AY Kes•••••• ista•:;;;;r e oll eteMe. 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 s ARCRAFT NUR, &MISER Sea saw DAM ' 111.11 - SiGnAntnE Z A ic•- >l P OS I AU el Agralt•INI rail sm* 1 THE CERTIFICATE REaoESIT3O A Imo NM Swat twat*, in Seat& or Y• mars nen lot 4 AMETCGOR CO IAXPPC.A71O11 OF CURRIER APINCOM411E315cein ACME A inwicacahr 5 grow Arm AA* Soar v3 Aim FM INSPECTOR FM OESOARE con0JOKI by CERTIFCATE MOWER UNDER 14 CFR 0•1160 I 114 CPR pen 12113R 1351 114 CFR pen 145 DATE area CfnCE O,, •NEES ,• • .. - FM ASPECtORS EaGlIATURE 01/14/2010 NNE-MIOO-44 4 . Timothy A. Chopp ODA 70-NE LI 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_00244S4 I EFTA01329704 VI. PRODUCT °. PUGH. TESTING A IAMUSACTUOSIT NAmE PCCITLSS EL PROWCDON LIAS4sSoloydatios) OROCIATiati CORTTOCATE ruSe0 Orstattbaconinty 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 TR VOCAL FL CRT Patter PURPOSES CORER Owl Precouc nom mow ma A.LCXSOTPTC04 OSAKA/Ft ACOISTVII:00VtatO ,ICORESS OUTCOR raw I0OCEL SPAT% NU/400A REOCIPATION MAII.0 or extoilstcoakM*19.1) currowetogooteismAnor krona in PorAntisTO TO. VIA 50.30uReOME Door TS./ 'C..:OltWREOIJIREO.TO OPERATES/1E ARCRAFI-MO ITS 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 lenbytelly Mel 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 OM MOH Olin MOCI00 *V 4 set lor IN Or <woad we MM NC MU pins Oak **MAWR* iiq • A CeirS TOLSaOtotoroAlitholSCCoSilMitylin la MSS., sit 0.11Itnet *I COMPIPP4.FAA Poen 110-9 OL NO arm Oslo,/ / .0. 9.ATTTOOTTTITIOUTTISS(in, N. Fang, ftanolVnet CM Peden far Iwo/ Past (AMP na•• /1101460) .C. CoSOrISSIOStolelrgrnotossionoossIol 1 I. Primps Aawoollwols Cebical• bead In Accerelsree vat %CPR Stipp 2,103 PO UR PrOw arse) 1 Cain Wilt NISI - Asa Suet .0. IN m LE i;05e6soiA)pepAhrseoe.7.6.k.fewilkitartamens i 4 rcratentlitrite "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_02 757920 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 B MANU. NMIE -- . FAC URER ACORESS c., ," C ruceir FROM : 1/1 ." TO D N. TOM -, - sO NO 760750 BUILDER , STEC E DATE OF iSSUAAC /14,2910 OM 54016 OPERAT61G L MUTATIONS lip ‘-..1 OK PART OF IMS CERTIFICATE Nr.ankat CS Ida TIMM, KtNOV.Nr '. Of , ' SONATICN Olt °FRU 'C C 00A100670.NE A Amy ~mei refroh.010 Nem of sued, n pawerty• by BE • R Ins notocineeN SI IXO or n inecovon l'a • 3 von o Coo T.R. CERT E mar OPLAYID TM of 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 A The arocehneu andaet a clad vedette (atoll a Nu* Law 1015 49 thletr&afes Cale MSC) fl an/11ft i a Ca d WWI %Saw* Pill . ul The aftereweie an Fan Waite. to ninaleame reef mho ran sae barna many, Ihr M ard otlf mann. WI tea d emit wend n Pa on lb renal may anima pa talr BOOM take N amicell (II Grim; Weal a net. *34 ofecinHIONCe NM MR' al COWS, been ebaiwitai b 1,1,401101h1050% , ''. Ms andlans earMatefleaVel be klelpeofed to to nine le Pa N mole Paton 81:0A CI fin anicetang coinicate not NI* on. OM Mesa enroll 13 NO mob] Me been aosald one bit to Coed N minerals alto "Mateo CM Tv sank dose rcl mod IV Agana al lit ikWt calves.* ad deals IirsaTnn cede a plant Dykes I la ne Canine= On Itirreknil Cal/mem Ne pew ref wail IMAMS 4.4Creed Coal mete fele Maw, a suat)rce slit* gaketle CFI ado ateMlnee at matte all insole NON ray be pivotal lar N Athleartra is an al N calla Oltieel WM bar comfy *earns =OW pogain Of all mini E LKeis tin unseen. sumperiCed. a inds0.1hs II1110/MINII mikado a eftkin brie 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 Of Ironwork:than Federal Aviation Administration Engine a Propeller Directorate Manufacturing Inspection District Wee /44 400 Alrpon ()nue. Room 102 New Cumberland. PA 17070-3419 Tel. (717) 7824425 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 §21.193(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. CO Pv 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 7. Takeoffs and landings from only the following airports within the assigned geographical flight test area are authorized: Reading Regional Airport New Castle Airport Pottstown Limerick Airport Lancaster Airport Chester County Airport Millville Airport New Garden Airport KRDG Reading, PA KILL Wilmington DE KPTW Pottstown. PA KLNS Lancaster, PA KMQS Coatesville. PA KMIV Millville, NJ 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. P2....\.e! of 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 approved programs) 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. 30. Application shall be made to FAA New Cumberland MIDO at telephone number (717) 782- 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:( Timothy A. Chopp ODA-800670-NE Date: 14 Jan. 2010 Page 4 of 4 © 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 0 APPLICATION FOR US Ditunnva U.S. AIRWORTHINESS al Trompoi Rant Avisi m en b CERTIFICATE PailliiirMOSTRSTION NISTRUCTICSIS - Pnnt Ot type. Do nOt mite in sheds meat these are tor FM IM pm- Subs* otairb Only b an abbe* FM Repnbentelive a SCISNIOMI SOW * request use Mannntann Fee WNW ISOM parrot wiliplete Seems R. VI art VI ea sp0cabb F 1 3 I.WIK N750A 2 Mobil BURGER* NNE piew Keystone Helicopter COMP S76C 1 MICMIN 1630EL DCSGMTION 4 VA MR 2008 FM 0241113 5 ouRCMFT SERIAL PC 760750 I ENGINE NADER' NAME tuisw Turtiomeca 7. ENGINE MODEL DESIGNATION Artie) 2S2 t MASER OF Eti3PES 2 a PROPELLER IsFLOEFTS NAME mow N/A 10 PROPELLER KM OESIONATION b. maw, star dement N/A SPORT I I I w 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. NANO WOWS 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 IL PROVISIONAL I CLASS I Pam am* 2 CLAW, Me.:Iina.3 PEST CONNICIL 2 AERIAL SURVEY 3 AERIAL ADVERTISING 3 ot•400o0.404 anicitorasongunk.„ 4i 3,343 /10iSCUL 0 5 FATROLUIC S MATHER coma. 3.3... TURE 0 OTHER arab RESEARCH AND DEVB.OPIENT 2 AMATEUR BUILT 3 IDSNINTICt. I AIR NOM 5 CREW TRAIMIG I * 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 ere war mead a• ...ewe alliksb 0 emit..ei 6 lel • oeartantra LabiT4PORT °me. Mme. lah.e. AFeMM ma.. Ell am.mannaopponmrippmarmi ...beam it m. i t FERRY FLIGHT FOR REPAAlt ITERATIONS. MAINTENANCE. OR STORAGE SPECIAL TIGHT PEST 2 EVACLATC•iFROm MIA OF SPENDING CANOES • Osssnese st susses " ow awwwirferanl Vir 3 OPERATIC,. IN EXCESS OF WOMAN CERTIFICATED TM.X.COCVM00a 4001•14, ot mans allol 4 DELNIMPIO CA IDIFORTIN3 1 6 I I fitcoucnoN RCM TWIG S CUSTOMER DEMONSTRATON RIGHTS C I S MULTIPLE MWARTHINESS CERTIFICATE imp mom theiraenaina• en rinse et warms 01010001 Oi A REGISTERED OYMER ma awm amotheinimm warm. MUM lea 1 Keystone Helicopter Corporation ACOIESSI ie Senn bob Dr. Cm.. FA. IMO II IMCRAFT CERTIFCATON BASIS cam imbsimaiii mem.. ab......Nmel 1 AIRCRAFT SPEOFICATION CM TYPE MINIMA,* DATA SHEET Ms or me al...•• he i MINE Rev. 27 1 AMORY HINESS ORECTIVES tan* ea note 401 nanteItio • • i I Mais gresnag ig=1:7= "s ."..""."."""."...I AIRCRAFT USING ossimomiteste NIA SUPPLEMENTAL TYPE CIPITIMATIllano044•0••• $0000•04.00 N/A C ritCRAFT OPERATION MD LW RDIANCI RECORDS , CHECK', RECOILS S TOTAL AIRFRAME HOURS EXPERIMENTAL ONLY(Es.•••••,....atarwisassion• if COMPLANCE YEN 14 CFR bean 01.417 3.2 hotn 3 mum a N/A accit o cesinanr orat Tie .44 tvatf ot re 0.4 06111/ Ma l siberematesicao niqu011ed. see Cato: 44 •001411.01ITW omt ke tillr e : wets r ebonossolbai Rvinnaliotatm. rai mstinareissnel eivenahlrenia rma NO. ihsem bdiral e snice, Anormem Abearn ows o k, i;.. DATE OF APPLICATION December 8.2008 WA* AND TITLE Irmo new Lisa R. Dolph. Quality Inspector SG tr4(t) 1 i i 1 i A. MEAIRCRAFT DESCRIEDMOW IIAS OEM INSFICTIO AND 1011O MSACOTTIY SI Menow. as Nom pee • Gram IN eiseiss 2 14 CFR pan lb CERTIFICATE SOLON gm cimm mi 3 CERTMCATED IMCNANIC Os bobs am 5 CERTIFICATED REPAIR STATION nano casan. he ) el AIRCRAFT IM.NUFACTURERNisisocuM•1 DATE TITLE SONATURE I i 4 !I i Mini boom We ilme.A.010. it necumricsrs REQUESTED A I WO IIIIIIPOrtall CIOSOlted In WOW la VII ewes /Worn fit 4 MiEnDliNNT OR LOCIFICATON OF CURRENT MMORTNINESS CERT/CATS 0. Rap on We spanel peratrrow Saab MIMI FM INSPECTOR MCF.SIGNEE 0200101 Pi CFAIIIICATI HOUXR Una* 14 CFR port 65 I 114 OM POI IN OR 135 I It4 COI piri lb 03 Dec. IL 2008 INSTRCT OFFALY ANE-MIDO-44 4 OE SONATURE AND MD...... XJ&I is,,,,hAtf,A..07:4 FM INSPECT R'S 9G.LATURE AA Foie, 8130-6 0040 Previous Edition Dated 5101 May be Used Grail Di lea, Except for Ligni-Sport Alf Craft Dean K. Gladfelter MN 0052-00-024-70W SDNY:DIA_02757931 SUBJECT TO PROTECTIVE ORDER PARAGRAPHS 7, 8, 9, 10, 15, and 17 3 0 0 EFTA_00244853 EFTA01329716 t / A MANUFACTURER NAME AGGRESS 1 II e PROr. nice, MSS (ado *Were Nowt PRODUCT ION CERTIFICATE rawassasopeilis..~ 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 i vIA DEPARTURE DATE DURATION I C CREW REQUIRED TOOPERATE THE AIRCIUFT AND RS EQUIPMENT VA SPECIAL PAWS PENNY PW.., OMER MAN Pra00uCTI0N i I PILOT C 1 COAL OT J I NW ENONEER I I OTHER avivel 0 THE AIRCaJST COES IRO MEET THE ARPL AftwORTKAISS REOU.REMOITS AS FOLLOWS 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 s Q ewes at ConNEWN. FAA Farm 81308 (Assomme se 8. COMO °Pie, LMENICTRANEFOI NFalun AavorMenns C•Hlfamol be WNW/Mat Fr 9.0. NRATO) C OB. OM** P111001•010131 moo ....nosual : l Amapa /EmolN nese Cantles Huai nAcentinverM I 1 IneamEten *slabs MIAS: MI 13 Ckeroft WOO EN Son 14 ORR Soso CAA Res rats. X / I. mop /Ow4PM AMMON FAA Fan 3)7 seam Nowsw) 1 14°..." 21 is, (A I imad li' Aticarnars eth Me meow) 1 i Mg raped:co Re map a Maul aeons . ‘ .• - K. UOISINN Nash StaMmon of COnmisixe. FM Rs MOTE Mao' Rhin FAA Ran 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_02 757932 SUBJECT TO PROTECTIVE ORDER PARAGRAPHS 7, 8, 9, 10, 15, and 17 EFTA_00244854 EFTA01329717 DATE OF ISSUANCE Dec 08,2008 MOM PAM OF JINORIG * OffsAIMAINT OR TRANSPORTATION—CIDENAL AVIATION AONNISTRATION STANDARD AIRWORTHINESS CERTIFICATE • • MATIONµ ITV AND II/SusTRATIOM MARKS 3 MPC0A14 StRift NiNSEA 14750A j, 0750 • &OTIOSITY NCSAYS TOR Thy 4,444s.heist44, .1 Rom-Amu i4F ' Of FOSe d ao • aRFAR INV M of AA 04•F 14AFACA Tf 44Crall IC tow Woota Al me type Pinta 0 LIP 4 040444 IN YN pendia pr Arno. ICI 14 Caile•O• Oa We toorelun news tem ?Rom larva ihri , • &soot, 0116100 Anu)RAINAS code OS GCTOI043 4tOPPIT c,,,,Goa, I. t ransport e rows ANOCOtOn.001. 4 1.144s4 WON. U. • ITTE*004W-44. \... 11 . we snip 34 Ihe itornoustollOr 1.0 AOCONIWast^.01.21 43 " Folv aAft eFAZ--- la'kelesomre""4". ....wan , rognAnoti m Ilndal 64,43440441 SWAM* 4 . arci aftera30.4 •I• 344 34440 IA FAAZETitt*t ide " " )ARF844001NE DESIGNATION 14W4RER Seen AAPRosOIRAIRC000/0•00 F. onutotothofurbirrase iiluWelegby• At An•CRAFAARSI 000 or onyonceownl noce•Coodoq3 SA Cr 000. THIS SiSTIF CA E MUST se gspt A to *4 e•FE mgcnur Al ACCORDANCE WITH MOLISATTLE FSOSAAL AVIAN* SEOUL/3CM' FAA Form 8100-2 tegni G;Ja U.S common MMHG MIX 2O*-0534s3 • —. - SDNY_GM_02757933 SUBJECT TO PROTECTIVE ORDER PARAGRAPHS 7, 8, 9, 10, 15, and 17 EFTA_0024485 5 EFTA01329718 SDNYGM_02757934 SUBJECT TO PROTECTIVE ORDER PARAGRAPHS 7, 8, 9, 10, 15, and 17 EFTA 00244856 EFTA01329719 tt C CO H -(p 0 n C m m 0 -o Cl 70 to Co 0 u -I uT lo E a) ti Y to 0 Sikorsky A United Toarrobipsi CORWOM MODEL NO: S76C AIRCRAFT ACCEPTANCE DATA REGISTRATION NO: . SECTION: 4 PAGE 1 SERIAL NO: 760760 REMARKS - PILOT OR INSPECTOR SIGNATURE DATE I certify that this aircraft, SIN 760750 has been built and inspected in accordance with FM Type Design Data and was found to be in a condition for safe operation. Jeremy g -e43. ffe.-______ I V- Park . 101C Flight Inspector The aircraft meets the minimum requirements for flight testing and FM Form 8130-7, Special Flight Permit has been issued for the purpose of Production Flight Testing dated 12/03/08 expiring 12/31/08. #07 Gabbard, KHC Flight Supervisor Iz?.cs Shaun Date: 12/05/2008 Total lime: 3.2 hours Production Flight Test completed in accordance with KHC ATP-25113. Rev G, dated 08/16/08. and was determined to be airworthy. tet 0 cf occ itt a &ides W. Event Lk. No. 1470 I certify that this aircraft, S/N 760750 has been built and inspected in accordance with FAA Type Design Data, under FAA Production Certificate 121NE and was found to be in a condition for safe operation. ki th Lisa I 18t phte He Hight Inspector e8 at I have determined this NC meets the requirements for the certificate requested and I have issued FM form 8100-2. dtd December 8. 2008 for standard airworthiness. This certificate does not change scheduled NC inspection. Aircraft total time. 3.2 hrs Total Landing: 6 Aye /Wipe _ ay c at, luoi dr.- , ille an K. Gladleft , 01NE SA 7343-6 Revision 02/15/2005 VERIFY CURRENT REVISION OF FORM EFTA01329720 SDNY_GM_02757936 SUBJECT TO PROTECTIVE ORDER PARAGRAPHS 7, 8, 9, 10, 15, and 17 EFTA 00244858 EFTA01329721 U.S. Oepanment 114 MR09,90lava Federal Aviation Administration September 9, 2005 KLYS7f.X9F, FIELICOVIIK CORP tOSTEWRitT HUSTON DR -EPA COATESVIIJ 19320 Dear Sirs: Fign $14039101 Semite &weft Raanneon ranch. AFS-750 BOX 25504 Otclalwr4 City, 010ahons 73125.0604 (405)%4-42C6 Ttll FrIO' 1-8613-704-4715 WEB Adams. 191Whogicry.1214309 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. Coco LO -6- Legal Instruments Examiner Aircraft Registration Branch AFS-450-SUPPORT•5 (9/04) 4 O-1 OMCIA(A— • c- 0 NC 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 1 IIr0. f • ..... 212 dAr SONY_GM_02757938 SUBJECT TO PROTECTIVE ORDER PARAGRAPHS 7, 8, 9, 10, 15, and 17 EFTA_00244.860 EFTA01329723