1/ - aso · city charleston state sc certificated repair station zip 29412 country usa certificated...

0 Form Approved 'Electronic Tracking Number OMB No. 2120-0020

MAJOR REPAIR AND ALTERATION :1-"-0/201 1

US Department "' For FAA Use Only

of Transportation (Airframe, Powerplant, Propeller, or Appliance) Federal Aviation Administration

INSTRUCTIONS: Print or type all entries. See Title 14 CFR §43.9, Part 43 Appendix B, and AC 43.9-1 (or subsequent revision thereof) for instructions and disposition of this form . This report is required by law (49 U.S.C. §44701 ). Failure to report can result in a civil penalty for each such violation. (49 U.S.C. §46301 (a))

Nationality and Registration Mark Serial No. N500YE TC-1399

1. Aircraft Make Model I Series Beech 95-B55 Baron

Name (As shown on registration certificate) Address (As shown on registration certificate)

BIG SMILE LLC Address 1025 Virginia AVE NE 2. Owner City Atlanta State GA

Zip 30306 Country USA

3. For FAA Use Only

4. Type 5. Unit Identification

Repair Alteration Un it Make Model Serial No.

D Ill AIRFRAME (As described in Item 1 above)

D D POWERPLANT '

D D PROPELLER ..... Type

D D APPLIANCE Manufacturer

6. Conformity Statement

A. Agency's Name and Address B. Kind of Agency

Name JohnM Rooers 1./ U. S. Certificated Mechanic I Manufacturer Address 963 Harbgrtown Road Foreign Certificated Mechanic C. Certificate No. City Charleston State SC Certificated Repair Station

Zip 29412 Country USA Certificated Maintenance Organization 379503345

D. I certify that the repair and/or alteration made to the unit(s) identified in item 5 above and described on the reverse or attachments hereto have been made in accordance with the requirements of Part 43 of the U.S. Federal Aviation Regulations and that the information furnished herein is true and correct to the best of my knowledge.

Extended range fuel Signature/Date of Authorized Individual

per 14 CFR Part 43 D 0-:;it 2~ tf/ J-f I ;s-App. B

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 [ll Approved 0 Rejected

FAA Fit. Standards Manufacturer Maintenance Organization I Persons Approved by Canadian

Inspector Department of Transport BY Other (Specify)

FAA Designee Repair Station X Inspection Authorization

Certifica te or Sigoat"miD•t• ot ~''"''"" Designation No.

0~ ~ '1/ J-Y j1s-379503345

FAA Form 337 (10-06)

Work completed for [N500YE] on

NOTICE

Weight and ba lance or operating limitation changes shall be entered in the appropriate aircraft record. An alteration must be compatible with all previous a~erations to assure continued conformity with the appicable airworth iness requirements.

j\...INS_o_ov_E _____ _;j !11/24/15 I 8. Description of Work Accomplished Nationa lity and Registration Mark Date

Removed Bendix/King KT76A Transponder and Installed Bendix/King KT74 Transponder per Bendix/King Installation Manual, PN 89000007-000001 , Rev 0, dated 11/15/13 (Direct Slide-In Replacement) .

Installed Garmin GDL69 Weather Data Unit with Garmin GAS5 Antenna interfaced to existing Garmin GPS400W per STC SA01487SE. Installed ADS-B (OUT) System using Bendix/King KT74 Transponder interfaced to existing Garmin GPS400W (Configuration 3) per STC SA00765DE. Log Book entry made, Equipment List revised and Weight/Balance Data computed.

----- --- ---- END -----------

[ ] Additional Sheets Are Attached

(

:

,.

0 Form Approved I Electronic Tracking Number OMB No. 2120-0020

MAJOR REPAIR AND ALTERATION 2/28/2011

US Department For FAA Use Only


INSTRUCTIONS: Print or type all entries. See Title 14 CFR §43.9, Part 43 Appendix B, and AC 43.9-1 (or subsequent revision thereof) for instructions and dispositioi'l 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 Make Model I Series BEECH 95-B55 (T 42A) BARON

Name (As shown on registration certificate) Address (As shown on registration certificate) -- BIG SMILE LLC Address 1025 VIRGINIA AVE NE 2. Owner City AILAtHA State GA

Zip 30306-3523 Country USA

3. For FAA Use Only


Repair Alteration Unit Make Model Serial No.

D Ill AIRFRAME (As described in Item 1 above)

s D D POWERPLANT

).

D D PROPELLER

Type



A Agency's Name and Address B. Kind of Agency

Name JOHN M ROGERS ./ U. S. Certificated Mechanic I Manufacturer

Address e2~ !::l8B6QBIOWN BQAQ Foreign Certificated Mechanic C. Certificate No. City CHARLESTON State SC Certificated Repair Station

Zip 29412 Country USA Certificated Maintenance Organization #379503345


Extended range fuel SigM~~ori•~: ?)2~/1.3 per 14 CFR Part 43 D App. B

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 [il Approved D Rejected

FAA Fit Standards Manufacturer Maintenance Organization I Persons Approved by Canadian



Certificate or Signature/Date of Author' ed Individual Designation No.

~ A.o~- r: ;,~/!3 #379503345 -yr-FAA Form 337 (10-06)

..

.-

Work completed for [NSOOYE] on

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 appicable airworthiness requirements.

I

[NSOOYE l [ 97Uff.JI 8. Description of Work Accomplished Nationality and Registration Mark

1 Date

Removed WX-900 Stormscope System. Installed J.P. Instruments FS-450 Fuel Flow Indicating System per STC #SA00861SE. Fuel Flow Computer interfaced to existing Garmin GPS-400.

-------------- END ---------------

' [ ] Additional Sheets Are Attac;hed1

0 Form Approved I Electronic Tracking Number OMB No. 2120-0020

MAJOR REPAIR AND ALTERATION 2/28/2011

US Department For FAA Use Only


... , INSTRUCTIONS: Print or type all entries. See Title 14 CFR §43.9, Part 43 Appendix B, and AC 43.9-1 (or subsequent revision thereof) for instructions and disposition of this form . This report is required by law (49 U.S.C. §44701 ). Failure to report can result in a civil penalty for each such violation . (49 U.S.C. §46301(a))


1. Aircraft Make Model I Series BEECH 95-B55 (T 42A) BARON

Name (As shown on registration certificate) Address (As shown on registration certificate)

BIG SMILE LLC Address 1025 VIRGINIA AVE NE 2. Owner City ATLAt:jTA State GA

Zip 30306-3523 Country UNITED STATES

3. For FAA Use Only


Repair Alteration Unit Make Model Serial No.

D [l] AIRFRAME (As described in Item 1 above)

• D D POWERPLANT '

D D PROPELLER .., Type



A. Agency's Name and Address B. Kind of Agency

Name JOHN M ROGERS .; U. S. Certificated Mechanic I Manufacturer

Address 963 !:::!AR60RTQWN ROAQ Foreign Certificated Mechanic C. Certificate No. City CHARLESTON State SC Certificated Repair Station

Zip 29412 Country USA Certificated Maintenance Organization #379503345


Extended range fuel SigoaMe/Date of A"'Q"" '""''~ per 14 CFR Part 43 D 1/2/13 ~ App. B ~-"" ~

7. Approval for Ret/lrn 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! Approved 0 Rejected

FAA Fit. Standards Manufacturer Maintenance Organization I Persons Approved by Canadian



Certificate or

~';~~·~'::1St'"" '7J;~ Designation No. #379503345

FAA Form 337 (10-06) I

Work completed for [NSOOYE] on

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 appicable airworthiness requirements.

INSOOYE I 11 /2/13 ~--------------~

I 8. Description of Work Accomplished Nationality and Registration Mark Date

Removed RST-504 Audio Panel , RST Marker Beacon Receiver, KLN-89B GPS, KA-92 GPS Antenna and Bendix T12D ADF System.

Installed Garmin GMA-340 Audio System per STC #SA0071 OWl and Garmin GPS-400 System per STC #SA01933LA.

------------ END -------------

[ ] Additional Sheets Are Attached

''· ··.

I '

~~ Form Approved

MAJOR REPAIR AND ALTERATION OMB No. 2120-0020

US Deporrmenr (Airframe, Powerplant, Propeller, or Appliance) For FAA Use Only

Of TransportatiOn Office Identification

Federal Aviation Administration

\.__· INSTRUCTIONS: Print or type all entries. See FAR 43.9, FAR 43 Appendix B, and AC 43.9-1 (or subsequent revision thereof) for instructions and disposition of this form . This report is required by law (49 U.S.C 1421 ). Failure to report can result in a civil penalty not to exceed $1,000 for each such violation (Section 901 Federal Aviation Act of 1958)

Make Model

1. Aircraft Beecher aft 95-BSS

Serial No. Nationality and Regist rat ion Mark

TC-1399 NSOOYE Name (As shown on registration certi fi cate) Address (As shown on registration certificate)

2. Owner 1469 s. Edgewater Drive Meadows, Robert K. Charelston, sc 29407

3. For FAA Use Only

The data/elteretien identified hereon complies with t he applicab le airworth iness

<eQol temeoto .od ;, 'PP" "' oo 'y fcc t he eb~ ' '""" · '""i"t to

co];~m;y2rn;gatro n by a zz:~h ~~ 1n F , 'sc~~~ ~~DQ 13

'"' - 7 " ' + c +

4. Unit Identification~ 5. Type

Unit Make Model Serial No. Repair Alteration

AIRFRAME ,,,,,,,, •• .,,, .,,,,,, (As described in Item 1 above) ., •••• ,#############

XX

' POWER PLANT i

,~

PROPELLER

Type

APPLIANCE Manufacturer


A. Agency's Name and Address B. Kind of Agency C. Certificate No.

EW CHARLESTO U.S. Certificated Mechanic Repair Sta. II CEKROS9K

VIA; ~ ~ ..,.~

Foreign Certificated Mechanic Airframe Class III !P.O. OOX 61480

X Certificated Repair Station Radio Class I,II,III CHARlESTON, SOUlli CAROtiN.iil :.!§4 §

Manufacturer

D. I certify that the repair and/ or alteration made to the unit(s) identified in item 4 above and described on the reverse or attachments hereto have been made in accordance with the requirements of Part 43 of the U.S. Federa l Aviation Regulations and that the information furnished herein is true and correct to the best of my knowledge. / }

Date Signatureo~i~-

1/20/98 -z . ;2- •

Terrence L. Stec el

7. Approval for Return To Service

Pursuant to the authority given persons specified below, th~1 identified in item 4 was inspected in the man ner prescribed by the Administrato r of the Federa l Aviation Administration and is APPROVED D REJECTED

FAA Fit. Standards Manufacturer Inspect ion Autho rization Other (Specify)

Inspector BY

FAA Designee X Repai r Station Person Approved by Transport

/ Canada Ai rworth iness Group

D.te l7;~"l q ~;ectioc Certificate or

Si7A"~:Z''j/ p Designat ion No.

CEKR059K ..-v~ . _./ C7'" ~ ~

FAA Form 337 {1 2 · 881

,-

NOTICE Weigh t and balanc.e or opera tin g limitation changes sha ll be entered in the appropriate aircra ft record. An alteration must be compatib le with all previous al te ra tions to assure continued conformity with the applicab le airwor thiness requiremen ts .

. , 8. Description of Work Accomplished \...../ ( If more space 1s requ ired, attach additional shee ts . Identify with aircraft nationality and reg istrat ion mark and date work completed. )

BEECH CRAFT 95-B55 SN # TC-1399 N500YE

JANUARY 20, 1998

SUBJECT: IFR Certification ofBendix/King KLN89B GPS System installed in Beechcraft 95-B55, SN # TC-1399, Reg. # N500YE.

PREVIOUS APPROVAL: Bendix/King KLN89B system previou.~ly installed by FAA Form 337, dated 12/29/97. The Bendix/King KLN89B GPS installation meets the requirements set forth in FAA Advisory Circular 20-13 8, dated 5/25/94, Appendix 1, Paragraph 1. Below is list of system components and interfaced equipment. ·

EQUIPMENT PART NUMBER SERIAL# TSO

KLN89B GPS Computer 066-01148-0101 #5233 SW Level 02/TSO C129(A1) KA92 GPS Antenna 071-01553-0200 #18897 TSO C129 KLN89B Data Cartridge 071-00094-0 1 03 #NSN TSO C129(A1) KI525AHSI 066-3046-00 #11505 TSO C6c GPS Annunciator/Switch MD-41-538 #1862 TSO C129 Terra Blind Encoder AT-3000 #7160044 TSO C88

Flight tests were conducted and the above Bendix/King KLN89B GPS system/installation meets the requirements set forth in FAA Advisory Circular 20-138, dated 5/25/94, Appendix 1(2)d. Attached is Functional Flight Evaluation Sheet.

FAA Approved Flight Manual Supplement dated J'AN 2 2 1998 must be carried in the aircraft at all times. It describes the operating procedures for the Bendix/King KLN89B GPS system installed in accordance with Bendix/King KLN89B Installation Manual, PN 006-10522-0001, Rev. 1, June 1995, and FAA Form 337 dated 12/29/97.

The above Bendix/King KLN89B GPS installation is follow-on approval of STC #SA00244WI-D as per FAA NC 20-138, dated 5/25/94, Paragraph 8A(2). Removed placard: "GPS LIMITED TO VFR USE PENDING FAA APPROVAL." Installed FAA Approved KLN89B Flight Manual Supplement in Aircraft Flight Manual. Logbook entry made.

The above Bendix/King KLN89B GPS system is approved for IFR enroute, terminal, and nonprecision approach operations. SEE BENDIX/KING KLN89B FAA APPROVED FLIGHT MANUAL SUPPLEMENT FOR LIMITATIONS.

This aircraft is equipped with approved and operational alternate means of navigation appropriate to the route to be flown. TillS EQUIPMENT MUST BE ACTIVELY USED THE BY THE FLIGHT CREW TO MONITOR THE PERFORMANCE OF THE KLN89B GPS SYSTEM.

l

L-----------------------------~~A~dd~it~io~na~I~S~he~e~ts~A-re~A~tt~ac~h~e~d ___________________________ __J <:r U. S. GOVERNMENT PRINTING OF F ICE : 1992 - 769-0 12 / 601 57

~

. I 0 Form Approved

MAJOR REPAIR AND ALTERATION OMS No. 2120-0020

US Deportment (Airframe, Powerplant, Propeller, or Appliance) For FAA Use Only

of Tronsportot1on Office Identification

Federal Aviation Administration

INSTRUCTIONS: Print or type all entries. See FAR 43.9, FAR 43 Appendix B, and AC 43.9-1 (or subsequent revision thereof) for instructions and disposition of th is form. This report is required by law (49 U.S. C. 1421 ) . Fa ilure to report can result in a civil penalty not to exceed $1,000 for each such vio lation (Sect ion 901 Federal Aviation Act of 1958) .

Make Model

1

1. Aircraft Beechcraft 95 - BSS

Serial No. National ity and Reg istration Mark

TC-1399 NSOOYE Name (As shown on registration certificate) Address (As shown on registration certificate)

2. Owner 1469 s . Edgewater Drive

Meadows, Robert K. Charleston, sc 29407

3. For FAA Use Only

4. Unit Identification 5. Type


AIRFRAME ,,.,.,.,.,.,.,.,..,.,.,..,.,.,..,. .,.~.,.~ (As described in Item 1 above ) .,,..,.,...,,..,,.,.,.,..,.,..,.,#.,.,.,., XX

POWER PLANT '

PROPELLER

Type



A. Agency 's Name and Address B Kind of Agency C. Certificate No.

Nc:vV' CHARLESTON A VIA -.. ~ .. }~ U.S Certificated Mechanic Repair Sta . !fCEKROS9K Foreign Certificated Mechanic Airframe Class III P.O.BO 6'i- ' X Ra dio Class I , II,III CHARLESTO , SOUTH CAR Certif icated Repa ir Station

A~~§ Manufacturer

D. I certify that the repair and/ or alteration made to the unit(s) identified in item 4 above and desc ribed on the reverse or attachments hereto have been made in accordance with the requirements of Part 43 of the U.S. Federal Aviation :1u lations and that the information furnished herein is true and correct to the best of my know ledge. /

Date Signature o~horized p / /_ L-- h ~~ /

12/29/97 ';_ · ~ <:::>

Terrence L Steckel 7. Approval for Return To Service

Pursuant to the authority given persons speci fied below, the unit identified in item 4 was inspected in the manner prescribed by the Administrator of the Federal Aviation Administration and is jfl APPROVED 0 REJECTED

FAA Fit. Standards Manufacturer Inspection Authorization Other (Specify)

Inspector BY

FAA Designee X Repair Station Person Approved by Transport /} Canada Airworthi ness Group

Date of Approval or Reject ion Certificate or Signature of Authorize~ L ~ Designati on No.

12/')Q/Q7 I:FKRO'iQK -::;z:/1. . t ..-;- (,_.)

Terrence L. Steckel FAA Form 337 112-881

NOTICE Weight and balan c.e or operating lim itation changes shall be entered in the appropriate aircraft record. An alteration must be compatible with all previous alterations to assure continued conformity with the app licable airworthiness requirem ents.

8. Descripti on of Work Accomplished ( If more space is required, attach addit ional sheets. Identify with aircraft nationality and reg istration mark and date work completed.) \....._./-

BEECH CRAFT 95-B55 SN# TC-1399 N500YE

12/29/97- Performed the following: Installed Bendix/King KLN89B GPS system as followsBendix/King KLN89B panel unit installed in radio stack below existing Bendix/King KX165 Nav/Com, ARM 63 .5. Bendix/King KA92 GS antenna installed on top of cabin, centerline, ARM 93.0, utilizing existing antenna doubler. Mid-Continent MD41-53 8 switching/annunciator installed in pilots's subpanel, right of autopilot control head, ARM 65 .5. Troll FN300 cooling fan installed on bottom of existing Bendix ADF tray, bottom of radio stack, ARM 65 .00. Antenna to panel unit coax routed on left side of aircraft.

The above Bendix/King KLN89B GPS was interfaced to existing Terra AT3000 blind encoder to provide encoded altitude data to GPS . The above KLN89B was interfaced to existing Bendix/King KI525A HSI via the MD41-538 annunciator switching assembly. Checks were made to insure system will revert to primary Nav 1 steering during ILS Selection on Nav 1 or power failure to GPS system "Fail Safe." Tests were conducted to insure proper operation ofKLN89B and associated systems. Circuit protection provided via "pull type" circuit breaker.

The above Bendix/King KLN89B GPS system was installed as per Bendix/King KLN89B Installation Manual PN 006-10522-0001, Rev. 1, June 1995 and associated manufacturers' installation manuals. The above KLN89B GPS system installation complies with procedures as recommended in A/C 120-138, Appendix 1, Para. 1, for "VFR USE ONLY." The pilots' panel was placarded to read "GPS LIMITED TO VFR USE PENDING FAA APPROVAL". The above Bendix/King KLN89B GPS Installation is approved by reference to previous approvals as authorized by FAA letter dated August 13, 1997. Bendix/King Pilots' Guide PN 006-8786-0000 and KLN89B Quick Reference PN 006-8787-0000 placed in aircraft. The aircraft was ground and flight tested to inure proper operation ofthe above KLN89B system.

The above installations were made using practices as recommended in,A/C 43 .13-1A, Chapter 11, Sections 2, 3, 4 & 7 and A/C 43 .13-2A, Chapters 1, 2 & 3. The above installations meet the requirements of FAR 23 .1301 , 23 .1431 and 23 .561. Weight/balance data computed, equipment list revised, electrical load analysis satisfactory and logbook entry made. The above installations do not appreciably affect aircraft performance or flight characteristics.

The above installation was test flown and found to comply with procedures as recomended in AIC 20-13 8, Paragraph 7 c( 1 )(iv ), VFR peration.

Radio Repairman #2435106 License/#

---------------------------------------------------------END----------------------------------------------------------

D Add iti onal Sheets Are Attached J ~------------------------------------------------------------- .

<lU .S. GOVE RNMENT PRIN T ING OFFICE : 1992-769- 01 2/ 60157

~~ Form Approved


US Deportment (Airframe, Powerplant, Propeller, or Appliance)

For FAA Use Only of Transportation

Office Identification Federal Aviation Administration

I 1 NSTRUCTIONS: Print or type all entries. See FAR 43.9 , FAR 43 Appendix B, and AC 43.9-1 (or subsequent revision thereof) for instructions and disposition of this form. This report is required by law (49 U.S .C. 1421 ). Failure to repo rt can result in a civil penalty not to exceed $1,000 for each such violation (Section 901 Federal Aviation Act of 1958).

I, .... ,.. Make Model

Beecher aft 95-BSS Serial No. Nationality and Registration Mark

TC-1399 NSOOYE Name (As shown on registration certificate) Address (As shown on registration certificate)

2. Owner 1469 s. Edgewater Drive Meadows, Robert K. Charleston, sc 29407

3. For FAA Use Only

4. Unit Identification 5. Type


AIRFRAME , .,,,,,,,,,,,,,, ., ., (As described in Item 1 above) #••##C##•##########

XX

' POWER PLANT i ,•

PROPELLER -Type



A Agency's Name and Address B. Kind of Agency C. Certificate No.

EWCHARlEST ;:. VIA T!()~l U.S. Certificated Mechan ic Repair Sta. II CEKR059K P.O. 00~ lSi~ Fore ign Certif icated Mechanic Airframe Class III

CHARlES ON, OOlH CAROl~~ *1~ X Certif icated Repair Stat ion Radio Class I, II, III Manufacturer

D. I certify that the repair and/ or alteration made to the unit(s) identified in item 4 above and described on the reverse or attachments hereto have been made in accordance with the requirements of Part 43 of the U.S Federal Aviation Regulations and that the information furnished herein is true and correct to the best of my knowledge. /}- "

Date Signature of Authoriz~al j/ f ~ --z ·-~ . 12/29/97 T ce L. Steck~

7. Approval for Return To Service

Pursuant to the authority given persons specified below, the unit identified in item 4 was inspected in the manner prescribed by the Administ rator of the Federal Aviation Administration and is XJ APPROVED D REJECTED


Inspector BY

FAA Des ignee X Repair Station Person Approved by Transport

/7 Canada Airworth iness Group / Date o f A pproval o r Rejection Certificate or S% Acthoc;,rd"'~~ Designation No.

12/29/97 CEKR059K T ·pnrP T StPrC'f'

FAA Form 337 112-881

11

NOTICE Weight and balance or operating limitation changes sha ll be entered in the appropriate aircra ft re cord. An alteration must be compatible with all previous altera tions to assure continued con formity with the applicable airworthiness req uiremen ts.

8. Description of Work Accomplished \...._../ ' ( If more space is required, attach additional shee ts. Identi fy with aircra ft na tionali ty and reg istrat ion mark and date wo rk completed.)

BEECH CRAFT 95-B55 SN# TC-1399 N500YE

12/29/97 - Performed the following: Performed inspection of existing installed avionics equipment by persons unknown and found installations/operation to meet practices as recommended in NC 43 .13-1A, Chapter 11, Sections 2, 3, 4 & 7 and NC 43.13-2A, Chapters 1, 2 & 3. Installations also meet requirements set forth in Far 23.1301, 23.1431, and 23.561. Computed weight/balance data and revised equipment list. The following systems/units were affected by this inspection:

*Bendix/King KCS55A Compass/HSI System * Bendix/King K T76A Transponder *Bendix/King KX165 Nav/Com * Radio Systems Technology Audio Panel/MRK BCN

See weight/balance data for individual equipment stations and weight. Circuit protection provided by pull type circuit breakers. Electrical load analysis satisfactory. The above installations do not appreciably affect aircraft performance or flight characteristics.

12/29/97- Performed the following: Removed II Morrow Apollo 618loran and II Morrow A-16 loran antenna. Removed EDO 5000B-20 horizon and replaced with RCA 22-7F horizon, (unit of same type with warning flag) . Removed Beech B-11-1 Nav/Comm antenna from top of cabin. Installed Comant Industries CI-120/GS navigation antenna on vertical stabilizer, ARM 278.0, utilizing factory supplied doublers/angles and access door/doubler. Antenna system installed as per CI drawing #A12053, Rev .. Band Beechcraft 95-B55 parts manual. Antenna coax routed on left side of aircraft and connected to existing Nav/GS coupler. Installed Comant Industries CI 121 VHF antenna (Com #2) on top of fuselage, left side, ARM 196.0, '(s'pac~ pi~viously occupied by II Morrow A-16 loran antenna). Coax rounted on left side of aircJaft .al}d "connected to Com #2 transceiver. The above removals/installations were made using practices as recommended in NC 43 .13-2A, Chapters 1, 2 & 3. The above installations meet the requirements ofFAR 23 .1301 and 23 .561. Weight/balance data computed, equipment list revised, and logbook entries made. The above installations do not appreciably affect aircraft performance or flight characteristics. The aircraft w2s ground and flight tested to insure proper operation of the above systems and installations.

--------------------------------------------------------END----------------------------------------------------

'-----------------0-A-dd_i_tio_n_a_l S_h_ee_t ... s A_r_e_A_tt ... ac._h-.ed,__ _________ ____ _j

<lU .S. GOVE RNMENT PRINTING OF F ICE : 1992-769 -012 / 601 57

0 Form Approved


uS Deportment (Airframe, Powerplant, Propeller, or Appliance)

For FAA Use Only a TrcrosporiOilon

Office Identification FecMral Alriatlon Adlllll••rranon

INSTRUCTIONS: Print or type all entries. See FAR 43.9, FAR 43 Appendix B, and AC 43.9-1 (or subsequent revision thereof) lor instructions and disposition of this form . This report is required by law (49 U.S .C . 1421 ). Failure to report can result in a civil penalty not to exceed $1.000 lor each such violation (Section 901 Federal Aviation Act of 1958) .

Make Model

1. AircraH Beech 95-855 Serial No. Nationality and Registration Mark -TC 1399 N500YE Name (As shown on registration certificate) Address (As shown on registration certificate)

1311 s. Edgewater Drive 2. Owner

Meadows, Robert K. Charleston, sc 29407

3. For FAA Use Only

/

.• 4. Unit Identification 5. Type


AIRFRAME ,..,.,..,. ,.,.,.,.,. . .... (As described in Item 1 above) . .,.,.,.,. .. X

POWER PLANT I

,>

PROPELLER

Type --...



A . Agency's Name and Address B. Kind of Agency C. Certificate No.

New Charleston Aviation U.S. Certificated Mechanic

6070 Perimeter Road Foreign Certificated Mechanic

Charleston, sc 29418 X Certificated Repair Station CEKR059K Manufacturer

D. I ceFtify that the repair and/ or alteration made to the unit(s) identified in item 4 above and described on the reverse or attachments hereto have been made in accordance with the requirements of Part 43 of the U .S. Federal Aviation Regulations and that the information furnished herein is true and correct to the best of my knowledge .

Date

Slg~::~·r::,~:o~::' '"7/~h~) ~ L;s 4/26/93

7. Approval lor Return To Service

Pursuant to the authority given persons speci fied below, the unit identified in item 4 was inspected in the manner prescribed by the Administrator of the Federal Aviation Administration and is XJ APPROVED 0 REJECTED


Inspector BY

FAA Designee X

Repair Station Person Approved by Transport Canada Airworthiness Group

Date of Approval or Rejection Certificate or

Sl:~·~:;:~ A~~:::d lo~J !!~£-4/26/93 Designation No.

FAA Form 337 1' 2 ·881

,. NOTICE

Weight and balance or operating iimitation changes shall be entered in the appropriate aircraft record. An alteration must be compatible with all previous alterations to assure continued conformity with the applicable airworthiness requirements.

8. Description of Work Accomplished (If more space is required, attach additional sheets. Identify with aircraft nationality and registration mark and date work completed.)

Removed two orignal equipment McCauley Model 2AF34C55 propeller and spinner assemblies and replaced with two Hartzell PHC-C3YF-2UF/FC 7663-2R propeller and spinner assemblies~

Installation is in instructions, Hartzell 43.13-2A, Chapter ~-

accordance with Hartzell installation STC795CE, AC 43.13-1A, Chapter 13, and AC

Aircraft records have been revised to include this installation.

•• . • .-of ~ • ..," .,_ • . $

: .i ,: ;iwd::.

~--~ .. ~~ - ~- ~~\:~.--~

i'!: ~ ~ .... t":". ·- .. . -- -- ~ ..... ..

... . . i_•_.

.. · · ., . . ' --~"~-

:. '~ 0 Add,! lonai .Sheets Are Attached

· .. -. ~ ·, :: .

i '

US f'cporlme"l of l1on~pertoi•C'n

F•"-ral Aviation Adrt1hllslrallon

MAJOR REPAIR AND ALTERATION (Airframe, Powerplant, Propeller, or Appliance)

Form Approved

OMB No. 2120-0020 --------------

For FAA Uae Only

Office Identification

INS rnUCT IONS: Print or type all entries. See FAn <13 .9, rAn 43/\rpendix B, and AC 43.9- 1 (or subsequent revision thereof) lor ins~ructions and disposition ol this lnrm . thi s rer.or tis rof!Uirer:l hy l11w (o1!11J .S.C . 1421 ). Failure to report can result in A civil pennlty not to exceed$ t ,000 lor e<1ch such violation (Section 90 t r eder ill Avintion Act ol t 958) .

---------- --------------------------------------------------r--------------------------------------------------Mnke

OEECitCnAI-T BARON B-55 I. Ahcrnlt

Seriill No. l~ationnlity rmrl negistr<~tion M:1rk

'I'C-1399 -----------------1·---- NSOOYE Hnrno (lis ~lrown on 1cgisl1 a linn em tilicat e ) Address (!Is slrown orr rcr~istralinn r.o1lificate)

2. 0Wil"f ;Ot3

- -----------L--------------

<1 . Unll ldenllllcallon ~ ~ - ~ YP!! ____ _

~ - ------ - --~~;~-~-~:~_-- ----- - - ~C IJ"~ -- 1\lterillion Make Model

1\lnFRI\ME

rowEnrLAN 1

rnoi'ELLm "'-----

1\F'I'UANCE

lype

Manufac1t11or

C>ALE. s ' R I IJ\~

3'=>'+ N~ "'-"~'"' s..,-gc:x.A ~-re>to.l ~<.A

- -- ---- -- -- ---- -

6. ~()!:!~()_r~nlty Slalem~_!:!! _ ___ _

8_: K~~ ~9 ()_l_~,[_~!_l_C_L ____ _ _

..,1, l! .. ~ :..~':' _~i~-~led ~~~~nnic I_ or~11~' Ce~~~~~~d-fv1 ~_clonnic ..

Cf'r .tif ~~~9. -~e_£~i!__ SI<~Iioro

Mtu1ufacturer

XX

C . Certificate No .

D . I c ortily th<1t the repair nnd/ or allcration marlr. to tho unit(~) identified in item !I above and described on the reverse or nttilclnnent~ hereto h<lve been rn<lde in ilCCOi diliiCC with the ICquir en oc nts o f rnrt 4:1 ollhe U.S. r edr. rnl Aviation n egulations anrl tllill the inforrnilli on furnished herein is true and corrc<.lto the be~ t ol my knowledge .

Date Si[Jnr~twe ol Authorized Individual

7. Approval lor n_t!!':l!_!l_!() __ ~ervlcf? f'tii SII<ltll to the authority gi ven pcr~ons ~ pecili ed below, thP unit identified in itern !I wns inspecl r.rl in th e manner rresr.riber:l by tho 1\rhninislrator olthe ft'dcral/\viation Adrninistr<llion <111d is )c! 1\~'f'.~~-~~?. _ LJ llEJE_C_I_~I? _ _ ___ _ _

BY

r A/\ fit . Standards ln~pector

fAA Dc~ignf'e

Date of Appr ova l 0 nejec tion

'3 9D FAA f ;•p n 337 1•r ~ i l

Marnrlar:lt11r.r

ncpr~ir Str~tion

Ccrtilic<1te or Dr.signation No.

Lj-S '7 .

x· ln ~ pr•r: tion Authori7atinn

rerson Approved by I ransport Canada Airworthiness Group

Other (Specify)

NOTICE Weigllt and balance or operating limitation changes shall be entered in the appropriate aircraft record. An alteration /IILISt be com~Jatii.Jit~ wit11 all previoLJs alterations to ass11re continued conformity with t11e applicable airworthiness req11irements

8. Deacrlpllon ol Work Accomplllihed (II more space is ruquired, iJI/iJt;/1 audition ill ~llf:tll~ . Identify with aircrallniJtionality a lid rogi:>lriJiion lllilfk and daltJ worh complutud.)

Install Vortex Generators on the wings and vertical tail and install supplement to the PILOT'S OPERATING HANDBOOK ~nd FAA APPROVED AIRPLANE FLIGHT MANUAL in accot-d~nce with manufacturer's DRAWING LIST OL-100 per STC #SA4016NM.

Negligible weight chang~

END

[I Additional Sheets Are Allaci1"J

U.S. DEPARTMENT OF TRANSPORTATI ON Form A'Jf::~d FEDERAL AVIATION ADMINISTRATION Budgtt urtau No . 04-R060. I

MAJOR REPAIR AND ALTERATION FOR FAA USE 0 .\/LY

OFFICE IDENTIFICATION (Airframe, Powerplant, Propeller, or Appliance) .

INSTRUCTIONS : Print o r type all ~ n t ries. See FAR 43 .9, F-\R 43 Appendix B. and AC 43.9-1 (or subsequ~nt revision thereof) for instructions ilnd di spos it io n of this fo rm.

I MAKE Beech

I MODEL 95 ... 855

1. AIRCRAFT I

SERIAl NO . lNATIONALITY AND REGISTRATION MARK

TC-1399 i N50lJYE I

1 N A.lo'.E ( A$ shown on r•gistrat ion cctrlificate ) : ADDRESS (As showri on registration certificate}

2. OWNER j Scott Lewis i 1 06 Ebb tide Drive

i N. Palm Beach, Fl. 33408 3. FOR FAA USE ONlY ' - - ------· --

:

4. UNIT IDENTIFICATION 5. TYPE

I I UNIT MAI( f MODH SERIAL NO. ALTH· .EPAI R

~-----AriON ---- -·--- -

AIRFRAME l'########l'l'l'l'l'##l'##l'## (As descr ibed m i tem 1 above)#######l'l'####l'#####~## X

~-

I POWERPLANT }

.. . ~ -~ -- . . . .. - .. . . . . .. .. . . . PROPELLER . -- - ' - I . Tnf . " ' - ..

.. I 1 • . f ~

APPliANCE ~-I -

MANUfACT~ I!! R l } l I I I ' -

l I I I • • • .. I I l ~ . . 6. CONFORMITY STATEMENT --- c -· 'I ' -A. AGENCY'S NAME AND ADDRESS - . - e. KIND OF AGENCY• I 1 c. CERTIFICATE NO .

Florida Al.r.craf t Ins t_rum_!!!~n.ts, _ I I -U.S. CUTIFICAT~D _MfCHANIC -· , --'"-·• fORE IGN CUTifiCAT£0 M!Cn~f':IIC

5-855 _u,.s. 441 South -

Lee_sb urg, FL .. 32788 X 'C.ERTifiC'AT£0 RE.PAIR STATION 708-7 - MANUJACTURfR ' I

D . I certify tllat the repair and / or al;eration mad'e to the un it(s)-:- identified .in item 4 a'bove ~nd described on the reverse or attachments h~reto have been-- made in accofdance with the requirements of Patt 43 · of the I U.S. 'Fed~eral Aviation Regulation~ and that the information furnish~d herein is tt:l.le an.d 1cqrrect 1to the ·pest of my know~e~_e.

.Ll ..

.L>.

DATe . -· '

~·· Of '"'"f''(j'1JI~ . -

' ..

July - -16, 198B ' - ~- ' "]72r-- ~ ..; -"' I

I I 7-. APPRO Al F~R RETURN I 1'0 S£RVI CE ~ -c

Punuanr to the authority given persons specified bel~~ ~~ unit KJentified in item O was in-tfl)ed in the manner prescribed by tbl Administrator of the Federal Aviation Administratio a is APPROVED REJEC

fAA fLT . ITANDAitDS ~PECTION AUTHOitll.ATION OTHER (Sp«ily)

MANUfACTUifR INIJ'ICTOit

IY CANADIAN DEPARTMENT fAA OISIONEE X REPAIR STATION Of TRANSPORT INSPECTOR

Of AIRCitMT /' /J /'1

DATE 01' APPROVAL OR CERTIFICATE OR SI~OP AUTHP PJ!W REJECTION? - DESIGNATION NO. -1 6- 88 708-7 . ~.d.£)4 _ fL?v l>-

FAA Fonn 337 t7-67l u (8320)

.. .. , NOTICE .

Weight and balance or operating limitation changes shall be ente((3dJn the appropriate aircraft record. An alteration must be compatible with all previous alterations to assure continued conformity with the applicable airworthiness requirements.

•._.---.... "-

.,_,.r-~-'

?

v

••

-'

w. -~-

•" 1 ·~

8. DESCRIPTION OF WORK." Ac£oMPLISHEo'. (If' more space is t equired, attach additional sheets. Identify with aircraft nationality anf. regj§_tf;R, tion mark ahd date work cOmpleted.)

·~"· ;,~-· \ ' ~ 1 ~. ~ .

July 16, 1988 Removed Brittain . B-VII Autopil~t Fli ght System in a ccordance

1 W>i t 1h mf r 't·s SFJe cs. ·' Installed S- TEC ?Y ~' te.m· .6 0-2 :• utopil ot

system complete with automatic trim system in accordance with Kit # ST-082 T and STC # SA5106SW-D. Installed 3M Ryan Stormscope weather mapping system WX-8 ( P/ N 78-8 041-7918- 8 0 in accordance with manufacturer's specifications. Installed I I IYi orrow Apol~lo 618 Lo-raA C-in radi o stack located on right panel. Installed antenn~ on ' top left fuselage ad-jacent t1o le.xas Instrument Loran antenna. The ~. A.p,o.llo 618 is a · VF R unit and. ULill

1not c_ause a hazard to aircraft systems of the operation

of the aircr:a f t o.r its occu pants.. An in line fuse was installed t o accomodated thi stor~scopi system. Separate circuit bre~kers we r e installed to accomodate thhe 5-Tec autopilot and Apollo 618 Lor:an respecti vely. Work was also completed in accordance with AC 43.13.2 chapter 2, paragraphs 21,22,23,24,26,27, and AC 43,13-2A chaptrer 2, paragraphs 21,22,23,25,27, chapter 3 paragraphs 31 ind 34, and Advisory Circular AC 20-121. The electrical load was c omputed with .all ·equipmen t in normal continuous operation ~nd found to. be less than 80% capability. The weight and balance and equipment lists have been updated to ~eflect all Chai'l ges. The aircraft was test flown per manufac t urer's instructionS~. ------------------ - ----------------E ND---- - --~---------•---~------~-----

-~ ...

. ~·.r-· .. ~ ,, _,. ~.,.:. ~- . ..... .;.'- · ··• . . -;,;, ·T'

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--~· -- ... - ,,1-.·•""~ '

,,, ·.· ~ r· ~. ,

-•<"·"'"''' 'lit" ' .,.; ·~

........ :· , I .l-·,4~ ~· .... 11• , • . ~

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- ... ~

('

~·-·"'i ~-_ ... ' ..,... l i:~e ~.

t' '- (~--~: '; ~y \ ·'

t•'}.'l

.".

'·

:lj~~ ~ f ' ':" } <'<' ." · d' A:~fJIO~Atts8h:rs ARE ATTACHED

C F A A AC 72 -4!l0fi · .. US GPO 198 1 77S ·33Z 47

"''"'· ,,

DEPARTMENT Of TRANSPORTATION Form APJ::.wtl FEDERAL AVIATION ADMINISTRATION

Butlgtl urtau No. 04-R060.1

re? MAJOR REPAIR AND ALTERATION

FOR FAA USE ONLY

(Airframe, Powerplant, Propeller, or Appliance) OFFICE IDENTIFICATION

INSTRUCTIONS: Print or type all entries. for instructions and disposition of this form.

See FAR 43.9, FAR 43 Appendix B, and AC 43.9-1 (or subsequent revision thereof)

MAKE MODEL

1. AIRCRAFT BEECHCRAFT 95-855

SERIAL NO. NATIONALITY AND REGISTRATION MARK

TC-1399 N500YE NAME (As shown on registration certificate) ADDRESS (As shown on registration certificate)

2. OWNEJ 10 INLET CAY DRIVE SMITH, ANN s. OCEAN RIDGE .. FL 33435

3. FOR FAA USE ONLY

4. UNIT IDENTIFICATION 5. TYPE UNIT MAKE MODEL SERIAL NO . REPAIR

ALTER· ATION

AIRFRAME #################·####~(As described in item 1 above)######################

XX

~ POWERPLANT .1<

1

PROPELLER '

-TnE

APPLIANCE -MANUfACTURER .., .. - LJ ·r -1: . . . '-1 - ,.,..J ... ' ' 2 .._, ~)_ j ~ 2 .

6. CONFORMITY STATEMENT A. AGENCY'S NAME AND ADDRESS ' B. KIND OF AGENCY c. CERTIFICATE NO.

U.$ . CERTIFICATED MECHANIC

Palm Beach Avionics, Inc. fOREIGN CERTIFICATED MECHANIC

Bldg. S-1500, P.B.I.A. X CERTIFICATED REPAIR STATION C • R • S • 705-36 West Palm Beach, Florida 33406 MANUFACTURER

D. I certify that the repair . and/ or alteration made to the unit(s) identified in item 4 aboye and described on the reverse or attachments hereto have f;,een made iri accordance with the requirements of Part 43 of the U.S. Federal Aviation Regulation~ and thi.t the information furnished . herein is true and correct to the best of my knowledge.

DATE ' SIGNATURE OF AUTHORIZED INDIVIDUAL ' cb"Q · 7-f-19(84 ..... '

..., . t, 7. APPROVAL fOl RETURN TO SERVI Ci .

PW'tuant to the authority given persons specified below, the~it ~entified in item 4 was in.ilE:)'ed in the manner prescribed by the Administrator of the Federal Aviation Administration and is APPROVED OREJEC

FAA m . STANDARDS OTHER (Specify) MANUFACTURER INSPECTION AUTHORIZATION

IY INI'ICTO«

~ CANADIAN DEPARTMENT

.... FAA DESiot-IEE X REPAIR STATION OF TRANSPORT INSPECTOR Of AIRCUFT

DATE 01' APPROVAL OR CERTIFICATE OR SI~ATURE OP' AUTHORIZED INDIVIDUAb REJECTION DESIGNATION NO.

h 7/19/84 705-36 I .#o ' G~,, FAA Fonn 337 (7-67l (J J (8320)

~i-

NOTICE .. -.... ·.-... v•,,. Weight and balance or operating limitation changes shall be entered i~"'-:. ifie :.appropriate aircraft record. , An alteration must be compatible with all previous alterations to assure continued conformity witt..•he J

applicable airworthiness requirements . '

_,, ··:·- i .: ,f"..

8. DESCRIPTION OF WORK ACCOMPLISHED (If more space is required, aHach a_ddfffS.in.Q.f:,she~.ts . Identify with a ir-craft nationality and registration mark and date work complete~) <::_~~:"":~':.·:: :

i" " ".

I. InstaL Led a Cook Radio Corporation CLN-1 A LlfRAF~;rftil~ vi gat ion sy"stem. This s.ystem is not a part of any othe r·" e ~ ~i.s~ti tl,9 ·· avionics e qui p men t or systems in t hi s a i r craft • A p La c.a <~d;4:.li~1§:.;_ii!{:e;e.n a f f i xed to the Loran-e Control Display unit in full view · ot;;i1~,~i~.i'\ ot.· and reads as f o l lows : "L O'R AN- C N 0 T T 0 8 E USED AS A PRIM A R Y · ME ~A:f\_-§1f:~;-~~N;~ IJ,[ GAT I 0 N" • A s e c o n d p L a c a r d i s a f f i x e d t o t h e p i L o t ' s i n s t r u:r!l ~i n" t.:~~ ~:¥l~~l~ \J h i c h r e a d s as follows: "LORAN-C APPROVED FOR VFR USE ONLY" • . .. z:I;·..:~ . .:.~·:Y~

;..._\"'

II. This installation was made in accordance wit:!] l\~./t. 3 • .13-1A Chapters 2, 5, 7, 11 , 1 5, 1 6, and A c 43 • 13-2 A chapters 1 , 2, 3 • "Tn'e i n s t a L Led LORAN-e system has been tested and no evidence Qf _ i~terference or i n t e r a c t i o n w i t h o t h e r a p p r o v e d o n b o a r d e q u i p m e n t . e xj .s t s •

III. An electrical Load analysis has been made and it has been determined that the electrical Load does not exceed 80% of the rated alternator capacity.

IV. The Aircraft Weight, Balance, and Equipment List has been revised. T hi s i n s t a L La t i on has been recorded in the a i r c r.ai..t ~. Log.

- - - None Follows - - - - - - - - - - - -

-:·.,:.::-.- .1-1,•<..,...:_~-~ ... - ~ ·\ .•

r: ' :o ;, , .... ~

.-• .~ .......... ""'.''1':···~-'··- ..

.. , tr· . CJ ..• _.--··.:.: .

:;;~:;_,•H·. ,J: ~~

1 ·, ;,..} ......... ,..._~ 'i

,. .

,'. '·-·

0 ADDITIONAL SHEETS ARE AITACHED ~ ~ ,,.,. ':,, '''""· ~

C FAA AC 72-4906 * U.S. GPO: 1981 -775-332/47

,.,.

DEPARTMENT or TaANSI'OIITATION Form A'ff:.:~etl FEDERAL AVIATION ADMINISTRATION I

But/gtl urtau No. 04-R060. 1

MAJOR REPAIR AND ALTERATION FOR FAA USB ONLY


INSTRUCTIONS: Print or type all entries. for instructions and disposition of this form.

See FAR 43.9, FAR 43 Appendix 8, and AC 43.9-1 (or subsequent revision thereof)

MAKE MODEL

1. AIRCRAFT BEECH CRAFT 95-855 SERIAL NO. NATIONALITY AND REGISTRATION MARK

TC-1399 N500YE NAME (As shown on registration certificate) ADDRESS (As shown «1 registration certificate)

2. OWNE8 10 INLET CAY DRIVE sru TH, ANN s. O_CE AN R I D G E FL 33435

3. FOR FAA USE ONLY ·

4. UNIT IDENTIFICATION S. TYPE .

UNIT MAKE MODEL SEil!tl NO . llEPAIR ALTER· ATION

AIRFRAME #####################• (As described in item I above)#H##H####.######HH

XX

POWER.PLA~ I - .-. 1-"

PROPELLER .. TYPE

() c_; ; I APPLIANCE

,, f"' ... ,_ : .... ·MANUfACTURER

6. CONFORMITY STATEMENT . - A. AGENCY'S . NAME AND ADDRESS B.. KIND OF ,AGENCY . c . CERTIFICATE NO.

U.S. CERTIFICATED MECHANIC

Palm .. Beach . Avionics, Inc. FOREIGN CERTifiCATED MECHANIC

Bldg. S-1500, P.B.I.A. X CERTIFICATED REPAIR STATION ... ; C.R.S. 705-36

West Palm Beach, Florida 33406 MANUf.ACTUREit ..

---·' ··. D. I certify that the repair . and/or alteration made to the unit(s) identified in item 4 aboye arul;described on the reverse or

attachments hereto have r;,een made in accordance with the requirements of Part 43 of the U;~ ·Pederal Aviation Regulations and that the information furnished herein is true and correct to the best of my knowledge •. • · · · · '

DATE SIGNATURE OF AUTHORIZED INDIVIDUAl . , . . . l '·.• . ~. c_ 'T) , ...

7/19/84 I

h':

7. APPROVAL liCm RETURN TO SERVI~E

Purauant to the authority given persons specified below, the_~it fDentified in i"t:mtJ was in~e4 i~ the manner pr~scribed by the Administrator of the Federal Aviation Administration and is APPROVED REJEC

fM fLT, STANDARDS OTHER (Sped'fY)

MANUFACTURER INSPECTION AUTHOiliZATION

IY INII'eCTOil

CANADIAN DEI'AitTMENT fM DISIONEE REPAIR STATION OF TRANSPORT INSPECTOR

X Of AIRCUFT

DATE or ~'PPROVAL OR CERTIFICATE OR SI~T~RE or AUTHORIZED INDIVIDUAL REJECTION DESIGNATION NO. ~c:.J:? 7/19/84 705-36 ' ... FAA Fonn 337 17-671 u J (8320)

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 th~

~ I applicable airworthiness requirements.

8'.·· DESCRIPTION OF WORK ACCOMPLIS"ED (If more space is required, attach additional sheets . Identify with aircraft nationality and registration mark and date work completed.)

I. Installed a Cook Radio Corporation CLN-1A LORAN-e Navigation Sy T

1his sy s tem is not a · part of any other existing avionics

eq ipment or systems in this aircraft. A pla ca rd has bien affixed t o t h Loran-e Control Display unit in full view of· the pilot and rea ds as f o lows: "LORAN-e NOT TO BE USED AS RH1ARY . M~ANS . OF N'A·VIGATION". A se ond placard is affixed t o tha pilot's insir d~ent p~nel which redds as follows: "LORAN-e APPROVED FOR VFR USE ON· L Y'~ .;

• ' 1 ' ' ' ' • . ' v ~-

II~ this i~stallation wa5 made. in accordance w· i.· t~ : A_ C~3.13:1A Chapters 2 , 5 , 7, 11 , 1 5 , 1 6 , and A C 43 ~ 13 .. 2 A c h apt e r s 1 ; 2, . 3 ~ T h'e 1 n s t a L Led LO AN-C system has been tes~ed and no evidence : df ~ ~nterf~re ri ce or in eraction with other approyed onboard equipme~t ; ex t $ t s '

' II~. An electrical Load analysis has been made and i t ha ~ been de~ermined that the electrical Load does not exceed ; 80% of the rated a L ern at or capac i t y. · : __ .. -·- .. -- -- . · ' · · · ·-·c ·• 1 . ·· IV.I The Aircraft Weight, Ba ~ance, and Equi-pmen:t . Lis~t. ·~"':s ~ ~~n~'· ; e ~ ·~~ ed: ·--~~;tY':h> gq·\'; Th~s inst a llation has been recorded in the aircraft Log.

I' .. :

. 1- I

.!'!',--..._.,

C FAA AC 72-4906

- - - None Follows

• ! .... t l

..... _.,

£~ ~ · ~-; ~!:: ~i~ J ~!: ' ~

~ .?t}~ ~ iJ ~Ii

'· . .,. ~:

c 1

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#()

,~ 'ot (~

:~ _$ \) ? :. :\ ; ~:!

~ :-:. ·-- r i · :. {~~ E T t1 ~~1 }

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.. -~~, (/ c·~:···~ ·~--~l . i ; ;

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;. .) ;)i"· ~ :~-- .

., :0 -ADQITIONAL SHEETS ARE' ATIACHED , , ' ·,. J -~···

-1< U.S. GPO: 1981 • 7?5-332147

-~·

" l FEDERAL AVIATION AGENCY

Form Approved Budget Bureau N o. 04-R060. I

MAJOR REPAIR AND ALTERATION FOR FAA USE ONLY -'


IN STRUCTIONS: Print or type all entries. fo r instructions and disposition of this form .

See FAR 43.9, FAR 43 Appendix B, and AC 43 .9-1 (or subsequent revision thereof)

MAKE MODEL

1. AIRCRAFT BEECH CRAFT 95-B 55 SERIAL NO . NATIONALITY AND REGISTRATION MARK

TC 1399 N-500 YE NAME (As shown on registration certificate) ADDRESS (As shown on registration certificate)

2. OWNER 500 N. Country Club Drive WILLIAM N. NYE Atlantis - Florida 11L.60

3. FOR FAA USE ONLY

4. UNIT IDENTIFICATION 5. TYPE UNIT MAKE MODEL SERIAL NO . ALTER-

REPAIR ATION ·

AIRFRAME ###################### (As described in item 1 above)###################### X -

NERPLANT

-PROPELLER

TYPE - -APPLIANCE

MANUFACTURER . ..

'

- 6. CONFORMITY STATEMENT A. AGENCY'S NAME AND ADDRESS B. KIND OF AGENCY c. CERTIFICATE NO.

Owen H. Gassaway X U. S. CERTIFICATED MECHANIC A&P 457174 ;

151 Seville Road FOREIGN CERTIFICATED MECHANIC

West ·Palrn Beach, Florida 3340..-CE RTI FICA TED REPAIR STATION

MANUFACTURER

D . I certify that the repair and/ or aLte ratio n made to the unit (s) identifie~l.in itc;m 4 _aboye and _describe9 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 informati on (urnis hed here;n is true and correct to the best of my ·knowledge.

DATE SIGNATURE OF AUTHORIZED INDIVIDUAL . .

- . ;:~ , . r - : .. .. . ... '

7. APPROVAL FOR RETURN TO SERVICE .. Pursuant to the authority given p ersons specified below , thec:tt identi fied in item 4 was inspected in the manner prescribed by the Administrator of the Federal Aviation Agency and is PPROVED D REJECTED

FAA FLT. STANDARDS MANUFAcTURER· . OTHER (Specify)

X INSPECTION AUTHORIZATION INSPECTOR -

~

CANADIAN DEPARTMENT FAA DESIGNEE REPAIR STATION OF TRANSPORT INSPECTOR

OF AIRCRAFT /1

DATE OF APPROVAL OR CERTIFICATE OR SIV RE OF AUTHOR't!f"$:/J·. . A · ,·_' REJECTION DESIGNATION NO. ~ - 'AJJ.: . - .-· '· Oct. 19, 1971 I.A. 457174 v v ....

FAA Form 337 (1-65) OBSOLETE PREVIOUS EDITION 0052-025-8000 !320)

~

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 "1pplicable airworthiness requirements.

. DESCRIPTION OF WORK ACCOMPLISHED (If more space is required, attach additional sheets. Identify with air-craft nationality and registration mark and date work completed.)

Installed Narco UD 14 D.Iv1E and Narco AT-50 Transponder with IvTP 16

voltage regulator, all units wiring connections mounts and racks

installed in accordance with manufacturers instructions utilizing

procedures specifically outlined by AC 43.13 where applicable -regards

wire, size, routing, securing, and circuit protection devices.

An electrical load analysis ind~cates with all continous elec~ri~al

equipment operating including avionics, current draw does not exceed

80% of single alternator output, day or night. Aircraft equipped with

two 50 amp alternators CMC # 634692.

Equipment lH;t reflects above installations W. & B. section of I

...J.. s.ircraft file amended to refle.ct above installations.

l '--'

- ~

0 ADDITIONAl SHEETS ARE ATTACHED

l'l U. S. GOVERNMENT PRINTING OFFICE : 1965 OF-761-748

....1111

•

tinittd ~tittJ of S!JIInicQ

Bcpamncnt of ~ransportation -.federal S!lliation S!dmini.Stration

eSnpploocntal 1Cypr Q:crtifiratr ~ SA5106SW-D

,/l4A a--r-/-0~, ~-ao/ ~- S- TEC Corporation Rt. 4, Bldg. 946 Wolters Industrial Complex .

. Mineral Wells, TX 76067 ~~~ d.a/ ./k d.a~r A;,., ~'1}'/u'~nfo~ji/k-in,y~-t--i-d de-~MI4-.a-na"~>nJJ

~1'.a.J· .J/•.u,yf'd krv.r-n -~ ~ ~-L~~~-uNmat~¥9.-/ 3 ~~ Civil Air

·~ya~k-n4

tlju·n.a-~Y~-.~&~ .. ~~ ..

!i~k>n-.("Y~-9'~-&z~:

3A16

BEECH

95-55, 95-A55, 95-B55, 95-B55A, 95-C55, 95-C55A, 05~, D55A, E55 AND E55A

Installat~on of ?-TEC System 60 Two Axis Automatic Flight Guidance System, Model ST-082, ~1!h Opt1onal Automatic Electric Trim System according to Bulletin No. 185, Rev1s1on 4, dated 5-12-86 and MasterDrawing List No. 92122 Revision o dated 5-12-86 with Optional flight Director/Steering Horizon and;or later FA~ Approved revisions of the above data (28 Volt System).

1. F~A Approved Supplement to Pilot•s Operating Handbook and/or FAA Approved A1rplane Flight Manual, P/N 89139, dated 9-15-82 for Beech Models 95-55 95-A55, 95-B55 and 95-B55A is required and/or later FAA Approved revisi~ns of the above supplement.

(See Continuation Sheet, Page 2, a part of this STC.) ~~~.-.d&-~~~~.Ek~r~~~.M•u#Ja~..u-

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9~_,1~: 8-18-82

g~_,~~.. 9-15-82

!iJJ,._ .•• ,.,t; 3-16-83' 8-24-83; 3-19-85' 5-21-86, Revision 4

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;U-4YPh~-· -( Sitrtt~tv,)

Harold W. Holdeman DAS Staff Coordinator, DAS 5 sw

(Tilu)

A '!)I llll~lllion •I this urtijiciJU is punisluzble by G firu · •I Ml "'uetlintll ,000, or impris«unmt 1101 exe«tlint 3 yuzrs, or both.

'""'-11t0-2(1o-.l)

'llnitrd ~tQttB or 51lmtrim

JElcportmcnt of 'm:ron.sportotion - jfrdcrol 21\liMion 2ldmini.strotion

~upplcntcntal 11C~pc ttcrtiftcatc ,., ~:

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~J~~u SA4016NM

Motech

3 7 //..- Civil Air ~) / ,.. .

· ':y'"'no,,.J, & Part 23 of the Federal Air Regulations as indicated.

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*

*See attached Approved ~todel List (AML) No. SA4016NM for list of approved aircraft models and applicable regulations.

- · " ! rn/,/-r •n '! · /y/ f' _./ t:! 'Y 11 ( Yu"'f'r : · · · Installa tion of Vortex Generators on the wings and

vertical tail, in accordance with Motech Drawing List DL-100.

Approval of this change in type design applies to the above model aircraft only. This approval should not be extended to aircraft of this model on which other previously approved modifications are incorporated unless it is determined that the relationship between this change and any of those other previously approved modifications, including changes in type design, will introduce no adverse effect upon the airworthiness of that aircraft. A copy of this Certificate and FA!\ Flight Manual Supplement as shown on FAA Approved Model List (AML) No. SA4016NM, page 4 of this STC, m.®.J P~-~j1}t,?JI~~-,. !Jo/~~;~~~P»~~·I.PP.PP.PJffi.t?tt.;rrt-9r# ,f.9..r/J;AW;f9.PlMJ~~s\ ~J:'9J;~f-~J"" _

March23, 1986 !)'.;,/e-A77Ti r?l,/,.,/.·

Asst. Manager, Seattle Aircraft --eerttf'1ca tlorr-Offt;Jty--------~

i l II )' nlto atio11 of t luJ cell!fica le ,·J jnmi.1/wblt: br a .Ji11c of 11oi exceeding $/ ,000, or zmfm sonmenl not cxr:ecdm.~ J )'MI J, m both.

1hr'.r rn l tjim lr 11111 1' br l tml.!{rn r rl i11 numrlmlfr '"ith f .'.-fl/ 2 / .·l i. FAA FooM 8110 - 2 (10 - 6 8)

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~ ~tatts of s:lmaim , . •

Btperrtn!nt of 1:ran.sporration'-jtdira1 21\Jiation 2ldmim.srmtion

~upplrntcntal ~gpr (icrtificatr ~

Hartzell Propeller, Inc. 350 Washington Avenue Piqua, Ohio 45356

SA795CE

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~-fo--v~A-MW>nnnue~~~~~~ 3 ~./k Civil. Air

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. Beech

~ .. 95-55, 95-A55, 95-B55, 95-B55A, 95-B55B

~~§~~.. sW /C / 3 7'9 ProPeller MOdels /' .

-

BHC-C2YF-2CH or -2CHU/C8465-6 or :SS:C-C2YF-2CHF or -2CHUF /FC8465-6, DHC-C2YF-2CH or -2CHU/C8465-6 or DHC-C2YF-2CHF or -2CHUF/FC8465-6 with spinner . C-2285-1 or C-2285-6; or H!C-C3YF-2 or -2U/C7663-2R or PHC-C3YF-2F or -2UF/FC7663-2R with spinner C-3567-1. Data Required: Hartzell Propeller Owner's Manual ll5G and Airplane Flight Ma.riual

~upplement dated September 10, 1971, revised Februaryl3, 1976.

~~..-r.d~~ .. Limited to the above listed airplane models with 2 Continental I0-470-L engines installed. This aPi.Jroval should not be extended to other specific airplanes of these models on which other previously approved modifications are incorporated unless it is determined that the in~et>-relationsbip between this change and any of those other previously approved modifications will introduce no adverse effect upon the airworthiness of the a.irPlanes.

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0 ~ .f· . ...;.v-ou. 7 4.J.J,ua,aJ· . September 10, 1971

KEI'.m D • ANDERS ON ( Signatuu J

Chief, Engineering and Manufacturing Branch Great Lakes Region AGL-210 ··

(Tit it)

A rry alteration of this ctrtificate zs punishable bv a fine of not rxcuding. Sl ,000, or imprisoJiment not excuding 3 .rears, or botiL

This certificate may bt tran.sftrrtd in accordanrt :L·t"th F.·IR 2!.-17. FM Fo.,. 8110-2 (10-68)

--- - .---:-- --~- -· ·- · . ..

2J!ntte~ ,%mtes ®£ J\nreriw

~2p-a:rtment nf W:ra:nsp-.orta:tinn - Jlf £nua:l JUrta:tinn ~tntstra:ftnn

I

SA01933LA

Garmin AT, Inc. 2345 Turner Road S.E. Salem, Oregon 97302

~~J. vf,a do c/~ r:,~, de ~pe r~.n-;If>,.. de ~«Hinp ft.PO£tad rDtfd ~ li:nz,i/ffdh:M· avu/

oo~..:t'&o..-.0- ~~P a&- Jft-eu;tfea .,{&<eon med.J. de ~d/tmhM ~f&ra~nl'..na o/'£n.A * c./do ,5jg1?a&'euo-M-

@}.~g'J~.~e Wed~ ./Y~wo.·

Au..-&.·

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*See attached Approved Model List (AML)

No. SA01933LA for list of approved aircraft

models ·and applicable airworthiness regulations .

Wt~~.· Installation ofGarmiu Model400W I 500W Series GPS-WAAS Navigation System in accordance with FAA Approved Gannin 400W Series Master Data List, Drawing No.: 005-C0221-00, Revision "A", dated October 31, 2006, or later FAA approved revision; or FAA Approved Grumin 500W Series Master Data List, Drawing No.: 005-C0221-0l, Revision "A", dated October 31,2006, or later FAA approved revision. For Garmin 400W installations: FAA Approved Garmin 400W Series Airplane Flight Manual Supplement, Document No.: 190-00356-63, Revision "Original", dated November 6, 2006, or later FAA approved revision. For Garmin SOOW installation: FAA Approved Garmin SOOW Series Airplane Flight Manual Supplement, Document No.: 190-00357-63, Revision "Original", dated November 6, 2006, or later FAA approved revision.

$~ ruza??o..-uukoM·. · This approval should not be incorporated in any aircraft unless it is determined that the interrelationship between this installation and any previous approved configuration will not introduce any adverse effect upon the airworthiness of the aircraft. If the holder agrees to permit another person to use this certificate to alter the product, the holder shall give the other person written evidence of that permission. -~ &e-1"/~ca/e IU'ta do Wft/l~? ola/m UJ.Ife'd 1-J. do ~;;. fo o/'ftJ'Cod .vf'a/i" Penuu:n .r/b ~ a;t/d'

.H-LPPef~d. .mJft-<Y'-~ .-oo&d eve m /ennvudi£Vb ~ ~ odePUX-.Je e.U~d' ~ d, A®-~Pa/o,.

.@'aa. o/ bJ4ar.vt06.' November 6, 2006

( · ature)

Manager, Sy s & Equipment Branch, Los Angeles Aircraft Certification Office

)tny alteration of tliis certificate is punisfza6fe 6y a fine of not eJ(feetfi11£J $1,000, or imprisonment not eJ(feerfi111J 3 years, or 6otli.

FAA Form 8110-2 (10-68) Page 1 of 2 '11iis certificate may 6e transftm.a in accortfana wi:tli q:}l.t}(21. 47.

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c,-r~v{e,; //£:,/ ~k rAu.rty~ 1./1 /h tY/'"' rhw y/t ft.,~ /rt'bwv:/tp: /[/'Y'rUu/· u•t/'A d. /;/,i/rrkrw.; ru,r/ rro.ru/r//rw.J

/~/Y'"frr rM· ·.YUYYj/i.,,,( k-''"' n•rcf'/.J /AI' q,•:rtcrr/k/;A ; .1¥ptn:N,m./'.r,/ .J. f'/ .~ ''"'~ _" * o/"I'At" .%rkra/. ~~·~r,//r/1 ':/?;l'f/li;;.,//C'/i.J.

* enitication ba is i estab li hed in the ata be el in the F pproved 1 todel List AML).

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Q:'AJcryFI't;./i 1'/l'b ·Y?/"""" £?-..Jtj'/t ?f/fr,_,.ifl"·'

014 or later FAA appro tbe ppro ed airplane m del , ppli able in tal!ari n data re uirement . and spe iti limitation

fn tallati n of Automatic Dependent urveillance - Broadcast (A DS-B) Out functionality using the BendixK in g KT 74 Transponder and quali.fied position ensor, in accordance with Maswr Drawing List, £-BK-13-0002 Re . D. dated 03/ 19/2014. or later FAA approved revi 1011 .

l. The installer mu t detennine if thi ed modifications....

2. ut y t m In ttu tion for Continued nder, P w· : Fr iflight '!em /_ 01

8 Re . IR. dared 0" /_Q/_014, r later FAA

(Li.m.it.ati n. and ntinu... n p 0-e

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. '''""""'d~'.l¥1'/. .S tL~i~Ackd. ft'C''r~d. ,.., ,~ krmvuz/ /r/1 ,tlz..l, ?; r /£,,.,.;;., AJI'af./,:;.A'IV/ ~ b{;, . -(;,,//,u/t~;:.l'.t"U/r•.r r/ /k . h@,~,/. -~6.{•/a//r/t . -~ ,..1/nLfit".Jba/ir/1.

eprem er 16, _ I ·

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Any alteration of this certificate is punishable by a fine of not exceeding $1,000, or imprisonment not exceeding 3 years, or both. FAA Form 8 10·2(1{).68) Pago 1 of 3 This certificate may be transferred in accordance with FAR 21.47.

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