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 6 Conformity Statement A. Agency's Name and Address B. Kind of Agency Writ StOVP lahlrintiri ,/ U. S Cenecated methane I Manulacturer menu 33 Barrett road Focnin Certacared Mechanic C. Certificate No. ca. Fnfietd Soy CT Ceitirkated Repair Suwon 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. 151 Farminotnn Ave car Nallf2G1 Sias CT 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 32 Griffith Way. Dutchess County Airport Corny Certificated Mechanic C Cenificate No. c* Wagoimas Falk sm.. Nay Ynek i Cenncseed Ryser Sueon FAA CRS-AYPR340S 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 # 4223-04-2013. NOTHING FOLLOWS E(Addikonal Sheets Are Attached FAA Forni??7oote) SDNY_GM_02757832 SUBJECT TO PROTECTIVE ORDER PARAGRAPHS 7, 8, 9, 10, 15, and 17 EFTA_00244754 EFTA01329617
•Priteb Stara p it Attila • !enactment of transportation -31fdrerat pitiiatigm Ahminislration $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 6 Conformity Statement A Agencys Name and Address B. Kona of Agency Nn Pm Star Aviatinn U.S Cartficalea Mechanic I Manulacturer Awn. Manchester Amon 5 Industnal Drive Foreign Cessono Memaivo C. Certificate No. cay I norkinderry pm, all( i taruticated Repay Saban 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 103 Fain Rd Cry Wilmington Sine Delaware be 19603-3742 Casey USA 3. For FAA Use Snly 4. Type 5. Unit Identification Repair Marston Unit Make Model Serial No. 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 103 Falk Rd City Wilmington WO Dclavorc Zip 19803-3742 Coalry USA 3. For FAA Use Only 4. Type 5. Unit Identification Repair Nitration UM make Model Serial No. 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: §21.1357(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 103 Faulk Rd Oiy Wilmington Sisie Delaware zo 19803-3742 Coney USA 3. For FAA the Only 4. Tt•oo S. Unit Identification Repair /aeration Unit Make Model SOW NO. O e AIRFRAME (As descbec in "ern I above) O C3 POWERPLANT PROPELLER 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 .1/40.0112140a now eSeerm Cent Gale or Designation NO. FAA CRS EGRR526D &paint ate el Authinted Individual David Celes / )a e........e...il ic-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 103 Faulk Rd cry Wellington Sure Dclawnic zo 19803-3742 Carey USA 3 For FAA Us* 0nry 4. Type 5. Unit Identification Rep* Alteration Unit Make Model Serial No. 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 103 Foulk Rd eat Wilmington Sim Delaware da 19803-3742 Counvy USA &For FM Use Only 4. Type 5. Unit Identification Repek ?Maranon Unit Make Model Serial No 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 103 Fouk Rd cow VWmington swig Delaware zp 19803-3742 conin USA 3. For FAA Use Only 4. Type 6. Unit IdeMIficallon Repair Alteration Unit Make Model Serial No. AIRFRAME (As described in item I above) POWERPLANT PROPELLER 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 103 Fora Rd 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
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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


























