STC SA02858CH

New Richmond, WI 54017

Part 3 of the Civil Air Regulations.

Original Product--Type Certificate Number : * (see attached FAA Approved Model

Installation of Piper Part Number 21242 and F. Atlee Dodge P/N 3143-12 float fittings in lieu of original components in accordance with installation instructions listed on AML No. SA02858CH.

1) The installation should not be incorporated in any aircraft unless it is determined that the interrelationship between this installation and any previously approved configuration will not introduce any adverse effect upon the airworthiness of the aircraft.

2) If the holder agrees to permit another person to use this certificate to alter the product, the holder shall give the other person written evidence of that permission.

Make : List (AML) No. SA02858CH for list of

Model : Approved models and applicable airworthiness regulations)

Date of application : July 19, 2009

Date of issuance : July 2, 2010 Date reissued :

( Signature) Mary Ellen A. Schutt Manager, Airframe and Administrative Branch Chicago Aircraft Certification Office

( Title)

FAA FORM 8110-2-1(10-69) PAGE 2 of 3 PAGES

Number

FAA FORM 8110-2-1(10-69) PAGE 3 of 3 PAGES

Number ST00XXXCH-D Date of Issuance: XXXXXX Date Amended: XXXXXX