STC SA1003NE

FAA Form 8110-2 (5/14) Page 1 of

Part of the

Signature

Title SA1003NE Griggs Aircraft Refinishing, LLC.

172 Runway Road Tunkhannock, PA 18657 Civil Air and Federal Aviation Regulations.

3/23

1. Configuration 1: Installation of an Allison 250-B17F Turboprop Engine (450Hp), (TCDS. E10CE) Hartzell HC-B3TF-7A/ T9212NK-2, Constant Speed reversing propeller, and, a 27.7 gallon Auxiliary Fuel Tank in the fuselage aft, baggage compartment.

2. Configuration 2: Installation of a Rolls Royce Corporation, 250-B17F/2 engine (450Hp), (TCDS. E10CE). and Hartzell HC-B3TF-7A/T9212NK-2, Constant Speed reversing propeller.

(See Description of Type Design Change continued on Page 3 of 4)

1. A Copy of this certificate dated January 27, 2011 or later FAA approved revision, must be maintained as part of the permanent records for the modified aircraft.

2. The installer must determine whether this design change is compatible with previously approved modifications.

3. If the holder agrees to permit another person to use this certificate to alter a product, the holder must give the other person written evidence of that permission.

Gaetano Sciortino Manager New York Aircraft Certification Office Cessna Aircraft Company P210N, 210L, 210M, 210N, T210L, T210M, T210N April 19, 2011, June 8, 2015, September 4, 2015, October 15, 2015, June 22, 2016, January 13, 2017 August 9, 1995, August 12, 1997, June 12, 2003, June 9, 2005, April 16, 2009, January 27, 2011, November 11, 2011 July 20, 1989 September 9, 1992 3A21 4

FAA Form 8110-2 (5/14) Page 2 of

To (Name and address of transferee)

From (Name and address of grantor)

4 SA1003NE

FAA Form 8110-2 (5/14) Page 3 of

4 Date Reissued: January 13, 2017

Description of Type Design Change (continued):

3. Configuration 3:Installation of a Rolls Royce Corporation, 250-B17F/2 engine (450Hp), (TCDS. E10CE), Hartzell HC-B3TF-7A/T9212NK-2, Constant Speed reversing propeller and Bleed Air Heated Inlet Duct.

4. These installation must be completed according to the Installation Drawing Lists (IDL) noted in Line No. 5, which also define aircraft model applicability.

5. All aircraft will be modified in accordance with (IAW) the appropriate installation drawing lists (IDL) and must be delivered with an approved Aircraft Flight Manual Supplement (AFMS) and FAA accepted Instructions for Continued Airworthiness (ICA) as listed Below:

Configuration 1:

The Allison (Rolls Royce) 250-B17F/2 with 27.7 gallon aux. fuel tank installed on Cessna P210N:

a. This configuration must be installed IAW: O&N (Cessna P210N) Installation Drawing List, Report Number ON-1018, Rev. H, dated March 21, 2005

b. The Maintenance Instructions for Continued Airworthiness are contained in: O&N Maintenance Manual Supplement for Cessna P210N with Rolls Royce, Allison Engine Model 250-B17F/2, Report 1024, Rev. 5, dated January 09, 2009.

c. The FAA Approved Aircraft Flight Manual Supplement for Cessna P210N: O&N Flight Manual Supplement, Report 1020, Rev. 4, dated June 8, 2005.

Configuration 2:

The Rolls Royce 250-B17F/2 installed on applicable models listed below:

a. The configuration must be installed IAW:

(1) Installation Drawing List, Report ON-2000, Rev, A, dated August 5, 2008, and , Manufacturing Drawing List, Report ON-2001, Rev. A, dated August 5, 2008, for Cessna models 210L & T210L.

(2) Installation Drawing List, Report ON-2002, Rev. A, dated August 5, 2008, and, Manufacturing Drawing list, Report ON-2003, Rev. A, dated August 5, 2008, for Cessna Models 210M & T210M.

(3) Installation Drawing List, Report On-2004, Rev. A, dated August 5, 2008, and, Manufacturing Drawing List, Report ON-2005, Rev. A, dated August 5, 2008, for Cessna models 210N & T210N.

b. The maintenance Instructions for Continued Airworthiness are: O&N Report ON-2009, Rev. IR, dated May 29, 2009, Maintenance Manual Supplement for Cessna 210L/T210L; 210M/T210M; 210N/T210N, with Rolls Royce (Allison) Engine Model 250-B17F/2, is required with this modification for Cessna 210L/ T210L; 210M/T210M; 210N/T210N.

(See Description of Type Design Change continued on Page 4 of 4) SA1003NE

FAA Form 8110-2 (5/14) Page 4 of

4 SA1003NE Date Reissued: January 13, 2017

Description of Type Design Change (continued):

Configuration 2:

c. The FAA approved Airplane Flight Manual Supplements:

(1) Cessna 210L & T210L: Report ON-2006, dated April 3, 2009, or later FAA approved revisions for Cessna Models 210L & T210L.

(2) Cessna 210M & T210M: Report ON-2007, dated April 3, 2009, or later FAA approved revision for Cessna Models 210M & T210M.

(3) Cessna 210N & T210N: Report ON-2008, dated April 3, 2009, or later FAA approved revisions for Cessna Models 210N & T210N.

Configuration 3:

The Rolls Royce 250-B17F/2 with bleed air heated inlet duct installed on applicable models listed below:

a. This configuration must be installed IAW:

(1) Installation Drawing List 100, Report ON-1018, Rev. J, dated December 22, 2010 for Cessna Model P210N and Manufacturing Drawing List 200, Report ON-1019, Rev. F, dated June 23, 2010 for the model P210N.

(2) Installation Drawing List ON-2000, Rev. B, dated December 22, 2010, and, Manufacturing Drawing List ON-2001, Rev. B, dated June 23, 2010 for Cessna Models 210L and T210L.

(3) Installation Drawing List ON-2002, Rev. B, dated December 22, 2010, and, Manufacturing Drawing List ON-2003, Rev. B, dated June 23, 2010 for Cessna Models 210M and T210M.

(4) Installation Drawing List ON-2004, Rev. B, dated December 22, 2010, and, Manufacturing Drawing List ON-2005, Rev. B, dated June 23, 2010 for Cessna Models 210N and T210N.

b. The Maintenance Instructions for Continued Airworthiness are listed below:

(1) O&N Report 1024, Rev. 6, dated December 28, 2010, or later revision, Maintenance Manual Supplement for Cessna Model P210N with Rolls-Royce Allison Engine Model 250-B17F/2, is required with this modification for Cessna Model P210N.

(2) O&N Report ON-2009, Rev. 1, dated December 28, 2010, or later revision, Maintenance Manual Supplement for Cessna 210L/T210L; 210M/T210M;210N/T210N with Rolls Royce (Allison) Engine Model 250-B17F/2, is required with this modification for Cessna 210L/T210L; 210M/T210M; 210N/ T210N.

c. The FAA approved Airplane Flight Manual Supplement:

(1) Cessna 210L & T210L: Report ON-2006, dated January 27, 2011, or later FAA approved Revision for Cessna Models 210L/T210L.

(2) Cessna 210M & T210M: Report ON-2007, dated January 27, 2011, or later FAA approved revision for Cessna Models 210M/T210M.

(3) Cessna 210N & T210N: Report ON-2008, dated January 27, 2011, or later FAA approved revision for Cessna Models 210N/T210N.

(4) Cessna P210N: Report 1020, dated January 27, 2011, or later FAA approved revision for Cessna Models P210N.

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