STC SA1292NW

Number SA1292NW

This certificate, issued to Blue Mountain Aero, LLC PO Box 5 Jefferson, OR 97352

Part 8 of the Civil Air Regulations.

Original ProductType Certificate Number: 1A16 Make: Grumman American Aviation Corporation Model: G-164, G-164A and G-164B

Description of the Type Design Change: Installation of Blue Mountain Aviation Night Lights Kit (including instrument panel lights) for spraying in accordance with Blue Mountain Aviation Master Document List (MDL) No.

BMA-10001.

NOTE: ADD PLACARD

Limitations and Conditions: Approval of this change in type design applies to the above model aircraft only.

This approval should not be extended to other aircraft of this model series unless the installer determines that the relationship between this change and any other previously incorporated approved modifications will introduce no adverse effect upon the airworthiness of that aircraft. A copy of this certificate must be maintained as part of the permanent records for the modified aircraft.

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

Date of application: August 31, 1981 Date reissued: December 7, 1987; June 8, 2019 Date of issuance: August 25, 1981 Date amended: May 30, 1984

FAA FORM 8110-2 (5/14) PAGE 1 OF 2 PAGES By direction of the Administrator

(Signature)

Acting Manager, Seattle ACO Branch (Title)

THIS AIRCRAFT APPROVED FOR

BOTH DAY AND NIGHT VFR FLIGHT WITH INSTALLATION OF STC SA1292NW

Transfer the ownership of Supplemental Type Certificate Number

to (Name of Transferee)

(Address of Transferee)

(Number and Street)

(City, State, and ZIP Code)

from (Name of Grantor) (Print or Type)

(Address of Grantor)

(Number and Street)

(City, State, and ZIP Code)

Signature of Grantor (In Ink):

U.S. GPO: 1987-763-289