STC SA216SW

FEDERAL AVIATION AGENCY

SUPPLEMENTAL TYPE CERTIFICATE FORM APPROVED. BUDGET BUREAU NO. O4-R01S

INSTRUCTIONS - SUBMIT IN TRI PLICATE TO LOCAL FAA FLIGHT STANDARDS INSPECTOR.

COPY WILL BE RETURNED TO APPLICANT UPON

ISS U A N C E

1. NAME AND ADDRESS OF APPLICANT E. C. AIRCRAFT, UK.

LUCIAN FIELD P. O. BOB 424B SUBBfBPOEI, LOUISIANA

2. SUPPLEMENTAL TYPE CERTIFICATE APPLIED FOR:

AlRCRAFT PROPELLER

ORIGINAL MODEL DESIGNATION CHAMP IIMI (ABBONPA) 7CCM OR 7PC NE* MODEL DESIGNATION (If NOtE DESCRIPTION OF CHANGE ___ ___ COUVKKSIOM OP AIRCRAFT TO TRI-CYCLE OEAR CONPUNUTNBB IN MUBBIMNHi HIM 1. C.

AIRCRAFT, INC. DRAWINGS 101 REV. A DATED 11/20/61, 102 REV. B DATED 5/DV63, 103 REV. A DATED 11/20/61, 104 BATED 7/11/61, 105 DATED 7/3/61, 106 REV. C BATED 3/4/63, 107 REV. B DATED 3/30/63, 108 REV. C DATED 3/30/64, AHD 109 BBV. B DATED 5/11/63.

HOTBBl

1. HIM MAIN OBAB (ITEM 201 (•) OF AIRCRAFT SFUC A-759 IS REQUIRED.

2. THE FOLLOWING ABE REQUIRED FOB INCREASING OBOBS HEIGHT TO 1350 POQNM.

A. UNO BTNONE QUO LANDINO OEAR, ABBONCA P/N 3*665.

B. PLACARD 01 DNtlilBNBI PANELi "INfEMlOHAL SPINHINC PBOBIBITSD".

3. THE C.6. RANBB FOB THE MOOIFIH) AlNCRAFT Ii! AU FOLLOWS;

+15.0 TO +20.4 AT MAUMDM GNBM UEZOiX 1350 POUNDS _ +10.0 10 +20.4 A? 1037 POUNDS OR LESS WITH STRAIGHT LIHB VARIATION BETMEBN DOSE POINTS.

»». WILL DATA BE AVAILABLE FOR SALE OR RELEASE TO OTHER PERSONS?

b. WILL PARTS BE MANUFACTURED FOR SALE (Set. CAK I.3S)» VES YES NO 5- SIGNATURE AND TITLE OF APPLICANT 7, 1961 SIGNATURE

DATE OF APPLICATION TITLE

6. To fee Camp!***! by FAA

NATURE AND LOCATION OF DATA DATA LISTED pi ITEM 3 ABOVE, TIR A65S-2S, K. C. AIRCRAFT DATED ADBWT 1962, CflAMtlON SERVICE LETTERS 13 AND 14, ASD DRAtflNGS 7-1050 AND 7-1070 OH nu AT aw-no.

APPLICABLE REGULATIONS CAR 4a, APRIL 7, 1960 AMENDMENT 4a-l.

ORIGINAL TYPE CERTIFICATE NO.

759 JPPLEMENTAL TYPE CERTIFICATE NO.

SA216BW

DATE OF APPROVAL JULY 25, 1*63 FAA APPROVAL.

$16NATURE . H.

CHIEF, AND MANUFACTURING TITLE FORM FAA-Z417 (5-S9)