STC SA3661NM

United States of America Department of Transportation Federal Aviation Administration Supplemental Type Certificate Number: SA3661Nx This certificate issued to: Laverne Tegland Par 42 of the CiViI Air Regulations Original Product - Type trertificate Number: A-691 Make: Piper Model: J3C-65 Description of Type Design Change: Installation of a Franklir 4AC-176-BA2 engine, cowling/baffling, engine mount and a Flottorp (Univair) 72K48E (Wood) propeller in accordance with Laverne Tegland photos (1) through (4).

NOTE: All items above were from a Piper J3F-65 aircraft as specified in Section III of aircraft specification No. A-692.

Data pertaining to this modification are considered inadequate for duplication in other aircraft. This approval is limited to the installation in Piper J3C-65, Serial No.

22898 only. A copy of this Certificate and Addendum No. 5A3661NM shall be maintained as part of the permanent records for the modified aircrai..

Date of Application: October 10, 1985 Date Reissued:

Tale sf issuance: December 10, 1986 Date Amended:

FEDERAL KVIATION By direction of the Id, Dang GAmi TOMINIS TRAIN O Acting Manager, Seattle Aircraft Certification Office ( Fille)

47.

FAA FOR 8110-2 (10-68)

United States of America Department of Transportation Federal Aviation Administration Supplemental Type Certificate (Continuation Sheet) Number: SA366114 Supplemental Type Certificate ADDENDUM NO. SA3661NM The conditions and limitations of Type Certificate Data Sheet No. A-691 apply except where superseded by the following:

Supplemental Type Certificate Addendum, which is part of STC SA3661NM, prescribes the conditions and limitations under which the product for which the STC was issued meets the airworthiness requirements of the Civil Air Regulations. A copy of this STC Addendum is required to be maintained as part of the permanent records for the modified aircraft.

Supplemental Type Certificate HOLDER: Laverne Tegland I. MODEL J3C-65 2PCLM (NORMAL CATEGORY) AS MODIFIED EI STC SA3661NM Engine: Franklin 4AC-176-BA2 Fuel: 80/87 Octane Minimum Grade Aviation Gasoline Engine Limit: All operation 2300 rpm (65 Hp) Propeller & Propeller Limits Flottorp (Univair) 72K48E Diameter: Maximum 72" Minimum 70" Static Limits:

Maximum 2300 rpm Minimum 1950 rpm Maximum Weight: 1220 pounds Serial Nos. Eligible: 22898 only

FAA FORM 8110-2-1 (10-69) PAGE 3 OF 4 PAGES

United States of America Department of Transportation Federal Aviation Administration Supplemental Type Certificate (Continuation Sheet) Number: SA3661NM Supplemental Type Certificate ADDENDUM NO. SA3661NM NOTE: Current weight and balance report including list of equipment in the certified empty weight must be in the aircraft.

NOTE: The following placards must be displayed adjacent to or in close proximity to the aircraft identification plate:

ENGINE INSTALLATION FRANKLIN 4AC-176-BA2 PER STC SA3661NM Make: 12/10/86

FAA FORM 8110-2-1 (10-69) PAGE 4 OF 4 PAGES