STC SA515NE

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

Part of the

Signature

Title SA515NE Griggs Aircraft Refinishing, LLC.

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

3/23

1. Installation of an Aft Baggage Compartment Auxiliary Fuel Tank and Transfer System to the Right Wing Tank in accordance with O&N Aircraft Modifications' Data:

a. Configuration No. 1: 18 Gal. Fuel Tank

(1) Installation Instructions Report no. ON1006 dated 5/19/87 (See Description of Type Design Change continued on Page 3 of 3)

1. Configuration No. 2 (28 Gal. Fuel Tank) is only eligible on Cessna Models 210N, T210N, 210R , and T210R.

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 210L, T210L, 210M, T210M, 210N, T210N, 210R, T210R June 10, 1987, June 8, 2015, September 4, 2015, October 15, 2015, June 22, 2016, January 13, 2017 January 12, 1987 May 20, 1987 3A21 3

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

To (Name and address of transferee)

From (Name and address of grantor)

3 SA515NE

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

3 Date Reissued: January 13, 2017

Description of Type Design Change (continued):

1. a. (2) Installation Drawing list No. T210100 (Report No. ON1000) dated 3/10/87.

b. Configuration No. 2: 28 Gal. Fuel Tank

(1) Installation Instructions Report No. ON1007 dated 5/19/87.

(2) Installation Drawing list No. T210400 (Report No. ON-1002) dated 3/25/87.

2. Aircraft Flight Manual Supplement (AFMS):

a. Configuration No. 1

(1) Cessna Models 210L, T210L, 210M, and T210M require O&N Modifications Airplane Supplemental Flight Manual No. 1, Revision A, FAA Approved June 10, 1987.

(2) Cessna Models 210N and T210N require O&N Modifications AFMS No. 2, Revision A, FAA Approved June 10, 1987.

(3) Cessna Models 210R and T210R require O&N Modifications AFMS No. 3, Revision A, FAA Approved June 10, 1987.

b. Configuration No. 2

(1) Cessna Models 210N and T210N require O&N Modifications AFMS No. 4, Revision A, FAA Approved June 10, 1987.

(2) Cessna Models 210R and T210R require O&N Modifications AFMS No. 5, Revision A, FAA Approved June 10, 1987.

-----------END-----------

SA515NE