What it approves
Fabrication of Simplex Model 204 Agricultural Spray System
What the certificate says
From the PDF’s text layer, without the form’s printed wording. Layout and order may differ; the PDF is the record.
Number SR02276SE
This certificate, issued to Simplex Manufacturing Co, Inc.
13340 NE Whitaker Way Portland, Oregon 97230
Part 29 of the Federal Aviation Regulations.
Original ProductType Certificate Number: H4SW Make: Bell Helicopter Textron Model: 212
Description of the Type Design Change: Fabrication of Simplex Model 204 Agricultural Spray System in accordance with Simplex Master Drawing List No. MDL204, Revision B, dated April 8, 2013, or later FAA- approved revision; and installation of this system in accordance with Simplex Installation Manual Document No.
204-102002-001, Revision B, dated June 26, 2013, or later FAA-approved revision.
Limitations and Conditions: Approval of this change in type design applies to the rotorcraft listed above only.
This approval should not be extended to other rotorcraft of this model on which other previously approved modifications are incorporated unless it is determined by the installer that the relationship between this change and any of the other previously approved modifications, including changes in type design, will introduce no adverse effect upon the airworthiness of that rotorcraft. The modified rotorcraft must be operated in accordance with the FAA-approved Rotorcraft Flight Manual Supplement (RFMS) No. 204-102003-001, Revision IR, signed July 8, 2013, or later FAA-approved revision. This modification must be maintained in accordance with Simplex Instructions for Continued Airworthiness (ICA) Document No. 204-102005-001 ICA, Revision B, dated April 9, 2013, or later FAA-accepted revision. A copy of this Certificate, the RFMS, and the ICA must be maintained as part of the permanent records of the modified rotorcraft.
(See continuation page 3 for additional Limitations and Conditions)
Date of application: August 27, 2012 Date reissued:
Date of issuance: July 11, 2013 Date amended:
(Signature)
Acting Manager, Seattle Aircraft Certification Office (Title)
Number SR02276SE
Simplex Manufacturing Co, Inc.
Issued: July 11, 2013 Reissued:
Amended:
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.
STC Compatibility:
This STC has not been shown compatible with night vision systems.
Certification Basis:
Airworthiness Standards for components and areas not affected by the change are the original type certification basis for the aircraft model Bell 212 as shown on Type Certificate Data Sheet (TCDS) H4SW Revision 28.
For parts changed or affected, the following regulations apply through amendment noted, all other regulations per TCDS H4SW:
29.29 [15] 29.51 [39] 29.65 [39] 29.141 [24] 29.143 [24] 23.175 [51]
29.771 [24] 29.1309 [24] 29.1322 [12] 29.1351 [14] 29.1353 [15] 29.1357 [24]
29.1555 [24] 29.1581 [15] 29.1359 [42] AC29-2C, MG 5 12/15/2009
- END -
FAA FORM 8110-2-1 (10-69) PAGE 3 OF 3 PAGES
ADs that name this STC · 0
An AD can apply because an STC is installed, or mention one in its text.
Approved models · 1
| Make | Model | Data sheet |
|---|---|---|
| Bell Helicopter Textron Inc. | 212 | H4SW |