STC SR04172AT

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

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Signature

Title 3 SR04172AT FFC Manufacturing 4010 Pilot Dr., Suite 103 Memphis, TN 38118 Federal Aviation Regulations 27 Installation of replacement fuel cell assemblies according to FFC fuel cell instructions document 6858 Rev. A, dated February 14, 2013 and fuel cell assembly document 6658 Rev. A, dated February 14, 2013 or later FAA Approved Revisions.

This approval should not be extended to other aircraft of this model on which other previously approved modifications are incorporated, the installer must determine whether the design change is compatible with previously approved modifications and will produce no adverse effect upon the airworthiness of that airplane. If the holder agrees to permit another to use this certificate to altar the product, the holder shall give the other person written evidence of that permission.

Melvin D. Taylor, Manager Atlanta Aircraft Certification Office Bell 206A-1 (OH-58A)

June 29, 2013 September 9, 2014 H2SW

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

To (Name and address of transferee)

From (Name and address of grantor)

3 SR04172AT

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

3 Certification Basis:

Based on 14 CFR 21.115 and 21.101 and the FAA policy for significant changes in FAA Order 8110.48, the certification basis for installation of the modified fuel right hand and left hand fuel cell bladder for Bell 206A-1 (OH-58A) is as follows:

a. The type certification basis for the Bell Helicopter Textron Canada Limited 206A-1 (OH-58A) series aircraft is shown on the TCDS H2SW for parts not changed or not affected by the change.

b. The certification basis for parts changed or affected by the change since the reference date of application June 29, 2013, is based upon part 27 as amended by Amendment 27-47. Based on 14 CFR 21.115 and 21.101, and the FAA policy for significant changes in FAA Order 8110.48, the certification basis for this modification was determined to be:

Regulations at the latest amendment 27-0 through 27-47

27.25(a)(b), 27.27(a)(b)(c), 27.301(a)(b)(c), 27.303, 27.305(a)(b), 27.337(a)(b), 27.341, 27.605(a), 27.901(b), 27.952(a), 27.963(a)(b)

(c)(g), 27.965(a)(c), 27.967(a), 27.1301(a)(b)(c), 27.1519, 27.1529

Eligibility

Floats and Fuel Cell Manufacturing part number 6658-1 is a replacement for Bell Helicopter OEM fuel cell part number 206-062-602-3

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.

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SR04172AT