# STC SR04569NY - Type: Supplemental type certificate - Status: Current, Issued - Holder: Alpine Aerotech LP, Canada - Description: Installation of the Garmin GTX 3x5 ADS-B Transponder - Applied: October 20, 2020 - Status date: December 10, 2020 - Product: Aircraft, Rotorcraft - Certification basis: Part 29 - Data sheets: [TCDS H1SW](https://openairdocs.org/tcds/H1SW), [TCDS H4SW](https://openairdocs.org/tcds/H4SW) - Certificate PDF: https://openairdocs.org/files/sha256/92/f1/92f1024fb467ceb760b86148ec34024d50af519345fc87b6ddc2858361662043 - Approved model list and other attachments: [SR04569NY_AML.pdf](https://openairdocs.org/files/sha256/7e/26/7e264832f6be058e76c200497d772c0eb696933586fb813491fd0e913b214168) - FAA DRS: https://drs.faa.gov/browse/excelExternalWindow/A407F842C5BC0F97862586A7006A2BE7.0001 - DRS record last changed: October 14, 2026 - Page: https://openairdocs.org/stc/SR04569NY ## ADs that name it (0) None. ## Approved models (6) - Bell Textron Inc. 205A ([TCDS H1SW](https://openairdocs.org/tcds/H1SW)) - Bell Textron Inc. 205A-1 ([TCDS H1SW](https://openairdocs.org/tcds/H1SW)) - Bell Textron Inc. 205B ([TCDS H1SW](https://openairdocs.org/tcds/H1SW)) - Bell Textron Inc. 212 ([TCDS H4SW](https://openairdocs.org/tcds/H4SW)) - Bell Textron Inc. 412 ([TCDS H4SW](https://openairdocs.org/tcds/H4SW)) - Bell Textron Inc. 412EP ([TCDS H4SW](https://openairdocs.org/tcds/H4SW)) ## What the certificate says Read from the PDF's text layer, without the form's printed wording; the layout is lost and the order can differ. The PDF is the record. FAA Form 8110-2 (10/20) SUPERSEDES PREVIOUS EDITION Page 1 of ___ United States of America Department of Transportation Federal Aviation Administration Supplemental Type Certificate Number: Part of . IMPORT SR04569NY Alpine Aerotech LP 1260 Industrial Road West Kelowna, BC Canada V1Z 1G5 29 Title 14 Code of Federal Regulations *See attached FAA Approved Model List (AML) No. SR04569NY for a list of approved aircraft models and applicable airworthiness regulations. 1. Installation of the Garmin GTX 3x5 ADS-B Transponder must be done in accordance with Transport Canada Civil Aviation (TCCA) approved Alpine Aerotech (AAL) Installation Instructions referenced on AML No. SR04569NY. 2. Operation must be done in accordance with AAL Flight Manual Supplement referenced on AML No. . SR04569NY. (Description of Type Design Change Continued on Page 3 of 3) 1. 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. (Limitations and Conditions Continued on Page 3 of 3) 10/20/2020 12/10/2020 Timothy J. Hadsall Acting Manager, New York ACO Branch Compliance & Airworthiness Division Aircraft Certification Service 3 FAA Form 8110-2 (10/20) SUPERSEDES PREVIOUS EDITION Page 2 of ___ United States of America Department of Transportation Federal Aviation Administration Supplemental Type Certificate Number: **IMPORT SR04569NY SR04569NY 3** FAA Form 8110-2 (10/20) SUPERSEDES PREVIOUS EDITION Page ___ of ___ United States of America Department of Transportation Federal Aviation Administration Supplemental Type Certificate (Continuation Sheet) Number: IMPORT SR04569NY Date of Issuance: December 10, 2020 Description of Type Design Change (continued): 3. Maintenance must be done in accordance with TCCA accepted AAL Instructions for Continuing Airworthiness referenced on AML No. SR04569NY. 4. Definition of Type Design Change is found in TCCA approved AAL Master Data List referenced on AML No. SR04569NY. 2. The installer must determine whether this design change is compatible with previously approved modifications. 3. This STC is applicable to all serial numbers for this Make - Models. 4. A copy of this certificate and the FAA Approved Model List (AML) No. SR04569NY, issued December 10, 2020, must be maintained as part of the permanent records for the modified aircraft. ----------END---------- 3 3 ### SR04569NY_AML.pdf FAA APPROVED MODEL LIST (AML) No. SR04569NY ALPINE AEROTECH LP FOR GARMIN GTX 3x5 ADS-B TRANSPONDER Page 1 of 2 Original Issue Date: December 10, 2020 **ITEM MAKE MODEL CERT BASIS** **TCDS REQUIRED DOCUMENTATION AML AMEND- MENT DATE** **INSTALLATION** **INSTRUCTIONS FLIGHT MANUAL** **SUPPLEMENT** INSTRUCTIONS for CONTINUED **AIRWORTHINESS** **MASTER DATA LIST** Bell 205A, 205A-1, 205B **. H1SW Alpine Aerotech (AAL) Installation Instructions AAL-280-085- 001, Rev. NI, dated October 2, 2020, or later TCCA approved revisions. AAL Flight Manual Supplement AAL-280- 085-401, Rev. NI, dated October 2, 2020, or later TCCA approved revisions. AAL Instructions for Continuing Airworthiness AAL- 280-085-701, Rev. NI, dated October 2, 2020, or later TCCA accepted revisions. AAL Master Data List AAL-280-084- 001, Rev. NI, dated October 2, 2020, or later TCCA approved revisions. N/A 212, 412, 412EP ** H4SW **Certification Basis Based on title 14 Code of Federal Regulations (CFR) 21.115 and 21.101, and the FAA policy for design changes that are identif ied as not significant in FAA Order 8110.48, the type certification basis is as follows: a. The type certification basis as shown on Type Certificate Data Sheets (TCDS) for parts not changed or not affected by the change. b. The type certification basis for parts changed or affected by the change is TCDS in addition to: • 14 CFR Part 29.301, 29.303, 29.305, 29.307, 29.561, 29.601, 29.603, 29.605, 29.609, 29.611, 29.619, 29.625, 29.777(a), 29.1301, 29.1307(d)(e), 29.1327, 29.1381, 29.1431, and 29.1541 at Amendment 29-0 • 14 CFR Part 29.773(a) at Amendment 29-3 • 14 CFR Part 29.29, 29.1581 at Amendment 29-15 • 14 CFR Part 29.1529 at Amendment 29-20 FAA APPROVED MODEL LIST (AML) No. SR04569NY ALPINE AEROTECH LP FOR GARMIN GTX 3x5 ADS-B TRANSPONDER Page 2 of 2 b. The type certification basis for parts changed or affected by the change is TCDS in addition to (continued): • 14 CFR Part 29.853(a) at Amendment 29-23 • 14 CFR Part 29.771(a), 29.1333, 29.1357, 29.1555(a), 29.1585 at Amendment 29-24 • 14 CFR Part 29.613 at Amendment 29-30 • 14 CFR Part 29.1309 at Amendment 29-40 • 14 CFR Part 29.1351(a), 29.1359 at Amendment 29-42 FAA Approved: Timothy J. Hadsall Acting Manager, New York ACO Branch Compliance & Airworthiness Division Aircraft Certification Service ## Every issue (1) - December 10, 2020: Issued, Current. [certificate](https://openairdocs.org/files/sha256/92/f1/92f1024fb467ceb760b86148ec34024d50af519345fc87b6ddc2858361662043), [SR04569NY_AML.pdf](https://openairdocs.org/files/sha256/7e/26/7e264832f6be058e76c200497d772c0eb696933586fb813491fd0e913b214168) --- OpenAirDocs.org is an independent research project of [Contrail Labs](https://contraillabs.com/). It is not affiliated with the FAA or the NTSB. Source documents are U.S. government works in the public domain.