152 Rainbow Rd •' ` DAVIE COUNTY ENVIRONMENTAL HEALTI3
� P.O.Box 848/210 Hospital Street
Mocksville,NC 27028
(336)753-6780/Fax#(336)753-1680 �
• REPAIR OPERATION PERMIT
Accau�t #: 990005989 �'ax�FI�iEN#: E60000003801 ' . .
Billed To: James Coffey Suf�divi�iari lnfu; . _ ,. � �
f.�fer�r�ce Na���: REPAIR PERMIT :�: ? :;�LocatiotllAdd���s:;v"152 Rainbow Road-27006 . .: ..
Propc�sec9 F��:ifif�: Residential Repair � -=•�: _`,:�;�•�E���rty�Six.eti . 1.s10 Ac . • . �
a�TC*Pk�alE�3�,'t*Tfi@9�uance of this Operation Permit'shall`indicate the::s�sfem described on the ATC has been installed � ..., .
in compliance with Article 11 of G.S.Chapter 130A, Section :1900"Sewage Treatment and Disposal Systems,"
but shall in NO WAY be taken as a guarantee that the systern will function satisfactorily for any given period of
time. . , �
System Type: nA�rS.T.l�ant�fachirer I 11 Tarilc Date � Tank Size � .
Pum Tank Siz� Bedrooms 3�
P
System Installed By:����r1 �,��,, 1�� � Installer#: Date: , ZD z
GPS Coordinate: .
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Environmental Health Specialist: Date: � � � Z
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DCHD 1 1/06(Revi�d) � .
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y � DAVIE COUNTY ENVIRONMENTAL HEALTH
P.O.Box 848/210 Hospital Street
Mocksville,NC 27028
� -' .
. � (336)753-6780/Fax#(336)753-1680 ,
AUTHORIZATION FOR WASTEWATER SYSTEM CONSTRLJCTIOIY •
Acct►u�t #: 990005989 � . ' � � � '��x Pi�€fEH#: E60000003801
BiEle;�70: James Coffey : � Suf�divisiari I�if�; :
Refer�nce {����e:: REPAIR PERMIT . . . .. . ; Loc�iionfAddr`�ss:?.152Rainbow Road-27006. ' : :: . ,
` Pro�os�rJ Faci€ify: Residential Repair '.,,.,:. .�. . ; ; Pfo�er�y�S�x.e:� =_�'t:910 Ac . � . , , , , ; ;
t ,
' ' Site Type: ONew �'iRepair ❑Expansion
t�TC t�urnber: 6013 . , , , :.. . . �
*.*NOTE**This Authorization to Construct(ATC)MIJSTBE ISSUED by the Davie County Environmental
Health Section prior to.issuance ofany building permit(s),(in compliance with Article 11 of G.S.Chapter 130A .
Wastewater Systems,Section.1900 Sewage Treatment and Disposal Systems). THIS AUTHORIZATION TO
CONSTRUCT IS VALID FOR A PERIOD OF FNE YEARS. This ATC is subject to revocation if site plans,plat
;i�;•.
or the intended use change.
Residential Specifications: #Bedrooms�#Bathrooms�#People�Basement0 Basement plumbing�
Non-Residential Specifications: Faeility Type � People #Seats �
Square Footage(or Dimensions ofFacility) � �
Lot Size�"G� Type of Water Supply: [�.County/City OWell ❑Community Well
� System Specifications: Design Wastewater Flow (GPD)�,�Tank Size l5 L'�L.Pump Tank � GAL.
� (J
Trench Width,��� Max.•Trench Depth�� Rock Depth� Linear Ft. )__�/�
Site Modifications/Conditions/Other:. K-��E�� �
Contact the Davie County Environmental I3efilth Section for final inspection of this system between
' 8: —9:30a.m.on the da of installation. Tele hone# 336 51-8760.
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Environmental Health Specialist • � Date:�iZ � 7�l�
DCHD 1]/06(Revised) .
� .' .�App.raisal Card Page 1 of 1
DAVIE COUNTY NC 12/28/2012 9:18:08 AM
OFFEY 7AME5 D COFFEY GRLA ANN P . Retum/Appeal Noter. � E6-OOM00-038-01
152 RAINBOW RD UNIQ ID 6449
16288250 D135-P27 ID N0:5851858349 Q � .
COUNiY TAX(100),FIRE TAX(100) . fARD NO.1 of 1 . �
Reval Year:2009 Tax Year:2013 1.911 AC RAINBOW RD 1.910 AC SRC�InspeRlon . �
raised b 28 on 03/24/2009 03008 REDLAND RD TW-03 � - G EX-AT- LAST ACTiON 20300922 �:,
CONSTRUCTION DETAIL MARKET VALUE DEPRECIATION CORRELATION OF VALUE ,'J �
Founda[ion-3 EH. BASE Scandard 0.2100 m
ontlnuous Footln ' S.0 US MO Area UA RATE RCN EYB AYB REDENCE TO MARKET . '� .
ub Floor System-4 Ol 01 1 941 135 93.35 180804 1988198 %GOOD 79.0 � DEPR.BUILDING VALUE-CARD 142 84 i; �
1 ood 6•� DEPR.OB/XF VALUE-CARD 5,46 m
Merior Walls-21� TYPE:Singie Family Residential Single Family Residentlal N
MARKET LAND VAWE-CARD 34,53 .
ace Brick 34.0 STORIES:5-Ranch w/basement � �
oofing S[ructure-03 � . OTAL MARKET VALUE-CARD 182,83 �
able 8.0
oofing Cover-12 . OTAL APPRAISED VALUE-CARD 182,83
etal � 5.0 � , � - OTAL APVRAISED VALUE-PARCEL 182,83
- nterlor Wall Construdion-5 � -
all/Shee[rock 20A � OTAL PRESENT USE VALUE-PARCEL .
nterior Floor Cover-OS � � . � OTAL VALUE DEFERRED-PARCEL
heet Vin I/Laminate 6.0 .. OTAL TAXABLE VAWE-PARCEL 182,83
� nterior Floor Cover-14 � -
� aret 0.0 +----25----+ � � VRIOR �
Heating Fuel-04� I��P 9 . � UILDING VALUE 129,85 �
Electrk 1A I +----25-- --+----24----+ . BXFVALUE
eating Type-10 � 2 I F B M I U B M I ND VALUE , 28,15 .
eat Pum 4.0 7 I � I I RESENT USE VALUE
ir CondiCioning Type-03 I 1 . I I EFERRED VALUE . � �
entral 4.0 I � , I � I OTAL VALUE 158 00
Bedrooms/Ba[hrooms/Half-Bathrooms I I Z Z -
� 3 2/0 12.00 +""Z 5"'-+ , 7 � 7 .
I I I
Bedrooms � � 9 I I y �
BAS-3 FUS-0 LL-0 I I I PERMIT �
Bathrooms +----2 5----+----2 4----+ CODE DATE NOTE NUMBER AMOUNT a
BAS-2FUS-OLL-O � � ^�
n
OTAL VOINT VALUE 107.00 +-1 4--+ OUT:WTRSHD: c
� BUILDING AD7USTMENTS . � I W D D I SALES DATA L �
ize 3 Size 1.000 1 1 FF. �
uall 4 ABAVG 1.200 2 2 RECORD DATE INDICATE o
' +--17---+-14--+--38---+ DEED SALES o
ha e/Desl n 4 FACTOR 4 1.050 I g A 5 I . BOOK PAGE M R TYPE U PRICE p,� �
OTALADJUSTMENTFACTOR 1.26 I I � 0311 204 7 199 WD U I 0 � -
� OTAL QUALITY INDEX � 13 I � I 0144 374 7 198 WD U V 0 `�„
. � 2 . 2 0114 374 7 198 WD U V 0
7 7
I I
I I
2 I
�� � +-11-+----28-----+-10-+ NEATEDAREA1,998
SFOP 5
+----28-----+ - NOTES
ORR'09
AYCAREIN BASEMENT �
SUBAREA UNIT ORIG% ANN DEP % OB/XFDEPR.
GS ODEDESCRIPTIONLTH HUNIT PRIGE COND BLDG L/B AYB EYB RATE V COND VALU
TVPE AREA % RPL CS 2 ARAGE 31 Z 68 20.0 10 L 197 198 S 4 545 ,
. BAS 1 32 30 12323 OTAL OB %F VALUE 5 45 �
FBM 67 45 2831 . � .
FOP 14 3 456 � �
BM 64 2 1211 . � �
UCP 675 15 940 � � � �
DD 16 2 316
FIREPLACE 1-None .
UBAREA � � � � �
OTALS 3,62 180,80
BUILDING DIMENSIONS BA5=W18WDD=N12W14512E14$W31527E11FOP=SSE28NSW28$E38N27;PTR=N20 UBM=N27W24FBM=W25 UCP�N9W25527E25N18$527E25N27$527E24 �
520 .
ND INFORMATION � � � .
HIGMEST TMERAD7USTMENTS LAND TOTAL
ND BEST USE LOCAL FRON DEPTH/ LND COND ND NOTES ROA UNIT LAND UNT TOTAL AD]USTED LAND LAND
SE CODE ZONING TAGE DEPTH SIZE MOD FACT RF AC LC TO OT TYPE VRICE UNITS TVP AD)5T UNIT PRIGE VALUE NOTES
RURAL AC 0120 161 0 1.7850 4 1.1500+03+12+00+00+00 FW 8 800.0 1.911 AC 2.05 16 066.4 3452
� OTAL MARKET LAND DATA 1.911 34 53 �
OTAL PRESENT USE DATA
- ����'� �
http://maps.co.davie.nc.us/ITSNedAppraisalCard.aspx?parce1=E60000003801 12/28/2012
_ . , . lUO ��(/Vli� .��' _
�. , -... � . ..... :..._ _ . _.. . - � I�2� �j�/�au�-----__._ . _.___... ..... ..
� o�oeoaJ��� �
DnRedby: Parke Ro�,ezte
MQIa� Grantees IP. /- �7C�.a 7� �10�.-�...�e� C�1 .
. (wm.l - urt.ne umWry . IGb tst.b) ( �ol
Malt futwe hx b�lls to: .
,. . . . .....� (N�m�) . ( t�wt�nd.NumWr) (CItY) (ll�Ul� ( IV) � � �
7HtS DEED M�de this the 6th day of JuIY .19 88 by • • .
Ralph E_ Pazden and vife. CarolqaE.'P�rdon
of Fonyth Counry,North Carolin�,
��� ies of the first put,to James Dennis Coffey and vife. Carla Ann P. Coffey
of Forsyth Counry,North Cuolin�,p�rt 1e�_of the ucond port;
Witnesxth that the nid part iee ot the tnt part,in con:iden�ion ot(S 10,00 o.v.c. � ?en Dollars 6 �
Other Yaluahie Consideratione� �o them qid by the�aid put.�4,of the ncond
qrt,lhe receipt of which is hereby acknowiedged,h�s/h�ve bargatned and sold,ond by these presen�eV�_bugaln,uU md eon• '
vey unto the pid parl_lsn_of the xrnnd part and cheir heirs a tnct or p�rcd of land in�t}�(County,Nortfi Grdin�, In
Township,and bounded u follows:
DECINNING at en iron stake located in the Nortlisast sigDt of wsy line of N.C. State
Road /14b1� (being the New Rainbow Roed) aaid bQginning point being located at the ,
Southeaet�sn corner of property now or formerly oaned by C. H. Dunn; running thenca .
vith esid Aunn property North 48 deg. 55' East 230.23 feet to an iron and Horth 16
deg. 30' Weat 101.90 feee to an iron etak�. a corner of C. H. Dunn in tho line of
, Jake $lackvell; running [hence South 37 deg. 07' Eaet 264.54 fent to an iron;•running .
theace•South 52 deg. 21' Weet 241.43 feet to. an iron atake located in the Northeaat ,
right of vay line of N.C. State Road /1441; running thence with the Northaast right �.
of way line of eaid road North 45 deg. 56' Weat 157.37 feet to ehe polno and place ,
of beginnlog. Contnininq 1,0� acre mare or less. Alea bcing the Southweat portion ��
ot u 3.77 acru tract Jcecribed !n Dc�J nE Truet to Pirdmont Fedcrnl 5nvinga 6 Lonn �
Aaeaciation recorded in Deed of Trust Book 126� pag� 632 in the Offlce of the
Regiater of Deede, Davia County. North Carolina. .
�,
� NO TAXABtE CONSiDERATION STATED ���
MOPERTV ADDRESS � � � BLOCK LOT ��
The�bove Imd was canveycd l0 granlor by __...__...(Stt Book No. P�;e )
TO HAVE AND TO HOLD lhe aforesaid Iroct w putei of land all prNilege�snd�ppurttnanen thcreunto belon`in�to lh�pid put � -
iee of the ucond p�rt and their heirs�nd�ssiQns forevet.And the uid part iea of tho tirst put do cov-
emM lhat ��1ey is/ue sctzed uf said premisa in fee and �have the right to convey the s�me in fa�fmple;that the same 1"
�rc frce hom encumbnnces:and that rhev wpl warr�nt and defend Ihe said tilk to the s�me�Qains��he claims of�il persons
�����i save and except easementa and raetriceioaa of racord, if any, and 1988 taxea. �
IN�M��Ei�hqsoid part of the fint part ! reunro t�heir nd• and ual °
��f �5a1) •S�Cl�G�Ef?1! (Sca11 . .
Ral E. Yard n ;�,al) ar yn E. Yazdon ���� ,
STATE OF NORTH CAROLINA-Fonyth County
I, a Nutary Publie of Fotayth County,Notth Carolina;
do hercby certify Ihat Ralph E`Pardon and vife� Carolyn_E_Pardon _ '
aronroQs),each personally appeued befure me this day and acknowkdgeJ the eaecudun of the Wregufng deed of tomey�nca.
(Noqri�l Stunp or Seal) W��^ess my hand and notorial ieal or stamp this the day of .1R '
My commission exptru ,19_ ,Notory Pubiic
e . '
STATE OE NORTH CAROLINA-�O�jJmtCouary
�, Nan4Y'h�tterow, Assistant Peai�ter ef nr�4 n of v B
dh�m�ca�d�i9mptt�County,Notth C�rolina.
do hereby certify Ihat��E• P��Cax+alyn_E.__P�� ►+i�Ui�fB —
6nntor(s),ach penonaily appeared before me lhis day and acknuwiedged the executton of the fureguinQ deed ot conveymce.
(Notarid Stamp or Sed) W�tness my hand and-nuh++eF+e�er�Ne�{hia the._18__day of July ,19�_
��'K. 3nfth��egister o D�eds � .
My eommiuian expircs ,19� , .�
STATE OF NORTH CAROLlNA-Fonyth Counry
.r�.� „�
' �i1� (h�r�ylv�Mm��n0 011'Kial li�l�ol 111�oflitN Iiywiny IM culiliNl��p�fuU uPen) - '
-i�{,�}wr • his Ihe i8- day of J�v _,19�8._At
r'ecozded in Deed Baok 144, t�a5e 374. J. I�. 9m�t�
STAMPS�S� �.Register�da
� Prob�te and filing fee S paid �
. � . . g�L/_/��-•-,/.../ � �pqhAuistanl . . -
Appraisal Card Page 1 of 1
4.. , .I . . . . .
DAVIE COUNTY NC 12 27 2012 30:06:22 AM
OFFEY 7AME5 D COFFEY CARLA ANN G � � - Retum/Appeal Notes: E6-000-00-038-01 .
152 RAINBOW RD � � UNIQ ID 6449
- 16288250 . D135-P27 • ID NO:5851858349 � �
COUNTY TAX(100),FIRE TAX(100) CARD N0.1 of 1 �
eval Year:2009 Tax Year.2013 1.911 AC RAINBOW RD � . � 1.910 AC SRC=Inspection :
raised b 28 on 03/24/2009 03008 REDLAND RD TW-03 C- EX-AT- LAST ACiION 20300922 �
CONSTRUCTION DETAIL MARKET VALUE DEPRECIATION CORRELATION OF VALUE n �
T
oundatlon-3 . Eff. BASE StandaM 0.2100 m �
ntinuous Footin 5.0 US MO Area UA RATE RCN EYB AYB REDENCE TO � MARKET � "S .
� ub Floor System-4 � � � �
I wood 8.0 Ol 01 1 941 135 93.15 1808041988198 ^/o GOOD 79.0 DEPR.BUSLDING VALUE-CARD 142 840 r
Merlor Walls-21 � TYPE:Single Famiiy Residen[lal Single Family Residentlal EPR.OB/XF VALUE-CARD � 5,46 N �
MARKET LAND VALUE-CARD 34,53
ace Brlck 34.0 �OR1E5:5-Ranch w/basement OTAL MARKET VAWE-CARD � 182,83 � ,
ooflng 5[ructure-03 . ' -
able 8.0
�ng Cover-12 . OTAL APPRAISED VALUE-CARD 182,83 �
� etal SA � OTAI APPRAISED VALUE-PARCEL 182,83 �. . -
- n[edor Wall ConstruQion-5 � �
• all/Sheetrock � 20.0 � � �
. OTAL PRESENT USE VALUE-PARCEL
ntedor Floor Cover-OB , � OTAL VAW E DEFERRED-PARCEL .
� heet Vin I/Laminate - 6.0 � � OTAL TAXABLE VALUE-PARCEL 182,83 �
� nterbr Floor Cover-14
a et 0.0 +----25----+ pRIOR . .
. . Heatlng Fuel-04 Z��� _ � � UILDING VALUE , � 129,850 �
Eledric 1.0 I 9 � � BXF VALUE � .
I +--"25-••'+"'•24"'-+ .
eating Type-30 � 2 I F B M I U B M I ND VAW E - 28,150
eat Pum 4.0 7 � I I I RESENT USE VALUE
ir Conditioning Type-03 I 1 � I I EFERRED VALUE -
entral '4.0 I 8 = I OTAL VALUE 158 00
drooms/Bathrooms/Half-Ba[brooms I I Z 2 ,
+""25""+ 7 7
3/2 0 12.00 I I I �
. edrooms � 9 . I I - � � '
AS-3 FUS-0 LL-0 I I I VERMIT p
[hrooms +----2 5----+----2 4----+ CODE DATE NOTE NUMBER AMOUNT -
AS-2FU5-OLl-O � �
OTAL POINT VALUE 307.00 � +-1 4--+ OUT:WTRSHD: �
BUIIDING AD7USTMENTS I W D D I SALES DATA n
Ize 3 Size 1.000 1 i FF. INDICATE �
uali 4 ABAVG 1.200 Z - 2 RECORD DATE DEED SALES �'
+--17---+-14--+--18---+ o
ha e/Desi 4 FACfOR 4 1.050 � I 8 A 5 I � OOK CAGE M R TYPE PRICE 4,
� OTALAD]USTMENTFACTOR 1.26 I � I 0311 204 7 199 WD U I � 0 n ,
OTAL QUALITY INDEX 13 S � I 0144 374 7 198 WD U V 0 �
2 2 0114 374 7 198 WD U V 0 � .
7 7
I I
I I
I I
+-11-+----28-----+-10-+ HEATEDAREA1,998 .
SFOp S
- � +----28-----+ NOTES
ORR'09
� AVCAREiN BASEMENT
SUBAREA UNIT ORIG% ANN DEP % OB/XFDEPR ,
GS ODE ESCRIPTIONITH HUNIT PRICE COND BLGGit /B AYB EYB RATE V COND VALUE
TVPE AREA %RPL CS 2 ARAGE 31 2 68 20.0 10 L 197 198 5 4 545
AS 1 32 10 12323 OTAL OB XF VAIUE 5 45
BM 67 4 2831 ♦ � � • .
OP 14 3 456
BM 64 2 1211 � �
CP 67 1 940 - �
DD �16 2 316 .
IREVLACE 1-None �
� UBAREA 3,62 180,8
OTALS
UILDINC DIMENSIONS BA5=W38WDD=N32W14512E34SW31527E11FOP=55E28NSW28qE38N2Js PTR=N20 UBM�N27W24 FBM=W25 UCP=N9W25527E25N385527E25N27;527E24
5205•
NDINFORMATION
IGHEST THER AD]USTMENTS LAND TOTAL
ND BEST USE LOCAL FRON DEPTH/ LND COND ND NOTES ROA UNIT LAND UNT TOTAL AD7USTED IAND LAND -
SE CODE 20NING TAGE EPT SIIE MOD FACT RF AC LC TO OT TYPE PRICE UNITS TYP AD)ST UNIT PRICE VALUE NOTES
URAL AC 0120 161 0 1.7850 4 1.1500 +03+12+00+00+00 PW 8 800.0 1.911 AC 2.05 IB 066.4 3452
OTAL MARKET LAND DATA 1.911 34 53
OTAL CRESENT USE DATA
♦ �
http://maps.co.davie.nc.us/ITSNet/AppraisalCard.aspx?parce1=E60000003801 12/27/2012