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APPLICATION FOR ENVIRONMENTAL ASSESSMENT <br /> Project Name Chestnut Ridge Camp <br /> Applicant Chestnut Ridge Camp and Retreat Center <br /> Rev. Nick Jeffries, Director <br /> 4309 Camp Chestnut Ridge Road, Efland NC <br /> Phone 919-304.2178 <br /> Owner NC United Methodist Camp and Retreat Ministries INC <br /> Address 7000 Waterfield PI <br /> Garner NC 27529 <br /> Phone 919-599-5387 <br /> Location of Property 4390 Camp Chestnut Ridge Rd, Efland NC <br /> Acreage —376 Township Efland <br /> Tax Map Reference PIN(s) 9843137930,9833935222,9843055036, <br /> 983392123D,9843221289,9842497233 <br /> FOR DEPARTMENT USE ONLY <br /> Date received Reviewed by <br /> Date accepted/rejected <br /> Summary Comments: <br /> 42 <br />