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RECLAMATION VISUAL INSPECTION FORM <br />Date: rr 5- a01 *3 Site/Map #: L tL25 if -'5 Inspected By: <br />Location: <br />Year Reclaimed: 20' "I. Seed Mix: b c,, i < <br />Dominant Vegetation: (include grasses, forbs, shrubs, warm season grasses, etc. by spp.) <br />A - �. <br />/'L.- <br />Weed Problems: <br />General Health: C�•�' -�''� . <br />Erosion/Site Stabilization: <br />Notes: <br />Recommendations: <br />SAE Designation: Drill Hole: _ Typical or Flat _ Well Vegetated <br />Soil Pile: _ Typical _ Large _ Well Vegetated <br />