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Date: <br />Location: <br />RECLAMATION VISUAL INSPECTION FORM <br />Site/Map #: K-5'3 Inspected By: Sc L(/ <br />Year Reclaimed: to i'Z— Seed Mix: Dp-;tt <br />Dominant Vegetation: (include grasses, fortis, shrubs, warm season grasses, etc. by spp.) <br />14; �P <br />Weed Problems: <br />General Health: 6i.�- ''I/ <br />Erosion/Site Stabilization: <br />Notes: <br />Recommendations: <br />,7 l e- CX- <br />�/o ca <br />SAE Designation: Drill Hole: _ Typical ZFlat _ Well Vegetated <br />Soil Pile: — Typical _ Large _ Well Vegetated <br />