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RECLAMATION VISUAL INSPECTION FORM <br />Date: 17- z0 Site/Map #:4 spected By: <br />Location: <br />Year Reclaimed: 2-012— Seed Mix: <br />Dominant Vegetation: (include grasses, forbs, shrubs, warm season grasses, etc. by spp.) <br />/qtr �/1�1f <br />Weed Problem; <br />General Health <br />Erosion/Site St <br />AL lam <br />f t '-A- <br />Notes: <br />Recommendations: <br />SAE Designation: Drill Hole: _ Typical _ Flat _ Well Vegetated <br />Soil Pile: _Typical _Large _ Well Vegetated <br />