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RECLAMATION VISUAL INSPECTION FORM <br />Date:71 frf/ <br />Location: A) O-Z / <br />Site /Map #: l)8' —7/4 f % Inspected By: `�. <br />Year Reclaimed:,,F-a/ Z Seed <br />- 'A/f -Z - <br />Dominant Vegetation: (include grasses, forbs, shrubs, warm season grasses, etc, by spp.) <br />Zia E -/ «t.� <br />Weed Problems: <br />General Health: <br />i <br />A� -. e-;Z, <br />Erosion/Site Stabilization:_ <br />Notes: <br />Recommendations: <br />SAE Designation: Drill Hole: _ Typical _ Flat _ Well Vegetated <br />Soil Pile: — Typical _ Large _ Well Vegetated <br />