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RECLAMATION VISUAL INSPECTION FORM <br />Date: Z o / 4� Site /Ma # S� '��i'S�y 4s ected By: <br />— & <br />Site/Map P <br />Location: <br />Year Reclaimed: Seed Mix: <br />Dominant Vegetation: (include grasses, forbs, shrubs, warm season grasses, etc. by spp.) <br />Weed Problems: <br />General Health: � <br />Erosion /Site Stabilization: <br />Notes: IZ*o -X '' <br />Recommendations: <br />SAE Designation: Drill Hole: _ Typical _ Flat _ Well Vegetated <br />Soil Pile: — Typical _ Large _ Well Vegetated <br />