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RECLAMATION VISUAL INSPECTION FORM <br />Date: ; Z 4-9'z7-041 <br />Location: <br />Site/Ma <br />r #: Inspected )3y: 55�� <br />r' <br />Year Reclaimed: 2av7! Seed Mix :—,� <br />U1112 <br />Dominant Vegetation: (include grasses, forbs, shrubs, warm season grasses, etc. by spp.) <br />r— � <br />�l 4:.-� <br />Weed Problems:''���% <br />General Health: <br />Erosic <br />Notes <br />Recommendations: <br />SAE Designation: Drill Hole: _ Typical _ Flat _ Well Vegetated <br />Soil Pile: _ Typical _ Large _ Well Vegetated <br />