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RECLAMATION VISUAL INSPECTION FORM <br />Date: • -5 Site/Map #:5'G—f �4 (� Inspected By: <br />Location:_, <br />6, .e -16-eea <br />o <br />Year Reclaimed:�30�-'? Seed Mix: <br />Dominant Vegetation: (include grasses, forbs, shrubs, warm season grasses, etc. by spp.) <br />i <br />Weed Problems: <br />General <br />E, <br />Erosion/Site Stabilization: <br />©„011.A� <br />Recommendations: <br />SAE Designation: Drill Hole: _ Typical _ Flat _ Well Vegetated <br />Soil Pile: _ Typical — Large — Well Vegetated <br />