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RECLAMATION VISUAL INSPECTION FORM <br />Date: 4�. Site/Map #: ,M Inspected By: <br />Location: S<u- T� '-{�© <br />Year Reclaimed:' Seed Mix: <br />Dominant Vegetation: (include grasses, fortis, shrubs, warm season grasses, etc. by spp.) <br />Weed Problems <br />General Health:6'�'`" <br />Erosion/Site Stabilization: <br />N <br />Recommendations: <br />SAE Designation: Drill Hole: _ Typical _ Flat _ Well Vegetated <br />Soil Pile: — Typical — Large — Well Vegetated <br />