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RECLAMATION VISUAL INSPECTION FORM <br />Date: Z �' �� Site/Map #: 310l �`�' " >3 Inspected By: SCW <br />Location: <br />Year Reclaimed: ff Q0 Seed Mix:-Interim/Drill <br />Dominant Vegetation: (include grasses, (orbs, shrubs, warm season grasses, etc. by spp.) <br />Weed Problems: ,e - <br />General Health: <br />Erosion/Site Stabilization: <br />Notes: <br />Recommendations: <br />SAE Designation: Drill Hole: _ Typical _ Flat _ WeIl Vegetated <br />Soil Pile: _ Typical _ Large _ Well Vegetated <br />IN <br />