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RECLAMATION VISUAL INSPECTION FORM <br />Date: Site/Map #31012-V /ZV Inspected By: SCW <br />Location: <br />Year Reclaimed: T 2014 Seed Mix: Interim/Drill <br />Dominant Vegetation: (include grasses, forbs, shrubs, warm season grasses, etc. by spp.) <br />190, <br />Weed Problems: -2=;;-90 <br />General Health: <br />Erosion/Site Stabilization: <br />Notes: <br />Recommendations: <br />SAE Designation: Drill Hole: _ Typical _ Flat _ Well Vegetated <br />Soil Pile: — Typical _ Large _ Well Vegetated <br />