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RECLAMATION VISUAL INSPECTION FORM <br />V. <br />Date: z- 3 17 Site/Map #: /Z Inspected B <br />P Ins 5;� <br />Location: <br />Year Reclaimed:_!GO/' Seed Mix: <br />Dominant Vegetation: (include grasses, forbs, shrubs, warm season grasses, etc. by spp.) <br />tc0'_ <br />Weed <br />Gener, <br />Erosion/Site Stabilization— <br />be 0'_ <br />tabilization <br />Recommendations: <br />SAE Designation: Drill Hole: _ Typical _ Flat _ WeIl Vegetated <br />Soil Pile: — Typical — Large — Well Vegetated <br />