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RECLAMATION VISUAL INSPECTION FORM <br />Date: Z- Z-/ Site/Map #: 0Z)0j 1 z '5 Ins ected B <br />P Y: <br />Location: <br />Year Reclaimed: FZ©/-4 Seed Mix: <br />Dominant Vegetation: (include grasses, (orbs, shrubs, warm season grasses, etc. by spp.) <br />Weed Problems: <br />i <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 />