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RECLAMATION VISUAL INSPECTION FORM <br />Date: l�i Site/Map #: /Z-- Inspected By: <br />Location: <br />Year Reclaimed: r '' -/. Seed Mix: <br />Dominant Vegetation: (include grasses, forbs, shrubs, warm season grasses, etc. by spp.) <br />Weed Problen <br />General Healtl <br />Erosion/Site Stabilization: <br />Recommendations: <br />SAE Designation: Drill Hole: _Typical —Flat _ Well Vegetated <br />Soil Pile: _ Typical — Large e Well Vegetated <br />