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RECLAMATION VISUAL INSPECTION FORM <br />Date: --& Site/Map t t•w I 1 - L Inspected By: <br />Location: <br />Year Reclaimed: 2 0./ Z Seed Mix: <br />Dominant Vegetation: (include grasses, forbs, shrubs, warm season grasses, etc. by spp.) <br />/Gf . <br />15Lf -- <br />Weed Pro <br />General Health: <br />Erosion/Site Stabilization: `—'' <br />Notes: <br />Recommendations: <br />�r,fr' <br />�! tC CA— <br />SAE Designation: Drill Hole: _ Typical _ Flat _ Well Vegetated <br />Soil Pile: — Typical — Large — Well Vegetated <br />