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RECLAMATION VISUAL INSPECTION FORM <br />Date: �' Z 3 /� Site/Map #: e-5,' Inspected By; <br />Location: <br />Year Reclaimed:_'' �/Z-- Seed Mix: <br />Dominant Vegetation: (include grasses, fortis, shrubs, warm season grasses, etc. by spp.) <br />Weed Problems: <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 />