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RECLAMATION VISUAL INSPECTION FORM <br />3 <br />Date: ~ - ~ 9 ~ ~/ Site/Map #: Inspected By: <br />~~ <br />Year Reclaimed: Seed Mix: <br />Dominant Vegetation: (include grasses, forbs, shrubs, warm season grasses, etc. by spp.) <br />~•• f Ci <br />i <br />'~ ~j~.L~~G<J~C~79 <br />i <br />y %~~- <br />Weed <br />General Health: ~~p~ <br />Erosion/Site Stabilization: ./f/~~ <br />Notes: <br />-- /~/-~ <br />Recommendations <br />SAE Designation: Drill Hole: ^ Typical Flat Well Vegetated <br />Soil Pile: ^ Typical ^ Large ^ Well Vegetated <br />