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<br />RECLAMATION VISUAL INSPECTION FORM <br />Date: / ~ - 5t a 3 Site/Map #: '~~ ~/ 30- Zy Inspected By:~ <br />Location: <br />0 <br />~: <br />2~ <br />Yeaz Reclaimed: ' Seed Mix: -.r~n~~+?~iwf/ <br />Dominant Vegetation: (include grasses, forbs, shrubs, warm season grasses, etc. by spp.) <br />r9~fr ~~~ <br />~s~i ~f~~ <br />~. <br />c.~_.. <br />lr~,~.w;; u~A-- <br />/~te seg... <br />Weed Problems: ~"~ <br />l <br />General Health: ~ ~ ~" <br />Erosion/Site Stabilization <br />Notes: <br />Recommendations: <br />AE Designation: Drill Hole: ^ Typical ^ Flat ^ Well Vegetated <br />Soil Pile: ^ Typical ^ Lazge ^ Well Vegetated <br />