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k <br />"' RECLAMATION VISUAL INSPECTION FORM <br />~~ <br />Date: ~~ - ¢ • v 3 Site/Map #: '>~ yi 3Z -Z,¢ Inspected By: ~iy/ <br />Location: <br />Year Reclaimed: l~ Seed Mix: I•~ ~~~~'~!% <br />Dominant Vegetation: (include grasses, fortis, shrubs, warm season grasses, etc. by spp.) <br />ff., r.~. <br />/rte--d~e_ <br />Weed Problems:, <br />General Health:~.~ <br />Erosio <br />Notes: <br />~~r ~,/~~ <br />~~ ~ /emu-.ale' <br />w <br />y <br />R <br />i <br />h <br />Recommendations: <br />~~ <br />r <br />n <br />SAE Designation: Drill Hole: ^ Typical ^ Flat ^ Well Vegetated <br />Soil Pile: ^ Typical ^ Large ^ Well Vegetated <br />6 <br />