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RECLAMATION VISUAL INSPECTION FORM <br />Date: 4 6 Site/Map #: C-2 Inspected By: <br />Location: <br />_ r <br />Year Reclaimed: Seed Mix: —Z <br />Dominant Vegetation: (include grasses, fortis, shrubs, warm season grasses, etc. by spp.) <br />Weed Problems <br />General Health: <br />Erosion /Site Stabilization: �, <br />f/ <br />Recommendations: <br />SAE Designation: Drill Hole _ Typical _ Flat _ Well Vegetated <br />Soil Pile — Typical _ Large _ Well Vegetated <br />