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J6 <br />RECLAMATION VISUAL INSPECTION FORM <br />Dater ) Ad)P Site /Map #: Sr --SC.3 Inspected By: 5 . <br />Location: 56 j <br />Year Reclaimed: - / C3 Seed Mix: <br />Dominant Vegetation: (include grasses, forbs, shrubs, warm season grasses, etc. by spp.) <br />FF7/� / <br />2�Z' -� <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 />