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RECLAMATION VISUAL INSPECTION FORM <br />Date: /fit - a V Site/Map I Inspected By: 5 t,--1 <br />Location: <br />Year Reclaimed: oC Seed Mix: <br />Dominant Vegetation: (include grasses, forbs, shrubs, warm season grasses, etc. by spp.) <br />�S t <br />�v <br />Weed Problems: <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 />