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RECLAMATION VISUAL INSPECTION FORM <br />Y <br />Date: 7/ a Site/Map #: L Li- - '&9 7 Inspected By: - 57e - <br />Location: L wIV <br />Year Reclaimed: Seed Mix: <br />Dominant Vegetation: (include grasses, forbs, shrubs, warm season grasses, etc. by spp.) <br />Weed Pi <br />General <br />Erosion /Site Stabilization: 1 29 <br />Notes: <br />Recommendations: <br />SAE Designation: Drill Hole _ Typical _ Flat _ Well Vegetated <br />Soil Pile _Typical _Large — Well Vegetated <br />