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RECLAMATION VISUAL INSPECTION FORM <br />Date: 7 Site/Map #: 5G_ t/ Inspected By: 5 C <br />Location: <br />Year Reclaimed: ©O / Seed Mix: <br />Dominant Vegetation: (include grasses, forbs, shrubs, warm season grasses, etc. by spp.) <br />_� <br />Wit <br />Weed Problems: <br />General Health: <br />Erosic <br />Notes <br />y <br />c at— <br />Recommendations: ons: <br />SAE Designation: Drill Hole _ Typical _ Flat _ Well Vegetated <br />Soil Pile _Typical _Large — Well Vegetated <br />