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RECLAMATION VISUAL INSPECTION FORM <br />4 <br />Date: :�� ilk / h Site/Map 5`6 Inspected By: �/ a' <br />Location: <br />Year Reclaimed: Seed <br />vommant Vegetation: (include grasses, forb <br />�9r7� <br />s, shrubs, warm season grasses, etc. by spp.) <br />Weed Problems: ,;a� :; � <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 />