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y� RECLAMATION VISUAL INSPECTION FORM <br />Date: / 'Z- 1. Site/Map #: 5 e=- 7"�" .�i Inspected By: .`� c= L.---� <br />Location: <br />Year Reclaimed: -2 Seed Mix: <br />Dominant Vegetation: (include grasses, forbs, shrubs, warm season gra sks, etc. by spp.) <br />v <br />ri <br />4/1-1 <br />Weed Problems: Tr-� -: <br />General <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 />