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RECLAMATION VISUAL INSPECTION FORM <br />Date: . 7- /,Z- 20/ 2-- Site /Map #: Ap - 53 r i Inspected By: Se <br />Location: <br />Year Reclaimed: Z0/ <br />Dominant Vegetation: (include grasses, forbs, shrubs, warm season grasses, etc. by spp.) <br />Weed Problems: <br />General Health: <br />Erosion/Site Stabilization: .B <br />Notes: <br />Recommendations: <br />Seed Mix: ,..G <br />-7' oe_...-'' <br />,d,,„' <br />SAE Designation: Drill Hole: _ Typical _ Flat _ Well Vegetated <br />Soil Pile: ` Typical _ Large _ Well Vegetated <br />