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RECLAMATION VISUAL INSPECTION FORM <br />Date: 7� b0--- Site/Map #: RS' 4 Inspected By: S <br />Location: <br />Year Reclaimed: 20 / 12 <br />Dominant Vegetation: (include grasses, forbs, shrubs, warm season grasses, etc. by spp.) <br />Weed Problems: <br />R, <br />General Health: ,°°'1°� <br />Erosion/Site Stabilization1 <br />Seed Mix: i,YJ/r'✓ /l <br />Notes: <br />Recommendations: <br />SAE Designation: Drill Hole: _ Typical _ Flat _ Well Vegetated <br />Soil Pile: _ Typical _ Large _ Well Vegetated <br />