New York State Highway 17 follows the valley of the river along much of its route through Steuben County.
In the 1820s the New York State Legislature commissioned a study for the building of a canal that would link the Cohocton at Bath to Keuka Lake (Crooked Lake) and Seneca Lake. The Crooked Lake Canal connecting the two lakes was built but the link to the Cohocton was never completed.
The river is a popular destination for fly fishing.