The river flows southwards from the southern end of Santuit Pond into Popponesset Bay (also known as Shoestring Bay) on the south shore of Cape Cod.
The river was a vigorous herring/alewife run and has been reputed to hold sea-run brown trout. It was alleged that overpumping by an adjacent golf course caused the river to run dry in the early 1990s but that charge was denied.
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