From its source on the southern slopes of Kaaterskill High Peak, it flows across Ulster and Greene counties to the Esopus at Mount Marion.

New York's Department of Environmental Conservation (DEC) regularly stocks fish in the creek to supplement the native population.

[3] New York's Department of Environmental Conservation (DEC) rates the water quality of Plattekill Creek in different sections.

[4] The lowermost section of the stream, from the mouth to Saugerties Reservoir in Blue Mountain,[4] is rated Class B, suitable for primary and secondary contact recreation and fishing.

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