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It starts in Fritztown and flows northeast, separating Spring Township and Sinking Spring on its southeast side from South Heidelberg and Lower Heidelberg Townships on its northeast side. Just above its mouth, removal of the Paper Mill Dam is underway.
Cacoosing Creek joins the Tulpehocken just west of Spring Ridge.
- U.S. Geological Survey. National Hydrography Dataset high-resolution flowline data. The National Map
- "American Rivers Cacoosing Creek, PA". Archived from the original on 23 July 2013. Retrieved 23 July 2013.
- Wagner, A. E.; Balthaser, Francis Wilhauer; Hoch, D. K. (1913). The Story of Berks County (Pennsylvania). Eagle Book and Job Press. p. 28.
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