Sitkoh Lake offers fishing, hiking, hunting and off-highway vehicle riding. The lake supports cutthroat trout and Dolly Varden. Sitkoh Creek has runs of steelhead in the spring, pink and sockeye salmon from July to August and coho salmon from August through September. Past logging has left a system of isolated roads. Hiking and OHV riding are possible.
Although it is in poor condition, hikers can explore a 4.3-mile trail along Sitkoh Creek to Sitkoh Bay.
Deer hunting is a popular activity in the surrounding area. Waterfowl hunting is possible at Sitkoh Bay. For information about hunting and fishing permits and seasons, visit the Alaska Department of Fish and Game website.
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