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In the Carroll portion of the notch, the Appalachian Mountain Club has built and operates the Highland Center Lodge and Conference Center, and has renovated the Queen Anne style Victorian-era Crawford Notch Maine Central train depot as a bookstore.
The river is bridged by Maine State Route 35 between Standish and Windham, near North Windham, by the North Gorham to Windham Center road between Gorham and Windham, by the Maine Central Railroad Mountain Division between North Windham and South Windham, and by U.S. Route 202 in South Windham.
In 1981, GTI purchased the Maine Central Railroad from U.S. Filter Corporation, adding the Boston & Maine and Delaware & Hudson railroads in 1983 and 1984, respectively, and in 1998 purchased the brand of bankrupt Pan American World Airways.
The Portland Company built early railway locomotives and the Portland Terminal Company handled joint switching operations for the Maine Central Railroad and Boston and Maine Railroad.