The Ok Tedi Mine is located near the headwaters of the river, which is sourced in the Star Mountains.
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The sand conditions underneath the river and the extremely high rainfall of the catchment area make it one of the fastest moving rivers in the world.
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The river was in the world spotlight for a short period of time during the late 20th century, due to litigation from villagers on the Ok Tedi and Fly rivers downstream from the Ok Tedi Mine.
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Both the Strickland and the Ok Tedi Rivers have been the source of environmental controversy due to tailings waste from the Porgera Mine and the Ok Tedi Mine, respectively.
The Ok Tedi Mine is an open-pit copper and gold mine in Papua New Guinea located near the headwaters of the Ok Tedi River, in the Star Mountains Rural LLG of the North Fly District of the Western Province of Papua New Guinea.