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The bridge was built to replace a ford, still visible upstream from the bridge. Tuthilltown, the settlement that once flourished in the area, had been the western terminus of the Farmer's Turnpike, built in 1850 to provide local farmers with access to shipping on the Hudson River 20 miles (32 km) to the east. The area is today known just as Tuthill, but the bridge, the Tuthilltown Gristmill and a nearby road retain the old name.