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This lookout tower, due east from Pleasant Valley Ski Resort across Route 63, gives a view of the Mire to the east. On the ground level, a porta-potty with a "mysterious button" can be found. This is a one-way elevator exit from the launch center of Site Charlie. At the top of the first staircase is a tripwire trap.
Activating the railing at the top of the tower will reveal the markers for other locations on your map, although one will still need to travel there to unlock fast traveling to these locations. These locations may include: Top of the World, Pleasant Valley Ski Resort, Pleasant Valley cabins, Pleasant Valley station, North Cutthroat camp, Yellow Sandy's still, The Sludge Hole, Wendigo cave, Autumn Acre cabin, Seneca Gang camp, and Seneca Rocks.
Central Mountain Lookout appears only in Fallout 76.