| Elk River to Spout Springs (North Carolina) | 1,031.25 mi (1,659.63 km) |
| Elk River to Spring (Texas) | 1,059.65 mi (1,705.33 km) |
| Elk River to Spring Creek (Nevada) | 1,152.71 mi (1,855.10 km) |
| Elk River to Spring Hill (Florida) | 1,311.42 mi (2,110.53 km) |
| Elk River to Spring Hill (Tennessee) | 748.33 mi (1,204.32 km) |
| Elk River to Spring Lake (North Carolina) | 1,037.11 mi (1,669.07 km) |
| Elk River to Spring Valley (California) | 1,519.45 mi (2,445.32 km) |
| Elk River to Spring Valley (Nevada) | 1,297.21 mi (2,087.66 km) |
| Elk River to Spring Valley (New York) | 1,022.05 mi (1,644.83 km) |
| Elk River to Springboro (Ohio) | 620.01 mi (997.81 km) |
| Elk River to Springdale (Arkansas) | 632.35 mi (1,017.67 km) |
| Elk River to Springdale (New Jersey) | 1,015.03 mi (1,633.53 km) |
| Elk River to Springdale (Ohio) | 623.74 mi (1,003.81 km) |
| Elk River to Springfield (Illinois) | 432.61 mi (696.23 km) |
| Elk River to Springfield (Massachusetts) | 1,069.94 mi (1,721.89 km) |
