| Elk River to Storm Lake (Iowa) | 202.62 mi (326.08 km) |
| Elk River to Storrs (Connecticut) | 1,091.00 mi (1,755.80 km) |
| Elk River to Stoughton (Wisconsin) | 272.14 mi (437.97 km) |
| Elk River to Stow (Ohio) | 673.74 mi (1,084.27 km) |
| Elk River to Streamwood (Illinois) | 353.19 mi (568.40 km) |
| Elk River to Streator (Illinois) | 375.84 mi (604.86 km) |
| Elk River to Streetsboro (Ohio) | 675.65 mi (1,087.36 km) |
| Elk River to Strongsville (Ohio) | 651.14 mi (1,047.91 km) |
| Elk River to Stuart (Florida) | 1,451.90 mi (2,336.61 km) |
| Elk River to Stuarts Draft (Virginia) | 902.09 mi (1,451.78 km) |
| Elk River to Sturgis (Michigan) | 475.04 mi (764.50 km) |
| Elk River to Suamico (Wisconsin) | 272.94 mi (439.25 km) |
| Elk River to Sudley (Virginia) | 937.82 mi (1,509.28 km) |
| Elk River to Suffern (New York) | 1,017.60 mi (1,637.68 km) |
| Elk River to Suffolk (Virginia) | 1,061.87 mi (1,708.92 km) |
