Boat Ramps on the Elk River

The Elk River crosses 8 states, with 51 public boat ramps stretching across roughly 2,634 miles. West Virginia has the most access (23 ramps), followed by Maryland with 12. Of the 51, 2 have a confirmed launch fee; the rest are free or unconfirmed. One more ramp on the Elk River appears to be private, so it's not included here. If you have access, it's still listed on its county page and on the main map.