| Elk Spur | central Avery County. |
| Elk Spur | N Wilkes County near Little Sandy Creek. |
| Elk Township | SW Wilkes County. |
| Elk Township | S Ashe County. |
| Elk Township | SE Watauga County. |
| Elk Wallow Creek | rises in W Yancey County and flows SE into Bald Creek. |
| Elk Wallow Gap | central Buncombe County in Elk Mountains. |
| Elk Wallow Knob | on the Madison-Yancey county line near the head of Elk Wallow Creek. Alt. approx. 4,600. |
| Elk X Roads | See Todd. |
| Elkin | town in SW Surry County on Yadkin River near the mouth of Elkin River. Alt. 947. Inc. 1889. Named for the river. Immediately S, separated by Yadkin River, is the town of Jonesville in Yadkin County. Produced woolen goods. |