| Elk River Falls | in Elk River, NW Avery County, a drop of about 85 ft.; for the next 4 mi. downstream, there is a fall of about 100 ft. per mile. |
| Elk Shoal | community in W Yancey County on Cane River. A nineteenth-century post office serving the community was named Wampler. |
| Elk Shoal Creek | rises in W Yancey County and flows E into Cane River. |
| Elk Shoals | former community in E Alexander County near headwaters of Elk Shoals Creek. Post office est. there in 1852 was discontinued in 1901 with postal service transferred to Stony Point. Named for shoals in creek at which elk crossed. |
| Elk Shoals Creek | rises in N Catawba County and flows SE into Catawba River. |
| Elk Shoals Creek | rises in SE Alexander County and flows S and SW into Catawba River. The name occurs in local records as early as 1760, and the stream is shown on Collet map, 1770. |
| Elk Spur | central Avery County. |
| Elk Spur | N Wilkes County near Little Sandy Creek. |
| Elk Township | SW Wilkes County. |
| Elk Township | S Ashe County. |