The City of Pineville Elk River Access provides approximately 0. 15 miles of direct access to the Elk River, located where Big Sugar Creek and Little Sugar Creek converge.

The facility features clean bathrooms and is free to use, though user feedback notes that some visitors don't clean up after themselves. This access point is situated downstream of Mt.

Shira Access (6 miles upstream) and upstream of Deep Ford Access on Big Sugar Creek (4. 5 miles downstream), making it a convenient mid-river stop for paddlers and anglers.