[5] Via the Yadkin it is part of the watershed of the Pee Dee River, which flows to the Atlantic Ocean.

The Ararat River rises in the Blue Ridge Mountains in southwestern Patrick County, Virginia,[6] and flows southwardly into Surry County, North Carolina, where it flows through the city of Mount Airy and joins the Yadkin River, about 5 mi (8 km) northwest of East Bend.

[5] The river is stocked with brown, brook, and rainbow trout.

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