The New River rises on Frozen Head, a notable mountain of Morgan County, Tennessee.
The stream trends generally north from this point for several miles, and is also paralleled by a railroad constructed primarily for the purposes of coal transport.
It drains an area developed by the petroleum industry as an oil field, and is crossed by U.S. Highway 27 at the community of New River.
Just downstream of this community is the boundary of the Big South Fork National Recreational Area.
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