North River originates in the George Washington National Forest along the eastern slopes of Shenandoah Mountain in western Augusta County, Virginia. The river flows generally eastward through mountainous terrain before descending into the Shenandoah Valley, where it winds through agricultural lands in both Augusta and Rockingham counties. After traveling approximately 50 miles, North River joins the South River near Port Republic to form the South Fork of the Shenandoah River.

The upper reaches above Elkhorn Lake offer cold, clear mountain water that supports native brook trout populations, particularly in the headwater streams. This section features pocket water and small pools characteristic of freestone mountain streams. Below Elkhorn Dam, a 1.5-mile delayed harvest section provides excellent trout fishing opportunities from fall through spring, with the river stocked multiple times during this period. The gorge section through this area showcases beautiful freestone habitat with bedrock formations and is notably remote, requiring paddlers to exercise caution.

Below Staunton Dam, North River transitions to warmer water as it flows through the valley floor. The section from Bridgewater downstream offers Class I-II paddling suitable for intermediate boaters, with the river characterized by gentle riffles, runs, and occasional pools. At Wildwood Park in Bridgewater, a deep pool above the dam provides calm water ideal for beginners and instruction. The river maintains a relatively small, shallow profile throughout most of its length, making it well-suited for canoes and kayaks rather than larger motorized craft.

Access points include Wildwood Park in Bridgewater (Rockingham County), which offers convenient facilities and parking approximately 20 minutes from Harrisonburg. Additional access exists at various bridge crossings and the North River Multiple Use Area near the headwaters. The river flows through or near the communities of Stokesville, Bridgewater, and Mount Crawford.

Spring provides optimal paddling conditions with higher water levels, particularly from March through May when caddis fly hatches are prolific. Summer flows can become quite low, limiting paddling opportunities in many sections. The delayed harvest trout section is best fished during cooler months when stocking occurs.

The river corridor supports diverse wildlife including smallmouth bass, rock bass, redbreast sunfish, and various sunfish species in the lower warmer sections. The upper cold-water reaches maintain populations of wild brook trout alongside stocked rainbow and brown trout.

Paddlers should note that much of the river flows through private property, with public access limited to designated areas. The remote nature of some sections, particularly the gorge area, requires self-sufficiency and proper safety equipment. Virginia fishing licenses with trout stamps are required for fishing the stocked sections during designated seasons.