U.S. Route 19W
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| Route information | |||||||
| Auxiliary route of US 19 | |||||||
| Length: | 63 mi (101 km) | ||||||
| Existed: | 1930 – present | ||||||
| Major junctions | |||||||
| South end: |
  US 19 / US 19E in Cane River, NC
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  I-26 / US 23 near Erwin, TN
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| North end: |
 US 11E / US 19 / US 19E near Bluff City, TN
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| Location | |||||||
| States: | North Carolina, Tennessee | ||||||
| Counties: |
NC: Yancey TN: Unicoi, Washington, Sullivan |
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| Highway system | |||||||
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| Location: | Cane River, NC-TN state line |
| Length: | 21.6 mi (34.8 km) |
| Existed: | 1923–1930 |
U.S. Route 19W (aka US 19 West) traverses approximately 63 miles (101 km) from Cane River, North Carolina to Bluff City, Tennessee.
US 19W begins in western Yancey county in the community of Cane River, at the intersection of US 19/US 19E. Several signs at the beginning of the route strongly recommend truckers against using this route. The road then proceeds north through the Pisgah National Forest, connecting the communities of Elk Shoal, Ramseytown and Sioux, to the Tennessee state line (near Spivey Gap), a 22 miles (35 km) drive of frequent curves and elevation changes.
Once past the state line, the road enters the Cherokee National Forest, and is much the same for another 6.3 miles (10.1 km) to SR-352/Flag Pond Road. From Flag Pond Road, it is just 1 mile (1.6 km) to Interstate 26, where US 19W merges with the interstate to Johnson City. US 19W overlaps with I-26/US 23 from exit 43 (Hill Road) to exit 20 (Roan Street). There it leaves I-26 and continues north on the Bristol Highway, overlapped with US 11E, for 9.4 miles (15.1 km), after which it reconnects with US 19E to reform US 19 near Bluff City.
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