A surfaced launching ramp is on the E side of the river about 0.1 mile below the highway bridge.
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Nehalem is a small settlement on the W shore of the Nehalem River, 6.3 miles above the entrance. A fixed highway bridge over the river just below Nehalem has a clearance of 30 feet. Close N of this bridge is an overhead power cable with a clearance of 52 feet.