North St. Vrain Creek rises northeast of St. Vrain Mountain near Allenspark and descends in a canyon to the east along U.S. Highway 36.
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Near the community of Raymond it intersects State Highway 72, which takes the Peak-to-Peak Scenic Byway designation with it to the south, while Route 7 turns to the east and follows South St. Vrain Creek downstream onto the piedmont at Lyons, where it intersects U.S. Highway 36.
Prior to the Dust Bowl era, agriculture in this section of the state had relied upon sources such as Boulder Creek, St. Vrain Creek, Little Thompson River, Big Thompson River and the Cache La Poudre River, all of which are a part of the South Platte River basin and flow into the South Platte River before the South Platte reaches Greeley, Colorado.