Otter Creek Wilderness is located on the Cheat-Potomac Ranger District of the Monongahela National Forest in Tucker and Randolph Counties, West Virginia. Otter Creek Wilderness has 45 miles of trails, many of which follow old railroad grades, logging roads, or farm roads.

The southernmost trailheads are accessed by taking US 33 east of Elkins to Forest Road 91, at the top of Shavers Mountain. Shavers Mountain trailhead leaves from the parking lot and CCC memorial at the intersection of US 33 and FR 91. Or, follow FR 91 to a triangle-shaped intersection with FR 303. Take the right side of the triangle on proceed on FR 303 to the Condon Run trailhead, which accesses Otter Creek and Hedrick Camp trails.

Mylius trailhead is accessed by continuing east on US 33 from Shavers Mountain. Take WV 12 north at the Alpine Lodge. Just before crossing the gray bridge over the Glady Fork River, FR 162 intersects WV 12 as an acute left turn. Take this gravel road 0.2 miles to the Mylius trailhead on the left.

The northern trailheads are accessed via the Fernow Experimental Forest. Take US 219 into Parsons. A sign across from Fox's Pizza Den points to Otter Creek; turn south there, but after 70 feet, turn left and follow this road though town, past a cemetery, and onto a chip-sealed road. At the intersection with 2 gravel roads, turn right. You should see a sign for the Experimental Forest after you round a curve. Follow this road and take the left fork when it splits above the reservoir. A parking lot with a trailhead sign in a sharp curve is Big Springs Gap trailhead. Turkey Run trailhead is a little further up the road. Caution is needed on these gravel roads, since they are narrow, prone to rockslides in areas, and vehicle traffic is often heavy. This is a favorite hunting and scenic driving area for locals, and log trucks from the Experimental Forest are common.

Dry Fork trailhead is accessed by taking WV 72 south of Parsons and going through the towns of Hambleton and Hendricks. The trailhead is located approximately two miles south of Hendricks on the right side of the road. Hike past the trailhead sign and down the access road to the swinging bridge. Crossing the bridge and turning right will put you on Otter Creek trail.

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