The U.S. Geological Survey, in cooperation with the Tennessee Department of Environment and Conservation (TDEC), measured continuous discharge at 4 water-quality monitoring sites and developed stage-discharge ratings for 10 additional water-quality monitoring sites in the Elk River Basin during 2006 through 2008. The discharge data were collected to support stream load assessments by TDEC. Annual nitrogen and phosphorus loads were estimated for the four sites where continuous daily discharge records were collected. Reported loads for the period 2006 through 2008 are not representative of long-term mean annual conditions at the sites in this study, however, because of severe drought conditions in the Elk River Basin during this period.