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Route 461 begins at an intersection with Route 1 (Trans-Canada Highway) and it heads north to enter St. George's, where it makes a sharp right turn onto Main Street in downtown. The highway winds its way northeast through neighbourhoods as it follows the coast before crossing a river into Barachois Brook. Route 461 passes through that town before coming to an intersection with Route 490 (Stephenville Access Road/Katarina Roxon Way), where it becomes concurrent with Route 490 and they head north to have an intersection with a local road leading to Mattis Point. This is the only example of a road concurrency in the entire province of Newfoundland and Labrador. Route 461/Route 490 now cross a bridge over an inlet to enter Stephenville Crossing, where the two highways split at a fork in the road, with Route 461 going straight through downtown along West Street and Brook Street. Route 461 now heads northward through neighbourhoods for a few kilometres to leave town and come to an end shortly thereafter at an intersection with Route 460 (White's Road/Hansen Memorial Highway).