 As you move further east, the road becomes somewhat flatter as it often parallels Symmes Creek.Traveling the road from end to end, one will cross Symmes Creek five times and pass through several communities including Ironton, Hecla, Kitts Hill, Aid, Wilgus, Arabia, Waterloo, Cadmus, Gage, Centenary, and Gallipolis.Symmes Valley High School and Symmes Valley Elementary School are also located along State Route 141, just to the east of Aid.