Carleton Island is located in the St Lawrence River in upstate New York. It is part of the Town of Cape Vincent, in Jefferson County.

The St. Lawrence River is a large international river in the middle latitudes of North America connecting the Great Lakes to the North Atlantic Ocean. Its waters flow in a northeasterly direction from Lake Ontario to the Gulf of St. Lawrence, traversing Ontario and Quebec in Canada and New York in the United States. A section of the river demarcates the Canada–U.S. border.