A computer mapping system was employed to document the location of 259 shoreface-attached and detached sand ridges in water <20 m deep and the temporal and spatial distribution of 309 historical and active tidal inlets along the U.S. Atlantic coast (Montauk Point, New York, to Miami Beach, Florida). This database was compiled through the analysis of over 600 historical maps, 50 bathymetric charts, and other published data. A genetic relationship between the location of certain historical and active tidal inlets and shoreface-attached sand ridges is documented. It is inferred that ebb-tidal deltas provided the initial sand source for the development of many shoreface-attached sand ridges. Although shoreface-attached sand ridges appear to have several different modes of formation, a two-step process for the development of most shoreface-attached and detached sand ridges along U.S. Atlantic barrier island and cape coastlines is proposed: (1) sand is deposited as ebb-tidal deltas or river deltas along the lower shoreface and/or inner continental shelf prior to or during transgression, followed by (2) further transgression, which reworks the deltaic sand bodies into linear sand ridges at the base of the shoreface by shelf processes. The best-developed shoreface sand ridge fields along the U.S. Atlantic shelf lie adjacent to shorelines characterized by all of the following: (1) transgression, (2) mixed energy, wave-dominated barrier islands, and (3) laterally migrating tidal inlet systems. Tidal inlet systems are natural sediment sinks that capture sand carried by longshore sediment transport. Ebb-tidal delta deposits associated with these migrating tidal inlets provide the initial sand body for the development of shoreface-attached sand ridges. The oblique orientation and linear form of shoreface-attached sand ridges appear to be a function of shoreline transgression, lateral inlet migration, and wave reworking of ebb-tidal delta deposits concentrated along an ebb-tidal delta retreat path. Shelf processes act as modifying agents in the evolution of sand ridges during and after ebb-tidal delta deposition. In general, shoreface-attached sand ridges are poorly developed or absent along eroding headlands, spits, and barrier island shorelines characterized by naturally stabilized tidal inlets. These latter inlets and shoreline types are dominated or influenced by one or all of the following: (1) antecedent topography, (2) higher tidal ranges, (3) larger tidal prisms, (4) lower wave energies, or (5) finer grain sizes. The coupling of shoreline and shallow marine sedimentary processes during a transgression is critical to the origin, evolution, and distribution of shoreface sand ridges in the study area. Modern shoreface-attached sand ridges are also known to occur in different coastal and shelf settings where large amounts of sediment were supplied to the shoreface and inner shelf during, or immediately before, transgression. Commonly observed vertical and lateral interrelationships of Holocene shoreface-attached sand ridges and tidal inlets or distributary channels have important ramifications for the development of shelf sandstone facies models. In addition, the geometric relationship documented in this study provides predictive petroleum and hard mineral exploration models of the spatial and temporal distribution of shoreface and shelf sand ridges.