Understanding the mechanisms that spread freshwater away from small river systems and form turbid, low-salinity coastal plumes is crucial for assessing water quality in coastal waters. We present an analysis of 15 years (January 2004 to December 2018) of daily MODIS Aqua satellite data and in situ instrument data on the turbid freshwater plume that forms off the Russian River (California, USA), a prototypical Mediterranean-climate, small mountainous river system (SMRS). We present per-pixel statistical metrics and regression analyses to identify and quantify the controls on the extent and configuration of the plume exerted by river discharge, waves, winds, and tides. While freshwater outflow exhibits a persistent signal in nearshore waters, a large-scale plume only extends offshore into coastal waters during high river flow, when plume turbidity can be detected more than 10 km offshore from the river mouth. Our results show times when wave radiation stress exceeds outflow inertia, confining the plume within the surf zone and leading to an absence of detectable plume turbidity in coastal waters. Although tidal currents significantly influence the plume near the inlet, wind forcing is the primary control on plume shape and extent in coastal waters, deflecting the turbid outflow more than 30 km upcoast or downcoast of the river mouth with respective wind directions. Coriolis forcing is also significant and observed most clearly during periods of high river discharge and low wind forcing. In addition to introducing novel remote sensing methodology for SMRS plume analyses, these findings highlight the complex interplay of forcing related to tides, river discharge, winds, and waves in shaping the behavior of SMRS plumes. New insights include the impact of tides on larger discharges, the role of Coriolis forcing in SMRS plumes, and the effect of cross-shore winds on plume compression. Further, by considering the Russian River as a model for SMRS, this study can be used to ground-truth existing numerical models of small river plumes and to contribute to understanding critical for managing coastal water quality and nearshore ecosystems.