Great question!
Call me crazy, but we have it all except the perfect air. Oakland/Piedmont CA, just east of San Fran. We have farmers markets galore and grass-fed meats, pastured eggs, access to raw diary. Access to cultural San Francisco is 20 minutes by Public Transit. Because we live by the Bay, our air is in pretty good shape and we have a spare the air day maybe 5 times per year. We have access to hiking trails 10 minutes from my house, and the scope of this hiking area is the size of Rhode Island. It is a series of hiking, biking, horsebackrideing trails, mixed with a volcanic preserve, botanical preserve, and redwood tree park. Huge area. Between San Francisco and Oakland, we have some of the best restaurants in the world. Probably more urban than you were imagining. But we love it.

I have great acess in NYC.  I get my food from the farmers market, fresh direct, meat hook, fleischers and my weston a price coop.   If I were in the hinterland would definitely join a weston a price buying club.  Just email the closest chapter leader and they probably have a raw dairy/meat co-op with great price!

No I dont really love WF. I think their produce can be pretty icky, and they are just too big for me, but I recognize it is a godsend for many!! Sometimes I buy my nut butters and a few other things there because the price is a little better. We have 2 HUGE WF here in Oakland/Berkeley. 
We have 2 Berkeley Bowls which are hugely popular, and not nation-wide but carry everything that WF does with better pricing. Still, too big for me usually.
I buy my sprouted flour on line at Shiloh Farms. They have sugar-free fruit spreads there too.
I buy my organic, un-pasturized, but slow-dried/sprouted (and delicious!) almonds from Livingnutz.com. Pricey, but I only eat 10 or 15 almonds a day. They are so delicious.
I buy a few things from Trader Joes, as their Kerrygold butter is cheap, and they carry Alvarado Street Sprouted Wheat tortillas :) I buy sprouted bagels for my kids there, and occasionally bagged, organic veggies. TJs carries a sugar-free fruit spread I get my kids. 
I buy my grass-fed beef from local butcher. They also make sugar-free chicken and beef sausages, some smoked, some not. They are a delicious change from the same old meat preparations. Worth investigating local butchers, as some do not add sugar or alcohol to their sausages!! They also make a grass-fed short-rib burger! Yum! (any butcher could make this for you: Short ribs in a grinder with salt and pepper!)
I buy my produce at a local market that is like a european-style market, with different vendors under one roof: Produce, pasta, coffee roaster, bakery, meat are all seperate. Pricey but they have great produce. My other local market has the staples that are the same price as WF and they will carry anything I ask them to! Still working on the Alvarado Street tortillas, that might get me out of TJs. I am kind of fed up with Trader Joes, too, as all of my friends think they are so great, and every single one of their prepared foods has soybean or sunflower oil. Yuck.
Gee, that was kind of a rant!! Sorry if TMI!! It is very expensive shopping in the Bay Area. Yikes! But worth it for the most part.