Located entirely within Perquimans County, the river drains directly to the Albemarle Sound between Durant's Neck on the north and Harvey Neck on the south. It is a tidal estuary to just north of the towns of Hertford and Winfall.
Located in Perquimans County, the river flows into the Albemarle Sound, bounded by Durant's Neck and Harvey Neck, with the towns of Hertford and Winfall situated nearby.