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.
The river, confined to Perquimans County, empties directly into the Albemarle Sound, located between Durant's Neck and Harvey Neck, with the towns of Hertford and Winfall in close proximity.