According to the Geographic Names Information System, it has also been known historically as:[1] Northeast Cape Fear River rises about 1 mile southeast of Mount Olive, North Carolina in Wayne County and about 10 mi (16 km) south of Goldsboro and then flows south to the Cape Fear River at Wilmington, North Carolina.

Northeast Cape Fear River drains 1,714.70 square miles (4,441.1 km2) of area, receives about 53.8 in/year of precipitation, and has a wetness index of 593.72 and is about 19% forested.

[4] The river and its valley are home to a variety of interesting and uncommon flora and fauna, including the palmetto, cypress, alligator, pileated woodpecker, venus flytrap, and bowfin.

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