North Carolina designated 4.5 miles (7.2 km)[7] of the river as Horsepasture State Natural River in 1985,[8] including it in the state's Natural and Scenic Rivers System. The State River is between NC-281 and the state line.
The Horsepasture River features several significant waterfalls in close proximity to one another. The named falls are:
^U.S. Geological Survey. National Hydrography Dataset high-resolution flowline data. The National MapArchived 2012-03-29 at the Wayback Machine, accessed April 26, 2011