The crash happened right at the Swift Creek Road overpass in Johnston County just after 1 p.m.
Chopper 11 flew over the scene and saw multiple cars involved in the crash. Wilson Mills Police Department said a tractor-trailer collided with three vehicles.
On Tuesday, police identified the driver killed as 79-year-old Bonney Wheatley of Raleigh.
Six others were injured, including people in the two other cars and the truck driver. They were all taken to a hospital for treatment.
The driver of the tractor-trailer, 77-year-old Robert Wallace of Smithfield was later charged with misdemeanor death by motor vehicle.
Multi-car crash shuts down Highway 70 in Johnston County
First responders shut down Highway 70 eastbound for several hours, detouring drivers onto Swift Creek Road. The road reopened just before 5:45 p..m.
The Highway Patrol, Wilson's Mills Fire Department, and Johnston County EMS assisted at the scene.