| Little Elk Mountain | central Avery County. |
| Little Elk Ridge | central Avery County. |
| Little Elkin River | rises in NE Wilkes County and flows SE into Yadkin River. |
| Little Elliby | See Upper Bartons Creek. |
| Little Fall Branch | rises in N Haywood County and flows NW into Cold Springs Creek. |
| Little Fall Creek | rises in N central Wake County E and flows NE into Fall Branch. |
| Little Fires Creek | rises in N Clay County and flows SW into Fires Creek. |
| Little Fisher River | rises in N Surry County and flows SE into Fisher River. |
| Little Fishhawk Mountain | S Macon County between Fishhawk Mountain and Whiterock Gap. Alt. 4,706. |
| Little Fishing Creek | is formed in E central Warren County by the junction of Walkers Creek and Big Branch. It flows SE into W Halifax County, where it enters Fishing Creek on the Halifax-Nash county line. Appears as Conway Creek on the Moseley map, 1733, and as Little Fishing Creek on the Collet map, 1770. |