| Little Fishing Creek | See Mill Creek. |
| Little Flat Creek | rises in N Buncombe County near Brittain Mountain and flows NW into Flat Creek. |
| Little Flatty Creek | rises in SE Pasquotank County and flows SE into Pasquotank River. |
| Little Florida | artificial pond in NW Tyrrell County formed in 1946 by the digging of sand from a farm to make a fill. Covers 3 acres; max. depth 30 ft. Named by C. E. Liverman, former owner, for name of the farm. |
| Little Fodderstack Mountain | SE Macon County at the head of Edwards Creek. |
| Little Fork | rises in NE Buncombe County and flows NW into Right Fork. These are tributaries of Swannanoa River. Sometimes known locally as Little Right Hand Fork. |
| Little Fork Ridge | NE Buncombe County between Hawkbill and Mineral Creeks. |
| Little Fork Ridge | W Haywood County between Big Fork Ridge and Woody Creek. |
| Little Fork Ridge | N Mitchell County between Left Fork Bean Creek and Right Fork Bean Creek. |
| Little Foster Creek | rises in NE Madison County and flows S into Foster Creek. |