| Little Hamer Creek | rises in S Montgomery County and flows S into Richmond County, where it enters Hamer Creek. |
| Little Harris Creek | rises in central Cleveland County and flows SE into Big Harris Creek. |
| Little Haw Creek | rises in E Alamance County and flows SW into Haw Creek. |
| Little Haw Knob | on the Graham County, N.C.-Monroe County, Tenn., line. Alt. 5,146. |
| Little Haw Mountain | central Avery County. |
| Little Hawk Mountain | E Mitchell County between Hawk Creek and Long Hollow. |
| Little Helton Creek | rises in N Ashe County and flows SE into Helton Creek. |
| Little Hensley Branch | rises in N Yancey County and flows NE into Cane River. |
| Little Hickory Creek | rises in S Cleveland County and flows W into Hickory Creek. |
| Little Hickory Knob | N Transylvania County between Avery Creek and Thrift Cove Branch. |