| Little Hickory Top | S Buncombe County SW of Ingles Field Gap. |
| Little Hogback Creek | rises in SE Jackson County and flows S into Horsepasture River. |
| Little Hogback Mountain | SE Jackson County between Burnt Cabin Gap and Toxaway Mountain. |
| Little Hogback Mountain | on the Jackson-Macon county line. |
| Little Hope Creek | rises in SW Mecklenburg County and flows SE into Little Sugar Creek. |
| Little Horse Creek | rises near Pond Mountain in NW Ashe County and flows SE into Horse Creek. |
| Little Horse Creek | rises in W Avery County and flows SE into North Toe River. |
| Little Hoyles Creek | rises in N Gaston County and flows S into Hoyles Creek. |
| Little Hubquarter Creek | rises in E Warren County and flows N into Hubquarter Creek. |
| Little Huckleberry Knob | W Graham County between Huckleberry Knob and Doc Stewart Ridge. Alt. approx. 5,380. |