| Little Hump Mountain | on the Avery County, N.C.-Carter County, Tenn., line. |
| Little Hungry Creek | rises in E Henderson County and flows SW into Hungry River. |
| Little Hunting Creek | rises in S Wilkes County and flows SE into Hunting Creek. |
| Little Hurricane Creek | rises in N Madison County and flows SE into Big Laurel Creek. |
| Little Indian Creek | rises in S Chatham County and flows E into Indian Creek. |
| Little Indian Creek | rises in NW Lincoln County near the Catawba County line and flows SE into Indian Creek. |
| Little Indian Creek | rises in SW Macon County and flows NE into Nantahala River. |
| Little Inlet | former inlet from the Atlantic Ocean through Onslow Beach in S Onslow County. Appears on the Moseley map, 1733, and the Mouzon map, 1775, where the max. depth is shown to be 6 ft. Does not appear on the Price map, 1808, or on subsequent maps. |
| Little Island Creek | rises in NW Vance County and flows N into Island Creek. |
| Little Ivy Creek | is formed in W Madison County by the junction of California Creek and Paint Fork and flows SW to join Ivy Creek at the Buncombe-Madison county line to form Ivy River. |