| Little Ledge Creek | rises in S Granville County and flows S into Ledge Creek. |
| Little Lick Creek | rises in S Durham County and flows NE into Neuse River. |
| Little Lick Creek | rises in E Lee County and flows N into Lick Creek. |
| Little Lick Fork | See Lick Fork. |
| Little Limestone Creek | rises in E Duplin County and flows SE into Limestone Creek. |
| Little Long Creek | rises in central Gaston County and flows SE into Long Creek. |
| Little Long Mountain | SW Randolph County between King Mountain and Poison Fork. |
| Little Lost Cove Creek | rises in E central Avery County and flows NE into Lost Cove Creek. |
| Little Lost Cove Creek | rises in S Yancey County and flows NW into South Toe River. |
| Little Lyman Branch | rises in SW Macon County and flows N into Kimsey Creek. |