| Little Rocky Knob | N Buncombe County NE of Razor Mountain. |
| Little Rocky Knob | NW Caldwell County on SW side of Rocky Knob. Alt. approx. 2,250. |
| Little Rocky Mountain | E Macon County on a tributary of Little Salt Rock Creek. |
| Little Rose Creek | rises in SE Mitchell County and flows NW into Rose Creek. |
| Little Ruin Creek | rises in W Vance County and flows SE into Ruin Creek. Appears on Collet map, 1770. |
| Little Salt Rock Creek | rises in E Macon County and flows NW into Wildcat Creek. |
| Little Sam Knob | S Haywood County between Bubbling Springs Branch and Flat Laurel Creek. Alt. 5,862. |
| Little Sandy Branch | rises in S Stokes County and flows SE into Town Fork Creek. |
| Little Sandy Creek | rises in NE Wilkes County and flows S into East Prong Roaring River. |
| Little Sandy Gap | on the Buncombe-Madison county line E of Davidson Gap. |