| Little Swift Creek | rises in NE Craven County and flows SW into Swift Creek. |
| Little Switzerland | community and summer resort in NW McDowell County on the head of Threemile Creek. Alt. 3,500. Founded in 1910 as a summer resort by Heriot Clarkson (1863-1942). Named because of the supposed resemblance of the mountains of the area to those of Switzerland. See also Armstrong. |
| Little Tennessee River | is formed in Rabun County, Ga., by the junction of Betty and Darnell Creeks. It flows N and NW into Macon County and through Lake Emory; into Swain County and along the Graham-Swain county line through Fontana Lake and Lake Cheoah; and into Tennessee, where it enters the Tennessee River. The river was long believed to have been discovered in 1540 by Hernando De Soto and as such the first tributary of the Mississippi River discovered by Europeans. |
| Little Terrapin Mountain | S Jackson County approx. 1½ mi. S of Hampton Lake, is bordered on the W by Fowler Creek. Alt. 3,900. |
| Little Timber Ridge | N Avery County. |
| Little Tomahawk Creek | rises in W Forsyth County and flows SE into Stewarts Creek. Some time prior to 1762 Stewarts Creek was known as Tomahawk Branch. See also Stewarts Creek. |
| Little Tomahawk Creek | rises in S Sampson County and flows NW to join Big Tomahawk Creek in forming Tomahawk Creek. |
| Little Town Creek | rises in S Montgomery County and flows SE into Town Creek. |
| Little Troublesome Creek | is formed in E Rockingham County in Reidsville and flows SE into Haw River. |
| Little Trout Creek | rises in central Jackson County and flows N into Mill Creek. |