| Old Salem | See Salem. |
| Old Shatter | See Axtell. |
| Old Sheep Knob | N Cleveland County. Alt. 1,497. |
| Old Skinnersville | See Skinnersville. |
| Old Sneedsborough | abandoned town in SE Anson County on Pee Dee River. Laid out in 1795 to be at the head of navigation on the Pee Dee River and named for Honora Sneyd, stepmother of Richard Lovell Edgeworth, founder of the town. Navigation was not developed sufficiently, and the town declined after about 30 years. Post office est. about 1803; closed 1883. Sneedsborough was famous for its inn. John J. McRae, governor of Mississippi (1854-58) and a member of U.S. and Confederate Congresses, was born there. See also McFarlan. |
| Old Sow, The | tidal-marsh island in Pamlico Sound off the SE tip of Goose Creek Island, NE Pamlico Sound. |
| Old Sparta | town in S Edgecombe County on Tar River. Inc. as Sparta, 1876, and reincorporated as Old Sparta, 1903. No longer active in municipal affairs. Post office est. 1829; probably came to be called Old Sparta after Sparta, county seat of Alleghany County, est. 1859, began to thrive. |
| Old Stanhope | See Spring Hope. |
| Old Station Gap | central Madison County between Brush Creek and Walnut Creek. |
| Old Topsail Creek | rises in S Pender County and flows S into Topsail Sound. |