| Little Buffalo Creek | rises in NW Richmond County and flows SW into Buffalo Creek. |
| Little Buffalo Creek | rises in S Rowan and N Cabarrus Counties and flows SW into Dutch Buffalo Creek. |
| Little Buffalo Creek | rises in S Vance County and flows SW into Buffalo Creek. |
| Little Buffalo Creek | See West Buffalo Creek. |
| Little Bugaboo Creek | rises in N Wilkes County and flows SE into Big Bugaboo Creek. |
| Little Butt Knob | on the Buncombe-Yancey county line between Big Butt Knob and Point Misery. Alt. approx. 3,300. |
| Little Camp Creek | rises in N Rutherford County and flows SW into Camp Creek. |
| Little Cane River Gap | See Cane River Gap. |
| Little Caraway Creek | rises in NW Randolph County and flows S into Caraway Creek. |
| Little Cataloochee Creek | is formed in NW Haywood County in Great Smoky Mountains National Park by the junction of Woody Branch and Conrad Branch. Flows E 2 mi. and empties into Cataloochee Creek. |