| Little Choga Creek | rises in W Macon County and flows SE into Nantahala Lake. |
| Little Coharie Creek | rises in NW Sampson County and flows SE to join Great Coharie Creek in forming Coharie River. |
| Little Coharie Township | W Sampson County. |
| Little Cokey Swamp | rises in W Edgecombe County and flows SE into Cokey Swamp. |
| Little Cold Water Creek | rises in N Cabarrus County and flows S into Cold Water Creek. |
| Little Colington Island | See Colington Island. |
| Little Colly Creek | rises in E Bladen County and flows S into Colly Creek. |
| Little Contentnea Creek | rises in SE Wilson County and flows SE on the Greene-Pitt county line into Pitt County, then back to the Pitt-Greene county line, which it follows into Contentnea Creek. See also Contentnea Creek. Appears as Little Cotecktney Creek on the Collet map, 1770. |
| Little Cotecktney Creek | See Little Contentnea Creek. |
| Little Cove Creek | W Polk County flows NE and NW into Green River. |