| Little Lick Fork | See Lick Fork. |
| Little Limestone Creek | rises in E Duplin County and flows SE into Limestone Creek. |
| Little Long Creek | rises in central Gaston County and flows SE into Long Creek. |
| Little Long Mountain | SW Randolph County between King Mountain and Poison Fork. |
| Little Lost Cove Creek | rises in E central Avery County and flows NE into Lost Cove Creek. |
| Little Lost Cove Creek | rises in S Yancey County and flows NW into South Toe River. |
| Little Lyman Branch | rises in SW Macon County and flows N into Kimsey Creek. |
| Little Manor | Home of William Person Little, state senator from Warren County (1804-1806). The house was built in 1780 and is still standing. |
| Little Marsh Swamp | rises in S Hoke County and flows SE into Robeson County, where it enters Gallberry Swamp. |
| Little Matrimony Creek | rises in N Rockingham County and flows E in an arc into Matrimony Creek, which see. |