| West End | community in S Moore County. Named for the fact that it was the W terminus of a railroad from Aberdeen (about 1890-98) that later became a part of the Norfolk and Southern Railway. Alt. 604. |
| West Fork | rises in central Avery County and flows S into Linville River. |
| West Fork Campbell Creek | rises in W Haywood County and flows NE into Campbell Creek. |
| West Fork Deep River | rises in W central Guilford County and flows SE into High Point Lake, where it joins East Fork Deep River. |
| West Fork French Broad River | rises in W Transylvania County and flows SE to join North Fork French Broad River in forming French Broad River. |
| West Fork Little River | rises in S Randolph County and flows SE into Montgomery County, where it enters Little River. |
| West Fork of Ivy Township | former township in E Madison County, now township no. 5. |
| West Fork Overflow Creek | rises in S Macon County and flows SE to join East Fork Overflow Creek in forming Overflow Creek. |
| West Fork Pigeon River | rises in S Haywood County near the Jackson-Transylvania county line and flows NE to join East Fork Pigeon River in forming Pigeon River. Known by the Cherokee Indians as Neeoh-la, the name that they applied to the main river formed by the junction of East and West Forks Pigeon River. |
| West Fork Rocky River | rises in S Iredell County and flows SE into Mecklenburg County, where it enters Rocky River on the MecklenburgCabarrus county line. |