Total streamflow across the Little Tennessee River was last observed at 1,434 cfs, and is expected to yield approximately 2,844 acre-ft of water today; about 86% of normal. Average streamflow for this time of year is 1,664 cfs, with recent peaks last observed on 2015-12-25 when daily discharge volume was observed at 19,840 cfs.

Maximum discharge along the river is currently at the Little Tennessee River At Needmore reporting a streamflow rate of 1,010 cfs. This is also the highest stage along the Little Tennessee River, with a gauge stage of 2.95 ft at this location. This river is monitored from 2 different streamgauging stations along the Little Tennessee River, the highest being situated at an altitude of 2,012 ft, the Little Tennessee River Near Prentiss.

The Little Tennessee River flows through the Appalachian Mountains and is approximately 135 miles long. Historically, it was an important trade route for Native Americans and European settlers. The river is home to several fish species, including the endangered Appalachian elktoe mussel. The river is dammed at several points including Fontana Dam, which creates Fontana Lake, and Cheoah Dam, which creates Cheoah Lake. These reservoirs are used for hydroelectric power generation and flood control. The Little Tennessee River is also a popular destination for recreational activities such as fishing, boating, and swimming. The surrounding land is used for agriculture, including cattle farming and tobacco production.