Mountaintop Golf and Lake Club sits in the Blue Ridge Mountains near Cashiers, North Carolina, at elevations that reach above 4,000 feet. Tom Fazio designed the course in the mid-1980s, carving the routing through dense hardwood and hemlock forests on terrain that offers significant elevation change and mountain views. The property's high-altitude setting and natural topography give the course a distinct character among North Carolina mountain layouts, with holes that move through corridors of mature trees and across ridgelines. The routing takes advantage of the site's natural features, incorporating rock outcroppings, native vegetation, and dramatic shifts in elevation. Several holes play along ridges with long-range views of the surrounding peaks, while others descend into forested valleys. Fazio's design emphasizes strategic shot placement over length, as the elevation changes and mountain air affect club selection and ball flight. The course requires accuracy off the tee, as the tree-lined fairways leave little margin for error. Mountaintop operates as a private club with a limited membership, maintaining a quiet, secluded atmosphere consistent with the remote mountain setting. The club's focus remains on golf and the natural environment, with the course serving as the centerpiece of a residential community. The combination of Fazio's design work and the dramatic mountain landscape makes Mountaintop a notable example of high-elevation golf in the southern Appalachians.