The trailhead for Brushy Knob is located in the community of Montreat, on the Big Piney Ridge Trail. Montreat is a private community, which opens the hiking trails on its property to public use. The trail to the summit of Brushy Knob leads through brushy forests and over picturesque streams, forming a loop back down to the trailhead. The area receives a lot of snow during certain parts of the year, which can make hiking difficult, and amateur hikers may find it difficult to navigate. The trails are foot paths only, and no camping is permitted on the property.

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