NC 69 runs from the Georgia border south of Hayesville and along the western shore of Chatuge Lake.

Its routing took NC 69 through Burnsville, Spruce Pine, Cranberry, Banner Elk, Boone and West Jefferson.

During those times, NC 69 continues as Georgia State Route 69 (SR 69) after crossing the Georgia border and entering Towns County few miles before the route meets its southern terminus at US 76/SR 2 northwest of Hiawassee.

[4] NCDOT plans to upgrade NC 69 into a divided four-lane expressway from the Georgia state line to US 64; which would complete a gap in Corridor A.

In November 2019, NCDOT awarded a $46.3 million contract to Wright Brothers Construction for the expansion of NC 69.