The route serves as the main road from Morganton to Northern Burke County then on towards Newland in Avery County. The first of the road appears as a regular back road highway, going by homes and shrubbery farms. At Brown Mountain Beach Road, the sharp bend of the highway starts the climb up through the Pisgah National Forest to Jonas Ridge. This section of the highway features multiple curves, multiple passing lanes, and mostly undeveloped wooded lands. Before Jonas Ridge is the Brown Mountain Overlook, where stories of phantom lights on the mountain can be seen from the location. After Jonas Ridge, the highway goes parallel with the Blue Ridge Parkway for a mile before passing over it. In Pineola, the highway overlaps with US 221 for almost before splitting in Linville. The last section of the highway goes by several hills and mountains covered by Fraser firs before entering the Newland city limits and ending at NC 194. One unique feature of the highway is the use of mile markers, which only appear between before Brown Mountain Beach Road and Jonas Ridge. An oddity for a two-lane surface road in the state; however, the reason why they exist is simply to assist police and rescue crews to better locate accidents or lost hikers along the curvy section of the highway. A majority of the route shares with either North Carolina Bicycle Route 2 or North Carolina Bicycle Route 6. Route 6 is concurrent with NC 181 from its southern terminus in Morganton to Brown Mountain Road and Route 2 is concurrent from Brown Mountain Road toNC 183. Because it mostly overlaps with a state bike route, the road has wider paved shoulders compared to other roads in the area. Because of these extra features, it is not uncommon to find several bikes and motorcycles riding along the highway on any given nice day. NC 181 overlaps with one state scenic byways, the Pisgah Loop Scenic Byway, between Fish Hatchery Road and NC 183.
Dedicated and memorial names
NC 181 in North Carolina has three dedicated or memorialized sections of highway.
Beatrice Cobb Highway - official name of all NC 181 in both Burke and Avery counties. It is named after Beatrice Cobb who started her career early as a teacher and writer. In 1916, she became editor and publisher of the Morganton Herald; in 1922 she was chosen secretary of the North Carolina Press Association by her peers. Eventually her journalism clout in the state became also political clout; she was a Democratic National Committeewoman and an adviser on allocations to federal agencies in the state during the New Deal era. She received numerous awards during her career and an honorary doctorate from the University of North Carolina.
Dr. Mary Martin Sloop Highway - overlapping official North Carolina name of US 221; between Pineola and Linville where NC 181 overlaps.
S B Lacey Jr Highway - overlapping official North Carolina name of NC 181 between Linville and Newland.
History
The highway was established in 1928 as a new primary routing between NC 18 in Morganton and NC 194 west of Pineola. In 1929, NC 181 was extended southwest to NC 19 in Ruth. In 1930, NC 181 was rerouted north of Pineola to Linville, replacing NC 175, and then west to its current northern terminus at NC 194 in Newland replacing NC 176; its old alignment became part of NC 691. In 1934, NC 181 reached its longest length with an extension southwest to US 176 in Tryon. In 1940, NC 181 was truncated back to Morganton; its former routing was replaced by NC 108 between Tryon and Rutherfordton and US 64A between Ruth and Morganton. In 1977, NC 181 was removed from Avery Avenue and extended along both Sterling Street and Green Street to its current terminus along Meeting Street, in downtown Morganton. In 1989 or 1990, NC 181 was placed on new bypass route north of Montezuma. In 1991, US 221/NC 181 was removed from Linville Avenue and placed on new bypass route west of Linville.
North Carolina Highway 176 was established around 1928 and traversed from NC 181, in Pineola, north to NC 175, in Linville. In 1930 it was decommissioned in favor of an extension of NC 181.