In a dry fly, I found grasshopper imitations to be effective, while in lures, dark colored spinners with silver blades worked well. Mountaintown Creek covers a fairly large area and has access in several places. To reach Mountaintown Creek from Ellijay follow Hwy. 52 through town towards Chatsworth. Soon after passing the wooden sign for Bear Creek on the left you will see the bridge that crosses the creek.
Access is available on both sides of the bridge.
There are several other access points in the general area near Bear Creek and Hill Lake.