First Fork Road Access provides a trailhead for the Piedra River Trail (#596), located 12 miles up FS 622 from Highway 160 West at an elevation of 7,200 feet.

This access point offers an easy, scenic hiking route along the Piedra River featuring beautiful box canyons, and can be used as a shuttle point for a 12-mile one-way hike when combined with the Piedra Road access point.

Fishing is available with restrictions: artificial flies or lures only, and all trout must be immediately returned to the water.