Ledges Cottonwood Access provides a hand-carry boat ramp on the San Miguel River with 14 BLM campsites ($5-$20/night) situated in cottonwood groves along the riverbank.

The river section features sandstone bedrock with rock ledges that create large holes and rapids, particularly dangerous during high water after spring snowmelt—caution is advised when near the river's edge.

The campground offers basic amenities including picnic tables, grills, and toilets, but no drinking water or trash services, and is accessed via a narrow, unsigned road about 2 miles from the bridge over the San Miguel River.