The Middle Twin Lakes Boat Ramp is located in the narrow thoroughfare connecting Upper and Lower Twin Lakes, featuring an 8-foot-wide launch channel lined with lily pads and a short launch pad with a deep drop-off at the end.

This ramp is best suited for smaller boats due to the 8-foot clearance under the low-hanging bridge connecting the two lakes, and it provides access to both water bodies for fishing and recreational boating.

A Kootenai County boat launch fee is required to use this facility.