Fifteen Mile Creek Mountain Access provides a boat ramp at Mile 140 of the C&O Canal, offering easy water access to the Potomac River for kayakers and anglers (Maryland fishing license required for ages 16+).

The location features a drive-in campground with 9 single sites and 1 group site, pit toilets, picnic tables, and fire rings, with seasonal potable water available April 15–October 31.

RVs and trailers up to 20 feet can access the site via High Germany Road, though a low-clearance tunnel on Orleans Road requires alternate routing.