Lead Mine Conservation Area provides two river access points and a boat ramp for paddling and fishing on the Niangua River, with approximately 2 miles of river frontage and a 3. 5-mile stretch of Jakes Creek.

The area offers primitive camping with five designated sites (including a main campground with 51 gravel sites), though most amenities are limited to a vault toilet and fire rings.

Access is via gravel roads that can be rough and may have water crossings depending on conditions; the area is popular with equestrians, hikers, and day-use paddlers.