Millstream Gardens Conservation Area Access provides a boat ramp for hand-launched watercraft on the St. Francis River in Madison County, located off Highway 72 between Fredericktown and Arcadia.

The 916-acre area features the spectacular Tiemann Shut-ins and offers hiking trails including the easy 1. 8-mile Tiemann Shut-ins Trail and the more challenging 6. 5-mile Turkey Creek Trail.

Paddlers should note that low water conditions can make sections impassable and adequate whitewater experience is recommended for navigating the shut-ins.