Ralph Cox Memorial Access provides a concrete boat ramp that is ADA accessible for launching onto the James River in the lower section, which features Class I rapids and scenic Ozark landscape.

The 7-acre area includes a privy and large parking lot, with day-use only access (4 AM - 10 PM). Located just east of Galena, this access point is ideal for paddlers seeking a more exhilarating float experience compared to the upper James River stretches.