Saranac River Access in Clinton County provides public fishing and paddling opportunities along a 27-mile corridor from Lake Champlain to the Adirondack Park, with multiple access points including boat launches near the mouth in Plattsburgh and fishing access sites throughout the river.

The river features several hydroelectric dams (High Falls, Kent Falls, Mill C, and Cadyville) with NYSEG-maintained trailheads offering parking and visitor information for portaging and access.

The Saranac River Trail Greenway project is actively expanding recreational access with planned shared-use paths, natural surface trails, and on-road connections linking communities and destinations along the corridor.