Pinkston Reservoir offers two public boat ramps for water access, though both are in poor condition with unpaved parking areas requiring maintenance.

The East Ramp has 10 parking spaces and the Dam Ramp has 8 spaces; the Dam Ramp has been extended for low-water access, while the East Ramp still needs extension to provide reliable access during water level fluctuations.

Bank access is limited to areas around the public boat ramps and the dam.