Twin Buttes Reservoir Boat Ramp provides public access to the Middle Concho River area via multiple launch points, including a one-lane concrete ramp at Twin Buttes Marina and additional multi-lane ramps at Sailboat Point and the Equalization Channel.

A Limited Public Use permit ($12/year) or Annual Public Hunting permit is required for all visitors 17 and older. Boat ramp usability varies with water levels, so checking current conditions beforehand is recommended, especially during low-water periods.