Twin Buttes Reservoir Boat Ramp provides public access to the reservoir with multiple launch locations operated by San Angelo Parks & Recreation. A Limited Public Use Permit ($12/year) or Annual Public Hunting Permit is required for all visitors 17 and older.

The Twin Buttes Marina Ramp features a one-lane concrete ramp off US 67, while Sailboat Point offers a three-lane ramp with a low-water alternative, and the Equalization Channel provides two 2-lane ramps; water levels fluctuate seasonally and affect ramp usability.