Mill Creek Boat Ramp in Millwood, West Virginia serves as the only public access point in a 16½-mile stretch of the Ohio River between Racine Dam and Ravenswood, making it essential for paddlers exploring this section.

The ramp provides access to both the Ohio River and Mill Creek, where slack water extends back 6½ miles, offering a 13-mile out-and-back paddling opportunity.

The facility has adequate parking but no amenities; it's located off State Route 62 near Apple Grove, Ohio, approximately 20 miles from downtown Point Pleasant via State Route 2.