Many of these areas have previously been used by physically challenged anglers. Whether or not these sites can be used by the physically challenged and the degree of assistance required is left to the discretion of the user. The upper end is accessed by County Route 27 which is one mile from the intersection of U.S 19 and State Route 3. The lake is reached by County Route 20 .5 miles from the South Valley Drive exit of I-64. The falls are reached by U.S. Route 60 2.5 miles west of Gauley Bridge.
Access is available along the sandy beach and by a concrete walk just below the falls.
The lake is in Pipestem State Park which is 10 miles south of Hinton on County Route 20. Access is by a paved walking trail which should be suitable for wheelchairs. The trail only affords access to the area near the dam. With the aid of another person, access is available at several sites along State Route 20 from Bluestone Dam, north to the Sandstone exit of I-64. The lake is located 5.5 miles north of Gap Mills on County Route 8.