On the North shore of the South fork in the Piercefield Flow, tucked into the woods behind an island, is a typical Adirondack lean-to, available to the public on a first come first served basis. It is equipped with a fireplace suitable for cooking and campfires, and a nearby pit toilet. Dead and down firewood may still be found at this site. Accessible only by water, it is the only location on the Piercefield Flow where camping is permitted. There is no camping permitted on any of the islands or other shorelines on the flow.

The Raquette River above the Piercefield Flow, accessible to paddlers via a short portage around the Setting Pole Dam if paddling up from the Flow, or putting in at the dam itself (accessible by car via the Setting Pole Dam Road off State Highway 3 near the Franklin/St. Lawrence County line), is at the downstream end of the longest uninterrupted stretch of flatwater in the Adirondacks. From here one has access to Raquette Pond, Big Tupper Lake, Simon Pond (AKA Lake Simond), and the winding Raquette River all the way upstream to Raquette Falls. A few lean-tos are located on Big Tupper Lake and at Trombley’s and Axton landings on the river. Keep an eye out for the Adirondack Scenic Railway train that runs on Sundays throughout the summer.

Horseshoe Lake Campground may be accessed via State Route 421 at the south end of Big Tupper Lake. This is a primitive camping area with no facilities or hookups, and is also available on a first come first served basis.

Dead Creek flows under State Route 3 just west of the hamlet of Childwold. Check out the Kiosk at the parking area and launch your kayak at that point. This is a shallow winding stream that flows into the Raquette River to the east and is also navigable for small paddlecraft for some distance upstream. It won’t be long before you feel as though you are far from civilization, although the sound of highway traffic will be noticeable for some distance.